HomeMy WebLinkAboutBuilding Permit 08-0526
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Division:
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(excluding land)
I hereby certity that I have htrmshed mtl>rmaltlln on Ihis applicatIOn which tS to Ihe best of my knowledge true and correct. I also certlty that I am the owner or authonzed agent for the
above-menltoned pro 'rry 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 buildmg
official can revoke tS permIt for Just cause Furthermore, I hereby agree that the Ctry official or a designee may enter upon the propetty to perform needed mspectlllOs.
x
Signature
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
2
3
4 5
7- 2y " or-
"--- -
Date
Contractor's License No.
$
$
$
$
$
$
I $
$
5"00. ..
zs. -
. -z. <)
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
4L"l5
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
,J
Paid
Date
ThIS tS to certify that the request 10 the above applicatton and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested Thts document
when signed by the City Planner constItutes a temporary Certificale of Zomng compliance and allows construclton to commence. Before occupancy. a Cerltticate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING ~
PERMIT N~ DATE ISSUED · · 08
BUILDER f;C~1' . PHONE#!1SZ.Zfl.S"~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FINAL
'FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I
I
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t1/ZO/C;7
I I
FOR ALL INSPECTIONS (952) 447-9850
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