HomeMy WebLinkAboutUtility Permit 08-0664
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OWN-R
PHO~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
TIME
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75- ~~y /
o EXlGRAD/..... ~
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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:
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, 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.
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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:
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TIME
.
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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
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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o
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Ct~
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'~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
$
$
$ ------
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~
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Date
~
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372