HomeMy WebLinkAboutFence Zoning Permit 05-0015 15616 Fremont Avenue NW
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 sign at bottom)
ADDRESS
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/s-~(~ P86r10A/1
Date Rec' d
s: /5, ()b
I PERMIT NO. ~S. 00/51
ZONING (office use)
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LEGAL DESCRIPTION (office use only) I
^ LOT / BLOCK.S ADDITION Qi4lA/..&VI~ 5-(lA AzR-J~.
1'. ~~R 5' U 21\JV IIJL "Ex: ~ E::> C 1,fu I ",huLJ<I p..JJX:Rii.i2 (Phone) qQ - t.; 1.(0" 'I C; 'of.<>
(Address) l <::;~ ((P .Fn..ev-Vtc"v', AvE. l\iW
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
DAddition DAlteration DUtility ConnectIOn
ORe-Siding
PID25 ZSz.. ()~3. ()
CODE: OLR.C. OLB.C. l\MiSC,
Type of ConstnIction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
~J
OLower Level Finish
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,.
o Fireplace &/
P~YAe,,;
PROJECT COST /V ALUE $
(excluding land)
I hereby certify that I have hlrmshed mfmmatllln 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.mentlOned property and that all Cllnstruction will conform to all existmg state and local laws and will proceed in accordance with submmed plans. I am aware that the buildmg
IOffiClal can revoke thiS ~el mil for lust cause urtherm/~ herebY.J1e that the CIty official or a deSignee may enter upon the propelty to perform needed mspectlons.
X I X ~-::~? J _ -&. ~ _( e ---f J - /_~- f' w
I Sj(miture) Contractor's License No. ..( Date )
~ ,-
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 Fec $
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
TlU, APPI".tiOn~" ~=' Du;ld;n, P'mili>~;:'d
IIlg Onic~ Date
Paid
Date
# $
# $
$
$
# $
# $
$
$ a
$ ;U
Receipt No.
By
/
ThIS IS to cer~ that the request m the above application and accompanymg documents IS m accordance With the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the City Planner Cllnst!tutes a temporalY Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-98511. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
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City tI PIfer tall does not ounnfee lfI8
8~curacy of this document. All
dImensions must be verifird in thp fiplif
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// /. :1 "".:; tr'G site plan Is _ illle to ~b.":;t of
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.'~IS c)errnit based 011 the informafon I e ~ubmJtted.
taKe T.J:I rr 3consibility for arty inaCCt.ll ,en this,
~ana ! n}~arl ; responsiblefof~!ccating' \.
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m;SCHIEJTION:
Lot 1, Block 5, ISLAND VIEW
5TH ADDITION, Scott County,
Minnesota
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NOTES:
[ d t @ [ r 1;" 1 (, 2, !Hocle 2
B.~1.EL. 918.17 Top nut o. h.y t'cUJ' , corner 0 JO,,, ~
"
denotes existing grade elevation
~,,!!-,-:..0 denotes proposed finished grade eJevaUon
denotes proposed direction of finished surface drainage
Set garage slab @ e19vati.cn 91': .'iO
Set top of Block @ elevation 914.73
30 00
j~~V."lUJ1(W~at'~
IN FEET
nonumtlnt Got.
Iwnumco t round.
I honsby C2lrflty fhat fhlll 51<etC
wo s proPOr0d by me or under t.
dlrGet llupgrvl.lon ond fhot I a
o duly Licensed Land SurvflyO
under fhe Iowa or the StON, of
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Do t Qi..2 <,z{:.(~".r UClJ:1no$ fr(
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FILE NO,r,')"/(; f"~