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Home My WebLink AboutUtility Connection 14. 0233 t�A�� y ❑ ❑ �V N r4 0 ❑ ❑DDD❑ = O c E0 0 b D o A rD-c3Z � Z y 1 -5 r "' > G i� Rt SD o N 0 x tri '� D -� --4 m p Z I?. z �' yn Cl) 0 z O O n 0 z nx -n n z o mm hi 0 D D rr- zv �" ^' °� o 0000000 o x z v o 4 may > mr S Z • T 1113, 37J73Z m ,\ S 3 C 0 y � pp O 3 = m Do o n O .. g r ut O O -1 C -+ z 1 c zcc Z m z / � vv ■ 0 / S c n y 0 DD ❑ DD ❑ I R. C es comma ° tm (//44 n D m m z r m -r-, -yi rDr 0 E O II n oOOOvO oo 2 �. 2 ■ t- § X00 z $ 2 11� § § cn � 2§EE77 z 2 q§ t q 2 §! Q P 0 x 2 § / ( J FA § 0 /0 \ " / > ° , \ q r 0 rnx0 2 7173 o — Oc cO • 222 � � ■ � E o sm $ k C ƒ m • % k§m¢k m p ■ m 0 ■ Ezz z ■ z s 2 / 2 / X700 2 § rk §St 0 . . 2 § �® c ` § 2 A E 9 . 000000 » z - 0X. "rln§ 2 CAmm2o C -o ��\� „ ■ [ ■ � z r I D D 't C) ❑ 00000 = O > E so n n 2. 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CITY OF PRIOR LAKE BUILDING PERMIT, ' i `*, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Date Recd r i s .ti AND UTILITY CONNECTION PERMIT 4- 414NEso' L White File 2. Pink City PERMIT NO. Z 3 (Please a or print.,,,I crap n+T,,+r,,,% 3 Yellow Applicant ADDRESS 17161 Sunset Ave SW 25-489-010-0 • ZONING(office use) Sara Raines LEGAL Dl LOT BLOCK ADDITION OWNER ff�� (Name) ��-R,A 11-Ct,l,0c2.S / •_ (Phone) �� -333 - �y 9s- (Address) 1 7 1 Ca I S 0►1)S e j . S £4 BUILDER (Company Name) (Contact Name) (Phone) (Address) (Phone) TYPE OF WORK 0 New Construction ['Deck ['Porch ❑Re-Roofing []Addition DAlteration Jtility Connection ,4 L0 t['Re-Si ta d OLower Level Finish ❑Fireplace CODE: DLR.C. DI.B.C. Type of Construction: ❑Misc. Occupancy Group: A B E F H I' MV A B _ PROJECT COST/VALUE `s" Division: R S U $ �j TOO 1 2 3 4 (excluding land) y l ' 61Y)')1,1'5 C tt. 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-mentonedroe p li rty 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 offrciQcan re-i-leike,thispermit for just cause,Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. Signature G�— / S _ ( Contractor's License No. Date Permit Valuation IIIIIIIIIIIIIIIII Park Support Fee # $ Permit Fee MIIIIIM SAC # Plan Check Fee $ --5,40, E.4,-A!...—o tse State Surchargesimaniumo $ 5 R0. ' Penalty 1111111111111111 Pressure Reducer $ `� 111111111111111111 Sewer/Water Connection Fee # Plumbing Permit Fee $ ( S— EIO o�• Water Tower Fee # Mechanical Permit Fee 11.111.111.1 $ ��D BuiIder's Deposit $ Sewer&Water Permit Fee $ 5 • ,TO Other $ Gas Fireplace Permit Fee TOTAL DUE $ � y � / yoo This Application Becomes Your Building permit When Approved Paid r3c.,...ci U Rec-,ya No. /Z • Date B 11111111111111111.111.11 Building Official Date This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, issued. y acee of requested.of Occupancy This document a Certificate of must be Planning Director; Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 Special Conditions,limy • 4646 Dakota Stroet P,-n,.T avo VITT ee'2•7', 4vIu5 p Date Rec'd H ,- CITY OF PRIOR LAKE / r,/4- / g SEWER AND WATER PERMIT AIA'NESO,,P I. Green File /PERMIT NO. .. 2_332. Yellow City (PleasetypeOT 3. Gold Applicant , print and sign at bottom) ADDRESS ZONING(office use) / 7/6/ 50,<-7 A-vc 5- 0 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID5 4/39r ®`t 2_O OWNER (Name) � /2 ] ' A //7 (Phone) (Address) 1-�/fl /4"Ze t�'C. (Address) (City) (Zip Code) APPLICANT (Name) IAS t 2d E 7CC:o►v a st i‘nq. 1-vs c_ (Phone) 91S Q .^ b i v_€j 3'l .) (Address) c o l ub Lit. PY Z.c r L c.k lA 11.0 SS 37 2 (Address) (City) (Zip Code) (Contact Person) i - e'W� ' (Phone) CD I-o -crib- 33(01 APPLICANT SIGN'TURE . i I . DATE LI^19-/q APPLICANT PLEASE COMPLETE BELOW Size of water service rt inches. Location of any couplings from structure feet. Type of sewer pipe. ❑ABC igl PVC ❑ Cast Iron Estimated length of sewer line S O feet. Clean out(if required) located at 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# SEWER AND WATER PERMIT FEB 1� STATE SURCHARGE Permtt Fee $51.50 ` TOTAL PERMIT FEE state surcharge TOTAL $56. (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Buildiue Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 ,4° PRtpP D i • _CITY OF PRIOR LAKE PLUMBING PERMIT at;Recd f 1.Blue File z.cold city PERMIT NO. �� Z33 'Iease 2.e or.rintand si: at bottom 3. 2.yellow Applicant ADDRESS / �` '�/ tJ�/ ZONING(office use) - f4.) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID;357"4'87- 2/D 6 OWNER -- (Name) 4/LA y r ',if E' (Address) (Phone) APPLICANT n (Name) f 1�Y� V 4yli, o c 't'C INC,L ©� �� // (Phone) _ ., >' 7 s `� 9 S��._� � (Address) �`y� c IVs e C — (Address) 0 ' , i • S-Sv Z (City) (Zip Code) (Contact Person) <,' vfL5 (Phone) o I Z–62 „Sr-._ Z APPLICANT SIGNA �` " r .a�;_ _ =• ./!L DATE .i. /. /8–j APPLICANT PLEASE COMPLETE BELOW Quanti T i e of Fixture Bath Tub with or without shower Quanti T/�e of Fixture Dishwasher -- Rou_h-ins Floor Drain Lavato :athroom Sink Water Softener Laun s Tra 1 or 2 corn.artment sink Stand a Washin: Machine Shower Stall Sewa:e E'ector IIIIIIIIIIII Backflow Assembi Bar Sink _� Backflow Assembi Test IIIIIIIIMIMIMIIIIIIII IEREmimmin Water Closet Toilet ' _ Other rick, The-Minnesota Statutes§:326B.148 FEE SCHEDULE "SURCHARGE"has been extended .. >f job cost with a$49.50 minimum Residential,New One&Two-Family $149.50 The minimum surcharge for . Residential,Additions&Alterations $49.50 :"fixed fee"permit is.$5.0f0•• : ; $ Buildi—D''''"'t A PLUMBING PERMIT FEE Permit Fee $49.50 !. WITH STATE SURCHARGE State Surcharge ' 1�' (office Use Otlly) TOTAL PERMIT FEE TOTAL sS � Ct I This Applica ion Becomes Your Building Permit When Approved Paid Receipt No. Building Official Date By Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 f 4 4646 Dakota Street S.L.,Prior Lake,Minnesota 55372 SCOTT COUNTY, MINNESOTA Permit# 34896 INDIVIDUAL SEWAGE TREATMENT SYSTEM(ISTS)PUMPING PERMIT Owner j a i PC; k CCS vc,.-1- ,-E Address r") n Pumper , .9 No.of Tanks Pumped ,_,�` Total Gallons Pumped. /00Check all that apply: l Residential ❑Commercial []Rental 0 Septic 0 Holding 0 Pump Chamber 0 2/ Cess Cesspool p Litt Abandoned. 0.Otho: Condition of Baffles (baffles must be inspected) 0 Acceptable 0 Unacceptable Depth of sludge layer inches ❑Replaced Baffles Ii Disposal Location(be specific) F, t, Did you observe a surface discharge? 0 Yes 0 No Pumped From: 0 Maintenance Hole Removed Tank Lid(stave, for example) 0 Inspection Pipe(see below) I have been informed aboutthe correcttank cleaning procedures and_understand that I risk having.my system fail prematurel if the tank is not pumped through the Maintenance Hole/Tank Lid to enable the removal of solids. y Signature of Owner/Owner's Agent Reason for not pumping through the Maintenance Hole/Tank Lid Comments - 11- Pumper/Inspector Si nature a M )) J. Date - `� 1 Only one permit is needed per ISTS.If the ' is more than . e ISIS on a property, Submit a permit whenever a tank is pumped for abandonment.Pumping te kosn submit a constitutete permit mit for each ISTS. � a compliance inspection. White County.,' Canary-Homeowner • Pink-Pumper _-.-. Form mzo / % AS-BUILT TIES PROJECT ADDRESS: 1 1 (43 , Suns-e - - DATE: ( Zv 1.5 NOTES: r la Show following items: Dimension to property lines Lengths of pipe,offsets in pipe,depth of pipe,size of pipe,type of pipe,offsets from house corners • Show all termination points of draintile with ties to pipe(from two house corners) Septic tanks:length of pipe,height of risers,pump type and model,size of tanks,offsets to house/well/property lines/mound,float setting Sewer and water:length of pipe,depth of pipe,offsets in pipe,drop sections,offset between sewer and water,pvc and copper size and type ties to curb box Drain tile:length of pipe,depth of pipe,slope of pipe,any interesections with other utilities,size of pipe,connections at house/garage/etc. Mount:size of rockbed/sandbed/downslope/unslope,lateral spacing,hole size and spacing,depth of sand,length of force main.