HomeMy WebLinkAboutBuilding Permit #13-001 v v � �
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CITY OF PRIOR LAKE
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� � Final Permitted ❑ Conditional C.O. Expires
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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 City of Prior Lake regulating building construction or use. For the following:
Use Classification S ItJGLE FAMI LY Bldg. Permit No. 1 3 O O O 1
R3 VN R1
Occupancy Type Type Construction Zoning District
Legal Description LS , B2 , MAPLE GLEN FOURTH ADDITION
3342 MALCOM COURT
Owner of Building Site Address
Contractor's Name & Address D R. HORTON � I NC .
ROBERT D . HUTCFIINS
City Planner
� __
Building Official
Date: �° -i-�j" � Date:
�' ' ~ � � POST IN CONSPICUOUS PLACE
� � . ,
DATE TIME
CI7Y OF PRIOR LAKE �-j 2 Z �
SCHEDULED i -�—
INSPECTION NOTICE �� R �
' ' � �(. (,- � �`°1 J`
ADDRESS
CONTR.
OWNER
PHONE NO.
PERMIT NO. �' ��� u/
❑ PLUMBING RI ❑ EX�GRADIFILLING
O FOOTING p MECH RI ❑ COMPLJUNT
❑ FOUNDATION ❑ FIREPLACE RI
❑ FRAMING ❑ WATER HOOKUP � F�REPLACE FINAL
❑ INSULATION ❑ SEWER HOOKUP � GASLINE AIR TST
� FINAL ❑ PLUMBING FINAL �
S17E INSPECTION � MECH FINAL
COMMENTS: �.� , r
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(� WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
�� pwnedContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD6 REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
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DA7E T
C �y pp pR10R L.AKE SCHEDULED ._---- "��
iNSPECTION NOTICE
3342 MALCOM COURT SW
D.R. HORTON, INC. (OFFICE)
ADDRESS _ 13-0001
OWNER —
PHONE N0. �� p ,�GRqplFiLLING
p PLUMBING RI ❑ COMP�
p FOOT�NG ❑ MECH RI p ptREP�CE �
O fOUNDATION � W pTE� HOOKUP � F ��p�pCE FINAL
� FRpMiNG � gEyVER HOOKUP � GqgLINE AIR 7ST
p►NSUTAT�ON p p�UMBING FINAL �
p FMAL CTfO ❑ MECH FtNAL '�-�"-- �
p SITE INS � � ____
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❑ WORK SATiSFACTORY, PROCEED
p CORRECT AC710N AND PROCEED
❑ CORREC7 WOR
�� R REINSPEC710N BEFORE COVERING
pHmedContr.
Inspector.
A � 856 FOR TNE NEXT INSPECTION 24 HOURS � H��� �!
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CODB REQ
UIREMENTSAR� FOR YOUR P E� O N� H �
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pATE TIME
C�-�y pp pRtOR I.AKE SCHEDULED ..�.--- -��
INSPECTION NOTICE
3342 MALCOM COURT SW
ADDRESS _ D.R. HORTON, INC. (OFFICE)
13-0001
pWNER
PHONE NO. _ � �
p FOOTING 0 PLUMB�NG R{ 0 COMPUUN't'
❑ MECH RI ❑ F�REPLACE R�
❑ FOUNDATtON � yyATER HOOKUP Q �� R �p�,qCE FINAL
p pRAMtNG � gEyyER HOOKUP � C,ASLINE AIR 7ST
p INSULAT�ON p p�uM81NG FINAL �
p FINAL � CTIO� O MECH FtNAL � ,. , r ._. .
❑ SITE iNS� ,p � �, J j �/ .�''
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❑ WORK SATISFACTORY, PROCEED
p CORRECT ACTION ANO PROCEED
❑ CORRECT WO�s�''At',��R REINSPECTION BEFORE COVERING
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,�- n• � pHme�IContr.
lnspedor. �� � `�`�,, "'—
CAL�. �y'9g50 FOR 7HE NEXT INSPECTION 24 HOURS iN ADYANCE.
..., TH dc SAFETY!
CODE REQUIREMEN�A� FOR YOUR PE1�.SpN� HE�'
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DAT TINIE
CITY OF PRIOR LAKE �1, ( �( - (� �_
INSPECTION NOTICE SCHEDULED _______
AODRESS
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OWNER CONTR. , --•-----
PHONE NO.
PERMIT NO. ��
p PLUMBING RI 0 EXJGRADIFILLING
L7 F0071NG p MECH RI ❑ COMPLA�NT
❑ FOUNDATION � yyATER HOOKUP C7 FlREPLACE RI
O FRAMING � SEyyER HOOKUP ❑ FIREPLACE FINAL
p INSULATION 0 p�UMBING FINAL O GASLINE AIR TST
p FINAL p MECH FINAL �
❑ SITE INSPECTION �:
COMMENTS: �`l /�f �� j � ��,�+����
�
ORK SATISFACTORY, PROCEED
� CORRECT ACTION AND PROCEED
❑ CORRECT WOR CA,�-L FOR REINSPECTION BEFORE COVERiNG
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Inspector: Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOli YOUR PERSONAL HEALTH dc S�IFETY!
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DATE TIME
CITY OF PRIOR LAKE `���
iNSPECTION NOTICE SCHEDULED
ADDRESS �� �} 7 � l,�.l � —
OWNER CONTR.
PHONE NO. PERMIT NO. (,� — �D —
0 FOOTING O PLUMBING RI O EXIGRAOIFILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMtNG 0 WATER HOOKUP ❑ FtREPLACE Rl
❑ INSULA710N ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL O GASLINE AIR TST
❑ SITE tNSPECTION O MECH FiNAI �
COMMENTS:
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� WORK SATISFACTORY, PROCEED
❑ CORRECT ACTtON AND PROCEED
� CORR T RK, CALL FOR REINSPECTION BEFORE COVERING
Inspedor. Owner/Contr:
CALL -9850 FOR THE NEXT INSPECTION 24 HOUFtS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH �C SAFETY!
LVSNOTI
OATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 2�1 3
ADDRESS 3 �y� � a-` � ��� —
OWNER CONTR.
PHONE NO. PERMIT NO. ��— I
� FOOTING ❑ PLUMBING RI 0 FJUGRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION � P��B�NG FINAL ❑�GASLINE AIR ST
O FINAL � �
❑ SITE INSPECTION ❑ MECH FINAL
COMMENTS:
I,
2 • �, ��-�-�c,�-
� . �— �Z-�c� —
❑ WORK SATISFACTORY, PROCEED
CORREC C710N AND PROCEED
CORRE T RK, CALL FOR REINSPECTION BEFORE COVERING
Inspedor. OwnerlContr.
CALL 447-8850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSHOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 2
ADDRESS �� `�►oC, ! ►0.ICC3'YVl ��
OWNER CONTR.
PHONE NO. PERMIT NO. I 3 a� �
O FOOTING ❑ PLUMBING RI 0 FJUGRADtFiLLING
❑ FOUNDATION ❑ MECH RI O COMPLAINT
� FRAMING ❑ WATER HOOKUP ❑ FIREPtACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
CI FINAL O PLUMBING FINAL � G �IR TST
❑ SITE INSPECTION O MECH FINAI ❑ J�.—
COMMENTS: � �
� WORK SATISFACTORY, PROCEED
CORRECT ON AND PROCEED
❑ CORRE CALL FOR REINSPECTION BEFORE COVERING
Inspector OwnedContr:
CALL 44 - 50 FOR THE NEXT INSPECTtON 24 HOURS IN ADVANCE.
CODE REQtIIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
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�� rRt C�TY {)F PRTOR LAKE BUYT�DING PI+.,RMIT, Date Rec'cl
.� � T�MF4ItARY CERTIFICATE OF ZONING C4MPLIANCE
� "' � AND UTILI'I'Y CONNECTION P�RMIT
Af JNNESO 2 hmf. Cty P�RMIT NO .�/ �J � 1 //
3 Ytitmv Applicant �� "' c C 1
(Please t e ar rutt and si n at bottom Z�/ L
ADDRESS ZONING t4��, �ur
33��. �,a � ��� �v��� s ��
LEGAL DESCl2IPTItJN (oitice use aniy}
LC}T �i BLCICK � AJ7DTTIC?N /j'I APL E CaG ��' �� �j/J" pJp
OWNER �
(taTame) {Phane)
{Address}
I3UILI3�R
(Company Na�ne} D.R.HORTON, INC (Phone) 952-985-7272
{Contart IVa���e) Brooke Hareid bmhareid@drhorton.com g52-985-7806
(Phone)
{Address) 20860 Kenbridge Court, Lakeville, MN 55044
TYPB �F WOItI� {� h'etiv Construction ❑IJeck �Parcli �]IZe-Raofing [�Re-Siding ❑Lower Level Finuh ❑ Fireplace
�Additiml ❑Atteration ❑Utitity C�annection
Ct?DE bZl�.n.c. �r.B.c. ❑ ��s�. _ _ —
Type af Constracction: I II III I'4' '�' A B ���'� �
Ucct�pancp Gro►ip: A I3 � F H I M R S U PRt3JECT COST'/VALUE $ 2 1"
Division: 1 � 3 q � (exchrding land)
I hereby ceeufy tha[ i h�rsr turnished tnfi�rmatton �sn this:�pplieatton ivhich is tu the besi ot mp knoH�trdge trae and coircet. I atsu cr�t�fy that I am thr owner,�r authiu�zcd agrne frn thr
aEwve me�atume�[ prn3xvty and [hat a!I c�nst�uct�an will cunforai tp all existing s�atc and lorat la�vs and w�l! �,racecd [n accorA�nee �aid� ss�bmlHCd ptaars t ain awarc that dac bwldmg
+>fticial can :cvoke th�s pe� �ut (or �ust �iise furthe�more. ! he:rE�y agree that thc eny ofCicial ur a drsignce may enFer uyon tlte propeity to perfurm necdcd impectinns
k « - _ BC605657 /2 S - � --
— -- -- —
� i�hxn�r� Contractor's Lirense No. t)atc
Pern�it �raluation Z , Park Stsppart I`ee # $ --
-- c7 0 � . �
Yerrnit Fee --- $ � Z.q � SAC # S Z '.—. _
Plan Check Fee $ (4 �� 8� Water Meter Size S/$", — � �' �---
� o. -
State Surcharge � � � ,� Pressus Reducer � � � o _ �
Penalty 5 Se�verlWater Co��nection Fee tt � � 5 �� , ���
PlumUing Pecrni[ Fee � � � �� Water Totver ree # � ( U �` � ---__
Mechatti�al Per�t�it Fee $ �� � Builder's Depasit � � s � , �
Se;ver & Water Permic Fee � - ,.- j �_ � C}ther � � ------�
Cxas T�ire�Iace Yermit Fee � s ��, Tp7'p�, x}U� � -
� 3
�/ _�z._ ��'�
Tl�is .4pp Tt�or� Be nes Your I3uildin Prntuit S'Vl�cn r ed
3i � f� $ ��' Paid � R ei No. �--�-
i �
�" I ---
�' � ' �t �, � ��� Date �
, y/ ., , ��? , _
t� clu • ici�i - L?�tt
Th�c is �u ecifify chai t c cequrs[ rF� ti�e alx�ve applicauun an�i accumpanymg documenis �s m accordance �vith the City Za�i�ing orA�aancc and mxy p��mec�i a. ieqi�rsi.d, 1'his d�KUm� nr
�ti•izen si�ncd i�y thc y Phanr t> ututes a temporary Ce�itfitatr oC Zomng cum�l� iur � nd allo�+•s consfnicdon to tommence. Eir(ure �xcupancy a CerUlicate u/ Qccepancy mus! be
ivueA
--- �-_ _ � � Z I � Z_
y Plauning imctor _ '�� D e � T S�ecial Conditian if an -- - —
2Q I�our notice far all iirsperltons (9S2} d�7-9$SE1 f�ix (952) J47 � ��
4646 Dakc�t� Street Prior Lake, MtV 55372
,�ya ���� . ■ . ��
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- �`�s`��` �r#'�` Qf PriG1� L��-!�e
A$t,SpOAQ! Saltct�rs Depos!# is tnctuded in the f���idIag Per►ri�t lee, 1'he Birltders Depvsit ts iss�(ed qs ssaurit� �t fns�re cvmpttaa�e tor
�irtaf 4ccupanoy Permit< {It is naC an escrvw a�ccour�t:) All exte�ttor ttems finclading #t�t not tirttlt�d to gxadirrg, sait�tirrg, lands�apJhg, tre
piaa#ing, �rlveways siding ancf paioting shali be aompleisd 180 days atter the ciate�h� buflding perri�Yt !s issued. !t ttie w�rlc Fs r�+�t complet
wlthin the i8Q day time pe�lad, tf�e Ctty shatt natity #rie, appCi+aant of the v(c#ation aad t6e a�ticant s#�aU i�ve t4 days t�o camply cr th
S1,58Q.t10 builiiers depos(t w11! be f�rteltad and #hs sppitcan# wtlt berbilFecF fqr cteaEn up or corr�ctivr� war� ta rec#ti�r the sitt�atlon.
A 55Q(i+t1� 7ree Depasit may also be�requirad aad w�11 tre refu�tded it s�ecif[�ed tv�es ar� preserv�ed tor tt� per#cid at�nne y�ar.
Qa /2 - S - / �
srr� �r�QR�ss� 33 � �- ��-� �M �v��T � P���� # /3 _ D c� U
R�U�#t� T0. B� M�til.��l TQ D. R. Horton Inc Attn: ,�ADA 6��� wa CDT
208 60 Kenbridge Court Suite 100
La k e ville, MN 55044 ���������"���
��� 5(J'J.l
Lynda Allen, Building Services Amount
�,�d�1tl:t,�. .�3/ ��i;LY���'�. Date Acct 801.20204
1. KE�P �TREETS �LEA€�1 Ot1�i�iU=� �Ai�l�TRi��T��i .
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2. K��� E�C��N G�tdTR�� th! Pr.,4�E a r P o p p e r, i t Y E n g 1 n e e r
�.. TE�tIf�R�tRY OCC�i'1�4I�CY RE�M�T �IUSI Nf�T EXPt�iE 4#� $�f�4�t�ti �'ft�L BE �C�#�FL�1'T�O
Stfi�J�"�`�lRE:
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ELEVEN THOUSAND FOUR HUNDRED SIXTY TWO AND 88/I00 ********************************** `
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Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by: Date: , Z „�i
��
/
Building Permit # PID: � Zoning: ,z . �
Address: � 3 �. �, � CT.
Legal: L , B Subdivision:
Existing Structure? YES /�' . Existing Nonconforming Structure? YES 1 NO
CONFORMS TO ZONING �' NO
ORDINANCE
Yard Setbacks: NA/ FAILSI COM S Standard Proposed
• Front Yard can be 20' if avg, wrn 150' 25' 2 s. ��
• Side Yards 10'/
25' if abutting a street �`� •��
. , � D.
• 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' �� f
• 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 yearflood 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'
Floor Area Ratio: NA 1 FAILS 1 CO S .30 Maximum <"�° .
Yard Encroachments: 1 FAILS /COMPLIES Standard Proposed
Eaves and Gutters no mo than 2 feet in width and no
closer than 5 feet to a lot line Easements .
A/C and other equipment cannot encroach on interior
side ards.
Tree Preservation: 1 FAILS / COMPLIES Standard Proposed
• Total cali er inch
• Permit 35% Removal
• Cali er Inches Re oved
• � Cali �r Ir�ches Pr�served
� Re lacemen '/:
L:\TEMEb11TE�BLD GLIST.D 0 C
�
/
Driveway: NA / FAILS / COM�L S Standard Proposed
• Maximum width at ro e line 2q.� 2
• Required setback • 5' from side lot line or
30' from r-o-w on corner lots 5�
� Maximum slo e � 10% 4 Z
• All parking areas to be paved including R-V or
s aces ad'acent to the ara e •
• Location to match subdivision radin lan � �. ��
Building Height: NA1 FAILS I C LIES 35' Maximum Z
Shoreland District: / FAILS / COMPLIES , Standard Proposed
Minimum lot area s are feet 7,500 Ri , 7,999 Non-ri �
Minimum lot width 50' Ri , 57.3' Non-rip
Shoreland alterations
Im ervious surface 30% Maximum •
Bluff in Shoreland: IVA I FAILS / COMPLIES Standard Proposed
• Setback from to f 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/exporting
Floodplain: �N / FAILS / COMPLIES Standard Proposed
• 100 yea lood elevation 908.9' Prior Lake
914.4' S ring 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 existir�g
structure was constructed
9/19/90-11/22/97 then
additionaf 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 ulafo Flood Protection Elevation 913.4' for Spring Lake
,"
Accessory Structure: N/ FAILS / COMPLIES Standard Proposed
• Size 1000 sq,ft. or 30% rear yard
• Not located in front ard Maferials
• Side ard and rear ard setbacks 10'
• • Maximum hei ht ���
• Materials com atible with rinci le strucfure
L:ITEMPLATEIBLDGLIST.DOC
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT U � � ���Z� �
APPLICATION RECEIVED � Z- � � • I �
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted '� Accepted With Corrections
Denied . ,
Reviewed By: Date: � v ' � / �
Comments: �� �-- �'s �� `�'' � �"�� ��
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"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."
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT �'- 6 � � , `��' �� ? � � i
APPLICATION RECEIVED ' ' r � � � �'--�
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
�
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Accepted "'� Accepted With Corrections
Denied .
.� � �
Reviewed Qy: ' ~` `'—��-- Date: / �- � � � ' 2 �
_''`
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."
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B�lILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT L�. I t a``��I�� ���` U f,�
APPLICATION RECEIVED � �� . � • � �--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'� l `� ��" '4 � ,/ � 1 1 C_ r r .f''j1+1 ,�� j r � 4 � , �.1
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Accepted X Accepted With Corrections
Denied
Reviewed By: /Y�'� Date: � Z-�2'�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."
,.,..��', , .
. � A�DITI�hlAL CQM�AEi�IT5 FvR �UILD�NC PERMIT APPLIC�TT�hlS
• Surface storm wai'�r' drainag� flowing �'o fh� perime�'�r o� fi�tis �ai' fio
ancl fr�m adjoinir�g properfi�� musf �� cor►veyed ta fi�ie roadway
and/or �o fihe r�ar of fhe lofi in drainage swales wi�hin fhe drainage
• easement. � . .
. a All- bare soil areas mus� b� profected from eroding into neighboring
properfiies �hrough 1'he properly ins°Falled and maintained sil� fence or
bales. . • �
� The�sil� fence required by �he�erosion coni plan mus� be insta�led
,�
prior to any eari'hwork being s� '.
• The builder is responsible for mainfiaining fihe erosion contro.l
measures until �he f�a�°f is esiablis}ied. .
. , � ,. The rock construc.fjon enfirance rfnust be installed afi �'he �ime ofi
, � .�t�.:.-� -g���ackfilling o� fihe�our��a�ion. _. _ . . _. . . � � . ._.
- ` .�
. 6:\Admfn\dept info\ADbYfIONAt COMMENTS FOR BUILD=N6 PERN4tT APPLICATIONS,doc
JAN-8-2�13 16:05 FROM:STAR RLUMBIN� At� EX 1�28847468 T0:9524474245 P.1 Dr�
� r � 4 � Date Rec'd
�, c�rjr oF r�oR L�
� � SEWER AND 'WATER. PERMI'T
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ADDRS�S � � �� �,Q,�
�
I.EGAL DBSG'XtTPTiO�i Eos'eanseeon�
LOT BLOCK ADDITiON � - .
OWNBR /� (Phone)
��� �:� �
(Addiess) t • � ( Cod
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(Addtessj a � `-� �p� (Z'ip Code}
�Go�P��n> rn�,a�, �i�-.��1 3 �o � � - i
APPI.ICANT SLGNA. DATS ....E..._-�/ � /�
A,PPLICANT PLEA.SE �QMPLETE BELDyV
Si�ae of water senrice ,,,�_ �n�•
Location of any coupiings from sdnicture feet.
1�rpe af sewer pipe. Q ABC � PVC ❑ Cast Iron
F.stimated lengdi ofsewer line �feet.
Clean out (if uired) lacated at fe�t from structure.
FEE SCHEDULE
gesidential sewer aud vvataF iine cannectian - 551.50 Industrial, Cam'1 & Multi-family 1% afjoh �ostwith a�LSOminimtun
$ewer eonnection oc�ly $25.50 Water connectian only $?.5.50
Estimated Cost $ Building Permit # - _
SBWBR AND WATER PBRMIT FEE $ P�A�L� �
STATB SURCHARGE � Ca P�FRIUIIT
TOTAL P�RMIT FE� $
(O[fice Use On�y)
Td�c Ap�►1lr�Ho» Becomes Yo�r Balldiag Permft'When APpmved Paid Re�eipt No.
Date BY
�t�ae oca� ��
Z4 ltour notiCe for ait tmpectlons (9g�) 447-9850, fax {952) 447.47AS
4646 Dakota Street S.E., Prtor Lake, Minaesotu 55372
.�
�
� YRip Date Rec'd
� � CITY OF PRIOR LAKE PLUMBING PERMIT
ti
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,. B'"e F''` pERMIT NO
2 Gold C�ty • /� ' � !� / 1 /
3 Yeliow Apphcant �� U
lease or ' t and s' at bottom
ADDItESS ZONING (oflF'ice �se)
��3�2 a-� �� �6�- � �l
LEGAL DESCRIPTION (office use onty)
LOT BLOCK ADDITION pID
OWNER
(Name) (Phone)
(Address)
APPLICAl�-- (� iL \ '
(Name) �G�� 1�V t° 1�16'Y�,�� lVUI �- 1'1 �.�'ti�1�IV�1 (Phone) � �0 �J '''�"� 7 J ' L��l
i
(Address) ��`��J�7 �' ti,�, V �b'1/lb ' �
(Address) ity) (Zip Code)
(Contact Person) "l, (Phone) � lG' �J ' �- `� � ' `� `� � �
APPLICANT SIGNATURE �'l�'� �.- � l..C�.�.f�t. DATE �"`� -��
APPLICANT PLEASE COMPLETE BELOW
Quanti T e of Fixture uanti T e of Fixture
Z Bath Tub with or without shower � Rou h-ins
Dishwasher Water Heater
Floor Drain Water Softener
Lavato Bathroom Sink Stand Pi e Washin Machine
Laund Tra 1 or 2 com artment sink Sewa e E'ector
Shower Stall Backflow Assembl
Sinks Backflow Assembl Test
Bar Sink Lawn S rinkler
Water Closet Toilet Other
FEE SCHEDULE
Industriat, Commeroial & 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 $ • (j�J Building Permit #
The Minnesota Statutes § 326B.148 PI��� w�
"SURCHARGE" has been extended LIJMBING PERMIT FEE $
until june 30, 2013, TATE SURCHARGE $ .50 �'�� ����`�
'Che minimum siu-charge for a 'OTAL PERMIT FEE $
"fix�d fee" pei•►nit is $5.00
a..., t'iYtJ11LO{lV�l „�...,.,��� � ��. Du,.u�ng Permit When Approved Paid Receipt No.
Date By
Buildin¢ O�cial Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
D�P'ARTI111ENT OF
P R I R LA K E �UILDiNG AND INSPECTION
INSPE T
I N RE RD
SITE ADDRESS �3� =z. ��a�- �� C o���
NATURE OF WORK �� �o D�K.� ��cL..�[� a�z �.�.. 6�,N .
USE OF BUILDI ���v�- � �. av
PERMIT NO. �- �-�=cT /.3 �e�� / ATE I SUED 1 z- � t � Z--
CONTRACTOR s� . t2 t-�-��� ►� �- _ PHONE_9 s�.. ��s-���
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECT ONS BELOW
THE PEF�MIT IS BY SEPARATE OCU NT �` �
� , ` ��N ��,.�- ,�-� Z'� ,
���✓ f/�t t�- C.� �-C/ S Lca/`� �/�'�-� L � �i 74 (N <"�'— INSPECTOR DATE
FOOTING ` �' f -�
FOUNDATION (Prior to Backfill) j� i� ��
;
PLACE O CONCRETE UNTIL ABOVE HAS BEEN SIGNED
�� �-�., �� � ° ROUGH - INS
SEWER / WATER / SEPTIC . I �3 �3
FRAMING � 5 - ,
INSULATION � � ? ;
ELECTRICAL `
PLUMBING 3 � ,1
HEATING (if required)
FIREPLACE
S LINE AI EST � �
� �''' cp ��COVER NO W`�K'U'NTIL ABOVE HAS BEEN SIGNED
( o�s�-w �... ` - ��' . -� �..� _ !�
FINALS
GRADING (Prior to Sodding) _�.
BUIL'D'`iNG
ELECTRICAL
PLIJMBING �1�
HEATING j� �� �
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
CERTIFICATE� SURVEY M 3 2— 517 8-12
3342 M al com Cou rt �R HORTO
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� � \�� e 91p T.N.H.= 993.72
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* Blk 992.80 � �.�°Ja a � � �
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Scal e: 1"= 30' � Date
�Ulldl�g�� ate
Zo1�3�tg iz „ ,z
�rading�.�-_�..,. t���.���..� �
�
DESCRIPTION
I hereby certify that this survey, plan, or Lot 8, Block 2,
report was prepared by me or under my direct MAPLE GLEN 4TH ADDITION
supervision and that I am a duly Licensed Scott County, Minnesota
Land Surveyor under the Laws of the State
of M��,�se�a.� Plat bearings shown
� � (1 nan/J±Pg irrJY� mr)ni� } .
mcn+ ca �► �cc nn+o
Ray H. Brandt • Denotes iron monument found
Date 04 December 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