HomeMy WebLinkAboutBuilding Permit 11.369 J
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of reioR CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
F ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE NO. 5` ii //
AND UTILITY CONNECTION PERMIT
U Irj
,y� 4� I. white File PERMIT NO `/ 3 6,,y
NNE SO ?. Pink City
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
� r A
{d c 'b I AC / L ii tic CI'
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
( Comp ny p7.4"lle k — 67e. b - W - � I�Z (Phone) �' Y ` tf1 � '
t
(Contact Name) Lil el (Phone)
(Address) J. Z.- t.,, 4 �� �✓ �' �,, I. L (C 7i
TYPE OF WORK ❑ New Construction fkDeck ❑Porch ❑Re- Roofing ❑Re- Siding ELower Level Finish ['Fireplace
EAddition ❑Alteration ❑Utility Connection
(2- /(vi ❑ Misc.
CODE: ❑I.R.C. ❑I.B.C.
Type of Construction: I II III IV V AB PROJECT COST /VALUE $
Occupancy Group: A B E F HI MR S U (excluding land)
Division: 1 2 3 4 5 1
1 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 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 this permit fo Just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X 2,06,, 3 7L 15' .c /Z. --//
,/7 Signature Contractor's License No. Date
Permit Valuation 1 U O O - 0 Q Park Support Fee # $
Permit Fee $ 1 3 , 75 SAC # $
Plan Check Fee $ q _ q ¢ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ I , 0 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 $ 1 Z1 _ 67
This Appli .n B Ames Your,Building Perndt Whe Appro ed Paid ! Z Z.. �- 1 e ipt No. (q Z�3 7
j „ I (r D ate 5--, 2.G (
B � . /
Building 01 A ate `,/
This is to certify that t request in th`above application and accompanying do uments is n accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed i he / Planner constitutes a temporary Certificate of Zonin , omplianc and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
Issued
S ---' (G7 , �Pl annt ect. ate 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
6)
Deck Additions to Single Famil Hom s
BY: ; � � Date: / /�,
Building Permit # 'ID: Zoning: q
Site Address I i e g s E C x '-- D.___
Legal: L B Subdivision:
Existing Structure: ES r NO
CONFORMS TO ZONING Y4)7 NO
ORDINANCE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
• Side Yard 10'
(25' if abutting a street, 30' if abutting a street in I
Cardinal Ridge)
• Side Yard 10' 1
0
• Rear Yard 25' /, 2 3 I )
• Townhouses Must be consistent with J
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 2 ' K t ( - (1
_ -1_, (---..__ ::__ 2 _ 3 , 4._ ----
1
L: \TEMPLATE\DECKCHCK.DOC
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS / 5y004. L•
TYPE OF WORK D�,K
USE OF BUILDING ger A /dC.
PERMIT NO. 11. 3` j DATE ISSUED 5. 12.11
BUILDER Mae, PHONE # 5)7 z9/. Cf.0
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING 1 i 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FINAL 1 ./e f 1
FOR ALL INSPECTIONS (952) 447 -9850