HomeMy WebLinkAboutBuilding 02-0360
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
White File I PERMIT NO.
Pink City 0 .., 3
Yellow Applicant '- GJ
81-/ N D
L-flKe ~/L-
LEGAL DESCRIPTION (office use only)
LOT Z BLOCK
ADDITION
'dN05
PID
OWNER
(Name)
S c. o"tl- S e.a ,..,-"
,
(Phone)
(Address) J 6. s
Ss...
Pri
ZONING (office use)
i~ ,5-D
- (J02-0
QS2..- 2..'-' -Lg~f)
BUILDER
(Name)
(Contact Name)
(Address)
$ c.. C! tt- S" E!..Q tf'LV
,
(Phone)
(Phone)
OPorch
ORe-Roofing
ORe-Siding
TYPE OF WORK
o New Construction
eck
OLower Level Finish
o Fireplace
o Addition
o Alteration
o Misc.
PROJECTCOST/VALUE (excluding land) $ "2. 2..0
OUtility Connection
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~~
Contractor's License No.
4/J/o)....
Date
Permit Valuation Park Support Fee
Permit Fee $ SAC
Plan Check Fee $ Water Meter Size 5/8"; I";
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
#
#
#
#
$
$
$
$
$
$
$
$
$
This is to certify that the request in the above application and accompanying 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 Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
BY:
{U) c+
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Dale + /r '- (0 .....
Building Permit # t)7-- 3' Pill:
Site Address ~O ~
( (p~ ~~~~\~ ~ ( ~(<-
Legal: L B Subdivision:
Existing Structure@- NO
I CONFORMS TO ZONING
. ORDINANCE
Zoning:
~(SD
10~1
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street in ~1
Cardinal Ridge)
. Side Yard 10' I
4''$"
. Rear Yard 25' Sa'
. Townhouses Must be consistent with
approved plan for -
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
INSPECTION
RECORD ~
SITE ADDRESS 1~5'"(P~ "5-",..1\ LA~ (<>ALe.-
,
TYPE OF WORK V E-c:....-\~ J
USE OF BUILDING ~ A!fL I /
PERMIT NO. 07.,." S<Qo DATE ISSUED +Irw (o"'&.
BUILDER -S~TT SeN-c..~ PHONE #' 2. 1..(.,,- -z.€ ~o
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
~O. DA~
I FOOTING I I fP~:t
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
I FINAL I '.ly) I 7 - 2J-- 0
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
,
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