HomeMy WebLinkAboutBuilding Permit 09-0217
D~ 0 0)...0000 "V 0 > -0
:z: ~ c z_
~ 0 en"TIz"TI"TI"TI 0 C ~~
~ 3: :::::jzen~OO Z m ;u mO
::a 3: ~>c!!l:iS m ;u m O"TI
=" ~rSzgz Z en =1 "V
en m 9 en O;u
~ > Z "V -Q....Q z-
ttl .... -i mV 0 zO
lC cD (ij en ~ Z O;u
S "TI
co > ~0 ::I>
~ (It ?' 0
0 .... O="
"TI 0 0 ~ mm
~ 0 > ~
;u r
~ -I r
"TI "V
~ :I: 0 ::a
~ m ::a 0 000000
Z ::a 0
~ m !!! m i:" en=: i:"
>< m mr~>mr
.... z 0 OC ....oC
~ en
~ g Z ~ " :I:I: m:I:!!I: "V 0 en
en m "TI!!!;u::a::a!!! m 0 0
Q " ::l 0 ZZ:I::I:-Z ;u z :z:
::! m lD .... >QOO Q !!I: -I m
~ ~ 0
"'tl 0 r"TIOO ::a :::::j ;U 0
~ -I 0 Z -="=" - z c
0 ~ lXl zcc r
~"" 9 m
z m 0
~ "TI
I>) 0
,..
~ :z: ::a
m
~ 0 0
c 0 t~
;Q < 000000
en m
~ z ::a Q"TI"TIO~
> Z >;;;;0
Ao 0 Q f!!mm!!l:Q
~ < -"""~
~ > ~>>>o
z
0 >ooz=i;
~ !11 _mm-i_ -4
::a"TI;Q r
....-_ r i
enz z m
....~ Q
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Ill9cl
C \eo.r
Sf
~L~'\\
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
Yen-, ?r ~ es t
Illct4 c\tC\J'
r 0., \
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
Se..\~
Date Rec' d
SJUJ
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. Oq, 0 Z/ ~
ZONING (office use)
13..1
Z5,,464: OM. 0
S.t.
(Phone) '1 5 d - .). d G:, - "5 I 7 ()
L'1kl MrJ ~~3'7d
nvr
(Phone)
(Phone)
TYPE OF WORK 0 New Construction IKIDeck OPorch ORe-Roofing
OAddition OAlteration OUtility ConnectIOn
CODE: r4LR.C. OLB.C.
Type of C"tnstruction: 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 Misc.
o Fireplace
11000
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have hlrnlshed mformatllJn 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,mentlOned property and that all construction will con!(lfm to all eXIstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can revoke thiS permIt ~ 5t cause Furthermore, I hereby agree that the City official or a deSignee may enter upon the propelty to perform needed mspectIons.
x
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
ThiS IS to/ltJerti at th.e re cst m the above applicatIOn and accompanymg documents 5 m accordance with the City loning Ordinance and may proceed as requested. TillS document
when Signed City ner constitutes a.temporalY Certificate of lonmg mpli ce and allows constructllln to commence. BeFore occupancy, a CertIllcate of Occupancy must be
issued !
~ I( 0
Contractor's License No.
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1".
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
S. 1/. oy
Date
$
$
$
$
$
$
$
$
$
TOTAL DUE
Dat
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any
Residential Building Permit Checklist
/1) ,L" De k Addi!ions to Single Family Homes
BY: f:i...J III Date: S; II. 0 'J
Building Permit # 0 9. () 2-11 PID: 2-~. ~ 4- tJo~ 0 Zoning: ~ I
Site Address 17794- UE:I9tey' 77GIq/ L-
Legal: L B Subdivision:
CONFORMS TO ZONING
ORDINANCE
NO
Existing Structure: YES or NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street in 2-S I
Cardinal Ridge)
. Side Yard 10' 3 '1/
. Rear Yard 25' 4-7 (
. Townhouses Must be consistent with
approved plan for ~
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.
Ct
L:\TEMPLA TE\DECKCHCK.DOC
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
ne79~ tuiM!!Af ~/L
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO.
BUILDER PIeIe.S, PHONE # Z,/Z. ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
/S./I.O
INSPECTOR DATE
I FOOTING We I P,d 9f.r~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
I FINAL I fi ~A~'
FOR ALL INSPECTIONS (952) 447-9850