HomeMy WebLinkAboutUtility Permit 08-0448
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~!tO fq
ADDRESS II Il~
I t)A- C vr-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
g - '((je
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o ~CH RI
",RJWA TER HOOKUP
o 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:
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT~CALL FOR REINSPECTION BEFORE COVERING
Inspector: I r /J/ J( Owner/Contr:
CALL 441=!J850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
r Tz;[ ~
I '-'
TIME
ADDRESS
~/) "1D
(\JA C \ ."2..
OWNER
CONTR.
PHONE NO.
PERMIT NO.
cB..- 44:3,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
~ WATER HOOKUP
&' SEWER HOOKUP
/[] PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
l ~ T~;'J' r<. C fZ-v51+ CD
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: l1. e ~'- XN 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 BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1 White
Pink
Yellow
File
City
Applicant
PERMIT NO. bff-olfl.{r
(Please type or print and si~n at bottom)
ADDRESS
IDA
C,I !2(!,,06
17/78
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
IEOtJAtzQ fAl~\.;AIL-
(Phone)
(Phone) .
Date Rec' d
7/7/08
ZONING (office use)
PIDZS.~ZZ. 007.0.-
44-() , (0 ~/14-
CODE: )SLR.C. OLB.C. f. Mise
Type of onstmction: I II III IV V A B
Occupancy Group: A B E (7) H I M R S U
Division: 2 3 4 5
HOOK:--UP
TYPE OF WORK 0 New Construction ODeck OPorch ORe.Roofing ORe.Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility ConnectIon
PROJECT COST /V ALUE $
(excluding land)
I hereby cerrity that I have hlrmshed mformatlOn on this applicatIOn which IS to the best of my knowledge true and correct. I also certify that I am the llwner or iluthollZL'd agent flll the
JbllVl'-meotlOocct property and that all nmstruction Will conform tll allexlstmg state and local laws and will proceed in aCCOrdiltlCC with submmcd plans I am aware that the buildmg
~tiCJal ca~mJt 1(" JUSf1USe J;!thermore. I hereby agre~that the CIty official or a deSIgnee may enter upon the property to perl(lIm ne~ed 7~t\l"/ cJ ~
.-- Signature Contractor's License No I D,1te
Permit Valuation I Park Support Fee
Permit Fee $ I SAC
- ~ ,..,
Plan Check Fce $ p.ter~te~ I";
State Surcharge $ ( Pressure Reduc~
I-
I Penalty $ I Sewer/Water ConnectIOn Fee
r Plumbing Permit Fee $ 50.00 I Water Tower Fee
I
Mechanrcal Permit Fee $ I Builder's Deposit
Sewer & Water Permit Fee I $ 5 2-: 00 I Other
Gas Fireplace Permtt Fee I $ I TOTAL DUE
This Application Becomes Your Building Permit When Approved
~~
Paid tlflz:z.., 0 c)
Date " 7/7,'0'6
7/7/0 V
Huildlllg UrIlclal
, Date
#
#
#
#
$
$ /'XZ-S".OfJ
$ 3LS ,00
$ 70, D 0
ISoo, DO
(oeo,OO
$
$
$
$
~L/r;?z., 00
Receiot No.5" >0 ~
By ~
This IS to cerufy that the request in the above apphcatlOl1 and accompanymg documents is 111 accordance with the City Zoning Ordinance and may proceed. as requested ThiS document
when signed by thl' City Planner CllI1StltutCS J temporary' Certificate of ZUnIng comph,mcL' and allows construction to cummence Befure occupancy, a CcrtlticiltL' [)r Occupancy must be
isslIed.
Planning Director
Date
24 hour 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'l
'1" r. ()'/
~. ~:~~~w ~iilt:. I PERMIT NO.O 8 C....-t,..AL/l!
3. Gold ApplIcant - ~~ ~
(Please type or print and si~n at bottom)
ADDRESS ZONING (office use)
l[l1'6
:::':Oft- ~S vJ
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
~~ f>~~
II \l~ ~ ~ ,~-.,J
(Address)
(Phone)
(City)
~~~~~ANT (BI C ,<cc,~~oJt>::.s T>l~"
(Address) :3 .750 ;)30 ..H- 5+ E
(Address)
::~~:::::GN:~ /1;2 ~L
PID
C) J""l-\f'to-(,,'e) \'t
(Zip Code)
(Phone)
(J", I (J r l_rALr..A..
(City)
15;)- d- 9;) - 131,
c..<"2-"""j
--'..;> -' / u--
(Zip Code)
(Phone)
DATE
Cj!;')- J9;)- 139;;;'
.7- 7- 08'
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC ~ PVC 0 Cast Iron
Estimated length of sewer line &0 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
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Buildinl!: Official
I
D~ / r (j( /
l- }
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Date
.50
6~
p?\'1 ~ IXI ~
(j
Rece ro.
BY>~
/
d
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
'7 ~fi/ " I
1. Blue File PERMIT NO
2. Gold City. .O~. O.er~'
3. Yellow Applicant
(Please type or print and si~n at bottom)
ADDRESS ZONING (office use)
~;~~~ANT P r L.\-'" f {'... J P L, ~~ b "A"- J V' C
-..J '.
(Address) (,.. Lf CO l-\ \'~~ \\': ,,- \- ,\,' h' \
(AddJ}ss)
(Contact Person) \) e--.. ': L \ (}. 'j L--......
APPLICANT SIGNATURE ~ J ~-x:
( V
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity I Type of Fixture
Bath Tub with or without shower ! Rough-ins
Dishwasher Water Heater
Floor Drain Water Softener
Lavatory (Bathroom Sink) Stand PiiJe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) \ Other - (.~, l.-J __~"J
)
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
l' II ~ rOJl-
elL Sw
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
p~
ht2,).J4M
(Address)
IJI,~ TAA
'v ..
Cft- S vJ
Quantity
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49.50 minimum
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
BuUdinl! Official
Date
PID
(Phone) CY r l- -l..f Y 0 --(0 tfi~{
(Phone)
() , ..
\ ,. r, r
. .~.
(City)
"S,+--Y'11-~-lb ,
L, -k'-.. S- <)-~.l ~
(Zip Code)
(Phone)
(, \ ~_ 4 g:> ,. "'\,)",4 1\
DATE
,- l- 0 Q
h..u /-.:.
,-"A j
I
$
$
$
Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
OIJ
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(7
Building Permit #
,50
/
Da~ .' V . J t
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S,E" Prior Lake, Minnesota 55372