HomeMy WebLinkAboutFence Permit 03-09
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si2l1 at bottom)
I ADDRESS
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I.White File
2. Pink City
3. Yellow Applicant
((9'" R~'d
I PERMIT NO. 03~cPI
ZONING (office use)
I2i
LEGAL DESCRIPTION (office use only)
LOT r- BLOCK 1..-- ADDITION [4..1<.6... t J e..
fI.A C4.,1I\. j)"
PID ;;-;;- - OSY-('" , I '"
OWNER_ ^ ~ .
(Name) J e ~ +" D eb~ '""'t'(.c- " J 01'\. \
(Address) ~?Ol (' t<-n ~'" (ov ~ Tp- s E'
(Phone) 440 - ~3C.'i'""
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
DPorch
ORe-Siding
-
isc.
o New Construction
ODed
ORe-Roofing
DAlteration
DAddition
DUtility Connection
DLower Level Finish
te. (;'
o Pireplace
PROJECT COST IV ALUE (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 confonn to all existing state and local laws and will proceed in accordance with
submitted plans. I am are that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter u rop t perform needed' .
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Pennit Fee
Gas Fireplace Permit Fee
Building Official
rure
our Building Permit When Approved
Date
Contractor's License No.
Date
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
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 I a Certificate of Occupancy must be
WIled. Q.
Planning Directo
sh -:rIM
, Dati Special Conditions, if any
Z4 bour notice for all inspections (952) 447.9850, fax (95i) 447-4i45
16200 Eagle Creek Avenue Prior Lake. MN 55372
,
Certificate of Survey for: Jeff Arrigoni
50
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NOTES TO SURVEY:
Orientation of this bearing system is based on the
record plat of LAKE SIDE MANOR.
No other improvements to this property have been
located or shown, except the fence which
encroaches at the most easterly corner of Lot 5.
o Denotes iron pipe set marked by license No. 10943.
. Denotes iron pipe monument found.
Scale: 1 inch = 40 feet
DESCRIPTION AS PROVIDED BY CUENT:
Lot 5. Block 2. LAKE SIDE MANOR, according to the recorded plat
thereof. Scott County. Minnesota, and Lot 4, said Block 2, EXCEPT
the north 45.00 feet of said Lot 4.
I hereby certify that this survey,
my direct supervision and that I
laws of the state of Minnesota.
JOHN OLIVER Be ASSOCJ?-TES. INC.
_~,k
By: Randy . Morton. Land Surveyor
Minnesota Ucense No. 21401
Date: 11/22/02 Project No. 1489.10-101
plan. or report was
am a duly Ucensed
N
prepared by me or under
Land Surveyor under the
John Olver .. Assoclstes. InC.
""'" .........-.... Lan4 ~. Lan4 ,.,.,.".".,
680 Do<41_ Av......
EU: River. Jlinne""t..
(768)44t-R07R ('AX)44t-6666
ROt 11'. 7'nwe1enr TrcIU, Suite ROO
lIunYv(lle, JlN 66887
(96R)894-8046 ('AX)894-8049