HomeMy WebLinkAboutBuilding Permit 04-0471
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
I ADDRESS
JLf400 Asoen
,
Avenl>f-
LOT j BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
I(evin
ILf
(Address)
BUll.DER
(Company Name)
(Contact Name)
(Address)
s
Date Rec' d
5: Z6_()~
I. Who. Fil.
2. Pink City
) Yellow AppliGlnt
I PERMIT NO. 04 _ 04-7 / I
I
nE
PID
ZONING (office UK)
,eZ-
252i404C\o
(Phone)
(lOr La I<'
TYPE OF WORK o New Construction eck OPorch ORe-Rooting ORe-Siding OLo
DAddition DAlter on DUtility Connection DMisc.
CODE: !_RoCo DI.B.C.
Type of onstmction: I n ill IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
52
I hLTeby cenify that I have furnished information on this application which is to the best of my knowledge true and correct. I also cenify that I am the owner or authonzed agent for the
above-mentIOned property and that aU construction will conform 10 aU existing state and local laws and will proceed in accordance with submitted plans. 1 am aware tmt the building
official c revoke this permi just cause. FUnhermore, 1 hereby agree tmt the city official or a designee may enter upon the property to perform needed mspections.
S/iO/olf
. DatE
x
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Pennit Fee
Mechanical Pennit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Bec:omes Your Building Permit When Apprond
~~ i">1zohy
Buildin!!. Otlicial Dale I
Contractor's License No.
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
2.'9
Water Meter SizeS/S"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
I Paid
Date
/.?Z-- ~ ~
S. 2,,-/. 0 +-
Planning Director
TOTAL DUE
I :;ce~; ~(/l~~
I
ThIS IS to cenify that the request in the above application and aceompanying documents is in accordance with the City Zoning Ordinance and may proceed as requ~'SII.'ll. This document
when signed by the City Planner constitutes a temporary Cenificate of Zoning compliance and aUows eonstruction to commence. Before occupancy, a CLTlificatc of Occupancy must be
issued
Date Special Conditions. if any
24 hour noticr for all inspections (9!i2) 447-98!iO. fax (9!i2) 447-424!i
16200 Eagle Creek Avenue Prior Lake. MN 55372
Residential Building Permit Checklist
Deck Additions to Single Family Homes
~ ~. ~ '/1_
BY:~~
Date:
S. Z,D. tJ+-
Building Permit # fJ'f-. fJl1/ PID: #41'. -It/. HI- iJ Zoning: It, 2-
Site Address IHII() NM,v ~.
Legal: L I B-'-- Subdivision: ..rM'D "~/~e 3'"
NO
CONFORi\'IS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street in f ~ r
Cardinal Ridge)
. Side Yard 10' ,
2S"
. Rear Yard 25' SO'
. Townhouses Must be consistent with
approved plan for N#\
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
ECORD
A~
SITE ADDRESS
TYPE OF WORK
USE OF BUILDIN
PERMIT NO.
BUILDER PHONE #~5. ,/-/1'"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
5.U.
INSPECTOR ~E J
I FOOTING I 1#1 I MY"'Y'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
. I FINAL I I
J
I
I
FOR ALL INSPECTIONS (952) 447-9850
"