HomeMy WebLinkAboutZoning Compliance 12.0067 Fence o1 P �� N CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
Q AND UTILITY CONNECTION PERMIT
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I Pink City PERMIT NO . J
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3. Yellow Applicant l/�
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER j t`l= V€ N F. fi. S- ND F--e -S (Phone) (-0 i a- S 3 tr - S!. r
(Address) S) 0 U F4 T uQ et t.) ■4-0 lZc5.--i ( _ 1 �= 5 S 3 LI
B U I L D E R /
(Company Name) 1 .) y�1 - � .. . - CJ (.._. - (Phone) kd ( 7 3O^3 7 '
(Contact Name) - Pl 4-IA hl �, / 'V: . (Phone)
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(Address) 7( �'`� C,. !`'�:) l ^, ) o /IV ''J
TYPE OF WORK ❑ New Construction EDeck ['Porch ❑Re- Roofing ❑Re- Siding ELower Level Finish ❑ Fireplace
['Addition EAlteration ['Utility Connection
CODE: ❑I.R.C. ❑I.B.C. KIisc: T_ / 0 C -E--
Type of Construction: I II III IV V A B ,l
Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ 3cC)
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished information .n 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 , .nstru. on 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 r It fo , • use. F / ermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ 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 $
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date r'' B
i i' - e..46 4 i ot — /(P 0—
Budding Official Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning 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
Scott County, MN
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Property Information
Parcel ID: 250040220 Bathrooms: 0
Year Built: 1958
Taxpayer Name: REINDERS STEVEN E
Taxpayer Address1: 16146 JORDAN AVE SE Deeded Acreage: 0
Taxpayer Address2: PRIOR LAKE, MN 55372 GIS Acreag 0.25827
Property Address1: 16146 JORDAN AVE SE Zoning Clafication:
Property Address2: PRIOR LAKE MN 55372 Legal Description: Subdivision Name
COSTELLO'S ADDN Lot 015 Block 002
School District: 719 Plat Name: PLAT -25004 COSTELLO'S ADDN
Block: 002
Estimated Land Value: $60,000
Estimated Buildings Value: $98,300 Lot: 015
Total Estimated Market Value: $158,300 Unique Well & Boring No.:
Home Style: RAMBLER Well Depth Drilled:
Bedrooms: 4 Well Date Drilled: PR OR LAKE DO
. I"�� °DR LAKE ^ �' � , ARITEETH
!TEETHE ACC LAN� ACS
:Amp. AC t ?!S SHOULD BE \
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This drawing is neither a legally recorded map nor a survey and is not Map Scale N
intended to be used as on e. This drawing is a compilation of records,
information, and data located in various city county, and state offices, and 1 inch = 39 feet
other sources affecting the area shown, and is to be used for reference W E .:.
purposes only. Scott County is not responsible for any inaccuracies herein
Map -
contained. If discrepancies are found, please contact the Scott County �
a ate
Surveyors office 12/14/2012 S .p