HomeMy WebLinkAboutBuilding Permit 12.631 (). PRIp
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
r /1\ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE & _ / 7 /2_
� AND UTILITY CONNECTION PERMIT
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1. white File
2. Pink City PERMIT NO. / Z , (03
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
/ ,,764- / &)56 WOO 0 y�x)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER �
( N a m e ) . and C,hck t, nf', e.+#1 (Phone) v152" 2C' - ssgZ
(Address) I L I 7(0 L l Ro7-kotooarA Psci P n - c I n c & . M Iv 5 S7 2-
BUILDER
(Company Name) P eC l I0 r\ 1€ � �1
c.K5 (Phone) 70 - 3 `) -) _ 5 a
(Contact Name) gob 3C In u I K (Phone) 7(p3- 2- 2-B LI 29
(Address) 20) 75 *" Ave. N. Ci)r ' cc &- M N 6 L-iQ
TYPE OF WORK ❑ New Construction tijbeck ❑Porch ❑Re- Roofing ['Re-Siding ['Lower Level Finish ❑ Fireplace
['Addition ❑Alteration ['Utility Connection ` �
CODE: .R.C. DI.B.C. ❑ mi.: fe - avvrA i i exs 1sT'` 11c\ deck clnd
Type of Construction: I II III IV V A B fe(,U Mt
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 1 L. 500
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 wucct. 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 revoke this .. . " for • cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X 1 h „[t . . . _ f3L5R ?a 2� (a )/ J I2.
Sias . Contractor's License No. ate
Permit Valuation ) (JO Park Support Fee # $
Permit Fee $ 2-6".. 6 0 SAC # $
Plan Check Fee $ J Water Meter Size 5/8 "; 1 "; $
State Surcharge $ - ct 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 eXt,L03 ( 1 Ldl i Z, 2 $ 4_1 7,5
This Applicati,'
A i a Date : • co . . Your Buii'dmg Permit ' A . . .ed Paid 41 - 7-C - R ipt No. (ale Z
(., , 2 (.. (Z-- B
. � AIL. - , i 11
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Buiin •f6'' al Date
This is to .:. request in the above repplication and accompanying documents is ' ...... , ce with the City Zoning Ordinance and may proceed as requested. This document
when .,.�, , ' i the Certificate Planner constitutes a temporary of Zoning complian.: and all. , construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. ., /� r 20 (Z—
Planning Director 1 MEI Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Residential Building Permit Checklist
r Deck Additions to Single Family Homes
BY: - Date: rt
' 6, (Z.f..› Building Permit # • PID: Zoning: • .
Site Address l Al ` k- �
. (1 l S 0
Legal: L B � Subdivision: • l
r
Existing Str ucture: � or NO v . ( . t n n� L I~ s �
g �svt� nay - S Star
CONFORMS TO ZONING • a t S • 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'
• 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.
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PRIOR LAKE 2:1 SPECTION
INSPECTION
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SITE ADDRESS ANY i A t OaD Oett
TYPE OF WORK • -. Jr l _ Li F
USE OF BUILDING _ !'
PERMIT NO. DATE ISSUED Jr.
BUILDER .. MC A Dom` - _ PHONE # - ? 1- 3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
01.1111111.11 4 fri 1 1 I 1 Z
PLACE NO CONCRETE UNTIL ABOVE HAS BEE SIGNED
1 1
FINAL 1 kg _ 1 7
zr
FOR ALL INSPECTIONS (952) 447 -9850