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HomeMy WebLinkAboutBuilding Permit 13. 0976, LLFin 14.0405 ..,ry. M! ti L2rr m„r'' �u�k�' H; .. `�t� r_t•'�$ vk::r `h*. °'rm .. "gv+'- .. . , V (11trfifixafr of ®r jnrnr r K CITY OF PRIOR LAKE !rptrfnnnf of Puilbitt clusprrtion :44 Final Permitted ❑ Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the LI Residential I 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 F AM I I Y Bldg.Permit No. 13-0976 Occupancy Type Type Construction Zoning District PUSD K Legal Description 14, R3, HICKORY SHORFS FOURTH ADDITION 3532 HICKORY CIRCLE K Owner of Building Site Address K = Contractor's Name&Address D 1 R . HO RTO N . INC. ti ROBERT D. 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J 4.4v+ve'sst t ttinttt ri►� PERMIT NO q Z 'udc� CKp 2 3 Ycttow Apptacaat _ - �.,�/ i d� • ":teas t3 ,or Om and sign at tail om) ADD S ZONING(Office use) 3532 G% —Y Gcg-�c0,56 LEGAL DESCRIPTION(oilfsee use only) LOT 171ELOCK 3 ADDITION ,7/GRAY Si-jr:;"_ --s 6 rill PID 075 /9'/a 66 Z5 OWIR / (Name) Di le, A-TPA (Phone) (Address) (company D.R.HORTON, INC 952-985-7272 (company Name); (P :c ; . (Coata.i N eI Brooke Hareid bmhareid@drhorton.com mono 952-985-7806 (Address) 20860 Kenbridge Court, Lakeville, MN 55044 TYPE OP WORN, Vilkatealstmotoa [Vert ,iPPori h t Re Rooting Meal**€ing C ar Le e1 Plaislt OPIrePlitee DAA ElAtaartstiOtt E] CODE: rat.C. 01,11.C., CI Mae, TYpeviCollatmetiont I It la IV V A B mon=c xv $ 42. O antrtiroup A B B P it I NI R S l Dtvi m 1 2 3 4 5 (ext later C uda I lterclsy cent that have fade ive ;it itir t'loc tit th4 4i ti whieh is to thetierkofrayirrthisthiWtothatitteortatt. f also cot*that ham the uwarr or atttfu acda t for the abovs=mcntfaate4Tirop. OW brat,att-coatsttuctt toll ooutarrtr to•att eatisttng to and,iati t ferret a u wilt p�to accarcian submitted plans: I ant atm Haat th041000t cAticiai canlevolm thi Teiwttt free. cause Pu.."•: r.kAC1411*glee that the Irv'officiator:a donansetuarmateutsoatatfropesty fcrritie i tthethithatis$c ntns. x BC605657 g_is-_/3 Signa o ". ._ : t use No;. p Permit Val tion 1/4:34q i._ __--- S- ': Permit re O' CGCG SAC S Plan Check eta /7:;,33`J -Witter at6r s Sf8„; (Ft; 5e70. 6)0 State Surcharge $ / Preasure ilii /,,0 a /fit'? Penalty $ S wet/ Ater C tittection Pee if $ /57O,C C) Plumbing Permit'Pee $ /3%/, SO Water`£diWer Pee # $ / ir-. Mechanical Perri*Pee $ / / $ Builder's Dkpsit $ Rs�r be Sewer&Water P nit Fee I ,3-4, ��> Other $ C'3aa Pirepiace Permit lie $ _to, TOTAL DIM; 9 C This At,lica 'j• a Be onces YottrBullxting Permit Whenpprn ad Paid. /3, 1 a . eip.t NO. 76C6(-P r 0 Date ., 11, (3 kr WW1 at i< a. D. This rs to ccs 4tly ti•. the-request in teat above application and Accompanying doe meets $in accordance;waft th City Zoning Ordinance and may proceed as requested. Tins document when sign ,iii +icy .fanner:Constitutes a temporary Certificate of&ling o .fia e and allows efinSi tittion to commence. Before occupancy,a Certificate of'Qccupam y must be issued fr. Jil anifitngDtrectcr D to Specia Coaciitians if,,'y _ 24 hour notice for all in peel .ns(R,t23 447-98:51),rax"(k52)447-4245 4646 Dakota Street Prior Lake,MN 5'5372 O1, k'X/04) CITY •OF PRIOR LAKE BUILDING PERMIT, ate Rec'd .. • TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � AND UTILITY CONNECTION PERMIT y/ ' ,� �lrr*NES�,t� �/l�t'w /3 -. �1� I. s 1e city PERMIT NO. 2 3.Yellow Applicant ���� (Please type or print and sign at bottom) ADDRESS ZONING(office use) 50 146oo,cr Cc c LEGAL DESCRIPTION(office use only) LOT 111BLOCK 5 ADDITION !m it t_4.l PID OWNER (Name) (Phone) (Address) BUILDnyName D.R. Horton, Inc. 952-985-7272 (Phone) (Contact Name) )Brooke Hareid (Phone) 952-985-7806 (Address) 20860 Kenbridge Court #100 Lakeville, Fi1N 55044 TYPE OF WORK New Construction ['Deck ['Porch ❑Re-Roofing ['Re-Siding Lower Level Finish 0 Fireplace DAddition ❑Alteration ['Utility Connection CODE: JLR.C. ❑LB.C. ❑Misc: A0V X 5 /e6n-4 ,— ifka-c ,4( Type of Construction: I II MIT V AB / �^t�./ 3 2 Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ !�t �' 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 inowledge 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 f r just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. x BC605657 6- , t/i Signa Contractor's License No. Da `�,, Permit Valuation / OOD. - Park Support Fee # US �} Permit Fee $ 4 I. 2.5- SAC # $ - Plan Check Fee $ Z C7.g f Water Meter Size 5/8"; 1"; $ State Surcharge $ Pressure Reducer $ •Penalty $ Sewer/Water Connection Fee # J Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit I $ Sewer&Water Permit Fee $ Other Gas Fireplace Permit Fee $ TOTAL DUE $ 6 5 6 This Appli do. :ecomes Your Building Permit Wh App ved Paid 6 f.,j�} Receipt o./ 3 7 Date _67)S- /JL By 7 Building Official ` Date This is to certify that the request in the above application and accompanying docuis is' ccordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning co pliance d allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. 2 //�' trector Date! Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 Ivo' 14, Builders Deposit ,t) • - . City of Prior Lake. kst5occ.,00 Builders D:opt,s4- ittelodedin the[Witting Permit fed Tiintitrittlero-DepOsit is leatted anoeouritylo insure compliance for a Final Occupancy Permit (it Is not an escrow eecoung Ail extorter items includinghtit not.limited to.grading,sodding; landscaping, tree Planting,driveways,-aiding and painting Shalt be-completed 180 days thedatetiehuilding permit Is rsattedlitite*Ork is not compinle. within the Itto day time period,the Ohy shall notify the applicant of toviolation and the applicant shalt have 10 days to comply or the $140004.01414er4-Alel3POt will he forfeited and the applicant wilt be billed for clean up or corrootivoworkiorectilythesituation. 4$50040.17ree ilepositmayalacherequired and will be-refunded Ifspecifiedtrees ate preserved for a;paridd of Otte year. /DATE:. , SITE611(0 I • AtoREgv: nI_C-r-e2 ge-1.-a PERMIT# I • RE:paiblb og mALED To! D.R. Horton, Inc Attn: )ADA &IZealWALDT - 20860 Kenbridge Court Suite 100 Lakeville, MN 65044 . . PLEASE THORIZATION TO FtELEASE • . Lyn S.Allen , - 4, KEEP STREETS LEAN DURING CONSTRUCTION (4421,3:?0,00 Date Acct.801.20204 2.. KEEP EROSION OONTFOL IN PLACE. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIREOR$60.0,,a0:WILL BE FoRoeileo. . SIGNATUR.EI.- THIS CHECK IS PRINTED IN RED AND BLUE INK ON THE FACE ON CHEMICAL AND BLEACH REACTIVE PAPER WITH INVISIBLE FLUORESCENT FIBERS AND BASKETWEAVIIE ON BACK 4 \ N ':- , COntrolled DisbUrselnen 556510 ,•446 ‘4',. .U•':•.444 . ) DRH Inc. South Disb Account Atlanta,Dekalb County,Georgia 611.. GA 64-1278 Date AmounI 301 Commerce Street,Suite 50,0 • •;'"' „ ; 4'44 09/11/13 88,42 Fort Worth,TX 76102 4' 4. - • 4 ,f4/.•;4: Void after 6 months from date of issue Pay , THIRTEEN THOUSAND ONE HUNDRED EIGHTY AND 88/100 *****************************1******* ) • To the Order Of: CITY OF PRIOR LAKE(PERMITS) 4646 DAKOTA STREET SE PRIOR LAKE LAKE MN 55372 --- S S s :;444 00 0 5 6 LOP 1:06 L L 2 7 i3131: 3 2c: 9 0 3 El ? 60 Residential Building Permit Chec list New Cons uction for Single or Two-family Dwellings in •1 or -2 Districts Reviewed by: 110 Date: 3,2 (5, , Building Permit# • P D. Zoning: F. Address: -3�SZ 1G -- Ctz-C-tip Legal: L , B Subdi ision: Existing Structure? YES 1 . Existing Nonconforming Structure? YES/NO • CONFORMS TO ZONING NO ORDINANCE 1 Yard Setbacks: NAI FAILS/CO IES Standard ! Proposed I • Front Yard(can be 20'if avg.wlin 150) 25' 3e ,45-- • 4• Side Yards 10'1 25'if abutting a street k.tp• At; • • 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' 7 0 4— • • 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' • -- . . fl i -F- Z O3 `za p Floor Area atio: NA I FAILS I Co LIES .30 Maximum I l2- ' • Yard Encroachments N I FAILS 1COMPLIPS I Standard Proposed Eaves and Gutters no m 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: /FAILS I COMPLIES Standard ' Proposed • Total caliper inch s f • Permit 35%Removal • Caliper Inches Rer?oved •' Cali ar'i rhes Pr served • Rplaceme '/:1 L:\T. TB\BLD GLIST.D O C i O� PRIp� trl White -Building Canary -Engineering MINNESO'cP Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT \Die /% - / APPLICATION RECEIVED r7k The Building, Engineering, and Planning Departments have reviewed the building permilt application for construction activity which is proposed at: 35-32 /// M2fy Accepted Accepted With Corrections Denied Imv Reviewed By: �, i, Date: 3r Comments: C cL. S( #44-(1'74-( -) C/C_(4011N-1 S / 77, "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." «T.� '...', _. s >L-„:,. .,yr' .,, . +.,.aw...n;.:q.::€;,,xxx.. ,r ate. .. .:;h...,-7:.. ,p., x .,.M_.•.pgw.y�FA''i:.. , ++M f r ^' r,,:,v.....,p,....w&::a,'e+-Y�Y•^ .:h Oi "IO$ ti U tr1 White -Building Canary -Engineering �INNESOtt" Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT M /62 APPLICATION RECEIVED ., : /4 ✓"� The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed t: 35-- 4(41 .3 #.7 /4"e- /("6/ (.2;, e Accepted Accepted With Corrections Denied • J � Reviewed By: Aaf.,�� Date: 3 Comments: A3" . "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." -..av ... r . _ ;:-".Y, . r, - s =kr-. T. 'J!`3R, ua..5 4Y"'• r :•p,jj r ? "'..F of PRIp� ti 7; U t:f White -Building Canary -Engineering "�INNEsacP Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT \Die /1174/147/(2 APPLICATION RECEIVED g7:*'//4' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is(j2rcL proposed t: .. v. c, if e. Accepted k Accepted With Corrections Denied Reviewed By: 4 Date: e---.10 - /3 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." The City of Prior Lake Tulpervious Surface Calcuhitions. (To be submitted with building permit application) For ALI Properties Located in the Shoreland District (SD) fio Maximum. Impervious Surface: Coverage Pe2nlitted is 30 Percent 3532 Hickory Circle Properly Address 22,088 6,626.4 Lot Area sq. ft.X 30% = LENGTH WIDTH SQUARF_' FEET HOUSE ATTACI IUD GARAGE TOTAL PRINCIPAL STRUCTURE 2,530 DETACIIED BUILDINGS x = (Garag /Shed) TOTAL DETACHED FiULE,RINcis 0 DRIVE WA Y WAVED AREAS x = 790 (Driveway- paved Or not) (S i Liewal kiParkine Ares) x 96 TOTAl. PAVLD 886 PATTOSIPORC.HES.DECKS x 0 (Opal 1)ids opcnin2 bariezn X Iciard:s,with ki ptreiw !tuvrac-21)2110,1., X me CLOT ZOL1SAITCd to impervicits) TOTAL DECKS al HER '11TrAl.. 'OTHER 0 TOTAL. T..\-WER'rvIOUS SURFACE 3,416 f;Erp4617t. 12 August 2013 i CITY OF PRIOR LAKE Date Rec'd N}h� I A,. HEATING/AIR CONDITIONING/FIREPLACE PERMIT /0, ., 13 i Maolt" `.'''"k P, PERMIT NO. /� 3.Oras, ppt / / (Please 7.Yellow Applicant type or print and sign at bottom) ADDRESS ZONING(office use)-33'2_. 1-4idc(-0\rt. E\ c SW P vs_v LEGALDESCRIPTIxxON(office use only) , LOT ti BLOCK✓ ADDITION /G ley ‘54,e/e, S F 7 -- 19.0 Ai PID. —W4"D/l®- 1 (Name) 1Dr- l�l O Y' y-1 Hone (Phone) 95.1-9f35-72-72. . (Address) 20b(-90 Ken bridle el-41M 1 i.le thi lei MAJ S5X11 APPLICANT p p f�p f�`5 f� /'� /,, 2 C (Name) Ti r s? e T iL t � q TlV PIC tC (Phone) W5I' lY 73-2 SLo I (Address) 2100 Fa I v �I e vu Ave. !k 5e. Li tie, i. M J5 113 . (Address) (City) / (Zip Code) (Contact Person) 1—ta i' 1 Lcder et ev-- _ (Phone) LO61— (6/3 Q-25;1 APPLICANT SIGNATURE { J1/-.6)0A DATE ,/C1/71/45 — , APPLICANT PLEASE COMPLETE BELOW . ❑NEW CONSTRUCTION 0 REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUB SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT . ❑Warm Air PlantsPLEASE NOTE: Air Conditioner 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water into Required Side Yard Setbacks. ❑Mechanical ❑Radiation ❑Air Conditioning 0 Special Devices Fireplaces with Box Additions or ❑Vent.System 0 Other Devices Cantilevers to the Outside of Buildings ��5C) •r. r ` Require a Building Permit. FIREPLACE MAKE AND MODEL r-1 12-- k Ce 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 $49.50 Estimated Cost$ V��- Building Permit # The Minnesota Statutes*32613.148 HEATING PERMIT FEE $ "SURCI-IARCifi"has been changed for on. year effective STATE SURCHARGE $ .50 July 1.2010.until June 30.2011. TOTAL PERMIT FEE $ The minimum surcharge for a"fixed fee"permit (Office Use Only) is w;•beginning July L 2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date ID WITH Building Official Date eU, DdG I� fit_ 24 hour notice for all inspections(952)447-9S50,fax(952)447-4245 f ��� 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 osoPe, VRro CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT INNES1.Pints File PERMIT NO. /s5-077 3.� �;pl 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 3)32. 1,-1.4.c (rtL/ ' 11\1 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT', 1, 1 I (Name) )Y Q. 01 YJ/, $- l 0) (Phone) '11l ' '`t'i 3-7-7-t,-1 (Address) X5535 AiLat,u ? Pt Y roir1 5544-7 7 (Address) (Cy) (Zip Code) (Contact Person) 3OU) (Phone) /1/2 5./66-41 APPLICANT SIGNATURE iit LDATE g-i g'Zd t APPLICANT PLEASE COMPLETE BELOW DNEW 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 0 Hot Water into Required Side Yard Setbacks. ❑Mechanical 0 Radiation Fireplaces with Box Additions or ❑Air Conditioning 0 Special Devices ❑Vent.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 # PAID wITH HEATING PERMIT FEE $ e BUILDING PERMIT STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (Office Use Only) 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 O�PRX0� Date Rec'd , CITY OF PRIOR LAKE PLUMBING PERMIT ti 9be Fie oela , PERMIT NO. /3-097 3.Yellow Arcking (Please type or print and sign at bottom) ADDRESS ZONING(office use) 35 . cr�, i ic.lu \/J LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) (Name)ANTAUV{)vim �l L49 (Phone) �D J-11 3`Z z(p (Address) 155?)t--) vAp _ EI PI v rn 55.9 4-1 ( ddress) (Cit) (Zip Code) (Contact Person) CLV (Phone) 1 LP 3'2-6?y'1I APPLICANT SIGNATURE i�ObU LuALLOL, DATE "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 I 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 est $ Building Permit# • "SURCHARGE*has been changed for one PAID WITH year effective PLUMBING PERMIT FEE $ July 1,2010.until June 30,2011. STATE SURCHARGE $ .50BUILDffG PERMIT The minimum surcharge fora"tired fee"permit TOTAL PERMIT FEE $ is$3,beginning July 1,2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Baitdlnj Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 I'Rio CITY 01? PRIOR LAKE Q �' { Date X2ec'd IJEA.TING/AIR CONDITIONING/FIREPLACE PERMIT RMIT Ucir INrrss(0 . ,J-9 W I..Pink Fite • z.a at), I PERMIT NO. � 3.Yellow Applicant ` d (Please type or print and sign at bottom) —/� ADDRESS �— ' � ZONING(- —__)_ �� Z C.ICG'Y�- t/.!l�c�-�• 1� LEGAL DESCRIPTION(office use only) - ---- --- LOT BLOCK ADDITION 0 PID OWNER ,___ — -___ (Name) (Phone) (Address) APPLIC• , (Name) _ / I k /! t - i-- -D) • . (Phone)`71p .17.3. Z no (Address) U �./.,,,,� _. //// I (Address) (City) ii 1I 1L4_2_,_ (City) (Zip Code) (Contact Person) Z OtkA.J (Phone) 710 `253 •411 b APPLICANT SIGNATURE _„_ U / � 1,. .A r DATE 5.2 .2014 APPLICANT PLEASE COMPLETE BELOW DNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS `�� FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INP OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT • OWarm Aix Plants 0 Steam PLEASE NOTE: Mr Conditioner ❑Gravity ❑Hot Water Units and Fireplaces Cannot:Encroach ❑Mechanical ❑Radiation into Required Side Yard Setbacks. DAir Conditioning 0 Special Devices Fireplaces with Box Additions or ❑Vent.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) . $14950 Residential,Additions&Alterations Residential,Heating Only(New Construction) $64.50 ResideRp�4� $49.50 • M� $49.50 Estimated Cost$ Bui d� ittlAPERMn HEATING PERMIT FEE $ 1 STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved . PaidRecRec eipt No. • Buntline Official Date Date $y 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 • 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 Date dee' CITYPR +( t LAS SEWER AND WATER PERMIT /7 )3 ' N E'SO 1. Omen Filo "14-tut-ivy. i„ "" 2. Yellow Oty PE No 3 Cold Applicant I-) /I_- (Please type or print and sign at bottom) — ADDRESS ZONING(Ince use) as-3 :)__ 1,Ac , t,\<.- 1. i- ...cegz_. LEGAL DESCRIPTION(office use only) LOTit BLOCK 3 ADDITION n f c ko i,-. (4,- Gl Pip -4 y- ;OL •: b ©WNFR (Nan. , 7ln..-....,.. (Phone) (Address) L_ ‘,1.,,I/Ad (Address) (City) (Zip Code) APPLICANT (Name) 05 n t 1te..09 .�9t t/ivy? /(i .4 N C (Phone) 4S/- e./led---1 .55' (Address) d2 916 Ems1 e ape's e A '-es*/:1u? S 554'3; (Address) (City) (Zip;Code) (Contact Person) A(/'Ii e a.e e r lL (Phone) 6/x - 9I 9 k‘3401-.T APPLICANT SIGNATURE, 40d.& . DATE 13:-✓-./,f APPLICANT PLEASE.QMFLETE BEcow Size of water service 1 inches. Location of any couplings from structure feet. Type of sewer pipe. 0 ABC f PVC 0 Cast Iron Estimated length of sewer line y O. feet. Clean out(if required)located at feet from structure: FEE SCHEDULE Residential sewer and water line connection $51.50 Industrial,Com1l&Multi-family I%ofjob 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 TOTATL'PERMTT FEE (Office Use Only) itittz � �-a' PAN)WITI4ckA This Application Becomes Your Building Permit When Approved Paid �a-'' ceipt No. Building Omcloil Dine Date By 24 hour notice fol°all insp dons(9 2)441.9850,f 'c-952) 7-414, 4646 Dakota Street F prior tiatte.Mitt uta $$72 DRO PRIOR LAKE BUILEPADINGTMENT AND INF SPECTION INSPECTI N RECORD SITE ADDRESS 35 'JZ 4' �koI, yc ,,, Nd!� �'' NATURE OF WORK, � , 7 ly", LC__FiA Ala rc USE OF BUILDIN yt�Y1 it w/ ,' /'/P ' PERMIT NO. ✓ �3-q7G DAT ISSUED �_ CONTRACTOR ') Id.. A/0, '_ ,., PHONEqj,2. -95 � )7 INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTO DATE FOOTINGe/.//7 FOUNDATION (Prior To Backfill) /, l' V � RADON RETARDER 17; )f/il/3' PLACE NO CONCRETE UNTIL ' ate' HASBEEN SIGN D ROUGH - INS _ SEWER/WATER/SEPTIC I / 1 �3 _ FRAMING �i i t; / 3 _ INSULATION / ' a IJi [ir _ ELECTRICAL PLUMBING "//,,,„ut,,,l ,1 7 fa, % , /ix y4c,ey-i1.///i/c/w _HEATING _ FIREPLACE fV j�/0 GAS LINE AIR TEST46, e A�r �, l tj /k any e., - RADON Brio/A/Z _ COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED HOUSEWRAP LATH ,, -.6,/. z4 // 9- 1 FINALS _ GRADING ( PRIOR TO SODDING) f _ BUILDING V 14 L -- -- .1_4.)t,/ /Li W-(._._ I z-1 -I y _ ELECTRICAL I _ PLUMBING L, L 617.1 1 ) v 0 lk j e ./ �o%,/,! — HEATING q N - DO NOT OCCUPY UNTIL ABOVE HAS SEEN 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