HomeMy WebLinkAboutBuilding 07-0275
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CITY OF fRIOR LAKE nVILDING rERMIT~
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
S6LI }1~Bt.J( I((AIL <;c
Date Rec' d
I White
Pink
Yellow
1/ 2 (, (6 7
I PERMIT NO.07- 02751
File
City
Applicant
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER
(Name)
I<()~i to Me eAt-
~ 62 ~ II M'61: r( I J2 AIL $15"
(Address)
PID
2'7' Z2. S' . G".;' · 0 I
(Phone)
CJ 52- ljl{()- ~O'7)
BUILDER ,qE DL(k Poot: C olft) fA/IIf ~ S 1- 4 ~L - 2"5 ) I "t )(T Ie]
(Company Name) 9- (Phone)
(Contact Name) Jr11l1~ JZ '" Pt) (Phone)
(Address) \\ (, 5 A k- rZ C-#'vi I\. 1/ [; c. ItJVL-~ G QOVb +I [: f6-+l1S f'v1.i) ~
TYPE OF WORK 0 New Construction 't>meck OPorch ORe-Roofing
OAdditlOn OAlteration OUtility Connection
CODE: ~.R.C. DI.B.c. ~Misc
Type of Constmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding OLower Level Finrsh 0 Fireplace
]).rz.c.L wi ~
{ .cL
PROJECT COST IV ALUE $ C, I OCG --
(excluding land) /
I hereby certify that I have hlfnlshed mformation on this applicatiun which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for tht'
above-mentHlned 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
~licial can ~thls p~r JUSk-.Furthcrmore. I hereby agree that the city official or a deSlgn~ ~a5~er upon the propeny to pertc)[m needed lr~c?~ -G ')
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
1,00
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~~
BurldlIlg UI1icial
i/Z-7/c 7
[)al~
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit I $
Other $
TOTAL DUE ~ f/u/o, a. $ /2.2., toq
I ~~~ ~tt1
~ ~.:tL
I ~~ce~ ~3lf103
,-2. <;;c S-
ThiS IS to certify that the requcst In the above application and accompanYll1g documents is 111 accordance with the City Zoning Ordinance and may pmceed as requested Tim document
when signed by the CIty Planner constItutes a temporalY Certificate of Zonll1g compliancc and allows constructIOn to commence. Before occupancy. a Certlticate of Occupancy must be
isslled
Planning Director
Special Conditions. if any
Date
24 hour notice for all inspections (')52) 447-985ll, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Residen . . ding Permit Checklist
eck Additions> Single Family Homes
BY:D~
,..
~
Date:
i/2-7~7
Stf'Z/
PID:
T~
Zoning:
Building Permit #
Site Address
T~
S'6-,
,
Legal: L
B
Subdivision:
Existing Structur~r NO
YES
I
I CONFORMS TO ZONING
ORDINANCE
I
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10' (I (
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
. Side Yard 10' to I t- ~t! 3~
. Rear Yard 25' I
~ 2.S
. Townhouses Must be consistent with
approved plan for (VA,
development
~c:9u1L
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 DEPARTMENT OF
.." BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS SB 2..1 ~ IlAIL -S,O,
TYPE OF WORK pec:..-.... W '~ff ~ iII-I'
I
USE OF BUILDING 5'.. r:: o.
PERMIT NO. 07-D,Z" S DATE ISSUED ~Lz. ?(tJ?
BUILDER . PHONE # n,- '.2 -ZJII
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW"""'"
THE PERMIT IS BY SEPARATE DOCUMENT '07
INSPECTO~ DATE
I FOOTING I 1M I {/!(,4f
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
- I I
I FINAL I W I 7- Hn
FOR ALL INSPECTIONS (952) 447-9850
..f .