HomeMy WebLinkAboutZoning Permit 05-0004
CITY 0)' PRjOR LAKE BUILDING PERMIT.
TEMPORARY( CERTIFI~~TE OF ZONING COMPLIANCE)
AND UTILITY CONNECTION PERMIT
(Please type or print and siltn at bottom)
ADDRESS /75/4-
Date Rec' d
f. It}, {I"
White
Pink
Yellow
FENa;
PERMIT NO. 05 04-
File
City
Applicant
ZONING (office use)
SUA/f2IqY C/ te/!,Lb svv
eZSD
LEGAL DESCRIPTION (office use only)
LOT
ADDITION WOOOV/6w' 2ND
BLOCK
OWNER----rf,h' ~ -)
(N ame) I fl1 {!vii J7 nr fl
(Add,",") /15/!l; 1U1Vtur (liW..; ~l{)
BUILDER
(Company Name)
(Contact Name)
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility ConnectIOn
~c
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
B
S
A
B
U
PIDZlS.2'L700$.0
(Phone) CJ6J.. -I.!-l/t..- (;;7/ JZ.
fh h- X(})a/11J55.37:L
(Phone)
(Phone)
ORe-Siding OLower Level Finish
FifLbU
o Fireplace
PROJECT COST /V ALUE $
(excluding land)
I hereby certify that I have furnished mformation on this application which IS to the best of my knowledgc true and mITec!. I also certify that I am the owner or authorIzed agentlllr the
above-mentioned proper and that all constru tion WI conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
official can revoke tillS mIl for Just cause F rther e. I hereb; ao/.ee that the City official or a designee may enter upon the propelty to perform needed ms~e?7s I
X ,r1L-, ,if 1&1/ () h
Contractor's License No. Date
# $ I
# $ I
$ J I
!nr! /" I I
~ fyiL ~JA.pt1 · I
.~ }/I I
/ d$ , I
$ (lJ I
/
Park Support Fee
SAC
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid
Date
Buildmg Oftlcial
Date
Receipt No.
By
ThiS IS to certify that the request 10 the above applicatIOn and accompanymg documents is 10 accordance with thc City Zoning Ordmance and may proceed as requested. TillS document
when signed by the City Planner CllnstltUles a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
isslled
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
~';)- /) 9
FOR:
NI
TRAIL N.E.
372
Val ley EngIneering CO.,'nc.
SUITE 120- C, 115670 FRANKLIN TRAIL
FRANKLIN T1fAIL OFFICE CONDOMINIUM
~/OR LAKE, MINNESOTA 55312
TELEPHONE (612) 447-2510
447 -3241
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NOTES:
B.H. El. 100.00 (assumed) Top rim of
san. M.H. @ ~ Sunray Avenue SE'ly of Lot 5
95.9 denotes existing grade elevation
x
~01.5) denotes proposed finished grade
elevation
To" ..
ilL. 101...
denotes proposed direction of surface
drainage
Set garage slab @ elevation 101.7
Set top of foundation @ elevation 102.03
/
/
DESCRIPTION:
Lot 5, Block 1, WOODVIEW 2ND ADD'N, Scott County, Minnesota, also showing the location
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