HomeMy WebLinkAboutBuilding Permit 10-0663 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ? /
ADDRESS �� W �
OWNER CONTR.
PHONE NO. PERMIT NO. � ^' ���_
O FOOTING O PLUMBING RI ❑ EX/GRAD/FILLlNG
❑ FOUNDATION O MECH W ❑ COMPLAINT
❑ FRAMING O WATER HOOKUP O FIREPLACE RI
❑ INSULATION � SEYVER HOOKUP 0 FIREPLACE FINAL
�L FINAL 0 PLU11161NG FINAL ❑ GASLINE AIR TST
�❑ SITE INSPECTION O MECH FINAI ❑
COMMENTS: �,���-
t
�_
�WORK SATISFACTORY, PROCEED
❑ CORREC CT ON AND PROCEED
O CORR T , CALL �OR REfNSPECTION BEFORE COVERING
Inspector: OwnerlContr.
CALL 44 - 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
�n
o � PRfd� CITY OF PItIOR LAK� BUILDING PERMIT, Date Rec'd
� � TEMPORARY C�RTIFICATE OF ZONING COMPLYANCE
� � . . AND UTITIITY CONNECTION PERMIT � - � � (�
�
�'�xNCSa� �. � �'�� p�RMIT NO . �
2. � C„ � �o� 663
3 Ydlow AppliwM
Pleast or dnt aad si at 6ottom)
ADDRESS - ZONIl�IG (otRoe uu)
.�lo S�� G��� s�
LBGAL DESCRIPTION (oE'�ice use only) '
LOT �� BLOCK Z AIIDITION ��pj /`j�!/ � PTD
OyVNfiR p
(Name) _ P � N (Phone) 9SZ "�Q7•%�!
i
{Address) „'��� ,�70 i S�
BUII.DER
(Company Name) � (Phone)
(Contact Name) (Phone)
(Address) �
TYPE OF WORK ❑ New Conshvction eck �Porch []Re-Roofing DReSiding ❑Loxer Level Finish ❑ Firepiace
❑Addition �Alteratian ❑UtilityConnecrion � � / 1 � ���OIC/l. -
CODE:� R.C. ❑I.B.C. � sc. ��� O
Type oF Con�txuction: I IT III N Y A B pR07ECT COSTIYAI.UE $
Occupancy Gro�ip: A B E R H I M R S U
(excl�cding land)
Dlvis�on: 1 2 3 4 5
i haeby cectify that l have fumished infurmatan on this appiicattun which is to the best oF my knowtedge tcue and c�sect. I alsa certify that t am the uvmiv cu authoriacd agcnt frn' Ihe
above•mrntioned properry and that ail mns�nac�ion will wnform �o ap existing swre and local faws and will pmcced in accordanee with submipcd p[arts. I am aware that the bniEding
uHicial can rcvoke t6is pe it for just eause• Furthermore, I hcreby agree thaz the city oflicia! or a designee may rnta upon the property lo perForn► necded mspections.
`, .
X
•� ' Signatu Contractor's License No. AaEe
Pcrmit Vaivatian t ,.� p0 �� Park Support Fee # �
Permit Ree ' $ � q , _ SAC # �
Plan Check Fee $ ,� ' f Water Meter Size 5/8"; 1"; S
State Surcharge $ � S 5 Pressure Reducer ffi
Penaity $ Se�ver/Water Connection Fee # �
Plumbing Perrait Fee � $ Water To�ver Fee # $
Mechanical Fermit Fee S� Buitder's Deposit S
Sativcr & Water Permit Fee S Other $ j
Gas Fireplace Permit Fee S TOTAL DiJE S t(� ���� I
Thts Ap on exs Yoar Bulidtng Perm�t SYri A roved Paid • Recci t NO. Q �
Date � B
� {v
uifdin ioinl Date
11►�s is la cestify that the st in the above�appiication and accompanyi� doeu nts is ' aceordance with the Ciry Zoning Ordinance and may praeed u reqw�sted. This dnenment
when signcd by City r ' utcs a temporary Certificate of Zonia� c plian and allows consuuction to commrntt. Before occupancy, a Certificate uf Occupancy musl be
issued.
� 6 �� �
Pisnnin or � Date Special Conditiona, if aa '•
2�1 hour notice for all inspeciions (952) 447-98Sp� tnx (952) d47-4245 . i
4646 Dakota Street Prior Lake, MN 55372 j
l
. � � .� . .�: Residential Building� Permit Checklist � � . � : . � � �
� ' � . � � � � � Deck Additions to Single Family o s � " � � �
� • . . . .- . .
� BY: - � _�1�ate: � � � " - : � .
� . �- � . . � � � �O . . � . .
� Ziuilding Permit # . . , � PID: . � � � . Zoning: � . � • .�
� � Site Address . � � . � � � � � . • . . � � ,
. . � . � 58T o � S��`!vti^� �' �� ' . . � ` � . � � � � '
- L�gal: L� B . Subdivision:' � �
� 'Ezisting Structure: � or NO , � � ��-�T���CO � A�� �
� � � � COl�TFORMS TO ZOl�TING � . . � � � � NO �
� � OR.DINANCE . . : � - • . � ` � � . � . . �
� � � Yard Setbacks: NOT APPLICABLE . Recjuirement Proposed . � . �.
' � • MEETS CODE � . � � � ' � .
� • Side Yard � . . � � � . . i0' . • �.: �
� ' . (25' if abu#ing a �street, 30' if abutting a street in � � � , . ' � � � . .
� • . . � Cardinal Rid e � � � � � � � • � � '
' � • � . Side Yard : : . • � � . : . 1.0' . .
. . ��
� . • Rear Yard ' � � � � � � 25' . � � .
. . . . Z .
� � �Townhouses � � � . . .�1V.[ust be consistent with . - ' .
' �. � � approved plan for . _- ' �
� � � ' � � � develo ment � � " •
� � ANY PROPOSED DECK NQT MEETING THE ABOVE CRITERIA MUST�BE REFERItED TO THE �
. �LANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED SLUFF, OR ANY
. OTHER UNUSUAL CIRCUMSTANCE MUST �E REFERRED TO �THE PLANNING DEPARTMENT. .'
THI5 CHECKLIST MUST BE COMPLETED AND INCLUAED IN THE BUILDING PERNIIT FILE TO . ;
� � MAINTA�t A RECORD OF THE REVIEW. ' . � � � � , � . ' .. . ' _ .
� . . . : � � ( 2 -.. � � �. Z. `'_' � � .� . _ : � � . . � :. � � � � .: � � . .
. . . .. .?� � .� -� �,. . . . .
' � . ' '� L:\T.�IVTPLATEIDE+CICCHCKDOC . � � . ' . ' � � . � ' ' '
� . . . � . . .
� - . . � . : . ' � . .
,
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS �g �t-+��N G �2cc,.5r 5.�.
TYPE OF WORK ��-�.
USE OF BUILDING
PERMIT NO. t o-�3 DATE ISSUED �� �o
BUILDER �c��-`' �..o�l�`F' _ PHONE # ��l -13�G
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR ATE
FOOTI NG c 1�
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SI NED
FINAL
FOR ALL INSPECTIONS (952) 447-9850
., ' � �
.. �
SU RV EY i�OR � '
LYLE BAkCKEIV � � �°
UliGty 8� proiooq� Ea+emtni ��c .. ��i
i2 � ��� `o �b'�
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1
. Q "�` 967.2 .o v� * / /'o �P'� \
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� •:.�,�, ,� 4�,� �' ¢ P� ��
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e a �ti
. � . / �. �' � gb' 7� � 7.3 �'S ,. .
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RW.(�EO... ° �� �/ `� �' / � ��` "��
CUR9 "'�* � 96t1g/ �' � � � �sr ��
9621 � �'-., e 'y� �\� � ,
,�� p� 961.3
N6S°4 203�� � U L;Tg • 12 t 40" 1 �` �.a� � � -
S � R,�,�.� 9632Q C�nM �� tfJ2 S—F
qN �,� "��< l, .
No� . a��
, C ��TC Garage Slab Elevation = �a4.as "
�F F#rst Floor �Elevation � ss6Aa -
�asement Floor Elev. � �•�
I hereby certi fy� that this is a true and
correct survey of the baundarfes of: . , .
' Lot �, Rlock � , PRI4R NII.1., � aenotes £xistin� �levatian •
accor n to the recarded iat ��enotes Proposed Elevation
� p -•r- Denotes Praposed Surface Drainage
thereof, Scott County, Minnesota, .
ti .
and of a�roposed building. As surveyed �
� by me th i s �C.�da y o f e�p�j�, , 1986 . .APPROVED
.
� PLAS3NING DEPT
G �t1
te and C. N. Smit , Lan Surveyor Signed ate � fo ro -
Minnesota Registratlon Na. 1A942
t3£ARINGS SHOWN AR� TNE SAM� AS SH4ti1M ON THE �?p��� .
RECORDEO PIAT •. � .
• Denotes Iron Monument Found scn�� iµ Fe�T
o Oenotes iron �lonuroent Set ISRAELSON, REESE. ELLItIGSON b ASSOC.
110U0 W. 7t�th Street, Suite 220
X Oenotes Spike Set Eden Prairie. Minnesota 55344