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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
S 3 8'"D
"
LEGAL DESCRIPTION (office use only)
LOT BLOCK 3 ADDITION
,"'-
Date Rec' d
I. White File
2 Pink City
3. Yellow Applicant
I PERMIT NO. (J:;<-)OsG I
ZONING (office use)
Rl
~ 61/l
PIu;>S-.... 37!:/- O~q
1.~If1.t5 R M%t3t,J
(Address)
~}~)~:~ 2Zb-.:S7~ c;
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
ORe-Siding
OLower Level Finish
o Misc.
OPorch
ORe-Roofing
o Addition
ireplace
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 pI s. I am aware that e building offiCial can revoke this permit for just cause. Furthermore, I hereby agree that the City offiCial or a designee may
:nter upo property to perfo eeded illS ctions < 1$),77-3 /,,,,~ 2
Contractor's License No ~..
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
oved
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE AJ.IL. vt;D $ ,~.~
I ~~71V
I Paid /e6.. ob
Date 9- U -(J z.......
This is to certifY that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may procee~requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a"eertificate 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 li)#
Residential Building Permit Checklist
Deck Additions to Single Family Homes
O.;)-lo5d
Date:
Building Permit # Pill:. ff: ~ning~ / /1'r;' /\J ~
Site Address 1S'34x::>B(6~//gf /53PO ,.&t.-/ IYUL-",- /(,
Legal: L
B
Subdivision:
Existing Structure: YES or NO
NO
CONFORMS TO ZONING
ORDINANCE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street in I~ . 11 I
Cardinal Ridge)
. Side Yard 10' I.
3"1..7
. Rear Yard 25' 5""0'1-
. Townhouses Must be cen~istent with
approved planJor ~
development ~.....-
"'"
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO T~~
PLANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY ~
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT. ~
TIns CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC