HomeMy WebLinkAboutBuilding Permit 11-0441 *
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
c' AND UTILITY CONNECTION PERMIT
4.1 4, A , 4.1 4, A , 8 8tS Ct
I. white File I PERMIT NO. II 1 . 444
2. Pink city
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS 6541 Harbor Place NE ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) Peter Levang (Phone) 952- 403 -9652
(Address) (Site)
BUILDER
(Company Name) Renewal By Andersen (Phone) 651- 264 -4777
(Contact Name) - (Phone)
(Address) 1920 County Road "C" West, Roseville, MN 55113 -
TYPE OF WORK ❑ New Construction ❑ Deck ❑ Porch ❑Re- Roofing Eke- Siding ❑Lower Level Finish _ Fireplace
❑ Addition D3 Alteration ❑ Utility Connection
CODE: ❑ I.R.C. 0 I.B.C. ❑ Misc Replace 7 windows within exiting openings.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COSTNALUE $_10,209.00
Division: 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 can revoke this permit f just cause. F thermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X 20130983 26 /May /1l
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; I"; $
State i 111
Surcha $ Pressure Reducer $
11Ok
as per
�
l dete e reQu qu i rP r1�a11 ent o b f u th pg e Sewer/Water Connection Fee # $
e th
Plumbin � but t he house, $ Rau, 1KC
Penalty Water Tower Fee # $
MechanicAbgAlcir i b P uper$t
m Builder's Deposit 5
Sewer & Water PermiCiKrj�tinP StOttlre8 Other $
Gas Fireplace Permit Fee $ TOTAL DUE
This Application Becomes Your Building Permit When Approved Paid 1. 15 Recei o. && 1
•
Date 3• •
' , 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
issued.
Planning Director Date Special Conditions, if any -
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