HomeMy WebLinkAboutS/W REPAIR 07-1178, 05-1247
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
I r Z---f17
ADDRESS
/Lf08Q )44c.~....v1 a
OWNER
CONTR.
PHONE NO.
PERMIT NO.
7-1c 7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
&?f PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
D.
COMMENTS:
~f ~ -",---.
/ / I r( \. '"
( V(DS-c-- (I(a )
\ - /
~ .~
J! WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W'YfK~ ~OR REINSPECTION BEFORE COVERING
Inspector: / I//'./ Owner/Contr:
/ .
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
V.C11kt';// ('
Date Rec'd
CITY OF PRIOR LAKE 7
IZ~/1~"
SEWER AND WATER PERMIT
J Green File PERMIT NO
2 Yellow City , ()7. 1/7 {/
J, Gold Applicant d
G or ((~, l\t.\'cj' b, .--( V ~,~ \ 'S. 't
LEGAL DESCRIPTION (office use only)
......\ 0 \......\
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICA1'>l1 ,
(Name) t:.{. (.L\'-\ h
(Address) _ ~l~\..(
f){ t l,W A:,i~ \A..o,
(j
AVt:'
~ v--J .
(Phone) '\5::>.. "\ ~<::.;!, :J \ '? 1..1'
\\ \'y-
(Address)
(Contact Person) \ }; c trv ~v ~+{..-,
APPLICANT SIGNATURE'''-,rY''y~ \_~uJ:-:L___
i" .I) " .
1\ . f .v..... T.. '" ( , j <::.'
. '-(City) - - -0 - ~
5C(l(i', t
(Zip Code)
(Phone) (15 l ~ ~, -.:2 '--I (", ~, T'\ 4'1 ....\
DATE i..-~j ,C\ \. (\\
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
feet.
o Cast Iron
.
r!J;~
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family I % of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
/7,50
.50
/0.0Q
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
I ~ (/()
-J
Receiro. ~ 9 'i
I By ~J.
()
Building Official
Date
Datiz ~ I Y. () 7
,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
/2 Z 1: 05
I Green File I PERMIT NO I
2. Yellow City. 'OS 124-7
3. Gold Apphcant "#
(Please type or print and sign at bottom)
ADDRESS
40/4- 6€e6;V /frs-
~ e",.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID ~ - /2 t:l C 03 0
2. ';.) ..:> . ..
OWNER
(N ame)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
~;~~~ANT B-rCt I J"- i-}L ?(~ lI(q ~,)? j
(Address) 31 c:, S( Co I 7 J 5- f f1l5..---- ~V (J
(Address)
(Contact Person) U l eJu- Y:XCiol fA.
APPLICANT SIGNATURE :( ../~~
(Phone)
(('-iel v--
,-<City)
QQ 7F'Y -Z7~G
1110 i Sb-o -t I
(Zip Code)
(Phone)
~)/r Z-LI (.... 7 9 q q
J 2- -- 2-'1 --- C/ ,;-
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. D ABC D PVC D Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
1,), #y
./~ .
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ /7. SO
$ .50
$ /fJ.OCJ
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid I~
Date _
/ZZ r. (, ~
Receip,t-No. :-7, a A.A
/..,:)(, CI '("+-
By/'"
j'
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245