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Building Permit 13. 0228
t Yf � yf ' %� N4� ;',A.,, N ' : � � �.II t 11 :. If��.. _. I k ��n f y � ti Y i �� - �. �A a � � ._ �: i, �N i � 0'r �'Y.Y� �Y ° _ a y Y 4 ^ ^ { Ff h £ , N � � YI °. d a y � ■ � '{'� 9 ^ � � � n � ��, ��ry � ,rrtifiratt of "_ F PRIOR LAKE C ITY � r � � � �� ������ _ 'K;,,‘;‘,•:11 - rat xn M v Pntt 9 , O . Ex Tre Permitted ❑ Conditional C • p � ' _ [� Final Perm u irements of Section 110 of the 0 Residential l ❑ Inter ursuant to the req Nance with the various This Certificate issued pursuant issuance this structure was in comp following: ,".Y Code certifying that at the time of building construction or use. For the ,, Building r egulating 13 = - ordinances of the City of Prior Lake reg Bldg Permit No. r r hi (; t" , � NI t 5 �� Zoning District , _ Use Classification O.7 T Construction cc Occupancy TYPe r r M i ! ^ r N - 1) P' i a 1 1 f S ',1 G Tl �l l f.., A la- Legal Description Site Address t� n? i� Owner of Building n _ �, �� Contractor's Name & A d ess �r i ITC i t T 1 v 1 ; ' ' City Planner '; . s Bu ilding Official Date: e7 ■ ' T IN CON SPICUOUS PLACE kh "" ' ,ti � „ s n u mu �� w� r a v Date POST � ti � � � �' � i i n �, titi � �r� wti ^ � � 1 111 IS � � y 1 � M ABU "� "RK � x . �{ ! � } A O o 0 - o o / R 2 2 7 . 0 2 0 0oO X g �"� $ g 2n v � � / k C rn c ∎ c0 m m 2 2 $ $� n■ m . 1. Z ii K \ $ 2 7 2 _4 17 ■ 7 � 0 0 ` 2 m 0- � 0 r- \ 7 2 17 12 % \ . M m ® m q A 2 arr. 2 $ . § 000000 '1 ? m - ■�■ Zi \ £ 0 §� $mr" i 2m0 c Cn $ 6 k 17$M §x§ 0 2 § ` � I § §§ 2 n 2 _ r" -*I K 7 ` m z 0 ■ o m / r-§§ J "7 r- a 0 � § $ z § R. $ K 00 0000 ) › o��n \ / k�� 2 § A \\; �mm zm a " C -1 -I r o PI YN ƒ 0 000000 -0 o > En 0 0 A 0 72 0 72 0 0 �z © m O pj m It, 2 s 2 »c m m M O -9 t � � k -1 c � k �k 0 p o73 \k n � �k �� » z § ■ \ 0 > 0 z :.4 m § 7:1 r § a -I 0 M % 72 0 0 Z xi mm ❑00000 o - z 0 0 . mr »mr IC | z ? 0c .. § 2/ 2 m �§ ■ g7§ m 0 1 0 zzzz -z 7 z ♦ z 2 2 / r m 0 0 %§ 0 F. co z A A c / # m 1 -mm P ij 1 C3 _ xl m < . ` § m n E § O ooee » z ��n§ 1 o < rmwm 2 $ n ��_ m mm _ ■ - r 0 , 0 0 0 000000 , 0 a E. 0 A \ J ^ § . 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' 1 O _■ -n - n - 11 0 & 0 ■ k 0 73 M k . . ∎ .2 ��E o § zm § n-n CA 2 M % Z > � 0 0z -4q 2 off • z■ ■� \ k§ \' in 0 z z §§ % 2,1 $q 1. z 0 k tri 0 a z 2 q \ 0 3 m 0 0 0 N Z .0 0 000000 § m m m m .- B m m ,n > g r § § % f ~ �� m p 0 , Q m 0 zzim z■ z _ .a 0 U 0 ( r��§ § § k N m ¥ �� 0 m x m xi z m 0 � m 000000 in v 0 kmME N § % z ����§ N q Ft _ hi 0 k N c z ■ �i 0 n 0 00000 = O >v c220 0 ❑ O u,�+-n O m n a 3 tN 3 P P P Z gj N z a • A 1-1, - Z i s \ V N z C I E I1 z mm t11 0 �, _ \ 33 t 000 23 m X O tt 3'�N 3 � '1 x �., m m ,� - ma m= m O \ n • Z o o ^Zxi=a°z m z s m v ` z 1 e 1 i z , m ti N � 4 g P 2 , V he , \ W � 7C m 1 \' ■ , c n :\ ■� 000000 I 4 5E 73 V) m b x230 t... y o ` R D m m Z ; tn n � � = m * ru CITY �F ?RIOR LAKE BUILDING PERMIT, � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE . AND UTILITY CONNECTION PERMIT Date Reed L Z 4ti kNE&d l P f . tvAita Fik PERMIT 1\ , � /� 2 ttiaL• Cit 1 5 z z s Mean 3 Vettow Appiwant / ✓ C 1 ( type er �tri and Si gn at bottom) ADDRESS ZOIfING (office use) S 24 9 IIMFTPL tOMl Ve S it/ , l LEGAL DESCRIPTION (office use only) LOT 7 BLOCK 2- ADDITION /f AtPL OE 6 L G-/✓ I'M A'D / PID Z5 ` f 7 _ (e. C I 2. OWNER (Name) (Phone) (Address) BUILDER (Company Name) D.R.HORTON, INC 952 - 985 -7272 (Phone) (Contact Norm) Brooke Hareid bmhareid @drhorton.com (P e 952- 985 -7806 (Address) 20860 Kenbridge Court, Lakeville, MN 55044 TYPE OF WOE li l N Construct(en OVect DPoreh Elff6Rttaiing (J - its; ElLtexter Level Finish Ea F €teplasse DAMS autetation Outilftyy Connection CODE: inLR.C. 01,E,C. 0 misc. Type of Conslnwtion: 1 11 III IV V A 13 PROJECT COST/VAT UE $ .3 .--61 } 55,3 Occ pane Gump: A B E P v II I M R S Division: 1 2 3 4 (excluding t trtd) I 1 h tet/ catty that t have to rime ° infornnnon on this application which is to the hest army klwovittrd0 tare and woo- I also clean that t ant the owner fir anniortzed aunt for the above mentioned property and that • all contralto* will confbrttt to all existing state an local laws and Wilt pros in ACWIWIWKW with submiu d plans: 1 anomie that the building ticial Cart revoke this rat , for just cause - t ermore. try agree that the coy Whets ora designee way. enter: upon he propeit to perform annlvdmapectatin . 7 BC605657 3 2 a Cat l tOrs License No. t f ' e Permit Valuation i 6 U ` Park $' Pe e # T — — Permit Pee $ SAC # z4 .3 r .D0 Plan Cheek Pee $ Cow Water lamer Size 5!8"; $ � 590 . State Surcharge $ f Z S c‘D Pressure Reducer $ / 61) 06 Penalty $ Sewer /Water Connection Pee # $ i,4.0 0. Plumbing Permit Fee $ /5 *. Water Tower Pee ## $ , 0 O0. o o Mechanical Permit Fee $ /so* � Builder's Deposit $ w 500 Oa •7 • Sewer & Water Permit Fee ` $ � .57) Other $ L�7 Gas Fireplace Permit Fee $ 54.57) TOTAL DUE 'a, f1;3140 This Air. a�'on p t •rn - .s our luilding Penult A n Ap oved Paid jZ � r /f �' � r ceipt No. �j 9 �1 / a , , Date L 7/ jiy ' � Building 0 Dat 4 This is to certify t he request in he above application arld accompanying docunw is is accordance with the City Zoning Ordinance an document d may proceed as requested This dument when signed by, � City . lan r ` n totes a temporary Certificate of Zoning ca • min. and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued / Punt.. • Ditcetor B ate Special Conditions, if any 4 it • i ofice for all inspections (952} 447-9850. fax (952} 447.4245 4646 Dakota Street Prior Lake, MN 55372 47c1.4 cot, . < ..T 4c9 . ore ob.fs - e. 00.0 015A 00.00 a t (Se •fit, oo, OUs csa Au . -. � . Residential Building Permit Checklist New Construc • for Single or Two- family Dwellings in • or -2 Districts Reviewed by: �' Ar Dat 4 ,, Building Permit # ' I: Zoning: Address: - 2—t 1A, Legal: L , B Subdiv sion: Existing Structure? YES! f . Existing Nonconforming Structure? YES / Ne • CONFORMS TO ZONING NO ORDINANCE • 1 Yard Setbacks: s / Y : r NA /FAILS / C � PL - Standard Proposed • Front Yard (can be 20' if aye . w /in 150') 25' 7. c . ' • Side Yards 107 25' if abutting a street 2 (c. . 7 c 15"•II • Sidewall exceeding 60' requires additional side 2" 10' setback + setback for every 1' over 60' in length. Not required 2 '71' over 60' if building wall is 10' -0" or greater of being parallel to a side lot line. • Rear Yard 25' - 7 • 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' (itsi. - - i eo--F I`C x. I Floor Area Ratio: NA / FAILS lc .30 Maximum 1 t 0 7 I Yard Encroachments: / FAILS /COMPLIES Standard 1 Proposed Eaves and Gutters no m e 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. �1 Tree Preservation. Nirl FAILS / COMPLIES 1 Standard Proposed • Total caliper 1 h is • Permit 35% Removal • Caliper Inches Re oved • • Cali,par Inches P served • R6lac t % :1 L : \TEMELkTE1BLD GLIST.D O C / Driveway: NA 1 FAILS I CO • Standard Proposed I • Maximum width at prop: ► - 24' "Z_ if i • Required setback 5' from side lot line or k 1 1 30' from r -o -w on comer lots • Maximum slope . 10% Z- , 8 • All parking areas to be paved including R-V or . spaces adjacent to the garage -- • Location to match subdivision grading plan_ I Building Height: NA/ FAILS 1 PLIES 35 Maximum Zo Shoreland District: I FA IL 1 COMPLIES , Standard Proposed • Minimum lot area (s 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 Shorelan A FAILS/COMPLIES Standard Proposed • Setback from f 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 i 1 FAILS 1 COMPLIES Standard Proposed • 100 y: : 'ood 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: / FAILS 1 COMPLIES Standard 1 Proposed • Size 1000 sq.ft. or 30% rear yard • Not located in front rd (Materials) • Side yard and rear yard setbacks 10' • Maximum height 15' • Materials compatible with principle structure L:ITEMPLATB\BLDGLIST.DOC U t White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT D AtorZ Al APPLICATION RECEIVED 3 . Z 2 - • /3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 321? rinp i Jo/ lie Accepted cepte With Corrections Denied / I Reviewed By: 41 Date: ,t� 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." 0 ( 4 FRIo 4 V � White - Building MINNESo Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT -' - R ' i APPLICATION RECEIVED . • The Building, Engineering, and Planning Departments have reviewed the build permit application for construction activity which is proposed at / / ■ Accepted 1/ epte With Corrections Denied ./ • Reviewed By: /C� Date: Comments: Pit "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� PRj U ny White - Building " Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT l'' / ` k. 7z, / APPLICATION RECEIVED 3 . z 2- . 13 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: �- / 7 / A l P (-6 . 1/4._)'/ t/% Accepted Accepted With Corrections Denied Reviewed By Date: 9' 5' / ✓ Comments: See Reverse Side for Additional Information! 2 1Z i /rA/7/� /ht T % /-' 7M). / 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." , okt Builders Deposit .. . , ..4 4 city of pilot 1.airlit OPO /1 or* tOlristire obraplfonoe for a gli plimit 1 eiccierot ts IsS as 4" di ' tattdageofttg, free bat In it* - -----‘' - —t tne.°. lame le * B - decnit Woad to , graffIng t ebld I .. Fl eb , Ot tlt 44e sitaff iltw ' A mp i eted tso tilias after tglletial' b 0 — tturszltite,; but not e•bitifding tbo pe 16 10 two, it Stalft4aOr comply tkn to Ot ob PtitritIntedi* siding MI d the '4 t7ito ltlialf floaf th f ft lleant llt th t 44441114/1 " veworft to- tebtftythe sitUation NvItttiti 180 day Illne a I i al be ct tort totetand the I >for ctowt up or applicant Vidi be batell , I t fair a pogiod otott Yob& 1 but Tro t o d ti ts ep 4 ors may w atbObwoexottrettruto offithe refunded ftsiteadieditoteitatO Preselve DATE: i 3 z2. te D g-IV 6 '5A stre Aixolitios—.. ,2.,/ 7 iv , 412 . PERMIT # Attn: jADA 6ge WA LOT ,—,... D.R. Horton, Inc FtetPUNDItt EIE mitiLeo tv,... ,-; fyp,;rflf4 ‘,,‘" r*,'", . 20860 Kenbridge Court Suite 100 It MN 5544 Lakevi e, M if 2 6p L 50 c _..ynda S. All n, Building Services Amount I .___/ 2,_,..:2_ _i_3 Acct. 801.20204 Date . 4_.------ FIGETS OLEAOtt01,0-474141STRU011444 LAR bPPLER, CITY ENGINEER 2. KEEP EROSION' COUTROAVI PL ACE 3 iempORAftif *1 0. ., ; . , PERIIIJT "War bicti M 01 $S 00,00 V 114 Be °OW EI VEM- ' or . - i ' ■ , . ....,. .. .- 7 ; P ' * i. „e "*: ,i...•, ' 1, 4 1-. ,. , 01", , c,.4. - 4 , .' -.. . ,- --,, ' _ -,-. , : , . , ; , ,_ _,, ‘ . ,.. ,_: _ , L1 . .-;: - ,,..,.., # -;,,T 4 , , , ,, ' L, o4 , 4 , '1 ,. *: ', '''' ' ''',- ,- ' '.- ' _„_," '-, -, " „,.: , 'i • '‘'' '''''' ' ,' '' 1 ,11-.--$`. , ' ^ - s- 4. ' 4 ' ''' 5 r' ' ' A i" r (''t,4 • -*-1:-,...,. ',...,;, 1 k Ott' t'll, ' --1 .C,-' '..'"- '''' = % " 3 • ' ' r jco ' 1 , yr 4' \ o ''k'C /^ tO ',4•41;, ,t"4 ::,• , k ; ''' ii• .,' !,^'• -' - ' ', k ^ ' - ' , , ! 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' ;* '., . .' p■.;.*■ x 0- 4. ' ,-, ' ,..5.., „;::Ji- --- .`..7.-1::-',., ,..-,,,,,:•`,, ,::.;::, - 4i '...1-.; - 'L. - z- „._v ,,, - ,' 4 .1■Ir ■ . 21 N ,,,, - 44,44,4 1 4•A q 4 'Z' .41' , ,, ., ' '.., ' ', .,,',4 , , KE (PERMITS) %4' ..s.rM1-_- # 1 1 L /4 4 , cITY OF PRIOR LA -- STREET SE 4 - •17' '.-4,•'' ., _. - >•r• <„ 4 - " ,;•,..4,,, 4646 DAKOTA ''' 'r R LAKE MN 55 PRIO , „._,-_, -, „ ,r7;5. ?;.,i;l i i t i t -,3,14, 14 , ( - ::" 1 ''':1:::'-`,.: 1 ! - ;::::. -:1 z. ' - .-=• - - - A :•-' ,,, ,i 4 .: ,•4 P, , ,447,16, , ,, , 0 . , 1,10,,,,(,;:c , .2.,1°1 „,1::,;4„,1,,z,,,- ,t,, •-., . ''''',*'-,.----• , t; ^ ,,4i4k.',fris ,,P,°;74"; .''' 6 ? 6 iii . ; LL- ......!.± ......... . a 3 9 ci 0 3 1 L L 2 ?Bal. 3 L- 8409111 1 :° 6 11000 50 APR -21 -2013 15:52 FROM: STAR PLUMBING AND EX 19528847468 TO:9524474245 P. 1 Q' tut0 Date Rec'd CITY OF PRIOR LAIC SEWER AND WATER PERMIT 'rrns' L w NO. 4101,11.1161t 1114111114.0060/0 1 ZONR410 won ego • 3A /9 itttiAZeL, 1 LEGAL DB8CR N icea.eoal* LOT BLOCJC ADD1TLON PID . (Aditese 6307) MP Oa* A g (Addresa) -0 ' ! 0 / COP (Comm Pa 6l2—I 3 • • APPLCANTM , ; e WV APPLICANT PLEASE COMPLETE BELOW Siva of water service / " inches. Location of any couplings from strudire feet. Type of s pipe. (] ABC PVC ❑ Cast Iron Minuted length of sewer line KV Clean out (if required) located at feet i FEE SCHEDULE Residential sewer'sad afar line man $51.30 ledoiniel, Caul & ofjob volt *151.50 Sewer connection only $25.50 Water centwetion only $25.50 Estimated Cost $ BuIiding Peanit 0 SEWER AND WATER PERMIT FEE $ STATE SURCHARGE s WITH TOTAL PERMIT FEZ BUILDING PERm1'r use Ibis Appnendon Becomes Your Bulldog Perna When Approved Paid Meeks No. Nos By s.ls�e Offiefil Dote 24 hour nodes Br ell Inspections env 44741111, sex (0111) 44 4644 1 Street AX., Prior Ulm idiraete Sf72 •C1 4 • i 1.100 o 4' tt i 1.4 Q 4 livrizscit t ` ( Date Reed CITY OF PRIOR LAKE PLUMBING PERMIT I. Mlle File 2 Gold City 1 PERMIT NO.1 Z20 3. Yal low Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 3 2 - 1 g Vl .....kovL, 5\t\I LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PM OWNER (Name) (Phone) (Address) APPLICANr , A ...- j ki 1*, (Name) .,._.) CM V I V 1 4.9 6 - (Phone) I to 2- ) - 2-E) 5 .4-7 5(g (Address) (Address) (City) (Zip Code) .--- (Contact Person) ...—.._ , t., (Phone) 11,05 - 2.5 - 1- 1 1 V St .,,,, APPLICANT SIGNATURE ouat (AkAtt-,4/" DATE 4- 21,- / APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher Water Heater Floor Drain Water Softener Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stoll Baekflow Assembly Sinks Backflow Assembly Test , Bar Sink Lawn Sprinkler Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi-family 1% ofjob cost with a $49.50 minimum Residential, New One & Two-Family $149.50 Residential, Additions & Alterations $49,50 Estimated Cost $ Building Permit # PLUMBING PERMIT FEB $ PAID WITH STATE SURCHARGE $ •50BUILDING PFRA4IT TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. 24 hour notice for ail inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 ^ _~ - 0,01 * -.- ~ � � i i 4 TRjo, CITY OF PRIOR LAKE Date Rec'd • O , "c, • IN HEATING /AIR CONDITIONING/FIREPLACE PERMIT y r •PERMI NO f N1VES�� 1. rink File 1. the vim � � � ' OF (Please t]pe or print aid sign at bottom} 3. Yellow AFprnnt ADDRESS ZONING (ott'ic�e use) 2.19 Mp t bV S►N TYi Lm LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID — • OWNER `� t� O r)� rl (Phone) 6 152- 96-72-72. • (Address) 205(90 Keri bridle e+ *OD I hii le, �k 55 i APPLICANT ^ (Name) �i aside Yea ea k V 7 q A l' r x (Phone) lO51 1055 ✓5 - 2 . 569/ . (Address) 2100 Falk Vie VU 1We kJ goS-e t.X tit, , An kJ 55 11'3 { (Address) (Zip Code) (Contact Person) Leah t erY1ei 4 ' � (Phone) t o51- (i3 B- V - ';I2 . APPLICANT SIGNATURE �i0A DATE 1/ 06/ l Z APPLICANT PLEASE COMPLETE BELOW DNEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS • FURNACE MAKE AND MODEL FUEL FLUB SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT • (]rm Air Plants StSteam PLEASE NOTE: Air Conditioner Wa El Units and Fireplaces Cannot Encroach anical ❑ Hot Water into Required Side Yard Setbacks. 0 Radiation ❑Air Conditioning ❑ Special Devices Fireplaces with Box Additions or °Vent. System 0 Other Devices Cantilevers to the Outside of Buildings ST TI.[ I P I - - Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial & Multi - Family I% of Job cost Residential, Gas Fireplace • $49.50 $49,50 minimum _ Residential, Heating & A/C (New Consuuction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64,50 Residential, AC Only $49.50 Estimated Cost $ Building Permit # The Minnesota Statutes li 3268.148 HEATING PERMIT FEE "SURCHARGE" has been changed for one year effective STATE SURCHARGE $ .50 July 1, 2010, until June 30, 2011. TOTAL PERMIT FEE $ The minlmnrn surchnrge fora "fixed fee" permit (Office Use Only) is S;, beginning July 1, 2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Dike By € BaildiagOfficial Dot v � � 24 hour notice for all inspections (952) 447 -9854, fax (952) 447 -4245 Prt 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 /��7. BSS. o .� ). >RI0� � < CITY OF PRIOR.LA DateRee'd w y BEATING /AIR CONDITIONING/FIREPLACE PERMIT Z3 g lNNEso 'it . 2 . Grce city ci PERMIT NO. 3 a (Please type or print and sign at bottom) 3. Yellow Applicant /3 — 1 ADDRESS `/� ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID ,OWNER (Name) (Phone) (Address) APPLICAN � (Name) Y� PE cv rr (Address) I 3 ?;)5 t i Li 0 YV ) 55'14 `� V w i (Address) 11 ,, (Zip Code) ) (Contact Person) tLivt (Phone) 11.0 5 -LS 3 • 4-1 k f i APPLICANT SIGNATURE �, i„/ 4/1,0094/1,009:7 A0 DAB L 1 � ' ZD 1 d APPLICANT PLEASE COMPLETE BELOW • FURNACE MAKE AN FLUE SIZE TYPE OF SYSTEM ❑ Warm Air Plants ❑Gravity ❑ Mechanical 0Air Conditioning ❑NEW CONSTRUCTION ❑ REPLACEMENT El ALTERATIONS D MODEL FUEL RETURN OPENINGS INPUT OUTPUT HEATING OR POWER PLANT 0 Steam PLEASE NOTE: Air Conditioner ❑ Hot Water Units and Fireplaces Cannot Encroach into Required Side Yard Setbacks. [Vent. System 0 Special Devices Fireplaces with Box Additions or 0 Other Devices Cantilevers to the Outside of Buildings FIREPLACE MAKE AND MODEL Require a Building Permit. FEE SCHEDULE Industrial, , Commercial & Multi-Family 1 /o a of job cost Residential, Gas Fireplace $49.50 Residential,. Heating & A/C $49.50 minimum (New Construction) . $149.50 Residential, Additions & Alterations Residential, Heating Only (New Construction) $64.50 $49.50 Residential, AC Only $49.50 Estimated Cost $ Building Permit # • HEATING PERMIT FEE $ e PAD WITfH STATE SURCHARGE_.. .........$ E ..roi1 PFF M('T (Office Use Only) TOTAL PERMIT FEE $ This Application Becomes Your Building Permit When Approved . Paid , Receipt No. tlniWina Official cia! Date By 24 hour notice for all inspections (952) 447 - 9$50, fax (952) 447 - 4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 P R'O DEPARTMENT BI U LDIG A OF AND INSPECTION C ION INSPECTIO RECORD SITE ADDRESS V t NATURE OF WORK 0 1>c�t� =,, m2--- c,,Ns USE OF BUILDING N6(__,,G Fes , ,,1/4 PERMIT NO. 3 - 2 2 DATE ISSUED i/ / 3 CONTRACTOR `b, Q. , f i PHONE ct -- -is5 - c9 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTION .FLOW THE PPERMIT S BY SEPA DO 1 (g RATE CUMEI iL r ) 1.. �� /W l A A_I 4,J INS l L ATE / �'J t 1 T� FOOTING 1 IN 1 4 J2 c5 I 1 FOUNDATION (Prior to Backfill) 1 lP 474 1 I PLACE NO CONCRETE UNTIL A OVE HAS BEEN SIGNED o .( 61r jr ku ,)u 1' ROUGH - INS, SEWER / WATER / SEPTIC 4P 0,4) , FRAMING , INSULATION - `t J 1 ELECTRICAL PLUMBING 1 t--, , 7.._,,3 1 HEATING (if required) 'b - 11_ f3 FIREPLACE lit jr_, 12-t. , GA = NE AIR JEST Pe lef Z cG,:7 1 I E O W , RK UNTIL ABOVE HAS B . E=EN SIGN I t - Vc,sc,-- 1 :.,', .; -:, - Lezt v ,ii I /,_ )1 - )3 FINALS GRADING (Prior to Sodding) /1-77/ l fi/3 BUILDING EI ECTRICAL PLUMBING /:- !A `I 0e0 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