HomeMy WebLinkAboutBuilding Permit 15. 1431 45
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o� PR j0 1014034-Osterberg
�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 1f(Z) t�
U
•trE
AND UTILITY CONNECTION PERMIT
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/ /1/3/
I.2. Pink City I PERMIT NO. I - t L4 3 ,
lks
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e type or print and sign at bottom) 3 Yellow Applicant
DRESS
ZONING(office use)
17168 Horizon Trail, Prior Lake,MN 55372 T�
LEGAL DESCRIPTION(office use only) /
LOT 3 BLOCK ADDITION .it4&. r 4 2 1 14*ID 25- z c`V-04/6
OWNER Edwin "Skip"Osterberg
(Name) (Phone) 952-855-4885
(Address) 17168 Horizon Trail.,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 ['Re-Roofin
❑Addition ['Alteration g NRe-Siding ['Lower Level Finish 1=I Fireplace
['Utility Connection
411101,
CODE: ❑I.R.C. []I.B.C.
Type of Construction: I II IQ IV V A B ['Misc:
cupancy Group: A E F H I M R S U PROJECT COST/VALUE $17,803.98
ision: 1 2 3 4 5 (excluding•:land)
I hereby certify that I have fu formatio .,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 prope •.. oltdo 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.01,.„, t urt rmore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
111
X -e, 'l_'IL1.4.......1 BC593158 11/23/2015
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 $
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 $ `.7 12-
(11911.7
�
This Application Becomes Your Building Permit When Approved Paid - (�1� No. �
Receipt .�
I Date ,a ` .. By
Building Official Date
I oThis issigned to certifyby the that the requestPlanner in theconstitutes above application andCertificate accompanying documents is in accordance with the CityZoning Ordinance and may proceed as requested. This documentmustbe
n a temporaryZoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy
I 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