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HomeMy WebLinkAboutBuilding Permit 13. 0739 4 f AA A-AA IC X� ' n'A y ASA, A _r,i r__rV,.G c. _., il.__ „_u,.`� ,. :;is c... .. _.ii i_., S. c i c. _.n i.c.rr"YV�.n,.nVdi__uV'Pi,_.,n.,in__ r_.,-..rr.., ..u. r..u.ai _. .. .. __ r... ,., .. ...i (i Crrtifiraft of ®rrupanrg CITY OF PRIOR LAKE prilartntruf o "��t�Z � 1xts � �azt ,f K Final Permitted ❑ Conditional C.O. Expires - This Certificate issued pursuant to the requirements of Section 110 of the ❑Residential/❑International i, 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 ClassificationSINGLE F Q MI I Y VN Bldg.Permit No. 1 -073q Occupancy Type R3 Type Construction Zoning District R 1 S D `'.' 1, II Legal Description L4, B7, STFMME. —RT DGE � Owner of Building Site Address 16651 BRENTWOOD PASS NWS', Contractor's Name&Address ICFYI AND HOMES ROBERT D . 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Z T'' -„(� < O w iLO N z F= 2 :Ea -1Zu WcA C9 x re z cc cc nu Q O Ow W IX W W p0 N 2W� 0 0 0 U V >- O. prt 0 Z OO � zLLN - v v �' .E 5 = a 0 a 000000 0 ---N � ❑ ❑ of PR/0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE v 2 5. / .. AND UTILITY CONNECTION PERMIT , 4rHlvesot� I write File 32 Pint. CityPERMIT NO. /2_ 73 7 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) I L ((S i 1 - -j 'P/1 ISI.VI. '\-1 S p LEGAL DESCRIPTION(office use only) LOT 4 BLOCK -1 ADDITION 6TEMl'VVE.2 -R1,D(__ PID 2-C. 4-4-o • O('C, 0 OWNER (Name) (Phone) (Address) BUILDER (Company Name) 14E-gZ-ANC) I�P-S Q(Phone) ISZ-440- 94 (Contact Name) Eiz- V-- TI-dc l-t• / t4it er- W-42,MIT (Phone) N1'---- (Address) 17021 -r-1 -14- For i-!--t ICRcJ. -"-Pg t oia. LA IL.--- t Mg. G532 -7 . TYPE OF WORK ANew Construction ODeck ❑Porch ORe-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace DAddition DAlteration OUtility Connection CODE: II.R.C. DI.B.C. 0 Misc __ �{ w Type of Construction: I II III IV V A B PROJECT COST/VALUE $ 211 14-av Occupancy Group: ABE F HI MDSU (excluding land) Division: r) 2 3 4 5 I hereby certify that I ave furnished information on this application which is to the best of my knowledge true and correct I also certify that I am the owner in authorized agent for the above-mentiod pro ty a that ail construction will conform to all existing state and local laws and will proceed in accordance with submitted plans I am aware that the building official can 'e t i rmi of Just cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to pei form needed inspections X A7 L3c--- (Q3-14 .sCo - Z4 - 13 Signature Contractor's License No Date Permit Valuation ?cp/ rc'o--- Park Support Fee # $ Permit Fee $ Q 9`50 SAC # $ 100 Plan Check Fee $ /44 9. be Water Meter Size 5/8"J I"; $ 5:9'0,0o State Surcharge $ /1/6, Se) Pressure Reducer $ /56, 00 Penalty — Sewer/Water Connection Fee # $ /5-040/Co Plumbing Permit Fee $ 1,174 -C-o Water Tower Fee # $ /000, 00 Mechanical Permit Fee $ / 5-54 _'-o Builder's Deposit $ 0P6-06.00 Sewer&Water Permit Fee $ Other $ . s�. Sa Gas Fireplace Permit Fee $ 5�� .50 TOTAL DUE 1,/U,/3 $IR w.. ‘ir T '. 9i n Be'i mes Your Building Permit Wh Approved Paid J '�. Date7_ /,�-- R rpt No. �/9� �j� �r rr Bt Kung Official Date This is to certify that the r'niest in the above application and accompanying documents i m accordance with the City Zoning Ordinance and may proceed as requested This document when signed by j ' i :annei onstitutes a temporary Ceitificate of Zoning co Ilan •and allows construction to commence Befoie occupancy,a Cciti icate of Occupancy must be issued T dir r• Planning ii" ate Special Conditions,if any r 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•1 or R-2 Districts Reviewed by J7 Date: (D/2 81 r 5 Building Permit PID: Zoning: 'L -P Address: (64,51 ;(3rev,k' . Legal: L 4 , B Subdivision: 2i-tv,A,A4u- `��' Existing Structure? YES! 0 Existing Nonconforming Structure? YES I NO • CONFORMS TO ZONING ES NO ORDINANCE Yard Setbacks: NAI FAILS/COMPLIES Standard Proposed • Front Yard(can be 20'if avg.wlin 150') 25' 25 • Side Yards 10'/ 25'if abutting a street I q/1-1 I • Sidewall exceeding 60'requires additional side 2" 10'setback+ setback for every 1'over 60'in length. Not required 2"I1'over 60' if building wall is 10'-0"or greater of being parallel to a side lot line. , • Rear Yard 25' • Patio Door: provide for minimum 10'deck or sign 10'side/ OA- statement indicating no deck will be built in the future 25'rear • From 100 year flood elevation of wetland/NURP 30' w - pond. /(/'– • Refer in-ground pools to the Planning Department • From OHW(Prior or Spring Lake) 75'or setback average of ^,l adjacent structures,but no # IF less than 50' I Floor Area Ratio: NAI FAILS! MPLIES) I .30 Maximum I 2fert ' . Yard Encroachments: NAI FAILS/COMPLIES Standard Proposed Eaves and Gutters no more than 2 feet in width and no closer than 5 feet to a lot line(Easements). � �� —vi + �! NC and other equipment cannot encroach on interior ' N , II +," � side yards. 1Side . eta a&U Tree Preservatto•AILS 1 COMPLIES Standard I Proposed • Total caliper inches • Permit 35%Removal • Caliper Inches Rerr?oved • •' Caliper kriches P,rherved • Ri lacement' Y2:1 L:\TEMEbATE\BLD GLIST.D 0 C / tiPR/0� x White -Building Canary -Engineering ing NNES0 Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT r yL4ND j nti&J APPLICATION RECEIVED Z c. 12 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Accepted With Corrections Denied Reviewed By: Date: G/2P 3 Comments: 1. i4ac i v(la..invt .Stan-( 67471-e-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." CPRIp4 7 rm White -Building �P Canary -Engineering rves° Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT �f' ` 1 ' ` ' '' APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / ( Accepted Accepted With Corrections .>Z--- Denied Reviewed By: flt , Date: a8 r3 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." OF PRIp� ti z U tr1 White -Building n,, �P Canary -Engineering NNEso Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT k.6 Y� '/,"sir_.) //0/-7C, APPLICATION RECEIVED Z The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /e./,,6 1 /' l ll �� / ( Accepted Accepted With Corrections Denied Reviewed By: Mee Date: 7-2-13 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." 04 PRj'o,�► �� Builders Deposit . Sots. 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 I, 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: 'Z -L3 SITE ADDRESS: I(0105 I �17.� -c,J��� 5 PERMIT#13,73/ REFUND TO BE MAILED TO: KF.=I Lp - c i\c e1 .s _OD Z( F is Mii,...\T SOA)) 5 _ . PAL OE— L,.11.0 VI*-1 . '6 3-1 Z PLEASE REMEMBER 5 kr it,€0[.: \,r+ ()t`i r() z;i,1,,; \"Fz' 'sit ir ---° 1 1. KEEP STREETS CLEAN DURING CONSTRUCTION Lynda s len,Buildkg Services Amount 2. KEEP EROSION CONTROL IN PLACE 6,-//. (4 Acct.801.20204 3. TEMPORARY OCCUP NCY PERMIT MUST NOT EXPIRE OR $50._ , Date 6. ,.._____.__ SIGNATURE: LA POPPLER, CITY ENGINEER ak , . ; 1 , .1:',i.:6,% ` te� � r� ' ..- t 'z Y .-., ''t" r � - ,se; t04.. .A.41,4„,,,,, � , 3 ' „a , �t ..3, , ,,,.„,eE _ '! t �, ,-,, fa .t . ,I, 4-, ,. ,^ y4,4,,.oA.4 •,4" � .:1 :t 4y htyilr • i r Pgipw1 \W7- � �: "" � 't ' "''' ,/•114:1.,..,,:ryc" ' z: ',4 * A , y*,.",' ` ,81'31; } 4 ; + ,' efu rc . i � - . r ,t,'G.. ',,•43 ,„ .,' 'C.'� s `.N Y ? d i, . ,.�� -•.- 3 •t 4,4{t--ht s'?*P ,. y;r z,....rt'�j: i *-',t, 4t V } , **._. ,.. 0,'�fi� i} .i, y a Fri „ a,< +�`*,, pk v:z 't. y r t� ; fir" � 2 1,, ,4 r3 7 g r.' ` . ' tH E '� ,:,,. ° i `� 4 .1. ^:a rJ�' 7640, - S'', +2.xaS;�-i 5 4, C 'c,:k 444 .-�. iis'FsT4 -5 ;.a 5,�,.,,, ..f a�i.�Y%'"'� ? 4 ,y P4.4 Jt ,t 1'` 'tce !s, . ,,' �'. w. ar ,F > '-f'a t t in.,.t .t i •�,fi f: `' , A.,e`;k Ir 1: f - - fi;HO,r"..-*;.' ,i,$.- ;.'14 t,'-.2.'0!.�� to ?+.± i I,m-x, ", .^"t.1. ' .,t4: !mr'ri'N. �v. s„e.�,os riP -..�+°i� {� ..5`��r c„ '�"" t7'4�.� � �+.'Y�,r� 4n`�,n�t •., .�5'�� s},^��+ ',y'x.a,-r, o-�,r?. .�. '�x.,r;�'y,w. ,„fF t�? k ''�"7s ..:" `.+T-{ *`'�i"�� "rs �.3 :y�.F� �• .,y� y ,>x �7�..� YSS �.r.. .�t.� x �R�� ,�` �����. �' v n, t� y3Y �; i�Q3��r�' � t �+Z..l'�� .,� : f ,`�t�` Q�.`�''t`-�:t�S�,4�'ti, �w.ait* vv.-4;� �''x.. .`x��.3� �jl,y. `�, �"'�.f.��a.'� �.,��,'�{�Sy. .us, ?�'>. �.- '{Ia� 74,40_ �t e j{- "--q.s' , -",`. ,vim. .,,....!, 't,', n *4'P. ••,,- N. x, ,1 �y v .`b a.... , .T;.,'G 5...:, ,..t.?y• h S'+ ,; - s:: t k { .. ;a. �: ;`�; ',441 'til -A ,.< r wiit. -.;', ?. t }. t -vviiviT � <,�„�: ?pit W� �.' '�'."A,'.fF ."'7i. h9�:�' �•�"�k` � G �': M �tq�1� '� .�'+� '`' �4��'4`k sin�` 1...44','- gt,{?; � '� 3:x`{n�wN'����'f�Y b �''kys C,frf'i'�iL! '{ �x.w . .: '�i� � 9 •. .. Y}'� _ S2� � ..�5.' S`p'a.P �Yf. �;•4��^��.� �$.' ".J�� 4z}`.;3'�' 4S.;7 a . : f 3.sib'• ,q :m. z *i x:, ,:, .;,1,teY '' > Wit-`” e �:.. ...r��..:::,�. E, Jnr :' �`, n� } �•.' ,C �, � '"' '.:. "' ` i.., 3. �' .. ..7� 1K� p �-4pi�`' il'.� ��a�,�i;�:. 1. € . v � .d4 err s i 1 .. d. :., r��.,,q�y �,: -. ...,� !.�j; ;;�. ?�� M �t.,,r. a'��2'`.e;,tl ' ,»,� ., `L»`� 4,„.:,�� �c :&� �,v.'.� +�' "�a ?`�'� �oe,� �t7:3' x '�� S�'i��'i�a.. ��{-, �.��,�?.�* �'�r��;�'a .�Y � '.y � ., '�"5���� ° � � �' � `,d ,: .' + ,'�rfi•�}, i rY�+c ,. , Yttt {a '; _ K -`', ts" "ri. .0 Vw 5 t%� �i+u,5�.-'..r, n r ;_. t`sr� 5 5''e j t ,,. S "�i t, ,y" :. 1�y'"�'f'e �T4 +a,� �.. 'fei^F..:4,..,. -4 Y � N-"5C r �1>7`»?`Y���,� `� JS...��vl��w '�•- P4 3t ,. .�..3vh-0-4^ .TM` ♦`S�'�} *Sirec*..1y�.`YK-V W. .1eS YS+. .... a n+}�.�eR.3rt JUN. 25. 2013 11 :52AM METRO AIR 952-447-8126 NO. 398 P. 1 pad 01 �,t�tC CITY OF PRIOR LAKE Date to'e'd ,t,4 '` :6,::, %4' HEATING/AYIt CONDITIONING/FIREPLACE PERMIT -4,4,xtc.dti, 1:aa. a', ( PERMIT NO. _�.,.!_.�.. .... 7.Yaw, ARC Mt ` alesPe lsvr et mist midge at* Maud ADDRESS� 20N� tr��c 10\65 � � PN . 1 LEGAL DESCRIPTION(office use r,y) , LOT ,BLOCK.;.ADDITION S 'Itill v.,S kN1 4.7 e 1'ID OWNER (Name) 0 S (Phqone) 1 S a- 141 o&c W... (Address) 1. VA etk—Y.... 1(.....c.z.,\\ ‘A-6. rt 5v, ,t•-e .. ...ac) (Name) r.1C e—a %,e- ..3.--Y1<, (Phone) q c a1^ " 1.1_%A]A.__.._ (Address)\ \i\\L"V4 64 v. 9 { '_a- VAtrs.k, not .545: `t. _ __... `t (Addles.) (tea) Cal)axle) (Contact Person) A �`�4 f.‘°Jk.` .., (Phone}c1.SP \'I Al-. \). .w..,�..._.... APPLICANT SIGNATURE DATE -- APPLICANT PLEASE COMPLETE BELOW ANEW CON UCTION [ REPLACEMENT 0 ALTBKATI()A I�.. .. . FURNACE MANCE AND MODEL 4 CA�A. FURL IV ai FLUS SIZE y) V C.. RETURN OPBN@4US , INPUT%.,L (1 OUT.PUT v`'' TYPE OP SYSTEM }MATING OR POWER PLANT crest Air Planes ISteam PLEASE NOTE: Air Coaditkmer Gravit�r Hot Water Units and Fireplaces(Wool Iturriw b Meahauical Radiation huts Required Side'YardSotkerkr. r Conditioning Special DevicesFireplaces with Box Additions or ,ilVeAtt,System Q Other Devices Cantilevers to the Outside of litsikl1iq Require a Building Penult. FIREPLACE MAKE AND MODEI. _ _......._, FEE SCHEDULE Industrial,Commercial&Multi-Family 1%dist post Residential,Cu Fireplace 549.30 $49.50 minimum Residential,Heating&A/C(New Construction) $144.50 Residential,Additions&Altered= 244.50 Residential,Heating Only(New Construction) q$64 550 R Residential,AC Only $49..50Estimated Cat S 1`6 V J Building Pouunk # HBATINO PERM PEE ' $ STATE SURCHARGE $ �,R�� 1°3 TOTAL PERMIT PEE • Cooke the Dahl '04 C,"^.' -. . A1" *"' This Application.Becotgesf Your Building Permit When Approved. raill1=11 4 .+'�;o. —7"----.... . minum By biddies ot�etal Did. 24 hum notice liar All Inspections(952)4474858,tax( 52)447-4245 4646 Debra Street 83..,bier Lake,tdissaesota 55372 . .Piti'p4, Date Rec'd 7r CITY OF PRIOR LAKE PLUMBING PERMIT dills Nv,,ESdit- I Blue File 2,Gold CityPERMIT NO. (Please type3.Ycllow Apphcnoi or print and sign at bottom) ADDRESS ZONING(orrice use) I (' C . `' ;' l I >t -, 11� (.6_tti: -- A, . LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION Pu) OWNER (Name) l',',,, 'i ;. k.: t •. 1 i l' i •t C _ (Phone) f./ --) ,> Ill/( * J"t' (Address) J /L." ,' ) J , -, /, i ,;; . i -'i ii`� •8 ' .'` ' I I h. ✓ '/ APPLICANT N ,^ r - (Name) : 3 L-_ .I ) ( f ,:''� :�' ' t t (Phone) r/ 1 -2 / .. ' ) 2) t (Address) 61' ..�' f . (-• `�.-1 �'� I :Y- r : - J, rte- {..c- ,,( (`) 1 (Address) (City) _I (Zip Code) r (Contact Person) l r °. E , I- ) ." , , ,( .= (Phone) `/'.> r. ' ter'. `� mC' i`_ - APPLICANT SIGNATURE_ �° 4: /, f° ' - ° / ' � >- ' 1 ..a�,� r-�. DATE _ 1' _-~ � .S APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher Water Heater Floor Drain Water Softener Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) _ Laundry Tray(1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly i Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler ----- -- ------ -- -- Water Closet(Toilet) Other FEE SCHEDULE Industrial,Commercial&Multi-family 1%of job cost with a$49.50 minimum Residential,New One&Two-Family $149.50 Residential,Additions&Alterations $49.50 The Minnesota Statutes§32613.148 west $ Building Permit# "St WI-LARGE"has been changed for one yeareffective PLUMBING PERMIT FEE $ ! /F, Jill) i,2010,until.lune 30,201i. STATE SURCHARGE $ i �° .50 ; // \°y The minimum surcharge fur a"fixed fee"permit (, . ) ! is,5,beginning July 1,20111 TOTAL PERMIT FEE $ i_ !. t{.i r' — / _ This Application Becomes Your Building Permit When Approved -7aid 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 08/14/2013 08:43 9524926006 GLOWING HEARTH PAGE 02/P0 1.RRrQ . . cIT.Y of PRIOR LAIC Date Rev'd ' .. TIG/ C ONING nak.LACE 1ER T . ' • g, /4, /3 Alit dt : a. : ": . ' x.x• •int.' .' ''. FERLYL1 I NO. ��jj.. . . ..�j. ; . . r .. . -f 3 Yell . 01 ti . .. .•• . /"••;.• 'el/ . (Please type or print airI si�•nt•bott©m)`:. • . ADDRESS1(p . • . ZONING•(ofice use) __� .t* . M pass. • . . rib ' . LEGAL DESCRIPTION Office nse only): • • . . ' • • - . L•OT .if BLOCK 7 An))iTiQN S . - • PlD . ..#...:009,431.- •• , OWNZR j • (Mine); 110.ki J i Cl : :1� (Phone 96;1:—'tf-q:01Ve2D : • APPLICANT •a ' '._. :,it.,.I.' riijz_ . • . (Pho•ne) '"s.-. . , ' '.. G1 0 (Address) 1 . ila !int A 1 . (Coi act Person) . ►Im1 1 h 1,.. ;dd..; ..:, . 4, . . A aepcA r SI NA : * .. H.-.. ./....... . . BELOW D•NEW CONSTRUCTION CIREPLAcE NT • DALTERATIQNS . • • 1'URNACE MAKE AND MODEL - FM • . FLUE SIZE • RE URN OPENINGS . • . INPUT • • . OUTPUT_ . TYRE•OF SYSTEM • • IIEEATI NG OR•POWER PLANT • PLLSE NOTE;Air Conditioner ' : Farm Air Plants '- . ' • LA S oam •' Unita and Fireplaces•Cannot Encroach•' • • : c . •ty- Hot Water into'Required Side Yard Set ticks; '7'tk,,ethanieal'. . ' Radiation . .. ea 4I . I • 4 4 I I I I..* • ■ • ■ ,A3r Conditioning QVent: st liI„ ",.• ,�.• U s Cher Devices Require a•Bulding Peunit: ' I i rt ail. --' FIREPLACE MAKE AND M4D" _�.. r:. '�~ � _ FEE SCUEB►tLE .• " ' • led strisl,Ca unerciel&Multi Family lorfiof ob cast ailpntial,Lias Fireplace . .$49.50 $49.50minimum' ' kesirdential,Heating&A/C(1`�ew Coivatruction) . $149.50 S. Residential,Additions it Alter $49.50' Residential,Heating Only(New Construction) $64.50 • • Residential,AO Only ‘ $49.50 . Cost$ Building Peat# . • • • • • ligATR1/416 PERMIT FEE' . $' a .1.5D. . . . • ,. . ••• •• • ' sun SiJR E E 5 •$ 5 r;r v i • • - • - ,•TOTALPERMITFEZ • `.$. . 4 •, • ' • This Application Becomes Your Building Permit When Approved '• .t' Paid :' . - `loo. Rt�IXding Ciillol>a l LDH ' . 24 hour notice for all Inspectiiona(952)441 • 4646 Dakota Street Si.,Pr�ior•Lal Minnesota 55372 • • . 5 Date Rec'd pnt o � CITY OF PRIOR LAKE // I� SEWER AND WATER PERMIT //�`^Nesot� • i. Green rd` PERMIT NO. )) —. Yellow App (f 7. 1 73 9 Gold Applicant !/3 Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) I L01D5 1 tare-{l--wood Pass LEGAL DESCRIPTION(office use only) •� LOT ' BLOCK ADDITION S f`6'1,¢..1� ..(1-(-) PID OWNER y , (Name) (Phone) CISQ-Li i-10- )'-100 (Address) 11 o 2 Si-} SG ST6 100, ?a‘c SS 3-I 7 (Address) (City) (Zip Code) APPLICANT (Name) STOCKER EXCAVATING COMPANY, INC. (Phone) 952/890-4241 (Address) 12336 Boone Avenue Savage, MN 55378 (Address (City) (Zip Code) Curt (Contact Person) /same / (Phone) APPLICANT SIGNATURE / 40/opi DATE APPLICANT PLEASE COMPLETE BELOW Size of water service inches. • Location of any.couplings from structure feet. Type of sewer pipe. I 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 535.50 Industrial,Com'l&Multi-family 1%of job cost with a 539.50 minimum Sewer connection only 5 17.50 Water connection only 517.50 Estimated Cost $ Building Permit t SEWER AND WATER PERMIT FEE $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ ` (office Usc 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 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RCORD SITE ADDRESS / c 6/ Te,i/ 5 c W f) „ , NATURE OF WORK ,S ,6 C o L c Pin Nd USE OF BUILDIN , c '' € yc , x PERMIT NO. /x, 7 DAW ISSUEDl j j� CONTRACTOR /4-,4J/ /2?e' PHONE �� Lf SID `?1-ic , INSTALL EROS N ONRTOL ND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING 41:14rf�gt1drA0c r. FOUNDATION (Prior To Backfill) ,-,i‘, , RADON RETARDER el),/ ' -j' ''° e,/„PLACE NO CONCRETE UNTIL ABOVE H EN SIG .., ROUGH - INS SEWER/WATER/SEPTIC FRAMING — VB ifr�3 INSULATION 7 6k J .��/� ELECTRICAL " PLUMBING Pis, ba?!,7 HEATING w FIREPLACE % (313 GAS LINE AIR TEST '''''"- ,.-i on o 2 -2 Y/(Q i ) �� Gv/sadV7 I ! RADON-R / rel c 2/i/l COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED HOUSEWRAPR), mo LATH ;407 41.51Ndb- FINALS GRADING ( PRIOR TO SO DING) /o BUILDING 'e^"c,9a %' ,ti,q Pd (I-26/� /�,i ELECTRICAL V ` PLUMBING "(44:\ HEATING f, 4Vosfr 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