HomeMy WebLinkAboutBUILDING 08-0371
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
54-/2
--;7e4 JL-~.o
Date Rec' d
b.I? 08
1 White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 08. 637 / I
,
I
~AJe:
ZONING (office use)
/2./
LEGAL DESCRIPTION (office use only)
LOT.3 BLOCK -3 ADDITION /?/e Clvc<..rl V 6 /I'T tJ,(,BI4R/(/ t./ft:;;G
7
PID 25.+54-. tJ25 ()
OWNER
(Name)
JEFF
tedTH 11 e 'I bK-
(Address)
1.;$ r ~ <("I '7 -fi.J" ~
(Phone) (.- c".r) 116- ~,.s-
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction
OAddition OAlter
Deck OPorch ORe-Roofing
on OUtility ConnectIon
OLower Level Finish
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
ORe-Siding
o Mise.
B
S
U
PROJECT COST IV ALUE
(excluding land)
o Fireplace
$
I herl'by certify that I have turmshcd lI1fnrmatlOl1 on this applicatIOn which IS to the best of my knowledge trlle and (orrect. I also certify that I am the owner or authonzed agent for the
ah"ve-mentwned pruperty and that al: cunSlructlon w1l1 CllnfiJrm to all eXisting state and Illcallaws and will proceed m accordance with suhmltted plans I am aware that the hlllldmg
official can revoke tillS pe mlt for JlIS lIse Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the propctty to pert()rm needed ms )l'ctHHlS
C:, I z..
Permit Valuation
Permit Fee
$
$
$
$
$
$
=1:
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace PermIt Fee
-
Contractor's License No.
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fec
Water Tower Fee
Builder's Deposit
Other
#
#
#
#
Date
$
$
$
$
$
$
$
$
$
TOTAL DUE
Tim IS tu certify that the request ll1 the ahuve apphCatllln and accompanYing documents IS ll1 acCllrdance with the Crty Zuning Ordinance and may procecd as requested. Tim document
when signcd hy the Crty Planncr constitutes a temporary Certificate of Zllnll1g Cllmphance and allows construction to Cllmmence. Before occupancy, a Certificate ,,1' Occupancy must hc
i.ssued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 54l2. T~/L-HE/1D tAN&
TYPE OF WORK De eJ::-
USE OF BUILDING /26S J:J / IL-
PERMIT NO. OB. ()J7 / I DATE ISSUED (p,/Z,. oe
BUILDER f2 077-11'16 V ER-. PHONE #
I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING ~lft/O'
PLACE NO CONCRETE UNTIL AB VE HAS BEEN SIGNED
.~ JJii I W I (()-~ 1>>'
I FINAL I I
FOR ALL INSPECTIONS (952) 447-9850
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100= 957.6
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TOB= 959.0
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LOT SQ. F-OOTAGE
IMPERVIOUS COVERAGE =
LOT COVERAGE
14,184-
3,269
23%
Plan #3372
PROPOSED ELEVA~ONS
(;\."
'. I
Top of Foundation
Garage Floor
Basement Floor
Aprox. Sewer Service
Proposed Elev.
[xisting Elev.
Drainage Directions
Denotes Offset Stoke
= 958.:5
= 957.9
949.6
Verify
= c=::>
': ,
BENCHMARK.
,.11
MIN. SETBACK REQUIREMENTS
"",.,'
.
SC ALE: 1 inch = 30 f..t
Front - 25
Rear - 25
House Side - 10
Garage Side - 10
HEDLUND
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECi REPRESENTATION
or- THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERT1' AS SURVEYED
BY ME OR UNDER My DIRECT SUPERVISION AND DOES NOT PURPORT TO
SHOW IMPROVEIIlENTS OR ENCROACHMENTS. EXCEPT AS SHOWN.
1Bl~~ t ~t;,,?ff,.I"lAN URVEYOR
~ U ~I SOTA UCENSF NUMB R 14376
JOB NO:
07R-'060
BOOK: PAGE:
PLANNINC ENCINEERINC SURVEY/NC
2005 Pin Oak Drive
- Eagon. MN 5:;122
Phone: (651) 405-6600
Fox: (551) 405-5505
CAD FILE:
Enclave at CL
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