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� 7 CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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2. White City PERMIT NO. I
3. Yellow Applicant 1 — 17-2—
(Please type or print and sign at bottom)
ADDRESS
ZONING (office use)
3 L I Li . \ .�, , r\-\ i .
C G \ i'r l cv La Q,,,,
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER p �] I
(Name) AA 1 � e., ` , V-0. * 1 1-s:L L( (Phone G sa - 1 - es .-7 tp
(Address) , L Li c ic .", 'P3-r .c - r act.,‘ c&..1
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction peck ❑Porch ❑Re Roofing ❑Re- Sidin ['Lower Level Finish ❑ Fireplace
DAddition ❑Alteration ❑Utilit Connection
CODE: Co .RC. ❑ I.B.C. ID 'Aim
Type o Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ `4 '3 ?. (p
Division: 1 2 3 4 5 (excluding land)
1 hereby certify that 1 have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that 1 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 i
g p in accordance with submitted plans. 1 am aware that the building
official ca. ev a this . rmit . 'ust cause. Furth:, more, 1 hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x `� �/. J allvftA- `_/ -!/
,J lggnature Contractor's License No. Date d °ZS
Permit Valuation 3 oo0.. .. Park Support Fee # $
Permit Fee $ 88;2•S SAC # $
Plan Check Fee $ 57. 36 Water Meter Size 5/8 "; 1 "; $
State Surcharge $ 1. 50 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 $ (47.(1
This App ation Bec , •s Your Building Permit When Ap roved Paid
Date �l . Receipt No. �p
�� t
l ab it
• / I.401L Z- II ��� it I By
Building Officiate
This is to certify t the re. est in e above application and accompanying documents is in ac'.rdance with the City Zoning Ordinance and may proceed as requested. This document
when signed by City Pl./ neo stitutes a temporary Certificate of Zoning com Hance and : flows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
4.4011L > Z
Plann _ Director Date Special Conditions, if any
24 hour n • ce for all inspections (952) 447 -9850, fax (952) 447 -4245
Residential Building Permit Checklist
Deck Additions to Single Family Home
BY: # Date: 2_/2
Building Permit # (( (2 -, PID: Zoning:
Site Address
cr 4 4. 0(,0 P - Pte.
Legal: L B Subdivision:
Existing Structure: Y . r NO
CONFORMS TO ZONING NO
ORDINANCE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
' e.
• Side Yard 10'
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
• Side Yard 10' 1-
• Rear Yard 25'
• Townhouses Must be consistent with
approved plan for
development
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE 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.
12. c7 - Vt. 4 E-
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L: \TEMPLATE\DECKCHCK.DOC
10 PETERS, PRICE & SAMSON
LAND SURVEYORS, LTD.
1 2400 PRINCETON AVENUE SOUTH, SAVAGE, MINNESOTA 55378
612 - 890 -9201 • FAX 612 - 890 -6569
Certificate Of Survey For NEW CENTURY CONSTRUCTION
o DENOTES IRON MONUMENT SET 923.0 DENOTES EXISTING ELEVATION
• DENOTES IR ❑N MONUMENT FOUND (924.0) DENOTES PROPOSED ELEVATI ❑N
I ^ 1 N
/ 1 " = 50'
S 8710'48 "
79. 41
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r . i IIRAINAGE & 1 / 77 4.17Y-- --- ` i 76. .2 O , /
• L_ > EASEMENT .9-?':,,- , ;
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Date 0 r,' - `a �
Buiidin Date z = ! 28” 023. *s•• .. 0 0 / %
zoning i ,g
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DESCRIPTION
LOT 2 , BLOCK 2 TOP OF BLOCK = 922,33 23 f
FIRST ADDT I ON TO GARAGE FLOOR = 922.0 %
RASPBERRY RIDGE LOWEST FLOOR = 914.00 I // SCOTT COUNTY
MN. ;
We hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land, and of the location of all
buildings thereon, and all visible encroachments, if any, from or on said land.
As surveyed by us this C day of ,4V VS •' 19 95 �GR- "- y4v/p",
Q L.S.
Minnesota License No. �`,�// '1`p 90
R 1 PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS .394 &IA,/
NATURE OF WORK,
USE OF BUILDING
PERMIT NC---4 11 - /i2 DATE ISSUED - #'
CONTRACTOR 7)4,b.4,-,.,p
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS S ECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING 00- kil!y
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER/WATER/SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
WALLBOARD
FINALS
GRADING (Prior to Sodding)
BUILDING ? ' j/2fi
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough -in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447 -4230