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Home My WebLink AboutBuilding Permit 10-0446 = J � — � ✓ .' , ♦ '.• 1 V' C��ex��x�� .�� (��xax�r�z��r CITY OF PRIOR LAKE �Q�tt�f��z�� .ix�� 1�s��x��t � �Final Permitted ❑ Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the � Residential / � International Building Code certifying that at the time of issuance this structure was in compliance with the various ' ordinances of the City of Prior Lake regulating building construction or use. For the following: Use Classification ��N�"l �iti /�� Bldg. Pernut No. � O � `?"'��4 � �f �`� Occupancy Type �� Type Construction •� Zoning District ��/S.LJ � Legal Description ` Z�C�� c. L f r �� G�" �V 4/L �wG d/J /`"/� ,(�G � Owner of Building Site Address L�iiZ.�� /r'7 /"7 ��f`� C�. �/ vV Contractor's Name & Address /� U�/ �/U ~ r `v �`�� lU �i � ' /'' ' /�-% ��v � c.� / / Ciry Planner Building Official Date: �� Date: POST IN CONSPICtJOUS PLACE DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED � � � �� ADDRESS IGZ, � � �Ge.C�,��..Q�O� OWNER CONTR. PHONE NO. PERMIT NO. �G ` � �L-7 O FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOUNDATION 0 MECH RI ❑ COMPLAlNT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULA710N ❑ SEWER HOOKUP ❑ FiREPLACE FINAL ¢ FINAL ❑ PLUMBING FINAL 0 GASLINE AIR TST �O SITE INSPECTION ❑ MECH FINAL 0 COMMENTS: �WORK SATISFACTORY, PROCEED ❑ CORRECT A ON AND PROCEED ❑ CORREC K, CALL FOR REINSPECTION BEFORE COVERING Inspector. Owner/Cont�: CALL 447-9850 FOR THE NEX7 INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! uvs�vor, DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS � � Z 3 �Gi,�C.C/ OWNER CONTR. PHONE NO. PERMIT NO. � D` ��/ O FOOTING � PLUMBING RI ❑ FJUGRAD/FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMtNG ❑ WATER HOOKUP O FIREPLACE RI ❑ INSULATION ❑ SEWER HOOKUP ❑ FfREPLACE FINAL ❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST ❑ SITE INSPECTION ❑ MECH FINAL ❑ COMMENTS: . � � � �-- � , la sr io O WORK SATISFACTORY, PROCEED � CORRECT ACTION AND PROCEED 0 CORRECT , CALL FOR REINSPECTION BEFORE COVERING Inspector. Owner/Contr: CALL -8850 FOR THE NEXT INSPECTION 24 HOURS (N ADVANCE. CODE REQUIREMENTSARE FOR YOUR PBRSONAL HEALTH & SAFETY! wsHOn �1J12S. DATE TIME CITY OF PRIOR LAKE n /� • tNSPECTION NOTICE SCHEDULED "f . 9, I V T ADDRESS �(� Z' 3� H I N K� � —+, OWNER CONTR. PHONE NO. PERMIT NO. ( �•��Y O FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOUNDATION O MECH RI ❑ COMPLAINT ❑ FIiAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FlNAL ❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR 7ST ❑ SITE INSPECTION ❑ MECH FINAL ❑ CO MENTS: � �IP� L �� tG.�" �� C3•�G . `+ro o l7 ❑ WORK SATISFACTORY, PROCEED �ORRECT ACTlON AND PROCEED ❑ CORRECT WOR , FOR REINSPECTION BEFORE COVERING Inspector: � OwnedContr. GALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc S�lFETY.� �HSnron ! DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ��_ ADDRESS � (i2,� �3 �i WK� OWNER CONTR. PHONE NO. PERMIT NO. [� y�� ❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING O FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL ❑ FINAL � PLUMBING FINAL O GASLINE AIR TST ❑ SITE INSPECTION ❑ MECH FINAL ❑ COM ENTS: � ORK SATISFACTORY, PROCEEO ❑ CORRECT ACTION AND PROCEED O CORREC K, CALL FOR REINSPECTION BEFORE COVERiNG Inspecto OwnedContr: CA L 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! uvsrvon �...,..._.�. oF pRlp� CITY OF PRIOR LAKE BUILDiNG PERMIT, ��D�e �c'. ,� � T�MPORARY CERTIFICATE 4F ZONING COMPLIAN !�; �� AND UTTLITY CONNECTION PERMIT MAY 19 2010 i U ��NNES�� 1 White Fle � � ��k �� P�R 7 Ydlow AppTicant Piease e or dnt and si n ar, bottom ADD ZONING (o ux) � Z-7 � l��vJ�� C�• 111w S �- LEGAL DBSCRIPTION (ofllce use only) LOT HLOCK ADDI'TtON .,c �-� S p� a�-Fh,�n� °��✓ P;D OWNER (Name) �Oh � G T ��.c`r 1 C� c �2. � (Phone) (Address) 13�.J '�-�(— 1�1 +A''^'t � -� � � S l`�OC<<-- �-1.2.(�- BUILDER r � � d,s - /4� i (Company Name} �S C• (Phone) 1,,SZ ��' ��C1 (Contact Name) �D � a (Phone) 61 Z- Z� Z- 7 7�Q (Address) 6 ur. �,/ �T�� 'v E• G.4 ✓1//l sv Ny TYPE OF WORK f',�t Construction �Deck �Porch �Re•Roofing �Re-Siding OLo�ver Lcve) Finish ❑ Pirepiace �Addetion ❑Alteration [IUtility Connection CODE: ❑I.R.C. �I.B.C. D Misc. T'ype of Coitishuction: I TI III rv v A B pRp�� COST/VALUE $ �_ f� QU� Occupancy Group; A B E F H I M R S U —�'— '--� Division: i 2 3 9 S (excl��ding Ias�d) I hercby certify that i hav turnEShed �afarmation �n this application wAich is to the best of my knowtedge true and corrcct. t alw certify tbat i am thr ownix �ir nuthor�zed agent for the ai+ove-mrnhoned and that alE mnstructiort will conform to afl cxisting state anA Iocal laws and will procced in aaorAance with submittcd plans. I am awarc thaf the buildmg � official can e i r' ese Furthermore, [ hereby agrce that the c�ty olRciat or a drsignee may enter uport Ihe property ro perForm necdcd inspcetiuns. x ZO 6 3 1 l 6�-J __ SS ° 17 '/ n Signa rc Contractor's License No. Date Permit Vaivation Z� d � . „ Park Support Fee # S Permit Fee 3 � i p SAC # � Z� Op. ' Plan Check Fee S ' � Z.�� $ Water Meter Size /; l"; � (� . State Surcharge $ ��, r� Pressure Reducer � �� Penalty $ Sewer/Water Connection Fee # $ � �� , Ptumbing Permit Fee $ � yp - Water Tower Fee # $ � O�ej.• Mechanical Permit Fee S � p, . Builder's Deposit S � �� Q Sc�ver & Water Permit Fee $ e�, Z- Qther � 3� �Q QO Gas Fireplace Permit Fee $ C � TOTAL DUB ��?j �,/,�r � Tl�ts Applicatio ecom o ulldtng Perniit \Vhe Approved pgid G�'� eCel t NO. O.f� � Date .2Z�1� �� o t3uilJio � Uflicia ate Th�s u to certify that e requcsf ' e a applicahort and accumpanying docnme s is in accordance with the City Znning Ordina�rce and may }�rocecd as reqaestcd_ This dixumertt whert signcd by the y PI ner utu temporary Cartificate of Zoning comp nce an allows cans�ruction �o commence. Befure arupaACy, a Cernficate nf Oetapancy must be issucd s' � /v Planning Di a Datc S ial Conditions, if any 24 lioar noticc for all iuspcclioas (9SZ) J47-9850, fax (9S2) 447-d245 46�#6 Dalcota Stneet Prior Lake, MN 55372 , s �•�' �� i� �� ,. , , , o � � , � b � e + , 1 �� . • � t � � i . Residential Building Permit Checklist New Cons ruction for Si�gle or Two-family Dwellings in R-1 or R-2 Districts Reviewed by; Date: 5 Z�j � o Building Permit # . Zoning: , Address: '(oZ"13 'ri4t�f� GT Legal; L , B Subdivision: � Existing Structure? YES 1 C� Existing Nonconforming Structure? YES / NO CONFORMS TO ZONING YES NO ORDINANCE Yard Setbacks: NA / FAILS/ COMFi21ES Standard Pro osed • Front Yard can be 20' if av . w/in 150' 25 Z$ 33� • Side Yards ` . 10'/ . 25' if abutting a street �• toL ' �,. fo8 • Sidewall exceeding 60' requires additional side 2" 10' setback + setback for every 1' over 60' in length. Not required 2"11' over 60' if building wall is 10'-0" or greater of being parallel to .. a side lot line. • Rear Yard 25' foO • Patio Door: provide for minimum 10' deck or sign 10' side/ statement indicatin no deck will be built in the future 25' rear � • From 100 year flood elevation of wetland/NURP 30' pond. � • Refer in- round ools to the Plannin De artment • From OHW (Prior or Spring Lake) 75' or setback average of adjacent structures, but no less than 50' `� w4� °1Q Floor Area Ratio: NA 1 FAIL / CO�ALIES .30 Maximum . i7 Yard Encroachments: NA/ FAILS IC IES Standard Pro osed Eaves and Gutters no more than 2 feet in width and no closer than 5 feet to a lot line Easements . A/C and other equipment cannot encroach on interior side ards, Tree Preservation: 1 FAILS / COMPLIES Standard Proposed • Total cali er inches • Permit 35% Removal • Cali er Inches Removed • Cali er Inches Preserved • Re lacement '/2:1 L:\TEMPLATE�BLDGLIST.DOC Driveway: NA 1 FAILS / CO LIES Standard Proposed • Maximum width at ro ert line 24' Z� � • Required setback 5' from side lot line or �� 30' from r-o-w on corner lots • Maximum slo e 10% S"�7?� • All parking areas to be paved including R-V or s aces ad'acent to the ara e " . Location to match subdivision radin lan �lJV• Building Hei ht: NA / FAILS 1 CO LIES 35' Maximum ' Shoreland District: NA 1 FAILS / CO IES Standard Pro osed Minimum lot area s uare feet 7,500 Ri , 7,999 Non-ri Minimum lot width 50' Ri , 57.3' Non-ri Shoreland alterations Im ervious surface 30% Maximum 2 I�- 6t�fp � 2 t `� o Bluff in Shoreland: / FAILS / COMPLIES Standard Proposed • Setback from top of bluff By planning dept. • Bluff im act zone 20' From Top of Bluff • En ineerin certification submitted/a roved By City Engineer • Gradin in bluff or bluff im act zone No importing/exporting Floodplain: NtA 1 FAILS / COMPLIES Standard Pro osed • 100 year flood elevation 908.9' Prior Lake 914.4' S rin Lake • Lowest floor elevation 909.9' Prior Lake / 915.4' S rin Lake • Proposed lowest floor elevation Must be 1' above flood elevation for new and existing structures. If existing structure was constructed 9/19/90-11/22/97 then additional foot is not re uired. • Elevations 15 feet from structure Must be flood elevation or hi her • Road access must be no more than 2 feet below 907.9' for Prior Lake Re ulato Flood Protection Elevation 913.4' for Spring Lake Accesso Structure: 1 FAILS 1 COMPLIES Standard Pro osed • Size 1000 sq.ft. or 30% rear yard • Not located in front ard Materials • Side ard and rear ard setbacks 10' . Maximum hei ht 15' • Materials com atible with rinci le structure L:\TEMPLATE�BLDGLIST.DOC O � PRIp� � F �� U tn White - Building �INNESO�P Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT `��` APPLICATION RECEIVED � � � ' � � The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /� z73 `]��t/N/G19 � Accepted � Accepted With Corrections , Denied Reviewed By: Date: S 2 v �" Comments: `C��`'�/LO�z �t�5 c� � /N�4-iti f��.� C��a ��..�� /�- �w I i� Es. "The issuance or granting of a permit or approval of plans, specifications and computations shatt 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." O � PRIp� C � �x U tr1 �,,,,, ... White - Building ,� � 4 C anary - Engineering _ b � , � Pink - Planning A � �._. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST �+� �... L 1....� '` �"�° ,n_� � �'. NAME OF APPLICANT � � APPLICATION RECEIVED �-~' � � � ' ' � �' a � �� . M The �uilding, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ± !`�`, �' �,` �' f�,° ,�, ;,�; ,�`�_-�`.`� ; '` I .� Accepted L'` Accepted With Corrections Denied �`% � ,� ; , .�------�---,,. � Reviewed By: ;' ! �� Date: 5 ` ` .`> ' " �..� ---.-_--. ,� , �mments: �. �,�._ -. "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." � . ,.a. -- . ,. �. O � PRip� � ti � U er� White - Building ,� ,� Canary - Engineering NNESO Pink - Pianning �UILDINC PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPUCANT �«L'� '�� APPLICATION RECEIVED �• 1 � � � � The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /Ct 2 �,,� � �'�/v".�''�`� C��`. Accepted � Accepted With Corrections Denied R Reviewed By: _� ! C. Date: _ �,�� v J - 4 � ' Comments: See Attachmen�s: 1) Grrading Plan, 2) Erosion G�antxol Mea�i�`es ,�,�.��= : M P c • �f:��. See Reverse Side for Addit�onal lnforrnation!, .. � "The issuance or granting of a permit or approval of plans, specifica#ions and computations shall nof be construed to be a permit for, or an approvat of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give au#hority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS: � ■ Surface storm water drainage flowing to the perimeter of this lot to and from adjoining properties must be conveyed to the roadway and/or to the rear of the lot in drainage swales within the drainage easement. ■ Atl bare soil areas must be protected from eroding into neighboring properties through the property instatled and maintained silt fence or bales. ■ The silt fence required by the erosion control plan must be installed prior to any earthwork being started. ■ The builder is responsible for maintaining the erosion control measures until the turf is established. ■ The rock construction entrance must be instalted at the time of footing inspection. G:�Admin\dept info�ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS.doc Aug, 4. 2010 2:32PM Wentel-Plymouth No,7956 P, 2 � � � Rro Dats Rec'd ° "�� crT'� oF pRYOR �,AT� ��.C�NrBY1�G ri��x � � � t y�HN�eso�9' � 1 Dm` F`�° PERMIT NQ x. oo�a c��y �. ,r�uok• Apa,can, lease c or r�nt and st n at boKom) ADDRESS zON�TG (o�u�euse) � � , . �V Y,EGAY, b�SC�2]I'TION (utGce use oaiy) X.p'� BY.C?CT� ADDITION PID OWNER {Name} (�1�ane) (Address) �� ANT � (phone) �/ ��.�(!/...a (Actdress) (A,ddxtsS) r � (City) (Zip Code) {Cdntact Person) � (Phone) APPLICANT SIGNATURE DATL � A I AN PLEASE COh7PY.ETE BEY.,OVV' uanti T aPri�ture uar►tl eofFixture �iath Tub with or without shower Ytou h-ins � Disl�washer 'QV'ater HeAter �loor l�rain I Water Softener �,avato� athroom Sink 1 Stand Pi e Washin Maeltine Laundi Tra 1 or 2 com artment sink Sevcra e�"ector 1 Shawer StaU � Backflow Assembl Sinks Backflow Assembl Test Bar Sink Larwn S rinkler Vl�ater Closet Toilet OCher FEE SG�EDUL� lndustri�l, Commercial dt Mt►lli-fpmily 1%ofjob cosl with a$49.50 minuuum Ytesidential, New One & T�+vo-Family $Id9.50 Residenlial, Additions & Altecations �49.50 Estimated Cost $ Building Permit # p�.CXM�TN'G p��iM[T �'�E $ W �%� � STAT� SUYtCHARGE � .SO /�►� TO'�'�1L PERMIT FEE $ � A (OtJlce'U'se Only) �/� This Application Becoines Your Bui�ding permit'�Vlien Appro�ved Paid �teceipt No. �. Datt gy buildinp� dmCial Dale 24 haur notice [or all inapections (952) 447-9850, fa� (952) 447-A245 4646 bakotg Street S.�„ Prlor Y,ake, Mlnnesota 553y2 �� 061021�010 07:23 9524454367 HORIZON CONTRACTORS PAGE 01102 CX`�,'Y UF P��. �+,AKE �ate R�'d � � �� HE�l.'�T�f.A1R COND�'�.ZONII�iG�FIR��'�.A�� "ERM� , "�`3 � "�nrxas�'' : � � �R1VC�'i' 1�I�. � xdla. R� oz aud et Z4N�"IK# �d�ae �? �ri�?RR8$ , � �v�� '' — -- �4AL D�'1�Q1�T (ad�aa aae o�y� LLY�� .C7Ci� �I �iS7►U}�'IOI+F ! � c�CX� �� PID �� iE i �, t�aqas) �.,� � Cc-'R"7 . -- Addrtss E� '7 � �Q`� • . � A�I.R'�CAN�` �. �.—tr1 t�� .,,_� � - - �� ° ��3 �l f�) r � � � � � �� _.,.. ` ��f" l�� (Conta�t Pecson�) �� ,APP�,.l�:AN"�' SIC3PTt�TURE ' DATB �� ^ A�PF� PLF.A�$� G'U�� HELQW CoN,STituC,C�(YN IRSf I.AC�1�N'3C C� �-T�� ,_.�� , + FURNACL iV�,A�.;CB �.Nb D��UBL . . ' � �LUB � � � R�'RN OPTN�3 � �t' �' ' �� OCPtY�i� � C�� rrB vx? sxs?r� �. . ��. a�. a�ow�. r�.�+a�r ri,� �a�: n� � q►v�n nK r�� C1 s� u� ��c� - Ct x� w� � �roa saae x�.ra s� ' p Rad� �,�► Bea Ai� s; ir Cbe�tio�i�S CI � De„'oa` Cp�� #�a �a Oats� ai�t� ent. � [3 O�har D�ices � ��Er� � Bnl�itaa� �''ermlt, �T.AC6 �dA� AN[Z Mt�DBf�. , FSE �� 549.50 Fi�d+n�'1o}, C.o�n�ncxr�i ��dukf��F�' 196 ai,�i► co�t �eeaidsnti�l. C�ms F�p�ca Reaidau+�l,lKcntl�B � � (�"�'a' C.�aa�ae�ud�an) �1� � � AC Ud7r � � � �+�� p�#�r (�i'o"r pope�nadtioc+} 5�+4.SQ E�din�t�e+d Cast � �ni1d� Pc�t # PJAID 1NITH �, ��T Ras s � BUILDiNG �RR�lC�` s��.��v�r�r� $��--� �r�r�x � � c�w°°�� r% " � �b�s ppplicatloa Beeu�nss ".�odr �utlding rcrmit R�hcn ,A,pprr�red Paid bate �Y snudtaQ 41MWi�1 Date �4 hour �wtice fpr all 1�apertko� E�y'�T`�a �' ��'�� 447«4245 +4d46 Dak�tR Stredt �, Pxi�' La�e► � �7Z �� . � � � � �� P R ip� CITY OF PRIOR LAKE Date Rec'd � � HEATING/AIR CONDITIONING/FIREPLACE PERMIT �- j �'NES�� 1 Pink File pERMIT NO . 2 Green Crty 3 Yellow Appl�cant Please e or rint and si at bottom ADDRESS ZONING (ott use) 16273 TAHINKA COURT LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) Fieldstone Family Homes (Phone) Dave 612.282.7879 (Address) APPLICANT (Name)_FIRESIDE HEARTH & HOME (Phone) 65I.638.3318 (Address) 2700 N. FAIRVIEW AVE. (Address) (City) ROSEVILLE (Zip Code)55113 (Contact Person) WENDY SCHROEDER (Phone) 651.638.3318 APPLICANT SIGNATURE _Wendy Schroeder DATE _9/15/10 APPLICANT PLEASE COMPLETE BELOW �NEW CONSTRUCTION FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ❑Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑ Hot Water into Required Side Yard Setbacks. ❑ Mechanical ❑ Radiation Fireplaces with Boz Additions or ❑Air Conditioning ❑ Special Devices ❑Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL Heat & Glo SL-750TR-IP-E FEE SCHEDULE Industrial, Commercial & Multi-Family i% of job cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 Estimated Cost $ Building Permit # HEATING PERMIT FEE $ STATE SURCHARGE � $ .50 TOTAL PERMIT FEE $ (Oftice Use Only) 09/14/2�10 15:47 9528816976 BOE JECHE PAGE 01 ,� � RXp Date Itec' d �° '�; ��rY o� r�o� tiA�.� u ,� SE'WER. ,A�ND W,A�'TER �'�RMI.T �'f�,�ES�'� �. �'a° ��,° pER]V��T NO. z. vaww c:�ry 3. Go1J AppUOPn� ease a'�d s at bottom • ZON.ING (o�c� �sc) ADDR�SS _� , � I,EGAL DESCRII'TION (oflFiee use o�alr} I.OT �LOCI� ADDI'I"ION �� aw�TEa ^., (PY,o,ar� (Name) (Addxess) (Add�ess) (citv) (zip Code) APPLXCANT � � �� (�'�on ) - �� L �,AaaresS� � �c� c� coa�� {COiatact PCC50�,) �� AFPLICANT SIG�TATURE p�rE �" i.. _ -,, A,�'PLIC,P�NT P �ASE C4�FLE'�E BELUW Size a�watex sexvice �_ in,ck�es• Location of auy coup�az�gs fra� atructuxe feet. TY�e o£ sewe�r pxpe. [] AB VC ❑ Cast �ron Est��mated lez�gth of sewer 1iz�e ,��;f�et. C�ean out (a� re uazed) located at _ feet from structure. FE� SCHEDLTLE Resider�kial sewer aiad watex �ine conaection $5�.50 �ndustriaJ., Gom'l & Multi-fann.ily 1% of jab cost with a 551.50 min�c►aum S�wcr co.naection only �25.SU Water connec:tion only $25.50 Estim,ated Cost $ Building 'Pe�nit # SEW�R AND WATER ��RMI'� k'�E $ _ S�',A,TE SURC�iARGE $ . _ .S4 '�'OTAL �E�tMjT ��E � � (p�flce use only) This A.pppcation �ecomes You.r Byild:ng PeKauit Wh�a A.ppiroved Paid Receipt ND• pare �Y • �tN�adine Olflelal DRte 24 6our nviace faK aU ina�ections (952) 447 -yeso, ra: ��5z) 447-a2as 4b46 baknta St�reet 5.�., Prior L`ke, Minnesot� 5537Z P R I O R LA KE BUILDRNG AND tNSPECTION IN PE TI RE R N D SITE ADDRESS t�2� 13 T��-��►'w� C�t-, NATURE OF WORK �iat�c.�- F� DwEc.�.,�r� r�fl vEwK, �„a.,..�.. . r �a�+� USE OF BUILDING PERMIT NO. DATE ISSUED 5 Za tn CONTRACTOR ��. v�rorc� C��y 1��-s PHONE F�l L• t82 +.� 8�y NOTE: THIS !S NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE D�C M NT Irtt��At��,. �R.� iA++ Cc�+jn.�.,., f��stn �� C4fr'�+�f �� A�.,.�"i.�� nn� FOOTING L FOUNDATION (Prior to Backfiil) ?/( / PLACE NO CONCRETE UNTIL ABQVE H� BEEN SI D RA•�,owt s �t'� �^'�. S nt-*q. _� —�fR---- S+� "/ ti5r� t� `�UG�NS SEWER / WATER / SEPTIC FRAMING $ � INSULATION �� ELECTRICAL PLUMBING �,,� � � S/ �� HEATING (if required) FIREP�LACE � o GAS LINE AIR TEST �°'� �`'"' P ��COV� NO WORK UNTIL ABO��'BEEN SIGNED I�a� � w �,a,p 4 �41-cfE �' / C� � � FINALS GRADING (Prior to Sodding) W . q � BUILDING ']' G ro-31- y o � c � 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 untit ali inspections have been approved. On buiidings and additions where no service cabinet is available, card shall be placed �ear main entrance. FOR ALL INSPECTIONS (952) 447-9850