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O PRi CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE , y 4- II
4 AND UTILITY CONNECTION PERMIT
4INN8 8di) I. White File
Fink city PERMIT NO. 1 5 4.
3 Yellow Applicant `
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
/W 6610 d v, g asp
LEGAL DESCRIPTION (office use only)
LOTS BLOCKS ADDITION 'FeZ/" /o/� / �A 7 ES PID z5 44 • 010.
OWNER
(Name) f « (Phone) .Z 1 Li 71 I / 675 r
(Address) 1 (0$3 1 rw '1 f dvk
(Co DER €
`h � (P ' L-L C (p ! z 2-3z '1
(Company Name) �� c (Phone)
(Contact Name) \\ ttM t o t' i/C( P'l`eL //�� (Pho e)
(Address) t (S Nri (5 td A- wie. 1,t)
TYPE OF WORK ❑ New Construction ck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Altera ton ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V AB PROJECT COST /VALUE $ 620 0 •
Occupancy Group: A B E F HI MR S U
(excluding land)
Division: 1 2 3 4 5 i
r I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner OT authorized agent for the
above - mentioned prop - ty 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 th . ermit for - ause. Fut ermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x Al (3) 31 ,viavCA e _
Signature Contractor's License No. Date
Permit Valuation G 000 - Park Support Fee # $
Permit Fee $ t , 'k .1I C SAC # $
Plan Check Fee $ A (Q. \ 5 - 1- Water Meter Size 5/8 "; 1 "; $
State Surcharge $ ' - ici 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 p , t ,,,,, 6 ,' 4 ' $ `1 �, — 1 q
This Appl' t' i n ; - omes Your Building Permit en Appro , ed Paid 7 9 Receipt O. r ` 9.. `
7 ` Date Sill `/.,..�----
Building . . icial Date
This is to ce at tic request in the above application and accompanying documents is in acco lance wi the City Zoning Ordinance and may proceed as requested. This document
when signer h C Planner constitutes 1- temporary Certificate of Zoning compliance and al fws cons uction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director Date Special Conditions, if any
__ 4 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 0 4v ------- Date: / t
Building Permit # PID: Zoning: S
Site Address P - • 0
1 3 te,. r,r, —
Legal: L B Subdivision:
Existing Structure: �� i r NO
CONFORMS TO ZONING ES NO
ORDINANCE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
• Side Yard
10' 4
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge) 2 q • �
• Side Yard 10 ' l
• Rear Yard 25' ■
O
• 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
PRIOR LAKE BUILDING A DIN SPECTION
INSPECTION
RECORD
SITE ADDRESS /G 83 BELMOAIT Ati'
TYPE OF WORK PECK
USE OF BUILDING WA*
PERMIT NO. 1 I. 54"6 DATE ISSUED G- 2 7. //
BUILDER FX.tejNE 60 . PHONE # b(z. 232. 9L94^
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I e ' l 7,4 / / / d
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
(FlNAL 1 A, 1 yi 4 / /fi
FOR ALL INSPECTIONS (952) 447 -9850