HomeMy WebLinkAboutBuilding 02-0526
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
--.5--- 10 '-C7-
White File
Pink City
Yellow Applicant
t PERMIT NO. <7
0_.--- 52~
LEGAL DESCRIPTION (office use only)
LOT3 7BLOCK,;J... ADDITION
PID')f- ..1'>'.2- OO.r - 0
OWNER
(Name)
(Phone)
(Address)
ZONING (office use)
7~ d--
BUILDER. / I
(Name) tJ (' NJ hi ej'^" /V ~ (J m (I' ...J'
(Contact Name) GOal" ~ JOAN.F4/y
/
(Phone) &7 j I, .y () " - .y-y", Q
(Phone) U /:2 - :J 6 /' -7?- /.2...
(Address)
TYPE OF WORK
ORe-Roofing
o New Construction
o Porch
OLower Level Finish
o Fireplace
OAddition
OAlteration
o Misc.
PROJECT COST IV AL UE (excluding land) $
ORe-Siding
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 e property to perf9Jm nee~ inspections.
X a ~ /~5-,r F-/()..-.;? ~
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
Is 00-
1',,/0
SI \~
,....
.c,<--,
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Gas Fireplace Permi Fee
~ Yom BOOdffig Prnni' W"!" App=<d
/ ~!4Io"']..-
Date
I Paid '2!l ~ ~
. Date S~ 17 -eJl-
I ~~~4'2061
$
$
$
$
$
$
$
$
$
l '1 ",:3
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
Residential Building Permit Checlilist
Deck Additions to Single Family Homes
BV.
fOpt
Date: 5- (o~ 0 d-
Building Perrgjt.=}. '/: IL' /' J J/~~+: .3 t- J ;~-OO~-Ol,Oning:
Site Address -:5 39~ q (IV LVvt. ~ ,
B d--.
1<;)-
Legal: L~=5 '1
S ubdivlsion:
~'~
Existing Structure: )"ES or NO
CONFORLYIS TO ZONING
o RD IN Al'1' CE
NO
Yard Setbacks: NOT A.PPLlCABLE
iHEETS CODE
Requirement
Pro posed
· Side Yard
(25' if abutting a street, 30' if abutting a street
in Cardinal Ridge)
· Side Yard
la'
,,1
10.'::::>
· Rear Yard
7Oc.qJ
la'
,
I?- .0
25'
o S~T"3~
ANY PROPOSED DECK NOT MEETING THE ABOVE CRlTERlA MUST BE REFERRED TO THE
PLAJ.Th'ING DEPARTMENT. ALSO, A.,NY DECK ON A LOT \VITH A SUSPECTED BLUFF, OR .<\..i'IY
OTHER UNUSUAL CIRCUiYlSTA.NCE MUST BE REFERRED TO THE PLANNING DEP.-\RT0-'IENT.
'- I. 1
Tms CHECKLIST MUST BE COMPLETED Ai\{D INCLUDED IN THE BUILDfNG PERi'dIT FILE TO
MA1NTA1l'I A RECORD OF THE REVIEW,
L.\TEiYr?r.A TE\DFl:Kl'HC{ n()(~
PRIOR LAKE -
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3~iz.. ~t-"1 ~~ 82- \ ~
TYPE OF WORK bE-c..~
USE OF BUILDING -l2€s A4 / /
PERMIT NO. 02 - ~-* DATE ISS'UED r:;;1'~/,,"Z-
BUILDER JJJ~~~~ ~~ PHONE # ~''2..i.c.lf..7''/z-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTION
RECORD
I FOOTING l I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I I
I FINAL I I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
INSPECTOR
DATE
\