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0, / pR�4, � CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /
"' `� AND UTILITY CONNECTION PERMIT & L r / 2—
7,.
k W E .:�
1. White File /
2. Pink City PERMIT NO. ! Z , 52.,(0
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS f ' ZONING (office use)
22_73 TlCAwk Rl'c19e Zd, Pr - jor Lek Le 1•A N 55312
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) Re-0 e e V \ ex h e - r (Phone) (p5 i -Li 31 -18 9 g
' t J
cis?---85 9l -1
(Address)�$1 T
3 -T Cl. 1■.4.— ( 1Zd. ?Y1Ui Lo -',-e M 5 3 72—
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction Deck ❑Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
DAddition DAlteration ❑Utility Connection
CODE: DI.R.C. ❑I.B.C. ❑ Misc:
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ 2-,3 62. 3 'e
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- 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 evoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ( ; 2 .-frt (0 7 1 / —
Signa Contractor's License No. Date
Permit Valuation 11 Park Support Fee # $
Permit Fee $ 0 2-5 SAC # $
Plan Check Fee $
S7 3 (0 Water Meter Size 5/8"; 1 "; $
State Surcharge $ / . SD Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ /4-7- / /
This • ' lica . Becomes Y`urBuilding Permit When • p. d ., y
J
ved Paid - Recei.t No. fej
� � � i Date fl B :�l
-v
! ... Official ate
This is to t , e request in the ilbove application and accompanying m is is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when s 1, . r e • ity Planner constitutes a temporary Certificate of Zon' com ance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. /
Planning Director 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
• . Residential Building Permit Checklist
Deck Additions to Single Famil. Homes
BY: Date: & .
Building Permit # • PID: Zoning:
Site Address -Z g �a .
Legal: L B Subdivision:
Existing Structure: or NO
CONFORMS TO ZONING NO
ORDINANCE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
• Side Yard
(25' if abutting a street, 30' if abutting a street in f j t
Cardinal Ridge) -1 •.5
• Side Yard 10'
• Rear Yard 25'
• • Townhouses Must be consistent with
approved plan for
development
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITHA SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
•
L: \TEMPLATE\DECKCHCK.DOC
r
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 2- 013 / i v X / 1 /
TYPE OF WORK D2-/C_
USE OF BUILDING /c J /M
PERMIT NO. / 2 . 5Z-( DATE ISSUED . 1 /
BUILDER C / 6 PHONE # (�,s 7 4 - . / /E ce)
NOTE: THIS IS NOT A PERM FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INS CT R DATE
I FOOTING 1� C 1 a ( � lZ 1
PLACE NO CONCRETE UNTIL AB VE HAS BEEN SIGNED
IMO= 1 1
I FINAL 11, I 3- D,. ---tom
FOR ALL INSPECTIONS (952) 447 -9850
. ,
4 RO
_ BE
p
ENGINEERING
COMPANY, INC. ...
CONSU Ll1NG ENGINEERS, . .....s...
PLANNERS and LAND SURVEYORS ::... „.
FIELDS N N F 0 A . M 1LY HOMES
,..:_.
. .
. .
.. ..
.. .
...
__________ 1000 EAST 146th ST., STE. 240, BURNSVILLE, MN 55337 PH (952)432-3000 .:. •
CERTIFICATE OF SURVEY
Legal Description: LOT 6, BLOCK 4, THE BLUFFS OF NORTHWOOD MEADOWS
SCOTT COUNTY, MINNESOTA
14111 000.0
DENOTES EXISTING ELEVATION
(000.0)
DENOTES PROPOSED ELEVATION
------ INDICATES DIRECTION OF SURFACE DRAINAGE
(962,20) = FINISHED GARAGE FLOOR ELEVATION
(962,53) = TOP OF FOUNDATION ELEVATION
(959.32) = BASEMENT FLOOR ELEVATION
SCALE : 1" = 30' - 1
LOT AREA: 9,157 SQ.FT. ( \\
fe1/4
HOUSE AREA:1,733 SQ.FT. \ \,d
>: —
DRIVEWAY AREA: 640 SQ.FT.
PORCH AREA: 48 SQ.FT. .,--'
ADDRESS: 2873 HWAK RIDGE ROAD NW ---------- ---
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