HomeMy WebLinkAboutBuilding 04-0301
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
300]
Date Rec' d
'I . UJ.-d fL/
] White
Pink
] Yellow
File
City
Applicant
PERMIT NO. 04- .0.30/
ZONING (office use)
KA
IJ 01:1 ~ ~ I c...-
LEGAL DESCRIPTION (office use only)
LOT/ ! BLOCK 3 ADDITION
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PID 'Z- r. l' Y" z...,. b 7z. 0
OWNER
(Name)
EiSffV\ll(.{:; ,~
(Phone)
t"i5L) 4fTj., 1:./17
, I
I'<' lJ r t
(Address)
BUILDER
I (Company Name)
I (Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction
OAddition DAlteration
eck OPorch ORe-Roofing
DUtility Connection 0 Misc,
I
0Jrj R.€
CODE:~I.R.C. DI.B.c.
Type of Construction: I
Occupancy Group: A B E
Division:
II III
F H
1 2
IV V A
I M R
3 4 5
B
S V
ORe-Sidjng . OLower Level Finish 0 Fireplace
t-r.v+ r.yi CM( Y,
PROJECT COST/VALVE $ 6000,00
(exduding land)
I hereby certity that I have furOlshed Information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
above-mentlOned 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 tlus pen,t for JL~St caus.e Flll ther more, I hereby agree that the City offiCial or a deSignee may enter upon the property to perform needed In,p~ctlOns .
X CjJ...iI/vl' 4M'3f0tW-W] L1tt.2J:I10ij
Signature Contractor's LIcense No ate
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
BuildllH! Ofticml
f~fi
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 $ QS.lo3
~~~ ?J: ~ :~~I;=I ~;'eiPtN~lLf(/
ThiS IS to certify that the request in the above application and accompanymg documents IS m 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
Special Conditions. if any
Date
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:
Date: 1-. 2-0.04--
Building Permit # 0 ~,030 I Pill: z.J.:? 82. 072.- 0 Zoning: jt!./1
Site Address 3003 OMCJ/fT 77/..;f1 L--
Legal:L It' B :J Subdivision: /t'/(t.-()J ..[()uT7'/-
Existing Structure: YES or NO
I em I
I 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 17 (
Cardinal Ridge)
. Side Yard 10' 32 (
. Rear Yard 25' A' I ~
~
l.L") ". '-
. Townhouses Must be consistent with
approved plan for t-JA-
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:\TE.MPLATE\DECKCHCKDOC
.../
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO. DATE ISSUED .
BUILDER -E/5&..Je Jf1'JAAI~ PHONE #~G, 71117
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~S7l.-HA("r ~lL fO{)T1'~ R\~~A, INSPECTOR , DATE
~G "-'c. ~ I c.; - O~
P . CE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
--..
FOR ALL INSPECTIONS (952) 447-9850
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