HomeMy WebLinkAboutBuilding 02-0602
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec" d
5-Zg-DZ-
]. White File [ PERMIT NO I
Pink City .02-0/0,7
Yellow Applicant . lP L--
144Gb
~ e.>> b1 ~,{;..
(Please
ADDRESS ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT" BLOCK.:3 ADDITION /<:::';VOO /-//~-t...-
~-n-t
PID 2..S- 3"
~/
~~EJ2
Sb )Z V~ ~
(~kkJ~..-414..6~
OWNER
(Name)~
(Address) }
BUILDER
(Name)
(Address) 1 \ D4
(Phone)
~ BUflfJ~ c.LEM~ r 6 ~~(
TYPE OF WORK
o New Construction
eck
OPorch
ORe-Roofing
OLower Level Finish
o Fireplace
OAddition
OAlteration
o Misc.
PROJECT COST /V 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 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 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 nth ro er rm needed inspections.
(;} l>,()b~ '2./
Contractor's License No.
Permit Fee $
,egO
Plan Check Fee $ a~.cS
State Surcharge $ , SC{~ ({
Penalty $ I ~~-O
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
#
#
SAC
Water Meter
Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
e mes Your Building Permit When Approved
Date
s ~ 2- 7,..02-
Date
$
$
$
$
$
$
$
$
0" 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
o City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
t'lanning Director
Date Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
BY~
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date .::S - ZtJ - 0 2-
Building Permit # CJZ-O&02- Pill: 2.s-~ 3&8.0.37-0 Zoning: "e /
Site Address / ~S0 ?.4 v 6/1/ c':.::r:
Legal: L ~. B .3
Existing Strnctnre: ~ NO
I CONFOR~IS TO ZONING
. ORDINANCE
Subdivision: .cNoL3' HI't..-tr ~-77.f-
YES
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
· Side Yard
(25' if abutting a street, 3
Cardinal Rid e)
. Side Yard
10'
10'
· Rear Yard
25'
· Townhouses
Must be consistent with
approved plan for
develo ment
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:\TEMPLATE\DECKCHCK.DOC
~
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS / ?,-~5~ JeH 1/5N CI
TYPE OF WORK 06CA:::-
USE OF BUILDING IZ-6S pi /G.,
PERMIT NO. 6 Z- - 0&02- ' DATE ISSUED .5 - 28 - 02-
BUILDER !-It/;vTl3Je- &V6/CSoA/ PHONE # {P/2-' 4-/4--. SW}4-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INsP;g;; . DATE
I FOOTING I _ I 0/7/6 ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
.... I I
J FI NAL
I f7 Ij--zf"
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
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