HomeMy WebLinkAboutBuilding 07-0007
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Division:
(excluding land)
I hereby certify that I have furmshcd mformation on this applicatIOn which is to the best of my knowil'dgc true and correct r also certify that I am the owner O!" iluthorIzed agent for the
abow-mentlOned property and that alleonstructlOn will Cllntlltm to all eXlstmg state and local laws and will proceed in accordance with submltled plans I am aware that the buildmg
official can revoke this permit for Just calise Furthermore. I hereby agree that the CIty official or a desIgnee may enter upon the propetty to perform needed lflSpCCtlOI1S
x
Signature
Contractor's License No. Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8", I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE I.A-Q,tA~Y) $
Paid /r~,~-) i~tNO S--J ,S ''!u I
Date /- "'1 - {7/('
Permit Valuation I o fJ 6. b (j
Permit Fee $ 34.75
Plan Check Fee $ -
State Surcharge $ .50
I Penalty $
Plumbing Permit Fee $ 40 , DO
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
i
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~~ #dU-
BlItldllH! Urtlcial
1/2. /0 ?
, of)ate
Tins IS to certify that the requl'st in the above applicatlOI1 and accompanymg documents is In accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the City Pl.lnncf constitutes a temporary Certificate of Zonmg compliance and allows construction to commence Before llcclIpancy, a Certificate ofOcclIpancy must be
isslIed
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
/)I
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~ I I
~I
--_.PLAcE NOCONCRETE NTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
-~- ------------
-------------------....--
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~-
~ --
BUIL:DING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGN 0
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