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HomeMy WebLinkAboutBuilding Permit 13. 0439 .;;.t i. ✓ _., ray .� �._, c. i,.� _ n.: _: r _. .. _ i,.i _. rci�i _. c _. i..i,_ ri�.rr .-,t . fir _, �. ✓.i: iV,Y .. rf� r.nc _., r:�1n , o,i .Ir o 5'i ..,Y�,.i ., i. "�Ir� i 11 �,1Y�,ni � i _:,i . eit (xxtr ' CITY OF PRIOR LAKE '>,-:-._•. ptpurfturit± of !uitbing jlitsiarrfion : -y ; Final Permitted ❑ Conditional C.O. Expires a This Certificate issued pursuant to the requirements of Section 110 of the ❑Residentio/ D Inrnattonal Building Code certifying that at the time of issuance this structure was in compliance with/the various t ordinances of the City of Prior Lake regulating building construction or use. For the following: Use Classification S I NGL F FAMILY Bldg. Permit No. 13-0429 ( VN ' - Occupanc Type R3 Type Construction V !y Zoning District R1 Legal Description L3, Ri, MAPLE GLEN FOURTH ADDITION Y 17781 SUNRAY BOULEVARD SW ' Owner of Building Site Address Contractor's Name & Address 1 i set 1 R OBERT D. HUTCHI NS ! ..,, i% ' City Planner ,K = B ilding Official r ■ . Date: ! 1 /2 7A Date: POST IN CONSPICUOUS PLACE tc \ \ , � i ti p 'V',. a n V V '‘ V F _ tip v ' _' ''` ' N\ J v\ w Z l N _j ` V W V V t , Q LL, L k I (4 o V � U u. 1i X 0 9 re i... ❑0000 ❑ °\ k > ec W o o N u. 0 Z Y Y Z t Y Ca o o p r 0 ci H E. oou.J % o V U V O W z �Y Z LL ` y W N! V w 0 �tJ 0`3 a Ili re Z il o w co Z z pZg J ? W ! �' Y w w J q L \. r) Z a o a. 0000OR0 0 ■ 0 0 c _ 2 � \ c ,� �§v�� (.¥ \ 0 k. -)22§ > 4 ■ B§ 5-a 2 2 « qt § U E�o ® ■ ■ 000000\ \ § o 0 tu x o ■ K \ o • , 6 § §� k �\ § L Z q o ix 0Q� q ( . 0 0§ K X % b It 2 ^ 1-7 k a§ CO • 5 0 a §f& K A z\ k Q©� \ o o e 2 a2E §_a.� \ w w d k 00000 :\ \ < . % k o \ / %\ « ) N ■ 0 IQ w 4 � • 0- o ` u he 0 0 \ /-§ ` S 2 § z \ \ k § g X CL k .c I- q � R S � _ e.m 2 W \. 2 0 § % puj 1U Ce © oS 2 2 0 0 0 0 § O$ § $ 0 u.2 u ■ T. § 0 ■ u o C.) 2 0 a E ' 000 0 . o o O I 1 w 1—" ►- a , Z id t w � z � w N a It o z O u. u. � V 1 ti w Z 6. 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TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 2 i,_ 2- q_ 3 y ) AND U TILITY CONNECTION PERMIT ,..) v , t g 4 " , eiv ivEs i:r 0 " I wmie Fiie 2 pie, Cit I PERMIT NO. /3 3 Witow Applfrant I (Please type or print and sign at bottom) ADDRESS ZONING mince met 1 7 7 i 51.4) r-iW So t4 Le ti.tief) 5/ rE / LEGAL DESCRIPTION (office use only) LOT 3 BLOCK i ADDITION MOLE- 6LEA) Li rid PID 2- 1 - 003 0 OWNER (Name) (Phone) (Address) BUILDER (c ompany m D. R.HORTON, INC (contact Name) Brooke Hareid b (Address) 20860 Kenbridge Court, La ro © N d r h r t 4 o zi n . co m ( ( (Phone ) 952-985-7272 6 TYPE OF WORK 14 New Construction Dteck °Porch riBe-Roofing ORe-Siding Mower Level Finish Ej Fireplae DAddition CIAlteration OUtility Connection CODE: I.R.C. 0 0-1.11.C. El Misc. Type of Constnict: I ft III IV V A B PROJECT COST/VAI-Uli S 6 6 ) I 6= 7 I 1 Occupancy ion Group: A B E F II I M R S U (excluding WA) Division: 1 2 3 4 3 1 hereby certify that 1 have furnished information on this application which is to the best of my knowledge tare and correct. I also certify that I am the owner or authorized agent for the abovethentioned property and thar aft construction vii conform to all existing State and local taws and wilt proceed in accordance with submitted plans. t ant aware that the building 1 official can-revoke this pan* Just cause Eurthermore. I hereby agree that the city official or a designee may enter upon the properly to perform needed inspec ms I BC605657 . 1 X 1 Signally Contraettifs LicenseNo. Da e I Permit Valuation ' ? Park Support Fee # $ -- __ ----_. ,54 0 00 i, _ Permit Fee $ -9 1:-Q 4 . < --, i SAC # $ 2_43 5 0 0 ...., ...., Plan Check - Fee $ / /7 / q 3 8- Water Meter Size 5/1“; l'4; $ —3 VO _ 0 0 State Surcharge $ / eA ' On Pressure Reducer $ /s cfb Penalty $ Sewer/Water Connection Fee it $ /560 _ 60 Plumbing Permit Fee $ /5.4_ ..6-0 Water Tower Pee if $ / 0 0 0 _ U 6 Mechanical Permit Fee $ /3 ---4 , F Builder's Deposit $ 23 6 _ 6 0 Sewer & Water Permit Fee 5 . - .--0 Other $ ---- - .4( -- b 5 (7 Gas Fireplace Permit Fee $ TOTAL DUE . /6: — 4", -r- 5 /4 (ge .. Ziff 411 . • TIi' . r ii. ikon Your Building Penni When Approved # I ■A 7.1. AO\ 6-6- i Paid iggotamin Recei t No A SEWAIIIIII Date TIMENIIIIIIIIIIIIII B ArMLMIIIIIIIIIIIIIIII Beiwinyffiesid ate This is w certify that the request m the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to connence. Before occupancy, a Certificate of Occupancy must bc issued Planning Director Date Special Conditions, it t.. 24 hour notice for all inspections (952) 447 -9850, fax (952) 447-4245 4646 Dakota Street Prior Lake, MN 55372 Residential Building Permit Checklist New Constructs for Single or Two- family Dwellings in R -1 R -2 ' tricts Reviewed by (cd ( "; ' _ Date: Building Permit # / PID: Zoning: . /. Address: j -� i , .,) a ( Legal: L , B Subdivibron: Existing Structure? YES /i . Existing Nonconforming Structure? YES 1 NO • CONFORMS TO ZONING NO ORDINANCE ` Yard Setbacks: NA 1 FAILS/ C P S 1 • Standard I Proposed • Front Yard (can be 20' if a4 w /in 150') 25' 2 • Side Yards 10'/ -Z N. 25' if abutting a street • Sidewall exceeding 60' requires additional side 2" 10' setback + setback for every 1' over 60' in length. Not required 2 11' over 60' if (building wall is 10' -0" or greater of being parallel to a side lot line. • Rear Yard _ 25 ' / • Patio Door: provide for minimum 10' deck or sign 10' side/ statement indicating no deck will be but 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 -w less than 50' Floor Area Ratio: NA 1 FAILS 1 C P ES .30 Maximum 1 ( . Yard Encroachments: A'FAILS /COMPLIES Standard Proposed Eaves and Gutters no ni a 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 Preservation:� , 1 FAILS 1 COMPLIES Standard Proposed I Total calip er i n • • Permit 35% Removal • Caliper inches Re o ved • • Cali l r served • RepiacemenV Y2 :1 L : \TEMBLkTE\BLD GLIST.D O C 1 Driveway: NA / FAILS 1 COM(?J4IE Standard Proposed • Maximum width at prope ine 24' • - • Required setback 5' from side lot line or 30' from r -o -w on comer lots 2z C • Maximum slope • 10% 4,—, • All parking areas to be paved including R -V or s laces ad'acent to the ' era. e • Location to match subdivision grading plan Building Height: NA 1 FAILS / C ' LIES 35' Maximum Z Shoreland District: 4 QFAILS 1 COMPLIES . Standard Proposed Minimum lot area s uare feel p I Minimum lot width • 7,500 Ri , 7,999 Non -ri Shoreland alterations 50' Rip, 57.3' Non -rip Impe rvious surface 30% Maximum Bluff in Shoreland: A) FAILS / COMPLIES Standard Proposed • Setback from to 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 im•actzone No importing /exporting . [ain: • Flood p 1 FA ILS 1 COMPLIES Standard Proposed • 100 ye. elevation 908.9' Prior Lake 914.4' S.rin' 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 feet structure additional foot is not required, • Elevations 15 ft from Must be flood elevation or . higher • Road access must be no more than 2 feet below 907.9' for Prior Lake Re'ulato Flood Protection Elevation 913.4' for Spring Lake Accessory Structure: /hiJ FAILS 1 COMPLIES Standard Proposed • 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 I L:ITEMPLATE\BLD GLIST.D O C d , -.--ssw.,,. twIttft,. : ., ,...::, Bu Deposit • . . . 8 . City o Prior Lake A.:(4,00040 B.0 td s f3aptidt k 00104tirt ffte B.iI( #' Rink* fa , r e e D.0t it to lastte4 iweeeutitY44:11eure. eorepltance for a Fin4l.Qtiettp4#io errnif Of ts not an 000.re e.oeugt ltll a tetttor Imam tne1trdlittg'but• not Muffed toottllag fart aping, tree ptettlteapitrkeksaysi eidiug and patntltlYg Shelf bo cited ItaltlayualteT i L `. t$ Ail aI petftltf issued. L the its 1 complete *glen the. 160 tfayt The pod lte +4 ly ott ft�+`€ 4Moll a€ t . f t #e tit4J tlor► did tit* a ttt Mat ham t0 amorste comply or the $t :o' lu Fdet 44# wJlI.he fOfetteitati*Oleuppikorttadit be bliterlier.cleart ter or correctivoworktosecttlythealtuation. A4tOCiibtlireeDepeeltautralselmogulrailentwIllitareftradtd. If apectila0frea4aterpteservealle.r a p e $ a d o n 1 em DATE : ... .1/* 5 erre MIME' 1221/. "t1,J11 y &_yU Si PERMIT /3 4 Re �a " 1 lL� D.R. Horton, Inc Attn: JAb1 &ge61J WA CDT • 2086 Kenbrid Court Suite 100 Lakeville, 11N 55044 v r 0,, , t . ; ,,.%,,F.,"-,--,:." , F m.. - r1 /,.. s�� s... C6 .,ynda '. Allen, Building Services Amount P� E / 2 D a 2 l3 Acct 801.20204 — may, •1 . 1Cf f S hot N F ?$— • i U T .,-- T2 L-------- 2... KEEP EROSION- WINTROL IN PIAC E Larry opp'ler, City Engineer 3 ; mip0RARY 0 2. , . C IT MUST 14. am` RE: ' . t WILL BE PO ' GN J,,.......... . .. . fi *`."r'�°F„ft,,� "tr % #3: �;t x Sl; ,� t{ � �: �f- .'w»�4'" i:k t- r , t , v c' - i,: z i ,.. 4 . , t -a # J' P•!N a N t : F { aL� 1NI N E A' _ EIIA1 A IA N[ ) BL ACIi; C7 E• AP WI ,F, � � �.l' �� '� Y - tP � � � llv � off � + 4^ �, m ,, F I a 4 ,,, I 1 :,� F�4�� ',�-_ � � s , ,ill I , � ? III p - ., ra I � I ,.I d'. � � * �� _ — a �''- ��� - `�- _= zk $A " ,� s � ir.�N i p i� IIA �i ;l4 II I `I,r s3.. 4it; . , .x—� x II 41 �., I!N Nu i t _ - — y ` 50! 1. >v r ' I. . 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Vi a .�` - '4 THIRTEEN THOUSAND ONE HUNDRED TWENTY EIGHT AND 88/100 * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** r � ` Zr 411 'k N B I h r p � , �, V n 1 I p N a kr -mo b I , P 5 PO a d� tlI ``aadd I II i�iflllul " � II 1 . 5r 19 $ 4 41;hr ^� 1 r I�m 1'"' l unit t�l "O i � „ - - ¢ 4 ' l N r o w� � bll " - e ° � CITY OF PRIOR LAKE (PERMITS) , ' '1., i ,�4 r W,'4 " f ' ,x 4y , , 5 „ ^ Il . 4646 DAKOTA STREET SE PRIOR LAKE MN 55372;P 4 p , V I to nl m — ?�.:�� ,,'� �Y� - ':'SfL.w`r ..J�*t}r ��� Rs�: �t .�", I � '`�.�s. ." c -.� t > ; � g '•��r � ; �S" If '-x � � ".i ��i �" xl a r5 2>f r:;.i 2 �,?e,�� �x 1 t �4 - ><i ros r t ,`. :, c F e i t, 4 4a a fi: � A , , aw 'xt 4 [ x `'��'' {� � ?�i� :�' ,:aE. "^'�3.�rT ; � x�#*. �:.� x �, `�<. ; ? s'xx , ,,� �> ..r ...d. i 41,..9 a .�iu� 'i .t ,:a °t� � �..�- '�i` -e - ; "A 4 u�:`.'ss"t��:��..�� �:ied. �._,...�..�, ..4f � �tsu.,' � .�4 k 11 1:06 LL 2 7aai: 3 29 903 676 611■ O4 PRIO ti c h.l CJ tr1 White - Building "'INNesoc' Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT .4).. ie . / /?)/(. },c ' /' /7( . APPLICATION RECEIVED c " The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /770 / SUf•i /6.4y 7...fL.- /L ) Accepted X Accepted With Corrections Denied Reviewed By: MO Date: - - /3. /3 Comments: SAA 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." .w -r - '? "' ^vao3f:� T' a ,:...,.c x•xe r-:n- w,,..= w :,: - 1+&ar+,.., . » y�er a, +r . - , a^ e ,, .. $_' .+. .rk, r- O� PRI0� fr U trf White - Building �INNESO�� Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT / - _ If'_ / /(,,,,, 7 4 APPLICATION RECEIVED " ' Z C .. / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / / / ,:.)(,, >'../ '�,, , 'L t' /..) 1N/ Accepted Accepted With Corrections ' Denied , Reviewed By: JO Date: s -- �� 73 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." p E ' 0 do PRipU g White - Building yI Canary - Engineering LA NESPink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT D ' N /L. I/ /M/ - ' APPLICATION RECEIVED Z ' 0 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /7701 JOB 13L--VD - t Accepted Accepted With Corrections _< Denied 4 /7 Reviewed By: 0 Date: 6 's Comments: . M. c,I Eras i �. . ! afet) 1 "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, rRlo CITY OF PRIOR LAKE Date Recd • �° ° 1� HEATING/AIR CONDITIONING/FIREPLACE PERMIT ��, /3 I�'NES�SP 1 p ink pile PERMIT NO. 0, 7g 3. Yellow Applicant lease or print and sign at bottom) ADDRESS ZONING (office use) • LEGAI1DESCRIPTION (office use only) /J� / // �y " LOT BLOCK / ADDITION M I, COG°tom / ZI 4/ ?,i PID 45 6 - 3 - OWNER (Name) _ (Phone) (Address) (Name) AN V,L 0 1 a I I 'P (Phone) 1 I " 1 (Name)_ ( � J.1 T - 16- ZZ/D- (Address) I 5 5 A,Q.Gtici&A 019 WI A 5 (Address) (City) (Zip Code) (Contact Person) U/t L V (Phone) 1 7 7 ' 7 - 5 7 3 - 1 4 1 n APPLICANT SIGNATURE //l.i DATE t 0' 11 1 D APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ['Warm Air Plants ❑ Steam PLEASE NOTE: Air Conditioner Units and Fireplaces Cannot Encroach ['Gravity ❑ Hot Water into Required Side Yard Setbacks. ❑ Mechanical ❑ Radiation ['Air Conditioning ❑ Special Devices Fireplaces with Box Additions or [Went. System ❑ Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL 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 # HEATING PERMIT FEE $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (Office Use Only) ��yyq � ` ®p� P A Y1i1 1 H This Application Becomes Your Building Permit When Approved Paid BUiLDI �I 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 1 1 g rRro CITY OF PRIOR LAKE Date Rec'd • c44 ,, , HEATING /AIR CONDITIONING/FIREPLACE PERMIT /D. / /.3 � , Q a rc ,_ _ , c �N�NES 1 Aak T P ERMIT NO 3. Ya A / / (Please Vpe or print and sign at bottom) a• y�llw� Aypnc�t ADDRESS mN � ? ; � ' (uffic us e } u,f\ \ \�6 S� . • LEGAL DDESCIUPTION (office use only) �/ ' - LOT - BLOCK ( ADDITION / yy���� 1 e / - � Zero 7 IL 4• N / (19-003-e) PID A5 ( • (Name) , i"'[ +bfl H o y (Phone) 6152--q6--72,-72_ • (Address) 2Ob (PO Ken bridle Ci - • . *)) take 01 !G !r' SSNLI APPLICANT (Name) 'aside T r ec v /ionic (Phone) 051 ip 55 2 . S(P II . (Address) 21 00 Fa it \e vu /1-Uc, 14 ierse Ui 1 it- / foki 6 / 5 ,, 113 (Address) r ( City) / (Zip Code) (Contact Person) Lea h_th(ier+Mei i iV (Phone) 0 6 - f 3 p - 1 - APPLICANT SIGNATURE DATE . .r J 1 i APPLICANT PLEASE COMPLETE BELOW lEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS • FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT [Warm Air Plants ❑ Steam PLEASE E NOTE: Mr Conditioner Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water into ca Re q red Side Yard Setbacks. el` blechanical ❑ Radiation :Air Conditioning ❑ Special Devices Fireplaces With Box Additions or ❑Vent. System 0 Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL S L— — t. �J .— p\ • 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 549.50 Estimated Cost $ \ � : --- 1 . \ Ll /C) Building Permit # The iviinnesota Statutes # 32611.148 HEATING PERMIT FEE $ "SURCHARGE" has been changed for one year effective STATE SURCHARGE $ .50 July 1, 2010. until June 30, 2011. ` TOTAL PERMIT FEE $ Tat minimum surcharge ror a "fixed Per" permit ( Office Use Only} WITH, i w 5 , ' he��inufng July 1, 20 Ill This Application Becomes Your Building Permit When Approved Paid FA ()1 r , ! l�e emt o. Date By Ralidina Official Date PAID WITH 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -424 p h LD 1 Yes f '4646 Dakota Street S.B., Prior Lake, Minnesota 55372 Il! i Y J f ii PERMIT ' e. I Leer /t 1 & 4Yes I f) e MAY -28 -213 15 :04 FROM: STAR PLUMBING AND EX 19528847468 TO: 9524474245 P.1 Qa0 ,Q x� 1tp Date Rec'd 6 : CITY OF PRIOR LAKE • . S EWER AND WATER PERIVIIT :ruse' i I. Orem File 1 'Maw City PERMIT 1V0. . 3q Mon moor sdat tad els tetSites) / ,Y.o1�1�TCFi (oeAosardl /1 ADDRESS , � � �/, R � S d ....- ._....� LEGAL DESCRIPTION (Cake use 0111* LOT 3 BLOCK 1 ADDI'TIO'N /i pk 6/e l V ,414bA/ PID Ac- yid aa3- d . (Name) 6'. K Alet. (Phone) (Address) ( ►) MP Cadq Wifreg APPLICANT 4: • r y J . , ./ . 40 A al l 3 —694 - - ` 111 9 . (Address) /J11A..., a ;' J 1 1 ' / (C'ky) P •'7 s (Contact P : {Phone) .. ., " -. 0 A. • Mai ' _∎ 7 DATE ''rte!. i APPLICANTZ`TA ,...c .,_ _ i�r 7 _ _ : APPLICANT PLEASE COMPLETE BELOW Size of water service / inches. , Location of any couplings from structure feet. Type of sewer pipe. 0 ABC DI PVC ❑ Cast Iron Estimated length of sewer line AV feet. Clean out if . uired located at feet from structure. FEE SCHEDULE Residential scwc ataiorator lino c onneetion • $51.50 Industrial, C,+om'1 & Mvltl$rnnily 1% ofjob abst^with &M.30 minimum Sower connection only $25.50 Water connection only $2530 Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE $ STATE SURCHARGE $ . ,5 TOTAL PERMIT FEE S coffee Us* OM Thh Applteation Becomes Your Building Permit When Approved Paid Receipt No By Data Wafts octet ° at° N' fD'VV1TH 74 hour notice for *11 ki spect1on t53) 44-9150, fox (982) 4 4846 Dakota Street S. &, Prior Lake, Mama F L U`�Ca �' R p 0 1 PRIO+p Date Rec'd H CITY OF PRIOR LAKE PLUMBING PERMIT I. Blue File 2. sold City PERMIT NO. /3-0//39 _....... [.2__ 3. Yellow Applicant . . — tease fype or print and slit of bottom) ADDRESS ZONING (office use) LEGAL DESCRIPTION (office use only) LOT 3 BLOCK 1 ADDrriON /790e 6/62 i� �%" "S VV /✓ PID a r . r— qq - &23 — OWNER - - (Name) (Phone) (Address) APPLICANTr, (Name) )11,0a.. P)bk tzl. VA' ") (Phone) '-/?,')- 2. ) - 7 . 221, (Address) { '1 .3` 5 '>r) \4,' . IL.Lt1.A . 44 C 1, 1 ?141-4 --h ' 5gL)i.7 (Address) (City) (Zip Code) (Contact Person) 11A.4 r} (Phone) ' '5 APPLICANT SIGNATURE :. 1).a,44, ltZ ( DATE 1 3 '. JCi L.CiI ?) APPLICANT PLEASE COMPLETE BELOW Quantity Type of'Fixture Quantity Type of Fixture Bath Tub with or without shower Rough -ins is iWasher Wat Heater Floor Drain , Water Softener Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall _ Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler 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 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your.Building Permit When Approved Paid Receipt No. 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 PAID WITH tI RUILf; w PERMIT MAY -28 -2013 15:04 FROM :STFI2 PLUMBING FtsD EX 19528847468 TOs9524474245 P.1 pa 4 ._ o Date Recd 61(1) CITY OF PRTOR LAIE SEWER AND WATER PERNIIT L Goo I % ` No PERMIT Na l3 - 194321 anew arrdat est Ike sa. ZONING .o itl7s: i E , 4.' i ..I, . ..... . LEGAL DESCRIPTION (Doke *ore LOT X.00t ADDMCS4 PID fj t OUP Code (Addi $ ) !? /IL �. ; a "' Pt .Y , . ;d.t . L -.'I ,. _ JM, (Contact • • APPLICANT SIGMA r d i lit , :: v _ _ _�__ DATE - 1 APPLICANT PLEASE COMPLETE BELOW Size of water service /' inches. . Location of any couplings ism structure feet. Type of sewer pipe. ❑ ABC aPVC ❑ Cast kon . Estimated length of sewer line ii 49 Clean out if . e , # -. located at feet from structure. FEE SCHEDULE Residential scwcta dwater Sao conneatim - 01.5O Industrial, C©m'l dtMuttt shy I% job eine v L151.30 minimum Sower connection only VS 50 War connection only $25.50 - Estimated Cost $ Wilding Permit P SEWER AND WATER PERMIT FEE t 4I P°*`1 STATE SURCHARGE S TOTAL PERMIT FEE S *AN.- CA (Mae Mr Apps Becomes Your Buildthit Permit When Approved Paid NO. Dale BY Men WWI Date , 24 hoar nodes Ow oil inspection ( 441 -9550, fax (962) 447-4245 4446 Dakota dtreetS.&, Prior Lake, Minnesota 5537U PRIOR LAKE R O BUIL TMENT AND I INSPECTION RECORD SITE ADDRESS (l r 1 Sran ct. � � .�f ` NATURE OF WORK t Jeui Cons by No f tL, Pee4- a2.,fiM L.[„ USE OF BUILDING SF p PERMIT NO. DATE ISSUED g CONTRACTOR b R I4c PHONE INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING FOUNDATION (Prior To Backfill) 05 441 IP _ RADON RETARDER P '� 0 9,- r -; PLACE NO'CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWERNVATER/SEPTIC �? /- / FRAMING _ j�- INSULATION sg, -,) ELECTRICAL PLUMBING 674g i 6 ' HEATING ii* ..il l' /r3 FIREPLACE /e/ $' f..3 GAS LINE AIR TEST </:4 ,e/a RADON Pole - ,Y COVER NO WORK UNTIL THE ,- AS BEEN SI f � I HOUSEWRAP 5LATH I 1 h7 / /3 I ``.. FINALS 4 ". 14.0- -4 r Y / /a 05 GRADING ( PRIOR TO SODDING) /:,� BUILDING ,,,, / " 7, i O W �__ ELECTRICAL 1 ' / PLUMBING g.4 ,„,/,43 ' HEATING N ,,, DO NOT OCCUPY UNTIL AB HAS BEEN SIG D 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