HomeMy WebLinkAboutBuilding 04-0642
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
(PIeue type or)lliDt .... sip at bottom)
! ADDRESS
4~~ 7 Plel\SO.A.vt Sf-
Sf
.p r',' Of
LEGAL DESClUPTION.(office use~)
<+ LV, dO,' 011:)
LOT (.) BLOCK ADOOION
Date Rec'd
I. White FiIo
2. _ City
J YoIIDw AppIica..
Lkc
I PERMIT NO. () Lf - &, L/~
, I WNlNG,__, I
PID d.. s- 00.). - {};}- b --()
OWNER.
(Name)
B Ie u.er
(Phone) q S Z - '-I '-{7 - ~ ~ 3 7
~e.().n
(Address) L-I~(P'7 Ple~sa.<J- S+ SE
Pr; D r~ Lo.k-t.
fVJN
S537Z
BUILDER.
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ~Deck OPorch ORe-Roofing ORe-SidiDg OLower Level FinISh 0 Fi~lace
OAddition OAlteration Dutility Connection 0 Misc.
. CODE: ~.R..C. OI.B.C.
Type of Coastrudion: I
Ocaapancy Group: A B E
OiTisiem:
u m IV <!!> A (ji)
F H M(l)SU
1 Z 3 4 5
PR.OJECT COST/V ALOE S
(oeluding land)
I bcn:by certify lbal I have liImisbcd information 011 Ibis application which is to Ihc bar of my knowled&e true and CI)J'Md. I also mtifY !hall am the owner IX" authoriud aaent for the
above-mentioned property and that aU COllSttUCtion wiJI conform to aU ellistina stall! and lonl laws and wiI1 proc:eed in acalI'CIan<< with submitted p!alls. I am aware that the buildinS
o~ this permit for just cause. Furthmnore. I hereby alIIft that the city ofIiciaJ 01' a desisnee may ealer IlpOIIlhe property to perfbrm n<<ded mspI!Ctions.
X.. ~~-i^- I.Lz~ ~O~
. Siplaaue Contraaor's LiceIIse No. ' a~
Permit Valuation
Permit Fee S
Plan Check Fee S
State Surcharge S
Penalty S
Plumbing Permit Fee $
Mechanical Permit Fee S
Sewer &: Water Permit Fee S
Gu Fireplace Permit Fee S
nus Application Becomes Your Bail'" Permit When AppIOftlI
~~
Buildin2 Official
'/t..S/o c.(
, Date'
Park Support Fee # S
SAC # S
WaterM~ Size 5/8"; 1 "; S
Pressure Reducer S
SewerlWater Connection Fee # S
Water Tower Fee # S
Builder's Deposit S
Other S
TOTALDUE A~ 1 If.() (0. z-f.oa,. S //1, ~Io
I Paid
Date
J ~!- i?0
. , r :J-S- (/
t1&~'J11
I~NO
11us is to mtifY that the request in the above application and accompanyq docummls is in accorduc:e widt the City Zonq Ordinance: and may proceed as requcstl:d. This document
whm siIJIcd by the City Planna- coostitutn a !mIporary Certificate of Zooins compliance and allows cOllJttUClioa to co_. lief OR! llCCUpancy. . CcrtiIiartc of Occupency must be
issued
I'Iauin& Dinlctoi
Oak SpcciaI ConditionS; if any
24 hour notice for all inspectiou (9!l2) 447-98!lQ. fa" (952) 447-4145
16200 Eagle Creek Avenue Prior Lake. MN 55372
Residential Bunding Permit Checklist
Deck Addition:) to Single Family Bome~
BY
Date
~ _ ;( L( -0 / J
I[) v 7
Building P~rmit #
Site Address
Pill:
Zoning:
If f.o ~ 7- ;0 k<v~~
Legal: L
R
Subdivi~ion:
Existing Structun: YES or NO
CONFORl\lS TO ZOI'fIN-C x'ES NO
ORDINANCE
Yar.d Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
(2j' if abutting <l street, 30' if abutting a street in
Cardinal Ridge)
. . Side Yard 10'
. Rear Yard 2Y -
. T Qwnhollses Must be consistent "villi
approved plan for
development
fu'fY PROPOSED DECK NOT i'/CEETING THE ABOVE CRlTERlAMUST BE REFERRED TO THE
PLAl'iNl1'fG DEPARTiYCENT. ALSO, Al'fY DECK ON A LOT WITH A SUSPECTED BLUFF, OR Al'fY
OTHER UNUSUAL CIRCUMSTA..'fCE l'illiST BE REFERRED TO THE. PLAl"{NING DEPARTLYrENT.
Tills CHECKLiST NruST BE COMPLETED ...u'ID INCLUDED u'f THE BlJILDli'iG PE:&.'YllT FILE TO
lYlAlNT Am A RE C ORD 0 F THE REVIE W _
L . 'TEMP LA IE' DE C{c=HCXDOC
PRIOR LAKE DEPARTMENT OF
- BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS ~'7 ~eA.S~AJ"t-
TYPE OF WORK ~
USE OF BUILDING .
PERMIT NO. ;...... DAT~ ISSUED &... gll_
BUILDER N eA6Avt- PHONE# tlII"- ~"~IJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
ell lM.e A.I-t-
INSPECTOR DATE
I FOOTING I I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I I
[ FINAL I I I
FOR ALL INSPECTIONS (952) 447-9850