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Z o Z j:: 0_ Z 0 o W ~!;(~~ g, _o-...J-Iz I-Z::E:J<w O::J<enz.... ~~e:~ii:ii) 000000 rn .... z w :E :E o o i..: C o () 1:: 1Il C ~ i..: o t) 8- III .E u.i o z c( > o c( Z en a: ::J o J: ~ N Z o j:: o W l1. en ~ I- >< W Z W J: .... a: o II. CI .., co en ~ ~ -I -I c( o ~ !-.. ~ ~ ~ e: ~ ~ o ~ Q., ~ ~ ~ ~ ~ ~ ~ ~ ~ :::;) OJ ~ Ill: ~ ~ V ;:: " ~ ~ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT S'IZ-r (Please ADDRESS J MiLH [;#/ bne LOT BLOCK ..3 LEGAL DESCRIPTION (office use only) ADDITION }f;,&/.A(/L OWNER (Name) ?vJ-T&- J/o)llt:-~ ,,/~ ~ (Address) UT Date Rec' d Il./f.OCo I White Pink Yellow File City Applicant I PERMIT NO. W, 1/ e, '1 ZONING (office use) R.l PID 25". 4-54. OZ(P. D .- (Phone) ~ - f's z - ~ 2.00 ,----- i BUILDER I (Company Name) I (Contact Name) (Address) 5ftm~ ~/lr ;g~~ (Phone) (Phone) y/~ - ~ - ~FrS- TYPE OF WORK New Construction ODeck o Porch ORe-Roofing I OAddition OAlteration o Utility Connection . / 0 0 Mise. CODE: [~i.R.C. I.B.C. Type of Construction: Occupancy Group: Division: A I E II F I @A M R 4 5 ORe-Siding OLower Level Finish 0 Fireplace B S U PROJECT COST IV ALUE $ /f7, 300 (excluding land) III IV H I 2 3 B I hereby certlly that I have hlrnlshed mformation on this applicatIOn which IS t1l the best of my knowledge true and correct. I also certify that I am the owner or authOrIzed agent Illr the above-mentIOned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submrtted plans. I am aware that the buildmg oflieral can r oke thiS permit fm Just cause Fu ermore, I hereby agree that the CIty official or a deSIgnee may enter upon the propel1y to perform needed mspe Ions x Permit Valuation Permit Fee Plan Check Fee State Surcharge I Penalty I Plumbing Permit Fee ~echanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee 00 This Application Becomes Your Building Permit When Approved ~~ Buildlllg UftiClal rz(I~L? (0 /.$7/ Contractor's License No. Park Support Fee $ $ $ $ 00, 00 $ 15(')0,0-0 $ DDt:), 00 $ 150 f), ()() $ $ # # SAC Water Meter Size 5/8' , I"; Pressure Reducer Sewer/Water Connection Fee # # Water Tower Fee Builder's Deposit Other TOTAL DUE ThiS IS to certify that the request in the above applicatlon and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested TillS document when signed by the City Planner constItutes a tcmpor<ll)' Certificate of Zonmg compliance and allows construction to commence. Before occupancy, .1 CertIticate of Occupancy must be ~Q~ ' Planning~ 24 hour notice frail inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Special Conditions, if any Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts Building Permit # PID: Address: S'tZ~ T~ Legal: L "I I B 3 Date: 1'2(1110(0 Zoning: Reviewed by: ~ ~ ~ Existing Structure? YES~ Subdivision: ~ e ~ ~t1 ~ Existing Nonconforming Structure? YE~ I CONFORMS TO ZONING ORDINANCE YES NO Standard 25' 10'1 25' if abutting a street p~ . 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 pond. . Refer in- round ools to the Plannin De artment . From OHW (Prior or Spring Lake) 10' setback + 2"/1' over 50' 25' 10' sidel 25' rear 30' No~E Cj (,. r 75' or setback average of adjacent structures, but no less than 50' AlA Floor Area Ratio: NA I FAILS I .30 Maximum Yard Encroachments: NA I FAILStCOMPLlE~ Standard Proposed Eaves and Gutters no more than 2 feet in width and no closer than 5 feet to a lot line (Easements). rJO~ r= AlC and other equipment cannot encroach on interior t-JD~ e: side yards. Tree Preservation~FAILS I COMPLIES I Standard Proposed . Total caliper inches . Permit 25% Removal . Caliper Inches Removed . Caliper Inches Preserved . Replacement ~:1 L:\TEMPLA TE\BLDGLIST.DOC ""'fo+~.' ;." BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED PU~71:; Hor1~.5 /2~//.O(P The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 5426 77eAlL-flEAD /-flNE Accepted x Accepted With Corrections . Denied Reviewed By: JVJ!!/!, .. . . . Dale:.. /2 - 2..1-01. Comments: 'S.R~~~~-;-Side'for Additional 'nformationl : Lone - ,() fJfJY'O'i~~ IeptJ,rt'd I . See A~a~ts~.l)GradingPlan, 2) Erosion Control ~.~es . :.~... .. ~.~ : ~ . ,',:"",.., :_--~"?'-;." '-, ..' 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.'. White - Building Canary - EnQineering <:::::::Pink - Planni"b BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT , , I~,".'" l C, i i-If / i r / ,.-.. I '........_,...,. APPLICATION RECEIVED /._.. Ii C( The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .;;; ,/ Y,'" I (-- C /~/I / / Accepted Accepted With Corrections ~ Denied Reviewed By: ~ , ~ Date: I ~/7 /0 Co -" ~~. Comments: I&~ aL--{ Air CooditiODeI' ".nd Other MecbA.,!ical Units Cannot Encroach into Required Side Yard Setbacks "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." ~hite - BUildi~ Canary - Engine ring Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED PU 0 IE: /-I0116S' /2~//.00 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 54-26 TlVJ/L-1I6I1D i---/J/J6 Accepted Accepted With Corrections ~ Denied r Reviewed By: ~ ~ Date: !2/r1!o , Comments: ;a,~ a..Lf' ~. ~ ~' ~ ~ ~",,~cz.:..... ~ /U'~<-.~. /) +-/1 r- V ~~. "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." Jan 11 07 11:14a METRO GENERRL SERVICES 763-428-2968 p. 1 " GIIU'II . FlI.f YEllOW' APPLICANT GOLD - CIT1 CITY OF PRIOR LAKE SEWER AND WATER PERMIT FA 'f.. q5~' tit! 7-l/Z, l/~ NOTE: SWNO.(,JLOf( Sewer and water contractors must be registered with the city. ,,,'/.) 1 " ." ')' Vi Q , ., _ " iV~'1 -' .' H (' ( II, A~' 1" " I'. ' '. \! ^.' l ,~ - APPLICANT' >>:] a j;"j} l ~ Y '!iJCf~ ti h,t!!, {~ ')t'/('(ii1{Y';l"r-HONE' . J. I. :v.; ,.( ~~, <.....-,' , ~, 'L~ff vV' !,'V'V'" '...... ....... ~. ^..;~ . ':",'" /h /'~, ' l"fi., t': oC ADDRESS: /-/ i4D VdUIJJfL ttjjJI,(. lit DATE: / 'I' /f! . ::::A::::~SS: jy~-,& O1/YJj!:f/Iu{lf/ tJJ::~::' .FILL' IN THE BLANKS F....r...' i~,' '. Lj.U' ~11' '.2 t: in ' '/''Y1>''7"I(( C' (f' . '~ ." ~;: . _' "".;,' U; ~~ ., .J:;:,. I' j-., ~'~ , . ~ PERMIT # 1. Estimated length of water service i Ii Size of water service i feet. inch(es) . .") 3. Location of any couplings from structure I.J' feet. ;' I I..'; 4. Type of sewer pipe. ABS____ PVC/7' cast Iron____ '--_ 5. Estimated length of sewer line ;:;0 feet. 6. Clean out (if required). located at feet from ~~~~:::::::::~~~~~~~~~~.o~~~~~~~~~~~~~!l1t~~~~~~~~~~~~~~~~~~~~~~~~~ 2. This application becomes your permit when approved. DATE: BY . .,' ,,",:"," .1 ~~~~~~~~~~~~r~~~~~~~~~~~~==~~~~~~~~~~=~~~~~~~~~=~~~~~~~~~~~~~~~~~~ pwhed b.J 1'f1t . FEES' {1 fdj pet-,n.'I- Sewer and water line connection permit. __' surcharge /J' {J (-e e- TOT AL * Fee for either sewer or water individuallY is $20.00 plUS $ .50 surcharge. * Sewer and water perm1ts issued for new construction must be recqrded on the building permit card at the time of issuance to insure ~at no duplicate sewer and water permits are issued. DATE'~~IP.A1P 'RECEIPT # J.C;N 1 ~' ZOG) AMOUNT PAIDPA,f"" 'nl ',' },~} 'i~~ " REC'D Bl" ,.., "","""f'i1\.M ( ',.., , .;".J:" ..... " ., I ,n i .. ..,J ': 1. " if J', ,,'. r-' ;" .' 1:il 16200 Eagl~: Creek A v. S .E., Prior Lake, Minnosota 55372 I Ph. (~$2) 447-4230 I FAX ( ..2) 447 -4245 An Equal Opportunity Employer "'." '. CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd /.5"'0.61 Sf-I ~ ?" /h ZONING (office use) I. Blue File PERMIT NO 2 Gold City . () /" . / / 6 3_ Yellow Applicant ~ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID I g,':e~R fJ<-d/,. (Address) (Phone) APPLICANT . . b7 / / (Name) //6/1-<-t::4' / ~ /:},L VI ...{ / j-jU (Address) <(J-~O ~a.~_ F/--<p (Address) (Phone) ~rc/~ (City) qS;-:;l ~ y ~ -c;L/ &;1-/ 4~h [;;5'j-r-~ (Zip Code) ....... (Contact Person) C (Phone) Quantity A ICANT 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 I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential. Additions & Alterations $39.50 Estimated Cost $ Building Permit # /)0 6vl /' r' Olv ev Building Official Date PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Office Use Only) This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 PRIOR LAKE INSPECTION RECORD SITE ADDRESS 71Z N~UREOFWORK &1 USE OF BUILDING . . .A ) PERMIT NO. ~ATE ISSUED CONTRACTOR PHONE4tta-aal-&ftIC NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION FOOTING we FOUNDATION (Prior to Backfill) PLACE NO CONCRETE UNTil ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if re uired) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ~If.C f H",s& ~ALJ I FINALS GRAtllNG (Prior to Soddin ) BUILDING I I!^ \ ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS BEEN NOTICE 1 . 'I, , li It \' V L,--\-- I '> -{ 6 SIGNED 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