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Home My WebLink AboutBuilding Permit #11-1284 , . .::. , ; .,::s . , (��i�� a� (��t��r CITY OF PRIOR LAKE ��x��z�� .a� �.ix��Y�� 1z�s��io�� I Final Permitted ❑ Conditional C.O. Expires i � This Certificate issued pursuant to the requirements of Section I10 of the � Residential / � International � Building Code certifying that at the time of issuance� this structure was in compliance �with the various � ordinances of the City of Prior Lake regulating building construction or use. For the following: Use Classification � ��? �-C � �`f t ( �-- � Bldg. Permit No. / /' � Z �T / �a. Occupancy Type Type Gonstrucrion Zoning District (� f� �� Legal Description � � � . [� � � ; �� / t' �(J k.'.,'� r, f'�+ Q � �''�" Owner of Building Site Address �> ' � A�� ( 111C:..��-�� j...)��V� Contractor's Name & Address L..�_ �� • �� L �G.: % ��/�.�, � �•� It_-C.��? �� L-1 {f� 1 t'�/ i i�� City Planner Building Official ' f� Date: r ` - 4 ��y' Date: POST IN CONSPICUOUS PLACE � DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ( � I ADDRESS � � � � �� r/� B � � �2 OWNER CONTR. PHONE NO. PERMIT NO. �, -- 1 L 4 C �T O FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION O SEWER NOOKUP ❑ FIREPLACE FINAL � FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST SITE INSPECTION O MECH FINAL � COMMENTS: ( � �\� � � --- ' �''C7 WORK SATISFACTORY, PROCEED �--�. ❑ CORRECT ACTION AND PROCEED ❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspecto : �"� �,�- � Owner/Contr. CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED S � �Z ADDRESS �� (} � T� r�� r �� OWNER CONTR. PHONE NO. PERMIT NO. �' — ��1 ❑ FOOTING O PLUMBING RI �FJUGRAD/FILLING ❑ FOUNDATION � MECH RI ❑ OMPLAINT O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL O FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST ❑ SITE INSPECTION ❑ MECH FINAL ❑ COMMENTS: i l �/`�� "� ��.� � �.cQ '�-o IC P 4 r �— o �- � � � � WORK SATISFACTORY, PROCEED �CORRECT A N AND PROCEED ❑ CORREC WO K, ALL FOR REINSPECTION BEFORE COVERING Inspector: OwnedContr: CALL 447- 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL KEALTH � SAFETY! lNSNOTI DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED � � (�L. ADDRESS 3' I 8� I t)r'V1SZf �(` OWNER CONTR. PHONE NO. PERMIT NO. (, I �� FOOTING 0 PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION O SEWER HOOKUP � FIREPLACE FINAL 0 FINAL �I PLUMBING FINAL ❑ GASLINE AIR TST ❑ SITE INSPECTION ❑ MECH FINAL ❑ COMMENTS: I . ��, � I�G 5 �,�, �._ Z, Lo w� ��e�-�. �e � � � �..�-� �� C� D l �S�z� - `�o , �� L � �� >� � < <-� � � C C�..� �1_ _ ❑ WORK SATISFACTORY, PROCEED , �CORRECT ACTION AND PROCEED ❑ CORRECT W��tK, CALL FOR REINSPECTION BEFORE COVERING � f\ Inspector. ��} Owner/Contr: ; � CALL 44�-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH � SAFETY! INSNOTI �� YK j�� a,, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd � � TEMPOR.ARY CERTIFICATE OF ZONING COMPLIANCE `'' AND UTILITY CONNECTION PERMIT � �' �' �' � l �'N$5�� '. `""" F '`` PERMIT NO. !� . �/ z. �� c��y � ��`f"'� 3. Yellow Applicant ease or rint and s' at bottom ADDRESS ZONING (otfice use) 8 �`" � � � � =� � U �s.D LEGAL DESCRIPTION (oti'ice use only) LOT�p BLOCK � ADDITION lC � C�� S PID 2S, � ,�Q. (� OWNER (iVame) (Phone) (Address) BUII..DER D.R. Horton, Inc. (Company Name) (Phone) 9 52 '985-7272 (concact 1Vame) Brooke Hareid (Phone) 952'985-7806 (Address) TYPE OF �VORK � New Construction ❑Dedc �potch �Re_Roofing ORe-Siding OLower Levei Finish ❑ Fireplace �Addition �Alteration ❑Utility Connection � CODE: JI.RC. DI.B.C. ❑ Misc: ��.1 ��O 1�. �� _ t Type of Constiuction I II III IV Y A B p^ Occupancy Group; A B E F H I M R S U PROJECT COST/VALUE S�O S� C� `1 I Division: 1 2 3 4 5 (excluding land) I hereby certify that I 6ave furnished infoanat�on � this application which is to the best of my knowledge tiue and mir�oct. I also oe�tifp tliat I am the owna or authorized agent faz the atove- tioned and ' will coaform to all existing state and local laws and will proceed 'w accordance with submitied plans. I am aware that the building o mvoke this per�fo 'ust . Furth I hereby agree that @►e city oflicial or a designee may �ta upon the property to perform needed ' 'o . X � - ��a�lP��7 � , S�� Contractor's License No. Date Permit Valuation — Park Support Fee # $ Perrtut Fee $ -� SAC # � 3 D Plan Check Fee $ Z -' Water Meter Size 5/8"; , � .� �_ State Surcharge $ - Pressure Reducer $ Z S�_ Penalt}� $ Sewer/Water Connection Fee # � l 5 QQ � Plumbing Permit Fee $ � . Sp Water Tower Fee # $ Q �, Mech�nical Permit Fee $ .� Builder's Deposit $ _ Sewer & Water Pemut Fee $ � O�� a � Gas Fireplace Pemut Fee $ ,� TOTAL DiJL �` I � u�tl ,� C;►, l �-UT CJ TLis App ' doa e �a Boilding Permit ApPm Paid - cei t No. l. 2' �+ Date Z B B�ia� ;� ! /1 This is to ceitify that the request in e above application and aa:ompanying documenu u in accoidance with the Gry Zoning (kdinance and may proceed as requested. This docu�nt when signed bY ��Y titu a temporary Ce�tificate of Zoning com ' ce an allows construction W rnmmence. Before occu issued. Pacup, a l'�s�ificate of Occupancy must be Z�j fi� Planning Director Date Special Condidons, if any r tice for atl inspecNons (952) 4A7-9850, faz (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 Residentiai Building Permit Checklist New Construction for Single or Two-family Dwellings in •1 or R- Districts Reviewed by: �1�� . ! Date: � 1 � �,:� � � 1 Building Permit # PID: � Zoning: Address: ._., ' �`' �� -� � - �� ,�� Legal: L , B Subdivision: Existing Structure? YES / NO . Existing Nonconfor ing Structure? YES / NO CONFORMS TO ZONING YES NO ORDINANCE Yard Setbacks: NA 1 FAILSI CO LIES Standard Pro osed • Front Yard can be 20' if av /in 25� �� • Side Yards ,'� 10'/ ? 25' if abutting a street 1`I • Z 5 . 1� � • 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' sidel statement indicatin no deck will be built in the future 25' rear °— • From 100 year flood elevation of wetland/NURP 30' pond. �-- • Refer in- round ools to the Plannin De artment • From OHW (Prior or Spring Lake) 75' or setback average of adjacent structures, but no ,� less than 50' �7� Ftoor Area Ratio: NA 1 FAILS / OM LIES .30 Maximum L Yard Encroachments NA FAI S ICOMPLIES Standard Proposed Eaves and Gutters no ore than 2 feet in width and no closer than 5 feet to a lot line Easements . A/C and other equipme t cannot encroach on interior side ards. Tree Preservation• NA FAILS 1 COMPLIES Standard Pro osed • Total cali er i h • Permit 35% Removal • Cali er Inches Removed • Cali er Inches Preserved • Re lacement '/2:1 L:\TEMPLATE�BLDGLIST.DOC Drivewa : NA 1 FAILS / CO LIE Standard Pro osed • Maximum width at ro e line 24' � • Required setback • 5' from side lot line or i 30' from r-o-w on corner lots �(�`j • Maximum slo e � 10% - � � , • All parking areas to be paved including R-V or s aces ad'acent to the ara e �- • Location to match subdivision radin lan �� Buildin Height: NA / FAILS / PL S 35' Maximum Shoreland District: NA / FAILS / CO L , Standard Pro osed Minimum lot area s uare feet 7,500 Ri , 7,999 Non-ri Minimum lot width 50' Ri , 57.3' Non-ri Shoreland alterations Im ervious surface 30% Maximum p� <? z- z. r �--' ( � Bluff in Shoreland: N I FAILS 1 COMPLIES Standard Pro osed • Setback from top of bluff By planning dept. • Bluff im act zone 20' From Top of Bluff • En ineerin certification submitted/a roved By City Engineer • Gradin in bluff or bluff im act zone No importing/exportin Flood lain: NA / FAILS / COMPLIES Standard Pro osed • 100 year flood elevation 908.9' Prior Lake 914.4' S rin Lake • Lowest floor elevation 909.9' Prior Lake / 915.4' S rin 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 re uired. • Elevations 15 feet from structure Must be flood elevation or hi her • Road access must be no more than 2 feet below 907.9' for Prior Lake Re ulato Flood Protection Elevation 913.4' for S ring Lake Accesso Structure: NA 1 FAILS / COMPLIES Standard Pro osed • Size 1000 sq.ft. or 30% rear yard • Not located in front ard Materials • Side ard and rear ard setbacks 10' , • Maximum hei ht 15' • Materials com atible with rinci le structure L:\TEMPLATE�BLDGLIST.DOC -�'1t� � �',�1� �l� t�� '�*��' ,��.�� Impe�v�ou� ��a°rfa�� eu��i�a�s �Tc� be sut��ni�t�� vvi� bu��di� pe�rm�� tic�n) Fc��r A.1I I�rop�.�ti.�s �ca��l in th� �h��Ia�� i�tri�t �5�� l�ria�imum .��np�a�ic�r�� uurfac� +��vera,�e Pennit�ed is �t# �'er�e�xt P�rYop+er��,d�r,�s 3781 Turner Drive Lt�t� A�'� 17, 716 ��. ft. � 3�°�'`o =_ 5314. 8 �� `�vrn►� s�t�r;�� ` ��:1'SB:: � _ A'�'.�:��► �`°�►RA��' _ � _ _ � : '�T.�iI,: P�1�!`�'� ��T,�`�'�'[7��8 2, 876 �E'I�'�.�� B��L3�'+C�� ...._... __ v __ . � � _ �F _ _ _ C+��.�_ � _ _ � ��.�.a��:�� v�� o . '�3 ��.V� A�F�. �: __ � 831 �:_ �e. _ .. : � � ��- �� c�� 4�� =� ~ � ,. , ��de�w�if�.I��.� �re�s� � — 75 '�'C�'�`� ��."�'� ��]E�.� 906 _ ; . . � :. _ �aA��,�- �'C��'��£��E�� _. � . _ _ _ ... — .196 ��.�..._. �� t��*� o� .� t�a�:� ��, � b+�rc�s, ��a�h a.�s�+�a�s � 1�e��. � —__ � � . _� � .� . �. � �� b��!p�o.us� _ �"C�`��L I�� _ _ : 19:6 . . � _ �QT� � = _ .. _ .. .. . ..... ... ...... .. � �. ,_ rv ...._. 0 _ _ _ _ s _ �� . _ _ � _ `��,;��.�,�� 3, 978 17 October 2011 . . . . . . . . . - ,: , - .. .. . ,... . . ... .a, . .. ... . .,.�, .-. O � PRlp F�. � U tr� �' _ � � � L� White - Building , ,� Canary - Engineering ^'NES° Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT !J � l� ��' �� 1 `'J APPLICATION RECEIVED � � � � � � The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: � � ��i' l ! C/� /� !.i ��' . f.� fG%/' 1/�- Accepted � Accepted With Corrections Denied Reviewed By: �� Date: // Z / Comments: See Attachments• 1� C�rading P�an, 2) Erb�oii C�ot�tr�'M ' .,_ . �'�� ,� See Reverse Side�for Add�tfonaf tnforma�onl . "The issuance or granting of a permit or approval of plans, specifications and cornputations 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 � PRIp� ti � U tx White - Building ,�, ,� Canary - Engineering NNES° Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ��.-�'� . ; < . � � � � ; ��- � �` � �' �� '� APPLICATION RECEIVED �'�' �` - � � The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: � . � t ' s � ....«. r c. / � '. .<. � ,� ; /' ,.. / . �' ! �. � l.� ��':.. Accepted � Accepted With Corrections Denied ' Reviev�re�,'F3,y� Date: �/ b �( �s _ , --- , Comt�entg: � . .. . �,,.. _ �- ..� � _ < - , ,. ♦ � ,.� 4 ,a �- { "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.. O � PRIp� ti x U re White - Building Canary - Engineering �INNES��P Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT D. /2- � �� APPLICATION RECEIVED l� � � � � � The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3 �8 � �U�� l ✓�� Accepted +� Accepted With Corrections Denied � Reviewed By: Date: f � g�� Comments: G�� C�'j'l "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 approvat 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." � � pR�Q� Date Rec'cl CITY ��' PRIOR LAIK,.� PLUMIBIN� P�RMIT � � � � �. H� F;,e PERMIT P�` 2. ao�a c��y 3. Yellow kpplicanl lease e or rini and si n st bottom ADDRES3 , ZONTNf.� (otrce'usa) �� I �� V� LEGAL I��SCRIPTI�N (office vse only) LOT BTACK ADDITION PID � � � �1 � �� (�'honej � �� " 1 �.' +�� 7�.. {Address) ��i�� G� � �G'� �. � �l✓ �.;.�1��.� �� (Name) A1�TT� y �� F� ��. ��..�"• ` � ��7 (Phone} tr:� �/ "' �J � �" �� t (Acidress) � � �� t7�� F— � � � � � � � � �'�.. � (Address} {City) ' (Zip �ode) (Contaet Persan) t•l� � � �J/�'I � � {Phone) , � � �'� � � � �� ! APPLTC�NT SIGNATCIR� + � ' DATE f � � APPI,I+CAI`+I�' PLEASE COMPL]CTE BELQW aAnti T e of Fixtare uantit e af Fixture 3 Bath 'IS�b ��vith Qr without shower _ ;; Rou h�ins _ � Dishwaslier Water Heater � FloorDrain , �ater So�tener � '� Lavato athroom Sink 1 Sfand Pi e ashin Machine t �.aund Tra 1 or 2 com artment �ink Sewa e E'ector 2 Shawer Stall Backflow Assembl ' ' ' Sinks Backflow Assembl T�st Bar Siuk I Lawn S rinkler � Water +CCoset Toitet Other FEE SCHEDULE Indnstrial, Commercial & Mttld-family t% of Job cost �Vith a$49.50 minimum ReSicienfial, New One &'[tva-Family $149.SQ Residential, Additions & Alterations $49.50 ` .. . ; . '" �st '$ . �vilding Perrn'rt # • The Minr�esota StRtutes $ 32Gf3.1�8 , _ "SUEtCI-IARGG" has been chmiged fqr otje pLUMB1NG I'BRMIT FEE � PAID 1.NI1'H ycareffectivo � plLq' 6 �� :t=,ty �, 2otq. untit 3une 30, ?At ). ST'A� StJRCHA.RGE $ .5�' r 'Thc miitlmum strrsbAr�c for e ��rx�c� e�� permi[ TOTAL P�I2MIT FEE $ ts��, i,�fn�,i��;r��iy z, zo�a This Appl#cation Becomes Your Building Permit When �.pp►•oved Paid Receipf No. • Date By Bnildin� O�ficial Date 24 hour notice for ul� tnspections (452) 447•9850, fax (952) 4�7-4245 4646 Dukofa Street S.E., Prlor Lake, M3nnesota 5�3'12 �� PRIO� F ,�, ,�. CITY OF PRIOR LAKE Date Rec'd � � HEATING/AIR CONDITIONING/FIREPLACE PERMIT �- l �'NES�� . P�� File pERMIT N � 2. Green City 3. Yellow Applicant Please e or rint and si at bottom ADDRESS ZONING (oflFicei�isej 3781 TURNER DRIVE ' LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) D.R. HORTON (Phone) 952-985.7272 (Address) APPLICANT (Name) FIRESIDE HEARTH & HOME (Phone) 651-638-3318 (Address) 2700 NORTH FAIRVIEW AVE. ROSEVILLE 55113 (Address) (City) (Zip Code) (Contact Person) (Phone) APPLICANT SIGNATURE _WENDY SCHROEDER DATE 651.638.3318_ APPLICANT PLEASE COMPLETE BELOW �NEW CONSTRUCTION FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT 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. ❑ Mechanical ❑ Radiation ❑Air Conditioning ❑ Special Devices Fireplaces with Box Additions or ❑Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL HEAT & GLO SLSSOTR-IPI-E FEESCHEDULE 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 # pQ�D wITLi BUrLDiINC� PERMIT HEATING PERMIT FEE $ STATE SURCHARGE $ .50 TOTAL PERNIIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 O � PRIp� CITY OF PRIOR LAKE Date Rec'd � � HEATING/AIR CONDITIONING/FIREPLACE PERMIT � � � �r^'NESO'��' z: � �;, PERMIT NO. 3. Yellow Applicant • . ease e or rint and si n at bottom ADDRESS ZONING (ofl�ce use) ��1 I u�..rY�e,�--. EJ'P---- LEGAL DESCRiPTION (office use only) LOT BLOCK ADDITION p� (Na ) 1�� __��s (phone) (Address) � PLICANT � � (phone) - V`�J� � " 1 UId'�� J U U ame .- (Address) � ��' 11 V � � � ' � � ��c� ��"�' �(Address) (City) (Zip Code) (Contact Person) n �n� �`� (Phone) I�� I"�� p` 1 v APPLICANT SIGNA Q.. � DATE I I APPLICANT PLEASE COMPLETE BELOW W CON RUCTION ❑ REPLACEMENT ❑ ALTERATIONS FURNACE MAKE AND MODEL �.�a l `� -� l� � " � I )'''� � 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 ❑Gravity ❑ Hot Water into Required Side Yard Setbacks. Mechanical ❑ Radiation Air Conditioning ❑ Special Devices Fireplaces with Boz Additions or ent. System ❑ Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL FEE5CHEDULE Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating & A/C (New Constnxction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 G � h � � __ = __ . ._. ___ �°r;m�*P� Cost $ 1 V, � Building Permit # n� The Minnesota Statutes § 326B.148 "SURCHARGE" has been extended � � � O � �' until june 30, 2013, HEATING PERMIT FEE $ ��C(, � I a�I�/, �� The minimum surcharge for a STATE SURCHARGE $ ��$-- �R�� "fixed fee" permit is $5.00 TOTAL PERMIT FEE $ ��,� This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 � P Rip Date Rec � �9 CITY OF PRIOR LAKE �Z � `� � � SEWER AND WATER PERMIT � � 1. Green File pERMIT NO .� /�4 ' 2. Yellow City ` 3. Gold Applicant Please e or 'nt and si at bottom ADDRESS ZONING (ot�'ice use) �� LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID ' OWNER � .. (J'� . � T'Q�l/�Ow (P hone) (Name) (Address) (Address) (City) (Zip Code) APPLICANT -/� S�� ' hone) �.�1 Q' J-�s S (Name) N ��Y°�- • (P (Address) e�.- � b ��Q� � T "�'� (Address) — —� �- (City) (Zip Code) (Contact Person) � L (Phone) � �a '' q � `I — y3 �f (�_ APPLICANT SIGNATURE � DATE `a ' � " �� APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. ❑ ABC ❑ PVC ❑ Cast Iron Estimated length of sewer line feet. Clean out (if required) located at feet from structure. FEE SCHEDULE Residential sewer and water line connection $51.50 Industrial, Com'1 & Multi-family 1% of job cost with a$51.50 minimum Sewer connection only $25.50 Water connection only $25.50 Estimated Cost $ Building Permit # _ The Minnesota Statutes § 326B.148 = AND WATER PERMIT FEE $ "SURCHARGE" has been extended 'E SURCHARGE $ • � until june 30, 2013, �L PERMIT FEE $ The minimum surcharge for a � "fixed fee" permit is $5.00 This Application Becomes Your Building Permit When Approved Paid Receip . Date BuildinQ Official Date 24 hour notice for all inspections (952) 447-9850, fax' 952) 447-0245 4646 Dakota Street S.E., Prior Lake, Minneso a 55372 a P �' DEP�RTMENT OF OR L A K B�, E LDING AN D INSPECTION IN PE TI N RE �D SITE ADDRESS - 3 � � _ t � NATURE OF WORK 5'i � � c� �'r,�C.� USE OF BUILDING " PERMIT NO. � t�. � Z� DATE ISSUED tt � t CONTRACTOR ,. , -�! I^k- � PHONE_��75� NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS ELOW ��THE PER � IS BY SEPARATE DOCU ENT �� c � N(,�c� S�€��'�`'` M"� DATE FOOTING � � � FOUNDATION (Prior to Backfill) �' � ��. C � PLA NO CONCRETE U L AB AS BEEN SIGNED � ��' �tS�ZS� ��u0 � U G - I S ��Lr SEWER / WATER / SEPTIC � �,� ��, � FRAMING � r � . INSULATION �� a � � ELECTRICAL PLUMBING ` � � � ��, � � � 1 �� HEATING `if required) FIREPLACE � � GAS LINE AIR TE T�"`�''"" �P• � ��' ,,� I�� VER N WORK UNTIL ABOVE A BEE y �'GNED �� y,?r� �� , ,�.... FINAL � GRADING (Prior to Sodding) � BUILDING I �'ELECTRICAL LUMBING .� 2 23 � Z HEATING DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This ca�d must be posted near an electrical service cabinet prior to rough-in inspections and maintained untii all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. 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''` �C7 1 !� � �.�--� � � �-� �� '� 6 4j �� ' �' O \\ � �;�'- �,�?- .� Q � �`' �. �_�, .: D • o � - � � , , � } 3 c � ��s� �� O � � �� .� '' � m� %"'S�.' i��\.. •�".,; —•� Q / a ` �J � �4x .�.F� . �' j.° O � °',,� a � � k,p� a k e � Oj i i `\ �p�'� 1 r .�",. . 1 � ...�� a y� ir�� _ p� , � o . o • � V �� a > ;i�s � ` va' d -,'; d a p ' � o � ` `„ • t�' . p O `� ;4� � �, � � f � � �....-� ( o ' I Q O a � ` � O � '� �. � ' ! � � Q ` p ""`l � ",g '° �' ,� f p .'� ts . �. � � � a � � ,' � � �._ __ ,.� =� ` `� F ' . � 4 F ;� I I � � ,, cn .� � ;� � I � � � � ` �, � D m � \` "� °� � iN* ' � � ( � r � '� � � � 1 c ;4 �1' � � � � �0 I I � y � � O 3 � ` Zm � �� `;��' . � � o I I �'� � " , � � c� �r � '� � o � � I� � �J � � � O � i ` � � �` ` � o � L ` �. �� + t '�, � s,, o � `� ` � � � - ' s. � � �, ` <� o` I I f �" � ♦ x � �� ° I�.� -� ` � �"I � �� , .c� o . � � �,� "� �° `�. ,. . . �� . ��, � ° � � 4 _ �� .� �, � �. / `/, � CERTIFICATE OF SURVEY � M 3 2— 4 917 —11 for 3781 Turner Drive D.R. HORTON BENCHMARK T.N.H. 973.83 /�1 PPROVED +�73.83 •vyv �iaildin Date � Z�r�;r�� Date ll i ►► �� s �C�si�ng; �1�t� �� Z / s � `C 9 � ` �� 9 s M �� lp �"� � 6 ^ � I � � �� o � � y 2.ss a / 9 T \\ � '0 4e 59 b W � �� V � � � _ SE �. �. . � '� � � _ �`2Q � �'? y �� 73.04 Q I 0 y tt� �► � N �? 72.99 ^� . �n � 14. 00 ae �� I '�.00 O 0 N G�" p� � � �2. 5 73.16 / o � � � a g �.c � p d ; y t7 � � � .�,, � ii�a � � o�� V h � � � s�2.sz a. � � •� — — � u�'i a� � o �I 2.20 73.48 � � /� h�Y �'+r � t� D I � �f+. � � � o � �7 0� � g �►� ^ ' -�a m � � � � m I V � 3 3.47 , � IA�� •- I '��j � p�'�e N � �£4£L f-- I g �., � m i. m y � F, u•Fc � ° �z.,a 3 3 ��o 0 0 . � �� , ' n.�o � fi o � o �/ .��. L � 2. 2 s F � s � � � y �; / �. �h 1 O � ' N�� 1 N � 970.75 72.15 I � � —� — �� — — � � — —� — — � — '� �� 24.07 1D 970.64 �� p p� � N ' 60 �� i � �' 6 N 174.49 I N 88'24'25" W I v 984. � - � � _ �. _ I 864.24 � � � V L � I V V V +�52.66 Scale: 1" = 30' DESCRIPTION Lot 40, Block 1, I hereby certify that this survey, plan, or HICKORY SHORES report was prepared by me or under my direct Scott County, Minnesota supervision and that I am a duly Licensed Plat bearings shown Land Surveyor under the Laws of the State of ot . o Denotes iron monument set, or see note. • Denotes iron monument found Ray H. Brandt Date 17 October 2011 Reg. No. 8140 Existing EI. roposed E Rev 04 November 2011 Rev 28 November 2011 BRANDT ENGINEERING & SURVEYING, LLC 1713 Southcross Drive West, Suite A B u rn svi I I e, M N 55306 (952) 435-1966 M32-4917-11 ____