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HomeMy WebLinkAboutBuilding Permit 13. 0398, 13.1040 {ni rftTtrafr U ( r prr CITY OF PRIOR LAKEPgyarfntittf Igniltring 4ttsprtftott - K L 'inal Permitted ❑ Conditional C.O. Expires This Certificate issued pursuant to the'requirements of Section 110 of the 0 Residential 1 O 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 r, ulating building construction or use. For the following: �� ^ p K Use Classification SING LF FAM I� Yp Bldg.Permit No. 113c-0398 K Occupancy Type R3 Type Construction V!v Zoning District r�JD Legal Description I 5, B2 , HICKORY SHORFS FOURTH ADDITION 3563 HICKORY CIRCCE Owner of Buildin g Site Address Contractor's Name&Address D ,R HO RT O N INC. K ROBERT D . HUTCHINS �� City Planner /Building OfficialDate: /0� y Dater POST IN CONSPICUOUS PLACE �' n 0 0000 -4 0 > ZC) n 0 a ii 0 D HZ ,, ,, ,, o °vo 3 gzzq�00 Z ,3 mrC3z� m y H t?s f: -1 -a > Z v S0ac0i p �' ox 10 n y -♦ m O r Zp 0 m 0 0 'n N 0 Z z Z � a -� n0 Li 5 -r• Z 1 0 > z mm r>1 z,ti z m m 000000 -1 y v o \ m � �'Dmr C �4 rn 3 � � ��� m 0 , C) n • 0 pp hr =I o Z ra- �00 0xi ri 3 p O ' co Z 7C 7C 5 c a A 71 0 v cv O C = m c 0 `v y < E in 000000 f + QJ � z0 m5�so 4 m a m m Z� jo m 73 r -1 t�R Z m 'i r 0 5 0 ❑ C) 000000 v 0 > z0 0 o O MW c 41J73 21 3 m m 0 0 m °z� > oi° ki o Z p Z w mm M O > z 3 m =Q -4 i v v i m o 73 Z 73 0 0 000000 m m m IF 0 I OC -IOC�c v CA XE mx3 0 ? n -nemm ,, °° m O n Ati b n 0 C- > � pp m _3 1 N.' mhi co r= ow C ,43 C N n m rmv O o A _c I 73 N ,y < 00000 G Z z vin �mc R. 0 O mm3G� „r--,--.> m 43 D Cvvv �O \` m > mm4 � r E O O) n 000000 1 0 a § n 2 00 * 0 ■ ,1� mmm o 8 saq k > ° k m k s gK© Ez§ m m g q2 % 'i \ § Ca Z \B»B P 02 o �- S $ § » Cli R z © 7 •. k q nx§ 0 � kk 1 Mm § tkm ` , k k 0000 Q m m m * ■ll ■ ■ -0 ] z § § �� . 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A ,n9 .00-i �§ \� Ni q q Z k��§ CO 0� ttl \ >� K » 2 CA m Z § Z - q B q > • q 0 , . \ - ^ X00 0 0 0C--- \ m a o m r - 6 Z �.» M o 2 z ^ � RR « O0000O m m m k - a a ir �trn/ I z f cn �. . ■ 2mxs m n , ■ g § kkkk �k XI 0 \ it d ; 2 r�22 ■ 7 oi § ED z • m ‘ \ r• 17 -0 P / m / A o \ \ = m k a ■ 0 m tioCOOO/ � 0 MAE2 §.0 �4 kmm \k \ q m -^a 1 -t ■ mr 0 �� 3 oc Pfti0,, CITY OF PRIOR LAKE BUILDING PERMIT, Dale Recd A, r TEMPORARY CERTIFICATE OF ZONING COMPLIANCE - Z.3 _ i3 U AND UTILITY CONNECTION PERMIT IT rw Eso1P t Wiule eine PERMIT NO. 11 :i -. 35'i8 I 3 Yellow Applicant r 3 (Please type or print and sign at bottom) ADDRESS ZONING(office use) LEGAL DESCRIPTION(office use only) LOT 5 BLOCK 2 ADDITION A c,i�12, Y S'zj' E 4t,Dpip 25. 4 94. o/ . 0 OWNER (Name) (Phone) (Address) BUILDER (Company Name) D.R.HORTON, INC (Phone) 952-985-7272 Brooke Hareid bmhareid@drhorton.com 952-985-7806 (Phone)(Contact Name) (Address) 20860 Kenbridge Court, Lakeville, MN 55044 TYPE,OF WORK Eei New Construction °Peck QPorclr ORe-Roof ng ORe-Siding °Lower Level Finish 0 Fireplace DAddition DAiteration DUtility connection CODE: I.R.C. 01.E.C. EI Misc Type of Construction: II Ii T Mi A s U PROJECT COSTIVAI.UE $ .9S 7 971'8, e:' Occupancy Group: A B Division: t 2 3 4 (excluding land) 6 4'00 4•e:.F,P 4-5'6 q I hereby certify that I have furnished information on this application which is to the best of my`knowkdgc true and correct. I also certify that I am the owner or uuhonxed agent for the above•mentioned property and that all construction%/til 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 r rust cause. Anther ,I hereby agree that the city officiator a designee may enter upon the property to performs needed inspections X .. BC605657 ,/^ 22 -43 Signa contractor's License No. _ Date Permit Valuation 457: 7 00 . ParkSupport Pee # $ Permit Fee 3/ 5-. S-6SAC $ 24.35 p 0 Plan Check Fee $ 2Q 5 . 5'0 Water Meter Size 5✓8" 1" $ 0-90 00 State Surcharge $ a . ©e, Pressure Reducer $ /6-0. Co Penalty S Sewer/Water connect ion Fee #t $ SGG+,0 0 Plumbing Permit Fee $ Water Tower Fee ti $ /G C CJ .,(J 0 Mechanical Permit Fee $ AS¢, 5-7) Builder's Deposit $ 2S--jU : (JZ Sewer&Water Permit Fee $. ,.5-7.e , S 0 Other $ 1 Gas Fireplace Permit Fee $ J S� TOTAL DUE �? lb S�/j $ l 0 y BAP C, — ' , This •pplic t' t t- ones Y; r Building Penult When App ved Paid /! Q I,L (}e Receipt N h 4.3 O Illik Date 11 . 5- !o l3 [lurking Off ml Date This is to certify that the request' the a +ve application and accompanying documen is on a ordance with the City Zoning Ordinance and may proceed as requested This din ument when signed by the City ° inn test t es a ten any Certificate of Zoning comp/ ace an allows constitution to commence. Before occupancy,a Certificate of Occupancy must be issued A /' LI /3 ( PI nntng Director Da Special Conditions,if any 24 hour notice for ail inspections(952)447-9850,fax(952)447.4245 `N 4646 Dakota Street Prior Lake,MN 55372 C � —__ 1 P4444,- • 0 ., • . it i• . Builders Deposit • 0 . . I. . • 4tiAilaidt„. - city of Prior Lake . .,....,.., . 0 wittccomo..All exterwr items Including,ovs..t ot. (thus... . 0 as se, .oaritythtn.s.orw.00mpita.r. toe for a k.SIA0°40 StAt"V siati?"11'*inC4#°‘ttl-"14C1104.Pennit f$' - . moil but not tingled touraisscititnet.,ahotdhdienlathlanisd.44soahc4Impht6ing,tree Final Occupancy Petni1-4 (it "CtL---*" "1" . ...' -.. I od' 'after the.dete.04.1481004UPerfilit ptrinfIng.,driveway,sr,siding and-helumia Shall 183.completed. 8 . eve..- ,..,and the applicant. shoo httme.It,days *1)til compiv or the a ea -.41 the violation . . vvviiii6hooiniotho°4:481609°rsyciteion,.0Ptellwirl.0.0.;Mitr194:041/0tra.....,,d-ffiith.nr applicant ttlicaenaf will"li .ttflethfitedulfetior cleantofisartiporpree:rIvegostiiimu(rvia?;k0..rtoto.ttrattfor oynieh.steores.11..ttagan. ' A-$500.80 Tree Depesitmayeiso below/trod and milli ha refunded if epee , . DATE.. e 13 3492). SITE ADORES'It .. . 5.-.e. .,,,2 A., C-,r-a 4-37- L.„4 A e-e-ig-pERmiT it , - ILO)•• * D.R. Horton, Inc Itt BE MA • .,TO., . .. . . Attn: JADA &szectkiwA LOT REFUND . 20860 Kenbridge Court Suite 100 ,. - - ----- . Lakexiille, MN 65044 -E.„,„,,,-.4.1-:,,:::;,',....':;-:::;4,-.-',' ,:,:,6.,,',,.-,.•`r...,...-.'.' -..:=.:-. .',„,,.-,''- ,,' .,,`,,,, ,k, .., , . . ,..... Lynda • en,Bui •mg Services --"L'4------"-- Acc:. 88ieu2;274 . . .., . . .... .. . . i----3T,T----- . .. 0. . . . . .. .... ,.. ,, . . . . . ... ._. ,. ..... .„. . .„ , .... . . .. ...„.._ . ... . . . .„.. ,. .,..,.,....... ..,...... .,. , .. , . . , . . . . .,. i. KEEP STREETS'CLEANtURING:CON4TAUCTION 2. KEEP EROSION CONTROL PLACE Larry Poppler, City Engineer TENIPORAWf OCCUPANOrPERMIT MUST NOT EXPIR—S:014 WO. ..00. IWILL,lItti•ru Firm:t=vot • RatUTANSIS - ,... , ... — ___-- il.r ' 41111P" .- -.,,:i',--4'.4‘i •C,','",' Iii ATI, -,iiit,sEi..Nrmoi;it:lq- ggizFi,y4,•.svor,v,i.,f.,,,lyk-,,,,p,-i- oiktc,, ,-'''' BLEACH'filitaktaill;i -:- CTI -,• - .. 0.1v, ;;w-i.;. .,.t.'•,,----t-4,3,-„:. :Art nig,N.BL pl 5. -_-', .,, 101:01,115,,,,, ,1'). ,.4, 1, 11.:1' r,Y.4-,'''.-z-'_-_,A=ait-L-4-Tx7m=o-11111.97,,,,, ,,;‘,1,,,i, --='`"-F----.*r=-4--'--&'-' oiledl'i-ilr---1---W-i- ,'Pi."' 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' 4646 DAKOTA STREET SE 1 PRIOR LAKEMN 55372 A,le )ert12,, ,,_ p,',4.-Ere::-.Tir-,:.4, -.e._._-'3.V.:-ta•,:!..,.1,1,' . 4, . , • ,,,,,,.;•,..,4,,.-4,;..'1 4,:ki'''',.4:5-411f - - - 4,- _ -_.."' ''-4,Alt.IV'4 4'1:,.4'.&'t 1,r,4-i;.1.7)11!''';":''';'''. i.0.L'',i-iri .,4';'.=.:43-747,-444.;41,044':4-----./1,64444'4441,.-4q4i4.4.1-A.'t.:40''`'.;,"i'' '''','-4:''''' ''''''r,"".-'''''4.'''. -.. ' ,,•'. ,..::4_'',.'.1 !i'''''"‘MI:44Pi'''----;11..,4---8,11rv,t,,,,,,,.,.,r1,41:1;,_--,-4.'•k....;,-*,=_,-,,,,i, in,,,,.. :4-'.--'AP-,..:,':,e.-,,,i',-A':,a,';-4pY,ylt',14Atrkttt'kctttiOof.;NIFill'iii,,,y,,,,v,,,.;;,„'... ..,,,,--r,,..,:.:1,---s.,.,,-,.-, , , , .. .--:,_ - -------- ,,,,,,-•,,v4. .q.A.I.,:o.....,,,,-.-_-t:A.,- ,,,,,,,,..r,,,,,,,,„„..„.4...4._-,,,,,,,Eb.,.?..r.,,,,,,,,,,„...,,,,,,,.1.,,,,,f,,,,,,ASO'',AVVV,i'vtva4 ,„,} At, V 11.00 206130111 1:06 L L L 27138.: 329 903 67660 O, PRI0�P N v /1 Date Recd CITY OF PRIOR LAKE PLUMBING PERMIT O 7VO �4NEsoo '�B'"` F"` PERMIT NO. 'n. 2.Gold City /3 /0 3.Yellow Applicant ! -7 `� print and sign at bottom) ,cADDREZONING i office use) 4_3 /-4,-;i-P- eb LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID O /171111-\\.) (Name) iR (Phone) (Address) APPLICANT am_ A, Jai _ _� ,1- , 'hone / 6(/ � z 172 C 117- IfA 5�1 (Address) (City I (ZipCode) ontact Per �,- /L (Phone) £l — Pi.;0 ANT SIGNA R !._:/W1 - 44. DAT T -?-0V3 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 The Minnesota Statutes§326B.148 f job cost with a$49.50 minimum Residential,New One&Two-Family $149.50 "SURCHARGE"has been extended Residential,Additions&Alterations $49.50 The minimum surcharge for a $ Building Permit# "fixed fee"permit is$5,00 PLUMBING PERMIT FEE $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ se-(Y, 7! (Office Use Only) This Application Becomes Your Building Permit When Approved Paid s--z/ Re t No��y' Building Official Date Date g. u 0 By 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 Residential Building Permit Checklist New Construction for Single orTwo-family Dwellings in -1 or -2 Districts Reviewed by: icid, Date: ��'/3 4 Building Permit# PID: Zoning:PvS P Address: -D.. 45, /44 G( (A. C . Legal: L , B Subdivision: Existing Structure? YES/to . Existing Nonconforming Structure? YES 1 NO CONFORMS TO ZONING Y, S NO ORDINANCE il:9 D ,r- Xr--411 .11714 tom- .`, L ., ,054 i6-----Ir- / te Yard Setbacks: NAI FAILS/COMPS I Standard I Proposed • Front Yard(can be 20'if avg.w/in 150') 25' -2-9-, • Side Yards 10'/ 25'if abutting a street I 41:::). O • 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 loft line. '70 � N I • 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' 2g e 4 it i 405'b I Floor Area Ratio: NA 1 FAILS 1 COM S I .30 Maximum I > t r 1 . Yard Encroachments: , 'FAILS(COMPLIES 1 Standard Proposed Eaves and Gutters no ore 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: I FAILS I COMPLIES Standard Proposed 1 • Total caliper inc es • Permit 35%Removal • Caliper Inches Rerr?oved " •" Cabe! ches P,dserved • Replaceme-i tf '/:1 L:ITFM PJATE\BLD GLIST.D O C /} i11ity+"*vf2%`iorfti' .nx,,WIMS, "ti'S...,.,r...fr...nc:...o.++narr�r*r:r��,,,'o+';rane*c^y. a .:. 6. WV144741P7WAr 7.241" 'e'.1.,4 - y., 46:iy1"' .4.v^;."' (1) PR/0 PR/0 e trf White -Building Canary -Engineering 411NNESO Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST A-7,_ e �O • V,.-/ NAME OF APPLICANT APPLICATION RECEIVED 2� - /' The Building, Engineering, and Planning Departments have reviewed the building permilt application for construction activity which is proposed at: Accepted X Accepted With Corrections Denied Reviewed By: /14fA Date: S---/313 Comments: See Reverse Side for Additional Informationt 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." (.000,4), White -Building Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED #. 13, /3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .3s6513 In6e_dg--y Accepted Accepted With Corrections -Y.-- Denied I_ Reviewed By: i- Date: 5/n/13 Comments: I, r1 aZvA k-cL s c1n 00-K.2c-ro I, 4.f a l -1' 2. K2* gATualA 3 . 24 4- mu-6 cp.er Fig "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." •'_ rvR r. :ena A ,j; . •,,...:- O' "PRIo .1,. A Cp 171 . t White -Building I � Canary -Engineering LANES° Pink -Planning t BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT j),,, '/ ;F , r `� `` APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ..-, 7... ? t r f rte""' t r.,>a i T/ t��# ft . Cdr. -1 f:. ' ! C:, , Accepted ✓ Accepted With Corrections Denied ./ Reviewed By: ,/ / A Date: ; i i /?j . Comments: ,,,,,,,44;,,, 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." 4: The City of Prior Lake Impervious Surface Calculations (To be submitted with building permit application.) For All Properties Located in the Shoreiand District (SD) 'he Maximum Impervious Surface Coverage Peardtted is 30 Percent Properly Address 3563 Hickory Circle Lot Area 17,058 sq. ft.X30% .= 5,117.4 LENGTH WIDTH SQUARE FFET x ATTACIMD GARAGE TOTAL PRINCIPAL STRUCTURE 2,864 DETACIMD BUILDINGS (Garago/Shed) TOTAL DETACHED BUILDINGS 0 DRIVEWAY/PAVED AREAS _798 (Driveway- paved or not (S idewal k/Parkinu Area x ---77 71 TOTAL PAVED AREAS 869 PATIOSIPORCHESIDECKS x 0 (Opal Dedo V,-Min, nrocnim haw-cm X 1,1ar+6,*hit a pcni,pit ourrac4 1,.21nw X are no:consIdercd tr e kapervicus) TOTAL. DECKS 0 (Y1•HER x -roTAI, (Y.1"HER 0 TOTAL IMPERVIOUS SURFACE. 3,733 6F0,017t 05 April 2013 PRI° SeUL Cilik)di Date Rec'd 1:1717.3C1)1 CITY OF PRIOR LAKE G PERMIT � P 1.Gold Filey. PERMIT NO. ��, .�1 2.Gold Cit 741 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ONING 1 office use) iLiex 66' 4" ' FUS LEGAL DESCRIPTION(office use only) 1 LOT BLOCK ADDITION PID ( '4Q14. 0 l OWNERnD.,ev ,414�-T3V m . (Phone) (Address) APPLICANT^n ' (Name) v`S., • rX64 1 /Ln�C. (Phone) '$ ' 70 d• (Address) I 74. 8-M7k2/go& Air' /4,5.7 4✓lds//#41/, "5-D33 (Address) (City) (Zip Code) (Contact Person) � SCS )2''N (Phone) � 9/9 Yi� .--- APPLICANT SIGNATURE U / 41Zitshati 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 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 The Minnesota Statutes§326B.148 ost $ Building Permit# "SURCHARGE"has been extended GO PLUMBING PERMIT FEE $ Q, The minimum surcharge for a STATE SURCHARGE $ t S,00 "fixed fee"permit is$5.00 TOTAL PERMIT FEE ��0 \.1\4���i' This Application Becomes Your Building Permit When Approved Paid pt 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 </ PRf0 Date Rec'd ° . CITY OF PRIOR LAKE PLUMBING PERMIT 441,10500 1. 8luc Ftp 1 Quid at, PERMIT NO. /2_ '?j-9(� 3.Yclbw Applkant / J O (Please type orpuint and sign at bottom) ADDRESS ZONING I:orfioe use) :.35(°..3 1-1iLLfilin (_Ivdt, 3v4 i' vs.i LEGAL DESCRIPTION(office use only) LOT 5— BLOCK� ADDITION11.4 --/k /2---7 2S-40/2�.f —' •4 ' ./ Ci �I�I�ID Of -979 ,/2— OWNER (Name) (Phone) (Address) APPLIC• ' (Name) _I , r /0 U--- ,,, I (Phone) 16 _.L/13. 22407 (Address) 1 S�J�J VI�QL�.( G<., '' C"6 1N)6"iA>I�V1 �J iJ(µ ( ddress) (fity) (Zip Code) (Contact Person) J0L4 � (Phone) "115 2.55-41 S V APPLICANT SIGNATURE __ l_ _l.>( _�1 Tk.. DATE -3U ZU) 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 The •Minnesota Statutes¢32613.148 ^ist $ Building Permit# "SURCHARGE"has been changed for one PAID WITH year effective PLUMBING PERMIT FEE $ July 1,2010,until June 30,2011, STATE SURCHARGE $ C)tILDIivt PFR1k4IT The minimum surcharge fora"fixed fee"permit TOTAL PERMIT FEE $ is SS,beginning July 1,2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date BLiI! WITH „ .,. 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 oi rat% Date Ree'd CITY OF PRIOR LAKE PLUMBING PERMIT Lt `7/30//.3 I. Blue Pile i 2.Gold City PERMIT NO. 13„..m7 3.Yellow Applicant (Please to c..or pridt and signat tkoftom) ADDRESS �I ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER • • (Name) (Phone) (Address) APPLICANT.: {� l s • (Name) )C u\L Y 1 l)_b l ��� �;•�f" (Phone) 10 2)-4-T3,5 • 7.-2-6/-1 (Address) \ X14/AAA l i.A— ier.4 1)1,9 AI aY\ +4 (Address) ( ty) (Zip Code) • (Contact Person) c ) 1 1(Phone) I?01) 15?..)- APPLICANT )-APPLICANT SIGNATURE --7)-t'1 (AL ,f-/L t-tiU DATE '3. /C: 1 ?- APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dlghwaslier 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 $4930 Estimated Cost $ Building Permit# PLUMBING PERMIT FEE $ STATE SURCHARGE $ �Q TOTAL PERMIT FEE $ PAIU WITH (Office Use Only) BUILDING PERMIT This Application Becomes Your.Building Permit When Approved Paid Receipt No. . n_...._... _.....,__._.., Date. - -_DAe _ = sxa :_ t sae az4srcas�xatain: wa 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 i 1 4 VRro�, CITY OF PRIOR LAKE Date Rec'd • �„° Ir r HEATING/AIR CONDITIONING/FIREPLACE PERMIT w 44/Nose 1.Pink Pik PERT NO. a oem a.Yallaw Appliean, • (Please type or print and sign at bottom) ADDRESS 3O3 ' ZONING(office use) _ � G� • 1 C LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID } (Nam�e)R iJ �� � .5 _ (Phone) 95Z-965-723Z : (Address) 2(7(90 leferliciickie C •.i1OO 1z V1 ie A S51Y't-f (LIC (Name)ANT ire side T H1.a 17 t'l v ik me (Phone) (051'. (9 33-2-5L9/ (Address) 21 00 - i r vie it) I"TJC, KI Io li II/' , An'v '5 ( 13 (City) / (Zip Code) (Contact Person) Leg k Lacier el i iv' (Phone) to6i- (63B-3 1 L APPLICANT SIGNATURE _ —N___________ DATE ____,i� APPLICANT PLEASE COMPLETE BELOW CONSTR13CTION ❑REPLACEMENT ❑ALTERATIONS • FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OP SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Mr Conditioner Q�/ailri Air Plants 0 Steamavn 0 Hot Water Units and Fireplaces Cannot Encroach apical ❑Radiation Into Required Side Yard Setbacks. DAir Conditioning 0 Special Devices Fireplaces with Box Additions or ❑Vent System ❑Other Devices Cantilevers to the Outside of Buildings Q ` ( /� Require a Building Permit. FIREPLACE MAKE AND MODEL >•( - J " . f 21— FEE SCHEDULE Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace PAID WIT4.50 $49.50 minimum ry g y�, Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&A WILDING G P513.14' Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 Estimated Cost$ Building Permit # The Minnesota Statutes#32613.148 HEATING PERMIT FEE $ "SURCHARGE"has been changed I'or one year effective • . STATE SURCHARGE $ .50 July 1.2010.until June 30,2011. TOTAL PERMIT FEE $ The minimum wee huge for a"filed fee"permit (Office Use Only) isiybeginning.!uly i,211111 This Application Becomes Your BuUding 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 vit./0�f' CITY OF PRIOR LAKE Date Itec'd h t. HEATING/AIR CONDITIONING/FIREPLACE PERMIT 1 8 �1INrr£so tr • i;' aty I PERMIT NO r3 •3 i8 3.Yaw limit (Please type or print Bind sign at bottom) -__ — ADDRESS ZON)NG(office use) 3`73t3 -1A. .k.iyii\ N.1rbt.G C . \t\I LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID • OWNER (Name) (Phone) (Address) APPLIC• (Name) viik '71,06 -413. /P V`- ..a + (Phone) .. 7.210. 7 Address u`, "I6 (Address) 155'6 � (Address) `��m6�L1'�L �5�1 h') (Zip Code)) (Contact Person) t Lk- (Phone) 110 5. 253..0-1 i> APPLICANT SIGNATURE _ --_,A/kit,i,f `! ATA, DATE II-30 20'71 APPLICANT PLEASE COMPLETE BELOW [NEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM BEATING OR POWER PLANT ❑Warm Air Plants 0 Steam PLEASE NOTE: Air Conditioner ['Gravity Hot Water Units and Fireplaces Cannot Encroach ❑Mechanical ❑Radiation into Required Side Yard Setbacks. ❑Air Conditioning 0 Special Devices Fireplaces with Box Additions or :Went.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) . $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 $ ' PAID WITH STATE SURCHARGE $ .50 BUILDING PERMIT TOTAL PERMIT FEE $ (Office use Only) This Application Becomes Your Building Permit When Approved . Paid Receipt No. Ratline Official Date By Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 • 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 p1P O� Date Reed ` CITY OF PRIOR LAKE PLUMBING PERMIT v 2.cad City PERMIT NO. 3/i '/ 3.Yellow Applicant / 'C Tawe tyoe or inint and sign eitaint bottom) ADDRESS ZONING(office use) :1-)Y-3 1I:3 0).1. blY11\ Ci--li(C1 .-73\1\f PV-5b LEGAL DESCRIPTION(office use only) - - LOT f BLOCKY ADDITION/-khie-y ..51/0,2-6;...f //LI 4M/✓ PID i•W-ti i y!/Z,-0 OWNER• // (Name) (Phone) (Address) APPLICANT: (Name)----- DY , P to c f q ! -, (Phone) -1 t'7)"41?) - 7..2.-14'1 J (Address) `=Y )? .7) )/\4e" { (Address) (City) (Zip Code) • Li,(Contact Person) .3 i . il•�: (Phone) 4VD 7.)'7-5?)- 4,1 g 5S APPLICANT SIGNATURE )-i 1i L 14 ,1,14 tiH.Gt4A.: DATE S. 24. 2..E: I ?) 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 $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your.Building Permit When Approved Paid Receipt No. ate.._.. 24 hour notice for all inspections(952)447-9$50,fax(952)447-4245 I 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 BUILD➢N(T P RMI`• PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 35"63 1-1Lk0 ' ` NATURE OF WORK lieu) . I V0 / . P /A AMA/ L , L1 USE OF BUILDING SFO PERMIT NO. [3—. g DATE ISSUED 5~A0ft3 CONTRACTOR t Kr '1 PHONE 452 4&5-78d _ INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTO5 DATE FOOTING v— 9TH FOUNDATION (Prior To Backfill) f r _ RADON RETARDER PLACE NO CONCRETE UNTIL ABOVE HAS EN SIGNED ROUGH - INS SEWER/WATER/SEPTIC 7frt 6 - FRAMING -�`1_\3 INSULATION ' m,,, .3r_/3 ELECTRICAL — PLUMBING ( 17t1 (3 HEATING 0 — FIREPLACE 1 -)-9-A — GAS LINE AIR TEST 1 .-1 ,,�-/ RADO � e Va ?) _ COVER NO WORK UNTIL THE ABOVE HAS BEEN SINE� HOUSEWRAP , 1„ _ n, LATH (G1/L 9 (-,.‘-`�Ll iv/A- ig+ l`/3/oro ,s�'/ e/ .j� FINALS �T_ GRADING ( PRIOR �• SODD NG) vL l� � 44e4 , , „apV7/ L BUILDINGcwi 11 4/4 _ -'04 _ 'ELECTRICAL ?LUMBING / �HEATING AktoNms 7-ti� i �% 1/3/ _ DO NOT OCCUPY UNTIL AB• % AS BEEN SIG 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