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Home My WebLink AboutBuilding Permit 98-0244 �---� -��- -V,--. ' ' --�,�_ •• 3 • • • " } n �1 � S — 1 , , 1� d � 4 �d � M. A' , ` p 4 � A' � y ' J � � �, � I � '�� ' 'R , fl � i 1 �� Y f� , 'M '/I� h e � 1 �4 /�, � � � 4 �{' , 1� �I�' 1 M, — 4 ` ` l i- „ r ' s � � �-( (� . � �: `.; �e��fitttt� u� t�ccu�nr� :* -� = CITY OF PRIOR LAKE � �� _ � �� e�artmertt of �ui�bir�g �ng�ection ; � � ; Final Permitted ❑ Conditional C.O. Expires nt to the re ir ments v ection j07 o the Uni orm Buildin Code �� This Certi,ficate issued pursua qu e f S f f g � �'� cerrifying that at the time of issuance this structure was in compliance with the various ordinances of the � .; City of Prior Lake regulating building construcrion or use. For the following: � � �. � UseClassification Single F3m11y siag. �r�cxo. 98-244 �� , Occupancy Type R Type Construction V Firo Zone N A Zoning Disttict � R� � ug ��ri Puo „ L4, B4, Cardinal Ridge 4th Add'n � ` OwnerofBuildirtg S�ceAaanss 5968 Crossandra St. �� :. - �: � Conuactor'sName&Address Homes B C se 1668 E. CZiff Road �urnsville MN Robert D. Hutchins Don Rye 55337 �' � � �. = � - City Planner • �. � Building Official �. . � t_ f 6_ �_ 9 , y ��: �i �,,a�: � � ,�.v- _. ` � POST IN A CONSPICUOUS PIACE ,�, � , � � � *_ � l .< � u i + r � n , r' �, � ,r '4�, +.�r' 'r + ,s' � ?r. / . i . / �...in. � •, .� i ,� .y � °• '. �� r _ , � � : � ,_.. .� � r: .� � � : + y : - y . + . �: - : + F: .� �, V •• :w r .�, T, , ., . . �� ,�u. �'�� DATE TIME CITY OF PRIOR LAKE c��aiN INSPECTION NOTICE SCHEDULEO �� 3 � PERMIT NO. Q $ ' � � COM�.�� ADDRESS Sa(o 2� C+'o�s� d2.�� - OWNER CONTR. � TELEPHONE NO. lV ❑ FOOTINC3 ❑PLUMBINf3 RI ❑SITE INSPECTION � ❑ FR/►MING ❑ M NICAL-RI ❑ EXCAY.lGRADING/FILLING �❑ INSULATION � ATER HOOKUP O LAKESHORENVETLANDS � O WALL B�. 0 M� SETlTUfiN ON ❑ COMPLAINT 2❑ FINAL r ��F3�SEWER HOOKUP ❑ GAS LINE AIR TEST Q � FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL = O DEMOL. ❑ SEPTIC M111NT. ❑ FIREPLACE J❑ FIRE PREV. ❑ PLUMBiNti FINAL ❑ MECHANICAL FINAL = COMMENTS: J � G Z � W v a � o � � UL�- Q � —� '�' cc � W W e 1�.�. � � W � W K SATISFACTORY:PROCEED O PHOTO TAKEN ORRECT WORK AND PROCEED ❑ CORRECT WORK. CALL FOR P.EINSPECTION BEFORE COVERING V ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN. ❑ STOP OFiDER POSTEO. CALL INSPECTOR. � INSPE iiEOUIRED. CALL TO ARRAN(3E ACCESS. call for t n xt ' spection 24 hours in advance. Owner/ r site Inspector 447-4230 r.rowcop wnn.cop,�nrt�o.e�«�aF� � DATE TIME ITY OF PRIOR LAKE L �, ^,— � INSPECTION NOTICE SCHEDULED �' �� ADDRESS ,� � � � �n�'; j'R OWNER CONTR. PHONE NO. PERMIT NO. �•� I.r� ❑ FOOTING ❑ PLUMBING RI „ n ❑ EXC/GRAD/FILLING ❑ FRAMING �CHANtCAL � /l>�-- ❑ LKSHORENVETLAND ❑ INSULATION ❑ WATER HOOKU ❑ COMPLAINT ❑ FINAL ❑ SEWER HOOKUP ❑ SEPTIC FINAL ❑ FOUNDATION ❑ SEPTIC INSTALL ❑ FlREPIACE Q DEMOLITION ❑ PLUMBING FINAL ❑ ❑ FIRE PREV. ❑ SITE INSPECTION COMMENTS: RK SATISFACTORY, PROCEED CORRECT ACTION AND PROCEED O CORRECT WORK, CALL FOR EINSPECTION EFORE COVERING Inspector. Owner/Contr: CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS iN ADVANCE. CDDE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.� DATE TIME CITY OF PRIOR LAKE Py INSPECTION NOTICE SCHEDULED +� �' 1f � ADDRESS �9 �� _ , OWNER CQNTR. PHONE NO. PERMIT NO. q�` �� ❑ FOOTING ❑ PLUMBING RI ❑ EXC/GRADIFILLING � FRAMING ❑ MECHANICAI. ❑ LKSHORE/WETLAND ❑ INSULATION ❑ WATER HOOKUP ❑ COMPLAINT ❑ FINAL O SEWER HOOKUP ❑ SEPTIC FINAL ❑ FOUNDATION ❑ SEPTIC INSTALL ❑ FIREPLACE O DEMOLITION ��PLUMBING FINAL ❑ ❑ FIRE PREV. ❑ SITE INSPECTION COMMENTS: �-- V��-- ❑ WORK SATISF Y, ROCEED ❑ CORRECT A ION AN R ❑ CORRECT RK, CA OR REIN ECTION BEFORE COVERING Inspector. OwneNContr: CALL 447 230 OR THE NEXT (NSPECTION 24 HOURS IN ADVANCE. CODE REQ I MENTSARE FOR YOUR PERSONAL HEALTH & SAFETYI � ' D TE TIME CITY OF PRIOR LAKE � INSPECTION NOTICE SCHEDULED � ADDRESS �j �'f �n� �./�•oS,S /ac�.►7 Z/�1. _�, OWNER CONTR. PHONE NO. PERMIT NO. q�' Z��` ❑ FOOTING ❑ PLUMBING RI ❑ EXC/GRAD/FILLING ❑ FRAMING ❑ MECHANICAL ❑ LKSHOREIWETLAND ❑ INSULATIO # ❑ WATER HOOKUP ❑ COMPLAINT Y�FINAL r ❑ SEWER HOOKUP ❑ SEPTIC FINAL /�7 �OUNDATIO ❑ SEPTIC INSTALL ❑ FIREPLACE O DEMOLITION ❑ PLUMBING FINAL ❑ ❑ FIRE PREV. ❑ SITE INSPECTION COMMENTS: � GZO-�2,a� rtJ . S � _ � r� � ( , �l _ � ORK SATISFACTORY, PROCEED 0 CORRECT ACTION AND PROCEED O CORRECT WORK, CALL FOR NSPECTION BEFORE COVERING Inspector: OwneNContr: CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.� E! 1� rr� P"r? R t1 n;._.,-- �. OF pR ��R DATE RECEIVED CITY OF PRIOR LAKE 1. White File v c rn '��K �`� ��'�� BUILDING PERMIT z. r;�x c;� � 3. Yellow Applicant � ( i ��._ . �TEMPORARY CERTIFICATE OF �..,.., „ ZONING COMPLIANCE A1�tD UTILITY CONNECTION PERMIT Permit No. �-L� DIRECTIONS 1. DATE SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) `��"" � BUILDING INFORMATION 2. SITE ADDRESS � 11. SIZE OF STRUCTURE (Height) �dth) ( , ) 3. LEGAL DE RIPTION 12. NO.OF ST HIE / �-� 3.�.� _ r,� �-v , �, LOT BLOCK PID � t 13. TYPE OF ONSTRUCTION ADDITION ' 4. OWNER ame) (Addr ) (T I. No.) 14. FLOO AREA APPORTIONMENT USE 5._ARCHITECT (Name) G (iddres (Tel. No.} Q 6. BUILDER (Name) + (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS � �/�! � �?+�-- �� 7 OCCUPANTS 7. TYPE OF WORK Fireplace O Septic O Deck D Re-roofing O Poroh O SEATS New Construction O AKeretions O Addition O Fin�sh Att� O Re-sidi� C7 Finish BasemeM O 16. PROJECT COSTNALUE Chimney0 Misc. Z L96 8. PROPERN AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COM LETION DATE Sq. Ft. Width Depth Yes No �a ,d� f I hereby certiiy that I have fumishe rmation on this application whidi is to the best of my knowledge true and corr�t. I also certity that I am the owner or authorized agent for Ihe above mer�tioned properiy th all constniction will confo to all existlng state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke ' e' for just u Fu erm , hereby agree that the city_off_icial or a designee may enter upon the property to perfortn needed inspections. x ,L�l,� Sgnature License No. Dafe FOR ADMINISTRATIVE USE SETBACK3: Required MATERIAL FILED WITH APPLICATION Actual SOIL TESTS O ENERGY DATA O Front Back Side Side � BUILDING DEPARTMENT VALUATION OFF STREET PARKING PILING LOGS O PERCOLATION TESTS O SPACES REQ. PLANS & SPECS O SETS USE OF BU�DI �� SURVEY O COPIES SPACES ON PLAN / � � � ` PERMIT VALUATION � PLOT PLAN O TYPE OF CONSTRUC710N: I II III IV Amount Brou Forvvard $ Occupancy Group A B E F H I M S U ��`' � � Division i 2�a Park Support Fee ............................ $( 6 OO r � ' � Permit Fee ......................... .... $ I Z �{ � . SAC $ Plan Chedc Fee ............................. $ 8 `O ''� � Collective Street Fee ....................... $ C �Q Sewer Tap ................. ................ $ State Surcharge ............................. $ � Penalty ................ ...... . $ Pressure Reducer ...�Et.................. $ �y� C��C Plumbing PermH Fee � - Q �l � $ � Q � Q� Meter Hom .......... .. ............. $ d � _ ......... . ... ...9�',V �C�� / �� • Q (� Water Meter � � $ Mechanical Pe i e.... t. ........... � .................. �� / '/ Sewer & Water Conneoti� Fee $ � 2�� -E�'� � Sewer & Water P it �R.:: gLT / ... $ � "� Water Tower Fee ........................... $ �OU7 ..[3 Z� Ges Fireplace Permit . �4... �. Z. rf....... $ L � • � � Water Tap ................................... $ This ��} comes Yo r B ing Pertnit When Ap roved. Builders Deposit .............. ............ $�� gy ��_._ yL Date '2 Other...�.Y.`�.�,SI..�........ $ [.t/• � __�° Cert'rficate of Occupancy To�l Due .............................. $ 1 • Peid Receipt No. J X. ��- Issued DBte ,s . � By fiis I ce ' ihat ihe re effi in ihe above application and accomparrying documents is in accordance with the Ciry Zoning Ordinance and may proceed as u . This document when � b� Planr�p o sC te � porary Certficate f Zoning compliance and allows constructlon to commence. Before occupancy, a Cert'rficate of Occupancy must be issued. City Planner Da Speciai Conditions'rf any 24 hour notiCe for all inspections 447-4230 �(/� �, /� d �Y" - � � � � ,� ,,� , wa��"�"K.� -� . �""*""�" I , i j � 9'8 �-��t� �� 9 CITY OF PRIOR LAKE l . B ellow A�� F pR�OR 2. Gota Ci � � rn PLUMB/NG PERMIT PPN� �plicant: — �lr�D�/ff'' � �� fFv�� ?twne: = y� The Cenler o( the L�ke CouMry ^�reSS: ✓� d� �� S� - -"' �nature: ' � ,,,,__. `""�✓` �-�-� r� � rv '' Legal Description: Lot Block Sub r� (C.,, � � ` ' �� 1�� i-'' " Site Address: �96� �v �.1�'� ` � ,� � I � 6 �9�� Building Permit # �— PID # � 5 - �,��— �Z �—D NOTE: This permit wili not be processed without complete information. FIXTURE UNITS Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher Water Heater Floor Drain ,/ Water Softner Lavatory (bathroom sink) Stand Pipe (washing machine) Laundry Tray (1 or 2 compartment sink) Sewage Ejector Shower Stall Backflow Assemby (RPZ, Double Chedc, PVB) Sinks Backflow Assembly Test Bar Sink v / Lawn Sprinkler Water Ctoset (toilet) Other FEE SCHEDULE Industrial, Commercial �& Multi-Famiiy (1% of job cost, $39.50 minimum) $ Residential, New One $ Two Family $99.50 $ Residential, Additions 8� Alterations $39.50 $ ��.� State Surcharge $ .50 GRAND TOTAL $ d � D � This permit is granted upon the express condition that said contractor, shatl comply in all respects with the ordinances � t te imbing Code and the amendments th eaf. i2ECEIPT NO. �O � DATE ATTEST Call for all inspections urs in advance. 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / F.4X (612) 447-4245 An Equal Opportunity Employer t 99E`{ ' 0� 37� FROM HOh£S BY CHASE 6128958590 D_ 2 s^ ' " � �� CTTY OF PRIOR LAKE ��'-- � y� � Impervious Surface Calculations � cro � su�a w;m �� t A�� For All Properties Located in the Shoreland District (SD}. The Maximum Impervious Surface Coverage Permitted in 30 Perceat Plrvpeity Addr�ss__ �� .k-fls�p, �,�, ._,(�, Loc Area _� �> �.�� Sq. Feet x 3o�/a � .............. 4: l. � Z �.:*::.**ss.`�**�*s:.�.*s:�*�.�:�*:�«.::*.►**.:�*ss«�s*****.*�s��#:s�.#*#*s* LE1vGTH wIDTH SQ. �'EET .- - . HOUSE - — x - _ � , x = ATTAC�D GARAGE - - x _ � � . . zo��►,�.��U��.M:.....�........... a , 3� 5 _ T____ DETACHED BI.DGS x t�� x TOTAL DE'fACHED BUILDINGS............»»....... , bitIVEWAY/PAVED A�REAS x s• � (Deiveway-psvad oe noe) x - – — : - (Sjdewalk/P�r1tL� Atea) X = , �ro�c�►x, �a�v��v �►�as..�. .. ........�... - 7 p 9 PA"I'tOS/PORCHES/DECKS x - c� �'�' mia. opa�ta� b�r�a� X : . bo�rd= wiW s Oayio�s awfaoa bdo�w, are aot aoosida�ed to be imperrtous) X � , � TOTAL DECKS.....» .................�»....«...».......»......... OTHER x = X -- _ TOTAL T�1�� IA�'ERVIOUS SURFACE � `3 D�� . ; � ag ,,. rrepare�y � Uate �- - / 7 - l� Compaay 11' ! 11 h.n ,.� r - Phone # s� ..�� - 3 � 3 � vRIp _ � � 9 • U c White - Building Canary - Engineering � -I� ;��>,,_ ; . The Center of tbe Ldce Couatry LL • �UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST , �y NAME OF APPLICANT -�� APPUCATION RECEIVED `�f.�.�'�� The Building, Engineering, and Planning Departments have reviewed the building perrnit application for construction activity which is proposed at: �,!' < � ! - i_� �:..,:.:.,.�': � p /7.�a+° ^:r:.�� Accepted , Accep�ed With Corrections Denied Reviewed By: Date: T' � ,� �0 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." �F PR/p - � �. � U [�*1 Whl�e - Building Canary - Engineering Pink - Planning The Center ot tht l.�ke Coualry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ��f9 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ..�-�� ',,.�.e.� �� .� - Accepted 7� . Accep�ed With Corrections � Denied Reviewed By: Date: U-2� �8 Comments: I - ��. �,....� � ze.c� ,�L.r-- � / 2 � ` �� er�.�.�,�. �4�Ji�l � . h�X-�C.J�.� ` . "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." � •=�� pRIpR` � � �'�� U m White - Building Cansry - Engineering TAe Cen�er of the L�ke Conn�ry Pink - Planning • B�JILDING PERMIT APPLI ATION DEPARTMENT CHECKI IST � NAME OF APPLICANT �� e.- - ry �' APPUCATION RECEIVED _ ��I The Building, Engineering, and Planning Departments have reviewed the building permit application for cqnstruction activity which is proposed at: •J � , f f � , _ �i � '��i Accepted t/ . Accep�ed With Corrections Denied Reviewed By: � �CC'G�� Date: �� Comments: Q r � �� /� � • , - � . � .. • . ' - . � n . . ' _ ' . , , , . � , r The issuance or granting of a permit or approval of plans, specifications and ' computations shall not be construed to be a ermit for or an a rov I � p , pp a 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 cance! the provisions of this code or other ordinances of the jurisdiction shall not be valid." I�_..___' � '__�._.�._,_.._._' t�f _? I� ��-'_� tJ �� i r��i : i�i ,, r � t � b y CITY �F P�tOR LAKE M � �� ' ). Ycllow - Contrsc�w � � -f • at� �� r� TY � F TF3 TURE � � M 16200 Eagle Creek Av. S.E, permit No. � i � AUG I Q � Prior Lake. MN 55372 � 0 Si T ily Multi-Family ' HEATING APPLICATION / PERMIT �' � p Commerc�a ! Public Olher Oa1e _��(:, PID N �'�j' �J � d�.�• (�''_ O Site Address � � �� Fee Schedule N � lot Block Addil' n � A�i r�� 1��_� Industrial, Commercia! 8� Mulli-Family i% ol job cost ($39.50 minimum) � � Residenlial, F�ealing 6 AC $99.50 Owner fJame � '� Residential, Healing On�y $64.50 � Anied Fi�sid� Z Address .�_ �____��_ �____ _ Hesidenlial, Gas Firepface 539.50 � COM�iCIOrS lICl115! N2O0�10�11 Residenlia�, Addilions b Allerations �39.50 � Flealing Contractor �• . Residenlial, !1C Only $39.50 • p, Address Roserilk, MN 55113 � Tele hone IY Hemember lo add Ihe Slate Surcharge on Ihe bottom ol tl�is applicalion. � p . � Furnace Make 8 Model !J C.: TYPE OF SYSTEM • 3 The price ol your lieating permil includes une rouglrin and one linal inspection. fD Warm llir PIaNs � Model Size �r(�u� k(,� Gravily Addilional inspections will be billed al �35.00 each. Conn. Load Mechanical House Flealing Tesl Record mus! be submilted wilh i i �� number belo�e build• Air Condiliooing ing cerlilicate ol occupancy will be issued, Fuel Flua Size Vent. Sys�em HEAT CA�CULATIONS REUUIRED wilh numbe� ol supply and return openings listed pe Supply Openings HEATING OR POWER PLAN7 room wilh CFM's per vpening. New slruclures or addilions send Iloor plan wilh supply Steam and relurn locations shown. HEAT �OSS CALCULATIONS, PAYMENT AND Relurn Openinc�s Hot Water APPLICATIoNS MAY BE MAILEO TO THE CITY OF PRtOR U1KE, 16200 EAGIE Radialion CREEK AVE. S.E. PRIOR LAKE, MN 55372. � Input Outpul ��7.� Special Devices � Cily Hall business hours are B a.m. - 4:30 p.m. Edr. Olher Devices ALL WORK MUST BE INSPECTED (ROUGN•IN AND FINAL) - CALL CIIY HALL W Clm. W 447-4230 � TYPE OF WORK I tiereby apply lor � mechanical syslems permit and I acknowledge Ihal the � AII¢ralions Replacement New Construclion X inlormalion above is complele and accurale; Ihal Ihe work will be in conlormance � willi Ihe ordinances and codes of Ihe cily and wilh Ihe slate building/mechanical Repair Esl. Comp. Date � 5 codes; Ihat Ihis lorn► does nol become a permil unlil signed by the BUILDING OFFtC1AL; lhal Ihe work will be in accordance with llie approved plan in the Esl. Cos1 s �� (k�• � Building Permit p Q�� case 11 work which requires review and approval ol plans, HEATING PEAMIT FEE S � �/ y STATE SURCNAflGE 5 .5O PA w � � � l's r — T — Dale �p TOTAI PERMIT FEES S l Receipt rBUILDING PERMIT �� Building 011ical's Siynalure Date ~ � ______ � , � � -.��'� -��-�`'-`�-,� �� CITY OF PRIOR LAKE 3. Yeilow �li�� ` � �� ' PLUMB/NG PERMIT fa� # � � � � Applicant: V �-< <� p � C � � - Phone: Y 4 � - ��' � Address: 4 4 � u� �_ c�, v� -._ ��. �;� .� c s�� en er o 1 e e oun ry "' ` Signature: Legal Description: Lot Block Sub Site Address: � G � Ssr� -�� 3� Building Permit # " � PID #�j 5 ' ,� �'' �O�'7' � NOTE: This permit will not be processed without complete information. FIXTURE UNITS Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher � Water Heater � Floor Drain Water Softner Lavatory (bathroom sink) � Stand Pipe (washing machine) Laundry Tray (1 or 2 compartment sink) Sewage Ejector Shower Stall Backflow Assembly (RPZ, Double Check, PVB) � Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler ' Water Closet (toilet) Other FEE SCHEDULE Industrial, Commercial & Multi-Family (1 °/a of job cost, $39.50 minimum) $ Residential, New One & Two Family $99.50 $�Q Residential, Additions & Alterations $39.50 $ State Surcharge � .50 GRAND TOTAL $ �_(� T'his pernut is granted upon the express condition that said �Q shall comply in all respects with the ordinances PA�b�t��Plumbing Code and the amendments ereof. BUILI�' � � `-r�N��'(' �CEIPT NO. ' ' DATE ATTEST Call for all inspections 24 ho rs in vance. 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245 � An Equal Opportunity Employer �: �� _. �w � .�..�. t .�;,.�. _ ....�.....`. .. _. h.. . . , _.....� .... .. � __ _.. . . _ ., ..� . .; a � (iREEN - FILE � � PRI�� 2�� ,` YELIOM/ - APrL.ICAMT � L. � � �^'..� , GOID - CITII � .,...�� U � , �� Su/ CITY OF� LAK � NO. �� .y , ��' SEWER AND �ATE — �NN E5� � �,�p,� NOTE: Sewer and Water contractors must be registered with the City. —' C�)-t �z APPLI CANT : ¢ �' �—� � � � C � 1 — PHONE : y ADDRESS: � 4 U �..,.(�,.� Y� -� - ) -��-- _DATE: � a� �� S IGNATURE : C�( BLDG . PERMIT # d'oZ �{ � SITE ADDRES5: �5 (o`� � �°S�n-c�r� �► PID# �_�?�� ZY G� FILL IN THE BLANKS L� �Q y 1. Estimated length of water service '-{v feet. ('�,(( iL/ ��! �/� 2. Size of water service l inch(es). 3. Location of any couplings from structure �" feet. 4. Type of sewer pipe. ABS PVC �C Cast Iron , 5. Estimated length of sewer line ��U feet. 6. Clean out (if required), located at feet from structure. ------------------------------------------------------------------ ------------------------------------------------------------------ This appli 'o c r permit when approved. BY DATE • S � �' 9 � FEES: $ 35.00 Sewer and water line connection permit. $ .50 Surcharge $ 35.50 TOTAL * 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 water permits are issued. DATE PAID $. i- 9 p AMOUNT PAID 35 , 5 0 RECEIPT #�� P REC' D BY 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245 An Equal Opportunity Employer � ..,... . '` j rM � , j ' � �� i t ' �`ti �.!,��,,.�,„ �� + ��' ._ , � »"� � s r `+ 7 j �,. �� _ �� -� ... �r �. . � - u°�. ., . � ' "' a�� {.��i . ff '41 'r � . .�. �.i 4 � •�i - �� C_ �,t �0 6z- 2422 Enterprise Orive ' * * Mandota Heiyhle, �IN 55120 "* PIONEER ,.� �,,�.�s � CIVII ENQNfEpi (612) fi81-1914 FAX:681�94$8 � engineermg �N+o nu+ne�s. �MIDSC/1PE MCroIEGYi 62� Highway 10 N.E. �'* .* Bloine, MN 55434 � '� . (612) 783-1880 FAX: 783-1883 Certificcate of Survey for HOMES 6Y CHAS� ,� , / K�� w ��p�P �- s42.� 3 .�, ��, 1p�S_,� „"'�� nr g �� .�6�NCH MARK 6Q�• � 943.8 �- TOp Of PIP� � � �� EI.EV.�9�4. 6 N 9a2.� � � �� ,, p '' 1 `� �P 94��9 �� ,�. Z . �� r / '� P �_ � � �� 's' 943.2 d�, ,,,. r' ``'� p��4.�`�'�P �,� �!'.�;2�, BENCN MARK N t" �3�ERVICE�' ( 6�(0� �� 941�b rOP OF P I P E �' 5 944.3 1�• ELEV.�9a5.32—..��,� � � ,, OpO�$ �,�� 9a5.7 7� r'' �,�+``�', _ + � r �� P �� o �\ � �� r `!� ►� � � , 0 ` ` s � cA � �� a _ , , . � 1 � C 6 3 � � �� s . 9�5' .9 a' c,� � � � r+ � O Ct g �..$ !� � Q � P 9. •.��` $ ; � 945.0 1 s�° � � �'j � � � � p ��. r-�"' �`� � � a 9 46.2 � � � �1�•� 945.2 � �� w � � . z � `� �''�, ,p0 ds ,� O u`1 1 �° � �� a �. �ti x \ �� .34945.� �83 s•� 1 945.0 L . 9��g . <�, f�.(J � � '7 � i� � 946.5 � 1 "s4�. � ' ' ` Cn � v'��.�4P�" ^'� �,�' ' O�P, �P��( �'QE � �. ''' + 'v` 937.6 !� I � � �P�� , ,. -'" �c� �D.Ca � , � ,- 9� LOT AREA � 13,9ap S.f. 1 %�� ' 1� HOU5E AREA = 2,385 S.F. � -�- "'^ D��waY aREA � 709 S.f. ..� "' M� COVERAGE � 22.2� 5 L�,•� '' � y'� -�.. 5 936.0 �,� a, NOTE: PROPOSEO CRAOES SMOWN PER IiRApING PLIW pYs J.R. „ILl ,��PO F',j� HOUSE ELEVAT�QN NOiE: BUILD�NC 014ENS�ON3 S IIRE fOR HOR120NTAl AN6 VER'hCAI IOChTIQF! LOWE5T FL40R ELEVATION: �� OF 3TRUCiURES ONLY. SfE ARCFUtEC1UAL PLANS FOR BU�OINC AND fOUNDAnq+ pnaENS�ONS. TOP OF BLOCK E�EVAT�ON: �� ' � NOYE � SPECIf�C 50�L3 INV�STIG/�'hON MAS 6EEN CW+iPIE�Eb ON THIS lOT Bv TME �C� f Y- `.+.� $UttYEvQR, iHE SU�1A8�WTY Of Shc8 TQ SUPPORT 1HE SPECIFIC NOUSE GARAGE SLAB ELEVA"CION; PROP03E0 IS NOT THE R6SPONS�BIUTr � TME SURVEYOR. NOtF� TNIS CERIMCATE OOES NOT PURPORT TO �QW EASWENTS O�HER ��tN x 00(R00 DfN01E5 Ex19TW0 EIEVAi10N TMp� gr�p1NN Otd iHE RECORDED OI.AT. ( 000.00 ) DENatES PROPOSEO ELEVATWFI ._ _.... OCNOTES DR��NACf lu►D uMi1Y E�SEMENf NO1E: CaJTRACTOR LIU4T VER1fY DR�vEWAY OES�CN. ��r- OENO�ES DIiNNAOE f�OW O�RECTION . DEPARTMENT OF � - . P'R I� B IL IN D 1 �� R U D G AN INSPECT ON L A KE � .. . _ IN P . E TI N RE RD .:� SITE ADDRESS :•< <�°��`��,-:NATURE �OF WORK � . - - � ' �" �USE�OF BUILDING �F'O . - * `- .�: � `��''` . , ':RERMIT��NO. �8 -��[� DATE ISSUED ��2T —q�' .'.: � .�j�� . ;,.;.:��: � � CONTRACTOR �� b..,,, C1�__ :. . : � : � � �:�.''� � . � NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS_ �EL,OW `�`�� .' PERMIT IS BY SEPARATE DOCUMENT `� �� :.:,�a��. , �-_ ��.. �, .�. . � 'ir ... INSPECTOR DA7� ;: Mf'_.,;�.,„_ , �:�.:� A ` , , �"� FOO�'ING � . . . .�:,, : s .: .;'� ,: . ��-,; .;��. , � " �y •o-'13'� ' � q, FOUNDATION (Prior to Backfill) / � � � � �_.:��,� �PLACE NO CONCRETE UNT L ABOVE HAS BEEN SIGNED-� ��y , ' ,�, *"'�r�:, `.i .:P � � , . �.� # ±,-.w;{, .r ,., � , 'i�:�, � _ �-': . �;z::��:��t:v. �.�� . . , � R O U G.H i I N . . ,,. �.�.��,`��... �'�?. S '�'�..:,: �,�� ,� -1�,•,,::,��. ' , -:,.;.:;� •. • ;• . : . .,�^'.� . :� � ,� ,. ��SEW�� %�`WA7ER / SEPTIC . � <�:,, �,,-,,., ,;,�. ~.�� . e�� :�,. :. FI�aMING C� �� .;-� - �-�. ...°.:,.��,:: . � 'INSULATION . . � X �:.,:`"�' " ��;�`�:=�� - . ,..�..t; E�.�CTRICAL - , �.:,E:;,.. . � PLUIVIBING . . - � _;� :.HEATING if re uir�d) �� /r� ,� �..�� v �:�.�:. r:w. . , i'� � 7.• i�i�3' . - �F��i�PL:�4�E . .. � . ��.i �.;��.. ;. �,�:�. �+-_ y � GAS LINE AIR TEST l�.µ� �G �' ��" ' . . '��:��`��' �F.`�OV�R �10 WORK UNTIL A�OVE HAS B�E�i SI��I��`:rv�:.. `� �. .:�',. ��. �,,,. � . .�. , . . � ��a.� :W��s �� x ;,,�.4 :. � ., . , .. .. �'� I N A L S � . . �- � .. . , . ��<< ��' ��.:�: � . ,,�, .� ; GRADING Prior to Sodd ri ' , — �j = j �; � _ � t � �� , �BlIILDING � �° � � �� I . _ �� ,: '�'�: � � � ��.ECTRICAL ' � � . .,`. .�t- � PLUMBING - � �� - .� � �` . � . .: .. , -r . � . ,b:i;' �$ m � � Ny � ■y �� ,' �, � � � 1 " '� � �� \ M ^d � VL: .a �� ' � � , �� ' � ry, , „'._^k r.,: , . �, . . r . HILf _�' P .4��. . x '��.'';,�a''1 r '°�*�'r:"; - '#.i.� , a , - �,.+, . °�� .,,� ��,'w/� � " ',- ,�`;' . �: �:=:�. s ,. ^,, M . <. ,. , � w �; '•� �;:�•..,.._, . �:� � �"'�m�DO��`NOT OCCUP.Y UNTIL 'ABOVE HAS BEEN SI�GI�'��D:�;y`�� :�. , , , ti " ,� .. _ . �. NOTICE z ,; ti4�:,'$� , . ,;�._,, .'.;r''�_,�;�;:"�`'.This-c��'d`ri�ust be posted near an electrical service cabinet prior to rough-in inspections, .;=�;�'�. -. � �} . . .� �:'� �and maintained until all inspectibns have been approved. On buildings and additlons'° , ;.'..'� ° where no service cabinet is available, card shall be placed, near main entrance. -,. ; : Calf between 8:00 and 9:00 A.M. for all inspec#ions FOR ALL INSPECTIONS 447-4230 � �