HomeMy WebLinkAboutBuilding Permit 09-0182
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I/,.~ ~
Q)
Date Rec' d
4-_ Z;,O;
I White
Pink
:; Yellow
File
City
Applicant
I PERMIT NO. 09..-0/8Z-1
ZONING (office use)
~Uf)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
pm ZS_ 4-(;1. 0 ()8~ 0
OWNER- ~
(Name) ~jjQrl
(Address)
(Phone)
BUILDER ~::c...
(Company Name) '-
(Contact Name) -:S05 fYld;^-j
(Address) lII"a vel {eJ.,. ~
TYPE OF WORK 0 New Construction
OAdditlOn o Alter 0
CODE: OI.R.C. OLB.C.
Type of Constmction:
Occupancy Group: A B
Division:
nr
(Phone) C,S/ -21.7- S'ib S-
(Phone)
/"'IIV'
Deck OPorch ORe-Roofing
OUtility ConnectIOn
OLower Level Finish
I
E
II
F
I
III
H
2
IV V
I M
3 4
ORe-Siding
o Mise.
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
o Fireplace
$
I hereby certify that I have furmshed mformatlon 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-mentlOned property and that all CllnstructlOn will conform to all eXlstmg state and local laws and will proceed in accordance with submItted plans I am aware that the buildmg
official can revoke thIS pel 0 Just cause Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the propeny to perform needed mspectlOns
x
Signature
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
o vo () 0
/3L .5D
.13
3~C/D
Your Building Permit When Approved
+.Z'!.()9
Date
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
#
#
#
#
1{-2?-~9
Date
$
$
$
$
$
$
$
$
$
TOTAL DUE
ThiS IS to certIfy that the request m the above application and accompanymg documents IS m accordance with the City Zoning Ordinance and may pmceed as requested. ThIS document
when signed by tlw CIty Planner Cllnstltlltes a temporary Certificate of Zonmg compliance and allows construCtIon to commence. Before occupancy, a Certificate of Occupancy must be
isslIed
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:
Date: 1---,21 09
Building Permit # 09. () /82- PID: 2::>-. +t, /. () (j t~ cJ Zoning:
Site Address
Pt/O
Legal: L
B
Subdivision:
Existing Structure: YES or NO
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 23 /
Cardinal Ridge)
. Side Yard 10' [ 1- J
. Rear Yard 25' Sz.. I
. 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
INSPECTION
RECORD
SITE ADDRESS z194- f//IWL boc;6 RLJ.
TYPE OF WORK Oet:lL
USE OF BUILDING /te) ff/ /L.
,
PERMIT NO. () 9 Df ~2- DATE ISSUED 'F. 2-'~(j <J
BUILDER x- PI1;VO PHONE # 651. ZB6.S1aS
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 HAS BE N
I FRAMING I I
FOR ALL INSPECTIO S (952) 447-9850
FINAL