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Building Permit 14. 0363 & 14. 0764
' .*-,..� �-..,._� ,.. •. ,.r"y""r"� '?� ?k ' ��'-:R'�„ ++i'6-.,�c."�'.�• y},,•, •t w q:YPa ,Yt' "._, ., i .., y ..,.. ,t ,.. x..11_. t trr tf rnfr of ®x p xtrg. CITY OF PRIOR LAKE !iparfmtxtf :off !uUbin xts rtrftuxt Final Permitted ❑ Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the❑Residential l❑International Building Code certifying that at the time of issuance this structure was in compliance with the various i > ordinances of the City of Prior Lake regulating building construction or use. For the following: c p� Z Use Classification SINGLE FAM I LY Bldg.Permit No. 14-0363 Occupancy Type Type Construction Zoning District R1SD K Legal Description L_5_,_B2 , EAGLE CREEK ESTATES Owner of Building Site Address 16720 MARKLEY LAKE DRIVE ' Contractor's Name&Address ,,BRANDL ANDERSON HOMES ROBERT D , HUTCH I NS �`�`' City Planner � wilding Official Date: A\ '-\ \LA, Date: K POST IN CONSPICUOUS PLACE •V_V V_V VV. V V- _V VV `x^' V V V V V V X / 100 n o000OO U o > E n n \ o § $ O ■ � s � � � § & �4 §tri r R 73 X A CASE§ § 0m Z co ■ t \ \ co Z ® k � � B �� 2 % K > d � 0§ z� q ■ ■ q . q §E ti (44 0 z q z 0 x % o aa o m m 72 r z ■ -4 A 0 z xi ❑ 00000 11. \ Z a § ■ � ■t� � Cif mr r I \ K ? � � §� 73 x � © co § m § q zzzzz ■ z v i § _ ¢ z r -n§k 72 k 2 2 K § , r §-o § m § i § z 0 n § OQOQOQ �' v 2mmE0 0 � � m . . < c 'a -o -ox X00 - ° ( q m ■ � ■ ter - igt � § m -1r o 0 0) 000000 ; 0 a O i o n 0 0 -nZ -n -n-1 Q g v d A —1• —I —al cn Z O0D0 O y = � a -I m O to CA 0z z zOz t O D Z O mm ZI rz � ✓ ° zC z X° 0 05.) 0000 ❑ ❑ X m• mm ;c01 ; c O .� O z v v co m am 0 o y ; 0 mS2P3732 � m 0 cn C) m m "t zzzx G=i 3 z m b n n O rm00 m q p ' v triO ' W . z c c Z c O Z 71 - r13 'O 0 m A m --C• O y c 00000 /--- xi ° o U -a -o -a2 _ r m -" r 0 I 00 C) O/1QOD0 U 0 E0 2 O Wfl § &k kk s x I �@ ® 0 0 ■ m z > ■ oz 0dm . % $ -Ib 2 $ dQ!; Q P o ■ § (7) o 730 \ Om a mm r o 3 % m o 0 0 S , 0 0 0000 ❑ 0 m ■ v ■ s ■ v k -4 Z 0 0 � � � E $ § K f mOmmmg m 0 ( o / 0 0 > 000 0 M m r0 00 p3 L ,-- o -1 0 m ' > c c Z ° j- / o _m it � � � P � o x 0 Cl, m 000000 z � � np _ / k . ommco » $ » ■ f 0 IT' m � mm � .�- 1 at z m -Ir o y 0 0 0 0 019 ❑ ❑❑ = O Dv ZA v v g �� O MW ov H o A xi l ( itb 3 m m7C 3 0 0 y m Z.� > Z O ro $ * a N 6 . m z o z0 m O n art t N 2 O s • c _7�C O 0 ,+ 0 , 0 d tn O > D O C - Z mm r v - 5 J 0 73 73 z pj pj 0 0 ♦, D ❑ ❑ D ❑ D x m m m lib, � % E "0CA * C1:1 -I N v o me D me p _ n -i n p tZii ? m t "n - " " x W m 0 0 v n lid. DZpp= 6 —g 3 x m z R., 12 m 1 - S >cv o ► m O iii ' r v = 73m 0 y m ❑ ❑ D ❑ ❑ ❑ On lj R. > 0 I ? *mm0ci `' 4 m 41 z Dmmx -n xi CAZ _ r ,,, m 1 r 0 IV ,17-F;,,, CITY OF PRIORLAKEBUILDING Date e ?ec'd st' ��" NEo TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY TI N PERMIT 4-. 2-8. 14 -erI White city PERMIT l iO. / 4. 33 2 Pink City 1� 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZO1°l�°1 l (office use) 167 oRo . '1c kley L„,k Dr RlSD LEGAL DESCRIPTION(office use only) r Cree r LOT 5 BLOCK 2 ADDITION taV le k Es �e 5 PID 2� 504. 006. 0 OWNER-.... 1 ,� (Name) iii flcU Al'1C evvOV 'ZI AO `" (Phone) 1 S2 -<61A- al3 0 (Address) j q7 . --1 11 1.. v, . 170 V`etec it f 1 I _5s I?. BUILDER ,� /y (Company Name) - tU q i t( ArdefSort ate(J)t (Phone) 615t"� C'J O2? (Contact Name) AcoAtaketa, tree.I<P (Phone)C'l51-- %6'i -0 2--36 (Address) LSS-- tri Vi`e_, ap 1C`Ct-,1 piii,. ss ( -,Q‘-- TYPE ,Q‘-TYPE OF WORKXNew Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish El Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE: R.C. ❑I.B.C. ElMisc: Type of onstruction: I II III IV V • A B � - Occupancy Group: ABE F H I MR SU PROJECT COST/VALUE $/ (5;060' Division: 1 2 3 4 5 (excluding land) I 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 the above-mentioned 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 yoke this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X v A«o9- Bc bo q y/6//it Signature Contractor's License No. Date , Permit Valuation aI W Park Support Fee # $ Permit Fee $ / ` 5-0 SAC # $ �i£/ r o0 Plan Check Fee $ I m y y 78 Water Meter Size; 1"; $ 4 PJ �, State Surcharge $ �` ©0 ,oo Pressure Reducer $ ; i o . 00 Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ 16'f . ei O Water Tower Fee # $ /, 000.60 Mechanical Permit Fee $ /`5-q r£5-0 Builder's Deposit $.2i ),690 Sewer&Water Permit Fee $ ,,,5C, , (3.0 Other r` $ Gas Fireplace Permit Fee $ r �i TOTAL Di.4..„ "'""` , $1 32 S4 r s'.es,t .t Ti lie. .,i Bee...ies Your Building Permit When Approved Paid (1 3 z.,?, 2g Receipt Noi` z''�J I ►Qwlt Date s��d By f tuildi,.gOfticial ate This is to certi that the request in the above application and accompanying documents'.in ac ordance with the City Zoning Ordinance and may proceed as requested. This document • when signed Vit}the C' Planner constitutes a temporary Certificate of Zoning compli ce an. allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. / A 5-- I i m , Planning Director D e Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 —Firia*",..) ti 4treV[YES(01 City of PriorLake A$1,500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposit is issued as security to insurecompliance for a Final Occupancy Permit. (It is not en 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 completes 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 $1,500.00 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 an will he refunc(ed.i#specified trees are preserved for a period ofoneyear DATE: ala 5/ill C PERMIT it / 4 • 3 G3 SITE ADDRESS: 17a4 /�'��,- k/-e7 L� ,fie �r REFUND TO RE MAILED TO: Uri nen r��' G?(1 -)11 �' 5 /6 S . rf r1 Dr) tel, i A i Al's 56Or \I i %71 Ii1�`i ir� ,Iii '215OUv Lynda .Allen j,.%'' mount PLEASE REMEM E //. �. /4-- Date Acct.801.20204 1. KEEP STREETS CLEAN DURING CONSTRUCTION AUTHORIZATION TO RELEASE 2. KEEP EROSION CONTROL IN PLACE Larry Poppler, City Engineer 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR $500.00 V SIGNATURE: //LLAa.. < /• a ;: itt�� �ti :,-,1,::3-' � .;. , �InN.i. �0 , l H II'' I, �i4 s;• u ,1 h� 000040,---;0;l Iu1� I� �0, I ; , ,00,0„ , ` 0; ';;;;. 'l ,, 0.0,,o;;;;-,,,, iw , ;0;11-0 I!,�0,. I , �,0.e, I .pV,� .,0� :„, _> r0,aIr :II .0 1r;'+u ' .S .' d� c0�.,�NI I �. nlq >t :, ' F� �Ih IIlI 0' )01 , _ .•� „4".:0;,--,1 a II "�# q > � ,4 � I ,�u ,0',00-1';').:00., ^0� -,,,,0„,,,--,,,,„,,„7,,z,� ,C ; l � �•.�:"a 4p , I Tzv1 � 1�, P - �" NS4 x1I n \00,,,-„„;40„;;;;,...,,I , 044 I�1 �. -2:,'' .a„,� . 1i " RAY, ,, -, ,,,f !, z2 _.,"k'A� )4,tritC;- 11, .. I,1 : Lv ' 1, -a:°� �I � . � , u I �u� i i � p y S -r t,01. I 411I� 1�u V"k1 Ha N � r z : xa +e #rk3 y ;,,;!:--.. ...;,i.,:" � v:�;r..•'�,9s m'a.+ 4 t.-a+ ..� x c� lV5 ti o+- • ,,t � 1a ?a v '� € rfir-P t.}� �1 % , l � ;4 ' .7; , j ,,q.,'4Iu' ta , a � q, ;x `,;,,2:,--,%',4,,,, <-2,0'.'11 b � yy. ''+t ��ss „; 1?+ h1 ' 1 ,. �1 fii +0,,eJ 1Vi, � IIr x . - c e.�„ $: K � :+ *, . gt+ �a s,,` 1 „?1It� . 4 � ';lri , �II ` : I6 � vI I I , ° �,t 3x „ 0 �0�yr4iy�y °' A � ;wN '� ,0,,,,:,:‘,.:3,, ' 1 I, 3 z . v4 '�pr � N �� -,46';-`, �4+ ' r rs � t '''''''''‘''''''''''''''t6 ,„ z1, �lal018� � l, r1,'S';':';'::-'-44'14 't „WWnuW84 Ct, 4 i/ ak � y t mu”s� '2 :t fi'xs�T N�Ia . 6 t �d Ir � _ � ,t3 ' et I am,,� k e h' 0ti �t ,, t:„ �1 ,, N .„Eu s:aY�,0`*0ay� ' N • l , 'r��' 0 fq„ U 1y ,.., 4 4 41,4',;, k vs ”' t'04.` +a.',..-.7,',„ ,:;'..,, . tf 4,er ,I �I,n�i s ;..N,i a I4 � � s , I .Iiti .1„,4„0,c!, , P 4, 3 � � c z3 s t yu, q2y P � k • 't ,I r Itl1,� � �1� \k' �v� p gb � IN . twool: + i' , 1IIN � . ,„a- N r X " „** i,l#tt ��t tr�� �tic�k ` et y._' .A'''''Y,I� = �I U Iliu.;, 4 � , �.44: 1 , �� � $4hNI f;;400:04.0000.:;00,00.-400, s >, - s �.+ � 4 . � 0';•re � - k ' iii0 .‘,1:,-'0;0040'T,.,, ! il;M04� � HNi� NN �x,� ��� k? ty 6fi1 �tav A'k ;) . + a. G � xtfn /am �. ; S +� e . ' .1.t; „4.004, tt �k? ? � ",-s� ��ti, H i � i � 4x ; ' n r 05fi, `F Apa ,t ,,.1.4','-0, i § tt k � 4.310i.:7'„'. '"6 " I't \1 '�J 'f4,' 4' Y>4s .� : } �T .:1.1)5,°4;':1`,44,7S-0-47 „r!` i'Ft�:6dWl l: !,4 031 ''';',';';';', C;00."%1;''''''';',',',.:t y” � f ` �yE .k-sa� .� Lxiyrirr �s w. � ::. ��?. °. '�u.l litfi7'�� nn\Vn, ' v T.,14,,,,‘,„;, vIII A „ v �', �tt 'P 1yg ,, l fI 'Ill lti4$�e t��.�, ." . ak f �' � �'h " '? .t� -r � s -.�,-fi ,: ,,,,01',,':'''\u _r�•� � I,„'. P. .� ,� .: ka* :: h� ,."; I 01iu;1, ••� h1d 4o-�ftvt*� t k ' �sa11 z�.� `tw �.a''„ r� m _-. w> :`e -. —=r7II,r: �IV..�I,':, 'i', lIp ;l � '?. uia '- P ,i, - I�"Ii�., 'Y. �o,'; pD ` ,.s3 ." , 0 0 °is',-u' nSsji '1 ,P '.' e �;tk .. , r0.0 o ° p ° • White -Building Canary -Engineering Mn,msol'' Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 5J0'- - M9 /2"Cok-) APPLICATION RECEIVED ' 14-- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / 77..-c /1/61114eyG Accepted Accepted With Corrections Denied Reviewed By: 4 /A/: " Date: / " Comments: ei 40-111/A . "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." CviuDWhite -Building eCanary -Engineering Pink Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT Cj/ NU fi APPLICATION RECEIVED 4 z5 i4--- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /(, Z U /11 1//G Zig/G-6 ,2n Accepted Accepted With Corrections Denied 1 Reviewed! By: Date: /. rx �j a- r z 1 ti Comments: ti "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." oG !Rio* 6I White -Building � � Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT Aii6 ci 4uAAr S O I APPLICATION RECEIVED 4--/Z45 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity wh'ch is proposed at: At (6 -) 7,o 4,g 45- 1)4. . l Accepted X Accepted With Corrections Denied Reviewed By: "0 Date: 6 /y-/Y Comments: S R ide ex AddittineWcapietleof 04 See Attscisnanbil 1)Ciligtkva Plan,2)Erosionpantml 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." t -r Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts Reviewed by: Date: 5 12 i Building Permit PID: Zoning: c Address: .� V"t.w 1.41,46 Legal: L , B Subdivision: Existing Structure? YES I(6 Existing Nonconforming Structure? YES I NO CONFORMS TO ZONING ES NO ORDINANCE • Yard Setbacks: NA!FAILS/COI,•LIE Standard Proposed I • Front Yard(can be 20'if av9. n 150') 25' z • Side Yards 10'/ 25'if abutting a street Z 0 • 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' ?5 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' \\o + t 51i (8-c4-3 I Floor Area Ratio: NAI FAILS! .30 Maximum I 04 .r Yard Encroachments:CAPFAILS/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: NAI FAILS 1 COMPLIES Standard Proposed • Total caliper inches • Permit 35%Removal • Caliper Inches Removed • Caliper Inches Preserved • Replacement 1/:1 L:\TEMPLATE\BLDGLIST.DOC ,q_,..,..,....... ....„ i1 . 11111 SEPIjU 1 0 ., CITY OF PRIOR LAKE PLUMBING P .: IT - .4v0/ 44NEscitt* - — L Blue Elk PERMIT NO. ?..ocus City 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS I 01w MCW4-CA-4 ti(k va. SF- ZONING tomes use) LEGAL DESCRIPTION(office use only) • LOT BLOCK ADDITION .. , tiga--Spits--64? ' OWNER (Name) eVAICH a4fl el-66U)'1 140;11019 (Phone) P44#411';'Llit51- ir (Address) 4 s155 6-0 n Di,i u i i 1 , )20 caTurx m NJ , APPLICMNT 0 ., . 0„ -.1 i ( (1qarac)_Ki MN-TUC( P ttAtio 1M (Phone) 1—o4(-3-- 7u54- (Address) 14023 146914- 14e Or (AA. i 6 1\)6 r-V11-ri ed S ST 5-1 (Address) J (City) (Zip Code) (Contact Person) iVIA tS,S i (Phone) ____D161- 1.045- 7 to zi- .' APPLICANT SIGNATURE Ilh Al. L.,...1 ' DAM r A 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(I or 2 compartment sink Sewage Ejector Shower Stall Backf)ow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet(Toilet) , Other The Mit-inesota Sta tibicieehesant§ige3ex2tfeionr.tida.le48;-..'- rick""'smith aF$4E9E4S0CmillEnimpinnt)LE I'STUilileCifinAinkinGiEu has been Residential,New One&Two-Family $149.50 Residential,Additions&Alterations $49.50 $ Building Permit ft "fixed fee"permit-is$5.00 PLUMBING PERMIT FEE $ STATE SURCHARGE $ MI 5 113 TOTAL PERMIT FEE $ AID WITH (Office Use Only) ' BUILDINe p -, ERmr_r This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Date 1,4 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 • E 1TRIO, CITY OF PRIOR LAKE Date Reed • '' HEATING/AIR CONDITIONING/FIREPLACE PERMIT VI!,i M F. t' I.Pink Pile 1 �tIVNES � z.Green City PERMIT NO. /L�;��.3 3.Yellow Applicant (Please type or print and sign at bottom) . ADDRESS ZONING(office use) \(6iL— LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID • • (Nan1e�� } cam'« ,� �(r�CJ_,( (Phone)"EU d'V c S 4 z o (Address) ',SSS'fes &r# /2-0- O'S l�j 2 • APPLICANT . (Name) HEARTH &HOME TECHNOLOGIES (Phone) • dba FIRESIDE HEARTH &HOME (Address) tic BC662656 (city) (Zip Code) 270 4 VIEW AVENUE R4 (Contact Person) ROSEVILLE, MN 55113 "hone) • .. •1 APPLICANT SIGNATURE DATE _____S:&__2_th4 — . APPLICANT PLEASE COMPLETE BELOW _ •• STRUCTION ❑REPLACEMENT 0 ALTERATIONS FURNACE AND MODEL FUEL • • FLUE SIZE RETURN OPENINGS INPUT OUTPUT _ • TYPE OF SYSTEM HEATING OR POWER PLANT , PLEASE NOTE: Air Conditioner ❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach Gravi ❑Hot Water into Required Side Yard Setbacks. Mechanical 0 Radiation Fireplaces with Box Additions or DAir Conditioning 0 Special Devices ❑Vent.System ❑Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. i FIREPLACE MAKE AND MODEL 51,_ l�7 sot-L-(0l- — FEE SCHEDULE • Industrial,Commercial&Multi-Family 1%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) $64.50 Residential,AC OnlyPw ID iffl , Estimated Cost$ Building Permit # a/' n ltlte� m/ I k'tdl�' 1 HEATING PERMIT FEE $ "SURCHARGE"has been changed Mr one year effective STATE SURCHARGE $ 50 duly 1,2010,until June 30,201',. TOTAL PERMIT FEE $ The minimum surcharge fora"fixed fee"permit (Office Use Only) is SS beginning July 1.2010 — 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 4 vRI? Date Rec'd , ,Oe. CITY OF PRIOR LAKE j / I � SEWER AND WATER PERMIT 5 - I I 41-,ArivEso,s.t- . GroYellow Ciep Filety !PERMIT NO. 1 "` . �� � 3. Gold Applicant (Please type or print and sign at bottom) ADDRESS ZONING lofficeuse) IIo72C) 09 Ai LA-ve__ 9-1 e_ 1) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID 96 ' • i�t) OWNER (Name) 1✓[ 2-'6,10l._. Ph-.1244, a J 0 6-11-1 (Phone) (Address) (Address) (City) (Zip Code) (Name)APPLICAN� L I !`► (Phone) ? 6 45 132-510Phone (Address) 711 Z 29 2-1_ tj)- \. 00Q,71-c-}81-0111.,, i `-� Address \ (Address) (ZipCode) (Contact Person) fra � Phone) &1Z T19 4034C2_ APPLICANT SIGNATURE b�. 77. �{J-'^'— -"1 DATE a I . 11111'��.► �.1�• APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. ❑ 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'l&Multi-family 1%of job cost with a$51.50 minimum Sewer connection only $25.50 Water connection only $25.50 Estimated Cost $ Building Permit# SEWER AND WATER PERMIT FEE $ STATE SURCHARGE $ 'PAID Wi'H TOTAL PERMIT FEE $ BUILDING PERMIT (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 o_. PRlp� CITY OF PRIOR LAKE Date Rec'd M HEATING/AIR CONDITIONING/FIREPLACE PERMIT 47, c. /tt Mr ��, 1.Pink File PERMIT NO. NNEso 2.Green City / `�f -/ ;563 3.Yellow Applicant (Please type or print and sign at bottom) , ADDRESS ZONING(office use) L-126 Nayk.l\c,\i bb . SV F/5r5 LEGAL DESCRIPTION(office use only) LOT 5- BLOCK 2 ADDITION 64We ere ZZ-474"--...0 PID 6', 5'eo..0111 ® (Name) llax ( lA \& r,Sbh kl11eS (Phone) Qsz-CSK18-0 2'O (Address)U -"U:\\() Dvr-- --t- 12.0 F,Ct 5G v) /11.11 SS 127- APPLICANT (Name) ,JuRNSVILLL hu INC;&A/C, INC. (Phone) 3451 W.Burnsville Parkway (Address) Suite 120 Burnsville,MN 55337 (Contact Person) (9521894-0005 (Phone) APPLICANT SIGNATURE SWA.OVNA, U DATE (o 2-/`f APPLICANT PLEASE COMPLETE BELOW . NEW CONSTRUCTION 0 REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL j- q12V3L g11- FUEL h 444,1 FLUE SIZE RETURN OPENINGS 5 INPUT D OUTPUT -70 000 TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach 0 Gravity 0 Hot Water into Required Side Yard Setbacks. .Mechanical 0 Radiation Fireplaces with Box Additions or F''Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings ❑ t. System ❑Other Devices Require a Building Permit. F &FI CE MAKE AND MODEL .i b3(0 1 L,,,k-IC bl l FEE SCHEDULE Industrial,Commercial&Multi Family 100 e f job cost R-.'•ential, Gas Fireplace $49.50 $49. i minimum Residential,Heating&A/C (New Construction) $149.50 Residential,Additions&Alterations $49.50 Residential, Heating Only(New Construction) $64.50 Residential,AC Only $49.50 Cost$ Building Permit# HEATING P IT FEE $ STATE S CHARGE $ 10 TOTAL- ERMIT FEE $ PSD WITH BUILDING PERMIT 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 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 Oi VRI0� Date Rec'd E CITY OF PRIOR LAKE PLUMBING PERMIT 1 1 - L r 4-- Q kArt 363 :B'"` Fe PERMIT NO. 1 a:, 4 City 3. Yellow Applicant 737c29...-- (Please type or print and sign at bottom) ADDRESS ZONING(office 1 ri . O Ms(AidtitAvie-e, 04, GE %IMP LEGAL DESCRIPTION(office use only) t-o ci tgor 6/9- it LOT BLOCK ADDITION PID � A OWNER (Name) l /]_ 1411Cbtail (Phone) (Address) APPLIC(Name) X45 d.0 c�RM ����LI J (Phone) a'(,)' d ' —GIT J hone (Address) <-Z 1/2" 6214121161e1114 ill W I !i 12 - 5V/01 (Address) (City) (Zip Code) (Contact Person) Ed- \ (p.(Phone) -(.)--(labor—eve/ APPLICANT SIGNATURE - DATE - V 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 1 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# The Minnesota statutes g iZbl3.14t3 "SURCHARGE"has been extended PLUMBING PERMIT FEE $ The minimum surcharge for a STATE SURCHARGE $A....,...:al d0 "fixed fee"permit is$5.00 TOTAL PERMIT FEE $ Sof Sb (Office Use Only) This Application Becomes Your Building Permit When Approved Paid —j Lr Recei l p'Clis"�T Date 3 ( l , ' 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 o PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS i(Jla.Q M arkt e, dna Dr. NATURE OF WORK USE OF BUILDING SFD , PERMIT NO. DATE ISSUED s, / 'HONE INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STR IM `S RAPED= DATE FOOTING S - S 2 3I ly FOUNDATION (Prior To Backfill) 5- 7a� iy RADON RETARDER C -�� ( 2OIL/ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER/WATER/SEPTIC FRAMING —c– 2.0 INSULATION __. I`( ELECTRICAL PLUMBING b I HEATING FIREPLACE GAS LINE AIR TEST 1 _ Qj� 42, N COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED HOUSEWRAP /z )LJLATH FINALS GRADING ( PRIOR TO SODDING) - � �y ' BUILDING A), ELECTRICAL PLUMBING S4 S(( HEATING 6 7 3 ' �cr DO NOT OCCUPY UNTIL AB VE 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 rio service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850