HomeMy WebLinkAboutBUILDING PERMIT 16-1103 CITY R LADATE TINE
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NOTICEKE SCHEDULED (p
ADDRESS r A
OWNER 4
CONTR.
PHONE NO. PERMIT NO. 2_6:L.=
❑ FOOTING 0 PLUMBING RI
❑ FOUNDATION 0 MECH RI ❑ COMPAD/FILLING
0 COMP
❑ FRAMING 0 WATER HOOKUPLAINT
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE RI
'�—FINAL ❑ FIREPLACE FINAL
❑ SITE INSPECTION 0 PLUMBING FINAL 0 GASLINE AIR TST
0 MECH FINAL 0
COMMENTS:
A
1111011111116.
WORK SATISFACTORY,PROCEED
❑ RRECT - •N AND PROCEED
❑ CORRE WOR CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr.
CALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTi
,„ PRlo� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Q Z / 6
AND UTILITY CONNECTION PERMIT
4INNVEsol� I. White File
2. Pinta City PERMIT NO. /6 /.1,03
3 Yellow Applicant
ase type or print and sign at bottom)
ADDRESS ZONING(office use)
13918 Kensington Ave NE
LEGAL DESCRIPTION(office use only)
LOT 9 BLOCK 2 ADDITION Windsor Estates PID 254130180
OWNER
(Name) Kevin Marty (Phone) 952-240-7191
(Address) 13918 Kensington Ave NE
BUILDER
(Company Name) Schmidt Roofing (Phone) 952-8884889
(Contact Name) Sandy Fjelde (Phone)
(Address) 3509 W Hwy 13
TYPE OF WORK 0 New Construction ODeck ['Porch ORe-Roofing we-Siding ❑Lower Level Finish ❑Fireplace
❑Addition ❑Alteration ❑Utility Connection
41iuiODE: ❑I.R.C. ❑I.B.C. 0 Misc.
e of Construction: I II III V A B PROJECT COST/VALUE $ $15.600
panty Group: A B E F I H 3 4 5 S U (excluding land)
tvision:
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 all 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 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.
x c5Q-041.4.Q�� BC177859 9/20/2016
tgnature Contractor's License No. Date
Permit Valuation 0t Sj ,b ) Park Support Fee # $
Permit Fee $ $##
i 01.Chi SAC
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ , oc-.) Pressure Reducer $
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 C4.- /C)4/`DUE $ � 7 �J
This Application Becomes Your Building Permit When Approved Paid `C/ - (-41[e 1 Re pt No. 6 9b0
Date y_ 74,. 6
Building Official Date
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
I
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
4646 Dakota Street Prior Lake.MN 55372