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oF � PR��� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
�' ��. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
� ��� ��� � 5'. 23. 0�
���- �� � AND UTILITY CONNECTION PERMIT
¢.,a �
���'NESD�P I. White File
2 �;�k �;� PERMIT NO.O $� Z !_
3 Yellow Applicant ���
Please e or rittt and si n at bottom)
ADDRESS ZONING (oft use)
�3 7.3 C'AR� lAC � 6/rL� iP,O, /�/. �,
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
�`�'� fA�� � � � 9�a- y9� • 3asa
� �ne� _ '/i(lA/ �14�150/(/ (Pht��e� .
`c 9sa • aao - 0 7SS
(Address) �3 73 Cf�i(�iC�AC7 �ll� - �iP�aR
BiJILDER Q A
(Company Name) / �UL �H�l.�C�ti� �aA['S' /. L.L� , (Phone) �cS o�' o�Q�' �7�
(Contact Name) Pi4C1C 1�1F�,�/Spd/ (Phone)
(Address) ,s /¢,f /
TYPE OF WORK ❑ New Construction �QDeck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utiliry Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Consmiction: I II III IV V A B pROJECT COST/VALUE $ 7, a oo `—
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have fi�rnished information on this application which is to the best of my knowledge true and mrrecc I also certify that I am the owner or authorized agent for the
above-menUOned property and that all construction will conform ro all existing state and local laws and will proceed in acmrdance with submitted plans. I am aware that the buildutg
official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform necded mspcctions.
X �
Contractor's License No. a G (p �tJ (/3 � ` �' �-' -�(J
Permit Valuation U Q� O Park Support Fee # $
Permit Fee $ v G SAC # $
Plan Check Fee $ C� Water Meter Size 5/8"; 1"; $
State Surcharge $ O O Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DLTE $ .
This pplic Becomes Your Building Pernut When Approved Paid / /. Re t NO. �
Date ..� Z„3_ O B
/ ����
� Buildim� Utticial Date
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 requcsted. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Ccrtificate of Occupancy must be
issued. /�
�-�u� �k J.�-�./C /-1���
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (9S2) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY: ,� � �� Date: S- L3- D?�
Building Permit # PID: Zoning:
Site Address s�j'73 — G�-r�y.� 1�,7(s
Legal: L B Subdivision:
Ezisting Structure: YES o NO
CONFORMS TO ZONING YES NO
ORDINANCE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
• Side Yard 10' �
(25' if abutting a street, 30' if abutting a street in ' �O
Cardinal Rid e
• Side Yard 10' ��,�
• Rear Yazd 25' 2� r
� Townhouses Must be consistent with
approved plan for /�/k
develo ment
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:\TEMPLATE�DECKCHCK.DOC
DERARTMENT C)F
BUtLDING AND INSPECTtON
s�TE Ao���ss �5�"� �73 C�t����'� �fi�� � .
TYPE OF WORK � ���
USE OF BUILDtNG �
PERMIT NO. ' O� . C) Z�Co D TE ISSUED S• Z3_ 4�
BUItDER I��<<.SC�/� PHONE # ZUb , ��SS
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT iS BY SEPARATE D4CUMENT
. - � w►�
FOC3►'t'JNG ,��
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNfD
F1NAL l `
,.
�.
� F�OR ALL INSPE�T1t�NS �952) 447-9850
.
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