HomeMy WebLinkAboutVOID BUILDING PERMIT 16-1256 p/ PRIopCITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
A, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 113, ,
'" AND UTILITY CONNECTION PERMIT
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NNE 5° 1.White File I PERMIT NO. 4 , 0,5(6. I
2. Pink City
3.Yellow Applicant
lease type or print and sign at bottom) ZONING(office use)
ADDRESS PO 5D\L C C"\AOr2 1..v..,,e Nf-
LEGAL DESCRIPTION(office use only) hILcL14'UL1'L)
/ 0n� .�LOT��BLOCK 5 ADDITIONq i it/ft , PID `c)� 0 3
OWNER (Phone) grj2- 1,��'-��\�
(Name) )u.vvZ Cc r\5o�
(Address)\2\5U V 9hore Lc.,,•e N
6 P( 1_,,V-e.,MtJ G3 2 1
BUILDER \a��
(Company Name) ; cr0 (Phone) 65\`3ie - 63
(Contact Name) LVt-kVec. L
(Phone)
(Address)21..\\ l\' ( t ( cke 4 V30 N.Sk, t ,v'\,_,A,10 551 oc1
TYPE OF WORK °New Construction °Deck ❑Porch ORe-Roofing ORe-Siding °Lower Level Finish 0 Fireplace
°Addition °Alteration °Utility Connection
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Mtsc: J
CODE:.DI.R.C. DI.B.C. ,,11 a
of Construction: I II III IV V A B PROJECT COST/VALUE $ �'1 D ��
pancy Group: A B E F H I M R S U (excluding land)
vision: 1 2 3 4 5
I
t for the
above-mentioned property and that all construction will conform to all existing statis to thee and local of my laws land will proceed in accordance with edge true and correct. I also certify that
plans. I am aware that then building
official can revoke this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
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X Contractor's License No. Date
Signature
Park Support Fee # $
Permit Valuation # $
Permit Fee $ SAC $
Plan Check Fee $ Water Meter Size 5/8"; 1";
$ Pressure Reducer $
State Surcharge
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 $�` �9
10Receipt
This Application Becomes Your Building Permit When Approved l Paid J `/_j(`(f I By I
Date 6/
Building Official Date
is 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 a euested. This document
be
en signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a
ued.
Planning Director
Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
Windoiht
04Id ,I`
"Simply the Best for Less"
Window World Twin Cities
2211 11th Ave. E. #130 • North St. Paul, MN 55109
(651) 770-5570 • (651) 770-0495 Fax
Dear City of Prior Lake,
I would like to cancel permit number 16-1256 for the address 14500 Shore Lane. The
homeowner canceled the job with us and we are no longer doing work there. I would like to ask
for any refund there is available and have the permit canceled.
Thank you,
The Window World Team
r tp
0 At
V in
MEMORANDUM
DATE: Monday, January 23, 2017
TO: Janet Ringberg
FROM: Lynda Allen
RE: Building Permit 16-1256
14500 Shore Lane
This memo authorizes the return of the permit fee for the above subject property. The
homeowner has canceled the job. Please return half of the window fee ($51.50)to:
Window World
2211 11th Avenue East, #130
North St. Paul, Minnesota 55109
Thank you.
U
lle
Lynda S. n,
Building ervices Assistant