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HomeMy WebLinkAboutBuilding Permit 12. 1383 rrffffxafr of Oxrupani g CITY OF PRIOR LAKE Prparfmrta d ptitibittg n prthh Final Permitted Q Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the❑Residential/❑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 regulating building construction or use.For the following: Use Classification SINGLE FAMILY Bldg.Permit No. 12-1383 Occupancy Type R3 Type Construction MY Zoning District Legal Description L1 , B1 , MAPLE GLEN FOURTH ADDITION i Owner of Building Site Address 17745 SUNRAY BOULEVARD x' Contractor's Name&Address D . R. HORTON, INC. ROBERT D . HUTCH I NS L. 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N ,_ m . oOOcQ 1 � � § ■ �g � § § m 2 B W?rizzi .\ o ,� \ Z t � �\ � PI ■ - ■ •r 2 - - m -4r 0 E 00H 0 0000 0 13 0 > E0 nn 0 ■ � � � -nm o o a)- n k 73 73 xg g � - r2S§ � & § -7 n ® Z $ =§� Q P z- / t 0 § cn © z 2 z XI C o o z © z 0 x tti k z -i z r o I % 200 . 000000 41 X qm m m "am $ m - c c / E f § oo � � 7 �� � 0 E 0. ® 0 > 090 0 § m q U 0 z . r ■ z 4 WI � � � p . m 2 73 o k § N 4. — <m . 000000 § xi .R. / o m � mg (A A5 5 § nn010 § 73gx E 2 (0 z m wr 0 0,, ,?..R,,..../--\\,,,0 A.," t 'Y \:: (-) V Ilk V'''''''''',&;• AtfliVriES01 tC ..„..) CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /Z 1/ JAND UTILIT - Y CONNECTION PERMIT Date Rec'd /69. --- ; tie F,i-Ify PERMIT NO. 7z / ? 03 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING loiter use) /7 7 41 6.— $-ON RA Y*. LEGAL DESCRIPTION(office use only) LOT / BLOCK / ADDITION A4A1'C-e- 4 t-EA.1 V 111 A 6..0 PID OWNER (Name) (Phone) (Address) 1 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 WORK it New Construction DDeck °Porch EIRe.Rooling ORe-Siding ElLower Level Finish 0 Fireplace °Addition °Alteration Outility Connection CODE: OI.R.C. OI.11.C. 0 Misc. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ 545) I(07 Occupancy Group: A B E F H I M R S U (excluding land) Division: I 2 3 4 5 f I hereby cenify that I have furnished MratrnatiOneill this application which is to the best of my knowledge true and correct. false certify that I am the owner or authorized agent for t hwe-mentioned property and that all constniction will conform to all existing state and local laws and will proceed in accordance with submitted plans, I am aware that de building ficial can revokethis runt for Just cause Furthermore.I hereby agree that the city official or a designee may enter upon the novelty to perform needed inspections BC605657 //-15---/7..._... x ,,. Signature ContractOr's License Na. Date _-- ------ Permit Valuation 42 4 elk oei:::- Park Support Fee # $ - t Permit Fee $ z to 3"I.6 o SAC # $ Plan Check Fee $ 'Water Meter Size 5/8."; S 56_0_, - State Surcharge $ i gs- — Pressure Reducer $ Penalty $ Sewer/Water Connection Fee it $ t 5 C49..- Plumbing Permit Fee _ Water Tower Fee # $ ( 0 0 0-- Mechanical Permit Fee $ ( 5-4..5.t. Builder's Deposit $ t 5 Sewer&Water Permit Fee $ Ct7.5c) Other S Gas Fireplace Permit Fee $ 54.5c, TOTAL DUE --- .----Xitilloik40 il ---8.11tA.1 t_ l'7- G i2,, ,„ , This Appli tio econies Your Building Permit n ,proved (2- 5 /2— a .,Paid jo? ea . K. K 1( Receipt o. , Igi i Date 1)- /2.- B Pljui i ot ' Date --------- --) This is to certify th the re. est in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by tl C y * nee constitutes a temporary.Certificate of Zoning c9mpiance and allows construction to commence. Before occupancy.a Certificate of Occupancy must be issued ., i ....., (7- Se-(2-- ' an,'.•.. i teats 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 • . r „ ,. . Builders Deposit . . . ,. .. , ,witylasco. . city of Prior Lake A$1,500,00 Builders Deposit ie included Th the Bonding Permit fee. The Builders-DOOR is issued as security to insure compliance for a Final Occupancy Permit. (It le.not an escrow account.)Ail exterior hems including but not limited to grading,sodding) landscaptng, tree planting,driveways,siding and painting shall be completed 180 daysafter the date Itio building partnit is isstieit if the is not complete . within the 180 day time perlod,lito City shall notify:the applicant:Of the violation and the applicant shall have 19 days to comply or the $1,800.00 builders deposit will be ferfelted:arld the applicant will be billiadfor clean up or corrective work torectilythe Situation. A$500.00 Tre.e Eleposit may also be required and will be refunded if specified trees aro preserved fora parted Of one year DATE:. //-/5:-/2- . SITE ADDRESS: /77Yr s-aN,-41- 0 1-1, PERMIT# /2_ . /3 g3 REFUND TO Be MAILED TO: D.R. Horton, Inc Attn: )ADA 671Zet/J14A LOT 20860 Kenbridge Court Suite 100 Lakeville, MN 55044 'AUTHORIZATION TO RELEASE • • /al-- It/r 5-00. 00 PLEASE T 111.VX1V I ynda llelBuildnig Services Arlount 7, /5 Acct.801.20204 Date 1. KEEP KEEP STREETS OLEAN DURING CONSTRUOTIONI i(c/o0b-2.- i-tOt-/E.- 2. KEEP EROSION CONTROL IN PLACE 3. TEMPORARY OCCUPANCY-REFVIIT MUST NOT EXPIRE OR$500.00 WILL BE FORFEITED SIGNATURE: l-,--_ „ . . 4NIE IN CHECKiS PRINT RED AND BLUE INK ON THE FACE ON CHEMICAL ANDBLEACH' REACTIVE PAPER WITH INVISIBLE 061.6iiiiiiiiii.0(11.10ia4f.iiik404604;b14061r.,...,.1: ;. , Al.,\ -113\ik ii,-;:74,',''.,11','..,,!11(4.,, -,4\,\'"\t'Fr.:--.,- .-:'.-.1---_____7=---.;,..m_______A-r,.•---r-t--.-------..--MT.W-M.,..:' .n.)1\III\01141\11,,l, \l,q\i'll,' ,,\\,, ,\\, -. '.:--s-..------11::Xli----etic,,A' ',COW-14111 ve,Ititiill,, ,,,Iii Am ("41 i'l,licnit'l orif'10 4 I'llikOL '1'-'' '' '''''.---127'----'77''7.13--------'7'74't;----7'----.71'--;--lj''- 'of A ''Ng'NYjk:40 ''°°1' ;:l'04,'Ill41.0' •--7:-..- ---.'' -:-l-.-r-----=: ;;E'.' czyv.! ,g!gi'n.,r,;.,'wo,'11,4)'-4% __,'n,..---..'-,_::',.1q.0,.- i.,,A , ,161,111,-' ' ' '''-'77-'-' '-----------,------' n a...Tank.-_-_ , m , ., ,4,,,,,, 1,4,114 ,wo 64-1278------,1------, ,,4i•4..--,7,---,-7,--Va-te',' ,i- `ig-i,.a......47.M114..P....t.S41':-)ti.,: ' ' 4.,i,,, ,'IlD111-1lie,..SoUthr)10,--A00ifit '"'-'' :' '-' , ,,', , i64iatita,Dekalb County Georgia - '.,- ,-;+ '6k. ''•:',.7:. -';..-...-;:t;,„i;.; ,-.7.,•,--,,,,w.. ,-,,,,,,.,,-• Ir::::-.,.:,,:t,.:„. si,tiiiii.'4ileie StreetSpiiF$90 :, - .,, '. ::: : : ,,:::1, 1 - . -:.,_ :: - . ' ,.,"'',. , i:Altpipig !,-t,-...,,..!,1 . ..,„11O; 8,,..te..-4...,0 le.99;10,„..:Iwo-14\\\.p,: '.., .--KF--_-,•, LB 1,-- 1---_-: i:174-111-::- ,LE*-t-4ji 4 0'31", ..._1#1j i 111#i'1'I.r4 Or.4 0.d.q.-1151. ‘,, ,..fki\\;,„•- ,,,-.7,-;-2,:•:,•.=,-r-Tr 0.:__-.:- 7-,---„,--,-:__-_,-x,1...E5,7.--m -,IT-•,•-lq..,,,.•00,1 --,I'lilf A"w--161 •'''''7r-----'''Irl'-'1-'.1 -3 30gitirlit:11$1ggkilii4§Wr-,' Agi!' '')'',IgAION015iliigk' -. '4.rikir Iiii-lag.ligigi;APF';', AiiiV,1,1161aJillii,„0,14U0:'!;',;'..illi!'-:;:i 'lii-W7 \ Pay TWELVE THOUSAND SIXTY EIGHT AND 88/100 ********************************************* ,—..., 11,H.-1-11h- 1 -... .,=.--,--.---f--..-_-i-f,- ..v.. _ , 1411K1011. A, , p f'( ...,,,,..,_,,----,,,,...-,-_-_-_,,,, ,,,:-_---,,,--7-1/2,—&---,,,- le v 1 -.. Al,v\, ,,,, 0th.,..„..,‘ Avvi,v.,,,..v„140 ,, ,..„:, ,;.7.-_•-t1L--,-ry,J,..,,wii,,i_Wrg-_-7,----f-,,~*--,,,.&41''',,'11 i, . :441111,',.1.11 1j'..--‘,1,''''' '-'!'0'‘.1 1,,1§010,4.' Niir iN11190,..-'' '':',,,:,,...-W.:-..7-474 . -------.7.4.-il.W- 4646 DAKOTA STREET SE ' - ,:, .' '..,. -',..:y.,. ,-=-'.1,-.,:!i.',3°..,1.c.':„..4f..1,-1-4:q ::-•.-iiI.,,.i.:,,-. 4,....,::.,;.1J-.11t,.. n.ri'..:.. ..:f PRIOR LAKE MN 55372 .,L7:-.X;-t-f-- e M r.: .;:A .". •--,.7,----w, m., "4,.ATE 71,47----t- .----------•• , -----,-,, --_, ------ .-.,:vvv, ..„vvvv... .,,,,vvv. .,.,v,.... _-_,. --,._- „,--,-„ us00147 2 3 79.11° 1:06 L L L 2 78131: 3 29 90 3 6 76611° ( FRIpA U tx1 White -Building Canary -Engineering 111NNEsdo. Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT DIC- /-tb/a,,Z APPLICATION RECEIVED `l- I . / - The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /? 74-5 6011-JR--47 Accepted ✓ Accepted With Corrections Denied / Reviewed By: Date: (Z/S/2— Comments: ey_65( AT— /4_� (1,1 i6 c "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." v co-t'';� `'t. °s'r+F °vh i.. tfAkq+00-4, '0,5+a%deef,T...- r ^..aeyu, C. :!b. -^' Its'„ _ "P rF•, .d. ,. , PR/04, Ft 7 U t�f White -Building Canary -Engineering 4:INNESO Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT r / f r . ... , APPLICATION RECEIVED 1' / '' The Building, Engineering, and Planning Departments have reviewed the building permilt application for construction activity which is proposed at: 1 / _ / wl _/ +� ; (' / -..,j�— 1.� , Accepted ✓ Accepted With Corrections Denied , • Reviewed By: Date: i2 /512— 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. Permit: presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." 04 p PRI4, A, I 7 Z White - Building U 1 rr, MINNESD,,P Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT a ie, //of . r i APPLICATION RECEIVED //1- I tit . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction4-3 activity which is proposed at: lI / , 0 --irli° - 6 L- . f Accepted X Accepted With Corrections Denied ,�,Q Reviewed By: MO Date: loZ "/Z_ Comments: See Reverse Side for Addi Tonal Information! C-OAJC-c2,:'el. --zr- pk„,,,,,_ See Attachments: 1) Grading Plan, 21 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 Impervious Surfa.ce Calculations (To be submitted with building permit application) For All Properties Located in the Shoreiand District (SD) The Maximum Impervious Surface Coverage Pe:mated is 30 Perceut 17745 Sunray Blvd Properly Address 25,460 7,638 Lot Area sq. ft.X 30% = LENGTH WTDTU SQUARE.FEET 110L32 x --- ArrAcilIED GARAGE TOTAL PRINCIPAL STRUCTURE 2,330 DETACHED BUILDINGS (Garage/Shed) TOTAL DETACHED BUILDING-8 0 DRIVEWAY/PAVED AREAS x = J78 (Driveway- paved or notx (S dewalkill'arking Ar ) x 33 TOTAL PAV.L'ID AREAS 811 PATIC)SfPORCHES/DECKS x 116 (Op ') cks V'iaJn. npcnin2 bctwezn X tareck vritlaki Flu-Apo surrac,- X are L1.0-COL1SloarCd ID bC impervicu.$) TOTAL DECKS 116 CY I'HER X x CYIE-CER 0 TOTAL IMPERVIOUS SURFACE 3,030 CZ4&ter----4 4 December 2012 Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts Reviewed by: .Q--° Date: t z/cifZ S . Building Permit# Zoning: ta, Address: rn c1 r\I Legal: L , B Subdivision:: Existing Structure? YES 10 . Existing Nonconforming Structure? YES 1 NO CONFORMS TO ZONING NO ORDINANCE Aki Yard Setbacks: NA FAILS/COI E ES Standard Proposed • Front Yard(can be 20'if ay...'fin 150') 25' 2.- • • Side Yards 10'1 25'if abutting a street 2-51 • ZS. st7.' • 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. 25' • Rear Yard • 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 0HW(Prior or Spring Lake) 75'or setback average of adjacent structures,but no less than 50' Floor Area Ratio: NA 1 FAILS I C LIES I .30 Maximum I Yard Encroachments: I FAILS/COMPLIES Standard Proposed Eaves and Gutters no more than 2 feet in width and no closer than 5 feet to a lot line(Easements). NC and other equipment cannot encroach on interior side yards. Tree Preservation: 01 FAILS I COMPLIES Standard Proposed • Total caliper inches • Permit 35%Removal • Caliper Inches loved •• Cali,per'Igches P, served • R�piaceme' tf '/2:1 L:\TEMPI ATE\BLD GLIST.D 0 C DEC-18-2012 05:56 FROM:STAR PLUMBING AND EX 19528847468 TO:9524474245 P.1 DAD OQ rRlrt)�P Date Rec'd CITY OF PRIOR LAKE M SEWER AND WATER PERMIT u 2. VI'. PERMIT NO. z_.I. C/71 2 3. � tPkasetvve orprint sad alga at bottom) ,ZONIbTI ( esd ADDRESS l� f / / / 5 catulikk j. ..e>gwS , LEGAL DESCRIPTION(clues use only) LOT BLOCK ADDITION PID • OWNER. ) i (Name) . ' ` (Phone) (Address) (City) (Zip Code • (Address) APPLICANTa - (Name) �.� � ,,.;. . � .�t . .t....L+. hone -_-..-=--• J[��1 ! r , Q"'r•'LJ , (Address) 0 �' iJL c_ �. � ;� tier %1 ...• � L�. c O (Adder) / (City) (Zip Coda) (Contact Person) ci U (Phone) 4/12— 2 I-gN • ` a , . ..-� fir - DATE j/, '"./,'-'ida . 1 APPLICANT SIGNA �► APPLICANT PLEASE COMPLETE BELOW Size of water service 1" inches. Location of any couplings from structure feet. Type of sewer pipe. ❑ABC DI PVC 0 Cast Iron Estimated length of sewer line feet. Clean out(if required)located at _ feet From structure. FEE SCHEDULE Residential sewer and water line connection $51.50 Industrial,Com')&Multi-family 1%ofjob cost with a$51.5(1 minimum Sewer connection only $25.50 Water connection only $25.50 Estimated Cost $ Building Permit# • SEWER AND WATER PERMIT FEE $ NT STATE SURCHARGE $ PERMIT (Mee TOTAL PERMIT FEE $ (alike Use Only) This Application Becomes Your Building Permit When Approved -Paid -Receipt No. Date By nuildina oMem Date 24 boar noise for all inspections(952)4474850,fax(952)447-4245 4646 Dakota Street S.B.►Prior Lake,Minnesota 55372 O�PRI0,� Date Rec'd N CITY OF PRIOR LAKE PLUMBING PERMIT v drove is Gold city PERMIT NO. /X'i 3.Yellow Applicant 12_,...13 `� (Please type or print and sign at bottom) ADDRESS ZONING(office use) 111 Li5 titorwoJi6\[ 5\f,i LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLIC (� 1 \ A,, ' " (Name) R-. �A IA.UvNUI '4- k-1 LAI-1-It Ahone) 1 69 3-141 ---7--2-(0 I (Address) _ pAA-AA. ,'4-4 qvitid,tivA 5 '-_ _ (Address) (Eny) (Zip Code) (Contact Person) 0,--li (Phone)`l(P 5-LSA-'4'l g APPLICANT SIGNATURE LUCS. DATE I 1-1°1 42--- APPLICANT LAPPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture 2- Bath Tub with or without shower 3 Rough-ins I Dishwasher I Water Heater Floor Drain Water Softener (� Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) Laundry Tray(1 or 2 compartment sink Sewage Ejector 3 Shower Stall Backflow Assembly I Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler L4 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 $ '\21.1(4.00 Building Permit# The Minnesota Statutes§326B.148 "SURCHARGE"has been extended PLUMBING PERMIT FEE $ MD WITH until June 30,2013, STATE SURCHARGE $ WILDING PERMIT The minimum surcharge for a TOTAL PERMIT FEE $ "fixed fee"permit is$5.00 r nts Itppncauon DCCQn1C3 x lour wilding Permit When Approved Paid Receipt No. Date By Bnildine Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 S r'Tt��xry�o��f, CITY OF PRIOR LAKE Date Rec'd A. A,. , HEATING/AIR CONDITIONING/FIREPLACE PERM:. T A �'�Nhrso�� t,rink rite FERMI! NO, e i 2.Greed City12 3 -� ii: (Please type of prinf and Slut at Uottoli)) 3.Yellow nppltcant d ADDRESS 6utki °''. '''. .' ' BLVD, [ ZONlNG(officeusc) 11 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PIT) OWNER (Name) ..(Pltotie) :(Address) API.'I ACAN.I, jj (Nance) ._.___ �' \1a. T TPhOfle (Phone): I ' ` ' 22(/ ' (Address) I` J36 v1,R (Contact Person) SKNI r'` ) 1 e4-1 APPLICANT:SIGNATURE / 4 h Dibt DATE /0 • 30 ' r5 APPLICANT.PLEASE COMPLETE BELOW C]NEW CONSTRUCTION PREPLACEMENT. O ALTERA'T'IONS FURNACE MAKE AND MODEL _ FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM I.3EATING OR POWER PLANT ` PLEASE NOTE:Air Conditioner O Wartn Air Plants. O:Steam Units and Fireplaces Cannot Encroitch OGiavity Duet Water into I:2equited;Side;Vaitt.:Setbacks. OMeehanical :ORadiation Fireplaces with Box Additions or 1 OAir.Conditioning OSpecial Devices Cantilevers to,the Outside of Buildings El Veit System 0 Other Devices Renairc a Building Permit: FIREPLACE MAKE:AND.MODEL FEE.SCHEDULE: ludusti ial,coiniiiercial&Multi Family I%of jots cost Residential,Gas Fireplace $49.50 $49 50mininium Residential,Beating&:A/C(NOW Construction) $149.50 Residential,.Additions&Alterations $49,50 Residential,Heating Only(New Construction) $64„50 Residential,AC Only $49.50 • Cost$ Building Permit#. MATING PERMIT FEE $ < r .S`T'ATE SURCHARGE $ 5.00 eve, '� -6 TOTAL PERMIT FEE $ +i','4 ; This.Applieation Becomes Your Building Pet'init:When Approved Pais! Receipt No. ' * Building Official Pate Date By 24 hour pot ee for all Instiections(952)447,9850 4646 Dakota Street S.E.,:Prior Lake,'Minnesota 55372 JAN-10-2013 12:54 FROM:STAR PLUMBING AND EX 19528847468 TO:9524474245 P.4 DEQ Date Riled �,�PRxa CITY OF PRIOR LAKE 401 v SEWER AND WATER PERMIT 7, s. :/'",AIL GGY PERMIT NO. 12 t33 r. Gold Appuceeu (please t9t1ess of print and sign it bottom)________ ZONING(office use) ADnRE � / -� �. �..�... - 7 6" 3 .41-4 --....a. or LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID , ' OWNER r p (Phone) (Nance) (Address) .....—......-----------...— (Address) (ClLy). (Zip Code) ^ • APPLICANT i-; �' yt�8 ,17 .. (Name) ,�A e 'i .a a • I. (Phone) / / r^ . JL..,., ` O ��L t • 0:14...WRIVIWit ,, ). w .,�. E � �2(Address) ! ` (City) (Zip Code) (Address) / .. " ! .....`"rO� (Contact Person) Joe (Phone) .. / _ ,APPLICANT SIGNA _� �DATE _ -- 1 APPLICANT PLEASE COMPLETE BELOW Size of water service / inches. Location of any couplings from structure feet. Type of sewer pipe. 0 ABC PVC 0 Cast Iron Estimated length of sewer line feet. Clean out(lire.uired)located at_____feet from structure. .� FEE SCHEDULE Residential sewer'atid water line connection $51.50 Industrial,Corral&Multi-family 1%of job cost with a$51.5O minimum Sewer connection only $25.50 Water connection only $25.50 Estimated Cost $ Building Permit# • SEWER.AND WATER PERMIT FEE s Ai& �n1 STATE SURCHARGE $ --•-.19 00� P TOTAL PERMIT FEEk053' (Mee Use Only) _ ----- This Application Becomes Your Building Permit When Approved Paid Receipt No. — Date By .. Building Ofielel Date 24 hour notice for all inspections(952)447-9850,fax(952)447.4245 4646 Dakota Street S.IL.e Prior Lake,Minnesota 55372 4?,,R, 1.04 CITY OF PRIOR LAKE Date Rec'd • ,a,°„y il HEATING/AIR CONDITIONING/FIREPLACE PERMIT is e ? /3 lNNEsdi¢ f,pink Pilo PERMIT NO. '' 2.Ri een Cl;y / 1f�3 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS • ZONING(office use) t_ X77'45 Salira --&_\/6 Sw NiOY1. X / LEGAL DESCRIPTION(office use only) //C' • LOT ( BLOCK / ADDITION /2! ` iv/'1 ' Z 9e/v PIDd5-- '-"en —c (Nm f{U )r\ (Phone) 615Z-g65-72-72. (Address) 2O(e)C9C) Ken k)noile C-4-..4-0) Lakeville, mkt 55LXtci A(NmIeC)ANT fireside Tlp1l 7 v 1k (pone (05/- to 33~L SL o( . (Address) 7100 f I t 1/ evPUC. K! revs U( I le- I' 101•1� 'l '5 ( l3 (Address) ! Zip Cod (Contact Person) Lta k 'Lrr )er eIor- (Phone) t 061— (03BrJ�12 • APPLICANT SIGNATURE ( 1Q%! QAi DATE _ ( (ZJ1 APPLICANT PLEASE COMPLETE BELOW • ❑NEW CONSTRUCTION ❑REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ' PLEASE NOTE: Air Conditioner ❑Wan Air Plants 0 Steam Units and Fireplaces Cannot Encroach ❑Ciravity []Hot Water into Required Side Yard Setbacks. gleochanical ❑Radiation ❑Air Conditioning 0 Special Devices Fireplaces with Box Additions or ❑Vent.System 0 Other Devices Cantilevers to the Outside of Buildings p h Require a Building Permit. C FIREPLACE MAKE AND MODEL JL1 `-1 -1-- r-``�(p1 11/4, 1 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 # The Minnesota Statutes*3268.148 HEATING PERMIT QBE $ "SURCHARGE"has been changed for one year effective STATE SURCHARGE $ .50 July 1,2010,until June 30.201 I. TOTAL PERMIT FEE $ The mini mun surcharge for a"lised fee"permit (Office Use Only) Is,C�,beginning,July 1,20111 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 c rizro4' CITY OF PRIOR LAKE Date Rec'd rw° - HEATING/AIR CONDITIONING/FIREPLACE PERMIT Al . t.Pink File PERMIT NO. 4 t-563 alawiirs b 2.Great City 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) 11 (Address) APPLICAN (Name) 0,11, . 1'yibj w- ItAk (Phone) 11164-)16-7, (Address) 6 11 r i : _ , b 1110 I 4* (Contact Person) elt„AirkAi((Phone) 14 • 215 D•`f1 g X APPLICANT SIGNATURE !}.4.I U LDATE 1- 2 L ZO15 APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION 0 REPLACEMENT ❑ALTERATIONS FURNACE.MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner DWarm Air Plants ❑Steam Units and Fireplaces Cannot Encroach 0 Gravity DFIot Water into Required Side Yard Setbacks. 0 Mechanical ID Radiation Fireplaces with Box Additions or ❑Air Conditioning El Special Devices Cantilevers to the Outside of Buildings DVent, System DOther Devices 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 $49.50 Cost$ Building Permit# HEATING PERMIT FEE $ . STATE SURCHARGE : !t TOTAL PERMIT FEE $ ..., 9 , This Application Becomes Your Building Permit When Approved ' `Paid {:'Pt. Y'Receipt No. ' Date � Y Building Official Date 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 j PJ0 Date Rec'd o_: .P CITY OF PRIOR LAKE PLUMBING PERMIT • a� f { t-^t l ()Y *ovwxsoi , 1•D1ieFla PERMIT NO. z.Dole my 3.Yellow Applicant I v L�8 (Please type or print and sign at bottom) ADDRESS ZONING(office use) H144 s caLklirik ibiva LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT (Name) )�1 4 ei (Phone) 110. 41.5' 2z1/1 (Address) 1 t,b6 i a 1l6..A. fPit)1t t L' 4 "1 (Address) (City) (Zip Code) (Contact Person) _ ,G iA (Phone) 1 It ' IS"J'4/fr Is APPLICANT SIGNATURE (Xivt 4 k•and tk -- DATE C-Z2.- U)1 J' 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(I 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§32tiB.148 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 ' "fixed fee" $ Building Permit# permitis$5.00 PLUMBING PERMIT FEE $ `` STATE SURCHARGE $ i W TOTAL PERMIT FEE $ 411 'Alin' 'ti (Office Use Only) ,.. This Application Becomes Your Building Permit When Approved Paid Receipt Date By Building Official Date 24 hour notice for all Inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.R.,Prior Lake,Minnesota 55372 PRIR LA K EDEPARTMENT UIILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS (- �'� s` `j��► .�0 NATURE OF WORK ''to) IN G. 1>E---c-‘z- N� c. ,,,,, USE OF BUILDING s►u c- PERMIT NO. (2-- ►383 DATE ISSUED2-�s/z CONTRACTOR D. ' . I-\om,J PHONE a85-1 c NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT 11-3 1 g,&i GO C &ik-OiTA- INS CTPE OR r� DATE FOOTING 1J .3 I FOUNDATION (Prior to Backfill) � /130 LACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED PV-01-1 6n-ip11_0h ROUGH - I N S SEWER /WATER / SEPTIC ""1„,6 FRAMING kr. ab I'c �S INSULATION n,C'1/4 1/ ELECTRICAL PLUMBING ts, r, w u6 4 'g, HEATING (if required) 2 , FIREPLACE TUNE AI TEST ��// � � P_N0 �1 COVER O W RfK UNTIL ABOVE HAS BEEN SIGNET— • FINALS GRADING (Prior to Sodding) BUILDING t . c.o. To 74/ /4. xf r3 —, 3 I //s _ ELECTRICAL PLUMBING WC Z`z Il(� p��� HEATING Mev (C.t) '` 3#3 DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850