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,� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
4/ !N 'y TEMPORARY CERTIFICATE OF ZONING COMPLIANCE S—• (1.- tri • AND 6,...', UTILITY CONNECTION PERMIT
r *N E SOS
1. White File
2. Pink City PERMIT NO. 1z - 53,
i (Please type or print and sign at bottom 3. Yellow Applicant
ADDRESS ZONING (office use)
18213 r C ;rrlt
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER / t� c' �t�7 set-
OWNER ..) r z -.,1 • •
(Name) 3c r-e 4 ..3 # J (Phone) ^ 89i - e g3 7
(Address) 14 / 2 /S id�P
J r C P C e / /" /' id/' L k /� S
/V " 3 7 Z
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ['Deck ['Porch ❑Re -Roofing Re -Siding g ❑ g ❑Lower Level Finish 0 Fireplace
DAddition DAlteration ['Utility Connection
CODE: .R.C. ❑ ``
LB.C. �Misc: Pe? 0�9
Type of nstruction: I II III IV V A 11 7T
Occupancy Group: A B E F III MR S U PROJECT COST /VALUE $
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I 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. I am aware that the building
official can revoke this it for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X L_ ' 4 . ,..Sf2z /Jl
S.: L ure Contractor's License No. Date
Permit Valuation 3 0 0 Park Support Fee # $
Permit Fee $ 25 c C) SAC # $
Plan Check Fee $ / , 5 Water Meter Size 5/8"; 1 "; $
State Surcharge $ . 3 l./ li 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 $ /, 75
This A . ti s . : ecomes Yout'Building Permit en pproved Paid 4-1 15 R ec pt
1 • No. ' (0 6 z7
1 _ Date (,P . j / Z By e
lI�r 6 (z_
B 'Id • Official ate 0
This is to c 'fy tha the request in the above application and accompanying cum is is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when si J ity Planner constitutes a temporary Certificate of Zon' g co lance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
.. 'lit Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
PRIOR LAKE
r DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 47- 1 33,4pc. C�c�
TYPE OF WORK P5T cs2c..
USE OF BUILDING ,,--
PERMIT NO. cz - DATE ISSUED (
BUILDER ,6 -rte svN PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING 1 Re (0/(z_- 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
1 1
I FINAL 1 (3 y /22-- I
FOR ALL INSPECTIONS (952) 447 -9850
CONSULTING ENGINEERS, WINDWOOD HOMES
A O B E NGINEE A ING
PLANNERS and LAND SURVEYORS PROJECT NO. 11821.00 T .00
E soon
COMPANY, INC . PAGE
1000 EAST 146th STREET, BURNSVILLE, MINNESOTA 55337 PH 432 -3000
CERTIFICATE OF SURVEY
Legal Description: LOT 7, BLOCK 4, THE WILDS NORTH,
SCOTT COUNTY, MINNESOTA.
1 . •
(9_1$ DENOTES EXISTING ELEVATION
&74 S � DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
9 °° = FINISHED GA FLOOR ELEVATION
96Z,5o = BASEMENT FLOOR ELEVATION
97/, /7 = TOP OF FOUNDATION ELEVATION
SCALE : 1" = 30' ? R ev`9
LOT AREA = 16,769 SQ. FT. APPROVED
HOUSE AREA = 2,456 SQ. FT.
Buildin Date
ADDeess : 14-Z13 BAPG - c IZCL.E Zonin Date
Grading Date
1 (."T' ''
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