HomeMy WebLinkAboutLAWN IRRIGATION 04-1091, 04-1094, 04-1093 (METER)
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec' d
It). Z/. 04-
LEGAL DESCRIPTION (office use only)
O(JTUJr D
LOT BLOCK ADDITION
I Blue File PERMIT NO
2 Gold City . 0+. /09/
/ Yellow Applicant \
( C)U7Z-- or 0 )
fl11J I\J U 1'7 E AjT
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ZONING (office use)
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(Please type or print and si1tl1 at bottom)
ADDRESS
4-07 & /-/67Z/77i GC U1Alt~
PID :?z::( +25. 0.59. ()
OWNER ~ (. -A: . '......""L /,-57 ~.
(Name) '~AJ;>)I)D N relr, ~A~E ~R,4')APhone) q U) .5JtJO
(Address) W 150u ~ AJ\J e-;;; d,,:~, e:D ( to A-
APPLICANT, }}L. /A J},p \ I\..( -'
(Name) /...-? tJJ"7 /~^ 1 '7A'n6)V ,[/"'71"'7 r')~ (Phone) &>6}' lot-t'~ . 750'C::.
(Address)
(Addressll
(Contact Person) (!JIP-.)? H;JLL I
APPLICANT SIGNATURE M ^ , L--
I
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
(City) (Zip Code)
(Phone) 1R6)' '7~ S-,7tSco~
DATE 10 I Z- r I iJ,(
Quantity
Type of Fixture
x
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
Estimated Cost $
Building Permit # 0 'f- ,109/
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
3C1, 50
.50
+0.00
(Office Use Only)
This Application Becom(~s Your Building Permit When Approved
~ f"V\.~
Building Official
I' I VI (b'1
DJte .
I Paid / t? z/. O.t-
Date 11;, (/l)
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Oct 2104 08:14a
OCT-20-2004 15:03
Melanie Pleski
C!TY CF PR lOR LAKE
651-257-8750
9524474245 P.02
.u.'~ A''''''" w
p.2
CITY OF PRIOR LAKE PLUMBING PERMIT
/D. z,1,04-
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(PI.ctK"l!C Of!lrin1 aile! sip .al bolt01ll1
ADDRP.SS
407h lIeJ!./I'~'>e~e ~A/R-. 1'"e/~L ~Ke.
-/
. '"\
ZONING (ofYI"" un)
Je ISO
LOT
BLOCK
oUTUJT D
ADPmON CfUYlMui1 .4tlL/t (" ~L/h.:t.s~A~"
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PID 25. ~z.S" 037. ()
LEGAL DBSClUYI10N (ollict UJC only)
OWN~R -r".. j '~ .
(Name) / M-'J -' .1 v /J
C #> /"'I.;;;''' -' ~ S
(Phone) __
(Address)
APPLlCANJ'.1 . .' .
(Name) rLt!~Kj' ,j))~/~,,.:n,! 5t'.lC.v,f~eS .I,A/c, (phone) ~5/-r.;J.S.s-,;2:f YS
(Address) C:>.31<'77 CP~Jt:/V/c:"i.<./ C;,-Ju/<;-/- S~.I're-.?oo h/l~:sr i'~ /"1A/ -
(Address) (City) SSC.;.l5' (Zip Code)
(Contaer Person) _ _!:z,-rr:Ve.... t> IL_ 7L" Y' (Phone) 6Si - ~ S..:;- -. .;:1J> 7~'5:
~ IfJ/.t~~ . DATE . /O:~/-~ ~
,
APPLICANT PLEASE COMPLETE BELOW
Type of FiJture Quantity
BathTub with or without shower
uishwasher
Floor Drain
Lavatory (Bathroom Sink)
-. i.aun'ary Tray (lor 2 compartment sink
'--Shower Stall
Sinks
I Bar ~ink
I Water Closet (Toilet)
APPLICANT SIGNATURE
Type of Fix.ture
QU2Dtity
Rough-ins
W Bter Heater
Water SoRner
Stand Pipe (Washing Machine)
Sewage Ejector
B.iCki'lOW AS$cmbly
Backflow Assembly Test
Lawn Sprinkler .
~ Other 1f~'~Pv.s
. ,
IA/S'PTL--l-
I
I
FEE SCHEDULE
Industrial. Comlncrcilll &. Mulli-falnily W. of job CO~ with. SJC} .50 minimum
PLUMBING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
RC$idcnli,1. Ncw One &. T wo-fllffiily
Rcsidentitl. AddiliOllS .t. AlIcrations
Building Penn it II . 0+, / () 94-
'~
.50
fRJ.OO
S99.'sO
$39.50
ESlimared Cosl 5
$
$
$
(Omce 'lOr Onl)')
Thill AppJiution B..cDmc:s Your Building PErmit When Apprond
Blildi", omcl~1
Dlllt
rid 40 00
I Date /0. 2-/. O~
Recelpl NO.4630Z-
. By I/dtf
!
24 1I01lr nolie, for.n "',puliollS (951) ~47-9150. fD ('51) 447.4~45
16100 E.'&11l Creek AwL. S.L. Prior Like, MN 55371-1714
Oct 21 04 08:14a
OCT-2B-2004 16:02
M@lani@ Pl@ski
651-257-8750
p. 1
CITY OF PRIOR lRKE 9524474245
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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ADDJlESS - -
40 7~) )k;e.///- -1e. UA/e...
I lEGAL DESCRIPTION (office us~()nly)
()lI71.A7i 0
LOT BLOCK ADDITION
OW!'lER.
(Name:)
CD;.....,.,";, A-Itc-'\S 17 -r .II~NrJ-.I;1.:)
ltJel/e/p.l't'r1 ~/1 /
7.e &'\.~ 'h ;';'/1-
(Phone)
(Address)
C. e> ';'f'1./ oI"j ".1 e..s
P.01
Dale Rec'd
10 2-/ r 04--
I~ PERMIT NO'04--. /0931
ZONING (om.., u..)
~/S.D
PID 25.~. 03.9~ 0
.~
BUILDER /J ./' .' 'I ,
(CompanYNamc:)p~S"r/ ~/IIAJ~//J,;' Se~~/o"'d- ..:zA,/c" (Phonc:)b5/-~SS- .;:2t"YS
(Contacl Name) ..s.~V'e_ dL _7Z-c)'v' (PhoneL __ .5/t..v1tt;.
(Address)023877 6o~/~r"'/ c.)k~k .:>c.:.;'Y-e c9vo /-;'^~fT ~AkC',/"1// S-S-e:>dl<;
----- I
TYPE OF WORK 0 Ncw Conmurtian DDe<k DPorch ORe'~~l DRe~idin~ o Lo"er Level Finish 0 Filt:p1~ce
OAddilj6n OAh~rallon OUlI[ityConnecllOn r-iSC. /~.. w4TtEIJ-l1lf I ;::.Z
COPE: Dr.R,C. Ol.B.C. PROJECT COST/VALUE 5
Type or Constnlction: I II III IV V A B (e.uh.diollmd)
OmapmcyGlollP: A B E F If 1 M R S U
Dlyislon: I 2 J 4 S
IIw:n:~y c<<tify that I b"~t I\lf~i!twd infnr""'''n~ nn Ibil appli""Dn which illo th, Ix.. "r my knuwltd.< .ru. .nd <n...". I II.n <<II'" Ibatl am ,hi' Il...ner '" "ulhllflW4 31<111 fClr the
,Ilowc-mcnltuncd ,r.pnly ...lIth~1 il)1 CllI\"'llC1;On ~IU clJllfDlm 'n ,II .mbn~ st.ll: ud l.cAlIi",. Ind ..ill rroceed In ArC-O,d'"(f ",ilh ,ubmillc~ pbn. I 1m a"'.r. Ih31lhe building
:'cille~ftU~;:l"~h'"",C1''' I horcby "1m ~lllh.o'1 D~;;;;~~ tn~I'. P'CIP'"Y l~ pcrlft,m ?;/:::;j: 0 y
, . SiS/urorc Cllmr.aor'! License No. D.~
--
'"
Pennil V,llUalioll
Permit Fee
I Plan Check Pee
I Slale Surcbar~c
I Penally
I Plumbing Permit Fee
Mechilnical Permit fe..
Sewer &. W;ller Permit Fee
I Ga~ Fireplace Permit Fee
I
s
s
s
$
S
s
I P~'1c. Support Fee
I SAC
I Waler MeIer Size: 5/8"; I";
I PIC3!Ure Reducer
I Sewer/Waler Conneclion Fec
I Waler Tower FI!~
I Build"r's OepmJl
I Other
I iOTAL DUE
I Paid
I Date
.3 hrJ , OJ
J(), Z/ () 4-
TI..I Applicallon DKO/llt' Ynur BuUdl"l Pc_it When Appro"co(
11..1111;", UI11~IJI
Dnlt
" S
1# S
/__ ~t. S 3f1fl.d; (J
s
Ii S
" S
S
S
s 3P; 0 , 0 0
I :0;17".- 4"1' 3L' 2-1
ThiS II la comitY lh". lh... rt(lbQJ.I 1ft fhr Jobnw 1pplt(~haft :lnl1. a(C'of1'lp~nYI'I\f, "o~",,"eft.l~ IS 11\ :leetu'dance ~ilh Ihe City Zuni~.. Of'(I--;""iIlCC :lnd. nuy rrocrcd ~lli rcql\tlilcd T~iJ d,l(umt1\1
",hrn litllt,l by .hl Cily PIM"~' CllnllnutrJ. lemplln". C:cn,liote.f 7A1nlnl ro"'~It~ncc ~nd Jlln..., mn"r\lctlOn 10 colt1mrMt. ~trl'" llCClII'.ncy.' Ctl"Iir.1lL' ,,'Otru~ncy 111111' be
u-1\lrd
Plan...inl DmIIC;tor
p.,. SpcQ" Con~lIlon., II any
~4 hOlll' "oil,c lor.lI t.'l'cclinn.. ('~!' ..7-'~!'ll. r.. t!i!i2) 447-42f!i
16200 P-Alle C,cek Avenue Prior Lake, MN 55372
White - Building
Canary - Engineering
Pink - Planning
Th(" Ct'nlt'r of the L.kr COUnlF")-'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
i I
i i
l_-, I _'
or', I I'
I '
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
~
I
I l \
I.
1.....'
Accepted With Corrections
Denied _
ReViewedB~ ~ ~.~
Comments:
Date:
10 le1 (0'-(
i
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
lht' ("t'n't'r of 'ht' I..au- Counlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
LMS
10.
tr2.i?-1qfA liON
21, CJ4!-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4ra~ t16t21TNfEt LANe, ,)
/ (otJTU'J I Dj
:::::::: By: {JjPted With Corrections Date: /Ok t
v I I
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."