HomeMy WebLinkAboutUtility Permits 08-0508
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DYE I TIME
r~/rtP/~1 ~ ~
ADDRESS
(7/71
! fJA Cr /Z..
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLlNG
o FOUNDA nON 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL 0 GAS LINE AIR TST
o SITE INSPECTION /1 0 MECH FINAL 0 / .J
COMMENTS: !- V OL..c..-.4*'S,-,,~ 7~/c.. S -cQ(" 1<.
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',r~ORK SATISFACTORY, PROCEED
o CORRECTflC O~ROCEED
o CORRECT,. LL 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 & SAFETY!
INSNOTJ
_ iT'
SCHEDULED ~
(p~ C..2.C~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS (r ( 1 ,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
;:s::. PLUMBING FINAL
o MECH FINAL
COMMENTS: ~ 'S of c...v p.47 """ L-1"""
SPDc!-.~tAJ / /. f> 1: '""l~t::'~
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c:.olv 6 ~ F ~ (2.. _
TIME
os -SCSB
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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o WORK SATISFACTORY. PROCEED
1\ CORRECij;ACTIO AND PROCEED
o CORRECT 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 & SAFETY!
INSNOTJ
DATE TIME
CITY OF PRIOR LAKE "/4 0b
INSPECTION NOTICE SCHEDULED
~~ CI\r-
ADDRESS /7171
-",
OWNER CONTR.
PHONE NO. PERMIT NO. ~ - ~I?~/
- -----
o FOOTING o PLUMBING RI o EXlGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING ....e- WATER HOOKUP o FIREPLACE RI
o INSULATION :.e:r5EWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: r .
t. ~l~ -U(o ~~
2. ItrJ\ll70 D ~ ~~S-
~ ~ ~ FBr . T ~\::... (? 0 IJ.~IV
. f
21' ~cr> w~\l
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
. 0 CORR~ER CALL FOR REINSPECTION BEFORE COVERING
,
Inspector: Owner/Contr: .
CALC 7 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
~OD~Q~IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White
Pin~
Yellow
File
City
Applicant
(Please type or print and si~n at bottom)
ADDRESS
/7/7/
IDA
~ / e (!.,.t-6
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
i BUILDER
(Company Name) ;?A'7I!z:C~ M;v-r~/rL
(Contact Name) } ,19..-./ (',11'- ~ ~ .,V(.-"
(Address) / ? / ? / .L../,2Lf- c"...cA.. ~. t.--' / ~...ECC!^
Date Rec' d
7 Zc.,dtJ
PERMIT NO. 08. <5 ~o vi
ZONING (office use)
PID zs. 42.2.. 00.3. 0
(Phone) q,S"'";). - ~~ - ~ CIl.G Nc
(Phone)
,/ ,,;-x,,,," _~...c./ 5C.J"'7,;J..
TYPE OF WORK 0 New Construction DDeck OPorch ORe-Roofing
DAddition DAlteration DUtility ConnectIon
CODE: OI.R.C. OI.B.C. )('MiSC.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
Hoot::... UP
ORe-Siding OLower Level Fimsh
PROJECT COST IV ALUE $
(excluding land)
o Fireplace
I hereby certify that I have furnished mformation on this applicatJOI1 whIch IS to the best of my knowledge true and COlTect. I also certify that I am the owner Of authOrized agent for the
JbOVc-mcntlOllcd property and that all cDnstruction will confurm to allexistmg state and Incallaws and will proceed in accordance with submitted plans I am aware that the buildIng
~jiCla~IS p'T~e Fllrtherm(~ hereby agree that the City official or a deSignee may enter upon the propel1y tn pert()rm need~;;~ / Qg'
. Signature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ 50.0Q
Mechanical Permit Fee I $
I
Sewer & Water Permit Fee i $ 52 _ 0 ()
Gas Fireplace Permll Fee I $
I Park Support Fee
I SAC
....- ----
(~aterMeter _ ~ize5/8"; I",
~sur~ Reducer)
~.'@l ~Qler CiJnnection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid
Date
~. fJ z,z,r i) 0
. , 7- Z l., .' GIt:!Y
Iluildlllg Unletal
Date
#
#
#
#
$
$ 182S.QO
$ 320.00
$ 'to 0 d
$ J..s-OO _ (\ 0
$ /000.00
$
J
i $ I
I
/ ) I $ 4-8 Z Z -- 0 OJ
Rek~t No. 5(,3 SPJ ]
I)I(L. . j
o
ThIS is to certIfy that the request 1Il the above application and accompanYlIlg documents is 1Il accordance with the City Zoning Ordinance and may pnlCl'l'd as requested ThiS document
when signed by the eny Planner constItutes a temporary Certificate uf Zonlllg compliance and allll\\'S constructIOn to commence. Beron: occupancy, ;t Certificate of Occupancy must be
),Sstled
Planning Director
Date
24 hOllr notice for all inspections (952) ....7-9850. fax (952) ....7-..2..5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and siJ~n at bottom)
ADDRESS
1. Blue File I PERMI 0 81
2. Gold CIty TN. at:/., 050
3. Yellow Applicant U
/7/7 I IDA
(!A rz., ~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
P,4-fJt.4 ~ F!7 / f::;- -/ I /
(Phone)
(Address)
APPLICANT
(Name)
(Address)
P/L6pe~p
(,#0 rHGH PT.
(Address)
Pt...-n tJG
I
77l-L- .
(Phone) tJ~?.... ~+-1, 57p I
Pc- .
(City) (Zip Code)
ORAl Cl- 0 tit:, H
APPLICANT SIGNATURE \}.--,. ~~
~:/ /'
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture I Quantity I
Bath Tub with or without shower I I Rough-ins
Dishwasher I I Water Heater
Floor Drain I I Water Softener
Lavatory (Bathroom Sink) I I Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartment sink I I Sewage Ejector
Shower Stall I I Backflow Assembly
Sinks I I Backflow Assembly Test
I Bar Sink I I Lawn Sprinkler
I Water Closet (Toilet) I lather
(Contact Person)
(Phone)
(p IL, +e3 . C) z...q
/
DATE c~ ~ ~ 3- 0 CS
Quantity
Type of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi-family] % of job cost with a $49.50 minimum
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$ ~
/
Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
~'1
vA'O 6t1
\ O~,J
-'
~.50
Estimated Cost $
Building Permit #
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
Buildinl! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
1. Green File PERMIT NO
2. Yellow City .,--a.. .,..- t)~
3. Gold Applicant ~ ....:::> t r'J
(Please tyPe or print and si~n at bottom)
ADDRESS ZONING (office use)
171 '11
I P.A C, /L
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
PA-r fl-1. c:;.1L:. FAN 67( /
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT
(Name)
/J3T
(Phone)
(Address)
'"7> { ~O
2- ~t.J~ <;7'1 6
(Address)
(City)
(Zip Code)
9.5;)- d 9"J-- 13qS
Cfr- /r;- 0 g'
{Contact Person) ~ /
APPLICANT SIGNATURE.~l/
APPLICANT PLEASE COMPLETE BELOW
(Phone)
DATE
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. D ABC D PYC D Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
----...." - -,,--
Residential sewer and water line connection
Sewer connection only
$51.50
$25.50
FEE SCHEDULE
Industrial, Com'l & Multi-family
Water connection only
I % of job cost with a $5 1.50 minimum
$25.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
I By
Suildine: Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372