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Building Permit 13. 0038
C �rrfuutr zfr of (Orrupattxur -s CITY OF PRIOR LAKE '=„.' >i , K = Prpa N Final Permitted E Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the El 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 S I NG L E FA M I LY Bldg. Permit No. 1 -0f3R Occupancy Type R3 Type Construction V t Zoning Distric PUP Legal Description C '101 F •► 1 i l 1 $ 1. Owner of Building Site Address 3906 TRAIL POINT COURT Contractor's Name & Address h� f+ RYLAND HOMFS ROBERT D , HUTCHI NS ,47/ City Planner �� ui g Official 1 Date: / Date: 7/ d ' POST IN CONSPICUOUS PLACE , 0 J W 1„ II s555Z 0 w w aaa 3 > y O O W a' � y Z - W 2 I 000000 > M 0 u N C) = Z YY z o F W a a r: ~ 0 2 oo"`a o 0 0 -. o �D z w m . w N o. 8 Z m 0 0. � U ~ =V o O z O ag3 t w o w a C--, 0 w ❑ ❑ ❑ ❑❑ p W ' a a U. H o -+ x 0 ` Z 0 Z v N 01 Z a a t ip 0 ao m z zo z W Y ��'�- A o w w z ao � I D O O U V o a 0 0 u o .a u.3G.' co 0 3 0 z a 0 a 00000 0 0 0 c • J W Z 1P. a a � CZ W a-00 Z w W ? U� �S . fJ q f t 1 z Q o !X) � w0U.u.w 2 Z H ce r 1 fl 0 a co Ct N 0 J Z =ma m o 0 04 F- o o u. j 0 0 0 QC g x t Z a z Z z z z 0 a 0 0 w °° a i . W L? W W W Z u) ric x O a.a50 a. W W Z ILI ... 9 00000❑ 0 Z LL W Z Q O k , 111 tu c O < U U. 0 gP Z � Q co S 0 Z Z O Z CI O W F- I-• , Q 5 '` qC (0 = F a 2 .,,4 1- v O _ 0 G J 2 W Y L • J W R CI 0W W W W 0m...= O IX O O V V p- N 0 0 u . u. u . LL" Q ) 0 I. U ? 4 0 a C 000000 t.) 0 0 c 0 J w z Z H 1 J g 5gg= a v o .., 117 U u. u. 0 g Ili to t..„ (� 000000 o r �'1 .� f W 0 ` LL Lii N p V 1\, Z W z_SS ∎ g m` d a 0 0 a m 7C W �N 2 cn a. 0 d 1 � V /— g 5 O La Z xi- C .4LU< JW r S - aX NaX ~ W W W W 4 ' k 000000 d 8 8 a Z 3 I lib ' w v ° z a W fob 1 • J 0 Z U W O PO W o 07 H g O z o p w 1,... N a 3 ^ W OCp O ( 9 aC?� N Z N U U J en u. N z PZg W in W OC L' J q Ltj o U W 1 W > na - oC V p UZ < 0 a 000000 V +. 0 ❑ 5 I z 1 � W a r ° c� 5 55 3 > W t a i is 0 C `a W a r 4 Z w O 0 Z O Q V LLLL. (.. M ❑ 0 0 0'❑ w fa ir V 0 W = N ti! W u. Z y O M t o x x O 0 O w M1 a Q W a i t-, -4 O w Z_xxzZ 0 °' a € a u. W 6 Z o t rn 4 0 0 a � x w � x N a O w a o o -%- O O z ►- Q 0.2 co a t CU W w x 01:100V1,0 Ai W W W II. a ra IL x __... MI Illi Mb wW D y , V W 141 5 � O a O g ° a aC u. _ ti O • z H . 1 t► I CO v a OI OZ O p w H r • a W � � (7 = W y 0 V L J W n. 0 Ca Z x 5 J_ 2 v a u� o a q OW a ILI W Z o0 a. N Z� 0 3 � , � � v W c .. O u. u. u. ? Ui co O . — H 0Z a 0 a s 000000 0- N ❑ '❑ s I f noo CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE / 9. /3 AND UTILITY CONNECTION PERMIT x 40/NESolt* t. White File Pink City PERMIT NO . / 3 �j 2 1 3 Yellow Applicant v f (Please type or print and sign at bottom) ADDRESS ZONING (office use) 3g o ('r ( 490 i L4 pop LEGAL DESCRIPTION (office use only) L BLOCK ADDITION AMA r A LOT C � .a— � ��� �� Vl� � 2 ,5- ¢5S. 00f; ip .,- OWNER (Name) (Phone) (Address) l BUILDER K. � /,, (Company Name) K. ' / (Phone) ` - , V 00 0 (Contact Name) fro - D "- " ( one) � - � - C)O (Address) l D-r� F ¥4 r i / I J ) S3 TYPE OF WORajjew Construction ['Deck ['Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ['Addition ['Alteration ['Utility Connection CODE.R.C. ❑I.B.C. ❑ Misc. 11 Type of Construction: I II III IV V A B PROJECT COST /VALUE $ 43 0 0 D Occupancy Group: A B E F HI MR S U 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 official can revoke is permit for t cause Furthermore, 1 hereby agree that the city official or a des nee may enter upon the property to perform needed to ions. Signature • Contractor's License No. Date Permit Valuation Z' 2-, O 0 ©, -- Park Support Fee # $ Permit Fee $ ` - 1 2 - , S SAC # $ 2-4.3---, Plan Check Fee $ I (2 ( • 5-5 Water Meter Size 5/8'69; $ cc IC_ State Surcharge $ 0 CO . — Pressure Reducer $ ( ©, Penalty $ Sewer /Water Connection Fee # $ 15 - 1 9 0 Plumbing Permit Fee $ S • Water Tower Fee # $ \ 6 p 0 - Mechanical Permit Fee $ 5 t , s t) Builder's Deposit $ l 5 - 0 0 - , Sewer & Water Permit Fee $ 5 7 Other $ Gas Fireplace Permit Fee I $ t k ,S C) TOTAL DUE $ i O 55 S . OS 1 This Ap cation ect - mes tut Building Permit When Approv ■ Paid Recei t No. 62E /te t2 Date ,i J By � I ( z 3 / 3 G Building Official ---- ` ► e This is to certify th he req esv� t } bove application and accompanying doe ents is i accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by th ity l: f in j�o ut ss a temporary Certificate of Zoning c)t i+ance nd allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued - (���/ 1 1 <,,:, f,Y r ^ / 2 , - — -- 'l / tiig+�rrrtrca _ Special Conditions, if any 24 hour- for alt ttiapecuvua (952) 447- 9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 Residential Building Permit Checklist New Construction for Single or Two - family Dwellings in R- or R -2 Districts Reviewed by: Date: k (3 ( i 3 Building Permit # P10: ' Zoning: Address: .31a, - f, -IDA.5-5 Legal: L , B Subdivision: I Existing Structure? YES I Existing Nonconforming Structure? YES I NO CONFORMS TO ZONING NO ORDINANCE Yard Setbacks: NA I FAILS/ COUP IES Standard Proposed • Front Yard (can be 20' if avg. w/in 150') 25 ' _ 25. S 1 • Side Yards -10 -/ • 5 A 25' if abutting a street 1 t •Z • 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 x. • Z • 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' I Floor Area Ratio: NA / FAILS 1 CO 1 .30 Maximum I P") D I Yard Encroachments: NA / FAILS / COPLIES 1 Standard Proposed Eaves and Gutters no more than 2 feet in width and no ,, , , . Mechanic. closer than 5 feet to a lot line Easements . - C'offi and Other NC and other equipment cannot encroach on interio < II f . 3 L S ELIMO ' '4 " 'iT,TA is I t :401` `f.' l EFL .:, side yards. rzifie Yard Setbeem Tree Preservation: NA / FAILS / COMPLIES I Standard I Proposed • Total caliper inches • Permit 35% Removal • Caliper Inches Re oved • Caliper'Inches etiserved • Replacem nV %:1 L :ITEMPLATE\BLDGLIST.DOC / I Driveway: NA / FAILS / C P S Standard Proposed • Maximum width at prope y line 24' Z 4 ' • Required setback 5' from side lot line or t 30' from r -o -w on corner lots l. • Maximum slope . 10% 65 ,7 • All parking areas to be paved including R -V or spaces adjacent to the garage • Location to match subdivision grading plan - �4..s& Building Height: NA / FAILS / CO S 35' Maximum �> is Shoreland Distr t: NA / FAILS / C O IES . Standard Proposed 'nimum lot area quare feet) w 7,500 Rip, 7,999 Non -rip inimum lot width 50' Rip, 57.3' Non -rip horeland alterations /Impervious surface 30% Maximum 1 " .� Bluff in Shoreland49f FAILS / COMPLIES Standard Pro p osed • Setback from top of ' p 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 / FAILS / COMPLIES Standard Proposed • 100 ye ' 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 9119/90- 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: Ik / FAILS / COMPLIES Standard Proposed • Size i 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 :ITEMPLATE\BLDGLIST.DOC .. < „ :r -i"^. 'Ya+e - f . - - -Jn+« ..,nb• a '... - sx. ( g f \ try White - Building yr �� Canary - Engineering NNES� Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT l (- /' L / ` %' / ' - , ' / 7 / (. APPLICATION RECEIVED r f' • The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ( C / r ; -; / L / (/ /v/ / 4• Li Ia....., 1 , , Accepted i7 Accepted With Corrections Denied / k Reviewed By: /, Date: / E A Comments: • 3 . ,..4.- mi , v t , : ,Ii 1733 , • r dill rra: a . Bide'' th "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." �....�: I _ _ - - -- -- 04 PRIp� (c3 trf White - Building yl �P Canary - Engineering NNESO Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT / ,VL ALO MA7gs APPLICATION RECEIVED 1- / . /3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .3706. 7 Pa/ Ari co /fl Accepted ✓ Accepted With Corrections Denied Reviewed By: /'�c / Date: I / Comments: - 6 s/ 4/ 4c„,_ "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." 04 PRIp e tri White - Building MINNES��P Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /c,' l- /' Al LI /- /C/ / -- APPLICATION RECEIVED / (//- . 1' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which f is / proposed at: c7 j J 0 - f 7 -. / / { L._ . 7 - ( L (../ / -/ . r ! v til/ 1 1 . *Accepted k Accepted With Corrections Denied nn Reviewed By: 441B Date: 1 ' �3_ 13 Comments: See Reverse Side for Additional Information! See Attachments: 1) Grading Plan, 2) Erosion Control Standards "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." AbbITIONAL FOR BUILbIN & PERMIT APPLICATIONS 9 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. The rock construction entrance must be installed at the time of - siackf.illing of the foundation. • • • • • • • • • • 6:\Admin \dept info \AbbITIONAL COMMENTS FOR BUILDING PERMIT APPI CATIONS.doc CSC., ( O4 _ Builders Deposit Sa z City of Prior Lake A $1,500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposit is issued as security to insure compliance for a Final Occupancy Permit. (It is not an escrow account.) Ali' exterior items including but not limited to grading, sodding, Landscaping, tree planting, driveways, siding and painting shall be completed 180 days after the date the building permit is issued. If the work is not complete within the 180 day time period, the City shall notify the applicant of the violation and the applicant shall have 10 days to comply or the $1,500.00 builders deposit will be forfeited and the applicant will be billed for clean up or corrective work to rectify the situation. A $500.00 Tree Deposit may also be required and will be refunded if specified trees are preserved for a period of one year. By signing this i, the undersigned contractor, acknowledge that 1 am aware of the erosion control requirements of the City of Prior Lake as outlined in the Erosion Control Measures for Building Contractors handout. DATE: P� JS SITE ADDRESS: 3210 7Z 1 6 r \7t` '3jjiJ4 PERMIT# l3 °3S REFUND TO BE MAILED TO: f 1,4 sue' / ' _ 1, PLEASE REMEMBER l l )5b 0, 0 0 il Lynda S. Allen, Bu ding Services Amount 1. KEEP STREETS CLEAN DURING CONSTRUCTION 7_ - (' Acct.801.20204 2. KEEP EROSION CONTROL IN PLACE Date 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR $500.00 WILL BE FORFEITED SIGNATURE: I/I94j 1�L�;wjj'j o ... " °r.:.'s. ;%.# �°-�}§ tir 3s.. --;�zt .,.:s #a"'°'. €d...,a... , �a, €: ^WaaFt" "`'r - •;; {n ^�.a�t ;sa€- ice° .<3`'^ .3.f ..... -..,,. . ,s{ , ,€ +:.; ^" si_.....'w»k S` ' .; i:` ..*:.s: C .n. �.c.. '�t .'"` F.,',�`" >.�� =� sx ®• s, • TM$! ".x €:,'��„ :..�k, �� " "'�����;~w, ?'�„f"���. get i F . R • ` �:. ° :, 2 '^ , ma ^E > . t " a €' °.#' • • — IN . „ ,lad �.. t + z,... Y i .��''*°" � �' �.. �,� � f "'"t�F�' � €. C �'t ,�� T r „f,"` '� '+i'^ ;°., t i x 1 c #�"�a �''" � �L, :. �'�'xta �;� S 5 ""i"'`� " € „C�:, � `� d r y 1 1"" ��' .�'� °s3 � > �' £ � .`. a. 'r xy � .. $ k i � , ��x a �..' = a }.; ,3 � <:,M< w. .'� -r'i � ,s {�'�" r a��� aFre.� � x,":ai'a� 3 b €�"` �g . * €`. k wEss �- �.' :' � + • - ,.�'��..� „ ''ks - --' � "��',1 # a� „ .� ,,�„�a ,, .�5�' ��s,t � ,^�°- _^, : . <� „ � �.1'* 3 �' �'� trs , .�c c k ,Z a �r ». »� 3 � 1 �� � r SJ:�° .�#,�s's�°Y�_`- `„'�'�.�', =� Y F >. "Pr 'S3�'3'� �� ' u *{.... s si f .§ .. ' a� zY -��- -- R 1 0 t y + �e ���'k # ^.� � _. # x.� '`� <Y; `C'.",""� f1E �t�k �J iT� X4'9” • � ;�Ng°g a3 ,,..�•�� •p € �� .. .... • .. • �� i ' r. .. ' � ® �... „�4 r rli .M 1 J. 4 <.. �a y "4 r ';t ' -'+4 �. .,k Fkt: li`« & '� :y= "»'. . .. . x: r ze i § ",a+.z u , si 4 < -'T„$ , €€ €_ u .€# r� -�� { 1 d���� � �'� �o0��t � 1 '` • "• ism-. .ErE 1 { �. �1 „>a�,��; � m i.. E` p S � � ¢ ^"Y T " �` zz r - e a"'• -. ' g $ .. o. � ���' 5 tae t 9 ..::. r w'"� ii DDOD L:737n■ ':044 L L5443I:`` 936 L94554u■ THE RYLAND GROUP, INC: RYLAND HOMES TW IN cores ca 1737 City Of Prior Lake 2/20/2013 Building Permit 35025010002.14001.40040 4,123.08 CITY OF PRIOR LAKE Impervious Surface Calculations (To be Submitted with Building Permit Application) For All Properties Located in the Shoreland District (SD). The Maximum Impervious Surface Coverage Permitted in 30 Percent. Property Address 3506 / / (ova [Fe$ P d ua scca vv •',m r,o,v7 Lot ,, yy yy N..Ayy ..y ,yy ySyyEyyEy.TyAByL. E ) J.yy yy yy ,yy ,.yy J.yFyee x yt .y. y3J.0y % = (N.A. SEE TABLE y, y y y .y y ,y J. y ,y y y y {. y y ********** **** T T *'F'F'IF'1I`*** * * **** *** *** * ***TT T T TTT T*FT ********* * TTT *T * ?? LENGTH WIDTH SQ. FEET HOUSE x = x = ATTACHED GARAGE x = TOTAL PRINCIPLE STRUCTURE zz sz 5f DETACHED BLDGS x (Garage/Shed) X TOTAL DETACHED BUILDINGS DRIVEWAY/PAVED AREAS x = (Driveway -paved or not) x da; yetvy, = / ys sc (Sidewalk/Parking Areas) x s.ciewy flC = 3 5 TOTAL PAVED AREAS 70/ 5t--- PATIOS/PORCHES/DECKS x = (Open Decks' /" min. opening between X = boards, with a pervious surface below, are not considered to be impervious) X TOTAL DECKS " "!e % OTHER x = X = TOTAL OTHER TOTAL IMPERVIOUS SURFACE 30 r sF UNDER/OVER ( N.A. — SEE TABLE) Prepared By Pit lh"',4;) Date / - 3 - Company Pioneer Engineerin Phone # 651 - 681 -1914 Lot 4 , Block !, JEFFERS POND JET ADDITION I a 4 rRto, CITY OF PRIOR LAKE Date Rec'd ,� „ez $fi HEATING /AYR CONDITIONING/FIREPLACE PERMIT �i '" VNESOlr 1 ink File 2 Gran co PERMIT NO 3 . --� �/ ,l. ?Ella** AI,$IUIn �+ (Please type or print and sign at bottom) - � �` ADDRESS ZONING office use) 6 Trc- -O Po (0- C 1. LEGAL DESCRIPTION (otiice use only) LOT BLOCK ADDITION PID (Name)) R V a.c'`1VU h CU L et t 1. n , 'A &l1�, # V (Phone) J (Address) APPLICANT /) 51 '9 1 0DD (Name) 'Al � � � �' �... l (Phone) " � � n (Address) aU V U li,U + � l6 t V'n,uk( Nsy t tai I Y �� 1 y� �i t 955 ( r ess) A (City) (Ziipp (Contact Person) , � � - (- (Phone) : 9114 - , its`" I V APPLICANT SIGNATURE i , ` % I � j 11 .1 DATE t AP ICANT PLEASE COMPLETE BELOW Iii EW CONS UCTION ❑REPLACEMENT ❑ ALTERATIONS pit FURNACE MAKE AN a MODEL ,6144,0(2--- 5, C (413) L' FUEL J FLUE SIZE RETURN OPENINGS INPUT ) J 0 OUTPUT DV, V 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. / Air Conditioning 0 Special Devices Mechanical ❑ Radiation Fireplaces with Box Additions or 1 [Vent. System ❑Other Devices Cantilevers to the Outside of Buildings 7 Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial & Multi- Family I% of job cost Residential, Gas Fireplace 549.50 S49.50 minimum Residential, Heating & A/C (New Construction) 5149.50 Residential, Additions & Alterations �� 1Tf Residential, Healing Only (New Construction) 564,50 Residential, AC Only ��,�Oy ESU LD G PERf4rT � Estimated Cost S >_ ;0% V Building Permit # 'ilie Minnesota Staining § 326B.1411 HEATING PERMIT FEE $ L "St RGI1ARCiy " has been changed I'or one yew. CffCCh Y I' STATE SURCHARGE $ '6' )) -3Br July 1. 21110. until lune 30. 2011. TOTAL PERMIT FEE 5 I e. the minimumsurchnrgc fora "fated fee" permit (Office Use Only) J 1115, beginning July 1.21110 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Bulldine Official Date — 24 hour notice for all inspections (952) 447 -9850, fat (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 4 T' Rip D Rec'd a. ?�, CITY OF PRIOR LAKE PLUMBING PERMIT - I z) A ;::; i, slue z PERMIT NO. (�/ Z Ooid City / � ' 'l /; J � I Mow Applies* �/ V c.� Please a or rtnt and sign at bottom) ADDRESS 1 ZONING Office use) - 3 c 0 — fra- k it -1-- - LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PI[? (Name) l�wcr. cn \lv,t !'�ft Sr `l. r'thl ^ (��4 d E • (Address) APPLICANT ,. : ( � � -__.- (Name) M. 11 1 (Phone) � , - i lil C�l�.� v� Il��rr � � n �� (Address) . L 1' i�' 1,3 t�• mkt �l'� (Address) tCity) (Zip Code) • (Contact Person) s _ '- i , /, { n _ (Phone) � ' + ' 1 `J � i APPLICANT SIGNATURE 1`:!t LQ 4? U'W (. ' ----L'il-V/P1 APPLICANT PLEASE COMPLETE BELOW II uanti T 1 e of Fixture • uant(t T , of Fixture Bath Tub with or without shower 1 Rough -ins I Dishwasher 1 Water Heater 1 Floor Drain Water Softener 3 Lavatory (Bathroom Sink) R Stand Pipe (Washing Machine) _ Laundry Tray (I or 2 compartment sink Sewage Ejector 3 Shower Stall Backflow Assembly j Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler 3 _ 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 it 32611.148 Est $ i�' a5 `' Building Permit # ft A e , S � ` � "SURC11ARGR" has been changed for one P" yr/ f year clTective PLUMBING PERMIT FEE $ 1 11 1. UiL i�� PE MIT July I, 2010. until June 30, 2011. STATE SURCHARGE $ iii. o The minimum surcharge fora "fixed ree" permit TOTAL PERMIT FEE $ G . is $,i_, heglaniog Jul} 1,20/0 — • This Appllcattou Becomes Your Building Permit When Approved Paid Receipt No. Date By Balldhut Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 PRIp�,� Date Rec'd CITY OF PRIOR LAKE 2 _ z-1 r 2 hi SEWER AND WATER PERMIT 4i ji'NES D � P 1 . Greellow en Fil Ci PERMIT NO./ 3-3 2 . Y 3. Gold Applicant t and sign at bottom) ADDRESS ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) (Address) (City) (Zip Code) APP ' T 1 ame) It , _ one) n- Llbt'J,..I 3 SS (Address) q ' (City) (Zip Code) ,�/� ►" 1 ` A— ''L (Phone) • •_ %.► ►- • AM _ _ .-u c 6), -7 -1 APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. El ABC El 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 # SEWER AND WATER PERMIT FEE $ Pill D 61 1 4 STATE SURCHARGE $ .50 t L'19 ' /L TOTAL PERMIT FEE $ Y (Office Use Only) This Applicatio 1 : omes Your Building Permit When Approved Paid Receipt No. Date By Building ► ii al D : to 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 iii. PRIOR L AKE DEPA RTMENT OF BUILDING A AND INSPECTION INSPECTION RECORD SITE ADDRESS '10G --- r P -t c... Erb" C NATURE OF WORK - 'Fl> wC,Hr.J . LC- . No DC-c- ( ce--P 9- USE OF BUILDING •. t ^A-- �-E� F>4•M t-cr 1 ..xo PERMIT NO. t 3 - 3.. DATE ISSUED 1 zW/ 3 CONTRACTOR R.Gt 6S PHONE 15Z -ZZ t - CeC3C:cs3 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE P RMIT IS BY SEPARATE r�E�NT f Ns i-C. } � � DQCUM $ k 'Q t Ai Gc-Aiu NspE E c T `,� '- rtl A T I FOOTING C __ 1 /� 2 �� 1 I I FOUNDATION (Prior to Backfill) J 1 4 ` 2 I PLACE NO CONCRETE UNTIL ABOVE HAS BEE SIGNED tiDvN 7 - 3 1/7/0 , ROUGH - INS SEWER / WATER / SEPTIC :4j �3 FRAMING P ?"14l3 INSULATION y,--‘7/7 ELECTRICAL PLUMBING Y 3/2► �, HEATING (if required) 347/( FIREPLACE GAS LINE AIR TEST rnf4 NVmf, 1? Plic, 1) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I tic)--G-_(. / 'jiY/kT* 1 1 I FIN ALS GRADING (Prior to Sodding) -b—I' BUILDING �-- ) 5 -- / 3 I ELECTRICAL PLUMBING W(,,. i) 4 \ 3 a, HEATING . '17 DO NOT OCCUPY UNTIL ABOVE HA 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