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of "44 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Z' 1 0
U
7C AND UTILITY CONNECTION PERMIT
414NESo'cP I. white File PERMIT NO. /0 D Z
3 Pink City
3 Yellow Applicant •
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
b9S Ce/A cLo/ Ti. wF 'ND
LEGAL DESCRIPTION (office use only)
LOT 1 BLOCK- ADDITION $AJ r D 1' I . 3 PID ZS. 2_1 q- 0 ( \ , 6
OWNER 1�)�
(Name) /f4 (/(' C2Rfi (Phone) 750 0 — g;996
(c) G iz se /. / ?SS
(Address)
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ` Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish [I Fireplace
['Addition ['Alter io EUtility Connection
CODE: 1I.R.C. ❑I.B.C. El 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
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 and that all construction 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 for just
` /� Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
y— 7 /b
Signature Contractor's License No. Date
Permit Valuation Z0 0 0 - 0 0 Park ..portFee # $
Permit Fee $ 13. 75 SAC \ # $
Plan Check Fee $ 4-7. -7 94- Water Meter Size - 5J�'; 1 "; $
State Surcharge $ / U 0 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 Mu 41- u $ /2.z..697
This Ap . licatio Becotlnes Your Building Permit When A roved Paid Receipt No.
Date By
wilding Official Date
This is to certify that the re test in the above application and accompanying documents is in ccordance with the City Zoning Ordinance and may proceed as requested. This document
when signed byy e City nner onstitutcs 4 temporary Certificate of Zoning compliance a allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. /���
/44' / 471 Ic
Planning Direc o " 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
e Deck Additions to Single Family Homes
BY 2 Date: .� `
u
Building Permit # PID: Zoning:
Site Address C co . , run ,L, ,,),,,,9,
Legal: L B Subdivision:
Existing Structure: or NO
CONFORMS TO ZONING NO
ORDINANCE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
• Side Yard 10' 1
(25' if abutting a street, 30' if abutting a street in /
Cardinal Ridge)
• Side Yard 10'
• Rear Yard 25'
1 C i f
• 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. -
' L: \TEMPLATE\DECKCHCK.DOC
PRIOR LAKE BUP DRNG D�NSPECTION
INSPECTION
RECORD
SITE ADDRESS JT(aq`ti CE �I.L
TYPE OF WORK 0 ECZ_
USE OF BUILDING ALES A/2
PERMIT NO. /0 .0 Z9& DATE ISSUED 4 .z 7, / 0
BUILDER N/ 6/6 WO/2/ PHONE H 4-#b • bib (a
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR WT=
FOOTING � 5' 7 S
PLACE NO CONCRETE UNTIL ABOVE HAS BEE SI NED
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FINAL IA)LI 0 3/1Z(
FOR ALL INSPECTIONS (952) 447 -9850