HomeMy WebLinkAboutBuilding 02-1027
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L)564-
P/l/2/zNODD
LEGAL DESCRIPTION (office use only)
Date Rec' d
8- /tf- 02-
1_ White File
2 Pink City
3. Yellow Applicant
PERMIT NO.O 2. -} (
.. 0"2-'1
DfC?- / {/E
ZONING (office use)
R/
PID 25-3r7- 069-
LOT ~ BLOCK Z
ADDITION
OWNER
(Name)
(Address)
edvJ.~ 'th
Lf 5 g L.f ? a.ft-Kw 0 oJ Oft.
,
J
(Phone)
CfS2-l/\.Il-fl<14
YlClY
uJQ
--Sj J d-
fYtAJ
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
Deck
o Porch
ORe-Siding
o Lower Level Finish
o Misc,
ORe-Roofing
PROJECT COST IV ALUE (excluding land) $
o Fireplace
DAddition
DUtility Connection
o Alteration
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
fi the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
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
:::toper neededinsp ction::1~ y-/Cf -0 ~
Contractor's License No, Date
x
Permit Valuation "2-000. .,.
Permit Fee $ " . '2. S-
Plan Check Fee $ 15.DI
State Surcharge $ ( {)O
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
2-
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other I / $
TOTAL DUEQ,O' e I'Z-I /o-r. $ ns.U
I
I ~~~1-Z7f,J
Paid
Date
//!,-. ~
e~ 'Z- - o-z-
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
01/02/1995 14:37
4459523
VAN ZEE CO
PAGE 02
CERTIFICATE OF SURVEY
~o~
V AN ZEE HOMES
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A1%' PROPOSED GARAGE F'LOOR ElEV.- 1013.7
- f./\ PROPOSED TOP OF BLOCK
, U 3RO LEVEL ELEV.- 10 1 J.~
" ~).. PROPOSlD !SASEMENT !"LOOR
" / /rt 3RD LEVEL ELEV.-1014.4
'<:' VA ~ PROPOSED TOP OF BLOCK
" "V 4TH LEVEl. ELEV.- 10'~.4
" " PROPOSED 8ASEMENT FLOOR
" "" 4TH LEVEL ELEV.-l008.0
LAND DESCRIPTION " "
LOT 5. BLOCK 2 OF' WOODRDGE ESTATES THIRD ,,~ - DENOTES PROPOSED DRAINAGE DIRECTION
ADOlTlON, CITY OF PRIOR LAKE, ACCORDtJG TO " IODOim DENOTES PROPOSED REV A TION
ll€ RECORDED Pl.AT '1lDEOF. ON FILE IN T~ '" OOOxO DENOTES EXISTING ELEVATION
Of"FICE OF' THE COUNTY RECORDER, SCOTT COUNTY, 0 DENn~IIta=~lnJ:l I AKJ:
t.INl€SOT A.. SUBJECT TO EXlSTNG EASEMENTS Of" 0 DENMt! !ROlf-PI'[- ~ .. -
M:CORD. . DENOTES IRON PIPE MONUMENT FOUND
I hereby certryllll........ II..... to.. rA
my knowIedglt MIl "car" PIlar LIIIIa II
IhI8 pennI........Lh I -V,"
I tOEBY CERTFY THAT THS S~VEY WAS '~.lIml5t"'II"
MY oe:CT SUPERVISION AND THAT I AM A,""" _ Tl ~ - - III'
SURVEYOR UNDER THE LAWS Of TtE: STAI~I IJ..r..n It Tr ~
DATE' lo/z:r!'7 ~ ~.
R......,...t I.""rl
JUN 2 '98 9:36
4459523 PAGE.002
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS l(~rf/f 4/Ap.H.LJOd ./J (-
TYPE OF WORK .L:.. .
USE OF BUILDING -SF
PERMIT NO. Dd../o?,...1 DATE ISSUED
BUILDER /)a-,V &r Y/AJi-I-t, PHONE # t!~,I'7- p~ 9<7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850