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HomeMy WebLinkAboutBuilding Permit 11.248 ( li ❑ir� i :4.1f, ' ,AC•t= iO - 44- i'y% .6.74' . 1--- „ : y `\ - °• t. `... ice . �"s _ � +l111 1 1111" 11 ,/� � 11 , 1/, `v �1 4,1 ' 1 , '� SM1r, ''1 P; Q A'4 eAi1 Y!!` ��f Vw ;11.Ory 0V�.1sAi+�,ur r r r "NO ,, o'r ...tr:, _ .� - .d' I. .If�M ee 9� ��-'' 1 �. ' �, fl "111 , �111Y1A 1111,11 1 1 1 1 1 1 v��r l lnrv� VI AS A ' / y +� ♦ ® . 11..1 11i %� �'� �' +`'f �e r1.::::•:':.4) .� �. �e, �1 ±h � ��' � 1. mlrt loll �r_ ..�1�' - - ' ", ^ o Ni�f VVYL_ Y;o ��A;' 9 t ? h�. ��VY .. ��V 1 �'lnV��t t tiaw v i Q t, :�NG"� �'i � { ly�l �+ Y rij �'� � ���ol� �n llr .I � i u �ul�u�1. �r th^�. t yy { IYYI 1.. YI. -I .� .. IIVOV51 1 �1.YII ;�� 411 I C��rt��� try (11•'y' i ii. II) CITY OF PRIOR LAKE ry' !i prfmrttf of utiJ.�ttt jittsprrfion :6 El Final Permitted El Conditional C.O. Expires 1 .:;i) This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 International '111110 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 �( ��cJ�(( L1 / 11,--It' b` / T Bldg. Permit No 1/. 24--e) + 0 Occupancy Type 1�� Type Construction Y / V 1 � l) L Zoning District p(/ //fit.) of Legal Description 3 , /3 Z. / 1 ,' (L� 5 g /. v E 1 . ;ti}� Owner of Building 1 , Q Site Address /�"3C? t�� OVE. LCCK Contractor's Name & Address c^ - ` • �,� 7- i ) e...-:. f �� City Planner Building Official / : G�.. �, Date: �..,ti Date: t1) It' " POST IN CONSPICUOUS PLACE �il�l OA OA ,. 1� li l ii l l l r f l Iiii ' 4i l l ' iillrl/ r l�)NA I 11)111'• 11 INNI ININ N ! 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G n ® c ">c , -CO m m m XI k � ,� *a K � % kk k z k k\ m § ® 2 ® 2 k . g � 2 z 2 \ k r � --I 0 z \ r o \ -n 2 -13 m % § 73 0 0 / 2 q q 0 00000 ) \ K / / 7\�tm� , § 0 xs mxc P..-- n II 2 ■m m n i o \ o \ � › 0 oo z c 0 m lb, z R m � 2k ■ o \ \ n /§§ § 0 m 0 k 0 t k =�OOOe N R. v § \ � \ \� / k II nn �mm2� , J i -4 R ) r 0 k � �'� rR • °; CITY OF PRIOR LAKE - - - -- f•. TEMPORARY BUILDING PERMIT _ y ORARY CERTIFICATE OF ZONING COMPLIANCE / " AND UTILITY CONNECTION PERMIT l)rtie Rec'd � sotA (o. �� (Please a or r White rile ADDRESS ' i rim and si.n at bottom 2 Pink City pi:RMIT O . • 2 +�Jl'+J D � Ye/low Apptisani 1 (AA t.�VC.f - look- - Pc 'tor ��� \ 55 3 n f L EGAL DESCRIPTION (office use only) 7, o — *NG to ce use) LOT 3 BLOCK 2 A DDITION T W _......_ igs 'rd'. OWNER PID z tj , Q ?J (O . 007 . (Name)_ ■ k` (Address) $ $ (�Ivo■ ( • r■ �' �tJco , , (Phone) 952 - y03 - 62- a 1 BUILDER to OA 5 3 • O'er .. -.. (Company Name) ( Ic3 - (Cont act Name) _�e`� aS-krUc.klavl (Phone) 45 - 758 - 28 y 2. (Phone) (Address) _.........�(. ipq V `.`� '� 8 - 2 8 9 52 - 7 BIZ --- 0 .1. 3 * INA. e . U 1, 60 TYPE OF WORK fj] New Construction (]Deck ❑Porch ORe•Roofing ❑ _ -Sidi . ..- . OAlteration n ['Lower Connectio['Lower 'cr Level i'u;ish CODE: ,K C ❑LBO.C. Addition D i implacc Type of Construction: I Occupancy Group: A B II III IV V A B y�� E Division: F HI Nl 1t S U PROJECT COST /VALUE $ if 50 1 2 3 4 5 (excluding land) 1 htrr that ave u mfi +rmatiun on this a a vr• mby ennoncecuify d p+u 1 h •ny atnd +ntshed that ail construction II I conform to I hi c st is i s iic and hum I laws and will proceed in accordance i official can rcvnkc — y 1 nowlcAFe tr an d c ac t also e that I am t he uwnrr or auva that ah bo lb n g r+rtnnt tor ;is; cause E ermorr. t hereby agree 1 hat the cry pfticial or a dcsi X �! ncc with submitted plans tarn aware that the building once may ent u pon the property to perform needed inspections. 1 L ------ ......_._._......._......._.__ Contractor's License o. ' J� Permit Valuation .------ -_ -_ -- Signature N Date Permit Fee --- - Park Su --- S �� - " Support Fee 11 Plan Check Fee _I S .. _ SA C - r $ $ State Surcharge $ 2 ' . "kb Water Meter Size ,�7r'; 1"; '3 Penalty - 2Z Pressure Reducer S to Co $ $ Plumbing P�• rntit - � F Sewer/Water Connection Fee 90 Mechanical Permit Fee • SO Water Tower Fee Spp S # $ Scher &Water Permit Fee O Builder's Deposit Cb , — 8 Gas Fireplace Permit lee O Other S� �, S S ____I SC) TOTAL DUE ` eron Your Building Permit l9lte gp),ta vcA :`, ' 4 ,3 // ©C-rr� ��I l / T his Apyiratio r i I► - � � Paid C, e Z - Recei . t No. Buittm�c� ",t /Z II B 6 rite - - -- _..._.-_._._._ ap Thus rs w G( tr rhr re ut n th ‘ t; ss•hs•n signed riv by Cit ry, n e .vc• plicatio n d pa nying documents m accordance with the City Zoning Ordinance anti may proceed as requested. issued ` / n a +s� an Crnficate accom of Inn c m p li a ee and allows conshuetion 10 eummenea Wive occupancy a CeWtictte ofO nr � 1 utcd. This document document 'k � 4 epan mast h e Planning w Date tr notice for all in peclions (952) 4 47.9850, fnx (952) 447 -4245 ----- -- 4646 Dakota Street Prior Lake, MN 55372 Special Conditio if an y 1 1 . 4 6 • • jitiok 1"1" 4 Residential Building pe New Co n t coon fo I'illt C C Single or Two-family h n ' t Reviewed by; � Y Dwellings in :'-'I . r R-2 Districts r Building Permit # Date: i1 Address: T t Legal: L � 1S d Zoning: B i/ P� S ubdivision : t Existing Structure? YES + ' CONFO Existing Nonconforming RMS TO ZONI Structure? YE S ORDINANCE i NO Yard Setbacks: NA / FAILS/ CO leal llimi amin • Front Yard can be 20' if ave . ' 50' • Side Yards Standard Propos 10'/ • Sidewall exceedin 25' if abutting a street setback for eve 9 60' requires adds t side 2" (� if building n' 1 over 60' in length. Not required 10' setback + g wall is 10 -0 or greater of being s a side lot l ine. 271' over 60' • 9 p arallel to Rear Yard provide for minimum 10' deck or statement indicatine no deck will be built n the I f utu 10' s s_a • Patio Door: year flood elevation of wetland /NURp future ° .� pond. • Refer in .round • 25' rear • From 100 30' • From p ools to the Plannin• OHW (Prior or Spring Lake) De artment 75' or setback average of adjacent structures, but no Floor Area Ratio: NA /FAILS / C less than 50' � a mmo Yard Enc roachments • Maximum Eaves and Gutters no , / AI LS / COMPLIES Standard closer than 5 feet to a lot line han 2 feet in width and no A/C and other equipment cannot encronts . Proposed side ards. ach on interior Tree Preservation: • FAILS / COMPLIES Total cali.er inches • Permit 35% Removal Standard ammmu • Cali•er Inches Proposed • Cali•er Inches Presente • Re.lacement -- -mwmfai l L:ITEMPLATEIBLDGLIST.DOC Proposed NIIIIIII Standard 2d' Drivewa : NA I FAILS I CO S� from side lot line or vB 4 Maximum width at t ro sett line on corner lots 30' from r sid s • Required setback 10% ROB • Maximum sla se to be paved including R -V or • All parking asioe s • aces ad acent to the .Ian • Location to match subdivision s ram Proposed Building Height: NA I FAILS 1 C ;' Standard m FAILS 1 COMPLIES 7 500 Rig, 7,9 rd Non rig Shoreland District .0 50' Rig, 573' Non -ri• Minimum lot area " 30% Maximum Minimum lot width Shoreland alterations p Imie1�ious surface Standard A I AILS I COMPLIES By planning dept Bluff in Shoreland; o f duff of But • Setback from , � p 20' From Top 20' F City Engineer Bluff imeact zone s'roved Noy City Engineer • Gradi erin� certification submittedla • u buff im • act zone josed Gradin�� Standard 908 .9' Prior Lake Floodplai FAILS 1 COMPLIES 914.4' Serino Lake • • 100 y =� °d elevation 909.9' prior Lake I 915.4' Serino Lake Lowest floor elevation Must be 1' above flood d lowest floor elevation elevati uctures. If existing existing str uctures. r structure was constructed 9119190 - 11122197 then additional foot is not re•uired. • Must be fl ood or Elevations 15 feet from structure 907.9' for Pr Lake 913.4' for Spring • Road access must be no Ion Elevation 4' below proposed Resulato Flood = Standard NA I AILS I COMPLIES 1000 sq.ff• or 30% rear yard Access° Structur ,- 10' 0 . 0 0 l ern 0 0 6 0 0 • Not • located in fr ear and setbacks • Side and and r Materials com • atible with • rinci . le structure • GLIST.DC L: \TEMPLATE\BLD oV PRlo+ v NvNESOv* White - Building Canary - Engineering B ILDIN Pink - Planning PERMIT APPLI ATI • N DEPARTMENT HE KLI T NAME OF APPLICANT APPLICATION RECEIVED The Building, Engineerin application for Engineering, andvlPl nn is proposed g Departments have reviewed the buildin g permit p posed at: Accepted • Accepted With Corrections Denied _________________ a Reviewed By: " `-� -�.�„ Comments: .-��� f Date: "The issuance or computations shall not granting be co permit or approval of construed to be co y of the provisions hall of this code d of a permit for, or plans, approval s any vio at and any of t he vi au ht o cancel the any other ordinance of tt u of, any violation of ordinances of the jurisdiction shall not bevalid " jurisdiction. Permits provisions of this code or other O PRI� ti 9 U x rn � 'I NNESO _ White - Building g Canary - Engineering Pink - Planning B ILDIN PERMIT ' PPLI ATI • N DEPARTMENT HE KLI T NAME OF APPLICANT f ' I L 0 /e-06. Cam) /JJs l)C- APPLICATION RECEIVED 1-. (a. 1/ The Building, Engineering, and Planning Departments have reviewed the building application for construction activity which is proposed at: permit J 30 ° W/C O 0 V6' ooK_ � K. Accepted Accepted With Corrections Denied Ai' : � l Reviewed By: Aliii lt. , . I ate: ' 1 l Comment _ - - AY - ZI A , 4 ,A...) jL N> y ICJ W L. '' � 4 1�.�+ a, � Tim c Z., "The issuance or granting of a permit or approval computations shall not be construed to be a erm or an approval specifications a fications and any of the provisions of this code or of any other ordinance of the jur sd ct on! Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." `,c,t.Tt ., 2'ecq> +a'can .... tr x , ,, ,v, a , arse ? „ w ..,4 tM- ,:�P .... 4w*R� OV PRIp� . U 4/ INNESO 1P White - hite Building Canary - Engineering Pink - Planning B LDIN PE - M T ' PP I ATI • N I EPA - TMENT _ KLI NAME OF APPLICANT - C f " , APPLICATION RECEIVED The Building, Engineering, and Planning Departments application for construction activity which is proposed fi have reviewed the building 43 � 4" g Permit • Accepted Accepted With Corrections Denied Reviewed By: 7:4 Date: `/ iz //o • Comments: See Attachments: 1) Grading plan lVM casu 2) Erosion Control "' cs See Reverse Side for Additional Information! "The issuance or granting of a computations shall not be construed o permit for, or an any of the provisions of this code or of any approval of plans, specifications and approval is of, any . Pe on is of presuming to give authority to violate or cancel the provisions h of this fiction. code or other Permits ordinances of the jurisdiction shall not be valid." ADDITIONAL C OMMENTS FOR BUILDING PERMIT APPLICATIONS Surface storm water drainage flowing to the perimeter of this roadway and/or t o inin properties must be conveyed the r m and fro to the g p rear of the lot in drainage swales w easement. must be protected from eroding into n fii hb All bare soil area he r installed and maintained sil ng properties throng properly bales. The silt fence required by the erosion control plan must be installed E prior to any earthwork being started. The builder is responsible for maintaining the erosion control stablished. measures until the turf The rock construction entrance must be installed at the time of backfilling of the foundat 6: \Admin \dept info \ADDITIONAL COMMENTS FOR B UILDING PERMIT APPLICATIONS.doc O FP - 4' . CITY OF PRIOR LAKE PLUMBING Date Rec'd t77 G PERMIT _ -7 I ANESO� I ' 7 2 Z, / / Please i e or I Blue File / print and Sin at bottom) 2. cold city PERMIT NO. Z,� .T i ADDRESS 3. Yellow APPlicant / 3e 9 ' l�� / 0 •e /(vO k o. ZONING (office use) LEGAL, DESCR IPTION (office use only) LOT BLOCK ADDITION OWNER PID (Name) (e.- J/ l (Address) (Phone) APPLICANT i. (Name) 4 ILu to 0 Q °2 -- 1 I : z'14. C.. (Address) 0 Pike- I, 4.. (Phone /J q sCl S °&�6J` (Address) /..4.4.,..) let A .�- (City) (Contact Person) Po_ A � y , 0 2— (Zip Code) APPLICANT SIGNATURE 1 (Phone)lJ �o) ^ a _ /--Y DATE 7 a . // Quanti APPLICANT PLEASE COMPLETE BELOW T I e of Fixture Quanti Bath Tub with or without shower Dishwasher T e of Fixture Roush -ins Floor Drain IIIIIIIIIIMI Lavato Bathroom Sink I . Water Softener INIERIM Laund Tra 1 or 2 com • artment sink Stand Pi. e Shower Stall Washin_ Machine Sewa_e E�ector Backflow Assembl rarain .......____Malran _______■.„„ms MIIIIIIIN Bar Sink Backflow Assembl Test Water Closet Toilet) Other FEE Industrial, Commercial & Multi- family 1 % of job cost with a $49.50 SC Residential, New One & Two-F. i.' , . Residential, Additions & 0 Estimated Cost $ erations $49.50 The Minnesota Statutes § 326B.148 , "SURCHARGE" Building Permit # has been changed for one PLUMB year effective IlVG PERMIT FEE $ Fft1D July 1, 2 010, until June 30, 20l 1. STATE SURCHARGE The minimum surcharge fora "fixed fee" permit $ TOTAL PERMIT FEE $ .50 is beginning July 1, 2010 11'D inn Appncanon become Y um ',wilding Permit When Approved Paid Receipt No. Building Official Date ■ Date By 24 hour notice for all inspections (952) 44 7 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 e P RI ° .p CITY OF PRIOR LAKE PERMIT 7 Z7 // HEATING /AIR CONDITIONING /FIREPLACE P Date Recd � 4'2,, l nNESO; I. Pink File (Please .e or . 2. Green city PERMIT NO. �'r nt and Sl_n at bottom) 3. Yellow Applicant ADDRESS �+ i 4 ' 40 / �v s O f[0 i ZONING (office use) LEGAL DESCRIPTION (office use only) w LOT BLOCK ADDITION PID OWNER (Name) (Address) (Phone) APPLICANT/ A (Name) / l /71 t �—_ � (Phone) '` r: 9- /e1 (Address) &77_1) A. ., ave. 4 ,Q �''! (AT dress) ��' �� rid �c , (Contact Person) (r trt.,< (City) (Zip Code) (Contact APPLICANT SIGNATURE ,�r Phone '�� -..• ' 4 DATE 2e 1/ APPLICANT PLEASE COMPLETE BELOW NEW CONSTRUCTION FURNACE MAKE AND MODEL ❑REPLACEMENT ❑ALTERATIONS FLUE SIZE RETURN OPENINGS FUEL INPUT OUTPUT TYPE OF SYSTEM ❑Warm Air Plants HEATING OR POWER PLANT ❑Gravity ❑Steam PLEASE NOTE: Air Conditioner ❑ Mechanical ❑ Hot Water Units and Fireplaces Cannot Encroach ['Air Conditioning ❑ Radiation into Required Side Yard Setbacks. ❑Vent. System ❑ Special Devices Fireplaces with Box Additions or ❑ Other Devices Cantilevers to the Outside of Building FIREPLACE MAKE AND MODEL Require a Building Permit. Industrial, Commercial & Multi- Family 1 /o o FEE SCHEDULE of job cost Residential, Gas Fireplace Residential, Heating & A/C (New Construction $49.50 minimum $49.50 Residential, Heatin On ) $149.50 Residential, Additions & Alterations g y (New Construction) $64.50 Residential, AC Only $49.50 Estimated Cost $ Building Permit # D E. y HEATING PERMIT FEE $ D/1/41 STATE SURCHARGE $ 1 3 (Office Use Only) TOTAL PERMIT FEE $ 1 This Application Becomes Your Building Permit When Approved Paid "o Buildine Official Dat A Dat 7 7-?, q By � � � ��� n 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 38/22/2E11 13:55 9524926036 GLOQN3 HEARTH: /HIGH PAGE 01/01 a y q , � A FA,'I IN CITY OF PRIOR LAKE G /AI CONDITIONING/FIREPLACE i�= „�,,.._•� '` LA CF PFRIIT e Rec v 4, 4vrVt:50• . • NO (Please t 1 Pi 11,c Pile rim- and si . at bottom a Greer City PE$j�Z�'' NO. R ALif,1 VJ ? Yam, kplicrn .4,0- CP ZONING liY36) di /e � � rrrN LEG ----- ---�� A) � (:tii� ts�� AL DESCE-TPTTOJ . (ak t,se orilv3 LOT BLOCK ADDITION OWNER -_ PM Name) e it / 86 J'757'`. • (A dress} _. (Phone) �! APPLICANT - ...._.. A,. � • / 5 2! A ' 49 (Flxort ) ._,, (Address) (J '� - — g� . 7 ! _.---- (Ad,dtess) _ C2 c 1 f S ..y ~ e (Contact Person) ,City) (tip Co de] ./ APPLICANT SIGi1 : • : I/ -. �" (Phone) - qd- 7 � "`' '4"-- DATE ! .r- / / APPLICANT PLEASE rCOMPLETE BELOW Tit NEW CONSTRUCTION Q REP.Z ACEMENT FURNACE MAKE AND MODEL ©�•LI ALTERATIONS FLUE SIZE RETUR OPENTNCS FUEL TYPE OF SYSTEM -- ---- -- 1NPU BEATING OR pp - ---- -_ __ OUTPUT ❑1[rarm Air .Planta WAR PLANT PLEASE ❑CrAttity 0 Stearn NOTE: Air Conditioner ❑ mechanical 0 tint Water Un is and Fireplaces Cannot Encroach ❑Ait Conditioning Radiation Into Required Side Yard Setbacks. ❑Vc-rt System Special Devices fireplace, with Box Additions or ❑ other bevices Cantilevers to the Outside of Buildings FIREPLACE MAKE AND MODEL IPA -_, :Require a Building Permit, Industrial, Commercial & l.iu1 i- Famiiy PEE SCHEDULE 1% of job ccst residetttial, Gr_a Fireplace Residential, Heating & q/C (New Construction) $149.50 minimum aee $49.50 Residential, [Tenting Only (New Construction) $64,50 residential, A ly &Alterations Residential, AC O ?_ 849.50 $49.50 The Minuesntit Statutes § 3266.148 most $ "SURCHARGE" has hew changed for one Building Fermi RMIT FEE /° r, • , WI 9r:il, i, '.UIiJ, ncrti:ii .3�t +u, ;; <,,, : :, t i. ?`"! 1V S 1 1"I yearerlhaive HEATING PE The molt-film for n "(fscd Fee permit STAT SURCHARGE - 3tilLDIN rr rchar a ror n t, z c TOTAL PERMIT FE S .� f , P ~ FM!�1 ] 4 This Application Becomes Your Building Permit When Approved Paid i Rcccipt Na. Buildtnp t?fficinl Date Uaee By 24 hour notice for all ins ec 4646 Dakota c A lions (952) 447 - 9S50, fax {952} 447 - 424$ trees S.,E,, prior Lake, Minneanta 55372 4 4 t 11 t t et, ACA • 1 27. 2011 10,144 2 Oct, c t 2 file � f CITY No. 0921 F. 2 PRIOR LAKE ...ate Reed z; x 117 SEWER AND WATER PE1 M1T 'tease P Ohan Fite t• or •caret dad ar bottom 2. ZIT* F P ER1VII'I' • ADDRESS a e AI3DRESS a. GSkd Apok:i1q • / v °3 1 WE Id Out I op , e.... 1, tx, E7 LEGAL DESCRIPTION (office use only) LOTS BLOCK ADDITION The p ,•� +l OS ' � cY-k OWNER PIZ7 (Name) Gerold Brothers (Address) F.O. BOX 128 (Phone) 952/75ga (Address) N Pr- . . AST °.0 1 APPLICA.iv r (city) (Z/p Code) (Name) STOCKER ERCAVATTNO COMPANY, INC. (Address) I2336 Boone Avenue - ` °° ° (Pharr) 95218904241 (Address) Sava_ a MIS' 55378 (Contact Person) Curt (City) (Zip Code) APPLICANT SIGNATURE / T (Phone) same f ,, . r � .rrl� DATE .rt .. _ APPLICANT k' EASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure -- f eet. 1 Type of sewer pipe. [] ABC PVC I Estimated length of sewer line , / Cast Iron Clean out (if required) located at T ' P feet from structure. Residential sewer and water He connection 535.54 SCHEDULE fewer G oal etion only 535.54 industrial, Cont'I & Multi-family 1% ofjob cost with a 539,50 mini $ 17.50 Water corms tiot� only S 17.50 mum Estimated Cost $ Building Permit # SEWER AND WATSR PERMIT FEE $ STATE SURCHARGE TOTAL PERMIT FEE $ 50 $ (OiTite Use Only) .. This A __ __ , pplication Becomes Your Building Permit When Approved Fail Receipt No, &ulldtng orRctaf next Date 24 hour notice for sti inspections (952) 4 47-9850, fax (952) 447-4245 ip 1i, qi 1 tam u.ct 1/. 2011 10:14AM ov P rp Nc, 0921 P. 2 it /C CITY OF PRIOR LAKE .. ate Reed U SEWER AND WATER PERMIT �� t. Y w Cly PERMIT NO. 'lease j or • lint and . ' d[ bottom }. Cwtd ApDlkim ADDRESS i q 30q W f f d s 0 l t�,.) ZONING (office use) LEGAL DESCRIPTION (office use only) LOT . BLOCK ADDITION The. t.A.) OS 'RAG*, PID OWNER (Name) Gerold Brothers (Address) P.O. BOX 128 (Thane) 95 2/75$ -2842 New Pr MN 0 1 (Address) (City) (Zip Code) APPLICANT (Name) STOCKER EXCAVATING COMPANY, INC. (Phone) 95 2/890 -4241 (Address) code} 12336 Boone Avenue Sava a MN 5537$ (Address (City} (Contact Person) Curt {zip (Phone) same APPLICANT SIGNATURE .►J DATE e APPLICANT PEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure _1 feet. Type of sewer pipe. 0 ABC r PVC Cast Iron Estimated length of sewer line . # - et. Clean out (if required) located at i feet from structure. E Residential sewer and water line connection 535.50 industrial, l SCHEDULE Multi - family l% of job cost wi Sewer connection only $17.50 Water connection only 517.50 with a 539.50 minimum Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE $ STATE SURC}ARGE $ TOTAL PERMIT FEE 50 (OuTtitt Lisa Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Suliding Otticlal Date Uafe 24 hoer notice for all inspections (952) 447 -9850, fat (952) 4474245 P rimano PRIOR DE ________________ PA RTM E NT OF BUILDING AND INSPECTION I NSPECTI ON RECORD SITE ADDRESS _ A w NATURE OF WORK 5 4: 1 --J NI � 4E `� ° �� � USE OF BUILDING �� ILDING �' ANC c .L . F��► a i Rs/Lc, PERMIT NO. CONTRACTOR � DATE ISSUED ¢� , NOTE: THIS IS NOT A PERMIT FOR ANDS PHONE THE PER ST A IS PERMIT MIT FOR ANY OF THE INSPECTIONS 58 - z3 O 1 5r '�'- E�5 c SEPARATE OCU ENT vi-. BELOW FOOTING INSPECTOR U 7 I INCL� ii) . DATE FOUNDATION (Prior to Backfill) IIIIIFIRRImmem PLACE NO CONCRETE TIL r PA-0:P•-1 C� 4-5X ABOVE l5 BEEN SIGNED SEWER w - � IV'S %/L WER / WATER /SEPTIC FRAMING =nom / INSULATION ` fl ELECTRICAL ��� PLUMBING HEATING (if required) s, llIlh FIREPLACE MVAI o GAS LINE AIR TEST 0� �,, ti COVE' N • • R UNTIL ABOVE AS B d '% - �.. .. �/ N c ICI E D GRADING (Prior to Soddin FINAL �,, BUILDING 9) �` /° ®d ELECTRICAL - PLUMBING inimmon........ 1111111111111111111111111 ....... .. m ........ ------ 111111 11111111111111 HEATING IIINMMIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIII DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough-in 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. inspections rance. FOR ALL INSPECTIONS (952) 447 -9850