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HomeMy WebLinkAboutBuilding Permit 13. 0482 IACA ?C ; ? fr A K CITY OF PRIOR LAKE Pr.parfturttf of puilbittg cjittsprrfiint Final Permitted ❑ Conditional C.O. Expires A- 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 j( >�. i ordinances of the City of Prior Lake regulating building construction or use. For the following: Use Classification Z S I NG LF FAM I L Y"N Bldg.Permit No. 13-482 KOccupancy Type fl J Type Construction V Zoning District Legal Description C13, BI , HICKORY SHORFS SFCOND ADDITION 3883 TURNER DRIVE SW ��,,+^ Owner of Building Site Address. ' Contractor's Name&Address D. R. H O RT O N, INC. 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(3 , tv_i ,..::r., 4r(AI xEsott :t wt,� tcittyy PERMIT NO. /3 113 2 �� 3 Wary Applicant , (Please type or print and sign at bottom) ADDRESS ZONING(office use) 3f e3 V i piles got15�'D LEGAL DESCRIPTION(office use only) • LOT /3 BLOCK / ADDITION /eh cr..Ar- 2 pip 15. 4SZ. 0113.6) OWNER (Name) (Phone) (Address) BUILDER (Company Name) D.R.HORTON, INC 952-985-7272 (Phi) (Contact Name) Brooke Hareid bmhareid@drhorton.com (phone) 952-985-7806 (Ades) 20860 Kenbridge Court, Lakeville, MN 55044 TYPE OF WORK 14 New Construction ()Dock ()Porch ORe,RoofingMe-Siding Mower Level Finish 0 Fireplace DAddition ()Alteration QLitiiity Connectit • CODE: ®I.R.C. OLB.C.. 0 Misc. Type of Construction: I II III IV V A 13 PRO3ECTCOST/VALUE $ 224 775 Occupancye'Group: ABE F HI M B. S U (excluding lead) Division; 1 2 3 4 5 I heresy edify that I have furnished tnfuitination on this.application watch is to the best of my knowledge trite and cornet. Ialso certify that I,am the owner w authorized agent for the strove-mentioned property and that all c tstntetton:Will conkirm to all existing State and local laws and will proceed in accordance with submitted plans. I am aware that the budding official can-revoke t,is permitfor just- e Futtf more.1,hereby agree that the city official or a designee yaenter upon:the BrofttrtY to perform needed '' .tInns. XOP __ BC605657 Z )S- c ttata c Contrractor's L icense No: D e Permit Valuation d.g2 7D tr. go Pack ptart PeeIf Permit Fee $ 5-0_ SAC # $ 2-4;35-,1i0 Pian Check Fee $ /j Q� 0 Water Mier Stzt Sig"; I•' 1-so J 0 State Surcharge $ r � Pressure Redneer $ / / o OC) -Penalty S ^ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee 4 $ 1600. 00 Mechanical Permit Fee $ /S"z--/ Builder's Deposit $ 2.5-0 O. 00 Sewer&Water Permit Fee $w Other $ - Gas Fireplace Permit Fee` $ TOTAL DUE70 g . This Application Becomes Your,Building Penult When Approved -17/92ticfl' i�ogs Receipt No./4q3 I Date (2114 ( f3 By SA Buildutg.Official Date This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows constriction to commence. Before occupancy.a Certificate of'Occupanty must be issued Planning Director Date Special Conditions,,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 • • _ ... . . • .: ,r 1 4 44,' . - ." .,'.•/„i5.I..0•-,:•-i,:,,..•::.-'-s.:-.7.','_.--'.:::•'.:.,e,:'., ,• Builders Deposit • • •• , ... ‘ • •, • . . . . ,.... . . •.,,. ” ... . . 4ritiosnoo . cat Pir. ' for:-.LA. ke:. . • :-. tr., ih,„;Botwoostt to toot'amour*, :. loAtvsuro_ . ....cgslopt-woe. .rof a •Ak4"°°4°B41644- *'''''''''41.1'.."144-"i"4414"),ARP•"*-e*teliwi:itelia,tiektitkialitii:notiff.463:4 fo-ontti:ii..rsp.adllyt fantralcaPitigi tree Fiiii#•:01400,0440V,ke':;jt• i • (-00 eee-Olkageou0--,• .- etitst.•-,:- . • .tittnotasim.;(,,;.portto to .:,,;•,2- ,It itkOlioi#10040n010:1 ociitinawirmvortoinqandlakoont ditift.ileamtpteted. .1467:44 i ..._ iiikt 6i.i.. . , _ , compiy or tim iv,„,tihtt,„ t7;zkt,t!ij,Izv..tfo,rMg."-grtii""*R,ptrr44""Eki4H:wktt.iitfe=:izi,tjtitriotevHjerotiiort;reSmnT.vsit:err:;cytrs4Zt.t)l21:.vor:llit' 44.6ficititiltaTropo '.inataisztitelettutrodatbitat • .sp OATS: 17/ ••/6.---- /13 . . - • ..- • '.-- - • . .? • pEardrr# „/- - 1-'0 Z___-' - • • ... ,.. . . .. ... . . • . . . • . - • ••• - • , ,•-••• • .,:•,,,,,,•- - ---,,,i D.R. Horton, Inc .Rtinlitritt eta iVAILED-W-0, , , • ,...,... . . ., .. .. ... , „. . . A ttn: )At ill AUTH ei ' ZATION TO RELEASE 20860 Kenbridge Court Suite 100 / 42. cZt) w • ,.:.•••••. :-.• • ... ..„,... .. . • Lakeville, MN 55644 . .... Lynda S. 'i len,B 'Mine g Services Amount q.,/3, 1 Acct.801.20204 Date ... .--.... + •,-,. • . . • •• 0.', • ,,,t,',.. -..*:.„'n, -..:.4; ,i0... .i KA 1°,, ..,..'...,e,..,...1... ,,,....12............ _.,..,.. La Poppler, City Engineer • • - . titit . EtrkeriatiNVINANOttir4VIRIXtri L PEW ' -' s'- ' '' . ..,' : • '. • ' - .. . ' ' •••• .- " " IAUTHORIZATION TO . - . KEEP EROGICOLVIMM. 01:16f-A••• 0. .E • lEfilPOSARY 02C.041P:MOT.„: • MIFOlifr 14:14T.. NOT EX.......4M.. ...„fa*. ...450. .0.00itat4.. . Be ORFEflED „ • ,_ . .. .-- '..'''A''''''('.II'A I,A t-f4VtbillrVill1044071r.75,e'firliRICCI...07.1st,67''''''F*.i,e -''';',.!,..."1-;rtliii,t27,,,,P.,:,17"41,0 il ,!;14,K4Vt.. ',AVPt''t. V;ilIii:'218$047,. 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':- '. ,. • :,_..,,:fijoki,„„ 1-----------_-.44,..___------ - THIRTY FIVE THOUSAND SIX AND 54/100 ete .!;014,101.1.i, .--- ..----.----,,,,-.--- ..,-,---,:i--,;-;;7,--,.:r"k",r,•,„,:r.,1',„.„,:',. 1 ;:,,.;',.flitaff:1,,,..- kirlff±-- -g...-=- 7-.---F--- -.----,4,,,t,,,'111,-;,,,1 ,',,v,,• ' , 4 .1.', At'',11,11g-,', 1,1 0.ii:',1,4i11% iltehlil!' 6,::::4-2- -__=.1,-_•:,$'_Ifj,--6,-----.1:--,-7--r_c-------.-1,0NA.t4.1, 4 t -7•44,-:,-,-;;, ,,•':Itv;i1:'-ii..,4,.;:e7;,,-im,,,,N'k.,-vf • ,,,,11,.,,,,,,,, -ff;i•,-,, •A;-..q.::.i:ii,100:1°Atliot• AtAio.t,Titieto,-*: * CITY OF PRIOR LAKE(PERMITS) r--1"..,;" ,.„`I'VS:-4.';',W4;T:g.l'...i .,1*,,*_'re, „.;',','''., .,.,,,r, z.„..,-,*-4 -;',--f.'-''''.7':e' -..:.•;'''-- , : . •-'03/4,,,tuf.,4,...14,4,,,i. q,',4-4.1e,',-,:„.i.A.,--- -- . - .-' . -, . . . 7 -,,: X „ A,4 -- -• •• ... - . ff.: .t.,..,-_------ --Nil , „ 4646 DAKOTA STREET SE ----- -- ----',-------- - i.ora.ftrinsii_,_;i,f..t.,„:-. -k, ----TM_ al PRIOR LAKE MN 55372 1,...; ,, „,...,,,,--,,, .,.f,----v---As--, ,--4-wr'-ra--..-,_7-;',,'',.'..,'.i,',..':i',n,,,,,,,,,,,r.y...-‘-:,,.- !,-r-ia• wo 'r•--t:---: T,.. --,Ii .._ .„,„,....„,., .,,,„,„.,,...m„,,„.,-,„,,,v3t,mRp - - ' %.'.v-.z.:Tj,,:,•.;,!„, .;7,..L ,:",,,,,,:-,,•:•_,, A,65ziwiz,i,;;4.1',A..,t,,..1,.."Aoyis ,' x'ti-z r--.6,51A--,F ';' ‘„i'.,'.-441,i.:1).:0,,i'..-7/y;k74?',',74p, '.,-;4 ',:,..:;•:. ''''''- `1'--":- .-- U ..,.*•W' ,V.:,Vi,, *, ':'V'',co,',t.,- ,, i . _. ,, ,, 4. ..:. 4,44,-e_ .,a,,,,,,,,,, ,,,, .,- — MA,A,'.r.',-,::',1.,ke.',.4„.,,ilapio.tin A: m-,,......,-„4.14,„ ,..t.a,-........... - z42454.?ifrika„wl.,1„, .14,,. , . . . ,,., . . _ ----- ----- ---- - . . . . . .......... • Oe . PRIp , ti7 � rT' White -Building Canary -Engineering INNESO Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT a / • /�O �y j /d e_'' APPLICATION RECEIVED 4 • 2 c • /3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3b' " 1V1 1 t3i � .si Accepted Accepted With Corrections Denied n Reviewed By: �C Date: /�/(3 Comments: 2. Sol TC2.Q.,_6 JCR-A----1 "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." +4 ,f'rA„kry,,,\M,..„ ,*0, ,.t° it-4,1 'b':n „ ,r:., ,:Xplilpf09444%-VVIIIVAP*0641Aftvc„..00.4,,,,,,,Ozkw,„0,,,4,..,,,.S..fi .1. ,5-'-4"f'R•`-- 4 • ( f \ PRip� e �� White -Building �INNEso�P Canary. -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST "'` NAME OF APPLICANT D- k . H6`67z,v-/ //4 (!_.-- 7 APPLICATION RECEIVED 4 • 0 (p /3 ,, <' . • The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 84 3S9 209 (!_.-- 7 APPLIC ___)_c_____ Accepted With Corrections Denied Reviewed By: /z Date: -/3 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." .+. $ ,: 'et?....,. .moi- Jiwv,,..rW.r+ :.,,; ,., ;r y w....,vM^v.A. ."* x.. •+. .%ti""w ""fT„u.• A., ani?•,*k',•--m..amid.d,>ua W'F'�.w,+�,.;A.-:e abA�6lri�r A' .r..: - .. 14/ ((A tx White -Building �, �. Canary -EngineeringNNEsO Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT , � ' w . a'` t.` �< c �' �" r "'r r APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Y . Accepted ✓ Accepted With Corrections Denied Reviewed By: Date: 5-/.7 Comments: r,rrw Y ri /f. ro., "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 off 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." . k Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in -1 or -2 Districts I F Reviewed by: 6. - Date: 5 r7 (-3 .... ......_ Building Permit# PID: • Zoning: p;,5 v Address: 79 , 1( 4- 77 TOp/t.o^z ,')k Legal: L , B Subdivision: • • Existing Structure? YES 116 . Existing Nonconforming Structure? YES I NO CONFORMS TO ZONING Yg NO ORDINANCE 1 Yard Setbacks: NAI FAILS/ t i'LIES Standard I Proposed • Front Yard(can be 20'if a, .w/in 150') ice. Z5-4e4'`' 43•Zz • Side Yardst 25'if abutting a street 2 • i f 2,` eri 144 • 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 wall is 10'-0"or greater of being parallel to a side lot line. • Rear Yard — . ‘9- < • 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/NIJRP 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' 1 Floor Area Ratio: NA/FAILS/CLIES I .30 Maximum I P-d L) Yard Encroachments: I FAILS/COMPLIES Standard Proposed Eaves and Gutters no re 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: tI FAILS I COMPLIES Standard Proposed ' • Total caliper in • Permit 35%Removal • Caliper Inches Reoved •' Caliper'Itiches P,r served • ReplacemeW Y:1 L:\T M LA.TE\BLDGLIST.D0C �, ,; a'. �� - TEMPORARY CERTIFICATE OF ZONING COMPLIANCE p/I f AND UTILITY CONNECTION PERMIT 47,NNESecP I. White File 2. pipit City PERMIT NO. f 3 Yellow Applicant tilitj (Please type or print and sign at bottom) ADDRESS ZONING(office use) —3 q 8 3 c ri Ot(ie__ .4,r_..) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name)__� I C- k n 5 II or 3 (Phone) (Address) BUILDER / (� 14.7(Company Name) a . 0- A (Phone) /i S 1 ciis (Contact Name) 5 v rn 'f l I-Fre Pio).er-r c„e\ (Phone) (Address) S'75—, Priv? kit114Ave W Sj, i44.0 (I 41.t'1 LI sc-r 03 TYPE OF WORK 0 New Construction DDeck ❑Porch DRe-Roofing DRe-Siding ❑Lower Level Finish El Fireplace DAddition DAlteration DUtility Connection CODE: DI.R.C. DI.B.C. 0 Misc. Type of Construction: I II III IV V B PROJECT COST/VALUE $ 3 3 o O — Occupancy Group: ABE F HI M SU (excluding land) Division: 1 2 3 4 I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the above-mentioned pro. rty and that all 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 revoke •permit for just`use. Furthermor-, .hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X 1 _ � G v7 5 ©e- a 7- / 3 Signature Contractor's License No. Date • Permit Valuation /�/� Park Support Fee # $ Permit Fee $ `til SAC # $ . l03. 0 0 Plan Check Fee _ $ L `ei'S Water Meter .Size 5/8"; 1"; $ State Surcharge $ 2 Od Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ • Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE PAID WI's Eli!I.nrrvp PERMrr This Applicata. : c.j; our' •ding Permit When Approved Paid eceipt o. / Date By 4 II Bfr}ding Official Dat• This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-985(1,fax(952)447-4245 16200 Eagle Creek Avenue Prior Lake,MN 55372 (0/vxto4,1 ) CITY OF PRIOR LAKE PLUMBING PERMIT I.Blue File Date Reed 414NEse" 2.Gold City PERMIT NO ,--, • /.)-di/(2— J.Yellow Applicant . . . .. .. . . . .. . _...... (Please tYne orprint aiuTiiiiiiit liOttiim) . . ' . .. .' . . ADDRESS ZONING(office we) D .:2......5----. 1 WyArNui LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PII) OWNER - (Name) (Phone) (Address) APPLICANT-- : (Name) .)OWL, P\boi N- \ --i",.9 (Phone) 1 b'''() -41-5- 2-2-te,1 (Address) \rt."D L:515/--,-1-) 41\1 t.actrt-k, e-di (/1 WA RA -,1/\ 1 (Address) (City (Zip Code) . c.T.: (Contact Person) -...2.)1UtkilLA, (Phone) -ltf 7)- .2--t5?.)- /41 ; APPLICANT SIGNATURE ------.=‘ i.• • ' • . AAAAMIttit.., DATE 1 2----2-0 APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins ---••- •- ••-- " Disliwather • ' --- .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&Multi-family 1%ofjob cost with a$49.50 minimum Residential,New One&Two-Family $149.50 • Residential,9AlterationsAddliLtioDnsf&N tiG $490 .5 Estimated Cost $ Building Permit# PAIDWITH PLUMBING PERMIT FEE $ PERMIT STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your.Buftding Permit When Approved Paid Receipt No. , .,.. 7-======-Wdi = iiibliiiiiii-.7 .7.----.------i-- .. 77 -...Thire7 7 - - -- - i . ' 7 . . —7 ----"--"7-'''':''--- -.----.- ---7------ 77- .. 7--7 * . • *.' *. " * ... . -" .* . ' --,.....1..1111!INMEMS.MEINIII 2.4 hour notice for all Inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 i p RIp CITY OF PRIOR LAKE Date Rec'd �1' HEATING/AIR CONDITIONING/FIREPLACE PERMIT Alv1 d14e. L.Pink File PERMIT NO.2. city • / 3 dyl).-- 3.Yellow Applicata (Please type or print and sign at bottom) ADDRESS ZONING(otlice use) 31• 73 ''&-'01,111,- ( 54 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNERA • (Name) �, /'� /711,176514" (Phone) 2 ' 12,72- ) (Address) U 60 , 0 C.r tod . APPLICANT HEAR IA & HOME TECHNOLOGIES (Name) dba FIRESIDE HEARTH & HCtjne) LIC 662656 (Address) 2700 FAIRVIEW AVENUE N (Address) ROSEVILLt, MN 55113 (City) (Zip Code) /2, n 651.633.2561 . (Contact Person) %L� (Phone) • APPLICANT SIGNATURE 'att./ 4-- DATE /��r APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION ❑REPLACEMENT 0 ALTERATIONS 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 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water into Required Side Yard Setbacks. ❑Mechanical 0 Radiation Fireplaces with Box Additions or ❑Air Conditioning 0 Special Devices ❑Vent.System ❑Other Devices Cantilevers to the Outside of Buildings ll,�� 2 Require a Building Permit. FIREPLACE MAKE AND MODEL l�` i J SZ-750 772 7,-Z it c0 At r.. 'f'11G,t n`U FEE SCHEDULE • Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace $49.50 • $49.50 minimum ��V Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations V 50 Residential,Heating Only(New Construction) $64.50} Residential,AC Only BUILDING PERMIT Estimated Cost$ `t O0r,00 Building Permit # The Minnesota Statutes§32613.148 "Sl RCI IARGE"has been changed for one HEATING PERMIT FEE $ year effective STATE SURCHARGE $ .50 July I.2010,until June 30,2011. . TOTAL PERMIT FEE $ The minimum surcharge for a"filed fee"permit (Office Use Only) is .5,beginning July 1,:O1O This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Baiidine Official Date 24 hour notice for ail inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 . PR/04. Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT 4INNES.00 1. Green File PERMIT NO. Yellow City /344/(2—' 3. Gold Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 9(r3 f rL D4-.. LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID O(Name) ,�i I�.. 7 Drjy (Phone) hone (Address) (Address) (City) (Zip Code) APPLICANTAS NG•, 3`l 78Q (Name) ��/• GAYrI' ,`(Phone) 7 (Address) 29.4 L��Rr 92-iS& � � 4 i37XV .SS�Q33 (Address) (City) (Zip Code) (Contact Person) / k' ' 'v2 �"1� (Phone) tr/ fr9 APPLICANT SIGNATURE /1 •/ 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'l&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 $ •RAID WITH TOTAL PERMIT FEE $ BUILDING PERMIT (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 iv0.4. gqDate Rec'd U....s, itt- CITY OF PRIOR LAKE PLUMBING PERMIT I. Blue File .. . 2.Gold City PERMIT NO. /3_d fa._ 3.Yellow Applicant -...- (7Pleiiiiiiiiiiit andligiiit litittiini) . . . .. .. . ADDRESS ZONING(office use) -s, _,---1 3- 1"(\(-\k--4( )N/N-L.- c: \/\) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER • (Name) (Phone) (Address) APPLICANT-- ' (Name) -- aht Plbpj q- 2 i - -I (Phone) 1 ti ,)-.4 j7.)- z-2-it'—1 ----- (Address) .1: 1/4-51Y1::) 1\.1\i(WLA. , edi 0 f\ Y\ cb":54•-/ (Address) (City (Zip Code) . c.7"..: (Contact Person) (Phone) lit 7)- .1--b?)- 1.-11 Scs/ APPLICANT SIGNATURE •••- ''' i.: • ' • . A.A.LtAilkitkit_d DATE 1 - 2---7-0 42-, APPLICANT PLEASE COMPLETE BELOW . . Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins --—--- ""•"• " - "-DiSliWa-Sher• ...... .................................... . .... _ .. .... . ........ 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&Multi-family 1%ofjob cost with a$49.50 minimum Residential,New One&Two-Family $149.50 • Residential,Additions&Alterations $49.5(1 Estimated Cost $ Building Permit# PAD wrni PLUMBING PERMIT FEE $ BUILDING PFRMIT STATE SURCHARGE $ . .50 TOTAL PERMIT FEE $ - (Office Use Only) This Application Becomes YourBuilding Permit When Approved Paid Receipt No. '..,_._.. . . . .. . . . ..„...... ........ __.......__ .........._._. 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 CONTRACTORS MATERIAL&TEST CERTIFICATE FOR ABOVEGROUND PIPING PROCEDURE: Upon completion or work,inspection and tests shall be made by the contractors representative and witnessed by an owner's representative. All defects shall be left in service before contractors personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities,owners,and contractor. It is understood the owner's representative's signature in no way prejudices any claim for faulty material,poor workmanship,or failure to comply with approving authority's requirements or local ordinances. PROPERTY NAME:Hickory Shores DATE: 9-30-13 PROPERTY ADDRESS: 3 e 3 <LA, ✓= M CiN -i-L.R.. - P R I 0 R L A K E NOF BUILDINGDEPARTMEANDT INSPECTION INSPETION RECORD SITE ADDRESS 43 3 7b,ev6,e 2>doe• Stot,, NATURE OF WORT fA- _ -1.4W, 0,p jr,) -- DRE USE OF BUILDIN . 5A/lx� z i Am „"4- .A t ..�., A-6 PERMIT NO. .:� ' DATE ISSUED CONTRACTO- 411jje- - "d PHON rz INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL IME'S INSPECTOR ��� 6 DATE FOOTING 8/3 FOUNDATION (Prior To Backfill) 1- t _,3 RADON RETARDER -7- 7 4 -, PLACE NO CONCRETE UNTIL ABOVE HAS B EN SIGNED ROUGH - INS I SEWER/WATERISEPTIC 7vu ;¢ ;_ Vi t).2 FRAMING , T-6-1 3 INSULATION wc- ' r/e25 ELECTRICAL PLUMBING \lrs 06 j )7/„...,3...,3 3✓w,:C /. 7,6 ,�,� / Q / ei3 HEATING flI FIREPLACE / ---' A;GAS LINE AIR TEST 61-`t- RADON RETARDER P,)2�- PT `t-o-n COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED HOUSEWRAP ,, /iAL _TH F:� 2%5 PP • • t.._ -� NALSyr-15u��.H-0� 'i �-tel At GRADING ( '�1: OR TO S• DIN c_ i r % BUILDING ELECTRICAL PLUMBINGA04,,,,,,r , 7.-ic- ii?vol' 4 , HEATING 04ariah{*,r y:e6r"✓� ' /0 DO NOT OCCUP ' TIL A •VE 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