HomeMy WebLinkAboutBuilding Permit 10.917 0 J F-
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0,-- * CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec
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TEMPORARY CERTIFICATE OF ZONING COMPLIANCE O)-1 J 0
of J,_ / AND UTILITY CONNECTION PERMIT
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I. white File PERMIT NO. /
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2. Pink City
3. Yellow Applicant O �/ ° -
(Please type or print and sign at bottom)
ADDRESS • ZONING (office use)
5032 l'oNbsEbGE LN s rQ - icV Lis ICE Mu. 55372
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
(Name) CH A 2 t F - S 5c i e f (Phone) 15Z-4H-7-118
(Address) 5o 32- PCNb , PfL o2 1,-4k .5 MN 553 7 - L
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ,Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ['Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc:
Type of Construction: I II IH IV V A B
Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $
Division: 2 3 4 5 (excluding land)
1 hereby certify that I have fu sec informa '4n 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 athat all co %f ction 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 permit . Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X , ,/ ` '�
/O �Z✓ t 0
ignature Contractor's License No. Late
Permit Valuatio Z 660. d 1) Park Support Fee # $
Permit Fee $ 7 3 , 7 S SAC # $
Plan Check Fee $ 4.7 , l 4 Water Meter Size 5/8 "; 1 "; $
State Surcharge $ 14, v Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee \ $
Mechanical Permit Fee $ Builder's Deposit $
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Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE C (0 ( (D $ / 2 Z- ,
Thi , ppli ,, tion Becomes Your Building Permit Wh Approved Paid - 2-.Z.,.. _ I Recei . t No. - .-
h . Date e^s =UMW B ��p
/� i 1 / m h \o
1 • ing Officia Date
This is to certify that he request in the above application and accompanyi documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by ity Planner constituter temporary Certificate of Z in ompliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. r
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Planning Direc or Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Residential Building Permit Checklist
Deck Additions to Single F(nk, ily Homes
BY: Date: to l0
Building Pe PID: Zoning: ci
Site Address O
5 3Z {mss LE-o
Legal: L B Subdivision:
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Existing Structure: ` or NO
CONFORMS TO ZONING YES o 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' 2.3 1
• Rear Yard 25'
• 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. "
t L: \TEMPLATE\DECKCHCK.DOC
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PRIOR LAKE BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 5o3Z�� IbIVOSWLW v v
TYPE OF WORK DEV� -•
USE OF BUILDING £$' Ape.
PERMIT NO. 0 DATE ISSUED
BUILDER dili PHONE # . 7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INszr ore
FOOTING 1 1 io /z co I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
OM 1 1 I
FINAL 1 k I ,7,P /
FOR ALL INSPECTIONS (952) 447 -9850
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