HomeMy WebLinkAboutBuilding Permit 09-0612 oF PR1�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
�, � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �' z�
" ' AND UTILITY CONNECTION PERMIT
� T
M��'NES��P I. White File pERMIT NO. D C�+ 6���
_. Pink City
1 Yellow Applicant
(Please e or rint and si n at bottom)
ADDRESS ZONING (ofFicc use>
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LEGAL DESCRIPTION (oflice use only)
LOT �U BLOCK 3 ADDITION S Q'T; 3� PID Z.S, �q—, .(. O
OWNER . ( p
(Name) �' �� � �'�'t �' d0 A �1 � (Phone) � �.T — � $�� ot ! ��
(Address)
i BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alter �o ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. � Misc. ___.
Type of Construction: I II III IV V A B pROJECT COST/VALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
j Division: 1 2 3 4 5 ,
I hereby ceivty that 1 have hirnished mformatiun on this application which is to the brst of my knuwledge true and correct. 1 alsu cerufy that I am the uwner ur authorized agent for the
above-mentioned properry and that all cunstructiun will conform to all existing stare and local laws and will procecd in accurdance with submitted plans 1 am aware that the buildmg
official ca � oke this permit fnr�ust ca s� Furthermore, I hereby agree that the ciry ufficial ur a designec may enter upon tlie propeity tu perform necded mspectiuns.
� X _ �-/�z/a�
�Signani e Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge � ,� O Pressure Reducer $
� Penalty 5 Sewer/Water Connection Fee # $
Plumbing Permit Fee S Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit F e $ TOTAL DUE � Z�
\
This p cati e mes Your Buildin Permit When pprov Paid Z�(p el t NO. 5 l�
� �� Date U B , �
3nt' d� a �� cial • te ��
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This is w certi � � thc � e applicauon and accompa�ymg documents � in ncc danee with the City Zoning Ordinance and may pruceed as requcsted. This document
when signed y� �e it nner cunstitutcs a orary Certificate uf Zunmg cumplia� c and luµ�s cunstruction to commence. Befure uccupancy, a Ceruficate uf Occupancy must be
issucd
� �� �
Planni ire tor Date Special Conditions, if any
2� hour noticc for :�II ii pcctions (952) d7-9850, fax (952) 4�7-424�
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY: - Date: � /Z; U �
Building Permit # d�l• UG/ Z PID: Z s. Z�4-• U3 ! v Zoning:
Site Address / �� � Z ���✓� a � .
Legal: L B Subdivision:
Existing Structur . YES r 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 ��J
Cardinal Rid e)
• Side Yard 10' ^ � �
�r-
• Rear Yard 25 � 37 �
• Townhouses Must be consistent with
approved plan for �—�
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. -
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L:\TEMPLATE�DECKCHCK. DOC
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS (4 l �Z, C�o,oz��o � •
TYPE OF WORK ��=��
USE OF BUILDING R-�s �
PERMIT NO. o°c- `IZ DATE ISSUED 8 t2 0
BUILDER ���1�.,.j ���. � PHONE #��z.qsq-2RqS
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTO DATE
FOOTING `f �
PLACE NO CONCRETE UNTIL ABOVE HAS BEE SIGNED
FINAL Wl� 3 zy !l
FOR ALL INSPECTIONS (952) 447-9850
S�J R�V E Y O R' S� C E R T 1 F� C� T E � CRAND OAKS DEVELOPMEP�T COMPANY '
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� hereby certi� this sjte plan is �� to b�a �i �� ��'�� oj p�
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a�y�st►e�h�re�=#�et mty be:locwed hoor�ister�t witt� � . Q
the rec�iror�ier�ta d qM Ior�g Or�d�w�ce. / G �Ci
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�'rnperty Owner Date
� DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
• DEhOTES IRON MONUMENT FOUPJD PROPOSED GARAGE FLOOR = 9f�g�� FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOI�dEST FLOOR = ��3�•�-?� FEET
(000.0) DENOTES PROPOSED ELEVATION � PROPOSED TOP OF BLOCK = �g ���� FEET
I NEREBY CERTIFY TO GRAND OAKS DEVELOPPIENT COMPA�dY THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 10, Block 3, SAND POI��TE 3RD ADDITION, accordinq to the recorded
plat thereof, Scott County, Minnesota.
AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMEP�TS,
IF ANY, FROM OR ON SAID LANQ. AS SURVEYED BY ME THIS 27th DAY OF JUNE 1983.
-SIGNED: JAh1ES R.; HILL, INC. .-.,
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