HomeMy WebLinkAboutBuilding 05-0923
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
IADDRESS
I / ~ 41- 6L-6 A/OrJU3
Date Rec' d
q 21 oS
1 White
Pink
Yellow
File
City
Applicant
PERMIT NO. as 0'123
/JVE5E"
ZONING (office use)
IC/SO
LOT I BLOCK
LEGAL DESCRIPTION (office use only)
/ ADDITION O/f/CLJtNO fJ6Jqc!l-f 2/110
PID 25. /3tP. oOJ. 0
OWNER
(Name) ..rAp..)
cHe,.r:~r
(Address)
(jL.EIV O/::}LE
Me-
~'E
(Phone) Gl2 - S c;;.f, -- 1'1'1,/"
Pc I'or L K.c M0 553 "2...
BUILDER
(Company Name)
(Contact Name)
(Address)
qs z- - 2. ~ 2 - "3c:,5~
/Co e (\,J " If Co ,..j ST (l.. -..JC flo..J
J"l f\t t:.OE Iv ;r.,.-
(Phone)
(Phone)
TYPE OF WORK o New Construction eck o Porch ORe-Roofing ORe-Siding OLower Level FinIsh o Fireplace
OAddition o Alter on OUtility Connection
CODE1.R.c. DI.B.C. o Misc. ~d S"'rA ~S
Type of 0 strnction: I II III IV V A B PROJECT COST IV ALUE $
Occup y Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
nformatlOn on this application which IS to the best of my knowledge true and correct. I also certIfy that I "m the owner or autllD!lzed agent for the
o erty an 1 , II constructIon will conform to all eXlstlOg state and local laws and will proceed 10 accordance with submitted plans I am aware that the buildlOg
tI s permit r st ca . Furthermore, I hereby agree that the City official or a desIgnee may enter upon the propelty to perform needed IOSpeCtllll1s
x
Permit Fee
Plan Check Fee
State Surcharge
i Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
L Gas Fireplace Permit Fee
( 2-5
3<0
50
1$=~;;:JJ:dm,p'~;:';;:;'d
! BuildllH! Ufticial Date
1,/Z1/0 5
Date
Contractor's License No.
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 $ ILf7./(
I 'NO
4fft; 7
Paid
Date
J~"11 /
. zl oS"
1- ThiS IS to certIfy that the request 10 the "bow applical10n and accompanymg documents IS 10 accordance with the City Zoning Ordinance "nd may proceed "s requested. TIm document
when signed by the City Planner constitutes a temporary Certificate of Zonmg comphance "nd allows construction to commence Before occupancy. a CertIficate of Occupancy must be
IISSUl'd
I
L__
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:
/j2., - -. ~.
~~
Date: C; /z;f;s
PID:
Zoning:
Building Permit #
Site Address
Legal: L
I
B
I
Subdivision: ~ ~~ d ~
Existing Structure~r NO
I CONFORMS TO ZONING
ORDINA1~CE
YES
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street in I
2t
Cardinal Rid~e)
. Side Yard 10' r
/Z
. Rear Yard 25' 55;
. Townhouses Must be consistent .....ith
approved plan for (\JAr
develooment
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTl\iIENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR AI'lY
OTHER UNUSUAL CIRCUMSTAJ."IjCE MUST BE REFERRED TO THE PLA1'lNING DEPARTMENT.
THIs CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TElVIPLA TE\DECKCHCKDOC
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PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS / ~~ ~ &t,eJ\Jf;J4'l~ /tV(,~
TYPE OF WORK Peu-
USE OF BUILDING /Z-6-f a/)c
PERMIT NO. 05,0 1Z3 DATE ISSUED f Z- f, PJ-
BUILDER ~-C)C7J/1 PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT~ OF
BUILDING AND INSPE9TION
FOOTING
PLACE NO CONCRETE UNTIL A
[::':. nr, on..... -- r
I FINAL (9 I
aVE HAS BEEN
". I
PI) J $/3 j~~
I
1
FOR ALL INSPECTIONS (952) 447-9850