HomeMy WebLinkAboutUtility Permit #00-0510
.
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS lbA<dJ D.u~J..Jt
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
CONTR.
PERMIT NO.
o PLUMBING RI
f1 ~MECH RI
,.- WATER HOOKUP
, EWER HOOKUP
\ 0 PLUMBING FINAL
o MECH FINAL
COMMENTS:
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~~~
4 ~ ";'-
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o ,,~ I 0
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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Inspector: I Owner/Contr:
CALJ447-9850 FO ~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
I
/
/
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,fi:RK SATIS CT , "tEED
o CORRECT AC NAND P ~ EED
o CORRECT 0 , CALL F R REINSPECTION BEFORE COVERING
CODE
'NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE SCHEDULED /'_ h L i,r1\ 3 :30
INSPECTION NOTICE ~
ADDRESS J l::; '-I ~ 01) J U~ ~
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
A 'b(SEWER HOOKUP
/0 "pLUMBING FINAL
o MECH FINAL
COMMEN~S:
WJI ~AM.)~ U~
W 0t.Q2 ~
~ay--h 0. ,
J
*W
AJ..,1V' ~ d 1-
S11
Ok.--
(JD --DQ? 0
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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. 0 'fORK SAT ~TORY. PROCEED
~RRECT CTIO~OCEED
o CORRECT K~OR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALJ 447-98~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQU~EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
V INSNOTI
DATE TIME
CITY OF PRIOR LAKE I I
INSPECTION NOTICE ~CH~DUL"E.9 ~/Z.7/00 '3:3 0
1(pc(Co ~ .,
ADDRESS _~~._.;..~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0--5'10
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING ~~. ER HOOKUP 0 FIREPLACE RI
o INSULATION tJP. ~WER HOOKUP 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION 0 MECH FINAL 0
COMMENTS: ~ ?~r),~J?~
~ ~ 0 11. ft 4V. r V c P, k
~~. ;hC;~.~ 0
~ ~ \~~pp\
~ I \l-
GJ~ ~l} 6-& -i.V\ ~
w. ~ \1 &JY\~
G) I~ .,y-l-u he_u4f, fA tJJell ~M~
~ficcJ;u, trw.- t~ !,hr~~
~l ~VlA- cAu-v (j'( VV Ltr;p;~k
J-. (Jill( ~ rdJ...
o WORK SATISFACTORY, PROCEED '/ f) JI _ ~ ~..J.-
o CORRECT T N AND PROCEED .~ C(A
.FRECT 0, L FOR~INSPECTION BEFORE COVERING
/ Inspector: Owner/Contr:
CALL ~7-985 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R!?:QUlJMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
V INSNOTI
~CElVEQ
(,/Z2-/00
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~D7z,2./o 0
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
/~4bO Olll-UIH
Ave
3. LEGAL DESCRIPTION
LOT
ADDITION
4. OWNER (Name)
/€I (J,fIrt1U)
5. ARCHITECT (Name)
BLOCK
PID
Z.5-90Z-l~/-O
IV 6LS (} NddreSS)
(Address)
(Tel. No.)
(Tel. No.)
6. BUILDER
(Address)
(Tel. No.)
(Name)
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0
New Construction 0 Alte,raJ71tions 0'1 ~di~n 0 Finish Attic 0
Chimney 0 Misc. c- I Y
8. PROPERTY AREA OR ACRES 9. pAOPERTY DIMENSIONS
Sq. Ft. Width Depth
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
10. CULVERT SIZE
Yes No
1. White File
2. Pink City
3. Yellow Applicant
()II f.." I ry
Permit No.J)O.05./0
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
I hereby certify that I have fumished 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 mentiol'led property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building 0 . la can r ke this pe t for j t . Jo F h rmore, I hereby agree that the city official or a designee may enter upon the property to perform eded in pections.
X 0
License No.
MATERIAL FILED WITH APPLICATION
Side SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
.5.0
Penalty ....................................... $
I. 100.0 0
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter ................................. $
Sewer~Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ /~ 7/ e _ 00
Paid I 7/t:l..OO Receip :37.eJ./')4-
Issued /_..LLJJ C2V'
Date (, /Zz./t; 0 By A
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin~ Ordinlnce and may pr 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 Certifi te of Occupancy must be issued.
Sewer~Permit ...................... $
/7.50
Gas Fireplace Permit ....................... $
This Application Becomes Your Building Permit When Approved.
By Date
Certificate of Occupancy
City Planner
Date
Special Conditions W any
24 hour notice for all inspections (952) 447-9850
&CfJ.cn
GREE. - fILE
YELLOW - APPLlCA.T
GOlD. CIT1
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.w. No. 00 .,,()510
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT:~6~ /J;:;;~ f"-C
ADDRESS:-'!-;)...O ~ ~j!J- ~ '0~,r
SIGNATURE:~~~
SITE ADDRESS:~O [)l/ufh 1Jp,. S ~
FILL IN THE BLANKS
PHONE: 95':;.. - l/v9 I/lIYY
DATE:~/ //;)-..oo~
BLDG. PERMIT # (XJ- 05"'1 ()
PID#
1. Estimated length of water service
feet.
2. Size of water service
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC
Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
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This apPlicatilJ~iYQes your permit when appro:e1~~ J.
BY /lI(~ DATE: ~f-Cd.l$)
=============6L===================================================
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $tV.Jn) 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 water permits are
issued.
AMOUNT PAID 17.,/t- /'
REC'D BY ~y
DATE PAID
RECEIPT #
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer