HomeMy WebLinkAboutBuilding 01-0372
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White File I PERMIT NO ~
2 Pink City . /)'/- 0 3 ~7
J. Yellow Applicant Vl_
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
BUILDER
(Name)
'TH .11 /Vt
fH,a,-M
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) S
OAddition
o Alteration
OUtility Connection
o Misc.
ZOJi>ING (office use)
hI
(Phone) 15';2
- C1 bo7
t,L():J ~ q (., 07
,
Y-03~ 9btJ7
o Porch
ORe-Roofing
ORe-Siding
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 at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
:ter u e perty to ~oZ:;t/ inspections.
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 $
mes Your Building Permit When Approved
(( ~ 2/r ?/;o(
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ J?J8 ~ gb
Paid
Date
I~~~'J-~I
I ~;ceiPt N[f:511f
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
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY: es-.
Date: 4 - L 7 - (r:;;:DU
Building Permit #
Site Address \ "-I \ \ \
PID:
"3 l,o"J.lo!.'''''''' t>::Q. 1'1-0., \.
Zoning:
Legal: L
B
Subdivision:
Existing Structure: ~ or NO
NO
l CONFORl"\'IS TO ZONING
ORDINAL~CE
I
YES
Yard Setbacks: NOT APPUCABLE Requirement Proposed
MEETS CODE \
. Side Yard 10' \ \
(2S' if ael:11:'l:iftg a &tr~et, 20' if iSSl:lttiRg a street \ \ i
UrCardihal &dgG)
. Side Yard 10' So'
. Rear Yard 25' uS'
A..'fY PROPOSED DECK NOT MEETING THE ABOVE CRlnRlA MUST BE REFERRED TO THE
PLAl'iNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECnD BLUFF, OR AJ.'fY
OTHER UNUSUAL CIRCUMST...\.>"iCE MUST BE REFERRED TO THE PLANNING DEPART~IEXr.
THIS CHECKLIST MUST BE COMPLETED ..\.l'lD INCLUDED IN THE BUILDING PE&';IIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
T .:\YcitfPLAU:,Qgc:j;Clic:K,.I) 0 C
~
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /4// I &-{/G8/~ 77Z-
TYPE OF WORK OEf1 ~
USE OF BUILDING ~S ~
PERMIT NO. () 1- 0 372- DATE ISSUED 4. 2 7- 0 I
BUILDER /l-I;q-rJ Ha~:i'N~ PHONE #
NOTE: THIS IS NOT A PERMIT FOR NY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR ~TE
I FOOTING l1)t:'~ ~
. PLACE NO CONCRETE UNTIL A~-;;;k HAS BEEN SIGNED
b:-J\MING I I
I FINAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850