HomeMy WebLinkAboutBuilding Permit 09-0169
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I hereby certifY that I have hlrmshed mformatlon 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 conslructlon will conform to all eXIstIng state and local laws and will proceed in accordance with submitted plans I am aware that the build 109
official can revoke thIs permIt for Just cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the propelty to perform needed mspectlons
X ;1IWh.1I riDl <r ~
~')Signature ,
v
Permit Valuation 4-, 0 OO~ O()
Permit Fee $ 103_00
Plan Check Fee $ (;,G,. qS
State Surcharge $ 2.00
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
A
Thi'lJ"'" ..oo~, Y :::,8."".' P~B Wh:APZ~'d
. H'.Id",,'OIl"'''''- - '7 1tt."'L
Contractor's License No
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 f')( I
Paid
Date
/71. 9s
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1/ ,
ReclltPt No. S77S-J
0'
ThIS IS to celtlfY that Ihe equest 10 the aboye applicatIon and accompanymg dOfuments IS 10 accOldance WIth the CIty Zomng Ordmance and may ploceed as lequested This document
when S)gnW)'d e(lt PI tIlutes a tempmary CeltIficate of zonh,ng omPlel ce and allows constluctlon to commence BefOle occupancy, a CCltIt!cate 01 Occupancy must be
Issued
.., 4 z4- C)Y
I I Plannin~.-/ ,r Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
BY:
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\<.0 .-r
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: 4/'2-4/01
Building Permit # . PID:
Site Address \..-,\. A3 r'" . .^ 1\
l""\ --;'rcv...:.~.z.v---
Zoning:
Legal: L
B
Subdivision:
.<,,-).....
Existing Structure:~r NO
. Townhouses
~ NO
J
Requirement Proposed 1
rlif ,[
{"-'" ,
{ . c.:; ~
10' %)(
25' 3l ,
Must be consistent with
approved plan for ...-~~_.".
development
CONFORMS TO ZONING
ORDINANCE
Yard Setbacks: NOT APPLICABLE
MEETS CODE
. Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
. Side Yard
. Rear Yard
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 n/~ ~AII!:. U/t" 4W
TYPE OF WORK QEtJt::.-
USE OF BUILDING <<;s A/~
PERMIT NO. ~ (JIll!! DATE ISSUED 4. ~tIf-. d
BUILDER ~'SlLV PHONE #~+3~1
NOTE: THIS ISNQTAFrERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I 7t'OA r/~j,.lf DATE
PLACE NO CONCRETE UNTIL ABOVE HASB'EEN SIGNED
,- I I
I FINAL
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FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
Yellow
File
City
Applicant
PERMITNO'09~ 0/(09
I
ZONING (office use)
(Please type or print and si~n at bottom)
ADDRESS
~1\4~
5hYl{>. 'Ortt).x' L\ rc \e S iv
LEGAL DESCRIPTION (office use only)
LOT I BLOCK Z. ADDITION S70,J6.d/UI'1~
Date Rec' d
4-. ~4-.(j /
PcJD
pm ZS;. 4-4!; () 10.. 0
OWNER
(Name) \)C}.. V\ \~, \
"
(Phone~5 7- - rS~~- c..f30/
I hereby certifY that I have hlrnished mfmmatllln on this applicatIOn which is to the best of my knowledge true and Cllrrect. I also certifY that I am the owner Dr authorIzcd agent for the
above-mentIOned property and that all construction will conform to all existmg state and local laws and will proceed 10 accordance with submitted plans I am aware that the buildmg
official can revoke this permit for Just cause Furthermore, I hereby agree that the CIty official or a deslgnee may enter upon the propelty to perform needed mspcctlOns
X MM~ l",Dnl ~
. r1 Y.V~ <r __
v /Signature _.
4-, 0 OO~ O()
103_00
(;,G,. q5
2.00
(Y\JJ C\3~ V'\ )<~- ( II
~Jn(\{) 'on n -r' C( fC If
I (Address)
\114 ~
5"/
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone) _
(Phone)
TYPE OF WORK 0 New Construction ~eck OPorch ORe-Roofing
\ DAdditlOn DAlteration DUtility Connection
CODE: ~.R.C. DI.B.C.
Type of (tonstmction: I
Occupancy Group: A B E
Division:
ORe-Siding OLower Level FinIsh
o Misc.
II
F
1
III
H
2
V
M
4
A
R
5
B
S U
IV
I
3
PROJECT COST /V ALUE $
(excluding land)
Contractor's License No.
Permit Valuation
Park Support Fee
#
Permit Fee
$
$
$
$
$
$
SAC
#
Plan Check Fee
Water Meter
Size 5/8"; 1";
State Surcharge
Pressure Reducer
Sewer & Water Permit Fee
I $
I $
TOTAL DUE (1)( I
$
$
$
$
17 1$
1/
I Reclt1Pt No.
I B:tJ--.
()
Sewer/Water Connection Fee
#
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Tower Fee
Builder's Deposit
Other
#
Gas Fireplace Permit Fee
~toili:;; Y:~.;Id;n, P~" ~tAPPI;d
. B~lldl1lg'OttIClal --.. -:7 1ir~ '
Paid
Date
/71. 9s
4-. 2-1- f/q
/
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4-l4-0q
. Date'
$
$
$
$
/7 I. 9 S
,
577S-J
ThIS IS to CCltify that ~hl' cqUl'st In the aboye applIcation and accompanymg dOfuments IS m accOldance with the CIty Zonmg Ordmance and may plocecd as Icquested ThIs document
when SlgnW)'d e(It PI Stltutcs a tempOlalY CeltIficate of zonh,ng ompZI ce and allows constluctIon to commence BefOle occupancy, a Cel tlticate of Occupancy must be
Issued
, 4 z4- c)Y
I I Plannin~__.-/ " Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372