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Building Permit 15. 1090
■ 0 T. � — 3oo■� ■ T ui z ica.. § 5 54.> _ iliol0 ,.3 2 m< § -� ❑ OOO § > 2 6. 3 7 S z § 1. w 2 ■ 2 w a. a � m .6 z w ci ci E k8 � -1 a \ k Ita . X { z B 2 _ 22z § 0 § a § S © 0 a in LL K 3 - a k § m oz a2 § caa2 w w § w 000000 § § § 1.1J % Q. Q. U. _ 0 .71 1. W w V § < ° U \k (.12 k co Q o , % w 2 w ■ 2 § z u a §z g a 2 « e . N a§ co 2 zo §\ mak % cn o « W [fire k \ 0 � k � � �� �§ o Q §2 2 0 a 000000 S VI O E 04 PRION 1014003-Hanson e,.... rCITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd uu Fri TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 9 /'. /..5 I. White File ity PERMIT NO. i 2. Pello C � 070 i (Please type or print and sign3. Yellow Applicant at bottom) ADDRESS ZONING(office use) 17181 Horizon Trail SE., Prior Lake,MN 55372 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER Todd Hanson (Name) (Phone) 612-750-6000-Cell (Address) 17181 Horizon Trail SE.,Prior Lake 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 Me-Roofing ['Re-Siding OLower Level Finish ❑Fireplace ['Addition ['Alteration ['Utility Connection JA g SQr.t.:r CODE: I.R.C. DI.B.C. CIMisc: Type of Construction: I II III IV V AB Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $. 13J Si'•j• DO 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 a at 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 per 40 just cause. Fu e,I hereby agree that the city pfficial or a designee may enter upon the property to perform needed inspections. X ' matt_ J(/��/ BC593158 9/11/2015 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 $ PenaOF ICE/WATER Sewer/Water Connection Fee # $ Plum PLEASE EMAIL RO PHOTOS TO Water Tower Fee # $ Mech, C " Builder's Deposit $ Sewer �a��en@c ityofpriorlake. pt Other $ Gas Firs. pace Permit Fee $ TOTAL DUE $ This Application Becomes Your Building Permit When Approved Paid 's---, 7 Re pt No. 7-o€N--- Date 9fiCt - a--- 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 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