HomeMy WebLinkAboutFence Permit 06-0048
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
] White
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File
City
Applic<lnt
I PERMIT NO. 0 &~ ij R I
(Please type or print and siltn at bottom)
ADDRESS
3o~9
/) I' eU)(Lj/'esf- a I v:.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID c95 - .3~--o - O)q -lJ
OWNER J .
(Name) IIY\
~ S Via r2 i
Ho{fClY1
(Phone)
qs 2... LfLjl IIf3
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdditIon OAlteration OUtility Connection
CODE: OLR.C. OLB.C.
Type of Constmction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$
I hereby c('nity that l have ttlrmshcd mformaoo!l on this applIcatIon which 1$ to the best of my knowledge true and COlTcct. I also certify that I am thL' owner or iluthorIZL'd agent for the
above. mentioned property and that all construction Will conf(lIm to all eXlstmg state and local laws and will proceed m accordance with submitted plans I am aware that the bll1ldmg
;IIClal ap,revoke thIS pe~~~~mllle. 1 heleby aglee that the City offiCIal or a deSignee may enter upon the plOpel1y to petllllm l/e~7 l{qelI0~
Srgnature Contractor's License No Date
Permit Valuation
Park Support Fee
# $
# $
$
$
:A I 0 : . (Lf~'
I V I\~ ~\ " '-J
LV)'
$
Permit Fee
$
$
$
$
$
$
$
$
SAC
Plan Check Fee
Water Meter Size 5/8"; I",
State Surcharge
Penalty
Plumbing Permit Fec
Mechanical Permit Fee
Pressure Reducer
Sewer/Water Connection Fee
Sewer & Water Permit Fee
Water Tower Fee
Builder's Deposit
Other
Gas Fireplace Permit Fee
TOTAL DUE
~::,"m;r~gp,~; ;iIA;i~d6'
lluildll1g Ufticl<il nalc .
Paid
Date
Receipt No.
By
ThiS IS to certIfy that the request rn the abuve applicatrnn and accompanYing documents IS m accordance With the City Zonmg Ordmance and may pmceed as requested ThIS document
when signed by the City Planner constitutes a temporary Certificate of ZOntng compliance and allows constructrnn to commence Before occupancy, a Certificate of Occllpancy mllst be
Isstled
Planning Direclor
Dale
24 hour notice for all inspections (952) 447-9H50, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any
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.Surveyor's
Ce~tificat
SURVEY FOR
DESCRIBED AS
: n:\Qr"- ~~\ CC\\st:.
. Lot 6, Block 2, NORTHWOOD OAK EST A TES r1RST ADDITIOf\.
Lake, Scatt County, Minnesota, and reserving easements <
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PROPOSED ELEVATIONS
i
BENCHMARK,
Top of Foundation
Garage Floor
Basemen t Floor
Aprox. Sewer Service
Proposed Elev.
Existing Elev.
Drainage Directions
Denotes Offset Stake ==
= <llo5.1
= q(.,~.o
== C!S7.0
= \ltrif'h
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MIN, SET8ACf
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F ron t - 25 f-
Rear -25 C
.
SCALE: 1 Inch - JO feet
HEDLUND
I HEREBY CERTIF'Y THAT THIS IS A TRUE AND CORRECT R[PR(SENT~TlON
or THE 8OUNOARIES Of' THE A80VE OESCRIBED PROPERTY ^S SURVEY(O
BY ME OR UNDER MY DIRECT SUPERVISION. AND DOES NOT PURPORT TO
SHOW IMPROVEMENTS Oft ENCROACHMENTS, EXCEPT ~AS SHOWN,
~ ~. '
OA lE ~_/l~_/.QO .
RE ,llNOGREN, l^NO URVEYOR
MINNE~A LICENSE NUMBER 14.}76
PLANNINC ENC/NEER/NG SURYEY/NG
200~ Pin Oak Orlve
Eogon, I,4N ~5122
Phone: (651) 405-6600
tOl<: (651) 40~-6606