HomeMy WebLinkAboutBuilding Permit 13. 0992 errfifi-rafr of ( t upaut r
CITY OF PRIOR AKE �
Prjaarfntruf of !ut n$prt ivit
'Final Permitted ❑ Conditional C.O. Expires
. . This Certificate issued pursuant to the requirements of Section 110 of the�Residential/❑7nternattonal
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 ClassificationSINGI F F AM I I Y Bldg.Permit No. 13-0992 .>C
PUSD
ZoningDistrict I'`
Occupancy Type Type Construction •
I34, B3, HI CKORY SHORFS_FOURTH ADDITION
Legal Description 3598 HI CKORY CI RCLE SWC.
Owner of Building
Site Address
Contractor's Name&Address D . R. H O RT O N. I NC.
ROBERT D . HUTCHINS C"-c— >
City Planner
Building Official
Cb \' `\A 1 Date:
US PLACE '
Date:
POST IN CONSPICUO
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Ree d
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
-,t//: \s- c
\ , .._ AND UTILITY CONNECTION PERMIT
iii
c ts
444.,ese s ti: PERMIT NO. /3 c47---2.
3 Ytitow A4litar at
Mose typp or pxistt and OM at batons)
ADDREss
ZONING tuake use)
• / Sqb) ti t' -'1-Ni Giro .-2V\) •
LEGAL DESCRIPTION(office use only
• I "- 4-ktil
LW
LO 11BLOCK ADDITION I 1 u,1 161 e;te-)e (;14 t-A-- 1 - MD 25
4q4.•CZ&
OWNER 1.---) 4.wp• ,
(Name) V 1 00 Mono)
(Adcires,$)
„....
A , ,
BUILDER 952
(Company Nalnd D.R.HORTON, INC -985-7272- (Pk9,00 -
(conwei Nune) Brooke Hareid bmhareid@drhorton.com iffh6, 1, 952-985-7806
(Address) 20860 Kenbridge Court, Lakeville, MN 55044
TYPE OF WORK t11lim6nstrivtion ODeck OPareis plzeatirto Otte-sMing DWeexiMet Finish 0-fireplace
• ElAddition DAltendien OUdlityCtinteetion.
CODE: 01.13..0 Date. I:1 K444
TYPe ofC0-10ifitetiptu I /1 III IV V A 13 ERIVECr COStriVALUE $
Occupaney-EItmtp: A B 1 11 H 1 M P. S 13
(exeitstlissg WO
Division: I 2 3 4 5
• . ,
II beeshow,(edify alai.he ft flimiihitl.,rtftwon onsinscton wniattsvpikattongbntorm to asreltk'hionistiteltutst-Ohql(Ouvileftocatlrs aucc%tfr rnanti icele47401:14- t assn ceaceondaner Z 4)4 L'ulsuhifi ttithilowtmneru ATnal!t*Flawam rarzr.
Axial confer:ft,taispeemo,,inat-eange•• euxtbomoss.iinntlY agree that&titir allickiliza a d'Ai809e0alY.anterupoalbcpaaporwitt&ditto .....• .. > I t
X ,1 ...”: , Ad If'
BC605657 0 21 Q--191,
$1241414 Coh#4400:40St No,, ' n a 4,..
ir ........, ,„._..,
,.,
Permit VaistUon .3 96,.. roc --7-- hosi*go roe # $
„,
Permit cee .,$ ?Pac 1. S-0 -mt 11
-Plan Cheek Pee
19
'Water atter .7.4 51e; •
, 5
- -
State Surcharge $ /1 e. i)c) , liri.sureR... $ _
/5 c- e
Penalty $
Sewer/Water CtunteetiOn Pee # $ /szo, I-0
Plumbing Permit Fee S /51.57) Water tertMer Pee # $ /lige). A9
Mechanical Pertrilt Pee $ /5-y r_S-0 Builder's Deposit $
Sewer&Water Permit Pe4, $
_5-. ), S?) Other $ 14.-j1
Gas Fireplace Perri*Fee S ."---/ hie) TOTAL OM 6e2wc,e27 4..,rc>,i 5/4 ./.../6,/ ,....
ThisA p ai 1 Beconke.S Your Budding Penult Wh,, Ap .vett
t
i Paid /3,z(6 1, 6/ eceipt No. ICO ert,
Date 2 r,/3 / y
OS%
-411111111111.11111w
This tito certify that ther .test in the awe application and accompanying&aeon, ts is in a.ordance with the Cay Zoning Ordinance and may proceed as requested. This document
when signed by r ity ' ,few e sutures a tegporary Certificate of toning . -haw...allows epastruttion to commence. Before OCalltaliCY.a Ctlitfieitit a OCI:itPX147 mum be
Mired l
i
r Plartaing-Thre or Date Special Conditions,if any —
24 hour notice for all inspections(952)4474850,fax(952)4474245
4646 Dakota Street Prior Lake,MN 55372
. , , . .' - ..„,.... .
,,,..
Builders Deposit
•
•
i::4e4.41ipoo- -
City
of Prior Lake
4b.. ThestilidemzepxotwW*0 4.,-A9PWItortolasure-compliance for a
4.$141100i00 Bultdet*DritIO 1#01400:11t1 the Olgittr_,11 PA!"412,,,,,,,..14-- it,_-,,„,...-- -inmiite,,,,u".•Ibtit..notifinifed tooattlitio.sotlairith I/MN:taping, ft043
Fhia)..0000AnsitItettyll„r4 (1t 0410'443 0401V.VrAWtOWIA•VN'"17- ‘.""7'i-;;;7.4fiii;iTie - . to 0044(0 rot* it thwirtotic.IS titit euraP100
VFeting driveways aiding andladailaU Shell boo:avoided tit!daysniterl.- , .. 2...,..,. . _ _i_, _ _ . ,_., _ 0 eamory er the
iittiti t11.°44 1.00 day. ''. lihne. -pailOdf..-'the 91„.ttPtlfs. it Ottatth..6. OPPOig• .#11,...:fEtif. fife.Iffafition and tit&af0Witflud..511.0114.8(eithoTO 9.61r ort. ,
04 fha appifeaawilibekhilhatlar aleaa sP-or correefiwaviorititeleetify . nett
AS1$t0AT090-b17t4t4rester*p4o.444eitmay.").lattebia.411,ree,:grd:tta an'd will botokr—ncieffifsisicipi- ifeatrtaig.. . ii.t4 PfeSe_rvdOtof a Oefikd ototte*mg.
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SITE- At/DRES.tt ?; C:11?. 4.i6te..... . Pt:i
•
D.R. Hoon,rtInc Attn: JADA &Real
,........ ..... ,„
WA LDT
.tit,... PUN, ,b.tb.,140 tit. AtLED— 1:01 : .. .. . .. ._ . ..
206.60 Kenoriage.,Court Suite 100
Lakeville55044' :,... .0.: E.
, MN _...„..,......-. ....-„--- . ..iii . . . . -_. ...,
411.500.GO , •
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,... •„, - „....„ -- - ”
Lynda S. '.1 en,Buildin Services Amount
P.,
e,‘7,1,/ Acct 801.20204
.Mit
Date
.-:114,. gA: •40„ < it::-P-W. .. .“- . 1Sth' _- 1 —
,,-;:•-•:, m,.(1.,.\rr 0(),f,;•:,cr )
. .. .
i- KEEP STREVMOLEAWOOlqiNOCONS'TFtUQTVN.. ,
2. KEEP EROSIONCONTROL,IN PLACE
Larry 1.. "?oppler, City Engineer
$5
EW
tutk avz rvrtruttsiu.
RAW C/MPANCYPERIVIIT MUST 14071EXP'' IRS-OR 0.6.60 W, . ,- . . -
.... .. .
SterilATu,,.11,at. . , /.,. . .. -' ,,,- -`al,, ,...:,..„„, ra--A---k•-_ . .. ,
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THIS CHECK IS PRINTED IN RED AND BLUE INK ON THE FACE ON CHEMICAL AND BLEACH REACTIVE PAPER WITH NVISIBLE FLUORESCENT ilBERS A\KIE1A41541,,,,Thi'44",,-444,1'.'d,Kr-1144*P-.:*'''''''''
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. '.Z' '.•.- .'.-1. %:‘'.2-•., . .:L.•:.-r::.\ ;,:',.:7.e,;;!-VL'i''.4.V.W''Yir
DRH Inc. South Disb Account
64-1278 el, - -, ‘ . , w-,.A.:,;-•„,,,,,•„,,,,,...•;,..,.„„„G,;:-.,y:,,,,,,,',,-,;
301 Commerce Street S 't 0 ' ' -`\- ' • ' Atlanta,Dekalb County,GLOrtia • -4.,--;• •'1'' ' -'• ''•-''';'-111-9-41-11'.:".'°".2* :''''' ''A'-':.'
s: -;;.:'-' Q,,,,' ',•'‘.:: -',, ,\.,... ,.‘.,, v, 6,14,. GA • 7•. ,•;, v." ,,,' ,4-,2,-,:i.:fN.: .-;,-. ,-A2,,k,,,,,, -,,,,,y;7`;,. .
Fort Worth,Tx 76102 sV ,( ',.' k.-', ;, ' . v,,,. ..,, ,,:s , ,g\_.,. ,,, ,, 09/20113 . • •$ .13;4648-, •k4-:.,-,'--
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-, ...,./ ,,,,,,...,: :- tN.,.,:... • ,,,.,,,- \ '\ 't'.ililkall< , afterVoid ' ' Ili f
'6 mon s rom ife
SP a* THIRTEEN THOUSAND FOUR HL SIXTY ONE AN
D 68/100 ****************
***************.
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- . R- 1,pt., At, ' .-',.. ,-::•,, -:-,:•,i,-,,,i-,1,5\,,-- ,,,v,.,.%.
To the
• \
Order Of:1 CITY OF PRIOR LAKE(PERMITS)
),,,,,` .i,..:.,„1-... , ,,:\s' . .\) .,--:,.--,'..,...:,-,'-'47•. :k..;14.-':1::-;:::-.4‘:\\I'A':\-4g...;-''';
\ .- \
.- 4646 DAKOTA STREET SE
.
PRIOR LAKE MN 55372
__:____ t:
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000 560 2 3 3Il 1:0 6 L II 2 78/31: 32' 903 6 7660 • '
04 PRIp�
- ,,,
U tr1
White -Building
Canary -Engineering
.„,..so,„. White
-Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT - / 7 ft)
APPLICATION RECEIVED 0 ` Z-2- /3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
....')`z) 6 /i://c/L' 6`:,,t, .i1 k... `J- (/V
Accepted K Accepted With Corrections
Denied
Reviewed By: /!"" Date: 7-C-/3
Comments: See Reverse Side for AOditional Information!
See Attachments:, 1j 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� PRIp�
U r1
White -Building
Canary -Engineering
^'lNNEs°�� Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT '. /r` f-/
APPLICATION RECEIVED - ZZ" /3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:37.5 / Cis ey c e_ s: (I ,
p
Accepted i/ Accepted With Corrections
DeniedI.
Reviewed By: Date: 3
Comments:a
(
;/wec- *..1.,,,,,A1 #. //(4(AA-79(--t-) _-,_.79->"-'
-5 y ccc — /` —TSS=
"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. Permit:
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
(3. pkige
ti
U
tri
White -Building
Canary -Engineering
�INNESO 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:
Accepted I. Accepted With Corrections
Denied a
Reviewed By: Alibb, Date: v 3
1
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."
Residential Building Permit.Checklist
New Construct!,n for Slagle or Two-family Dwellings in I or R- 1 lstrlcts
Reviewed by: i f Date: 4a /_5'
Building Permit# - I.• Zoning:
Address: -r---6 c l -t - P
Legal: L , B Subdivision:
Existing Structure? YES 16 . Existing Nonconforming Structure? YES/NO •
CONFORMS TO ZONING 16 NO
ORDINANCE
•
Yard Setbacks: NA 1 FAILS/COM I .- Standard I Proposed
• Front Yard(can be 20'if avg. fin 150') 25' —z_S� 'C..)
• Side Yards 107
25'if abutting a street k \. 4
• Sidewall exceeding 60'requires additional side 2" 10'setback+
setback for every 1'over 60'in length. Not required TN over 60'
if building wall is 10'-0"or greater of being parallel to ,--
a side lot line. k
• Rear Yard 25' .( 00
• 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) ,or setback average of
adjacent structures,but no
less than 50' s -
-4jj
Floor Area Ratio: Al FAILS I CO .30 Maximum I -' 7 I
Yard Encroachments:i " AILS/COMPLIES Standard Proposed
Eaves and Gutters no o 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: FAILS/COMPLIES I Standard Proposed
_• Total caliper in es
• Permit 35%Removal
• Caliper Inches Ren oved
•- Cali ar in�c�hes P served
• R Iacemefi t '/:1
L:\T TE\BLDGLIST.DOC
i
The City of Prior Lake
impervious Surface Calculations
(To be submitted with building permit application)
For All Properties Located in the Shoreland District (SD)
'rile Maximum Impervious Surface Coverage Penritted is 30 Percent
3598 Hickory Circle
Property Address
25,609 7,682.7
Lot Area sq. ft.X 30%
IANGTH WIDTH SQUARE. MET
TIOUSE X
A.TTACI DID GARAGE
TOTAL PRINCIPAL, STRUCTURE 2,413
DETACHED BUILDINGS
(Garage/Shed)
TOTAL DETACHED BUILDINGS 0
DRIVEWAY/PAVED AREAS 840
(Driveway- paved or not)
(S i de walk/rarkina Areas) x 77
TOTAL PAVED AREAS 917
PATIOS/PORCHES/DECKS x 0
(Opat 1)Ntos V47 WA nriming beviazil
tosr4b.' kb. i pereivo $iirrileiz b=1100:, X 7-=.
are LW COLlfACTed tri cimpervims)
TOTAL DECKS 0
Cri`HER x —
x —
TOTAL()THER
0
TOTAL. IMPERVIOUS SURFACE. 3,330
13 August 2013
r RXp Date Rec'd
�„° `� CITY OF PRIOR LAKE PLUMBING PERMIT
titi
u'"a �` PERMIT NO. ,/�//
2 Gold try ��' rO /
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
q c U eteY3 0)vat, nv.i
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
APPLICANT (� 1I1'
(Name) ) QVL Pi b9 01- i.N (Phone)1 tP )"141 ) -2.Vi
(Address) l` MLitt hit,, Pi YYo► h 5`akti
(Address) (t y) (Zip Code)
(Contact Person) (Phone) 1(., X53'41
APPLICANT SIGNATURE atAlL�`" "U OUMArAltai DATE a'2 3'2013
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&Multi-family 1%of job cost with a$49.50 minimum Residential,New One&Two-Family 8149.50
Residential,Additions&Alterations $49.50
The Minnesota Statutes¢326B.148 ..1st S Building Permit# •
"SURCHARGE"has been changed for one PAID WITH
year effective PLUMBING PERMIT FEE $
July 1.2010.until June 30,2011. STATE SURCHARGE $ .1:WILDING PERMIT
The minimum surcharge fora"tiled fee"permit TOTAL PERMIT FEE $
Is SS.beginning July 1.2010
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
4 r]tI CITY OF PRIOR LAKE ])ate Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
H �
4
jMvsso�P 1.Pink File
2.Green City PERMIT NO. -D 9 f�
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING office.,
5
et I r =r OilvaL 5\"1
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
APPLICANT. O JOVE. 1�t\O ) 1�1�f� (Phone) 1(0.3'1413-2.2 1
(Name) ` `n ,
(Address) 115536 ki e,( .A_, 1� N t l� VYl9Q-�� 5540
(Address) (city) (Zip Code)
(Contact Person) (Phone) 1 Li?) •141I k
APPLICANT SIGNATURE k A L( DATE 61-Z3•200
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑REPLACEMENT ❑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 ❑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
[Went.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 $49.50
Estimated Cost$ Building Permit #
HEATING PERMIT FEE $ R PAID WITH
STATE SURCHARGE $ .[JILDING PERMIT
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
V RI04 Date Rec'd
CITY OF PRIOR LAKE l0. 9. /3
SEWER AND WATER PERMIT
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Goln FileCity PERMIT NO.
Gold
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3. Gold Applicant
(Please type or print and sign at bottom)
ADDRESS , / ZONING(office use)
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LEGAL DESCRIPTION" (office use only) d/C-Agy
!LOT / LOCKL/ ADDITION �/G a/ge'S A zdimiv z/`1"492D•
OWNER �iZ1/V
(Name) ✓��• (Phone)
(Address)
(Address) (City) (Zip Code)
APPLIC(Name)ANT dJ gr Ii�� f�✓� /i?/ ► (Phone) 57 7 rd- s-
(Address) 2•'7/ lcs / 1 f4S47)V 4o S's o3 3
(Address)) (City) / (Zip Code)
•(Contact Person) U d (DO /V. (Phone) /,/2 9/9 yi3y�
APPLICANT SIGNATURE 4 �/ �49 DATE /d-r--43
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 eet.
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 $ .50
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Buildin¢Official Date Date PAID WITH
24 hour notice for all inspections(952)447-9850,fax(952) 4'7-42PING FERNY
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
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..0 PRfe CITY OF PRIOR LAKE Date Reed .
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F' HEATING/AIR CONDITIONING/FIREPLACE PERMIT I
4r� o�� I.Mak pile PERMIT NO.lk 1
�'B I Z -
2.Qreea PA
3.Ydlow Applicant
(Please type or print and sign at bottom) .
ADDRESS ZONING(office ase) -
`/`o .ic,1C i rile, 1N Nx\r I. k
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(Name) •
amR 1 Z *OV - 'e,S (Phone) 952-9135-72.72
(Address) 208UQ V\bridge CE ►*1 coLa,166ville,�1 s'`4V G /%1
APPLIC
(Name)ANT _1 res}d e, - r4h o�- /40fri (Phone) 051- (P35-25691
(Address) 21 OD V-dirv-letivv Ave Iv D1 VI Re., J MN 5113
(Address) (City) 2�� 2 (Zip Code)
(Contact Person) Leah Lo d ern'}e d e r (Phone) �t- �3'C.—731.2— ,
APPLICANT SIGNATURE 11
=. .t..�J _ _'KI DATE k/1„:11l L
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
PLEASE NOTE: Air Conditioner
❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
DG�vity 0 Hot Water into Required Side Yard Setbacks.
echanical 0 Radiation
DAir Conditioning ❑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 C-11---1 :.)D 1•--eA-Jr- - h-- C�`r1
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 #
The Minnesota Statutes§32613.148
"SURCHARGE"has been changed for one =
HEATING PERMIT FEE $ year effective
STATE SURCHARGE $ .50 July I,2010,until June 30,20I I.
TOTAL PERMIT FEE $ Tin,minimum surcharge for a"Fixed fee"permit
(Office Use Only) Is fit,beginning.Juiy 1.2010
This Application Becomes Your Building Permit When Approved Paid Receipt I
Ai
Date �'sa �IlJ7-
Building Official Date ''''''..10' l• y'
24 hour notice for all inspections(952)447-9850,fax(952)44'-4245 ''' Iliefi I •-
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 3599AlliAeoxyCf, s& I)era
NATURE OF WORK .6, ,, , Ale,A'UoGr�iv�
USE OF BUILDING, e',� r 4 e �`/ Fft'
PERMIT NO. 1 , ' ' DAVE ISSUED
CONTRACTORZT SID 4 PHONE?52 Tiff 7.2Z1
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR ATE
FOOTING) yp>v1�t' c' ai („tfit I(1 97t7 _
FOUNDATION (Prior To Backfill) ✓ 7 (It rof Z ,-
RADON RETARDER //),/Y _
PLACE NO CONCRETE UNTIL /- 0 E HAS BEEN SIGNED
ROUGH - INS _
SEWER/WATER/SEPTIC 1� ei �3 _
FRAMING 0 //7
/ 5 _
INSULATION �
/ ,,,� //1��/i,� _
ELECTRICAL / `
PLUMBING l /
HEATING ' /` /06-7e7 _
FIREPLACE (ez..„l �1? �� Ir/,/ /aa. _
GAS LINE AIR TEST r; aiii,vfrrlokc4 —
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
HOUSEWRAP ////i9 LATH Pis it-,/.�) 1
FINALS _
GRADING ( PRIOR TO S DDING) '1e �t(• (`-
BUILDING 72O
d 4., g 1� ( VAS�� (u _
ELECTRICAL mss. �t �r P��/n<T 1� 11611I2
PLUMBING f , �/y"; P
HEATING Aune,,m4vii t °/ �,- 1 I .i il ;1::
� ,
� 19
DO NOT O ' Pt' PY TIL ABOVE HAS 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