HomeMy WebLinkAboutBUILDING 08-0418
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
to(?;O / ()gY
I White
Pin"
Yellow
File
City
Applicant
PERMIT NO. (jg- or la
(Please
ADDRESS
15.L:~8
!3IU)O~Jlo6
~;V N r/
LOT I BLOCK
LEGAL DESCRIPTION ,:office use only)
I ADDITION
GG tJ ~ rat:- 3 ~
PID2~" 3b'1 () 0 ^ Cl
ZONING (office lIse)
f!-2:5D
OWNER 0 d
(Name) 0\\/\
(Address)
A
Sk('CAb~
(Phone) b \?- 8'75 - d9~J
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
o MIse.
/1'LJP#-
ORe-Siding OLower Level Finish 0 Fireplace
'/0 al.fllll./q {)~
PROJECT COST IV ALUE $
(excluding land)
TYPE OF WORK 0 New Construction Deck DPorch ORe-Roofing
DAdditlOn DAltera ion DUtility Connection
CODE: MLR.C. OLB.C.
Type of pnstmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
I hercby certify hat have furnished mflJrmatlOn on this application which IS to the best of my knowledge true and correct. I also certify that I am the owncr lH" authorized agent for the
<lbllVc-mentlon d pro K'rty and th III constr n 'ill conform to all eXIstmg state and local laws and will proceed in accordance with submltted plans_ I am aware that the huildmg
~ECI"1 can ICV! e th s permit fo :t caus mtl Immc, I heleby agree that the CIty oIflClal or a deSignee may enter upon the plllpeny to peJtorm need~~t7~
Contractor's LICense No iJate
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Penmt Fee
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; ]";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
Builder's Deposit
Other
#
TOTAL DUE
I This Application Becomes Your Building Permit When Approved
I~~
I llulldlllg Unlclal
t, / S'CJ loY
I Date
$
$
$
$
$
$
I $
$
$
ThiS IS to ecrtlfy that the request m the above apphcatlon and accompanymg documents IS m accordance with the City Zoning Ordinance at may pn>ceed as requcstcd TIllS document
when signed hy the City Planner Clll1stllUtes a tempLlrary Certlticate uf Zunmg C<lmphance and allows construcllon to cummence Before (lCcupancy, a Certificate of Occupancy musI be
IS~ . J]LJ ~/~dloY
Planning ~ Date
24 hour notice for all inspeetious (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:
~~
Date:
"/30 (ftJ g
Building Permit #
Site Address / S 5" 5 f?
PID: Zoning:
~~
Legal: L
B
Subdivision:
Existing Structure:~r NO
I CONFORMS TO ZONING
ORDINANCE
I CVE0 I
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) ':; P.k f~o
. Side Yard 10'
() - l..crf ~
. Rear Yard 25' I
fL5
. Townhouses Must be consistent with
approved plan for '(63"
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 ISSSI -sI&oo~ I./!lJJW ,J.11J.
TYPE OF WORK ~ WI ~
USE OF BUILDING s.. & S,D.
PERMIT NO. OB. ()4-IB DATE ISSUED
BUILDER " PHONE # -ZlII
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE
I FINAL
/~
J I
I B / /sjqp
/ '
FOR ALL INSPECTIONS (952) 447-9850