HomeMy WebLinkAboutBuilding Permit 09-0660
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
White
Pink
Yellow
File
City
Applicant
I PERMIT NO.Li5 -(PfeD I
at bottom)
ZONING (office use)
j()SJJ
ADDRESS
53GJ~
r'\ b ,-< '-Vt> 0 J 'V" .
N.
LEGAL DESCRIPTION (office use only)
LO
ADDITION
-tC
PID~f( {)- 0
OWNER
(Name)
R.1s IJ. L~cc~
(Phone)
1S-J.- 'I'" - ~O.;1e;
(Address)
BUILDER
(Company Name)
(Contact Name)
(Phone)
(Phone)
"
(Address)
TYPE OF WORK 0 New Construction Deck o Porch ORe-Roofing
OAddition OAltera ion OUtility Connection
CODE: Il1i.R.C. OI.B.C.
Type ofS~stmction: 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
o Misc.
PROJECT COST IV ALUE $
(excluding land)
[ hcreby certify that [ have furnished information on this application which is to the best of my knowledge true and COlTect. I also certIfy that [ am the owner or authonzed agent for the
above-mentIOned pro construction will conform to all existing state and local laws and will proceed in accordance with submittcd plans. [am aware that the buildmg
official ause Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspections.
., 7/1,A,s-
'Date
x
Signature
Contractor's License No.
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
#
#
Sewer/Water Connection Fee
#
#
$
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; 1";
Pressure Reducer
Water Tower Fee
Builder's Deposit
Other
7~~S"
Date
TOTAL DUE
This Application Becomes Your Building Pennit When Approved
ThiS IS to certify that the request in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThiS dllcument
when signed by the City Planner constitutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
Deck Additions to Single Family Homes
By:4
Date: 7-.// -oS--
ihnif;;;;;J;d Zoning: ,I2/JtI
Building Permit #
Site Address {) 3 C; ;;;...
Legal: L-f!-- B /
Subdivision: ",,/..t/ {' / /
//01" /h l..JAo"'G ~~S
Existing Structure: YES or NO
I CONFORMS TO ZONING
ORDINANCE
IVI
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10' /r/
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
. Side Yard 10' I:J I
. Rear Yard 25' 37
. 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, AJ......Y DECK ON A LOT WITH A SUSPECTED BLUFF, OR AJ......Y
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:\ TElvlPLA TE\DECKCHCK.DOC
DEPARTMENT OF
BUtlDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK .p~
USE OF BUILDING .:5F ~
PERMITN~~~_ ~~~. DATE ISSUED 7~//-05
BUILDER ~ t PHONE # 0(/9{,,-30;;1..9
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPE~ DA}'E ./
J FOOTING I ~ I ~S?6 S-- I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
---- I I
I FINAL I ffi I ~i9'
FOR ALL INSPECTIONS (952) 447-9850