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Home My WebLink AboutUtility Permit 08-0702 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS , '11 '11 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: SCHEDULED ( llM4 t w-i <::r CONTR. PERMIT NO. ~UMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL q /;//(j(j ff~ TIME OA - ")rf2~ o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o I. C!.cJl ~ ~ '-I (./ '( -9fJ'rJ P ~. .k,~c:.JR Cot. <s't.....,. L \-,AorQ. tOt.Ac.L CeJ'LCIU~ r U ,^ 0 (~{l7se. ~ ~ G AJQ ~~~ c~-IIj {(Y1. o WORK SATISFACTORY, PROCEED )r( CORRECT ACTION AND PROCEED o CORRErf!::...' CALL FOR REINSPECTION BEFORE COVERING Inspector:(jI-l ) Owner/Contr: CALL 44~-JsO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. . --- CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl INSNOTI CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS J 7 (Cj 1 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: SCHEDULED DATE ~e/05 TIME { r~ -':t~ J CONTR. PERMIT NO. ~ - 7/"11 o PLUMBING RI o MECH RI K WA TER HOOKUP )( SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o /. n,. n l t,r-- MAt.r rt-- ~.~ ('~'zI,A. ;M~ '2. '&t~ 01~ crz::t- e~ ,-fa, cit~ U . d- o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI CITY OF PRIOR LAKE DUILDINC PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT White Pink Yellow File City Applicant (Please type or print and si~n at bottom) ADDRESS /7/q / L,4 N(.j P()~ BLVD LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID25"- '11 O. 0 I (g. 0 OWNER ___ (Name) l:::,,', <- Nor)\lo\ h~1f)r) \:) l v) (Phone) ~t2.-1',- <=ff> lS (Address) if \ 't I BUILDER (Company Name) (Contact Name) (Address) (Phone) (Phone) Date R.ec \ d 9. +. ~8 PERMIT NO. () 8. 0704- ZONING ("mee use) TYPE OF WORK 0 New Construction OOeck OPorch ORe-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace OAdditIon OAlteration o Utility ConnectIOn CODE: DI.R.C. DI.B.c. ~iSC H(;()t::-- UP 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 certity that I have tunllShed mtl "matIOIl "n thIS application which IS to the best "r my kn"wledge true and correct I .lis" certlty that I am the "wiler or auth"lIzed agent I"r the ab"ve-mentlLllled property and that all 0 strllctlon wIll contlllm to alll'xlstmg state and l"callaws and wIll proceed in accordance with submitted plans I am aware that the buIldmg ~:'. ", ",m 'm ,,,,, "': """Omm"".' oW'o, """ ,"" '""'" "ffi,"' CO" "".'''~ m" 'co,,, CO,,," "" ,m",," '" ,m 'm m "1'1;;l~ If Stgnature Contractor's Lrcense No Ct ate Permit Valuation Permit Fee $ Plan Check Fee $ State Surcharge $ Penalty $ Plumbing Permit Fee $ 50.0 () Mechanical Permit Fee $ Sewer & Water Permit Fee i $ 52 ~ 0 (J Gas Fireplace Permit Fee I $ Park Support Fee SAC ~ ~ <- Water Met~Size 5/8"; 1", ~re Red~ Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other TOTAL DUE This Application Becomes Your Building Permit When Approved Paid Date 4. f zz. (,~ tJ. ~ (.'t. lllIlldlllg Official Date # $ j # $ /fJ25_00 I $ ~52S- _ od I $ 7() ()O I # $ ISO 0.00 I # $ IOfJO.OOj $ I I $ I I /) I $ 4;e ZZ . () () I Ret~pt No, ~ 7Cj{) I IJ1[. I J ThiS l.'i to certify that the requL'st In the abuvL' applIcauun and accompilOYlIlg documents is in accordance WIth the City Zoning Ordinance and may pruceed as requested ThiS document when signed by the City Planner constItutes a tempurary Certificate uf Zonmg compliance and al1nws constructIon to commence Bcfure OCCUpclllCY, a Certificate llf Occupancy must he issued Planning Director Date 24 hOllr nllticc 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 SEWER AND WATER PERMIT D1\t~ IlM'd c;~ r- 08 1. Green File 2. Yellow City 3. Gold Applicant PERMIT NO. 0& . 07tlZ-4 (Please type or print and si~n at bottom) ADDRESS /7/ 91 L/'j/l/C?ro~ /$L-t/o, LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER C/Uc- /VO A-O / AI (Name) (Phone) (Address) (Address) (City) APPLICANT C6T Fy~~ (Name) (Phone) - (Address) (Address) (City) (Contact Person) If APPLICANT PLEASE COMPLETE BELOW (Phone) APPLICANT SIGNATURE '1- /'J, -Off DATE 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 $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 ff~ )1 . . {; 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 52..UV Date~ f' 7.,.()G- 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 ZONING (office use) (Zip Code) (Zip Code) ~ ?y pitt 0 ~JL-- 6Wf.i Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT (Address) c.. 4. 0 0 H ,'.... L.... P. .'^- t ~ddress ) (Contact Person) 0"", (J C!I J" '"' APPLlCANTSIGNATURE S\y~~~ -- t:/ / APPLICANT PLEASE COMPLETE BELOW Type of Fixture Quantity I Bath Tub with or without shower i Rough-ins Dishwasher I Water Heater I Floor Drain Water Softener I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) I Laundry Tray (1 or 2 compartment sink I Sewage Ejector I Shower Stall I Backflow Assembly Sinks I Backflow Assembly Test Bar Sink I Lawn Sprinkler I Water Closet (Toilet) I Other (Please tvue or Drint and si~n at bottom) ADDRESS /7 I q / L-,q/l/~rtJ~ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION OWNER (Name) ew e- A/ 0 /Z...t:)/ AI (Address) APPLICANT J (Name) P~. .c~Jr.... p I",,,,,,~,'.-....C' .r '" L ~-~ \ Quantity 9. ~~(}y I. Blue File PERMIT NO I 2. Gold Clty . (J a. () 10 Z- 3. Yellow Applicant ti'~"O ZONING (office use) PID (Phone) (Phone) "'\.s J.. - 4 '-11 - S 7 (. , PC" ~. r L_k '- ~S-51 .:L (City) (Zip Code) (Phone) Ir...I 2. - '4-1 ~ - ~ J..'-\ "" DATE .,-\c...-C>'R Type of Fixture 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 Estimated Cost $ PLUMBING PERMIT FEE STATE SURCHARGE TOT AL PERMIT FEE (Office Use Only) This Application Becomes Your Building Permit When Approved Buildinl! Official Date Building Permit # (/1 Pl11 0 ~ ovJ,Jfj; /) Recft~ By-~ /... U $ $ $ ~ ~ Paid 50. ([D Dat~, 9. 0& -- ....--:50 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372