HomeMy WebLinkAboutBuilding 01-0704
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1'" 1- 0 I
ADDRESS
I. White File
2. Pink City
J. Ye\low Applicant
L/ Lj ;)-()
uaLhrnfLIU LN,
LEGAL DESCRIPTION (office use only)
LOT BLOCK g ADDITION
OWNER /J
(Name) <6' a- r 1
(Address)
p~~1C
~l{dC
-OJ-1-0
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
f~ck
OPorch
ORe-Roofing
OLower Level Finish
ORe-Siding
PROJECT COST IV ALUE (excluding land) $
o Fireplace
OAddition
OAlteration
OUtility Connection
o Misc.
1 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 tl).e property to perform needed inspections.
~~1t\- W~
, Signature
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
;.<
$
$
$
$
$
$
$
$
l(S'.ol
l.oo
Building Permit When Approved
7 -/2 - 2IJcJ(
,
Date
?-II-{)/
Date
Contractor's License No.
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 $ //.5. 2- (p
f ~;e!ft:- ";3/1 /
f Paid
Date
II).~
t/7/ I
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
Thr ('('nler of Ih.. Lab Countr,."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 9/J.'^Q ~
APPLICATION RECEIVED / -( / - 0 )
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propo~ed at: L
/fL/,}.O (7 pad/'fl1[e~ J
Accepted
Accepted With Corrections Y
Denied ~
Reviewed By
~:~ ~I=-
Date: 7-1 fL.--2ocJ I
.
I-h-J ~
"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."
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:
Date: 1- //-0 I
Building Permit #
Site Address
PID:
Zoning: .
Co eeL h'07 ~tV I-/l/
ljl-/;J{)
Legal: L
B
Subdivision:
Existing Structure: YES or NO
YES
I
I CONFORMS TO ZONING
ORDINANCE
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
. Side Yard 10'
. Rear Yard ? -,
_J
. 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:\TEl\1PLA TE\DECKCHCKDOC
.J'
~
PRIOR LAKE
INSPECTION
RECORD
SITEADDRESS 4l{~ C1~ck~ L~,
TYPE OF WORK _\)oct9-
USE OF BUILDING SF D
PERMIT NO. ()/- 070~ DATE ISSUED1./Z- c) , ,
BUILDER ~k PHONE # ~x.~ 20 sf
/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I~CTOR DATE
I FOOTING I 'Wj I 111 It? (0/
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
I FINAL I ~ I ~r '27-
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850