HomeMy WebLinkAboutBuilding 01-0522
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 5 - ~S _() /
LEGAL DESCRIPTION (office use only)
LOTb BLOCK ;;z. ADDITION
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NOo,{ij"f. 052 Z-
ZONING (office use)
OWNER
(Name) ~X?c-IlJT S.iF&~L
(Address)
BUILDER . ~
(Name) KellIN t!>K.Gt&&FJ:f1AN~
.
(Contact Name) I<EV/AJ
(Address)
(Phone) 4</7- 03!7
(Phone) ~/~ ~ :zR~ -.:z</.::z~
(Phone)
TYPE OF WORK
o New Construction
OLower Level Finish
o Misc.
,(JDeck
o Porch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
OAlteration
OUtility Connection
PROJECT COST /V ALUE (excluding land) $
0'0
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. 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 th r rty to perform needed inspections.
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Your Building Permit When Approved
S=:~-~d/
Date
Contractor's License No.
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 $ /1;z.. 0 4~
I Paid /"-2 ~
. Date _~~ o?O _ 01
I~ 3'&,2-
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
White - Building
Canary - Engineering
Pink - Planning
ThE" Ct"nlf'r or 'he t.kt ('oun.f)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~/; ~ /fj h <=-~:Je,o,CUl/~
APPLICATION RECEIVED S -(;) 5 -0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'-IL/CJ--I Po/UduJe uJ
Accepted
~
Accepted With Corrections
Denied
Date: 'Ym ..,...~
Reviewed B
r:te~
~ -~ d7~ 1f.,,J. OZ. ~
"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."
B~
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: c5 - ;;; S- -01
A7 PIn: J/ '. ~
{/-/ c"'r77 cI. cJ~
Building Permit # L 11/'/ I
Site Address Ii.-(/'-
Legal: L
Zoning:
B
Subdivision:
Existing Structure: ~r NO
I CONFORMS TO ZONING
o RD IN.AJ.~ CE
]
YES
NO
J
ANY PROPOSED DECK NOT MEETING THE ABOVE CRlTERlA MUST BE REFERRED TO THE
PLAJ'fNING DEPARTMENT. ALso, A.NY DECK ON A LOT WITH A SUSPECTED BLUFF, OR AJ'(y
OTHER UNUSUAL CIRCUMSTAJ'fCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED Ai'W INCLUDED IN THE BUILDfNG PERi'rIIT FILE TO
MAiNTAIN A RECORD OF THE REVlEW,
L:\TEi'vfPLA TE\DF.rKrHrK ])()r
Yard Setbacks: NOT APPLICABLE Requirement Proposed
willETS CODE
. Side Yard 10'
(2.3" if ahuttmg a street, 30' if abutting a street )0'
Irr c~ aiHli1 Kldge)
. Side Yard 10' tor
. Rear Yard 25' S6+-
, ,.
., .
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 4-'12-/ PONDVt6W TR-.
TYPE OF WORK D~
USE OF BUILDING /rle
PERMIT NO. O(-05Z:Z..- D~TE ISSUED 6--00-0/
BUILDER B~ PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING .5 'it d I
PLACE NO CONCRETE UNTIL ABOVE HAS BE
,... JL I I
IA~L I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE