HomeMy WebLinkAboutBuilding 02-0745
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
/71&1 /~ Jd,,~~ 5) -r;,.~/1 5.(,
LEGAL DESCRIPTION (Office,.use only).." 1 j
/ '/ t tx~.,~h ( Jd
LOT BLOCK ADDITION
Date Rec' d
1. White File
2. Pink City
3. Yellow Applicant
6,-t5 /IJ J -
. ...?
u,- Zo._Q.......
PERMITNO'Ol-_0145!
ZONING (office use)
-D
PID
- 370-
OWNER
(Name)
(Phone)
(Address)
BUILDER, (l +r. ;
(N ) D;; I -r-- - ;h-,1
ame ,.... _"I' 'Nd ...L/7" "-
#, L /-1.. It. i/J,~ I/, "'r
(Contact Name)
(Address)
(Phone)
(Phone) 9-5,,",;7- /''):;-- 7d~
L,,- k ~ v' i )( j /JJ;./ s_~ t' yyl
;;(0 C(;;,tJ /('bhrl'JL'.(. C........'). :;ic /tll./,
4~ ,/ .
TYPE OF WORK
o New Construction
o Misc.
OLower Level Finish
PROJECT COST IV ALUE (excluding land) S
Q~)
~Deck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
o Alteration
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 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 uP(~e ,l?roppY. r t/?!orm needjd inw~ctions.
X /1~c ~ L4. /y(,f&~iL.~ dJ.'Z);.iSt,',c.,-7 5'-,]'{J -a;2
/, Signature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
$
. ding Permit When Approved
(,'20~OL
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 $ /05- oq
--,
I ~~~ ~~. I ~~iEtZ(f/~o-- I
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 constructiorrfo 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:
~~
Building Permit # PID: Zoning: /:t' f
Site Address /71&:>/ jLJd~~ ~ '
Legal: L B Subdivision:
Date:
6- s~o~
Existing Structure: YES or NO
I CONFORMS TO ZONING
ORDINANCE
I
NO
I
YES
I
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10' ~Z7 (
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
. Side Yard 10' 'Jl.3S:
. Rear Yard 25' 7~
. 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 DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /7 ((P ( !/ ! ,()~ ~ S ~
TYPE OF WORK DeLt
USE OF BUILDING ~F
PERMIT NO. CJ'd..- 0'14~ DATE ISSUED G - ;;,/ - O,)-
BUILDER f). k!. /ft2eT{)IJ PHONE # '7135 - 7.11t:-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPE~ DATE
l FOOTING j /; 1 fa /;)7 M 2-
- PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ [ J
; FINAL
/@/ 1 /~I'Ii;i
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
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