HomeMy WebLinkAboutBldg Permit 00-626 Deck
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DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File .'."
City;'i
A~t
Permit No.
Z0
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Pleas.e Print or Type and sign at bottom)
2. SITE ADDRESS
BUILDING INF
11. SIZE OF STRUCT
(Height) (Width)
12. NO. OF STORIES
LOT
ADDITION
4..OWNEA
PID e 5- 09 S'-o lk:..O.
13. TYPE OF CONSTRUCTION
5. ARCHITECT
(Tel. No.)
- 597'
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
Fireplace 0
Alterations 0
Septic 0
Addition 0
De
Finish Att 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
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
buil . g ffici~~an re, voke this pe for' ~use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform ne d.inSpecti ,n~,
X z:{,yCH...Q..... _.-t1...tI--(/ 7 , ,3 c~
License No.
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
USE OFBUILDI~ "" ~
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge............................. $
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
\ 'OW. -
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
SIP .15
:,& . S"I
,,,\0
Certificate of Occupancy
Issued
Pressure Reducer .......................... $
Meter Horn .. ................................. $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid Receipt No.
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinanc and may proceed as requested. This document when
signed by the City Planner constttutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
City Planner
Date
Special Conditions n any
24 hour notice for all inspections (952) 447-9850
Residential Building Permit Checklist
neck Additions to Single Fai Homes/
f r() Iif Date: 7/0! CeJ
PID: zonj~ ~SiCf<-
f) _ Subdivision: Sf1-rtJ ok. CJVG!L- ~,--CfLry
~PC--/tCC- :\ f-I/Vf;
b fS,rAJG::> u,6:.--(.c....
Ig:~~~TOZONING I ~ I
BY:
Building Permit #
Site Address
Legal: L ---Ii.- B
Existing Strnctur@. NO
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 25'
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
MAINT AIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC
PRIOR LAKE
INSPECTION
RECORD
. ~~ INvuAD8f'JA
..~~~~~/(2.
r
DATE ISSUED
- ...
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO. OD -&z,.(.p
BUILDER jE:At-J~ ~ JE;NS::>,..J
,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
7)z;;j(}o
INSPECTOR
DATE
I~' " E)"=-lSTI~ I I
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
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