HomeMy WebLinkAboutBuilding 02-0397
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1--11- 02-
I. White File I PERMIT NO I
2 Pink City . .I'lz -0 '<91
3. Yellow Applicant . (,1 __ _.
5375
/rntlt-6 W 000
/? K:- .
ZONING (office use)
!e-I 5.0
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK 2.. ADDITION 7~ RZ:JL)N. -ro /IIOIC--7J-J Sftt7.eb trAiCfPID z 5-3+-0 - c;ll-t)
OWNER
(Name)
r< () (lc R-
50 J~
LJ
)
Ivuc r
(Phone) 91">) - It () ,5 7&2 t.
VlAJ 5:./37.2
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
ORe-Roofing
ORe-Siding
o New Construction
OPorch
eck
OLower Level Finish
o Fireplace
o Addition
o Alteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
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 /<Cfjer CJesf(Q1J
Signature \
Contractor's License No.
o Utility Connection
it /1 qltJ2
Date
Permit Valuation
Permit Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Water Tower Fee
Builder's Deposit
Other
Gas Fireplace Permit Fee
TOTAL DUE
I Paid
Date
't When Approved
lot;, d1
"\-1 '''\ \0 L
Receipt No. +-\ 1'2..- L
By ~ l+.
Date
$
$
$
$
$
$
$
$
$
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
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:
Date: L/- / f' - 0 Z-
Building Permit # ()Z -O.:sQ7 PID: 2.5 - 31tJ - ~II- 0 Zoning: /G-/-S 0
Site Address 5375 /t/VJ/ft..Ei1/0{)O O~
Legal: L 3 B 2. Subdivision: j117 RPtJtU III t-I- JI-Il)~ cYtts-
Existing strnctnrQr NO
I CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
iVIEETS CODE
. Side Yard 10'
(25' if abuttinga street, 30' if abutting a street
in Cardinal Ridge)
. Side Yard 10'
. Rear Yard ?-'
-)
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLA1'{NING DEPARTMENT. ALSO, Ai'fY DECK ON A LOT WITH A SUSPECTED BLUFF, OR Al'{Y
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PER1VlIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TENrPLA TE\DECKCHCK.DOC
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