HomeMy WebLinkAboutBuilding Permit 05-0016
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
Date Rec' d
White
Pink
Yellow
/- 3-0~
PERMIT NO'Q5". 00/&
File
City
Applicant
ZONING (office use)
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.....) () -/ / r//" r' /G/, ~ c......r.-
.SO
LEGAL DESCRIPTION (office use only)
"-f
/5 PI
LOT
ADDITION
OWNER
(Name)
~) I .1/1
{"fS~ '1
(Address)
IZ ( /..'1 .;..e:-
BUILDER
(Company Name)
(Contact Name)
(Address)
L-e,.; .,J 7 C,6P 1/ .... ,t..,r
'") /11 ..M fJ,1 l.v ~
e'-
(Phone)
4:-../"1 .
(Phone) ?/ J- - S.). '! '-0' ? S
(Phone)
TYPE OF WORK 0 New Construction ~eck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition o Alteration OUtility Connection 0 Misc.
i 900.
CODE: !.R.C. DI.B.c.
Type of onstruction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST /V ALUE $
(excluding land)
I hereby certify that I have hlrnlshed mformation on this applicatIOn which is to the best of my knowledge true and correct. I also certIfY that I am the owner or authonzed agent for the
above. mentIoned property and t t all construction WIll conform to all existmg state and local laws and will proceed in accordance with submlltcd plans. I am aware that the buildmg
ofticial can revok' his permIt r t cause Furthermore, I hereby agree that the CIty official or a deSignee may enter upon the property to perform needed mspecllons.
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 $
This Application Becomes Your Building Pennit When Approved
4/_ ~~\n~} .h
~~~ 1/3ta~S-
Contractor's License No.
i.) ';J. 7 ,"''-(
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ rzz.&'1
I
Paid
Date
127-, & 1
J,S,OS
i ~;f!!JflP'!!!- Z 7
TIllS IS to certifY that the request In the above applicallon and accompanymg documents is In accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner conslltutes a temporary Ccrllficate of Zonmg compliance and allows construction to commence. Before occupancy, a Cerllficate of Occupancy must be
I issLlcd
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
Residential Building Permit Checklist
Deck Additions to Single Family Homes
~9~~
Date: 1_
3~
,...-
{)5
BY:
Building Permit #
Site Address
PID:
Legal: L I l B
2-
Subdivision:
;;;;:t Pldr /zJ
fJ~v.D tJ~ ~ {sl-
~5 () tiC;'
Existing Structure: @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 3/ I
Cardinal Ridge)
. Side Yard 10' (
L{I
. Rear Yard 25' I
S-2?
. Townhouses Must be consistent with
approved plan for ,JA
development
t\:--
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 Al~Y
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED A1~D INCLUDED IN THE BUILDING PERlYIIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
-~
L:\TEMPLA TE\DECKCHCK.DOC
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
~'19 HAIV~ ~6t I?/) #
WItJ 1J&c~
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING ,
PERMIT NO. . -= .00/0 _ DATE ISSUED
BUILDER tM!LtJ4'~ P ONE#WZ-,R,-l4.1'?
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~E~OR DA~
I FOOTING 1:V\.~ vJi~ k~. No~ A4f~ ~ v.u,iY I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
-- --:::;
FINAL
FOR ALL INSPECTIONS (952) 447-9850