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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
r4 'NES (5C
I. white File PERMIT NO . } p 0 0 1
2. Pink City 1 - /
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
02 9 g , get wL / ✓2 Io
LEGAL DESCRIPTION (office use only)
LOT 33BLOCK / ADDITION j 4._11 Q . A4)/ 'al 1,Q4d PID c - q o 7q-
((Na ii e ( 4 ' G / , I it" 6i) ✓h.G.., • ... b — V6 � - C
(Address) ��' 5 ua ✓f 1 A A d VA ' l � � .�GUC. ��--CJ r
BUILDER ; (Company Name) , of 4404 F�t✓t^ I �y C'<<1'r,2 / " / (Phone) j J - G a J
(Contact Name) J L f i / (Phone) ( 9 1Z 79 T /
(Address) 6 -4 i/ It )
TYPE OF WORK ❑ New Construction ['Porch [Me-Roofing ❑Re- Siding ['Lower Level Fin ❑ Fireplace
['Addition ['Alteration ['Utility Connection
J
CODE: 4.R. C. ❑I.B.C. ❑ Misc:
Type of Construction: I II III 1V V A B 2.C' Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $ Z 0a �
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished info ation 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 nstruction 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 j use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X 7 --/Z ' ' / 7
Signature .. ft- Contractor's License No. Date
Permit Valuation Park`Support Fee # $
Permit Fee $ * ACII" # $
• •
Plan Check Fee $ Z w Water Meter Size 5/8"; 1 "; $
State Surcharge $ /- " >O
Pressure Reducer $
Penalty $ Sewer /Water Conne tion Fe
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ f(4 I
This A. licati.. : ecomes Your Building Permit W Z7 (
n Appr ved Paid / f/ 7 / / e ipt No. 6, WO
L. i � ' . . Date q 2 ._ t(
'
:uildi If t ': Date
_yam
This is to certify that t - request in the above application and accompanying do ments s in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the ' Planner constitutes a temporary Certificate of Zonin ompli ce and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. A/
A, I a _ y 0 t
F ° 1 irector Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
PRIOR LAKE e DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECOR:)
SITE ADDRESS 71 83 focg' 6
TYPE OF WORK
USE OF BUILDING -
PERMIT NO. t1- ran, DATE ISSUED TX-it/
BUILDER Fe-05 -Aeey Ar... . PHONE # Oz- �$ - 797
NOTE: THIS IS NOT A PERM! FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SPECT R DATE
I FOOTING 1 INS , I I
PLACE NO CONCRETE UNTIL ABO E HAS BEEN SIGNED
igginaKG 1 1
I FINAL �� �� 1
FOR ALL INSPECTIONS (952) 447 - 9850
•
t� f1�� CONS ENGINEERS, FIELDSTONE FAMILY HOMES, INC
17OI�E
E PLANNERS and LAND SURVEYORS PROJECT NO. 14633.00
NGINEERING
1 11)
COMPANY IN
l._____ 1000 EAST 146th ST., STE. 240, BURNSVILLE, MN 55337 PH (952)432 -3000
CERTIFICATE OF SURVEY
Legal Description: LOT 33, BLOCK 4, THE BLUFFS OF NORTHWOOD MEADOWS,
SCOTT COUNTY, MINNESOTA
4 000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
.�-- -- INDICATES DIRECTION OF SURFACE DRAINAGE
(961.00) = FINISHED GARAGE FLOOR ELEVATION
(961.33) = TOP OF FOUNDATION ELEVATION
C953.29) = BASEMENT FLOOR ELEVATION
SCALE : 1" = 30'
LOT AREA: 7573 SQ.FT.
HOUSE AREA: 1387 SQ.FT.
DRIVEWAY AREA: 615 SQ.FT.
PORCH AREA: 66 SQ.FT.
ADDRESS: 2983 HAWK RIDGE ROAD
HAWK RIDGE ROAD
959.06 • MH
0
9 58.65 958.54
ci in 9597�06TC 958
` --�- -_ - • 47 958.61 TC
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959,5 -- .. -= �' ) • • ' l
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(959.4) CABo 959.3 0 95 II
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1 N GARAGE (960 s
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Z ,- -- ;n M 9 8 • 60.6 12.00 5 � ri) ;n
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APP ROY E� - -= = 9 x ;5.67 4
Q „ ; 956 34
m® i J (956:0) `- • 956.0) '° in
Buildln : Date 1 w
cn
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Zoning lf�/ Date ,lam ' imi
Grading �.. ..,.. . ,... O ► may ._ -
9
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54.9
X 954.4
954.; 3
L0T 33 I
DRAINAGE & UTILITY HZ 1 : r�i t , �< 4 1 ce
EASEMENT 51 1• -/y_ � ' -, i : 5
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952.0 PI< ' 0
9652.23 953.16