HomeMy WebLinkAboutBuilding Permit Voided 15. 1470 r,,,,,.:$ 18�®,(, TEMPORCITY OFCIEPRIORTIFICATEOFLADE BUILDINGZINGPERMICMPLT'IANCEr DateIRecl'r_I
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r AND UTILITY CONNECTION PERMIT
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2. Pink City PERMIT NO. if////`
3 Yellow Applicant .-- �
(Please type or print and sign at bottom) — _ S ADDRESS _—_ _
ZONING ionic,:use)
_±i, a s an 1 - ?f L� S g z 6
LEGAL DESCRIPTION(office use only)
LOT BLOCK BLOCK / ADDITION `?Tl( 6 7/0..:5' PID is• - /t ., (-7�J f–
OWNER --------
(l�an,e) r Q g a n Q q a ! C (Phone) G r a j 703 . a 7 7
(Address) Y ! q 4 P /t 456!) /4 S S E
I3 UII,i�ER — ----
THD At- Home Service Inc
(Company Name)— -- ' S
2690 Cumberland Pkwy, Ste 300 (Phone) --_—_ l3 cif • y 7
(Contact Name) __._ Atlanta, GA 30339-3913
(fie) JO Chi
(Address) Lie# CR268257 Ph. 763/542-8826
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—
--—--
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iTYPE OF WORK LI New Construction ❑Deck ['Porch ORe-Roofing [Me-Siding ❑Lower Level Finish ❑Fireplace�JAddition ❑Alteration ❑Utility Connection / p 4,L, 0 door p1pl6iU m /ak
CODE: ❑I.R.C. ❑I.B.c. ❑Misc. //) Q V I I /sA Qd P_1_6_2_6_1-_-- --
Type of Construction: I II III N V A B
Occupancy Group: A B E F HI MR SU PROJECT COST/VALUE' '� 3 u _
Division: 1 2 3 •4 5 (excluding land) r
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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
ahove-men tioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am swage that the building
official can revoke this R)(jtwt Cause. Furthermore,I hereby agree that the city official ora designee may enter upon the property to perform needed inspections.
Signature — —_--
-–— — contractor's License No. Date
1,,,,,,,it Valuation —_--- -- —_
G.Apam Park Support Fee
Permit Fee I MIIIIIII SAC --
Plan Check Fee 1 4M
Water Meter Size 5/8"; 1"; 5 State Surcharge
ii.v. illi - Pressure Reducer $
Penalty 4 ikliplimmi -- —
Sewer/Water Connection Fee #
Plumbing Pe c �� AlliWater Tower Fee – $
–_
Mechanical P a if , Builder's Deposit Sewer&Water Permit Fee Other — — — $
. Gas Fireplace Permit Fee TOTAL DUE `
/
Building �rtit When Approved Paid a�5 4 , LT
This Application 13ecomes Your Pel`
. ` l Receipt No.
.7,i ;
Date \S I B
11uildint Official Date
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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 1
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 Prior Lake,MN 55372
DEPARTMENT OF ENGINEERING
AND BUILDING INSPECTIONS
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SITE ADDRESS i
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�� 56, ;,,,,1-,:t
PRI0R
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USE OF BUILDING,= �--f' ' '. .'�"/1�.: u%'e'�'
PERMIT NO. 1, DA E ISSUED AtiVilefir
BUILDEP?27? 9/7- ' 1,l-u'ri-4 PHONE # 6252_ 34/(:)-6,-=/' /
INSPECTOR DATE
I 111111P I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I
FINAL I I
FOR ALL INSPECTIONS (952) 447-9850
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Memo
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Date: Wednesday, December 30, 2015
To: Janet Ringberg
From: Lynda Allen
Subject: Building Permit #15-1470
4189 Pleasant Street
The contractor on the above-subject permit has requested cancellation. Please
return the permit fee of$37.38 ($74.75 / 2) to:
Elder Jones Building Permit Service
1120 East 80th Street
Bloomington, Minnesota 55420-1498
Thank you.
Lynd.[',. Allen
Builds g Services Assistant
Phone 952.447.9800 / Fax 952.447.4245/www.cityofpriorlake.com
e
I CM) BuildingEldPerrm—it ServiceJones, Inc.
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December 28, 2015
City of Prior Lake
4646 Dakota Street
Prior Lake, MN 55372
To: Building Department
I am requesting a refund for cancelled building permit#15.1470 issued on 12/4/15. The
permit was for replacing windows at the residence of:
Megan LeGare
4189 Pleasant Street SE
Prior Lake, MN 55372
Enclosed is a copy of the permit. Please make the check payable to Elder-Jones Building
Permit Service, Inc. If you have any questions or need more information, please call me
at 952-345-6047.
Thank Y u,
d j (LI (--
Jo i Sletten
Elder Jones Permit Service
952/ 345-6047
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Elder-Jones Building Permit Service, Inc.
1120 East 80th Street. Bloomington, Minnesota 55420-1498
952-854-2854' FAX: 952-854-4909