HomeMy WebLinkAboutUtility Permit 08-0733
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o yt.. SLINE JrtR TS1;
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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
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l/ \~27-fjr~
DATE TIME
'/30 IOCf
. ~ .
8- 733
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~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:
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/'\
d. JlJ7?ui00-
.
(
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........ , "-
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
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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