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p � CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
Ave TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
x AND UTILITY CONNECTION PERMIT 515-II
U tr
*I NN ESOt t* - I. White File PERMIT NO . / / 35-D
2. Pink City r
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
(9288 T c4 • pr; L,c,ke t 553 Z
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER - • C2.8 G
(Name)
OWNER , Ot�‘G`,1 (Phone) ( 80 2
(Address) v
BUILDER
(Company Name) 'hone)
(Contact Name) Poo.-
(Address)
TYPE OF WORK ❑ New Construction Deck EPorch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish El Fireplace
❑Addition ❑Alter ion EUtility Connection
CODE: R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V AB PROJECT COST /VALUE $
Occupancy Group: A B E F HI MR S U (excluding land)
Division: 1 2 3 4 5
1 hereby certify that I 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 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 �i�- �l"W s�; c-.9-»
Signature Contractor's License No. Date
Permit Valuation 3000, Park Support Fee # $
Permit Fee $ 88.z S" SAC # $
Plan Check Fee $ 5-' 3 Water Meter Size 5/8 "; 1 "; $
State Surcharge $ ( 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 $ ' 4 7 11
This App ' a , n : i omes Your Building Permit Whe Ap roved P aid 0 �� ietpt
No.6 Zb,V
�. Date /
Building Of Icial ate
This is to certify that • request in the above application and accompanying docu ents in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed he Planner constitutes a temporary Certificate of Zoning c plia c and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Plannt Date 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
it Deck Additions to Single Family Ho es
BY:
Date:
Building Permit # PID: Zoning:
Site Address A. 1
i&at5e r4i-HAY tc-1 e
Legal: L B Subdivision:
Existing Structure: Yi or NO
CONFORMS TO ZONING Y NO
ORDINANCE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
• Side Yard
(25' if abutting a street, 30' if abutting a street in 'I -5 '
Cardinal Ridge) 1. 5
• Side Yard _IT' /. 5- ,
• Rear Yard 25'
f34.ct \
• 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. -
/ 1 ,, d.r2
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L:\TEMPLATE\DECKCHCK.DOC
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /GZ SCI 7fitow �.
TYPE OF WORK ,De
USE OF BUILDING 1
PERMIT NO. H. 3S0 DATE ISSUED 3. � 9.. /
BUILDER SOW / PHONE # 6/2, saZ. Q-66
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
CTOR DATE
I FOOTING 6 • J
PLACE NO CONCRETE UNTIL ABOVE HAS BE N SIGNED
41111.111111.
I 1
I FINAL t 2 io%
FOR ALL INSPECTIONS (952) 447 -9850
p^ ee FIELDSTONE FAMILY HOMES
�1 V W SURVEvoRS PROJECT NO. 14499.00
N INESRINV
COMPANY, INC.
L.,________ 1000 EAST 146th ST., S1E 240, BURNSW.LE, MN 56337 PH (952)432 -3000 . ,
CERTIFICATE OF SURVEY
Legal Description: LOT 13, BLOCK 4, THC Bt.UFFS OF NORTHWOOD MEADOWS,
SCOTT COUNTY, MINNESOTA
000.0 DEMOTES EXISTING ELEVATION
(000.0) MOTES PROPOSED ELEVATION
INDICA= DlRETION OF SURFACE DRAINAGE
(963.00 FINISHED GNOME FLOOR ELEVATION
(960.18) la . FLOOR ELEVATION
IIIII 063.33) is TOP FOUNDATION ELEVATION
SCALE : 1" = 30'
LOT AREA: 9,466 SQ.FT. APPROVED
HOUSE AREA: 1,808 SQ.FT.
INCLUDES PORCH & CANTS) ENGINEERING DEPT
DRIVEWAY AREA: 618 SQ.FT.
ADDRESS: 16288 TAHINKA COURT --r oar. .g i
O PL
APPROVED c 'c)y 1 ' DRAINAGE AND ApPROVED
y � • o ' 0 V UTILITY EASDMENr DEPT
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APPROVED H .: , \\° '�
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Buildln _ Date ,�.,, /� '�' #v yi Date s r ► //
Zoning _- �. .�., �� --..- .., 4 3
Grading Data
I hereby certify that this is a true aid correct re re eentation of a tract as shown and described
hereon. As prepared by me this z; day fi <- N 2010.
41I,n. Reg. No. 19086
RUSSELL P. DAMLO