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Building Permit 10.0304
t CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd t. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 4 Z7✓ t D 1/ AND UTILITY CONNECTION PERMIT ( M'NN ESOlP I. white File 2. Pink city PERMIT NO. 4 0 , 030- 3 Yellow Applicant t Please type or print and sign at bottom) eD DRESS 3a . / a, i_ K- IS L v F f C l j ZONING (office use) PR ( ©K j ( , /4 Ai 5 3- 3 7 ° 11 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER -- j I !� D N (; /'3 — 4 0 -1 b &V .) / ame) J © 1 ` �% "hone) (Address) 3 2.1 Z. P‘fl. k a fu FF ea.__ BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction [ eck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace EAddition ❑Altera 'on ❑Utility Connection CODE: I.R.C. ❑I.B.C. 1:1 Misc. Type of onstruction: I II III IV V AB PROJECT COST /VALUE $ Occupancy Group: A B E F HI MR S U Division: 1 2 3 4 5 (excluding land) ( I hereby certify that I have hirnished 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 proper and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I a awar that the building official can revoke ` rmit for just cause. Furthermore, I hereb agree that the city official or a designee may enter upon the property to perform needed tnsp b ons. x ' i 2 t nature Contractor's License No. ,„,, Date Permit Valuation i7900,,0 0 Park Support Fee # $ Permit Fee $ J 00 SAC # $ Plan Check Fee $ /o3, G6 95 Water Meter Size 5/8 "; 1 "; $ State Surcharge $ 0 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 DUE r Date ,2,� (v $ •1 ( 9 T • • p g..f...• at ion Become r Building Permit Whe Approved Paid l J ceipt No. 0/34---- 9-z-c to Building Oflicia Dat This is to c t' t the request in the above application and accompanying docu nts is 'n accordance with the City Zoning Ordinance and may proceed as requested. This document when sig th f Ay Plan, - - - . • porary Certificate of Zoning co plianc and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. 4 VI, b Planning Directo 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: Date: A (2 to Building Permit # PI : Zoning: Site Address Legal: L B Subdivision: Existing Structure: '/ , r NO CONFORMS TO ZONING NO ORDINANCE Yard Setbacks: NOT APPLICABLE Requirement Proposed MEETS CODE • Side Yard 10' a (25' if abutting a street, 30' if abutting a street in Cardinal Ridge) • Side Yard 10' ( • Rear Yard 25' l • 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. - 5 (9( .?"-; -(o 3cIfr'A' ' L: \TEMPLATE\DECKCHCK.DOC \. r PRIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 3Z1 Z LftK,Fi QWPF TYPE OF WORK DECD USE OF BUILDING /26 r A//z PERMIT NO. l0 0 304— DATE ISSUED 4-- Z71 0 BUILDER JOHN HDN PHONE # 4-4-0. /Ca 08 NOTE: THIS IS NOT A PER IT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECT DATE FOOTING 1.�(iI � I �! PLACE NO CONCRETE UNTIL ABOVE HAS BE SIGNED FINAL 1 (2.1 -1(1(0 FOR ALL INSPECTIONS (952) 447 -9850