HomeMy WebLinkAboutBuilding 01-0878
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/525 J
C/9-e91
W / f-f)S
P/( v-J
Pf-/7/oj
1. White File I PERMIT NO I
2. Pink City .o! /-- O'~..-'J t!Z-
3. Yellow Applicant , _, ' ~ / ~.
ONING (office use)
R./~D
LEGAL DESCRIPTION (office use only)
LOT leBLOCK I ADDITION
W /1-05
2/./LJ
PID 25~32.3-0/6-0
G5Z- -14,... \ZJ&
OWNER
(Name)
~ <:,\~:)~cV"'"
(Phone)
(Address)
\5'Z.S\
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
o Misc.
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
C/:::). c::o
(Phone)
(Phone)
eck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
DAddition
DAlteration
DUtility Connection
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 P~1frty to perform needed inspections.
X ~.~)~ ~-\'&-C\
'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 $
es Your Building Permit When Approved
B - l7-?tlo(
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 $ /.38. 9Jh
I ~~ll~;3/fO
Paid
Date
/5~.8cP
fJ- 7-0/
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
Tht Ctnttr or tht l.kt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
GlCt<3~
#-(7 -~(
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
152':;/ &J/lJ<; Pkw~
X
Accepted Accepted With Corrections
Denied QP~
Reviewed By: ' ~
Comments:
~~~ c9QdC tLJ26z..Q-
Date: $-r7-~(
"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
B y:2t;>
Date: 8.-(7,~
Building Permit # Dr .I~~~
Site Address 15'2~\ W~\.J-s3. ,.. ~J
Zoning:
Legal: L l S
B
\
Subdivision: W t\JLs '2 v.o-l 14~
Existing Structure: YES or NO
I CONFORMS TO ZONING
ORDINANCE
I
NO
I
YES
I
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
A C;..l~ V__..l 10'
t. (25' if abutting a~30' if abutting a street in z.c;J
Cardinal Ridge)
. Side Yard 10' B5'
. Rear Yard 25' 8z'
. 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.
TIlls CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLATE\DECKCHCK.DOC
..t
I FINAL
DEPARTMENT OF
BUILDING AND INSPECTION
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850