HomeMy WebLinkAboutBuilding 05-0369
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
S. 3. OS-
at bottom)
.5-B87
White
Pink
Yellow
File
City
Applicanr
[PERMITNO'O!).03tPf 1
~ 77-1 --.S~
/ S c.) - ...j-r. c-
ZONING (office use)
';C/JD
LEGAL DESCRIPTION (office use only)
LOT ~5 BLOCK I ADDITION
OH/C /~(06C CT.
-- -..,- ","
PID 2.-:'. CJ75. 06 ~. (.J
OWNER
(Name)
1/1 ~ .~).
.
J P. 11 S '<'/)
/ S'C) .M
(Address)
"* "14 7 - 5~ 13
~
(Phone)
(f ~'2 Y' Lj 7 {. 2 S' 1.(
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction eck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAltera on OUtility Connection 0 Misc.
CODE, ~R.C. OLD.C. PROJECTCOST/VALUE $
Type of t;;~truction: I II III IV V A B (excluding land)
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
I hereby CertIfy that 1 have furnished InformatIOn on this applicatIOn which is to the best of my knowledge tme and correct. I also certIfy that 1 am the owner or authorIzed agent for the
above-mentIOned property and that aU 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 peImlt for Just cause FUllhermore, I hereby agree that the CIty offiCIal or a deSIgnee may enter Upon the property to perform needed InSpectIOns
X A~4 J~ A--'~_3 bS-
SIgnature Contractor's LIcense No Date
./~
Permit Valuation 1foaortOa
Permit Fee $ dS, (J 0
Plan Check Fee $ /Co,ZS
State Surcharge $ , $"0
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~-' ~ o-/s,hs-
Buildlllg OtticJaI ' Oaie
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 $ ~(. ?s-
Paid
Date
9-/. 7
,-S- ) S
ThIS IS to CertIt)> that the request In the above applIcatIon and accompanyrng documents is In accordance WIth the City ZonIng Ordinance and may proceed as requested. ThIS document
when SIgned by the City Planner constItutes .1 temporary CertIficate of Zonrng compliance and allows constructIon to commence. Before occupancy. a CertIficate of Occupancy must be
isslIed
Planning Director
Special Conditions. if any
Date
24 hour notice for al/ inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
BY 1J---
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Building Permit #
Site Address 5"?? 7
Legal: L S B r
Date: 0~s-
- Existing Structure: ~r NO
PID: Zoning:
/SCJ ~-->T; S"'. c)
Subdivision: fJo.-/t- e+ ~ '"
CONFORMS TO ZONING YES NO
ORDINANCE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10' &
(25' if abutting a street, 30' if abutting a street in I
Cardinal Ridge) Is'b -krf"t .
lIP""
. Side Yard 10'
55 / kc..
. ~, r fa n ~ "
. Rear Yard 25' I
~ 2S
. Townhouses Must be consistent with
approved plan for NI{
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
.sSS7 ISlJ'TN c-.
SITE ADDRESS
TYPE OF WORK =
USE OF BUILDING __
PERMIT NO. I). (J rf1 D TE ISSUED _ 5: a.d
BUILDER J'EN.i.JJ. PHONE #1.."'7. fi1t!;1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING /J1;. / /""S
PLACE NO CONCRETE UNTIL ABOVE HAS B~~EN SIGNED
f!RAM.NG I ~
fr'NAL I I
FOR ALL INSPECTIONS (952) 447-9850