HomeMy WebLinkAboutBuilding Permit 10-0861 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED �0 8
ADDRESS � �{ 3(p(Q � 1/�l �� � �- .
OWNER CONTR.
PHONE NO. PERMIT NO. J� — ��p�
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION O MECH RI ❑ COMPLAINT
O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
�FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL ❑
COMMENTS:
/�, o ,l ce�
�WORK SATISFACTORY, PROCEED
❑ CORRECT ACTI AND PR�CEED
❑ CORRECT R ALL FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr:
CALL 7 850 R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
�vsrrori
o � PRIp� CITY OF PRIOR LAKE BUI DING PERMIT, Date Rec'd
�;.� � .. � TEMPORARY CERTIFICATE OF Z NING COMPLIANCE � y'' ��, � �,
., �- m � M ,� AND UTILITY CONNECT, ON PERMIT
U • �rj
M��'NeSO�P 2 I'in ��� PERMIT NO. � �� ���
3 Yellow Applican[
Please e or rint and si at bottom) �
ADDRESS � �-�- ZOI�TING(ot�'�ceuse)
I�f 3 6 6 �✓L C:E.cw� C� �1 w y � ►� N � s 3 7 2
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID ,
OWNER
(Name) �N �} ���-�j N 1r� (Phone) �' l Z .'S�f' �• $
(Address)
BiTILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address) ° '
TYPE OF WORK ❑ New Construction eck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alter on ❑Utility Connecnon
CODE: ❑I.R.C. ❑I.B.C. O Misc.
Type of Construction: I II III IV 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 cernfy that [ have h�mished mformat�on on th�s applicanon which is to the best of my knowledge tn�e and correct I also cerufy that I am the owner or authonzed agent for the
above-mennoned property and that all construcuon will conform ro all ex�shng state and local laws and will proceed m accordance with submmed plans. �I am aware that the buildmg
official can revoke this permit for �ust cause Furthermore, I hereby agree that the ciry official or a designee may enter upon the property to perform necded mspecuons
X rl7Gl�� � � .2 O O
Stgn3t4f€ Contractor's License No. ate
Permit Valuation � DU� , a v Park Support Fee # $
Permit Fee $ ` �'"' SAC # $
Plan Check Fee $ �'1 3� Water Meter Size 5/8"; 1"; $ '
State Surcharge $ �. O 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 DiTE $ 7/
� �
This i a Becomes Your Building Pernut en A roved Paid ReCel t No.
Date B ''
�� �D
B dm�� Ufticial Da
Th�s �s to ce at the est m he above apphcanon and accompanymg docu nts �s i accordance wrth the City Zonmg Ordmance and may proceeA u requcstcd This document
when signe h City emporary Certificate of Zonmg co pliance nd allows construcuon to commence Before cxcupancy, a C�y'uficate of Occupancy must be
�ssued
� ��
Planning or ate Special Conditions, if any
4 ho notice for all insp ctions (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
� Residential Building Permit Checklist
Deck Additions to Single Fami Ho s
.
By: Date: C
/ � %�
Building Pe mit # PID: Zoning:
Site Address I ��� ��� �
Legal: L B Subdivision:
Ezisting Structure: YES or NO
CONFORMS TO ZONING � YES NO �
ORDINANCE
Yard Setbacks: NOT APPLICABLE Requirement Proposed .
MEETS CODE
• Side Yard I �
(25' if abutting a street, 30' if abutting a street in �� ' "�
Cardinal Rid e
• . Side Yard � ,�'� �
,
• 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
PLANN�NG 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 PERNIIT FILE TO
MAINTAIN A RECORD OF THE REVIEW. '
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DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS E/t/ I/ C'i� .
TYPE OF WORK �
USE OF BUILDIN S R�.
PERMIT NO. O l DATE ISSUED • 27, jD
BUILDER PHONE #
NOTE: THIS IS N T PERMIT FOR ANY OF THE INSPECTI�NS BELOW
THE PER IT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING DdA/E .5� �1 /�
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED �
FINAL
t
, FO ALL INSPECTIONS (952) 447-9850�