HomeMy WebLinkAboutBuilding Permit 14. 0006 • '- ' . '- -..e.c CITY OF'PRIOR LAKE BUILDING PEKMIT, Date Kec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE '2 . 3 1 (3
AND UTILITY CONNECTION PERMIT
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2.WMN. CO3 PERMIT NO./f ACIO 45
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(Please woe or print and sign at bottom)
ADDRESS ZONING(office use)
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LEGAL DESCRIPTION(office use only)
LOT Z BLOCK Z_ ADDITION tie_fgej 5. spo/IQ 5-€4-:
OWNERML &li _____ iv%) 5 (Phone) C: (51- 3Z 5—- 57 7 Y
(Address) 3 C ' ro 1-x-k A4,1 ....t.."C.-t—,9
BUILDER
(Company Name) / 0P Air:Y Mt+. eV/4-4 ex , (Phone) (51- 7 97 8 6
(Contact Name) . /14frr-r- Lc.-.1 e:12 ,, - (Phone) 1.'1
(Address) /iøø- (Tot...(170/10._ Cti 4 alee--1.-ilte /4/1.-"Li 53-0q41°
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TYPE OF WORK 0 New Construction P31)eck °Porch °Re-Rooting °Re-Siding °Lower 1 zvel Finish 0 Fireplace
°Addition °Alteration °Utility Connection
CODE: P.R.C. DI.B.C. 0 Misc.
Type of Construction: 1 II Ill IV V A B
Occupancy Group: A B E 17 HI MR SU PROJECT COST/VALUE S i
Division: 1 2 3 4 5 (excluding land)
I hereby certify that i have furnished information on this application ...: - he best of my knowledge true and comet. I alas certify that I am the owner in authorized agent for die
grove-mentx.med property and that all construction wilt confo ,. 'i all existing sta•and local laws and will proccs'd in itccordance with submitted plans. 1 am aware that the building
official can revoke this permit for jag cause. 1' . ore,1 : • agree that the city official or a designee may enter upon the property to perform needed inspections.
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Contractor's License No. Date
V
Permit Valuation Park Support Fee # 5
-7—7 . (no C., . e:Ic)
Permit Fee $
/ #-- 7 -, :2/) SAC # $
Plan Check Fee $ ..,5-/ 241 Water Meter Size 5/8"; 1"; $
State Surcharge $ - j Pressure Reduort S
Penalty $ Sewer/Water Connection Fee # 111111111.11.
Plumbing Penult Fee $ Water Tower Fee # S
Mechanical Permit Fee $ 1
Builder's Deposit $
Sewer&Water Permit Fee S Other S
Gas Fireplace Permit Fee S TOTAL DUE $
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This Applicaty. : r.. Your Milldam Permit When Ap,r, ed ! Paid LI& 44, Receipt No. r7 0(it()
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Aim,. 10 1 4- ,
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Aft Date ' . 1 _ By 5414Lat.A.,
i Witting( /63i Date
This is to certify that the req • in t .above.application and acaunpanying dmumenN is' a...-cistdance with the City Zoning Ordinance and may proceed as requested This document
when signed by the Cayi'ili -r 7.1i. ; a tempos:try Certificate of Zoning co ^ and allows consttuction to commence Won;occupancy,a Certificate of Occupancy must be
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No.ing'him-tor _ __ i..... . SpecialConditions,ifarTy
24 hour notice for all inspections 19.52)447-97158,fax(952)447-4245
••.00 In . • ••• .••.• ... . . . ... . ..........
..— . . ....
Residential Building Permit Checklist
Deg(Additions to Single Famil Home
BY: Date: 3 t U r 4_
Building Permit# PID: Zoning:
Site Address r Ll 1) 4
Legal: L B Subdivision:
Existing Structure: YES or NO
CONFORMS TO ZONING YES NO
ORDINANCE
Yard Setbacks: NOT APPLICABLEI Requirement Proposed
MEETS CODE ,
• Side Yard �( ...4._(25' if abutting a street, 30' if abutting a street in —, `
Cardinal Ridge)
• Side Yard 10' / • t
_ � ca.
• Rear Yard f 0 SQ- ` `
1
• 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.
L:\TEMPLATE\DECKCHCK.DOC
DEPA
TMENT
F
PRIOR LAKE BUILDRNG A D�NSPECTION
INSPECTION
RECORD
SITE ADDRESS '�I/S POIN7EP.4SS
TYPE OF WORK OECG
USE OF BUILDING 4./dew
PERMIT NO. 14% OD 04P DATE ISSUED Is Z . I'4"'
BUILDER TSP NOITCH &DAS PHONE # GSI. "130. Meb
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INTECTOR DATEI FOOTING ,P
PLACE NO CONCRETE UNTIL ABOVE HA BEEN SIGNED
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• FOR ALL INSPECTIONS (952) 447-9850