HomeMy WebLinkAboutZoning Permit 06-0016
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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File
City
Applicant
I PERMIT NO.
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(Please type or print and si~ at bottom)
ADDRESS
/5774-
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VIeW Je.tJAO
ZONING (office use)
Ie/50
LEGAL DESCRIPTION (office use only)
LOT I BLOCK
I ADDITION
/SLAJ./.o YleW 31U:J FU)L)N.
PID 25. zz.EJ. 001. C>
(Address)
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/-10 t21l. A--c- [,
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(Phone)
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OWNER
(N ame)
BUILDER
(Company Name)
(Contact Name) _
(Address)
(Phone)
(Phone)
ORe-Siding OLower Level Finish 0 Fireplace
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II III
F H
1 "'--2
A
R
B
S U
PROJECT COST/VALUE $
(excluding land)
~ hereby certify that I have hi Ished mformation on this app., lication ich is to the best of my knowledge true and COlTee!. I also certify that I am the owner or authOrized agent for the
~e-mentIo . Tly d that all construction will eoaform t all existmg state and local laws and WIll proceed in accordance with submilled plans. I am aware that the btllldmg
~liClal can revoke IS per Il for Just 7 Furthe~e!here a t the c \Cia I or a designee may enter upon the propel1y to perform nee;~;n:: 17 I>
Sigrtarure / Contractor's License No ]l1'ate
V
/
$/
$
$
$
$
$
$
$
Park Support Fee
#
$
$
$
$
Permit Valuation
Permit Fee
SAC
#
Plan Check Fee
Water Meter
Size 5/8"; 1";
State Surcharge
Pressure Reducer
Penalty
Sewer/Water Connection Fee
#
$
Plumbing Permit Fee
Water Tower Fee
#
$
$
$
$
yf
Mechanical Permit Fee
Builder's Deposit
Sewer & Water Permit Fee
Other
Gas Fireplace Permit Fee
TOTAL DUE
This Application Becomes Your Building Permit When Approved
/1I!1f., S~~....
/
Paid
Date
Receipt No.
By
ThiS IS to certify that the request in the above application and accompanymg documents is in accordance wllh the City Zonmg Ordinance and may proceed as requested. TIllS document
when signed by the City Planner constItutes a temporary Certificate of Zoning compliance and allows construCtIon to commence. Before llccllpancy, a Certificate of Occupancy mllst 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
-
SURVEYOR'S: CERTIFICATE' ,
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BRANCALE CONSTRUCTION, INC.
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DENOTES PROPOSED SURFACE DRAINAGE
DENOTES IRON MONUMENT SET
DENOTES IRON MONUMENT FOUND
DENOTES EXISTING ELEVATION
DENOTES PROPOSED ELEVATION
30
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I HEREBY CERTIFY TO BRANCALE CONSTRUCTION, INC. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: r,
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FEET
FEET
FEET
FEET,
Lot 1, Block 1, ISLAND VIEW 3RD AUDITION, accordinq to the recorded
plat thereof, Scott County, ~1innesota.
AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS
OR ENCROACHMENTS. IF ANY. THEREON. AS SURVEYED BY ME. OR UNDER My'DIRECT SUPERVISION.
TH I S 8TH DAY OF JANUARY, 1985.
".1
SIGN:~VR ;:;;~;J;t~
~ROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NO. 12294
PROJECT NO.
BOOK I PAGE
JAMES R. HILL, INC.
85408
FilE NO.
FOLDER
98/
76
Planners / Engineers / Surveyors
8200 Humboldt Avenu. South
BJoomtnglon, Mn. 55431 IS 12-884-3029
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