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HomeMy WebLinkAboutUtility Permit 08-0520 0~5ZO r o E~D/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL ~ GASLI~ /'" --: , /) / ,,\!)) V ~ (\4.rlM~ ren~ /' (11V ~ - '" - {)/"\ / lJ J \ V. ~~r ~~ ~ , /\~\ r\O\ ' / - / ( \~ ( . t,\ V J / / ^ \ P)-/L\Y' / I ~ )" ./\ /" ( - ~ \ ~ 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 I. 0r.~ ~, \: . ~ ~~ ; ~Stn?tr~ I ? l (~cJ1 +;1'"" ~~t..o- i 1A5It.o.d,>>-t ~. C(~ ~ <;~ ". - .. ok +0 . rt--- C}~ \.'QlJ,.~\\tnL..< s~ D (A1M~ S&LJ 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 $49.50 06'1 f~\!.\~ o V'J f'J Building Permit # ,50 Paid Receipt No. Date By 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 CITY OF PRIOR LAKE SEWER AND WATER PERMIT Date Rec'd 9. 3: 01 (Address) (Contact Person) Ct'J ~ ~~- v-c yY"t s/' I APPLICANT SIGNATURE ~.- - - . V' (j /' APPLICANT PLEASE COMPLETE BELOW (Please type or print and si~n at bottom) ADDRESS UIC-A /7/71 10/1 LEGAL DESCRIPTION (office use only) LOT ADDITION BLOCK OWNER (Name) (Address) (Address) APPLICANT r j (Name) C ~I CYCCt -'"'~ :.j ?> 756 ?3o.fh.sf E (Address) ; ~:~~;w ~iit~. I PERMIT NO. 08 (1'C;Z' /} 3. Gold Applicant ~ l./ --- --L..1 ZONING (office use) PID (Phone) (City) (Zip Code) (Phone) 9s';J -:J-7;)' -/39$ (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