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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
"
/1
L //u: ~c
5. 27.04-
1. White File [ PERMIT NO
2. Pink City . 0+.05/,2-,
] . Yellow Applicant .
ZONING (office use)
Pus.D
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID2E). 3~/. 003. ()
OWNER
(Name)
,4
iJ/l' //j,J
/-t /,z.<= / .5
(Address)
/5 ~ ? /
{/:;~
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
~)-~ Yl/C~ 7913
,1! ,e:. 1 .L/J-K ~
/)';'/1/
.:L
(Phone)
(Phone)
TYPE OF WORK
o New Construction
eck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
o Fireplace
o Addition
o Alteration
OUtility Connection
o Misc.
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 awar~th the building 0 lal can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a. designee may
enter upon the property to~. needed inspe on~. _ 1..-
X _ .A.---a--.- /f; -'1.-' .5" -.J ? - () ~
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~~
Building Official
0'/2. 7 h, t{
.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE t..v-r uv;;r) '5. V 1. 0 4- $ / 7 I . 1!:;
Paid
Date
1'JJ~f .
-- If
."---
I Rec~~(/S
By ("'-1
,. / .....
v'
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
4646 Dakota Street S.E.
Prior Lake, MN 55372-1714
March 13,2008
Final Notice
~
Brian HarTis or Current Resident
15271 Nautica Circle
Prior Lake MN 55372
RE: Building Pem1it Number 04-512
In review of the building permit files it was discovered there is an open permit for a deck at this property. The
City would like your cooperation to provide access for a final inspection. Please call for ari inspection by March
25, 2008.
To schedule an inspection time, call (952) 447-9850. If YOll have any questions feel free to call between 8:00
a.l11. and 4:30 p.m. Monday through Friday at (952) 447-9852
?!!1~
Building Inspector
www.cityofpriorlake.com
Phone 952.447.9800 / Fax 952.447.4245
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:
~
.
7~
Date: 5P7~'-/
Legal: L
fOe;. 7 I
B
PID:
;J~
Zoning:
Building Permit #
Site Address
r-
~
Subdivision:
Existing Structure: YES 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 50 I
Cardinal Ridge)
. Side Yard 10' tn 2.. '
. Rear Yard 25' 0"
. Townhouses Must be consistent with
approved plan for tJA..
development
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, At~Y 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:\TE~1PLA TE\DECKCHCK.DOC
"
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /527/ NAC/77tV1 Ct/L
TYPE OF WORK f)~c
USE OF BUILDING 126.r fik
PERMIT NO. 0 4-- ~ 0 S 12- ; DATE ISSUED 5. 2 7~ 0 f-
BUILDER IfA/2.e/..5 PHONE # 4-4-0.7913
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE /
I FOOTING I 4~ I tC /4/"',/ I
. PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~~ I I I
I FINAL W c. l~ 3At.9J I I
FOR ALL INSPECTIONS (952) 447-9850