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HomeMy WebLinkAbout20150817162950597 D - of PR ro CI'T'Y OF PRIOR LAKE BUILDING PERMIT, Date Rec'd F TEMPORARY CERTIFICATE OF ZONING COMPLIANCE x ANIS UTILITY CONNECTION PERMIT *'NNESO1P i. white File PERMIT NO. 2. Pint: City *' 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZOG(office use) 3 �U55 5 7- LEGAL LEGAL DESCRIPTION(office use only) ] LOT BLOCK ADDITION PIDs • 1 �` OWNER _ (Name) 7Z /a C L S (Phone) (Address) BUILDER (Company-Name) b W N e lz_ (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace ❑Addition ❑Alteration ❑Utility Connection n CODE: ❑I.R.C. ❑LB.C. 1XMisc. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: A B EF H I M R S U (excluding land) Division: 1 2 3 4 5 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 1 am the owner or authorized agent for the above-mentioned property and that all con action 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 perm florin e. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X 0 A"Z A ) ignature 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 Becom Your Building Permit When Approved Paid Recei No Date By J Building 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 c as utcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be Planning Director Date Special Conditions,if any P� 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 „f 4646 Dakota Street Prior Lake,MN 55372 As-Builts and Infrastructure Page 1 of 1 HOME As-Builts and Infrastructure Details Edit Basemap About Content Legend "� 16794 Contents x3870 0 Water Hydrants A 16810 11 0 Water Valves y# '� 0 Water Structures -T - 16820. -: Water Laterals - - �''" ® Water Mains 16824 - 855 _ ® Storm Outlets S .`• ® Storm Inlets - 3871 ,3 1602 Storm Manholes 16833 [j Storm Mains s- Ca l ' Storm BMPs ...y 16861 0 Sewer Lift Stations .[7j Sewer Manholes 0 Sewer Mains 16877 3662 3880 3846 ❑ Sewer Mains-Easement machine-Sewer Mains ® Street Lights ❑ 10 ft Contours(Scott Co.) 16695 v ❑ 2 ft Contours(Scott Co.) Esri.com.ArcGI5 Marketplace.Help.Terms of Use.Privacy.Contact Esn. Report Abuse ` 3859.3875 APPROVED Bui ingDat �� Grading Date http://priorlake.map s.arcgi s.com/home/webmap/viewer.html?webmap=3 95 7c7db4bdc4cb3... 8/12/2015 Cf\- M yr a — 0 O M N c e tbi Y q D w O _ O �. a K s O m I f b O W AP E ol gi r 2���! � b e o s z QS m rn J w p ri 1J U1fa D k Q+ 41 • _ za M q ,l— y1 8 I ` \ O O Cl N M C a o `� 4) w p rUo O m O W •1 1— 00 (' N W 11N a = ' 'M ± E O a)) O [ N Q+ Z Z O a + °� a � ' °+ 1 � r Lr O N aP O Yp to 09 le, 1 I ,�U ro > c M L.0 e>s W III l = •-1 .sC 3 .II + .14 cU 0- m o pf - Ln y a)°'LL CO w Jro 44 04.4 2 0 1V a) C W � y m a Og � i a) > omO rn � Iq OD ry ° w ,1o Zra 11 OD N W v O lO Do � ZOW aWv S2S o C •4 0 4Jom Nm mp um' w 11 _O :3 x Cc ALJ y p� = \ 1J •rl (J C Q7 ' c(1) k a i- W H m ro x o n o, w m > a, a a a a E � W = / 3 0' -1 ami ami W c m o G �. u 0 u ,� a G0. Cvv oC C y v c' m U L Q 0 a <n cn y Z 1 O O v 4-4 co ! ~ C m Vim'x i o> N - o } w � w ° LL [Ta W Z UU] t� U O I W `- o v v D W Z n O O Z I !L XEcr = h �M Q CCCoo E z° ww � i — o z „Za � LJ Y N zQ yl'�j w � + O J v >m ✓ W � o.0 v oE� oc D It � U O • U) cD CL p cn