HomeMy WebLinkAboutBuilding 04-0828
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Occupancy Group:
Division:
A B E
F
1
H I
2 3
M R S U
4 5
I hereby certity that I have filrnished mformation on this application which is to the best of my knowledge true and correct. I also certlty 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 submittcd plans. I am aware that the buildmg
official c voke thiS ermit for Just e Further re, I he y agree that the City official or a designee may enter upon the property to perform needed mspectlons.
9--- f?- '"
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 $
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 LA H_" a"l..04- $ 1~f'.:-6"
??~f {-Ol-t-
Dale
Paid
Date
I ~( '1\?~
C -C' - L/
.
. 't: { I
I Receipt No. t-/~t-{ , /
By ,0-
es Your Building Pennit When Approved
ThIS IS to certity that the request in the above applicatIon and accompanying documents is m accordance with the City Zoning Ordinance and may proceed as requested. TillS document
when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows constructlOn to commence. Before occupancy, a Certificate of Occupancy must be
isslIcd
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
;;)1 . Deck Additions to Single Family Homes
BY (!J, lf~ Date J? - /1- 0 "-I
Building Permit # PID: ZoninO':
Site Address 5 Lj 3 I - ('2/fH b IL w Qod LJ r
Legal: L J
l
Existing Structore: YES or6)
B
,c;-
Subdivision:
CONFORMS TO ZONING
ORDINANCE
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
lVlEETS CODE
. Side Yard 10' (
(25' if abutting a street, 30' if abutting a street in ~O
Cardinal Ridge)
. Side Yard 10' 7s ~
. Rear Yard 25' S-O'
. Townhouses Must be consistent with nA-
approved plan for
development
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, A1~Y DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTAL'iCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED A1~D INCLUDED IN THE BUILDING PERlVlIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TElvlPLA TE\DECKCHCK.DOC
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
SITE ADDRESS V~ ~~<l!l2 I
TYPE OF WORK ~~<-II:... !
USE OF BUILDING!
PERMIT NO. ~ DATE ISSUED i
BUILD PHONE # 7331
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW !
1
THE PERMIT IS BY SEPARATE DOCUMENT J
.
,
,1
,
INSPECTOR D~TE
I FOOTING I~' I ~? ;0~
PLACE NO CONCR~!E UNTIL ABOVE HAS BEEN SIGNED
I fRAMING Y / 'f' I I
I FINAL 1.
FOR ALL INSPECTIONS (952) 447-9850
.