HomeMy WebLinkAboutBUILDING 08-0263
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNE~ 1 1 .-1_
~am~ · ;~~~~
31:S(' ?~t) ~l (\
Date Rec' d
I White
Pink
Yellow
File
City
Applicant
PERMIT NO.Oe\ . ~3
ZONING (office use)
PID
s~
r;"or~~ M
(Phone) QS2.. ~f{'7--~2S-
SS3 ~ 2-
(Address)
BUILDER
(Company Name)
I
I (Contact Name)
I (Address)
TYPE OF WORK 0 New Construction
OAddition OAItera 0
(Phone)
(Phone)
eck OPorch ORe-Roofing
o Utility ConnectIon
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
ORe-Siding
OLower Level FinIsh
o FIreplace
DMisc
A
R
5
3aJ.
B
S
PROJECT COST IV ALUE
(excluding land)
$
U
turOlshed Informatton on this applicatIOn which lS to the best of my knowledge true and COITect. I also certify that I am the owner or authorized agent for the
Jbnvc-mcntwl1cd propc and that all construction will conform to all eXistmg slate dnd local laws and will proceed in accordance with submlUed plans I am .!ware that the buildmg
hL ") 'mll for Just cause Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the propel1y to perform needed rnspe tIons
x
Signature
Permit Valuation I "LC>O . ....
Permit Fee $ ~1 :;~
Plan Check Fee $ ":) '.04
State Surcharge $ lnt)
I Penalty $
I Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $ I
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 i $
Other $
TOTAL DUE $ (~ .3Q
\
11;Jfoe
ReceIpt No.
By
5,i)B
Paid
Date
ThiS IS tu certify that the request m the above applicatIOn and accompanymg documents is in accordance with the City Zoning Ordinance and may procecd ilS requested ThiS document
when signed hy the City Planner cunstltutes a temporalY Certificate of Zonll1g compliance and allows cunstructinn to commence Before occupancy, a Certificate of Occupancy mllst be
issllcd
~
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
BY:
Residential Building Permit Checklist
/ / Deck Additions to Single Family _Hies
!1J (jI- Date: 5' If) ! t) :3
Building Permit # ~... 2fo 3 PID:
Site Address -:? 'Z 4 /),. 6 S
;) r.;17 r'C:::' ,..~#,AJG Ir.
Legal: L B
Zoning:
Subdivision:
Existing Structure: YES or NO
Ci@
I CONFORMS TO ZONING
ORDINANCE
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
I
(25' if abutting a street, 30' if abutting a street in 10
Cardinal Ridge)
. Side Yard 10' (
100
. Rear Yard 25' ~~ '
. 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.
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 DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS ?>1~4 H='I2Sl,j"/N(", Sr S..6.
TYPE OF WORK D~\C I-
USE OF BUILDING [Z..e<; AI fZ- I /
PERMIT NO. 08 . ~3 DATE ISSUED ~lts-Io~
BUILDER rc'rM~t'~~ PHONE#~7~ZS-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTO.p
I FOOTING I J1/J
PLACE NO CONCRETE UNTIL A
FRAMING
I FINAL
ft
I o/f1~
FOR ALL INSPECTIONS (952) 447-9850