HomeMy WebLinkAboutBuilding Permit 09-0365
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LV/ 'tJ~- j?~
(P. 12-,0/
1 White
Pink
Yellow
File
City
Applicant
I PERMIT NO. ~ . 3~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
(Phone) 60. - Yrt) - 2-379
I BUILDER Jef( 5o/~/I Ccv1 S7>-'-<:..Tr~ 6/ .;J--6'Y:S- -- 2S"yy
I (Company Name) (Phone)
(Contact Name) I }e+P- S~'r~-?:L (Phone) 6/2-6'"~s--- 2.s-y-Y'
(Address) L//cr ;R. z:..h,;r-~ .oX j'V~ Cl.../ ./4?~~....rr- ~ S- ...s-~
TYPE OF WORK 0 New Construction ~eck OPorch ORe-Roofing
OAdditlOn OAlteratlOn OUtility ConnectIOn
CODE: "R.C. OI.B.C. 0 Mise.
Type of Constmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Finish
o Fireplace
PROJECT COST IV ALUE $
(excluding land)
~OOcJ
I hereby certify that I have hlrmshed Inl()rmatwn lln this applicatllln which IS to the best llf my knowledge true and correct. I alSll certIfy that I am the owner or authorized agent I'lr the
above.mentlOned property and that all construction will conform to all existIng state and local laws and will proceed in accordance with submItted plans I am aware that the buildIng
offjcial can revoke hIS per ust c use Fu rmore. I hereby agree that the CIty official or a deSignee may enter upon the propeIty to perform needed Inspectwns
.:2.L)C I:;J.. 7{ J.
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Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Buildlll!! Official
6 ~a -0'7
Contractor's License No.
Date
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 $ \41.1\
Paid
Date
~;;!fe>1
Receipt No. ,*$(7"
By (UJ
e request In the above application and accompanYIng documents IS in accordance with the City Zoning Ordinance and may proceed as requested, TillS document
ity Planner cons~1llltes a temporary Certificate of Zomng co pliance d allllWS cllnstrucllon to commence. Before occupancy, a Certllicate of Occupancy must be
tp
Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
BY: (liJ f4-~tions:a:~gl~7:i~
Building Permit # 0 If. 3" 5' PID: Zoning:
Site Address I"efp t.t/, ..~c:; 111-0-(/1
Legal: L B Subdivision:
Existing Structure: @ or NO
~
I CONFORMS TO ZONING
ORDINANCE
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street in Le::- ,
Cardinal Ridge) ."\"1-
. Side Yard 10' 45'
. Rear Yard 25' ~S\
. Townhouses Must be consistent with
approved plan for ---
develoDment
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUilDING AND INSPECTION
SITE ADDRESS 'S"3~ W'v~$ P{U.v~1
TYPE OF WORK Dc;:c....\~
USE OF BUILDING J2~5 ^,~l, I
PERMIT NO. ~"'" ~b5 DATE ISSUED ~ /rz..l~~
BUILDER Je,c-f' ~'1IL.9t..A CoNST. PHONE # '-'2. '~~5. Z5~f
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
FOOTING "".2.2.-
PLACE NO CONCRETE UNTIL ABOVE HAS BE N SIG ED
I . ... ow _u - fL I I
I
I FINAL
1,1~/fJ7
I I '
FOR ALL INSPECTIONS (952) 447-9850
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