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1014014-Cooper
04 Px1O CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
ti TEMPORARY CERTIFICATE OF ZONING COMPLIANCE r
eN
AND UTILITY CONNECTION PERMIT
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2. Pink city PERMIT NO. /5- /4 /6
3. Yellow Applicant i
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DRESS ZO 'i`G0 ause)
17196 Horizon Trail SE.,Prior Lake,MN 55372 f'
II
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNtR
Craig Cooper
(Name) (Phone) 952-454-6033
(Address) 17196 Horizon Drive 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 ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish El Fireplace
❑Addition DAlteration ❑Utility Connection
41
CODE: I.R.C. I.B.C. �Misc; 7 Full Window Replacement+
PROJECT COST/VALUE $19,365.26
Type of Construction: I U III IV V A B
ccupancy Group: A B E F H I M R S U
ision: 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 constructi. I conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revokemit for just cause.: l.re,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x & S �`J`ri 44_" ./
Signature Contractor's License No. BC593158 Date 12/2/2015
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 $
This Application Becomes Your Building Permit When Approved Paid l J , l i eipt No. 3 S7
Date .L ,3_( .�
G - .
Building Official Date
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
Thishen 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
ed.
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