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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
,--
/a- /o~
I. White File I PERMIT NO 3
2. Pink City . /) t:" _ //l/'J
3. Yellow Applicant . {./V LVV_
ZONING (office use)
/SiJ
15 9 (.. c- 5 U-Y'- -fl ish T r ~'J I
LEGAL DESCRIPTION (office use only)
LOT :bBLOCK
L/8- CJ/
ADDITION
PID
OWNER _
(Name) 06) h",
(Address) l5'Q,
(Phone)
fir I
BUILDER 1\ 11 j ~
(Name)-LIL1 a..1o loA J CLl J. I3l at (' s ') 111 Co
(Contact Name) .8 er r1.; e ~ I~ 'L /./
? 3 7, w /5'b--r-.b.
15.;2. -'-I~7-;? 73J'
'/2..- 3'-1-53~
(Phone)
(Phone)
(Address)
:Sa.."
TYPE OF WORK
lZiPeck
o New Construction
OPorch
ORe-Roofing
ORe-Siding
OUtility Connection
OLower Level Finish
o Fireplace
OAddition
OAlteration
PROJECT COST/VALUE (excluding land) $ ~,7 f)O .
o Misc.
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 on the property to perform needed inspections.
/oll%~
I .
Date
0<..35 cf
Contractor's License No.
x
Permit Valuation /t;O() W
Permit Fee $ ~7 SL>
..!.
Plan Check Fee $ 37 J~
State Surcharge $ ,7t;
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
$
$
$
$
$
$
$
$
$
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTALDUE6rU.6t' If). II. tlr
tOa=~YO~BuilWngP::;';d
Building Official Date
57>3 Z,S
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. 12 ~ Dee ((
If-a~.JOJT
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Planning Director
Residential Building Permit Checklist
MA ~k Additions :a::g1e F::]~ ::m:, ~
Building Permit # PID: Zoning:
SiteAddress /5<1(,.(,.- J~ ~
Legal: L B Subdivision:
BY:
Existing Structure: YES or NO
CONFORIVIS TO ZONING
ORDINANCE
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
LVIEETS CODE
. Side Yard 10' "
(25' if abutting a street, 30' if abutting a street in ]4' (
Cardinal Ridge)
. Side Yard 10' S'Dt'
. Rear Yard 25' 4_~ {
. Townhouses Must be consistent with [14.
approved plan for
development
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLA.~NING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTAJ.~CE MUST BE REFERRED TO THE PLANNING DEPARThIENT.
THlS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDL~G PERiVIIT FILE TO
lVlAINTAIN A RECORD OF THE REVIEW.
L:'TEMPLATEDECKCHCK,DOC
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
SITE ADDRESS Is~~Fq~"s" I'"
TYPE OF WORK ~
USE OF BUILDING - SF D n
PERMIT NO. .--"5- ~ DATE ISSUED IO-IO.~
BUILDER ~_OI PHONE # 1.11/1- ~?ti
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING
INSP~ D~" I
I . I I ~Vlo/ 1~5--
NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FINAL
/02. I 2i5/~
~ I {
FOR ALL INSPECTIONS (952) 447-9850
40."