HomeMy WebLinkAboutBuilding Permit 15. 1257 /
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
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TEMPORARY CERTIFICATE OF ZONING COMPLIANCE to
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1:: AND UTILITY CONNECTION PERMIT
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2. Pink City 1. WFile
PERMIT NO. /f, i�
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3. Yellow Applicant
lease type or print and sign at bottom)
ADDRESS ZONING(office use)(13
4600 Overlook Drive SE.,Prior Lake, MN 55372
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) Brandon Martin (Phone) 612-812-5274
(Address) 4600 Overlook Drive SE., Prior Lake
BUILDER
(Company Name) PCS Residential (Phone) 651-994-2028
(Contact Name) Pam Pomerenke (Phone) 651-255-0618
i
(Address) 2005 Pin Oak Drive, Eagan, MN 55122
TYPE OF WORK ❑New Construction ❑Deck ❑Porch Me-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace
CODE: ❑I.R.C. ❑I
iii )
❑Addition.B.C. DAlteration ❑Utility Connection 26 SQ Shingle Replacement
Type of Construction: I II III 1Y V A B E
Misc:
Occupancy Group: A B E F H I M R SU PROJECT COST/VALUE $ 10,786.29
ivision: 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 c revoke this perm' for just cC2Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X BC593158 10/8/2015
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 Approved Paid It It,7i ceipt No. .iI7/
Date d iy er
•
Building Official Date
01 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
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
ued.
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