HomeMy WebLinkAboutBuilding Permit voided 15. 0187 i®c prior
TEMPORARY. CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
CERTIFICATE OF ZONING COMPLIANCE
�- AND UTILITY CONNECTION PERMIT
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t' I. White File I PERMIT NO. is. l U 7
��A'NESO� � 2. Pink City l
3 Yellow Applicant
ease type or print and sign at bottom) f 1
ZONING(office use)
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DRESS 5 O ii CoidyCOVE. 7 i'0// c5 4-
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNERa /` Q� G /` �� 5 7`` (..� t (Phone) 6/2/Y/ /- 5- 98
(Name) I
(Address) 5 5 0 Y C 0 i u y e o \ Ct. Yr a / ` S
BUILDER THD At-Home Service, Inc, (Phone) 9 5 a (3'15' • 0 Y 7
(Company Name)_ 2690 Cumberland Pkwy, Ste 300
(Contact Name) _ Atlanta, GA 30339-3913 (Phone) cl o di
(Address)
Lic#CR268257 Ph. 763/542-8826
TYPE OF WORK ❑New Construction ❑Deck ❑Porch ZIRe-Roofing , Re-Siding ❑Lower Level Finish ❑Fireplace
❑Addition El Alteration ❑Utility Connection
❑Misc.
CODE: DI.R.C. DLB.C. � � 7 (p Cr
4;iype of Construction: I II III IV V A B PROJECT COST/VALUE $
cupancy Group: A B E F H I M R S U (excluding land)
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rvision: 1 2 3 4 5
I hereby certify that I have furnished information n 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 constructi. w'II 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 this. for Jus-cause. Fort r o ,I hereby agree that the city official or a designee may enter upon the property to perform needed instis s.�/ S
- A ,
14 i
Signature CA9to 8757 d^
Contractor's License No. Date
•
1 p
' mitlia Park Support Fee # $'ermit I ' SACS, # $
Plan Check $ Water Meter Size 5/8"; 1"; $
State Surch -21. 200 .$ I
I Pressure Reducer $
•alty $ Sewer/Water Connection Fee # $
Plu ..•• Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee • $ Builder's Deposit • $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ rp[e
This Application Becomes Your Building Permit When Approved Paid 7 I•/J R eipt No. I W`e
Date 2,s-, r t y
Building Official Date
the
ning
ance
as
is
nt
's is to certify n signed by the that
Cilty Ple anneruest rn the above constitutes a tempo ary Ceication rtificate of Zoning documents
compliance andallows construction nce o commence. Before occ upancy a Certificate
requested.
t iftOcct pancytrmustcbe
red.
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
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Eider-Jones
® Building Permit Service, Inc.
1111
NM all
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December 15, 2015
City of Prior Lake
4646 Dakota Street
Prior Lake, MN 55372
To: Building Department •
I am requesting a refund for cancelled building"permit#15.187 issued on 2/28/15. The
permit was for residing and re-roofing at the residence of:
Margaret Ostrowski
5504 Candy Cove Trail
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 You,
Jodi Sletten
Elder Jones Permit Service
952/ 345-6047
Elder-Jones Building Permit Service, Inc.
1120 East 80th Street Bloomington, Minnesota 55420-1498
952-854-2854* FAX: 952-854-4909
vpR'O
6'0
sol� Memo
Date: Monday, December 28, 2015
To: Janet Ringberg
From: Lynda Allen
Subject: Building Permit #15-0187
5504 Candy Cove Trail
The contractor is requesting refund for a cancelled building permit. Please return
$37.38 ($74.75/2) to:
Elder Jones Building Permit Service, Inc.
1120 East 80th Street
Bloomington, Minnesota 55420-1498
Thank you.
Lyn S. Allen
Buil ng Services Assistant
Phone 952.447.9800 / Fax 952.447.4245/www.cityofpriorlake.coin