HomeMy WebLinkAboutBuilding Permit 12.261 k -z
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o4 PRie CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
7 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
.. x AND UTILITY CONNECTION PERMIT C, 1 Z--.._--
�4'NESOte I. White File PERMIT NO / / /sue •
3 Pink City l icant / / �j7 /
3 Yellow Applicant
/ Lc L��f/
(Please type or print and sign at bottom)
ADDRESS ZONING office use)
1 7 t--�S■ S.31-, s t._.- \ c ('-'. S . ' .
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER � l S r 1— ^ 313 —q�1
(Name) -'\ fl . ,J..c u\ S=1 �v J. (Phone)
(Address) \ 1 ` S \ S� ) .. S*-A- 1 r(,, • \ S • w .
BUILDER
(Company Name) Qa -'-; i S-�.\ vim► & �� S, S ; L..,.N- (Phone) .S \ - ") S) - to d35.--
(Contact Name) .S---, ^ s St--\ (Phone) L � \ " )-3 > \ <-
(Address) 1 Lc, 3 3- c. c. ,_ \c-__ S.-t--.e .." r e . ‘.,,, _ S r-, • w ,,,.3. SJ' N is
TYPE OF WORIC ew Construction ,2Deck EPorch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
['Addition DAlteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II 111 IV V AB PROJECT COST /VALUE $ 1 3 7 6 - w
Occupancy Group: A B E F HI MR S U (excluding land)
Division: 1 2 3 4 5
I hereby certify that 1 have furnished information on this application which is to the best of my knowledge true and correct. I 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 permit for Just cause Furthermore, 1 hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X %:1-1`''''''-\ e- Q- 6 to 4 3 `k \ \ cA 1 1 —
Signature Contractor's License No. Date
Permit Valuation A - Park Support Fee # $
Permit Fee $ t _ SAC # $
Plan Check Fee $ 6,c3.._ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ .L ll 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 d 41 $ 1 1 1 . / 5
This i , icat' , n Becofhes Your Building Perm en pproved Paid /7/, 9J — R C • t No. V. )� 4./
Date ? ,/'t- B
7 iZ.
. dine Official Dat
This is to ce t at the equcst in the above application and accompanying document is in ace rdance with the City Zoning Ordinance and may proceed as requested. This document
when sign y c • / Planner constittyes a temporary Certificate of Zoning compli cc and lows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
''4 "*.t. r Z
P . i • . Date Special Conditions, if any
ice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit C ecklist
Deck Additions to Single Family H mes
R
BY: yb, . 1 Date: ..1. (1 if
Building Permit 11D: Zoning: 1 2 ' ; 5 D
Site Address 1 5 L), coon 1 k t _
Legal: L B Subdivision:
Existing Structure: E or NO
/
CONFORMS TO ZONING E NO
ORDINANCE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
• Side Yard
10' Y
(25' if abutting a street, 30' if abutting a street in • ,, // 1
Cardinal Ridge) P T5 _ �it�VVS9r 4(11 /11, to Vim.`✓ 1
• Side Yard 10' 1
w rte.. I V tt A Ft. -). l'\);.
.\ : 3 Z
• Rear Yard 25' .4'- i .
• 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.
r
L: \TEMPLATE\DECKCHCK.DOC
1.
•
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS t451 , StiAirET PLIM, .
TYPE OF WORK DECtiC
USE OF BUILDING RAI If /t
PERMIT NO. 1 Z * j I DATE ISSUED 40 P. 17 i 1
BUILDER B1 / ► CL.► PHONE # (5i. #57, tee
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR TE
I FOOTING (p 1 • - .l +4; �v I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
. kaatHiter 1 1
I FINAL 1 2i/
FOR ALL INSPECTIONS (952) 447 -9850