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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1. White File I PERMIT NO I
2. Pink City . () ')... . l/l V '}
3. Yellow Applicant ~ .lUO ~,
1/1 c..lop' I 4.. (1.YV~
ZONING (office use)
::5E-
(Address)
PID~E- 3'35- 03)-
LEGAL DESCRIPTION (office use only)
LOT,
BLOCK Lj ADDITION
OWNER
(Name)
c?r~de V iQ
V/c-~r /;:! {1,~ Ve
(Phone) '5? Z l c; 3.-5'20
;E
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
Deck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAddition
o Misc.
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 plans. I am aw e ilding 0 cial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon ope 0 e rm n Cled i ections.
Contractor's License No.
Date
x
Permit Valuation
~ooo. -
$ .e.~. z.~
$ S~.1I
$ (.SC>
$
$
$
$
$
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$
$
$ /3 .86
I Rece~t No.Lf d. 3' oS
..BY~.
Permit Fee
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I Paid I ~ ~ ' ~~
Date g,. 0" d-
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.
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
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:
{LJ)[A-
Date: t- (B 0 -0 ~
Building Permit #
Site Address
PID:
/?379
Zoning:
!/'L 7-C/'7( tL ~~
Legal: L
B
Subdivision:
Existing Structure:@r NO
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
Cardinal Ridge) II .~ 4-
. Side Yard 10'
4-o'f
. Rear Yard 25'
40'+
. Townhouses Must be consistent with
approved plan for -
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:\TEMPLA TE\DECKCHCK.DOC
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