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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LEGAL DESCRIPTION (office use only)
/ ADDITION
LOT ~ BLOCK
()IlI,VNER
lPme)
(Address) /":).
~R
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~t'~arne)
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TYPE OF WORK
o New Construction
OLower Level Finish
o Misc.
,~'r1."'~
L/ /.. <.. <.... 1\....---
o Fireplace
DAddition
Date Rec' d
I, White File
2 Pink City
] . Yellow Applicant
/1- I C( --~
I PERMIT NO. {/} --I,::>-{v:rl
I I J.--
ZONING (office use)
f<- J
PID,
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etae) 152/253-30oy
~) ffJ-J-50-BPfpCj
(~_) 9~;Z~O-n('9
/J 5"5378
ORe-Roofing
ORe-Siding
OAlteration
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
" 6lJV, 0'-0
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 ns. I am awar that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter Up' proper!)' to form need spe ti s.
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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
11119# -Z-
, Date
C
J ft; ,Z,
License No.
//~?AL-
fj4\~
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 $ 0'53. p~
I ~~~ ';i~ ~i~L
I ~;:eiPt N~
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
iS~ .... ,...
Plan~r /0'1 e l.- Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
Canary - Engineering
Pink - Planning
Tht' ern.rr of Iht I..kf Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
m~h~
~,
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~~~
/5i3'7
~
Accepted With Corrections
Accepted
Denied
r
~~~
~~
Date: /1 It 9/0 2-
I .
~ -c-:f--,
Reviewed By:
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:
Date: 1/- (0-{) ~
Building Permit #
Site Address
Legal: L ~ B
I
PID:, ;7, , Zoning: / ",
I? / 7 ,/ /1 ;', ~ }
/ /"1, ,) / --r" ,,(t.~ -1 /~ ,<, ,,-{'<2_~ ('{/l-
I'~ ' -- C r-
J, 1,:/J 17 _",I, ~.d.
Subdivision: VLlCA..d'<J ~
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 3i'
Cardinal Ridge)
. Side Yard 10' 3,'
. Rear Yard 25' 15' -
. Townhouses Must be consistent with
approved plan for -
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\DECKCHCKDOC
PRIOR LAKE
INSPECTION
DEPARTMENT OF
BUILDING AND INSPECTION
RECORD _
SITE ADDRESS 1{;1/3/7 {Jla(1,;f t1A:1'~'~>L-
TYPE OF WORK ,Pee JL
USE OF BUILDING 5'F
PERMIT NO. ) - 5{)G DATE ISSUED //-/q-c)~
BUILDER! ! ~(IL':) /')r-OO!{ /1~. PHONE # SJSu- ??67'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I~CTOR DATE
I FOOTING I ~ I l! - "2-~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
: I FRAMING I I
I FINAL I .#/~/ I 9'//7/:/
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
ADDRESS
DATE
r/~tj'
/Sy'J7 6'4l li'ec;/~ CJ~
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0,7 - / j-o<7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
~ITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Ael
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C cJ/"! // k 7 -e..-
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C~~
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h/e
~RK SATISFACTORY, PROCEED
/0 CORRECT ACTION AND PROCEED
o CORRECT WORK, ::~';7 REINSPECTION BEFORE COVERING
Inspector: /'/f/f? Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI