HomeMy WebLinkAboutBuildingPermit 11.687 o J
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0..... F PRIO CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 7 f
AND UTILITY CONNECTION PERMIT
1 7
~� '►tve sot� t white File PERMIT NO . H 62 6
2. Pink City
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office, se)
ii 2- /114p/f rpp--i& 12 SD
LEGAL DESCRIPTION (office use only) ,l
LOT BLOCK ADDITION PID z_._5. 135 , 0 5 0
OWNER ,..,....... t
(Name) -4 Q 1) o / (Phone)
(Address)
B I DER '9,s• "z_ `,>,
(Co ' me) (Phone)
(Contac % ame) (Phone)
(A• V'ess)
TYPE OF WORK ❑ New Construction Deck ❑Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
❑Addition ❑Alteratfo ['Utility Connection
CODE: ❑I. ; .C. DI.B.C.
❑ Misc. D % /2 en� r
Type of Co cti t n: I II III IV V AB PROJECT COST /VALUE $
Occupancy roup: A B E F HI MR S U (excluding land)
Division: 1 2 3 4 5 J
- ---
1 hereby certi y that 1 1 e furnished information on this application which is to the best of my knowledge true and correct. I also Cab t t e owner or authonz ag ent for the
above - mentor ed pro. 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 uilding
official can revoke thi' . rmit for just cause. Furthermore hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
Signature Contractor's License No. Date
Permit Valuatio 5 006 . O 6 Park Support Fee # $
Permit Fee $ 1 17. 75 SAC # $
Plan Check Fee ' $ 7t, 54 Water Meter Size 5/8 "; 1 "; $
State Surcharge $ CO 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 $ / 96 7?
This ; � , i / ion Becomes Your Building Permit When A .. ove , Paid ('7.. 7 Receipt No.&3� S Y
( � I ( Date 7 r it B y M /`
I ► Z
'. uildine Official Date
This is to certify that the r ucst in the above application and accompanying docu nts is in .ccordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by/ • Ca inner constitutes a temporary Certificate of Zoning co ' .liancc d allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
' - 7 7` rr
a,,.,irig Bireeto v : to 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
Deck Additions to Single Family Ho es
BY: ' Date: 7 4.7' /,
Building Permit # PID: Zoning:
Site Address 1449 ti 1"tA--4 Tic
Legal: L B Subdivision:
Existing Structure: YES or NO 1
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
Cardinal Ridge) Z
• Side Yard 10' 50I
• 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.
3o e33xt4 xyr)) _ (Z
L: \TEMPLATE\DECKCHCK.DOC
PRIOR LAKE BUILDING A D�INSPECTION
INSPECTION
RECORD
SITE ADDRESS /1432. MR/�X,E Wen/
TYPE OF WORK 0E64 REPtq
USE OF BUILDING RFf R�.e
PERMIT NO. ( 687 DATE ISSUED 7. 2.9.1
BUILDER OIIfMA PHONE # 563. 2765
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING 1 bp I Wr DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I
FINAL 1 //0///
FOR ALL INSPECTIONS (952) 447 -9850