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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
/...+11e-
5'sf-$--
r M-IU/ CA-i7
LEGAL DESCRIPTION (office use only)
LOT 13 BLOCK.3 ADDITION
OWNER
(N ame)
fw. i1E-- )./, WI G 5
(Address)
r--
i BUILDER
\ (Company Name)
I (Contact Name)
(Address)
S~/E.-
tuu- ~LA-5,CHl(o
/ /. / 7. 0(;
White
Pink
J Yellow
File
City
Applicant
I PERMIT NO. ~. / 014-1
ZONING (office lIse)
tel
11 C t.4VE:.- A-r (! UA-/2.
PID '25: 4S'.c;.. 6:35. c
(Phone) ~51-1152 - 52.PO
OIlIfC-
56"1 z-
(Phone)
(Phone)
~/Z - zzl-
~~f-5
New Construction ODeck OPorch ORe-Roofing
DAddition o Alteration DUtility Connection
CODE: ~C. OI.B.C.
Type of Construction:
Occupancy Group:
Division:
TYPE OF WORK
A
B
I
E
II
F
1
III
H
2
IV 3J A
I M R
3 4 5
ORe-Siding OLower Level FinIsh
p(Fireplace (I)
o Misc.
B
S
/?~300
U
PROJECT COST IV ALUE $
(excluding land)
, I hereby certily that 1 have furnIShed mt()rmatlOn on this application which is to the best of my knowledge true and COlTect. I also certify that 1 am the owner or authortzed agent telf the
I Jbilve-mentloned property amI that all construction wdl conform to all eXlstmg state and local laws and Will proceed in accordance with submllled plans I am aware that the buildmg
I official can oke thiS permit for JU' cause Furt r re, I hereby agree that the CIty official or a deSignee may enter upon the propel1y to perform needed msp tlOns
'LX /~71
Contractor's License No.
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~~
I Blltldlll!! Uflictal
111z-a/alp
Date
Park Support Fee
#
~
SAC #
Water Meter Size 5/8
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
Paid
Date
~?!f4ze
7/)z.7
\ ReceiPt~. f2 tJt!' I
By ()JJ
TOTALDUE ~ IZ" tf.d "
ThIS IS to certify that the request m the above application and accompanymg documents IS m accordance with the City Zoning Ordinance and may proceed as requested ThIS document
when Signed by the City Planner constitutes a temporary Certificate of Zonmg compliance and allows construction to commence Before occupancy, a Certltlcate of Occupancy must be
~~
\ Planning Director
L
,
11(2.8 ~~e Cp ~ a.J..t spe~;atf;<hr )
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by: ~ ~'4-~ Date: 11/ U /0 ~
Building Permit #
Address: 5~'l8'
Legal: L /3 , B
PID: Zoning:
T~.'-P ~ ~
3 Subdivision: ~ ~ @ Cb-::J ~
Existing Structure? YES~
I CONFORMS TO ZONING
ORDINANCE
Existing Nonconforming Structure? YES@
YES
I
NO
Yard Setbacks: NA I FAILsC::COMPLles)) Standard Proposed
. Front Yard (can be 20' if ava. wlin 150') 25' z..S .
. Side Yards 10'1 I
25' if abutting a street It".'f'-l
. Sidewall exceeding 50' requires additional side 2" 1 0' setback + ,
setback for every l' over 50' in lenath 2"/1' over 50' /4,J CJ
. Rear Yard 25' F;7 '
. Patio Door: provide for minimum 10' deck or sign 10' sidel
statement indicatina no deck will be built in the future 25' rear NO,Ji'
. From 100 year flood elevation of wetland/NURP 30'
pond N^
. From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no
less than 50' NA
.30 Maximum
Standard
Proposed
tJtJe-
Na/Je
Tree Preservation: AILS I COMPLIES
. Total cali er inches
. Permit 25% Removal
. Cali er Inches Removed
. Cali er Inches Preserved
. Re lacement
Standard
Pro osed
Y2:1
L:\TEMPLA TE\BLDGLlST.DOC
~hite - Building>
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PVt.-IE. HOlieS
/1. /7. Oh
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5588 7Jat/f..,H€rlO L~Nb
Accepted
Accepted With Corrections ~
Denied
Reviewed By: ~
Comments: ~~ aLe
'if L.J;2 L Date: / I / Z8' It) "
, I
~~. ~c: W~
.
~ ..0 ~ y.. ~ -'-Y~'
!~~.
"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 - Enaineering
c:Pink - Planniw
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: ~
Comments: ~~ cu...R
~
~/~
I
Date:
/lha/ofQ
(
8th MechAni,-.al
Air Conditioner "md ~. · d
Units Cannot Encroach mOO Reqmre
Side Yard Setbal:ks
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."
'-.
..-._~--"ID
White - BU;idlnq
CCanarv - EnQinee~
Pink - Planning
BUILDING PERMIT APPLlCA---ION DEPARTMENT CHECKLlSI
NAME OF APPLICANT
APPLICATiON RECEIVED
puc lE HOllE- 5
/l/7. (J~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5588 PO/It.- HE/--1Q L/1N~
Accepted
Denied
Reviewed By: IJ11t Date: / 2. ~/~d6'"
Comments(See Reverse Side f9r.l.ddit1onfll hiformation!
x
Accepted V1ith Corrections
i See Attaeh111ellts: 1) GradingJ1an, 2) Etb~iort' <:,;'Oij.trol" Measuf~s .
:. ; . ..d&-=b ' . " '. ' '.:. . .1- ~:.A, \, ' " , .
'The issuance or granting of a permit or approval of plans, specifications and
computations shall not be consttued to be a permit for, or an approval of, any violation of
any of the provisions of this code or of ahy 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."
Standard Pro osed
. 24' 20'
. 5' from side lot line or 13'
3D' from r-o-won comer lots
. 10% B.8~D
trh.
.
35' Maximum 2-Cj'
Pro osed
30% Maximum
Bluff in Shorelan . 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
Flood lai . FAILS I COMPLIES Standard Pro osed
. 100 year flood elevation 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
1 FAILS I COMPLIES Standard Pro osed
. 832 sq.ft. or 25% rear yard
.
. 10'
. 15'
.
L:\TEMPLA TE\BLDGLISTDOC
nero
28 08 01:31p
METRO GENERRL SERVICES
783-428-2988
p.2
GAEE- - fILE
YELLOW. APPLICANT
GOLD. ell'/'
~ - /0'1 ~
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
FA'f- Cf q;~- tfL/ 7-t.f~ L/r'
s.w. No.
NOTE:
Sewer and Water
contractors must
be registered
with the city.
:::~:::~T: i~~j~~n~)
~:::A:~::~SS ~ ~~~.~ \~I'~d lri
PHONE:]( p,3 -4:) X -J,.Cf3i
':}.J/~,~() lft
DATE:
~BLDG. PERMIT #
PID#
1.
2.
3.
4.
'-........ 5.
6.
Estimated length of water service
'.. 1\ t,
size of water service
FILL IN THE BLANKS
~(Y
feet.
Location of any couplings 'from stru~ture_ feet.
Type of sewer pipe. ABS PVC V cast Iron
- -
Estimated length of sewer line' ~)I feet.
Clean out (if required). located at feet from
structure.
inch \:es) .
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~-~~~~~~~~~~=~~~=~~=-~~~===
This a~~i7ft~/becomes your permit when approved.
BY il+ [irJlJlYfYL DATE: /);)(,()( ~
=~=~=~~~iD~Jl:l~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
FEES: f] idj P''-'''' 'f- Sewer and water line connection permi t.
_ surcharge
N c> (-e-e.- TOTAL
. Fee for either sewer or water individually is $20.00 pluS
$ .50 surcharge.
*
Sewer and water permits issued for neW construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued. '
DATE. PAID Id-~~L
RECEIPT #
~._._.-.-
AMOUNT PAID &1 13 /~
(
REC I D BY C3 ---...
~
16200 Eagl~. Creek A v. S .E., Prior Lake, Minnesota 55372 / Ph. (9,2) 447-4230 / FAX (~;S1) 447 -4245
An Equal Opportunity Employer
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. J 7
~.:~ ~!;y I PERMIT NO. (# . I D74 I
3 Yellow Applicant , '
ADDRESS ZONING (office use)
55-821 '--;-rq,'//Jea/l../7
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
pm
Pu / J C" .
(Phone)
I OWNER
(Name)
(Address)
APPLICANT SIGNATURE
C' ..
E; S ...5
(Zip Code)
APPLICA~~
(Name) V (
(Address) q~6?
(Contact Person)
ne)
DATE /- 3'-00!
Quantity
APP NT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One & Two-Family $99,50
Residential. Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$ /'
../"
~
~O
f iii P e;6fZ-
r3/)lv
(Office lJse Only)
Date
P~
Date
I
Recei~
By L
This Application Becomes Your Building Permit When Approved
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 47-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
3. Yellow
File
City
Applicant
I PERMIT NOUJ07!/J
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)
55113_
(Zip Code)
(Contact Person)
WENDY SCHROEDER
(Phone) _651-633-2561
APPLICANT SIGNATURE
Wendy Schroeder
DATE
12/8/06
xD NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
o Gravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL Heatilator ND4236I
APPLICANT PLEASE COMPLETE BELOW
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64,50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
$39.50
$39,50
.50
"","'0
~"
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
(Office Use Only)
Date
Paid Receipt No.
J~~ 8 2007 By
This Application Becomes Your Building Permit When Approved
Buildinl!: Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
J3n 19 07 10:033
p.3
D~te Rec'd
LEGAL DBSCRII:nON (omell1leont1J
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LOT BLOO: ADDIDON
~~R PI ~ I It J:tt. '(VI. -e "\
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(AC1drm)~~) 1,j L0 -PV l, '\:__\ \=-. AC;; ..::;\ij\ /
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\ APPllCANT S'/' INATURE l ",.( \ J () ,,),-
I
pro
_ (Phone) lJ.lC \
Lle;:,7: . Ci\Jl
.
\
I j APl"LlCANT PLEASE COMPLETE DF.LOW
I I' ~NEW CONSTRUCTlO~ 0 REPLACk.'MENT 0 AL TERA TIo-r-;s
I 'UR.~ACE ""JEANo MODEL L:t'\ ,nuX ll'-f ")J\f - L\o ( " (')(', 0 fUEL j"I.:\t.
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TYPE OF sYSTEM l'JEATINGOR PO\VllR PLANT
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F1RE-PLACE!-1 \KE AND MODEL
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DATE lei Dl
pLf.ABE NOn:~
Air CO:1ditioner Unitli
Cannot Bnc:roach!!lto .
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Roid:mrllOl. Her l Dr; Onl)' (New COIU<b\ldion)
nit SClIEl)tIU:
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$39.50 mlnllllllro
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HEATING PERMIT FEE
STATE SURCHARGE
"IOTAL PElWII FEE
$
$
s
PAID VvlTH
.SQpU ..~":. \=H::~MIT
(om~. (Ioc OnJ;i:
Olpt No.
'.
Tbl3 ApoUr loon BlI:tt1mes Your Slllk1hll 'Fcrlllit mtn ^pproved
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,mN 2 6 2007
y
z.4 !\cur DOtlct for .11 hu~na (9n) 4047-9&50. fu.(9!l) 441~1~
~~RI!)R LA.KE
INSPECTION RECORD
SITE AC'DRESS !r5 88 TftAi~ M€I\O I.AfI.
NATURE OF WORK ....~ ~. ~ ?a.eM, No ~b 4..c",.
USE OF BUILDIN3 :Sl~ ' ~~ F:,tJtsH,1
PERMIT NO. . / () 4- DATE ISSUED
CONTRACTOR 'l'4c..~.. ._es PH NE~S"
NOTE: THIS IS ~'OT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERM!T IS BY SEPARATE DOCUMENT
DEPA;1TMENT OF
BUilDING AND INSPECTION
INSPECTOR
DATE
I FOOTING i 1../ J-Q/tN
FOUNDATION (Prior to Backfill) (. -),.1U
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIG;~ED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if requ;red)
FIREPLi~CE
GAS L1t<E AIR TEST
0>- iT;07
r
GOVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
rtAr~' H'i~r~ ~ltlfj I f
FINALS
I G~AD.NG (Prior to Sodding)
e',HLDIN.G VAHI
E-.ECTRICAL
pr,.UMBING
H~ATING
DO NOT
..-/-r/7
~ tL1rl
~/-I t/--cJ7
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 P\ISPECTIONS (952) 447-9850