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HomeMy WebLinkAboutBuilding Permit 13. 1101 "i..,,, w .. �'., n ..Jt .A";P"' F r w`�x . i .'r r{ ?°'•`i'^"�'!.:-?'-1' 9^^' 'a` b"�.A'1"Y.Y^�j'y.."C'fff '`f' 'S^'�� CITY OF PRIOR LAKE z Prparfntritf of uUUMMng 1xtsp rfion Final Permitted D 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: Use Classification SINGLE FAMILY Bldg.Permit No. 13-1101 R3 VN PUSD jK ` '- Occupancy Type Type Construction Zoning District Legal Description L9, B4, JEFFERS ENCLAVE = 14322 ENCLAVE COURT N.W. K - Owner of Building Site Address Contractor's Name&Address - FIELDSTONE FAMILY HOMES ROBERT D. HUTCHINS City Planner K / / Building Official Date: f` l ' Date: POST IN CONSPICUOUS PLACE iu z 1N apsLLX iii Ei V- h- WW <)''' .., a 5 5 5 'I z R V Z V'" v cLi u0 I ❑ ❑ ❑ ❑❑ ❑ > N 0 M O z _ Fou o2'4 1 W O »< Z 4 J Z Y Y z 0 U W p� t a 00u. � �� `m a p =o 1 z = _xxz ? �, a e, z O W a rt c co u. N V 4. 2XUJI2x ��� `� O G Z ~ O JW < Jud RI . W W W a23rna7E � o z < 0 L �- z 0 o V .O( 0z O w F- < w O a % 1 < v v ul W a0 Cl) O zp? ~ Z W rt re ii Q p CV CO W Z f" 72 �< W - 0 50 11 0 V Eu o 0 $LL.. Z � ~ p 7 ❑ �. Uz < O ox. ❑ ❑ ❑❑'6 C.) O J W _ 1 � F J re U. x W g3ILI C) ) W Ill z 4 ) _ a. O. a. 7.1 > o V1% 1LL7 Z ct Z cc x N D J W u Z J Z O. CO c W re 0 8 ti J O Q 0 a. '- w CI)) Z W F3EcecCmu. a Z 0 1 tO v a. co cc mwa6mw ax \ w w z x szz, a23tna2 4 W W Ili w O 00000 V1 • 0CZ O w 0 :11 cc 1 , o▪ a () U. 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IU ir 1•) 000000 8 p z pC a a LL = K z J tY W � k O a a O 34w 5� z a ° 'iiCt ' HOzz O pw ca 0 p W 44 ar, z ~ a (4,1 y WZc ? �-� z W w U_- W 1q 4u OOW0 O cc p a O 0Oc.)i F-N a = u. u. u ? �i C o a 0 a. ❑ ❑ ❑O❑❑ t) 0 5 of PR:o4. CITY OF PRIOR LAKE BUILDING PERMIT, Date Reed a. TEMPORARY CERTIFICATE OF ZONING COMPLIANCEf. v in AND f • 3 Z. ' <� AND UTILITY CONNECTION PERMIT ��HtV1itF0lP 1 Mite File z pick City PERMIT NO�� fibit 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS _ iq3 49,2 - ....z is c. 4-d-- Av1",- Z vAi/ LEGAL DESCRIPTION(office use only) LOT / BLOCK Y ADDITION IJ''''''����e 4,5 A e /G.,4,.4,.►- PIa4J O7/. OWNER ,,-+ ® /� (Name) /'0'G`Gt e, c..e—_ FO 04 a. (/).-, go, KA.G.'f—), • (Phone) fSv�''�i r` ��7_ (Address) /'G+S J -t 44 f- / - �`i.e'/�'{- 1jg— 014 11 5 -w BUILDER y% �^ q (Company Name) /�'''�I't Off 4ofmt,. C;;441 . .(Y ,1p(�rl e. 5 (Phone) i�_d� -tj "ere2 � (Contact Name) 1 /� gill,0`0 yam,_ 55;2 /G,,,'„� t" L r- (Phone) (Address)/?�P�!5' K ✓r.�rPalkK 15- Lm/ 1 'a 'f TYPE OF WORK, New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace ❑Addition DAlteration ❑Utility Connection CODE: R.C. ❑I.B.C. 0 Misc. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ / �'/ '+%4w/ Occupancy Group: ABE F HI MR SU — Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnished inf ation 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 fire the above-mentioned property and that all onstruction 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 revok jus use Furthermore,I hereby agree that the city official or a de' cc may enter upon t e ropery to perform needed inspections. X `Zo3/� y 9--/G -/.3 ignature Contractor's License No. Date Permit Valuation 2/4 Dd0 Park Support Fee # $ — Permit Fee "' $ 1/179. -2:7 779 SAC Plan Check Fee $ # $a41-35,00 /1/174,K57 Water Meter Siz 5/8 ; 1'; $ 9$o, State Surcharge $ /405, /_-0 Pressure Reducer $ old/0, CV Penalty S .J Sewer/Water Connection Fee # $ /.SaO. o , Plumbing Permit Fee $ /Jr. ,(/,S" 'Y Water Tower Fee # $ jOa)` 00 Mechanical Permit Fee $ /5- 1,5-10 Builder's Deposit $ '1 , vG7 Sewer&Water Permit Fee $ S-6 So Other $ F__._, Gas Fireplace Permit Fee $ / , ` 7 TOTAL DUE�`�Y�,t, 7�( /o/i(�3 $1/ ,?!7 �a•^ 'r / / tJe�� This .41 i a;I, Bec.rates Your Building Permit A n proved Paid yr :34'1. 4 eceipt No. 7 d( �Z— / /J�i �J D - ated /S y,iA ' *W (o S , - .uildmg Official"— ate This is to cert' that c request in thoabove application and accompanying docu is is' accordance with the City Zoning Ordinance and may proceed as requested. This document when sign th., ity Planner constitutes a temporary Certificate of Zoning ci plia and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued �i J 'anni rate Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 di rilk44) .1,01 u Builders Deposit - s City of Prior Lake A$2,500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposits. issued as security to insure compliance for a Final Occupancy Permit. (It is not an escrow account.) All exterior items including but not limited to grading,sodding, landscaping,tree planting,driveways,siding and painting shall be completed 180 days after the date the building permit is issued. If the work is not complete within the 180 day time period,the City shall notify the applicant of the violation and the applicant shall have 10 days to comply or the $2,500.00 builders deposit will be forfeited and the applicant will be billed for clean up or corrective work to rectify the situation. A$500.00 Tree Deposit may also be required and will be refunded if specified trees are preserved for a period of one year. By signing this I, the undersigned contractor, acknowledge that I am aware of the erosion control requirements of the City of Prior Lake as outlined in the Erosion Control Measures for Building Contractors handout. / / DATE: /' /G -.I7SITE ADDRESS: l4 3 0102 gh&/1.�, G4 AAA/ PERMIT itk110/ REFUND TO BE MAILED TO: 5'4./64 "- Pr.-. !Ali: C it ,c 5 • '7G 4 sA tif-- Ss4/ �c 133 \ ref, ) i t - , i ,7` PLEASE REMEMBER "°�` f 4firti 41 i 5J6 .60 1. KEEP STREETS CLEAN DURING CONSTRUCTION Lynda S. •ilen,BuildingServices Amount 2. KEEP EROSION CONTROL IN PLACE �o Z to Acct.soi.ao2oa Date 3. TEMPORARY OCCUPANCY PERMIT ST NOT EXPIRE OR$5(y r �I� E � Ct �i'C I (�1er l) ; �� I SIGNATURE: �� Lar oppler, City Engineer FIELDS __________________________________________________-------- " __ _-_________ ---- TONE FAMILY HOMES INC. 17645 JUNIPER PATH STE 135 LAKEVILLE, MN 55044 5374 PRbROF — r �8 ` �� Y f.: CASTLEROCK B 4-e- 4 �� r ¢G, ' 44 $ 7. f''' a h °i', CASTLEROCK, ANK ' ~� 55010 FARMINGTON,MN 8"'"�`" (507)645-7751 55024 //ii (651)463-4014 ii FOR °,�aC J17 Palat \ ii ii.0053 ?4n' :091913 L,1B . �� 31L2070Ln■ M. Bus-loo J:IFORMSIBUILDERS DEPOSIT FORM.DOC Residential Building Permit Checklist New Construction for Single or Two-family Dwellings In 4 or -2 Districts Reviewed by: ` Date: to y AVJI► Building Permit# '11.1.1r- Zoning: Address: j, Z Z O1.fry c'S,� Legal: L , B Subdivision: c Existing Structure? YES/ 0 . Existing Nonconforming Structure? YES/NO • CONFORMS TO ZONING NO ORDINANCE Yard Setbacks: NA/FAILS/CO ES Standard Proposed • Front Yard(can be 20'if avg. 150') 25' • Side Yards --1 25'if abutting street - 9 m Lor-Zoos . 73617-.4.11($"-- 05 "I •77 ' • 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 il/�¢ . •Iia,I f z.lC, _ • 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: NA/FAILS/COMES I .30 Maximum I p c/, I Yard Encroachments: NA/FAILS/C011-UES 4 'COndifillber and( f, ' te � __� Eaves and Gutters no more than 2 feet In1W dth and no Units closer than 5 feet to a lot line(Easements). Ride Yard Setback NC and other equipment cannot encroach on interior side yards. . Tree Preservation: fed FAILS/COMPLIES I Standard I Proposed • Total caliper Inches • Permit 35%Removal • Caliper Inches loved •• Cali er'f ches Pt served • • R placeme ti /:1 L:\T�MEbkTB\BLDGLIST.DOC i 600/ Pitt°% White -Building Canary -Engineering "rovAro8c6:1 Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT F/&-L,DS7-6/•i&— APPLICATION RECEIVED y. 17. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /43 2. CA1C(..,,,) Vt. CT: Accepted Accepted With Corrections Denied Reviewed By: 44413 Date: /0-3-13 - „ Comments: See mover's Side for AOtaional InformatiOn! See Affacimerts: 1) Gram Pim, 2)Ejosion centsCSierideithi "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� PR1p+P c� White -Building `hHnBsd�� Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT / /&=Z,Js7764' ' / ri APPLICATION RECEIVED ?, '7 /3 The Building, Engineering, and Planning Departments have reviewed the building permit: application for construction activity which is proposed at: /43 Z2- 6AJ( .AVg Accepted Accepted With Corrections Denied Reviewed By: �� > te: to r3 Comments: ' 7-77A "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* TRIO White -Building ,hst' Canary -Engineering itrm Pink -Planning', BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANTS 6r%/ / #16)/161. APPLICATION RECEIVED • �7• Z. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /432. 2— 6--A/C-'6../i V Accepted Accepted With Corrections Denied io Reviewed By: te: jD r Comments: Ti Tn a Cannot nacroach into Requirec. Side Yard Setbacks "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." • • CITY OF PRIOR LAKE Impervious Surface Calculations (To be Submitted with Building Permit Application) For All Properties Located in the Shoreland District(SD). The Maximum Impervious Surface Coverage Permitted in 30 Percent. Property Address 14-32-a 6-A/C- 1/6 C om% ,/u/ rgotiecrPrioSa Lot Area Gj U 7/ Sq. Feet o = LENGTH WIDTH SQ. FEET HOUSE x = • x = ATTACHED GARAGE x = TOTAL PRINCIPLE STRUCTURE /9 0 DETACHED BLDGS x (Garage/Shed) x TOTAL DETACHED BUILDINGS jVf� DRIVEWAY/PAVED AREAS x = (Driveway-paved or not) x = (Sidewalk/Parking Areas) x 2r7( W/a = d9 TOTAL PAVED AREAS 4-a S- PATIOS/PORCHES/DECKS pet/C x 14-54t-fa, = /d/ 1�v, ) (Open Decks''/,"min.opening between x = boards,with a pervious surface below, Two /�p/LGIS are not considered to be impervious) 14-4— -1•- j j 1 194.7117 x = U <UN r[ Wei/-,t/� TOTAL DECKS I Ti OTHER x = x = TOTAL OTHER /1/1- TOTAL IMPERVIOUS SURFACE UNDE 9.OVER By d Prepared __ tDate q-11-1, Company/7/4 6/64 c / //C, Phone # ¢33 Z-gav l 4 vR.ro CITY OF PRIOR LAKE Date Rec'd �° /p 1- HEATING/AIR CONDITIONING/FIREPLACE PERMIIT I` • � 1 ,,__, u,c__,,,,,,,,,, 4,1101716 0. I.Pink K PERMIT NO.13 1101 3Y4Ipi �� (Please type or print and sign at bottom) �.Yellow Applicant • ADDRESS . _ ZONING(orace use) Vik 322: F 17 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID • (Nam} \Q.\&C ,'LY V ‘Ft5VP(Vll.r ` S • MJ Q o (Phone) 0 52., 4 6%66 (Address)n i411 v, $ . I 9 ) - 1 i � , . U . i d . Idid APPLICANT „F 4 (Name) `\(\e\ W.911/44h 1 �(Z h 1 g '�(�((Phone1) 1 . (Address)2100 ABY�r(aN I 'V k 11 IK��Ii 1 Vi t 0 (Address) , (City) (Zip Code) 1 � (Contact Person) i I ,L► {_, _ (Phone) r 1 LtS(3) 331 -to . APPLICANT SIGNATUREleaDATE Z APPLICANT PLEASE COMPLETE BELOW ' W CONSTRUCTION 0 REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT C]Watm Air Plants Steam PLEASE NOTE: Air Conditioner Units and Fireplaces Cannot Encroach ❑ anscal ❑Hot Water into Required Side Yard Setbacks. ❑RadSpecial n D Fireplaces with Box Additions or Air Conditioning ❑Special Devices p ❑Vent-System 0 Other Devices Cantilevers to the Outside of t Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL $12:1101E— ,f 1-4 2_ c�(C i I'` J FEE SCHEDULE . Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace $49.50 $49.50 minimum Residential,Heating&AJC(New Construction) $149.50 Residential,Additions&Alterations $49.50 Residential,Heating Only(New Construction) $64.50 !, Residential,AC Only $49.50 • Estimat Cost$ L 4!O Building Permit # VUiF1Jlce The Minnesota Statutes§326[1.148 1EE $ "SURCHARCif"has been changed liar oneATIMIT year effoctive STATE SURCHARGE $ .50 July I,2010,until June 30.20I I. • TOTAL PERMIT FEE $ The minimnin surcharge for a"fixed fee"perm it . (Office Use Only) is R��,beginning 1,2111 11 , This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By t B tiuildin¢Official Date �p�® y n.� ppi�ar r� y�t - �"� j/1/ 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 V Qr.l1 111? ���A��� • 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 d" 1 o, r Rto� CITY OF PRIOR LAKE Date Rec'd ,a,,X HEATING/AIR CONDITIONING/FIREPLACE . PERMIT ��� �� /3 41ivNEsdo I.Itink File z.ogee„ ary PERMIT NO. /3i 'p,/� (Please type or print and sign at bottom) 3.Yellow Applicant ADDRESS ZONING(otlice use) ( 7-7-- N -L J G , )..l tA.1 p ti,S Z LEGAL DESCRIPTION(office use only) LOT 1 BLOCK 4 ADDITION E -- Fol--43 1?-1-X,•D 11 l,'' y�?- 0 7J— OWNER (Name) -1-1,EZ- 7R"N PA--vi-(U( 1 (Phone) (Address) APPLICANT (Name) M �\ � (Phone) • (Address) -7 1,c5,4 C-E-u.i&—r J A+s e— S --7J R26-(0. - ss 3 44- (Address) -(Address) / (City) (Zip Code) (Contact Person) O ..- Ii iS- (Phone) _ APPLICANT SIGNATURE 4.11L1 ►A DATE l©- ZF, -- l • 'PLICANT PLEASE COMPLETE BELOW Of1.VEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS • FURNACE MAKE AND MODEL GZLZsgdd SC- FUEL j.[ -. 6As FLUE SIZE V pv[9 RETURN OPENINGS INPUT gO, OUTPUT '73 > TYPE OF SYSTEM HEATING OR POWER PLANT — / PLEASE NOTE: Air Conditioner Warm Air Plants ❑Steam ❑Gravity 0 Hot Water Units and Fireplaces Cannot Encroach ❑'Mechanical ❑Radiation into Required Side Yard Setbacks. !Air Conditioning 0 Special Devices Fireplaces with Box Additions or F4 ent.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 $49.50 $49.50 minimum Residential,Heating&A/C(New Construction)c1149.50 ) Residential,Additions&Alterations $49.50 Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 Estimated Cost$ c Ov Building Permit # The Minnesota Statutes§326B.148 HEATING PERMIT FEE $ d�-R,�—® 'SURCHARGE"has been changed I'or one year effective STATE SURCHARGE $ 9, July 1,2010,until Juni:30,2011. TOTAL PERMIT FEE $ l 57-, -© The minimum surcharge for a"tined:'ce"permit (Office Use Only) is Ili,S beginning July 1.20111 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date PAID Will Building Official Date -/ WITH PERMIT 24 hour notice for all inspections(952)447-9850,fax(952)447-4EPILDNG PERMIT 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 • Ar(z) r o�P Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER'PERMIT 1 . 15. 14- PERMIT a'e . I 3, Gold Applicant • (Please type or print and sign at bottom) — ADDRESS ZONING(arose) \. ,9- '' ��'; CL.u'€ (L± i P v-:c.2 y Lc4 A&e LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) '� i , lt'Y'1 e \-\011,42 ;7 (Phone) (Address) j IL y k_f , 1. I L: Ve 1,1,1 . Ih 55C14/ (Address) ' (City) 'r (Zip Code) APPLIC �N T (Name)�(V\+uk i'\ �-Lt ,. i v�k ,—te 7 14...•\-\.0 (Phone) ... 01„`LJS, `-5 // S" _ (Address) t z 7 t 6.-.. . .. '-k -, J- ' .I7) t 'ia.ry 3 L t-c' it, g -,..3- .�_ ss) (city) (ZIP Code) (Contact Person) 1�a\-"f*C` r a_ (Phone) t 5 E ` J SS7 1 t APPLICANTSIGNATURE 1,ice .0 t ` `111,-1tiW 4,; DATE l I 11 APPLICANT PLEASE COMPLETE BELOW Size of water service 1'' inches. . Location of any couplings from structure feet, . Type of sewer pipe. 0 ABC ®PVC ❑ Cast Iron Estimated length of sewer line feet. Clean out(if required)located at feet from structure. FEE SCHEDULE , Residential sewer and water line connection $51.50 Industrial,Com'I&Multi-family 1%of jab cost with a$51,50 minimum Sewer connection only $25.50 Water connection only $25.50 , Estimated Cost $ ``7 CaC0 Building Permit SEWBRAND WATER PERMIT FEB $ 0 ,. STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ ----5-':4'1"° _ '1"° PAID WITH (ofnceDseOnly) , BUILDING PERMIT This Applic: , ;ecomes Your Building Permit When Approved Paid Receipt No. Ii 14- Date B �.I . y Ball. 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 RjO. Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT /, /5 l¢ v F1ity PERMIT NO/4_ /to 2.Gold C 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS // ZONING(office use) /482. 2- c/GtM1.0 /1/.w a LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER I7_ n (Name) Den Rad (Phone) (Address) APPLICANT ,/� (Name) Tf /�,G (Phone) 4S-/- 77.5- 6 6 7 (Address) 2cY/S 611-$. 54• £ Tnavr G n, .e Nets A#S Tv-0 1 (Address) (City) (Zip Code) (Contact Person) -Vey, R. ,n f (Phone) (FS 1'7.7 r'410 71 APPLICANT SIGNATURE - /7/404-2+'+' DATE If 15- 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 1%of job cost with a$49.50 minimum Residential,New One&Two-Family $149.50 Residential,Additions&Alterations $49.50 Estimated Cost $ Building Permit# PLUMBING PERMIT FEE $ PAID WITH STATE SURCHARGE SO TOTAL PERMIT FEE $ BUILDING PERMIT (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Baildine Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS /413 ' vo- Al w NATURE OF WORD . - USE OF BUILDING c 9 i / ` &/&qq w/A� aF/,J Z FM ,JO P°rc6L PERMIT NO. / / o� T DATE ISSUED' _ CONTRACTOR i eh/5 4 �phm/ tries PHONE /52p 9 efe: INSTALL EROSION CONRTOL AND AINTAIN CLEAN STREETS AT ALL TIMES INSPEC , DiVE - FOOTING ie-. /f eM FOUNDATION (Prior To Backfill) /4•16iir.:7RADON RETARDER , / .? _ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS _ SEWER/WATER/SEPTIC led i/(//,1 _ ELECTRICAL yam. link' J c 4/�iSS . , G PLUMBING, ►., .ay f& &rice f,,4"J�/."i/.3 14//v / / - HEATING ! 0/ FIREPLACE 2-- re /—' , 3 GAS LINE AIR TEST > _1/, 10, Ari / _ RADONa/ R/.Y4,l, 1 / c 4 M ��1l��3 COVER NO WORK UNTIL THE "F E HAS BEENSfG HOUSEWRAP LATH P1 /3,4fr i FINALS GRADING ( PRIOR TO SODDING) 9 3� <s/ _ _ BUILDING�'�o„r,.0 +- 8 /1�� ,�7 7 /y — ELECTRICAL _ PLUMBING ® 11411 _ HEATING cU _ DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections arid 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