HomeMy WebLinkAboutBuilding 01-0659
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1-Z-0/
~ ~i~i~e ~::y I PERMIT NO.V / - 0 '5Q I
3. Yellow Applicant \Q - ,
y ZONING (office use)
+t el
LEGAL DESCRIPTION (office use only)
LOT J BLOCK / ADDITION jt::.N ()!3 H / (., t.-
'/
y
OWNER L
(Name) . o.nCe
(Address)S 1\1'he-
l-fC1nttl c k
PID ZS ....3/0 - 001- 0
-bit :1 7~-1j,fi
(Phone)
6/2 -.5"J 2 -oS"qO
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
Deck
o Porch
ORe-Siding
OLower Level Finish
o Misc.
ORe-Roofing
o Fireplace
OAddition
OAlteration
OUtility 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 prop ~ections. 7 It. k /
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 $
7-'S-?a;(
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 t'fiu.ef) 73.0/ $ J Coz.. 4-0
Paid
Date
/{,f f:1
I~ ~e17
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 Cf"nteT of Ihe l..kt Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J(/lNWC!C, LA/VCi~
I
7- 2, -0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/44-~b 8L-U613JIGO 7i/::!A/L- A/6
Accepted ><-
Accepted With Corrections
Denied ~ ~~
Reviewed BY0~ Pi __
C(Z;:e ~ J)oPk-_ ~fC->7~
Date: 7- ..) - ~C> (
"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."
BYU!6
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: 7- z- 0 /
Building Permit # PID: 26r3/0 -OfJl-t) Zoning: K-J
Site Address /#~~ t3Lt/6L3/12O I~/L-
Legal: L
I
B
/
Subdivision: KNo.6 II((.,~
Existing Structure: YES or NO
I CONFORMS TO ZONING
ORDINANCE
I
NO
I
I
YES
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
(25' ifabutting a street, 30' if abutting a street in 52'
Cardinal Ridge)
. Side Yard 10' ~~\
. Rear Yard 25' 50(
. 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.
THIs CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLATE\DECKCHCK.DOC
, PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS -1:lY loCo . ~ (u e b,'t-TJ. *.
TYPE OF WORK ~ck-
USE OF BUILDING SFlJ
PERMIT NO. u/-!) t:, ;;-q DATE ISSUED 7-') -CD:7(
BUILDER -':telAe ()C k (,(2 - 5~"'2- 05~O
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
\ / INSPECTOR DATE
I FOOTING~..1-V?.;~\~' ~l I 7(~~1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
I FINAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850