HomeMy WebLinkAboutBuilding 15-1220 (Cancelled) 04 PR/04p
�� eCITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
(U TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT $ -1 CS 715
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1. White File .r^ / }i/')
z. Pink City PERMIT NO.�� �, (J
3.Yellow Applicant
ease type or print and sign at bottom) •
ZONING(office use)
ADDRESS 9ZOZ `Z A 1Vf12�93.� NO
3070 Creekview Circle SW. Prior Lake, MN 55372
1S3lb3u S,UOIJV2i1NOD IV 030IOA/0 1 3oNVD
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
• OWNER Matt Asfeld (Phone) 952-270-8810
(Name)(Address) 3070 Creekview Circle SW. Prior Lake, MN 55372
BUILDER Custom Remodelers, Inc. (651)784-2646
(Company Name) (Phone)
(Contact Name) Karli Anderson (Phone) (651)784-2646
(Address) 474 Apollo Drive. Lino Lakes, MN 55014
TYPE OF WORK 0 New Construction ODeck ❑Porch ORe-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace
DAddition ❑Alteration ['Utility Connection
ti)ix
CODE: ❑I.R.C. ❑LB.C. Mise. 5 Windows and 1 Patio Door Replacement
Type of Construction: I II 'HIV V A B 14,175.00
ccupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
ivision: 1 2 3 4 5 (excluding land)
I hereby ' that I have '. ed' .ormation.n this application ,'ch is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-men ed property an. .t., .nstructi1 n will conform to all 'ting state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can ke 's pe¢ni •r Just e. Fu o e,I.r eby agre that the city official or a designee may enter upon the property to perform needed inspections.
X V}1 t 0 A CR001748 09-29-2015
Signature W 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 `t%�:f -15— Receipt No. 3 06?-1--
.
Date C '. . i...., Byl .
• Building Official Date
, 'hisnis to certify that the request in the above application and accompanying documents is in accordance with the CityZoning Ordinance and may proceed as requested. This document
en signed by the City Planner constitutes a temporary Certificate of Zoning complianceand 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
toov PR'0%
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s
Memo
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Date: Monday, February 01, 2016
To: Janet Ringberg
From: Lynda Allen
Subject: Building Permit #15-1220
3070 Creekview Circle
The contractor on the above-subject permit has cancelled the heating permit and is
requesting permit fee reimbursement. Please return $37.38 ($74.75/ 2) to:
Custom Remodelers, Inc.
474 Apollo Drive
Lino Lakes, Minnesota 55014
Thank you.
A
10,______„
i!ij
LynS. Allen
Building Services Assistant
Phone 952.447.9800 / Fax 952.447.4245/www.cityofpriorlake.com