HomeMy WebLinkAboutBuilding Permit 12.513 (12.267) - 13862 Kensington Avenue NE J
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
E \ ' TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 5. 3 /2—
e
AND UTILITY CONNECTION PERMIT
r A r NES ° � / Z — Z40 7
1. Pi ;
File
. P ERMIT NO.
3. y a k Ty I( 2. _ 573
j
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
13 %G .), k;N 6v)e Ill c. (' cs �; k_e , ei „% R /
LEGAL DESCRIPTION (office use only)
LOT W BLOCK ADDITION b(/i nl` d S ,, t S 4 S PID 25T. 44 3. 01 S , 0
OWNER -- l
(Name) -A c9 5 -e p e a /V 1 iJC•/ - (Phone) (iI, £ % ®.s 3270
70
(Address)
BUILDER II
(Company Name) A 11 Pools,' c Q Sev v,` c ZN r, (Phone) eS / 0
(Contact Name) R (AN ,t C.. 4 N ci 4. f Sct J 1
(Phone) 6-S 2S O} % g
l o�
(Address) f 09r 1 C -l Rd 4. / 4�4 Ca villa I ,M 6/ 5 7/ - 7 •
TYPE OF WORK ❑ New Construction / ['Deck ['Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
['Addition ['Alteration ['Utility Connection nn
CODE: /4II.R.C. ❑I.B.C. Eivrisc: 6W : '� ;‘Al ) Pc941 X rO 'e- '
Type of , , . , ction: I IT MINT V AB
Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $
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 property and that 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 revo this • for ' use. ermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X 1, -v--
Signature Contractor's License No. Date
Permit Valuation w/ 000- U Q Park Support Fee # $
Permit Fee $ /6/ Z - as— SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ 3-- U 0 Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $
54- , 51, Builder's Deposit $
-
Sewer & Water Permit Fee $ Other 42- $
Gas Fireplace Permit Fee $ TOTAL DUE �1 -b .1( 2 $ Z 2 1 7
This App 'cati n B comes Your Building Permit en proved Paid .-.1-‘ . Recei .t N s ardZe 4
/Ai/4r Date .,N B a/ k Z5 il
ilding Official Da
This is to c 'fy t the request-in the above application and accompany' g docu ents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when sign . y i Ci Planner constitutes a temporary Certificate of Z ing co pliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. 4 s
/I /:a�� _ (7 7 (-
Planning Direc o Date Special Conditions, if any
24 hour notic for a inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
PRIOR LAKE BU L DEPARTMENT
ING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS L.• SN
NATURE OF WORK I M"I I m AVE0
C� QQL..,-
USE OF BUILDING
PERMIT NO. 9111 DA ISSUED �.
CONTRACTOR '1 - �1 1 �. PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING r'� 10G i r 4 2t /9/
I FOUNDA ION (Prior to Backfill) 1 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
ELECTRICAL
MIME
HEATING (if required)
GAS LINE AIR TEST ,1,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1
FINALS
GRADING (Prior to Sodding)
BUILDING '1 L , , I7 ii3
ELECTRICAL
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough -in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447 - 9850
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