HomeMy WebLinkAboutBldg (Utility connection) 01-1081
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
57-of'
ADDRESS
/4q /4- L. 0 /61 /GO.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
01. /()8/
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
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIfILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
O.
COMMENTS:
</17 & I r-I VJ /l/!Vb en 0 r-1
I
~'-'os~'
D{J ~ 77J
'7716 PI 06
j IV ;;:; C!.4, V I TV
I
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr: .
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
I/ISNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/0/1/01
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO'OI-/O ~ /
(Please tyoe or orint and sign at bottom)
ADDRESS
/49/4- L-()el
JeO/1{)
ZONING (office use)
1€/5D
LEGAL DESCRI!1;IO~ ~ffice use only)
LOTz..lBLOck~ 20~DDITION ~tJ(10
~ ;teWNER V -r--
(Name) ^/~I
PID 25-//7-0/5-0
/JbbP-S
(Phone) 15"Z" 7zz- 35eJt:f
,
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
ODeck
o Porch
ORe-Roofing
ORe-Siding
~ti1ity Connection
OLower Level Finish
o Fireplace
OAddition
OAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) S
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
authorized agent e ab ve-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted s. m are that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city~ffi . al:zr a esignee may
enter u the op to p for :..o....<.L.:iOr1S.
X ~ COO""""" Li~ No. /P tif,,,, Z/Zl)
yermit Vctruation Park Support Fee # $
I Permit Fee $ SAC # $
I Plan Check Fee $ Water Meter Size 5/8"; 1"; $
I State Surcharge $
$
$
$
$ 355()
$
Plumbing Permit Fee
Mechanical Permit Fee
Water Tower Fee
#
I
I
I
$ I
$ /.200.001
$ i
$
$
$
Penalty
Pressure Reducer
~...(rt
SeweflWiiter Connection Fee
#
Builder's Deposit
Sewer & Water Permit Fee
Other
Gas Fireplace Permit Fee
TOTAL DUE
~Atfjl;~WngP::;~d
fluilding Official Date
Paid
Date
J.Z 35..so
. /0-1-01
/lUI
R~C;,7f( ~ (, 3 V;
BV7 .
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~~I~\:~ ~~ \~~~. ~~ _114'TlJ41
CITY OF PRIOR LAKE
IliOQl
_I. . ....
".....- . ._11:".',
_.. en-"
CITY OF PRIOR LAKE S.w. ~o, _01::.... (06/
SEWER AHD WATER PERftIT
NOTE': Sewer Qnd Wal.er
contracLorR ~u.t
.bo r.9is~erl:3d
with the city.
APPJ:': C^NT:-'=L~yd ~ ~~~.!!4 f/~ Cj ~'-., _PHONE:
ADOR! =;6: ~C?lJcy S/y_ ..~....~
SlC.m;: rURE: .~ ~
SITE \OORESS:..... 1't'/~' ~ ~-i..:-..-
D-'.T!: :
.J ~;;;.- ~%. rc.>;)O
......---...-.-....
/0 '0;) - ~I
Br..DG. PERM.I'l' * _.__.~_.._
PIO'_ Z5- .//7 - 0 IS ~ 0
P'I LL IN THE BLANKS
1. Ii ;tJ.Jnated lenclth of water service_;:Z5:C>
feet.
2. SLZU at water service
I
.1nOh(el!l) .
J. J lcation af any caup11nq8 fJ:'om strLlctUT.$ feet.
'\ - l' 'pe af sewer pipe. ASS PVC V---CB5t II'on
O. f: iT' 1 ,"lilted lonqth eo! 18......L llne ra;fQiat.
G. C: ean out (if required), located at 1V'CL....feet
S ,r'uctur. e.
ft'tlm
::_~~: :~;::~;:jJfj,~:::-:::~:;::~~~~;~-~~.=~=~~
'.~"''''''''''' -............ ~..""'Slfs;;:o'"';:::==~""---""_..._;;;-_..u=:e...=-=-=.._""""._...... .. _..."'=~,..._...,,'_......_
FEES: $ 35.00 Se~er and ~ater line connection p~rmit_
$ _~~O Surcharge
'35.~D TOTAL
... J~I;!:! far oithQI;' sewer or "'o!lter 1ndiv1d~ally is ~.a 1'11.1&
$ .~o gUreha~q..
-
~h tlur and water permit. i.Bued tor tie", ccr\lstcllCt:icl1 must he
l~'! ~l:l:t'ded un 'the buildinq p.l'mit card at t:he tlrT1li1 0.( issuance
U inllJure that no dUP11catll! sewer and water permib: ..U'(I
J,Ji;;ued. ~
DATE I: \ID . AMOUN'r PAI1!f~ ;....-:::--"_'. ~
RECEl j: r # ______n'__' REC:' 0 et \1..~~ __...._
16200 Calli! Crflrdr. Av. S.Ia., Prior Lak~, Mi""esotIl55372/ Ph. (612) 447-4230 I fAX (612) 447.4245
An Equal OppOl'\unity BlllployCl
1121'd
Z99.1..+9:1<:.1..+Z!;;;6
JNI ~NliH^HJX3 crAO..
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