HomeMy WebLinkAboutBuilding Permit 11.253 0r J F-
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OF PRIp�
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
....,„1-, k e TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 4. /4' /1
AND UTILITY CONNECTION PERMIT
Mi NNE so"
°' ,. White File
2 Pink City PERMIT NO. it 2 ,53
3 Yellow Applicant
(Please type or print and sign at bottom) ZONING (office use)
ADDRESS
/4.4 Pl a- flvRe /We s6 le/
LEGAL DESCRIPTION (office use only)
LOT .6 BLOCK / ADDITION o detsvi (.6. Hic,ts 4 ADI»J. PID 2.5; 02_1. OOS, 0
OWNER J O p V f /O L //✓0f1 PA - N6.57 D (Phone) 22-1, . 54 1
(Address)
BUILDER (Phone)
(Company Name)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction eck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Altera n ❑Utility Connection /( ' y !Z t 2/0 qf
❑ Misc. 3 r � 49 CODE: ❑I.R.C. I.B.C. ❑
Type of Construction: I II III IV V A B PROJECT COST /VALUE $
Occupancy Group: A B E F HI MR S U (excluding land)
Division: 1 2 3 4 5
I hereby certify that I ave furnished inform. on on • is appli.. , .n which is to the best of my knowledge true and correct. I also certify that 1 am the owner or authorized agent for the
above - mentioned . .crty an. •11 co.,tructio i co •.x. o all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building
official ca revo this per. it for jus ca e- Furt rmore - y agree that the city official or a designee may enter upon the property to perform neededection
/c( s.
xf/ - .e/ / ' / / C ontractor's License No. Date
Permit Valuation 3,00 () Q a Park Support Fee # $
Permit Fee $ 8f5,25- SAC # $
Plan Check Fee $ S7 36, Water Meter Size 5/8 "; 1 "; $
State Surcharge $ 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 $ / 4- 7_
This Ap , cati t ' ' m . r Building�Pennit . en Ap roved Paid /47./1 Re ipt No. 4, L3�� -t
Date 4,14--„ // B
1 � , , 4 / �(
Building Official Date
This is to ee tify that t • request in the above application and accompanying doe ments is in accordance with the City Zoning Ordinance and may proceed as requested.
s
This document
must when sign jt' by the i Planner constitutes 'temporary Certificate of Zoning c mplia e and allows construction to commence. Before occupancy, a rt p� Y e
sued I
A " ,� ate Special Conditions, if any
• Planning Directo
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 -F S
Date: , l Pco c tTte Tb Pty W`(
BY: �
Building Permit # PID: Zoning:
Site Address
Legal: L B Subdivision:
Existing Structur -a . 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 �1
Cardinal Ridge)
• Side Yard 10' '
• Rear Yard 25' U
• 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
e
PRIOR LAKE BUILD AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS G /LLf'70l2.E Ave Se
TYPE OF WORK
USE OF BUILDING /LESR //2--
PERMIT NO. 1/ - Z53 DATE ISSUED 4- /
BUILDER /IA Ne-STJqD PHONEli Zz(o.s4
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR TE
1 -)I FOOTING 1 2[-� 1 411,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
0111111111
(FINAL I �I 3/3//
FOR ALL INSPECTIONS (952) 447 -9850