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Building Permit 13. 0327
(C rfiftrafr of ®niaxpa nx r CITY OF PRIOR LAKE !iparfnttnf of ttMMng xtsp rfloxt Y jK E *nal Permitted ❑ Conditional C.O. Expires K: 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: K f F Use Classification S I N G U FAM I I Y Bldg.Permit No. 13-0377 ( ` R3VN RURUST)K = Occupancy Type Type Construction Zoning District Legal Description 11 , Bl , HICKORY SHORFS FOURTH ADDITION Owner ofBuilding site Address 3687 T U RSI ER DRIVE Contractor'sName&Address D . R. H O RTO N, I NC ROBERT D. HUTCHINS1,71~6--- City Planner Building Official Date: ' '_ G t/ Date: POST IN CONSPICUOUS PLACE .> 0 J W Z _ J _ 1.- ~ .J dtzl W V 'YlVl3VVp Lt' g555z W J ) > W CU11/ z Q 2 ...,,,... 8 ........ 0 0 0 0 CLL1L0 W I 0 0 o 0 cc o CC 'C u. 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N UcLfIiUte' a Z [„ 0000 ❑ ❑ > N i V m 14 N IL �Q�jj � 7 = m C O Ili Z _ Y NG _ 0 ci H a Io $ � -J /\_ O 0 W - x 8 w z xxzz a 4 co a 1xwx1x t/ N 0 z DVI-' MV O D z F- p J W J W a23wa2 10-.11,2H— ,.. w W why 000000 :11 p Z AC G J W O Z 0 u a 0 Z F- Z ty O Z M O Z W i_. , s o, ig0 re Z r: a < V a.ILO co Z I= Z2 -I - w , \ Y CO UJ �a p Q A IL x x x Q Si a 0 IL.u. 0! 3 v v v az < 0 a 000000 C.) N o o civ rx,f CITY OF PRIOR LAKE BUILDING PERMIT, Date I c'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 4 . 10 . .3 AND UTILITY CONNECTION PERMIT 1 :, P' 40 Ne.s;, t while tatsPERMIT NQ. City 13. .3 2' 3 Yellow Applicant (Please type or print and alga at bottom) ADDRESS ZONING(office use) • 56.S 7 7Z eA1 e__, Die///E VO3D LEGAL DESCRIPTION(office use only) LOT / BLOCK / ADDITION #/Gg..012.-r 5 i - PID 2S, `t' 14't 0 0 1 0 OWNER, (Name) (Phone) (Address) BUILDER952-985-7272 (Company Name).D.R.HORTON, INC (phone) (Contact Name) Brooke Hareid bmhareid@drhorton.com (Phone) 952-985-7806 (Address) 20860 Kenbridge Court, Lakeville, MN 55044 TYPE OF WORK g6 NeW CenStruction °Deck °Porchi 0Re-Roofing °Re-Siding OLower Level Finish 0 Fireplace [Addition °Alteration °Utility Connection, CODE: JI.R.C. DI.li.C. El Misc. Type of Construction: I II Ile IV Y A E 't{ 3 �� Occupancy Group: A B E F H I M R S U PROJECT COST/VALUES 9 y l (excluding land) Division: 1 2 3 4 S I hereby cettify that I have furnished information on this application which is to the best of my knowledge true and correct. I also emits/that I am the owner Or authorized agent for the above-mentioned property and alar all construction will conform to all existing state and loot laws and will proceed in accordance with submitted plans. I am aware that de building official can revoke this permit for t cause Further e,thereby agree that the city officiator a designee may enter upon the property to perform needed inspections. BC605657 4 f 0h-3Signatu Contractor's License No. `Date Permit Valuation 4-4�kl f7 . Park Support Fee f Permit Fee $ --- lL GO SAC # $ -Z_—_,,e7 — Plan Check Fee $ 2 e:;,244.;E, Water Meter Size 5/8";63; $ `A ' _ State Surcharge $ ZZZ - Pressure Reducer $ ' - ©. - Penalty $' Sewer/Water Connection Pee # $ l G-00, 00. ` Plumbing Permit Fee $ ( t ----4.--:---,--o WaterTower Fee # $ t c:),:= 0-- Mechanical Permit Fee $ t ,- Builder's Deposit $ 2 5-CO- Sewer&Water Permit Fee $ 5A50 Other $ Gas Fireplace Permit Fee TOTAL DUEsiini $ I �% This Af,/ is tion a-co •Your Building Permit When Ap!,oved Paid /_51 %Q. Re 'pi No. g 0I J °�I/,.�k '4 I Date j /S, f 3 B i A I.I i1. S— l Building Official - `ate This is to cert , that the request t e above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This dncum when signs;tilt` t Ci ann r t ser tes a temporary Certificate of Zoning mpl" •c and allows constntcrion to commence. Before occupancy,a Certificate of Occupancy must issued / ,{ • - a�"I�er 4 4- i . (_3 Ptanntn.Di : for Date Special Conditions,if any 24 hour notice for ail inspections(952)447.9850,fax(952)447.4245 4646 Dakota Street Prior Lake,MN 55372 Ail B ul id . s Deposit i,,,, : - .,.. . ..4,� . ettitott mak A44.4100410 Bu IS 1aOO el. t ttd.as 8eC 1O( . m►i .lOr a is: Or. m I te:n 0ct� +e'tou ( t l t*not: It to , s CAt�ta tree dux ding a Shia.I nlfatad dt . ter t o b�tixdtt Per tf t room ttt "ty is itot oc wltt 180 day I di1 Shed n� tai and t t to days t Y filo $1-400-40 1 ttert �.ber Z •wtilbe tevMrAc an'w o c*rreCtJv WO . e ., year >aa. t *c steal tie ' Ei:teltliee•�ded itz Yie tl� preserved jii + 3 7 '70 ki e-i— /)rwv- p IT 13 32l • 1404, tool:0 Ely ttimiAt,Tot D.R. Horton, Inc Attn: )ADA (SIZE J WA LDT 20860 Kenbndge Covet Suite•100 e, (I' r r I F 1; , �.h.„Li I t , , . Lakeville, Ml 55044 • ._ _ . iltZSZnc � 1 Lynda S. l+len,Building Services Amount S.. i.,4-16 Acct.801.20204 • Date 1`, V :w KEEP EROS Cq,R0 Lar oppler, City Engineer' flf AT ''...)1» ,1'7,,,,.' • ` 't; y,, srrnxxa e> s' '. " . ' r`,$: ''.eg , 477. 17...� , ,;T ;;..' ,a 6,, k§k, :`-;; 'Z �°� s (, 2 m �.�� +' ,vxxa )9� .'i. ° �d� .,;l� 1r ,;,.>=,=...;)_____,„r&..--,=,,,', �.,� , .vYa� +3Y � '.ry '--4 r'itis'- ' `'`11..14 l"' ', r - '' r ',',"•- "'"';',1%,',111,41;9•1ITM �iA I�{e:1��0 11 '� _ r 4 A.n r ie,� ^rf; { .' 'u''. 4a 41�N •-y s;..'4;^ t! -_ r _ - ' t , �l �,s F 1 IIJI MI,, 7 — x r�(�a'I �R..yin;�I�IIMf I�i � �II�'A;'.�'^I< <� � .>�-'= KTI I I I �',<. .� _ -.'-.i.'• _ �P'r I� "�`'�' 11!i�e f I�I I �' uh s�� � � " ,IS tlt� i��J�l IrY��� '1��1� �i:.��1�{ �*_�; ^, � v u I .k � �'!I a" hl�I {11,1 �.:A �a �. I rl t'� .�— _._TF ti` i 1: r n €" 11. u11di,1 l nli ,. I4i,,, �: _€ r, �, 1 ��id:, 4.. �rr�,.i an 11 hl III In li4 -,',„ .>� _ x.,`W I II h;+:21^�I tl+„�II ,.I phi:,,� f ;';';;:s,,..: ,. ....1..: _W —- JI 4 t '"I.I I .1J=.b4II1111\ .i,, 11 ! .ev 11f.. d�4..,M1' 4 S,`.'44 ----1 ,. .r iiNIu,,��� u I�,:,. Ips i 1 VI ` I:c' , 9� € - ,, i ..�' ,II �4,,ilf � N:?, d II II--���: I I� nl at14,r!:d�t'r`� �� ; � .�� .. __ `'� >a,:31'IP�uI u. �� 4'1:47410.01411014110k"I ��Ir"r;,�'-:.M -�_+.� �:. � I l',\'1' d I��!�,t tea'-+;I i14!: .r t n I Il n��e�n��;}t'7i'. nl �'}N4'" �°° ,£: rT � s. g �04.05!.41,. I �,f I Bj s �sH.,.K —r�i� —� � f )i.',17,14;� ,S„Ir rv,. 'k I i 4 -tsdRk>a€s „ r:!;',1'il v' ,lea `�r r! ,c ` -4,4!,-',-,'<•••, •• ' ' r t _ s^ _ • ''.r•.A J; �,� �ii f �1_d!,':''',e‘.` ��'a�”§� ,, z�,,y'16�b fWi , Fi^q ,E.F^ „ w'°,� . !,!” �, 'a r 1 i' 1+„.='ice 1' =1. _moi;'7+.'' 4",, r ,��^ 't '' ��Ii r'N f�” "(. ' 4;2" °-sft .xo- 2s'�r"'1`' �.0 yz• ',`'J r£-i'�l't.'• aI .' ' _ sd ._'= k. -_t_-- t !1 ,le '�I9 ,':a . r' �� ",d, tf,. `.,`�y`.' F� _ _- Ya wio .xr,1,',i:11�1'•{ 'I�IWE H' � ` . --` r - r' �` `r—'__,,W,_. x A 4 1,0 '° '',,, l ,#:.AA s'�- tb , ;;.VIII (` PII:aw 11 4 i I N',�+� ;'"1 €�' ''f•£- - , a,. � 4111 "?0,,',1,1ll „ N4111 III k'i'� $ e41m1 j '' li,''..14,.11..4'',1'4*"''' x+ '" - - ' � — . "1141' 'y „: l1,lhr � l"�.�14u�'1�1'��.” ix — qq x 4THIRTEEN THOUSAND NINE HUNDRED SIXTYAND 88/100 *****.***'******',* **,*,-�" �* '1 `r bll x"1454 - - • + s ;; ytd °�� t �, y7�4n,h jnu '',� � �'°t leu - If I I,tl �. r` a Id t I t,''''' I N - - - -111, ll+ h`IIr,,,, 'L;(;.' ',;';',4„.'" „,, ',L'' rhe, a f: CITY OF PRIOR LAKE(PERMITS) ° � , ,rb .. , s ' J • H 4646 DAKOTA STREET SE ' � . ;.� .. ' PRIOR LAKE MN 55372' �HI� x �, 5 r i? ' ��? I a +*re ' t ,J.;,.:.,;,,;1060„,,,,.-,: -.:.,'...,,,Ir4,44-,tei'4.:*5.F,..,,i,*".:.,,,,,g”ft,g ifilw.,_ r ‘4.1,..-': +” � �� '; 41' ','v- .' , AV+..�$ ... c..,._,Q.<. vw ..v.f , w4..a.��t"��6u. .a ......,..�.l*..w,...•,..3u&.aa..,...o_.,so,,L1,u.�Ja..u.. a_.eY 4r.�.w..,.. ��..a,... .s,. _. a...... -. • 000SL59391° i:06LL127881 329 903 67661i' Residential Building Permit Checklist New Construc on for Single or Two-family Dwellings in R-1 or R-2 Districts Reviewed by: ,,I Date: 1//dVDD Building Permit# PID: Zoning: Pu S(..Address: -2 ---- 'v 7 ( 012 -- 0 Q.\w4-' Legal: L , B Subdivision: Existing Structure? YES ''� . Existing Nonconforming Structure? YES I NO • CONFORMS TO ZONING 9- NO ORDINANCE Yard Setbacks: NA/FAILS/CO!,1 j' S Standard Proposed l ' • Front Yard(can be 20'if avg.w/in 150' 25' Zs V • Side Yards 0 10'/ 25'if abutting a street \(:)_ O • Sidewall exceeding 60'requires additional side 2" 10'setback+ setback for every 1'over 60'in length. Not required 271'over 60' if building wall is 10'-0"or greater of being parallel to a side lot line. 25' �Q't• Rear Yard R Patio Door: provide for minimum 10'deck or sign 10'side/ statement indicating no deck will be built 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 less than 50' 12`t 1 Floor Area Ratio: NA/FAILS 1 C,)1" IES I .30 Maximum I - 2 '- Yard Encroachments:/FAILS/COMPLIES I Standard 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: /FAILS/COMPLIES Standard I Proposed . • Total caliper inc es • Permit 35%Removal • Caliper Inches Ren?oved •' CalipeIr.�ches P,r�served • Replacem`entr Y:1 L:\TJMELkTE\BLD GLIST.D O C The City of Prior Lake Tuapervious Surface Caicuiations (To be submitted with building permit application) For All Properties Located in the ShoreIand District (SD) lie Maximum Impervious Surface Coverage Peanitted is 30 Percent 3687 Turner Drive Property Adtiress Lot Area 12,9393 881 7 sq. ft.X 30% , • LENGTH WIDTH SQUARE VFFT hOUSEx = ATTACIIED GARAGE X TOTAL PRINCIPAL STRUCTURE 2,866 DETACHED BUILDINGS = (Garage/Shed) TOTAL DETACHED BUT...DINGS 0 DRI\IE WAY/PAVED AREAS (Drivr way- palied. or not) (S dewalk/Parkiine. Amas) 17.-- 81 TOTAL PAVED AREAS 981 PATIOSiPORCHES/DECKS 0 (Open lac,4-10 , noctiii2 bctworm X 1:oar&, hhi pereioit 4 sclrbee X IT t 007 ConsIdcrcd to be iropervicw.) TOTAL DECKS •0 01 HER x TOTAL OTHER TOTAL. IMPERVIOUS SURFACE 0 3,847 6:ErpOL.ez -clt 02 April 2013 `'4' .i t•%ab;8rv: . .: „s+ 1 .r a'..-'i'YJ ': a 'irv.' ., -T;�.... 7l "44 , (gf %\ r1 White -Building Canary -Eng INNEs°�� Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT D IC _ 1-01670/4 ' APPLICATION RECEIVED • /c . (3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 36 07 -lb ru ) 6)Q... DN.., Accepted K Accepted With Corrections Denied Reviewed By: I Date: y-Z2-/3 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* PR/0. (f[%\ White -Building Canary -Engineering 411NNEsOtP Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT D i -. do uO'-1 APPLICATION RECEIVED 4_ . /0 " (3 The Building, Engineering, and Planning Departments have reviewed the building permit; application for construction activity which is proposed at: 36 07 ` £1z. 0rL . Accepted I/ Accepted With Corrections Denied ,� Reviewed By: 1 AL_„ Date: `7 A Comments: I. L.- t��s tom/ �o A/774.4-1, /114-64)77k61-0\/ 6-,, 617^) 7'72, -&- - kr- 111-Gt_--r T tlie * "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 PRI() t21 White -Building Canary -Engineering 41INNEsO Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT L... _ APPLICATION RECEIVED fi The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: D Accepted Accepted With Corrections Denied Reviewed By: `j �,(1 A Date: 4 05 / 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." 1 I vitroCITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT 1 woe 2.,.risk Cay PERMIT NOQom • 3.Yellow AlignsI:I (Please type or print and sign at bottom) . 1332° ADDRESS ZONING(office use) 3(CIT51 I SK r boot SW O Lake- LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PM (Name)OVVR fta • � 411 5 (Phone) 6/52--9 S7272_ . (Address) 2() ?-)(9° it 1,f "L't t(1ile. C+.41-00 l tm le �k J�JL� ci APPLICANT (Name) -Ti reside i-1ecli-fki v v One (P ie) 6951- 1,9 33--2 5Cv/ . ' (Address) 2100 Fair VAev Pr / 1V iose lid-6 te- 1V\tJ /55 113 (Address) (City)tt / 2 (Zip Code) Lza (Contact Person) Leak ery e eAr- (Phone) I O61— JB— J�Irl , APPLICANT SIGNATUREAzt-P\ !zY OJ .$'P JQ�!. DATE _ Q a.43 APPLICANT PLEASE COMPLETE BELOW , [NEW CONSTRUCTION 0 REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT - ❑Warm Air PlantsPLEASE NOTE: Air Conditioner - 0 Steam Units and Fireplaces Cannot Encroach ❑clr vity 0 Hot Water into Required Side Yard Setbacks. ecllanical 0 Radiation Fireplaces with Box Additions or Air Conditioning 0 Special Devices OVent.System ❑Other Devices Cantilevers to the Outside of Buildings 1 �l I J Require a Building Permit. FIREPLACE MAKE AND MODEL, 1..1�o f 1-1P(�• 1'tQ ` ,,.\ Require _ FEE SCHEDULE Industrial,Commercial&Multi-Family I%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 $49.50 Estimated Coat$ Building Permit # '[lie Minnesota Statutes 4 3261.145 HEATING PERMIT FEE $ "SURCHARGE" effects changed ror one ve STATE SURCHARGE $ .50 July 1,2010,until June 30,2011. - TOTAL PERMIT FEE $ •1110 William surcharge fer a"fixed fee"permit . (Office Use Only) is$,i,beginning July 1.2111 a - This Application Becomes Your Building Permit When Approved Paid Receipt No. Date a ,PAtar0 Ise P,�.L' k_ Building Official Date t.— '7 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 -1114,10' 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 o. pRio CITY OF PRIOR LAKE Date Rec'd BEATING/AIR CONDITIONING/FIREPLACE PERMIT f1 /61,. / -A\4e Innvcso° z:at ciY 1 PERMIT NO 4.3 r ''y 3.Yellow Applirsnt / J (Please type or print and sign at bottom) JJ ADDRESS ..-------/ / ZONING(office me) 3L kAr' 6/4.. •An/ . LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION . PID OWNER (Name) (Phone) (Address) APPLICANT--PA,l _�� 0/)1 � � (Name) at b 1 (Phone) -1V) •4-13' Z2-V1 (Address) J�J'J V\A11 UN PAA---11A 515Lili1 (Address) City) �/ (Zip Gxfe) (Contact Person) �� /V) (Phone) 10•2-6 3-41k b J APPLICANT SIGNATURE r--�A .A/v y Eaki.,05,7DATE 1 FP`20 1,. APPLICANT PLEASE COMPLETE BELOW • ❑NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air Plants ❑Steam PLEASE NOTE: Air Conditioner Units and Fireplaces Cannot Encroach ❑Crravity 0 Hot Water into Required Side Yard Setbacks. 0 Mechanical 0 Radiation ['Air Conditioning 0 Special Devices Fireplaces with Box Additions or ❑Vent.System 0 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 $49.50 Estimated Cost$ Building Permit # PAID WITH HEATING PERMIT FEE $ 't Ell.MuliMig STATE SURCHARGE $ 50.. TOTAL PERMIT 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 P Ripe Date Rec'd 0H CITY OF PRIOR LAKE ( I 20 11? 4 SEWER AND WATER PERMIT b INNEsal- 1. Green File PERMIT NO. 2 - 2. Yellow City 3. Gold Applicant L , 6 (Please type or print and sign at bottom) ADDRESS ZONING office use) 3687 Tu.+."42,1 a". pi/ 5,6, LEGAL DESCRIPTION(office use only) gaogyfLOT ( BLOCK ( ADDITION 5'„D �.S< "T l_ /el& ,/ PID / 5--- 119' .--100/--- , OWNER L 1�I_ -�-- , (Phone) (Name) � ^^ (Address) (Address) (City) (Zip Code) APPLICANT (Name) �• S ,y� . _ �• • (Phone) G S!—it kg-13 SS (Address) 01--1.Ui - c'_/ (Address) (City) (Zip Code) (Contact Person) N I Ice4 (Phone) to l 1—Q i i—51.3 SI d APPLICANT SIGNATURE C/' " O DATE / [—I°— 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'l&Multi-family 1%of job cost with a '•- . : 'mum Sewer connection only $25.50 Water connection only $25.50 Estimated Cost $ Building Permit# The Minnesota Statutes§326B.148 ER AND WATER PERMIT FEE $ 9 "SURCHARGE"has been extended CE SURCHARGE $ J5.,1,0 11/466,)2016 until June 30,2013, AL PERMIT FEE $ Thfi e minimm surcharge for ed fee"permit s$5 00 a BUIL 11 y G(,_ 1;44" This Application Becomes Your Building Permit When Approved Paid ' t - 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 VRto� Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT E$01 1.awe Fie Z Yew �r PERMIT N" #-%? , 5a-* 3.Yellow Appliceia (Please type orprint and sign at bottom) ADDRESS ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) 6' 3 iZTD (Phone) (Address) L. (Nam) APPLICANT , P 3 4- U+ (Phone)� ' 413- 2-2107 (Address) 15(535 Yhe- I-Y1 55{11.7 (Address) (try) (Zip Code) (Contact Person) -5OVbU A) (Phone) lb •253-A.1 )Kk APPLICANT SIGNATURE 1\(IL ltd t k. DATE et-2-3-21)0 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 Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet(Toilet) Other FEE SCHEDULE Industrial,Commercial&Multifamily I%of job cost with a$49.50 minimum Residential,New One&Two-Family S14930 Residential,Additions&Alterations $49.50 The Minnesota Statutes*3268.148 • $ Building Permit# "SURCHARGE"has been changed for one year effective PLUMBING PERMIT FEE $ PAID WITH July 1,2010.until June 30,2011. STATE SURCHARGE E31J8IIVG PERMIT The minimum surcharge for a"tired fee"permit TOTAL PERMIT FEE $ beginning Jul'1,2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Bul cliaa official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS -ivy NATURE OF WORK 6'F1: ) Ivv ,. ©ick , ,I . iNI . 1 L. . USE OF BUILDING 5,.� Li*� ,L-y D� ►._.1._1/ ('-7 PERMIT NO. 13, 62:7 DATE ISSUED c t CONTRACTOR b R, 14 z(o,. I Al c PHONE `T52 - 5,1805 INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING FOUNDATION (Prior To Backfill) Of 474/e? RADON RETARDER /-y./3i PLACE NO CONCRETE UNTIL ABOVE HAS B N SIGNED ROUGH - IN SEWER/WATER/SEPTIC 3a /is 7E FRAMING I-, 6 /S D-13 INSULATION 1 `1-`{. 1'3 ELECTRICAL PLUMBING g • .C,, 12 HEATING 6_ X11- IS FIREPLACE 8, g_VS GAS LINE AIR TEST, ;,,, whet.-�..,A/> 7-4., �' ' 40//3 RADON RETARDER of COVER NOW RK UNTIL THE ABOVE HAS BE SIGNED HOUSEWRAP LATH 12, //.. FINALS GRADING ( PRIOR TO SODRING) e - BUILDIN 4o81 1 s /€fi) 5k--<--� Ec ( lc_li ELECTRICAL PLUMBING AIaI21IAA tole 244 ,a .,- j /Q O AT A? HEING _ / j,9 DO NOT OCCUPY UNTIL AB. / -AS BEEN SIGN D 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