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HomeMy WebLinkAboutBuilding Permit 13.0741 CITY QF PRIOR LAKE , Prparftitruf Uf Pitilbittg !z sprrfiort ,Kr ! ! -Fi p al Permitted ❑ Conditional C.O. Expires Thi` fit issued pursuant to.the •requirements of •Section 110 o the❑Rest ential •/❑Internal tonal Build e ce kvring that at the time of issuance this structure was in compliance with the various '�' ' ordinances City of Prior Lake regulating building construction or use. For the following: Use Classification S I NG I F F AM I LY Bldg.Permit No. 13-074 , � R3 VN . ' !"'� ; Occupancy Type Type Construction Zoning District Legal Description L4 B1, HICKORY SHORFS THIRD ADDITION 3661 BROCKEN COURT - Owner of Building Site Address Contractor's Name&Address n . R. HORTON, I NC. ' - ROBERT D, HUTCHINS t_(_,-, City Planner ,rte Building Official f Date: � / -7/4.7i Date: � ,; POST IN CONSPICUOUS PLACE 0 J a z __►N~- rz ..,,I=i 2 cs ti kcWicWlaui r 85551 a e� W ---..., OZW WN > �l o wo1iu.Ilece0 z G `M a 1� ❑ 0 0 0 0 0 > z N p UJ O J 4. 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Z YYZJ 1 :z o w H p p W gZW1gZ ),:r 2 C9 O O0 S1: U V 4 2 Z a' Z 2ZZ ? m` W pC R 40 00 \S 0 a mamcemE .,,' 4 4� Ia a0 ` a � 31na � CO W W CC X 4 0000❑ 0 0 " Z Ly W A1C YW o a ' o w 5 ` o % o .� o s O Z Z U H o �1 W z �, o a H 4.Le ONZZ � ZSJZWH V L vi o 3z = wwwZmrn 3 v v ��' Ai VZ 4 0 a 000000 (..) 0 eit0 ov :„P.?Yo,„t c tit N:,1,:-\ (--- CITY OF PRIOR LAKE BUILDING PERMIT,TEMPORARY CERTIFICATE OF ZONING COMPLIANCE D te Reed Z3 / •:,7 PI AND UTILITY CONNECTION PERMIT (P Zep//3 kfivivEsoll‘ 1 While ilk 2 Pink City i PERMIT NO. j3 74., / 3 Wow Applitant (Please type or print and sign at bottom) ADDRESS 3 . / B f-ocr-it,u ce;yif-7— ZONING(office use) LEGAL DESCRIPTION(office use only) LOT VBLOCK / ADDITION 7 ..,,K :,,_...47— cil 0 ifrg. -s "-4s1 PID ar.57-* OWNER (Name) (Phone) (Address) BUILDER (company Name) D.R.HORTON, INC (Phone) 952-985-7272 (Contact Name) Brooke Nereid bmhareid@drhorton.com (phone) 952-985-7806 (Address) 20860 Kenbridge Court, Lakeville, MN 55044 TYPE OF WOW fil New Construction ()Deck Eil'orch ORe-RoCifing Me-Siding OLower Level Finish 0 Fireplace DAddition InAlteration DUtility Connection CODE: JI.R.C. OIJLC. 13 Misc. Type of Construction: I 11 A III IV V A 13 PROJECT COST/VALUE $ 58?, 62-7 Occupancy Group: B E F 1.1 1 M R S II (excluding land) Division; 1 2 3 4 5 I hereby certify that I have famished information on this application which is to the best of my knowledge true and owned. I also certify that I am the owner or authorized agent for the abovemenitoned property and that all construction will conform to all existing state and locallaws and will proceed in accordance with submitted plans. I am aware that the building official can revoke this perm for rust cause Funhs ore,I hereby agree that the city officiator a designee may enter upon the property to perform needed inspections x BC605657 4/2.1 3 Signatur Contractor0's License No. D c Permit Valuation' -3F7 60r) — , Park Support Fee # $ --- Permit Fee $ (7? g''g.50 SAC # $ , i 0 a Plan Check Fee $ /1)//, gee Water Meter Size 5/8• I"; S O. 06 State Surcharge $ /9:y,s-o Pressure Reducer Penalty $ Sewer/Water Connection Fee # $ / 66, 00 ..... Plumbing Permit Fee S /57/ g-67 Water Tower Fee if $ ,f000_co Mechanical Permit Fee $ 45—ii ` *CO Builder's Deposit $ c:g506• °° - Sewer&Water Permit Fee $ s-6 . s-0 Other S Gas Fireplace Permit Fee $ si/co TOTAL DUE -v4ien C ) i,Id $ /3' 3. S. : g This •p,li,t',1i Fe.. es Your Building Perm t,:hen Approved Paid ti L3/i7e.'„Kf` Receipt No /,„all. / _Date 7/3//13 By .1,411, r "i 7g official Date , This is to ceitis that the"guest i the above application and accompanying documents in ace Mance with the Coy Zoning Ordinance and may proceed as requested. This document when signc "othe cJI# lintel mstitutes a temporary Certificate of Zoning corimlia e and Bows construction to commenee. Before occumincy.a Certificate tf Occupancy must be issued / I /40 7 6 R j , Dire or Dat ..----' Special Conditions,if any 24 Ii i r notice for all inspections(952)447-9850,fax(952)447.4245 4646 Dakota Street Prior Lake,MN 55372 1 '1,4ro . - — •=.. ,..,....„ Builders Deposit • ,, ,.u. ........ .,..'kJ-di:Ali-WO ' • . , . .• City of Prior Lake xvivolloo B .000.4sitlit hiwit".. . in the mortutig pan*rem.1404,dbieratt015.Wt t*(40.tted,4fsksefRo**7-bWIlver frompltance for a Rod. .(:)00.0attoy Permit: IX lii,402140 daattowtodootta4 All aatiar llama inclorlinghttto011itatedfcirrad14.dadditit, hutddridpittg,tree 0:atitlo44.4.riodwayaf skiing and pilitittnif dinillbd:ccanplated i80dayszatterilia4ateba.bIllidliatiPOntliff0 1ifirtlC4, it titoNfark is*V oOmplaid within 111*t110 it*lima piltiockitig Qliyttillfill MAIO;the deet o litoltitiari And thit-eitittpimi.shall*WA fa flaw to comply or tha St:6_0044-bafitter*Oregt 014eSit10144-aini4Itoz applirandldliihrrhitterifor dean door correothritwoxkibmatifyilletb. iation. A-$540401)vgrOttpostiotar Eitstxlatvregoliteitand willitelorandeif lf,aficadlodtread-araPreserVdditt d00.110d acne YOltr. Go PERMIT* ,ettpuoto BE MAILD.R. Horton, Inc Attn: )ADA &IZEM A)A LOT 20860 Kenbridge Court Suite 100 Lekeville,MN 55044n _. ,-- • ,- - ,- _•.. - r ' ' .'''' . ' Iiii1/ cow . 4 1 or • Lynd, S.Allen,Building Services Amount • LIDASit - IrVistil— tit. ,,( Date Acct.80110204 • \11 r i'I i :fr 1.1 KEEP STRETS E *,:w-WOUPONOCO:NSTRUOTt014 ... . . . . .. .. . _ . . . .... ... .. , .._.--- .. 2.... KEEP EROSION,CONTROkft4 PLACE , . Lar Peppier, City Engineer 3, TEMPORARY OCOUPANOY'PERkur mtifirr NoT EXPIRSDA 0.5004ttIwiut,kit-FORPEPIED SON..A.11111—RE:. • .. ...gar .. . .., . ,:Pril 6,reritikiiii„10"ft"148r4k riti4148A11, 6iivii4-Aiiiii-iifoltil-,,- -teLam ,i,..,,,,,,tij-,, ,/,,,-p-,,,,-,vii..,,vi-a-,,,0-0-T*4.--,,-,?6.: 04rifi,„y„,,,A.,I,u;•....i. „?',.411,11,,:„...i Top,1,11,...t.1„,„,---,4,-vow4- ==.=,- -*1:-.414,„k:,1,[11 .,,..,-.d,, ,,,,,, it„ot,,,,, ,,,liti --..7,-7-.,_;.-- = , - ...„:„..,.i.fr, *,i,,...)0,„1.,,,i.:,,,,10,,:.fkl, tir( se'. ;11',Ii, 8111,''fil,,li:;tezfwr*-z--4--- '=---ci -'t--'--z-----j--2 ..,'.,44urii,, • , t, 111,1K:.-.VINS--.-7.4-_.013--g,:w1.111-0:--..,z.t. -.,-?,!:,,, ,r0p,:-.0,*.:Ai,10,1,,,,',,u, 0-P.,,',.'reOil-:: N1,0'tir-; ,,,i ':66,.!,. liti, ..,eitit~it.'::-.7.-w---- --1,---,74!=, .7r.•,• 144•414,41'.'il'i•o'' t kke'L:leAl[104,11411'':',11jp.'''1.1)!' 1k.:. 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AA'.'Z,.A,AA- ,-A-,.. -A-.----,-,"-TAAlii;,-,* THIRTEEN THOUSAND THREE HUNDRED EIGHTY EIGHT AND 88/100 ************** **********,*** lit 'A' IA,'.!•',10 i V 104 g,...1,.1,.,%tl,,,Iit.1 1 ,iiiIii,41hi. 40_A.,,,,,,e,,:. :-,,4, --.-tW..•-__-- ._-r-,--_,-,T,.--t,;- -,- „1,40' pe 4_,,,,,o 1,,g.4,1, ..,4d.. i:!4')'6,12.ilkubf: CITY OF PRIOR LAKE(PERMITS) r,s,',,?.-L.Y,,.•:,, ,,l',,,.',0,i,!.,,,,•:,.!,,v1Pv.,Italcol-f,v4400::-,-,,Tfc="..,,,:.:•,, ':':„.:Itl 'I-,,:,-i.,,,..41,--;.':z•4v,:,,i,•,;.-,:i,,,,,,,,;--,--:,:.-•:: 4646 DAKOTA STREET SE .,:,,;-.4,.':-:,,-4:,::_,-.i...,4,-,-,--,:.'..;,,ir,r-,,A.'ilt-_,,,i-I:• ., , _ PRIOR LAKE MN 55372 $7.--- •''--• -'M /. ,.-!--: ,-,.. , -: ,-,-,-- ...,- -,-"•S,--T=P---.1*-?:'7t:-.177a74-.''.-;1''''.,•';!4,4)'i - ' ''. • •• . ':-' Wa'Jr4iliti`,777-;141-1. 7.'1i-414V-,7 ';41FIlt.' ' i".4. 11'?41:'1:-,':''' ;',•••••••,'„;.!'.7-",..;;t,..:,:,.,-.71,,.-- ,:c----: ---r,'4..,..,,,.,..:,',.-t., ),-,,, ,,:-N,...,,,.,,,,v. -,,:ew,'.3,...z4,. ...„i:A:,,J,.,,ilit;",:,,t:1-,,,n.:-.:L.4:7,,:z.'•,Lii. 11.00 54 2 L 2 Lo 1:06 I, L L 271381: 3 29 90 3 6 '?6 6" Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts Reviewed by: Date: 6J2S/3 Building Permit# PID: " Zoning: f SID Address:3t;6f ;( hoc( , a, - Legal: L Li , B 4 Subdivision: &gale Sty, 3r I( Existing Structure? YENO Existing Nonconforming Structure? YES l NO • CONFORMS TO ZONING S NO ORDINANCE 1 Yard Setbacks; NA/FAILS/COM& Standard Proposed • Front Yard(can be 20'if avg.w/in I50') 25' as--/ _ • Side Yards 10'! 16.'13 17. ?Ce 25'if abutting a street _ • Sidewall exceeding 60'requires additional side 2" 10'setback 1- setback for every 1'over 60'in length. Not required 2"!1'over 60' _...------ if ...-----if building wall is 10'-0"or greater of being parallel to a side lot line. • - • Rear Yard 25' (,00 1 t- _ • Patio Door; provide for minimum 10'deck or sign 10'side/ statement indicating no deck will be built in thefuture 25'rear _ • From 100 year flood elevation of wetland/NURP 30' - pond. _� • Refer in-ground pools to the Planning Department _ • From 01-IW(Prior or Spring Lake) 75'or setback average of • ------- adjacent structures,but no less than 50' Floor Area Ratio: NA/FAILS I C! ( S I .30 Maximum I - i 7 J Yard Encroachments: NA/F A LS/C' II_S Standard ( Proposed 3 Eaves and Gutters no more than 2 fee width and no closer than 5 feet to a lot line(Easements). _ AIC and other equipment cannot encroach on interior side yards. _ Tree Preservation: - FAILS 1 COMPLIES Standard ' Proposed _ • Total caliper Inc _ • Permit 35%Removal • Caliper Inches Rerr?oved _ •• Calipulrrches Preserved • Replacements '/:1 _ L:\TBMBJ ATE\BLDGLIST.DOC / The City of Prior Lake Trupervious Sm-face Calculations (To be submitted with building permit application) For All Properties Located in the ShoreIand District(SD) Fm Maximum Inipervious SurfEice Coverage Pemitted is 30 Percent Property Address 3661 Brocken Court Lot Area 19,357 sq. ft.X 30% 5,807.1 LENGTH WTWU-T SQUARE MET ICYCSE ATTACIIED GARAGE TOTAL PRINCIPAL STRCTURE 2,350 U DETACHED BUILD/NGS (Garage/Shed) TOTAL DETACHED BUILDINGS 0 DRIVEWAY/PAVED AREAS x = 983 (Drive way- paved or not (Sidewaik/Parkint! Arcas) x 59 TOTAL. PAVED AREAS 1,042 PATIOS/PORCHES/DECKS x 0 (Open )Eos 'er J010, ripElling 1)ariC211 X loarchs,witb. pervic.),1 .orae.=1)=111w, X arc LW MIS Azscd.ID be iteperricil* TOTAL DECKS 0 CY1 HER x TOTAL (YJ'HER 0 3,392 TOTAL. avERVIOUS SURFACE. 17 June 2013 .- r r O4 PRION ti Z to White -Building "'rNNEso�� Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ALJ R . D/� APPLICATION RECEIVED t7/2 , /, ' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 366/ " /-0c%s ,-, gozi,e. Z Accepted ,''X Accepted With Corrections Denied Reviewed By: / Date: >- 8-8 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." 01 No04, (f[%\n White -Building INNESO�P Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT SCJ R /10,--10Ar APPLICATION RECEIVED 7/2 ' /3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 366l ,-oc/ gL ,e_t-J Accepted Accepted With Corrections X Denied .1. / c 4. Reviewed By: - - u 1 . Date: 6 c2 (2-- Comments: 1 . 110- Vl rc vl &OS dao) OdYt "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." 'Wll;.u,i. 4: - .a. 5•.... 3. 1.".;:' :' �o-�k.R tea:. �r "iirRw * r �h a PRlp O P fa- t White -Building "tINNEso�' Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST �(, NAME OF APPLICANT %..??) / 7.10,- —6,f APPLICATION RECEIVED (cie6 /13 itlr The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3 6.6/ r� - 1 r Uzi . Accepted Accepted With Corrections Denied . 1 Reviewed By: i- Date: 7 ,F3 � 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." Ot P Rips H CITY OF PRIOR LAKE Date Recd 4 SEWER AND WATER PERMIT jNNEsol 1. Green File 2 Yellow City PERMIT NO. , I (Please type or print and sign at bottom) s. Gold Applicant 13 ,Q )1,.) ADDRESS bb I e.r,c .0K-e,1.1 CA- 1 [____________ ZONING(office use) LEGAL DESCRIPTION(office use only) LOT 1, BLOCK I ADDITION /1/ G/4,2 s S14-4) P OWNER - � (Name) or (Phone) (Address) (Address) (City) (Zip Code) APPLICANT 4,-4:5(Name) '�-S M. E )4 a- ' (Phone) (Address) a) t L :. (Address) (City) (Contact Person) (Phone) APPLICANT SIGNATURE DATE (i:ip Code) APPLICANT PLEASE COMPLETE BELOW Size of water service I n inches. Location of any couplings from structurfeet. Type of sewer pipe. 0 ABC PVC Estimated length of sewer line 3eet d ❑ Cast Iron . 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 $ The Minnesota Statutes§326B.148 STATE SURCHARGE $ S'`0 d "SURCHARGE"has been extended TOTAL PERMIT FEE $ The minimum,surcharge for a (Office Use Only) "fixed fee"permit is$5.00 This e • i lication Beco ,es Your Building Permit When Approved Paid 40t, e Receipt No. Building Officia 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 CITY OF PRIOR LAKE 1 Date Reed • _ _ . _ HEATING/AIR CONDITIONNG/FEREPLACE PERMIT - kionsso# 1 grt, try I PERMIT NI 13- ... 3.Yam Amato' 1 i (Pleareppe or ortne and sim at bottom) i ADDL.., 3 .1 ? I ZONING Wee use) . r /0 . c..2 ( gRO __..... : LEGAL DESCRIPTION(office use only) - LOTIt BLOCK / ADDITION 11 L e -r../ r. eShol . ?Ir>1 i - - IT— , ' .. _ 7111rante 'D iz •flor-i-on 4-forhes (Phozle) 6152.-965-•&-22. , (Address) 2 0 5(-PC) let 11 bridle C+40 isliceimiedoN s•iow , • APPLICANT Fireside 1-1ealP-1-ki tit lion-1cm., &51- .1953 1 StP/ (Name) . . (Address) 2100 Fai r VeK) AVE, ki 4Se Ue-1 teo / AA Ki ' 5 0'3_ . (Addams) (City) i (gip Code) ' .- (Contact Person) _Lealaiixer iii a- - (Phone) (051– (t'3 Fr 12 APPLICANT SIGNATURE ' DATE V. ..t ,.--- , 1 ____ 4( APPLICANT PLEASE COMPLETE BELOW • CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS • Ilir FURNACE MAKE A D MODEL, FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT . TYPE OF SYSTEM HEATING OR POWER PIA.NT PLEASE NOTE: Air Conditioner . . Warn Air Plants 0 Steam Units and Fireplaces Cannot Encroach Of tv10 CI cal Hot Water Into Required Side Yard Setbacks. :.4.•f! . ., 0 Radiation a Air Conditioning 0 Special Devices Fireplaces with Box Additions or OVent.System 0 Other Devices Cantilevers to the Outside of Buildings TxRequire a Building Permit 121111 ....... ........ .1..___AK AND MODRE, S L-–-75-0 . - 2 k, -\- FEE SCHEDULE Industrial,Commercial&Multi-Family I%ofjob cost Residential,Gas-Fireplace •$4930 • - $49.50 minimum Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations PAID VATI-I Residential,Heating Only(New Conatruction) $64.50 Residential,AC Only •BUILDiNerPtIRMIT BSUMIllefir. Building Permit # The Minnesota Statutes 5 326E1.10 $ EATINPERMIT "SURCHARGE"has been changed for one G FEE year effective .• STATE SURCHARGE $ .50 July 1.2010.until JUIN 30.2011. • TOTAL PERMIT FEE $ The minimum surcharge for a"find fee"permit . (Office Use Only) Is 6,5,beginning July 1,21110 This Application Becomes Your Building Permit When Approved Paid Receipt No. r Date By Hamm Official Date • 24 hour notice for all inspections(952)441-9850,fax(952)447-4245 • 4646 Dakota Street.S.E.,Prior Lake,Minnesota 55372 ______________________________________.....-•__.-._—.-___........... .._..._ ..__ ... ________ .._ ...... _...___._.....__-... . . , o�-!R I© CITY OF PRIOR LAKE Date Reedf .a.. l_: FIEATING/AIR CONDITIONINGIFIREPLACE PERMIT PERMIT NO. /3 / �/ , ,„,fit 4fANss ... .r»Pnk ateci 3. pl (Please type or print and sign at bottom) �-Yellow ApApplicant ADDRESS 3 G co/4.S— ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID Z5-- y ---OO zi_ OWNER ji a �. (Name) 'V, riatiy r., (Phone) n--‘'7272 (Address) 2-e90 6,,e, GOo'O 44,,,..4 ,-A,„ . APPLICANT HEARTH & HOME TECHNOLOGIES (Name) dba FIRESIDE HEARTH &H 'M 1e) • (Address) Lic 662656 (Address) • 2700 FAIRVIEW AVENUE N ROSEVILLE, MN 55113 (City) (Zip Code) (Contact Person) 651.633.2561 (Phone) • APPLICANT SIGNATURE PaC7✓/tA,a.' DATE (/—it—/3 ,,��,,�� APPLICANT PLEASE COMPLETE BELOW • ICW CONSTRUCTION 0 REPLACEMENT D ALTERATIONS • FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT __ PLEASE NOTE: Air Conditioner OWarm Air Plants ❑Steam � v' ❑Hot Water Units and Fireplaces Cannot:Encroach anical 0 Radiation into Required Side Yard Setbacks. Air Conditioning Fire la ❑Special Devices p ces with Box Additions Ur Cantilevers to the Outside of ❑Vent.System 0 Other Devices FIREPLACE MAKE AND MODEL ti'�U—�l SL7 5"p 77z ZP2' 3Uiao� , Require a Building Permit. - FEE SCHEDULE Y I/o Industria[,Commercial&Multi-Familo of job cost Residential,Gas Fireplace !;49.50 Residential,Heating&A1C $49.50 minimum (New Construction) $149.50 Residential,Additions&Alterations 549.50 Residential,Heating Only(New Construction) $64.50 Residential,AC Only 549.50 Estimated Cost$ I 000.06 Building Permit # The Minnesota Statutes§326B.148 "SURCI IARGE"has helm far one HEATING PERMIT FEE $ STATE SURCHARGEear effective .50 July 1,2010,until.lunge 30,2011. (OtTice Use On TOTAL PERMIT FEE $ The minimum surcharge fora"fixed fee"permit �� is it beginning July 1.2010 This Application Becomes Your Building Permit When Approved Paid PAID No. Building Official Date BUILD NGBE RMIT Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 o�PRI Date ec' �, + CITY OF PRIOR LAKE PLUMBING PERMIT /-7//3 ''''A vNEsoo i. t.Bohae FcpY�1e I oia PERMIT NO. /3-e9 ///1 (Please type or print and 3.Yellow Applicatasign at bottom) ADDRESS ZONING wax use) .3 w, 1 by0 C-�-c t,A 0,11A4+ .-Plis� I LEGAL DESCRIPTION(office use only) , LOT BLOCK / ADDITION /4�/'"/ 12/817 SA 2e5 3' A , PID a''75 ;05=//d '- IOWNER (Name)i I (Phone) I (Address) APPLICANT A ^Y� ,10 n �� (Name) �l b (Phone) 11,6'413-2. ,7 (Address) I5 3�..� ',5511-1/ ,5 /L 1 (Ad L t'�) �h�h.� �-�T ty) (Zip Code) (Contact Person) (Phone) /1/5, Z53 41 APPLICANT SIGNATURE S,w. .fir IS DIDATE 1-3/-2D L? APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture .411.„ 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 Sick Lawn.�sprink1cr Water Closet(Toilet) Other i lr- - 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 "est $ Building Permit# "SURCHARGE"has been changed for one year effective PLUMBING PERMIT FEE $ PAID WM-I July 1,2010,until June 30,2011. STATE SURCHARGE The minimum surcharge fora"fixed fee"permit TOTAL PERMIT FEE $ BUILDING PERMIT h,'s,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 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS O‘C/ 3/29 /1)?'/7 .0�� NATURE OF WORK %.5-A7..„6 No Poke-1-1, /vo t�Et, No arm) USE OF BUILDING -4- ea.././.4" u,/ / /=/p PERMIT NO. / - , / , ATE ISSUED CONTRACTOR t7M ,/Y —n PHONE - ! INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING 5,(2_,-, . FOUNDATION (Prior To Backfill) .2 I- , RADON RETARDER P"I /d/ PLACE NO CONCRETE UNTIL ABOVE HA BEEN SIGNED ROUGH - INS SEWER/WATER/SEPTIC 5y-r,cii2,//,,,,,,, _ -- r 7 1, FRAMING VC, 'f, i / /* 3 INSULATION ,'' j : ELECTRICAL Or ,r:, /e9 `P7/3 PLUMBING y4/40/. i' ss /� I a) 0 HEATING FIREPLACE / )1 � 9f7 itya GAS LINE AIR TEST kyr 3 $01,t�� l RADON i0, .e , 4,d 40, i COVER NO WORK UNTIL TH • = AS BEEN SIG Di ''l3 HOUSEWRAP e 2/ TH FINALS GRADING ( PRIOR TO SODDIG ® �L�-- p1 4((( 1 BUILDING ' 1 '� 7' Il� ELECTRICAL � / ( Iti PLUMBING 14,ii,4 ,h. fay y tt,"i /Z/07 HEATING ih„,,,,ki-_"e47 /4�3�,, _, /1'40 DO NOT • .- UPY UNTIL � AB e' - AS 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