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(* N CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE (_ fill
` ( (1
5 AND UTILITY CONNECTION PERMIT 4 4 l.�
U trj
M'NNESO I. White File
2. Pink city PERMIT NO. (6 0z,( ✓ ?,
3 Yellow Applicant /
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
./ Zvi (..'o 4e:/.//1-14--,) i..1,')._ A./. /-
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) ) 2 t_ I`- / t_1(.-1'' ,i / � (Phone)
(Address) xy2f 1r.4tGrl
BUILDER
(Company Name)
/�' ""C ( Phone) 1 3 - 6 /17/° . ' 7 "
/
0 U ; ,00:);' . ��CJC�i i _) , .i\ -
(Contact Name) _.„/ / `-/7 Cr/ '/ Al Phone)
-
(Address) /93 // if / 6 7 / v: ` . t) ' jJ & c.4 / 1 , -). _.1 . -� 7 Z—
TYPE OF WORK ❑ New Construction NI eck ❑Porch ❑Re- Roofing ERe-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition EAlterat on ❑Utility Connection
CODE: ®.LR.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V A B PROJECT COST /VALUE $ l y CGS' C -- -
Occupancy Group: A B E F HI MR S U
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished information 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 - mentioned property any that all co struction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
' official can revoke this perm' for just ca . Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x CJ ?7C a Wez' 4.9
signature Contractor's License No. Date
Permit Valua on 3 0 0 c 00 Park Support Fee #.-------------$.,„
Permit Fee $ ¢� b ..2_ e J ' SAC # $
Plan Check Fee $ 57. 3 l0 Water Meter Size 5/8 "; 1 "; $
State Surcharge $ ' S V 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 DUE n dl l , i l� .f�I� l $ 1 4...7 1
t%Tl Vlit7 T 1
T i jai - .p ' tion Becomes Your Building Permit Wh App ved Paid /' R Feipt No. , / Ori
ilk
' Date S.
2,7
4z(, w
Boil ma 6 ate
10
This is to certify t tt the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when si by . t • City ' lanner constitthcs a temporary Certificate of Zorr g com fiance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued i , , I
P a ' • • D irector Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY: M Date:
4 4(0 /to
Building Permit # PID: Zoning:
• Site Address ,
Ara- 5 C...=1/4-ck-i "wo
Legal: L 13 Subdivision:
Existing Structure: ) or NO
CONFORMS TO ZONING NO
ORDINANCE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
• MEETS CODE
• Side Yard 10'
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
• • Side Yard 10'
• • Rear Yard 25' • 5C9
• • 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.
LATEMPLATE\DECKCHCK.DOC
1
PRIOR LAKE
BUILDING A D
INSPECTION
RECORD
SITE ADDRESS 1"24-5 GOACHMAKI L■.
TYPE OF WORK DFiC,K
USE OF BUILDING 0/E5 /VP_
PERMIT NO. I O .O Z DATE ISSUED 9-. 2.�
BUILDER OUTDO01� 1111.(n) S' PHONE # 440, 4- 77/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
soECron �� DATE
I FOOTING G7 C 1 13 � /s /.�4
PLACE NO CONCRETE UNTIL ABOVE HdS BEEN SIGNED
(FINAL 1 0 0� .AJ(ctO
FOR ALL INSPECTIONS (952) 447 -9850