HomeMy WebLinkAboutBuilding Permit 12. 0954 •
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oot.f PRi CITY OF PRIOR LAKE BUILDING PERMIT, Date ec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 74-
fv
~r�YES0S� I. White File riii
5t-6 II-38 Z, tc
2. Pink City PERMIT NO.
3 Yellow Applicant l 2, • 4
1.5-
(Please type or print and sign at bottom) 1
ADDRESS ZONING(office use)
tig°8 CI c ,cd a„ L- 't S 17r t1-.4 A.C.. /t/ A/• g.k 5 v
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER") ,/ A
(Name) IC B 1 -4tr Y- J7' 0-e +l (Phone) q s..z g g yoc1 y
(Address) Y g i 4 C.e d a,., C.2r Sc_., ? r i` .) . L A k -t /%`(/`F
BUILDER _
(Company Name) s t?, it { . -C t.; t t.C. be 0 G i',.,1 (Phone)
(Contact Name) t k c- t'-a r /< (Phone)
(Address)
TYPE OF WORK (g New Construction ['Deck DPorch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace
['Addition ['Alteration ['Utility Connection
CODE: ❑I.R.C. ❑I.B.C. 0 Misc.
Type of Construction: I II III IV V A B PROJECT COST/VALUE $
Occupancy Group: ABE F HI MR SU (excluding land)
Division: I 2 3 4 5
I hereby certify that I have furnished information 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-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X gerigerts"..._
Signature Contractor's License No. Date
Permit Valuation 5-000• — Park Support Fee # $
Permit Fee $ 111.15– SAC # $
Plan Check Fee $ .7(c* 4 Water Meter Size 5/8"; 1"; $
State Surcharge $ Z., 5--:-., 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 t
a/41; 4/42,... $ (476. 77
i .
This A'4. i io' ecomes Yourtuilding Permit Wh Ap oved Paid Receipt N .
' Date �� By
,f. a Zr rz ��Z- /�'
Buil ng Official Date
This is to certi' t the quest in the abovNpplication and accompanying docume s is in ccordance with the City Zoning Ordinance and may proceed as requested. This document
when signed • I ity I-inner . emporary Certificate of Zoning comp ance a d allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued
'
A. a _ �J l"�-
Planning Direc - D e Special Conditions,if any
.24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
MO ri\clil
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R- or -2 Districts
Reviewed by: / m--- Date: 4 ►'Z
Building Permit# PID: Zoning:
Address: fk 5,)
Legal: L , B Subdivision:
Existing Structure? YES I NO . Existing Nonconforming Structure? YES I NO
CONFORMS TO ZONING NO
ORDINANCE
I Yard Setbacks: NA 1 FAILS/C!i'll° IES I Standard Proposed
• Front Yard(can be 20'if avi,.wlin 150') 25' 7--(p. Co
• Side Yards 10'11
25'if abutting a street '3D A-
• Sidewall exceeding 60'requires additional side 2" 10'setback+
setback for every 1'over 60'in length. Not required 2"/1'over 60'
if building wall is 10'-0"or greater of being parallel to .—
a side lot line.
• Rear Yard 25' at
• Patio Door: provide for minimum 10'deck or sign 10'side/
statement indicating no deck will be built in the future 25'rear —
• From 100 year flood elevation of wetland/NURP 30'
pond.
• Refer in-ground pools to the Planning Department
• From OHW(Prior or Spring Lake) 75'or setback average of
adjacent structures,but no .,_
• less than 50'
I Floor Area Ratio: N I FAILS 1 CO P IES .30 Maximum .
Yard Encroachments: VI FAILS/COMPLIES Standard Proposed
Eaves and Gutters no mllfe than 2 feet in width and no
closer than 5 feet to a lot line(Easements).
NC and other equipment cannot encroach on interior
side yards.
Tree Preservation: NAI FAILS I COMPLIES Standard Proposed
• Total caliper inches
• Permit 35%Removal
• Caliper Inches Rerra'oved
•• Cali,p i1 fiches I3r6served
• Rlacementf '/2:1
L:\TEMEIATE\BLD GLIST.D O C
/CeS-" 1-9 7, r Tl ,et4 kc, ` 4-,°G .sa.. eo0, .
DEPARTMENT OF
PRI R LA K E BUILDING AND (INSPECTION
INSPECTION RECORD
SITE ADDRESS '. t 0 44
NATURE OF WORK Acs rt
USE OF BUILDING iu-5 A-1112-
PERMIT NO. I z ^ `�54= DATE ISSUD Zr rz
CONTRACTOR e; 6- PHONE C
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING - 'Ftze",v _ j S
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
-41151111111E -�- ,
FRAMING upper- opsillz-
INSULATION
ELECTRICAL
# if1=04ifvequired)
lagigatagelESX
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
DO NOT OCCUPY UNTIL 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