HomeMy WebLinkAboutUtility Permit 08-0447
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS . t 111 ~
IJ", (1.-0 r
OWNER
DATE
~
TIME
PHONE NO.
CONTR.
PERMIT NO. g - 4'5C...-
/"'\ ^
I. YN-~~. t~,. ~ .~~ fs. ~Z;(b~J _
O'Y\. l-\O\1'S.-t. <;~'--&jL ~c. M.Q.~ ~./
/ /11 ~E:/
/ fl.
-~,
/ / ;"1 Y' \::/ rD\
I n~'() '16 ,v '/
/f'Y 3'v :
( - /
"--- ~
<1tiz - 44"( - tj-~ Cj ~
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
COMMENTS:
.'2 ~('uN
WlL~er Y'V\e~~
/)
r a....P
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
'/!: De> - ~.16 ~'l
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
J(. CORREC~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: '.,1 ~ Owner/Contr:
J-/'
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
LNSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7 t~7o~;
TIME
ADDRESS
1'( \ ''3
!!-'~ C\;'J....
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Q'-4-41
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
~WATER HOOKUP
? SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
'-r A /J ,K:.. /<:'CYYl c.v.6-()
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
r~
~-~ 'N Owner/Contr:
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
APPLICANr . J' 1 ..A_
(Name) 'oE' AJt >'I;' ~M 14:)~ I ~rV'i'G\.t
(Address) .1 S'O'd- \.. Mor.J \~ R.f)
(Address)
(Contact Pe,son) vV\ J..r. Lu-t-.:2-, ~
APPLICANT SIGNATURE ~~~_
\ -
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
I Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
Residential, New One & Two-Family $149,50
Residential, Additions & Alterations (149,~
E,timated Co,t I Building P,nnit # 6,r
PLUMBING PERMIT FEE $$ f)L\'l 0 ~l iP
STATE SURCHARGE .50 r r \ t/ r--
TOTAL PERMIT FEE $ ovJ
::,e1lfiE-
I
(Please type or print and si~n at bottom)
ADDRESS
/7/73
Id~
erR.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
Quantity
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49.50 minimum
(Office Use Only)
This Application Becomes Your Building Permit When Approved
7 ~ 2-f.{)~
I. Blue File
2. Gold City
3. Yello"," Applicant
I PERMIT NO'OB,04+lI
I
ZONING (office us~)
PID
(Phone)
(Phone) q S" d l{~/" ~ 1 (., ~
~ttrL ~ ~1 ~
(City) (Zip Code)
(Phone) &l). 0- ?:>Gc,- I S- ~ 7
DATE 7~\f"~
Type of Fixture
Rough-ins
Water Heater
Water Softener
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
p~
Dat1. zA", O~
(
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Buildinl! Official
Date
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
Yellm\'
FIle
Citv
Applicant
Date Rec' d
7(,1 Dr
PERMIT NO. Of- o'+'f 7
(Please type or print and si~n at bottom)
ADDRESS ZONING (office use)
/7/73 IDA
LEGAL DESCRIPTION (office use only)
/\;~
LOT
BLOCK
ADDITION
.1
/ ,A.A; {I
/ /.
/)~-
~. CL...!l,/)
OWNER
(Name)
r::,'?(
j II'"
;/!-/l;r}DU T
- 7
-J/>"V1
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
/,
fJ cA. I!"
n7 -~
/,"f
: Nc.:./f~~--r::.::?
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing
OAdditlon OAlteration o Utility ConnectIon
PID 25: +Zz.. 005.0
S'S-2...
2- '2" .5~1 '5 ~
Hoot:::...-UP
ORe-Siding ULower Level Finish
o Fireplace
CODE: OLR.C. OLB.C. )(Mise
Type of Constnlction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
I hefeby certify that I have hlrmshed InformatIOn on this application which IS to the hest of my knowledge true and correct. I also (CTtlfy that I am the owner Dr authOrized agent for the
Jb<lve-mentwned property and that all Cllfistructwn wdl cont(lrm to all eXIStIng state and local laws and will proceed In accordance with submitted plans I am aware that the buddIng
official can rcvllkc thIS permit for Just cause Furthermore, I hereby agree that the Clty official or a de~ilgnec may enter upon the propelty to perform needed lI1spect1ons
X
Signature
Permit Valuation I
Permit Fee I $
Plan Check Fee I $
State Surcharge I $
Penalty I $
Plumbing Permit Fec I $ SO.OO
Mechanical Permit Fee I $
I
Sewer & Water Permit Fee i $ 52.00
Gas Fireplace Permit Fee I $
This Application Becomes Your Building Permit When Approved
~~
Blllldlllg UrtiClal
Date
Contractor's License No.
I Park Support Fee
I S.;C _
~"'M"e' _~l'"
Pressure Reducv
I Sewer/Water ConnectIOn Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paidf'f62-lrDO
I Date ) 7/7/nV
I ,
Date
# $
# $ 'jf/ z.r;;.fj 0
S 32-5.D 0
$ 7D.OD
# $ /500 ~Do
# $ IOO~t()O
$
I $
f. '12'22-,00
Receipt No. ~(. g()l
By "i:r ..
ThiS IS to certify that the request 1I1 the above applIcation and accompanYll1g documents is 1I1 accordance with the City Zoning Ordinance and may proceed as requcsted ThiS documcnt
when signed by the City Planner constltutes J temporal)' Certitlcate of ZOl1lng compliance and allo\vs construction to commence Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspcctious (()52) 447-9S5n, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sil1:n at bottom)
ADDRESS /7 /7 3
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. 08..0452-
/Ori
r!-lec~6
LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
TIM
Fe.v
I
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
PID
Date Rec' d
7, y~ Qf'
ZONING (office use)
(Phone) !J5Z.. Z. 'l.(P. 5978
(Phone)
(Phone)
ORe-Siding OLower Level FinIsh
r!f?GltAo6 I ()
PROJECT COST IV ALUE $
(excluding land)
o Fireplace
/(1
H 6T/::..-1e.._
I hereby certify that 1 have hlrnishcd mformation on this application which IS to the best of my knowledge true and correct. I also certify that I am the owner or ilutlwrIzed agent for the
Jbllvc.mentll1ned property and thai all Clmslructllm WIll conform 10 all eXlstll1g state and local laws and will proceed 111 accordance WIth submitted plans I am aware that the buildll1g
(jnicial can revoke this pt.:Tffilt for Just cause Furthermore, 1 hereby agree that the city official or a deSignee may enter upon the propt'lty to pert()rm needed mspectlons
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAdditlOn DAlteration OUtIhty Connection V
CODE: OI.R.C. OI.B.C. ~ Mlsc
Type of Constntction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
x
/Si~na~ :~~
<.. -.... ~I/'/' () I
14 I
I
I
I
I
I
I
Permit Valuation
Permit Fee
Plan Check Fee
$
State Surcharge
Penalty
Plumbing Permit Fee
$
Mechanical Permit Fee
$
$
$
Sewer & Water Permit Fee
! $
Gas Fireplace Permit Fee I $
This Application Becomes Your Building Permit When Approved
Iluildl1l~ Ufficlal
Date
$
PO. :<3'15. oo~l
/\ $ zOS- oQ
/ /
i RejQlPt No. S-e:. 3/ Z-
Ir,:
U
Contractor's License No.
Park Support Fee
SAC
Water Meter Size 5/8";Q3;
Pressure Reducer
#
#
0~
I /
$
$
$
$
$
-T;-~;"
I
I
4'7s. 0 01
IL5""_OO I
,
/
Sewer/Water Connection Fee
#
This" 10 certify Ihat the request 111 Ihe above applIcallon and accompanYll1g documents IS 111 accordance wllh the City Zoning Ordll1ance and may plllceed as requested TIllS document
when signed hy till' City Planner constItutes J tcmpor.:u)' Certificate uf Zonmg compliance and allows constructIOn to commence Bcfnre occupancy, it Ccrtlticatc Dr Occupancy mllst be
lSStlL'd
Planning Direclor
Water Tower Fee
Builder's Deposit
Other
#
TOTAL DUE
Paid :z.O.E: 00
Date -J ~.(1f5
Date
2~ hOllr notice for all inspections (952) ~~7-9850, fax (952) ~~7-~2~5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
7- 2l 08)
~. ~~~~: ~,ii;~. I PERMIT NO. /1t".( OAA_-1.
3. Gold Applicant. t.<../ "",r /1
,
(Please type or print and sij.tn at bottom)
ADDRESS
/7/73 ZlJA
~I ;-"L._
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
(Address)
(City)
APPLICANT/" /JT
(Name) r...-- L::U-
E'U-c(~.t~
.-J / ,-
;;J.-3CJ+k. ~r~C
(Phone)
(Address)
"< /5(1
(Address)
(ContactPe..on) {~i:lr<,j;
APPLICANT SIGNATURE A. ,.
/1
APPLICANT PLEASE COMPLETE BELOW
(City)
ZONING (office use)
PID
(Zip Code)
(Zip Code)
(Phone)
95:;) - .J 9;;' - /39<;.
7- ;;J/-C,g
DATE
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. D ABC D rvc 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
1 % of job cost with a $51,50 minimum
$25,50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Pa~
Buildin!! Official
Daj ,'~1 . () ~I
Date
v
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
.50
'f ~D
~oJr ./
, CJ ~J\
----
Re~~
By r-~