HomeMy WebLinkAboutBuilding 01-0331
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,
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4- ~Iq-o I
I. White
Pink
3. Yel10w
File
City
Applicant
I PERMIT NO. 01-033/
(Please
ADDRESS
ZONING (office use)
PUD
/+r,9/
J;1/ / L-D 5
V/6vV
NW
LEGAL DESCRIPTION (office use only)
LOT 12.BLOCK b ADDITION 77-16 NI 0.5
PID 2S -Zq -
2.-0
OWNER
(Name)
(Address)
BUILDER
(Name)
(Phone)
(Address)
TYPE OF WORK
o New Construction
eck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAddition
OAlteration
OUtility Connection
o Misc.
PROJECT COST /V ALUE (excluding land) $ r: c; 0 0
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 bJ,lildmg offiCIal can revoke thiS permit for just cause Furthermore, I hereby agree that the City offiCial or a deSignee may
;~,"po e pmpertZtfO " ed ,,,p,,tio L III 7! 0 I
Contractor's License No Date
L{,tt:IO .()O
Park Support Fee
SAC
#
#
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
$
$
$
$
$
$
$
$
Permit Fee $ Cf'1."2-S"""
Plan Check Fee $ &~.Z-l
State Surcharge $ 2.00
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Water Meter
Size 5/8"; 1";
Date
TOTAL DUE
/02..4-h
es Your Building Permit When Approved
{j,./'j- ~O(
This is to certify t at the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and y 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
BY:Vl1
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: 4-ICf~o I
Building Permit # PID: 2S - 233 - 1130 Zoning: ?uD
Site Address 14{y'11 \N I LDS V ISV\! N \,,-1
Legal: L r2....
B
o
Subdivision: ll-{E \N Il-DS
Existing Structur(~r NO
CONFORlVIS TO ZONING
ORDINA1~CE
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
lVlEETS CODE
. Side Yard 10'
~ ifabumng a street, Jv' if dLu~ng a. "t:.~ct 36 l
in C -1' ~1 ~. , +-
. Side Yard 10' -SOl+
. Rear Yard 25' 731
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, Al"fY DECK ON A LOT WITH A SUSPECTED BLUFF, OR A1"fY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED Ai'1D INCLUDED IN THE BUILDING PERivnT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TENIPLA TE\DECKCHCK.DOC
White - Building
Canary - Engineering
Pink - Planning
Thl' ("t>nlt'T of Ihe L.kf' Counll")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
HAR-T NAN('AA ~ P~\0\~-
I ~
4 -I Ci-o 1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
IA{Q q I \/\11 L.{J S V I E- If\f N V\J
Accepted
Accepted With Corrections V
Denied ~4P
Reviewe By: ';;i-~/~ Date:
rz::;~~~
'f-! r -eo,o/
,
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
-.#
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 1t./9f lA),'f.&svt'euJ LN
TYPE OF WORK Ded<
USE OF BUILDING SF D
PERMIT NO. 01-- 0331 DATE ISSUED l./ -I 9-4Jr:,r
BUILDER -.H~\- PHONE # q~- :1.'$3-1'7 ?6
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
~ I
I,
FINAL
FOR ALL INSPECTIONS (952) 447-9850