HomeMy WebLinkAboutBuilding 01-0131
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
2-28-0/
(Please
ADDRESS
1_ White
2 Pink
3_ Yellow
File
City
Applicant
I PERMIT NO. 0/ - 0/3 / I
/72- / 7 fMte..I ZotJ TJt!!!ff1 L. S €
ZONING (office use)
,e..j
LEGAL DESCRIPTION (office use only)
LOT
BLOCK 2- ADDITION tv 000/24 04-6
~o
OWNER
(Name)
J-J-q e l?1l ej' .
(Address)
f'. Z -. -.l
~
21-/-0
(Phone)
~~)ERS-\,-'<.Ci--.. \ U ,~ .". ....." :r: "-C .
(Address) /1 S'" 7 ~..-t'''c fc:fl Lx..J ~_
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 the property to perform needed inspections.
~
OF WORK
o New Construction
jd,tDeck
OLower Level Finish
o Fireplace
o Misc.
x
Permit Fee $ ~9.z5
Plan Check Fee $ ~5.01
State Surcharge $ / .ao
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Building Official
Date
(Phone) i S....~- :;F) $1'-0 6'1 <0.
f'c-u ~'- ~ V <"'53 r (.,
OPorch
ORe-Roofing
ORe-Siding
OAddition
OAlteration
OUtility Connection
PROJECT COST/VALUE (excluding land) $ 2 K-
do/o/73&
Contractor's License No.
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 $ 1/5.Zb
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
By:rJ3
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: ~/z' fQ-'C/ I
Building Permit # PID: 'Z ";), z-~c.I- ()/~-c)
Site Address //2-/1 ~.tA.:zz;N ~I L--
Zoning: ~ /
Legal: L Y B z..
Existing Slructure9-Q
I CONFORMS TO ZONING
ORDINANCE
Subdivision: ~()Of}lUo6v--6 @ 'T7t7ET c:2~
c~~_)
NO
I
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street v
in Cardinal Ridge)
. Side Yard 10' l/'
. Rear Yard 25' V
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLAt'lNING 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 A.l'lD INCLUDED IN THE BUILDING PERlVIIT FILE TO
MAINTAIN A RECORD OF THE REVIEW,
L:\TEMPLA TE\DECKCHCK.DOC
~
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUilDING AND INSPECTION
SITE ADDRESS ~I( Hc"r~ T)-
TYPE OF WORK - Poclc
USE OF BUILDING S~p
PERMIT NO. 01- 013 f DATE ISSUED 2 -28-.?co(
BUILDER ~c::rvR/7l- D///eN..5lo,.J.5
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FoonN~ . 61
PLACE NO CONCRETE UNTIL ABOVE HAS B~E~ '<~'GNED
~ 1 I
I ANAL . J l
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
DATE