HomeMy WebLinkAboutBuilding 06-0773 (2)
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AUG-30-2007 07:14AM
FROM-WENSMANN HOMES
T-171 POOl/DOl F-344
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CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
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~.. ~~~:., ~~~. I PERMIT NO. 0' ~ 077 '2. J
J Gold AppJ.conr lQ . .../
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3 ~ '75 Uprgp So j).k" fA-/
ZONING (omee use)
LEGAL DESCRIPTION (office USe only)
LOT ~ BLOCK J ADDITION ;::{!;;PBE,5 P~..v a / "5"/
OWNER
(Name)
(Address)
PID ;}5 - 437-IY3~
(Phone)
(Address)
(City)
(Zip Code)
APPLICANT
(Name) (N.7AJ $nuJ..,v AI
(Address) 1<;('7 ? PLJ4, 2:.14-
(Address)
dca-fe- ?
01: -5v.;; [)lJ
t;~/- 4'LJ~ - 440 c)
(Phone)
~,4-/J
(City)
}Yt A/
55/" 2
(Contact Person)
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/O~
ltr ~ -3~C;- 7f.,:3 /
e-~~-o7
(Zip Code)
(Phone)
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service Ilz- inches..
Location of any couplings from structure uD feet.
Type of sewer pipe. 0 ABC ~ PVC 0 Cast Iron
Estimated length of sewer line <Dt> feet.
Clean out (if required) located ar ~ feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
Indu$trial, Com'l & Multi-family
Water connection only
1 % of job Cost with a $39.50 minimum
$17.50
$35.50
$17.50
Estimated Cost $
Building Perm it #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50 PAID \vm~
au'LO'NG PERMIT
.c".' . This Application Becomes Your Building Permit When Approved i
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Building Officinl
By
Receipt No.
2007
Date
24 hour notice (or all inspections (952) ~7;~850. (:IX ~~~~~-424S =:;
....1 _.._..~_.__._.'.'~_._ .._."_ ,.'._____...'_"
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PRIOR LAKE ~~rtD~~~~~D~~~ect~lq~ain File
INSPECTION RECORD
~ p~ ~
SITE ADDRESS
NATURE OF WORK
USE OF BUILDIN
PERMIT NO. DATE ISSUED
CONTRACTOR PHo(jJ~'3''f. 1'--31
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
RcH
INSPECTOR
DATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING . 8 2f7 t) 7
INSULATION
ELECTRICAL
PLUMBING U" w'\
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ ~9:'J~ I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850