HomeMy WebLinkAboutBuilding 02-0827
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
?-9~o7--
/ L/da9
LEGAL DESCRIPTION (office use only)
LOT BLOCK 7 ADDITION
Date Rec' d
~i~i~e ~:~y I PERMIT NO. /17 "oa "1 I
Yellow Applicant V&-- l/ ~ _
ZONING (office use)
/\.--'"
R
L
tld
PID ;;25- ~31:'-tJStJ-
OWNER r-:> J
(Name) '~,... ~I/h r-<
(Address)
(Phone)
'1s';- ?P5 -i/d'l'9
,
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
ORe-Siding
OLower Level Finish
o Misc.
eck
o Porch
ORe-Roofing
o Fireplace
OAddition
OAlteration
OUtility 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 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 u~e~~~~orm./ded inspections.
X I~- ?')~- 7~ ~~
--- Signature Contractor's License No. Date
Permit Valuation llnM~
Permit Fee $ Cf'l. '"2. S-
Plan Check Fee $ (.1.'1
State Surcharge $ '2.c)0
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Your Building Permit When Approved
7 -1-0(
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ /fR2>~
I ~;cefd 4-rs?Z- I
Paid
Date
t~:-~~
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
By:et
Residential Building Permit Checklist
De~k Additions to Single Family Bomes
7- 9~ ~/
Date:
Building Permit #
Site Address
,
. PID:
I~;)~/ ~ci
Zoning: R I
Legal: L
B
Subdivision:
Existing Structure: x'ES or NO
CONFORiYIS TO ZONING x'"E S NO
ORDINAJ.~CE
Yard Setbacks: NOT A...PPLICABLE Requirement Proposed
[\([EETS CODE
. Side Yard I 10' t{7
(25' if abutting a street, 30' if abutting a street
in Cardinal Ridge)
. Side Yard 10' ?)
. Rear Yard I 25'
I l(o
ANY PROPOSED DECK l'IOT MEETING THE ,'-lEOVE CRlTERlA MUST BE REFERRED TO THE
PLAJ.'fl'IING DEPA..RTMEl'IT. ALso, Al'fY DECK ON A LOT \YITH A SUSPECTED BLUFF, OR i.\.i'IY
OTHER UNUSUAL CIRCUMST,~'iCE MUST BE REFERRED TO THE PLAJ'iNIi'IG DEPARTiYIENT.
THIS CHECKLIST MUST BE COlvlPLETED A.i\m INCLUDED IN THE BUILDll'lG PERMIT FILE TO
MA1NT.-\.Il'I A RECORD OF THE REY1EW.
l\,TEiYf1Jf.A TE,DFCKC-1"C< nnc
'"
PRIOR LAKE
INSPECTION
SITE ADDRESS /~!=~!lJJqv
TYPE OF WORK DeLle
USE OF BUILDING . f)p
PERMIT NO. C);).-- ()~?1 DATE ISSUED 17- 9- d---/
BUilDER f)a/V R tJJJ7?"L- PHONE # '?'?5-~Og'J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
I FOOTING I C:, 17/1 ,,/.2---
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
FINAL
O..ts ..
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
Scott County
Page 1 of 1
This drawing is neither a legally recorded map nor a
survey and is not intended to be used as one. This
drawing is a compilation of records, information, and
data located in various city, county, and state offices,
and other sources affecting the area shown, and is to be
used for reference purposes only, Scott County is not
responsible for any inaccuracies herein contained. If
discrepeancies are found, please contact the Scott
County Surveyors Office.
w.'
s
d,
March 14, 2006
http://www.co.scott.mn.us/scgis -'path/ims?ServiceName=overview &ClientV ersion=4.0&F... 3/1412006