HomeMy WebLinkAboutBuilding 05-0771
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
Date Rec' d
8.Q. OS
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 05. 0 11 ,
3/10
NOOO
Ouetc- 012.-.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
(Phone)
OWNER
(Name)
=re~~ '\1-'.111,;(
(Address)
PID 2-S": 337 6 (j4: 0
BUILDER
(Company Name)
(Contact Name)
(Address)
G,L;,f't\"\'1 ~L) c-.ov-)i~ t,...LI
/, -:) ,
7\-'l\ 1 <1): '41 ;'v't) '5
'I. '
. ';.'- ,L
(Phone)
(Phone)
({.;!;)) 7X; {(.-Ij'/
TYPE OF WORK 0 New Construction ~Deck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility ConnectIOn
CODE: OLR.C. OLB.C. o Mise -~--~- --~---
Type of Constmction: I II III IV V A B PROJECT COST IV ALUE $ &j({r.' -
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5 (excluding land)
I hereby certify that I have turmshed mformatlDn 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 fin the
almve-mentlLlned 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
oftlcial can n.,'V~l~ cause Furthermore, I hereby agree that the City official or a deSignee may enter upon the propelty to perform needed inspectIOns
~ "'-=S '..;1-J .- .' . ' . 3'-'/"-0<
X '.;~-;'C~,)NI/ f"".;1-l(rfiU\r' , :./
_. Stgnature Contractor's LIcense No. Date
Permit Valuation
Permit Fee $ W )-!>
Plan Check Fee $ S7 ">6
State Surcharge $ I S7>
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee $
mes Your Building Permit When Approved
~-'I~C5
Date
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 ~~ ,..../1 r. 10. tl.$"' $ /+7. II
I;JNO <{fAS;
Paid
Date
11::tJJ
Tim IS to certify that the request m the above applIcation and accompanYll1g documents IS 111 accordance WIth the City Zoning Ordinance and may proceed as requested Tim document
when signed by the City Planner CllnStItutes a temporary Certificate of Zonmg complIance and allows constructIOn to commence. Before occupancy, a Certrticate of Occupancy must be
i.'iSllCd
Planning Director
l2~qj ai/ t1cf!.u ..L Ihv,duv-f-
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY {Yt;k.. U? k-s""" Date g - q -OS
Building Permit #
Site Address '3 ((0
Pill:
(;Vo-vc..J dv,- fL
Zoning:
Legal: L B
. Existing Structure: YES o~
Subdivision:
0; /cf 5
CONFORMS TO ZONING
ORDINANCE
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10' ) C'"
(25' if abutting a street, 30' if abutting a street in /-~
Cardinal Ridge)
. Side Yard 10' 3s I
;
. Rear Yard 25' G () (
. Townhouses Must be consistent with
approved plan for /VI+
development
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLAl"l'NING DEPARTMENT. ALso, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO T~E PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERlVIIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L\TEMPLA TE\DECKCHCK.DOC
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