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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
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,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE S", 1. / /
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AND UTILITY CONNECTION PERMIT
I. t `te `le PERMIT NO.
3 Pink City / ! Y 3 2
3 Yellow City rtt / { t
! - 0, It and sign at bottom)
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ZONING (office use)
/ 708.. Strm.)elk1i -2 c,2Lr.� s..j I lji c2 ( - K' \ �rni SS3 7 > 2 .
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) � � /-A/ POL L o C t<" (Phon /-'Z 77 O 33 3
(Address) / 1cV2 S y ,i4= . Cc ice Sk,, ��1 v2 6 / e_ , / 5' .--- 5 --
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BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address) .
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch Erne- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
DAddition ❑Alteration ❑Utility Connection
CODE: A.R.C. ❑I.B.C. ❑ Misc. < 7
Type of Construction: 1 II III IV V AB PROJECT COST /VALUE $ / /,5 C-2 6 / . 0
Occupancy Group: A B E F HI MR S U (excluding land)
Division: 1 2 •3 4 5
I
1 hereby certify that t have furnished information 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- mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building
official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X__ '
Signature Contractor's License No. Date
Permit Valuation 400a - Park Support Fee it $
Permit Fee $ (C - • - SAC # $
Plan Check Fee $ r � c4 �i Water Meter Size 5/8 "; 1 "; $
State Surcharge $ 7. ' Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ . Builder's Deposit . $ —
•
Sewer & Water Pennit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $
(? f - c tS
•
This Appli ,n 17 .mesY. : r.. g Permit Wile App oved Paid /'7 ; 9S Rec t No. G z 6 Z7
/4 $ "'� Date ,. 4- 6/ By
i 9
Bt . n fticia Date
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This is to c j( h. t t. c request in the above application and accompanying docu cots ' in accordance with the City Zoning Ordinance and may proceed as requested. This document
when sign e e ' y Planner const a temporary Cert o Zoning co' p e and allows construction to commence. Bef ore occupancy, a Certificate of Occupancy must be
issued.
/ •
PI. .'u' 7 -tor r
Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
Deck Additions to Single Family ome
BY: ,4
I 1 Date: i(
Building Permit # Zoning:
Site Address
1 7 -7
c,
Legal: L B Subdivision:
Existing Structure: YES or NO
CONFORMS TO ZONING / ES NO
ORDINANCE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
• Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge) -7
• Side Yard / 1-C1
2
• Rear Yard
• 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.
(Z
LATEMPLATE\DECKCHCK.DOC
PRIOR LAKE
BUILDING AND ONSPECTION
INSPECTION
RECORD
SITE ADDRESS /700Z.. MNFiIkuAg, GO--
TYPE OF WORK MAP
USE OF BUILDING ger After
PERMIT NO. 4', 322° r DATE ISSUED �7 . 2.11
BUILDER 014,0e4G, PHONE # (//'l,. '7'70,3331
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE
FOOTING I I A�c uJ
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN IGNED
I WW1 1
FINAL I gi I#
FOR ALL INSPECTIONS (952) 447 -9850
1
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, ., r, , , .,,,, engineering
. CIVIL ENGINEERS LAND PLANNERS LAND SURVEYORS LANDSCAPE ARCHITECTS
1 2422 Enterprise Drive, Mendota Heights, MN 55120, Phone: (651) 681 1914 Fax: (651) 681 9488 - Pioneereng.com
CeIrtificate of Survey for: RYLAND HOMES
. ADDRESS: 17082 STONEBRIAR CIRCLE SW., PRIOR LAKE, MN
' i 11 HOUSE AREA =1,780 SQ FT
ti 1. DRIVEWAY AREA =88 SQ FT ZOilitig 4 4 7 4LvA- 46 .-
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BENCH MARK: N00 0
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APPROVED
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BENCH MARK:
�u� Date TOP NUT HYDRANT L6 85
Signed ~~ __,_ //'T/u»� �
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APPROVED
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ENGINEERING DEPT _ _--' ' LowE3T ALLOWABLE FLOOR ELEV. :
: �|Qnw ~^^~ 5 Data HOUSE ELEVATIONS : (pROPO3ED)/AS8U(L'
•
�-- LOWEST FLOOR ELEVATION : 067.3l
TOP OF FOUNDATION ELEV. :
.,,. -----
• GARAGE SLAB ELEV. / ------' -------
LE� �»DOOR� THIS
NOTE.
• LOCATION OF STRUCTURES ON THE LOT ONLY. CONTACT BUILDER
PRIOR TO CONSTRUCTION FOR APPROVED • NOTE NO SPECIFIC _-.S..~~..,~ PLANS. x 000.00 DENOTES EXISTING ELEVATION
SOILS BY THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC NV—~''~` HAS BEEN PERFORMED � 000.00 ) DENOTES PROPOSED ELEVATION
HOUSE PROPOSED IS NOT THE RESPONSIBILITY OF THE __ ___T DENOTES DRAINAGE AND UTILITY EASEMENT
� ~- oovn�SunmwAcc�onomconow THE RECORDED PLAT. � orncn ---A-- DENOTES SPIKE (uuo.o/ DENOTES ELEVATION ON
NOTE: CONTRACTOR MUST VERIFY • (»««.«) ocwn�scucnmmoro�Rn'o*
' E.O.F.
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WE !HEREBY CERTIFY TO RYLAND HOMES THAT BOUNDARIES IS A TRUE AND CORRECT REPRESENTATION OF A
/ / THE ----^'�~ O' '
LOT
SCOTT COUNTY, MINNESOTA '
/ T D NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SH0WN. AS SURVEYED BY ME OR
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