HomeMy WebLinkAboutZoning Permit 05-0017
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. tJO- //j
(Please type or print and si~n at bottom)
ADDRESS
ZONING (office use)
3d-SO
;;; 1I{U'L/YJ/J 1YU/
I
LEGAL DESCRIPTION (office use only)
LOT / BLOCK ( ADDITION
OWNER
(N ame)
UCLh
Iitft/(A?lA/ffif
t4 0/ cVrJ
PID~ ~ - 1/1- (){JI-C)
(Phone) 'Jjj,-~ -;/..?U
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
CODE: ~I.R.C. DI.B.c. o Misc.
Type of onstmction: 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
ORe-Siding
~f
OLower Level Finish 0 Fireplace
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration o Utility Connection
P r / lJQ C."LI
/
re.. if.) e--e..
(.
PROJECT COST IV ALUE $
(excluding land)
is application which IS to the best of my knowledge true and correct. I also cerl1fy that I am the owner m authorIzed agent fm the
ill m to all eXlsl1ng state and local laws and will proceed in accordance with submltled plans. I am aware that the buildmg
I hereby agree that the City official or a designee may enter upon the propel1y to perform needed mspectllll1S
5"- .2~~O~
Contractor's License No. Date
x
Sewer & Water Permit Fee
Water Tower Fee
Builder's Deposit
Other
#
#
$
$
$
$
$
$
fV'~/(~ /
I ,~
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee
Plan Check Fee
Water Meter Size 5/8"; 1";
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Pressure Reducer
Sewer/Water Connection Fee
TOTAL DUE
$=':o:~n:;ngp;i;'~;:d ~~~ ~~"iotNO
, Building Ofticial . Date' ~ - ~ ;a, ~
ThiS IS to certify th.tt the lequest m the above application and accompanymg documents IS m~~II the City Zonmg Ordmance and may plllceed as~cument
when SIgned by the CIty PlanncI constttutcs a tempOlary Celtlticatc of Zonmg comphance and allows conStIuctlOn to commence BefOlc occupancy, a Cel tlticate {)f Occllpan~ must be
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
3~SO
6VGIf JrtORe teL
BUILDING PERMIT SURVEY PREPARED FOR:
\JIC RANTALA
~
.3250 SYCAMORE TRAIL'
. PRIOR LAKE, M~.55372
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underground. 1(963. 964.3'-
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Pl'OPOSed' patio with I
optional deck above - I '
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LEGAL DESCRIPTION:
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966.1
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Bituminous Driveway
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Bituminous Driveway
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APPROl
PLANNING
Stilled ~
Lot 1, Block .1. VH.E.. ~OITlON.Scott County, Minnesota. A1eo 8howln9 the loco
visible Improvements and encroachments onto or off from said property If any 1
of Jun. 2004.
S.,chmal'k Elevation 967.17 Top of exl.tJn9 garage lIob
96:.7 Denot.. exlatlng grade "evatlon
(962.3) Denot.. propOll'd grade _evotlon
~ Oenof.. propoaed direction of finished surface dralnag.
NOTES:
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Set the propoHd top of foundatJon at elevation MATCH EXIS
The lowutfloor ..wtlonwlll be MATCH EXISTING
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1.' ~Q "\ - - ~ence J _:- Iro.. 60"
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