HomeMy WebLinkAboutBuilding Permit 12.280 J
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C ITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
AND UTILITY CONNECTION P
TEMPORARY
CERTIFICATE OF ZONING COMPLIANCE N,
z.") ERMIT � 3 /Z-
47-A,. -NES
I. White File PERMIT NO.
2. Pink City j Z -Z Q 0
3. Yellow Applicant t�
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
4/834, 'i4 ge St. S,
LEGAL DESCRIPTION (office use only)
LOT , BLOCK ADDITION )r` s ' '`' ' 4-00 • PID -' ` (5 ?. ( 7 n
OWNER
� /0 / / 1 c 9S, S9 -0 773
(Name) (P hone )
(Address) S4'm '
BUILDER ! A [ /
(Company Name) I V o if I; 41 q /-/ f em e lmt<<D✓e Al e...-, 1 .5 1 LC 7 6 7
(Phone 3 7 8 - i 93 t�
(Contact Name) - i M NO r / i r ci (Ph Fj /a - S / 8 a) 39 5
(Address) , 70 0 / // r't'e i ''9. / / Z. o r£� t "70/, s�3s 7
TYPE OF WORK ❑ New Construction eck ['Porch ['Re-Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
['Addition ['Alteration ['Utility Connection
CODE: I.R.C. ❑I.B.C. ❑ Misc:
Type of onstruction: I II III IV V A B -� o •
o 0
Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $
Division: 1 2 3 4 5 (excluding land)
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 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 permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X fr-3- ' ‘9 7
Signature Contractor's License No. Date
Permit Valuation 3 — Park Support Fee # $
Permit Fee $ 06.2--i- SAC # $
Plan Check Fee $ 5 36 Water Meter Size 5/8"; 1 "; $
State Surcharge $ ( 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 $ 141
This � I�, . , = n : fin s s fur , ding Permit ' , A , , , ved Paid / 1 / R ipt No. (p S7 2-
/ / / i Date 4-: / r, /'L B
Building Official Date
This is to certify that the equest ' , e above application and accompanying documents is in acc dance with the City Zoning Ordinance and may proceed as requested. This document
when signed" C" , e sti tes a temporary Certificate of Zoning complian and ows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. r
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS X6'3
TYPE OF WORK
USE OF OF BUILDING
PERMIT NO. 1 DATE ISSUED 4-47 /1
BUILDER .-r 140 at_ wc. ILL . (mpg PHONE # S/Q . 7 -3”
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE
INSPE
I FOOTING vEzl
j l � �� 1
�.0 ID San�Y:'�n ��r�7�: -� -r. � �
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
listimue&
I FINAL 1 ' 1
FOR ALL INSPECTIONS (952) 447 - 9850
•
Residential Building Permit Checklist
Deck Additions to Single Family Hom s
BY Date: 1 , 7 ( 7
Building Permit # 'ID: Zoning:
Site Address
ii (2 � u (2-‘ Sr)
Legal: L B ` �' Subdivision:
Existing Structure Y NO
CONFORMS TO ZONING YES NO
ORDINANCE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
• Side Yard
10 ' r
(25' if abutting a street, 30' if abutting a street in i
Cardinal Ridge) 6 . 5 (lam i/(S iT 0)-1 4 (Ika 1Z. 1=.) \;c t 1 is
• Side Yard 10 '
U tLL ice-( r , l'rr, Il\ P- L 4
• Rear Yard 25' 1
a 5 +
• 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.
k( a .s .f g '11—. 7 -:- ' --
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