HomeMy WebLinkAboutBuilding Permit 15. 0741 -V \
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of r_ CITY OF PRIOR LAKE BUILDING PERMITRec
C. Date
,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ` s 'd
t. AND UTILITY CONNECTION PERMIT '�
44NESOl� I.2. Pin'ke File
PERMIT NO. 1 6-714 11
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
` ,, II ? ,.,9_,(„„et. ; --)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID 07.'a{J2- 022-0
OWNER
(Name) (Phone)
(Address)
BUILDER
(Company Name) L20 L� .DA,PIC2 �N,•,i\o ;i- ,\47 (Phone) (.0,:> —,?.-,)-\ -\>> —5
(Contact Name) ,r)V....1 ,, L.)B. 3-,,Ps,—Fc (Phone)
(Address) 10...4 `Swp _Lo,.. -ip.:.t -- rz "»v..,y,.-c?1_? J.,"its) 5 '11
1
TYPE OF WORK ❑New Construction El Deck ❑Porch [re-Roofing ❑Re-$iding El Lower Level Finish El Fireplace
['Addition ['Alteration ['Utility Connec( I
CODE: ❑I.R.C. ❑I.B.C. ❑Misc.
Type of Construction: I II III IV V A B PROJECT COST/VAL •
UE $ 7 c
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
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 rev this permit fo
(�ust cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X )-- A3ka tea' 7 1 1
Si azure Contractor's License No. Dae
Permit Valua ' Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ -7(4 is Water Meter Size 5/8"; 1"; $
State Surcharge $ l OD 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 $ 1
-.15---
This A., 'cation Becomes ur Building Permit When Approved ` -'r '7 '7.5 Receipt No.715 4,0
By
U ate j
I it - —1 r i ' . " I . 1 , t �- KJ
Building Official to
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
4646 Dakota Street Prior Lake,MN 55372
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Gold Star
Contracting
ROOFING I SIDING I GUTTERS
LIC. CR20631252
IZABOMINNESOTA DEPARTMENT OF RESIDENTIAL REMODELER
R
&INDUSTRY
Construction Codes and Licensing Division
Website: w and Licensing and Certification Services 443 Lafayette Road N St.Paul,MN 55155
Email: dli.licenset)state.mn.us
This is to certify that the certificate holder is licensed as a RESIDENTIAL REMODELER in the state of Minnesota and soinPhecompl 651.2ance3with
Minnesota Statutes 326B.805,and may contract or offer to contract with an owner to improve existing residential real estate;provided
responsible individual is at all times a QUALIFYING REMODELER and the certificate holder maintains compliance with the required bond,
general liability insurance,and workers'compensation laws.
License : RESIDENTIAL REMODELER
Lic Number :,CR631252 GOLD STAR CONTRACTING LLC
Effective Date : 04/01/2014 2124 SWALLOWTAIL DR
Expiration Date : 03/31/2076 SHAKOPEE, MN 55379
VERIFY UP-TO-DATE STATUS, BOND,AND INSURANCE INFOAT www,dll,mn.aov/ccld/LicVerify (ENTER NUMBER).
PHONE: 612-2214553 FAX:952-445-4212 WEB: goldstarcontracting.com