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Ro > G) en;u;u m 0 cqjqj ~ < > ~~~- ~ Z >OOZ "'"l 0 _mm-l rn ;U"Tl;U r .... :::: -l-- r i: enz z m -l~ G) CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d 4-'22,-(72- ;, ,)f( LEGAL DESCRIPTION (office use only) LOT tt BLOCK )Ja#fl /IIIV ADDITION OWNER ~ (N ame) V eJ (b fro IlL- eOf'J)~~ ~ S"A.-- l 0 ('"' (Address) 0 <';;$O $ l~'W- I. White File 2 Pink City 3. Yellow Applicant I PERMIT NOoaZ-050rI ZONING (office use) leiS D PID 25 -37/- tJ22-0 '....... (Phone) t:fQ-fnh71( ~ <;"'"-A./ ,..- BUILDER (Name) -- (Phone) 7r 2- 1:29/7// (Phone) (Contact Name) (Address) TYPE OF WORK ew Construction ODeck ORe-Siding o Lower Level Finish o Fireplace PROJECT COST/VALUE (excluding land) $ o Misc. o Porch ORe-Roofing o Addition OAlteration OUtiIity Connection 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 aU construction will conform to aU 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 cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perf or eeded inspections. x Permit Valuation 2~CXJoooo Permit Fee 200 L 7C;- $ Plan Check Fee I ~o I 0 fl/ ,,~g '~ State Surcharge $ J ~O .00 Penalty $ Plumbing Permit Fee $ 100 . C)C:) Mechanical Permit Fee $ toO.OO Sewer & Water Permit Fee $ 3~o"SO Gas Fireplace Permit Fee $ - o. ._. N Your Building Permit When Approved V- :$'C' -0 C- Date 7(2-V Contraclor's License No. t!fl?-OZ Date Park Support Fee SAC 1 ". , # $ # $ $ $ # $ # $ $ I $ 5-IO-Oz.- $ 3 I ~1Jff/2A5' Water Meter Siz Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other TOTAL DUE I ~~~ ts;~.;_~<c- 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~~_ .._-'_ 6It~(:e2- ~~ ~~I-OytS C ~ Date Special Conditions, ifany 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 ~.... White - Building Canary - Engineering Pink - Planning Thf Cfnlff 01 lhf "ok. Counlry NAME OF APPLICANT ~l BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST a. /, .---..' ,. /' I - - / . _-:. II ./ 7/#o/},.(.-r '-..L:---JJ?~ CK../(p ~~ Ll-~ 3-0d- APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ..3 /L/b ~Shad'l Uuc Pt- .! ..- Accepted x: Accepted With Corrections Denied Reviewed By: AI~B Date: .5"-2-()2- Comments: See Reverse Side for Additional Information! See Attachments: 1) Grading Plan, 2) Erosion Control Measures 3) Erosion Control Plan "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 - Engineering Pink - Planning Tht' Cf'nlf'r of Ihf' I.ab ('ount'). BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT D~e.d&2 ~~ APPLICATION RECEIVED '-(--;), -a-OOt The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .3 14b -SnCLdv Uuc Pt- I Accepted Accepted With Corrections ->< Denied ~/I~ j Reviewed By: ~~r Date: Cl5ments: t6~ ~ t:(/-k-ckcf ~oJs t:30 -0 C "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." Tht' ("t'nft'r nf lhr I.akt Counl')" White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ' 6l. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ( Accepted - ~ ~ccepted With Corrections v- Denied ~ Reviewed By: .li1:/"../~ Comments: Date: ~/q 10 '2- "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." 't ?rtiO'", ~Ii 'i'\ , I. "". \ ;i f\ \.~, \-'~"1' "'I"""ESO~" CITY OF PRlOR LAKE PLlT:\'IBli'iG PER'IIT Date Rec'd (?~e:Jse tvlle or onnt andmm 'It bottom) :-\.0 DRESS 3/46 [ikrL/ Cf/rlP PI L ~~~ ~:~ I PER'rIIT l'iO.) -\(.-0 C7).I!. 3 Yellow \oohcanl <:::/'-- -.J _ Zn'i"'iC- '..r. .. ,I ~. ,- ,,,,''C. u;e, I ! LEGAL DESCRiPTION (ot:ice use cmiy) !:..tJT BLOCK ADDITION PrD \ ,,~~-~~ l) !J I: : ~i~;.lej~ \ flrJ I /,f) () f~ (F~cne) : (.1~..:~=-e~s:: (.--\ddr~ss ) ~on~1 rJj/;Z~ I/Pc2 / J~~/ ,,} ()Jljll~ ~j:.J.5~ (C:[y) (Zip C:ce) (,- 'r:":1 -. :>~"'u'~) ! '-W ~~ 1.-.. I. '-...... .~J.. i APPUCA:'-iT SIG~i.--\ TURE / (2::<.:r.<:) MM/ DATE ~ LJ?/ I Quantity I Type of Fixture I Quantity I Type of Fixture I J I Bath Tub with or without sho\ver I ;7 I Rough-ins I I I Dishwasher ! I I Water Heater - APPLICANT PLEASE COMPLETE BELO\\' / S I Floor Drain Lavator.; (Bathroom Sink) Laundrv' Trav ( i or :: ~omp~rtment SinK I I "Vater Sotmer i Stand Pine (Washing \-[J.chine) I Sewage Ejector . - I / I Shower Stall I I Backt10w Assembly I I Sinks I I Backt10w Assembly Test I Bar Sink I I Lawn Sprinkler I Water Closet (Toilet) I I Other j ~? FEE SCHEDljLE Industrial. Commercial & Multi-family 1 % of job cost with a 539.50 minimum Residential, New One & Two-Family 599.50 Residential, Additions & Alterations 539.50 Estimated Cost :s Building Permit #- PLUMBfNG PERJ.\HT FEE $ STATESURCR~RGE $ TOTAL PER1\HT FEE $ .50 ....- i p. ".., J" '-, ' 15,~J! ~ t+;. (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Building Official Date Date ,iI!N 18 ::~ hour notice ior all inspections (95:) ~7-9S50, fax (9:5::) ~~7-4::~5 FROM : SRBER Heating and R/C PHONE NO. 6124738565 Jun. 25 2002 08:23RM P3 Dtde ",'d I Z01iDlO_-1 .1 4..Cf-1!l' 7 TYfB CJIf SWlBM : _~AII'P"'" I ., . CaadlUoNq ov-. .,... f'tltEPiACB M \D AMD WQtJ!L' JitL G. IJoYPU1' HBA'nNG Oil POWBIl JIJ..A1n" ~... HIlI Wilei' , ~DeY'" OQllllrDnlw p~ "0l'B= " Air c...,... thai8 CIIgMd~ mm . ~.. Side yet' ~ f._aS. c.J. 11I:181" ~IIY a...w....... a.t IlIA.AX; QI-~) ~. HM/1 qOnIy (New~) ...&-.;~ l%td'~ CIDIC ~ ChI l'InlP- 5S9.50 IIIiIIIaIuIa S9UO 8&IWrmiDl. Add\t1GU . AtIInIiouI S6U6 lUIloalld. At; 0Ilt,y . ~9.'O S3UO 139.50 ;~..... COlt S ~ BWl_JIWdI , SEA'IlNQ piJMIT FBI! S sTA'm suacH.A&GE S.- TOTAL flDMft ftE S .SQ ! ,'.' (CIIIIu DIe 0aI;i; \ na:. --Y-.......--..- j . , ~! fIlI"'l u. ' ' J' _r __ r.r ..,........ "sa) ...,...... (HI) M,..,ad ~ EW~ ., I, ? - y,. .' C J \; " CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd I. Pi.k 2.0.- ]. Yellow ~~i"'" I PERMIT NO. ~ - S O{ I ~~ ZONING (omce U5~) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNE~ (Name) OJ)~ (Address) Con.at-A~.. ~ ~ #/OS- ~ (Phone) 9Sd-~-'l'711 -Pin 5S3YL/. APPLIC (Name . F/? (Contact Person) -V ~~ "" j APPLICANT SIGNATURE ~ ~ (Phone) 3/S.7SI Co 7/?/Od DATE APPLICANT PLEASE COMPLETE BELOW jf'J)lEW CONSTRUCTION 0 REPLACEMENT 0 ALTE~TIONS FURNACE MAKE Aim MODEL 'rIEL FLUE SIZE RETIJRN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POv, rlR PLANT I OWarm Air Plants 0 Steam OGI'1IIVity 0 Hot Water o Mechanical 0 Radiation OAir Conditioning 0 Special Devices OVenl System 0 Other Devices FIREPLACE MAKE AND MODEL PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks Industrial. Commercial &. Multi-Family FEE SCHEDULE I % of job cost Residential. GlI.! Fireplace $39.50 minimum $99.50 Residential. Additions &. AlteT1ltions $64.50 Rcsidential. AC Gilly $39.50 $39.50 S39.50 Residential. Heating &: AlC (New Construction) Residential. Heating Only (New Construction) Estimated Cost S Building Pennit # (Office Use Only) This Application Becomes Your Building Permit When Approved HEA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .,.... .so PArD WfTH SUILDH\!~ pr:-':'" f'T ....... I ~U '-:.,~ -.~'a. Paid ec:eipt No. Dulldlng Officl.l D.1e ZOO~ 24 hour notice for all iuspectlons (952) 447-9S!O;ru (952) 4474%43 X31aIH~ 3~VHV~ JI~VWO~nv ZOLOST~ZT9 XV~ TO:TT ZO/80lLO . .'1 .._... .4.. .~:.ol.o2 WED 10;33 FAX 612H7U.;l5 CIn OF PRIOR L..\KE ~O(Jl CITY OF PRIOR LAKE SEWER AND WATER PERMIT . IDate Ree'd Pllase t~ll or P!'iD11DcI ,~ at botTom} ADD:P:!:SS d~ 5-MiJ'I C-fJ\Je: I LEO:_i[" DESCRIPTION (o!Ftcc \11e Only) LOT BLOCK ADDITION I~ OWNI~~l (Name;i- {Addre.6 I. tl~ 3. \'.I~ J. 0..1. 'I" Ciry .....,Ii..... p PT' PID DeiEl2- ~~' (03~{) U l,\Lf'U67 ell)J~ 1:JI/fnU f'fl.lffIlL.e ( Acldresl) La A./'7' .. (City) (Phone) (" fI.~ /L 4- (ei,,) (Phone) J.a., , (Con[a('~ Person) APPLlj~~~NT SIGNATURE APPLICANT PLEASE COMPLETE BELOW Size of water service -1...- inches. Location of any couplings from structure ~ feet. Type of sewer pipe. 0 ABC [>lpvc 0 .:ast Iron Estimated length of sewer line ~ kC"t. Clean out (if required) located at _ feet from structure. ..L- FEE SCHEDULE I Residel'l'~~1 sewer and water line CCtMecTicn $35.50 IncNstril.J. Com 'I &; Multi-farr.ily 1 % of job cosr with . S:~)" so minimum Sewer c'l~anec;tlCln only S 17.50 Water conneeTion Only $17.50 . Estimated Cost $ Building Permit #- ~_".H SEWER AND W A TEll PERMIT FEE STATE SURCHARGE TOTAL PERM1l' FEE $- S s :so (omu U'I~OIlI)) I Th;. <,."..,;.. ........ You, Balldl.e P.'ml' Wh.n A........ ,BuildiftlE omrlal Da.. [~ ~ I Z4 hour n.tlte for 811 inspections (952) 447."SO. 'as. (9!2) ..'....2.5'> PRIOR LAKE INSPECTION RECORD P-f~ DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS ]' l eft/) CS~ G.cnU NATURE OF WORK J\J.Q..J..) USE OF BUILDING SFD PERMIT NO. 02.Esot DAJ ISSUED qr,..30 -02- CONTRACTOR DQ~t' ~ roTV\. PHONE 7s~-S7i- 7)J( NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT vl'2 - S'2~ -5to-z.. FOOTING FOUNDATION (Prior to Backfill) PLACE NO CONCRETE UNTIL ABOVE ROUGH - INS 1 AS BEEN SIGNED SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO Stucc..o ~ b~ ORK UNTIL ABOVE HAS BEEN SIGNED , f) 3a t) z., FINALS GRADING (Prior to Sodding) BUILDING"(.c...l). J ~~ 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. 6-/k- 03 z,. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 o~~ THU 14: 14 FAX 6124474245 CITY OF PRIOR LAKE I4J 1)03 ~;~ .. CITY OF PRIOR LAKE Impervious Surface Calculations (To be Sybmitted with Building Pennit Application) For All Properties Located in the Shoreland District (SD). The Maximum Impervious Surface Coverage Pennitted in 30 Percent. Property Address 3144> 8\--.o.d'G CC\r PO\Y,-t". Lot Area .;)q Q2V Sq. Feet x 30% = .............. ~~~~~ ************************************************************************ LENGTH WIDTH SQ. FEET HOUSE 4~ x .~?<- 54, = I,6"'1D , X ... A TT ACHED GARAGE 3\.2'2. x ,~D.SD '= Lp4D TOTAL PRINCIPLE STRUCTURE...................... :J DID , DETACHED BLDGS (Garage/Shed) x X TOTAL DETACHED BUILDINGS....................... N/A D"iUVEW A YIP A VED AREAS (Driveway"paved or not) (SldewalklParking Areas) (p VII . ~\. t?le X .:21.0.'\ = \ I ~q'?-, X. '"~ = CiS x ;: TOTAL- P A VE.D AREAS........,..................,..,........... \ \ ,,:\ R B P A TIOSIPORCHES/DECKS "7 x 4 =' ;)'?::, (Open Decks W' min. opening betweenl X = boards, with a pervious surface below, are not considered to be Imp\:rvious) X = TOT ~ DECKS...........,II.......,..............ll.,U..............f, ~~ OTHER x X = = TOTAL OTHER.........,,,...,,.................,........,........,.... TOTAL IMPERVIOUS SURFACE ~VER Prepared By rAt-' c1 q~ Company fI~ &(]. Date 4-t2-01 Phone # l oS 1- 405-<.olooo