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il P R- 6 R CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �� 88.2-5.400 N c
,1!11 AND U ' 1 ` • ' ON PERMIT
,�,oir/�
M,N'NESO „P I. White File pERMIT NO . //!��
2 Pink City M+ wO
3 Yellow Applicant VV
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
/ Y/• Le-S 7 7 4 !/e Sig. Td l S.7
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID 25_930. 02-49. 0
)R � r r s/ K ” e id a �1 (Phon 7- a2 � �
_ It cD t ill — 82.43
(Address) /4 9'I �.S 7'`a fe z/ .So, Firs or La kc A1; nJ /
r 447. ¢7//
BUILDER
(e) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction '6eck ❑Porch El Re-Roofing ['Re-Siding ❑Lower Level Finish El Fireplace
EAddition ❑Alterati ne ['Utility Con cti n
CODE: ❑I.R.C. D.B.C. ' ""P( c.
Type of Construction: I II III IV V A B
PROJECT COST /VALUE $
Occupancy Group: A B E F HI MR S U (excluding land)
Division: 1 2 3 4 5
I hereby certify that I have liirnished information on this application which is to the best of my knowledge true and correct. I also certify that 1 am the owner or authorized agent for the
above-mentione. .r. ter 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 re .ke th ..ermit for Just cause. Furthermore, I h by agree that the city official or a designee may enter upon the property to perform needed inspections.
i f S fature Contractor's License No. Date
Permit Valuation Park Support Fee # $
• r.1,
Permit Fee $ SAC # $
Plan Check Fee $ X . 9( Water Meter Size 5/8 "; 1 "; $
State Surcharge $ 2 ' SD 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 Per it Fee $ TOTAL DUE eagezce b /Z $ l to • 79
This + i ' i , o t'. c /Your Building Pe t Whe Approved Paid e' T c ' Receipt No. Sag I 0
/ Il . AI
g 2 Date : � • a► B
• II
If -1117-11 Official D< e ■
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
E-7 0S
Plannin 'rector 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
Scott County, MN
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Property Information
Parcel ID: 259300260 Last Sale Value:
Taxpayer Name: KJELDAHL,JERRY A & Deeded Acreage: 0.78
Taxpayer Addressl: 14891 ESTATE AVE SE GIS Acreage: 0.75522
Taxpayer Address2: Zoning Classification:
Taxpayer Address3: PRIOR LAKE MN, 55372 Legal Description: Sect -30 Twp -115
Range -021 .78 AC .78A IN GL8 & TRIA 25' X
Property Addressl: 14891 ESTATE AVE SE Plat Name:
Property Address2: PRIOR LAKE MN Block:
School District: 719 Lot:
Estimated Land Value: $450,500 Septic Type:
Estimated Buildings Value: $150,600 Date Installed:
Total Estimated Market Value: $601,100 Tank 1 Capacity:
Home Style: RAMBLER Tank 2 Capacity:
Prime Square Footage: 1412 Pump Tank Capacity:
Bedrooms: 4 Date of Last Pump:
Bathrooms: 3 Unique Well & Boring No.:
Year Built: 1970 Well Depth Drilled:
Last Sale Date: Well Date Drilled:
This drawing is neither a legally recorded map nor a survey and is not Map Scale N
intended to be used as one. This drawing is a compilation of records,
information, and data located in various city, county, and state offices, and 1 inch = 74 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 Date Y {C / V
contained. If discrepancies are found, please contact the Scott County ,,•, s
Surveyors Office. 10/3/2008 S /t
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS NbcL &tut( nuke
TYPE OF WORK 1 410.t- e_ww• -� �2C
USE OF BUILDING e
PERMIT NO. 8- (O DATE ISSUED 8- 2i
BUILDER Kid t�1 PHONE &6,
06,4 9pi
.err Fn 63
NOTE: THIS I IITOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
„L r i /! /Z4, /o? INSPECTOR DATE
FOOTING G 1 11 )
PLACE NO CONCRETE UNTIL ABOVE HA EN SIGNED
11 1 1
FINAL 1 ) I `(S`1 -
FOR ALL INSPECTIONS (952) 447 - 9850