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HomeMy WebLinkAboutBuilding Permit 13. 0017 gnu , r�> CIi rfifitafr of ®xtnpanx r u CITY OF PRIOR LAKE Prparf/ttrttf of utititng cilltsprtfiti' n = >< I:E CFinal Permitted ❑ Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the ❑Residential/❑Il 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. 17—133(1j 1 Occupancy Type R3WIConstruction WIZoning District Legal Description L4, B3 , THE VILLAS OF NORTHWOOD MEADOWS Owner of Building Site Address - ' ,l ` 79 1 HAWK RIDGE ROROA') �-� Contractor's Name&Address D O N N A Y HOMES ROBERT D , HHTCHINS City Planner � '; Building Official Date: /', '+� '' Date: 1' 7 - ;;; POST IN CONSPICUOUS PLACE a`4 � V * � �} {J"r��i air.. �� r� J F. W Z _ 1W„ J 0.' LL ce W \.. 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V///c s oI / or-ii1t/va /u021tc (Name)OWNEN O/-)17Ck.� PO r)neS (Phone)7(03 5.3 ) .0-714-1 (Address)q)5 6 (;--34I/& IV JVIa p'G' 6a, ve ivt/vl ,553061 BUILDER ,,,\\ � / (Company Name) JL)l l I/1 L l y//\\)4C)/�')(S (Phone) 7 3 '13 16/ 71 L/ (Contact Name) Pa03,--_-dA U 1 L J 0 Yl i )(l \ / 7(Phone) b/.2 9i 9 "r'�C 5 (Address) %6 5- (1�3'�AI ye, �l / O/)I C 6 ✓U l�l J53(0q TYPE OF WORK gNew Construction ['Deck ['Porch DRe-Roofing ❑Re-Siding OLower Level Finish ❑Fireplace ['Addition ['Alteration ❑Utility Connection CODE: [ .R.C. ❑I.B.C. 0 Misc: Type of Construction: I II III 1V V AB ^ Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ J75 c'IZ5t-4' kir Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnished information on th. ' tion 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 construction confo to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke is permit for juaf cause. Furth ore,I he by agree that the city official or a designee may enter upon the property to perform needed inspections. 59,3 -'71 S" illiqll Signatu Contractor's License No. Date Permit ValuationPark Support Fee # $ 11. -I 000, Permit Fee $ SAC # $ kCo13,so L�4--35- r; Plan Check Fee $ ,0 c-c . ,3 Water Meter Size p8"; 1"; $ d . State Surcharge $ o`1 s-° Pressure Reducer $ (Z©. Penalty $ Sewer/Water Connection Fee # $ i S00, Plumbing Permit Fee $ t 54 S-.. . Water Tower Fee # $ , Doe_ Mechanical Permit Fee $ t 5 SC? Builder's Deposit $ 1 S- —- Sewer&Water Permit Fee $ , Se Other $ Gas Fireplace Permit Fee $ 5>t.So TOTAL DUE 10a 2.3L 26 This Appl,i atio B�I mes our Building Permit Wh Ap oved Paid /C' 3/- 2 eceipt No. C S Y(J Date J�3. ( ? Y A 4...At._ ; \ 12_. (o (2— :uilding - :uilding ifftet.i )Date This is to certify tat the r st in the above application and accompanying documents' in a cordance with the City Zoning Ordinance and may proceed as requested. This document when signed by e C' er onstitutes a temporary Certificate of Zoning comphan -an.allows construction to commence. Before occupancy,a Certificate of Occupancy must be t74. issued. ioi l ----.� (Z ' 1 Z-- Plariiitng Deector '— late 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 t (! (;Ii!i ) Builders Deposit sCity of Prior Lake A$1,500.00 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 $1,500.00 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. /3 ` CO 17 DATE: 1/• l° • 'Z SITE ADDRESS: 2-79/ 1-0WK- d'�U C Ei /22 PERMIT til--2--r-4,3-9-Z REFUND TO BE MAILED TO: DO/✓/✓by firm 4 M41 & 6726 2i M/1 -5 (, • PLEASE REMEMBER , ihty, f. - `s -t, : •' 1 1. KEEP STREETS CLEAN DURING CONSTRUCTION vnda S.Allen,B/Wing Services Amount 2. KEEP EROSION CONTROL IN PLACE 37./6.//- Acct.801.20204 3. TEMPORARY OCCUPANCY P RMIT MUST NOT EXPIRE OR$500.1 ,._ Date � 4: ¢# „ -14r SIGNATURE: '�� LAR POPPLER, CITY ENGINEER 28878 Wells Fargo Bank,N.A. DONNAY Minneapolis,MN 55479 17-1-910 PH.(763)531-0714 9655 -63R0 AVE,N MAPLE GROVE,MN 55369 DATE AMOUNT April 15, 2013 $*****10,231.28 Pay: *****************Ten thousand two hundred thirty-one dollars and 28 cents 1. 0 THE City of Prior Lake 8 ORDER 4646 Dakota St SE OF Prior Lake, MN. 55372 "'"�/�' ` -IZED 51G ll'0 288 78116 .:09 L0000 L91: 260 5 270 70 710 J:IFORMSIBUILDERS DEPOSIT FORM.DOC / of PR/0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 9 mew /3 AND UTILITY CONNECTION PERMIT f� �/�,3. Ulf/ y.... �� I White File 2 Yellow City PERMIT NO. /3 4._,3 3 Yellow Applicant (Please type or print and sign at bottom /f" ADDRESS l ZO P i Gr'l ' use) ?—�q / /4-14 �- � , S (J(f7 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER 7613 /_ (Name) PC211 r (Phone) -07 / `f (Address) -1 co, 5s - 6, 3)-c 'e-m le 6KInfepi h c 3 3 >9 BUILDER � fir_ , ; J �,, (Company Name) �'� L J t/ `'�-�-� / (Phone) 7V 3- s- I--•� (Contact Name) 'f4 _ L'L kL (Phone) i'2 —)'/O J 5 C1 (Address) e 5-5-—CP 3140e__Alit,-Ast,fLc c-;/'rye_ ,44/1 J , 3679 TYPE OF WORK 0 New Construction •eck ❑Porch ORe-Roofing ORe-Siding ower Level Finish ❑Fireplace ❑Addition DAltera(ons ❑Utility Connection 15 CODE: .R.C. DI.B.C. // 0 Misc Type o Construction: I II III IV A ® PROJECT COST/VALUE $ (1/ Occupancy Group: ABE F HI tpSU (excluding land) Division: 1 2 / , 4 I hereby cern, a have 4,lied tnf 'm on this application which is to the best of my knowledge true and correct I also certify that I am the ownei or authorized agent for the above-menti ne. . p rty��that . I/ on 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 ev)e h pe- .� . s+.�,ithermore,I hereby agree that the city official or a designee may enter upon the pi operty to perform needed spections 1 X �' 3f���' ���� /3 Signature Contractor's License No Date Permit Valuation -5.- GD - Ci z) Park Support Fee # $ i Permit Fee $ SAC # $ //77-S Plan Check Fee $ 76, Cd- Water Meter Size 5/8"; 1"; $ State Surcharge $ Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ 5 .57) Water Tower Fee # $ Mechanical Permit Fee $ 7 Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ — TOTAL DUkearceo„fe.6_2,43 $ 67. 77 This ' ,plicat'on Becomes Your Building Permit en ' proved 1 c.. `1 `4' `1 9 Receipt No. cCi g'g o & 2 r 1 D to Ci �( By i , ."nl 13iclal Date This is to n.ify teat the •'quest in the above application and accompanying ocume is is in accordance with the City Zoning Ordinance and may pioceed as Icquested This document when siqs 'd by Ili:City tanner constitutes a temporary Certificate of Zon g comp ance and allows construction to commence Before occupancy,a Cei titicate of Occupancy must be issued O v ' /12.1 (3 Planning Director 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 Constr tion for Single or Two-family Dwellings in R-1 or R-2 Districts Reviewed by: Date: tZ 4.../Z.-- Building Permit# PID: Zoning: P�D Address: ..1 1 AA..„)te..- (Z. 1%C6- Legal: L , B Subdivision: Existing Structure? YES/ ;i, . Existing Nonconforming Structure? YES I NO CONFORMS TO ZONINGNO ORDINANCE Yard Setbacks: NAI FAILS/C IP11ES Standard Proposed • ,�'/ Front Yard(can be 20'if a‘.w/in 150') 25'� --1.' Z 5- 3 - • Side Yards j'� .5 25'if abutting a street Z • 'S . 13 _ of • Sidewall exceeding 60'requires additional side 2" 10'setback+ setback for every 1'over 60'in length. Not required 2"11'over 60' if building wall is 10'-0"or greater of being parallel to _ a side lot line. 25' 50 �-f • 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 wetlandINURP 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' ' 2 17+1o©/q.631 ��� I Floor Area Ratio: NA I FAILS 1 CO ES I .30 Maximum I ( t 1 . Yard Encroachments: A I FAILS/COMPLIES � Standard Proposed Eaves and Gutters no than 2 feet in width and no closer than 5 feet to a to line(Easements). NC and other equipment cannot encroach on interior side yards. I Tree Preservation: 1 FAILS 1 COMPLIES I Standard I Proposed • Total caliper in ! s • Permit 35%Removal • Caliper Inches Reoved • Calip�r'Igches Br served • Replaceme-1 t/ %:1 L:\TEMPI A4TB\BLDGLIST.DOC li R./—p Uc''^Liz , White -Building Canary - Engineering I,.. NNESD�P Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT )('.),"Oil/7\--/ /( /°l aT APPLICATION RECEIVED / '. t' 0 . / 2 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .) .. 1 fill 1VOr_- ec,/1,) r�> I(' O. . Accepted & Accepted With Corrections Denied Reviewed By: /WA Date: 12-5--/ Comments: See Reverse Side for Additional Information! Lv.1C- Appioa�1i /Ct ),.✓ei 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." (crRN\10 ti x tri White -Building Canary -Engineering �INNEso Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT PONA;/)/ /-(fjftf APPLICATION RECEIVED //- Z- C' . /Z__ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ,9-7 (:) ( Pt/ Twit__.- tZ71/) ( `) /O Accepted Accepted With Corrections Denied 4 1 Reviewed By: � --� Date: (z-4/z z Comments: ( ��'�''�� ��r - - 'ymrrv- 6-t i5s "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." a.t-... K x•YCwn'rw. n r. .,a O� PRIp� yz U txr White -Building '�'r1VNESOcP Pink Canary - Planini Bring BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT d " ' '` ` " rt t--- ..- APPLICATION RECEIVED °' �' r` _- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ' , , tf . /t ; rt. i f-a Accepted Accepted With Corrections Denied Reviewed By: i~ r Date: 12- 6., ' 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." p t, CITY OF PRIOR LAKE Impervious Surface Calculations (To be Submitted with Building Permit Application) For All Properties Located in the Shoreland District (SD). The Maximum Impervious Surface Coverage Permitted in 30 Percent. Property Address 279/ /4o 2t2 t /tee Lot Area q 5...; 1 Sq. Feet x 30% = LENGTH WIDTH SQ. FEET HOUSE x = x = ATTACHED GARAGE x = TOTAL PRINCIPLE STRUCTURE lV/7 /NG F CAW: DETACHED BLDGS x (Garage/Shed) x TOTAL DETACHED BUILDINGS �(!� DRIVEWAY/PAVED AREAS x = (Driveway-paved or not) x = (Sidewalk/Parking Areas) x = TOTAL PAVED AREAS 64"-Y- PATIO /PORCHE`'/DECKS x = (Open Decks 4 min.opening between x = boards,with a pervious surface below, are not considered to be impervious) X = TOTAL DECKS /ad ,lie OTHER x = x = TOTAL OTHER /t/' TOTAL IMPERVIOUS SURFACE UNDE VER Z (oZ �3/ . 311/,7 Prepared By 7i _ l Date /002— Company / Z & 676///Wa4s /frt. Phone #&Y-2) �Z-��° 4 piu0� Date Rec'd N CITY OF PRIOR LAKE PLUMBING PERMIT I.Blue File PERMIT NO. / 2.Gold City 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) z —7 11 ) 1-40,„„4 rt I df e Ru LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNE(Name) Po 1i1 h 0,v )--)-0 1,,,,5 (Phone) 7 63 ^ 5-3)- 67 )If (Address) APPLICANT n (Name) A< , ]'i' i\ -e C h .,,., ;c l i Zvt L. (Phone) (-7 G 3) 3 2 3— 0-7-7 cf (Address) 6250 Q k" L 61.d 2-08/ 0 Pty.. 5 cam` /fit At 5'5-303 (Address) (City) (Zip Code) (Contact Person) -I20 1'J e i`C LV) e 1- (Phone) (7 G 3 ) L 3 v" 6 t ./ c1 '/r APPLICANT SIGNATURE p DATE / / APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture 2__ Bath Tub with or without shower / Rough-ins 1 Dishwasher I Water Heater .'Z£ I Floor Drain Water Softener 11 Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) j Laundry Tray(1 or 2 compartment sink Sewage Ejector I Shower Stall Backflow Assembly L.' Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler y 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 Building Permit# TH "SURCHARGE"has been extended UMBING PERMIT FEE $ BIM DINIr3 PERMIT The minimum surcharge for a ,ATE SURCHARGE $ .50 "fixed fee"permit is$5.00 )TAL PERMIT FEE $ 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 From: 06/14/2013 22:30 #207 P.001/00',�D I 4 VR10, CITY OF PRIOR LAKE Date Rec'd AeHEATING/AIR CONDITIONING/FIREPLACE PERMIT '''' * I PERMIT NO. /g.72/7 3.Yww Warm ,.GISMO,/raw or eclat dad ) ADDRESS ZONING(oBce use) 2791 IIAWKRIDGE RD LBOAL DON(office use only) // LOT BLOCK 3 ADDITION 1�iI (�'t' /1000-- IC/=�.(2 /12�-4di•Iv> S Y 6/0..21)f6 OWNER (Name) DONNAY HOMES (Phew) 763-631-0714 . (Address) 9705 63RD AVENUE MAPLE GROVE MN 55311 . APPLICANT (Name) AIR MECHANICAL INC (Phone) 783-4347747 . (Address) 18411 ABERDEEN STREET HAM LAKE 55304 (Address) (City) (Zip Code) (Contact Person) TANYA MILLER (Phone) 783-749-3747 APPLICANT SIGNATURE DATE 6/15/13 APPLICANT PLEASE COMPLETE BELOW (iNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS • FURNACE MAKE AND MODEL BRYANT 9123848080517 FURL NATURAL FLUE SIZE RETURN OPENINGS 12 INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Mr Conditioner B star Air Plants Steam Units and Fireplaces Cannot Encroach ■e` vity hent Water Into Required Side Yard Setbacks. Moebaaical Radiation Fireplaces with Box Additions or Conditioning Special Devices LIVeld.System o Odser 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 •S49.50 • $49.50 minimum Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50 Residential,Heating Only(i'lew Construction) $64.50 Residential,AC Only PAID WITH $49.50 Estimated Coat S Building pe„tait UILDING PRMIT.PERMIT if 32611.148 HEATING PERMIT FEB $ "SURCHARGE"has been changed for one year effective STATE SURCHARGE $ .SQ July 1.2010.until June 30.2011. TOTAL PERMIT PEE $ The minimum surcharge for a"fixed fee"permit (Office Use Only) Is 5,S beginning July 1.2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date PA &WITH Waft Dare3UILDI PERMIT 24 hour notice for all inspection(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 F rRto CITY OF PRIOR LAKE Date Rec'd +1I1,1.,4 - .-rt�.c HEATING/AIR CONDITIONING/FIREPLACE PERMIT °;t•ly 130 CI ~ I 0 b -r P lIYNESOt O 1, Pink File %3 J 0 f,/ y 1 2. Green cit>. PERMIT NO. L/ / 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 2_7 °) 1 +-k a w 1(-- k CJC e lZd . LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) hay N-uYr,e S (Phone))CC 3 -'5 3 ( - 61 ) O (Address) I lY 6 J 6-gcl Aye- , I `a{Pi e (1ft)V C' / no--) 5 3 APPLICANT (Name) nrkre_ E-HeG t *r,CJ � COY-Wk.V COY . (Phone) 1 �j - S47--I1 (-P p (Address) 1 3o 11/4.-/m oJ1 J v-e- 0`J hooch vat t L.'f 5512_-9-" (Address) (City) (Zip Code) (Contact Person) J d (Phone) -1(o "-,n 12 -1 I U APPLICANT SIGNATURE l .4 _Pts,"'l " DATE l..0 /1 1 (3 APPLICANT PLEASE COMPLETE BELOW i►:k EW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE 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 1►❑Gravity Mechanical 0 Radi0 Hot at oar into Required Side Yard Setbacks. •11 'it Conditioning 0 Special Devices Fireplaces Box Additions or :Went.System 0 Other Devices Cantilevers to the #side 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&Alteraliris�®WITH $49.50 Residential,Heating Only(New Construction) $64.50 5 Residential,AC Only 1��1 V V r) 50 Estimated Cost$ (�9 ' ����` � � I Building Permit # the Minnesota Statutes§32613,148 HEATING PERMIT FEE $ )4°1 -",] o 'StRCI TARGE"has been changed for one year cfThctise STATE SURCHARGE $ .50 .July 1,2010,until.lune 30,2011. TOTAL PERMIT FEE $ (S b .00 The minimum surcharge for a"Grid fee" termit (Office Use Only) is S5,beginning July I.211 1 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Buildine Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 May 13 13 02:37p Bill Coppin Sewer & Water 9529553522 p.1 Defl o��Rlp� Date Rev'd CITY 01?PRIOR LAKE SEWER AND WATER PERMIT v PERMIT NO. /5" ')C/1 2. add akin Ma se Mat sadden at bottom) ADDRESS EONEiG(allir+eum) \ �w � . iko r\)cii • LEGAL DESCRIPTION(Ace weedy) • LOT BLOCK ADDITION PID OWDEIR Mame) N, f Ac„,p-42.S (Phone) 1(Q3 S C>”(9 (Address) '96, 5 Li' we- A.) MziAltit ram S5 . APPLICANT (Name) C.nT►`r. t z ( •-rAlpf (Plume) ‘1 , " 5 —c‘41.7LA (Address) . . 14: • . : r 1 I. (Addrem tati) CUP Odd (Contact Person) :'S\ <.9c t (Phone) ,t ` - 9114 APPLICANT SIGNATURE ,. �ct, , DAMS • APPLICANT PLEASE COMPLETE BELOW Size of water service \ inches. • - Location of any couplings from structure feet. Type of sewer pipe. D ABC )PVC Q Cast Iron ` ' Estimated length of sewer line it:. Beet. Clean out(if required)located at feet from structure. FEE SCHEDULE Residential sewer and water line connection $5130 Industrial,Com'1&Multi-flintily 1%ofjob coat with a$Sl,S0 minimum Sewer connection only $.2530 Water connection only $25.50 • Estimated Coat $ Building Permit# ���.� SEWER AND WATER.PERMIT FEE $ " P STATE SURCHARGE TOTAL PERMIT FEE $ (Office Ow Orly) • This Application Becomes Your Building Permit When Approved Paid UeoeiptNo. Date By bulldog Olttdal Dab 24 hear Kedge kr all inspection(952)447.91159,fan(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 PRIOR LAKE DEPART MENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS Z 1 a1 r R.>6(,e NATURE OF WORK S►=> Nto � t> c-,-i- Boz-- r,N. .(- , USE OF BUILDING 't. c..5--- t „r6•�4, ,,,� PERMIT NO. DATE\ILSSUED 1 --z_4// z_ CONTRACTOR moo,,-,/cto� PHONE 6,(Z &- - Ilq -108 ' NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT C i Ns s i-,�.,., ---,-.5t...4,-) C.eN crio c- s ylki (1-1 6Z- 54° T , �c INSPECTOR ,y DATE I FOOTING Perk �s2�/, A .4 I FOUNDATION (Prior to Backfill) / ' 2C.'D -3 -- 7 PLACE NO CONCRETE UNTIL ABOVE HAS/BEEN SIGNED PA06t„) - , ., ft,, `-'3- 9-02, ROUGH - I N S SEWER/WATER /SEPTIC ” *. 161(7 FRAMING ,_ -I-- /0 i`3 INSULATION A? ?- / f3 ELECTRICAL PLUMBING ' _) - HEATING (if required) -7-- It2 =) FIREPLACE ,'7, /0 , / 3 GAS LINE AIR TEST .') - to ✓ ,73 FI'''°"*1 ti)" COVER NO WORK UNTIL ABOVS BEEN SIGNED wP-AP n 'Ago L.40_,A. 4` `o -I PI I FINALS ,,-e:'t'.' GRADING (Prior toSodding) K)1711) ." BU LDING`" j ° 1i, ELECTRICAL ����, PLUMBING fig 8Vavc HEATING .u1vil fd 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. \-75\ R ALL INSPECTIONS (952) 447-9850