HomeMy WebLinkAboutBuilding 02-0386
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4--IB -02--
{JtDG, p&en// 01-/318
ADDRESS
/53~fI'7
1. White File I PERMIT NO I
2 Pink City . 02-- 0,2ab
3. Yellow Applicant ~{;I .
11-/
--- ,
ZONING (office use)
9;
1"< )
tV / ~LJ
.- 110 - Y
I U ,Clef:::.- .
LEGAL DESCRIPTION (office use only)
LOT 5" BLOCK 4- ADDITION
iv'/L-DS
OWNER
(Name) Sk,i:; J?Dbl'VlJ..O./l
,
(Address) IS"JL/7 w;leI ~
NW
rJ... 'a r t-..
(Phone) 9s.;t - 'I'IO-S()fl,..
;vf-tJ ...!::.-S; .:17.2...
BUILDER
(Name) ~,:t> /2ob.'lrWd-v1
I
(Contact Name)
(Address) ,
- SCov-'\-L tW #E:::>iY-L-
-" 'TH
~. (.) I,
"'-'-~ / (..1
(Phone) 9~.). -~4/tJ- -Q)<fl..,
(Phone) 9s.;)..-c!':!~-~~O:! (O?)
TYPE OF WORK
o New Construction
OPorch
OLower Level Finish
)?[Deck
o Fireplace
ORe-Roofing
ORe-Siding
OAlteration
DUtility Connection
OAddition
PROJECT COST IV ALUE (excluding land) $
o Misc.
I 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 permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon ro rty to perti rm needed inspections.
x
Signature
Permit Valuation
Permit Fee
Plan Check Fee
s
$
$
$
$
$
$
$
$
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Building Permit When Approved
<-f-I'f-cJL
Date
ell! t, It; z..
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 $
Other $
TOTAL DUE $/38.B(P
[Laid 0/ ~~
[Date ...i e; , eI Z-
,
1~;~7$Z-
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
By:fJ)
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: 4- - /8-oZ-
Building Permit # (J 2 - 038UJ PID: .zs ,362- -I/-O - 0 Zoning: ,el
Site Address 1.534-7 IN /1-0 wee:ey G.
Legal: L 5 B 4-
Existing SlructurQ,r NO
Subdivision: f'/I/...;Q.s SOcJ77-/
I CONFORlVIS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street Ot::
in Cardinal Ridge)
. Side Yard 10'
~es::.
. Rear Yard 25'
~~-
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLAJ.'fNING DEPARTMENT. ALso, Al'fY 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 ,-\J'lD INCLUDED IN THE BUILDING PERIVIIT FILE TO
MAlNTAIN A RECORD OF THE REVIEW.
L\TENlPLA TE\DECKCHCK.DOC
~
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /534-1'/ NIL-D 7U~ Y cotler
TYPE OF WORK oe~
USE OF BUILDING /2t5S AIL
PERMIT NO. ()Z~ () 3Bh . DATE ISSUED 4- -/8'" 0 Z--
BUILDER /eo8//VSoA/ PHONE # 4'40 - 5086
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING S- 1 OJ..
PLACE NO CONCRETE UNTIL ABOVE H~S BEEN I NED
~ I I
I FINAL
~(, I f (; I ~.~- qY'
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850