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of PRt CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
x AND UTILITY CONNECTION PERMIT
4'N'NESo 'sP I. white File PERMIT NO. i
2. Pink City 1 O `g6b.
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
d' 55,3 / G(1e/ /rev leoe4' /GS JO
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
OWNER p, / /
(Name) f I, /�V' ( (Phone) N p2 i // i O Q
(Address)
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction eck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Lev 1 Finish ❑Fireplace
❑Addition ❑Alteratt ❑Utility Connection
CODE: ❑I.R.C. ❑LB.C. El Misc.
Type of Construction: I II III IV V A B PROJECT COST /VALUE $
ancy Group: A B E F H I M R S U (excluding land)
Divis n: 1 2 3 4 5 I /
I hereby certi that I have .. infor on o application y ge u 1 r I the on authorized agent the
bov - e �. proper and fiirni tr n w this il nform to all exist is ing to state the best and locof m know
al laws an will tre proceed and correct. in accordance also ce with tify submitted that am plans . I am o aware that the building for
a
ofri aean n on . e this pe it f. % cause Furtl rm e I hereby agree that the city official or a designee may enter u pon the property to perform necc(e in spect ins.
,....
Signature Contractor's License No. l ate
Permit Valuation 1 DC , -- Park Support Fee # $
Permit Fee $ 5-7 SAC # $
Plan Check Fee $ 31 - 35 Water Meter Size 5/8 "; 1 "; $
State Surcharge $ 75— Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ C 5 G3
This , ■ 4 , 4 o - . . • • ding Permit en pproved Paid �j Receipt No.
� � �� Date 1 r�� fic) By
:u' icial ate
This is to certify tha ,e request i ache above applicatih and accompanying document 0 in ac • with the City Zoning Ordinance and may proceed as requested. This document
when signed by t, y 'lan , e `institutes a temporary Certificate of Zoning compli ce and . flows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
a If
&rte 0
'I ng Direct. Dat- \ Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 44 E 4245
4646 Dakota Street Prior Lake, MN 55372 �\
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• • :Residential Building Permit Checklist
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- • . Deck Additions to Single Fa ily Il mes . •
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BY l'h • ' Date: a. g / , ( . . •
rbJ • - -----..., 7
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Building Permit # •• PID: Zoning: . • •
• Site Address - , _,• I r') . . . . . .
D 5 ( c,c)( ,... 1.--,.. 1 TT\ ' •• ' •
Legal: L B 0 Subdivision:
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..----c__ • . . . • •
• Existing Structur • or NO •
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(----n 1 •
CONFORMS TO ZONING - • • • YES • NO . •
ORDINANCE • • •
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Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE •
• Side Yard 10' • t •
. . (25' if abutting a street, 30' if abutting a street in
• ' 3 - 3 /
• Cardinal Ridge)
• Side Yard 1.0' •
,--
• ...Refi Yard .• 0 • • 25' •
rta,,a--s • SD
• • • Townhouses . • •
. • Must be consistent with
approved plan for •
• • , • development • •
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• • ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUSTBE REFERRED TO THE
• PLANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW. . • . - •
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. . 1 B }C. k (a \ ( 1 $ 12-. Ga:') (5-32 5 .3 . . . • .
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.. • .. LAT_EMPLAiS\DECI(CHCK.DOC . • • • • • •
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File No. 98420291 icir '
PROPERTY SKE TCH
(This is not .0 survey)
APPROVED
373 PL G DEPT
/
WILLOW BEACH TRAIL sig ed . Date / ¢ 6
115.00'
0 0
N
2 — 4Oe 9
2CAR
O 24 0 b
c 11/2 STORY o
0 r FRAME 6
in ___,
17 48
1
i
LOT 2
DR L F SIJT _ in ,
115.00'
N
Properly Address 3531 WILLOW BEACH TRAIL PRIOR LAKE
The locotton of the Improvements shoon on this droving are approximate and ore based on o visual Inspecllon of
the premises. The 101 dtnenstons ore Iaken from the recorded ptot or county records. This dro.tnq Is for Infornailonal
purposes a used os 0 survey. 11 does not conslltule 0 Mobility of the company and Is intended for
mortgage