HomeMy WebLinkAboutBuilding Permit 09-0800 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 3 Z I
ADDRESS J-rj � T p� T�
�l
OWNER CONTR.
PHONE NO. PERMIT NO. — ��
❑ FOOTING 0 PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION O MECH RI ❑ COMPLAINT
O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL �
COMMENTS:
�
� WORK SATISFACTORY, PROCEED
CORRECT ACTION AND PROCEED
� CO EC WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspe or: Owner/Contr:
L -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
WSNOTI
oF rrti�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, ; � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
� ' AND UTILITY CONNECTION PERMIT
U ,�_.�
M��'NES��P I. White File pERMIT NO . �/ �
3 Pink City �
? Yellow Applicant _ V \..'��,
(Please e or rint and si n at bottom)
ADDRESS ZONING ���fr��< <�se>
/.S 2. � `�1;� � L Co�r�t.r N✓J
LEGAL DESCRIPTION (ofT"ice use only)
LOT BLOCK ADDITION PID
OWNER j / z
(Name) �' 1 �� ��Li�V�` (Phone) (c��,31 % 3Z✓�
/�
(Address) ��.Z:Z� ��/��/(..� l.a7ll2,r �./:� �/�/t�/'� �'G�kF
i BUILDER /
(Company Name) S �R/� � ���'/�5 . � �fr ."7���i�L ��/�i� (Phone) �v ��'' �) 7 Y Z�z
(Contact Name) � �� �� �P�° ��'f� (Phone)
(Address) / Z-�L17 �:Iii✓"r}'�;� Di�(�� �/��'�.� /�L-E U�G'L L�� �J ss���
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Ke-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connection
�
co�E: ❑i.x.c. ❑r.s.c. C��. � E2��e',�G � �k /4/ �G�;�z_
T e of Constniction: I II III IV V A B n ��
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ ����J •
Division: 1 2 3 4 5
(excluding land) �
1 hereby certity tliat I have hirnished mfiirmitiun un this applicafion which is tu the best ul my knuwledge true nnA currect. I alsu cerufy that I am the owner ur authonud agen[ for thc
abovomenrioned � ty and that � unstruction will confurm to all existing sta[e and local laws and will proceed in accurdance witli submrtted plans. 1 am aware that tlic buildmg
ufficial can ry e tl per us � Fwthermore, I hereby agree that the c�ty official or a designee may enter upon the prupetty to perform necded mspectiuns.
� X �.L-� ,;�� 17 3 ���' /O /���
ig ture Contractor's License No. Date
Permit Valuation �C j; — Park Support Fee # $
Permit Fee $ 1, �..� SAC # $
Plan Check Fee $ � Water Meter Size 5/8"; 1"; $
Z �
State Surcharge $ � Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Pennit Fee �$ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ �; �,
;
This ecomes Your Building Pernut W en proved Paid �v. �, ReCel t NO. '
/ Date B r
e% L c c
Huilchne iicial I).�t
This is to ceruf at t c equcst in the abuve ap`plication and accompanymg docume s is in cordance with the Ciry Zuning Ordinance and may procecd as requcsted. This ducument
when .eigned C t lanner cunsumtes a temporary Certificate uf 7.unu�g comp ance a d afluws cunshuction to commence. Before uccupancy, a Ceruficate uf Occupancy must bc
issued f �
'� �� � �-�;
Planning Dircctor Da Special Conditions, if any
� 24 how• noticc fm� all inspcctions (952) �347-9850, fax (952) �1�7-�12�5
`° -/ 4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Ch cklist
, � Deck Additions to Single Famil Ho es
BY: � � Date: �� � �' 7
v
Building Permit #
PID: Zoning:
Site Address
B Subdivision:
Legal: L___
Existing Structure: YES or NO
CONFORMS TO ZONING
YES NO
pRDINANCE
Requirement
Proposed
Yard Setbacks: MEE �COD �LE
10'
. Side Yard �� �
(25' if abutting a street, 30' if abutting a street in
Cardinal Rid e) 10' �� ,.�
. Side Yard �
25' �Fl �
.
Rear Yard � �
Must be consistent with
. Townhouses approved plan for
develo ment
ANY PROPOSED DECK NOT MEETING THE ABOV A OT WTH A SUSPECTED B�L D F OR ANY
PLANNING DEPARTMEN T. A L S O, A N Y D E C K O N
O
THER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DE P A R T M E N T.
THI
S CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECO� �F TAE REVIEW.
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' DEPARTMENT OF
BUILDING AND INSPECTION
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SITE ADDRESS '1�Z2� ��:x.T.4r� C-�
TYPE OF WORK t�� � v
USE OF BUILDING � � Z
PERMIT NO. `1�- �%�c� DATE ISSUED �� fv �`
BUILDER __ �},Z�� �.-_--�� PHONE # ���-��7 � �?..�-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING e� � S� �O f 67
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FINAL �, , �;; �,� �,
FOR ALL INSPECTIONS (952) 447-9850