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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5-9-02-
~i~i~e ~:~y I PERMIT NO. /)2- OJ,::' 0 I-I
Yellow Applicant (,/,:...."J 1 W,
ADDRESS 4
3//0
CieodJt5 6/L-
!Jw
ZONING (office use)
~/
LEGAL DESCRIPTION (office use only)
LOT 5BLOCK S ADDITION
'71-rE" W, l-O j
s ()V777
PID zs- - s<fZ-/:J/ --0
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone) "95:2.')1(." &DlZ-
9~z ,25"0 ~.&(,7
537g
TYPE OF WORK
o New Construction
ORe-Roofing
OLower Level Finish
o Fireplace
OAddition
OAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
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 fi r the above-mention rope and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans a aware that th Ildin ial can revoke this permit for just cause. Furthermore, I hereby agree that the city official 0 . a designee may
~ter upon ro W to perfor __ 7/0 't--
Contractor's License No.
Signature
Permit Valuation
I ryoo.oo
bO. ( 0
J9. oCo
Park Support Fee
tsAC
#
#
Permit Fee
Plan Check Fee
$
$
$
$
$
$
$
$
TOTAL DUE
,.--.
Water Meter Size 5/8"; 1";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
s-- /O-OL
Date
This is 10 certify that the request in the above applicalion 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 Certificale 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
ByfC
Date: 5-9-02-
Legal: L S- B
PID: ?S-38Z- 1.3/-0 Zoning: fGl
{jeot.JJ6 d1~E ;VW
5' Subdivision: ~/VlvOJ SOt/7li
Building Permit #
Site Address :5 / / f}
Existing Stru~tur@, NO
I CONFORLVIS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
iYlEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street /PSi
in Cardinal Ridge)
. Side Yard 10' C,7(
. Rear Yard 25' I
&&
Al'iY 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 A.NY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED A.ND INCLUDED IN THE BUILDING PERJ.'IlIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L\TE1-rPLA TE\DECKCHCK.DOC
""
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS -3//6 6eous6 CI,tZc<-E:
TYPE OF WORK 06eK-
USE OF BUILDING JeEs A-/ e
/
PERMIT NO. ()Z-~50~ DATE ISSUED 5-/0-02-
BUILDER /tfE~L-Y CJt..SoA./ rm/L-165 PHONE # t:J5Z. 22-to. 002-2-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING
PLACE NO CONCRETE UNTIL ABOVE HA
~ I
I FINAL I f? j) 3-/Y-Dl
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
'.