HomeMy WebLinkAboutBuilding 06-1103
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
l..J ;j J .s
PI(
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK
ADDITION
w~
(Phone)
OWNER
(Name)
Date Rec' d
;2. zC (;(c
I White
Pink
Yellov,'
I PERMIT NO.
File
City
Applicant
& ~ / I t3
ZONING (officc use)
K!-
~~,
PID' )'. ? 7 f,; "
o
(Address)
BUILDER A/I 5 -:?_I
(Company Name) elXS 6 _S p"l/qJ,,) (u .
(Contact Name) -g,ll "1:?.Af+llN
(Address) / '-/.) () '9 FIN' 'tJ ..,d..J e.- S. /J5.J I...J S .... ,/I c. , fI.f;, 5S3 () .;
1.5;2.... d cJ 1- 6 8'1 ')-
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ~Deck OPorch ORe. Roofing ORe.Siding OLower Level FinIsh 0 Fireplace
OAdditlOn OAlteration OUtility Connection
CODE:~LR.C. OLB.C. o Mise
Type of Constnlction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have hlfnishcd lOformatlOn un this application which is to the best of my knowledge true and correct. I also certify that I am the owner o!' authOrIzed agent for the
aht1Ve-mcntlOned property and that all construction will conform to all eXIstmg state and local laws and will proceed In accordance with submitted plans_ I am aware that the buildmg
olflnal can revllke tlus permIt till" J~''''.'L ~rthermorc. I hereby agree that the CIty lltfinal or a deSignee may enter uplln the prllpelty to pert()rm needed IIlSpectHlIls
X ~y- U~ __ 1l./2<.>{c-C __
Signature
Permit Valuation /4 (c. ( (
Permit Fee $ r;L/ -~ /-
.>
Plan Check Fee $ ., ,~~ {,~,
, ;0
State Surcharge $ 'J (
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permtt Fee $
This Application Becomes Your Building Permit When Approved
~~
lluildlllg Utlic,al
Iz(UJ/o 13
/ Il(lle
Contractor's License No. Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I". $
Pressure Reducer $
Sewer/Water ConnectlOn Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE ,2 $
TIlLS IS to certlty that the request III the abllve apphcauon and accompanYll1g documents IS III accordance WIth the CIty Zllning Ordinance and may pnlClTd as requested TillS dllcument
when signed by the CIty Planner CllnStItutes a tempmalY CertIticate of Zonlllg cllmphance and allllws Cllnstructwn to Cllmmence Berme llccupancy, a Ceruticate llf Occupancy must be
JSSllcd
Planning Director
Date
24 hour notice for all inspections (952) .t.t7-9850. fax (952) .t.t7-.t2.t5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any
,
\
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:
~~
Date: /Z/z....o ~(p
Building Permit #
Site Address /5'.3 / 3
Legal: L S B tb
PID:
Zoning:
vJ i.Ld2. jJ J,..~ ~ ,
-- -- "1' I...r
Subdivision: ~~ ",-4_ -~,
Existing Structur~ NO
I CONFORMS TO ZONING
ORDINANCE
~
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10' I ~. "I z. I 1- IN", ....-..
(25' if abutting a street, 30' if abutting a street in I
Cardinal Ridge) rc )4 J_ d
. Side Yard 10' /3. 4,l~ ' Tb -,::1ii ., d'"
3:S I ~ J. /
. Rear Yard 25' I
72-
. Townhouses Must be consistent with
approved plan for AlA
development
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:\TEMPLA TE\DECKCHCK.DOC
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS l t- S
TYPE OF WORK
USE OF BUILDING
PERMIT NO. . ~ DATE I SUED IZ. ZtJ. ~
BUILDER ~~.s PHONE#~ft1.6
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING Lv L I f P 112j'~s/~(/
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
JIIIIIIII. J I
I FINAL I I~ I I-~ 1Jl
FOR ALL INSPECTIONS (952) 447-9850
~