HomeMy WebLinkAboutBuilding Permit 10.264 I
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plop CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
a TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
M'A'ivE9olP I. White File
2. Pink city PERMIT NO.
3 Yellow Applicant ( O- Z
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
/9 5/ f u. c Z. r£d C C 7 e /tog 1.4 MAI c7S' 72-
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER -
n^ � 1
(Name) /1 t f ( '/i kel r� 1: ° ' (Phone) . 76' S ",7 '70 - S77 T
(Address) s15/ / ''''t rz...4:J6C S't' 9e
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction Deck [Porch ❑Re- Roofing ❑Re- Siding ❑ Lower Level Finish El Fireplace
DAddition EAlteration ❑Utility Connection
CODE: R.C. ❑I.B.C. ❑ Misc.
Type of onstruction: I II HI IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $
Division: 1 2 3 4 5
(excluding land)
I hereby cer tat I have firrni• e. 1 mation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above -me tone• .roperty and t' at 11 co struction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official c.. reerm t for us caus Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x dbfr di 1
S, Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ (3Z SO SAC # $
Plan Check Fee $ 46CP 1 3 Water Meter Size 5/8 "; 1 "; $
State Surcharge $ — 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 $ ZZ I .
eAC,E.a) l? /U
This A . 'cati Ill : ecomes Your Building Permit Wh • App e ved Paid 2.2.- --7 1. � j Receipt o. 6 Q f �''Z
t o , Date By •
Building Official 1 ate
This is to rtify that t .c regt st in the above application and accompanying doc ments ' in accordance with the City Zoning Ordinance and may proceed as requested. This document
when st a .„f.
4 y th IP/ Pia a . titutes a temporary Certificate of Zoning c mplian e and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
-,
0. L o
Planning ii � iiii... to Special Conditions, if any
hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
Deck Additions to Single Family Homes
,� - Date: A it, to
BY: ?/9 pt
Building Permit #
PIE: Zoning:
Site Address A ckS t gv Mai> e6
Legal: L___
B Subdivision:
Existing Structure: i ir or NO
CONFORMS TO ZONING ____ NO
ORDINANCE
Yard Setbacks: MEETS CODE
Requirement Proposed
10'
(25' if abutting a street, 30' if abutting a street in i
Side Yard �O
Cardinal Ride) 10' Mall
• Side Yard —7
• Rear Yard
[(
b con ten` r
t
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BPE RE T OR ANY
PLANNING DEPARTMENT. C STAOE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
OTHER UNUSUAL IRCUM
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
4I1. k (7/ l &1Z—•
`} L: \TEMPLATE\DECKCHCK.DOC
PRIOR LAKE BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 4 945 1 1 &nal j S e*
NATURE OF WORK
USE OF BUILDING .e+ •
PERMIT NO. DATE ISSUED
CONTRACTOR - P ONE ;Taira; so
NOTE: THIS NOT A P - RMIT FOR NY OF THE INSPECTIONS BELOW
TH • PERMIT IS BY SEPARATE 3 OCUMENT
6,a, 1.3c4 r V-t "- Zci €a5{- 304 INSPECT DATE
FOOT! 0.2d$- Zo '' 1 1 4.4 *
1
PL` NO CONCRETE UNT ABOVE HAS BEEN SIGNED
GH - INS
FRAMING
INSULATION Terw �\\
'C
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
HOW war I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTI ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough -in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447 -9850
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 4c 5( E, m Sr.
TYPE OF WORK
USE OF BUILDING REs A (fL
PERMIT NO. 12. c2d DATE ISSUED
BUILDER MATT ??c -5 J PHONE # 7(.3 .3 1 -
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING 3 t9r1 14) Pe L/ 3d Id
PLACE NO CONCRETE UNTIL ABOVE H S EEN SIGNED
I FRAMING I e4&/4
(FINAL I (4 9 1 36/(2
FOR ALL INSPECTIONS (952) 447 -9850