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HomeMy WebLinkAboutBuilding Permit 13. 0998 (lirrfi trthh of ®r prntt K CITY OF PRIOR LAKE !inrfnrntf .orf Puiitting cIttsprrtir K . '$Final Permitted ❑ Conditional C.O. Expires This Certificate issued pursuant to the requ• irements 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 'jam ordinances of the City of Prior Lake regulating building construction or use. For the following: 1 K Use Classification SINGLE FAMILY Bldg.Permit No. 13-0998 PUSDI Occupancy Type Type Construction Zoning District Legal Description L3, B1, HICKORY SHORES SECOND ADDITION Owner of Buildin 3 815 TURNER DRIVEI g Site Address 4 Contractor's Name&Address D,R. HORTON, INC '" ROBERT D. HUTCHINSIL, City Planner Building Official Date: — Date: t I POST IN CONSPICUOUS PLACE 'V_V V V_VVVVV V VV V_V V V VVV VV, V VVVVV "til F 0 0 n 000000 V o > E § n g § a o O ■ � � � � � o § 9 CC % r m 73 Z. s -r-rEzk _. § _a@ Al t 22CA> Z 3B �B kxi ■ 10 CZ \ / .. § . § z \0 B % z -I z e x krz N m . % k 2 k k m 2 vO ❑ OOOm III RI RI ) - § § § oc2ta2 a�, ) 0 z z■ ml ■ 2 Tr a, n � 71 -.7," ,3213 m 0 | co 7 m A 0 > o § 3 m m zi o z . r o ■ ri w o o x1313 o m / x c.' / ® 000000 00 R's / § � � n , U o ° © ■ mm2§ ? 2 5EE1713ID q � � �� � i t. -q § d -4 % 'ct _ § t § m , r o r. I 0 O-)0-. 2 J § K 7J 77 . 2c000 0 0 EC) % r mm ��3k0 © A 2 � c co m t \ 2 2 \ mz & r�22 z 2 9 .t . ■ \ � * o zoo �k % o 7 7 2 q . z §■ # -n n o § 8 72 r k 21 )\ -n -0 m k z k \ '� �' \ J tri IT m . \ƒ 000000 Z ■� ■ *■ � $ f m \ . 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CO CO �� g q . o CO = 0 / k �' 3 • X 0 73 13 73 ■ 0 0 41 2 m 8 m . �: 0 000 L , . 0 K00 ' mritmim § I !IIII: 1 -roc 1 2 m ■n �. 11 _ ■ ■2g § m O co N d i--)- z �kkk k 7 0 71 /m m X Xl §t4 2 cl § $ ❑ OOQOQ o z xi 0 f . . xi . § \ Z. k�� � 0 q 1 » mm mmm a f z § -1r o .o PRI CITY OF PRIOR LAKE BUILDING PERMIT, ate Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE e it( (3 sx7, e. AND UTILITY CONNECTION PERMIT 9) 44/vNE., Main File : :: icti, [PERMIT NO. . 3 Yellow AjNilitant Srlease type or print and sign at battens) ADDRESS ZONING(office use) 8'15 ,--/v -7e-- D g-i isE PL)Sh LEGAL DESCRIPTION(office use only) LOT 9 BLOCK / ADDITION the./<-0 je.-y' clive,_. -S 21‘)17 FIDa?5-- OWNER A ,.., (Name) a g, tit)g-772 1,-) (Phone) (Address) BUILDER D.R.HORTON, INC 9529857272 (Company Name) (Phoi - - tt), (contact Nam) Brooke Nereid bmhareid@drhorton.com t.,-..—v 952-985-7806 kruviaui (Address) 20860 Kenbridge Court, Lakeville, MN 55044 TYPE OF WORK Vi New Construction Orteck OPoreb EIRe,*Reefing Ofte-Sttlittg Mowerlevel Finish £3 Fireplace • QAddition ElAlteradon 011614 Connectkin CODE: 2:1I.R.C. OI.13.C. 0 Misc. Type of Construction 1 II In 1" V A B mono'COST/"MUM $ .gIZ 5 yo Occupancy Group: A B E F H I M R S U (excluding land) Division; 1 2 3 4 5 II hew*cooly that I have hintisited tanination on tittaltpplicatien which is to the hest ot my knowledge nue andcorttet. false CCM*that I am the owner Or aut1101141-41kifi for the abow-mtenuoned property and din ati construction Wilt COnthon to alt existing litate and local/as and wilt pmeeed in accordance with submitted plant I ant aware that the building official can revoke this permit torn cause Furth .I herchy agree that the city officiator a designee may enter-upon the property to pet-them newlet-trorectmos X -..... BC605657 • fli'5 Signature Coital-00A LitalSoNO .- e - Permit Valuation ,77g3 6,ev , Park Support•Fee If $ Permit Fee $ 4,:?4,1• 5-0 SAC If $,4/2676.0 Plan Check Fee $ // .7/1 e:i /....1 Water Meter Size 5/r; $ 2-i - ,.? -- _ State Surcharge $ filii 5-0 rressure Reducer $ • th-e• E-)0 Penalty $ ,_______ _ Sewer/Water Connection Fee It $ 4 ---,- 2 vc i 1)0 Plumbing Permit Fee S (5-9S-0 Water Tower Fee # S Mechanical Permit Fee $ / c/7/.S---Z) Builder's Deposit $ 2' ' l) ) , . . Sewer&Water Pennit Fee t ....-- s---e) Other rit..7_, 5,.1 ke6Ck,i, $ /5....1. S--0 . , Gas Fireplace Permit Fee $ 43/ ç- TOTAL DUE i1/ 2/4/.3 , s47/ /e9, , c/ This Applica ,n Re-co i '. r Bulla%Permit Whet App •ved Pa id /2_ 1A1'c). (C ceipt Nu. 71.12,a ! i Date zA)_9 ..dik.f44,Aft At. . 6 2,1 r3 . Budding t)ftletall.11111111 'ate Thu is to certify tit/he remic : the,hove application and accompanying documents is i ecorda cc with the City Zoning Ordinance and may proceed as requested. This document when signed by t ity Pb ,m i tuts temporary Condit-ate of Zoning compliance nd allot construction to continence. Before.occupancy,a cerorreme-(4 Occupancy must be issued I A A.-4 1 i.ifir 'tannin: 10'WWI tate Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fu(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 P.i •k : Builders Deposit • ,-.ktivttrke4o,,, . city ct Pilot Lake A...$3.60cuto fatttottortvoots*wiiioofil f.he fkdftgOt.POTillt 104iT Th,ePtlikterOdUPOSt tt 0Aittsi 40.4VAVNIS.4flOATMVEr"04/16nCe for a , Fiall.OgalkatlAirliatagU at Wit440#400wPalsozott4),Att exteflat tteme tootudtagAniteoritintied tovatilvfeetidirtm.teritterAving, tree plivitiowdrivetvayo$01invoutpanang etiett betosmpleitexitiaAawattettlio-416WItiv:13414f,ii ioorott 0 404 ittrie*eik.is:tiot obmpleto within to..tog-.grkeliniti ping04-go 4h.irohot nizoht thA goigiontof m0,500404.drill itiivti.j.4.011t*tit itlas.t-0 ciari,tP 001T(PlY er tile SI'''/-45"44:441114114410011P604:41gigitittiti4h1WaPPlitlalltitati*blir0V00,r-01010t UP-Or 0006084/14WOrilaktelaylibEt4tttaficUl. -- A,Stitatitia.'Pi ., afeeteteeKtireitand wittiterataxted itsoecttrottteeelt.tePreserve4t4rtOttid0fttieVeat DATE: Y l 2/ it . _ - -- • •• . 56'2--I "Th,-,067- /31-iV€ PERM:11'1k .,_ •, , _ /31 eiciF__ . . . a--. . 44toto acit NAILED Tat D.R. Horton, Inc . Attn: )N)' .)./ , '1/: 20860 Kenbridge Court 8'uite 100 Lakeville,MN- 66644' irl dpz 5-06 ,05 , Lynda S.A en,Buildinl Services Amount I e. Acct.801.20204 Date . 1.4t11.01.• - ir.m.• •.x.t..0-• z."1,34. -- , 1. kart14:14W1--114412a5: XXIP, \I 11' I( )" 1 I '\ I I I I II I ' I I•I '' I Il' "' ali• N.• to:14m. •...: • •• - - .. . . — — ... .. .. .. , , L KEEP EROSICia0OTEM IN MACE Lar Poppler, City Engin' eer . . 0 TelignMaY attettPAIWIPERMIT 0404'1'140T EXOFTS-Alt 0.01111/41,46, .,'''.:.% P-Oftrt. -. PM.. .. siatft...:Marg4.— . . . . . •. :-...„disor...................__ . . .__. THIS CHECK IS BRIN\TED IN RED AND BLUE INK ON THE FACE 9r,1 CHEMICAL AND BLEACH REACTIVE PAPER MOTH INVISI131-EF„LUORESC‘E:„1,..:.„.,FIB:13kk,A;NR.;:tA,Sir.,,,,,,,,t;t;9Y:ti6:7:j.,:,7,,,,:,747,E.:71. ,., , -, •.. : .,i.t.,.....: '- '..•:1-' t-2.- '-'-'‘''' ts\x‘z:s.:\....•:... .,..;.,,. ,4. -.A-S*0,,:,”. il.'' i--.711--F--finli .'ie, ' , ,- *titrd)ed pisbitettie,, , ..,,,q, ...:WPA N. ,. ''') 'Midi*OPA•fiiiriek,NW 64-1278 fiiiie , '-' ',1/4‘' ,-:,-, -::- M•t!',,,-,--vg•t, , .\. , ,, N rscensutirheeti!sisubiteAncoco:n\t,c , ,,,,I , ,,, _ Atlanta,Dekalb County,Georgia .,,---------,.614 Q,AA 09/18/13 $ :***3: e,1,,,:g..„,,itlii tk "‘ 1%1•A.,,,,,s' \ ' ' ''' '''' 1.11:011,3 s''' V 'cl fter 6 motiths frotn,,A• 9. • -.7.,,N-,e4„..,.. D30R111 Commerce Fort Worth,TX 76102 % ,,f ‘• ,; k, • 4'' °' a ' ' , '''' r'. '.;•:,;,14;,*,,,,V,:,4,N U% ' •'.,..k .', X ,,' ..- `1 THIRTY SI,f THOUSAND SEVEN HUNDRED FIFTY AND 94/100 1 • ,4,1-...,4 ' 'illit4 ., ,..,,,,,,':,;;',•,-,.; "tpiArt', , , i ' , ., '. ,•,\‘: ,..., ''' , • ----. ' •,,-- . . , *:.4' . 's'-, ', 4' • \‘'.,' 4,&- ,-, , Order Of: CITY OF PRIOR LAKE(PERMITS) 4646 DAKOTA STREET SE A ____--- ,. ,., A .4 k g n PRIOR LAK MN 55372 ''. .--.---•-• ,,,,.,,'' n ,," : ' \‘ • ;\' ' ,;:,‘. ‘.. . . '..- ...„ , . . \ 0 5 S9096111:(3 L L 1 2 713131: 3 29 90 3 6 ? 60 . , O Plp�, t ny White -Building ��NNESa�. Canary -Engineerling Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT A . 4,64), APPLICATION RECEIVED /4 13 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 37/5 �1 vt380,11 Tvers -/kr) Accepted f// Accepted With Corrections Denied , Reviewed By: Date: .13. 1v/.43 A_ Comments: (1_ 6/...O3(4../ AtigrAm.(A) 6)(_64.e.) 1,72_erssr-5 AY- 4"--- 7%1'11E-s "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." ..., .x,.s »:a. •.-....,w,,.- �.�,_,..-,... 'Atl;".... >..w? r. -.,'. vas., !yw".a t., q' ';-'e .,`,:r..... ._,..... . ..'. '. {Pn1Ar+..^',.{+ � 0 1:(011164 tr1 White -Building Canary -Engineering `tiNNESOoP Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT .405 642 APPLICATION RECEIVED . i4' ,3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 37/5 .. / 384277 7.4604/6/6/6 ,z),. C3 1' Vic' / f Accepted tf Accepted With Corrections Denied Reviewed By: / Date: g/4/43 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." p� PRIp� U rn White -Building ,�I �P Canary -Engineering NNEso Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANTx ��o l` �J her APPLICATION RECEIVED 8: J1 /3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: A /y' it C3 Accepted K Accepted With Corrections Denied Reviewed By: Date: Comments: See Reverse Side for Additional infrumationl 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 af 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 Constru tion f� Single or Two-family Dwellings in 'I or R- Districts 1Aii.„,, ' Reviewed by: Date: 8 Z 1 , Building Permit# PID: /1 Zoning: p,...,-v f 57, Address: 3e r5-4, t((-f Z 7 ( 6 -/2-- ,U/.f lJt Legal: L , B Subdivision: Existing Structure? YES/ 0 . Existing Nonconforming Structure? YES/NO - CONPORMS TO ZONING ' NO ORDINANCE • Yard Setbacks; NA/FAILS/COMP S Standard Proposed • Front Yard(can be 20'if avg. til 10') 25' `ro' Rau `f Z• 1(c, • Side Yards 40'1 Zit,'86 1 Bis 25'if abutting a street 2-d• 7 0 f?-a-1b ' t • 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 greeter of being parallel to r a side lot line. • Rear Yard 25' . Pc.v i • 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' I Floor Area Ratio: NAI FAILS 1 LIES I .30 Maximum I /z-io I Yard Encroachments: 1 FAILS/COMPLIES Standard Proposed Eaves and Gutters no m 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 Presentation: 0 FAILS I COMPLIES Standard I Proposed; • Total caliper Inures • Permit 35%Removal • Caliper Inches Rerloved •• Calip rinches P served • RR facem`d 1/2:1 L:\TETE\BLD GLIST.D O C i CONTRACTORS MATERIAL&TEST CERTIFICATE FOR ABOVEGROUND PIPING PROCEDURE: Upon completion or work,inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be left in service before contractor's 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 Shore DATE: 12-30-13 PROPERTY ADDRESS: 3$i5'" ACCEPTED BY APPROVING AUTHORITIES(NAMES) PLANS ADDRESS: INSTALLATION CONFORMS TO ACCEPTED PLANS • YES 0 NO EQUIPMENT USED IS APPROVED • YES ID NO IF NO,EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT El YES 0 NO IF NO,EXPLAIN INSTRUCTIONS HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: • YES 0 NO 1.SYSTEM COMPONENTS INSTRUCTIONS El YES 0 NO 2.CARE AND MAINTENANCE INSTRUCTIONS • YES 0 NO 3.NFPA 25 • YES [3 NO LOCATION OF SUPPLIES BUILDINGS SYSTEM ENTIRE BUILDING DESCRIPTION MODEL YEAR ORIFICE SIZE TEMPERATURE QUANTITY Reliable Fl 58 2013 1/2" 155° 13 Reliable Dry F3QR 2013 1/2' 155° 1 SPRINKLERS CPVC with CPVC Slip fittings PIPE&FITTINGS ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST ALARM VALVE CONNECTION OR FLOW TYPE MAKE MODEL MINUTES SECONDS INDICATOR Vane Potter VFS-R DRY VALVE Q.O.D. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. TIME TO TRIP WATER AIR TRIP POINT TIME WATER REACHED ALARM OPERATED THROUGH TEST CONNECTION PRESSURE PRESSURE AIR PRESSURE TEST OUTLET* PROPERLY MINUTES SECONDS PSI PSI PSI MINUTES SECONDS YES NO DRY PIPE WITHOUT OPERATING Q.O.D. TEST WITH Q.O.D. IF NO,EXPLAIN *MEASURED FROM THE TIME THE INSPECTOR'S TEST CONNECTION IS OPENED. OPERATION 0 PNEUMATIC i]ELECTRIC ED HYDRAULIC • ii-Phil) CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd Af° rP TEMPORARY CERTIFICATE OF ZONING COMPLIANCE c.1. a i,! x AND UTILITY CONNECTION PERMIT k y . 3 iA'NESoiP . L'in'k cit 2 y PERMIT NO. 1 fr 41 1 3 Yellow Applicant • (Please type or print and sign at bottom) ADDRESSZONING(office use) '3% 1 5 1-Or 4 Orcin k) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) i L /i, ' 49 (Phone) (Address) BUILDERIF _9 �Q (Company Name) i (Phone) 6 �tl /�� (Contact Name) $v✓7 ni `j—,r C Ppo)-ems+r c•e\ (Phone) 5"7SS Wi .1•,ek4 tiA Ave. k2 (Address) c P k.) 5 yam, S-S1 C.3 TYPE OF WORK ❑New Construction [Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. 0 Misc. • 2 coo Type of Construction: I II III IV V B PROJECT COST/VALUE $ — 3 3 00- Occupancy Group: ABE F HI M (1 SU (excluding land) Division: 1 2 3 4 l 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 ins - a7- ,� 3 / �' Contractors License No. Date • � Signature f 060,0o Permit Valuation Z499 ,., Park Support Fee # $ / SAC # $ Permit Fee $ 10S.00 Plan Check Fee $ 6(/ •lc Water Meter .Size 5/8"; 1"; $ State Surcharge $ 2 .00 Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # ��$�+�.� Mechanical Permit Fee $ Builder's Deposit ��lp PAID� YYI 1 H A Sewer&Water Permit Fee $ Other GUILD NG PERM Gas Fireplace Permit Fee $ TOTAL DUE $ This • .plie.''on Bec i mes Your Building Permit When Approved Paid Receipt No. /040 = Date By /d 3 But • ng 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 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)447-9850,fax(952)447-4245 1 rRlp CITY OF PRIOR LAKE Date Rec'd ° ,,a r' �i' HEATING/AIR,CONDITIONING/FIREPLACE PERMIT 40 se Irot (/ City PERMIT NO. I �U[9/r (Please type or print and sign at bottom) 3.Yellow AypRcem 7 n ADDRESS . ZONING(olfcc use) .c<cUmq)\(N- 3Si LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID (ONaWNER '✓ , 14���5 (Phone) 6152-'165727Z (Address) 20"O(.00 f,left 1dty c • rrl"fc0 Lakeville /Mr f ;l1Y't-f APPLICANT (Name) T7resideyea t„,,11 / 10nr (phone) (o 1-• to 3_25L0/ . (Address) 0 at trvievu1 T,ic, k se uI tit, (v ti t J /55 1 13 �^ , (Address) '^,,�� (City) / f _2 (Zip Code)}r (Contact Person) Lea irk err '�,I . (Phone) l v 61- ( J E- '1 . , APPLICANT SIGNATURE `-- -- \ 1. DATE I , APPLICANT PLEASE COMPLETE BELOW .CONSTRUCTION 0 REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT C]Wa�m Mr PlantsPLEASE NOTE: Air Conditioner 0 Steam Units and Fireplaces Cannot Encroach ❑Clravi 0 Hot Water into Required Side Yard Setbacks. echanical 0 Radiation Air Conditioning 0 Special Devices Fireplaces with Box Additions or ❑Vent.System 0 Other Devices Cantilevers to the Outside of Buildings Ort C) — \Q'� Require a Building Permit. FIREPLACE MAKE AND MODEL .11 FEE SCHEDULE Industrial,Commoroial&Multi-Family 1%ofjab cost Residential,Gas Fireplace PA $ $49.50 minimum 1 Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterationsi D i I` GI9 R M IT Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 Estimated Cost$ 2-VS0 Building Permit # The Minnesota Statutes*32613.148 HEATING PERMIT FEE $ "SURCHARGE,"'has been changed Ibr one year effective STATE SURCHARGE $ .50 July 1,2010,until June 30.2011. TOTAL PERMIT FEE $ The minimum surcharge for n"find fee"perm 11 (Office Use Only) Is S5,beginning July 1,21110 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 a ,��Rrp Date Reed /,0 4 CITY OF PRIOR LAKE PLUMBING PERMIT U A 2.Cola % PERMIT Na /3 /i,rI. 3.Yellow Applicant • (Please type or print and sign at bottom) ADDRESS ZONING(otuceuse) 3 )e5 '11)g K PRIVJ E Sxv1 . P LEGAL DESCRIPTION(office use only) • LOT 3 BLOCK I ADDITION 14 1(-1.-0 ig 1/4"I 514 C e E'S BID ;/..,-- 7,S✓?'Ire: (Name) V {. Poe..TVN (Phone) 6/52..-`18f3-7Z,77 (Address) 2OB-()D KENBtai D&- CO ) a 4 100, LA k ii'IL L.E,M, 55494- APPLICANT1, / (Name) 5I�,ve E-m , I7Z...06'- j � % -. LCC (phone) Cr7 I—3 "4 zoo — (Address)3I Sf is 'NAL i it,. 4i-2a) 6- }J iN\t} 55./2. i (Address) (City) (Zip Code) (Contact Person) dJ I"'I C' Tho' AS (Phone) 65/- 3) ` 4-Z 2 APPLICANT SIGNATURE - C 9 DATE PO/ APPLICANT PLEASE COMPLETE BELOW Quantity= Type of Fixture Quantity Type of Fixture I Bath Tub with or without shower Rough-ins I Dishwasher r Water Heater Floor Drain Water Softener - Lavatory(Bathroom Sink) ! Stand Pipe(Washing Machine) ' Laundry Tray(1 or 2 compartment sink Sewage Ejector 2.- Shower Stall - Backflow Assembly I _Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler 3 Water closet(Toilet) Other FEE SCHEDUF F Industrial,Commercial&Multi-family I%dial)cost with a$49.50 minimum Residential,New One&Two-Family $149.50 Residential,Additions&Alterations $49.50 / Estimated Cost $ Building Permit# PAID WITH PLUMBING PERMIT FEB $ BUILroli\ir4 P RM IT. 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,L,,Prior Lake,Minnesota 55372 j t r R1°,P Date Rec'd ( 04 / r 4.c, CITY OF PRIOR LAKE / ' 1, /3 "--5: 1--,11k g SEWER AND WATER PERMIT INNESd:P /5. Cc J 4;2 79-9 1. Green File PERMIT NO. J 2. Yellow City /3 /a 3. Gold Applicant (Please type or print and sign at bottom) ADDRESS ZONING(o Bee use) ‘. 815--- Z/- 27 --Ik2 — 1611t-- VSL1 LEGAL DESCRIPTION(officer L py cjo k Es 2 Nb/ �,5--- 1/i 2- ce 3-' /, if ff./ .2 5- Vg.2— 0,0 4 1— 0 LOT '' BLOCK / ADDITION piDOWNER 1 ' Te „/ (Name) (f°/L �{/ (Phone) (Address) (Address) (City) (Zip Code) • (NamePPLICANT /►c� 1/x Y �� /4/6, (Phone) Gs-1 Y 6 /3i (Address) 2'94 617b2"--A)6& /' t g9/6774/44 6 crd33 � (Address) (City) (Zip Code) (Contact Person) __/ I ' 1 i d✓L / c�(Phone) �2 /l 311' APPLICANT SIGNATURE I/ 1 L t DATE M-'5/-13 APPLICANT PLEASE COMPLETE BELOW Size of water service 1 inches. Location of any couplings from structu feet. Type of sewer pipe. ❑ ABC PVC (l 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. Date B Building Official Date PAID WITH 24 hour notice for all inspections(952)447-9850,fax(95MANG PERMii 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION 4b1.11,Elie INSPECTION RECORD SITE ADDRESS 3r/574e4/e NATURE OF WORK ,..1F- O Arc; USE OF BUILDINGS l7_. " I - kh/474 PERMIT NO. / '�--,; DATE ISSUED W/ ( I /fo ' p`- s. CONTRACTOR l/. / !''1 PHONE �9j INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INS' OR DATE FOOTING ,.-7//9 — FOUNDATION (Prior To S o k't 'o 2 RADON RETAR -' PLACE NO�CONCRETE UNTIL 4: - HAS BEEN SIG ED �� ROUGH - INS SEWER/WATER/SEPTIC 30 _ FRAMING W(rte„ i >Z Z 13 INSULATION ..., ` %ELECTRICAL ista OA PLUMBING wi �r I/ + �" ' / /9/-A ,..._ HEATING ,/ _ 1 - ' 2 FIREPLACE %J 7A,,,, GAS LINE AIR TEST RADON40111811111,111.PcoitN6, t FY /SSA {_ COVERO WORK UNTIL THE ABOVE HAS BEEN SIGNED HOUSEWRAP t242 (3 �, LATHI "t 5;44,/l6-53'(e) P,O'' Ili k `lcS ; GRADING ( PRIOR TO SODDING) ` � 2- - 1 ""IBUILI�\ING qk___I (oI z (f'/ ELECTRICAL rw,,,�t PLUMBING wc "' , HEATING 1`1 (PI 2,,( I y ✓ 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