HomeMy WebLinkAboutBuilding 04-0470
B/ DATE
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~;::)~
OWNER
v
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TI?~ '-
~FINAL D~
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
,A n I
n\~,.. ~ -.W 11 -l~ \ //
"-' \ "":>(.... J - '-'\..../ L
TIME
c; - 470
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
)(WORK SATISFACTORY, PROCEED
o CORREC~TION AND PROCEED
o CORRECT W~ CALL FOR REINSPECTION BEFORE COVERING
Inspecto.:
Owner/Contr:
CALL 441-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(Please type or print and si~ at bottom)
ADDRESS
I. White
2 Pink
.J Yellow
S -/~l-O '-/
I PERMIT NO. Ocf. 04-70
File
City
Applicant
5527
H/~H PO//l/T'c;
e"T s 6
ZONING (office use)
PUD
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK /
ADDITION M,eo/;.I~L- /2.{lJ~6 57J1
Jt':1D~ NcJFe
SSZ7 1-1thriPt:1IJ\.r\L
PIDzS.335.003.0
OWNER
(Name)
(Phone)
9S2-~ -S468
(Address)
CT
cc
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Pe.l df
J /! vc
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SS37Z.
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction MDeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlterafuh OUtility Connection 0 Misc.
CODE: ~I.R.C. DI.B.c.
Type of &nstruction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
234
A
R
5
B
S U
PROJECT COST /V ALUE
(excluding land)
$ -.0 0(:) 0 QQ
I hereby certify that I have furnished mformation on this application which is to the best of my knowledge true and COrrect. I also certify that I am the owner or alllhonzed agent for the
above-mentlOned property and that all oJnstruction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the huildmg
~licial can r~-mit r Just cause Furthermore. I hereby agree that the City official or a designee may enter upon the propel1y to perform neS 7/7'; 04-
Signature Contractor's License No. ' Ditte
"1'
Permit Valuation "80()~, () 0 Park Support Fee # $
Permit Fee $ _Fe I 2S SAC # $
Plan Check Fee $ S?,3~ Water Meter Size 5/8"; I"; $
State Surcharge $ '.SQ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee I $ Water Tower Fee # $
Mechanical Permit Fee I $ Builder's Deposit $
I
Sewer & Water Permit Fee I $ Other $
Gas Fireplace Permit Fee I $ TOTAL DUE $ ! t..f7. , I
/7
This Application Becomes Your Building Permit When Approved Paid /+-1. II Rece;:f o. ,,;-(., 9 #-0
~ ~t S- kY Otf- Date S/? CJ4-- By
0
Building Ofticial
ThIS IS to certify that the request 10 the above applicatIon and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner constitutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
BY~~
Residential Building Permit Checklist
'-
Deck Addi{ions to Single F~lmil~1 Eomes
Date
$ ~ / /7- {)L/
Building hrmit.=;. Pill:
Site Address
ZonlI1~: . . .
,~- 5~d 7 l/rg/7 fJo/ /VIe
Legal: L B
Subdivision:
Existing Structure: YES or NO
CONFOR}IS TO ZO~~-G
ORD Il'f AN CE
x'ES
1\0
Yard Sdback.:;: NOT A.PPLICABLE
iYrE.ETS CODE
Rt:quiremem
Propo.:;ed
Side Yard
(25' if ab u Eting J. :st.-e::t 30' if J.b uning a street In
CJ.rdin;J.! Ridge)
· . Side Yud
La'
,
10'
23
'35'
.3cP'
Rear Yard
r'
_J
Townhouses
Must be consistcnc wim
approved plJ.n for
development
tJA
l-\.i'iY PROPOSED DECK NOT iY[EETlL"lG THE ABOVE CRlTERlA MUST BE REFERRED TO THE
PLAJ.'+l'fL.'1G DEPA..RTLYI:E.NT. ALSO, A.i'IY DECK ON A LOT W1TH A SUSPECTED BLUFF, OR Al.'fY
OTHER Ui'WSL'AL CIRClj'lYlST.'-\.i.'fCE iYfUST BE REFE.R.R.KD TO THE. P1.Al'fN1NG DEPARTl';IENT.
THls CHECKLiST MUST BE COlHPLETED Al'ffi INCLUDED Ii.'1 THE BlfILDlNG PERJ.'VilT fiL.E TO
MAlNl' Am A RE C ORD 0 F THE REVU: W .
!....:.E:,/JPL..l\ rE' CE C(r==-::'CK.DOC
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
- RECORD
SITE ADDRESS ~ fI~i~ct
TYPE OF WORK Dt!!!.L/f:.
USE OF BUILDING SF
PERMIT NO. 0 &( -. 04-70 DATE ISSUED 5" -Ii'- <./
BUILDER /l1't:-7-0., A./..r;GY PHONE # ~!jt1. SL/ol?
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING I ~ I 6i5;:-/-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
fit) I B!$pg
.
, FINAL
FOR ALL INSPECTIONS (952) 447-9850
.-