HomeMy WebLinkAboutZoning Permit #05-04
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2 Pink
3 Vellow
File
City
Applicant
(Please type or print and si~ at bottom)
ADDRESS
I S I' Y /'Y!~..v. J(; oJ Re:/J IV E J /)1' ". " Ll/<f! J }v? N S 5 37 ~
LEGAL DESCRIPTION (office use only) (f) . .
LOT;f BLOCK f ADDITION 'f( OJd.p 11I4LP /rJ1jP
OWNER . V
(N ame) Ch .,,/ ..... ,4 L i'~ I! .. ':fo. ......-,u :)' ~ ~ w
Date Rec' d
I PERMIT NO.
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tP$/O'-/
ZONING (office use)
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Ref PID cQ5'" ~53-(X't1'9
(Phone) (;I,~ - 7 0 ~ ..:;} .-l,~ 8
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
" TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition OAlteration OUtility Connection 0 Misc.
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
F ejlJ c. e.....
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
I hereby certifY that 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 authOrized agent for the
above-menl1oned p operty and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke is per~,for just cause, Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed mspecl1o~s. _
X W fCt.... Y/d 7/t.:1 S
Signature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee . $
Cal~: ' i
TbUTu~Y~.~-;J;At:;-
f BlIIldll1g0~ I DYG7..
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
Paid
Date
# $
# $
$
$
# $
# $ J
II A $/ /i/
I r J ('/
. '$---
Receipt No.
By
ThiS IS to certifY that the request in the above applical10n 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 Cerl1ficate of Occupancy must be
issued
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
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SII1Vclfors ecrlifklllc
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SURVEY FOR: Holme Construction
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DES C RIB E 0 AS: Lot 4, B 1 0 c k 1, RA S P B ERR Y RID G E, C i t Y 0 f
County, Minnesota and reserving easements of 'r'ecord.' ."
CITY ~F F! lOR LAKE
BUILDII\LG IT PLAN REVIEW
INSPECTOR /I"'L. '-...
DATE 4-/Z74'.c::;---~~. O~-~1
~ ACCEPTED AS SI~IiJIIIII tlt;tpJ F 00 I A GE =
. 0 ACCEPTED W1rifEORREtTJONS As NOTED
o NOT ACCEPTED-CORRECT & RESUBMIT
These comments are for your information. All work shall be done
in full compliance with all applicable building & zoning codee-
quirements including items not specifically noted in this reviey.
KEEP THIS PLAN SETON SITE AT ALL TIMES.
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PROPOSED ELEVATIONS
BENCHMARK. &" mH @ 51.