HomeMy WebLinkAboutBLDG 08-0061, PLUMBING 08-0106
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CIIY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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APfljic.aA'
(Please tYPe or print anll si~ it boaom)
ADDRESS
37/S- J~~!/;~~~
, LEGAL DESCRlPTION (office use only)
LOT
BLOCK ADDITION
I OWNER
(Name)
//~;- ~Xt!..~
,.
(Phone) 25".;1- ~~7 ~;;?S-/J
(Address)
BUILDBR.3 /7 L / \
(Name) _~--t'/1/ C~~ /' t>///~ ~LIA,..7r'ilA./
(Contact Name) ~''''- R-' ~5..:5
(Address) /o? ~ 6 ce::C?A/d/1- rt k~ s:
Date Rec'd
;- . 2. 2.. ot
/ PERMIT NO. 0 B. 00 G:, f I
ZONING (ollla use)
PID
t?S;2 - ?18,3', 6"S?g
(phone)
(Phone)
6~tJff}/~?~~//J1;J
-- -~ ----..---
TYPE OF WORK 0 New ConstnlcUon ODeck
~-f~~ o.tu~ r.,vtf ';;A-
/ /- j f OLower uvel Finish
t't'f:.fl:ft" Q.} /VeT tJW /
OMisc~",6'/J ~)(/6 h..PA-4hL
o fireplace
OPotch
OAddition
ORe-Roofing
~lteration
PROJECT COST/VALUE (acluding land) S
5" :)'7ZtJ
ORe-Siding
OUtility Connecaon
-=?t!!!J8,oo
I hereby t"fnify that I have furnished information on rhis application which is to the best of my knowledge a'Ue and correa. I also t"ertify that I am tile owner or
authorized agent for the above-mentioned prllpertY l.nd that all t"onstruction will conform to all existing state md loal laws and will proceed in. accordll1l.ce with
submitted plans. 1 am aware that the building official can revo~ this p<:nnit for ju~: I ause. furthermore, I hereby agree that the city official or a designee may
=teruponth~~~or.s.. _ c:J'33 7 d-/~ -~o~
L.---' Signature ConlractOr'S I.iCCJlS( No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Pennit F ~e
I Mechanical Permit Fee
Sewer &WaterPerlnit Fee
Gas Fireplace Permit Fee
IS-OD,VUI
I s 2..~ . (j () I
I S I w . 25 I
1$ ,5() I
IS
IS
I S
S
$
I Park Support Fee
SAC'
Water Meter Size 5/8"; 1";
I Pressure Reducet
I Citj SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Thi~ Application Becomes Your BuiJdinC Permit W'ten Approved
Building Official
I Paid
I Date
crt. 7-J
'2,2.,1..01'
Date
. -...-.-.........--..-.-..
# I $
# IS
s
S
# S
# S
$
$
()s 41,15
I
Recdfi)t N <?- S5 /7 I
BY./
U
Tbi5 is to ccttify rholt thc reqlltsl in the abovc Ilpplicarion me{ lccompmymr documentS is in ictotdincc "-im tile CItY lOnlnl! On1illance anll may proa.d il:l r.qutSltti TIns dOC\lmml
wb.n signed by rh. City Planner constitlltes llemporuy Ce:tifiar. or Zoning compliance and aJlOW! cOlUtnlcllon to commence. Before occupancy. a Certificare of Occupancy muiiDe
i$$ucd.
Plannillll Director
'."c',,,,, 'C..._I_ /""....._1, ".___...... ~......, ...1...... ",.....,. C'~..,..,....
Dale Sp~Ci3{ Conditions. jf::lllY
iAbciiir 1'l.)Uce Cor Ali InspectiOrt~ (952) 44M!50, fax (952) 447-4245
TOTAL P.02
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
c.{/qlo~
. l
O~'l
ADDRESS '3 t'-J t ~
\";.\~i-€A.)
OWNER
CONTR. to, ~
1.]- oo~1 V
PERMIT NO. '~_ ~., C-- rv.~
o PLUMBING RI 0 ';;;GRA~F~~LlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0 .
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Jil4INAL
o SITE INSPECTION
COMMENTS:
(/'\( I ()
L,\~fi-l
(I!
l- t( 'i
" ~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREVfjRK' CALL FOR REINSPECTION BEFORE COVERING
Inspector:. Owner/Contr: .
CALC - 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
Date Rec'd
, ,
CITY OF PRIOR LAKE PLUMBING PERMIT 3- /7 08
4 pve:- If/ fe. 00(#(
~. ~1L ~~~hcant I PERMIT NO'{)8. () /0 fc, I
(Please type or print and sie;n at bottom)
ADDRESS
~'IIS ,E(tffld
V/etZJ
I
(, V-C{G
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
(Phone)
(Address)
APPLIC~ \ (: Pl' 10 ' .-r /'
(Name) .~O:_ ~ UtY\ (~4 -J..-Ylt--.
(Address) 2- 32, 7-~ nrf.'~ b ~ ,--~-r J0v,J
(Address) (City) (Zip Code)
(Contact Person) rrJl. (~1:- ~1l-~ ~' _ (Phone) rlw-3-Y '2- -: -; L 32-
APPLICANT SIGNATURE (; Ai,{).CIM~D, S;'~ DATE 31l'1.-.l On
v I ~~
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
! Water Closet (Toilet)
71 ~3--L./21-1 \Z2..
(Phone) \,c./ .:>
~,FrCH/\utS N\IJ S$rY16
Quantity
Type of Fixture
Rough-ins
Water Heater
I Water Softener
I Stand Pipe (Washing Machine)
I Sewage Eiector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
! Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49,50 minimum Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
Estimated Cost $ ,q (()
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
L{l{.~
.50
-SO . fl()
(Office Use Only)
Building Official
Date
Paid SO,OO
Date .3, /'7- ~8
Receipt No. ~I L
By 4f2tL
I
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372