HomeMy WebLinkAboutBuilding Permit 04-0699
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tyQe or print and sign at bottom)
ADDRESS
(',. c-
_ \0",
~....~\~...~
Q.. ,,-
LEGAL DESCRIPTION (office use only)
LOT\\oBLOCK ~ ADDITION ~...~,~'...
OWNER
(Name) '" ""'~~
(Address)
BUILDER
(Name) \......)....:) '--"-~ ~C:-'^-.....-.
(Contact Name) \...) '"-.."'-
(Address) ~~'U~'--
""""'''' "'-~~
TYPE OF WORK
o New Construction
DLower Level Finish
I. White
2 Pink
3. Yellow
File
City
Applicant
Date Rec' d
7-P-04
I PERMIT NO. 0 if" Ofdqq I
ZONING (office use)
/ZJ-
PID
,i{5~ 395- Obf-O
~<>,
(Phone)
(Phone) ~s..,
(Phone) '-... "'l,.
JIClDeCk
o Fireplace
DPorch
'-\. ~ '" '-1,,"'-00
';!,~, ",'"
DAlteration
ORe. Roofing
OUtility Connection
DAddition
ORe-Siding
t:;:,cA...\... ........./~~-....'... ,<", G,"'dI..J;?,ROJECTCOST/VALUE (excluding land) $ \,","\,'S,aO
o Misc.
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 confonn to all existing state and loca11aws 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 ~~-~....... ~~,-". '''''~~ '/1&10';
Signature
Permit Valuation
i~ooo,oo
$ 88.z-s
$ 57. 3ft.
$ I. S' c
$
$
$
$
$
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
:B~~g~ffici~ ~/I !:,(a tf
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE Ul'\M:;)?
Paid
Date
/#-7./1
I- / Z. (/ "..-
Date
# $
# $
$
$
# $
# $
$
$
1.1'200 +- $ 1'17.1/
~7p(, "
I Receipt 1<0.
I Bv f-..
o
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
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
~
Deck Addition:; to Single Family Home:;
BY ~~ Date '7- p-- ?(
Building P~rmit #
Site Addre:;,j
Pill:
Zonmg:
3')&~ ~ (lr
SUbdiVi:;ion:/ik ~
Legal; L / &
E
.:?
Exi:;ting Structure~or NO
'CONFORMS TO ZONmG
ORDINANCE
I""E S
NO
I Yard Setbacks: NOT APPLICABLE
MEETS CODE
- Side Yard
(2j' if abutting a street 30' if abuttmg a street in
Cardinal Ridge)
Side Yard
R~quirem~nt
Proposed
10'
I.
I-
10'
f
tJ2HA(o
1J7XA /a f
~ 2S/-
I~
j
Rear Yard
)-'
_J
. T o~vnhouses
Must be consistent with
approved plan for
development
tt//L
ANY PROPOSED DECK NOT MIETll'lG THE ABOVE CRlTERIA MUST BE REFERRED TO THE
PLAl'+1'Ill'lG DEPARTLVI:ENT, ALSO, A.NY DECK ON A LOT WITH A SUSPECTED BLlIFF, OR ANY
OTHER 1.'1'IUSU,U CIRCUMST.~'+CE MUST BE REFLl<RED TO THE PL~'(NlNG DEPARTLVI:ENT.
T1ils CHECKLlST MUST BE COMPLETED Mill INCLUDED ll'l THE BUILDING PERMIT FILE TO
iVlAINTAlN A RECORD OF THE REVIEW.
f... :',TE1'1lJlLA IF DE CKI,=:nCIC.D()C
,./
,<".
, _ ._7tl'~. :'_ :.
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS ~"- 5 ~~ c:.o~ 7"
TYPE OF WORK ~IAJ _._ .= _
USE OF BUILDING ~. ~ .
PERMIT NO. I) 4. 0 (, qq OAT: ISSUED ~" _
BUILDER .I!J~Il'AAIi.J'7ID._::[ PHONE # 'lZ.-Ur ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECT/ONS BELOW
THE PERMIT IS BY SEPARATE D~MENT
/ INSP~R DATE
[FOOnNG I 1'---fV',/ I -.J
PLACE NO CONCRETE UNTIL A-eO)tt(HAS BEEN SIGNED
~,~- L ]
1 FINAL See ~ '1_ 3liSr J
Q\~ \.cli\.lt ftJew}4ooSJ(
FOR All INSPECTIONS (952) 447-9850
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