HomeMy WebLinkAboutBuilding 04-0588
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
Date Rec' d
C', . /5. {ul_
White
Pink
Yellow
I PERMIT NO. O~, 05'(;61
File
City
Applicant
s.e:
ZONING (office use)
/7059 N//"-OC/&t1/C:SS "77M/L
(C..IS 0
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID z5. 370, () Z Z _ 0
OWNER
(Name)
LIZ- O/lNCj&/G
(Address)
(Phone)
9 6d-l\4D -iP4 6(0
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
Deck o Porch ORe-Roofing ORe-Siding
IOn OUtility Connection 0 Misc.
TYPE OF WORK 0 New Construction
OAddition OAlter
CODE: ~I.R.C. DI.B.C.
Type of d;;'nstruction: I
Occupancy Group: A B E
Division:
II III IV ~A@
F HI M~SU
I 2 4 5
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have hlrnished mformatlon on this application whICh is to the best of my knowledge true and COlTec!. I also certIfy that I am the owner or authOrIzed agent for the
above-mentIOned property and that all construction w1l1 conform to all existJng state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can revoke this per lOll for Just cause Furthermore. I hereby agree that the CIty official or a desIgnee may enter upon the property to perform needed mspectJons
~ (J~t',-:t~AIry--
~ Signature
x
Permit Valuation
Permit Fee $
Plan Check Fee $ S
State Surcharge $ 2.00
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~m~ to/~~;''I
~,. 'Soy
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
SewerlWater Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ /7/ , CJ.s;
ThIS IS to certify that the request 10 the above applicatJon and accompanymg documents is 10 accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constItutes a temporaty Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
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
BY:
~
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Mr
Date:
G- .Is. (J 4-
Building Permit # 0 ~, 0 see- Pill: z.J.:? 7 O. () L 2. (J Zoning: A:..- U '.:7
Site Address /7d.r9 tv'lvtJC/~5 77t.-<.--
Legal: L B
Existing Slrnct~ NO
I CONFORMS TO ZONING
. ORDINANCE
Subdivision:
YES
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street in 22..(
Cardinal Ridge)
. Side Yard 10' .32- <<
. Rear Yard 25' ColJ'
. T m-vnhouses Must be consistent with
approved plan for tJA.
develooment
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.
THls CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\DECKCHCKDOC
17N/11..,
~
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
/
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO.
BUILDER PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I.SPECTOR . "t'" ~
I FOOTING I /14 I ~/ffk
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
[..... I I
I FINAL I vtli J I ~- '1~
FOR ALL INSPECTIONS (952) 447-9850
I
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