HomeMy WebLinkAboutBuilding 02-1178
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
o rOU5.e.; 8\---
LEGAL DESCRIPTION (office use only)
Date Rec' d
q"'lg...o 2-
~i~i~e ~::y I PERMIT NO. O/}" 1/1,1,
Yellow Applicant . V l -(j
ZONING (office usc)
e/
LOT
BLOCK ..s- ADDITION
-0
PID 'Z 5 - 3 17Z- - /.
OWNER
(N ame)
(Phone)
(Address)
BUILDER /JA I I
(Name) ./ JlI e~ ''1 t/I 0 IS V11.
(Contact Name) 7' /H1 Ie /'" 7
(Address)
I~.s
TYPE OF WORK
o New Construction
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
~- Odd. Cu
o Misc.
V'.
(Phone) 9S'"d.- - ~.;JG-ro U7. <-
(Phone) 0/.) - 7 J/- c; 2... 5' 7
Souc<<_ /J1;J SD7J>
OPorch
ORe-Roofing
ORe-Siding
OAddition
OAlteration
OUtility Connection
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 r perty to perfor eeded inspections.
x
Permit Valuation 5, ODO ()~
Permit Fee $ &'3 ~
Plan Check Fee $ S-~ e-
State Surcharge $ / ~
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
comes Your Building Permit When Approved
q-(Q-OL
Date
3/ G, '2...
{//;0 -2-
Date
Contractor's License No.
Park Support Fee
SAC
$
$
$
$
$
$
$
$
/fJv$
'3%,%1P I ~~~.
9 - bd -<fL..-- U-'
38'. ~
r30& (
#
#
Water Meter
Size 5/8"; I";
Pressure Reducer
City SAC and WAC
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
Paid
Date
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.
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
Planning Director
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:
mf
Date:
q-fQ-oL.
Building Permit #
Site Address
PID:
Zoning:
Legal: L &j B S-
.--
Existing Strnctnre:~r NO
Subdivision:
'fh.~ W, I.) j SOJ,/'-!.
CONFORJ\iIS TO ZONING \~S NO
ORDINANCE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10' B-O(
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
. Side Yard 10' 4 () (
. Rear Yard 25' t-(~/
. Townhouses Must be consistent with
approved plan for fl.1!-
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
INSPECTION
RECORD
Q,c~
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3110 GtOO~
TYPE OF WORK --De.~lc..
USE OF BUILDING SFD
PERMIT NO. OJ'//7B DATEISSUED C[-t1-o-z-.
BUILDER j'\~\;,^ ()\~ ~ PHONE# (,('(,,751-f.c?5l
NOTE: THIS IS ~OT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSP~OR DATE
'FOOTING I YW I q-l.Or02-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
FINAL
"