HomeMy WebLinkAboutBuilding 02-0415
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
()O-O/7~
tel06E 11/0 OD
Date Rec' d
4~25 -02-
I. White File I PERMIT NO ~
2. Pink City . /'l ~_ Q/ J /
J. Yellow Applicant . (L~ -":1- { '---
C- I-IE
ZONIN G (office use)
,Jq/
LEGAL DESCRIPTION (office use only)
LOT II BLOCK 1- ADDITION tV OOO,e( 06& 6I 77iTCS .3 ,::-/;:J
PID 26- 3/7- 032,-0
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name)
(Contact Name)
(Address) J7tJ?v E,cl,'~-i t:-I _
TYPE OF WORK
(Phone)
(Phone)
,S~53-) J
J;'7d b.:; b. ;1''/>1 .
o New Construction
o Misc.
OLower Level Finish
PROJECT COST /V ALUE (excluding land) $
eck
OPorch
ORe-Roofing
ORe-Siding
o Utility Connection
o Fireplace
OAddition
OAlteration
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 u~on the.P!J. p.erty.to perforn; needed. in~ections. ....
-7 /1 // /- // H 7 h A.... /1..---- lJ ;7)._ :?Z).....?
X ,t/?, Ct~~X / j./~j;/Cl 7',,-< .:.. L.-~/
Signa~re / Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
mes Your Building Permit When Approved
tj- 2(P-OL
Date
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
Planning Director
Water Meter SizeS/8";I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
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.
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: r?J]
Date: 4'-25-cJ2-
Building Permit #
Site Address /74-2&
PID: 25 -3/7 - 03 Z -0 Zoning:
IC/D6E?I/OOD cer St;;.
;C-/
Legal: L II
B
4-
Subdivision: {.,(/OOD/2(D(F6' Ef7?l7l;:S 3e.?J
Existing Structur~~r NO
I CONFOMIS TO ZONING
, ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
lVIEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street )4 I
in Cardinal Ridge)
. Side Yard 10' 31
. Rear Yard ?~' .
-) 51
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLAi'lNING DEPARTMENT. ALSO, Al'{Y 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 PER1'r'lIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TErvl:PLA TE\D ECKCHCK.DOC
PRIOR LAKE
INSPECTION
RECORD
--;p !c-ic/P L000 d ~ 5;;:
(
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /rJ LjJ-b
TYPE OF WORK 7) (-? ( f:.-
USE OF BUILDING ,,<S F
PERMIT NO. oJ---- () i-J15' DATE ISSUED L-/ - ;~b .-0 c?r--
BUILDER /f!;'u1/iel !IJ1IO iJe S PHONE # 4;~;? - ::;;3-b- 330)
, s.-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I ~ I.''{oft z.-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
.... I I
I FINAL I /(4 I e1~P>/
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
"