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Building Permit 13. 0852
A A/ A A, A A A / '\I C erf firafr of Orrilynittg C ITY OF PRIOR LAKE _ Prparfm of of !idling cIttsyri fi.an Final Permitted ❑ Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the ❑Residential/❑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: K Use Classification SI NGLF FAMIJ Y Bldg.Permit No. 13-0852 = R3 VN Ri Occupancy TypeType ConstructionZoningDistrict Legal Description L4, B2 , M.API F GI FN FOURTH ADDITION 3356 MALCOM COURT Owner of Building Site Address NC K Contractor's Name&Address D, R 1 H O RTO N, NINC. ROBERT D. HUTCHI NS -' city Planner uilding Official Date: `1 17 T l,1 Date: �' POST IN CONSPICUOUS PLACE J W Z 1 vi ream W� 0aWaN• 0 0 `c L M u• dUu. u0 Za, Z r---' � `N�/ 000000 c, 0 0 'o W x O N w aaJ w Z C J Z » Z CO d O ,.1114 H i2 00rc -1 \*....... p U V Ov a W Z ce z xxz ? 0 c a a CO Q v a � xwx � x a 0 CO • fa p3 W 1.a J W 0 G Z H W Wk'aa3v) a2 W a Y 000000 -----" 1 rv\CNr re cc 0 111 N te WW O• a Ca> %• W u. p Z 0 Z y0j �N. y 6 �, � a a .2 O z_ azo N Z H 0 °� C . Z W W J IQ 0(~j Cl) W F- Z� � JUJ Y re J 0 OW Q' W Z 00 hzH O O Ca) Nl G _ �LL � Z � N .t.) v �' v 0 Q 0 a. ❑ 00000 C.) p p c (9 JF- (. � gga � a� �, > t4 00 V' W W 0- ,) i 8 ti ft`. C7vl ? E. N ❑ o ❑❑ ❑ ❑ �N W'o r , ,,&t: • a,ill _ J �o p j ` ,L N 0 J Z » _ l� `4 B m c O D I k C O O la < N " s 0 0 0 4 I y O W =co � re it ea_ .+. 0 w 17. it H O ~ to v a xv � mv L �@) F aa, 0 Z ay J,i1 Q ,j J W ` 0 0 = ' F' O a23v� aa 4 ii w w W ❑❑ ❑ ❑ ❑ ❑ W Ce Ce 0 LI. X 5 1= M < OY 0 Z it 1.1- 1- 0' T OW Z 0 Z ° (4 VA tk IQ ao N a Z <Z� n Z .) ` N 0 g 1 U. F- = Dag JZ ' re Z .irJ Q Oa D: WW = O OOCZ? t 1'4�,.'a����,;+'��.t O O O V V 0 3 i au. a _``��rn 3 v v a. 5z Q O a ❑ ❑ ❑ ❑ C7.❑ 0 f,,!", ❑ ❑ c ( 0 JQ W Z Z N 555 = v` 0 1 000000 �N 0 z 4 ..,N\ Wrt O ,. ., W Z 77= COUJ U. C o oLK O U 0 4. z �' Z ce _z — zzzz 1 � \ p a a 0 0 w °Dxwzm " v 1 a 6 z 0 �Waj -1W � � \ D` O D co F p a23voaae UJ Ul O C UJ LU W• z ►s� ❑ 000.0'0 V d d _ 0 to 0 < ` O o bz o 5 0 \ U.a a,zO 1- < OIOZ 0 W F— ap 99 I e p aN <ra I a \ ex z Ili us us u.0uj co ir W F- Z � j <W Y G \C A ' a o ILI _ $LL �=mai ` 0 co co 1. +a� v V� o c� ? a 0 a 000000 C) •V ❑ cl0 S. CITY OF PRIOR LAKE BUILDING PERMIT, Data Rec'd ov__!-R, /0 '1'''ifrl'i \,,,, .. r. "t" ( 7s/ \ 1)' 0 :' \, p, r TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMITv ''. 1 (1 ."'• "--",:- :-,/ 4414iNeseti* 1 white Fite 2 Mit" cay PERMIT NO. / ---2 0 3- ya.0., Appkm i _ Unease type or print and slag at bottom) ADDRESS ZONING 0:trice use) 5 3 5.- . j7,4-L- e-evn 47ciee--.7-- 1 LEGAL DESCRIPTION(office use only) LOT ii BLOCK 7-- ADDITION A1n2i.I 64.6-A/ q17/ pip 25 1-6(P OWNER (Name) (Mae) (Address) BUILDER (company Name),DRHORTONINC Whorl ..) 952-985-7272 . . , (Contact Brooke Hareid bmhareid©drhorton.com ip 952-985-7806 Naine) (Address) 20860 Kenbridge Court, Lakeville, MN 55044 TYPE OF%YOU. Vi Now Construction DDeck °Pura C:WRoating °Reading ploWerLevel Finish 0 Fireplace °Addition 0Alteradan ElUtility Connection CODE: P31.R.C. C31.0.(. 13 Misc. Type of CrnistructiOnt I Ii HI IV V A B PROJEcT WV/via...Los $ Z- . Occupancy Group: A B E F H 1 M R S II / (excluding land) Division: I 2 3 4 5 i hereby may that a have lfintaltediafivailitiort on this applicatiOn which is to the best of nty knowledge tom al*mired. I atm etuirp that lam the owner or authonzettagent for the 4how-meroloneti progeny and that H ointment%vdtl conform to all existing state and bed laws and will putieeett in aeconiante with submitted plans. I am aware that the buikhag official can revoke this permit(Or - cause Ftu, ,a . -.litart*agree that the taty aft.*or a de4fittoornaPteter utfell the PteneltY to IllifornleeeXkxtrancetann BC605657 Signa '1‘ Controtoes Ligeme No 7-is-/3 Date Permit Valuation c7‘ 6, Pad(%VFW Pee # $ - ooon , Permit Pee $ i SAC c70 iig. S-0 , II S al Y35, 00 Plan Check Fee $ /.3..3,. . 1g Water Meter •.SIze sari; 5 6--qc. 42 a State Surcharge $ /33 °C) Pressure Reducer $ /.50. 0 0 Penalty $ Sewer/Waier Connection Pee # 5 /$bo • ..--_—_ Plumbing Permit Fee $ /Si/ sz) Water Tower Fee # $ 71)06_ A.• Mechanical Per tnit Fee $ /3-9.SO Builder's Deposit $ c;75-66, 0i Sewer&Water Permit Fee $ 56'--r6 Other $ Gas Fireplace Permit Fee $ 5A S7) , TOTAL DuE1qi 1...e- g )-4-e 4t, ,3 $ /9-, /09. 429 This Application ecomes our Building Penult When A rov d , Paid // i(147 (-124' ceipt No h V 3 57 Date k . 2, (. I i y / Buildnig()Metal 0 -a --........ Tins is to certify that the re.i/tin abort,application and accompanying documents is in •ccor.,ncc with the City Zoning Ordinance and may proceed as requested. Thndocument when signed by the City ° i . c mites a temporary Certificate of Zoning compliance. d alt vs construction to commence. Before occupancy.a Certificate of Occupancy must be issued i7 r Na in.140 hector Da. 2 Special Conditions,if any 24 lion. otice for all inspect!1 ns(952)447-9850,fax(952)447.4245 4646 Dakota Street Prior Lake,MN 55372 Residential Building Permit Checklist New Construction for Single or Two-family Dwellings In 1 or -2 Districts Reviewed by: Date: I, Building Permit# ElIl:_ oning: r k Address: �� Legal: L B Subdivision: Existing Structure? YES/NO . Existing Nonconforming Structure? YES 1 NO • CONFORMS TO ZONING Y NO ORDINANCE • 1 Yard Setbacks: NA 1 FAILS!COlOS Standard Proposed I • Front Yard(can be 20'if avg.wrn 150') 25' 2-5, c • Side Yards 10'1 25'if abutting a street C qek• S • Sidewall exceeding 60'requires additional side 2" 10'setback+ setback for every 1'over 60'in length. Not required 271'over 60' if building wall is 10'-0"or greater of being parallel to a side lot line. • Rear Yard 25' . • 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' 11 ¢ 7z f(-7� f IFloor Area Ratio: NAI FAILS 1 CO� S .30 Maximum I • • Z- Yard Encroachments:k 1 FAILS!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. Tree Preservation./ vi(FAILS 1 COMPLIES I Standard ' Proposed • Total caliper Inc es • Permit 35%Removal • Caliper Inches Re oved •• Caliper laches P served • Re Iacemett Y:1 LATTB\BLDGLIST.DOC • �. : o y: r o1 PRIo� U Crl �rivnrEsoWhite -Building c. Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT D. fc . /1Olg/ t APPLICATION RECEIVED ' , • 13 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3 3 Co 111,1 &60" ci,-7— Accepted X� Accepted With Corrections Denied Reviewed By: Milj6 Date: T 3o 13 Comments: See Reverse Side for Aiditional Information! .1-°F ( Ah' g•e/Vo'ce "'/// !Ii p4r'velot.>. 69P-/ /-a- COvv ,'S /`c0,,,:eel 'tree 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� PR/16 tr1 White -Building Canary -Engineering 4fINNESO Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ✓- 2- D N APPLICATION RECEIVED " �3 The Building, Engineering, and Planning Departments have reviewed the building permit; application for construction activity which is proposed at: 335(o /21/6-60/1 7 . Accepted Accepted With Corrections Denied Reviewed By: Date: I ( Comments: !. C cv _ /VA At/1 "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." ` .' ,... ,y `4,4%," ,. • ♦ir 117 !"rrWI:. k +x'6rY ' ^'0+4 p111O4P ti U uy White -Building yl �P Canary -EngineeringNNEs° Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 11,rf APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit; application for construction activity which is proposed at: Accepted l/ Accepted With Corrections Denied Reviewed By: , Date: x 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 ol 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." .8i rzfra•:: . • „et Builders Deposit • 0 s_ 1 441‘roiliy, . _. .. City of Prior Lake kiert-ototsit it tastatcl wice.clettlito-tnenvY., corapitanoe for a Alli"Inti aelittEtt.elYerett*e 4elluee*Iff the 1444141'2 P"It is 1°641 infin '• : i limited tiograritait-sodding*landscaping,tree pir4;41..!,4-.0,,,A:31Ploivomiter. AtlAY11:1:011110.16 g(lanf tt:4011132440creirlf urc4944.015intleted)'AntQgterktv,,.daysLtitieftlYelratht."Itcdtt• f,ffig 1;14,t14,itnitlingtr. .rrni.f tas_,,,I bays;atiLlite:._,___*aric..„isiitit oilmtp....or the within giviaa-tlity lima period 1I OlVvitalt n400 the OPitototvit thP 4alatlan and the'aP01148"1 n'llt 0itt:Za%m 'GuulPg1 gr"I" kr clean op cr corratilivemoriciala r on. vtioggiggitgigtesoitpcall,willliefOrtailetinntIfiaNIPOcant-vilabbOnt;, ,, . f xi petted orb" •.. Mtati,no Trocbapositouiraisotta'requirartand willtersitualed ifspeoillattatestrarsprasenrert 0r. . DATE: . ,77'4 5- i 3 . srreAittifla$V .3.3 4 . 1,1 A—c—_e--zi•--/vs., . 4v - r- PEEWIT II. , i_.3 E35Z__ RENNitell5 Bit mAtteri Tett, D.R. Horton, Inc , Attn: JAI:A 6:./5C 61J.._ 14%LDT 20860 Kenbridge Court Suite 100 , Lakeville, MN 65044' , \ " 01"1,)1 1'\ l'1()H 1'1) 1'.',I,H, /II , _ , Lynda S len,Building Services Amount IDdatfeel‘111-- Acct.801/0204 - " — . 1"71C111 PIA1.411kS.'- 1140114rE'.' • ' :' linli,ot PO- ... , , All 1",[(MI /,\ 11()1 i i n ,, 1,1 1-. 4 '''''' STRRETSOLSAN OURINtlOCjr461114.0071014 „ . .. .. , 2. KEEP EROSION CONTROL EN PLACE Larry oppler, City Engineer .3...., TampcsAfrir accupickNoy panto MU$T Not EX4#114.6,OR„Mgt. GO WILL BE PORPEPIED. „,-- siONATOM , .• • . .; .,,,...,. ., . (-)Z-c-- er. /------ , .• , i THIS CHECK IS PRINTED IN RED AND BLUE INK ON THE FACE ON CHEMICAL AND BLEACH REACTIVE PAPER WITH INVISIBLE FLUORESOEN71ptik&A., i3„ ,, ; - .,, .,, ., -,..„..i.,4,,, ' '(011 ti 140 kl:`4. ,,_ ‘ttitrk,id V4.tOe**, _ -,q:''-',,N .'21\.t ''',4.!k\\‘:, , '\''''li.'',,'.; __4,,.•^4'7,„''''' *pii,s,-\134e13 -: N\\,, Ari1C;titiCit‘ric'i*AY li _._1, \ South :;•.;,'\.', AccountDa 64-1278 , fai Inc.bDish Atlanta Dekalb County,Georgia .., 611 GA 301 Commerce Street,Sulte #0 • :''. '' '\'` / 0i !Vill..11 \''' 816d1161ftei,liTiMg7.!:11 :Iiri4V . 4aor TWELPE THOUSAND ONE HUNDRED NINE AND 68/1 0,1 u . ,,,?\•• .,,,, ) \ \ ":4W, ,, , , ,'-', '',, *j?`44: To the ( ' n. . :'‘ ; -' * . ' ,-- ';;;,.,::;.1,:i- Y /\3\-V,.'::,0• ..‘,A Order Of CITY OF PRIOR LAKE(PERMITS). — - •N\ • I ' ''- ' ..,\\.• • 4'\\k, ",,, \,•),, s',4 N .,\\ ,-*, s :,, ' ' \'-,,-`'..„,;',Js:-/* -.,!.. V-',...i'W ''''''..• . ' ., - PRIORLAKE MN 55372 • , 4 ,.•\. / ', ', :\‘' '.?, ''' / "'' ' '' ' '\' ' \ - , p' —, ,',,'''i,-4,''4-Z'•Th.4.1,,.'''.4''. '"',,,,:, ' -% 1 ( / \ 000 5 SO 30 III. 1:0 6 L 1 1 2 7881: 3 29 O3 6 766o \ YRip� Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT z /3 ' Muse Ithie ld LSIFde y PERMIT NO. /3: �,;��' 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 35 4 tniv eJ-LY . SvNi X2/ LEGAL DESCRIPTION(office use only) //��J s / 1 '9 n �r LOT 14 BLOCK?' ADDITION / 7i 0 1 e.:747 144j ( PID r 7 - 9c- OWNER (Name) (Phone) (Address) APPLIC yI y� (Name) I Y' 3 L. 0' hone) llo�" -j 116- 22101 (Address) IS 3?)�J k =, ""� r 1 5G4+11 A dress) Ii (ZipCode) ( �y� (Contact Person) (Phone) 14 '2.S -418 J /tli , APPLICANT SIGNATURE �-1rU►�l.t�( U Dut.Wi< DATE d " Z-I'Z-D 1 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 I%of job cost with a$49.50 minimum Residential,New One&Two-Family $149.50 Residential,Additions&Alterations $49.50 The Minnesota Statutes§326B.148 —1st $ Building Permit# "SURCHARGE"has been changed for one year effective PLUMBING PERMIT FEE $ July 1,2010,until June 30,2011. STATE SURCHARGE $ .50 The minimum surcharge for a"fixed fee"permit TOTAL PERMIT FEE $ is As,beginning July 1,2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date BU�PAID Building Official Date D, 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 �' T J} 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 ..vRrp Date Recd 1 Y` CITY OF PRIOR LAKE PLUMBING PERMIT ;:1410"; ,It. PERMIT NO. ) f 3.Yellow Appltcant /� Q��"'� (Please type or print and signat bottom) ADDRESS ZONING(office use) 3356 MALCocivA C U T ; 1,. LEGAL DESCRIPTION(office use only) LOT 4 BLOCK Z. ADDITION Al A rc EJ PID (Nam)R V r 1 i (Phone) (152-'1,135,- 7Z 72 (Address) zo %0 / 1V 6 -1))CSE COO CT # 100 L4-�.. VitLE,/ i 55044 APPLICANT (Name) SILVetZ d E 12036- -t- 1471,-. (Phone) 63 i'3I 7' 4 zL'C) _ (Address) ..)) ) 1� L Pei LC- 14-2 2 4+4 /'i N 4 4-••/ 21 (Address) (City) (Zip Code) (Contact Person) PA's A r A" (Phone) 611-1/9-42 02 , APPLICANT SIGNATURE - DATE t0/b Pt)/ APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity_ Type of Fixture 2 Bath Tub with or without shower 3 Rough-ins Dishwasher l Water Heater I-- Floor Drain Water Softener 4- Lavatory(Bathroom Sink) 1_ Stand Pipe(Washing Machine) t° " Laundry Tray(1 or 2 compartment sink Sewage Ejector 1 Shower Stall Baokflow Assembly _Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler 3 Water Closet(Toilet) Other FEE SCHEDULE • Industrial,Commercial&Multi-family 1%e of job cost with a$49.50 minimum Residential,New One&Two-Family $$149.50 Residential,Additions&Alterations $49.50 '" Estimated Cost $ Building Permit# PAID WITH PLUMBINGPERMIT FEE $ BUILDINGRMI- STATE SURCHARGE $ .50 (""--..." , TOTAL PERMIT FEE $ (Office Use Only) Tins 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 ,- • 1 E - rRro CITY OF PRIOR LAKE Date Recd A, r`' ' HEATING/AIR CONDITIONING/FIREPLACE PERMIT /0. 1 / 3 4t Cct, 1:Pot 9l'° PERMIT NO. h ��,/ 3.(alae Ty h� C/y, d.Yellow Applicant .dA i(7/l J — (Please type or print and sign at bottom) ADDRESS ZONING office use) _. 335o rnatIC3M C. CD i . LEGAL DESCRIPTION(office use only) /y� / LOT Li�l BLOCK "-ADDITION f�`e l' /2 7 — A Q4 CI PID c475— 616--00g-I OWN)RJd • � TSHomes (Phone) q5 - / 6572 •. (Address) 2 Q b(.PIJ KenIon de Cf..4-f 1J) I ialo tfi11e,MiV 55 -( APPLICANT ^ (Name, Fires( e ��-/-�i c�ire(Phone) (951-- 33- 1 (Address) 710 C) f v V 1 e vu , V J,, ki iose V'I`11� f !v NI �.-J5 03 (Addess) (City) I (Zip Code) (Contact Person) Le k LAD& Ir/16-el--e (Phone) (061- 193B-1 `;12 - APPLICANT SIGNATURE DATE O. £4 T � %..., _ • APPLICANT PLEASE COMPLETE BELOW .•• 1.)EfV'CONSTRUCTION ❑REPLACEMENT 0 ALTERATIONS • FURNACE MAKE AND MODEL FURL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT []Warm Air Plants 0 Steam PLEASE NOTE: Air Conditioner ❑ cavityUnits and Fireplaces Cannot Encroach 0 Hot Water into Required Side Yard Setbacks. �al 0 Radiation Fireplaces with Box Additions or ❑Air Conditioning ❑Special Devices :Went.System ❑Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL S\-----7 -1-) --TIC"— c.3\ ' , • • 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 $49.50 Estimated Cost$ Y\4-t° Building Permit # The Minnesota Statutes*32611.148 HEATING PERMIT FEE $ bURLI InRC�year effective S"has been liunged for ono: STATE SURCHARGE $ .50 July 1.2010.instil June 30,2011. TOTAL PERMIT FEE $ The minimum surcharge for a"fixed fee"permit (Office Use Only) is SE,beginning July 1.2010 • This Application Becomes Your Building Permit When Approved Paid Receipt No. • PAID WITH Date L aIE y. IN BaNdtns Official Date Rmi 24 hour notice for all inspections(952)447-9850,fax(952)441-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 SEP-17-2014 15:58 FROM:STAR PLUMBING AND EX 19528847468 70:9524474245 P.1 pill o1 gRtO4 Date Recd CITY OF PRIOR LAKE V SEWER AND WATER PERMIT 7 /(i. , 4442.00 1 ,°rer see, m I PERMIT NO. /.'�" � ?4 S. clew epr.w Mem MI or print and do atbottom) 33 ZONING(etsc.nie9,5-b , LADDRESS / 1/7 .,.. R ( LEGAL D ON{o66oc use only) le // J /" PIp ;7!5. /�� PeTLOT OCK yADDITION 11 6/01 1 `7 04 /v N OWNER O (Name) (Address) (MI alp 014 (NanArpLiler T 1 •e 17: .�-- '_A. cPho , A-89 i if 9 . 1) ,,//`J . ...f <` ,. .,.-..sir" , .r ✓.e„. CAP �cj✓/ .-- '2,0�, / ,I:/L.��aa L.'� .a.. /� . ..ice"' \'r'rw�7 / (I (ContactP ) J6 C _ (,Phone) ,4��a,�1A0 • _;� . ��, ler 1_ DATE a ./ „,„ APPLICANT SIONA. : •.,.••a APPLICANT PLEASE COMPLETE BELOW ____.. Size of water service / inches. Location of any couplings from structure feet. Type of sewer pipe. 0 ABC al PVC ❑ Cast Iron ` Estimated length of sewer line h`�£feet. Clean out(if rewired)located at feet from structure. • FEE SCHEDULE Residential aewcrattd Whim line connootiaa $51.50 Industrial.Com'l&Multi-family 1%ofjoh costwith aS51.50 minimum Saner connection only $25.50 Water connection only $25.50 Estimated Cost $ Building Permit# . SEWER Al!1D WATER PERMIT FEE $ .50 STATE SURCHARGE $ TOTAL PERMIT FEE (OtSee Use Only) ----- The Application Becomes Your Building Permit When Approved Paid PMDLOttrl Date BU LD N ERM T . !Inulin Opel 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 RNT O PRIOR LAKE BUILDEPADINGTMEAND INF SPECTION INSPECTION RECORD SITE ADDRESS 33s( "OlcsignNATU L�D�I� RE OF WORK �/ 5 LL r-,4 Ta kard, USE OF BUILDINQ 4 '/ ,s i-elt w b5K w/ /-Plea PERMIT NO. _ t DATTVISSUED CONTRACTOR A ' Jo', PHONE?f _!2 72 INSTALL EROSION C•NR OL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTO DTE FOOTING `�� 7 FOUNDATION (Prior To Backf)'ll 41-c3-i2 RADON RETARDER4" 4 w®ad's ,'!1,e4 �s ., ,,, --I PLACE NO CONCRETE I NTIL A- ' 1E HAS BEEN SI NE ROUGH - INS SEWER/WATER/SEPTIC FRAMING 14/ - �� / , /, _ INSULATION ELECTRICAL PLUMBING Fie/a s- , — HEATING �p,�/ `//�3% FIREPLACE c% /� � ��� a GAS LINE AIR T - //, 4014f ® fid,r � L�lik 1_ _ RADON peter • 2�/,3- COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED HOUSEWRAP LATH k',U' -2/6-,. .C--' FINALS GRADING ( PRIOR TO SODDING) -tom 1 i z `BUILDING OL-6. /-' 1,..4 � (...c.._.1 .S) /L\ ELECTRICA L PLUMBING Aatioit,T-cv T-.,tip' WC; �� /� /l5 — HEATING - � lit DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED f 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