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(Please type or print and sign at bottom)
ADDRESS
65SY
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
10. Zl 06
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. (p , 1005\
-; f141t-/1lMn
JRne
LEGAL DESCRIPTION (office use only)
ZONING (office use)
~/
ftl1CtAf/ ~
PID 25. 4-54-.033.
LOT / / BLOCK 3 ADDITION
OWNER
(Name)
Iv t..f1E.
)/O!1ff,.5
(Phone)
ts-I- ~S-Z-SUJO
(Address) ~I
BUILDER
(Company Name)
(Contact Name)
(Address)
S.k111c.
lJe;/lf $~~ILO
(Phone)
(Phone) (,/z. -z,Z-/- ~,~S
New Construction ODeck o Porch ORe-Roofing
OAddition OAlteration OUtility ConnectIOn
CODE: ~C. DI.B.c.
Type of Constmction:
Occupancy Group:
Division:
TYPE OF WORK
ORe-Siding OLower Level Finish
o Misc.
A
B
I
E
II
F
I
III
H
2
IV c5) A
I M R
3 4 5
PROJECT COST IV ALUE $
(excluding land)
~Fireplace (I)
1?1/5&JO
B
S U
I hereby certify that I have fmOlshed mformatlOn 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 fllr the
above. mentIOned property and that all construction will conform to all exrstlng state and local laws and will proceed m accordance with submitted plans I am aware that the buildmg
official can rc e thiS permit for Just cause Fu -th 'rmore, I hereby agree that the CIty official or a designee may enter upon the prope11y to perform needed msp' tlOns
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$ /55:"6,00
$ :3 2..$ . ~ 0
$ (fJO,O()
$ J500. DO
$ 1000. i) 0
$ l So
$
I L 1.0(, $ q (, e I,
97J!ir1-~, l~iPtNO ~;;56k,
/.3 71
Contractor's License No.
0,0'0
Park Support Fee
SAC
#
#
Water Meter
Size 5/8' . 1 n.
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
Paid
Date
This Application Becomes Your Building Permit When Approved
~~
l~lIddllll! Onicial
/t/~,~,.
$
-
.(1."
I Thrs is to celtify Ih,1t the lequesllll the above application and accompanymg documents rs m accordance with the City Zonmg Oldmance and m,IY plOceed as requested TIllS document
I when Signed by the City PI,umel constitutes a temporary Certificate of Zonmg comphance and allows (onstluctlOn to commence Before occupancy, a Certificate of Occupancy must be
\"~ ~ /1 0(" ~ aLf LLL-~~~.
L PlanOlng Director Date spec~s, :;:ny
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~ite - BU:ding
C narL: En ineering~
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PUL TE HoilE S
!O.Z70(,.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5554- i7ij//L IIEI/D !-/l!vE
Accepted
x
,
Accepted With Corrections
Denied
Reviewed By: (J!J1(3 Date: 11' l-OC;
Comments:. See R~verse Side for Acttlitionallnformationl .
Vr;V(w~y /I'1V\-f ~"V( C.Ot'l(.t4ffr~'ff;t,
See Attachments: I)'Grading Plan, 2) Erosion Control Measures
liThe 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."
CWhite - BuildinQ::)
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
P(j~T6 Hol1es
10.2-70t,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5554- 7ftZFI/L-- Jle;-AO I-RN&
Accepted
Accepted With Corrections /'
Denied
Reviewed By:
~'lL
4 tI ~ oJ..,(
F~
;:f~ Date: /~/a!o"
,
~.I'~~.
~ -.h-..rQr~ ~ ..,~'
Comments:
0~
"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."
White - Building
Canary - EnQineering
C 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
Accepted With Corrections
~
Denied
Reviewed By:
~ ~ Date: 1r/z.-/6c:'
~ a..Jl-f vd, ~.
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."
Building Permit #
,
Address: 5' 5:S:~ TA IL- I1E:7\O
Legal: L II , B 3 Subdivision:
PID:
Existing Structure? YE~
rk ~ J~A.
Existing Nonconforming Structure? YE.@
@
I
NO
I
I CONFORMS TO ZONING
ORDINANCE
I
Standard
25'
10'/
25' if abutting a street
Pro osed
Z5"
I
. Sidewall exceeding 50' requires additional side 2"
setback for eve l' over 50' in len th
. Rear Yard
. Patio Door: provide for minimum 10' deck or sign
statement indicatin no deck will be built in the future
. From 100 year flood elevation of wetland/NURP
ond
. From OHW (Prior or Spring Lake)
10' setback +
2"/1' over 50'
25'
10' side/
25' rear
30'
2D(
~ 2~(
NDNb
',4
75' or setback average of
adjacent structures, but no
less than 50'
A
Floor Area Ratio: NAI FAILS 0
.30 Maximum
dtJ%
Standard
-
Tree PreservationdNM FAILS I COMPLIES Standard Proposed
. Total caliper inches
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement %:1
L:\TEMPLA TE\BLDGLlST.DOC
to)-;J8-200C -
_ :J lb: 30
CITY OF PRIOR LAKE
3S2(~47424SCl. (:\2
"'"lK:........ . ~
...'tuO'" . """lIc','-
QOlD - crl'l'
'-.......-
NOTE: sewer and Wat~r
contractorS mu't
be reg ister'.d
'>lith the ci t;' .
l( " '0 }-1 0 . h' n. ""11 . ')jjf}g 9:., " '1'7:(;-
APPLICANT: I, ,")\4LJ.fjl,~!j.J .'f ~l1~oNE:~~vJO
,ooRESS: [1',0. a,/'j, .~~. l~lJ1----DATE:_-'-
SIGNATURE:~.1I.:- tl;!/iU'i;L~BLDG. pJ'.lU'lIT *-----
SITE AODRJ'.ss:~-!:f(1hlhoJr! LLloP D 1-----------'-
, ~. IN THE ELANlSE.
1. J'.stirn.ted length of water 5ervice~feet,
/ ~(
2. Size of water service __inch (es) -
J. Location of any couplings from strUcture~feet.
JIll
., Type of sewer pipe. ABS____ pvc:7-- cast Iron____
S. Estimated length of sewer 1ine~:5a--feet.
6. clean out (if required), loccted at feet
---
structure. jJ,'lr
~~~""~~~~~~~"~"~~~O~~~~~"~~~~"_~~~~~.o}l~~~~==~~~"=~=~=~~~"~~."~~~~
CITY of PRIOR ',A '~~t:
SEWER AND WATER pERMIT
FA 1- C) S;l.:" "tf 7-- 'I p 'L.,~
~
SW "0 6d< 10' 5
[rom
This application becomes your permit when approved.
DAT.E:______~----
BY
~'_ ::::::::::~:::=:==r~=p~~~'f~~"~~~~~~~~~=~~~~~~~~~~~~~~~~~~~~=~~~~~~~~~~~.. o""~~~
W iJ e.d {...' r'l-1i '
FBBS: {lldj P, ~M' '1-. Se"'er and wv ter 1 ine connect ion pen' it.
c ,surcharge.
No l-ee...- TOTAL
, ',. -,',,'"
1<
se",er and water 'er"its issnd for new construction must be
rBcorded on the ~ildin9 peI.it card at the time of issuance
to insure that "0 dupllCatc ,ewer and "ater permits are
DiT~:\:::~d~~ AMOUNT FArD/d J3;. l~ /
B,:CEI PT 1i moc · D flY C'
()~--
,ee for either s .,er ~. ",ate" individuallY is $20.00 plUS
S .50 surcharge.
or.
:. .". "c;:~::'
. ./
:':,':" ,
:\6200 Eagl~: Cleek A v. S .Il.. Pr; oll.ake:Minnesu", 55312 I Ph. (~s2) 447 -41.30 I FAX (,.2) 447.4245
An Equal Opportunity Emp10yer
:..1. ", ..'"..
..:, ", "
FlTf'J P, r~)
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec' d
12, ZY,Oc,
(Please type or:rint and sign at botto:m
'''I ADDRESS
.. ~ .
55_"4 / I ,-/h-eQaI LCY--t e .
~. ~~ ~~:y I PERMIT NO. ~ . I ~05 I
3 Yellow Applicant ,
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
Pc4 lie;
(Phone)
I OWNER
(Name)
(Address)
(Address)
(Phone)
(Address)
(Contact Person)C .-
DATE / ,;:2 ~r:9-7-0 ~ .
ANT 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 Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 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 $39.50 minimum
Estimated Cost $
Building Permit #
Residential, New One & Two-Famil
Residential, Additions & Alter . ns $39.50
p~'!J e,~rz-
d / I/()
~
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave" S,E., Prior Lake, MN 55372-1714
Dee 26 06 12:26p
p,2
CITY OF PRIOR LAKE .
REA TING/AIR CONDITIONINGfFIREPLACE PERMIT
Date .R.ec' d
~1~1Itt tytl~ arpri,n.t~I, ~ l[ bQ~)
\ ADORESS . , '
lS5!!:b?d\ \YWhtl
LEGAL DESCRI[; nON (OfflOlIlU cull')
------
~ ~ t:1'-' ~T ~O. ((7 -- / (PO ~
f) y \ \}I -f ;J
I
J
pONING (D~\l.I~ \
I ~
LOT BLOC}
ADDmON
PlD
-. \.-.,
l;i~ .
( --.' l\~-) "''', '-1-1
(phone) ('- ':. I - ~,-',.' 'LI I .
I O\VNER ' .
I (Nmlc) ~J \ ,~ \ '\-'C
\ ,
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j (Ajdrm) (" ,;,:;,l"-l \.,.. \
APPLICANT ':. I'
I .\\..-. \,,p
(Name) '.;J( '(.J l
\-\t'r-~Y\V"\ci' -~~ it'le \
r.. ~)
. ( J [' "I ",. ,...L ,...., ::J, I
(Contect Penon) "', ........'/ \ , ,-<: '. j-L
l APPllCANT S,!,jNATURE ~ ,I (' \ , ( tt \ Ii I " h,
- " ~ j ~
I ' APPLICANT :PLEASE COMPLETE BELOW
\ I' ~E.WCON,~U~ION ,:D~:LAQ:,~ "q_N:TERATIONS .
i FtJR.~ACE MAl" AND MOon. f9 lrilr'!:'~ \ I q '\ \,' . llc( ~I\C i '. . , ,FURL k \.~ \ (~!. \ ~ I
I FI..UE SIZE RZI1.JRN OPENlNCS l}.'l>r;l I, It \ ,I 'iV', L)', '-'OUTPUT / ',/ r. ( '. -J t
I _: ~ 1'-
, '!'YPE Olf sySTEM lmATING OR. po~"E.R. PLANT
'i=~Ajr'Plantt ~~~
I'Mecl1.tonIIl6l W 11di0'l
. lr ColId.hlonlnl S~ial ~lce5
oqt. Sytu:lU 0 Othnr DeviQoa
(phon") '-7lC~) - l VI /.~). .'1. d"r:..:1
())\~b-~i:'( ~.' \ v.'\ ~~Jl.rL
1 (CXy) (Zlp Code)
(Phone) -II ('/'. . l t-/ '2>-- I' ? l.c'~)
.ilL, I~ \._~ DATE mu..:.- \ (.(;!
.J
(Add:r=) _ _
PUASE NOTE:
Air Ccailitioner Unilli
CaonOl Bncro.ch into '
'RbqUin:d Si~ '( aid
~s
I.
FIREPLACE }.I va:. AND MODEL
-------'
""'""1--
i
lud=ial. comrf ,~lJl.l &t- Mulo-Plll1l1lY
nit ~CHEDULE
1 'fa of Job CM. RGGldent1&!. au t'lrepl\tOO
539.50 mlnlmUltl
Rn\4omilll. He.' "I.to NC a-c.... Con\ltlt1dlOl1) S9!dO
RC3i.1c:ntl.ill. HOfil. Ill; Only (Nr:w COJ}1>trUcOOr1) ~6-00
~,fun&:fJd Co~t S ,?-'r~:}"~F) . (', (':1 B\1l1dini pcnnlt j.
SJ9,~O
RuidClltial. AMlticwu &: AllrratloM
RalI\dr:nt!ll. AC On';)'
S39.~
139.50
flEA TINOPERMlT FEE
5T ATE SURCRARaE
TOT AL PElUv1l:T FEE
$
$
$
,s.!}
This Applll loon Bc~Dl6S Your BlIlldlni P~rmit Wbell Approv~
r:o!~6i 131 <!r:oPtt'o,
Dnle ~6 y
0_ \ I J. - cT C/ -- I 2J=
'A !\tllJT ootlU for .Ii \~;:~I'III (951) "1~, 111. (95:1) "'7....1~ l
(OUitt Ute 0uJ:1:
I
I.
Bull' \0( omdll
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
3. Yellow
~:~y I PERMIT NO.~
Applicant ·
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name PULTE HOMES
(Phone)
651.452.5200
(Address)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone)
2561
651-633-
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
(Contact Person)
WENDY SCHROEDER
APPLICANT SIGNATURE
VVenay Scliroeaer
DATE
12/8/06
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
o Gravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL Heatilator ND4236I
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
'0. ~,.,
(Office Use Only)
Building Official
Date
Paid Receipt No.
D~~ 8 20:!7 By
This Application Becomes Your Building Permit When Approved
24 hour ~otice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS .sssL/ T~~/L.~ ~e
NATURE OF WORK JlEJ4J U1JSr. (: ~ JJ Iti!H1 I.. L. FiiJirl'l)
USE OF BUILDiNG #
PERMiT NO.
CONTRACTOR 'lIt14 PHONE ..' Z,/- ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPl~RTMENT OF
BUILCiNG AND INSPECTION
IN~~P.ORG DATE
I FOOTING vv /1., ;0. Ov
I FOUNDATION (Prior to Backfill) I ;/V;/~' I ) ~-7-tf,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
Mf
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
,0'1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
l44iH€ MIJ ~6"~~/t ~-br. I t/r?/{)7
FINALS
GRAL:>ING (Prior to Sodding)
BUILDING ..{lNy1 (M~,l 1~(,tn
ELECTRICAL
PLUMBING
HEATING
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
30% Maximum
Bluff in Shoreland: A FAILS I COMPLIES Standard Pro osed
. Setback from top of bluff By planning dept.
. 20' From Top of Bluff
. By City Engineer
. No importing/exporting
Standard Pro osed
. 908.9' Prior Lake
914.4' S rin Lake
. Lowest floor elevation 909.9' Prior Lake /
915.4' S rin Lake
. Proposed lowest floor elevation Must be l' above flood
elevation for new and existing
structures. If existing
structure was constructed
9/19/90-11/22/97 then
additional foot is not re uired.
. Elevations 15 feet from structure Must be flood elevation or
hi her
. Road access must be no more than 2 feet below 907.9' for Prior Lake
Re ulato Flood Protection Elevation 913.4' for Spring Lake
Standard Pro osed
. 832 sq.ft. or 25% rear yard
.
. 10'
. 15'
.
Orivewa : NAI FAILS
. Maximum width at
· Required setback
.
.
L:\TEMPLA TE\BLDGLIST.DOC
Standard
24'
5' from side lot line or
3D' from r-o-w on comer lots
10%
Pro osed
/
(p.
~
35' Maximum
Pro osed