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(;) <SI \N ~ en o :x: m o c: ... m o f~ ~ _ m -4 i m CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d +. z. .10 File City Applicant I PERMIT NO. (0. 02.051 White Pink Yellow q!J~S-# ZONING (office use) R-l f LEGAL DESCRIPTION (office use only) LOT I4-BLOCK 3 ADDITION 15 tZ-vOICSV ( u.E Z I'1D PID ~. c) (\f:I 035". 0 OWNER /J (Name) ,~~ -.L ~A1<.LrS Aedc (Phone) ~ ?t5>J".....;? 775 (Address) (Phone) 95;) - ;;l(~ .-it- c., ( (Phone) ss-31 :2- (Address) TYPE OF WORK QI.1ew Construction ODeck o Porch ORe-Roofing ~ddition o Alteration DUtility Connection CODE: OI.R.C. OI.B.C. 0 Misc. Type of Construction: I II III IV V A B Occupancy Group: A B E F HIM R S U Division: I 2 3 4 S ORe-Siding OLower Level finish D Fireplace PROJECT COST IV ALUE $ (excluding land) I hereby certify that I have fi.Jrnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authoTlzed agent for the above-mentioned pro and that aU construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg official can revo rmt for use.. Fmthermore. I hereby agree that the City official or a designee may enter upon the property to perform needed I pections. Contractor's License No. Park Support Fee SAC # # Permit Valuation \ Permit Fee $ Plan Check Fee $ State Surcharge $ Penalty $ Plumbing Permit Fee $ Mechanical Permit Fee $ Sewer & Water Permit Fee $ $ Water Meter Size 5/8"; I"; Pressure Reducer Sewer/Water Connection Water Tower Fee Builder's Deposit Other TOTAL DUE # # $ $ $ $ $ $ $ $ $ dance with the City Zoning Ordinance and may proceed as requested. This document )ws construction to commence. Before occupancy. a CertIficate of Occupancy must be o Special Conditions, if any D e l' notice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street Prior Lake, MN 55372 Residential Building Permit Checklist New Constructio for Single ~r Two-family Dwellings ~ 7' or .2 Districts Reviewed by: Q D . Date: +/ 'Z (0 Building Permit # Zoning: ()_ Address: r- Legal: L , B Subdivision: Existing Structure? tfJ NO I CONFORMS TO ZONING ORDINANCE Existing Nonconforming Structure? YES I NO & NO Yard Setbacks: NA I FAllSI COMPLIES Standard Proposed . Front Yard (can be 20' if avg. wlin 150') 25' .~c::: ' . Side Yards \ 10'1 \ \ l \0 r 25' if abutting a street ~... {0.\4-. . Sidewall exceeding 60' requires additional side 2" 10' setback + setback for every l' over 60' in length. Not required 2"/1' over 60' if building wall is 1 0'-0" or greater of being parallel to - a side lot line. I . Rear Yard 25' ~c:; I . Patio Door: provide for minimum 10' deck or sign 10' sidel statement indicatinQ no deck will be built in the future 25' rear . From 1 00 year flood elevation of wetland/N U RP 30' pond. . Refer in-oround pools to the Plannino Department . From OHW (Prior or Spring Lake) 75' or setback average of adjacent structures, but no less than 50' ES .30 Maximum Yard Encroachments: A FAilS ICOMPLlES Eaves and Gutters no than 2 feet in width and no closer than 5 feet to a Idt line Easements. AlC and other equipment cannot encroach on interior side ards. Standard Pro osed Tree Preservation: I FAilS I COMPLIES . Total cali er in s . Permit 35% Removal . Cali er Inches Removed . Cali er Inches Preserved . Re lacement L:\TEMPLATE\BLDGLIST.DOC Standard Pro osed 1>0 Yz:1 , __v all,yEngin,e,_inL Co., Ine. _ Prior Lake. Minnesota 55372 APPROVED PLANNING DEPT Signed ~~ Date:JJ =..;Ul1.Vl::Y FOlt .JAN ''''ILL APPROVED ENGIN E IN~ DEPT -rc-, ac.. "".....Jllr Signed I I- - I t \II lq I III " tt: ~ I < VI!If.I Jff I ~I> ., 0 Q \ '" 0 .2.2 IflL )0- .. ... tI "u, - --;;:;:- ----, I .J I i: vi I Veo....t>..Ii.IJ J o. .... c.......... ~I \ Q ;JiJ..1~ ", "Ie. +c. to. ,-- -- " \.J ~ 1lI " . MA,c. ZA t>fZ. \\I C . \.A.> \ C)"tit () ~ lo..c-I 73-37 'tD -~ . ~ ~ BROOKS LANE- ;7' ___ ,;150 ~ho',dnr. the l(Jc~tion of t.he propo500 ~I\'USC "\s I~~;~eu. \' ,. l.ot 1l., JlucK :~, i)l.."\t ot' !;~, -..t, 'JLL:.. ..ILL_ ::':~A:\D ...:l:"l.'.L.:. ~'co'_t. ~;ount.y, !..i.ll;.(~sot;1 - f~Jc- --.,~~ . ::. _ i - ,,- 7 ~ /tJ/y";s " ... hie PRIOR LAKE DEPARTMENT OF . BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 530 I 13u-me.--s GtK- TYPE OF WORK G#/LA-61b #oo;J. USE OF BUILplNG /leI" KIlL PERMIT NO. J (). 205 DATE ISSUED 4-. Z,I 0 BUILDER HoI'1I3WE"fC.K.5 PHONE# ZIL..8G,G,S NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ~ ~/ DATE I FOOTING I I/TJl ~~/"O I '. . , PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I FRAMING I fl. )4, I 5" //6/ I'd . /).//. I I I FINAL I fJ1J I s (('2.( '!J FOR ALL INSPECTIONS (952) 447-9850 .