HomeMy WebLinkAboutUtility Permit 08-0520
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o E~D/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
I ~ Plt"J
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Oz'N
o SIT INSPECTION
C _ MEJIT~
SCHEDULED
~ J~/:7~
8~
TIME
~
Q,'r-
CONTR.
PERMIT NO.
'b{ PLUMBING RI
/0' MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
... -
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
)6 CORRE~T RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAL 7 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
. ~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETYl
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS III J"}
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE
rZEDULED ~ ~ jIZ ny,
~I\
CONTR.
PERMIT NO.
~~ZP
o PLUMBING RI
o MECH RI
...B"WA TER HOOKUP
1:1'"' SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
)( CORRE"&]T RK, 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!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS It\lL
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED tfhlo~
T:k. ~ '{i
CONTR.
PERMIT NO.
8-S;b
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o ~SLlNE AIR TST I
)( I/..,~~,....",:". ^
~tC
tWDRK SATISFACTDRY. PRDCEED
o CORRECT ~WD PROCEED
o CORREC/woAtt. cALL FOR REINSPECTION BEFORE COVERING
Inspector: A I' } Owner/Contr: .
CALL.t.JJ8~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
~IREMENTS ARE FOR YOUR PERSONAL HEALTH.{ SAFETY!
/NSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date llee ~ d
7. z,f. rJ/j
File
City
Applicant
I PERMIT NO. 08,052-0 I
1 White
Pink
\'ellow
(Please type or print and sign at bottom)
ADDRESS
~I te..~L&-
/7/77 fD/-}
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
BUILDER /f:? --- P !1
(Company Name)-----f;/--t-~'(X>1 ~
(Contact Name)
(Address)
-~
ZONING (office use)
PID Z15 4-Z,Z. 00". 0
(Phone)
(Phone) 9' ~ ~ -Lt~ 1')- .316 q
TYPE OF WORK o New Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish o Fireplace
OAddition DAlteration OUtlhty ConnectIOn HooK.-' UP
CODE: DI.R.C. DI.B.c. 'fMISC
Type of Constmction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certify that I have hlrl1lshcd mfnrmatlOl1 on this application which IS to the best uf my knowledge true and cUITect. I also certify that I am the owner or iluthonzn1 agent fur the
allilve-mentlllne ( llTty and that all constructllln will cont(lTm to all eXIstmg state and local laws and will proceed m accordance Wllh submltted plans I am aware that the buildll1g
official can 1" lke t IS pnmll f 1st cause urthermore. J h -cby agree that the CIty ofticial or a deSignee may enter upon the propelty to pertllTm needed lI1Spectltll1S
x
Contractor's License No.
Permit Valuation
I Park Support Fee
I SAC
-- ......
(r~ater Meter )Size 5/8"; I";
~essur;Red;;r)
Sewer/Water Connection Fee
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
MechanIcal Permit Fee
50.00
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
52~ 00
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
9J1J~z,J OU
, 7. z,...y-: Oe,
Paid
Date
lluildlllg Urticial
Date
#
#
#
#
A I $
(/
i Re<ilpt No.
IBI
o
_~17 - '2L () $?'
Date
$ I
$ 1825. 00 I
s 32-5- OrJ I
$ 7 () O(j I
$ /S()()_ 00 I
IOOf) 001
I
I
4/ PJ 1,2-. 001
/Sl,37B I
I
$
$
$
ThIS IS to certify that the request 1I1 the above appiICJtlOn and accompanYlllg documents IS 1I1 accordance with the City Zoning Ordinance and may prDccL'd as requested ThiS document
when signed hy the City Planner CllnstJtutcs a temporal)' Certificate of Zonmg compliance and illlllv,'s clJnstructinn to commence. Before occupancy, a Certificate nf Occupancy must be
isslled
Planning Director
Date
24 hour notice for all inspeetious (952) .t.t7-9S50, fax (952) .t.t7-.t2.t5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
~;;~~ANTp, ~J '-.- (<- J ?\ v", b',\ ') I" ~
(Address) (; '-Ie c I-\~~~SS)~ Pc. "J-~ "\ < ,~ ~ \
(Contact Person) D.., " C \ <-, ..' '---
APPLICANT SIGNATURE~_O~.. ~~/(~
~~ / /'
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
(Please type or print and sil(n at bottom)
ADDRESS
/7/77 /0;:1
-
C/11C (!--{/b
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
'12- \C- 4A-C () U'>
(Address)
Quantity
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49.50 minimum
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
. Th;s A~t;~. Becomes Yon, BnUd;ng p:mr ~e~ Appmved
N ) ~r ~/i ':) jDe.
Buildin ! Official Date
1. Blue File I PERMIT NO '\
2. Gold Cit, .ClEi. O~":;Z('.J
3. Yellow Applicant
ZONING (office use)
PID
(Phone)
44-1 -- 7, 2.0 4-
(Phone) <, <:: ,}.., 4 '41 - ~"7 b \
~} /' \' (): L. J/,:, '- (<;' ~. I '2__
(City) (Zip Code)
(Phone)
L \ L.' '-\ 6 S
'>I.~L\C,
DATE
~ -I~\- c c'-
Type of Fixture
Rough-ins
Water Heater
I Water Softener
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other. c (N c.A..,).An-:'lC./{...:L(L-
\
CP
$
$
$
Residential, New One & Two-Family $149_50
Residential, Additions & Alterations $49.50
06'1
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o V'J f'J
Building Permit #
,50
Paid
Receipt No.
Date
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
9. 3: 01
(Address)
(Contact Person) Ct'J ~ ~~- v-c yY"t s/' I
APPLICANT SIGNATURE ~.-
- - .
V' (j /'
APPLICANT PLEASE COMPLETE BELOW
(Please type or print and si~n at bottom)
ADDRESS
UIC-A
/7/71 10/1
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER
(Name)
(Address)
(Address)
APPLICANT r j
(Name) C ~I CYCCt -'"'~ :.j
?> 756 ?3o.fh.sf E
(Address)
; ~:~~;w ~iit~. I PERMIT NO. 08 (1'C;Z' /}
3. Gold Applicant ~ l./ --- --L..1
ZONING (office use)
PID
(Phone)
(City)
(Zip Code)
(Phone)
9s';J -:J-7;)' -/39$
(City)
(Zip Code)
(Phone)
DATE
1- S -GJ8'
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PVC 0 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
$ ~
$ ~ .50
$ /
/'
6'1
pfYlD 1 '" 6f2--
o \," tv
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
Buildine Official
Date
p~
Dat~~ J. 0 V
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372