HomeMy WebLinkAboutBuilding 03-1138
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
3675
WI[L/OWW() 00
Date Rec' d
g 2- 7. 03
White File
Pink City
Ye\low Applicant
PERMIT NO. 03- / /38
.-
~ ( .
ZONING (office use)
te-I
LEGAL DESCRIPTION (office use only)
LOT Jl BLOCK I ADDITION t1/6f7lrtlRA.j' POA/ OJ
,
OWNER
(Name)
(Address)
PID 25: ?- 95: CJ{Jf?J()
(Phone)
! ;".
'I_ r t.
\/ ..
'v\.,'-
')).;/)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
o New Construction
ORe-Siding
TYPE OF WORK
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
o Misc.
OPorch
ORe-Roofing
OAddition
o Alteration
OUtility Connection
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 aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspections.
x
,""
Signature
(" ,
~ .)) -( 's
Date
Contractor's License No.
Permit Valuation ~J 000 G()
Permit Fee $ C;C( J..)'
Plan Check Fee $ 4 ~- "I
State Surcharge $ I 00
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Th;'7ft1f[:" YOU< BW1Wngp~; ::~d
Building Official Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ lIS: ~
Paid
Date
II{'ij
.. .V1.~]
1~;fIl~1
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
RT"CJ.J. .~ d~ck 4....Jol11-
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
1
Residential Building Permit Checklist
f} Deck Additions to Single Family Homes
Mi JL Date: {?/j-q~()3
BY:
Building Permit #
Site Address
PID:
7'6"7.) W1rf((}1.f./ Wdod
s:r
Zoning:
Legal: L y- B (
Existing Structure: YES or @)
Subdivision:
!A/-C::.f 6"( fOv1 c-I.s
I ~ I NO
I CONFOR1\-IS TO ZONING
ORDINAL~CE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10' /1. (
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
. Side Yard 10' fllf- (.
. Rear Yard 25' qO+
. Townhouses Must be consistent ..vith ilA
approved plan for
development
Aiw PROPOSED DECK NOT MEETING THE ABOVE CRITERIA l\'IUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR At"IY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLAl'fNING DEPART.:\-IENT.
THIs CHECKLIST .:\-IUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
.
L\TEN1PLA TE\DECKCHCK.DOC
'"
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 3875 W/~vOWrJOOD 51.
TYPE OF WORK ~~
USE OF BUILDING - S /1/ K-
PERMIT NO. 03 -1/.3 DATE ISSUED B. Z, 1. 0]
BUILDER 50966 PHONE# 4-4'7-3~9D
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I trlJl I q-lt--.i0
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
. I FRAMING I W I /0- 7-d)
I FINAL I I
FOR ALL INSPECTIONS (952) 447-9850