HomeMy WebLinkAboutBuilding 02-0515
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5 ~/5- (12_
NAvru:A CIRCLE
White File I PERMIT NO
Pink City . 0 Z - 05) ,c:-
Yellow Applicant . :J
ZONING (office use)
PUSD
-
LOT.:/ BLOCK I ADDITION
LEGAL DESCRIPTION (office use only)
tr IN OSo A/G; 47.J:!
PID25 -3v)/- 005 - 0
OWNER
(Name) (Yl/ t:"c
(Address) ) ~2 i1
.~---
} If IBAVI- T
/V4l/ Ilc
BUILDER
(Name)
N IA-
(Contact Name)
(Address)
(Phone) q-s-Z - 2 2 (p- '/73'::'-
~t6{"L- &/z-- 2{.,9- 0/53
(Phone)
(Phone)
TYPE OF WORK
o New Construction
ORe-Roofing
OLower Level Finish
o Misc.
Deck
o Porch
ORe-Siding
o Fireplace
OAddition
OAlteration
OUtiIity Connection
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 properry 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 properry to perform needed inspections.
~/ -/7. -;;/
~/ . tp--?v r / '~:J
/ (' Signature
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
$
proved
1\) I Jj
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ (62. ~
Paid
Date
/(,z. ~
.
~ -13' -02./
I ~;ceo~> noJ/
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:
iGolJ-
Date: .::-' - 13 --C) 2-
Building Permit # 02. -05 /S- Pill: 2-5-3(01- 6o.!;- 0 Zoning: pU-f'IQ
Site Address /524 '7 IV /j (./77 C/1 ~/ 1Ze~
Legal: L S
B
1
S bd' . . " f /" ..4-. 77_'
u IVlSlOn: /1// IV [)$ (JfV cJ - I
Existing Strn~r NO
NO
CONFOMIS TO ZONING
ORDINANCE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
LVIEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street S- s- f
in Cardinal Ridge)
. Side Yard 10'
18'
. Rear Yard ?~'
-) ,
'l~ "
ANY PROPOSED DECK NOT MEETING THE ABOVE CRlTERlA 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 AND INCLUDED IN THE BUILDING PERl\'IIT FILE TO
MAlNTAIN A RECORD OF THE REVIEW.
L\TEMPLA TE\DECKCHCK.DOC
~
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /5Z4~7 NA-U77e.A CIR.~
TYPE OF WORK D6eK-
USE OF BUILDING /2eS /lIe
f
PERMIT NO. 02- -05'15 DATE ISSUED 5 -/3- 02-
BUILDER -r/lII3/1UL-T PHONE# 220- 4'735
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I--~ , I
Call between 8:00 and 9:00 A.M. for I inspections
FOR ALL INSPECTIONS (952) 447-9850
FINAL
\,