HomeMy WebLinkAboutBuilding Permit 07-0748
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(Please type or print and siJ1;n at bottom)
ADDRESS
15L/ 5-':)
W (1e.'O
Duck.
LEGAL DESCRIPTION (office use only)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
'?i9 It) 7
White
Pink
Yellow
I PERMIT NO. 1- 748
File
City
Applicant
ZONING (office use)
rtA-S-l.- ~,...J
LOT
-
BLOCK J.y ADDITION jHe tNJ:L- O~
$DJT'"'I
t'
OWNER
(Name)
Ji..JI-:;r.e Je.fVJ
(Phone)
cq &;). ) (/ 1./7 .. '-15-1 7
(Address)
I "L/~-t) t...'LXJQ
,(j. Ii\,)
OJ(,(. T1!A-I:L
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ~Deck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtiJity ConnectIon
CODE: OI.R.C. OI.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
o Mise.
$ Ji '/20D :_-&
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
I hereby certify that I have hlrmshcd mformatlOn on this application which is to the best of my knowledge true and correct. 1 also certify that I am the owner or autllOrIZed agent for the
JOI)Vc-mcntloned property and that all cunstructlOn will conform to allexistmg state and local laws and will proceed in accordance with submitted plans_ 1 am aware that the buildmg
:"'''' '"" "'25:l~~'m" "" (t,""'~"b' "'N <h" <he 0" "m"", m" d"","" m" '",eo "r"" doe pm!"',, '" po<c, m ",,,'d,'" m;'~',~~ <77
Signature Contractor's License No.
Permit Valuation
Permit Fee $
PI Cheek Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water ConnectIOn Fee # $
,
Water Tower Fee # $
Builder's Deposit i $
Other $
TOTAL DUE $ ''"l~ \ (t
I Foid ~~f,'
Date a; 7
pl
i ~;"it- 5'f5'L:'f
3C)~,3~ ~5()t{<j
omes Your Building Permit When Approved
ThiS IS to certify that the request In the above applicatIOn and accompanymg documents is In accordance With the Clly Zoning Ordmance and may proceed as requested. TIllS document
when signed by the Clly Planner constitutes a temporalY Certificate of Zonmg compliance and allows constructIOn to commence Befllre occupancy. a Certificate of Occupancy must be
issllcd
Planning Direclor
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9R50, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
By;()b
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date; fib?
Building Permit # PID:
Site Address I SlI.5S ~ OG/"'C-f
Zoning:
Legal: L
B
Subdivision:
Existing Structure: ~r NO
I CONFORMS TO ZONING
ORDINANCE
YES
)(
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10' f
(25' if abutting a street, 30' if abutting a street in 40
Cardinal Ridge)
. Side Yard 10' '-IS
. Rear Yard 25' I
10 ~
. 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:\TEMPLA TE\DECKCHCK.DOC
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS Ic;4S"S- Wocr1. Ot)( l
TYPE OF WORK C2.clc.
USE OF BUILDING ~~
PERMIT NO. DATE ISSUED B / if /07
BUILDER -jlJ l,'{ 1t-~~ PHOr4E;' c.(47_Qg)
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING 01
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN 51 NED
~ I I
I FINAL I vtr;:/' I [I J,V{/1
INSPECTOR DATE
FOR ALL INSPECTIONS (952) 447-9850
., f .
..