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Building Permit 13. 1105
(i[rrf1 Irma 1f ®rtupanx CITY O PRIOR LAKE ptjxarfinritf of Pititbitt8 ;Iittsprrtion K K _ final Permitted D Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the❑Residential I❑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: SINGLE FAMILY Bldg. 13-1105 Use Classification Permit No. R3 VN RI. • _ Occupancy Type Type Construction Zoning District K Legal Description L14, B2 , MAPLE GLEN FIFTH. ADDITION ' ��+^ 3373 JAMES COURT S.W.K Owner of Building Site Address • _ Contractor's Name&Address D.R. HORTON, IN.C K ROBERT D. HUTCHINSry c...� -- City Planner Building Official Date: Date: POST IN CONSPICUOUS PLACE J w z F `, J _ umF W WW 00 C)Z w„ , g555Z aaEl]a > y C c)p ❑ ❑ ❑ ❑ ❑ 0 j ct _ O2 N o C d < m Z G t OC o2 �iJ IC 0 (j 0 4 1 �Q+ 0 0 0 wcem 00 0 w sxw sV N Z CG 1” ) JO O Z_ F' O a � 3J W v� a � 4 W W w W k' 000000 O O Z Z Q a a LL = cere z 1,4 ILI Y W 0 z V U. O 5o Z 0 < ao ea „., ozre 5 z w H w < 3 o117 u.a.V W W F- Z � �� Z /LIH d'UJ ILL -I IQ Q 0 F-0 O O LLll. u.z,rt 111 z z 0• • V U O V 5z <0 a 0000 () ■ ❑ ❑ c ! Ui 0 g § § ■ � ■ § I, ww < 01 .. U E ) 22k •� > k• icie ■ § u m «_ ■ § g `� § ■ IVN 000000J § g S 0 re x 2 '4, 2 -I $ § § -1 ILI k § 8 1 k 02 § § ■ � § § U k rz b LU k 0 ce coz §§ cor �� w $ § 2 co 0 a ■ Z � ■ za. 8 N . I 0 0 z I cb ..1 11.1 % # w w § § OocOOO I , 00X w ` a a 2 I § .` . . 0< re kw k k k\ co re § §2i : I �co I- W2JB A.u) 11$1« o a OU ) �� O fik O _ CITY OF PRIOR LAKE BUILDING PERMIT, Dcte Reed 4-3-.ii,r7Rlt Cr /5 43 /A. '‘)N-,::. (4 ilk, 47 (:: \ -,7 +4,4vEgestr- ) TEMPORARY D CERTIFICATEOFOEFCZOTIONNINPGERmIT COMPLIANCE nig :i?' 1,'.1115/0) 2 i - / / ' 0 riot ear PERMIT NO. /3 1 I CO 3 'knew Appli • cant , (Pease type er print ant Otto bottom) , ADDRESS ZONING(ofti-oe use) -,z27-7 \Joitotc-e-7 c-ciiti---t- v\I 12 1 LEGAL DESCRIPTION(office use only) LOT (It-BLOCK 12 ADDITION Nr te_, 61,A *- pm25:449. ozo.0 OWNER (Name) • t:- .--- V-t-cri / 1 11 C . (Plume) (Address) BUILDER 952-985-7272 (Company Name) D.R.HORTON, INC (PIVII4 (contut N, 0) Brooke Hared bmhareid©drhorton.com (now 952-985-7806 (Address) 20860 Kenbridge Court, Lakeville, MN 55044 TYPE OF WORN, eillIt1t6nstruvitort DINO Otorch talte,Ronting ORostoing 1:3(04ta.I.Avel Finish EIPirephtoe °Addition EpAttetritied Quality antiectiatt CODE: 01.R.C. 01.0.C. D Mac. , 0 c" Type of ConstrttetIo* I II III r'v v A 13 .14,311CT COSTIVVAIR $ + (+ 25g) Occupancy Group: ADE It HI MR SU textiuding Una Division: 1 2 3 4 5 flaw*cettify that f have ittottibcO:infratrimion on thisvpottion Ott 4 to the best-ot my knolitedietweata)motet I alsoectOttbarkam Ihr owner or atnbeem*Atent.fox the anowmeattone4Preeteny anMat d --ail-eonstreetionleilionfOrio to all esoring4lOte and local lava and Mitpuiteeed in aitattfanctt wit ,stitttnialcd plans t am:Ware that etc beading offtcial cattscvolm das-peimil:tbr' ,,/cost Ptiathotanoce.1411A*Agree that me eny official tat a 40anIxonaVienter uitootht Protoettr tettiettotin ncedatta‘Pecim" - X ,A -.At. Gt "-- BC605657 Agiutt _ colootieitiostNo„ c ... :: "-...- -....„. Permit VrtiOatiert 4/712--'' P04144 -40 - ft ' $ , # Permit tiet $ e770 5;5° .5 .. AC ' ?.1/3.5-,17o $ Poe ,.., , Plan Cheek 70/gi i 5g Water Meter Stzt$,W. t.'; $ 590 State Surcharge _$ ‘427/.. 00_ Pressure RedUcer $ . -pepaity s Sewer/WatergOntiectiOrt Pee if $ /500-CO Plumbing PermitPee - $ i 4-il r-,-, i L--, r•,..) t--, Water'tower Pee it $ /000.00 iViechanieal Permit Pee $ / 9t-cte) Builder's Deposit ewer&Water Penriit Pee ‘.5-&,.si) r Other S -_,- Gas Fireplace Permit Pee $ c41 S-73 TOTAL Dtr8.--/4,144 Alt ID.7. 43 $ /3 9449, a Ti t._ Rexelpt No.qt,--qtr ,.„ This A ..,.-ti 13montos l'our Building Permit% ' ‘A roved [ hr /0 Date t \ < (3 P.Fet 6 .. 4 , I ° i _ & , % , ' ' • BC , A i I B Ilditig Qnicii."\ unto -eAP/P1 I . til- 11.7(. 'n7dtity, ,,,r)q-eS feu) i -........„ v101.)3 e..,,, /, 7 ,.,_......, , -,,-,7A&, .,..,)(...ierf„ This is to certify that the sequest in the above application and accompanying docuri r,. .is in ordance witli the City fling Ordinance and nrfi AIVrei.- as requested. 'Ms document when signal.• the 1 Planner Constitutes a temporary certificate 01 Zrireg t. . net d allows construction to commence. Before occupancy.a Cetortrate of Dcatpartcy must Itr Mum //i •. '''' / AP iii. to --/ Planning i etor Data Special Conditions,if any 24 hour notice for all inspections(952)4474$50,fax on)4474245 ------.. 4646 Dakota Street Prior Lake,MN 55372 ... Atik , . u Builderstti De po sit ety ofPfor Lake fa taaaeff asSe0s'lyto-—r'.02‘ compitaniot e totrreae at Tv, tsidburovolivot , - .oratt sodding. teetteeePittg, --,0---- " '' lad tie •. ate 614114kiii Pdintit f"ii fixa4 dktfibut-11°t ling •.' ittite:tiork isnot 00010 . . tc,nnnn OWOPIY Or the A.,...,„„„,,,,.....--:---. ,,,,,,,„ : at friivAifitesetvw,accouriti rip,---,-_,_,,„_,,,k,„44,,,t,iiiellui ..,,,,...ernat.7•V2r!...____ .e...s 4........ft,, Ra0.1:_001tAalt_k_01.__./--1" ' -iirittpewthts shall bacon:01E40d . criwialte"-:,..„a.:.7"—volaTtiit'esd the, -,:.,i. relfix7tasit""rtatiman. b's°,P1"14Vr"4".19w$ " Villingt—iiin Ciiii4441t flafifY the'"n4tIght1701Ziarcleall las or '1' `'' '.. - :ibers°verse yam •ktnik. .tee dey fhb° . - . -..eed the appifeantivabe .. ----te-reserved far a PP • . --mbuitt.top.tt. s' • wiltbeforteltett ', fr-spedttedfx4fetta. •P • -.4t-:.;autirotto--- '..0opostimardsehereciatravfand salltiza-refuldatf /3. 1105° t- . W, PER:ALT k ' --/ )01,11-1c7 -- silt AOCIR • coot . . • Tcp. - BE htAILED • - A‘ttn. : JADA liart°11°1re • ' 20860 Kenbridge Court D.R. Horton, Inc _ ' vflirti At —60 0° 6RE"141 A LIT . , •=- - Suite 100 Lake Vilie, Mi4 55b44 ‘'321,,'•,,.-,'_ .' '''j,. in Lynda l ,Building e,rvices Amount , ,. Date 17' Acct.8010204 1lH()F:tz \ l () \ ./-- . PLACE Lar EROION,CONTROL IN 2. KEEl OOPEITED sTEMPORARY CCUP MNPUT MUST N W ga t..a. O $ 60* 0640/ 4 Poppler, , City Engineer - ---- -.1 , . . . ... , EACH R __,, ,, la; -; -',',!v...--,„„q,./...1.,,,,--.44-et.-->,....., k,.11-,11 al- ,i.,-,..;:L.,,,.\,-. :4,,,,..: .,_ ,•,- „ , -- 441/41/7APefrrl-rit'-- --41-' k ' '-eo-sWitA-'-!Pr41,1i,:p--, „.--., --,..1-nwri.,fglre.-':'..:-..,--c 4''',I''.:1 .,'''.4,' N.,Nif\\ ,.'il-_,14.i.,R,4,„-,4,4,:,t1,,%;24,-.1-,;:t.yeiLL. 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' *1 V''' •,'., '' • • ••••:`\N-s-,N''*X ---.---7"71-r-t,'Cf‘•_P°'' '-" -' ''''. ' ''' '''`*s' 4 ,t*IX,,R .-N ":', ,-'',,,--'1:',-,1-r-,,,,,te- -,z,,- IAN•,:,,, •,,,t\ ,'•,•\ It k,,,tk , 7T.No,,,,.4 - *:,;•',*4''--._'''-,- -,• ', ' ' -. - ' ,,, .• .,4,,.i•,— 1 t.,-.r, ,,r--6-T c„,„,-,,-of,. ,.\,A.,„-It.% ..t-...,--. , .-,,,,,4, k7fr'''','-'141,441,-ti. s '.\'''''';* ,\Nie', •'*1—'-44';*4'°"'-'.% 4* ''.44,t,:tv,Ik ' ''.A\ \'‘`I''' S .-,,.,.,..ip ,,'*.*** -81k.'"1"--,?.Vttir;i',"'"'sf•• •.. -. • - *144-'14';44'''''''' ..'"It'''': '' '1'17' '''' ' 1344, s '-res-,---4,' ',4-. \:,:. 1-, ,,,\`'s,'-`s -,;'-.-,,t,4 -,,, ,,'''''^',::-Pg1^4f,:1,'...p`,"t",'1114v,i',4„,,.,"'. - *********,"*.t,4f"., ,,, s1/414,,,,;,;:n,^n,..1.,:!, ,, :, ,,,y.,• N\j\\ . .! 1::i'l.:,..1‘iill:','''''''',1'&4,i1,-,,,l'i:%':i..i,1-:":'''::ix.,;.-::It'.:41,,:11r),•,:'Y'4,14''''C'44'4;:''''''''''T''4'''Ilt'"?' ' ;P-R TY EIGHT 4ND 88/100 .,,,,,,,- i-.,,,I,.:',:::‘,2,,,,..t:,,4-„,:ifi4..;::::4,, ,fr.,,,.:--:::'..,....• ,,. ,.. ‘s., ,\,.,,,r,,i:, THIRTEEN THOUSAND SIX HUNDRED '\ ,_ .,'''-, / ,v,•.-?4,V%,si=A-+ : '...:A,,,,,,',-;,,....4.4,1,-',,,..„4,,, •,.,',.. : ,,,,. --,,,,- ‘, :::•.,,,,, ,.-, ' '. Z. / s:,e-o.x. ir,. -\,. 1'\ '.\\.. •••'**'''‘-04-r-.:‘,4%"*."'''''.4-'''-,,,,,,,-.:`"",` '-',.•1 r-± - '..'r,...1q,• ,-• \,.• •••,- \--.; , \ 'k ' i g--et v-g-//,',/,- .,,- , -go At"'-t' -::',,,,,--",..-1,-i.,.L 4.,t,, ,W,,2*. ..,,-44 ) ' '),.'",,N \-:',*" .%,;,1s• ''''''." ' ' ' - -.:•w:Nrey: ,—,'"' .-'',*•, 's'''...'"'. LAKE(PERMITS) ),,k,,a ,'-,, ,,-,/,,,,,R'--*.,,-,,,,,,,,-,;'-,'4- .',-'-`kg elp,4,-,,1",fe Aritz:--_,:::-.- -.----,' :',.* ,•:: PRIOR k- ,r.-•''': ; I.P.',. "'..s.,*.c,,-"-... ;E \ CITY OF TREEr SE \464-6 DAKOTA§ PRIOR LAe4Zo.:..e, M''''': ,-'-- ICE MN 5537h , ,,',.:\4i,!,,,:fsi-T-1;t:-'5t•-,.4.,,t-.-.,.:,1'7''''4'C', .''''*::'''''s;?1,'xtr:"",. ..,- ''''' -n*S;;:k?''' '''N,.. ' ^14.11t"''''''''1/4\ 11;t4VS:',..:;'.?, - -iftii.-,,.'!„.fi::::-.;itt:.„7:-,,,, k•A------ ' '...,,4,,,- -: - .„_, .4.ar,,--•-/?.„,341/12IA'k'S,7'.:,,..4vi'41.* 4.: -i-1),.:::;&•,,,i-'2!-:,g9k-2,:k24.-- ''- - / Lib 3 6 76611. 2 ?gal: 3 2 • -, ,-- ------ . 4961, 1 ; O0577a . -7ne q, um Residential Building Permit Checklist New Const ction for Single or Two-family Dwellings in R-1 R-2 Districts Reviewed by: (4 Date: Io 3 Building Permit# ..)1::' : Zoning: , I Address: z)2,Z s Ae —I Legal: L , B Subdivision: Existing Structure? YES!ir . Existing Nonconforming Structure? YES!NO • CONFORMS TO ZONING 0, NO ORDINANCE I Yard Setbacks; NAI FAILS/CO S Standard Proposed • Front Yard(can be 20'if avg.w/in 160') 25' ZS eg • Side Yards 10'1 25'if abutting a street -3 3 . , 5—( . (o • 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 25' �-t • 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' • 2_4 Se'/�z k,r3,4_•- 1 FloorArea Ratio: NA1 FAILS I ,•401 LIES I .30 Maximum I / 2 • Yard Encroachments:4��4 FAILS!COMPLIES I StandardI 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. • • I Tree Preservation: /FAILS!COMPLIES Standard Proposed • Total caliper Inc s • Permit 35%Removal • Caliper Inches Re joved •• Cali �r l0 ches Preserved • • *facelift/ %:1 L:\TTE\BLD GLIST.D OC odePRTp White -Building Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT - �-� NA) APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3373 jitivreT Vv Accepted Accepted With Corrections Denied Reviewed By: Date: ( 6 r� Comments: /yI <--472.5,5-1-& 4 4 yes "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." White -Building ' rv$s� Canary -Engineering Y: Pink -Planning, BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT j fte/27-40 APPLICATION RECEIVED • /7- /` The Building, Engineering, and Planning Departments have reviewed the building pdrdr>it application for construction activity which is proposed at: 7. � - � Accepted '."--r- Accepted With Corrections Denied Reviewed By: _ Date: /0/1/4 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 ofthis 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 t':` ordinances of the jurisdiction shall not be valid." { • 11004. Fri White -Building , ,. Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ' /a-7)&1 APPLICATION RECEIVED - /7- /3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /^ 3373 I �'7 Accepted Accepted With Corrections Denied Reviewed By: Date: _ 43 Comments: $Ae Reverse Side for.rRtyCynat inforresiicawi See Attachments: 1)Grading.Plan. 2)Erosion Corgi Stand 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." The City of Prior Lake Impervious Surface Cale Hint iOn s (To be submitted with building permit application) For All Properties Located in the ShoreIand District(SD) ']'he Maximum. Impervious Surface Coverage Permitted is 30 Percent Property Address 3373 Jam -s OU rt Lot Area 21 ,020 sq. ft. X 30% 2'116,306 LENGTH WIDTH SQUARE FEET HOUSE x = ATTACILED GARAGE x TOTAL PRINCIPAL STRUCTURE 2,450 DETACIMD BUILDINGS (GarageiShed) TOTAL DETACHED BUIT DINGS 0 DRIVEWAY/PAVED AREAS x = (Driveway- paved or not (Si dewaik/Parkinu Ateas) x --77 31 TOTAL PAVIID ARLA.S 774 PATIOS/PORCHES/DECKS x 0 ) (Ote Docks npcni bctweal tokirciN,with a prrvionrifat 1r.tw X are no:cons.dercd tDt,0 ircipervica* TOTAL DECKS 0 011-(ER x x roTAI, (yi'Et bR 0 TOTAL IMPERVIOUS SURFACE 3,224 CEE7)114 .,c,—clt 04 September 2013 1 n 4?Rio CITY OF PRIOR LAKE Date Rec'd °.,,.,'f,-0,;- ' HEATING/AIR CONDITIONING/FIREPLACE PERMIT 4Ohtesolts 1,r'" ' PERMIT NO. ) . 2.Otc� CNy (Please type or print and sign at bottom) 2.Yellow Applicant ADDRESS ZONING(office use) 3313 .5(AM&Sca- S LiL LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID (Name)Or l l h y-V ter HOS S (Phone) R5.Z-9S5727Z • (Address) 205111L1 Ken,bridle 1. *too W Lake0[le i PIN sseiec f APPLICANT �,)/_, `� �/�i,� /,, 2 (Name) t ire side / L Ci 4.1; l v 1 k 1 r tC (Phone) (0 1- to✓3 J Z Stp I . (Address) 2100 Fa V"V l e v) Ave, f i oSS UL 114ei M 5 1 1 Address (Contact Person) Lea k er1M (Phone) # - r .- 1 , r / APPLICANT SIGNATURE DATE - PiCANT PLEASE COMPLETE BELOW • EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS • FURNACE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ❑Walm Air PlantsPLEASE NOTE: Mr Conditioner 0 Steam Units and Fireplaces Cannot Encroach Grasnty 0 Rot Water into Required Side Yard Setbacks. e (cal 0 Fireplaces with Box Additions or ❑Air Conditioning 0 Special Devices p [Went.System 2 ❑Other Devices Cantilevers to the Outside of Buildings �'t' Require a Building Permit. FIREPLACE MAKE AND MODEL c L -12 — 1��j"} - L 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 $49.50 Estimated Cost$ Building Permit # The Minnesota Statutes§32613.148 HEATING PERMIT FEE $ "SURCHARGE"has been changed for one year effective -- STATE STATE SURCHARGE $ .50 July 1,2010,until June 30,2011. TOTAL PERMIT FEE $ The minimums surcharge Ow a"Ilsed fee"perm4l , . (Ocoee Use Only) isSr!,beginning.fitly 1.2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. PAID WITH Date dbi; �� � PERM 7 tiaildinr;Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 NOV-18-2013 21:25 FRQM:STAR PLUMBING AND EX 19528847468 TO:9524474245 P.1 DAD Date Rec'd dit, u ° CITY OF PRIOR LAKE Mti , ; SEWER AND WATER PERMIT I. YdiaW CUP nt CU Z. YdIrile PERMIT NO. ji_/fags 3. fold Applicant leas t e,a nt and at atbottotn 7GNfNG of'..) 33 73 41„,, ..- -..-. Jr LEGAL DESCRIPTION(office use only) P11)LOT BLOCK ADDITION OWNER _WAIF Warne) ��.o— (Phone) -- • (Address) - • tcnv> (2ipcoac) ...—. (Aaa � APPLICANT 4 ; r (Nano „,_,4_,,.A,_ , 4-6_ 1. ori (Phone) ' �' 1.4 . ... .� l - r Com' (A ddxeSS) 0 (Address) / l (city) lr(Zip Codc) n (Phone) .r. —.. t 0 /� (Contact Person) _ _ APPLICANT SIGMA ' :�, �/k DATE l.J1-7-1-2:11-3----__.— \ 12:r _ __. APPLICANT PLEASE COMPLETE BELOW ..— Size of water service ___Z!=....inches. Location of any couplings from structure feet. Type of sewer pipe. 0 ABC K.' PVC 0 Cast Iron , Estimated length of sewer linefeet. Clean out(if required)located at feet from structure. .--- FEE SCHEDULE Residential sews attd water line connection• $51.50 Industrial, 1%oob costwith x$ 1SI)minimutu Seaver connecflon only $25.5flWonection onlyEstimated Cost $ Building Permit# . • SEWER AND WATER.PERMIT PEE $ _ - Win” STATE SURCHARGE $ BUILD iN, ?ERMMOTAL PERMIT IrEg • (oiliceIlse oniy)' RecaiptNo. This Application Becomes YourBuilding Permit When Approved Paid Date By 1Bulldlna Ofi�etat -------1511 —0 hour notice for all inspections(952)4479850,fax(952)441-4243 4646 Dakota Street S.L.,Prior Lake„Minnesota 55372 o1 �o� (I1) Date Recd CITY OF PRIOR LAKE PLUMBING PERMIT 1 rid ' PERMIT N"/ JI 051 3.Yellow Applicant gpa 4 (Please type or print and sign at bottom) ADDRESS 1 ZONING office use) 33"13 UCLIY\e—S Cj LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PlD OWNER (Name) (Phone) (Address) (Name)`ANT )(jOY L P ) ) 4-04-1 (Phone)7I/6- J13- a/1,07 (Address) t5(535 1(\kiA iu P1Yh 55 i+7 (Address) (Ci1 ty) (Zip Code) (Contact Person) SOU (Phone) 'lb 3•2-55-)4 X APPLICANT SIGNATURE _ Ut v /0 DATE q-2-3-2.00 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 I Lawn Sprinkler Water Closet(Toilet) Other FEE SCHEDULE Industrial,Commercial&Multi-family I%of job cost with a$49.50 minimum Residential,New One&Two-Family $149.50 Residential,Additions&Alterations $49.50 The Minnesota Statutes f 326B.145 .. $ Building Permit# • "SURCHARGE"has been changed for one year effective PLUMBING PERMIT FEE $ PAID WITH . July 1,2010.until June30,2011. STATE SURCHARGE $ °LAMING PERMIT The minimal surcharge fora"fixed tee"permit TOTAL PERMIT FEE $ Is,beglnniag July 1,2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Buiidhet Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 • O4 r Rrp� CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT 'bi sc)* 1 o n PERMIT N O (Please type orprint and 5 s.Yellow ��cant M' I ,L sign at bottom) ADDRESS ZONING(office use) 3313 jArC3 (r LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION pID OWNER (Name) (Phone) (Address) (Name APPL 01rt, N[t 144"9 (Phone) `111 j- )- 1 - 2Z(01 (Address) 1555/5 AkalAknity„, iP c► PlitvuwRA)n 5 4I--r (Address) y) (Zip Code) (Contact Person) S (Phone) lib'2S 3-4/S g LaLuAmtiza,APPLICANT SIGNATUREDATE a-2.6- zo t APPLICANT PLEASE COMPLETE BELOW • :NEW CONSTRUCTION 0 REPLACEMENT El ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT O Warm Air Plants PLEASE NOTE: Air Conditioner ['Gravity 0 Steam Units and Fireplaces Cannot Encroach 0 Hot Water into Required Side Yard Setbacks. O Mechanical 0 Radiation ['Air Conditioning 0 Special Devices Fireplaces with Boa Additions or OVent.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 $4950 • Residential,.Heating&A/C $49.50 minimum (New Construction) . $149.50 Residential,Additions&Alterations $4950 Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 Estimated Cost$ Building Permit # HEATING PERMIT FEE $ ,: PAI., wiry STATE SURCHARGE $ .550 I G PERMIT TOTAL PERMIT FEE $ (Office Use Only), , 41 This Application Becomes Your Building Permit When Approved - Paid Receipt No. Date By '1,, .1;Official Date 24 hour notice for all inspections(952)447-9850,fax(952).447-4245 fs 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 PRIOR LAKE : UDRMEANNTD OF INSPECTION • INSPECTION RECORD SITE ADDRESS 3373 3xcs C zi - . NATURE OF WORKS 1LAvo USE OF BUILDIN .... . 1!�!'f `++ b l . , 1 oi PO lM l, t-, 2 PERMIT NO. ,�G III+_,. BA I SU D lIRMT" —A1-)0 fir• CONTRACTOR , Aligrarsof PHONE ' �:i/ �9 INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSP CTOR DATE FOOTING FOUNDATION (Prior To Backfill) RADON RETARDER3 / 1 ' I ? PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIG ED ROUGH -INS SEWER/WATER/SEPTIC l/ /l3 FRAMING 4 i L 3 t) /. INSULATION pi v'AS/ s''z ELECTRICAL PLUMBING OS Ur rgo /y uc, ( ► SZ-� HEATING s > -I, FIREPLACE (-- ) 3 ( GAS LINE AIR TEST RADON fl ER r11P1iU$ COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED HOUSEWRAP *o..///4 �:)�- LATHFINALS GRADING ( PRIOR TO SODDING) 1 `fi BUILDING -IG'' /VA, qz6 )9- ELECTRICAL PLUMBING HEATING 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