HomeMy WebLinkAboutBuilding 01-0879
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
&'-11- {}/
; ~i~i~e ~::y I PERMIT NO. 01-0 o..-1q I
3 Yellow Applicant . V / T .
ZONIN G (office use)
/2/
4-5// JrlC!KSON '/)2fiIt- NC
LEGAL DESCRIPTION (office use only)
LOT/4BLOCK 2 ADDITION 777V.:5 s-ec:-o/'J.D
-0
OWNER
(Name)
JeFFANO
SAHG
all'//1
/"18/11 ~b
(Phone)
445 -QSt?4-
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
eck
DPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
o Fireplace
o Addition
o Alteration
OUtility Connection
o Misc.
PROJECT COST /V ALUE (excluding land) S
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.
X
Permit Valuation ;).
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Contractor's License No.
!~17- () I
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 $ 115,2(/
mes Your Building Permit When Approved
I ~~~ /&~i-;/
1~;ce~~~1
B ~ l "1 - Zoot
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
Residential Building Permit Checklist
Deck Additions to Single Family Homes
By:PB
Date:8-(7-2.ef
Building Permit #
Site Address qS11 ~SDA 1;.,
PID:
Zoning:
Legal: L /4
B L-
Subdivision: Tl'tus 2
Existing Structure: YES or NO
I CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street in ~B'
Cardinal Ridge)
. Side Yard 10' c..{o f
. Rear Yard 25' /8s-"
. Townhouses Must be consistent with
approved plan for
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.
TIns 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
SITE ADDRESS 4:5/1 V71ee:sON 772/)( ~ AlE:
TYPE OF WORK v6r~
USE OF BUILDING 1265 '1(.e'-
PERMIT NO. 0 I - 0 87q ATE ISSUED
BUILDER m{:Na PHONE # 1-4-5 -9'~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
J FOOTING I tJ9., I ?//9,#/
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
I FINAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850