HomeMy WebLinkAboutUtility Permit 08-0729
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 11 ~8 ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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( 1 (~,
- \
SCHEDULED
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Qv'r
DATE TIME
I/Z9/" "
t l - .
IJ -' 72J
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT r1J' CALL FOR REINSPECTION BEFORE COVERING
Inspector: f r1 h Owner/Contr:
,CALL 1(7-~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Ill9<.t
~
\~A-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
o FINAL
o SITE INSPECTION
o PLUMBING RI
o ..,.MECH RI
~ y.JA TER HOOKUP
..a'SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
.I Ql~ 4K S~
'^ r'
2. Vrov&- 1le~
"
I,
3. (JAM L"O\~ t~
- V "U 1
DATE TIME
1j'~
8 -721
o EX/GRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o WORK SATISFACTORY, PROCEED
">p CORRECT ACTION AND PROCEED
/ d CORR~C RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector' If\..;, Owner/Contr:
CA~ ~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~ REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
CITY OF PRIOR LA.KE RUILDINC PEllMIT.
TElVIPORARY CERTIFICATE OF ZONING COlVlPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si~n at bottom)
ADDRESS
lOA
/7/64-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
~'::e~~,I cf/-A((OtJ
White
Pink
Yellow
File
City
Applicant
~/;e~L6
Date l!ec 1 d
C(. (0, at;)
PERMIT NO. oe. D7Z-Cf
I
ZONING (office use)
PID 2..5: 4-Z2.. 009. 0
1/lIfA/ ~}jS/J
(Phone) -!/S/- - t.L,c.f 7 - 7 ~-
/'
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAdditton OAlteration o Utility ConnecttOn
XMiSC
(Address)
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
A
B
x
,
I-foo/C..-up
ORe-Siding OLower Level Fintsh
A
R
5
B
S V
PROJECT COST/VALVE $
(excluding land)
o Fireplace
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ Sn.OO
Mechanical Permit Fee $
Sewer & Water Permit Fee $ 52 _c) 0
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Iluildlllg Urtietal
Date
Contractor's License No
Park Support Fee
SAC
~ater Me~el'\ Size 5/8"; I";
l___- -
~essure Reducer )
Sewer/ water ConnectIOn Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
~. 8'L2-, 0 0
. q /d, 05
,
#
#
#
#
/1
I J
Rqcsnpt No.
B.(
(f
Date
$ I
$ 1&25. Of) I
$ 3ZS. 0 D I
$ 10.(i() I
$ IS()().OO I
$ IGl6D_OOj
$
$
$ 4! fJZZ-. OQ
~oZO I
I
ThiS IS to certify that the request in the above applicatlOI1 and accompany 109 documents is In accordance with the City Zoning Ordinance: and may proceed as requested ThiS document
when signed by the City Planner ClH1stltutes a temporary Certificate uf ZOnIng compliance and alhJws constructIon to commence. Before occupancy, it Certlticatc {Jf Occupancy must be
issued
Planning Director
Dale
24 hour notice for all inspections (952) 447.985n, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blue File PERMIT NO
2. Gold City .08. 072- Q
3. Yellow Applicant 'I
(Please type or print and si~n at bottom)
ADDRESS
/7/B4- /0//
-
rYll0~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2.5". ~ ZZ~ ~ () 9. ()
OWNER
(Name)
Jii t#7nz.IP ~ Iv' t}J
(Phone)
(Address)
APPLICANT
(Name)
(Address)
/?~ ,Pt.-r7 ~c;,
,
[; yo () /11 61(7 Pt. p'L-_
(Address)
(Phone)
L./I.-f 7 - 57 ~ I
(City)
(Zip Code)
l-ll ,...;.y) C;z ~
OJ - 1 c.. - O~
(Contact Person)
o k}-J
APPLICANT SIGNATURE '- \~--, ~
/ y
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
~ "u C-t,..J-
(Phone)
DATE
Quantity
Type of Fixture
Rough-ins
Water Heater
Water Softener
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49.50 minimum Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ -----
$ ~ .50
V
\3'1
fA~:~6yL-
Estimated Cost $
Building Permit #
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
Buildinl! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
1. Green
2. Yellow
3. Gold
~ii;: . I PERMIT NO. 08 0'7 ZQ
Appilcant . /.:1'
(Please type or print and si~n at bottom)
ADDRESS
/7/84-
/0/1
(!410~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
/aCfiA--GO /-fftN/\J6N
(Phone)
#7, 1orJ,5"
(Address)
APPLICANT
(Name)
(Address)
....--
(~
(City)
(Zip Code)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
(Contact Person)
IP
(Phone)
DATE
9-1;;2. -OR'
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
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~equired)l?~at~~ 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
I % of job cost with a $51.50 minimum
$25.50
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ~
$ ~ .50
Y
6'1
PI' (0 ...- fL
OW,J~
Estimated Cost $
Building Permit #
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
Buildin!! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372