HomeMy WebLinkAboutBuilding 02-0597
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
5/;;J3rOY'
ADDRESS
/ #-~S-J
~ 1/~ ,IV" e..:r Nt;;
Date Rec' d
I. White File I PERMIT NO I
2 Pink City . /l"1 -Olt:;/lyJ
3. Yellow Applicant , ~a!: U-' -I- '
ZONING (office use)
)e/
LEGAL DESCRIPTION (office use only)
LOT / BLOCK 4- ADDITION
~(Jp n/t.--L ..577f-
PID 2.5 - 3(P e - ()J~- 0
OWNER
(Name)
Tt\-SA10S c'
1Z- W Coo2.T N 2-
(Phone) 'is' 2- 4qb I 811
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
ORe-Siding
OLower Level Finish
o Fireplace
PROJECT COST IV AL UE (excluding land) $
o Misc.
Deck
OPorch
ORe-Roofing
OAddition
OAlteration
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
enterlPon the property to perform needed inspections. . /. !
X H\ ~~~----. 5; Z -S 02-
Signature Contractor's License No. I Dale
Permit Valuation 500.00
Permit Fee $ 23.so
Plan Check Fee $ lb:. '2-7
State Surcharge $ 'SO
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
es Your Building Permit When Approved
5"" - Z'3-OC
Date
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 $
I Paid ~)-~:~
Date -.;>..-
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.
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
Planning Director
By:P6
Residential Building Permit Checklist
Det:k Additions to Single Family Homes
./'- ') 3-tJd-
Date: c:/ if
Building Permit #
Site Address ) V tlS--3
(
J PID:oJS--36r- d3S:0 Zoning: Jc7/
!? !:L tJ (? !U(7+
Y- Subdivision: {";Uu b t/;) /
s17-
Legal: L
B
Existing Structure: ~YES or NO
CONFORL'rIS TO ZONING y"]: S NO
ORDINAL~CE
Yard Setbacks: NOT A..PPLICA..BLE Requirement Proposed
['vrEETS CODE
. Side Yard 10' 32l
(25' if abutting a street, 30' if abutting a street
in Cardinal Ridge)
. Side Yard 10' I
. Rear Yard 25' 41
ANY PROPOSED DECK l'IOT MEETING THE ABOVE CRlTERlA MUST BE REFERRED TO THE
PLAJ.'fNING DEPA.RTlYlEl'IT. ALSO, .-\.NY DECK 01'1 A LOT 'yyUH A SUSPECTED BLUFF, OR Ai'N
OTHER UNUSUAL CIRCUMSTAl'iCE MUST BE REFERRED TO THE PLAJ'il'lING DEPART;\IEl'IT.
THIS CH:ECKlIST iYlUST BE COMPLETED AJ'iD INCLUDED IN THE BUILD[l'IG PERiYIIT FILE TO
MAll'lTAlN A RECORD OF THE REV1EW.
L:\TElvrPf.A TE\DFG<:rHC< nnr
~
PRIOR LAKE
INSPECTION
RE ORD
SITE ADDRESS 53 <~ ve/U /1-t G
TYPE OF WORK 'Oe&/L ,~-t-ui v~
USE OF BUILDING --t F-
PERMIT NO. 0;)- (J.597 DATE ISSUED 5-~ '3 -od-.-- ,
BUILDER lYlOLlc ,rp tAS vn L(SC;e~ PHONE # L/1 fo-/~Lf
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
10"''''00, ~ 9'TE
I FOOTING I 12/4 I ~'i,bz.
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
I FINAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
I
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