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HomeMy WebLinkAboutBuilding Permit 15. 0817 5 0O n 000000 0 > g n n k 0 0 . � kk� �� § 2 �q § q rn 33 73 s 11r ■ § d 0 94 � 4 r § 2 E Z $ kK� Q 2� c e.e. 0 § -n § z 2 §2 g § z mX o _ § 0 r0 - ( --..\ -I _ % m k 0 0 000000 41 P q 2 m c -0cn ■ s -a til * ■ -i © % \ 2se, ? � � kk ■ § x_ § m 0 C' * m § § > Ogo § xi -1 m ` r" 'n z ri P o B 0 ® 0 G m > § § § r 0 0 # m r J o 2 a o t 1m A �. o n § g 2 . , 1500000 10 / 0 § 7273 0 00 34 § _ _ 34 � < 0 ' � � � _� � � Pi k A� at m 2 � m - -T7 XI Iz r § � i 0 101385' eii 04, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ti TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 7 it /S- tiob AND UTILITY CONNECTION PERMIT I.white File PERMIT NO. / /) 2. Pink City �- �� 3. Yellow Applicant ase type or print and sign at bottom) DRESS ZONING(office use) 17125 Sunrise Avenue SW., Prior Lake,MN 55372 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER 612-222-9113-mobile (Name) Patrick Fouts (Phone) (Address) 17125 Sunrise Avenue SW,Prior Lake,MN 55372 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 ['Deck ['Porch ®Re-Roofing ❑Re-Siding ['Lower Level Finish El Fireplace ❑Addition ['Alteration ['Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑Misc: Type of Construction: I H III Iv v AB Remove &Replace 24 SQ Asphalt Shingles ccupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ 12,184.00 'vision: 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-mention�_- � rty and that all con •• n 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 ail for just ca 410 ermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. x & )-/1 ,Le....a.11 BC593158 7/9/2015 Signature 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 v, 7 $ This Application Becomes Your Building Permit When Approved Paid (' "/ R ipt No. '2,--- Date 7, d4, it B 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 ed. 1 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