HomeMy WebLinkAboutZoning Permit 06-0003
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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City
Applicant
(Please type or print and si~n at bottom)
ADDRESS
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\5790
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER \
(Name) . <A "'" 4t ~
.J <- (",V ~~ f
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
Date Rec' d
L/, &, tJ(y
rt:;N0C
PERMIT NO. 06;J, L'003
ZONING (office use)
PIDZ';-. ~31. O(iS", u
<7$2.
If is o1S31.
ORe-Siding OLower Level Finish 0 Fireplace
TYPE OF WORK 0 New Construction ODeck OPorch ORe.Roofing
OAddition OAlteration OUtility Connection LL'
CODE: OI.R.C. DI.B.c. lJ Misc,
Type of Constmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
11 eRR/iv! /..../;V~
PROJECT COST IV ALUE $
(excluding land)
I hereby certifY that I have hlrmshed mtinmalIon on this application which IS to the best of my knowledge true and correct, I also cerufY that I am the owner or autlHlflzed agent tin the
ab<Jve-ment1(1ned property and that all constructIOn will conform to all existmg state and local laws and will proceed in accordance with submitted plans, I am aware that the buildmg
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Permit Valuation
Park Support Fee
SAC
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
Paid
Date
Building OI1iclal
Date
# $
# $
$
$
# $
# $ /"'"/'
$ /7\
$ V~
$ /
,
Receipt No.
By
ThiS IS to certifY that the request m the above applical10n and accompanymg documents is III accordance WIth the City Zoning Ordinance and may proceed as requested Tim document
when signed by the City Planner constitutes a temporal)' Certiticate of Zoning compliance and allows constructlon to commence. Before occupancy, a Certificate of Occupancy mllst be
isslled
Planning Director
Date
24 hour noticc for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
~ARED FOR.-
.E CONST
0'1000 STREET
MN. 55372
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Valley Engineering Co., Inc.
SUITE 120- C, 16670 FRANKLIN TRAIL
FRANKLIN TRAIL OFFICE CONDOMINIUM
ffi/OR LAKE, MINNESOTA 55372
TELEPHONE (612) 447-2570
447 -3241
co. ROAD
NO. 42
998.8
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DESCRIPflON:
LDt 5, Block 1, SAND POINTI: 5TH ADDITION, Scott County, Minnesota also showinp;
the location of the proposed house as staked this 16th day of February, 1987.
NarES:
B.M. EL. 1000.8'+ Top nut of hydrant @ corner of LDts 6 & 7, Block 1.
1001. 3
denotes existing grade elevation
( }QQ~_:l)
denotes proposed finished grade elevation
set garilf1f"' sIal) ril p'leva.tirm
1 nn 1 r:.
41_~~
denotes Droposed diroection of surface drainage