HomeMy WebLinkAboutBuilding Permit #12-0730 C����i��x��� �� (�x�ix���x�r
CITY OF PRIOR LAKE
����x�����t� .a� ��i�.�Yx�� �1�s��x���a�
�Fina1 Fermitted ❑ Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the � Residential / � International
Building Code certifying that at the time of issuance this structure was in' compliance with the various
ordinances of the �ity of Prior Lake regulating building construction or use. For the following:
Use Classifica6on S�N .�-9 �/� Ivf /L,,.1� Bldg. Pernut No. �Z .�3Q
Occupancy Type I�� Type Construction V/Y Zoning District r V J�' .� '
,
IzgalDescrip6on L.. �V. � � rl �{.f`V�t/t.J ���/C-�� ' •
Owner of BuildinS Site Address ��`���j Q�6�,,/ � N �iT�
Contraetor's Name & Addiess �� �/ �fj �7)���'� '
ity Planner
Building Official
� �L ��
Date: Date:
POST IN CONSPICUOUS PLACE
ATE TIME
CITY OF PRIOR LAKE ( +� �
INSPECTION NOTICE SCHEDULED
ADDRESS � O 7 � � � � j �� �� —
OWNER CONTR.
PHONE NO. PERMIT NO. fi Z � 7�
O FOOTING 0 PLUMBING RI ❑ EX/GRADIFILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
p INSULATION O SEWER HOOKUP ❑ FIREPUICE FINAL
�INAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL �
COMMENTS:
- �, � ��
, -
��IAWRK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
I�spector: L' _ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH d� SAFETY!
1NSNOTI
DATE TIME
CITY OF PR{OR LAKE gCHEDULED g y � :�----
INSPECTION NOTICE
ADDRESS
��� t0 D, 1 � 1 C' -�
OWNER CONTR.
PHONE NO. PERMIT NO.
� ��..� [_��
•e�.EXi(3RAD/FiLLING
p pOOTING O PLUMBING Rt �0 COMPI.A�NT
❑ FOUNDAT{ON ❑ MECH RI p FiREPLACE RI
O FRAMING � WATER HOOKUP � F � REP �CE FINAL
❑ tNSULATION ❑ SEWER HOOKUP ��S��NE AIR TST
p FINAL C] PLUMBING FINAL �
0 SfTE {NSPECTION O MECH FiNAI.
COMMENTS: __...� ___
� ._
�._,�..�__
���--� �
�
� � , � � ��
,
�IDRK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FQ REINSPEC7{ON BEFORE COVERINfa
pwner/Contr.
I�spector.
CALL 44?-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAPET�'�
rnsnoi�
DATE TIME
CITY OF PRIOR LAKE gCHEDULED IZ �/ -----
INSPECTION NOTICE
ADDRESS JS l �0 � � ���
OWNER CONTR.
PHONE NO. PERMIT NO. I 2^ U� �-�
❑ PLUMBING RI ❑ EXIGRADlFILLING
❑ FOOTING ❑ MECH RI 0 COMPLAINT
❑ FOUNDATION � yyATER HOOKUP ❑ FIREPLACE RI
p FRAMING � S�yy�R HOOKUP ❑ FIREPLACE FINAL
❑ INSULATION � pLUMBING FINAL ❑ GASLINE AIR TST
❑ FINAL p MECH FINAL �
0 SITE INSPECTION
COMMENTS:
�--�--
Z �
❑ WORK SATISFACTORY, PROCEED
� CORRECT ACT ND PROCEED
CORRECT RK ALL FOR REINSPECTION BEFORE COVERING
Inspedur. Owner/Contr.
CALL 7-9 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
uvsrvor�
, �
DATE TIIAE
CITY OF PRIOR LAFCE SCHEDULED � l�
INSPECTION NOTICE
ADDRESS �S C� �' �r� `�"`�� ��"
OWNER CONTR.
PHONE NO. PERMIT NO. I��?�� —
O PLUMBING RI �FJUGRADIFILLING
❑ FOOTING p MECH RI ❑ OMPLA�NT
❑ FOUNDATION � yyATER HOOKUP ❑ FIREPLACE RI
❑ FRAMING p SEWER HOOKUP ❑ FIREPLACE FINAL
p INSULATION (',ASLINE AIR TST
� FINAL ❑ PLUMBING FINAL �
O SITE INSPECTION � MECH FINAL °
CO ME
I, �
2, �ed� �-
r
� i E3
� 6r
❑ WORK SATISFACTORY, PROCEED
�CORRECT ACTION AND PROCEED
❑ CORRECT O CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr.
CALL 7- 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH � SAFETY!
Uvsxor,
�� ��x�� C�TY t}F PRI+OR LAKE BU�LDING PER,MIT, Date Ree'd
�, '' $�.� TEl'VIY'C}RARY CER'I'I�ICAT� OF ZUNIt'+1G CUMFLIANC�
� �` `�� ��; � At�1D tJTII.�TY CUNt�I�CTit}N P�RMIT �� �, I �
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'���,�ESO�� �� � ���� ���" �`� � � PERNiIT NU�. 1
3' YtIM1�v k�fplitant ' /����
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(I�tame} (Phon��
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SUILI��R
���,�����, �� D.R.HORTON, INC 9 2-985-7272
(Phvn�� .
Brooke Hareid bmhareid drhorton.com �������
(CQnt�rt. Narrnc) � 952-985-7806
(Address� 20860 Kenbridge Court, Lakevilie, MN 55044
TXF'L Q�' W�� ��*te�v�o�tstructinn I��7e�k [jPorch (]Re-Rcrc�fi�rg ❑Re-Sickin� [�Lowee;t,evet Firiesh ❑ Fireplace
DAdditrdn CIAt�+erratio�l (]Utittty� Ct�nrteciian
cc�n�: �[�.�.c. Q�.s.c. [:1 �,s�.
T)'j!C tl��..`t1tiS17tiC��flI1; Y Y� ��. � �� 1�i B ��.{�.�+{.'� �'.�.�`/'�J�.�� � ! 7 y. / �Q
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i hrreby cettiEy thst i havr €urnisric�i tr�fririnntaur� ��n �h#s ;�pp}icatron whtth �S t� thr �rat of �iy knuwEe�ge fr�rc a�ait corrrcl. 1 a13v ee�t�fy tbat ! am i�r owncr �� autkixnxcd agcn! for the
at�uvr �fcc�geey arrA cha� a!1 e�nxtmetia�r witl cu�r�r+rra tcr alF �xhting s�ite a�d (o�aM law�s �ud �uill pe�#ceec� iti acrzirdaaec waEh �bmittc�d IAan.e: C nm aw�rc thnc thc.build+ng
+>€F�r3ak�an res*ulcc�ttiis per it:for ��sr � usr Purthc�m ore. t�ereby agr�e t#r�t thctiay t��7'�cia[�oF a dcaige�c�c mnay C+��r upt�n �tl�e prop�rtq� ta perfarnr'�tzecdcd 1�i�tu�na: �
� '" BC605657 7 , � - � � �z
Sign,��r�rc Gontracttrr's LiGCnse No; _ L?aEe
Pesmit Vatuation : � � 4 � .. r l?�r� �uppt�rt Fee #� � _
Fermit Fee $ 2 � SAC : #� � � �
Plan Ctreck Fee � � � �7k Meter Size 5!S"• � S _ _ •
✓� q O, -
�[�te �uret�arge $ Z 2 ,S �' P'i�easure l�e�lneer �
• m, .
Aen�lty v� �ewerl Water Canneccion �'�� # $
Qp , ..
PtuFntaing Pernsit Fee $ ( 5 4 � �1t�cer Tow�r I�ee � � l p00. •
Mechanical Permit I�ee $ � � �uilder`s`Dept�sit � l 00 -
Se��er �e W�t�r Pennit Fee � `—� t3tit�t �
.
Gas �'srepl�e� P�rmit Pee $ 4 �� TL'3T1�I, DUL�
Tl�is A e ia 'Yoar 23uilding Pcrn�it en proved F�ttd 6. l� C�i f I�tI.
.-
� r(o L ��c� �: � .1 - _
t3en1�#rn � t�f3ic,h� e��t
TEres rs tu crttify ttrai thr req� t s�� tttr aE+a�vc appticattnn and itccampanying dnrumen is in a ortlance with the City Zatning.Qrdenanc+� and r�p. prcfrerct ;�x r+.�qt�csted. 7h�� d�xvtmnt �
�wlup si� _ by tqe �Ny a'>r cl)n5atup's a€el�qpDrary. �N(Si�eatc oF Zonin�' cumpli lT('r an �� �� Ic>ws eotdsit'ttC{7At� IA cOttlrtic`M1.Ce. 1}cft�t�' acCw��i�y!, a Ccrilfisa�r x���fscu�lFKy� mnSt��c
1XS.UFQ - ' .. .. .. . . _
. .. ��&flBilt� �... .. � � - �jRf�t � � � � . .
. . .. � � . . . , $ElCCt�� �ti1ld1114}i8.#f Atfj! . .. . . .�.
__ � 6t�u� ItOIEfC CtT1' RII �p3�StC��i111B (���� �I�� •9�'S�. Ppx (9fi2} d�tT��{249
4646 Dakc�ta a�t�+eet Priaz' L.�f:�, MN 553T2
Residential Buiiding Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
.
Reviewed by: Date: 1�� ��
Building Permit # PID: ' Zoning:, m f ��
Address: 3�-.�� � ` � , ���'�
�3Rt�^'
Legal: L , B Subdivision:
Existing Structure? YES /1� . Existing Nonconforming Structure? YES 1 NO �
CONFORMS TO ZONING Y� NO
ORDINANCE � ;
Yard Setbacks: NA 1 FAILSI COM S� Standard Pro osed
• Front Yard can be 20' if av . m 150' 25' z S'. o
• Side Yards ' 10'/ , .
25' if abutting a street ' � t• 1'
, , t Z
• Sidewall exceeding 60' requires additional side 2" 10' setback +
setback for every 1' over 60' in length. Not required 2°/1' over 60'
if building wali 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 indicatin no deck will be built in the future 25' rear " .
• From 100 year flood elevation of wetlandlNURP 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'
° l
Floor Area Ratio: A 1 FAILS / C ES .30 Maximum . 1 .
Yard Encroachments: PAILS ICOMPLIES Standard Pro osed
Eaves and Gufters no more than 2 feet in width and no
closer than 5 feet to a lot line Easements .
A1C and other equipment cannot encroach on interior
side ards.
Tree Preservation 1 FAILS 1 COMPLIES Standard Proposed
• Total cali er inches
• Permit 35% Removal
• Cali er Inches Re oved
• � Cali �r'i ches P served
• R laceme '/2:1
L:\T�ME�1°,TE�BLD GLIST.D 0 C
�
Driveway: NA / FAILS / C IES � Standard Pro osed
• Maximum width at ro e line 24' ` t
• Required setback • 5' from side lot line or �
,
'� 1 ' 30' from r-o-w on comer lots ( Z
• Maximum slo e 10%
• All parking areas to be paved including R-V or �
s aces ad acent to the ara e � •
• Location to mafch subdivision radin lan • ��
Bullding Helght: NA/ FAILS / CO 35' Maximum
Z.
� Shoreland Dlstrict: NA / FAILS f£ IES , Standard Pro osed
Minimum lot area s uare feet �
7,500 Ri , 7 999 Non-ri �
Minimum lot wrdth � 50' Ri , 57.3' Non-ri
Shoreland alterations
Im ervious surface 30% Maximum Z� Z
l'
Bluff in Shoreland: / FAIL / COMPLIES Standard Pro osed
• Setback from t of bluff By planning dept.
• Bluff im act zone 20' From Top of Bluff
• En ineerin certification submitted/a roved By Ci En ineer
• Gradin in bluff or b(uff im act zone No im o�ing/exporting
Floodplain: I FAILS / COMPLIES Standard Pro osed
• 100 ye ood eleva6on 908.9' Prior Lake
914.4' S rin Lake
• Lowe t floor elevation 909.9' Prior Lake /
915.4' S rin Lake
• Propos lowest floor elevation Must be 1' above flood •
elevation for new and existing �
� structures. If existir�g • + ~
� structure was consfructed
9/19/90-11122/97 then �
additionai 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 ufato Flood Protection Elevation 913.4' for S ring Lake
Accesso Structure I FAILS I COMPLIES Sfandard Pro osed
• Size 1000 s.ft. or 30% rear yard
• Not located in front ard Materials
• Side ard and rear ard setbacks 10'
• � Maximum hei ht ���
• Materiais com atible with rinci le strucfure
L:\TEMPLATEIBLDGLIST.DOC
O � PRIp�
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White - Building
Canary - Engineering
"�'NNESO``P 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:
���� � ��f'uEl� u ,
Accepted '� Accepted With Corrections
Denied �
Reviewed By: Da . �� �Z
Comments G��L-- t--�'.S � '�r�"1�.�.✓ Gc.�`'e✓'�
� ^
� � f�-�.� � � •� � S .
i
"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 � PRIp�
� � i� _
U r�r�
- White - Buiiding
,� ,� Canary - Engineering
NNESO Pink - Planning
, BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
� � ��,.
, KIAME OF APPLICANT �''� �`° a � �`"`� ` �`#�`�
k � APPLICATION RECEIVED �' � � ° � '�"'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
��': C..." � � �'' ' �� ,._ �i �„. } �,. t�w'" t„�",„,.,��
Accepted "'� Accepted With Corrections
� -' Denied �
I -�------.....,_-, - ��
Re�i��nred By: Da� t�:'� 7 �� 'Z
Comments: . � 1 ``�` - �� -� ' :
;
�
d
,,
�
�
"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 /
ardinances of the jurisdiction shall not be valid.°
j �i
't� �!. ^'} . fb'�� , r� f d'.i . ^. y `A?A �i - ..� .n. .. ko-.;: .zrtz.. . .. . . . . .. , . , � . ., e t .
�^t..- �*NN'M9i� �`� �� � yxT _ y�y-y�eq. �. .
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White - Building
��NNESO'�P Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT U �-' ���"��
APPLICATION RECEIVED �' �" � Z ''
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
� ��� o ��fz� �� �,,�--
Accepted Accepted With Corrections
Denied
Reviewed By: /�� Date: 7 �8� �Z
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."
,
.,�,:
� � o
. ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS
• Surface storm water drainage flowing to the perimefer of this (ot to
and from adjoining proper�ties must �e conveyed to the roadway
and/or to th� rear of the lofi in drainage swales wit�hin the drainage
� easemenfi.
. • All- ba.re soi) areas must be protected from eroding into neighboring
properfiies through t�he properly installed and main#ained silt fence or
bales. . � �
• The�silt fence required by the�erosion control plan must be instaaled
;�
prior to any earthwork being started. �.
• The builder is responsible for maintaining fihe erosion control
measures until the turf is establis}ied. .
� ; �,• .. The rock construct�on � entrance must be installed ot fihe time of
� � .�t� � �4��backfilling of the foun�a�k.ion. __ � _ . . .. , . � � . . .-
§ �A
• ` y. ..
. 6:\AdmtnWept info\ADDITiONAI COMMENTS FOR BlJi1.DIN6 PERAAIT APPLIC�T���?�
O � rRjO� Date Rec'd
� � CITY OF PRIOR LAKE Q�
� � SEWER AND WATER PERMIT " ` � ?" � �
�
�. �, File pERMIT NO. �
2. Yellow City
3. Gold Applicant
ease or ' t and si at bottom
ADDRESS ZONING (oflrice use)
3��� a� ��
LEGAL DESCRIPTION (oflice use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
(Address) (City) (Zip Code)
(Name) ��• S, � • �'i�I (Phone) � S � — �� �` 3s�
(Address) �� � � � ��''` �
(Address) (City) (Zip Code)
(Contact Person) r " � �� � Q �'�' (Phone)
APPLICANT SIGNATURE DATE
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 #
SEWER AND WATER PERMIT FEE $ ���
STATE SURCHARGE $ .50 �
TOTAL PERMIT FEE $
(Oftice Use Only) �
This Application Becomes Your Building Permit When Approved Paid Rec ipt No.
Date
Buildin¢ Official Date
i he Minnesota Statutes § 326B.148 �ur notice for all inspections (952) 447-9850, fax (952) 447-4245
"SURCHARGE" has been extended 4646 Dakota Street S.E., Prior Lake, Minnesota 55372
until June 30, 2013,
The minimum surcharge for a
"fixed fee" permit is $5.00
O � PRIp� CITY OF PRIOR LAKE Date Rec'd
� 9 HEATING/AIR CONDITIONING/FIREPLACE PERMIT
� �
0 7.�0
�INNESO'��' z: � � ��ty PERMIT NO. �Z— ��.
3. Yellow Applicant
lease or 'nt and si at bottom
ADDRESS ZONIl�TG (ofl�'ice use)
3� c� ' ��;o� L 53�a
LEGAL DESCRiPTION (ofl['ice use only)
LOT BLOCK ADDITION p�
�aWNER P�� �� � IV (Phone) `7� ' � � � o� ��
o Y w� I �..� � I �I�l �
J
(NameCANT /�� � (Phone) ��°� ' �� �• � �a
l:1
(Address) �� / , � �I����Z'�/! / �� C
n (Address) � (City) (Zip Code) `
�l � �
(Contact Person) /✓ (Phone) �`,o� ' ��D� ' � �0�'j
APPLICANT SIGNATURE DATE
APPLICANT PLEASE COMPLETE BELOW `, -
NEW C S RUCTION ❑ REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL C.GiQ/Lf� -, �Cp���p7�c� � FUEL � 1�)C. C'�GtIQ
FLUE SIZE �� RETURN OPENINGS �a INPUT�n�j GL''� OUTPUT `I O
TYPE OF SYSTEM HEATING OR POWER PLANT
❑Warm Air Plants PLEASE NOTE: Air Conditioner
❑ Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑ Hot Water
❑ Mechanical ❑ Radiation into Required Side Yard Setbacks.
�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
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
�'°`�~-°'°a Cost $ Building Permit #
The Minnesota Statutes § 326B.148
" SURCHARGE " has been extended HEATING PERMIT FEE $ � y�• �
until june 30, 2013,
The minimum surcharge for a STATE SURCHARGE $ •� �
"fixed fee" permit is $5.00 TOTAL PERMIT FEE $ . S�O
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Buildine Ofticial Date
24 hour notice for all inspections (952) 447-9850, faz (952) 447-0245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
v
� r xto CITY OF PRIOR LAI�E Date Rec'd
° f� ��'� HEATING/AIR CONDITIQNING/FIltEPLACE PERMIT
a� � � ��
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�:,
'', �lj�r��SO'� l. Pink Pile PERMIT NO . /� � a��D
2. Cnern City
j l. YelloFr App4icaul
• Please tp e or 'nt and si a at boftom
' ADDRESS � ZONING to��� U��
' �3$���o D _ ���
LEGAL DESCR�PTIUN (oflf�ce use oaiy)
LOT BLOCK ADDITION PID
OWNER �
(Name) �R� ��n� (Phone) C L'� �S� 2�?J
(Address) C (� '� � :
APPLICANT H ARTH HO , j� .
(Name) dba FIRE�,t�iE HEARTM & H�
ti�; 1
(Address) 2700 �AI�2VIEW AVENUE N �
{naa�� ROSEVILLE, MN 55113 �crty> �z�pcoae�
{Contact Pezson) � 651,633.2561 ��a�e ��2_3�p ��2 j ? $
1
APPLICANT SIGNATURE � fi�n-- DAT'E �' � l v
A.PPLICANT PLEASE COMPLETE BELOW
W CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS •
FURNACE MAKE AND MODEL FC1BL
` FtiUE SIZE RETURN OPENIIVGS INPVI" OUTPUT �
'�'X�'E OF SYSTEM HEATIl�iG OR POWER PLANT ,
PLEASE NOTE: Air Conditioner
�Warm Air Plants ❑ Sleam Units and Fireplaces Cannot Encroach
❑Gravity ❑ Hot Water
❑ Mecbanical ❑ Radiation irtto Required Side Yard Setbacks.
�Air Conditioning ❑ 5pecial Devices 1�repinces with Boz Additi0n�s or
❑Vent. System ❑ Other I]e�ices Cantilevers to the Outsidc of Buildings
Require a Buiiding Permit.
FiREPLACE MAKE AND MODEL � S L� TIZ-� �
FEE SCHEDULE
Industrial, Commeroial & Multi-Family t% of job cost Residential, Gas Fireplace $49.54 �
$49.SQ minimum pplD ,���' �
Itesidential, Heating & A/C (New Construction) 5149.50 Residential, Additions & Aherations 4�.
Residential, Heatnag Only (New Consfiaction) $64.50 Residential, AC Only ���t'�9��$� M�
Estimabed Cost $ /Q60, � Building Permit # �
T'he Mi��icsota Statiites � 326fi, i�i8
HEATiNG PERMIT FEE $ "SI.RC'1#�1R(iF.:" i�as been changed i'orone
,��2f �rr�.�c;���
STATE SURCHARGE $ .50 ,���1s �, z�)tto, ureti:.I�Rnc 30, zot �.
TOTAL PERMIT F�E � 7'hr minimu�n s��rchfl�^�e fur a " rr� r���� permit
(Ofiice Clse daly) is 4= be{;in��'sn� July 1.2DlU
This Application Becomes Your B�ilding Peemit When Apgroved Paid Receipt Afa.
Date By
Buildine Of�cisl Date
24 hour notice for ali inspections (952) 447-4850, fax (952) 447-4245
4646 Dakots Street S.E., Prior I,�ke;ll�itr�iesu'�a %55372
� � pRip� Date Rec'd
H �
CITY OF PRIOR LAKE PLUMBING PERMIT
v
�r�
i: aoia c�` PERMIT NO.
, Y �,�� A ��,� 12-0730
ease o: • c ana s' at i�octom
ADDRESS ZONIrTG (o�« ��
3876 OBRIEN COURT
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
��R D.R. HORTON
t��)
(Address) �
APPLICANT
(ivan'e) c����.�E-�P�UM��Nt; (Phone)
(Address)
(Address) (City) (Zip Code)
(Conta.ct Person) (Phone)
APPLICANT SIGNATURE DATE
APPLICANT PLEASE COMPLETE BELOW
u�nH T e of Fixture uanH T of Fiature
Bath Tub with or without shower Rou h-ins
Dishwasher Water Heater
Floor Drain Water Softener
Lavato athroom Sink Stand Pi ashin Machine
La.un Tra 1 or 2 com art�nent sink Sewa e E'ector
Shower Stall Backflow Assembl
Sinks Backflow Assembl Test
Bar Sink Lawn S 'nkler
Water Closet Toilet Other
FEE SCHEDULE ,
Industriai, Commercial & Multi-family 1% of job cost with a$49.50 minimura Residential, New One 8t Two-Family 5149.50
Resickntial, Additions t� Alterations $49.50
Fatimatxl f'�et $ Building Permit #
The Minnesota Statutes § 326B.148
"SURCHARGE'.' has been extended LiIMBING PERMTT FEE $ PA�� w��
The minimum surcharge for a TATE SURCHARGE $ ��ILplNG PERI�IIT
"fixed fee" permit is �5.00 'OTAL PERMIT FEE $
This Application Becomes Your Building Perm�t When Approved Paid Receipt No.
Date By
Beildins Otficial Date
24 hour notice for all inapecttons (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Mtnnesota 553�2
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26 Ju n e 2012
DEPARTMENT OF
P� I R LA K E � BUILDING AND INSPECTION
IN PE TI N RE R
D
SITE ADDRESS 38T ro ��L3 R.� ��r� C.-r .
NATURE OF WORK � F c� r�d ��.�� �Q-��a. a►a. �i,�, . c..c..
USE OF BUILDING vc�ta �-..�- �'�w� <<,. ., 17�s.�.....,••�
� PERMIT NO. � z- • 13 o DATE ISSUED Z/«. � � z-
CONTRACTOR D. iZ. ��,n..�� ��. PHONE_9Sz • 9�s��B�
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSP CT,�NS BELOW
THE ERMIT IS BY SEPAR � TE DO U ,,,, M �� E � T e� �„ ��,,,,��1
lNSTA+ec.t,. �S t�n.► �zlf�tr �' �l�'t/�'.Ty41� �.�.C�� ��E "' /�*
S CTOR s DATE
FOOTING � p i2
FOUNDATION (Prior to Backfiil)
;� PLACE NO �ONC ETE UNTIL ABOV HA BEEN SIGNED
�D�►�s a�..0�. �-�d � R O U G H- I N S
SEWER / WATER / SEPTIC �'
FRAMING G F�.�a
INSULATION r � �
ELECTRICAL
PLUMBING 8 /0 8 r2,�
HEATING (if re uired
FIREPLACE
� GAS LINE AIR TEST �"''� R�""�
`'� � CO ER NO WORK UNTIL ABOVE HA�EEN SIGN�E�
�, �.w n.�,� � L,,,4.� . !! f¢ /2
FINALS
, GRADING (Prior to So din ) i z� ��
`BUILDING � �
�ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical senrice 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
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����� ���� �,�,;� D. R. Horton, Inc Attn: Carolyn Young
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20860 Kenbndge Court Suite 100 �� -• V ���� ',. �,;
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Lakevil e. MN �5�44 _ _ . :
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-- PRIOR LAKE MN 55372 �
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CERIIFlCAIE OF SURVEY M 3 2— 512 8-12
3876 0'Brien Ct for
D.R. HORTON
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Scale: 1" = 30' � Brl E?n '`
Court
DESCRIPTION
I hereby certify that this survey, plan, or Lot 50, Block 1
report was prepared by me or under my dir ct HICKORY SHORES
supervision and that I am a duly Licens d Scott County, Minnesota
Land Surveyor under the Laws of the ate
of M' q. Plat bearings shown
o Denotes iron monument set, or see note.
Ray H. Brandt • Denotes iron monument found
Date 27 June 2012 Reg. No. 8140
Existing EI. roposed E
BRANDT ENGINEERING & SURVEYING, LLC
1713 Sou th cross Drive West, Su ite A �
Burnsville, MN 55306
(952) 435 -1966 M32-5128-12
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