HomeMy WebLinkAboutBUILDING 08-0456
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
7/7 (o~
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. tR - ()l{~ p
ZONING (office use)
, '-l5 {D~
~",~.)u
~Q
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
BUILDER
(Company Name)
~~~
(Phone)
4 Ll7 - I t;;g60
OWNER
(Name) ~~(A.."""""'"
(Address)
.A ~ +c:>J
(Phone) 0d-~Ct40-1' Oe
(Phone) q $~--l..{4C) .- -:')- ~ B<e)
(Address)
'\r
TYPE OF WORK 0 New Construction a:>eck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAdclition DAlteration o Utility ConnectIon
CODE: ~LR.C. OLB.C.
Type of onstmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: CD 2 3 4 5
o Mise
~c...T 1)~ ec-Pl.Ac._e:MA:~,,)1
PROJECT COST IV ALUE t'lCY-J::J t!!!Z--
(excluding land)
I hereby certify that I have hllOlshed informatIOn lIn this applicatIOn which is tll the best lIf my knllwlcdge Irue and mITec\. I alsll certIfy that I am the lIwncr or authllllzed agent tor the
JbnvC-mcntlOncd property and that illl nmstrllctlon will conform to all eXisting state and local laws and will proceed in accordance with submlttcd plans_ I am awarc that the btllldIng
,:tiClal ca revo~e!l\lL It t~~~01T' I hereby agree that the CIty offIcial or a~'0;1 enter upon the propel1y to pertl)rm ne2; :2~t~_ ~
Signature Contractor's License No. Date
$
$
$
$
$
$
I $
$
Park Support Fee
SAC
TOTAL DUE
# $
# $
$
$
# $
# $
i $
$
7.f1,o8 $ 22,( ./u'$
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water ConnectIOn Fee
Water Tower Fee
Sewer & Water Permit Fee
Gas Fireplace Permlt Fee
Builder's Deposit
Other
This Application Becomes Your Building Permit When Approved
~~
lluildllH! UrtlClal
?(B(o?
Date
I ~~~ 2.p,:h
\ ~~ceiPt N,2$f3 ~
ThiS IS to certify that the request in the abuve applicatlon and accompanYIng documents is 111 accordance with the City Zoning Ordinance and may pnKced as requested. ThlS document
when signed by the City Planner Cllnstltute, a tempmary Certiticate of Zonll1g compliance and allows constructIOn III commence.. Berme occupancy, a Certlticate of Occupancy must be
i."isl1cd
Planning Director
Special Conditions, if any
Date
24 hOllr notice for all inspeetions (952) 447-985n. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY: ~ ~Date: 7/8"/09'
Building Permit # PID:
Site Address 1L(9~ 7' m~ ~,
Legal: L B
Existing Structure: Br NO
I CONFORMS TO ZONING
ORDINANCE
I
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street in ~lo I
Cardinal Ridge)
. Side Yard 10' ,
~ (0
. Rear Yard 25' (
01)EA 15 --m <<=io'j
. Townhouses Must be consistent with
approved plan for AlA
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.
-HOM€:
IS
o r-1 ~u.. FF Lar
L:\TEMPLA TE\DECKCHCK.DOC
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
,,~ECQ!t~D
SITE ADDRESS
TIPEOFWORK r
USE OF BUILDING S.f::D ~
PERMIT NO. . ~Dc[~ DATE ISSUED ~
BUILDER . tIC. PHONE #~-S,.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FINAL
/ /J
~/.zl/Jh
/
FOR ALL INSPECTIONS (952) 447-9850
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