HomeMy WebLinkAboutBuilding 07-0324
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I.f lis, to
~ltk VI"
LJv
PUS!)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
A
i~ I /;1 ""1 /3 (.)
OWNER --,
(Name) 01"1. <;
JAIV
(Address)
Date Rec' d
S_/fo7
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 01. 05'Z4t-
JVtd
ZONING (office use)
PID z.~. 4-J1.0z.z,. ()
(Phone)
/PI)... 1be - t.ol(P~
c- fltoi/V.t..
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction
OAddition DAlter 0
Deck OPorch ORe-Roofing
o Utility Connection
IO'~IOI
ORe-Siding OLower Level Finish
CODE: rth.R.c. DI.B.C.
Type of &nstnlction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
o Misc.
B
S U
PROJECT COST IV ALUE $
(excluding land)
o Fireplace
this applicatIOn which IS to the best of my knowledge true and correct. I also certify that I am the owner or <lllthof!zed agent tor the
wll~confnrm to all 'xlStmg state and local laws and WIll proceed m accordance with submilted plans I am aware that the btllIdmg
'10 T. I hereby agr e that the city official or a deSIgnee may enter upon the propet1y to pert()rm needed mspectHlns
I hereby c . tit tl at 1 have hlrnlshed mformatIon
Jbnvl'~me tw e property and that all Clmstrllct
Ilftieial ca rvvo.' tlm permit for Just '€if Fu h
X lrn-lD''J ~V <
Signature
Contractor's License No.
5-/(-0'7
Date
Permit Valuation I,ZO(}() ()
Permit Fee $ 47. 75-
Plan Check Fee $ 3/.04-
State Surcharge $ .t:..O
I Penalty $
! Plumbing Permit Fee $
MechanIcal Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permtt Fee $
This Application Becomes Your Building Permit When Approved
IluildllH~ Ufficlal
5*f7~~7
, Date
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
s-/to//16 7
. Date
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Water Meter SizeS/8"; I",
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
ThIS IS to certIfy that the request m the above appltcatIOn and accompanymg documents IS m accordance with the City Zoning Ordinance and may pmceed as requested Tim document
when signed by the CIty PI,mner constItutes a temporary Certiticate of Zonmg complIance and allows construction to commence. Before occupancy, a CertIticate of Occupancy must be
'''L~~
Planning Director
Special Conditions, if any
Resi uilding Permit Checklist
Deck Addition Single Family Homes
BY:
~
r
Date: 5;1t(~ 7
~
Building Permit #
Site Address / q / , "
Legal: L 2 L B I
PID: Zoning:
fJ~ d,. ~-
Subdivision: ~
fJcrrJ lS"r
Existing Structure:@r NO
@
I CONFORMS TO ZONING
ORDINANCE
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street in (
Cardinal Ridge) 2~'1 +
. Side Yard 10' I
l ~, ~ -t-
. Rear Yard 25' (" 3 I ~ n..".... Ro 1
'-
Townhouses Must be consistent with "
.
approved plan for PIA. SP - a1t.. ~
development
-Jv
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
"" ~
DEPARTMENT OF
BUilDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO.
BUILDER 1",(,1. PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.
INSj'.6R I DYE
I FOOTING I _ I r,/lct{d?
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
1..-. I I
I FINAL I eB 17 ftiP1
FOR ALL INSPECTIONS (952) 447-9850