HomeMy WebLinkAboutS/W Connection Permit #00-0974
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~
/ 5" Lf ti::- '/t,
Q")~7~ .
~t; ,I .n. ~Tcfl-,
PERMIT NO. ~\
~IA-, ~-~.
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING U
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION ~ 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL ~ PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION 0 MECH FINAL 0
COMMENTS: W€lL.-I(!./tIJS"SOn..;/J~-r::rt(J,.J, / ~ ~
,
33 ta 0
SCHEDULED
/1: (I/)
OWNER
CONTR.
PHONE NO.
3 ~t!Ah-~ ~ ~/P'
~ I~ h ~, - ~
I -~' I ~r ~
(I~~ ~j::. !A--",) ~ d.U, L-/
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,.>>ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON 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
DATE TIME
CITY OF PRIOR LAKE
INSPECtiON NOTICE
SCHEDULED 11"'~-o gr,,,,-;)
. 4'00
\.=5 3 G,O- lE;1f ~{.Sr- .
ADDRESS
OWNER
CONTR.
PERMIT NO. ---.t)-Q'7Y
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI _/J .-. I 0 COMPLAINT
)a"WATER HOOKUR..!d,NV' 0 FIREPLACE RI
}!l SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS: F~v:-~ [)C{,; d / DeI In /fs () 1:_
(j)~ '~~ ~ '4ck'~
~~~~~~
~2 k /~,..k ~ ~~-~
13r ..t~ AJA.1~, v
(d( ~-~(jrl-o ..a~'~ ~
(3), ~~ P! ub- ~,~
tP~~~~ ~~IAJ
~ {i~ ~{lk~ . u
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J.-.~ ~~ //)O'~ ~tM-~
.J..1X0 ~.v1i1 ~~ ~ ~ ~
~~~~~~~
-B.vJ-/'--'~ 14 rs'~.~ ~ ~~,
o WORK SATISFACTORY, PROCEED ~'1 ____
?8 CORRECT ACTION AND PROCEED ~ \ G. A- (l.,
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING 'f 2' ~
Inspector: ~ Owner/Contr: N
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
Sent By: PLYMOUTH PLUMBING AND HEATING; 612 5331121;
~~
~". ~ : _ 9 2000 SE;~~Y A~~ ~~i~: ~~IT
NOTE:
~-'
Nov-7-00 12:05PMj
Page 2/2
liIMe......1!
ynu..r . .....ue..,.
IIOLD . CITY
s.w. Noa)- 9"ll../
. /
..~,-...... ~~.. '.~~.".-
SeW~r and Water
contractors must
be registered
with the city.
APPLICANT: "?I~ 11\I\0 ~ (7 ( u V1Il ~; lUi'
ADDRESS; J
SIGNATURe jJ ~,A' ~
SITE ADDRESS' 3?-JtQn ~
FILL IN THE BLANKS
1. Estimated length of 'Water service c::; (/)
PHONE: ~ ~ -if 7-Fi 7
DATE; I' - 7 - ?J:)
BLDG. PERMIT #
PID#..~?S- f'~Lf-OIE)- (
teet.
2. Size of ,~ter service
inch(es) .
:3 .
Location of any couplings from structure feet.
Type of Sewer pipe. ABS_,_ PVC~' Cast Iron
Estimatec! length of sewer line C) () teet.
~~~~~tu~~~ (if required) 1 located at ~ feet
froll!
4 .
5.
6.
~~====::;:-=:_:=!==: -:======-=#;-====iiiiI"'_===3_"'==:::::;;~~===:I!==::;;;:;===..:;;;;..:::==._..:;...==':;:=:==:=!t==::=
This applica":ion becomes your permit when approved.
BY: 0t~,,^c ()~ ,DATE: \\/5/00
--- "- I I
===~~~~===_~:===_~===D_._===~~a===~=m===~=;;~~~==~_====:==~=:=~=~~
FEES:
Sewer and water line connection permit.
Surcha:tge
TOTAL
$
S
$
35.00
.50
35.50
*
Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and ~ater pef.A~~IT~e
issued. BUILDING PERMiT
DATE PAID 11- Cj -ex) AMOUNT PAID ..........-
RECEIPT # - REC'D BY ~
*
16200 Eagle Creek ~,v. S.E., Prior Lake. Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
An Equ:ll OpPQrlunity Employer
Sent By: PLYMOUTH PLUMBING AND HEATINGj
612 5331121;
Nov-B-OO 11 :02AMj
Page 2/2
~1~
~\),\... ,
CITY OF PRIOR LAKE t ~:w . ~~D~l
PLUMBING PERMIT PPNo.0&9"7'-/
Applicant: ...flu .Jnt' . Phone:elA~C;~'?,-'f~
Address: (1"J"~.'..Il..:i-t.:r-.,.. ~~ .,'_,t(kJ~ J-~
Si~atur
Leg~ Descrlptl n: Lot Block Sub OE'cT .31
Slte Address: ~ ~ 0 \54 '0:1 ~i-'I' ~+ kJ (.). )
BUilding Permit # PID #t-:;? S- Cl,3 t(- 0 / ~-I
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity
Type of Fixture
auantity
Type of Fixture
Bath Tub Nlth or without shower
Floor Ora'"
Lavatory :bafhroom sink} I
Laundry 1 ray (1 or 2 compartment sink) I
Shower S all I
Sinks I
Bar Sink ...~
Water Clo ;et (toilet) I
\
Rough-ins
Water Heater
Water Softner
Stand Pipo (washing machine)
Sewage Ejector
Bacl<flow Assembly (RPZ, Double Check, PVB)
Bac::kflow Assembly Test
Lawn Sprinkler
Other H.e.~r ftsk\ 6.-+clnt
Oishwash ilr
FEE SCHEDlILE
Industrial, Co nmercial & Multi-Family
(1% of job co. it, $39.50 minimum)
Residential, ,.. ew One & Two Family
Residential, ~dditjons & Alterations
State Surcha~e
$99.50
$39.50
$
$
$
$
.50
GRAND TOTAL
$
1'his pe.rmit is granted upon the CXPTdS condilion thlll said
conlraClor, shall ('.omply in IIlI respects with lhe ordinllnccs
of the State Plumbing Code and th~ a~endmenls thereof.
RECEIP'J~O, 1/ - Cj- 0 DATE
{.jf- ______ A TI'SST
(}
Call for all inspectio'ns 24 hours in advance.
PAID WiTH
BUILDING PERMIT
16200 Eagle Creek A'l. S.S., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An cl.ju.d OPPQl'tuJ\ity Employer
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
II. 7. 00
I White File I PERMIT NO
2. Pink City .00 .0
). Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZON
3360 154th STREET NORTHWEST
LEGAL DESCRIPTION (office use only)
SECT 34, TWP 115
LOT 14 BLOCK 4 ADDITION THE WILDS FIFTH ADDITION
25-934-015-1
PID
OWNER
(Name)
TOM WALSH
(Phone)
(Address)
SAME
BUILDER
(N ame)
(Phone)
(Address)
TYPE OF WORK
o New Construction
ODeck
o Porch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAddition
o Alteration
OUtility Connection
o Misc.
UTILITY CONNECTION
PROJECT COST /V ALUE (excluding land) $
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans, I am aw at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the pro 0 per ne ed ins I". I ( /7 [00
X V ..- _1
"r Contractor's License No. '- bate' )
-=
/
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fee $ 4- o. 00
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $:1>5 SO
I Gas Fireplace Permit Fee $
i9~}n:'i Yom Bmlding P="WJren _o,",d
~ //;; / - J (- 7 - 2b-- I Paid Il- '7 -00 Receipt No. 3~b,5 Lj
! ~;fofficial Date I Date '33!15. Sf) BV7fC-/
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
I Park Support Fee
I SAC
I Water Meter
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
#
$
#
$1,100.00
$ 275.00
$ ~ 46.00
Sit, 200.00
$ 700.00
$
$
#
Size 5/8"; 1";
#
TOTAL DUE
f,395.50
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245