HomeMy WebLinkAboutBuilding Permit 09-0308 DATE TIME
CITY OF PRIOR LAKE A � � ,/,,
iNSPECTION NOTICE SCHEDULED �/ y
ADDRESS f 7 Q�( W �� GQ (Zf �L9�I� ��
OWNER CONTR.
PHONE NO. PERMIT NO. � � �6 �
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
�CFINAL ❑ PLUMBING FINAL � GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
�WORK SATISFACTORY, PROCEEO
❑ CORRECT ACTION AND PROCEED
0 CORRECT R LL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 7- 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
lNSNOTI
oF rrt� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE / 2 � G
'� �P
� ;`� AND UTILITY CONNECTION PERMIT
� 2
M�Nxeso�P I N'hite File pERMIT NO. /�
_. Pink Ciry O� O�O j�
; A'ellow� Applican� C./
(Please e or rint and si n at bottom)
ADDRESS ZONING ���ra�< <�se�
�� l� � c� e S �Crz� � /2./�s-D
LEGAL DESCRIPTION (oflice use only)
LOT BLOCK ADDITION PiD �S 3 O(o _ O
o�E . g� a�a � 1 aa
(Name) 11� l (Phone) I
(Address) � (� �
i BUILDER l r� c �
(Company Name) � �� - ���� 4� S-�`r � (Phone l v - 1, ��_ lQ ��
(Contact Name) � (Phone) �Q,���l - 1 i l�'[ ��
(Address) � � e. � � � b
TYPE OF WORK ❑ New Construction eck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addihon ❑Alteration ❑Utiliry Connection
CODE: �.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V A B pROJECT COST/VALUE $���7 .��
Occupancy Group: A B E F H I M R S U (excluding land)
� Division: 1 2 3 4 5 ,
� I her y ce ify that I have rnished inti�rmauon on this application which is tu the best of my knuwledge vue and correct. 1 also cerhfy that 1 am the uwner or authurizrd agent For the
� abuve� ent oned properry an [ all cunstruct� n will conform to all existmg stare and local laws and will proceed in accordnnce with submuted plans- I am aware that the buildmg
ufficial c kc this permit fur�ust � isc � crmorc, I hereby agrec thac the city official or a dcsignce may enter upon the propeiYy to perYorm necded mspechuns-
X , �� ��� O lo l� (s, -1--��
Signature Contractor's License No. Date
Permit Valuation Z Q Q Q O O Park Support Fee # $
Permit Fee � '7 S SAC # $
Plan Check Fee $ �[ � Water Meter Size 5/8"; 1"; $
T
State Surcharge $ � v Pressure Reducer $
Penalty � Sewer/Water Connection Fee # $ �
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee �$ Other g
Gas Fireplace Permit F � TOTAL DUE C���� �i.3, G ��Z7i. (D-
This App c ion ildingpermit When A pro a Paid Z Z,� Re t NO. ��� i
_ � Date - o B
l3uildina (�liici�il Untc �
This is tu certif th req cs n the a c applic wn and accompanymg docume ts is i necordance with thc Ciry Zoning Ordinance and may prucecA as requcsted. This document
when signed e Ciry PI �� con � tutcs a�mp� ary Certitic�te uf Zonmg com ianc • and alluwt construction to commence. Befure uccupancy, a Ceruficate uf Oceupancy must bc
issucd �
� Planning Director Date Special Conditions, if any
hour notice for all inspection: (9��) d�7 �)850. fAx (952) 4d7-a245
4646 Dakota Street Prior Lake, MN 55372
esidential Building Permit Checklist
eck Additions to Single Family Homes
`
BY: � Date: (o . Z . � y
Building Permit # - rj. Q� 0 b PID: z.�• 3� �• o Z� � 0 Zoning: � J,�
Site Address /�� � / �,, /� ��C� ��� S'� —�� •
� ( �/ V
Legal: L B Subdivision:
Existing Structure: YES or NO
CONFORMS TO ZONING YES NO
ORDINANCE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
• Side Yard � 10' ��
t
(25' if abutting a street, 30' if abutting a street in Q . � I' �
Cardinal Rid e) �� - C� - � ` �
• Side Yard 10 ' � 4 �
• Rear Yard 25 �5 I
• 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 SLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
TffiS CHECKLIST MUST BE CONIPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW. �
�
,
L:\TEMPLATE�DECKCHCK. DO C
DEPARTMENT OF
BUILDING AND INSPECTION
S ITE AD D R E SS /�O � l Ii1�� L D��.,/✓(� �s �T/�'�� �-
TYPE OF WORK D���
USE OF BUILDING /c%�iS � 2
PERMIT NO. O 9. C� 30� DATE ISSUED Cp • Z. � 9'
BUILDER Zl f� �/� �'iC�/��• PHONE # (A�Z .��9, 7� 1�Z.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR D E
FOOTING � � - � (o
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIG ED
FINAL 3 � �
�, FOR ALL INSPECTIONS (952) 447-9850