HomeMy WebLinkAboutBuilding Permit 09-0582 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCNEDULED 3 2S(
ADDRESS �� ��j ����,5 �i
OWNER CONTR.
PHONE NO. PERMIT NO. � �' ��2'
O FOOTING ❑ PLUMBING RI O EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
� SULATION ❑ SEWER HOOKUP O FIREPLACE FINAL
INAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: �p� ��
�
� WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORR T W R, ALL FOR REINSPECTION BEFORE COVERING
Inspecto : Owner/Contr:
CA 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
lNSNOTJ
oF PRI��� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� y TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �� v�
� �
AND UTILITY CONNECTION PERMIT
M��'NES��P I White File pERMIT NO.��j C J ��
? Pink Ciry )
1 Yellow Applicant �
(Please e or rint and si n at bottom)
ADDRESS ZONING (oFfice use)
� � � � C� �' i � � �l P P � � � �J � L, !�J t�s �
LEGAL DESCRIPTION (ofTice use only)
LOT BLOCK ADDITION PID
OWNER / /�
(Name) ��� C ( � # ��✓/ S �G �/ �r d Ud S (Phone)
(Address) 7 � �� �!� ''r' S ' , j �/�C t � � �/•D� �a �1 e > �.S %� �
\
i BUILDER � / ,Q / �
(Company Name) �✓�1�12`� v� �v<7"pli� !V t,� ���✓S (Phone) ��� " �G ` �
-�_ � > 6� - y�,
� (Contact Name) � � ��l ��O✓l h � Phone a — g� �
(Address) l�f�• /�C� .�7� S�/�9 /l Pe � r! S S3 i
TYPE OF WORK ❑ New Construc[ion (�Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fire}hlace
❑Addition ❑Alterat��on ❑Utility Connectton �
CODE: ❑I.R.C. ❑LB.C. ❑ Misc. _._ -�— '
Type of Construction: I II III IV V A B � g� ��
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
� Division: 1 2 3 4 5 (exduding land) I
I hereby certify that 1 have Hirnished mformation on this npplicatiun which is tu the best uf my k�wwledge true tind currect. I aLto cernty that I am [he owner or authunzed agent for the
� abovo-mennoned properry and that all constructiun will conform to all exisang state and local laws and will proceed in accurdance with submitted plans. I am aware that the buildmg
� official can re �e this permit for�ust cause Furthermore, 1 hereby agree that the ciry ufficial ur a designce may enrer upon the prope�ty tn perfi�rm necded mspechons.
, X �/ � ._---- y���> � - y - � �
Signature Convactor's License Na Date
Permit Valuation � � (��� - Park Support Fee � # $
Permit Fee S �� � j SAC # $
Plan Check Fee $ � �� Water Meter Size 5/S"; 1"; $
State Surcharge $ 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 $� �. �
This A ' ti ecomes Your &►ilding Permit en pproved Pald ., � R' t t No. �
� Date „$, G B
� �
ui dma )fticial Datc
Th�s is to cer � that di equest in the above applicauon and accompanymg document is in accurdnnce with du Ciry Zoning Ordinanee and may procecd as requcsted. This ducument
when signe tlie lann � consututes a temporary Certificate uf Zonmg c� pli� ee and alluws cunsvuction to commence. Befure uccupancy, a Ceruficate uf Occupancy must be
issued
8 �-
a ector ate Special Condi[ions, if any
� hom� noticc for :�II inspcctions (952) 447 �)R911, f'ax (952) 4-17-42�5
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
eck Additions to Single Family Homes
�
BY: Date: � �, � �
Building Permit # � Zoning:
Site Address � 3 � � /'� � � ��-.
C�
Legal: L B Subdivision:
Existing Structure: � or NO
CONFORMS TO ZONING S NO
ORDINANCE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETSCODE
• Side Yard 10'
(25' if abutting a street, 30' if abutting a street in • ••
Cardinal Rid e) Z `� � �
• Side Yard 10' �
�- �
• Rear Yard 25' � /( �
��
• 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 BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLATE�DECKCHCK.DOC
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ��� � ��I �'r .
TYPE OF WORK
USE OF BUILDING
PERMIT NO. ��I.O.S��» DATE ISSUED . .
B U I LDE R�O�III�i�S C�O� �I��vS PH ON E#� . Q qZ !
NOTE: THIS IS NOT A�ERMI� FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSP TOR DA
FOOTING f�' G v Y
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN S NED
�
FINAL � z
FOR ALL INSPECTIONS (952) 447-9850