HomeMy WebLinkAboutBuilding Permit 11.506 J
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �` 2 0 //
AND UTILITY CONNECTION PERMIT <
�'N>resot� I white File PERMIT NO Q / ��
2. Pink City
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
ILI 3 (t, Z- _i've_ L on, 0 1• Lu
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER / /� h LIL 1 5L— `!"C x) ig
�, (.� d 7 � l. (Phone)
(Address) S///ZA 10/2—. 307. to147
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction Deck ['Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish El Fireplace
❑Addition ['Alter o ['Utility Connection / hh
CODE: ❑I.R.C. ❑I.B.C. a t) 6Ort■
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 hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. 1 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 n r ke this perthit for jus ayf e Fu hermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
aj
Signature Contractor's License No. Date
Permit Valuation 4iDOo. 00 Park Support Fee # $
Permit Fee $ / _ O b SAC # $
Plan Check Fee $ / q5.- Water Meter Size 5/8 "; 1 "; $
State Surcharge $ Z ,. O 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 Mum 6 `IA ` I $ / 7 /, 9 ...5 —
This Appl' ion B co, ; C Yo :uilding�Permit Whe ., pprov d Paid /7 /. /S
ALA ��L
Date ( ?� Re eipt No. 6 // 7
�, B
r' Zv f t
. uilding - fticial hate
This is to certify -at th , - equ in the .',ove application and accompanying documents is i accorda e with the City Zoning Ordinance and may proceed as requested. This document
when signed b `e Cit Ph r c n. •s a temporary Certificate of Zoning compliance nd allo . construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. i . (/�
A / INS -' +1, `-Zo of
Planning Direc `. ate Special Conditions, if any
24 hour notice for all inspections ( 52) 447 -9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
Deck Additions to Single Family omes
BY Date: 6 .�
Building Permit # Zoning:
Site Address
1 4 3c.z c7sf:.u-
Legal: L B Subdivision:
Existing Structure:
lit
or NO
CONFORMS TO ZONING ES NO
ORDINANCE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
• Side Yard 10'
(25' if abutting a street, 30' if abutting a street in (�
Cardinal Ridge) , C.
• Side Yard 10 '
• Rear Yard 25'
5 S
• 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
i
•
PRIOR LAKE B Et) I BUILDING AND NF
INSPECTION
RECORD
SITE ADDRESS /43&j DOVE e,
TYPE OF WORK Deex
USE OF BUILDING �.�'S A�i
PERMIT NO. _ DATE ISSUED G.I.
BUILDER Sf�(/LZF PHONE # 40Z15
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
ECTOR DATE
FOOTING �mwG �rizzl�rRre+ 1 7 /�/ /i 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
r��mo cea�fwrn,Na i �
I FINAL 1
FOR ALL INSPECTIONS (952) 447 - 9850
t 014.114034 off,
4