HomeMy WebLinkAboutBuilding Permit 09-0711 E 0 0000 0 4 0 » En
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EgIOTIii
o pler° CITY OF PRIOR LAKE BUILDING PERMIT, S E P 10 200�at Recd
� I' TEMPORARY CERTIFICATE OF ZONING COMPLI. E
AND UTILITY CONNECTION PERMIT
B
414 NESOt". 1 Y
' j .
I PERMIT NO. 07//
. Pink City
File
3. Yellow Applicant
�
(Please type or 'ME L, ; d sign at bottom)
ADDRESS II" ZONING (office use)
I / 1 ft) ill 1! 014) r &d/'3 64 Pr' o r � f 1
IIIIIiI � `
LEGAL DESC ' I' TION (office use only)
LOT BLO Iltl ADDITION PID
OWNER IIR' 4/ -9/ .5.--
(Name) Allill' n ! `
ra_ ° ! e_.Cbffl 6Th!C* Thelma Gji) (Phone) 9...37- c ls
(Address) - , ,, l i l1�0l 4 _ '. t ih t 1-.0 P) 6
I I BUILDE t / /
(Name) to r LI I a is r il AL _ _:.Jul • ! r . _ _. • (Phone) 9- _q —1
(Contact Name I t" • v■ i e.rnet_A (Phone)
(Address) p..,:1 I ta)( 1, 4 A J Pr I r 1 Ai 0 7 l
' q
TYPE OF WO ❑ New Construction ❑Deck Porch ;i4Re- Rooftng ORe-Siding
! ❑Lower Level Finish ❑ Fireplace ❑ Ad din on 12 Alteration ❑Utility Connection eel
❑ Misc, PROJECT COST/VALUE (excluding land) $ 31,
1 I hereby certify tha i. ave 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 fo I fll Il e 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 �
lu aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon thepw. i ri, to perform needed inspections.
X - -- / : ull .�Z� - - ---- /c+ -'1
II I� Signature Contractor's License No. Date
E �
Permit Valuation ill .3 /, Q d d , 00
V Park Support Fee # $
Permit Fee IIl'i! I $ 4-8 G 4 z5 SAC # $
Plan Check Fee ilti '` $ 3(z. j 6O Water Meter Size 5/8 "; 1 "; $
State Surcharge I $ /45.. 50 Pressure Reducer $
Penalty I, $ City SAC and WAC # $
Plumbing Permit "'.! IIIIII e $ Water Tower Fee # $
Mechanical P 11411
ee $ Builder's Deposit $
Sewer & Water ' IIIIIIIII it Fee $ Other $
Gas Fireplace Pe at Fee $ TOTAL DUE $ 8 07. 7
pill G7
Thi/ f - Your Building Permit When A oved Paid i30- ! Re No. „j' 9/ O
Date 9t/
t ' �I €I G B .
BuildingO � f Date
liil� I
This is to certify that 1 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 C i �� i i • fanner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificaoe of Occupancy must be
issued. II
P1 PI'' ∎'I, ing Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9$50, fax (952) 447.4245
I 16200 Eagle Creek Avenue Prior Lake, MN 55372 .
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ROOFING
0. INC.
NIEMAIV R G C
\ . P.O. Box 64
New Pragrm, MN 56071
(952) 758 -4791
I I
GRA TELECOM 4690 Colorado St SW Prior Lake, MN
1 ' :R ROOM AND SWITCH ROOM ROOF
• Remove roof down to existing insulation
• Replace any wet or deteriorated insulation
• Install 1 inch isocyanurate insulation to meet state code of R22.22
• Install a 60 mil EPDM Ballasted Roof System by Carlisle
• New sheet metal trim
• New scuppers and downspouts
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