HomeMy WebLinkAboutBuilding Permit 07-0097
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Occupancy Group:
Division:
A B E
F
I
H I
2 3
M R S U
4 5
PROJECT COST IV ALUE $
(excluding land)
,
i
+1 X
I herehy certify that I have hllOlshed mf,'rmation on this applicatIOn wlllch IS to the best of my knowledge true and COlTect I also CLTtlfy that I am the owner or authOrized agent for the
<lbovc-mCl1tlOl1cd property and that all Clmstrllction will confnrm to allexistmg state and local laws and will proceed in accordance with submItted plans I am <lW,UC that the building
offiCial can r 'voke tJllS permIt for Just cause Furthermore, I hereby agree that the CIty offICial or a dcslgncc may enter upon the propet1y to perform nccded InSpcctllHl,'.;
'- / (
,
Signature
Contractor's License No.
Date
Permit Valuation -'7 C {c -
:") j,i).
Permit Fee $ !A '1 '::;.
Plan Check Fee $
State Surcharge $ ....,-; /
Penalty $
, Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permtt Fee $
n Approved
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
,
Water Tower Fee # $
Builder's Deposit i $
Other ELe::=-C. A,,? $ I -
..
TOTAL DUE $ i /7 LC;
s 2,8 .-Z<'
Tim IS to eertlfy that the request in the abllve applIcation and accompanying documents IS 111 accllldance with the City loning Ordinance and may proceed as requested Tim document
when signed by the Cay Pl.ulIler CllmtIlUles a temporary Certificate of llllling complIance and allllws constructH1n tLl commence Befure occupancy, a Certificate of Occupancy must he
l.ssllcd
Planning Director
Special Conditions. if any
Date
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ! ~ \ 5'( 1S l--'-':? \?" t1-D Tt2A I ~ N. IS-
NATURE OF WORK L. L . r:: 'f-J IS l0\-
USE OF BUILDING lZ-&C; ,A- Ii ,
PERMIT NO. 67 -q, DATE ISSUED sf, 101
CONTRACTOR C>Avt() MA-,;\J PHONE '1.51.- 1..3.2, - l~zg-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
treoTING I
, .roUNDATION (Prior to Backfill) I I
eLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
L(. '~..L ROUGH _ INS
3~.. I-wATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if re uired)
::::,,~~~::.'r~
<Y~INE-AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I . I I
FINALS
(Prior to Soddin )
BUILDING
ELECTRICAL
PLUMBING
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