HomeMy WebLinkAboutBuilding 05-0591
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uccupancy uroup:
Division:
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In no. ~ u
(excluding land)
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I hereby certity that I have hlrmshed Information on this application which is tll the best of my knowledge true and correct. I also certlty that I am the owner or authOrIzed agent for the
above-mentIOned prope Ty and that all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildIng
ortlcial can revoke t ermIl for Just Ca;j Further e, hereby agree that the CIty ortlcial or a deSIgnee may enter upon the properry to perform needed InspectIOns.
X ~ P ~ ...-:;1.;1 ---oS-
Signatur
Contractor's License No.
Date
Permit Fee
4: (/(,1 C, C' ()
e 7- zS-
Park Support Fee
#
#
$
$
$
$
$
$
$
$
$
2 ~ z.s-
~fJ9;?
.
Plan Check Fee
$
$
$
$
$
$
$
$
SAC
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
2.00
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
--
40.00
Water Tower Fee
Sewer & Water Permit Fee
Gas Fireplace Permtt Fee
Builder's Deposit
Other
~
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid / z... ~ 2- j-
Date &. _ z.. .C/ f-
I~~
Building Otlicial
Date
ThIS IS to certity that the request m the above applicatIon and accompanymg documents IS 111 accordance with the City Zoning Ordinance and may proceed as requested. TIllS document
when signed by the City Planner constItutes a temporalY Certificate of ZonIng compliance and allows constructIon to commence Bcfore occupancy, a CertIficate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /7 OSO ';p#EJ7J,,-Nr /l16J1Oo JA/
NATURE OF WORK U Wt;.')L U.Vc.-c-
USE OF BUILDING /U:;-I' ~/L
PERMIT NO. 050$91 DATE ISSUED t,. ZZ~ OS-
CONTRACTOR $ ~/&?/'l? e:n- PHONE 2 zt,.. 3::;>-fO
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
=--
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING ......
HEATING (if r
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUilDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
2~ If-(J Y
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