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o PR.t CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Cy 2 Q 11
AND UTILITY CONNECTION PERMIT f
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hq
4W I. White File
2. Pink City PERMIT NO. r/ 10/3
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
15397 CRANE COURT NW - PRIOR LAKE MN 55372
LEGAL DESCRIPTION (office use only)
LOT $ BLOCK 2 ADDITION THE WILDS 44A Ai TION PID
OWNER
(Name) S TE\/E BER (Phone) ('5 a) i i # - x''/999
(Address) 15394 CRANE COURT NW - PRIOR LAKE, MN 55372
BUILDER
(Company Name) DIY VA (Phone) %
(Contact Name) STEVE BERG (Phone)
(Address)
TYPE OF WORK ❑ New Construction IgrDeck ❑Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
DAddition DAlteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V AB PROJECT COST /VALUE $ 2000 / 5606
Occupancy Group: A B E F HI MR S U (excluding land)
Division: 1 2 3 4 5
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 revo a this permi or just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
f x - °1/0/1., Ii
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ 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 $ / #7 `/
This Application Becomes Your Building Permit When Approved Paid l4 6/ R, Ipt No. rp '��Q
Date ? 29-1(
Building Official Date f
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director 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 Chec ist
Deck Additions to Single Family Hom s
BY Date: 9 lay 11
Building Permit # PID: Zoning:
Site Address
Legal: L B Subdivision:
Existing Structure: YES or NO
CONFORMS TO ZONING ( YES / 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 • "
street,
• . Side Yard 10'
• Rear Yard • 1 t
50 FAinA, R046
• Townhouses 1 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.
L: \TEMPLATE\DECKCHCK.DOC
1
PRIOR LAKE BUILDING AND �NSPECTION
INSPECTION
RECORD
SITE ADDRESS /5397 CnPANE
TYPE OF WORK L75CK
USE OF BUILDING l � i S
PERMIT NO. / J • /0 1 3 DATE ISSUED g..
BUILDER 13i?4 PHONE # 4¢1_ tql
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BEL
THE PERMIT IS BY SEPARATE DOCUMENT
DATE
I FOOTING 1 � . � I tofslr(
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
(FlNAL 1 k- 1 3 ' *- ✓3
FOR ALL INSPECTIONS (952) 447 - 9850
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