HomeMy WebLinkAboutBuilding 04-0351
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4.2-0.04-
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 04-.035/
(Please
ADDRESS
at bottom)
ZONING (office use)
3652 ;v1/iIGSI-/
.5T
NW
te IS 0
LEGAL DESCRlPTION (office use only)
LOT J BLOCK I
ADDITION
J~L.AtJD
V(6vJ / sr
PID 25. 'e,O. 001. 0
OWNER
'~~
~2M,l.fl A. Z.U,T!4c'---
. <(iiiAi).{i!' 1S;J -l../LiO - IoU::)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction Deck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdditlOn OAltera on OUtility Connection 0 Misc.
CODE: IJlfI.R.C. DI.B.C.
Type of &nstmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
Contractor's License No.
This Application Becomes Your Building Permit When Approved
A~tli,~ ~cf;,r~ r
Paid
Date
~9. J~
. ~fJ. 04-
# $
# $
$
$
# $
# $
$
$
$ 7 ,3'
I R'j<l<O ~'e8
B y .;J....
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
Permit Valuation
Permit Fee
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
ThIS IS to certitY that the request m the above applicatIOn and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner const!lutes a temporary Certificate of Zonmg compliance and allDws cDnstruction to commence Before occupancy, a Ccrl1ficate Df 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
Residential Building Permit Checklist
Deck Additions to Single Family Homes
<K_. "' ~ _ /-;~
BY: ~ 7~
Date:
1Ia-~ r
Building Permit #
Site Address 3f 52-
Legal: L I B /
PID:
Subdivision:
Zoning:
AJ.uJ/
, /.. /S'r:i'
I~t& .--0 V~ ...-
~~
Existing Structure~or NO
I CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street in /CJ.5: t
Cardinal Ridge)
. Side Yard 10' Id I
~
. Rear Yard 25' ZS'
07JU-
. Townhouses Must be consistent with
approved plan for fJ It- .-
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\D ECKCHCK.DOC
..
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS JB5Z- ~/J1GJH- sr.
TYPE OF WORK !.?feuc
USE OF BUILDING 8" /l/IG
PERMIT NO. 0 f-. 0 35 I . DATE ISSUED 4. 2<6,04-
BUILDER ~ {/~ PHONE # 4--HJ. /60-3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IN~. DA,.
I'FOOTING I ~ 7
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I.... I I
I FINAL I I
FOR ALL INSPECTIONS (952) 447-9850