HomeMy WebLinkAboutBuilding Permit 09-0179 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 3 l!
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ADDRESS '7 6 � �ry.� I`.
OWNER CONTR.
PHONE NO. PERMIT NO. �j -- ���
❑ FOOTING ❑ PLUMBING RI ❑ EXIGRADIFILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
� FRAMING O WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
�EINAL ❑ PLUMBING FINAL O GASLINE AIR TST
�O SITE INSPECTION ❑ MECN FINAL 0
COMMENTS: �r��
f�' WORK SATISFACTORY, PROCEED
/ O ORRECT N AND PROCEED
❑ CORREC WOR , LL FOR REINSPECTION BEFORE COVERING
Inspector. OwnedContr.
CALL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
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oF rrt� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, .� .� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �
�' °'" �:'`- x AND UTILITY CONNECTION PERMIT � .28 � D
U , � ; t�j
M��'NES��P I Whne Fde pERMIT NO�
2 Ponk City
3 Ye�low Apphcant
Please e or rint and si at bottom)
ADDRESS ZONING (otFice use)
`, �� � ~ �"E
LEGAL DESCRIPTION (oflI'ice use only)
LOT BLOCK ADDITION PID
� OWNER �� ' � •
(Name) _L�f t � / �. • �l Ss�� (Phont3 °�
(Address)
BUII.,DER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower I,evel Fimsh ❑ Fireplace
❑Addinon ❑Alteration ❑Utility Connection
CODE: I.R.C. �I.B.C. ❑ Misc.
Type of struction: I II III N V A B pROJECT COST/VALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: ' 1 2 3 4 5
I hereby certify that I have hirnished mformation on this appl�cauon which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
above-menuoned property and that all construcnon will conform to all ex�sung state and local laws and will proceed m accordance with submitted plans I am aware that the building
`_ official can revoke this perm�t for �ust cause Fwthermore, I hereby agee that the city official or a designee may enter upon the property to perform necded �nspecttons
X �
X
• Signature Contractor's License No. Date
Permit Valuation "� � Park Support Fee # $
Permit Fee $ (�Q � SAC # $
Plan Check Fee $ �� ?� Water Meter Size 5/8"; 1"; $
State Surcharge $ 1 � 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 DUE $ �, o
This p o comes Your Buil g Permit When A proved Paid �/ Re t NO.
4 Date fY �
28
i � cial Date �
This is to cert t t e equcst m the above�appUcanon and accompanymg d ments �s n accordance wuh the C�ry Zomng Or nance an may oceed au requcsted Thts documeni
when signed e i lanner es a temporary Cert�ficate of Zonmg mpLanc and allows construction to commence. Before occupancy, a Ccruficare of Occupancy must be
issued
� J
tor Da Special Conditions, if any
24 hour notice for all inspections (9S2) 447-9850, fax (9.52) 447-4245
4646 Dakota Street Prior Lake, MN 55372
-, � sidential Building Permit C�eckli�t
� Deck Additions to Single Family ��#omes I ; �
t � Y � `
BY: ; � ;` J ; .. Date: �� j �""i
.� a� V �
Building Permit # PID: Zoning:
Site Address `� °'� � v� � ��� ���
' Legal: L B Subdivision:
Existing Structur . ES or O
�'�
CONFORMS TO ZONING YES NO
ORDINANCE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
10' � �
• Side Yard �
(25' if abutting a street, 30' if abutting a street in ' �
Cardinal Rid e
• Side Yard 10' � � �,
• Reaz Yard 25' � �
• Townhouses Must be consistent with
approved plan for —
develo ment
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW. '
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DEPARTMENT OF
BUILDING AND INSPECTION
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SITE ADDRESS �1 � � �
TYPE OF WORK
USE OF BUILDING
PERMIT NO. ' - DATE ISSUE "� �
BUILDER � �'(� PHONE # °
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPE ATE
FOOTING � C �
� PLACE NO CONCRETE UNTIL ABOVE HAS BEE GNED
FINAL
' FOR ALL INSPECTIONS (952) 447-9850