HomeMy WebLinkAboutBuilding/Utility Permit 08-0328
DATE TIME
CITY OF PRIOR LAKE ~h101
INSPECTION NOTICE SCHEDULED
~ f
ADDRESS 17/8~ T C)~ ~
OWNER CONTR.
PHONE NO. PERMIT NO. 8 - 7?7?;>
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL ~PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
{\
V
1\ J\91
~ \\.}r"
v
r \
, ,)0
11
( I
~J?65
f\ (
\~JlA.Qd(~.
~RK SATISFACTORY, PROCEED
o CORRECT ~JJ\>N AND PROCEED
o CORRECf wh.Ri<, CALL FOR REINSPECTION BEFORE COVERING
Inspector: n' I I Owner/Contr:
CALl 417-!sso FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~ODE ~U1REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
7 -Ij--c)r
ADDRESS
17flJ{. 50A CrK..-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
g-3Z-g'
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o Jr'ECH RI
~~TER HOOKUP
~SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
,
TI'f/\/? w;4~ Fr CA- c:o U,.I/SAM'J
/1-v, f-.:Jv C /I,(}c./6' rE.. &>If/'l
'ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WCJr~~OR REINSPECTION BEFORE COVERING
Inspector: 1111 r Owner/Contr:
/I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IJISNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
] White
Pink
Yellow
File
City
Applicant
PERMIT NO.~ _ S z.B
(Please type or print and sign at bottom)
ADDRESS
/7 / 13~
/OA-
e;/r6~u6
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIDZS". 4-z,z... 001. 0
OWNER
(N ame)
~~htll
171 f ~
P D~Y'J
L ~
~ t<.- C: y-e-(...e
(Phone)
952-- 4'f1..... L7 ~(
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction DOeck OPorch DRe~Roofing DRe~Siding DLower Level Fimsh 0 Fireplace
DAddition DAlteration DUtility Connection
CODE: DI.R.C. DI.B.c. YMiSC. HOO/G~UP
Type of Construction: 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
Mechanical Permit Fee
1at I have hlfmshed mformation on this application v/hich 15 to the best of my knowledge true and COlTcct. I also certify that I am the owner Of authonzed agent for the
JOllVl'-mcntlO property and that all construction will conform to allexistmg state and local laws and will proceed in accordance with submlttcd plans_ I am aware that the buildmg
~flCl.!1 can I ~cI7un~~tZ' I helcby aglee that the CITy offiCl.!l 01 a dlSlgnee may enter upon the plOpelty to peJtorm '~;~m.Jl'c:nst:> f?
/I ~tu7 '--- Contractor's LIcense No D,lte
pe~Valuation I Park Support Fee # $
Permit Fee $ I S.:;C _ # $
Plan Check Fee $ (Waterl-Meter lizB; I"; $
State Surcharge $ ~essure Reducet) $
Penalty $ I~Fwer/ Water ConnectIOn Fee # I $
I Ii $
$ SO. 00 Water Tower Fee #
$ I Builder's Deposit I $
'$ 52,eo I Other
I TOTAL DUE
Se,wer & Water Permit Fee
$
$
j
J
I
3 2-5.- I
76.-1
/S-~_ -- I
/O~.- I
j
I
4622.- I
I
I
/ffil. ~.
plumbing Permit Fee
Gas Fireplace Perr1 Fee I $
s ^I;}~/J~ - I ,
T7iJ fir =, B"Bdin, P'~7;j;;"d
I Blll1111\: un~1 l l)J.c
'----../
Paid
Date
4-15 .?-l: .
f4-3!n~
Receipt No. S~G<:?J
B ,:.f'/\ 1i1
y ~.
ThiS IS to certIfy that the request in the abuve apphCJtlOI1 and accompanYing documents is 1Il accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner ClmStItutcs a tempurary Certificate of ZOI1l11g compliance and allows construction to commence. BcfuH..' occupancy, a Certlticatc l)f Occupancy mllst he
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-91l50, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Speeial Conditions, if any
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
7. /5". 08
(Please tvoe or print and siltll at 1 . ;; ..~.)
ADDRESS
11101; latl Cl-nlc . PVI~CY
i ~~r;:'w ~ii~. I PERMIT NO. ~l" OI.3.? rA'
3. Gold Apphcant U" &"'-0 I
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
pm
OWNER
(Name)
Jol1l"1 Do\,\ It
111 to itl t1 OJ Circle
(Address)
(Phone) "0~ 1./ 4 '7- 2-"14)
(Address)
PriOr L{jlLf':
(City)
0~1;0}..
(Zip Code)
APPLICANT
(Name) fQoinn Well DV'illll1j ~/).
(Address) \q;i~o Dalr~ In.
(Address)
(Contact P=on) e i'I;r Ii c . t U~ ~ P:1iJ h 11... _ _.~.
APPLICANT SIGNATURE ~i-1M~
V
(Phone) ~lWL. Lj lI0- if0vt'l
(City) (i; (2. 'II? _ (Zip Code)
(Phone) Q0t, 44~'. if~ Oq IS-42
DATE -r!rtJj08
APPLICANT PLEASE COMPLETE BELOW
Size of water service , inches.
Location of any couplings from structure ~ k feet.
Type of sewer pipe. D ABC 0 pvc D Cast Iron
Estimated length of sewer line fD feet.
Clean out (if required) located at IJ~ feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $51.50 Industrial, Com'l & Multi-family 1% of job cost with a $51.50 minimum
Sewer connection only $25.50 Water connection only $25.50
Estimated Cost $
Building Permit #
~1
pptiJ er-
~J/ (.,/)
P~ ---~41if~
Dati. tr-~ .JV By J~
f
$
$
$
.50
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
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 PLUMBING PERMIT
5v /, 7
I. Blue File PERMIT NO
2. Gold City . ""~,~'::::>?dJ
3. Yellow Applicant (..,.of""", :) ('.Q
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
/7//80
/L?A C/~L6-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
pm
OWNER
(Name)
~OH-l" C>> v{ L- 6
~A;M E;
4Lll - za AI
(Phone) - \ \ -.
(Address)
APPLICANT
(Name)
(Phone)
(Address)
(Contact Person)
(Ad~~
(City)
(Zip Code)
(Phone)
DATE
~-' ,-t1;
,
APPLICANT PLEASE COMPLETE BELOW
Quantity I Type of Fixture Quantity I Type of Fixture
I Bath Tub with or without shower I Rough-ins
I Dishwasher Water Heater
I Floor Drain Water Softener
I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall I Backflow Assembly
I Sinks I Backflow Assembly Test
I Bar Sink Lawn Sprinkler I
I Water Closet (Toilet) >f,.. Qther "N5TAU- ~ 116l:!R- I
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 $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50.
f'D :,t/ ~Ob fb2-~ \ "i'
(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