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Building Permit 13. 0064 (2)
, .� .. 1 �rrfiftx Cxr ' CITY OF PRIOR. LAKE K !rprfmrxf of i1MMxg c1z syiifu 5 \ Final Permitted ❑ Conditional C.Q. Expires _ ,. This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential/❑International , Building Code certifying that at the time of issuance this structure was in compliance with the various K 12 ordinances of the City of Prior Lake regulating building construction or use. For the following: Use Classification s i NGLE FAMILY Bldg.Permit No. 13-0064 RS VN R1 = '. K. Occupancy Type Type Construction Zoning District Legal Description L13, B2 , MAPLE GLEN FOURTH ADDITION 3369 MALCOM COURT Owner of Building Site Address Contractor's Name&Address D . R, HO RTON INC, _ 5 K 2 ROBERT D . HUTCHINS - 1 City Planner > B slding Official Date: q Z` I ( Date: POST IN CONSPICUOUS PLACE ���"/ _ y`s _V ..' r '` ,. V k a z N ./✓[(` 0 JQQ W z 2 �N. F J E IL W J) I W W < 0 W �_ , 2555 = > in W Z C O 1T. 1i 0 W Z -- . 000000 > I o W O » a m o Z° w Z YYpZ �\ o 0 0 4' W '� C7 OSOa P. °' a U O W m � CCCCm4. , a.8 g N 2 1 co V d Y = Wtil � = al Z Z mg p V V2 li :E Z5 ` W W )C Ci 000000 W W a W k; 0000 ❑ ❑ , Occ a, p w N a a a I T. p J re a a o O 0 �� M ° , 0Qa o M z \, y0 ° ,: a � Z O Z W F- N � < W oz iliJ Z � v°z w Y wW 0 Ro 3 v v I. az a 0 a ❑ ❑ ❑ 0 V 0 -` - 2 � a■ ■m ■ . 1611dR P. k4 ;,,, -Ek ■ z���■ � Iae 9zS§ I0\ ooOQOO .654 L. 2 " t �° 0 m Q ■ _ s aLu §§ � 4 0 J Q ■ §� � \ z k 0 % § I z k k■ Zxzk0® � o a §z §�©� � 0 ii : '1 3 X. /O0Ili 0t oOOO r k Cd Zq § . OC CC 2) U.1 H � � ccNe Li.\hiI ▪ k me & % 0 20 W■ s ( ■• u0 .J 114 s i. \ 0■ z0 L, ■ a 0 a 0000)110 0 O O / 04 pi:044CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ° AND UTILITY CONNECTION PERMIT �- �8 ,,� Esau" I wtiire File 2 pink City PERMIT N /3_t 4 . 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING toffice use) 36,1 MALC-nM 6.0t412_T le-- 1 LEGAL DESCRIPTION(office use only) LOT 13 BLOCK 2. ADDITION M/}PLE &LEN i7-74 ADD PID 25, 4-CI V. 0 1 t . 15 OWNER 'L� (Name) v,it?, r77>r---'TIJ Aii ,• MC (Phone) (Address) (SA3. " t 1. 2 Z. BUILDER (Company Name) D.R.HORTON, INC (Phone) 952-985-7272 Brooke Hareid bmhareid@drhorton.com 952-985-7806 (Contact Name) (Phone) (Address) 20860 Kenbridge Court, Lakeville, MN 55044 TYPE OF WORK )New Construction [Deck [Porch DRe-Roofing ORe-Siding OLower Level Finish 0 Fireplace DA:ddition DAlteration DUtility Connection CODE: WILR.C. DI.B.C. D Misc. Type of Construction: I II III P4' V A l3 PROJECT COST/VALUE $ 2$0, 7Q,7.oc Occupancy Group. A B E F H I M R S U (excluding land) Division: I 2 3 4 5 I hereby really 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 aathormed agent for the alcove-mentroned property and that all constntclion Witt conform to all existing State and local laws and will proceed in accordance with submitted plans. I am aware drat the building official can revoke this permit form cause Fu ermorc,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. x BC605657 i +7 //g Sign Contractor's License No. Date Permit Valuation 70 1 06e - Park Support Fee # $ Permit Fee $ 2 '1,1•"p SAC # $ 243 Plan Check Fee $ l 3 ak, az,$ Water Meter Size 5/8";ii'; $ 5'Q_ - State Surcharge $ lA&•5-° Pressure Reducer l 0.--- Penalty $ Sewer/Water Connection Fee # $ 5649.- Plumbing Permit Fee $ (54.`0 Water Tower Fee # $ ( DcaD, - Mechanical Permit Fee $ l 5.4 4•c0 Builder's Deposit $ ( 5.00. Sewer&Water Permit Fee S 5(f2. ciD Other $ Gas Fireplace Permit Fee $ Co4. TOTAL DUE 0 x,cei ,Vei I 2: / i - This Apptie a'of 8 s Vita , riding Permit When Ap° oved Paid //r S� (Q •eceipt No. 6477.).‘ _= / / � --� Date � _. (3 f �.�Y ' , • il t rt i3 Building Official _ sate \.., This is to certify that y toque tat the above application and accompanying d ume s is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the tiTy °Ian er co is lutes a temporary Certificate of Zoning ompi" rice and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued , / - J • Y.i0,f® l al /3 — Plannin'a i'"'or '` i Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 Builders De sit 0 * ...„„„,............. Ctey of Prior Lake dirt tire 81111dIng PatinIt finto liteattitcW DePOSit IsikliStle', ci a"seGurkYttima sedi°hisureanth ta""indanaptitariceng,trer: Ude t teat te- Itdatv nalicatit ta MO items A$1'5°Q41°11"4 °w*4 46444""""Wm' includhlg bil n441 hill gm 1 t 1 i 0;ViOrk i Mit aemptata f;k114 C) Cf4144°V Atha- (it et tsaingniii altadittatuanpkdad itIddaysaiter thadatailie WWI , Oran _ cal _ ar the Plaarsilat drivewaYet-----0__._„,._0 an---- -, ,,,,_.„„it tilt Eittphosht.at the wooden and dta **kW* flaw r it.tyiplcif . Roy within the too day' time pgrwat, —ww— vdtthehntedtereleant up or correadvainwritto Villsigsului°11 $`1'000.0t buttdersdecto*watt*kilftitOttirerandtheta7P11/4Wito rotunda!if brmiii—itiod wattles preserved far-tperktd emu,Year A45410,40 Ire.Depostt may-ataa berrenta DATE: SITE ADDREM 3 3 64166'M e•-c'VP-1-. PERmrr# , 6.geeli 14 A LOT k ptoutjoixl BE pAAALED ToAttn: )ADA D.R. Horton, Inc , . , ., 20860 Kenbridge uourt Suite 100 1:ake‘.-rille, MN 55044' i'l ,560 Oa 11)14 ri '•:- 5 t . u.nili0,0! c ,, ; -...AL-aniAgusoirr Lynda S. .'41en,2,,Buicl,dlin„f.......g,ServiceAs Date ca.801.20204Amount , . , 'I. KEEP STFESTS eLEAtt, ell..$0, WCONETR. IXT1041 2.. KEEP EROSION'CONTROL IN PLACE s. TEmpi:yRARy occitpAtioy- PERMIT musT gars mile em sse,04,0‘Lar Poppler, City Engineer ---:41,.' ...,. .. 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'''r-•--------'-- - ----- - *******'--."*--le'l!'" ,-... :,-.W1-,1).,;t4, „4,14,„,,, ' ;,,, ---74:1,4--- E---f;:;-------EN-----------'-'THo'. u* sAND''TWO;'"//'uN"D' RED SEVENTY FIVE AND 68/100 ,1L..„,„.s..,,,,../iHi ,,,,,.;;LI:,,,,,:i: t1,::::::,,,,,,.,,,,,,,,,..„,:::::, :_.$\ 4,,,i-:, „m4.,, ,,,,.tx,,,,,ts,,,,,,,?;,::„ :',..f.,,,-&4,,,,.*:44,,,-,, s) LAKE(PERMITS)f: CITY OF PRIOR -,, ..-,. -- -".t 4 4,!, .- ‘''s4 ' '''' .g.,,-- N.'1454.4.-Vii,,,cr'llg," DAKOTA STREET SE .„-.. 4646 ''''''.'7---- --'-',------ ---.----'--'4--:--,1,;-'tO ' 4; - ..-4.!`°,1,,Ad-", 4111.-11..,,,,;. RioR LAKE MN 55372 T-2`,,F-----,.=.=.: -----4-----.,A ,,,q, , -1' -''' 1;..ww.:41.1.;r -.„- P Arr,i _ , -.,,),- 0 , tt,• ..'`, '.:,;,. r'-''.' .4. ' .‘,..., - - -, ;_ ,- ---,-- - 0 ' -7-,-;-.--: ,‘..,i,, -,.--: -,:.''...' '-‘.::- 7,-'- ' :" •-.,:,..1 ,:,'.- *-'4- '=' ' ' - - ,,4-,..`,2 „,,,*‘`,-,- - , „ ,-.„,,,,-„, -- _ • ',------ -- - . , ..,.. -. iliffilligilltalli- 8/1/811411PININIIIN111011/N/811111ffilliffe 1 • (,4 k 40 ' White -Building iar. Canary .- Engineering +�u Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT D. £.. . /16 k l ()/(1 APPLICATION RECEIVED 13 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: (c frit-)t (;.p�-I C of U t--��' • Accepted , Accepted With Corrections Denied , i _ _ Reviewed By: (VA 1'• Date: '4� ,743� 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." oi PRIG, 7 ti z u j White -Building Canary -Engineering 41INNEsd°' Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT D. R-- /1Of2 Th' APPLICATION RECEIVED /• / 0 • 13 — The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 33 4,? mgt, fi COU f Accepted '/ Accepted With Corrections Denied Reviewed By: 4g<-------------- \ Date: -( 3 3 — Comments: e obie35-( t) ! ilii4--fNpiay Al _c__65T-'cr*-5 4--k-- ( I A/1- ---5 - "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." .4 <"lF ..f 1'`±}. ,Tf fir; v - . 'ray}"'''�"AIM"si3! t' *'A.P'7eR"'x"vr...gym .'+P ,•.rw .,:...c- _ 4 PRION , U r White -Building Canary -Engineering 41INNESO 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: (- f;/ r'r Accepted Accepted With Corrections Denied / ray Date: ' ' Reviewed By: 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." " ._ Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R-1 r R-2 Districts ��� Date: /3( /Reviewed by. p , K �-_ 3 Building Permit# PID: Zoning: IZ I Address: Legal: L , B Subdivision: Existing Structure? YES! ,,f . Existing Nonconforming Structure? YES I NO • CONFORMS TO ZONING YI NO ORDINANCE d Proposed • Yard Setbacks: NA I FAILS/COO IES Standarz 5. d Front Yard(can be 20'if avg.whn 150') 25' • Side Yards10'1 25'if abutting a street l q. o C. . 7-4''o0 • 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' g p �- 10' • Rear Yard side) • Patio Door; provide for minimum 10'deck or sign 10'side/ — statement indicatin' no deck will be built in the future 25'rear • From 100 year flood elevation of wetland/NIJRP 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' Z oar / ZCC- 30 Maximum ¢ Floor Area Ratio: NAI FAILS I CLIES Yard Encroachments: 021 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. I Tree Preservation: v' I FAILS I COMPLIES Standard Proposed I • Total caliper inches • Permit 35%Removal • Caliper inches Rerr1oved •' CalipeIrlches P,dserved • R lacementr %:1 L:\T MEL�.TL\BLDGLIST.DOC / The City of Prior Lake impervious Surface Calculations (To be submitted with building permit application) For All,Properties Located in the ShoreIand District(SD) 'tire Maximum IrllperviOUS Surface Coverage Pe2mitted is 30 Percent 3369 Malcom Court Property Address Lot Ar15,255 ea sq. ft. X 30% 4,576.5 LENGTH WIDTJ1 SQUARE FEET TIOUSE A rrAci El) CORA GE TOTAL PRINCIPAL STRUCTURE 2,084 DETACHED BUILDINGS (Garage/Shed) TOTAL DETACHED BUT DINGS 0 DRISTEWAYiPAVED AREAS x ---- 885 (Driveway- paved or not) (Sidewalk/Parkinu Ar ) x --, 37 TOTAL PAVED ARIAS 922 PATIOS/PORCHES:DECKS x 0 (Ow k)e- ks JOift rpriC11in2 bctwczn X 1:,larck%villa i pervioit surface bzlow X are t107 COLISIA-'1Cd tOc irapervicim) TOTAL DECKS 0 (YJHER TtrrAi. (Y1-E-tER. 0 TOTAL IMPERVIOUS SURFACE 3,006 6?-046r---617t 07 January 2013 J4 N r woo•6uaaaauo!d©uosu!i!Mogd—�ioLua po m z 66ZZi7 •oN asuaDI1 o}osauu!w g'996 / (. b aCD 0 m �� uo�Canans puo� louo!ssa;oad `uosu!�MoH •C as}ad _ s'sss / (� 8 0 s 8'896 / (.}! q—sy / (pas.pr y'd `6uaaau!6u auo!d3' Zo . LAz 8'896 : ril 0 0 *C 1181160 pa}op `o}osauu!w }o awls aq} }o stool ag} uapun JO nuns puo1 pasuao!I AInp D wo ! }og} " puo uo!s!nuadns }oaa!p A aapv o a �Cq pauodaud SDM }uodaa JO uold `�(anans s!q} }og} sawo SOUP i(ay{ o} �(;!}aao � gaaaq am a< r 1'd tik / k ?' y� /1 ° 6'94;6 .. / / a. o'�LA I Pi') / / ^° / / �O cess x 0"4 / / •/� ZL'62 l \----4- °O / 6' BS6 '698' 613g6 1 696 k Z'6S6 0 S'BS6 / / r — _ Z'946 oro ������ I / / I — _ _ — _ _ -ra,9 o� -I r) m-A f Q / I i / $ k aww ww" • CO0'19 O trl O W 1 / v ' 1'£96 X � 4, p Y �px / i I £'996 £g x0 I 6'496 X 9.S L'LS• 1.996 017.2 //0/- / �,xCta8 0•' -]] (•] rrl / O I II ��/ 16.1 ( o I (Ti,o•Z I Z'9s6 ti 996 L'996 v 'C t-, rriO (p ' 96 +996 n z •. v \ 9'49. .. _. `3 1-P 11 0 99•£'994'996 o Z Z '---1 O= X z, ^^ n , i I pp m CD w c/ I496 l 1 1 i n 4 sss °::///1 1 1 1 -< 1 £49. / I 1 '0 1 1 T� £ ''�� 2 u °='1 L I 1 6 59 4'996 L 8Z -O 12 °' 11 0�'- O� 9'996 L'£ CZ '17-Pr• o I /� 1 -- - - - vD co �//WWV 1 •996 4'996 4 O - I po 1 1 v:. 6'996 •a o z ai 1 1 r4ss .11 U F��1 r�/� 1 1'L96 X F+� V1 Q (� NNpI 0 [ Ai 1 11 111 CO . 1,X6 OV•�7�� l'L96X 9S• ki o , .0. pap ZZ.-17L6=--•A I] \ co 8 >1I9 4'—c s}oi }uoapXH }nN d , sess . 0 ') :�aow 1401J@1 1 C) q}nH :aa/(n8 v :uoi}nna13 A—Z99c :lapow asnoH o}osauuiAI 'a>io1 Joud 'ssod pooM}uaa8 X5991 :ssaappy o}osauuiW 'ic}uno0 pops Joaaaq} }odd papioow ay} o} 6uip.i0000 30G1e1 e13WW31S '2 >10OI8 `5 40-1 RDate Rec'd ips � CITY OF PRIOR LAKE PLUMBING PERMIT IoM Fcte, PERMIT NO. /. dU4V 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS { ZONING(office use) 33c0CI MA OWIA. 0414 -14N)1 1 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDPPION PID O -- WNER (Name) (Phone) (Address) APPLICA/ff, (Name) Domot, P 1.b 4- (Phone) -1 (c -41 - - Z-2-Lo 7 (Address) 15-' 3 \ (e 1 ip) INI,t�V V 5 5111/7 (Address) (City) (Zip Code) (Contact Person) [ jULA (Phone) 11/5-7--'51-i 1 17Y APPLICANT SIGNATURE AAA.i' LOtiLutiu.ditAL, DATE 3-l' Z-o i.3 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 l Floor Drain Water Softener D Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) I Laundry Tray(1 or 2 compartment sink Sewage Ejector I Shower Stall Backflow Assembly I Sinks Backflow Assembly Test Bar Sink I 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 The Minnesota Statutes f 3268.148 .est $ q..511-00 Building Permit# PAID WITH "SURCHARGE"has been changed for one year effective PLUMBING PERMIT FEE $ '=R( (ILDING F9R�41�` July I,2010,until June 30,2011. STATE SURCHARGE $ tj 1'he minimum surcharge fora"fixed fee"permit TOTAL PERMIT FEE $ is SSS,beginning July I,2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. I 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 O1PRio� CITY OF PRIOR LAKE PLUMBING PERMIT Date Recd nrEsol-t' ar.ate ig aow car I PERMIT N^ I lease a rlut and n 3.Yds Aopliaml ADDRESSor at e /1' .g ZONIPiG(office asci LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID I OWNER (Phone) (Address) LTANT 4 . 0j0\i , Piiog t4-. 1 (Phone)11/6 ` 3. 2-2-L07(Address) 15 35 IIU�.Q.h u4A ,, ( P) 1N1i J5/' Address) ( ) (Zip Code— (Contact Person) ��� (Phone) 1 U 3.1555-�h8 k5.54 APPLICANT SIGNATURE �_A 4/ , 1. 1,. . . , l DATE q-2.3.2013 APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Bath Tub with or without shower Type of Fixture Rough-ins Dishwasher Floor Drain Water Heater Lavatory(Bathroom Sink) Water Softener S Laundry Tray(I or 2 compartment sink Shower.Stall SewageP (Washing Machine) d Ejector Sinks Backflow Assembly Bar Sink Backflow Assembly Test Water Closet(Toilet) l Lawn Sprinkler Other FEE SCHEDULE Industrial,Commercial&Multifamily 1%of job cost with a$49.50 minimum Residential,New One&Two-Family 5149.50 Residential,Additions&Alterations $49.50 The Minnesota Statutes§326B.145 .. st $ "SURCHARGE"has beenchangod for Building permit# • one year effective PLUMBING PERMIT FEE $ PAID WITH July 1.2010,until June 30.24)11. STATE SURCHARGE $ The mtain:i ni surcharge fora"fixed fee"permit i. JL 7ii�G PERMIT ISIS.beginning July 1.2010 TOTAL PERMIT FEE This Application Becomes Your Building Permit When Approved Paid Receipt No. Date Date By 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 1 .. CITY OF PRIOR LA10E Date Reed ' i IIIR/04 A") k HEATING/AIR CONDITIONING/FIREPLACE PERNIff - t-t 1 • 5 A 44mtsdo k Pink lgefy I PERMIT NI I Mow Applko1n 1 or erhit and then et bottom) pr. ADDL- ZONING oisce ugej I j • ! LEGAL DESCRIPTION(office use only) - LOT / BLOCK j ADDITION I : , . P.— ,,,,,,, ... . : IGWNER. pan* ID 12- 14 0 1r+On 44 Oirhn (Phon ) q52-9657271 : (Address) 20O CCO Ken bridle G1-.4(100 tAkeifille miki 0501/ti . ramefANT Tireside_gea1P-M V 1/0 MC(Phone) (05 i- .1p33-z5691 • • (Address) 2100 Fai ir VE(A) AVe. Pd ets-eur(le- / iv\KI '551 (Address) (City) / (Zip Code) (Contact Person) L__ _.:tataLtiev- A al- ii... (phone) (De- L9313- /2 . APPLICANT SIGNATURE - DATE .- ..... - ... .......- ., APPLICANT PLEASE COMPLETE BELOW • IIVgo, ! 4 CONSTRUCTION ID REPLACEMENT 0 ALTERATIONS • FURNACE MAKE A D MODEL FUEL FLUB SIZE RETURN OPENINGS INPUT OUTPUT • TYPE OF SYSTEM BEATING OR POWER PLANT PLEASE NOTE: Air Conditioner . • 0Warnt Air Plants 0 Steam Units and Fireplaces Cannot Encroach Of vitY El Hot Water late Required Side Yard Setback& • r., ': El Radiation Fireplaces with Box Additions or Air Conditioning 0 Special Devices OVent System 0 Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MOD13L St-— 75-0 TA — k., N—? FIX SCHEDULE Industrial,Commercial&Multi-Family 1%ofjob oast Residential,Gas-Fireplace •$49.50 • • $49.50 minimum Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations PAID MTH Residential,Heating Only(New Construction) $64.50 Residential.AC Only •BUIL.DNCRNIIT Estimated_Cos Budding Permit # • ,- The Minnesota Statutes*32611140 HEATING PERMIT $ "SURCHARGE."has been changed for on t FEE year effective STATE SURCHARGE $ .50 July 1.2010.until June 30.2011. TOTAL PERMIT FEE $ The minimum surcharge for a Nixed fee"permit (Oftles Use Only) Is$5,beginning July 1,2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. r Date By liaDdlais Offleial Date • 24 hour notice for all inspections(952)4474850,fax(952)447-4245 • 4646 Dakota StreetS.E.,Prior Lake,Minnesota 55372 . . . .. . FEB-20-2013 14:36 FROM:STAR PLUMING EX 19528847468 TO:9524474245 P.1 Dao o�rRro� Date a� CITY OF PRIOR LAKE t SEWER AND WATER PERMIT Wsev t. theen L know city Pk PERMIT NO./3_dad 3. Gold sppII of (Phase type Or taint and sign atbottom) ZONING( use)ADnxEss 2*1L1141 (' ��. 3 5 0 LEGAL DESCRIPTION(office use only) LOT BLOC'IX ADDITION P1D . OWNERD(Name) I VC ...�% (Phone) (Address) w t., Co:le) APPLICANTb1, �,,�-s•�r f4�f/� 7 �1`� µ (Name) :A f . A J4 .! •....1L (Phone) •1 I "I 7 . 04:0 7 .�1�r..�_ :AMAI M Mel. Irt#: �. . y:.. . .. - . �► / (Andress ,4. 0 (Address) / (Cit) (Zip Code) (Contact Person) J G (Phone) .1242-.4221-3g490 APPLICANT SIGNA DATE ,.,.ta .'" . L /•3 APPLICANT PLEASE COMPLETE BELOW Size of water service , / inches. Location of any couplings from structure feet. Type of sewer pipe. 0 ABC ?PVC El Cast Iron • Estimated length of sewer line 6'0 feet. Clean out(if - i_uired)located at feet from structure. FEE SCHEDULE Residential sewerslid Water line connection' $51.50 Industrial,Com'I&Multifamily 1%of job cost-with%SS L,1IO minimum Sower connection only $25.50 Water connection only $25.50 Estimated Cost $ Building Permit# • PAID WITH SEWER AND WATER PERMIT FEE $ au p='F''il�;�r T STATE SURCHARGE $ 0 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Bnikitae Ofrtel*l IDate 24 hour notice for all inspeetIons(952)447-9850,fax(952)447-4245 4646 Dakota Street 5.it.,Prior Lake,Minnesota 55372 PRI R LAK E DEPARTMENT MENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS ?? 7 re( )AA- C12--r- NATURE OF WORK ' c' No 17,5-c*.. F --i- G, � ,-,F . L. L. USE OF BUILDING mar c.,...- .v.% � 1 PERMIT NO. ("3-C-- h DATE ISSUE[ ."/3r /3 CONTRACTOR . t-,e.T> (I.�G. . PHONE 152.155• -15 - NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BYn'SEPARAT DOC ENT �-r- - r,5 r O A-) (.�e)A-..T7It>L, *4. 1 v' - [A-' INS CTOR ` � DATE •�►E. JFOOTING I Y4d34 I FOUNDATION (Prior to Backfill) ,3.- - j,3 P CE NO CONCRETE UNTIL A OVE HAS BEEN SIGNED (Y� oma=; > ROUGH - INS -A-D,avt it 4/a; f 3 SEWER /WATER / SEPT -3i.� A.3 FRAMING 12,,14, `�/ ' g INSULATION "fib\&,1 ELECTRICAL PLUMBING HEATING (if required) '1A. e .74 /4 FIREPLACE GAS LINE AIR TESTI, F.e `4,p0.; _r_ _12‘ ,i — -- Pd)c)/ COVEl9cL---` R NO WORK UNTIL BOV HAS B EN IGNED I 40-.56-L4-'0-4.r 4(u,its _ .51 = FINALS4 .//'- -c-- AeSirA/ � GRADING (Prior to Sodding) .DC-C. Li .. BUILDING 0) . }%-,'5 c \4 ELECTRICAL '' PLUMBING K L!z!3 HEATING Salk 6- ri , 13 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