HomeMy WebLinkAboutBuilding 02-0739
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White File
2 Pink City
J . Yellow Applicant
Date Rec' d
. ,/
(p-/tt - di:.-
G -ly'-OoL
I PERMIT NOO;(_ 7391
ADDRESS
ZONING (office use)
-.[)
LEGAL DESCRIPTION (office use only)
LOT :3c1LocK ( ADDITION
~
~
OWNER
(Name) 1A Ie. .5''''JJ)L~
(Address) J
(Phone) 95"2. -"'It!).. 5''B~
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
~eck
o Fireplace
o Porch
ORe-Roofing
ORe-Siding
o Lower Level Finish
OAddition
o Alteration
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
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 10ca1laws 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
~tef1f/:;.: t~rform needed inspections ~., 18..(!>'2-
Signature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
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 $ J~ ~ or 0 to
es Your Building Permit When Approved
&' 20 -~
~
Date
I&?t 'yt~O ~ece;EtN~~3(S-
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.
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
Residential Building PermH Checklist
De~k Additions to Single Family Homes
Bv'
~ ,
Date:
fo- Iq-O~
Building Permit #
Site Address 3 tl3 ~
PIU: . /_1 Zoning:
U/&tJaa-uc~ [) r
pun
Legal: L
B
Subdivision:
Existing Structure: Y"!:S or NO
CONFORlyIS TO ZONING Y'ES NO
ORDINA1~CE
Yard Setbacks: NOT A...PPLlCA..BLE Requirement Proposed
LYCEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street 2.;'
in Cardinal Ridge)
. Side Yard 10' -z.~
. Rear Yard 25' 8'2'
.~'fY PROPOSED DECK t'lOT MEETING THE ABOVE CRlTERlA MUST BE REFERRED TO THE
PLAJ.'1NING DEPARTMENT. ALSO, ANY DECK ON A LOT 'vY1TH A SUSPECTED BLUFF, OR A.NY
OTHER UNUSUAL CIRCUMST,lu.'iCE MUST BE REFERRED TO THE PLA1'iI'iIi'iG DEP.-\.RTlYlEl'lT.
THIS CHECKlIST MUST BE COMPLETED ,Ju'iD INCLUDED IN THE BU1LDll'lG PERi'r[IT FILE TO
MAlt'lTAll'f A RECORD OF THE REV1EW.
L,TE'vlPf.A TE\DF\:X\:HD:' nnr
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS '"SCf32 WC>~~ Duc.lc Dr--
TYPE OF WORK -f)", r k-
USE OF BUILDING S~rz.
PERMIT NO. 0 d-- 139 DATE ISSUED G,.~.OL.
BUILDER ~\N ~ PHONE # \J(/D ~S(i
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING
PLACE NO CONCRETE UNTIL ABOVE H~
~ I
I FINAL I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
"