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HomeMy WebLinkAboutBuilding, Heating, Plumbing & Water Permits 13.471 z 301fld Sf10f10IdSNOO NI 1SOd :31ra / / 4 / /'/ :al u i eror gj p 3u K.: zauueid Avg / / SN IH01(1H Q 1J380d S 3 WO H Q N V 1 Ad sso " aureN s,JoloequoD ssaiPPt� axis 8utpimg ;o iaun�p 1 2 (100 IN I Od 1 I ddl I88� NOIlIQQd HIXIS QNOd Sd3d3r 'n ' Zi uoRduosouiegai :: ,:',,: an d 1o,iisIQ 2uiuoz NA uonon.AsuoD odic', � ad,ij,foundnoap 1 i7 0- I .0Ni 71uu0d .$Pig 1&1 I W V 3 3 19 N I S uo as :Bu iMo/ /of • ay zoo a sn Jo uoiyannsuoa 8u p/znq 8uiiv/nXa.� a Jo d fo � a z / ��o sa�uvuipzo snouvn azp Ipiell aauvz /dtiuoa uz svm. arnpnd's' sJzp1 aduvnss? fo azuzi ay; .iv ivz /..8uidfivaa apoj 8u!p /ing t.' /vuo!wuIaluI 0 / /vijuaplsaj ❑ atp fo off uolpaas fo sjuauzaz nbaz dip 01 iuvnsrnd panss? a1va z;.Ja3 szz /,L sa.JTdxg •0•D JLuoUTpUOJ ❑ pa2ITuT.Tad jl?uTj .x. . • HXVZ 2IOIDId JO A1I3 i r I i� I I 1 7 rp r n ', 111f I q ll ,� 1. 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D 0 ymm0 b g v Cvw M 0 > mm Z 4 Pt 0 2 m of PI CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE - 0 ' AND UTILITY CONNECTION PERMIT 5- 4 /4,N 68oK� I White Pile 2. Pink city PERMIT NO. /3 2 . . 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) .R — I —` W 00314 C'ou� -}-- Pap LEGAL DESCRIPTION (office use only) �� ,,� ,� LOT OCK c)-- kDDITION PCinitk & 1�k,.J(X� " PID ?-MV f b 03- O OWNER (Name) (Phone) (Address) a BUILDER �� ✓ry �J` 0 - ' — V 00 y (Company Name) ) ��� (Phone) (� (Contact Name) 1' J WOO '..... 1,� n ' (Phone) (D-Wk" 0 O � (Address) )t� �Y� j/r' V TYPE OF WOR N ew Construction ❑Deck ❑Porch DRe- Roofing DRe- Siding ['Lower Level Finish ❑ Fireplace KART DAlteration ❑Utility Connection CODE:I.R.C. DI.B.C. 0 Misc. Type of Construction: I II III IV V AB PROJECT COST /VALUE $ )30 0 0 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 1 official can revoke this permit for just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections. Signature 4 Contractor's License No. Date a a ..V C) Permit Valuation � 'ipyfl Park Support Fee # $ ,_- --- ThralellaMIlks Perrnit Fee $ l tJ 7 , 5-1. SAC # $ 2z ST � Plan Check Fee $ l!( f j� (� ;� a r Water Meter Size 5/8" $ State Surcharge $ /0 /- Qd Pressure Reducer $ ! SO © 0 Penalty $ ------ -- Sewer /Water Connection Fee # $ / SD 0 4 0 Plumbing Permit Fee $ 7.5 s'Z? Water Tower Fee # $ ` c U . C 0 - Mechanical Permit Fee $ /5q S13 Builder's Deposit $ <-U p . O a Sewer & Water Permit Fee $ S'?.,, 50 Other $ Gas Fireplace Permit Fee $ ¢ S.-0 TOTAL DUE $// g‘S` e:3 This Appli :on Becomes Your Building Permit When Approved Paid 1/, 52 L ' S ceipt No. 6'O c,4--- jo 04. . s-7S- /S' Date j---.3.W Bui s Otficia Date This is to certify that c request in the above application and accompanying docu -nts i in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the t y P anner c lastitutes a temporary Certificate of Zoning co .lian.' and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. AO i ' Planning Director at Special Conditions, if any 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 Construction for Single or Two - family Dwellings in R or R -2 Districts Reviewed by: � Date: 5 fo ( 3 Building Permit # /�' PIA: Zoning: p U J Address: .; 6 G ( riAiG /),-, tr Cr- .. Legal: L , B Subdivision: • • Existing Structure? YES/0 . Existing Nonconforming Structure? YES I NO CO NI=ORMS TO ZONING -. NO O RDINANCE Yard Setbacks: NA I FAILS/ COM L S Standard ' Proposed I ( • Front Yard (can be 20' if avg. in 150') 25' 2 5 ' • Side Yards 4,16$7, -i. 25' if abutting a street 1 . i -o • 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. I' • Rear Yard ( © . ' , 6 �6 • Patio Door; provide for minimum 10' deck or sign ' 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 i less than 50' I Floor Area Ratio: NA 1 FAILS 1 COORS I .30 Maximum 1 Pc- t? I . I Yard Encroachments: 0 FAILS 1COMPLIES 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 Preservation: 4/ FAILS 1 COMPLIES I Standard I Proposed I • Total caliper inches • Permit 35% Removal • Caliper Inches Rerr?oved • • • CalipeIgches P,r4'served • Replacer V %: L : \T MELATE\BLDGLIST.DOC • Driveway: NA I FAILS / COM I S �� Standard Proposed • Maximum width at property line • Required setback 5' from side lot line or 30' from r -o -w on corner lots tzt � O • Maximum slope 10% , • All parking areas to be paved including R -V or spaces adjacent to the garage • • Location to match subdivision grading plan, Building Height: NA 1 FAILS / COMp 35' Maximum pv1/3 Shoreland District: NA 1 FAILS / Cq,1ES , Standard Proposed • Minimum lot area square feet 7,500 Ri •, 7,999 Non -ri • Minimum lot width 50' Rip, 57.3' Non -rip Shoreland alterations Impervious surface 30% Maximum x'41 Lc J2 3 1 Z s o /fre Bluff in Shoreland: NA 1 AILS / COMPLIES Standard Proposed • 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 • 100 year flood elevation 908.9' Prior Lake 914.4' Spring Lake • Lowest floor elevation 909.9' Prior Lake / 915.4' Serino Lake • Proposed lowest floor elevation Must be 1' above flood elevation for new and existing structures. If existing structure was constructed 9119190- 11/22/97 then feet structure additional foot is not required. • Elevations 15 ffi from Must be flood elevation or • hither • 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: NA/ FAILS / 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 L :ITEMPLATEIBLD GLIST.D O C PRIO tt White - Building yl < Canary - Engineering NNES� Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT le/fp A7AtO ,S APPLICATION RECEIVED 5,7_/3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: j SSl L- Pe/ t1 ( ci Accepted Accepted With CorrectionsX Denied 0° / �/ Reviewed By: /_._.. •���_.. Mr` Date: 6 Comments: // 1 . ! 1, ai n (» j P rt e LL "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." ,4 °K :' ?. ^1.0% , rrn ,,,,,f g r p" ,^T..-- „,, , ; - , , ;,-' 7 '+, ' ..»i —, K- +,i4 a-y:”, :f *, .aa,x _ ..,.4,4 ,/, ,--- ,"-"" 'T9P ,Ar- -r (6 White - wilding NNES�� Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT �,', a l /// 'f' 'f �:.: APPLICATION RECEIVED ., '' 1 — The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: r C- Accepted Accepted With Corrections . Denied Reviewed By: 10 Date: > / _ P. ..: 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 4', ordjnances of the jurisdiction shall not be valid." 9h.S'"`...r - -TX T.•..,:.;p�"A.. •'^.'!�,%'°�, ,*Ym:c.:� a ,.._. _,.. .. .a. "...+G,.. . -.: . v..PL .aYan. f ... n .., .. fi .:5, .. i, ... . - - Ov PRIOR ti x U trf White - Building �'<vNSSO�P Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT RA /4 ft, '�`!e)/"r & APPLICATION RECEIVED -7 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 0 'G / / 7 ) � . . , . ' i L... -- /-- ` 00 ic:31 ' Accepted Accepted With Corrections Denied Reviewed By: Date: -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." 0 FRi l Builders Deposit ,NNESOoP City of Prior Lake A $2,500.00 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.) All 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 $2,500.00 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 1, the undersigned contractor, acknowledge that I 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: 4 537.13 SITE ADDRESS: <� f i( ...J 1 PO T (/:.) f i,1 PERMIT # 1 . ' REFUND TO BE MAILED TO: 7 / ri � / /may .- i iq_. j r6r,r1 pka.;r1 e._ in . 3CP-( 2 PLEASE REMEMBER , CI 1. KEEP STREETS CLEAN DURING CONSTRUCTION '" L. 42 2 1 560.00 2. KEEP EROSION CONTROL IN PLACE Lynda S. A en, Building Services Amount 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR $50 r2 " Date ` i3 Acs 801.20204 a. SIGNATURE: !, t % � I Larr opOler, City Engineer { ( C: lUsersldbosley1AppData1LocallMicrosoftlWindows1Temporary Internet Files1 Content .Outlook18K9CDVBUIBUILDERS DEPOSIT FORM.DOC i I VRIO� CITY OF PRIOR LAKE Date Recd OA - 7, tiT Mr HEATING /AIR CONDITIONING /FIREPLACE PERMIT g. gi _ (3 6t,tr kg. eta 4114YhrasO5A t.. Finn Fda PERMIT NO. /3, 4 -1 4 4 . Greco Cil :i Yellow Applicant (Please type or print and sign at bottom) / ' { Y� II ,�� ADDRESS �� �. 1. (� ZONING (office use) � 38 I - To r t ' Wok - , LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (N a ' OWNER AL . t- s (Phone) �`. -G) z z9-6o V (Address) i 9 t3 94ti r -1m'l y ve Eden ikqhe. 1 1t4/J s5 -3iq r' v I j (. AP(NamePLIC) ANT reside P�1e�a r�-77 j- `1�" /1 (6951 LO . J ,- 2 f1(X i j� l Z l� 1 } � ( Phone) ..j ,� (Address) 9D 0 D -Ed/ v e w l -V'L.. O � 3r U[ C ` � / ,it it / / t ' Leah - n (Address) (City) }} / a (Zip � Co e) (Contact Person) L C h LodeKe /eK (Phone)(�D�J / , CPS — 3 a APPLICANT SIGNATURE & �L.,A A / 1' rl DATE 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 PLEASE NOTE: Air Conditioner ❑ Steam Units and Fireplaces Cannot Encroach �Gr rty ❑ Hot Water echanical into Required Side Yard Setbacks. ❑ Radiation Fireplaces with Box Additions or []Air Conditioning ❑ Special Devices p Went. System ❑ Other Devices Cantilevers to the Outside of Buildings \l 3 3rd Require a Building Permit. FIREPLACE MAKE AND MODEL v !j FEE SCHEDULE Industrial, Commercial & Multi - Family I% of cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating & A/C (New Construction) $L49.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64,50 Residential, AC Only $49.50 Estimated Cost $ Building Permit # 'lie Minnesota Statutes * 32611.148 HEATING PERMIT FEE $ "Sl.1RCIIARGI.i" bus been chanted for one year effective STATE SURCHARGE $ .50 .July 1, 2010. until June 30.2011. TOTAL PERMIT FEE $ The minimum surcharge for a "rsrd fee" permit (Office Use Only) is S5, beginning July 1.20111 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date D WITH BuildinaOffleial Date BUILDING P RM T RIYI 1 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 l YRID CI Y OF PRIOR LAKE Date Rec'd o ` y' ' HEATING /AIR C 1 NDITIONING /FIREPLACE PERMIT g. /6f-13 1NrvesocP s1. rink ra, Pae ts PERMIT NO. /� . 4-74 . auq. ).. YotI APPlitanf (Please type or print and sign at bottom) ADDRESS ZONING (office use) 3 1 _"r? t \ '' c r e, COLE ` t -1. , ' . LEGAL DESCR YTION (office use only) LOT BLOCK ADDITION PID (Nam } R a Il (Phone) � qg 2 ) Z Z9 (DV V 0 (Address) - 169q At-J@ r ;tvwe Eden >�Cr(/ le f MW 55-3qq r APPLICANT F) re S' I e /"1 �' 7 � 4� J /6)/fre (&J L05?-25( f (Name) T (Phone) (Address) - 1OD `l' t U/ 'U ® `C_ • f /V ✓ ✓ // (Address) (City) (Zip Co .e) (Contact Person) Leah �...oUeK . . 1 e' - ( Phone) ( OS)) Co - S' / 2- - APPLICANT SIGNATURE ...AP G..l I : i:` / DATE 1, APPLICA T PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPEN GS INPUT OUTPUT TYPE OF SYSTEM HEAT I G OR POWER PLANT ❑Warm Air Plants PLEASE NOTE: Air Conditioner ❑ St am Units and Fireplaces Cannot Encroach DGr ity 0 It, t Water echanical D R. diation into Required Side Yard Setbacks. DAir Conditioning 0 S.ecial Devices Fireplaces with Box Additions or [Went. System ❑ 0 er Devices Cantilevers to the Outside of Buildings FIREPLACE MAKE AND MODEL � Nb V.3 1 Require a Building Permit. — FEE SCHEDULE Industrial, Commercial & Multi - Family 1 of job cost Residential, Gas Fireplace $49.50 $4' .50 minimum Residential, Heating & A/C (New Construction) $t 9.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $6'.50 Residential, AC Only $49.50 Estimated Cost $ Building Permit # The Minnesotn Statutes § 32613.148 HEATING PERMIT PEE $ "StIRCI IARGI.:" has been changed ful one year effective STATE S CHARGE $ .50 Jul) 1.2010, until .1u 30, 20I I. TOTAL P RMIT FEE $ "I he minimum surcharge fora "used fee" permit (Office Use Only) is t3, beginning July 1, 211111 This Application Becomes Your Building Per it When Approved Paid Receipt No. Date /D WI TM WITH Buildine Official date BUILF NG PP RM1T 24 hour notice fo all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dako a Street S.E., Prior Lake, Minnesota 55372 From:Genz-Ryan 952 767 1900 05130/2013 14:54 #338 r.001/OP 1 i ?R1 0 , CITY OF PRIOR LAKE Date Rec'd II:EATING/AIR CONDITIONING/FIREPLACE PERMIT 41 :14vNEse City '. P [PERMIT NO' /,,- 0 4 / 7/ 2, Green 2. Yellow Apolleent (Please type orprint and sign at bottom') ADDRESS _ 1 3 S5 1 TrALI eocAdt (,•-f ZONING oracc Imo 7 ei 6 LEGAL DESCIUPTION (office use only) LOT 'LOCK — ADDII1ON ITse(4,.$ 4)2 d .-Y.L id Ao Al PID 25- Liv-ee3-0 _ OWNER C. (Name) 1 t / if k 4 6i el a 7heieWar7 A . (Phone) (Address) CO( GO ' ik V) dal 4 C14_ APPLICANT °) I 4 4. Ai / I I. _. (Ph= e) 95 — 7(0 . 7 / ()Of) . . (Address) ae()() ik.). 13 Zu/oZiitoMiU .W 3T *7 ( Addretv (City) (Zip Code) ti clyr 73 u l iaird (Contact Person) PI r 1 (Phone) 95/9 76,7 1k.s 9 APPLICANT SIGNATURE ( ig/1,..0‘-eild a- DATE 5 /36// 3 N AP sTR P u Lie lo AN N T PLE P C L O AC M E P M L E ETE BEL_O 0 ALTERATIONS " )11 . 7 FURNACE MAKE ND MODEL Ctur flex -.Gi C...D 6 0(00W FUEL FLUE SIZE RETURN OPENINGS INPUT 55. OUTPUT TYPE OF SYSTEM HEATING OR. POWER PLANT PLEASE NOTE: Air Conditioner OWann Air Plants ri Steam Units and Fireplaces Cannot Encroach III Gravity ' , ifolpftd er into Required Side Yard Setbacks. sit. ur , anieal ning tj Riaiabon Fireplaces with Box Additions or ...Ira, v nditio 0 Special Devices f.. System 0 other Devices --- — Cantilevers to the Outside of Buildings 1 Require a Building Permit. FIREPLACE MAKE Al■ID MODEL FEE SCHEDULE Industrial Commercial & Multi-Family I% ofjob cost Residential, Gas Fireplace S49,50 S49.50 mininsurn Residential, Heating & A/C (New Construction) $t4950 Residential, Additions & Alterations 849.50 Residential. Heating Only (New Construction) $64.50 Residential, AC Only S49.50 - CC> , zktdok Estimated Cost $ I.) I ....) Building Permit # The Minnesoin Statutes § 32611148 "St :R( HARGE" has been changed for one HEATING PERMIT FEE $ year elTective STATE SURCHARGE $ .5Q July 1. 2.011). nal 11 .1 tine ..‘11, 21)11. TOTAL PERMIT FEE $ 1 he neittimum sumhn me (or a "fraltritilijeWIT (Office Use Do)y) li 51, beginning July 1.12111111LJ This Application Becomes Your Building Permit When Approved Paid ReeeiptNo . w w IP ' ' PERMIT Date By Building Official Date • PAI • 24 hour notice for all inspections (952)441-9850, fax (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minamota 55372 BUILD WITH io r:).-...--- _ - From:Genz-Ryan 952 767 1900 05130/2013 14:54 # 338 ivR?O Date Rec'd ' 1 CITY OF PRIOR LAKE PLUMBING PERMIT 4 ". •'.4 1 ''':::- + ikinse . . 2 Gold City 1 8I n ' PERMIT NO. /3, 3 Yellow App limo Meese type or print and sign at bottom) ADDRESS ZONING Office use) 36 1 TraU pO OA fic-F 7)ab LEGAL DESCRIPTION (office use only) 6 4 /1 A . / I.,OT 2-- BLOCK 2- ADD1TIONaCC PaYld 't■ - -- r-r Li cd/V HD g5- el9e-ce3-.0 (Name) ell k -A- c;; M CrWa-iiNt,k (Phone) 1 t , . ,l,/ . (Address) i . I ... , A • 41 •/ 0)1,___ .APPLICANT (Name) CDeJ4 g i 1 Ph AlbL / - 74444) (Phone) 6 )S - -- / - 2 1o()() Ah i/ +1,LU l g UK)/ 80le il iu 5 -,- 3 (Address) ed., ■ _ (Address) (City) (Zip Code) (Contact Person) 1140(1 kr. ..". 00 - loi-r-d , ..._ ( p l oti o 7 b d- 7(071 ' 5 9 .APPLICANT SIGNATURE 12/4 ___...±:" \-4 DATE 5,1 36113 APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture a Bath Tub with or without shower 1 Rough-ins 1 Dishwasher 1 Water Heater _ 1 - Floor Drain Water Softener A, Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink - Sewage Ejector Shower Stall Backflow Assembly 1 , 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 S 149.50 Residential, Additions & Alterations $49.50 The Minne ..c-z...... $ 569-5 sota Stattites f 326fi.lIN Building Permit # "SURCHARGE" has been changed for one year effective PLUMBING PERMIT FEE $ July 1, 2010. until June JO, 2011. STATE SURCHARGE $ .50 The minimum surcharge for a "nxed fee" permit TOTAL PERMIT FEE $ ts SS beginning July 1,2010 — This Application Becomes Your Building Permit When Approved Paid Receipt No. _ BnIldbm Offici Date By al Date PAID WriT1-1 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 13UILDING PFRAIIT 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 (.‹,.. r o ,, ate Rec'd CITY OF PRIOR LAKE c . i `" 4 SEWER AND WATER PERMIT (o. INNESD . Green File PERMIT NO./3 41/ . Gold Applicant . 3. Gold Applicant (Please type or print and sign at bottom) ADDRESS � �� l �,�,Q1 • 41/11/ Or ZONING (orrice use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID ( O V N WNER A4 2 # 6is (Phone) (Address) (Address) (City) (Zip Code) APPLICANT /� S y k / /VG r 4i-/ i/�D' i3r-s- (Name) c%• • I� � G � YsQ��i� G (Phone) 7 (Address) Z9/4 L /0/5 i -T rtN6 S 5 33 / // (Address) (City) (Zip Code) (A (Contact Person) � Cs'a Maiwev• / (Phone) /e "2- 9/9 V34' APPLICANT SIGNATURE air•, _� DATE APPLICANT PLEASE COMPLETE BELOW Size of water service /" inches. Location of any couplings from structu e feet. Type of sewer pipe. ❑ ABC PVC ❑ Cast Iron Estimated length of sewer line eet. 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 $ STATE SURCHARGE $Q M „ ID W[ .�. TOTAL PERMIT FEE $ BUILDING PFRMi T (Office Use Only) 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 , P R I 0 R LA K E DEPARTMENT OF BUILDING AND INSP ECTION INSPECTION RECORD SITE ADDRESS 31g/ 7e9 v/ ■ r c Q v NATURE OF WORK_-6 GL.: LC ; 4 J 0 - USE OF BU I LDI R ` .; _ 4 , a;,,,, y r �,1"/ PERMIT NO. / - ' " DATE ISSUED CONTRACTO 'V h 0 / - PHON' 37 . INSTALL EROSIIITN CONRTOL AND MAINTAIN CLEAN AT ALL TIMES INS PEC R DATE FOOTING Bi /5 r # ,aar- w e la� --1--.9y 7- FOUNDATION (Prior To Backf t 6"--_?- i3 RADON / PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWERNVATER/SEPTIC 9 1:0-3-1? FRAMING p 3 Y _ -L3 INSULATION r 3 ELECTRICAL PLUMBING LA ,(2, , f i, -2 _ 1, 6-17 - f 3 HEATING b -- ( 3 FIREPLACE 6 l '_ - GAS LINE AIR TEST _I Z- -&..N4-1'2 RADON RETAIDER r f'i 6•-D- y- / ° COVER NO WORK UNTIL THE ABOVE HAS B N SIGNED HOUSEWRAP LATH 1 1 I FINALS GRADING ( PRIOR TO SODDING) ( _ Z7 z BU:ILDING'4..02, a 111r i3 ,0,0 8 7/3 A v t / 12L? ELECTRICAL PLUMBING >f!f lA U j,, HEATING `'' �7 DO NOT OCCUPY UNTIL ABOVE HAS BEEN SI NED 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