HomeMy WebLinkAboutBuilding 01-0643
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(,-/q-O)
ADDRESS
t) 0UC1
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER ~
(Name) jJJa
I White File I PERMIT NO
2. Pink City . 01...-./)/- 4'.2
3 Yellow Applicant . ~t./
~~QJ.
6 a-ty' ) 50
(Address)
ZONING (office use)
Ills
3~
~-c?O
(Ph
f/ome
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
OLower Level Finish
o Misc.
JP6eck
- - 6 Fireplace
OPorch
ORe-Roofing
ORe-Siding
OAddition
OAlteration
o Utility Connection
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 pr rty to per rm needed inspections.
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
omes Your Building Permit When Approved
(p~ 2?~ 2oc(
Date
Contractor's License No.
~"/9- 0/
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 ~7- ~(p
..
I ~~t~ t ~'.~
~?,r"z.
This is to certiry 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
By(j)L3
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: ~. Z ?-?c;c;;/
Building Permit # I 'ID:
Site Address 15'2 L~ ~ Uc ~C7
Zoning:
Legal: L
B
Subdivision:
Existing Structure: YES or NO
I CONFORMS TO ZONING
ORDINANCE
I
NO
J
I
YES
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street in ~Ot-
Cardinal Rid~e)
. Side Yard 10' 50 +
. Rear Yard 25' /90 I
. T o\\-1lhouses Must be consistent with
approved plan for
development
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
TIns CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLATE\DECKCHCK.DOC
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:
Date:
0-;. ~ (y-{,/ /
Building Permit #
Site Address
Pill:
12<-~/C/
r// Zoning: .
fft:TZc-Yf1-d C({i/~€
Rd-
Legal: L
B
Subdivision:
Existing Structure: YES or NO
I CONFORl\1S TO ZONING
ORDINANCE
I
YES
1
NO
I
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
(25' ifabutting a street, 30' if abutting a street in
Cardinal Riclge)
. Side Yard 10'
. Rear Yard ') -.
-)
. Townhouses Must be consistent with
approved plan for
development
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
TIns CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC
FAX NQ 952498848ijr P.Ol
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PRIOR LAKE
INSPECTION
.RECORD
SITE ADDRESS ISz,IC( ~W~.eo t-/tKE ~.
TYPE OF WORK 06~
USE OF BUILDING /2-85 ..4--/ e
PERMIT NO. () 1- 0 (P4:~ DATE ISSUED {, - z. 7 - 0 1
BUILDER r?~/SO;J
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 ABOV
'F~f1JAIUa I
'A~L I
t
HAS BEEN SIGNED
I
I
,
,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850