HomeMy WebLinkAboutBuilding Permit 14. 0938 J
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�,� ,� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
ATEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1'9.75
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1.2. Pinke C;ry PERMIT NO. , Q
(Please type or print and sign at bottom) 3.Yellow Applicant 3 V
ADDRESS ZONING(office use)
6177 140th Street NE. Prior Lake, MN 55372 i S.6
LEGAL DESCRIPTION(office use only) �1
- LOT 3 BLOCK / ADDITION E v Y"�`S4 iG e /0 PID 75- / /s�/Op`e2d3—
OWNER Jonathan Moore/Liz Meurer (651)269-1263
(Name) (Phone)
(Address)6177 140th Street NE. 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 ❑New Construction ['Deck OPorch ORe-Roofing DRe-Siding DLower Level Finish 0 Fireplace
['Addition ['Alteration ['Utility Connection
CODE: DI.R.C. ❑LB.c. ✓❑Misc. Replace 2 Window Replacement into existing
Type of Construction: I II III IV V A B 2,435.00
Occupancy Group: ABE F III MR SU PROJECT COST/VALUE $
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 for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X CR001748 August 27th 2014_
Signature Contractor's License No. Date
Permit Valuation / Park Support Fee # $
Permit Fee $ l /7'D SAC # $
0 Plan Check Fee $ k Water Meter Size 5/8"; 1"; $
State Surcharge $ t Pressure Reducer $
Penalty $ '6 Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $ v)
Gas Fireplace Permit Fee $ TO $ �g`DUE 1
This Application Becomes Your Building Permit When Approved llllG Y a d l ` Receipt No. 1 7/` •
•
• ate 0 ` � L r ( ( By
Building Official DateAI
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
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
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