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Building Permit 13. 0109
C erfifiiafr of Orrupant CITY OF PRIOR LAKE ?< prp zrfmrtnxtf.of u l Mn jittsprtfiati : :, ,A,. ,... - final Permitted D Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the❑Residential/D 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: KBldg Permit No. Use Classification 3 SINGLE . FAMILY VN Rl-0109 j�' Occupancy Type R Type Construction Zoning District Legal Description - L12 , 82 , MAPLE GLEN FOURTH ADDITION 3367 MALCOM COURT SW Owner of Building Site Address Contractor's Name&Address D.R. H O RT O N, I NC. ROBERT D HUTCH I`NS (✓ City Planner uilding Official Date: gZ G. /it Date: - 11 POST IN CONSPICUOUS PLACE 2 1r . ie ui § 3 § v2- . 2tuLuco a> us & z o § �UJSIL ■ ■ it 000000 w o_ I � �. \ 0 2 0 E § § ■ - 0 0w § X z & 2 =XXZA 0 $ k _ ■ I" o.w 0CZ § CO 16 � � mCO e § % _1wa _1w § § § k a ■ ■ ■ � ■ OQOocO 22 § CC § . � a a U. 0 -�� k moo k rt § AO R z o 111 Lu 5 U o 0 § k § re z a w# ■ 2 Ls a $z f § 2 Z § h- b 12 Z z 1" 2 0 W �2 g § § �2�w k k k k 0� k161 k Ju. �§ Zk 0. u0 g 22 2 0 a 0000'0 C.) tkoo E. _ z 1 § 2 2v. C.) § � _ � 18 < J1,4 02�Wta` 2 k 41 Z g WUEuO ■ ■ t b.., | )tOod0A _ 2 2 I w 0 _ U. A B o ci o ■ Ra.a. z § 60 Z §max $k oa. U g 0 000 < 0 0 w k a � � � � � � a. J z - $ jS <§ j� o 2 X o a ■ ■ ■ a■ �� � K OOOOD\ 0 g4 w4r. § § § eg & § m Y 0 Z A) § 0 © U. - ` _ � zrt 2 z Wiz .: k� k k § ts k ft ILI■00« o a [3000110 / 0O / _ _2 10. § j —� x ui § zzII© a % R55\ z J K a..el, \ So �um■o ■ § OOOOOc > 2) 0 6 tA 0 0 cc z U. Z S M I - }§ $ z k R § o t E ■ °8 ' O @ 0 k . 0 w paILxxalu- w ' k \ $ co U a � xw§ ■z $ ■ kw •( _1 © 0 0 z 0 ■ ■ ■ � ( § 2 000 d o 0 re Z ct , li t i •IC \ � 1� S a. « A ag ■ 6 2k2� �_ W © © § . w O� I . § § � � . c § a °§ § Ju. §§■■ 0 ° § a Q k2 2 0 a OooOOO U _ oO E. k OkOO§O§2ri:ce °555 CL CL,CL k�g c itiliiiI1k\ \ Zo© _w 13: % ■I \ 0 S re ��/ PA 0 tu e a o CO k 0 q 2 & 2 7727 o f 4 co v a =mare.k\�u. 0 a. / » Q � a§7ena ■ / - 000090 w w 2 7 2 ; � ii -J z G ii § z b 2 d 2 2 2 $ ZIC Ifil' ILI w c4 to 2 0 �u.�22k \ § §z 11.1 \ $ © z « 0 a 000000 C ■ vk © O 0 / ■ 2 �� P a�� mow■ c) =.1 t221 z UJ % » sc 41 ' jZ 0k�CC qc � ■ k � � tu 000000 �� § $ 2 2 m o ^ w 0 la 0 f cc oco$/- 2 ii w z z 2 22_27 o f S 0 2 %\k� � � o 0 Q. k a. J & ® a§7■ a� § 0z F- § OOQOOO w w K z z 0 a a 2 ƒ w . > o 2 \/ z . / kiDIL 00 dd0 /�� co z z W .»� — s 0 i-- - g 2 ~ w t& o 0 &mu.§■ § § CC ° < 2 0■ $ o a 000000 0 3 v v 2 e \ . ` 0 0 / v pl<trt) CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd �,„ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 2 lam. /3 -M , AND UTILITY CONNECTION PERMIT' 411VtvEs011^ t white rite PERMIT Nf), 2 Pini: City /�,. /V—f--1 3 Ytltow Applicant (Please type or print and sign at bottom) ADDRESS INC roftice iter} g LEGAL DESCRIPTION(office use only) LOT ii BLOCK 2 ADDPI`IONT� /�'1,�PL6 C�[�"�✓ � PID 25- 4-qG. G f-1. O OWNER (Name) (Phone) (Address) BUILDER (Company Name) D.R.HORTON, INC 952-985-7272 • (Phone) Brooke Hareid bmhareid drhorton.com (contact Name) @ (Phone) 952-985-7806 (Address) 20860 Kenbridge Court, Lakeville, MN 55044 TYPE OF WORK 0 New Construction ©Deck [Porch ()Re-Roofing ['Re-Siding Mower Level Finish 0 Fireplace (Addition (Alteration [JUtility Connection CODE: JI.R.C. ❑I.B,C. 0 Mise: Type of Construction: I II III. IV V A B Occupancy Group: A B E F H I M It S u PROJECT COST/VALUE $ ,7) 'g 5.L?lO. ._ Division: % 2 3 4 5 (excluding land) 1 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 thr abovementioned property 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 this peZolJIiFurthermorc* I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. x BC605657 2j /6I signature Contractor's License Na. Dp e e Permit Valuation -35Ioot9 — ##Park Support Fee $ • , - Permit Fee $ _ ZSS SAC _ Plan Check Fee $ c ,��, Water Meter Size 5/8";63; State Surcharge $ 1 S 50 Pressure Reducer $ t Lo- Penalty $ Sewer/Water Connection Fee ii $ ' PlumbingPermit Fee d _� ��. ^ - , l 5- Water Tower Pee 4 $ 1 000-- Mechanical Permit Fee $ t `C �C� Builder's Deposit Sewer&Water Permit Fee $ C?( SSU'— 1 ��U.� Other $ Gas Fireplace Permit Fee $ 54 50 TOTAL DUE 12 f 00 This Appl tie Bee s Y. i t tiding Permit When Approved p,.1 1 rJ i Lt', ✓ Receit No, 10 5/14/b 1 ByPi„0/t4" -1-.,.. 6' At- I AL w 1.A Building Official Date -; �,2-43/13CI (4g217 This rs to ern- 'that the re•test t tie above application and accompanying documents is in ccordance with the City Zoning Ordinance and may proceed as requested. Tins document when Signe... the My PI on, r sutures a temporary Certtftcatc of Zoning co lance dallows construction to commence. Before occupancy,a Certificate of Occupancy must be/inued � 4 Planning Director 2-, f �3 17a c Special Conditions,if any 24 hour ice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 .•.,.,‘ 0.,,.#4:, . i- ... i -_.: BUII:d€.rs .Deposis City Of Pr Lam A 1$i,500AV '. E •e ':ts�d ri the°Whi Pe tusk.t The0ft ft OP:4040dos .e � "!Keefe oraoPitalloe tor a R :Q >ee.M4 cy Per ; i an 4010W1:AU exterior it s�tading hu-not limitedto ceding, landsc ng,tree Piece. :end pehtting Shea tie completed Ittldaynefter thedittellichuildregperthit to re ` filittfekeit tenet complete within+{{ tt X140 yy -1 yob"�0fitiforfeited-aidet filtjnot 'ttitt 101,0+��t, ntJof the 4 vt atk and € int she* to clays}to �K or the $1�.V'OOOOih 4epo It .11be t the licaatwIll N.f �M}!'I rclean or .. .work SNC thesituation AY9 : DOPOsi elf 'AtlSi+C1 to red ertd avl'be refunded if spa lee xr ate preserved 10- pe ergine''year., DATE.._. . .. ..... . --6 a._/5 SITEA*DR : 33( 7 MA—i—c-r'A4 � �/F-l' sh1 PERMIT / O' P BEE ' Tot D.R. Horton, Inc Attn: ,}ADA 6./ZE£J WA CDT • 20860 Kenbridge Court Suite 100 Lakeville, MN 65044` v ,l I 'J l,d v r:l€ r 1 r;l ) d z a r € - ,,,-, Lynda S. len,Building Services Amount Q ,/ Acct.801.20204 E _ c Date af. `STREETS'01304' \Ek•l ., f€ rlAf' €Girl gL.E :;' F 1, RE • 7KEEP` �COMM,IN PtAC Lar Poppler, City Engineer .a, P RO , T MUST . F OCCUPANCY �•-x+����^�y � I ;+rr.41I,444ig'''''.4.1,4> f ��R,a{}�y'z �°�� ,�� `f�oii%� ��',• : �'� ;5 �„ `e �' � Vs�::,,, ,.:£ IIS L, � . I � - 3.:,4%'.'' ',1 .,i• ,�,. :1 �^ ';b �a ",:i 1 39 �ry4 .2 -�11—_-'t �` ., :Y d r, zc,".•ate [ 'b' .I� kII I,liI ,111 ,t r;, . f.`_ — �'y3— &`; 1 -i IPd�I ; it i c -;=. -- -# ,•_" • tiTIp , ' I I4;,,l litt;}1 i, _ -, ".f.4,1 # >F1,� 1 l4 a li l i, i4 J I € � '- _ 3 „ ,' �' I!� x„S . 'r . ,tu',II I''' ,.. dI�,..,��p �Y_ s=�. -v�£� �i`�� .y�� �,d �li��ub� . 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Y ,""s+, r ,;'"IP,1 E p r ��14.i! 3 3'3„ag c.,, ' T ;,,ra; ' �r�' ,.. ` 'y 9 t :.a n z° :r ` ..C4 i ,,,Y a +c �' .. . .4.4.1!0; � t�"s7„-e ^��k.�si2 �'„�.. ,a�^�rd ,'�'^`A�p �t ��t ?� . .Ax � c;�'� ES ab��'§ ffi�.sr �'' �'4. a � i � ! rs 4 _ lel , til41fi'n'''twl7 y# � ; y —tr � III 'n, fi,l.,� ` _ t1ry t+ '�'t' h%.;'`%'Mi,x Msi -:x_ - _ _ r3< I 11 f j � al��” I l , • I " ,, - `8•-- §�+e` `.f t- III PP k�,�9 ',leIl ��illl' l` q. ro 'III,F*,y�, `' Iiliil 1,SII �ri��n�,UL�: >W" .y �, — n€'. m r;',2,, •I '�II i11., r,�i Jl,,11 II, p Il, �r'.:: _ I " -:;-„, ,,.:„ i.,,k'a.,l II rI�„, iII _ 4 - }` , -te �.-i�. > �JIL�.aIII �����d1!ti.I�� -���- �� � r��ilh it 6� �'��1���� MIIII I _9 • �'� .�, � -� z �+�r,� z III r�� �hil, lid I JI d�� * * r••- • TWELVE THOUSAND THREE AND 68/100 ******************************** * e;*** ftI`� F * ;` ¢' ::1116,:: " hkBJ • - „'211 Ili I n,tig 1 •liM„ _ ,. ' .; 't Z. •• • 4,,,11 1P1 T E6 � �'•i 'fi rl.,lilh� d. • lil lr I�'.� . ,; i '*a a ,�I ,, ray 4 f CITY OF PRIOR LAKE(PERMITS) ,;�EI�I„I�,, lI fOJ I 1 y! y4: k ` ` ,., '..V''''''..'',',4;''''' `pI! • 4646 DAKOTA STREET SE A� .x r , ' ` PRIOR LAKE MN 55372 p ms gip; 3/f 4;c ix '.^+ zk �' fir' �.x 5."� �� � ��>��, .y , "� ''...14,,,-,-F--"''.', �:"'�''.�r�-aw�..,�.� r r `�e ` K � 'S°.�n „.. ro � �s,� � 5 � a a � '� dk xi yi.. ; t ,,-- '^v i Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts , Reviewed by: RD ' _ Date: z 3 , 3 Building Permit# PI : Zoning: j2 . Address: ."36 04L 0 fY\ G --. Legal: L , B Subdivision: Existing Structure? YES 1 r* . Existing Nonconforming Structure? YES 1 NO • CONFORMS TO ZONING 70 NO ORDINANCE I Yard Setbacks; NA I FAILS/C P S Standard Proposed • Front Yard(can be 20'if av . lin 150') 25' z5.a • Side Yards 10'1 25'if abutting a street 2 a'2.._< lg . S-3 • Sidewall exceeding 60'requires additional side 2" 10'setback+ setback for every 1'over 60'in length. Not required 2"11'over 60' if building wall is 10'-0"or greater of being parallel to _ a side lot line. 25' & # • Rear Yard • 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 3 14 (1" ,3.E3 5� I Floor Area Ratio: NAI FAILS I CO 151,18 I .30 Maximum I .1 7 Yard Encroachments: I FAILS(COMPLIES Standard Proposed Eaves and Gutters no re than 2 feet in width and no closer than 5 feet to lot line(Easements). NC and other equipment cannot encroach on interior side yards. Tree Preservation: FAILS I COMPLIES I Standard Proposed • Total caliper inches • Permit 35%Removal • Caliper Inches Removed . •' Cali,pecr'lgches P,dserved • Ri placem nth %:1 L:\TEM PLkTE\BLD GLIST.D 0 C / -< ,4wwpo wik smn...gxw- (01cPRii; f. x U tri White -Building M�ivNEso�� Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT D- . /16( 4-6 l• APPLICATION RECEIVED Z . / 3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: •33627 !L'/ I . 64 I'-') < -o c/lt-4 Accepted Accepted With Corrections Denied Reviewed By: /Mg Date: Z-/7-/3 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." o� PRip� U ra White -Building Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT Q- 4. lit/alb i/ APPLICATION RECEIVED Z . • 13 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: (0-7 /'z 6 ()t Accepted V Accepted With Corrections Denied 4//,‘ Reviewed By: Date: Comments: • G4''•-02--0 c- 64-05 4 ' X,47, 7-009-7,U "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 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 V� Accepted With Corrections Denied 411) Reviewed By: Date: 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." MAR-4-2013 15:25 FROM:STAR PLUMBING FM EX 19528847468 TO:9524474245 P.1. pi) Date Reed OF PRIOR LAKE ilSEWER AND WATER PERMIT v 4iivriescisPERMIT NO. L 3_/�/G 3. Odd A ADORE 33 4, 7 , .LEGAL UBSCRIp'z N coma use only PID LOT BLOCK ADDMON OWNER ._.....-- (Name) • R A,�;e ...►' ) APPLICANT i., •r ( .i-- . .. _ .c,. O 3 (Address) 0 7. lib"L �.. , _ ., ,,rcaw gap coo .....9 (Phoma ,r i, ..�.--- (Contact Person) '. 11111Ai , c�. . gppLICANT SIGNA ��+.: !_ — =-.-_ DATE �..a, r n ..- '--, . APPLICANT PLEASE COMPLETE BELOW Size of wafter service _,1__._inches. • Location of any couplings from structure Type of sewer pipe. ❑ABC 51 PVC 0 Cast Iron Estimated length of sewer line.. feet. Clean out if required located at __ __feet from structure. 'ter FEE SCHEDULE 1%oi�;ob oostwitb�a.S51:N1 minimum Residential smears'eater line connection• $51.50 Inderal,Com'l&Multi-tamily Sefiier connection only $25.50 Water connection only $25.50 • Estimated Cost $ Building Permit# SEWER AND WATER PERMIT FEE S PAID WITH STATE SURCHARGE $ BULLDIUMPERMIT TOTAL PERMIT FEE $ ------- (Office Use only) Paid Receipt No. This Application Becomes Your Building Permit When Approved ________--- Dsto BY "Mina Odleht Data 24 hour notice for all inspections(952)4479850,tax(952)447-4245 4646 Dakota Street SZ,Prior Lake,Minnesota 55372 1 V R.ro CITY OF PRIOR LAKE Date 17'd - HEATING/AIR CONDITIONING/FIREPLACE PERMIT 34S--- Ai „,,,.._,.,,,af„:„.„, 4,"N Soft x.t Pink flianyt PERMIT NO: 13 I (Please type or print and sign at bottom) 3Yellow ANpLtmt � I ADDRESS 3 ( 7 ,,�I�-'1'� ��CrLa t%1` t ZONING(office use) 5/P- ,0_I LEGAL DESCRIPTION(office use only) :j LOTTBLOCK 2' ADDITION � , �_u PID i)K'()qb 0/7 OWNER (Name) V tti r EE���� (Phone) �cz. jf""7Z-72= (Address)2 j;i' '6 0 ki..2v.G..' Cr tom, v l'h. 5 42 D'Cl''`f APPLICANT t9SZ'££g'TSg �p HEARTH & HOME TECHNOLOGIES (Name) £ tSS NW 11 -7, hone) dba FIRESIDE HFA�}I gt HO N 3I1N3AV M3IA jIb'� OOLZ Lic 662656 • (Address) 9S9Z99 �fI 2700 FAIRVIEW AVENUE N — (Address) �WOH H121fJ�N 3CIS321I� eqp (City) ROSEVILLE, MP(�115s I3 (Contact Person) S�IDO�ONHJ31�WOH Nom) 651.633.2561 APPLICANT SIGNATURE P4441 DATE 3 ' /3—`'l3 ,�,/ APPLICANT PLEASE COMPLETE BELOW •• L/1NEW CONSTRUCTION ❑REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT _ TYPE OF SYSTEM HEATING OR POWER PLANT — ❑Warm Air Plants ❑Steam PLEASE NOTE: Air Conditioner ❑Gravity ❑Hot Water Units and Fireplaces Cannot Encroach ga Mechanical ❑Radiation into Required Side Yard Setbacks. ❑Air Conditioning 0 Special Devices Fireplaces with Box Additions or Went.System 0 Other Devices Cantilevers to the Outside of Buildings uu Require a Building Permit. FIREPLACE MAKE AND MODEL l'`V-9 5/7 --i —IPL ,3(pf,1.: nt 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 $49.50 . Estimated Cost$ LS-0 0.CIt✓ Building Permit # The Minnesota Statutes*32613,148 HEATING PERMIT FEE $ "SURCI IARGI:"has hecn changed for one year effective STATE SURCHARGE $ .50 July 1,2010,until June 30,2011. TOTAL PERMIT FEE $ The minimum surcharge for a"filed fee"permit (Office Use Only) is t5,beginning July 1.2010 • This Application Becomes Your Building Permit When Approved Paid Receipt No. , Date *AID WITH Buildinn 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 iRiP Date 1Rec'd 0o01' CITY OF PRIOR LAKE PLUMBING PERMIT 411ANEso* a Z PERMIT NO.A5 4'Id 4 1 Yellow Applicant SPlease type or print and sign at bottom) ADDRESS I ZONING(office use) -.33 --1 'Rat Lin/irk On,01- s),-4 I LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID _ f OWNER ---_—�_� (Name) (Phone) (Address) AP(NamePLTAOC 11.1, pts 1 � (Phone) 3' 41 b--2-2-6-1 (Address) t 'Z Vn \ttA i Ka Ptkiim tILIt-4-1 cs Is4 41 (Address) (W (Zip Code) (Contact Person) OA-AA-LAI (Phone) —I Ii 6-2-c5-3 _4? k APPLICANT SIGNATURE 0L61. 4 DATE 3--3- l 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 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 Z. Sinks Backflow Assembly Test Bar Sinks Lawn Sprinkler 1 Water Closet(Toilet) _ Other —J 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¢32613.148 .." !st t 2'3Z(-pd Building Permit# "SURCHARGE"has been changed for one PAID�tam year effective PLUMBING PERMIT FEE $ Y1I ft,fl July 1,2010,until June 30,2011. STATE SURCHARGE $ WILDING PERMIT The minimum surcharge for a'fixed fee"permit TOTAL PERMIT FEE $ is,5,beginning July 1,2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Balidine Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 41 r R.1704, Date Itee't1 ...0 0 CITY OF PRIOR LAKE PLUMBING PERMIT f., o 4/. 0 Awes° i BIllt F41.: . 2.Cold City PERMIT NO. 1 /4 A i 3,Yellow Appheani I (Please type or print and sign at bottom) ADDRESS 0,. ZONING(off cc use) 33 IRRItM -a-im(4- ,Sw LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID ----] OWNER (Name) 042- 111,oe--7-6 J..) (Phone) (Address) , — 1, II, 1.A. . I iv) )4 1. (Phone) 1 ti;:b'Li 1 (Address) ... .c...56..../)...f.) IM.14,clikk.,,,„ _ Pik.1.0101..1A1 (Address) (Cit') (Zip Code) ---.,1 (Contact Petson) -s.), CciAltill (1110 ) 1 V22:. 17,7le2.'i-I g __ _ APPLICANT SIGNATURE c- et,1,144 I A....1.14.42,1teid_______ DATE ,,,,,, ,,,::1'/O•4.-.C,2,0 APPLICANT PLEASE COMPLETE BELOW Vu a Oily, 'Imle of Fixture Quuntity_ Type a!PlIctlre . - Bath Tub with or without shower Rough-ins , ••••,..,..."1 AY,4.4, ...,....a.....a Dishwasher Water I[eater Floor Drain Witter Softener Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) Latindry Tray(1 or 2 compartment sink Sewge Ejector sS iher Stallno4 -l Backllow Assembly — , • ,_._ _.... ._....._ Backflow Assembly Test Bar Sink 1„..aVin Sprinkief 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 $49.50 T he Minnesota Statutes§.326B.11-8 "SURCHARGE"has been extended $ .__ Building Permit ii •, The minimum surcharge for a iTt , Mi PERAilly • PLUMBING PERMIT PEES BUILDING "fixed fee"permit is$5.00 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.E.,Prior Lake,Minnesota 55372 The City of Prior Lake impervious Surface Calculations (To be submitted with building permit application) For All Properties Located in the ShoreIarid District (SD) 'I lie Maximum Impervious Surface Coverage Pearitted is 30 Percent Property Address 3367 Malcom Court Lot Area 13,885 sq. fr.X 30% 4,165.5 LENGTH WIDTH SQUARE FEET HOUSE NrIACIIED GARAGE TOTAL PRINCIPAL STRUCTURE 2,314 DETACHED BUILDINGS (GaragelShed) TOTAL DETACHED BL:Ll DINGS 0 DIUVEWAYIPAVED AREAS X 957 (Driveway- paved or not) (Sidewalk/Parkine Arcs) X 55 TOTAL PAVED AREAS 1 ,012 PATIOS/PORCHES/DECKS ( pea )0do *A-RAD, ritioniv 1w:wow x witb, iptrekm.$urrae,e Mow, X are L107 COLISIJCICd ic'lx.inuperticuz) TOrf AL DECKS 0' 0'.17FIER cyl'H.ER 0 TOTAL. IMPERVIOUS SURFACE- 3,326 6E0,467.t. 23 January 2013 PRI R LAKE DEPARTMENT OF BUILDING ANDINSPECTION INSPECTION RECORD SITE ADDRESS --; ,.7 F-(A.„.„.1 (1,,, NATURE OF WORK *P No K,tiu.®,2.-- FIN . L- .L- USE OF BUILDING St r.4-t-k Lui Ahx6-t- --r^x-, PERMIT NO. (3-- (e)1 DATE ISSUEb 3/r3 CONTRACTOR Q. F . 1-62.-1 -1, (t.s c-- PHONE 952 •cia 5.--056* NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT AdaLF,,,,1&; ' I Cjf rS --og,-t - r-j2-p�i L. C �� 'l/ I/•��r n'� `� MSPS OR DATE FOOTING , ' '' /4,-) 1 f FOUNDATION (Prior to Backfill) )9zie v PLACE NO C NC TE UNTIL ABOVE HAS BEEN SIGNED € s _ gc TROUGH - INS SEWER /WATER /SEPTIC ,%, -)3 � i ,3 FRAMING /2 5/3 INSULATION /E 991Z90 — ELECTRICAL _ PLUMBING fite d7 J-2. _ HEATING (if required) �� _ "5; FIREPLACE flP / _ GAS 3NE AIR TFr,ST yI >I'B 7/c' T64)44614 "' COVER V WORK UNTIL ABOVE HAS BEEN SIGNED it-6---,6 -0+9-74P4?//-1 L-,' - -- FINALS .11 GRADING (Prior to Sodding) 1)1, . . . / _ BUILDING 1' &° 1. ,.' ' C1) 1.-(.....-- - (4 ELECTRICALlizk: _ PLUMBING r�,� A ,� HEATING s- '"-- i 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