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HomeMy WebLinkAboutBuilding Permit 13. 0064 ' .�•...� >. ..tea="'�' -: .. ,. .. r - .. . .. _ _ ,..R: ;� U U U, � � U � U U • IK CITY OF PRIOR LAKE !rparfmixrf .0 ` putibitt ns rfiatt K \L Final Permitted ❑ Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential/0 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: Use Classification SINGLE FAMILY R13-0064 R5 VN Bldg.Permit No. Occupancy Type Type Construction Zoning District 1 Legal Description L13, B2, MAPLE GLEN FOURTH ADDITION Owner of Building Site Address 3369 MALCOM COURT x, Contractor's Name&Address D D . R. HO RTON, INC, ROBERT D . HUTCHINS � City Planner .^ B _lding Official Date: Date: POST IN CONSPICUOUS PLACE QQJ Lai Z ZF- PIlLi J U. ti 1---.‘ A § 5 5 5 w z f,;',, Z ID rC p i ZJ Q 'b re iZ - poop ❑ ❑43' > it in ID �-- W p c UJJ O — Y Y Z Z 02 p 1, w G E2 O Q W J \ p U 4. _ ', Z 1 Z_ = = = Z , V d LL s c Cl) CO) a zxpisz a iC JW < JW `� W W Z 1C a s V) a. 2 w w w w ❑ poop ❑ , 8 8 w t� a a LL c k ) Z J CC W W �� 1 O < V L. Y 'U ". Z 1- Z 5i= M O p ' 11- O s< a'OZ 0 W H. V < P W � I ffl \ fl 2 re cc y G O u. u. = a: c7) 0 1 V = .9 O a ❑ ❑ ❑ ❑ ❑ aG J R aZ!... ell ter2 I --, ..9 11111 w I j00 z . a 8 ff:if:g a* A ca ni Q ❑DDDDD v w t i;11411 -9 v 0 C O iA !�ce :cy O a s -+ 0 ;: OYz mc 11 c'l 0 z 0 F: WWv gL" Qa: ..J 0 U 0 11.4 zoO , <_ Z a Esx3 Et a I 3ai.4v d � wwz i< a > kg aE3n � DDDDD❑ ( I U v z cy6. D H >: a l c U p z U CO � t 1-{=oZZ W ~ 4 ZP : ( V U xV ai cq� yW Cr W 2C21 3 -j ". 2 {0 W Z SOONC Q Vaa ac.)= O D000` 10 0 /gD yC lij 0 c 4RION CITY OF PRIOR LAKE BUILDING PERMIT, Dale Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE it /3, 13 i I AND UTILITY CONNECTION PERMIT �'krvt Soltt - /3, NO. /3 /-:-- rl (Please typeYdtow Applicant a ii or print and sign at bottom) ADDRESS ZONING()trice use) 3 361 M A-L CO M &O L4 12-.T X I LEGAL DESCRIPTION(office use only) LOT /3 BLOCK Z.. ADDITION M'4 Pe.E &LEN 0771 400 PID Z5, 41(o. 0 / t . b OWNER (Name) v, ie. HP e.--/PA) ; 1g e (Phone) (Address) (6)C q 2 2 BUILDER (Company Name) D.R.HORTON, INC (Phone) 952-985-7272 (Contact Name) one)Hareid bmhareid@drhorton.com (Phone) 952-985-7806 (Address) 20860 Kenbridge Court, Lakeville, MN 55044 TYPE OF WORK fel New Construction DDeck DPorch ORe,Roofing DRe-Siding OLower Level Finish 0 Fireplace DAddition DPlteration DUtility Connection CODE: Q,1I.R.C. D.B.C. D Misc. Type of Construction I II III IY V A B Occupancy Group: A B F F H I MR SU PROJECT COST/VALUE $ Lep, 7Q9 0c) (excluding land) Division: 1 2 3 4 5 I hereby certify that 1 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 property and that all construction will conform to an existing state and local laws and will pmeeed in accordance with submitted plans. t am aware that the building official can revoke this permit form cause Pu ermorc,I hereby agree that the city officiator a designee may enter upon the property to perform needed inspections. X llA�.t►...—.a� BC605657 ti i 7 //�� Sign Contractor's License No. Date Permit Valuation 7.01 _°Co r Park Support Fee # $ Permit Fee $ 1 ItSAC # Z I�l. 2435.. Plan Check Fee $ r3 oIO .68 Water Meter Size 5/8"; '; $ State Surcharge $ (4,&• -C) Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ l C:7‘7%---- Plumbing Permit Fee $ (54k. Water Tower Fee f## $ ( O . ,- MechanicaI Permit Fee $ (54•5-c) Builder's Deposit $ ( BOO. Sewer&Water Permit Fee $ 5 • •;-0 Other $ , Z-- ,,x, sil 71! ,0 A,„ Gas Fireplace Permit Fee $ f TOTAL DUE A.0-0 o This Applie,+''o: Ise $Y+ur. ilding Permit When Ap DyedPaid // -IS—, 6/ eceipt No. tj�`).4— • ie _ l 3 3 Building official +.ate , This fs to certify that y remit tin the above application and accompanying d ume s is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the�aT y tan r co,s totes a temporary Certificate of Zoning ompi' rice and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued , �.sw I a 1 13 Ptanit n.`►i"!'"'or I Date Special conditions:if any 24 hour notice for mil inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 B .IIde.rs Deposit • 4 City of ' or Litite Fsri tir Inoue comPlierice for a tart d ussesuritY Arta fhik The Stritdefa DePealt 1*-- Ia ' di .,.8addhth landataPings tree boluderain the 844114141I PI---' - but neritrulfed tnirra az , , . I raat complete ic$1,500400 Etattdars'•''-'I''''' Is ' ait*,All entetior hems lactudtag. ono IS rostra If theUrdrit a • the t1/44 '' IS not an 4"14*-.8144 ''' ' ' after the deft(the buttaing p. 10 to _or RnaL Q41442.,,,....--.414CY AgirtaGtand pidfiang Shalt hudiatiptoted ftelaalte- .. and ato toucan,stia two Offt's situation PLW.Onth.,L'I'ul`taa-14.,,,day.,tinv,---r--d,itzu Ow shalt aetifY the daPnaaat of 410 dean up or cOrtedtiva dart to reality the tiwilmn,a7butpd`we"'epa4M- titbekrtettattatidthaaPP*414 WIltbahM/4- r e . ate preserwtd fid•lrpertOd Ofen0 yea& ko..4 ..'56° rtti till - - lutd wattle refundedltdireataa 1' • Tree Depoettntarateube DATE V3 3 - --r PERMIT# mAti....60M e--c,OF-- 1 we ADORE$/$4 - - Attn: JADA &fze-6-74 WA LIT D.R. Horton, Inc ' ' Mibitt ritE MAILED TO: ... Suite 100 EtaV'' I . 20860 Kenbndge Court i 55044 Lakevi fe, MN . .. ,, if tr ‘,..„ • 20204 len Bui Amount s 'Min Services Lynda S. :4 , g 801 e.iLieltri. ' 9,2_4,i.1.-- Acct. •ak. '' ' --1T4JLEXIIMI4 Date ' , 1[ i Itr ,', 1 ' t ,,• ) [ , , OCTNIgst OURINetX)NSTR 1 F<E,OP aReErs LEANC . .. COKIII01. PLACE 2.. P<EEP EROStON IN Lar Poppler, City Engineer EMIR OA$500,061 s PERMT MUST NOT , %, TEMPORARY OCCUPANOY -- - 1,,,77,.,7;44-:'''',7,-,17,,irePA,,,IA,i$,,re,'''',•'•--..--,L."":.'41-r-1‹.=-7,---.'------.1_ , = ''',''1',0„',,''''',. ,,,', ,,,4 ,\:c7t•ii,r-W,:5-.-`"f;;';,;A1•74C7-1;,',-:4*l';-,;,,e,,,.-.,)4,ci•i,,L,,,,v,.,.:o,t7,,-.,..,4ki'''-r\'.-,'''.•,,'-,;,,-,'-o-,',,,4',,.'-,N-,4v7=4,' *-,_".h..r,.7„f0,,-„i,:,,-;'-,'--7--,-',.--,.---7.--'-,,-4:-0;--_-q*,„;W,,rt_..-_L,-:,;-7-:--,-•;-y:.:i.,-.-,:'.-,'-:"-4q, -1.:1.4--,-t--..V1-.,---.,L•.,,l,,,',.7'40,, ,•-, ,r70.a1„,,lfrr,',N42*71K1o „”, ,1 cI!",opt4A.;;,'k41t'1,44' 1 ,,„.W..fe--„•..)„e2-:.:-ft-let, 7 , ? 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' ', *,„,,,,4;1.4%.1,.:ZI,AF,t-re :4,,, '„, 1";:',',:f;,, „.-1„....olikkl,4,0,,',40 tii"1550.,q,,,04, _.--: --.1----------' „,,,,,,***4**;"4 **,,777.4,A,i ',"z,..40Z *---. 47*- 1: '1'1.* 1' ' '10C1'P'tli'l' ' '--------- AND 68/100 ***** -_ .-• '-..•' EvENTY FIVE .., ,. ,', ,'., :,-1,„. .,!..-::ty•-:tA`,-1.4 ..,,,,,I,.".,,,',.;,,.‘=";!.,,,,..,,-,v;',) ED S --- - ----.-1-- -..:7--- '------:----ply THOUSAND TWO HUNDR ELEV.,- „e,,.:::--_--_„,„J--- --..--H.A.;,.2. ,.-.44-r„-_„..,-_--,,,..,...... •... ,.• .. ,;„ , ;,, 00 tt„Iti,,,,t, 4 ...,---a--,-; PT7'V5't..AN LIU.'''T'.;.•-•';,:h .'''''.,.:,.::,..,' J. .4:....*:1..”,:t'• '>.,....''..,,, a,'' ' rej*Vt!::::c. *. f,',..•'.4,,,-4*-- ''.%1.4f4 *.:----'''': '.., ',..":"”, Aile'll'H' (PERMITS) .i; ' ..,,,,*•,..11.-.,,,,,,,t ,.0.77f4=1,4 ..,.,..7,-;,„„,, ,,,,,,,,,I. -;,•,,,,,.....„4;, :,;•4.v.-- gn,..,-;;R,„,. f: CITY OF PRIOR LAKE ,:-.(:‘,,•41,,,*4, 4:4,....,;a444.1,..‘vlii , .;.;. 11,-. ,,,,,,t..„3.„(Ap',' ,,01:,,,.. TLA4.4,, t„qr,,,,,, 4646 DAKOTA STREET SE 1----- ; ---,---:::Z*. '4" , - c",. Vr .1.•",-;;.‘v.q.',,-e...!1"7:-.044,,,i,lv.4,.....,1•7.-1:.:4-7-4-,..,,- , ;:._--4ii-----;'.- .,:__.2:',- _r:-r.i y-_-, „. ,, .,,,--sq,s lz..,t,...m.... ,,,k..,...•, --,T,..r.,•.•77-47, •,• ..,•,„ • --,,,,, PRIORLAKE MN 55372 -----_-_ _-_--;,-,r; :,,z-z_7.-z_..„-7=-7,,,440"7;•,„-* .,, . ,,,,,. ... , ,,,,,,,4...,.-..,- ,... .7 ., : .;,. ,;._ • ,:. _•• .. ,. --;-.------.1. '•-•;-- 7-'v..7,""7!se.Z7'.,.,': :;,•,.-.'.' ° . *... . '-,:...„ - - - 1.--,,,--------=',•4*----. ,,; . „.... . s%,i ,„,1104•7...'..7;,. o.-,:".' .1-1-r.., ':',' '.•`: -. , .-.;,-,..,...-„,_,.. .---4:--------44.,-, ,f," - -..-..--,. ,,,;„,i, , . 7.1,:' -,• :1',.'...;,,:,' .', ,,,•,, :,,,,- „t: ,,,Iz,,•,:,,.-,.,„.,,,L:- 0,.--, , a '?*"-� � ►- �ec^w w- a ` +tea ._., * . ,, ,_, o .^`t Ft- AhIIi1� lte White -Building iimi +'�' Canary -Engineering +t+ Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT D. k. 1 c k_ ! c Af APPLICATION RECEIVED / , / g • /.3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted X Accepted With Corrections Denied , 1 Reviewed By: /VAl • Date: Comments: See Reverse Side for Additional Information! See Attachments: 1) Grading Plan, 2J 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." Ot PRIo4 ..,(De. .. x `� White -Building Canary -EngineeringINNESO�P Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT D. 2. H0/2.-7-0A./ APPLICATION RECEIVED /• / 0 • !3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 33 q nfiL°ti e,0 ' . Accepted ✓ Accepted With Corrections Denied / Reviewed By: Date: l 3I 3 Comments: e cvA4-e2,94- �_C61.-.0 4t4r/vT'g-<'i c_67.1-. 5T 4---<— ` I./t "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." f psi s 4+ z:l.. +g'+.yp�,.,F,, . AVIV ,« {. .14! 7T-",44113. a W µ Ov PRIp� H U by White -Building Canary -Engineering 41'NNEsdo"- Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT . / ' APPLICATION RECEIVED '�° r • The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted V Accepted With Corrections Denied Reviewed By: Date: r 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 Construction for Single or Two-family Dwellings in R-1 r R-2 Districts Reviewed by: fiejDate: /7l Building Permit# PID: Zoning: ' Address: Legal: L B Subdivision: Existing Structure? YES! 42 . Existing Nonconforming Structure? YES/NO • CONFORMS TO ZONING YI NO ORDINANCE Yard Setbacks: NA/FAILS!COZIES Standard ' Proposed • Front Yard(can be 20'if avg.w/in 150') 25' z 5. o' • Side Yards 10'/ 25'if abutting a street ('i". 0 8 • Sidewall exceeding 60'requires additional side 2" 10'setback-I- 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' 80 -f • 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' zo�4�/i S, zc� I Floor Area Ratio: NAI FAILS 1 C LIES .30 Maximum .(¢ I Yard Encroachments: el!PAILS(COMPLIES 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. I Tree Preservation: V, I FAILS 1 COMPLIES Standard I Proposed • Total caliper inches • Permit 35%Removal • Caliper Inches Rerr?oved •' Calipecr'Igches P,dserved • Replaceme a Y2:1 L:\TBMPi kTE\BLDGLIST.DOC The City of Prior Lake 'impervious Surface Calculations (To be submitted with building permit application) For All Properties Located in the ShomIand District (SD) 'tile Maximum Impervious Surface Coverage Pemitted is 30 Percent 3369 Malcom Court Property Address 15,255 sq. ft.X 30% 4,576.5 Lot Area •••••••••••••••••MWS, LENGTH WIDTH( SQUARE FEET MUSE x = - ArlACIDID GARAGE TOTAL. PRINCIPAL STRUCTI)RE 2,084 DETACHED BUILDINGS (GEtrage/Shed) TOTAL DETACHED BUILDINGS 0 DRIVEWAY/PAVED AREAS x = 885 (Driveway- paved or not) ( idewalk/Parkinu Ames) , 37 TOTAL PAVED AREAS 922 PATIOS/PORCHES/DECKS x 0 oecirs t 1h) nricain bawczn X tokocIN,vpitkui prreion siltfaex.:Mow, X are Mr COUSAITCd.th b.irripCrvicw.9 TOTAL DECKS (Y1'HER N TOTAL YI'HER 0 TOTAL. IMPERVIOUS SURFACE- 3,006 07 January 2013 o� Rro�A Date Recd CITY OF PRIOR LAKE PLUMBING PERMIT Vo �hT1Escro 1::luck, ZPERMIT NO. /3 --v 3.r� Applicant sign at bottom) ('6`� (Please type or print and ADDRESS 1 ZONING(mace use) 33 cA Mafi..rivv O,ni- _vJ LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION - PID I OWNER (Name) (Phone) (Address) APPLICATVN (�1 (Name) .�IAA wt. Y-'l b °1' \14-1 (Phone) '1 t -4 i )- 7-2-L/7 (Address) nr;)-3)(;3 \PA.i<1A-6t (41 AIAwitrloyin 551147 (Address) (Cty) (Zip Code) (Contact Person) oCkAi (Phone) 1I/5`7-1-5q1 V Y APPLICANT SIGNATURE Ai)1. L 01 A�t•Ax,� DATE )-I-2 o l 3 APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture 2 Bath Tub with or without shower Rough-ins Dishwasher I Water Heater i Floor Drain Water Softener D Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) - j Laundry Tray(1 or 2 compartment sink Sewage Ejector I 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§32613.148 1st $ q.511-Q Q Building Permit# PAID WITH "SURCHARGE"has been changed for one year effective PLUMBING PERMIT FEE $ WILDING P�cRMIT July 1,2010,until June 30,2011. STATE SURCHARGE $ ` � The minimum surcharge fora"fixed fee"permit TOTAL PERMIT FEE $ is,,5,beginning July I,2810 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By j Buntline 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�1'Rlp� Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT z3 A rEse- 2.Cold ueO PERMIT N^3.YYellow Applicant I e or and at bottom ADDRESS , ZONING(office use) Q� ems-. LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER l (Name) 1/ 7't2 a•-) (Phone) (Address) APPLICANT `,� I , (Name) 3�QW,, 011J g ki-i-1`4' (Phone)lb 6' 1413- 12-L07 (Address) 15'35 'v` PI y Y)'ui A-i1 55qLI-'. (Address) (ttY) (Zip Code) (Contact Person) S OUika y (Phone) 11/ •2-53-470 APPLICANT SIGNATURE c"X AtI J j IS CULUALWits DATE q-7-3.2013 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 SinkLawn 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 $149.50 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 $ The miaimuni surcharge for a"fixed fee"permit TOTAL PERMIT FEE MANN I G PERMIT is, ,beginning July 1,2019 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Banding Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 , 1 CITY OF PRIOR LAKE Date Rec'd (64-PR/04 _ HEATING/AIR COPiDMONING/FIREPLACE PERMIT ,. A • ..- PERMIT NI , _ 3.Ydlow engem wenn poe or orb*and sten at bottom) ADDlie..--, - ---.-"N ZONING(Ace use) 92j LEGAL 7 LEGAL DESCRIPTION(offkol MC only) - • LOT / BLOCK / ADDITION .f : - K..... i le N= DZ +lov+un 4--tomn aliono ci52.-9657272. . , (Address) 2O&1910 Ken 10(1011e 0-.410D iaiceimie AIN ostetu . . . APPLI`cANT Tir-eside kiersliP-1-ki ts4 ikinic(phone) 051- .1D33—25t0/ (Name) • (Address) 2100 Fit V.kA e(it) AVE. ki /eost OWL, , iv'N 5ill : (Addres) (City) I (zip Code) (Contact Person) i_labLther (phone, 10611(0313- APPLICANT SIGNATURE - DATE \\-• . ... LA,il, ) i APPLICANT PLEASE COMPLETE BELOW II • '' ! + CONS1RUCTION 0 REPLACEMENT D ALTERATIONS • INV" FURNACE MAKE A D MODEL, FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT ' TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner . 0Warrn Air Plants 0 Steam Units and Fireplaces Cannot Encroach 0,,eity El Hot Water Into Required Side Yard Setbacks. Air Conditioning 0 Special Devices Fireplaces with Box Additions or 0Vent.System (J Other Devices Cantilevers to the Outside of Buildings . Require a Building Permit. • FIREPLACE MAKE AND MODEL S L --75?)TA• , . FEE SCHEDULE Industrial,Commie!&Multi-Family 1%ofjob cost Residential,Gasfireplace •$49.50 • • . $49.50 minimum Residential,Heating&A/C(New Ccesttuction) $149.50 Residential,Additions A Alterations PAID litikihi Residential,Heating Only(New COUSITIldiCa) $64.50 Residential,AC Only •BULDNG$40tRIVIIT Estimated-Cosaa2z--1---06— Building Permit 0 ,- The Minnesota Statutes§32611148 HEATING PERMIT $ "SURCHARGE"has been changed for one PEE year effoctive • STATE SURCHARGE $ .50 July 1,2010.until June 30,2011. TOTAL PERMIT FES $ The minimum surcharge for a"fixed fee"penal! . (Oates Use Only) Is is,beginning July 1,2810 This Application Becomes Your Building Permit When Approved Paid Receipt No. r- Date By Sadia/Offieid Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 • 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 —......-.—_____„_...._•________. ................._ ,__ ... ......___— .... ..... ..._____.._......._.._... . . 1 FEB-20-2013 14:36 FROM:STAR PLIMBING AND EX 19528847468 TO:9524474245 P. 1 pD O1 Woo,. Date Rec'd _ �► CITY OF PRIOR LAKE r SEWER AND WATER PERMIT ' rNxasds' 2:„. PERMIT NO.1 dad y 3. Gold Appian, (Please tyre or print sad slim at bottom) ZONINGF(ofGoausaj IADDREss.3._...3: 14LAt I I LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION YID . OWNER (Name)_.!G.�—� (Phone) ( ) (ndm� L�COde APPL • I •.!� r .�! ..i L (Phone)`fps i J "I 7 (Name) L .if e �r (Address) /2I LF /11.!.. _ :11_ ._.fl f t_ :...�.s -'r" JL,r i. (Address) / (CIO (Zip Code) (Contact Person) J6 ! (Phone) _460/9—42.2 i—304 • Y .► - Lr APPLICANT SIGMA !. ""� i� DATE i .. APPLICANT PLEASE COMPLETE BELOW W Size of water service / inches. Location of any couplings from structure feet. Type of sewer pipe. ❑ABC IN PVC 0 Cast Iron ' Estimated length of sewer line 6Y feet. Clean out if required located at feet from structure. - FEE SCHEDULE Residential sewer'$tid Water line connection. $51.50 Industrial,Com'i&Multi-family I%ofjob cost•with 41151..50 minimum Sewer connection only $2530 Water connection only $25.50 Estimated Cost $ Building Permit# • . • RAID KITH SEWER AND WATER PERMIT FEE $ U1Ll ll ` p 'RRA iT STATE SURCHARGE $ TOTAL PERMIT FEE $ (Office Use Only) _ This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By • Building Metal JSate - 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.R„Prior Lake,Minnesota $5372 'Vh PRI R LAKEDEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 3C`1 14 ,(N ,--r- NATURE OF WORK Et? No t'Ec . F -i- © (z- F(,,,. L. L-. USE OF BUILDING fir►-�(..A� -.A t � i PERMIT NO. (3-Q- k DATE ISSUE[ 1/3( 7%3 CONTRACTOR c7.-'z • 4-1-,12..-1-..-).-› (tc. . PHONE 15"z• `155. 7i>64►_ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARAT DOC ENT _ A m ((-,5 "-VS(O?%) (_.G�.t�.Zrc%'(• C1/4(457"41^." -IN-SPE-6-'70R�` � DATE •�►E�> - r iFOOTING 10 3 ir I FOUNDATION (Prior to Backfill) , ..,k;4 PhACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED (Aon oma; R O U G H - INS D dta r 4/z.. (6 SEWER /WATER / SEPTT PA 3l3 43 FRAMING 1,t, e, e4 4/4r,h.( INSULATION ib \ (:)\\")a ELECTRICAL PLUMBING HEATING (if required) cl6t. Akiq _ FIREPLACE -" GAS LINE AIR TEST i 1=,P.��1�►,w • —" � ,� 'Pia'-'� `�-,s 24 I J _ COVER NO WORK UNTIL ?4BO-V HAS B EN IGNED F I N A L S,5 - j/,- t- , ',:°/,,A,/ • GRADING (Prior to Sodding) a-C, f3 ., BUILDING rip, 't) v' u, ) ,4,-(-') - 44 - ELECTRICAL * PLUMBING HEATING Ak 6- 11 , 1.3 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