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HomeMy WebLinkAboutBuilding Permit 13. 0542 o- Crrrft`fi+rafr a ( x CITY OF PRIOR LAKE E prjnrfmgnf of rpuiiMzn us rrfte K 4 Final Permitted ❑ Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential 1 D Intemationfil Building Code certifying that at the time of issuance this structure was in co ordinances of the City of Prior Lake regulating building construction or use. ForZtpliance with he following:the various Use Classification c^ J a _ f II/L r�,�.. Bldg.Permit K Occupancy TypeVA/ // Type Construction Zoning District. Pt/SL.) Legal Description L - s , -' K Owner of Building Site Address /JG Contractor's Name&Address //lam � Building City Planner K �".` g Official Date: /2 --1—l LI ��` Date: POST IN CONSPICUOUS PLACE cu 0 1y P7.1 � u. ce V W F Zvv < 0 k C�9 � aWes a,awa, a t 1 In VlitiU' Fe W 1q O 'JJ 1: ! r 0000 ❑ ❑ N 0 O �, M wm z: LL Ci C EL JLK CO c C:0 L Z Y Y Z O U r: C, O 0 a� W z U Z ce _ = _ _ _ � 0 � 2. �, O w m macm N v a aZw 5Z W W Z !C o JW3coaW Wk. a � 3wa � W W � 7C oC ❑ ❑ ❑ 0 ❑ ❑ r/l -e. a a LL 7: t2I0 IA >: C JLL p a V IL Z o 44 UJ M Z a ° re S au 04 g P Z o V)— I ItO Z W I�- < F- F O_ C1 U kj ir. 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L�� eto City2 - I I (Please type;or print.mid sign at bottom) 3 v .o ,taeaw /,...., 11 ADDRESS ZONING(office use) 353-3 ,9r c- x G/ec-r.�- 7vs LEGAL DESCRIPTION(office use only) LOT i BLOCK 3 ADDITION / j7— Sf r2. T 4A PID W '/7V- G?/j t2 OWNER (Name) (Phone) (Address) BUILDER (Company Name) D.R.HORTON, INC 952-985-7272 Brooke Hareid bmhareid@drhorton.com {P(t 952-985-7806(Corsa+ Name) .m (Address) 20860 Kenbridge Court, Lakeville, MN 55044 TYPE OF WORK 0 New Construction DOe °Poral Roofing ( -Siding Cllr Levet Finish 0 Fireplace DAddition. 0Alterat€on MLltility sotuteetiott CODE: (,LR.C. (JI.B,C. 0 Mist= Typeof Construction: A B E P; H I x R a u PROJECT COST/VALUE `f 3 `y�2-- Division: t' 2 4 (minding land) I hereby certify that I have furnished infcirMatktn on this-application which is to the best of my knowledge true and corrt. t"also certify that i am the owner or authorized agent k r the abort:-mentioned propeoy ltd that an construction will conform to all existing state and local laws and wilt permed in accurdantv with submitted plans: I mail aware that the building ,nitcial can revoke this pcitfor just cause trthetntore,l y aa that the city officiator a designee may enter upon the proptity to perform Kola tnspcctams. x ....ww BC605657 5 pttaiWe Conteatrto?s License No.: I) e Permit ValuationParkr�ptirt•Fee d .1 /0. D Permit 3//Fee �, 4 SAC r '/ Plan Check Leta $ �+ c7 0 5' C o 20. -.6%. . 3_E Water Meter Size Sig ( , $ $ 5-90,00 State Surcharge $ as ,D a Pressure Reducer $ Penalty $ � �t�d. G'O Sewer/Water ConnectionPee # $ /�OO° CO O plumhing Permit Fee $ /5% ,...c-0Water Tower Pee # $ deo t C, Mechanical Permit Fee $ /3-1/. sa Builder's Deposit Sewer&Water Permit Fee b ,/ . Se Other �_, Gas Fire dace Permit Fee $ 5-.9, S) TOTAL DUE S /5 %.to. r . f '3 Ch i a n Becomes Your Building Peritt Then r pproved Paid /J.1 e( Q (FT'(FT'. Re •ipt No. 4C/�,�- / / -it 5 / W Date 7. /? - l ,i-,04 jQflicial a to a Tins is to certify that the request in the above application and accompanying documents is to accordance with the City Zoning Ordinance and may proceed as requested. Tins document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued Planning Director 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 Deposit •'4 , . , . , , , ,• ' fteiiitS,Ot' ' . . , OILY fat Prior Lake A41,500.00 Stabler*•Deposit is inatudedirt the Building Permit Ugh ThoOttlidere-00pesit Is issued gormand*tof.nestre compliance ft*a Final.Onotipanoy'Perndh (it is riot an arinfeyfaccOurd)Ail exterior hemsincluding but not limited tograditi*sodding,!andel:Aping, tree plaikttagisirlifewaysi siding and painting shah be completed iendaysAfter Maximal*building pent*la rooq44. tritieHtriotic 1&not(tete Mete within the*tee day time period,lita *,v"Walt notify the applicant of the SiolatiOn and the applicant shall have id days to comply or the .. . , ,. , $100 00 handers 41011041t wilt be lOrtellatizatsalhe applicant will behilftnilor clean up or corrective,work.toteridlythenituation. &gained-Tree Eispositmayrdsobeireriand witherrifunded itspeciffadtreenttre prescreen for a Per104*tette-Yee& DATE:. . ., ) `- SITE ADRESS: 35-5-5 K-4 PERMIT it 4-e--", / - - Rio:tool*sit K4AILED Tot D.R. Horton, Inc Attn: )ADA 6,12E61114A LOT _... _ 20860 Kenbridge Court Suite 100 , . . , Lakeville, MN 55044 • A .. AUT yELION TO RELEASE • • 14144100' -til:ft,'140' • Po ' '': t Azi oo..00 Lynda S.Allen f Amount 1. KEEP EtTREETS OLEAgD/AIWItMalltijelnatt Date Acct.801.20204 . , , .. . - , 2. KEEP EROSION CONTROL.101 PLACE _ poop.) Si, TEMPORARY OCCUPOIDY PERMIT MUST NOT EXVINE' ;Oft"$800.00V4.1.Be •• - . • • .. .. . , .... . . , . . WON,ATV; IT•IS: . . . .. 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VA i '0`.\11,I• • ,, 11.,A,li\ 4;,i t 1,t,,t' •i..-.,,t,._-_---,---f:- •:,•• -4. ._,----,_.:-_-- --------,- , -., li,,,,4 .,ro,, 1,,, ,41,41,, ..4A.•,.,‘),.,6,1 ‘1,1,41.,,,,,,,, \ 4,T4AV,,,,,a4sek.o,. ..4,,74,--- ,.-- --:.,..-7.- -,---..7:0-...::.-,-..,:'‘,1,,,k, - -' IA:,165',' ,$1,i, .......',:,'',-.c,',,,,,,,.:a f: CITY OF PRIOR LAKE(PERMITS) '11,,--ti:4°!-A,,,,tt,*,?k,±6V,e,ipAG.,.;,,,,,,;,, ,,,,,..-,. .:..;a3.:.,..,4,,,7;,,i.,;,,,,,,I,,;,.;,,,.. ..-,,,i;, ,...-....,.....•,...,,,,,,,,..:.._ , , -,,,,,,,,I.;..,,,.;‘,.,,,,. tit,„tev,,,,•,4*-t.t$1,,4,r‘,040.1,,w4-42.,4-:4t5.1*..:::‹4,VI:tt";'4,°ift',4%,'?ii-';.,,7 ,'a..; ':'''1',.t:-z"•.,',.*..;,,,.,g % ',-- --,•'___ •_!4*--=. PRIOR LAKE MN 55372 ,---=-1-------7- ...7&-t---E,---2)-1.'-Al A ,41., ,. .— -- - :,-,1-1 -,„-Wm_.-1_-_.=-4t,,-zr,-,i•gw.„.."'„i„,;11 v /4 4 , , ; , .., ; . . ,;,-..i-i 74.„--_---.;r----- • r-I,'.-- - -s-------z- -----r4.,-..Fzvi•44'',:iO4: , -' - '- --,,,-'- . -... ,--z-i.: .-. •;-W,74,,...--4-,.-,-,-----,.-.-,,.-....---,.-----.- --,-,4.f,..,..41,q;.4.;.'i. ..'..,;4‘,,,-,"e!!".V,",,*''.....'l'.4,,,V,..I'F'"*.,:,,,!4'..,‘`,2-,A.C.,;..j.;4v0,-call-re,f;X: -4:.',..71,,f)..,,,''i,,,Y4A.4„,•s,:,,,s,,,,i,....•.....-4-;,,.,,;ti,e-•,..-.;,',,.* ,,:,,'''''' :.'.- :'''-],..:-.'(' ".:;,,V,iit';,:',,:-•.;;K?",:;ti'7:..$,N,Z4Ts;;(4:,-;:%;'0',47M,,s,,k?.i;,,j,,,MZ :Ni4,,,,il.:i .•*,4Vi'(;;4:1"1;,!4z:;t144',,,,40Ailtifl:kti:114.1.&*45,14:::k4,:gtf...,.:4,0•,,(4,:::',:,'".-t... ...,;•,z,i,:',,::::-.,::' ...--., , ....,•_-' .1.....,,:,' •-' -.,,!J.k.,y::.„:-f;i:::,-:;';,5,4''>t :I,,;,,,,,fc:,:utlz.-..:;st-,:,44z4i,;':i;i7ii:z-°,'',A.:2tii;:;(i.!:'4,4tt'Qiatti*;4tpztoz.4.4:.faAte,:;t:v,c,yli:-Ai.t•-dtw.,mtt-„I,c:v.alf.4,..,--,.,..-„., ,,,,,. - -.,..- . -.- - , - - lisoo S 6 3 2 50 10 6 L L 2 7881: 3 29 90 3 6 7 6 610 Residential Building Permit Checklist New Constr ctlon for Single or Two-family Dwellings in R-1 or R-2 Districts Reviewed by: Date: @ 4/);3 Building Permit# PID: Zoning:P v 57,9Address: 35`7, /�(c (hC) / (_ (,--e_6,7- Legal:L , B Subdivision: Existing Structure? YES Existing Nonconforming Structure? YES I NO • CONFORMS TO ZONING , E NO ORDINANCE Yard Setbacks: NA I FAILS/CODES Standard Proposed • Front Yard(can be 20'if avg.wlin 150') • Side Yards 10'/ 25'if abutting a street t5. 01 • 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. ' o t • 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' ) Floor Area Ratio: NAI FAILS 1 C#ES I .30 Maximum I pL.9 P I . Yard Encroachments: FAILS(COMPLIES Standard Proposed Eaves and Gutters no m re 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: N I FAILS I COMPLIES Standard Proposed • Total caliper in a • Permit 35%Removal • Caliper Inches Rerr?oved •' Calip'lgches P,r6served S • Replacerride '/2:1 L:\TBMEbkTE\BLD GLIST.D O C noo co+ m White -Building Canary -Engineering INNEso'cP Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST -T— r NAME OF APPLICANT c,� 3 l -`.1.:,_. `. r c. (...` e , APPLICATION RECEIVED r` � / ) The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which i proposed at: , Accepted '/ Accepted With Corrections Denied � II /� Reviewed By: ,' gate: ; ; ) () 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." 0.� PRIp4, e Of" n� White -Building Canary -Engineering 411MNEsdo` Pink -Planning BUILDING PERMIT APPLICçR —c ION DEPARTMENT CHECKLIST 7 ( f NAME OF APPLICANT `� 1 G'1Cv i L. f 'C L.c."--- APPLICATION RECEIVED 5/1'411. /, The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which i proposed at: -, --S5n Accepted Accepted With Corrections ---KDenied 46 Reviewed By: /V Date: S '31"-'C3 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." OCIVPRIOtiyUrt 11NNESOlP White -Building Canary -Enginering Pink -Planning mit lel . - r4OPP---7- 7/ NAME OF APPLICANT `� hi.. ©( CR G APPLICATION RECEIVED S �� �``� The Building, Engineering, and Planning Departments have reviewed the application for construction activity which is proposed at: building permit C"' 2 Accepted Accepted With Corrections Denied Reviewed By: Z,,,,, Date: �/ / Comments: c-o '1_____ ___,____________________7___ -r79 L ----0-- ----2-7-- - An A-c___ /--)--) C_,.c. "The issuance or granting of a permit computations shall not be construed obea permit for, or an ap roval of any of the provisions of this code or of a ordinance of the jurisdiction. Permits approval of plans, specifications and presuming to give authority to violate or cancel theny other r p ' any violation of ordinances of the jurisdiction shall not be valid." p ovisions of this code or other The City of Prior Lake impervious Surface Calculations (To be submitted with building permit application) For All Properties Located in the Shore land District (SD) -I he Maximum Impervious Surfuee Coverage Peardtted is 30 Percent 3553 Hickory Circle Property Address Lot Area 22,268 sq. ft. X 30% = 6,680.4 LENGTH 'MUTH SQUARE FEET I IOC-SE Ai1ACJJ1DGARACfF TOTAL PRINCIPAL STRUCTURE 2,866 DETACIEED BUILDINGS (Garage/Shed) x TOTAL DETACHED BUT.DINCrS 0 DRIVE WA YIPAVED AREAS x = 901 (Driv(..-way- paved or not) (Sidewaik/Parkinu Ames) x =, 77 TOTAL PAVED AREAS 978 PA TIOSIPORCHESIDECKS x 0 (OI*m 1)edrs w mit). rinenii2 bctwalni X tokorti.,with Ipereioa surra Mow; X arC Ukr C 011S MC:tea bC impervicw) TOTAL. DECKS 0 al ft ER x TOTAL OTHER 0 TOTAL IMPERVIOUS SURFACE 3,844 6Y04&'•=c'clt 06 May 2013 Date Rei.'d d ),it. C O PRIOR SEWER ANA WATE; LAPE"RMIT '4\Ciii 4/NES ,. req PERMIT.l�fi4 > s. 'fellow car 2. 3. Geld Applicant . (Please type or print and sign at bottom) ADDRESS ZONING(ono use) 3 kb- 1--1..y..L L • g_ i LEGAL DESCRIPTION(office use only) LOT / BLOCK 3 ADDITIQN /C go, < PID OWIYcR f (Nan. , '�'r . #04Z 1L..^ (Phone) (Address) L 4 v;/4 (Address) (City). (Zip Code) APPLICANT (Name) 9,S'''101 b)(ehvs/9t/)Vf, /ICI 1-tv C (Phone) 45/- S- g0-,/3. S (Address) d2 916 ter!e 4-p2/S; ✓4 U`2 r4St/✓u S 55'41 (Address) (City) (Zip Code) (Contact Person) 0/1 11;r• 4.eA ' 'p. (Phone) 6/.2:- 9/ 9— %3 .:s APPLICANT SIGNATURE O.cdl DATE /a.—!- /y APPLICANT PLEASE COMPLETE BELOW Size of water service i, inches. Location of any couplings from structure feet. Type of sewer pipe. 11 ABC 13a PVC 11 Cast Iron Estimated length of sewer line i/O feet. Clean out(if required)located at feet from structure. FEE SCI: EDULE 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 $ .50 TOTAL PERMIT FEE (Office Use Duly) - t%NIT iifOTTH This Application Becomes Your Building Permit When Approved Paid . eceipt No. Date By Building Official Date 24 hour notice for all inspections 4)447 ,tax(9 )4474245 4646 Dakota Street i i StelO mea 1 1ut1 lta 4$$$12 .. . • CITY OF PRIOR LAKE1 1 Date Reed • .. . , HEATING/AIR CONDI1TONING/FMEPLACE PERMIT _.. U _ 414,mise' I.PK 1•11c l Ono Cill 1 PERMIT NI :.- 3.Yellow Applicata ADDILL.,..or twine and arion st batlooll ir 3 i i • 0, "---.--..s. 1 I ZONING otsce me) I t--1, c Kc,, /reLe--,- ' . . , - -- LEGAL DESCRIPTION(office use only) • 4' • e 2...S.."f 9 41% 6 13C) ) - LOT / BLOCK) ADDITION --ci.. - / P........; ,or 1-4 o yi-T3r1 -1forhn (Name) . (Phone) '615Z-96572721 : (Address) 20&OC) . Keil bridle, C-1- /100 1aice(fa le,/1114 550/4/ . . . : ratnefANT Ti reside kleav-m v ik)MC(Phone) (o5 i- 1p 33-2-stoi . . (Address) 21 00 Fcgi r Vie(A) P-V . i1/41 4S-e.0-1/-e / M K1 55 ' 13 (Addling) (City) • (zip code) : (Contact Person) _Lea hLuder (Phone) (05 — (i73 B-12) 111.___ . .• APPLICANT SIGNATURE - DATE .,:„. APPLICANT PLEASE COMPLETE BELOW CONS1RUCTION 0 REPLACEMENT 0 ALTERATIONS • FURNACE MAKE Cifit4EMODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT ... TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner - 0Wann Mr Plants 0 Steam Unfts end Firepkees Cannot Encroach 01 rvIlY 0 Hot Water . Nis rf •-.1 ....- • ,Motu . 0 Radiation into Required Side Yard Sethadcs. Fireplaces with Box Additions or ill Air Conditioning 0 Special Devices [Went.System 0 Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL S 1----75-0 lif-- - ,sY\-T__ En SCHEDULE Weenie!,Commercial&Multi-Family 1%ofjob cost Residential,Gasfiteplace •$49.50 . . . $49,50 minimum - Residential.Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations PAID URI Rsidential,Heating Only(New Construction) $64.50 Residential,AC Only •BULDiNG$4PtEMIT . EstimatP4. (Pt$P3 1' -C6 Building Permit # t The Minnesota Statutes*32612.145 _ "SUR "luta been HEATING PERMIT FEE $ CFIARG5changed for one year effective . STATE gURCIIARGE $ .50 July I.2010,until June 30,2011. TOTAL mbar YEE g The minimum snrehrge rem a"find fer pawl( (Office Use Only) Is Sz,beginning July 1,MO This Application Becomes Your Building Permit When Approved Paid Receipt No. i r-= i. Date By isslidivff Officid Date f 24 hour notice for all inspections(952)441-9850,fax(952)447-4245 . . •4646 Dakota StreetS.E.,Prior Lake,Minnesota 55372 __________________________...-....--____......_-_-•-_.-._..______................._...__.___ ... ......________ .... ....... _..._...._.._.................. . . • 06-20-'13 14:10 FROM- T-384 P0001/0001 F-590 CITY OF PRIOR LAKE Date Reed •• : et?IV* MATING/AIR CONDITIONING/FIREPLACE PERMIT gl : • : %NEW* owiak Pk I,etwo ar PERMailio.--7-7, alitagg We V.. .....alltdiaidgeftl--_ : ADDRESS icko Cir A S fry, ReieW tgke. -Plts.z) . LEGAL DESCRIPTION(office untidy) LOT /BLOCK 3 Appal 0 NPID075"/9t4 D/3 161 OVMER 1%)e 4-tor +On (Phone) • i (Adders) • APPLICANT Name). tre41b ±±iffixe_ (Phone) _fal%-' (033--26(-0/ • (Addsess) 21'00 Fairkikeu. PrkxN3 -ZAP,b.w&iA5* it11,_ (Mem) Cre Co ) r • (COMIC!Pen* -, . (Phone) _ 1::j. -(23122:3317- -__ AMM . .10., APPLICANT KONA ' - At....4-4 ...t,. --,............_ DATE 1,01201-14 ,—...=r7.. APPLICANT P ; ' 01101112 BELOW I' EW CONSTRUCTION 0 MIAMIAN? III ALTERATIONS • PURNACE MAKE AND MODEL PURL FLUE ME RETURN memos 1 OUTPUT TYPE OF SYSTEM BEATING OR POW=PLANT . PLEASE NOTE: Air Condttiotter I inn Air riots Sim Mitt and Fireplaces Comet Ennemit al • ,k • Hot Weser into Regain:4 Side Yard Selbedw. Ideeinnitel §Itediatios Pitspkees with Box Additions er ii , Contlitionino Cli Speolsi Devises in tat.System Lle Onter Deviate CantErvers to the Oneida of Theildhise Req*.a Boiltling Perink. FIREPLACE MAIO AND MODEL St---/5fr) MK SCHEDULE I:Andel.Commeroisi&Multifamity Morph east Residential.Gas Pimp= •$4930 : Set 30 Mahn= Residentisi.Rutin a A/C OkkeW Cesisbucti* $14930 Itcsidonial,Addition&Altentions $4930 Residteidal,Heating Only(14ew Ceestevotion) $64.50 Reskientiel,AC Only $4930 Winded Cost$ ROAN;Permit I The Minnesota themes j 32141.RS "SURCHARGE"hes been doved lar ems *MATING PERMIT PRE $ year effective &TAW OthitCHAROE $ %IQ .ltdy I.2010.odd Asa.30.ICE TOTAL maw TEE $ 11w sisiossis ardor ler•'Ind tot' wall( (Ofilas LW Oats) len entioniachey lane This Application Dames Yew Belding Permit When Approved 4 Paid Receipt No. ! . DVS PAID TH oak dmm--r----omew --s-a---- • _ atilLOW1 PERNT 24 hest wise ler ad ingoettlees(fl)447-91950,tax On)447-4244 4646 Dirket*bred SX,Prior Lake,Minnesota 56372 ......•••••••••••••.•rm...•.•••P...........•prom..........M...••••0 O.••••••••••••SO i•••••.........•ow..•........••••••••• 0i PR 04. a CITY OF PRIOR LAKE PLUMBING PERMIT Date Recd t~ M v 6. /4,4 /.3 L Blue pilc z.Gcld City PERMIT NO _as. .A . _ PE • J � 1 Ieas"e or glut and a.v; at bottom s.Yellow Applicant ADDRESS J � ZONING(office use) = G:� .7) �.\C.. �. 6\(c.1,L' �J LEGAL DESCRIPTION(office use only) ��� ` LOT BLOCK ADDITION PID OWNER ---- (Phone) __--__--____ — (Address) APPLICANT. --- (Name) )0U /" f i, (i. ._-P (Phone) _. /di.) 14 15. 1:. (Address) c. c-j-' c:) J ; Q_ L(f./c: itCl ! LIit,; ',fit . (Address) ( ity) (Zip Code) (Contact Person) ti . __ (Phone) ZL[:>�' I APPLICANT SIGNATURE —;, . , / d ( dJZ. . DATE 1. Z-G l..') APPLICANT PLEASE COMPLETE BELOW Quanti s e of FixturO 111111111111111111 Bath Tub with or without shower 11111111111111111111 =I T 1 e of Fixture 11111111111111111 Roush-ins Dsftwaslier11111111111.111 ............................ Floor Drain Water Heater IIIIIIIIIIIIII Lavato :athroonn Sink Water Softener Laura. Tra 1 or 2 corn.artment sink IIIIMMIIIIIIMI_ Stand P1 ashxng Machine) Sewa;a Shower StallIIIIIIIIIIMII E'ector 111111111111111111 Sinks Backflow Assembly Bar Sink 111111111.111111Backflow Assembl Test Water Closet Toilet Lawn S111111111111111 rinkler Other FEE Industrial,Commercial&MuIti-family 1%of job cost with $49.50 SCHEDULE mHm Residential,New One&llvo-Family $149.50 Residential,Additions&Alterations $49.50 Estimated Cost $ Building Permit# PLUMBING PERMIT FEE $ STATE SURCHARGE $ .50 (Office use Only) TOTAL PERMIT FEE $u This Application Becomes Your Building Permit When Approved Paid PAID - 1"i o. t� ... - --2,411-0 ur notice for all Inspections(952)447-9850,fax(952)447.4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTI • IV RECORD SITE ADDRESS _ass/1:3 t NATURE OF WORK 1=� USE OF BUILDING PERMIT NO. S ``'� c.Es- it. Dw fi�6 No.C,`s`"'c. _ AA t-.4 CONTRACTOR )J 7 DATE ISSUED — INSTALL EROSIO CO -T•L A D � q � PHO �� AIN CLEAN ST TS AT ALL TIMES FOOTING INSPECTOR DATE r r®/04-6- II (Prior To Backfill) tor/3FOUNDATION RADON RETARDER1111VL a y,- 3 PLACE NO C '��� , CONCRETE UNTIL A=O, - HAS BEEN SIG ED i,64 SEWER/WATER/SEPTICROUGH - INS iii.A 4/Z/2/ FRAMING ��i�� t(0' i3 INSULATION / j� re, (7. 4 11111111111M11.111 ELECTRICAL' PLUMBING HEATING C✓-G J.�' I FIREPLACE !� � LINE AIR TEST WOPP-. 1..A1,-411111111-7.4r- GAS RADON rrAL R it COVER NOW•RK UNTIL THE AB• `�� �' , —� AS BEEN SI-NE rA 1 HOUSEW- ' - LATH FIN GRADING ( PRIOR TO SODDING) �!/--/" A BUILDING rr 0i3 re ELECTRICAL • PLUMBING111.1111111111111111111111111111 r REATING 4taite DO NOT OCCUPY UNTIL . • IE HAS BEEN SIry�� GN ' D This card must be posted near an electrical NOTICE cabinet r' maintained until all inspections na hea been approved. prior to androuadditionsn where and service cabinet is available, card shall be placed near�main entrance. where no trance. FOR ALL INSPECTIONS (952) 447-9850