HomeMy WebLinkAboutBuilding 02-0520
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
.~- /3,- () 2-
Ne
5271
Pr< /OR.
I. White File
2 Pink City
3. Yellow Applicant
I PERMIT NO.
() 2 -0 52- D
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID
BLOCK
OWNER
(Name)
(Address)
,JEAN
5;)7q
(Phop~) CJ5;; - W6 'd)Lj I {"'
"IC C!-&&L-/ 994- t,/ eS
BUILDER
(Name)
Spmt
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
M"Deck
ORe-Siding
OLower Level Finish
o Fireplace
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 roperty to perform needed inspections.
fV
o Mise.
x
Permit Valuation 1.400.00
Permit Fee $ SO. ,s
Plan Check Fee $ 3~.l\
State Surcharge $ .10
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Your Building Permit When Approved
5-/4-0,"-
Date
OPorch
ORe-Roofing
o Addition
o Alteration
OUtility Connection
Contractor's License No.
5//3/02-
, Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other tr I"llv C:L:. tJr St/;et e/ $ SO_oO
TOTAL DUE $ fl~. 70
I R~ 4Ui5"7
By~ ..,.
l/'
Paid
Date
f2'~&
. - '6 -- ~ 'Z--
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
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REQUEST FOR WAIVER OF SURVEY REQUIREMENTS
PROPERTY OWNER:
ADDRESS:
6537,")-
TELEPHONE NUMBERS:
SIGNATURE:
LEGAL DESCRIPTION:
if) NorM .s"h~re.
PID NUMBER:
A request to waive the survey requirements will be accepted only for the construction of
decks. Prior to the review of this request, the property owner must provide
reasonably reliable evidence in the field of what he/she believes are the property
boundaries. This request must also be accompanied by the following information:
1. The deck must be drawn on a site plan to scale. The site plan must identify
dimensions of both existing and new structures, and the distance from any lot lines.
2. The property owner must sign an agreement, prepared by the City, holding the City
harmless from any damages incurred if the deck is placed inaccurately on the site, or
of it irifringes on any setback requirements or easements.
3. The property owner shall pay a $50.00 fee for the staff review according to the
adopted fee schedule.
Once a request is reviewed, the staff will schedule a field inspection and review all
available information. The Planning Director and Building Official will then make a
determination of whether the requirements may be waived.
For Office Use Only
1: \h;md.o,u ts\waiyer.dol1-
16200 Eagle LreeK Ave. ~.E., Prior Lake, Minnesota 55372-1714 / Ph. (612) 447-4230 / Fay. (612) 447-4245
AN EQIIAL orpORTllNITY EMPI.OYfR
Legal: L
B
Subdivision:
_/\
Byr~~
Residential Building Permit CheCkliS\
Deck Additions to Single Family Homes
Date: 6-tcf -0 ~
Building Permit #
Site Address S? fCC
+-4IJ!ID:
ICfo ~
Existing Structure: YES or NO
/
I CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street in 3'/'
Cardinal Ridge)
. Side Yard 10' Lt(J)1
Rear Yard 25' \r
. ~1.9
. 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 5~'f1 l'lo ~ St-.
TYPE OF WORK ~~
USE OF BUILDING SfD
PERMIT NO. ~ L - OSZ-O
--.
BUILDER J-e4V\ Fos\<;.p* PHONE # 9Q -t./Cf{g- ;)t.fIS-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
Q~c.~ A~o..c'...\Vwl.lI\.\.. h, CoCa"'-\; I~v
FOOTING
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
r~ I I
I V~ vy7,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED S-I"-O~
DATE
I FINAL
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