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CITY OF PRIOR LAKE
Priaarfutritf of ui1.tiu jtxusprtfiu
❑ Final Permitted ❑ Conditional C.O. Expires .'
. 11)
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
.,IP: ' ordinances of the City of Prior Lake regulating building construction or use For the following:
Use Classification �l ti' �/ G jf /t f /C /
Bldg. Permit No.
Occupancy Type / � ` -' Type Construction Zoning District
Legal Description / 1--6A1 7. Al '
)r 1 Owner of Building Site Address � 9 2 _ /�6� / V' V S vv
(11r ... !
Contractor's Name & Address -L. tG / /G /L t A / v )
)l ter; d
1 /L --I /'�l" / City Planner
Oft:
y
Building Official : ''
Date: Z !/ 29 Dale:
C r + POST IN CONSPICUOUS PLACE r, ., P9
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/`� rK CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
, U TE CERTIFICATE OF ZONING COMPLIANCE 12 . 30. ( 6 tr AND UTILITY CONNECTION PERMIT
d rj ,S
'\' E S
1. White File PERMIT NO .
2 Pink City / / d D /3
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS i ZONING (office use)
- � Lc- \N.+ \� � ,� I 12-*1
LEGAL DESCRIPTION (office use only) /l
LOT 8 BLOCK c ADDITION r LE GL-C_� L _,N\ 0 k-6-1) PIDZ55' . 44z. 0 t3 . b
OWNER
(Name) _ (Phone)
(Address)
BUILDER D.R. Horton, Inc. 952 - 985 -7272
(Company Name) (Phone)
(Contact Name) Brooke Hareid (Phone) 952- 985 -7806
(Address) " E. ^- \ • a I CO V_ -0 LL. N A SS '
TYPE OF WORK L New Construction ['Deck ['Porch DRe-Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ['Utility Connection
CODE: JI.R.C. ❑I.B.C. ❑ Misc:
Type of Construction: I II III IV V A B rr�
Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ 1(03 2.) _tU
1
Division: 1 2 3 4 5 (excluding land)
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 - mentioned property 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
officii revoke th' permit for cau e. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
� r
X ' . 11 1 0 : 1 . 1 2 ) , , o / 2 . c c . & 5 (,J "I i / ( / ic
- Signature Contractor's License No. Date
Permit Valuation (..,(9, 0 D� , Park Support Fee # $
Permit Fee $ SAC # $ 'Z Z 2)0, - Z.
Plan Check Fee $ I -6 U - V Water Meter Size 5/8 "0 $ 4 -r; -
State Surcharge $ Pressure Reducer $ ; a
3v_
Penalty $ Sewer /Water Connection Fee # $ I 500.
Plumbing Permit Fee $ S q Water Tower Fee # $ i D co -
Mechanical Permit Fee $ (5' CJ Builder's De $ SC�C.1.
Sewer & Water Permit Fee $ 5 50
Other $
Gas Fireplace Permit Fee $ TOTAL DUE �l f .7 $ 1 70z. . !.$
S<1 O
This Applic • Beco i es s ur Building Permit Whe App ved Paid / 702, 2, k,' Receipt No.1 td-L 17
4 Date r1 // By `
, _ fill A ( 6, /
Building 0 icial Date
This is to certify that the requ • t in the above application and accompanying docu -tits is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Pl. er constitutes a temporary Certificate of Zoning com ,liance . d allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. / //
it. , I I,
' lanning Director I . to Special Conditions, if any _
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
•
•
• * t, I 7.1
• 44 • • ..:
• -11
Residential Building Permit Checklist
New ns ction for Single or Two - family Dwellings in R -1 or R -2 Districts
r
Reviewed by: / " ' Date: ( L A I ( O
Building Permit # \ PID: Zoning: Q
Address: 33 '�� c�cJ� f- •
Legal: L , B ubdivision:
Existing Structure? YES / 0 Existing Nonconforming Structure? YES 1 NO
CONFORMS TO ZONING NO
ORDINANCE 7
Yard Setbacks: NA / FAILS/ COMP Standard Proposed I
• Front Yard (can be 20' if avg. w 50') 25' 35,0
• Side Yards 107
25' if abutting a street ((0.2ct
1 . (
• Sidewall exceeding 60' requires additional side 2" 10' setback +
setback for every 1' over 60' in length. Not required 2 "/1' over 60'
if building wall is 10' -0" or greater of being parallel to
a side lot line.
• Rear Yard 25' I r 1 '
• Patio Door: provide for minimum 10' deck or sign 10' side/
statement indicating no deck will be built in the future 25' rear
• From 100 year flood elevation of wetland /NURP 30'
pond.
• Refer in- ground pools to the Planning Department
• From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no ---
less than 50'
lW.PL•f t z8/io�
I Floor Area Ratio FAILS / COMPLIES 1 .30 Maximum 1 • ► z_
Yard Encroachments: FAILS /COMPLIES Standard Proposed I
Eaves and Gutters no e 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 yards.
I Tree Preservation: w / FAILS / COMPLIES Standard Proposed
• Total caliper in s
• Permit 35% Removal
• Caliper Inches Removed
• Caliper Inches Preserved
• Replacement '/2:1
L: \TEMPLATE\BLDGLI ST.DOC
Driveway: NA / FAILS / C • ' P 5 1 Standard ( Proposed
• Maximum width at prppe y line 24' 2-4
• Required setback 5' from side lot line or
30' from r -o -w on corner lots t g. 1
• Maximum slope 10% —t, z
• All parking areas to be paved including R -V or
spaces adjacent to the garage —
• Location to match subdivision grading plan C/Jap .
Building Height: NA 1 FAILS / C PIES 1 35' Maximum
Shoreland District NA AILS I COMPLIES Standard Proposed
Minimum lot area • are feet) 7,500 Rip, 7,999 Non -rip
Minimum lot width 50' Rip, 57.3' Non -rip
Shoreland alterations
Impervious surface 30% Maximum
Bluff in Shorelandy A FAILS / COMPLIES Standard Proposed
• Setback from fep'of bluff By planning dept.
• Bluff impact zone 20' From Top of Bluff
• Engineering certification submitted /approved By City Engineer
• Grading i luff or bluff impact zone No importing /exporting
Floodplai NA 1 AILS / COMPLIES Standard Proposed
• 100 y ar flood elevation 908.9' Prior Lake
914.4' Spring Lake
• Lowedt floor elevation 909.9' Prior Lake /
915.4' Spring 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 required.
• Elevations 15 feet from structure Must be flood elevation or
higher
• Road access must be no more than 2 feet below 907.9' for Prior Lake
Regulatory Flood Protection Elevation 913.4' for Spring Lake
Accessory Structure NAI/ FAILS / COMPLIES 1 Standard Proposed
• Size 1000 sq.ft. or 30% rear yard
• Not located in frost yard (Materials)
• Side yard and re r yard setbacks 10'
• Maximum height 15'
• Materials compatible with principle structure
L: \TEMPLATE\BLDGLI ST. DOC
o PRIO
O
ti
White - Building AN
Canary - Engineering
M•vNESO�P Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT D • �� . n 0 k . i
APPLICATION RECEIVED / 2_ • 30 I 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
k -- & G i 1% i .
Accepted X Accepted With Corrections
Denied
Reviewed By:
.JA4 (- Date: Oh
Comments: See Attachments: 1) Grading Plan, 2) Erosion Control Measures
See Reverse Side for Additional Information!
"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."
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.
• All bare soil areas must be protected from eroding into neighboring
properties through the properly installed and maintained silt fence or
bales.
The silt fence required by the erosion control plan must be installed
prior to any earthwork being started.
E The builder is responsible for maintaining the erosion control
measures until the turf is established.
F The rock construction entrance must be installed at the time of
backfilling of the foundation.
G, \Admin \dept info \ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS,doc
O) PRIp1
x
U, m
White - Building
P Canary - Engineering
` aNNESO� C 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:
Accepted Accepted With Corrections
Denied
. .
Reviewed By: .,'------71---.-- Date:
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."
O) PRIp�
ti x
U ,,,,,
White - Building
P Canary - Engineering
^f `NNES °� Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT D . /a • H /J
APPLICATION RECEIVED /2-. 30. ID
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,33 7 " ,P &D W .
Accepted v' Accepted With Corrections
Denied
Reviewed By: 1 10 )fir Date: I
` C
Comments: �'a✓✓r2o�— El/2-05(424J 4. ', �'4r�.�N
Sf 72- - ir- - a - 5 4" At_ 7 ('e'ri 6- S ,
"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."
T } ` tTTt7 �7 UT) t fin t e vi-171 i 7487 Line 1 12:27:10 p.
Itt. 06-13-2011 1 14
�
: ;: ...: , -- eN [HEATING /AIR CONDITIONING /FIREPLACE PERMIT
ti r'
lr '
VV I. Pink File pEgT NO.
2. Gteen City
`1�r 3. Yellow Applicant
Please e or dint and si . at bottom ZONING (office use)
ADDRESS
LEGAL DESCRIPTION (office use only)
PID
LOT BLOCK ADDITION
OWNER F Y 2 - - 7 -� ^/ (Phone)
(Name)
(Address)
APPLICANT ' k° / //le C 1n .A vl 1 C !'t 4-- 'hone)
(Address) e4-4- (City) (Zip Code)
‘--
__.�� C � (Address)
/ � IS e ,s e (Phone)
(Contact Person) ,�
APPLICANT SIGNA'T'URE
_.i�If�i�ra —�; DATE (/
--
—
APPLICANT PLEASE COMPLETE BELOW
REPLACEMENT :9 EW CONSTRUCTION El CEMENT ❑ ALTERATIONS
Vi�'T 6
FLUE - :I� . DO - - FUEL /
FURNACE MAKE AND MODEL INPUT v
, o OUTPUT Z p-
Dd ��c�
FLUE SIZE t 4 RETURN OPENINGS _____7. —_
TYPE OF SYSTEM
HEATING OR POWERPLAN PLEASE NOTE: Air Conditioner
„IWarm A Pl ...•g,Steam Units and Fireplaces Cannot Encroach
i 0Tot Water into Required Side Yard Setbacks.
❑Gravity [] Radiation Fireplaces with Box Additions or
❑ Mechanical
,r Air Conditioning [] S Devices Cantilevers to the Outside of Buildings
[Went. System ❑ Other Devices — Require a Building Permit.
FIREPLACE MAKE AND MODEL -- — — f
FEE SCHEDULE $49.50
Industrial, Commercial & Multi - Family 1% of job cost Residential, Gas Fireplace
$49.50 minimum
Residential, Heating & A/C M $49.50
ew Construction) $149.50 Residential, Additions & Alterations $49.50
Residential, heating Only (New Construction) $64.50 Residential, AC Only
Estimated Cast $ 95 �� Building Permit # The Minnesota Statutes * 326B.148
" SURCFIARGF has been changed For one
HEATING PERMIT FEE $ - year effecti
STATE SURCHARGE $r____ .50 July 1, 2010. until June 30.20
'tile minimum surcharge tor "fixed !'cc" permit
TOTAL PERMIT FEE is s , beginning July 1.20111
( Office Use Only) 0. Receipt N
This Application Becomes Your Building Permit When Approved Paid ,
Date _ By TO
liniidine Official
Date •'' , y I.
24 hour notice for all inspections (952) 447 - 98.50, fax (952) 447 -4245 a I `19r1�4�
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
rj Line 1 � nr' D17Trrltl T A Trr,
\ kILA• �'1N GIAIR CONDITIONING /FIREPLA,CE -I`T 3 2011 — 2 /4- 'cl
rNESO r i.
15
/ .nk File
Pleas pc'b rrint a «�n cir PERMIT NO.
v
♦ T RE at b _ o ---' - a. Yellow
ADDRESS pp
Y� u ../ .0 ✓ ZONING ((Ace use)
/
c- !,/-.e....
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
O'itV 1VEIt P �
(Name)o To .✓
(Address) (Phone)
APPLICANT - —
•
(Name) /!
(Address) �j / • G (phone) �,�� ' f�,r �1 f' —
(Address) .5 iG . /�6___s r` ›,2___
(Contact Person) / d , ���� (City) (Zip Code)
�� _ (Phone) _
APPLICANT SIGNATYIRE
" - VA DATE A/r
APPLICANT' PLEASE COMPLETE BELOW
NVEW CONSTRUCTION
FURNACE MAKE AND MODEL ❑ REPLACEMENT ❑ ALTF, L S
`t �� RETURN OP ENINGS FUEL � T 7`� ,.0-5
FLUE SIZE
TYPE OF SYSTEM INPUT /O d �° D OUTPUT 2 Wg
(�, HEATING OR POWER PLAINT
t .E}Wann Air Plants
PLEASE NOTE; Air Conditioner
❑Gravity •Q Steam
Q Mechanical Q Hot Water Units and Fireplaces Cannot Encroach
„Air Conditioning ❑ Radiation into Required Side Yard Setbacks.
QVent- System ❑ Special Devices
Fireplaces with Box Additions or
❑ Other Devices
Cantilevers to the Outside of Buildings
FIREPLACE MAKE AND MODEL '
Itequir•e a Building Permit.
FEE SCHEDULE,
Industrial, Coromercial & Multi- Family l /o n of job cost Residential, Gas Fireplace
Residential, Heating & A/C (New Construction) $49.50 minimum $49.50 I
•
Residential, Heating Only (New Construction) $64.50 Residential, Additions &Alterations
Residential AC C Only $49.50
Estimated Cost $ 7 ST--c..... vra $49.50
• — Building Permit #
HEATING PE The Minnesota Statutes C 3 2613.148
RM T FI E $ "SU RCI . IAARGE" has been changed Ibr one
PERMIT FEE $ SO year effective
STATE SURCHARGE $
(Office Use Only) TOTAL, July t, {)It! anti': Jrtge 30, 211! 1.
f7rc minimum surcharge for a "fixed !'re" permit
This Application Becomes Your Building Permit When Approved Paid e beginning . /nn 1. 2010
Reccceipt No.
Building Offic Date -
Date
By
24 hour notice f --- ______
o r all inspections ( fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
-__ ._.......... _- .._
952 445 748i Line 1 03:05:36 p.m. 05 -20 -2011 213
4 PItb _ Date Recd
1
44 `� I-fry OF .P1001 LAKE PLUMBING PERMIT • -
8 : • ''° PERMIT NO.' • I
' 4, CfoW • Ciiy
( x ' i t a a t - i p p t or prla#:and s gn at bottom) s. Yellow Applic mi
• ADDRESS ZONING (office use) .
•
. 3 9 2 . • 1-t/ • • . • .
•
• LEGAL DESCRIPTION e only) •
LOT ' - BLACK • ' ADM' !ON PH) - .. —:
OWNER . •
• (Name) .. • -0 z-4 7 - _ - . (Phone) -
(Address) . • . ' •
•
APPLICANT / �//
• (Name) • • f�! /! Gi vi-. - ./ e-G t a fit- 1 - ei+�'� (Phone) 99 3* 7 i"-= , 7G. id-
- (Address) . • a- i f�xv --,..9 41// d:,.L 5#4/l -5-37.3 79
. (A.ddx • ) '(City)• �/ (Zip Code) •
• . (C I:C!. Ai ontact Person) . • - • - (Phone) �.�� '�7• " qZ Si'l
APPLICANT. SIGNATURE . IF _.:(0v...*: � .1 `'' y D = / ���/ •
•• : • • • - • . , : • • • • APPLIC MPLETE BRLO
.: ; •:.Quantit :. :. - ... :; � T .. � e of Fixt • -
pLEASE . � V.V
• - � Type tier .._:
.. ... .:.. iron
Q t ity : � � pe of Fig e .
:' • • '.. z• `.. .;I3ath.Tub With.o = without shower • - . ..3: : Roo _Ii - ins • . _ .. . - : :_
. Dishwasher . • : ' -
- :� °.� `' =�� � � .. ' /.: . � . � • .'UVatcrl�eater • _
' i : -- % . • Floor D ai , . • ' , . 'Water:Softener , . , '
.
Lavatory (Ba s om Sick) ' • /' Stand Pipe: (Washing Machiine) • . ' ...
• ' ' • :
Laundry Tray .(1 or 2. compartment sink -... • ,. • .
. . Sewage Ejector.
. Z :.. Shower Stall..: : - - . Backflow Assemtil .
•
/ : •'...Sinks ..;.•; :. • • • - Backflow Assembly Test • • . :Bar Sill :. • . : ' • " Lawn Sprinkler . • •
: 3 .. Water Closet (T 0 filet) • .L Other . . . . . . .
' .' FEE • . . -
: Industrial, Corntnercial :dc Multi- : ' y 1 •% OA cost - with a $49.50 minimum • Residential, New One & Two - Family $ 149.50 J
- iesidental, Additions. do Alterations $49.50 :: , •
- The Minnesota Statutes i 326B.148 •..1St $ . - • Building Permit #. ?
• "SURCHARGE" lias.been'changed for one . • • • =
year,effeetiye PLUME.ING PERMIT FEE .: $
• - $July.1,, 2010,• until .June30;•2011.. • STATE- SURCHARGE :- - $ 50 i .
The minimum siir` charge fora "fined fee" permit TOTAL'PEBMIT FEE $ . • . • WILDING PERMIT`
.. Is,gi, .1240 ing.laly 1;2Q10
' This Application Becomes Your Building Permit Approved - - : . :• Paid Receipt No.
• •
• -- Date . 13y -
• ((
Bulldlne Wide! . Date • . '
24: Lour notice for ail inspections (452) 447' -9854, faz.(952):447 -4245 •' I i
• 4646 Dakata:Street S.E., Prior. Lake;:Mlnnesota 5537`2
' i.
t".1-;1
I
(I Ip
CITY OF PRIOR LAKE Date Rec'd
4\,,A
HEATING /AIR CONDITIONING /FIREPLACE PERMIT 3 Z.
U tt7
'NNE S O
1. Pink F PERMIT NO.' ob 13
2. Green C
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
3392 REED WAY SW
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) D.R. HORTON (Phone) 952- 469 -8800
(Address)
APPLICANT
(Name) FIRESIDE HEARTH & HOME (Phone) 651- 638 -3318
(Address) 2700 NORTH FAIRVIEW AVE. ROSEVILLE 55113
(Address) (City) (Zip Code)
(Contact Person) (Phone)
APPLICANT SIGNATURE WENDY SCHROEDER DATE 651.638.3318_
APPLICANT PLEASE COMPLETE BELOW
ANEW 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 Box 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 SL550TR -IPI -E
FEE SCHEDULE
Industrial, Commercial & Multi- Family 1% 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 #
FAID WITH
HEATING PERMIT FEE $
STATE SURCHARGE $ PERMIT
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No
Building Official Date Date ' By HMI
24 hour notice for all inspections (952) 447 - 9850, fax (952) 447 - 4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
0 r RIO Date R
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
INNESdo
1. Green File PERMIT NO.
2. Yellow City /
3. Gold Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
3 9 w
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) 1'1-0A (Phone)
(Address)
(Address) (City) (Zip Code)
APPLICANT
(Name) U- c5 - (Phone) Co 51- 9 d - 13-) / -
(Address) )-51
1�,� (Address) (City) (Zip Code)
(Contact Person) / "61� 1(4 (Phone) 612-9/ 9- 4 /3 y d
APPLICANT SIGNATURE C' — DATE ?-" /�"` //
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. ❑ ABC n PVC n Cast Iron
Estimated length of sewer line 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 # yy
SEWER AND WATER PERMIT FEE $ 7
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ h J ( Li l,1
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt Nci.
Date y ,:r'`
Building Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
c 'd
PRIOR LAKE DEPARTMENT OF
BUILDINCI AND INSPECTION
INSPECTION RECORD
SITE ADDRESS - t..a4
NATURE OF WORK " , (,-
USE OF BUILDIN 7
>
PERMIT NO. mi. • ij DATE ISSUED i muk
CONTRACTOR D. . c) - z- 0? i\C-• PHONE_ 0(„
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DO UMENTk
DATE
FOOTING ffiglifinalli....111
FOUNDATION (Prior to Backfill)
Uggta nall.111111111111
PLACE NO CONCRfiTE LOITIL AB P OV E HAS BE Eli SIGNED
( - 1 T U 1 CI c-e- *d'OW fnirA4
' '
SEWER /WATER /SEPTIC ,, ISMIKEZEINI
FRAMING (VAIIIIIIIIIIMIMI
INSULATION
m • . • • • • m ... . . . _____ _KM I 111 111 I M 111 Il momm . . . . . ____ __I 111 I 111 I I I I I I I II I
ELECTRICAL
11=11111 . 1 .1111=1.1111.1111
PLUMBING up Vi ' am= j 04.<
1111111111111/i
HEATING (if required) ...._________11111111.ssmill1111170111111.1
FIREPLACE
NENNENNNwskillIteLMINI
GAS LINE AIR TEST (4.0 i p m , " , 0 111,111111MIVINIMIN
p Ai
m
RAO° NI I 'COVER • • RK UNTIL ABOVE " ; 1 S BEEN SIGNED
Rou 'AP AMMINIMINIMENIDNAMINIEN
FINALS
GRADING (Prior to Sodding)
--/' riTm . ` " --e 7 / EMISIIIMIN
BUILDING 7 - 4, 1 /44-1117Aummin
ELECTRICAL
1111111111111 111L . _1111111111111111111
PLUMBING
IllralArbAl......1111 - -
HEATING
Filli rannalliMill.
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
I