HomeMy WebLinkAboutBuilding Permit 09-0296 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 3 �
ADDRESS I C `
OWNER C TR.
PHONE NO. PERMIT NO. '— � G�
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILUNG
❑ FOUNDATION O MECH RI O COMPLAINT
❑ FRAMING ❑ WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE F(NAL
,..,�FINAL � PLUMBING FINAL O GASLINE AIR TST
JL7�ITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
ecv �`2.. �c�r
C�
❑ WORK SATISFACTORY, PROCEED
� CORRE CTION AND PROCEED
❑ CORR T K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr.
CALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
r�vor,
oF PRtp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
'', :�,; ,. .;. � -� _ � _ O
�,�: � �:�: � AND UTILITY CONNECTION PERMIT y 9
v ��' '-' �,
���'NES��P � Wh��e File pERMIT NO.
2 Pink Cily O � O Z �
3 Yellow Apphcant
Please e or rint and si at bottom)
ADDRESS ZOI�TING (otTice use)
,� � �
LEGAL DESCItIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) _�� r / � � � � � r (Phone)
(Address) �
BUII,DER ,�/� g � /�
(Company Name) / � /� K— � `� �" L� d � (Phone (/
(Contact Name) ' � � (Phone)
(Address) ��
TYPE OF WORK ❑ New Consrivction CJLeck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Fimsh ❑ Fireplace
❑Add�t�on �Alterarion ❑Util�ty Connection
CODE: .R.C. ❑I.B.C. ❑ Misc.
Type of onstruction: I II III IV V A B pROJECT COST/VALUE $'��/'Y"1
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5 (excluding land)
I hc�reby certify that I have furn�shed mformahon on this appLcatton which is to the best of my knowledge true and correct I also cernfy that I am the owner or authonzed agent for the
above-mentioned pr perty and t all consh�ucuon will conform to all exunng state and local laws and w�ll proceed �n accordance with submitted plans. I am aware that the buildmg
official can revok is permit cause Fu�thermore, I hereby agree that the c�ry official or a designee may enter upon the property to perform needed mspecnons
x � ��'�
ture Contractor's License No. Date
Permit Valuation � G U��� Park Support Fee # $
Permit Fee $ 3_ Q o SAC # $
Plan Check Fee $ 9 Water Meter Size 5/8"; 1"; $
State Surcharge $ Z Pressure Reducer $
PenaIty $ � 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 DLTE $ ��� l�'�
This 'ca ' Becomes Your Building Pernut n pproved Paid � � ReCel t NO. �
_ � Date B
(� � O
uldm�� (�tlici. Date
This is to cert�fy that the ques bove applicanon and accompanymg documents s m accordance w�th the Ciry Zomng Ordmance and may proceed as requcsted This document
when signe the C . nner consumtcs porary Cemficate of Zonmg c pLa e and allows construchon to commence. Before occupancy, a Certificate of Occupancy must be
issued
� �
uector Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4Z45
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
Deck Additions to Single Fami Ii mes
BY: Date: � � Q C�
�
Building Permit # o Z• Z�� PID: Zoning:
Site Address
Legal: L B Subdivision:
Ezisting Structure: �or NO
CONFORMS TO ZONING Y NO
ORDINANCE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
� Side Yard 10'
(25' if abutting a street, 30' if abutting a street in ' F��
Cardinal Rid e �
• Side Yard 10' � �
• Rear 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 WITA A SUSPECTED BLUFF� OR ANY
OTAER 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. '
L:\TEMPLATE�DECKCHCK.DOC
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 7 � %T� -
TYPE OF WORK ��" �� I F��
USE OF BUILDING �'
PERMIT NO. ,�/9.D Z�I�i DATE ISSUED .
BUILDER /��'F� PHONE # G►�' % �dZ. �� J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INS p DATE
FOOTING [0 3 d
PLACE NO GONCRETE UNTIL ABOVE HAS BEEN SIGNED
��
FINAL W � 3 /�
FOR ALL INSPECTIONS (952) 447-9850
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