HomeMy WebLinkAboutZoning Permit 05-0014CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
1 7 2'4 j31u r r Oak -
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
OWNER
(Name) rGd Lire« F 1'r
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re -Roofing
EAddition ❑Alteration ❑Utility Connection
CODE: I.R.C. ❑I.B.C.
Type of onstruction:
Occupancy Group:
Division:
I
A B E
II
F
III
H
2
IV V A
I M R
3 4 5
B
S U
I Wh to Fife
2 Pink Cny
3 Yellow Apphcant
Date Rec'd
PERMIT NO. d 5_ f
PID
ZONING (office use)
(Phone) Ca 5 2) ({7 - 6,777
j( tetz . 76 /. /SZ.S
(Phone)
(Phone)
❑Re -Siding ❑Lower Level Finish
❑ Misc P/ /" /L
PROJECT COST/VALUE $
(excluding land)
❑ Fireplace
1 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 -mentioned property 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 budding
official can revoke this p mit for lust cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections
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
This Application Becomes Your Building Permit When Approved
r 5/!moo
Building Olticial Date t
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
$
1,477
Receipt No.
By
This is to certify that the request in the above application 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 Certificate of Occupancy must he
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
CERTIFICATE OF SURVEY
for
V32-2951-02
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o-D1
0
r
D.R. HORTON
61)
/83.06' 12"E •O`�,�Pt�
(
6g/ 140.00 '�
7,
Scale: 1 " = 30'
'�:' _ 15
N� r Drainage &
utility \\
^ c' easement
/617
17243
I hereby certify that this survey, plan, or
report was prepared by me or under my direct
supervision and that I am a duly Registered
under the Laws of the State
Land Surveyor
of Minnesota.
Date 2.5 Oct, 2.002.
-oL
1
976
CP 1-3
urft
cA
C, ' Z�
itU
Top curb to Gar slab
Top block
Lowest bsmt fir
=350_
= `�LL.00
= 953,00
3urr Oak Lane
DESCRIPTION
Lot 1, Block 3,
DEERFIELD
Scott County, Minnesota
Plat bearings shown
o Denotes iron monument
Reg. No. 41905 ( Existing/\
Propose
BRANDT ENGINEERING & SURVEYING
11041 Burnnaven give,
Burnsville, V\ 55337
(957) /135 1966
Suite 11/1
N 32- 2951- 02
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