HomeMy WebLinkAboutBuilding Permit 15. 0242 _.:—_a_.,, ,_\
,,I\ I I\. I If �...,4;;-'.j o;lir re..:•.•:L..::. .o::•••:•,;:,•:
�� �� \111111 n r .. ..
.., f 1 1., f ♦ 1 .11.,1, „11, ,, tl 11.11, 1 r +�v.;. �:�....��•�+..�, .. �',2;;;;;;;;;;;;,,....� '%o. ;,�
II r 1c.,0::,,,,,,,,:,,,,, 04,11..1 ♦.1 rr 1+ I:.Irn 1 !1x111 11»,1 Jo . ...1„ .•..�� •."• • :/�" „•,�.:'...
�1 r 111111 cosi:, rr IIIrr I allllr 111 r ♦ 1 1 1 ♦ 1 1<�..�, „® � r ;•1
1 Y ( 1 11 ;,1111111 11{1111 w11111 1 11..I Irl 1. 1.1'^”1 •1 an 1,n•,e nmfiir�,••• IO:�:�;'�:O l,t 0 •. :(�:.r; `.d•1
''.-��J11f ,I111' 1111 p; :,,11 ,,,1111 )if 111111 orf 1111111 IIIIIH 1111111. 1111111 111111, 111,'x,_.Nllirl .Il/rl 1 iii x;111 n.p nb,♦ ,1 m•1•••^•1 �l♦:1 Hv.. ,,gyp
-•- lif .111111 e'Ifllll 111111, fllla°;111111 ;11111 1111�'•:1111a-.11! -!1111. Ifl s 111 II - 11 ,11111x1;..1111111..1111111 111111 Illllrr 1111111::1111/1.. •Y�/
Iw I udautuuWuuaulfluul _ +)If llgln lulu f Iruuul,Pll11S1u11:fllllf lllc
. � ._ W uu�uu�wwwh�wiwl�uu�luu,uu�wl�ufl�uluu116lwuuWldhhlfdslul,�l f If 1 11 u u t,ur a llu; fuuluuull lluu�u
• )
oft. Lrrh firfr .of ®rxupn r
CITY OF PRIOR LAKE 1.
prparfittruf of .niiMtng cinsintftvn ,,;,;)
-10
Final Permitted ❑ Conditional C.O. Expires
fu .,, 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: _ ..
, FAMILY Bldg.Permit No. 15— ,947
Use Classification SINGLE
(;;; .. R1 = !
'''_ Occupancy Type Type Construction Zoning District —.-'+`
Jul)
'-' Legal Description L11 , B5, ENCLAVE AT C L FA RY LAKE
(f • ' Owner of Building Site Address 17/ 8 4 MARSH COURT _'�! )
Contractor's Name&Address , RYLAND HOMES
'' -' ROBERT D HUTCHINS � _ :::�
01 lyy. City Planner __=
'Building Official )
Date: Q J I i'/C Date:
POST IN CONSPICUOUS PLACE '• nI'
,111 1,1' _ •- •- •- -_ �_ _ .. - ._ ., `_ ._ .. .. ._
to hila ala,;11" c
a 11 -_ '_ Ial NIIR 'Illal AO=II* '1111a Alla anll, ana Noll✓Nr11111f111111illill'�'n - '' ,, " .. .. ._ ..
,:.:•+ 111 .1111111 1111111 1111111.. 1111111 111111 :;{1 11 ,) 1 1) 11 11 ally IIHII,b.fnla laal.v:ala! 111111..:1111 11 ` '�' �. ' i'
..... ,..1.f 1�.«, 1,1,11 1 1- , f l l 1 ..all 1 rf111fA. xN1111 ulllll r1/rINIflll�l. x111111.. x111111 r u111 1 1 u- ,, 1 1 N a ,NIIN..111111 1a1N '.Ilntl, 111111 ,::..11 III AIM
,fi�.�:; N11 Via 11 1 -A f 111111 IH -.11111 1N1- 1 11 ,1 ..1, 111 11111!1 1111111. 1111111 IHl ,'111111/ AH1111 :%,*" ./111111 .Allllll 111111 A 1: vg 1 P•N
iil•\II'iii•'I•IIr,�\♦I1111\�Via\II.f,rf�I,f 111\Ij 1f 111 1 11 f♦1111,1 11111♦,l �♦•,1 11{1f 111111 11//11 11.111 11111! 1,hrf ll•,1! 1 11 A,1 /1 1 11. 11111 : 11a 1) 1111111 11111, \,.,�1
'1•�•. rr•O.•.I,r•• ..i , : , „ 1,111�I 1. ,1\I 111111\1.,111 \ 111\I.f,�i�lll„�j i�iiii 111111♦11111 ,1111♦11111 11 111 11111 111111 ON 111{II 11.1.1 ♦
\:1.4 ,41 1 1\I, \I•11 \., 1• :.i•111 11 11111 1 1 11111 1
♦ ,111\, \11 �.,1�. ,1f
Vg,\I NT,
\I ♦i
• �, 1.• 1 1
iii.�..,.•..•.•::.:Y9....�:.M1.•:•f::C•!A�.I:i.%l%i?J:•}Ayl..}i.•!�.:p� !w••.01Yi,,AfA•.•i,,.i,!J:.•i1.11 Cilig\fIp:.i�1:f:SIJ�•��1�II .i•ii.•O.•.I�Iiii ii•�0.•�i,�il�!��111�\.I ,11\!i fl,l\.I 1, ♦I•f \I \I
_ +_._v._I- ... .. ... _.. .._..._............................................1.....,...................... •... •III. ...,,,Ao..r.,, .I,.
..•__ _•._ . ._ _ +: _....,.+_ vv,•+__v.+s...o•+:'-';',4e7-:,--:-/,-. - -
..... .. .............,..:............»•::..v.:...:.•.•...._........,.:...!�,A!J�i�•�i:te!.4!piA?!o�{!p}!{ooQ;1d..�titiid.•1N,}p :.G i�1P .. Si%)
-.�i �_. ��i _ �£ ��i ._moi �-_:-ii ���� __•• _•__/� v _-:. _ _ __ _ _ _
C9 Jp..
NI Z _ _Z F...
f J cc 0.
LLZ 0 0 a U WLLI
N w
WAc72wwy C7 O� �W OUliliC� Fc _` ❑ ❑ ❑ ❑ ❑ ❑ w co
V U =O
Wce
2
0 et
N
W aaQ W Z Co
J 2 _ > > = c 0
0 a' H c o 0 E J p U U 2"
w F- g 0 0 0 0 a
2 Z gz
! 'bI
Ua w a O Z W W w W w
0000 ❑ ❑ 2
CL a LL 1-
re} Z a O W
w w O a U LL r�c�
H O Q - r co
p Z ZO Z W Fi- N Q > n OI
� CO O zoZo = W y U U
Ov W "" W OnaOaw 'E Y ° a
} W re W Z OOWWZ - M Ce' O O Ct t U 0
0 LI
Uz < 0 a 000000 C) � 0 0 c
❑ 6\El '
n 131A121000 v 0 D z
n
c ) * 'y4
n 0a OOO . " O 0 v A �bD o =1ztnv0 � m m
mrGz x mNy x x -1 .ti
r m my l ' RN � Z3OZ Z
-10 > c)
O O xi
v 0
101 t > ` ° °11
N ..,,.5 -6
OZov O
zc z 7
T n D 0 r + ` m
m v '=i o
%(.
z 0O 91‘130000
m m mm
3vtn * E �
E o o Oc -IOc
N
I k T3xz m p cn
m ' ) D000x0 3 -zi m
n n p ti r -n00 73 al . C
Fri O L ,`� (� _ Z C C Z r
O Z , T QQ a O N.
I x 1 Nr\
(7/3/
m ❑ ❑ tl ❑ ❑
U, o
D Z aixx0t� m
R.LI < 0 J Cv -0vOx � s
2 D
4 m x m x r i
Z Z m
-4 r z
aTEMPORARY CITY OFCERTIFIPRIOR CATE LAKE BUILDINGOFZONING PERMIT,COMPLIANCE Date Rec'd
AND UTILITY CONNECTION PERMIT 3. 67 •I S
y/n'NESOlt• I. White File PERMIT NO.i ��
Pi
2. Pink City
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
v i nze ro(6r „ - /e l
LEGAL DESCRIPTION(office use only) Q �n� 1 �
LOT L' BLOCK t . ADDITION 4 /1�./f_ .��- ;ry' -`-;1\4/
PIZ5'5'06. 031. 0
OWNER
(Name) (Phone)
(Address)
BUILDER (�
(Company Name) 'I t�-�.'1' Q.-' ', \A-0 ------ (Phone)"/�t — `;'-c -'61\----- (-J0('6
ly
(Contact Name)/��� r �� (Phone)q :D -��-�C0 z
(Address) 1��- f -A r\OCViii, 1 4� 5 -jrCJvv ll VSA �--e✓' nil \A ?4(4
TYPE OF WORK— New Construction ❑Deck ❑Porch ❑Re-Roofing ERe-Siding ❑Lower Level Finish ❑Fireplace
❑Addition ❑Alteration 0 Utility Connection
CODE R.C. ❑I.B.C. 0 Misc._
Type of onstruction: I II III IV V A B +
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ I 1-f5)0 LJ
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 knowledge 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 ca evoke this p it for just cause Furthermore,I hereby agree that the city off 1 or a designee may enter u on[he property to perform needed inspections.
Signature Contractor's License No. Date
Permit Valuation -Z....3 6, U 3
Park Support Fee # $
Permit Fee $ r D
,pl O SAC # $z4 5 60
Plan Check Fee $ i 22.2_ `IS Water Meter Size 5/8" 1"; $ 0 .00
State Surcharge $ a Pressure Reducer
' $ /90-
97 U C)
Penalty $ Sewer/Water Connection Fee # $ )0. Cc
Plumbing Permit Fee $ /5-44_,..67)
541 Water Tower Fee # $ /00 C. /)0 .
Mechanical Permit Fee $ / 57"1 Builder's Deposit $ l6' 3O V0 O
•�J CJ V
Sewer&Water Permit Fee $ .3?O Other $ Q
Gas Fireplace Permit Fee $ t-70:5Z1TOTAL D�,L,z 3.2,0 `s- $14
/`// e 6 /fir 48
This Ary atio t !eco es Your Building Permit en Ap roved Paid g/ 6 g• t �
R ipt No. j
..� Date .3 /5 ,
A . .! - 3 i 7 It
5
-.u.din"Official Date
This is to certify that t -reque, in the above application and accompanying do ments t in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the Pl.`, r co-stitutcs a temporary Certificate of Zoning•implia'ce and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued ii
I. ►. 3 / (
'tanning 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
Residential Building Permit Checklist
New Constry'ct'•n for Si gle or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by: Date: 4 1 /�
Building Permit# PID: Zoning: c '
Address: --,--� °D
v I/kC
Legal: L , B Subdivision: .
/
Existing Structure? YES/ Existing Nonconforming Structure? YES 1 NO
7 '1
CONFORMS TO ZONING ES NO
ORDINANCE
Yard Setbacks: NAI FAILS/CO de3 S Standard Proposed
a
• Front Yard (can be 20'if avg.w/in 150') . 25' . , e...›
• Side Yards 10'/
25'if abutting a street 1 6 •v
• 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.
1 • Rear Yard 25' h g, 2
—
• Patio Door: provide for minimum 10'deck or sign 10'side/
67
statement indicating no deck will be built in the future 25'rear
• From 100 year flood elevation of wetland/NURP 30' ,s
pond.
• Refer in-ground pools to the Planning Department _ q.
• From OHW(Prior or Spring Lake) 75'or setback average of
adjacent structures,but no
less than 50'
I Floor Area Ratio: NA FAILS/CO , IES I .30 Maximum I ' , I z
Yard Encroachments: 'if 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: PI FAILS/COMPLIES I Standard Proposed
• Total caliper inches
• Permit 35%Removal
• Caliper Inches Removed
• Caliper Inches Preserved
• Replacement %:1
L:\TEMPLATE\BLD GLIS T.D O C
h
U
MINWhite - BuildingNESo�P Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Lad . /
APPLICATION RECEIVED 3 , G - lc
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 7704tne(44A____ etn4,17`7-- .
-
Accepted ,,, Accepted With Corrections
Denied
Reviewed By: £4YDate:
J7/7 7 /J
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."
04 PRlp4
White - Building
�� �A Canary - Engineering
NNESO Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted t Accepted With Corrections
Denied
Reviewed By: Date:
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. P"4
0U ny
White - Building
4,NNEso.. Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST -'
NAME OF APPLICANT f,rJ _...1V7,3;0--e-4-
APPLICATION
..1V73;,?-ems
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted X Accepted With Corrections
Denied
Reviewed By: 4414. Date: 3 -/1-/$S ---
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."
0RZO , Date Rec'd
_ , CITY OF PRIOR LAKE
Q ,®M SEWER AND WATER PERMIT
"1/4INNESdct-
1. Yellow rile PERMIT NO.
. - 2. Yellow City o,
3. Gold Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
111 e)L4 CIS , Cl
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) .1.1T� C \---\0W-0-A- _' (Phone)
(Address) 1599 yc. ' Cw 1 1Ve i L ciery t''rCtV i 1Y1() SSoy /
(Addre (City) (Zip Code)
APPLICANT n
(Name) �� ♦ �'�-V GA-1 , T-�C, (Phone)- —1 Jrd -�'j�^'1 - C}
(Address) PQ �x t bu & 'b f Lc.,Isk._.. t � ,t ) S3 3 / -
(Address) (City) (Zip Code)
(Contact Person) e- I (Phone) (.0 1 a -91b- ; 7 t
APPLICANT SIGNAT I` + �� DATE -c), .-i
APPLICANT PLEASE COMPLETE BELOW
Size of water service 1 inches.
Location of any couplings from structure feet.
Type of sewer pipe. [ ABC PVC P Cast Iron
Estimated length of sewer line 1-1(7 feet.
Clean out(if required) located at ZSZ, feet from structure.
FEE SCHEDULE
Residential sewer and waterline connection $51.50 Industrial,Corn'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#
t
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid •., $Resd1 t 4o jj,�,
Date , 1 ,*17 l
Building Official Date n •
24 hour notice for all inspections,(952)447-9850,fax(952)447-4245 . e7 7k
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
PRION CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
tri
a'hMvESOOt ' PinkGreen F''` PERMIT NO.
x n coq
3 Yellow Apphew
(Please type or print and sign at bottom)
ADDRESS ZONING comet use)
LEGAL DESCRIPTION(office use only)
LOT//r BLOCK ADDITION /1/7
r o,'if• I y "" �z
• � t
OWNER
(Name) (Phone)
(Address) i a I,,•11/ l
APPLICANT;=' ;
(Name) C Fur 't /7167/---,-1---- (Phone) (.--2 ,2). -
e
(Address) ,�rw e� �-''C ,',t`"�i� 4'� % � .^,.1 /56Z/it
(City) f (Zip Code)
/
(Contact Person) ' F 's PC r Citi t,'
(Phone) ti 7„- r� f
APPLICANT SIGNATURE 2 /- i i {1 _.241""- DATE
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL t'<, > .� r�
� f�"�l �,/; �r FUEL (/',7.1 4‘,J
FLUE SIZE ;' - 70 RETURN OPENINGS INPUT "70 (XX) OUTPUT 0'!', U,
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
DWarm Air Plants 0 Steam
['Gravity ❑Hot Water Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
I D Mechanical 0 Radiation
QAir Conditioning 0 Special Devices Fireplaces with Box Additions or
[]Vent.System ❑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
' - Cost S Building Permit #
The Minnesota Statutes§32613.148
"SURCHARGE"has been changed for one HEATING PERMIT FEE $
year effective STATE SURCHARGE $ .50
141
July 1,2010,until June 30,201 1. TOTAL PERMIT FEE
The minimum surcharge fora"fixed fee"permit $ °61/1" 177/
is SI ginning July I,2010
This Application Becomes Your Building Permit When Approved Paid Receipt No. . /WAS�.
Date By
Building Official Date
24 hoar notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
I
I
vi r 3� st-1) CITY OF PRIOR LAKE Date Reed
,,, AL -J'HEATING/AIR CONDITIONING/FIREPLACE PERMIT
4* 0
AWES° I, pink pl'` I PERMIT NO. 5
2.Tinea ellr
.2,
.t,Ydlow Applicant
Pleasetype or I! _
( print and sign at bottom)
ADDRESS ZONING(office use)
, i 1.-1 b4 Mairsh CA--.
LEGAL DESCRIPTION(office use wily)
LOT BLOCK ADDITION PID
(Name) \a v
l `� (Phone)_�– 1Q___
(Address)
APPLICANT HEARTH &HOME TECHNOLOGIES
(Name) dba FIRESIDE HEARTH &HOME (phone) 4)51- 03-26(91____
Lic BC662656
(Address) 2700 FAIRVIEW AVENUE N T-a -4f(f j4- tp?..)'3,- tESez:54-/
ROWIALE, MN 55113
651.633.2561
(Contact Person) (Phone) Leak) VJ I- Lo 3` - 33 f 2
APPLICANT SIGNATURE L � 1L�'1`� DATE ' )J ._.i_
OKi--fat or e-rna\1 rn l: Re=vit e._ Bt,i ek:–oPs •
bacr pe r rrl-i- APPLICANT PLEASE COMPLETE BELOW e hear-1-6 n h ray ,(--6r-N
EW 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
❑Wane Air Plants ❑Siesta Units and Fireplaces Cannot Encroach
❑uGr)�vity 0 Hot Water into Required Side Yard Setbacks,
l ieol;apical` ❑Radiation
❑Air Conditioning 0 Special Devices Fireplaces with Box Additions or
[Went.System 0 Other Devices Cantilevers to the Outside of Buildings
�4 ((� Require a Building Permit.
:FIREPLACE MAKE AND MODEL �l�t1T _N- - O S L75b _ f 1;j ,C
FEE SCHEDULE
Industrial,Commercial&Multi-Family I%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 li
The Minnesota Statutes§32611.141
HEATING PERMIT FEE "Si.RC ;ARM"lies been changed for one
year 01-Wive
STATE SURCHARGE $ ,50 duly I,2010,until Julie 30,2011,
TOTAL PERMIT FEE 5 (lie miuilnuin sorcbarge lee a"used rt:v"permit
(Office Use Only) is!if!,beginning July I,2010
This Application Becomes Your Building Permit When Approved Paidec9,No.
R*A f
Building Official Date —�_ 1►�y ,
24 hour notice for ail inspections(952)447-9850,fax(952)447-4245 --4,",
4646 Dakota Street SE.,Prior Lake,Minnesota 55372 o'.
7,`yam'
0 2 RI0� Date Rec'd
le CITY OF PRIOR LAKE PLUMBING PERMIT
v
g
d'�NesdSt`
Z5 *Z.
� °h PERMIT NO.
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS •
t 7 / 6 / ZONING office use)
/° i ' / s'
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION t'.'( 1 J t t'f" Lt. '`t t ;�"l ;:t, PID
OWNER
(Name) (Phone)
(Address)
APPLICANT ,
(Name) `-''l Z 4, i i Ct.i k` _,
(Phone) � '-�
Address . )i r , .4,' �� r/, ,,i ; ` ti > '"
(Address) (City) (Zip Code)
: " r r(Contact Person) - ;rc w, 1 i , ?a c.L (Phone)
APPLICANT SIGNATURE -' -,` 'A �-,, i ,��1. .- DATE .,2' -•-?l"f -
s.
APPLICANT PLEASE COMPLETE BELOW
_ Quantity Type of Fixture _ Quantity Type of Fixture
Bath Tub with or without shower !Rough-ins
i/ Dishwasher Water Heater
Floor Drain Water Softener
Lavatory(Bathroom Sink) I Stand Pipe(Washing Machine)
/ Laundry Tray(1 or 2 compartment sink Sewage Ejector _
Shower Stall Backflow Assembly
:' Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet(Toilet) Other
FEE SCHEDULE
Industrial,Commercial&Multi-family 1%of job cost with a$49.50 minimum Residential,New One&Two-Family $149.50
Residential,Additions&Alterations $49.50
The Minnesota Statutes§326B.148 st $ 77 7()J — Building Permit#
"SURCHARGE"has been changed for one
year effective PLUMBING PERMIT FEE $
July 1,2010,mail June 30,lou. STATE SURCHARGE $ .50
The minimum surcharge fora"fixed fee"permit TOTAL PERMIT FEE $
is35.,beginning July 1,201D _ /* Falk) A...'
ii• -'-it A
'
This Application Becomes Your Building Permit When Approved Paid Receipt No. p
,
Date By t'4'
Banding Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
O1 pR/0� •
0
Builders Deposit
U
rn
so,A City of Prior Lake
A $2,500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposit is issued as security to insure
compliance for a Final Occupancy Permit. (It is not an escrow account.) All exterior items including but not limited to
grading, sodding, landscaping, tree planting, driveways, siding and painting shall be completed 180 days after the date the
building permit is issued. If the work is not complete within the 180 day time period, the City shall notify the applicant of the
violation and the applicant shall have 10 days to comply or the $2,500.00 builders deposit will be forfeited and the applicant
will be billed for clean up or corrective work to rectify the situation.
A$500.00 Tree Deposit may also be required and will be refunded if specified trees are preserved for a period of one year. By
signing this I, the undersigned contractor, acknowledge that I am aware of the erosion control requirements of the City of
Prior Lake as outlined in the Erosion Control Measures for Building Contractors handout.
DATE: - 1 SITE ADDRESS: I f b f' P �G LGPERMIT# /-3-- 24-2-
.
REFUND TO BE MAILED TO: 0- ( !gj / 1._ -( ____
PLEASE REMEMBER
AUTHORIZATION TO RELEASE
1. KEEP STREETS CLEAN DURING CONSTRUCTION (For City Office Use Only)
q Z3 . (i- all coO_UU
2. KEEP EROSION CONTROL IN PLACE Date Amoun
3. TEMPORARY OCCUPANCY PERMIT MUST NOT I I /
EXPIRE OR ONE-THIRD MAY BE FORFEITED Larry Poppler Lyn �a Allen
City Engineer Building Svcs.
SIGNATURE: ../2e/OrPA
_ ....._ ....
3024
THE RYLAND GROUP, INC. JPMORGAN CHASE BANK,N.A.
RYLAND HOMES TWIN CITIES CD COLUMBUS,OHIO
7599 ANAGRAM DRIVE 56-1544441 3/20/2015
EDEN PRAIRIE,MN 55344
c
0
a
PAY TO THE City Of Prior Lake $ **11,868.48 i
ORDER OF
Eleven Thousand Eight Hundred Sixty-Eight and 48/100****** 1
DOLLARS
4646 Dakota St CHECKS NOT VALID OVER$50,000 j
Prior Lake, MN 553728
(-)
„ GLti..
MEMO
- ;'. AUTHORIZED IGNAT4RE
Bldg Permit for 17784 Marsh Court-Bissen /
11'0000 30 2 411' 1:044 1 L54431: 936 L9455411'
„ ,,, m,,,,__ .
DEPARNO
PR ! ORBUILDINGTMEA NDT INF
SPECTION
INSPECTION RECORD
SITE ADDRESS 11 7 + rl�,�2.-c pc Com--,
_
NATURE OF WORK t>1GI.. F3. L ,t ,
USE OF BUILDING sir.) 'L5– r-1 ik.. tL,�,-&L;- II-) C.
PERMIT NO. S Z�-� DATE ISSUED 3_"�-,
CONTRACTOR `T` L i� r`ltf-S ( i c PHONE 9 c,"-z-- zz-9 (,co e)
.01 3 TREE 13 Ar ALL 1 ,. ,, _:;;
INSPECTOR DATE
FOOTING „___ 3 -2- ,-r ( 15----
‘
FOUNDATION
5 —
FOUNDATION (Prior To Backfill)
RADON RETARDER -- IZ ; i ( 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER/WATER/SEPTIC z 3 \ i , ih--
FRAMING ' U `1 ` L`‘,1 i-i”.
INSULATION ,p.i .,.- Lt1 28 1 10
ELECTRICAL
PLUMBING } j- f3 `t ( (, t;:;
HEATING I` 41-
FIREPLACE - 2 0 -'
GAS LINE AIR TEST �l-s
RADON FZ IF-/i ..i cv /
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
aOUSEWRAP ; . ,,i��)iJ 'LATH
FINALS
GRADING ( PRIOR TO SODDING) t—._ 4.(23-(/S-
BUILDING
.(Z;(1S-
BUILDING `i:c=�-o 1.z,�- tcsn'Z'q\
ELECTRICAL
PLUMBING -i ,_,, -( 2 /( 1;)---
HEATING (ri.-<---
tHEATING . (04?
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