Loading...
HomeMy WebLinkAboutBuilding Permit 14. 0486 x r ..., d.A.. .,. .la-r�`l'. ,'q'- �:�," +ti ,(x;.wit+ ;;,'�t h3 .,. _✓.y.?,� ` v '^Sa. _ 0 CITY OF PRIOR LAKE K .., prj:farfinttlf of Pttilbittg cInspirf att K. Final Permitted El Conditional C.O. Expires ,� This Certificate issued pursuant to the requirements of Section 110 of the❑Residential/❑International K 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 SING! F FAMILY Bldg.Permit No. 14-0486 OR 1 S DKccupancy Type Type Construction Zoning District • Legal Description 14, 82, MAPI E GLEN FIFTH ADDITION Owner of Building Site Address 3375 W N F I E L D WAY S .W, >,, y,r Contractor's Name&Address Il. R. HO RTO N, INC ROBERT D. HUTCHINS ( City Planner uilding Official ' = Date: \1 \L\ 14 Date: POST IN CONSPICUOUS PLACE 4, § 3 lk P ] riII ■ J §§� §l § X222§ z \ _ � o2wwfu § , tu5u.u.o . z 000000 . . ¢ 2 o ■ Q m m , o ce _ o . 2 ■ M }§ § w k Z CO2 a k § % § g1 � z Q \ .44 § § w cuZZrerdil § § ` cu U a § 3 § � � J § § � © ■ 2 a �§� a � 2 2 § x 3 ❑ 00000 . § § ` a a 2 : o ' R E§ z fl< k o $ z § z b CC a @ z g W y / �R 2 2 0 ..: I- W 0 1-- co J % Wiz ■ � w w - w o§ C. w Z o � 2Z1- a $ § / 11 / J 0& o § 0 www3Mo 0 3 u 0 « o a OCOot U 'O O / CD J Fs a Z - 1P -3---, gaaaa ❑ • o�� 0 0u. tL w z ❑ ❑❑ ❑ ❑�J( uJ �J 0CZ 0 -:)— W 0 O r U. _ _ Z YYZ m c 0 r+C p 1- p u. .� z o p W 8 0 U 4 _ 0.' Z - ZIz 0 y W ti 0 ,, 0 w z = Wla = \ 1 a 0 z W Q O 0 ' co. fx ,– a � 3wa � w0 0000 ❑ ❑ ,11 a a U.0 IH O J1 ir IQ Y W O Q V I.L. 4 0 Z ik F- Z r 0 0 ip OZ O Z W N y V 3 i� OI cc� ° <O1- h Z 1 . N 0 0 ~ .e z 11 cc z La z o Za AW W mnH ce O .J Llj la � Z Z = LL W W — i co �O 0_ ? Q 0 a. 000000 C ❑ c ■ Z 1k R j E � ■ R §0a k 44 ■ � ` 0XiaUi � % 04C....\,,...'s' � SS ■ � � ¥ ■ 6. 9 000000 . ce >cC 2 0 w = o ` ISk/ ■ § a § � 0 § IX M ,• ci — oO ■ -' o ° f i t z ce 2_ 2=27 0 . I. § S 0 a s f w f a _ Ifl4F(\ / § �`0, 0 § § 6. 'mR2025zwOQ Lij Ili 0 t9 U ■ 2 0 a cOO ❑ c V 0 / 04 NK/O� ,� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE o •AND UTILITY CONNECTION PERMIT 5: 2,3d N .c4r NE 2.White Fik Pink City PERMIT NO./¢ Ge e, 3.Yellow Applicant / �- (Please type or print and sign at bottom) ADDRESS ZONING (office use) 3375" kW)P/z G04-y S& 16,4 LEGAL DESCRIPTION(office use only) LOT BLOCK - ADDITION /0/1'" 6L_Ei✓ 5111 PID ;;(, - > vq- t 33 -- I OWNER (Name) (Phone) (Address) BUILDER D.R. Horton, Inc. ) 952-985-7272 (Company Name) (Phone) (Contact Name) Brooke Hareid (Phone) 952-985-7806 . (Address) 20860 Kenbridge Court #100 Lakeville, MN 55044 TYPE OF WORK L New Construction ❑Deck ['Porch ORe-Roofing ORe-Siding ❑Lower Level Finish ❑Fireplace ❑Addition DAlteration ❑Utility Connection • CODE: XJI.R.C. ❑LB.C. 0 Misc: Type of Construction: I II III IV V A B • Occupancy Group: A B E F H I M R S U PROJECT COST/VALUES3 1 5e5• Z 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 revoke this permit for ju cause. Furthermo hereby agree that the city official or a designee may enter upon the property to perform needed inspections. x C605657 23 yl Signature Contractor's License No. Da 1 Permit Valuation 3q7 rev Park Support Fee # $ .---- , -' Permit __ .- Permit Fee $ . ,¢11 0 SAC # $ Plan Check Fee $ /1` ✓ rl Water Meter Size 5/8",.1 ; $ �. e�.� State Surcharge $ /q6, -6) Pressure Reducer $ /5ii. )C) Penalty $ Sewer/Water Connection Fee # $ �• f SGC. Plumbing Permit Fee $ i/ Water Tower Fee # $ Mechanical Permit Fee $ /,3-171. SCS Builder's Deposit $ -Z�?) t9C7 Sewer&Water Permit Fee $ -6, se-) Other $ Gas Fireplace Permit Fee $ _.5-4./s-e) TOTAL DUEl ,(' 6 . i o..(cF $ 4I L/,() A / This App•• do: 'ecomes Your Building Permit Whe Ap oved a a`g'� 13� t . ( Receipt No. ' 1 5�\7 I i �al Q l Da GGV���''' (, i t r Li By S[[ B . :Official Dat is is to certify tha the re.nest in the above application and accompanying docu ents in accordance with the City Zoning Ordinance and may proceed as requested. This document hen signed by •*ty ' er c,nstitutes a temporary Certificate of Zoning c' pli. ce and allows construction to commence. Before occupancy,a Certificate of Occupancy must be ued. / , I lanning Director Date Special Conditions,if any 24 hour notice fo all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 -. . . .. :' ..:-• -..-. , -f..:.,'=,*1,,,;.‘, - 4 ,:..,i--, -,: . . . Builders. .. . -a .Lar . ' ' — . . IL_. , _ :i . , ... -. .. :,..,.,•.....,.:.......,.•- .. .. . . Ailid of ex1e �:Air a w1�Olantiosh.drArevzOttlittom• 140A1 �' � eat• tt tai. -.__ meter : . . ptt nom' � d" '2", . F tit .'eR ° Or the i104 d rift ' ctaaar rte . . . �, , .. _337 Y D.R. Horton, Inc Attn: JAM 61ZEeJWALOT '20860 Kenbridge Court Suite 100 Lakevtile, MN 55 s. . Lynda S. lfn` n Date Acct.801.20204 ; r . :. . , . . AUTHORI TION TO RELEASE '2. KEEP EROSioN,COrtram IN'PLACE Larry Poppler, City Engineer yx 0 .': sz k Vi.":a ;6, ,5.a:�I.•-"yyafi`�£ s%-�r �a u,�. $ r$- ar'a.. r.1- ..'fy.rT, I G{. _,.Q,.11Iti t �2�"- ,--5rit � v.a.,� rG w a^s. r , ,'` 4 ,,:._=,.'- !;. s trl, • • • ,i •iry � ---2'.----.i''.------ --- --''` P. ,, � i1h .,1I �•I�rulU `q '. "- �" -_ '���r1m � „� 4 ' ;u. ll 4 .h ,ga � w111,11^,,�1 I � w" '' e -.� _ aW1i1 , '1Ia ;hII � ,Jrte,_' -`' s ��� a, .n _,Ili-a � 4 „ze -''-'- '_ -='-':' , ,s{# WI 10r, 'Oil' HI I �x.WIIr�� --Z, '-'17,.',' AI1VII{ N r.^t tIt e r JS `Ir,E tll I� nul5. ' z s- � .F4- , ...,,, , ut� cyI � 1 j � II�h' Oj f — �} �-- -" � . ,y r 4I1i1 eq �jilrf1I' r, l�IIa11 I H` •. � __ � T� �.9 pyIW . ,4isS ,` �. r� 'v�,�� �— �— ` l : `',�;�' iQ-� ' �� t � - � F� .. p;., �y °� � z{4 �(It / 1. ”' ••••,f;-:,,,7,',, . Wry� tm ,- ,`��"` , a•. . : ku ss : ��� . 'ra ..1...4.-;,•,,,.,,,,,,,,,,i,:-,,,,,-,,•;-..,..,-;;..... , ';�/rxTW `u ". a s^ ;K;, t�yg s z=ss� ,r ' y.4.-. r� t,!a w- ,� ±i, � ,,''.*:',. �',:,. yy`€..$£ '`,v"), !i'!. au, 14..;;.:`',:::::11:: :3x >„, "y`', k,`3` v' �S'd�'T ` fr” , ,a I, :-L ..,"x', ---.- -,,,.&„,o; a4 ;$ 4� � ,,4�. � � r-4 ro z�� 1,1 .*y . µ ' u�.zn.iql -,w � ". _ - _ �' _ 11j@ �"� 9 I 1I r; - 4 - '�:I YZ I, II lI1�r{1p i [ y r • - - _Y� "'' _:'='.---7`: -.•-'.±,---.:-.1--- -,---•-` `a" : ,II # a11114II ., ..;i: ._-_,-----•_,;."-=•--__:..&-_,= -•.='` '''^ts, 0M1i{ ,iil„ ih'!'' gV . - a3. r' - iT a rp , s THIRTEEN THOUSAND FOUR HUNDRED EIGHTY AND 48/100 ************************ .�A :-.: ,.:4_,..--=.' ., K ,,.I r�F MIdl 'd,ldjlgi' ? ;' i.1{ 1i1 ' ` " � wef CITY OF PRIOR LAKE(PERMITS) , 4646 DAKOTA STREET SE §n}f` PRIORr4• et r LAKE MN 55372 .„._,_.: =..im,,,,,i_l__.,,,,,...,4 -..,,,,1„ 412 . ...- , ,,,,,„,,,,'-',1 7`,,,t-';-:4,-lig'-,1,7, ..N.N t��r '� r,4 '� 'x.-'�✓'y.. s'a � .�.;t'�An`lr l }�, ".+ ^'1' ' +r am �msa r' ,,... -1". F �tij .. m � 3: X: 33 v R�� ,3 +y fi � 4 ''' 1110065 1 4 3011■ 1:06 / 1 1 27881: 329 903 676611' Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R-1 or -2 Districts Reviewed by: (7\ Date: 4 i , Building Permit# PID: Zoning: Address: ,�j", t.A..) 1$.5 i--; I e",—k) LA)A41 2. 1 . Legal: L , B Subdivision: Existing Structure? YES/ 0 Existing Nonconforming Structure? YES/NO CONFORMS TO ZONING Y4,0 NO ORDINANCE Yard Setbacks: NA/FAILS/COM^ ,S 1Standard Proposed • Front Yard(can be 20'if avg. in 150') 25' 2 --,,o _ • Side Yards 10'/ 25'if abutting a street ?-49. 2-`i' ZZ.02. • 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' `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' 7'A4 C I Floor Area Ratio: NA/FAILS/CO ES 1 .30 Maximum I ' •t'] I Yard Encroachments: • FAILS/COMPLIES Standard Proposed Eaves and Gutters no m than 2 feet in width and no closer than 5 feet to a lot line(Easements). _ A/C and other equipment cannot encroach on interior side yards. Tree Preservation: /FAILS/COMPLIES Standard Proposed • Total caliper in hes • Permit 35%Removal • Caliper Inches Removed • Caliper Inches Preserved • Replacement Y2:1 L:\TEMPLATE\BLDGLIST.DOC 01 vitt°4 Qrimoscrtt' 1,1White -Building Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 4APPLICATION RECEIVED �5 23 The Building, Engineering, and Planning Departments have reviewed the building permit application for constiuction activity which is proposed at: 3 3 (// Accepted Accepted With Corrections Denied Reviewed By: Date: Comments: Ct l46Z-Ar.210--)LiY4 WIVL) A.. 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." a mot . ?RIO* 0 601 White -Building Canary -Engineering 40NNEscso Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 2) APPLICATION RECEIVED 23. /V The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted v1" Accepted With Corrections Denied ori Reviewed By: kir '41rAL ----- Date: Comments: sr"*- "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." YRtpt t7 iri White -Building 44/vn►issdct' Pink Canary --Planningi9 BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 3 APPLICATION RECEIVED ✓' 23 /57 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1-(///;z-7Accepted Accepted With Corrections Denied Reviewed By: /1146 Date: S 30' it Comments: See Rowse Side for MOipnal kattmlaonI See Vis;1l ung Pte}.2)E -C9 " "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." �©" PRio CITY OF PRIOR LAKE Date Rec'd A,. HEATING/AIR CONDITIONING/FIREPLACE PERMIT 6 '(1 . ti 1.Pink Fk ' 'Nivr s z.omen cny PERMIT NO. o / r 3.Yellow Applicant • N.A. (Please type or prdnt and alga at bottom) ADDRESS ZONING(office use) 315 t ,i d it Art i LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) N ) YT (Name) }Vii PUof [ (Phone) ilQ 7J •4/3 •111,1 (Address) /_� N5-54_47 (Address) (City) (Zip Code) (Contact Person) OA 4,1 I.AA (Phone) `1 ig b`156-Ally APPLICANT SIGNATURE ar�4 1/0. t , .,. 1-1)1 DATE IP 11-my y APPLICANT PLEASE COMPLETE BELOW DNEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM BEATING OR POWER PLANT []Warm Air Plants Q SteamPLEASE NOTE: Air Conditioner Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water into Required Side Yard Setbacks. Q Mechanical ❑Radiation Fireplaces with Box Additions or Qv Conditioning 0 Special D DeviceseCantilevers 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) . $149.50 Residential,Additions&Alterations $49.50 Residential.Heating Only(New Construction) $64.50 Residential,AC Only $49.50 Estimated Cost$ Building Permit # • HEATING PERMIT FEE $ f _`' _A�'C STATE SURCHARGE $ ,50 r g� • TOTAL PERMIT FEE $ (OIDce Use Only) *0‘ '' This Application Becomes Your Building Permit When Approved Paid �` - .1-. Receipt No. Date By Boum official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.F.,Prior Lake,Minnesota 55372 o V RIO Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT / 11 •'41.°' V 41khrascA'l. i:II 24y PERMIT NO. :- '4'1i S.Yellow Appliaa •meat tire°foie sed at' ADDRESS ZONING office ens) 3315 t41 1.1C11rw#c LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) jAddress) APPLI(Namepit 1 .1-}1 2.210 (Address) 156 P1 irk ( ) Tao (Zip Code) (Contact Person) (Phone) 1 'L6 6'Ai APPLICANT SIGNATURE ..,d Lea ! ,.4 A% DATE 1, -1-0e4 APPLICANT PLEASE COMPLETE BELOW �( uanli 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 Spninldcr 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 ' ' ' ••••1st $ Building Permit# The Minnesota Statutes 326B.148 'SURCHARGE"has been changed for one year effective PLUMBING PERMIT FEE $ p1)WITH July 1,2010.until June 30,2011. STATE SURCHARGE $ 7k minimum surcharge for a"flied he"permit TOTAL PERMIT FEE = ILDING PERMIT 4¢$.beginalig Ady 1.2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Mann Official Dabs 24 hour notice for all inspections(952)4474850,tax(952)447-4245 4646 Dakota Street SE..Prior Lake,Minnesota S5372 UL-9-2014 12:45 FROM:STAR PLUMBING AND EX 19528847468 TO:9524474245 P.3 pEl Date Rec'd 1 211634) ,y,07 A�CITY OF PRIOR I ' , SEWER AND WATER PERMTT ktivA,',-,siso gi I. Omenvole Cita I PERMIT NO. Z. Vellmv City . 3. bold A1010310 �...- • _please type or i►dnt and s?ga atbnttom) _ ZClNING(otfia un ADDRESS 3 c7 7 -- • t 1 - LEGAL DESCRIPTitON(office use only) t LOT I3LOCIt ADDITION P11) -: .OWNE .. • (Name) (Phone) _____ (Address) (Gifu) (7.ip Code) (Name) j �,, ' .. ,�"' � fie` «...9.5;11994,-, .09 / '/Mil - /r / 1- `w . - (Address) . f (Address) (City) ,, +7,r(y7 Dade) (Contact Person.) DATE .. / APPLICANT SIONA : I!.� ft �- APPLICANT PLEASE COMPLETE BELOW _ Size of water service _ / inches. Location of any couplings from structure feet. Type of sewer pipe. 0 ABC # PVC 0 Cast iron Estimated length of sewer line feet. Clean out(if required)located at feet from structure. FEE SCHEDULE Residential sower aid water Iirto Gn iinaction' $51.50 . Industrial.Com'l&Multi family 1%of job oost.with a.$5.1.50 minimi rr Sower connection only $25.50 Water connection only $25.50 Estimated Cost $ Building Permit!k ��rn v�rrH SEWER Arm tAr>Grtr T1' E $ s llrLDi�1G PTERI IT STATE SURCHAROB TOTAL PF&MIT FEE $ ----. -- f (OSiiCe tae Only) Receipt No. ';ibis Application Becomes Your Building penntt When Approved Paid .-- Date By Bulidintt Oinetat Aute 24 hour notice for all Inspections(952)447-9550,fhx(952)447.3245 4646 Dakota Street S.D.,Prior Lake,Minnesota 35372 10(4v 1?RIO CITY OF PRIOR LAKE Date Rec'd °h ' a r'\ HEATING/AIR CONDITIONING/FIREPLACE PERMIT /0 , I -7, 1 q 1.-.-, ,y,,,, --; 0,c,,,..,,, ,,, `rrMvEso'tt. r.> > p`` PERMIT NO. /y, 4816 ' 2.Green City 3.Yailow Applicant (Please type or print and sign at bottom) ADDRESS ZG(utiice u )3315 W\ r\-��-e Ick , - S � f LEGAL DESCRIPTION(office use only) ^ LOT ki BLOCK a-ADDITION 1c. A Q1df() PID 5 i q q5' e)lo -o =lt � HO(+01 Cion' ( lames (Phone) g5Z-9S - 727a (Address) 20f. btho fig- .vi l y-, C+ *via) t il o vi I e, , m NI co APPLICANT HEARTH &welME TECHNOLOGIES (Name) dbu—HRESIDE HEA HOME (Phone) Lic BC662656 (Address) pi 1 FAIRVIEW AVENUE N °'4§ IILLE, MN 55113 (City) (ZipCode) (Contact Person) 651.633.2561 (Phone) j (ON-03S- SS/2- APPLICANT SIGNATURE Wow` DATE ` v • APPLICANT PLEASE COMPLETE BELOW lEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS FURNACE MAKE 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 ❑Gravity ❑Hot Water into Required Side Yard Setbacks. ❑Mechanical 0 Radiation Fireplaces with Box Additions or ❑Air Conditioning ❑Special Devices ❑Vent.System 0 Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL 11V34-11V34--Yi--q1 Q / c21-1507-10-IPL . k- 'oral i 0 r Fay/ 11 k FEE SCHEDULE -0C-41t(05/-‘9-33-btOy 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 $49.50 Estimated Cost$ Building Permit # The Minnesota Statutes*32613.148 "SLIRCHARQ "has been changed liar one HEATING PERMIT FEE $ year effective STATE SURCHARGE $ .50 July 1,2010,until June 30,2011. TOTAL PERMIT FEE $ Tim minimum surcharge fora"fixed fee"permit (Office Use Only) Is LI,beginning July 1.2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Date1JA'D WITH 24 hour notice for all inspections(952)447-9850,fax(952)447 Il i I fl i s�..l 1, r,",....,1 -r 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 14 Dates Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT /0 • 4: ,14. - I. Bine CityNO././. ._it 2.Gold CPERMIT (Please 3.Yellow Applicant type or print and sign at bottom) ADDRESSZONING office( use) 2` z1Jiki \re LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PU) OWNER f (Name) /�b (Phone) (Address) APPLICANT �� ,,((���� //n,,',,�,�,.L �A �p/ ,/ (Name) (� lel/ l f'C�-�u�V V) (Phone) U'I l 0 /�11 ,C (Address) J�y2 �i cQ, Arq 4/. 4447 4 Q s� " (Address) (City) (Zip Code) (Contact Person) % c p-(Phone) 61/-›'`4 a-la//`/.3 APPLICANT SIGNATURE re"14 C A7C DATE 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 l 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 $ -2-00 Building Permit# The Minnesota Statutes§326B.148 PLUMBING PERMIT FEE $ j- SU "SURCHARGE"has been extended STATE SURCHARGE $ 5--A7 The minimum surcharge for a TOTAL PERMIT FEE $ 6-y,• ' "fixed fee"permit is$5.00 (Office Use Only) This Application Becomes Your Building Permit When Approved Pat s-� Rec%et No.721,53 Bnildine Official Date Deka. ` 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 I 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS aalf ' io W.4 V NATURE OF WORK F w -/ j F/1) 7 USE OF BUILDIN«4 6, Afe DE CLFM 1),01'"c- h PERMIT NO. DAT ISSUED CONTRACTOR PHONE q6 2 '/I ,w7 INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING -- C-o 1,` -o P-f FOUNDATION (Prior To Backfill) RADON RETARDER PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER/WATER/SEPTIC � , C ( -2 C t i 1 FRAMING �-\-c--- $,( I INSULATION I ELECTRICAL PLUMBING "'--- (l( tY HEATING $ h [11 FIREPLACE ' � $ l`I GAS LINE AIR TEST - e, ° itif //4-k. RADON �per-sc� l COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED HOUSEWRAP \'2--Q14 c ---LATH FINALS GRADING ( PRIOR TO SODDING) `O) J f eti(2--� BUILDING -"Tip ( ( Hit (ca(jfit(/� ELECTRICAL PLUMBING flvO SO'"." iti . (0C3 HEATING ` l U ( (‘-( DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNE 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