HomeMy WebLinkAboutBuilding Permit 14-1178k
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ti��� PRID�,I
CITY OF PRIOR LAKE BUILDING PERMIT, Dale Recd
U TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /0. 20 ,
a tri AND UTILITY CONNECTION PERMIT $79.75
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1.white File
. PPERMIT NO. '
3. ell City /I/ r%/ /
Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING Office use)
16469 Franklin Trail SE. Prior Lake, MN 55372 R 1
LEGAL DESCRIPTION(office use only)
•
LOT 0 BLOCK f ADDITION k/ ei1Z N4 jel h) PID05-- 0 is, 3--OCZ?CO
OWNER Oscar/Kristine Gutierrez-Lemus (Phone) 952-220-0355
(Address) 16469 Franklin Trail SE. 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 ❑Porch ORe-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace
['Addition ❑Alteration ['Utility Connection
CODE: DI.R.C. ❑I.B.C. ElMisc. 1 Entry Door Replacement
Type of Construction: I II III IV V A B 2,559.00
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
4 Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished information on th. .••lication 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 onstruction i c. form to all existin_ tate and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke this permit for ju ause. Furth- orf' here. agree that the•'ty official or a designee may enter upon the property to perform needed inspections.
x Karli Anderson /p ," CR001748 October 14th 2014
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ / SAC # $
Plan Check Fee $ / , on..../ 7....) 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 $ i ,t g
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This Application Becomes Your Building Permit When Approved Paidpd /?1, 1.s---
Receipt No. '/Q��) fa-
Date l / By [ .,
Building Official Date
i
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