HomeMy WebLinkAboutBuilding Permit 11.836 J
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C PRi CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE . 2 S I 1
AND UTILITY CONNECTION PERMIT
�
NE$ �q�' 1. White File 2. Pink City PERMIT NO / / 030
3 Yellow Applicant I
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
.S 7 3 y 4,9 v e 6 Ta 4 i 1 S r 2 /5D
LEGAL DESCRIPTION (office use only)
LOT /ID BLOCK 4 1 ADDITION FA q N q ✓Q i - 2....4 PID 2 / b5 06p 5 0
OWNER / / ,, //
(Name) /V 1 1 4 e / . / t✓z 1 A//4 ✓e- v e / (Phone) 9tS , - D I .2 lo - S7 9
(Address) S7 3. 4 / /+?A I i, S' L.: ?2t'IDre 4 aKt /i1 5.S 7v2
BUILDER j2 f co, u .'
(Company Name) 7)+,_ �,ec.0 f . 002 ecwi p4 ,, y - 4.,..,c. . (Phone) 9.5 - 4 /...R .g - /Fr g
(Contact Name) (Phone)
(Address) CQ g l s / 6 --r S4 . Leg . .�'1.,..° 4E. / o b Apr /e 1//4lf7 4 714"9, .6-7A-1.Q ____
TYPE OF WORK ❑ New Construction >Peck ❑Porch 0Re-Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
❑Addition ['Alteration ['Utility Connection / 6v !te Q
CODE: ►� /I.R.C. ❑I.B.C.
Type of t f ❑Misc. C OndreAdon- -4 n gel /4/S411/ eeKI�
. struction: I II III IV V A B PROJECT COST /VALUE $ /a 6 q 3
Occup • cy oup: A B E F HI MR S U (excluding land)
Division: 1 2 3 4 5 •
1 hereby certify that 1 have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that 1 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 perm't.for Just cause. Furthermore, I 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 Valuation 3 000, v 0 Park Support Fee # $
Permit Fee $ d1 G7 p 2- C.- SAC # $
Plan Check Fee $ 57 13( ., Water Meter Size 5/8 "; 1 "; $
State Surcharge $ /y -.5-0 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 m e.237 1 $ / #7 / /
This Ap , t tit ecomes Your Building Permit • • • � n Ap • • oved Paid • �" s / I Rec • t No. i 0
� Date ��ONNIMI1 i,
A e �
Buildi veiie .._
. 1 � : Date e
This is to certify t. t the re. est in the above application and accompanying docume s is in cc ordance with the City Zoning Ordinance and may proceed as requested. This document
when signed b . tty ' . ner constitutes a tc'�nporary Certificate of Zoning • co iancc an allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued A
Sgt_ _ 2
• Planning Direc . � D e / 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 ome
BY: Date: 5 2q a
Building Permit # • . PID: I Zoning:
Site Address S7 . „ / � -�
Legal: L B lY � _ J Subdivision:
Existing Structure: or NO
CONFORMS T ZONING • 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) \
' [
• .Side Yard 10 (16)
• Rear Yard 25' 3 '7'
• 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. "
.A.%
' L: \TENIPLATEWECKCHCK.DOC
'1
•
PRIOR LAKE BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 5734- MR 1/E6 T/Zt -.
TYPE OF WORK DEGL
USE OF BUILDING iZEr /YIL
PERMIT NO. 11. 83Co DATE ISSUED 0.2.(0. /
BUILDER DF.G*C. DODOL CO. PHONE# 431. ($SS
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR rE
I FOOTING -1 1 R.(-1,1 *it
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I EWAN riedgefil ii■16) 1 g *I/ 1
FINAL
FOR ALL INSPECTIONS (952) 447 -9850