HomeMy WebLinkAboutBUILDING 08-0196
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~941Y-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(N ame)
{Jt~ (l TI S
/7re,
I
/
(Address)
I
i BUILDER
I (Company Name)
I
I (Contact Name)
I (Address)
TYPE OF WORK 0 New Construction
OAdditlOn OAlter io
CODE: 'jojdT.R.C. DI.B.C.
Type of ~stIUction:
Occupancy Group: A JB
Division:
Date Rec' d
4 . zt.OO
I White
Pink
Yellow
I PERMIT NO. 08, o/9'C71
,
File
CIty
Applicant
ZONING (office use)
~~~ ~J.-e...
~
PID zS. +Sir. rYI1. 0 I
5" s.::J -<tYO-Sl1FSl
(Phone)
(Phone)
(Phone)
eck OPorch ORe-Roofing
DUtiJity Connection
I II III
E &J ~
IV V
I M
3 4
A
R
5
ORe-Siding
OLower Level FinIsh
o FIreplace
o Mise.
B
S U
PROJECT COST /V ALUE
(excluding land)
$
x
I hereby certify that I have hlfmshcd mformation nn this application WhICh IS to the best of my knowledge true and correct. I also certify that I am the owner Of authonzed agent for the
above-mentIOned property and that all (lmstruction will confurm to allexIst1l1g state and local laws and will proceed in accordance with submItted plans I am aware that the building
oft\cial ca woke thIS pelmlt to! Just ~sc FUlthelmOle I helehy agree that the City offiCIal or a desIgnee may enter upon the ploperty to peItorm needed lI1SpectlOI1S
.~ <-r~__ 3. -c~ y /.:Jy:~r
Signature Contractor's License No Date
Permit Valuation ~O{)O, 00
Permit Fee $ ~, Z. S'
Plan Check Fee $ t;7.3~
State Surcharge $ /.50
I Penalty $
I Plumbing Permit Fee $
Mechanical Permit Fee I $
Sewer & Water Permit Fee i $
Gas Fireplace Permit Fee $
This Application Becomes Y OUT Building Permit When Approved
~~
f(2C{;:'''
Dale
Buildll1g Ufticlal
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
ThiS IS to certify that the requl'st In the ,1b\lvC appltcatlOn and accompanymg documents IS 111 accordance with the City Zoning Ordinance and may procecd as requl'sted TillS document
when signed by the Cily PI,mner Cllnstltlltcs a temporalY Certrticale of Zomng cllmpliance and allllws Cllnstructron to Cllmmence Before llccllpancy, a Ccrtlticatc llf Occupancy must be
).ssllL'd
Planning Director
Special Conditions. if any
Dale
24 honr noticr for all insprctions (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY: ~ ~ Date: L/ /2- ,//a~
Building Permit #
Site Address 17 ~ C( 'i
Legal: L-.!L_ B 5"
~@Cb;~
PID:
JJ~~
Subdivision:
Zoning:
Existing Structure: YES or NO
~
I CONFORMS TO ZONING
ORDINANCE
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10' 2.'$.fp4 f ~u
(25' if abutting a street, 30' if abutting a street in 47'-m&,~
Cardinal Ridge)
. Side Yard 10' 'aA. Sg' 1'0 Mo~1'1
40 ' ""hJ c:J e.c.lc.
. Rear Yard 25' 8'1'
. 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.
THIS 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 DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS l/~+t- NAIUR-e:-S WAV
TYPE OF WORK D6C1L-
USE OF BUILDING ~S A / f2-
PERMIT NO. 0 e; _ 0 fDATE ISSUED +.2-4-. Of:->
BUILDER tJ A (e5n ,J PHONE #
NOTE: THIS IS NOT A PERMIT ",FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEP TE DOCUMENT
FOOTING J)/~1)6
~ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
DATE
I FINAL
(J!3 :I '" JI~) ~
J J
FOR ALL INSPECTIONS (952) 447-9850