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HomeMy WebLinkAboutUtility Permit 08-0664 "l te-l1 OWN-R PHO~ o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION TIME It"JA-0L-(4J..... -~ ~ 75- ~~y / o EXlGRAD/..... ~ ::::::::~""'" o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o CONTR. n PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: ~e('ot--.Q.... ~ ~)Ctil ~~r- M Tl ) , M.e~ ~ ? lft.J7 - l~'13 / /,1 j!J /' /' 'Vt~- / 4'(J~' ) /I~J \'_ Cr\ . / O)~ r\?\/ / r JV ~. t7 _~ I ~ ..; / ~~\ /- "'\. "'" - \ \ I J \ 4Zl'l-cr8~ ~ / \ - / , 0 WORK ~TORY: PRO.f"~~ ~CORREC~T~ANDPROCEED o CORRECt, WJ . CALL FOR REINSPECTION BEFORE COVERING Inspector: Y OWner/Contr: CALL744~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE. --~-- /r-.. / :. ) \ I mtJl - . CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY! INSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS /7( ~Z ]:,~ CvJ'- 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 ~ATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: I. fro\) ,JlL -r~.-( 2, l'c..u ~r- ('~IA,^ech~ i lA.s r? . . ~ TIME . $'~~~ o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o w~~ o WORK SATISFACTORY, PROCEED ~COR~ljFC ION AND PROCEED o COR!., IC) ,:6.LL FOR REINSPECTION BEFORE COVERING Inspectl'r: L OWner/Contr: CA\IL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. lNSNOTJ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS III (0'1 I t::Rr- C-or OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING Z~ o INSULATION - ffSEWER HOOK o FINAL El FINAL o SITE INSPECTION 0 MECH FINAL II / COMMENTS: SeWfF CJh)(...,{ DATE TIME 1/ H tYb I ~ -(/)(~c.( I o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o - I. (6tt'VfA..., l-.rac.e.r .+-" o \\ Ct~ , rJt. ~ '~A ~C.-~~( o WORK SATISFACTORY, PROCEED NORRECT ACTION AND PROCEED o CORR~7~' CALL FOR REINSPECTION BEFORE COVERING Inspecto 7 /J OWner/Contr: . /...)d' CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY! INSNOTl CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please type or print and sil:n at bottom) ADDRESS I White Pink Yellow File City Applicant PERMIT NO. OB, O(p(P4- /7/ {;; 9 /Ori- ~/ 1G~t-E LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION ~ (Address) ~1?'th1 ])~I L )ll~q 5t1Ji CI\ c: -0 i BUILDER ~"'-C' J '..I.HY'~ (Contact Name) (Address) Date Rec' d 6 OCL C).Z(P, VI ZONING (office use) PIDZ5:4Z.z... DOz... 0 (Phone) Cj\ .1. 'i ,-} '7 7-f:;"3 } (Phone) (Phone) ORe-Siding OLower Level FinIsh TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing OAdditlOn OAlteration o Utility Connectton HOOK- uP CODE: DI.R.C. DI.B.C. P(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 PROJECT COST IV ALUE $ (excluding land) o Fireplace I hereby certity that [ have turmshed mfnrmatlOn on this application which IS to the best of my knowledge true and cnrn:oct. I also certify that I am the owner or <luthuflZed agent tur the above-mentIoned property and that all cllnstrllction will confurm to all existIng state and lucallaws and will proceed in accordance with submitted plans_ I am aware that the buildmg official can revoke thiS per t for Just aust' rthcrmorc, I en.'by agree that the City official or a deSignee may enter upon the prnpCt1y to pert(xm needed lIlSpectll.lnS ?{- 2(, ,0 Y x Permit Valuation Permit Fee $ Plan Check Fee $ State Surcharge $ Penalty $ Plumbing Permit Fee $ 50.0() Mechanical Permit Fee $ Sewer & Water Permit Fee $ 5Z.00 Gas Fireplace Permit Fee $ This Application Becomes Your Building Permit When Approved HlIlIdm~ Of1icial Date I 1 ~I $1: B 2 Z. 00 I // ' Ret~ No. .5f,1S3 I B~/~ I cJ Contractor's License No, I Park Support Fee J SAC - -. ~ater Meter )Size 5/8"; I"; --- .- (~essure Redu~ Sewer/Water Connection Fee # # # # Date $ $ If, 2 E;. 0 0 $ 32-5 00 $ 7u. (,I() $ /.5"00 (/0 $ /OtJ(lv(l() $ $ ThiS IS to certify that the request 111 the above application and accompanYll1g documents is 111 accordance with the City Zuning Ordinance and may proceed as requested ThiS document when signed by the City Planner constItutes a temporary Certificate of Zonlllg compltance and allows construction to commence. Before lKcupancy, a Certlticate of Occupancy must be issued Water Tower Fee Builder's Deposit Other TOTAL DUE Paid Date 4-, ~zZ. 00 g.;;{. ,-oe Planning Director Date 24 hour uoticc for all iuspectious (952) 447-985ll. fax (952) 447-4245 4646 Dakota Street Prior Lake, MN 55372 Special Conditions. if any CITY OF PRIOR LAKE SEWER AND WATER PERMIT Date Rec'd 1. I O. 08 1. Green File I PERMIT NO 4 2, Yellow City '08 /V _1- 3. Gold Applicant /' V\P ~ .- (Please type or print and sil:n at bottom) ADDRESS /7/& CJ 1.0/1 u~ ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID2S'. 4-z_:z....rOOL Q OWNER (Name) 1St:::- /H O/1HL- (Phone) 4-~ 7, 2-~3 / (Address) (Address) (City) (Zip Code) APPLICANT '- _ J (Name) 750/1/1/ JI1 fU::-} lib).) Nt:; tv (Address) /7072- e&V~ (Phone) Jesse #7.3[;&4- P. &. (City) (Zip Code) (Phone) (p (Z. f :5 (p Cj~ +- /7 / DATE 7-11, 0 ~ (Address) 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. Residential sewer and water line connection Sewer connection only FEE SCHEDULE $51.50 Industrial, Com'l & Multi-family 1 % of job cost with a $51.50 minimum $25.50 Water connection only $25.50 SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ ~ / ~ ~.50 '6'i ~\O ~ ()I.N \J 6 Estimated Cost $ Building Permit # (Office Use Only) Buildin!! Official Date p~ -DateC(_ { ( l oy :~- 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 CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd (Contact Person) D/9N ~OUGlH (Phone) (,,/2, 483 , 4'z-4-0 APPLICANTSIGNATURE",\ ~ ~ DATE Cj - ,13-(;(1 / / /'- A'])PLICANT PLEASE COMPLETE BELOW TYlle of Fixture I Quantity Bath Tub with or without shower Dishwasher Floor Drain Lavatory (Bathroom Sink) Laundry Tray (lor 2 comoartment sink Shower Stall Sinks Bar Sink Water Closet (Toilet) (Please type or print and sil:n at bottom) ADDRESS /11 (p 9 I 01-1 GI Ie ~ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION OWNER (N ame) ]3e / H .Qq J-I L- (Address) ~~~~TANTp,.e5FEIV2-bV PUVlt36, , (Address) &4l-CTO H/ G,/-/ P / 1/'lA.-, (Address) Quantity 1. Blue File I PERMIT NO t 2, Gold City . 0 8 ( 0 (p (p 3. Yellow Applicant ZONING (office use) PID Zb. 4-Z-Z~ OOL ,0 (Phone) 44--7,2,&3/ (Phone) P-v (City) 4+-"1.51& / (Zip Code) TYlle of Fixture Rough-ins Water Heater Water Softener Stand Pipe (Washing Machine) Sewage Eiector Backflow Assembly Backflow Assembly Test 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 $ PLUMBING PERMIT FEE STATE SURCHARGE TOT AL PERMIT FEE (Office Use Only) This Application Becomes Your Building Permit When Approved Buildin!! Official Date Building Permit # ~~ ?f"D ~tL ONNV $ $ $ ------ r~ ~ ~ Date ~ By 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372