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Oi PRID� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � � /2
PERMIT NO LL`�� LLL
AND UTILITY CONNECTION PERMIT
* INN ES01� I. White pile pink City /� �g
fill//
3 Yellow Applicant
3
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
c 60 d4/ Q._ ms
a �C
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER 6 J / Q
(Name) �/CL1 .l�w ✓^ (Phone)
(Address) - 3 l bp k jt4,�Q CL
BUILDER ,
(Company Name) '.& 1I ra a ' . _, +..... _ (Phone) 4C " A.
(Contact Name) . ,;_ A _ ;1... (Phone) 6 G� " (O' '"3(0/(2
(Address) R9 _
) &k 6,77 e t' A
TYPE OF WORK ❑ N ew Construction Deck ❑Porch DRe-Roofing Re- Siding Lower Level Finish ❑ Fireplace • DAddition ❑Alter on ❑Utility Connection
',
.
r
CODE: R .C. ❑LB.C.
Type of C ns coon: I II III IV V AB PROJECT COST /VALUE $
Occupancy Group: A B E F HI MR S U (excluding land)
Division: 1 2 3 4 5
I hereby ce ' • 1 ha e furnished information on this application which is to the best of my knowledge true and correct. I also certify that 1 am the owner or authorized agent for the
above -ment . • lap 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 o• ' t , ermit for Just cause Furthermore, 1 hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X !' . — C13 • 3 - )o -•la-
Signature Contractor's License No. Date
Permit Valuation 5' L)00/00 Park Support Fee # $
`
Permit Fee $ J/ 7:73 SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ At S Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplac- Permit Fee $ TOTAL DUE $ / 94, 7'
This A �, :1F •' ' co t ildin Pe 't When Approved Paid /9(a. ) y R ceipt No. 6.5j 0 (G
J� Date 3_ 2, /_ / Z-
T 1 ' Date
This is to certify ,,,jjj the ' uest in the above@pplicanon and acco panying cuments is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by h• ■ it P nner constitutes a Certifrc, - of Zorn compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. i
r • , nning Direct. Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
Deck Additions to Single Family omes
BY: ' Date: ? id
Building Permit # PID: Zoning:
Site Address g (� t 2° .
Acs
Legal: L B Subdivision:
Existing Structure: YES or NO _
CONFORMS TO ZONING YE NO
ORDINANCE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
• Side Yard 10'
(25' if abutting a street, 30' if abutting a street in 2•C Cardinal Ridge)
• -aka Yard
ritte �f 25'
• Rear Yard
• 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.
IS 00
e preobl000.
L : \TEMPLATE\DECKCHCK.DOC
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RE oRD
SITE ADDRESS -
TYPE OF WORK *1.;J4 ... , 7I, 1 1.1 j
USE OF BUILDING
PERMIT NO. C • br DA ISSUED
BUILDER t_, ", • . • w, 6 , �. p -HONE # L Y14 9
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
TH SEPARATE DOCUM
MUM t l NT
IT IS BY SEPAR
TE
DarbOOTING 1 1 2-4I 41/ 7 v I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING 1 - 1
I FINAL 1 1 1/ 1 3 -
FOR ALL INSPECTIONS (952) 447 -9850