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HomeMy WebLinkAboutBuilding Permit 15.0345 Z 1N III � Jf' W W . : I�Z c, zi o _ rt a III V3 00001, 0 0 I VI Wre O W Z o W O » a CO o F w G \ ci F- 2 OPLL - O0 d a j '' 2 Z cZ Z - =B Zi W C N ��, N 0 d m = WWm = W 0 Z a 00 -100 o o z 0 Ja � 3Na � w v no z ❑ ❑ ❑ ❑ ❑ ❑ • o = D.• a LL I G J rt WYW O C3 V Z Z reO V O S' 0 O z ZV N g ^ OO W H . < trtW O a F 1- 0�yy4 wa. p Z _ C N W Y0i10 -I Ir qU OW W g G WZ 6OVZt a v aN E LLLLLLiiN O Q i = v w vz O a ❑ ❑ ❑ ❑ ❑ ❑ C.) 1\0 ❑ E • � PR/0 CITY OF PRIOR LAKE BUILDING PERMIT, Dale Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT $79.75 I.White File . 2. PCity PERMIT NO / �� 3.Yellow Applicant �. (Please type or print and sign at bottom) ADDRESS ZONING(office use) 5965 150th Street SE. Prior Lake, MN 55372 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID ONWNE R Dan Thomas (Phone) 952-479-1040 ( am(Address)5965 150th Street SE. Prior Lake, MN 55372 BUILDER (Company Name) Custom Remodelers, Inc. (Phone) (651)784-2646 (Contact Name) Karli Anderson (Phone) (651)784-2646 (Address) 474 Apollo Drive. Lino Lakes, MN 55014 TYPE OF WORK 0 New Construction :Peck DPorch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace ['Addition ['Alteration ['Utility Connection CODE: ❑I.R.c. 1 Window and 2 Patio Door Replacements Type of Construction: I II III IV V AB 5,579.00 Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ Division: 1 2 3 4 5 (excluding land) I hereby certify at I have furnish-• m.rmation 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 .•property and ,:t. •.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 r: . - •is• 't f' ju use. urthennore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X di. /�// /.�,��i CR001748 April 8th 2015 Signature gip Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ 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 This Application Becomes Your Building Permit When Approved Paid "77 Receip o. S/©1—Z Date '11k(7. By - Building Official 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 the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be istued. 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