Loading...
HomeMy WebLinkAboutBuilding Permit 12.161 Crrfifiraft of ®ttupattry CITY OF PRIOR LAKE Prparfittntf of Ifiuiltring jinsjarrtion ®`Final Permitted ❑ Conditional C.O. Expires :.:"., >,,,>,/, } T his 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 > `/ VG�JI . E i I /T Bldg. Permit No. l 2 - 5 f '' �� ?� � Occupancy Type / Type Construction V ,,,��� , "� /// Zoning District PO S � Legal Description L C / /`_' e, E / / /(il�Ofc... -� ..K .o ( Owner of Building Site Address 3 li'I4 0' 5fU &-A / i a O Ju i 1)- /L - / / /6. Z)xJ /A/ . Con tractor's Name & Address /) 01 -4 /1117C-V1/A/ City Planner Building Official V Date: ` i t i1 { , Date: ` l t POST IN CONSPICUOUS PLACE 0 , .J ; i J a' _ S W N ° g gg = > 0Te (7 G o 0 I 0 titi0 W Z 6 � 0 00000 0 > o o III � /1 0 N O v a w W z o -I Z YY Z Z U F W o d H OE 0Q EC -I O C0 0 oC O w =_szz - F- °' a N 0 d m S W m S _ a 0 co .4W yj _jW W W Z X C - a23 W W 111 W 000000 a a 0 IJ- W re Z J F u. YW i 0 < 0 o IQ 0 cy O z 0 • < V . o , D O= �, 0 p d F < f - `, n oG H� a co O Z i W N w �. -1 Lu CO OW W W W O = Z J ti v Z CC CC yy OO�N O O O y 0 F N G O LLLL Y.=1iN O 3 0 0 N 5 < 0 a 0000 Q C) ❑ ❑ c ■ 7 i - E § ILI § §ld, 0 _ ��1z > ■ .3 Eo <Q 0 ▪ q a iuu��o E ■ § OOOO ❑ > 2 o — w = vi u. § w z a. a. � § L § 2 M z x$ z 0 p ■ og � 0 0 X m z re 0 0 c a O } 0 a 1;016 T 3 z \ B i o o z I 0 tIJ a § § ■ ate w w§ w 000000 ft CZ0 O. a la. w o 0 4 § 2 w X 0 Q z I- Z x S 0 o § • @ § z _ .. z .- 3 ® � k CO Z k CIE 5 Z W W IL `- k � � 2 w Z §odeZ§ & . ■ ■ ■ 2 ° § 0 0 �Wu ■11■ § S S g §2 0 0 0. 000000 0 100 £ J re it ce YJ N O ZVVW z 0 ,,, 2 55g J > 4 0 2 WWW 0 MS w d Z 6 J () tL IT o r N 1 00000 0 o co re o W x re N Co 0 0 °.a -I m c _ O LC Z m l z o H v 0 a i H R 0 O IL J 0 0 0 0 W Z�x=ZI W c H C CO 0 a °D x w�°° x a 0 2 �• D°1 W,I W W W Z X O a23 um W .. W k ' 1-... 0000❑❑ 0 0 o w ►d a a x G J F- W V • z V O V h o �v � 0 0 z z v N N n ` 0 IQ 1:::4 0 Z O C W F . F, < Ili. Ly ce 0 O 0 H W Z h 0 0 J a F- N Z Zp?�J= iL) X CC r J A O ct W Z ~ 0 H z E 0 0 0 2 V V N 0 0 8 " � ` z� 0 3 0 0 a ca ? s 0 a ❑❑ ❑� 0 0 * 0 0 c -J '' T la z 1 a k§ § 7 0 LI 3 5 5z > k. -� O ` z z eV + -- 8 Q a� re I. Csk ❑0000 \ § 2 i u Z t _ § _ z ��< § o o § o ■ § 8 �� o 0 0 o « w § x z§ 2_2x2■ 0 c a ` U 0 ■ ■■ ■mom O. 0 § | CO 0 a _I� § § §§ y 2 2 2 X a■ ■a■ w w w % 000000 o o § O. a U. I o :I i < 0 % LU w - I-- z © \ 0 Z 0 2 0 2 S ft 2 0 z Lu 2 <§ t / % o z - �f « I � R 2 k�� x ce ■ ` o« cl � © - ©M =4 § K § 43 0 8 /K 0 § 0 u.2 o ■uu g 5 ? 2 0 a 00 0 70 0 £ J w LI Z IL W F °g 5gz < `` > ca (� 0 `2wwcco 0 p W \ Q . a . z a C V LT. IL re z 0000 ❑ > � ► 0 o W = 0 N try O _ » < m c Z oC _ Z Z o W O — 4— Z t ce 0 $"a 0 0 W R X O w Z_IZZZ O °' a p u) v a M0 M0 p (1) o _1 111 < JW W re W -L '` 2 000 ❑0 8 0 o W � a o. u. F p J W ill w, a. Z V 0 L a u. Z W Z . 0 Z _ ty ce Z p Z U N N 0 .\ n 01 o Z o a I E I w curt � co °z z0- W 00 J A ce � W W W 8 0 0 d oz o W - s O O V V I-v 0 0 8u. U.. co 0� V 0 F Ci 4 0 a 0 00000 CI '4 ittO c J w Z Z 1-- i J a' 5 W z Z 5552 4 a aaa0 w (72 W a, aW,W Z < w o Ori.liOO R Z 1 0000❑❑ > W 0 o W = 0 a N o J W L Z c_04 Z YY= Z U 0 w 0. o 1- 0. °$�� 0 W oC iii 0 0 W Z Z W N N O i 0 0 0. o L a a, Z � W < yjOW \ O G Z F O a 23 tna 2 W W W k �yy ' 0 00 0 0 0 0 I�� O O a' W a a LL = O Ct � Z. fr W W V,O Z 0 u- 0 gh 0 w o s:: 5 cn co o Z N) ° o w �< 4 w u.O 0 Z ~ z - z W �U x OW a' OW • - A oW ft W Z 50a2ZI- 2 0 ce cc cc 0 0 V V 5 ? a 0 a 00❑❑❑ 0 0 0 c 4 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �' AND UTILITY CONNECTION PERMIT ; 9 4'NSSo I. Pink Cit PERMIT NO . 3 . rep city `/� / 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) • - R 4 C3' 3._i,_ A, CoT 04 P LEGAL DESCRIPTION (office use only) LOT 46 BLOCK / ADDITION I-- t C_ -/ de-- 0 S HD 2 5 50 -o 46-0 OWNER (Name) a (Phone) It (Address) BUILDER D.R. Horton, Inc. 952-985-7272 (Company Name) (Phone) (Contact Name) Brooke Hareid (Phone) 952 -985 -7806 (Address) 20860 Kenbridge Court #100 Lakeville, MN 55044 Yee -cal - 2210 TYPE OF WORK `I New Construction ❑Deck ['Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ❑Addition DAlteration ❑Utility Connection CODE: JI.R.C. ❑I.B.C. ❑ Misc: Type of Construction I 1I III IV V A B n .-� a - Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $ / 94 / - 2- Division: 1 2 3 4 5 (excluding land) I h ify that I ha have lion on this application which is to the best of my knowledge true and correct. I also eetdfy that I am the owner or authorized agent for the a bnne d propezy and th at all ction will confortlr to all existin state and local laws and will pr oceed in a ccordance with submitted pl ans . I am a ware that the b uilding of evoke this �ca . Furthermore I h agree that the cty offidal or a designee may enter upon the property to perform needed ' . % .A-V I ° 20005657 i ignature Contractor's License No ate Permit Valuation Park Support Fee # $ Permit Fee $ ZS� 1 - 5-< SAC # $ - 36, 5 Plan Check Fee $ t S4 . -F, Water Meter Size 5/8 "; $ 9 0_ State Surcharge $ V Cm. Z . Pressure Reducer $ 119 0 Penalty $ Sewer /Water Connection Fee # $ ( Off. Plumbing Permit Fee $ (6 1 g Water Tower Fee # $ t O 0 0 . Mechanical Permit Fee $ t 5 4 - C 7 , ek) Builder's Deposit $ k 00 Sewer & Water Permit Fee $ ," ( ...5 '3 Other . $ Gas Fireplace Permit Fee $ 5 — 4 . TOTAL DUE -,q� +D 3 , z,0 „ / z. $ i 4 16 This j/ li o . •. , / o it ding Permit When ved Paid // Co 5 .. _ 0 C7 Receipt No. (f,5, I t II a ` Date 4. 2. - / 2 • By 1 Building Offic . Date This is to certify , the , : in • .. aaplication and accompanying • . • ,,,., is in accordance with the City Zoning Ordinance and may proceed as requested. This document ' when signed by ■, • // ,, er co tes a temporary Certificate of Zoning •. n plian and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. y � .; ( / Planning Dir- .r Mt ate Special Conditions, if any 24 hour notice for a inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 • Siettil 1 ?Ri Date Rec'd • 0�.. - _ , CITY OF PRIOR LAKE PLUMBING PERMIT 44'nTEsco- ,. s,ne p;,e PERMIT NO. /2 ......0 /4 / 2. cola c;tY 3. Yellow Applicant (Please type or print and sign at bottom) y ADDRESS ZONING (office use) o 38 14 ©ERIEIV Coin? T LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION MOD (Name) DR iiO T ()w (Phone) (Address) 20660 g e N 6 21 D fi g C r 5 ( 7 / T E l a0 viLC E� t 5 5044. ) ameN • ( ANT ( SILVER Tg E Paler. 4 HT-. (Phone) 65l -3/ - `"Zoo (Name) r I , - . ,� I �/ � ,� f (Address) 3165 1EIMI/v /L p 1VE /T �0 E/7�4N V 55/2.1 „ (Address) (City) / 1 -31 (Zip Code) (Contact Person) PI A- VE T14-01111 (Phone) 1051 9- 4Z o2 APPLICANT SIGNATURE D DATE 7// APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture 3 Bath Tub with or without shower 3 Rough -ins I Dishwasher 1 Water Heater Floor Drain Water Softener k, Lavatory (Bathroom Sink) 1 Stand Pipe (Washing Machine) 1 Laundry Tray (1 or 2 compartment sink Sewage Ejector 1 Shower Stall Backflow Assembly 2. Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler 4- Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi -family 1% of job cost with a $49.50 minimum Residential, New One & Two -Family $ 149.50 Residential, Additions & Alterations $49.50 The Minnesota Statutes * 326B.148 Est $ Building Permit # p "SURCHARGE" has been changed for one PAID VV year effective PLUMBING PERMIT FEE $ July 1, 2010. until June 30, 2011. STATE SURCHARGE $ IIVILDNG PERMIT The minimum surcharge fora "fixed fee" permit TOTAL PERMIT FEE $ is 15, beginning July 1, 2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By 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 BUILDING PERMIT-fJ CITY OF PRIOR LAKE SINGLE FAMILY 'WORKSHEET NAME OF GENERAL CONTRACTOR: j , l /C rro N, I NG ADDRESS OF PROPOSED PROJECTS Z R 14 a Yom..). -c_ r\I l r t i t SQUARE FOOT FLOOR AREA FIRST FLOOR (INCLUDE 4- SEASON PORCH AREA) I X34 SECOND FLOOR 2.0Pa.5 BASEMENT FIHISHBD BASEMENT UNFINISHED GARAGE i DECD 3- SEASON PORCH -- SCREEN PORN -- NUMBER OF FULL BATHROOMS NUMBER OF HALF BATHROOMS SEWER AND WATER CONTRACTOR: pI,1 bot Virtet 457- NAME PHONE # • NUMBER of GAS FIREPLACES: t 1 / INSTALLER: fI RL�s t D� H /ART1-t //o1 f & 60 /` A3 -A3 NAME PHONE # NUMBER of WOOD BURNING FIREPLACES: INSTALLER: NAME PHONE # MECHANICALCoNTRACTOR: _ k --2. � .� _ e S z e. — a. *a► NAME PHONE# FURNACE: CHECK ONE: LJ x ❑ NO Am CONDITIONER: " CHECK ONE: [s ❑ No Am TO AIR EXa wonR: CHECK ONE: 0 YES ❑ NO PLUMBING CONTRACTOR: 1 1. G T E. 1 ' 9 "' 4 ao - c NAME PHONE # . WATER METER SIZE: CHECK ONE: L 5/8" (STANDARD) ❑ 1 o 2" ATTENTION APPLICANT: YOUR BUILDING PERMIT APPLICATION WILL NOT BE ACCEPTED UNTIL ALL REQUIRED INFORMATION IS COMPLETE. r 2011 PROJECT VALUATION WORKSHEET ADDRESS: - See (4- g l21 =7-- SINGLE FAMILY ATTACHED: 1 Floor Wood Frame $82.38 X = 2 Floor $41.19 X = SINGLE FAMILY DETACHED: 1 Floor Wood Frame $90.23 X ` kg = IIIMENI 2 Floor $45.12 X 4 2_085 = Mrliall GARAGE: Wood Frame $38.09 X -7 = '24 Slab On Grade Garage $20.00 BASEMENT: Completely Finished (New) $25.00 X = Unfinished $16.50 X t eue0 = _ 2, , 41 ?.- Crawl Space $16.00 X = 3 Season Porch (unheated) $45.00 X = Screen or covered Porch or stoop $30.00 X t ` ( E , = 3 I-go Deck $12.00 X = FIREPLACE: Masonry Single $7,000.00 X = Stacked Masonry $5,000.00 X = Gas or "0" Clearance E.A. $3,000.00 X _( . = " Other X = TOTAL VALUATION 32- 4- 4 CONTRACTOR'S VALUATION ( lk f 3 " UPDATED 4 / 20 / 2011 J:\FORMS\PROJECT VALUATION WORKSHEET 2011.doc Residential Building Permit Checklist New Constructs , n for Ingle or Two - family Dwellings in R- or R -2 Districts ( - Reviewed by: Date: , 3/2\ 12 , Building Permit# PID: ' Zoning: pt..) SO Address: l'r G "g, pter.f•-) CI- . L L , B Subdivision: Existing Structure? YES 1' . Existing Nonconforming Structure? YES / NO CONFORMS TO ZONING VEEP NO ORDINANCE Yard Setbacks: NA 1 FAILS/ CO I Standard Proposed • Front Yard (can be 20' if avg 1 50') 25' 2' • Side Yards 101 q�' 25' if abutting a street 1� • 1 CO lto . o • 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' 1 S© • 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 v ..-- less than 50' Floor Area Ratio: A l FAILS 1 C I .30 Maximum I " 14- 1 . Yard Encroachment NifAILS /COMPLIES I Standard I Proposed Eaves and Gutters no more than 2 feet in width and no closer than 5 feet to a lot line (Easements). NC and other equipment cannot encroach on interior side yards. Tree Preservations FAILS 1 COMPLIES Standard Proposed • Total caliper i ` es • Permit 35% Removal • Caliper Inches Removed • Caliper Inches Preserved • Replacement 1/2:1 L : \TEMPLATE\BLDGLIST.DOC Driveway: NA / FAILS / COMPLIES Standard Propos d 1 • Maximum width at property line 24' �G. • Required setback 5' from side lot line or 30' from r -o -w on corner lots t • Maximum slope 10% 4 t • All parking areas to be paved including R -V or spaces adjacent to the garage • Location to match subdivision grading plan Building Height: NA /FAILS / COMPS 1 35' Maximum 1 2e, L Shoreland District: NA / FAILS / jiffIES _ . Standard I Proposed 1 Minimum lot area (square feet) 7,500 Rip, 7,999 Non -rip Minimum lot width 50' Rip, 57.3' Non -rip Shoreland alterations Impervious surface 6 i 30% Maximum l Propose Bluff in Shoreland: NA 1 FAILS 1 COMPLI Standard 1 • Setback from top of bluff By planning dept. • Bluff impact zone 20' From Top of Bluff • Engineering certification submitted /approved By City Engineer • Grading in bluff or bluff impact zone No importing /exporting Floodplain: NA / FAILS / COMPLIES Standard Proposed I • 100 year flood elevation 908.9' Prior Lake 914.4' Spring Lake • Lowest 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: NA / FAILS / COMPLIES 1 Standard 1 Proposed 1 • Size 1000 sq.ft. or 30% rear yard • Not located in front yard (Materials) • Side yard and rear yard setbacks 10' • Maximum height 15' • Materials compatible with principle structure L: \TEMPLATE\BLDGLIST.DOC PRI NI IV �. White - Building �� • Canary - Engineering NNe Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT - le- APPLICATION RECEIVED 3 - / L__.. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4- 0, r Accepted Accepted With Corrections Denied Reviewed By: � Date: 3 /Z0z Comments: See Attachments: 1) Grading Plan, 2) Erosion Control Standards 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. • The builder is responsible for maintaining the erosion control measures until the turf is established. • _ The rock construction entrance must be installed at the time of :ibackf of the foundation. 6: \ Admin Wept info \ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS,doc Oi PRI°4 ti � C.") t White - Building Canary - Engineering �'`^ ° Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT D- , - HoiejOA/ APPLICATION RECEIVED o • 9 / Z- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3b/4 -- O' 13r EAi e7" . Accepted Accepted With Corrections E Denied / .. i Reviewed By: L ��![� Date: / 2-- Comments: "'I.. J// r7i9�J' Cc...91AI -- .: -- r/ 2 -eL.t - S 4 4-c- 7T--)-1( 5 - 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." O 13111° H t r1 White - Building yl �� Canary - Engineering NNESO 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 )( 2 — — - Reviewed By: 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." 1 12 - 2357 4 PRIp CITY OF PRIOR LAKE Date Reed ° }Y ki ° e HEATING /AIR CONDITIONING/FIREPLACE PERMIT -: 1 4 4lMvEsdo i Ciry PERMIT NO. 3. Yellow Applkrol ea a or print and sign at bottom) ADDRESS ZONING (office use) 361L e 1? ok 61-. LEGAL DESCRIPTION ((Accuse use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT n ull , 12 hone 61 7 U 1 -1 ?5! 7 {Name) ff� I (Phone) (Address) 22.L' D L' I / I W , , 2Li S V l 1� 11/1A/ 1 53 7 [Address) (City) (zip Code) i 'l /, r (/ (Contact Person) S lam- -( , t l 1' - (Phone) -1.� G -1( �� - J gL f . � J f � APPLICANT SIGNATURE k : =11 f , � j IL4 A - DATE I 2' APPLICANT PLEASE COMP ETE BELOW 11EW CONSTRUCTION } ❑ REPLACEMENT ❑ ALTERATION /� ,�{ FURNACE MAKE AND MODEL ( iw.t too FUEL i N G L I 4 6 FLUE SIZE RETURN OPENINGS INPUT l 001 COO OUTPUT qz, o0 TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air Planes ❑ Steam PLEASE NOTE: Mr Conditioner Units and Fireplaces Cannot Encroach ❑Gravity ❑ Hot Water into Required Side Yard Setbacks. Mechanical ❑ Radiation Fireplaces with Box Additions or Air Conditioning ❑ Special Devices p ❑Vent. System 0 Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial & Multi- Family I% of job coat Residential, Gas Fireplace 549.50 54930 minimum Residential, Heating & A/C (New Construction) 5149.50 Residential, Additions & Alterations 549.50 Residential, Heating Only (New Construction) 364.50 Residential, AC Only 54930 Estimated Cost $ t;' i L i U 0 Building Permit # The Minnesota Statutes fi 3268.148 HEATING PERMIT FEE $ "SURCHARGE•:" has been changed ('or one year e1Tective STATE SURCHARGE $ .50 July I, 2010. until June 30, 2011. TOTAL PERMIT FEE $ The minimum surcharge for n "axed fec" permit (Office Use Only) Is 1,1, beginning July 1.2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. _ Date U LDING PERM, Balld[ne Official Date 24 hour notice for all inspections (952) 447 - 9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 • 1' RIO Date Rec'd CITY OF PRIOR LAKE _ 5,12— Q SEWER AND WATER PERMIT kjN1NES0cA /6 I 1. Green File PERMIT NO./ 2 2. Yellow City 3. Gold Applicant n (Please type or print and sign at bottom) ADDRESS ZONING (office use) 3 e t 4 Q AA Ga LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) (Address) (City) (Zip Code) APPLICANT Tr ,�`�� (Name) O� S. C � (Phone) �o s / – l ad — / 3SS (Address) o 2'1 16 (Address) (City) (Zip Code) (Contact Person) Pit is k- P >r ` (Phone) APPLICANT SIGNATURE a DATE 3-'" `Z APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. ❑ ABC ❑ PVC ❑ 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 # The Minnesota Statutes § 326B.148 sR AND WATER PERMIT FEE $ "SURCHARGE" has been extended 50 ppoD until June 30, 2013, E SURCHARGE $ The minimum surcharge for a PERMIT FEE $ ELD "fixed fee" permit is $5.00 1� This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Buildine Official Date 24 hour notice for all inspections (952) 447 - 9850, fax (952) 447 - 4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 The City of Prior Lake imporvious Surface Calculations be submitted with building, pennit applictrtim) For Ali Properties Locate in the Shoreland District (SD) The Maximum I pe ious Surface Coverage Permit. is 30 P e r c e n t rrOpedy Addre ' Lot Arca 19,.2.9.1 sq. ft. X 10% = , 1 I NGT ItArlirftT SQUARIS AFT HOUSE A TT CIM GARAGE _.. TOTAL N AL STRIJCTURE 9,66f3 .ACI B - Qrag h d) == TOTAL DETACHED ED B 1L NGS 0 DRIVIINVAYIPAVED AkEAS = 906 _ Drive : payed ,a to ewa1k Parking m 9 7q TOTAL PAVUD .AREAS 985 1ATIOS ORCHE IflEC .. 0 x 'i ce . fit - . ° i* tap+ervto 1a:: tgo .--- noreonskimcd to. be e TOTAL DECKS • kaTHER TOT iA , O 0 .; TOTAL R IOUS SURFACE 3,653 6?- Rev 13 February 2012 P R O IDEPA flTMENT OF R LAKE BUILDING AND IN INSPECTION INSPE RECORD SITE ADDRESS 3314 ©'rz.1 G NATURE OF WORK sp•xsk..:: F..�v.N11. D c.- pac. Ni,, Ate., Ratu,. F„J. L . L. USE OF BUILDING Sf:0 PERMIT NO. ra- 16\ DATE ISSUED 3/1 fez CONTRACTOR 1.14 4cierw-i PHONE gSx. . aes- 7sct, NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY S PARATE DDCUI NT NS TWrL.. 6: 1.+.J G it. G , I. }(tit . IJ C�-1N CTOR `" S � 1 E S I FOOTING ' I /AI 1 1 FOUNDATION (Prior to Backfill) IfZ 06/2. 1 I PL CE NO CONCR TE U LL A VE HAS BE N IG/VED Q ,ap S C941 O U - I N �" 1"j 2 r/, SEWER / WATER / SEPTIC /A Ti(> FRAMING ( n (6-fry INSULATION ft s�ZTA2. ELECTRICAL PLUMBING Ifs , /z.. HEATING (if required) f - c /zvii FIREPLACE GAS LINE AIR 7ST � ki4A! ,ep p , ) /I 7/Z7, j� "' VIP COVER O - K UNTIL ABOVE HAS / BEEN SIGNED 1 1 FIN ALS GRADING (Prior to Sodding) 1f) g/Z Viz__ BUILDING 7 /L,bv, ) Zeta 96 &/i7/i e fre l / Z ELECTRICAL PLUMBING a 3/7/, 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 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 r • 0 • V