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o f PRZO CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
o TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 7- �, /3
U n AND UTILITY CONNECTION PERMIT
44NESOl" I White File
2 Pink City PERMIT NO. 73 .
3 Yellow Applicant /3 r
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
// / ,)-(,/ ,4,-s �_c 1 ,3i.)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) VGA " el-VC-C 1 - 4-4 (Phone) 5 gC
(Address) /%9 Yt rs /.. ss A) IN)
i BUILDER
(Company Name) - .11 , .. CZ- e r ' . T ( 4 _ k ` * •S C . c o 4 • f o c i - t b - y ■ U-C- (Phone) 7G3 ((7C t 12
(Contact Name) I-2X-- F y�1- (Phone) 7&:3- - Vag -
(Address) 22 Y c ?i5 /'C ( �,_ /l) 1'( 7r4iec1`t / Nit° 5-5 7Z
TYPE OF WORK 0 New Construction SgDeck ❑Porch DRe- Roofing [Me- Siding ❑Lower Level Finish 0 Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: DI.R.C. ❑I.B.C. 0 Misc.
Type' of Construction: I II III IV V A B
PROJECT COST /VALUE $ 8( /
Occupancy Group: A B E F HI MR S U (excluding land)
Division: 1 2 3 4 5 t
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 wil, onform 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 . , - ,Furth ore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
I X 56- 637z g 779//3
1 Si:! . �l� Contractor's License No. Date
Permit Valuation Park Support Fee # $
3000. o
Permit Fee $ 9[] _ ag SAC # $
Plan Check Fee $ S7 . 3 Co Water Meter Size 5/8 "; 1 "; $
State Surcharge $ L , 5 - 0 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 A I , 1 12 $ 1I 441
T • pplication Becomes Your Building Permit When Approved Paid / 1'7 11 R eipt No. 6
Date 7. / - 0
B ding Official ate
This is to certify th he r . est in the above application and accompanying documents is in cco .ance with the City Zoning Ordinance and may p as requested. This document
when signed by t y ' 1. ner constitutes a temporary Certificate of Zoning compliance a d all , ws construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
*tanning Directo 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
PRIOR LAKE BUP D NG D�IN SPECTION
INSPECTION
C 94 D
SITE ADDRESS ,6qq/ 4 QSJ
TYPE OF WORK Plate-
USE OF BUILDIN _
PERMIT NO. F ' DATE ISSUED AU,j
BUILDER l PHONE # ? W4'f
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE JFOOTING 1 at P� I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING
IFINAL 1 i s.F.z
FOR ALL INSPECTIONS (952) 447 -9850
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:'J • Date: 7/1//
Building Permit # PID: n Zoning:
Site Address * ()e3045 VIA -4 7 2
Legal: L 1 7 B 1 Subdivision: age-3 e 2 \
Existing Structure: YES or NO
CONFORMS TO ZONING ( NO
ORDINANCE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
• Side Yard
(25' if abutting a street, 30' if abutting a street in "7,5
.3‘
Cardinal Ridge)
• Side Yard '" .7 j 1 ,37
• Rear Yard 1( T7 2
• Townhouses Must be consistent with
approved plan for a J 1-- 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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