HomeMy WebLinkAboutBuilding Prmit 10-0719 ATE TIIAE
CITY OF PRIOR LAKE �. ,�
INSPECTION NOTICE SCHEDULED O f) �_
ADDRESS � ��� ����c.�s� �-.. �`"'�-�
OWNER CONTR.
PHONE NO. PERMfT NO. CQ "���
O FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
0 FOUNDATION ❑ MECH RI ❑ COMPLAINT
O FRAMING 0 WATER HOOKUP O FIREPLACE RI
O fNSULATION� �' ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
�INAL 1.7��'r" ❑ PLUMBING FINAL ❑ GASLINE AIR TST
O SiTE INSPECTION � MECH FINAL ❑
COMMENTS: �����'���
�
� �����
�iWORK SATISFACTORY, PROCEED
❑ GORRECT AC710N AND PROCEED
❑ CORRECT W , CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
WSNOT)
oF PR1�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� ;. . � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � �` `�
x AND UTILITY CONNECTION PERMIT
v -..... �
M��'Nes��P ' ""h"e F''e pERMIT NO.
2 Pink CpP �, � /
3 Yellow A hcant
Please e or rint and si at bottom)
ADDRESS ZONING �oee�ce ��se)
% �5�� i /�l�����"b� �� -
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER ,�, �`
(Name) �.-,�► IL L+1����� (Phone) ��� • �� 7�
.�.—r—• +
(Address)
BiJILDER enlJ ��� ��� ��-J
(Company Name) � E"[IC.T �— ��� � � (Phone)
(Contact Name) L f � (Phone)
(Address) g rn�Ql ! [=L,% I V , /�'1 �'J� �t/�� J
TYPE OF WORK ❑ New Construction eck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Fimsh ❑ Fireplace
❑Addrtion ❑Alter on ❑Util�ty Connectton
CODE: I.R.C. ❑I.B.C. ❑ Misc.
Type o Con ction: I II III IV V A B pROJECT COST/VALUE $
Occupatncy Group: A B E F H I M R S U
(excluding land)
Division: 1 2 3 4 5
I he by ify thaz av imishe formahon on this apphcation which is to the best of my knowledge true and correct I also ceitify that I am the owner or authonzed agent fo
abo -men ned p erry an tha a onsh�ucnon wiU conform ro all existmg state and local laws and will proceed m accordance with submitted plans I am aware t e uildmg
offic 1 can r oke t pe�mit fo u ca se Furthermore, I hereby agree that the city official or a des�gnee may enter upon the property ro perform necded mspecao
x � � ,��.� S — ��D
Signature Contractor's L�cense No. Date
Permit Valuation �— Park Support Fee # $
Permit Fee $ g� Z S SAC # $
Plan Check Fee $ � � Water Meter Size 5/8"; 1"; $
State Surcharge $ � , --p Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DLJE $ Q�_ `
This pli 'on BecomesYour Building Pernut en Ap oved Paid .� i t No. �Q
Date 7
gj z� rv
Bu m � Date
This �s to cert�fy that the requcst m the above apphcahon and accompanymg documents is m accordance with the City Zorung Ordmance and may proceed as requcsted Th�s ducument
when s�g y th ity Planner constrtutes a temporary Certtficate of Zonmg c mpLanc and allows construcnon to commence Before occupancy, a Cerhficatr uf Occupancy must be
issued
� z � �v
. lanning Dire ate Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (9S2) 447-4245
4646 Dakota Street Prior Lake, MN 55372
. � � .� . �:Residential Building Permit Checklist � �. � : . � � �
� "� . � � . � � � Deck Additions to SingIe Fami y Homes � � � � �
. . ` .. . : .
. . . . � BY: . Date: � � � " � : � .
. 1 �, . .
� �uilding Permit # . � P � . . � � � . Zoning: � . � � . �
� � Site Address � . � � � � � . . � �
. � ��� � T �M�,z. �:,.A-��-. � . � �?• � � � . .
- Legal: L� B � . Subdivision: � ��
� �Existing Structure: YES or NO , � � � � � � � � . - �
� � � CONFORMS TO ZOPTING � . . � � ES � � NO �
� � ORDINANCE . . . � � • . � ` � � . � . . �
� � � �ard Set�acks: NOT APPLICABLE . Requirement Proposed . � . �. �
� � • MEETS CODE � . � � � � � .
� • Side Yard . . � � � � . . i0' � � . �"
. . . �, •
� � . (25' if abu#ting a street, 30' if abutting a street in � � � . . ' � . _
• � . � Cardi�al Rid e � � � �
� . . . . Side Yard : � . � . � . 1��' � .� . .
� . • Rear Yard ' . � . . � . . 25' . . , . � .
. . � . � �' � . � .
• • � Townhouses • . � . �Must be consistent with � ' ,
' �. � � approved plan for . '` - .
� � � . � � � � develo ment � � " �
� � ANY PROPOSED DECK NQT MEETING THE ABOVE CRITERIA MUST�$E REFERRED TO THE �
. �LANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF� OR ANY
. OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO �THE PLANNING DEPA�tTMENT. .'
THI� CHECKLIST MUST BE C4MPLETED AND INCLUDED IN THE BUILDING PERNIIT FILE TO . :
� . MAINTA�N A RECORD OF THE REVIEW. ' . � . � � ' . � � � � ' - '
. � . . � � � � 2. .�---� � �. � � � �� .� . °' 3 a �Z.. .. ,.. � �. . � . � � . . � . . . . �..
' ' . ' '• L:1T.�MPLATEV�ECI�CHCKDOC . � � . ' . � " � � . � ' ' '
` . . . � . . .
� - . � . � ' '.
. ,
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS / �'rY�� ��`'!� � � �"d � ��Z--.
TYPE OF WORK _ .00''�_
USE OF BUILDING f�� �//Z-
PERMIT NO. l0 _�/ DATE ISSUED �- Z�. � Z�
BUILDER _.D/�'�it�L D�L''�7i '/�t/� PHONE # 93J f o-�S
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPE ATE
FOOTING �7 `p�
PLACE NO CONCRETE UNTIL ABOVE HAS BE N SIGNED
FINAL ' � �( �d �
� FOR ALL INSPECTIDNS (952) 447-9850
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