HomeMy WebLinkAboutBuilding Permit 11.0589 J
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of "44 CITY OF PRIOR LAKE BUILDING PERMIT,
�• s TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Date Recd
AND UTILITY CONNECTION PERMIT
♦4'ivEsole"
I. white He I PERMIT NO. sisal j
2. Pink City
3 Yellow Applicant I .
Please or .rim and si at bottom)
ADDRESS
^G- Et ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION
PID
OWNER I _
•
(Name) L1 v�Gl �,� /1 ,rr
(Phone) a CZ 9 t..e 7-9'2Z.
(Address)
BUILDER
(Company Name)
(Contact Name) (Phone)
(Address) (Phone)
TYPE OF WORK 0 New Construction Deck
❑Addition ['Utirch lity Connection ORe-Siding ❑Lower Level Finish 0 Fireplace
❑Alte do ty
CODE: ❑I.R.C. ❑I.B.C.
0 Misc.
Type of Construction:
I II III IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/V $
Division: 1 2 3 4 5 (excluding 1
II 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 revoke this per 't for rust cause F uth more,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
Ae.../.4,
ignature / 1
Contractor's License No. ` Dat
Permit Valuation
Park Support Fee # $
Permit Fee $
Plan Check Fee $
$--- --7-7-----.7—.... SAC SAC # $
47_ 4 G� Water Meter Size 5/8"; 1"; $
State Surcharge $ ll "T
l 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 $
T t, iron Becomes Your Building Permit ( �� /
pproved I Paid �� !�j Receipt No. `Q3' �'�
Date / ll
4, 2 L 7 , r ? ► I By �0 1
tl late
This is to certify th( quest in thr►above application and accompanying cum; is in accordance with the CityZoning
when signe. .y th y Planner constitutes a temporary Certificate of Zon g coin ante and allows construction to commence.
Before
and
maya proceed as requested. This ymust document
issued, p. y,a Certificate of Occupancy must be
!,
tor Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245 Special Conditions,if any
•
4646 Dakota Street Prior Lake,MN 55372
Residential Building Permit Checklist
Deck Additions to Single Pam' y mes
BY: 1/l.� ADate: - i 1
Building Permit# PID: Zoning:
Site Address +
Legal: L B Subdivision: �S V
Existing Structure: 401r NO
CONFORMS TO ZONING I , S I NO
ORDINANCE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE P
• Side Yard 10' t.
(25' if abutting a street,30' if abutting a street in
Cardinal Ridge) 4 1
• Side Yard 10' _ 1
• Rear Yard 25' 5 S-S\\ _
78 • ( 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.
L:\TEMPLATE\DECKCHCK.DOC
r,
DEPARTMENT OF
PRIOR LAKE BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS n
TYPE OF WORK /
USE OF BUILDING
tz.rS
PERMIT NO.
Ik - 5t5 DATE ISSUED
BUILDER � :
NOTE: THIS IS NOT A PERMIT FOR ANY OF PHONE #
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING BELOW
FOOTING INSPE TOR DATE
11111111111111111PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FINAL
FOR ALL INSPECTIONS (952) 447-9850