HomeMy WebLinkAboutBuilding Permit 15. 1258 CI
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o� PRION 1013829-Devore C/'
CITY OF PRIOR LAKE BUILDING PERMIT, l Date Rec'd
-. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
U .N., AND UTILITY CONNECTION PERMIT lU` (c.f.
` rS'
r*I a s°��
I. white File I PERMIT NO./� /2513
2. Pink City
3. Yellow Applicant
lease type or print and sign at bottom)
ADDRESS
ZONING(office use)
14724 Canter Lane NE.,Prior Lake,MN 55372
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER Chris Devore
(Name) (Phone) 612-597-4010-mobile
(Address) 14724 Canter Lane NE., Prior Lake
BUILDER
(Company Name) PCS Residential (Phone) 651-994-2028
(Contact Name) Pam Pomerenke (Phone) 651-255-0618
(Address) 2005 Pin Oak Drive, Eagan, MN 55122
TYPE OF WORK ❑New Construction ODeck ['Porch ❑Re-Roofing['Alteration ['Utility
®Re-Siding ❑Lower Level Finish ❑Fireplace
❑Utility Connection
ilioCODE: ❑I.R.C. ❑I.B.C.
Type of Construction: I II III IV V A B ❑Misc: 28 SQ/Siding remove and replace
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $13,192.34
ivision: 1 2 3 4 5 (excluding land)
I hereby certify that I hay; •r ished information on ' 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 prope• d that all construct'. 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 t.%- ,it for just cause. F.rth fr,.re,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ' . A J. ' P-111-' ift n/tom BC593158 10/12/2015
Signature Contractor's License No.
Date
Permit Valuation Park Support Fee # $
Permit Fee $ 75.75 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 ApprovedPaid ' 7t 3
ipt No.
I / �Date !o•/'7 r t i‘fR
•
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
t
11
hen 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
ed.
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