HomeMy WebLinkAboutBuilding 01-1039
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.5515
LEGAL DESCRIPTION (office use only)
BLOCK ~ ADDITION
LOT
OWNER
(Name)
~YN/V~
{f5v~r /.6
(Address)
1. White File
2 Pink City
3, Yellow Applicant
I PERMIT NO. t)1-(03~
Z~G (office use)
~ ({D
3rd
PID ' s-dllj-O
~'C.
(Phone) -5 fl5'~ ~~ /73 Y
7Z/clt.. L4kE #10. ~3
BUILDER
(Name)
(Contact Name)
(Address)
~hnL
-
(Phone)
(Phone)
TYPE OF WORK
o New Construction
OLower Level Finish
~eck
o Fireplace
ORe-Roofing
ORe-Siding
OUtility Connection
DPorch
PROJECT COST /V ALUE (excluding land) $
DAddition
DAlteration
o Misc.
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 prope 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 $
Contractor's License No.
9'-/0 -0/
Date
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 $ Hb. 2-~
I Paid ~ 1I~Jk,
Date r - .- 0 r
I ReceifO LfacLJO
By , -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
BY:
~~
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date cd t-~ !
PID: Zoning:
Building Permit # 0 I" \ ~ Of
Site Address \
Legal: L
B
Subdivision:
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
. Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Rid e)
. Side Yard
10'
10'
l 3 '- ~ \(
3" 'r
--sl_~
. Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
develo ment
.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
PRIOR LAKE
INSPECTION
RECORD
55:15 ~6tU~ b<-
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK t:A:S::-~ I
USE OF BUILDING r-es ~/r:z- I I
PERMIT NO. 10(- 10>\ DATE ISSU D '1/ z{ e> I
BUILDER J:j,J~t:u ~~ PHONE # 4'~? -~(..1-r3f-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I tfJr. 1511/07,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
I FINAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850