HomeMy WebLinkAboutBuilding 01-0485
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5-2/-0/
I White File
2. Pink City
J . Yellow Applicant
i'!>~
/
I PERMIT NO. {Jj1}4-g51
fi
· ONING (office use)
1<.1
1--593 fJffR..I:::JrV 00 D
DR. S€
LEGAL DESCRIPTION (office use only)
LOT 4-BLOCK 3 ADDITION WOODie
120
PID 25-
-0
OWNER
(Name)
~ i(, 0'- e.
iYl, ~ A~e.K
(Address)
5e.
(Phone) -.9 S- J - 4 4 0 ~ 32&.,"1-..
,e;frJA/{)!f
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
OLower Level Finish
o Fireplace
o Porch
OAddition
ORe-Roofing
OAlteration
ORe-Siding
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
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 the property to perform needed inspections.
~~~~~-
Signature
Contractor's License No.
~J~\lT>1
Date
x
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
$ TOTAL DUE $ //0./&1
our Building Permit When Approved I Paid /If;j{ I~;fo ~t;, ze
~- ""2(,. 'OJ 0 ( Date f
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.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
B~
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: 5-2/- 0/
Building Permit # PID: 2.5-3n-O/3-0 Zoning: /2./
Site Address 4593 PR/C/CNtJOD Ole-.
Legal: L 4-
B
3
Subdivision: /IlI~oo te-lD&b EXT7t T6S 31?-:O
Existing structure@ NO
I CONFORl'VIS TO ZONING
. ORDINAL~CE
YES
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
iYEEETS CODE
. Side Yard 10'
t'2Y It abutting a street, 30' if abuttmg a street 22'
in CMelinal Riegs)_
. Side Yard 10' 40 '
. Rear Yard 25' .
So
ANY PROPOSED DECK NOT MEETING THE ABOVE CRlTERlA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR Ai'lY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED Ai'-ID INCLUDED IN THE BUILDING PERivIIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L\TENfPLA TE\D ECKCHCK.DOC
White - Building
Canary - Engineering
Pink - Planning
The Cf'ntf'r of fhf' t.kf Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
BA~~, BeucE
J
5-ZI-0}
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4513 PAR\c..WOOD D~ sS
Accepted -<
Accepted With Corrections
Denied ~
Reviewed By: ~ ~
Comments:
Date: ~- 2/" 2tf;::J(
e-~ ~ Thck: ~~ k
"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."
'"
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 4Sr3 ,P/JI<K:.tvoOO Die... sc
~PEOFWORK ~C4~
USE OF BUILDING IGes HI/C.-
/
PERMIT NO. ()/. () ~6S- DATE ISSUED 5, Z/. 0/
BUILDER 73/1~~1C- PHONE # 4+0 - 32,.{p Z-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING
PLACE NO CONCRETE UNTIL ABOVE HAS BEE
~ I I
I FINAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE