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HomeMy WebLinkAboutUtility Permit 08-0733 o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o yt.. SLINE JrtR TS1; o emc:~ (;....."'~ ('(,.., eJ'( LJaXb ~~~V- II CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 1~\8it ~~ v 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 o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: Hook (Jt) Jo r I 11 ~ II) l/ \~27-fjr~ DATE TIME '/30 IOCf . ~ . 8- 733 /I 1/ ( -: \ n ........... ~-'~ L~ (\~ArJYM_ ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECij' CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: pALL 7j~FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY! INSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ~ TIME ADDRESS l'1\P(\ ~U ~\~ ; OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: /\ /\, r---- L ~ t~')( /'\ d. JlJ7?ui00- . ( 10/ ........ , "- CONTR. PERMIT NO. o PLUMBING RI o MECH RI JZf WATER HOOKUP J! 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 ..... .1 . t:)t)~^ Ht?,.l()/O ( --- ~~_ c;. I 1/1 ......,../ (\ / VJ1. / o WORK SATISFACTORY, PROCEED KCORRECT C ION AND PROCEED / 0 ~ORR T ~L FOR REINSPECTION BEFORE COVERING Inspect r: r I / Owner/Contr: CACt! 44V.~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CO~UIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY! INSNOTl CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d Cf/o, 08 White Pink Yellow File City Applicant PERMIT NO'OB. 0733] (Please type or print and sil!:n at bottom) ADDRESS t3LVO. /7/87 L4NCfPO;ec) LEGAL DESCRIPTION (office use only) ZONING (office use) LOT BLOCK ADDITION PID 2.6,41-7 . 0 I t.D OWNER IJ , (Name) Ii i e.y ~a~e~ (Phone) 6/ z ,q 1(7-266 7 I herehy certify that I have hlrnished mformation on this application which IS to the hest of my knowledge true Jnd correct. I Jlsu CLTtlfy that I am the uwner or authonzed agent for the ,lbllVL'-metltlOned ropcrty and that all construction will conform to allexlstmg statL' and locallaws and will proceed in accordance with submitted plans_ I am aware that the buildmg "ftiClal can rcvo . , tlm permit JU ausc Furthermore. 1 hereby agree that the City official or a deSignee may enter upon the propeny to pert(Jrm needed mspcctl<Jns $ I $le2::/~OO 1 $ 325~OO 1 : 7 (). (}O \ /500.00 1 I V 00. OD I ! $ \ () I $ 4~gZZ_ 60 1 Re~:t No. ..57oez..-.:51 t. ] (Address) ~ (Phone) TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing OAdditIOn OAlteration OUl1hty ConnectIOn V CODE: DI.R.C. DI.B.c. )!\MISC Type of Construction: I II III IV V A B Occupancy Group: A B E F HIM R S U Division: I 2 3 4 5 ORe-Siding OLower Level Finish 1-+0 OIG - UP PROJECT COST IV ALUE $ (excluding land) x Contractor's License No. v Signature Permit Valuation Park Support Fee SAC Water Meter) Size 5/8"; 1"; ressure Red~i9 Sewer/ ater Connection Fee # # Permit Fee $ $ $ $ $ 50.00 $ $ .52._0('\ $ TOTAL DUE Plan Check Fee State Surcharge Penalty # Water Tower Fee # Plumbing Permit Fee Mechanical Permit Fee Builder's Deposit Other Sewer & Water Permit Fee Gas Fireplace Permit Fee This Application Becomes Your Building Permit When Approved Paid Date ~ez..:Z.., CI 0 9//0.. de lluildlllg Urtlcial Date o Fireplace -1:-)0-08 Date $ $ ThiS IS to certify th;ll the lequest 111 the above applicat1lJn and accompanYl11g documents IS 111 accordance With the City Zoning Ordinance and may proceed as requested Tim document when signed by the City Pl.lI1l1ef constitutes J tempurary Certificate of ZOl1mg compliance and allnws construction tt) commence. Before ()(cupancy. a Certlticate ()f Occupancy must be JSSlll'd Planning Director Date 24 hour notice for all inspections (952) -t-t7-985n, fax (952) -t-t7--t2-t5 4646 Dakota Street Prior Lake, MN 55372 Special Conditions, if any Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT 9,/o,Ob 1. Green File 2. Ye!low City 3. Gold Applicant PERMIT NO. () 8 , 07..33 (Please type or print and si~n at bottom) ADDRESS ZONING (office use) /1/&7 L-/tNc:,HJ~ t3t/ t/ 0 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) /Z/ uetl EA-~ j (Phone) It ( z... .- qqO. "tU~1 , (Address) (Address) (City) (Zip Code) APPLICANT (Name) C13>J: (Phone) (Address) (Address) (City) (Zip Code) (Contact Person) ~ .... ~ ffI (Phone) .. DATE Cf-I?~g ." -"", ._, - -..'- -- - APPLICANT SIGNATURE APPLICANT PLEASE COMPLETE BELOW 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 $51.50 $25.50 FEE SCHEDULE Industrial, Com'l & Multi-family Water connection only 1 % of job cost with a $51.50 minimum $25_50 Estimated Cost $ Building Permit # \. J SEWER AND WATER PERMIT FEE $ ~ \) ~-, STATE SURCHARGE $ ~ .50 ~p<.\ 6~ TOTAL PERMIT FEE J-~. O\jJ ~ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By BuildinlZ 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 PLUMBING PERMIT 9./0,08 1. Blue File \ PERMIT NO 2. Gold City _ . () e, 0 -1, ::3? 3. Yellow Applicant ''''' .:J-.J (Please type or print and sil!:n at bottom) ADDRESS ZONING (office use) //1&1 L-A' N~ rv L:-O 6&1/.0 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) /2/ ubl/ , ~K- (Phone) ,,( 'L. . '90. 1-{, (,. 1 I (Address) APPLICANT J (Name) P ('...Q___rr '- ~'".-Io: "'..... I""' L . ..J 11'\ /)' \.... - '\ ,.., ,... """ ~ Q , '" , I 1"..., (A~ss) (Contact Person) f) __ C l 0"", "" . I...J APPLICANTSIGNAT~.-bD ~ APPLICANT PLEASE COMPLETE JELOW 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) (Address) b40Q (Phone). .....~.l. ~ ~I.n - .~ 1 L. \ f\, "0 r l....kc..... S'"".s 31 ~ (City) (Zip Code) (Phone) (.11..-'-\r~~ q~"" ~ DATE q- H.- Oll 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 TOT AL PERMIT FEE $ $ ~ Y .-" .50 1) \3'1 pI" ~~\L 6~ 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