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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
, 7767
C 1~Ci.VI.
'-r;,- I Sl;-
Date Rec' d
White
Pink
Yellow
3/~(!OZ
I PERMITNO.D~- oO?jl
File
City
Applicant
ZONING (office use)
f I )) i. [.., /4'
IN/V
.s;~-37L
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
/i L ih {.E
l ./ Ylt~ rl< s .-I-
17115? [Ilea..
YE,
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
S,It~'z A-s A 'f?tJJ 2
(Phone)
9.52 85)': Y'/.-S!
D
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Lt.-,k,
/(;U'L/ .5-';'0- '3 1L-
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ~eck OPorch ORe-Roofing
DAdditlOn DAlter~ o Utility ConnectIon
CODE: ~.R.C. DI.B.c.
Type of~strnction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: ~ 2 3 4 5
ORe-Siding OLower Level FinIsh
o Fireplace
o Mise.
PROJECT COST IV ALUE $
(excluding land)
I hereby cl'rtity that I have hlrmshed Information on this applicatlOn which is to the hest of my knowledge true and correct. I also certify that I am the owner Of iluthonznl agent for the
abovc-mentlLlned property anXrhJ~t all constructHln will conform to all eXIstIng state and local laws and will proceed In accordance with submitted plans. I am aware that the bUIldIng
~liClal can revok( ;l~rs ~s;rmIt~0ause Furthermore, I hereby agree that the crty official ur a deSignee may enter upon the property to pert(lrm needed I~~C;(~ _ () 8'
Signature Contractor's License No. Date
Permit Valuation Os () (J
Permit Fee $ '/ .:::.
i &,----'
Plan Check Fee $ '5 7,30
State Surcharge $ ~o
I
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
1.2 '~ r(1
I (~A./I'-4_. ~~~
I lluIidlllg Oniclal
~/~ lop I
Datc
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I", $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit i $
Other $
TOTAL DUE $ /Lf7 1/
~~~ I/;iljt
I ~~ceih'~~ /q &
ThiS IS to certify that the request In the above applrcatHln and accompanYll1g documents is In accordance wIth the City Zoning Ordinance and may pmceed as requested TIllS document
when signed by the City Planner constitutes a temporary CertIticate of Zllnll1g complrance and allows Clll1structIOn tll commence Before occupancy. a Certificate of Occupancy must bc
issued
Planning Director
Special Conditions, if any
Date
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 Homes
BY: ZL~/~ ~J:;~ Date: _5f-/~Y
Building Permit # PID:., ,1 Zo:>ning:
Site Address ! 77c?? (2Le-O-1-j .::tLo-J ~ E,.
Legal: L f B (;( Subdivision: er-c~"'@ (JJUJ ~u...,
Existing Structure: YES or 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)
. Side Yard 10' . I
/11 10 h'u.~j
. Rear Yard 25' g7!
. Townhouses Must be consistent with
approved plan for f/A
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.
L:\TEMPLA TE\DECKCHCK.DOC
PRIOR LAKE DEPARTMENT OF
- BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 1'/'7I'? ~tlJ'1rlf Y nt. S,e,
TYPE OF WORK ~ /)Ef'~ "';/ST/f I U
USE OF BUILDING J": EJ), ,
PERMIT NO. 08 - t:J()tfV( DATE ISSUED 3/ '1 /~r
BUILDER at~a.,c..~S 1J1J.E PHONE tIf$l,.fSS-II'1!/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
PLACE NO CONCRETE UNTIL ABOVE HA
FRAMING
FINAL
FOR ALL INSPECTIONS (952) 447-9850
:, ' -..t .
Surveyor's
SURVEY FOR
DESCRIBED AS
Certificate
: PUL TE HOMES
: Lots 8. Block 2, THE ENCLAVE AT CLEARY LAKE, City of Prior Lake, Scott
County, Minnesota and r . 0 or
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LOT SQ. FOOTAGE = 18,618
IMPERVIOUS COVERAGE = 3,323
LOT COVERAGE = 18%
Plan 113372
PROPOSED ELEVATIONS
Top of Foundation = 965.5
Garage Floor = 965.1
Basement Floor = 956.8
Aprox. Sewer Service = Verify
Proposed Elev. = c=::>
ExistIng Elev. - -
Drainage Directions = -
Denotes Offset Stake = .
HEDLUND
PLANNINr; ENf;/NI!/fRINC SURV'EYlNr;
200:5 Pin Oak Drive
. ' : Eagon. MN 55122
'R!lone: (651) 405-6600
fii~:, (6") 405-6606
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1,,;,~- OF \~""",
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BENCHMARK,
MIN. SETBAC,K REQUIREMENTS
Front - 25 House Side. - 10
Rear - 25 Garage Side - 10
SCAlE: 1 Inch - 30 re.t
I HEREBY CERTII"( lHAT 11ilS IS A TRUE AND CORRECT REf'flESEHTAllON
OF '!HE SQUNDARIES Of '!HE: ...BDW: DESCRIBED PRoPERlY AS SURVEYED
BY ME OR UN~R UY DIRECT SUPER\1SION AND DOES NOT PIJRPOOT TO
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOM!o
JOB NO:
D7R-151
9001<:
CAD FILE:
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