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HomeMy WebLinkAboutBuilding Permit 15. 0589 ice.. � _. i..;v _. .n i _.n.. ._ i..i_. c_.,i _., .n••u II� `' ;f�1� ��" '�" ;��.- x Crrfifirafr of CITY OF PRIOR LAKE Prparfmrnf of rrftu1 t { Final Permitted ❑Conditional C.O. Expires C 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 regulatingbuildingconstruction or use. For the following: Use Classification S l N6 (..-(-_,. /—,--,//''//1-yBldg.Permit No. /5 J s Occupancy Type Type Construction Zoning District /C. / D :. i. 7, f_/ j Legal Description r & l / / 1',/c o i�.y 5,-/&/66-...f_-; su Owner of Building Site Address /-7 Z.> %e1 1.-L.)C` /U Vit pl./ ^ti<‘ u Contractor's Name&Address/ J -� •••)•. « /161 .--••-/-7--)A./ / �4;6:7 {/u. /!U/�'/I / J� City Planner tt Building Official T� ,, Date: ,"/i d i I lc) V Date: I POST IN CONSPICUOUS PLACE >( ,, u uv J‘u4 pl 4 4' � , � E O O 5? $ 0c 8 O ocOO o » , n n n a o 0 o ■ � - � � � & �� R x . c m).c c o z m m m o M t 0 73 2 -1 \ z � � § �k� § $ k� Cz at Cz at 0 \ gi 0) n z 0 z o % TI / z -4 0 0 x > o C) 0m § -4 r § 7 mm L'^ 2 2 0 0 - / m mm : 000000 0 -4 200 � � ■ * ■ m smr $ 2 % ? § 02 x m z G 2 m § - ■ ■ � § m o 0 n B 0 ■ zz = z - z ■ z z » o§ o 0 _■ m ko a . . � z22 c 0 Z ' m / §§ o r / x 0 2 n t- , § m 2 E ■ 000000 . K ® �m ©§ _ > \ L.-0-0-0® .0 ns 4 in Z �m\§ AI11 � - -I -I z m -1r o ( 0 o C') q g 0o o oQOO 0 0g © r R XI s 2K � oo © & o k t mm co 3 > clzO m 2 m omo ro . k » m k 3020 • oxi ICO k 0 zi 0 % n 0 0 \ § !31: k -....S"\: � ' 1 J a WI Pi o \ \ Lum m OooQOO )4 o . ■ � ■ � ■ � $ ? §a2-Inc 2 1111 re, -13 m � - $ §■ �_\§ m C) C) n ZZ XX/ / 0 Io 80 0 _3 . m 2 z $ _ 2 2 ■ } 2 k o G r §§ § \ , m z m » o _8 ` _ 2 | $ zXI • 000000 r 0 R. / g22§2 k 4,z .......(1":„j - 4 in � � �� k 0. � x �E 2/ § 5 050 I ' �w� � R �6 n ❑ 0 ❑ O❑ i O D 20 n 0 a 0 0 0 O vi z- -n o c �4 0, r m mco .. ��- 3 m� C3z_O m m ern ii, Vco a 2 v 0_I0 O73 C co x 0 n , ,� r• (n Z Z O O Z 0 ---� p > Z Z - mmm xi r4.. m-= o z (TJ • I P(1 x m m .. 'i 561 00 ❑ 0 O Z c o �or�� ,p tom ► (. '� xmx3 p y ti C v m n l '^ � � xxW m O n ye O W ' r nuO> 090 73 3 C 1 Z - =1 C o i 73 c 0 f _ fJ �!. ?\ ,. 0000 ❑ ❑ J1. Q . R• v 0 )0 72730 PI ul 4 en m y00Z7 mm -1 D 0 m r �� rMlp CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1N 50��- /3. /g NE '. Pink mil` PERMIT NO. `j- 3Gt 9 - 2. pink CityU /- 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 1 1772L-5- GoE J V/E� LAA IC -RI 51.)J LEGAL DESCRIPTION(office use only) • LOT Li BLOCK 7 ADDITION j 4 0— .5,4,1...e 5.0774 m3015-5615 0,50 OWNER (Name) (Phone) (Address) BUILDER D.R. Horton, Inc. 952-985-7272 (Company Name) (Phone) (Contact Name) Brooke Nereid (Phone) 952-985-7806 (Address) 20860 Kenbridge Court #100 Lakeville, MN 55044 TYPE OF WORK L New Construction ❑Deck ['Porch ORe-Roofing ORe-Siding ❑Lower Level Finish ❑Fireplace ['Addition ['Alteration ['Utility Connection CODE: JI.R.C. ❑I.B.C. 0 Misc. Type of Construction: I II III IV V AB Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 3I/, 3'2 3. o0 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 can revoke this permit for just cau eras Iof hereby agree that the city official or a designee may enter upon the property to perform needed inspections. x \ BC605657 5,�z-4 Signature Contractor's License No. Date Permit Valuation tZ 0®0 Park Support Fee # $ , ---, Permit Fee $ alg/5 � SAC # $,M1C 5' Do QC Plan Check Fee $ !/�y 6r1/ 3« � ' Water Meter Size 5/8', l"• $ 60 e OCP 0 State Surcharge $ /9 , ®O Pressure Reducer $ a:0 00 C) Penalty $ .___ Sewer/Water Connection Fee # $ /600-®® Plumbing Permit Fee $ /5 SD Water Tower Fee # $ 7000- ,O a m Mechanical Permit Fee $ /5 / c0 Builder's Deposit $ G? D) oa Sewer&Water Permit Fee $ S-- ,..co Other $ V Gas Fireplace Permit Fee $ J~ .s--o TOTAL D `- 6. z,,,s" $ /3 L7✓1. 06 This Application Becomes Your Building Permit When Approved ti2, , /3v'LO. `Receipt No. ito , By d21-/-4 '&1'1- 4° 2- /.h" to lQ . ® . �' Budding Official D to I This is to certify that the request 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 the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. Planning Director 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 Re idential Building Permit Checklist New Con ucti•n for Single or Two-family Dwellings in R-1 r R-2 Dist -is Reviewed by: iiikILLiiiimisZte: .� 2- / ' Building Permit# PID: ---.' Zoning: Address: 1 `Z ---1--1 vn f` 6cliL{:5._ iz_ I --------6. Legal: L , B Subdivision: Existing Structure? YES/ /0 Existing Nonconforming Structure? YES I NO CONFORMS TO ZONING iityNO ORDINANCE I Yard Setbacks: NAI FAILS/CO 4'_I ., .I Standard Proposed • Front Yard(can be 20'if avg. , in 150') • 25' ---- _ • Side Yards 10'/ 25'if abutting a street 1 '7 -Z-- • 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. 4- • Rear Yard 25' 1 0 _ \ • 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' -L g' 7k 3 \`7 0 Floor Area Ratio: NA 1 FAILS 1 CO L' ES J .30 Maximum I 1 J n I Yard Encroachments:0 FAILS/COMPLIES Standard Proposed Eaves and Gutters no ,e 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: /FAILS/COMPLIES Standard Proposed • Total caliper i es • Permit 35%Re oval • Caliper Inches Removed • Caliper Inches Preserved • Replacement 1/z:1 L:\TEMPLATE\BLDGLIST.DOC ?RIop White -Building • r. Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT . A // C7i APPLICATION RECEIVED • /3• /..S The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / f7456Q6i3&ft] k//6--z Z/1/ Accepted t. Accepted With Corrections Denied / 444 Reviewed By: LI a ate: . 2 I 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." YRI04 White -Building ,� �, Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT .6 , /7/674-L>i APPLICATION RECEIVED /3• /S.-- The TThe Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / T/7A6-e;'6/i&-,4)5 I//E21 i/ Accepted X Accepted With Corrections Denied Reviewed By: /1440Date: 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." 04 YRIo�, White -Building -4'/HNBso'��' Pink Canary - Planni Bring BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT L , Aa- /4,6741 APPLICATION RECEIVED 5- /3. I5 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / 1'75" ,e6- -it,T I//&—e—e1 V Accepted Accepted With Corrections 1` Denied Reviewed By: (a, �' Date: GA//'5— Comments: 0 pr c--)k-At ,(6A.s-- (ow. iczA.L.0 yQer ,,:-1 0,410 ; "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." 1 itwo bt, Builders Deposit .... cl 44ArtgEs011* CitIf 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 100 day time period, the City shall notify the applicant of the violation and the applicant shall have 10 days to comply or the 61,600.00 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 rnay also be required and will be refunded if specified trees are preserved for a period of one year. DATE: 4/Z-/1 5- SITE ADDRESS: /_/7zj._.__,evckj_vt_e..rj1/_LeiLt) L.a4e ,_ PERMIT# REFUND TO BE MAILED TO: D.R. Horton, Inc Attn: Jada Greenwaldt 20860 Kenbridge Court Suite 100 Lakeville, MN 55044 AUTHO' ZATION TO RELEASE PLEASE ItE11%1E3113E1t II / Lynda S. services le ,Building u i 'ta-(4-1)Am00,V: 1. KEEP STREETS CLEAN DURING CONSTRUCTION Acct 801.20204 Date 2. KEEP EROSION CONTROL IN PLACE 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR $500.00 WILL BE FORFEITED SIGNATURE: .-- THIS CHECK IS PRINTED IN RED AND BLUE INK ON THE FACE ON CHEMICAL AND BLEACH REACTNE PAPER WITH INVISIBLE FLUORESCENT FIBERS AND BASKETWEAVE ON BACK he piiiiiiillON',4•Z Controlled Disbursement Check Number 19666 Ah,,,*,-,',434. 6- Wells Fargo Bank,N.A. e DRH Inc. Controlled Disb Acct. Van Wert,OH ) 56-1553 Date Amount 301 Commerce Street,Suite 500 ` ' 412 06/05/15 $****13 474)18 , . •\ ---- \ , • Fort Worth TX 76102 \ \ 1403173 ‘ ., Void after 6 months from date tift .stte \\ \Pay THIRTEEN THOUSAND FOUR HUNDRED SEVENTY AND 08/100 ********************************** \ \ \ .;, To to the ) 1 Order Of CITY OF PRIOR LAKE(PERMITS) 4646 DAKOTA STREET SE ( -n.‘,:.. '''' -.,'• PRIOR LAKE MN 55372 \ , 4' _ °x ..iiz.v.,,D_. I ,,. . ( 11.000796 6 60 1:0 4 L 20 38 241: 963948 La ?9ii' _ .,- \ i1) it;: t^ i ' n �g 7 r Rio CITY OF PRIOR LAKE1 JUL 1 6 21 dtte; a TNG/PIRI♦;I�LILCE PERM ' L t HEAT .NG/AIR CONDITION �� illy "0F ,71 ,1 , I.Pink File PERMIT NO. o �jT� 4"A s(itk' 2.Green City . 3.Yellow Applicant Ai (Please type or print and sign at bottom) ZONING(office,. ADDRESS 1112 GnLd U' A LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Phone) (Name). �_._..._.. (Address) APPLICANT Phone 2.2-I,/(Name) a►1�. Yl, '� �+) `t t _ (Phone) ��3• 1? (Address) n ii _.4. /4 61 .0 kiliu (Contact Person) ( ,v (Phone)`(p b• 253.1i-irk APPLICANT SIGNATURE -414, e. . ... A..... ;,,, .__ ____ DATE 1-115 ,f APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION ❑REPLACEMENT iii ALTERAFU IONS FURNACE MAKE AND MODEL OUTPUT EL FLUE SIZE RETURN OPENINGS INPUT �__ TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner LI Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity Ell Hot Water into Required Side Yard Setbacks. ❑Mechanical ❑Radiation Fireplaces with Box Additions or El Air Conditioning ❑Special Devices Cantilevers to the Outside of Building; ❑Vent. System ❑Other 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/I HEATING PERMIT FEE $ STATE SURCHARGE $-5-.-0-0-- 93 TOTAL PERMIT FEE $ n' ° � �a,P sk This Application Becomes Your Building Permit When Approved Paid ,,,. ,� ) eceipt No. Date By Building Official Date 24 hour notice for all inspections (952) 447-9850 4646 Dakota Street S.E., Prior Lake,Minnesota 55372 1.-f-,7-,y. 1 1r , —r $1 R JUL 1 ept6% OF PRIOR LAKE PLUMBING PERMIt.;-_ , � iih ,„..„ ..,� CITY I FFY__ :.. __ _ 0 " `�[ r4�- I.Ucoc Tilt PERMIT NO. • 3.Yellow Applicant _.,__ — Pieasc c2ar_tl ctt and sten at Untltuxe ZONING(ofiiee use) ADDRESS I'll tip tI `` .. ` LEGAL DESCRIPTION(office use only) ______ .. PID LOT BLOCK ADDITION _ _______ _ OWNER (Phone) (Name) {Address) _._ __ ----- APPLICANT (phone) ._ 'ZZ (Name) + 1 t °+ (Address) ii( ` t, .. (City) (Zip Code) �ddress) (Phone) _— 9' (Contact Person) APPLICANT SIGNATURE ___...:_.�cG1 �: k L-_..� 4f____---.DATE / r 5 APPLICANT PLEASE COMPLETE BELOW of Fixture _ (Walltit ' Type Quandt , _ T ' e of Fixture (Wallin Ytl-ins Bath Tub with or without shower — — Rou— Water Heater Dishwasher - Water Softener Floor Drain ------------- Stand Pipe shinh Machine)Lavatory(Bathroom Sink - - _ _ ____ e�tage E`ector LaundryTaa I or 2 cotta)artrncnt sink --- Backflow Assembl __Shower Stall Backflow Assembl Test Sinks Sink Bar Lawn S s rinkler -_ _ - ' Other Water Closet Toilet FEE SCHEDULE Tile Minnesota Statutes 326$.148 [job'cost with a$49.50 minimum Residential,New One&TwoBamity $149.50 § Residential,Additions&Alterations $49.50 "SURCHARGE"has been extended' The m i ni nauin surcharge fora Building Permit# "fixed fee"permit is$5.00 .PLUMBING PERMIT FEE $ 5 a> � STATE SURCHARGE $ -el-141;0 TOTAL PERMIT FEE $._________ 0 �` (Office Use Only) — paid - +., �" Receipt No. — Approved F., This Application Becomes Your 13utlding Permit When App' __a.-- Date By __ __ r3ulldDate ine Official ...— 24 hour notice for nil inspections(952)447-9850,fax(952)447-424S 4646 Dakota Street S.R.,Prior Lake,Minnesota 55372 ,s0 r RIoDate Rec'd CITY OF PRIOR LAKE � SEWER AND WATER PERMIT /� , / 7, 6 / 58'9 j,'NESD� Yell . . Green FileCityPERMIT NO ow 3. Gold Applicant (Please type or print and sign at bottom) ADDRESS ' ZONING(office use) /7 7(2 5' ‘O/c%n Vi le 1.J Ziv S, &) . A16214 LEGAL DESCRIPTION(office use only) / /�� LOT //BLOCK/7 ADDITION Az ( C� 0 ,ea5 To _ PID 46- ''v-JV-D OWNER ,rI, �j >m I I J,wc (Phone) .K. Ti N �-JlJ ( ) (Address) (Address) (City) (Zip Code) APPLICANT DY C� V)`44 /flc y96'6„ /3s '.(Phone) O (Address) 274 tAittzpl ici1. ` 4s/in/Ls s'1- 33 �j (Address) (City) (Zip Code) /// (Contact Person) // 46/ in/. / (Phone) 6"09" 91 9 V39 APPLICANT SIGNATURE Ii it' f , DATE 4 .4 - is"-- APPLICANT `l - is"-- APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. ❑ ABC ❑ PVC ❑ 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%of job cost with a$51.50 minimum Sewer connection only $25.50 Water connection only $25.50 Estimated Cost $ Building Permit# ' SEWER AND WATER PERMIT FEE $ The Minnesota Statutes§326B.148 STATE SURCHARGE $ "SURCHARGE"has been extended TOTAL PERMIT FEE $ The minimum surcharge for a "fixed fee"permit is$5.00 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date PNA?WITH Building Official Date BUILOM PERMIT ERMIT 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 o� rnro* CITY OF PRIOR LAKE Date Rec'd 'tile HEATING/AIR CONDITIONING/FIREPLACE PERMIT 1.Pink File #3407233 & 3407238 - 0001 PERMIT NO. 44fAMts50ll' 2.Green City /9:a�g� 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 17725 GOLDEN VIEW LANE SW is e LEGAL DESCRIPTION(office use only) LOT BLOCK 7 ADDITION Mc,4'aQy5e2/4._&---5 so, PID75.. 5j 5 p 5j—6 OWNER) (Name) D. R. HORTON (Phone) #952-985-7272 (Address) APPLICANT (Name) Fireside Hearth & Home (Phone) #651-633-2561 (Address) 2700 Faireview Ave N Roseville, MN 55113 (Contact Person) Leah Lodermeier (Phone) #651-638-3312 L APPLICANT SIGNATURE .- _ ! � de-rnze-ibr DATE 7/23/15 APPLICANT PLEASE COMPLETE BELOW ❑NEW 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 O Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hof Water into Required Side Yard Setbacks. Ell Mechanical ❑Rad lotion Fireplaces with Box Additions or DAir Conditioning DSpecial Devices Cantilevers to the Outside of Buildings DVent. System DOther Devices Require a Building Permit. FIREPLACE MAKE AND MODEL HEAT-N-GLO/ SL750 (X2) 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 $ 5.00 1 TOTAL PERMIT FEE $ \ ` ,i di This Application Becomes Your Building Permit When Approved Paid 1 ��/O_/I�,T Date Mr Building Official Date 24 hour notice for all inspections(952) 447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 i1,i-in /3- . r'q' I ritio CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,�°A ' . TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT '7` 2 Y -se�+ ES01* i while File PERMIT NO. 2. Pink City 5-yi 3 Yellow Applicant 15• (Please t,c or,tint and si,n at bottom ADDRESS ZONING(office use) ole ,_, , IS, LEGAL DESCRIPTION(office use only) LOT r BLOCK 7 ADDITION /74ai,, Apas j1„, PID —5- 05 D6o`4D OWNER (Name) (Phone) (Address) (Company Name) i W',i pito ti t (Phone) ` l?111 (Contact Name) ` (Phone)Jt �- 7- �-47 t`Y (Address) 1565— A ' (A-1,-, t,f�'t mou41, Y o54.141 TYPE OF WORK ❑New Construction ['Deck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace DAddition ['Alteration ['Utility Connection a CODE: ❑I.R.C. ❑LB.C. [°'Mise.id. A4 _ 'r Type of Construction: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: ABE F HI MR SU (excluding land) Division: 1 2 3 4 5 _ 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. 1 am aware that the building official can revoke this permit for just attic Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X d #,that `2 -a. _ 11-7.5- 2015 Signature Contractor's License No, Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE - ��``��,,�r„ mid This lication Becomes Your Building Permit When Approved Paid '1/ Cel' t rl o.� / —=s Date By Building Metal Date This is to certify that the request 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 the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850 4646 Dakota Street Prior Lake-MN 55372 . - s &c,. ic7, PRIORLAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS PIPL.7 S a04A4AJ ve a) NATURE OF WORK -, .. �. USE OF BUILDING lei' ' Vitzabyr `�„�GL�PERMIT NO. / DSSUED 2).E--r - fJ©�rc�j CONTRACTOR?) .RPHONE952 ' 4114419�'S '7'2�'z, INSTALL EROSION CORTMAINTAIN CLEAN STREETS AT ALL TIMES FOOTING INSPECTOR DATE FOUNDATION (Prior To Backfill) I RADON RETARDER k______ I clic)( i5— L \ ISI SI 1 b� PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER/WATER/SEPTIC Jr FRAMING pt-c_.„--/INSULATION �� � ELECTRICAL 4014-,_ /iy/ PLUMBING HEATING pc.,___- ih,/`� FIREPLACE ` 15/ �/ <� GAS LINE AIR TEST of e / f r---- RADON pawn pi p /- COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED I HOUSEWRAP LATH I• Fi r'.e FINALS Srti'GRADING ( PRIOR O SODDI / ' /i - BUILDING .. 54 G I� l tLECTRICAL LLI PLUMBING S ���, HEATING y� C?-4'r ie/b6/:)- .” Ca-LL, 161 �b I tb 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