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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
lease or rint and s' at bottom
ADDRESS
L/41D Cllesmut- ~e ME-
I. While File I PERMIT NO
2. Pi.k Ci'Y . A"J-:>. _ "..-yf _
3. Yellow Applicant , (,.V.-J \-"'.
ZONING (office use)
Th\~ LAtE. R - I
\ LEGAL DESCRIPTION (office use only)
B 1 CltRRJlV'lJe I+tLLS
'LOT Br:crCK ADDITION
~ AdcliitM
PID
OWNE~ l::k
(Name) I\Y <i /l \ To.r \!.sDIf'I
(Address) 44\0 S
(Phone) q5J-l/Dd.-(N~ '1
IDIr Lo..J& Hl\l ~'53'12..
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
D New ConstnJction
ODeck
OPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
o Fireplace
OAddition
DAlteration
DUtility Connection
Misc.
PROfficrCOST/VALUE (exc1udingland) $
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 permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter up n e property to perform nee d inspections.
Si ture
Contractor's License No.
Date
Gas Fireplace
TOTAL DUE
#
#
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
Date
cation Becomes Your Building Permit When Approved
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.
4-22--00
Date Special Conditions, if any
:!4 hour notice for all Inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
l
8URNSVILLE, MINNESOTA 115337 PH 432-3000
J}eVT<.rI-l f!av~T.
pnOJECT NO. ~
BOOK 24z.
PAGE ~"1
ROBE
ENGINEERING
COMPANY, INC.
1000 EAST 1411... STREET,
CONSIIlTINO 'NOIN""S
plIINN,nS Clnd lllND jllllVtlYOIIS
Legal
CERTIFICATE OF SURVEY
Description: LOT 8, BLOCK , _ CARRIAGE HILLS. FOURTH ADDITION,
SCOTT COUNTY-. MINNESOTA.
(!l...'U::1!-) DENOTES EXISTING ELEVATION
(%Z.5) DENOTES PROPOSED ELEVATION
- INDICATES DIRECTION OF SURFACE DRAINAGE
%2..93 = FINISHED GARAGE FLOOR ELEVATION
955./2- = BASEMENT FLOOR ELEVATION
11.,3. ," = TOP OF FOUNDATION ELEVATION
UJ7 111<81 = 10, 90(} ~~ FT.
1ItVSC,Q~. Z, tJ90 b(J. pr.
P/VV6 II%A = 6 (7 0 ~. FT.
/All ~f/6/Z,M6 = &5.4- Yo
SCALE: l' B 30'
BeIol'I-lIllllIlX.. TNII AT 5VIZKlf:Y uwe
lINt? CIIBnJV'r LANe
El&V.. '135. '1',
ORAINACiE
AND
UTILITY
EAGEMENT
(9:~ ?>
1..~'
585047'/0" E
82.4'
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"'-APPROVED "'
PLANNING OEPT
I hereby
land as
M4Y
certify that this is a true and correct representation
shown and described hereon. As prepared by me this
, 1996 ' .
- ~Mef I! f)t!u~,-- Minn. Reg.
of a tract
21711 day
No. /708t.