HomeMy WebLinkAboutBuilding Permit 07-0786
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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
Applicant
B. 28 -00
Permit No.
6o.1&::'
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SlTf S
5"375 N'E
1'~7a~cro
BUILDING INFORMATION
11 . SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
LOT ~ BLOCK
,~DDITION --=.J\J~ ~N~ OC~
(Name) 5' "37 'S
u..S ~ If- ba; 1 E TCt
12. NO. OF STORIES
PID~~6-D
sp1'"o n c;i- N E # (Tel. No.)
~ I . L . Cf 5-;>..-4Qb-lqO
(Tel. No.)
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
(Name)
(Address)
.~,,~ (Name) (Address)
. ., l> .
.Ju..\ Ll.L~ TaJe..v tcl-1 'S4m~
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
q S~ -44" -Iq O?...
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 Finish Atti 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
b .. official ca evoke this ermit for .ust cau hern~r I hereby agree that the city official or a designee may enter upon the property to perfostneeded inspecOL
-- :J..ft-
, Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION 2~.(!)o PLOT PLAN 0
USE OF BUILDING ~ A--1 ((
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Plan Check Fee ............................. $
(0/. '2.c-
l{o . qCo
/,~~
State Su rcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
~l;31
", ~{ ~
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Mechanical Permit Fee ..................... $
.... $
D:trr;i~/~r:.?Ot!>CO
By
Issued
Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning rdinance 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 Cert~icate of Occupancy must be issued.
City Planner
Date
Special Conditions n any
24 hour notice for all inspections (952) 447-9850
.. ... .. .::-.-. ~ ~ '
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By:c?6
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: 8 --J f - '2s=>~O
Building Permit # PID:
Site Address
Zoning:
Legal: L B
Subdivision:
Existing Structure: YES or NO
1-& I
I CONFORMS TO ZONING
ORDINA1~CE
NO
Yard Setbacks: NOT APPUCABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street 3~H
in Cardinal Ridge)
. Side Yard 10' ,
'" f c..(
. Rear Yard 25' '-(7
.AJ.'{Y 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 A1'{Y
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED A1'1D INCLUDED IN THE BUILDING PERiVIIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TElYfPLA TE\DECKCHCK.DOC
PRIOR LAKE
.
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND IN~P.ECTION
~
SITE ADDRESS S3'7rs t~~~ Sr.
TYPE OF WORK Ne.u.l ~c..~~ c:r ~--e (::h,r-
USE OF BUILDING SfD
PERMIT NO. Do- -, Sc.
BUILDER ~c:e.(2V\'c... ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPE7Z3 9
I FOOTING I f/ I ez -~-~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING ~t4~ I I
I I
DATE ISSUED t3. ?( -'2c:o<:::>
DATE
I FINAL
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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