HomeMy WebLinkAboutBuilding Permit 10-0531 - 43-9 C) 0 000 0E 1 3 0 > 2c,
R 0 / 0 0 0 2 §Icn k§§ Z m X � /
k§ m m§ m 2 / §U z $ -�
% t - � q . z § = o -- 1 P � k
& w m 0 z z
Q B q> \ e q
n o o - z . , o
/ o 0 > 0 ∎ m m
§
j m 'V "V 11
r 2 0 0 • 0
OcOE2o
§ / § m m E � ® * E )
k ® §° ° �� M O Cr �� E f
m z 0 _c mI■ -0 0
.D) k m§ § . >000 0 m k m
q / z r "qq # c
§ z K m — ,. \ i§ P 0
o .
I m
• c
0
W
3 % OO=o=2
z
/ > /�j
§ §_
§ • xi -n 73 F /
w 2 -
q r 0
.,"/ � — — v� a .aavaa ut aaaL UV 1LL11 \kJ 1 Ll \1V111
, � � uate Kec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /
t--x7 [9
AND UTILITY CONNECTION PERMIT . Zz . h
ArivEsds
I. whit` File PERM NO.
_. e City /O . 53 /
3. Yellow Applicant / ✓
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
i Li $a 1 ()GO . artd e t.c.h - A .
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER ----.3 k LNY 57 -d0'
(Name) � �(., �' (Phone) 95
(Address)
BUILDER Renewal By Andersen
(Company Name) 1920 County Road "C" West (Phone)
(Contact Name) Roseville, MN 55113 (Phone)
(Address) License #20130983
651 - 264 -4777
TYPE OF WORK ❑ New Construction ['Deck ['Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
['Addition ['Alteration ['Utility Connection l A.Ct a tAIS Aol cA,..) S $ 1 ?' O d Oar
CODE: DI.R.C. ❑LB.C• ❑ Misc: GO i k ♦. il a.. • /_ A . �A
Type of Construction: I II III 1V V A B •
Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ a() 35 --
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 pro.: 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 revoke th' . - rmit for just cause hermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X /\ _ �� - _ _ . I a 01309 $3 l 1 -15o,.e, JO
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ 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 $ (p. 0 d
This Application Becomes Your Building Permit When Approved Paid 76 , Re ipt No. 6Q.sy3
Date 4. 2 Z , I 0 By _ /
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