HomeMy WebLinkAboutBuilding Permit 11.1279 J
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op f PR�o CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
A, e TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 1 i •2 3 I
AND UTILITY CONNECTION PERMIT U trj
44/14EBOct. I. White File /
2 Pink City PERMIT NO. / / 1 Z7
3 Yellow Applicant /
(Please type or print and sign at bottom)
ADDRESS pi / 1 \Afft /s 54- /1/ ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER " oh / " k 1 (Phone) 7 6 3 y 77 -)92)
(Name) (Address)
C o D nyy Name) C 60 s f/ c C f- /toy / �SS� L/1 C (Phone) 9 f (2 — 3 S6 - g664
(Contact Name) .S • -c- (Phone)
(Address) 7 e. ° `1 S,- 5 n/-et - (r.e y t 'iil) rp7(
TYPE OF WORK ❑ New Construction It Deck ❑Porch ❑Re- Roofing ['Re-Siding ❑Lower Level Finish ❑ Fireplace
LAddition DAlteration ['Utility Connection
CODE: [ I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V AB c r60. G
Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $
Division: 1 2 3 4 5 (excluding land)
1 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 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 re this . •tit for )ust cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X 13 6 397`13 If -z3 —l/
Signature Contractor's License No Date
Permit Valuation ...- - 'z-7 Park Support Fee # $
Permit Fee $ SAC # \ $
Plan Check Fee $ --s.7-30 Water Meter Size 5/8 "; 1 "; \ \ $
State Surcharge $ ( 4 " 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 i j (, zi ( $ l' /1
Thillicaf on - t our Building Permit When pprove ' Paid Receipt No.
�1 // Date By
A G t t Z '3 it
Building Official t o
This is to certif that t „¢cquest in the above application and accompanying doc ents - in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed ■, the Tanner constitutes a temporary Certificate of Zoning ..mplia c and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Q tlil I( 2; ) (
' • _ b - ctor ' Date 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 Fa 'ly Ho es
BY Date:
Building Permit # PID: Zoning:
Site Address
Legal: L B Subdivision:
Existing Structure: or NO
410
CONFORMS TO 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) 11 '
• Side Yard 10'
• Rear Yard 25' `
• Tow s 7 . • • with
.,.r. - ._% or
� aa
� � r sp1n n -_ 343 ..3 Z . , = 2& 3
• 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 DEPARTMENT OF
BUILDING AND INSPECTION
RECORD
INSPECTION
SITE ADDRESS ,
TYPE OF WORK
USE OF BUILDING 4 A-- (2
PERMIT NO. j 1 2 79 DATE ISSUE l p tl
BUILDER t-si a PHONE # ' z- °' -. '-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSP DATE
I FOOTING
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I
I FINAL 1 i 2 /s�
�
FOR ALL INSPECTIONS (952) 447 - 9850
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