HomeMy WebLinkAboutBuilding 02-0646
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/4-22-....5 /'1/7lJKA
~I e (!~
~'~i~~e ~:~y I PERMIT NO.O"" ........-A./_
3, Yellow Applicant , '- ~
ZONING (office use)
Ej
LEGAL DESCRIPTION (office use only)
LOT (p BLOCK I ADDITION
/VlrJ Pt-{3: 1-11 L- L.-
PID z5-U8Z-00fp -0
OWNER
(Name)
To cle/
I-!cYl S ~n
(Address)
(Phone)
1,//)(/00 -9c/ [)r)
(Phone) [' 1 '--6
(Phone)
BUILDER / j f) './
(Name) L{:vv:1cc'5+ e,- k 'L,' ( ~)
(Contact Name) /7/cll-t ~C)",t' 5
(Address) 2 c/ "1/r IN'clO Ave ne I ~ ~L", /h"
TYPE OF WORK
OPorch
ORe-Roofing
o New Construction
o Misc.
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
o Fireplace
OAddition
OAlteration
OUtility Connection
1?t>eck
ORe-Siding
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 aw at 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 property form needed inspections.
X ./l .//;;/-l /
Signature
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Approved
! ~ / -G 2..
Contractor's License No,
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ Q4.C/<:,.
I
I ~;ceiPt N li-t~ :s Z-
I paidr~ "1>
Date C, ~/o "L
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 Famil);
BY:
~
Date:
Cp
L
Building Permit # 0 'Z -<.,.. ~
Site Address
PID: "Z.) ..CbZ -G::b-o
Zoning:
(2~(
Legal: L B
Existing structure:6Jr NO
Subdivision:
CONFORMS TO ZONING
ORDINANCE
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street in 3{.1/
Cardinal Ridge)
. Side Yard 10' qj'f
. Rear Yard 25' ';-0 ,
l-
. 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.
TIns 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
\4225 11\ TctL-,,\ c;~
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO. OZ.~k
BUILDER ~~ ~~ PHON #(0(2-.. ffO,c(~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
_r ..8 I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
I FINAL I 1l..4 I ~Il(
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850