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E(//7 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
< .1 ' AND UTILITY CONNECTION PERMIT g , 1 Z
r -'NESS
I, white File PERMIT NO .
2. Pe City /� I riZ, � 7
3. Yellow Applicant CC..// Il /
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
22)07 .-1--ia,\A) - PAck3c, Rel
LEGAL DESCRIPTION (office use only)
LOT l BLOCK s ADDITION t v 0 r I V l 0 OCi M f art() (n PID
( ( / WNER \ ,n , t' J (Phone) �l Ft/ I D�7 Iq
I
(Address) 6 55 ( ✓d „.4 V ei 1\1 �' v I l: 6/nye i V , M . 5 . 5, i
BUILDER � j� p 2
(Company Name) i / '
/l l Y ) Y a y, yn (, �, ( Phone ) 7C ( � . J _ IJ I 7 I L
(Contact Name) ) (� (Phon Z Q1 l 4/USG
(Address) (� S 0 3 Ave, N J" f io` i £j M NI SS " 1M
TYPE OF WORK ❑New Construction ADeck ['Porch ❑Re- Roofing ❑Re- Siding )(Lower Level Finish ❑ Fireplace -
['Addition ❑Alters o ['Utility Connection ✓ 3 el/145,
CODE: E.R.C. I ❑I.B.C. ID Misc:
Type of Construction: I II III IV V A B ,��
Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $ �7 S0Q
Division: 1 2 3 4 5 (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- mentio p and th. .o ..struction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official catyCevoke this it fo ust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
Signature de Contractor's License No. Date
Permit Valuation &)O Park Support Fee # $
Permit Fee $ SAC # $
( - ;2•c0
Plan Check Fee $ at t2 a o • 1$ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ 7 . - Pressure Reducer $
Penalty $ Sewer /Water C nnection Fee # $
Plumbing Permit Fee $ S 4 • sp Water Tower ee # $
Mechanical Permit Fee $ Builder's Dep sit $ • Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ 21 FF t 43
This Apr ' at'. Becomes Your Building Permit When pproved Paid - ' 0/
Recei • o. . /
Date - L B ,4 /.
Buildinicial 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 - Ci I----__ lanner constitutes a temporary Certificate of Zoning co plia ce and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
1 6 k, /Z
ing a • e� 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 BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ■ l
NATURE OF WORK _i . 1•?■41rAit> '�- ���L�h�i�7��
USE OF BUILDING :r'iI_
PERMIT NO. Z IA E ISSUED
CONTRACTOR I , ,.tom j ' I0. PHONE PC • 714
NOTE: THIS IS NOT A PERM FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
rg INSPECTOR DAT
I I l
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING t L / /")r),
INSULATION
ELECTRICAL
PLUMBING ti
HEATING (if required)
MINNINNIMINg
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
ega I I I
FINALS
BUILDING /(N7
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough -in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447 - 9850
/� CONSULTING ENGINEERS, DONNAY HOMES • 1 11 )
ROE
ENGINEERING
PLANNERS and LAND SURVEYORS PROJECT NO. 14776.00
COMPANY, INC.
4 1000 EAST 146th St, STE. 240. BURNSVILLE, MN 55337 PH (952)432 -3000 ''...
CERTIFICATE OF SURVEY
Legal Description: LOT 1, BLOCK 2 THE VILLAS OF NORTHWOOD MEADOWS
SCOTT COUNTY, MINNESOTA _
141 963.5 DENOTES EXISTING ELEVATION
(963.5) DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
(965,33) = FINISHED GARAGE FLOOR ELEVATION
(966.33) = TOP OF FOUNDATION ELEVATION
(957 -52) = BASEMENT FLOOR ELEVATION
SCALE : 1" = 30' 16 14 I DeGIL.
LOT AREA: 11,271 SQ.FT. APPROVED
HOUSE AREA: 1,626 SQ.FT.
DRIVEWAY AREA: 636 SQ.FT. Building i _ Dat@
PORCH AREA: 85 SQ.FT. Zoning i1t�„_ �. . / y
ADDRESS:2807 HAWK RIDGE ROAD grading ate
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8 -4 -11 DROP GARAGE 1 COURSE PER CLIENT •
I hereby certify that this is a true and correct representation of a tract as shown and described
hereon. As prepared by me this 1ST day of AUGUST, 2011. Ceti-vie—Minn. l +�(M U.es2 -? P Reg. No. 19086
RUSSELL P. DAMLO