HomeMy WebLinkAboutBuilding 05-0382
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
2
at bottom)
Date Rec' d
'-'~ .5: O~
1 White
Pink
Yellow
I PERMIT NO. O.!; 0:] 8 .-z.-t
File
City
Applicant
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT~LOCK I ADDITION
r
PIDZ-.~. 384-. 005, C
OWNER
(Name)
DE A, foJ
c;;,~(H
(Phone)
, 52 - ~ 96 9~3(1
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
TYPE OF WORK 0 New Construction
OAddition OAltera 'on
(Phone)
(Phone)
eck OPorch ORe-Roofing ORe-Siding
OUtility Connection 0 Misc.
o Fireplace
OLower Level Finish
CODE: ~I.R.C. DI.B.C.
Type of onstruction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
I hereby certily that I have furnished mformation on this applicatIOn which is to the best of my knowledgc true and correct. [also certify that I am the owner or authOrIzed agent for the
abovc-mentlOned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
"fticial can revoke thiS peli~l-~r~ Cause Fu~.~re, I hereby agree that the elty official or a designee may enter upon the propelty to perform needed inspectIons.
X ~~p ~~~
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 I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~~
Building Official
s Is-/os-
; Date
Park Support Fee # $
SAC # $
Water Meter Size5/S"; I"; $ "
Pressure Reducer $ ~
Sewer/Water Connection Fee # $ ~.........
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ /77,9s
ThiS IS to certify that the request m the above application and accompanymg 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 Zonrng compliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be
I 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: 5/5 JDS--
Building Permit #
Site Address cJl/ 3 '/
Legal: L 5 B /
PID:
~p~
Zoning:
Subdivision:
~ ;/uU:J
Existing Structure: @or NO
I CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10' l;
(25' if abutting a street, 30' if abutting a street in IfQ'
Cardinal Ridge)
. Side Yard 10' /~(
. Rear Yard 25' ~L(I
. Townhouses Must be consistent with
approved plan for fJPr
development
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, At'lY 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
INSPECTION
RECORD
SITE ADDRESS 243 7 67?JAJ6/vZ6:)~1 PHTI/
TYPE OF WORK ot~c
USE OF BUILDING /2es- l1/;c
PERMIT NO. OS-.() 322- DATE ISSUED 5.5. C3S-
BUILDER -SIVJ/rrl PHONE # +9tr_ 12,:J()
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~. ~Dm
I FOOTING I _ -: --. 1;-/3)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING ,_ rJ-rJ
DEPARTMENT OF
BUILDING AND INSPECTION
FOR ALL INSPECTIONS (952) 447-9850