HomeMy WebLinkAboutUtility Permit 08-0374
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
1718(J
TJa
-. -
OWNER
CONTR.
PHONE NO.
PERMIT NO.
If PLUMBING RI
o MECH RI
IE.. WATER HOOKUP
ct SEWER HOOKUP
6 PLUMBING FINAL
o MECH FINAL
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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TIME
6. :374-
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
/1) P.\ \
o..P ro;c: ;?~ I
,
Jr~ ~. ~~
o WORK SATISFACTORY. PROCEED
)( CORRECT ACTION AND PROCEED
o CORRgw; "lK, CAll FOR REINSPECTION BEFORE COVERING
Inspectol: · I /l Owner/Contr:
CA_I. 4#~-9850.kR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD\.R~EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
D~T~ / TIME
-'/./>/Cfv
ADDRESS
(i l 96
r \~/1- C. \ ;2.
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
t WATER HOOKUP
~ 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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COMMENTS:
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
J1\ - P~2..-S<:-'N Owner/Contr:
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. 08.0314-
(Please type or print and si~n at bottom)
ADDRESS
/7/80 IO~
~I re~0C
ZONING (office lIse)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID zS: +z..2. 008,0
(Address)
17Jg'O
LR~S w<..LL
IDA {!, iJ.C L e..
(Phone) ~/:< - 3~.:2 - o9t3
OWNER
(Name)
])l1.V(2..
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
OAddition OAlteration OUtiJity ConnectIOn
CODE: DI.R.C. DI.B.c. )(MiSC. Hoo/G. UI'
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 certlty that I hayc hlrOlshed rnformatHln on this applicatIOn which 15 III the best of my knowledge true and COlTect. I also certIfy that I am the owner or authonzed agent 1m the
aboye-mentHlned pro Wily and that all wnstru Will co to all eXlstrng state and local laws and Will proceed rn accordance with submitted plans I am aware that the bllJldrng
ntflcial can rl'VO . 1 permit rot l lIrth ,. , -1 hereby agree that the Clty official or a dC~i1gnce may enter upon the prope11y to perform needed lnSpcctlons
x
~re
Contractor's License No.
V,., /.. I ~A
I / Date
Permit Valuation
Park Support Fee
#
$
I
/82.5.06 1
31,5.001
7,C;-. 00 I
/500.00 I
/000.001
I
Gas Fireplace Per.mtt Fee
$ SAC # $
-- .....
$ ~ate Stze5/8",I", $
$ Pressure Reducer $
$ Sewell ,vater ConnectIOn Fee # $
$ 5 0.00 I Water Tower Fee # $
$ I Builder's Deposit $
I $ 5 Z. 0 0 I Other $
l $ /! I TOTAL DUE () $ 4t 622. 00
~ //U
,wm" YUU< BU;r...~:;;:..' ~~ro~d : i,a;:e 7 ~ 7 ~ I 0 ~~~t No 5MJ /1(. i
,""""" om"", " "M' I , 6
Tim IS to certify t~ l~oYe application and accompanYll1g documents IS rn accordance with the City loning Ordinance and may pnlCeed as requested. Tim document
when signed by the City Planner (DnstItutcs a temporary Certitkate ur Zonlllg compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must be
lssued
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
fp v (J dY
(Please type or print and si~n at bottom)
ADDRESS
~. ~~~ ~:~y PERMIT NO.OV/ 017A_.
3. Yellow Applicant #,
/7/ ao
IDA
Ufl-~
LEGAL DESCRIPTION (office use only)
ZONING (office use)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
APPLICANT _~J . Q Sv'(t,; tj.rZ-_ '1(, I. 7~(1
(Name) (Phone)
(Address) ( ~) ~ 12- . 3z-Y 279S-
(Address) (~( (Zip Code)
(Contact Person) VI1J (!,,(r _ (PhOn~
.(.1 PPLICANT SIGNATURE I!i~ ()~f;.. -,_'.f -J ATE
/7\ / ' \ J
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
IR~ 11. () (
Rough-ins
Water Heater
Water Softener
Stand Pipe (Washing Machine)
Sewage Ejector
, Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
I Other /1lllJK--U~
Quantity
'-?J
(
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49.50 minimum
Type of Fixture
Residential, New One & Two-Family
Residential, Additions & Alterations
$149.50
$49.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE
ST A TE SURCHARGE
TOT AL PERMIT FEE
$ A,/. ;Y
$ /' .50
$ ./ <JO~-
,
(Office Use Only)
---
~,
Date!. f. (j Y
I
This Application Becomes Your Building Permit When Approved
Buildine: Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
pf\'ID () i (J2-
HDr1GOWtJ
---
::;;pw
:Y f{J}'--
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
Cj"J',(/r
~~~~~ANT L f!:> r E )t'"C c~ ---1-. h J b< C
-.J
\. ..iAddress) 3/5, 0 :;2 ~O'./- J-. S r C
r - (Address)
r"ntact Pmon) G. -:::5 L'::N'~~ S""< ,1. '
~PLICANT SIGNATURE ~
. pr
APPLICANT PLEASE COMPLETE BELOW
(Please type or print and si~n at bottom)
ADDRESS
(71 ro lOA-
C1tt
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
(Address)
~. ~:~~~w ~ii;: PERMIT NO. () y, 0.77} L
3. Gold Applicant T
" ZONING (office use)
PID
(Phone)
(City)
(Zip Code)
" ~one)
if.')- ;)9-;). -/39>
(City)
(Zip Code)
(Phone)
~TE
f
9'- 3- 0'8
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
$
$
$ /"
/'
P flYl 0 e 1
()vl Jt3YL
Estimated Cost $
Building Permit #
II
pa:--- ;-~ereiP
Date 1. 3 (i ( / By
Date ' , y -
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 '/
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildin!:! Official
./
/.50