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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
l'21Y. ~V\J~ET TR
LEGAL DESCRIPTION (office use only)
LOT 5" BLOCK
ADDITION
OWNER
(Name)
ri~
\7"2' 1..\
e~~B^'H
(Phone)
Date Rec' d
7/0/07
I PERMIT NO. 07. 6(054-1
White
Pink
Yellow
File
City
Applicant
SW,
ZONING (office use)
rLlSD
i
PID 2~- (ft/- oc 1-. (,1
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address) '4180
Ov'llXo't' SI'^'-fS D~~AJ'" g\J,Ln
::J'O lJ g ~aw"'tlrt.~
'F1l~t.Pot'T fi( 1\1
(Phone)
(Phone)
~S124
G ~1-'l~S' -UDO
HE V^,lLf,.'(
TYPE OF WORK 0 New Construction 1Slbeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 FIreplace
OAddition OAlteration OUtility ConnectIon
CODE:'\:2II.R.C. DI.B.C.
Type of ~nstmction:
Occupancy Group: A B
Division:
I
E
o Misc.
$
9 ~'-'
,000
"
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S U
PROJECT COST /V ALUE
(excluding land)
I hereby certity that I have hlrmshed Information on this applicatIOn which IS to the best of my knowledge true ami COtTect I also certJty that I am the owner or authOrIzed agent IlJr the
abovc-mentHlned property and that all clmstructllln will conform to all eXIstIng state and local laws and will proceed in accordance with submilted plans I am aware that the buildIng
oflielal can revoke tillS permil Ill! Just cause Furthermore. I hereby agree that the City official or a desIgnee may enter upon the property to pertorm needed InSpectHms
X /If W ~ 20~9 2\.fSc; ~-~-07
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
~echanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
I $
$
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
ornes Your Building Pennit When Approved
7 ~ )..L( '1fl
Date
#
#
#
#
$
$
$
$
$
$
$
$
$
ThiS IS to certify that the request In the above application and accompanymg documents is In accordance with the City Zoning Ordinance and may proceed ilS requested. ThiS document
when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allov..'s constructIOn to commence. BcfLll"C occupancy, .1 Certificate ()f Occupancy must be
isslIed
7-:2~'~eO? tfe/~WI~ s~::;fn[l~/X!n[
24 hour notice for all inspections (952) .t47-98511, fax (952) 447-.t2.t5
4646 Dakota Street Prior Lake, MN 55372
BY:
~IL Vlk~
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date:
7,J,4rtr)
I ;JJ<-(
~
PID:
SLMX r 1)-
Zoning:
Building Permit #
Site Address
Legal: L
B
Subdivision:
Existing Structure: YES o@
I CONFORMS TO ZONING
. ORDINANCE
~
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10' We P(qu---.,r
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
. Side Yard 10'
. Rear Yard 25'
./
. Townhouses Must be consistent with V/
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 DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 17M" S-1.JlIf ~-c + If,,- ,
TYPE OF WORK ().,.t;/l
USE OF BUILDING ~
PERMIT NO. ()7.. ~ DATE ISSUED ".J.L~4)
BUILDER Qft-el., SP-4 PHONE#{;S-I.,.3r"'hlll>
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IN~ DATE
I FOOTING I __ I ( - 1.'-0(
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING -,~ De./l I vvv7 I
r FINAL I ~ I ~""I)"11
FOR ALL INSPECTIONS (952) 447-9850