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Home My WebLink AboutBuilding 02-1610 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 91/@j OWNER /S3S$ 13r '-~ to{ pI, , CONTR. ~")~l Cf'<~ ( }-/o ~ ADDRESS PHONE NO. PERMIT NO. (-)~ ~ Itlo o FOOTING o FOUNDATION o FRAMING o INSULATION ~AL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL cg..e)U~ILLING o CO INT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: /1 f{i I~.i/j c.,~( {)n Vr "'/.,.; 1/ f\.(((\J.f: lvA~ r1,\- )~AL-\J)') - oK. Y. /' - \ XWORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~//~ Inspectorq/t7/.~/4I' ~.... Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! I/'ISl'iOTI CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS j0~ OWNER PHONE NO. DATE TIME SCHEDULED J 0 llJi./o3. ~~ l0e~ v \ . CONTR. PERMIT NO. --D2--~ i Co iO o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o Ps o FOOTING o FOUNDATION o FRAMING o INSULATION ~ FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~~ ~"\.:y~ COMMENTS: ~ !M~ ~V'- ~ ~RK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING "11 A Inspector: L-tJ~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! lNS/lOn DATE TIME ADDRESS Cfjlfio5 tS3SB ~ .\p~ ru. SCHEDULED CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. PERMIT NO. Z -t Co lrcJ COMMENTS: o PLUMBING RI 0 EXIGRADIFILLING o MECH RI 0 COMPLAINT o WATER HOOKUP 0 FIREPLACE RI o SEWER HOOKUP 0 FIREPLACE FINAL ';PLUMBING FINAL 0 GAS LINE AIR TST o MECH FINAL 0 ~~~~~ OA~"'~ \ C. ~A,/'\04~ (~~"-'4 ~O -<.\ r v. r-- ---', - -l v 'J d- YbLM~ ~Q-. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION 'l}WORK SATISFACTORY, PROCEED 'P CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING ~ Inspector: Owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY! lNSNOTJ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please type or print and sign at bottom) ADDRESS IS35B t3P.tEZi ?Oi LItE- ZoAp LEGAL DESCRIPTION (office use only) Date Rec' d l~rJ~t1J- PERMIT NO. 0 z, -I (" I D 1. White File 2 Pink City 3_ Yellow Applicant ;p!slioffice use) LOT I BLOCK I ADDITION ~~17 OA~ ~ec.oul7 .b\7t7ltloU PID ;;.5.- '8 1-( g - CD j-C? OWNER (Name) Ict::u t G~ ~OL ~ov L \::.S , (Phone) c:lJ 52. - ~ '3-' - 9 II 4 (Address) l~oD:~ GA~J}I~l- c..~l:;:~ tzoAO E.l?~L1 FtzA'F-'E. ~h-l. S'S'"3~ BUILDER (Name)~l(.. G~ r-F:..~ PFL,'~'-'I;.f-IS ~ ~LHI..J2.r::.F (Contact Name) 17A.U Sc'~el~ (Address) I bB n P ULu.H.l AV. ~. r r ~ID~ L.b ~.E. ODeck TYPE OF WORK ~ New Construction OLower Level Finish o Fireplace PROJECT COST IV ALUE (excluding land) $ OAddition OAlteration o Misc. (Phone) 4 "52_ -~1 - 0 ctss (Phone)~..lA ~,i 7 ,~q,! ~io...6 FAx. _ - v . U; \'IIW.S$31.? OPorch ORe-Roofing ORe-Siding OUtility 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 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 cause. Furthermore, I hereby agree that the city official or a designee may en..--ter upon ~e ~rm needed inspections. X r..... '. --:: #-20 lJOZ3 o;z... \\ /27 J 02- / ~. Signature ~ I Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee I Gas Fireplace Permit Fee ~ 7/ ,()o, 00 $ $ $ $ $ $ $ $ /'7 5/.35 / ?'-$: .'!J% /35,5fJ I _ 1 /00' 00 loo.t9o 3'$".5'0 tf(). ()f) This Application Becomes Your Building Permit When Approved ~~p Building Official I~~..& Z-- Date $ $ $ $ $ $ $ l?;~~, ()(j lather $ I I TOTALDUE ~ 1'1..-2-7/07 _ $ Cf:37 5.731 Receip(Jo. ..,.:) ~-;f -7 \ By....-c :. ! U Contractor's License No. I Park Support Fee I SAC I Water Meter (~5~; 1"; Pressure Reducer # # Date )(':>a,oo I 2f.)() Il)" Z- SO.oo L{C;( 0 t) IZOOrOO 700,00 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 docu ment 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. I v-7 r-WJ..,.. ~~~c~o;--'i,t!) I f} .IQ;a~lc'}- Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 City SAC and WAC I Water Tower Fee I Builder's Deposit # # I Paid tj J7S-: 1-' I Date /],- ?o-() L-- BUILDING OWNER'S NAME KENN & CAROL BOYLES BUILDING SlREET ADDRESS (Induding Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 15258 BREEZY POINT ROAD CITY STATE PRIOR LAKE MINNESOTA PROPERlY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 1, BLOCK 1. RED OAKS 2ND ADDITION, 25-348001-0 BUILDING USE (e.g., Residential, Non-residential, Addition, ~,etc. Use a Comments area, if necessary.) RESIDENTIAL [~nru~~~ (Type): ( ##' - #If - ##.##' or ##.###II#P) FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on PIRes 1 . 7. SECTION A. PROPERTY OWNER INFORMATION O.M.B. No. 3067-0077 Expires December 31,2005 . For IIlSlJICIllOO Company Use: Policy Number Company NAtC Number ZIP CODE 55372 HORIZONTAL DATUM: SOURCE: _GPS SECTION B. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION I B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER 62. COUNlY NAME PRIOR LAKE 270432 SCOTT 84. MAP AND PANEL 85, SUFFIX 86. FIRM INDEX B7. FIRM PANEL NUMBER DAlE EFFECTlVElREVISED DAlE 270432-0004 C . NOVEMBER 19,1997 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. FIS Profile X FIRM CommunityDetennined Other(Desclibe) B11.lndicatethe elevation datum used for the BFE in 89: X NGVD 1929 NAVD 1988 _Other(Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected hea (OPA)? Desianation Date: NAD 1927 _NAD1983 _USGS Quad Map _Other. j BJ.STATE MN B8.FLOOD ZONE(S) X&AE 69. BASE FLOOD ELEVA TlON(S) (Zone AO, use depth of flooding) 909.00 Yes X No .. . 'sEcTtONC'~ BUILDiNG .ELEVATION INFORMATION (SURVEV REQUIRED) C1, Building elevations are based on: _Construction Drawings" Building Under Construction" ---X.Finished Construction "A new Bevalion Certificate wiD be required when construction of the buikflflg is oompIete, C2. Building Diagram Number 2 (Select the building di"\j'QIII most similar to the building for which this certificate is being oompleted - see pages 6 and 7. If no diagram acx:urately 1"I'Ie=/lts the building, provide a sketch or photograph.) C3, Elevations -- Zones A 1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARJA, ARJAE, ARIA1-A30, ARJAH, ARJAO Complete Items C3.-a-l below according to the building diagram specified in Item C2. State the datum used, If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum oonversion calculation. Use the spa::e provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum _NGVD 1929_ConversionlComments Elevation reference mark used CITY BENCHMARK Ooes the elevation reference mark used appear on the FIRM? Yes _X_No Q a) Top of bottom floor Oncluding basement or enclosure) Q b) Top of next higher floor a c) Bottom of lowest horizontal structural member rv zones only) Q d) Attached garage (top of slab) Q e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Comments area) 910.05 ft. Q ~ Lowest adjacent (finished) grade (LAG) 912.01 fl Q g) Highest adjacent (finished) grade (HAG) 912.53 ft, Q h) No. of permanent openings (flood vents) within 1 It above adjacent grade 0 Q Q Total area of all pennanent openings (flood vents) in C3.h 0 ~. in. (sq. Cm) SECTION D. SURVEYOR, ENGINEER, OR ARCHrrECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, a, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S, Code, Section 1001. CERTIFIER'S NAME LARRY J. HUHN UCENSE NUMBER 24332 MN LAND SURVEYOR 1TTLE LAND SURVEYOR COMPANYNAME ADVANCE SURVEYING & ENGINEERING CO, ADDRESS CITY STATE ZIP CODE 5300 COUNTY ROAD 1()j ~ MINNETONKA MINNESOTA 55435 SIGNATURE \L::i. _ _. . ,1 (J DATE TELEPHONE (/ ja/VW, V 952-474~7964 . (/ [ 910.05 fl 914,36 ft It 912.73 ft. m tI) "0 lllt! .80 .lJi ~t 5i Zo moo B ::J N'ORTANT: In these ,II_ III_ ,a, copythe~ infomllllion fnJm Section A. BUI.DING;)Inl:c1 AOORESS~Apl. Unit. Sole. ancVor8kv. No.) 00 P.O. ROUTE AND BOX NO. 15358 BREEZY POINT ROAD aN PRIOR LAKE Forlnstmm CoqIany Use: Poi:y NlJdler STATE ZPCODE t.t4 55372 SECTION D. SURVEYOR. ENGINEER. ORARCHrrECT CERrFlCATION (CONTINUED) O:lpy~ sidesoflhis EleYaioo Certificcie for (1) ............mityafida. (2) insuIa10e agent.'l......,..../.lId(3) buikIng 0Ml6f". . <:x:MENTS Con1JllI1Y NAIC Nlmler Check here if attachments SECTION E. BUIlDING B.EVATION INFORMATION fSURVEY NOT REQUIRED) FORZONE AO AND ZONE A (WITHOUT 8FE) For Zone AO lIld Zone A (without BFE). w.. ...I.;;le Items E1lhrough E4. If the Elevation Certificate is intended for use as supporting :. .17. "...Iion for a LOMA or LOMR-F, Section C must be completed. E1. Building DiagnIn Number (Select the buikfmg diagram most similar to the building for which lhis certificaIe is being co.. .ti:wl.:.J - see pages 6 and 7.1f no ~QII' accurately lq......,~ Ihe building, provide a sketch or t'1,,,r....tl'~.) E2. The top of the bottom floor (1Ilduding basement or enclosure) of the building is _ _fl(m) in.(an) _above or _ below (cI1ed< one) the h;J,.:..'>~ adjacent grade. (Use natural grade, if available). E3. For BuIding DiolflOllo.) 6-8 wilh openings (see page 7). \he next higher lIoor or elevated floor (elevation b) of the building is _ -1l(m) _ _in.(an) above the highest adjacent grade. CornpIee items C3.h and C3.i on front of form. E4. For Zone AO only: Ifnoftood deplh number is available. is \he kJp of \he boltomlloorelevated in a........~.rewilh \he "".....JnIty'sftoodpIain rnak..'4.....antordinance? _Yes _No _Unknown. The local official must certify lhis information in Section G. SECTION F . PROr 0\1 {CMNER (OR OWNER'S I\Ct'ru:.oSfTATNE) \oW::I\1.....cATION The ~ <7MIeI'(J'owne(s aFJ.ut....J ,qn~whommpletes S".ft....:..A. B, C (Items C3.h ad C3.i only), and E forZooe A(wilhout a FEMA~ (J' amrmlly~ BFE) (J' ZooeAO must sign here. Thesta:r........::. in SectionsA. B, C, and E ae cooectto1he best of my knowledge. PRvr-E:r\1 { (MNER'S OR OWNERS AUlliORIZED REPRESENTA11VE'S tw.E KENN & CAROL BOYLES ADuN::.>> 15358 BREEZY POINT ROAD SIGNA~ CITY PRIOR LAKE DATE STATE MN TELEPHONE ZIP CODE 55372 C<MJENTS Check here if alIadtmenls SECTIONG.~WORMATION~"~ .~...NAI.) The local oIIiciaI who is au1hori2ed by law or ordinance t> a..Il ,.:",~. the ""......Jnily's 1Ioo,,;,.:..L, manc.~",.......~ ordinance can complete S~,,:."'~ A, B, C (or E). ald Goflhis Elevation Cer1ificale. Complete the appicabIeitem(s) and sign below. G1. _ The information in &.J:u.. C was taken ft'om other doromentation that has been signed and "J.. . ssed by a Iioonsed surveyor, engineer, or iI'Chitect who is aulhu.~ by state or local law to certify elevation informaIion. (Indicate the ~ and date of the elevation data in the Comments area below.) G2. _ A rommunily ofticiaI completed Sedion E for a buiIdIlg kx:ated in Zone A (wilhout a FEMA-issued or oommunity-issue BFE) or Zone AO. G3. _ The following informalion (1temsG4-G9) is provided for".""..mity1b.. JV..,.:." 1TIan<:\:I'", ,.entpurposes. . G4.PERMTNlM3ER G5. DATE PERMIT ISSUED I ~TECERTlF1CATEOFeot.flLIANCE/OCANCY Gr. ThIs permit has been issued for: New ConsIructioo SubsIa1Iia Improvement Ga. EIevaIion of as-buiIt lowest floor (lIlCIuding basement) of the building is: G9. BFE or (11 Zone AO) deplh of1looding at the building site is: . _ fl(m) Datum: . _ fl(m) Oalum: lOCAL OFFICIAl. 'S NAM: ca.t.tJNnY NAJIE SIGNATURE ca.t.t:NTS TITlE lB..EPHOOE DATE =co 7125 West 126th Street. Suite 500 . Savage. MN 55378 PHONE: 952-890-7366. FAX: 952-890-5883 351~ n - - INSTANT TESTING COMPANY 2003 January 9! 2003 Attention: Ken Rock Creek Designers and Builders 16817 Duluth Avenue S.E. Prior Lake! Minnesota 55372 Phone: 612-919-1486 Fax: 952-447-0286 RE: Inspection - 15358 Breezy Point Road S.E. Prior Lake! Scott County! Minnesota At your request, a site visit was conducted on January 6, 2003 to evaluate reported questionable soils and roots, observed during footing excavation for the construction of a slab on grade single family residence. At the time of the inspection! the house and garage had been excavated and footings were in place. Soils within the excavation consisted of a moist, silty lean clay. Probes conducted at random throughout the footing lines indicated a acceptable level of consolidation for the subgrade soils. Observations within the south section of the pad indicated that during excavation to footing elevation, a zone ot dark horizon "B" soils had been removed, with only a thin layer remaining in isolated areas. A handauger probe indicated that the layer, of less then 2 inches! had no detectable organic content and was underlain by a stiff silty lean clay. The base of the excavation was generally free of foreign material, except within the east section where embeded roots from removal of a tree remained at footing elevation. An examination of the roots indicated an average size of 1/4 to 5/16 inch in a scattered or low concentration with isolated roots at 1 inch. We would therefore! not expect a compromise in footing integrity or loss of overall loadbearing capacity of the underlying soils. The observed footing design at 20" x 8" W/2 - #4 rods ( 1 foot in depth within sections in the east) is acceptable based on the observed soil conditions. CC: City of Prio Lake Building Inspections Charge codes: # 05 - 2 Hours / #612 - 30 Miles Th(' ('('nl('r of rh(' L.kt ('ounlr)" White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT K()dC (l1 ecV ,f)Lfjr A--'e y ill) IcJ 6 APPLICATION RECEIVED /1- d 7-O~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /53Cf ~k Pt 721 vu Accepted Accepted With Corrections ~ Denied r Reviewed By: ~ ;f~1L Date: 1rc..Jq J" 'l.-- Comments: Hoo f2.- / AO()f2- .i.),zA~ ,',..J LocUesl le.-ueJ t0eec!1t;; ~ -De (~J~En t7i:? o...-h.w.@ f(L(~(1. ~ F;~~~(),.J f~<3PEc.ll'O~. h:M A Re.-JOot'LT I~~ ; N ~ SLA-rLlI€j tHL ~(U"on.., -to .A T~t'_ ~~t), 6g'f'.jj ",ssutSntO U'2-fl-l'F,V LOu.Je-sl f='lc)e~ (evel //F(60K- &~;~ 16 Be.~ g09.~' Ct2- t+i3h.e~- ~D ~fl...A;D~ Le..veJ L}€(l: F;cAl"-;o) IS' ~rv- K(&.~ ' R.~ t1JJ fh I ffCfftQJ NA-NlJdw(?;:o I S,LT /iNcc- rCc;U;/lf:;-"):) -,;; f5c J'?1A I/J --r/TIAlB:D UAJrlL ,'Y;I:JOb77. "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." ..~ The Crnff'r of .he I,.kr Countr)' White - Building Canary - Engineering 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: Comments: ~ ' CL-r 'hfrL~ l'^-.+C LYJ 0 ~p{UlQ~ ~ (/(Jd-U 0 d Ltn't-JL' tile- U-(L1L0/7 (;,0 UJyyJp~ II (d.fy~ n6L t (10 r~~ "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," ;<, ':;r>'~,~..>~ ;:).~~'"..~,~:~>-' '",\ "F'P)., ;t:. ',' :;~. >-" ",..",..I.:~.'r: '...J~;~""",.. _L:':,f't~,~~J.:"~. ,;,":1~" ~ 1.:>':'. ;~r-J< ~" ~~...; ~,~, * - ,;;, .,....~ ... .....{..,."., White - Building Canary - Engineering Pink - Planning I' ("""'n or Ih~ I,.k, Counlry, ' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED _7) y' .7'\ OC Ie /(- ,~ 7-0~ _. 1"" ((./) ec I~, /):L:C;/'~-j[c y 7-/ A~) rS --J The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /53f::? b/)Le,;)0- ill 7~d Jj Accepted x Accepted With Corrections Denied Reviewed By: mls Date: fA -/7-0L Comments: SeP- Rp~~p~p fnr Additional Information! See Attachments: 1) Gnl(ling Plan, 2) Erosion Control Measures "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." Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT I. Green File PERMIT NO l]) 2. Yellow City . h"i - 1/ I 3 Gold Applicant V oL Co (Please type or print and si~ at bottom) ADDRESS /.~, -?5R Elf CELt Io//IJ-r ;(2;/J,O ZONING (office use) LEGAL DESCRIPTION (office use only) LOT I BLOCK I ADDITION /&J OAK< OWNER (Name) J?CGk C,i(KGK. &y?J,E<:; / Pd) 1 /JLll.t1TJ1 AIJFJl}IJ E (Address) ALe SE PID~5"'3 '-'fx -CJ() 1-0 (Phone) r 6;P - ij~7-09'~ P/?)~ J..j}~ 5;-5:-17 ~ (City) (Zip Code) (Address) APPLICANT _ (Name) r//IJ AL f9~IJ'oE .:rAJC (Phone) _'J/Jt! ~933'-.I.:?CtO (Address) /3)5 /tJMJ9-..s S/~EET ~/ Sd/Jkn?~7s 55319 (Address) (City) (Zip Code) (Contact Person) }/ oN IIh6 ;1J~i ~J ~ 1,;J1S . (Phone) 7,-5c:/ - ,23 ~);;J, DD APPLICANTSIGNATURE%t:9/z4k/,;t: /JtL/)<I~~-:::L DATE II :7/02 / / APPLICANT PLEASE COMPLETE BELOW Size of water service / inches. Location of any couplings from structure feet. Type of sewer pipe. 0 ABC [Sl] PVC 0 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 $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum Sewer connection only $17.50 Water connection only $17,50 Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 Building Official Date Pa;d ,/)lJ pirJ}r/ Rece;p! No. Date/_~'03 BY~ q (Office Use Only) This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 MATTHEW DRNIELS.INC. 423 301 7 P.01 Date Rec'd I CIT1Y OF PRIOR LAKE PLUMBING PER\1lT : I ,I I I I l. Sl\lc File :l. wtd ClfOY ) VcJlo'''' Appl~:at'lt FERMIT NO.OZ -/ blO l I I ZONING (offict In",) I /~~ ~I! Vad. 0?MUL LEGiL DE~CR..Lr .L LON (olfict: Use on!; i LOTI BLOCK ADDITIOI'fr PID I 1 OWNJER ~ /) J.. . ~ I (Namfl I\L'~/ ('ltu.)?) ';rl1lJ4Jk.(J) (Phone; _~6"~ . ~1- tJW- I . I . (Addr~ss) 1108/o/lJ.ulldi) YJ.u.L. \(t~.O.tl.U.-"~,~ bS31.:U I I I . I APpr.;rCANT I ~ I (Narr1e) ~if i. ~J?l /Jfll' J ,!jL\ ) . '-..4. (1. (Phone) bSJ. 32..:1). ....?'1.:?n I . I (Add~SS) )~30 {JJJXA.JUJ k'l 0 I. ~ J h G..4J(} J ri ~.J I , f-. "--11.;; I: (Address) I (j I, (City) (cont'laCt Per~on) ~ ~) c,! '- (Phone)" 65"/. , I APpJICANT SIGNATURE -Ab u.klf..nU/'~ I. ' rr- -,' u i A ?PLICANT PLEASE COMPLETE BELOW I Quantity I Type ?f Fixture Quantity I lI"ype of Fixture k2.. Bath Tub with or w~thout shower :L I Rough-in~ ! i I Dishwasher I i Water He1te~ :1 Floor DraiJl I Iti. I Water Softner 1-1 Lavatory (B. athroon;: Sink) J I Stand Pip' ~ ('o/ashing Machine) 'I Laundry Tray (1 or ~ compartment sink Sev.-age Ejec10r , ~ Shower Stall ! BackflowlAs;embly II Sinks! I BackflowlAs5embly Test i Bar Sink j I ~ Lawn Spr!nk,er -15 Water Closet (ToileO Other I I , i :' , . _ i. _ FEE ~C~DULE Indt:strial. Commercial & Multi-famIly 1 !I" of Job cost with a S39.:J0 mInimum , I DATE ..ssob8 I ' (Zip Code) ..v~=1 · ~~'J.,~() ~()ii.~ ; I Estimated C ~st S I I Residential, New On,. & Two-family $99.50 Residential, Addi ion: & Altenrions $39.50 Building Pennit #- 02 -- ~ ~ ' 0 I i , (omt : Use Only) I Th 5 Application Becomes Your BJilding Permit When Approved I PLUMBING PERMIT FEE ST A IE SURCHARGE TOTAL PEllimT FEE $ $ $ I~{) . Ill-I G :~ Buildini omclal -~~l! @ O~ 0 ill ~_ ate I I 'Q'j Dllte Ij FFR 1 0 ~n 11 : .!l- 24 oJl., ...'" ro, .11 ;.....,ti.., (952) 441-'~; r.. (952~~'-4~' SJj TOTRL P.01 U /! 0 U, U 1 .Illl;\ lJ ~ ; U lJ i-.0\.1 b n -! -! 7..;;.. ~ ." .. l.d 1 t ur !'l\.Ul\ ,-"-1'.. CITY OF PRIOR LAKE . HEATING/AIR CONDITIONINGt.tlKEPLACE PERMIT Date ReC'l) " l. ..... :l. c.- 3. Ytll<!W 6~r l PERMIT NO. :J -I~ 1('1 1 "HiIl'M\t ./ U . j \ j -., zoNING tofu"" we) i ~ ~ orpriot _I' I ~1lP ubotmm-\ ADDRESS /S-3,;;-;,5 '6ye-C2V ~)vt-+ LEGAL DESeR .>T10N (offiCI! U~ only) / ~/o/ .., PID LOT BLOC: ~ ADDITION - -~ (phone) qs~- Cjl/7-o9S S i '~)(Jv' J.Y\J~--' ~~R I?QuU. Cyee-k )/on/Je5 \ (Address) /6~/7 Dulvlk Ave'.-/' S,~ : ~:;:~'l~l1hel/-/1//G& '"Add"") /.;;/d 5"3 N,c,r;ld/V/~O I I (Ad.dxe>>) / ) I (Cclltact Person: ~~;<J 12:_~~6e(~~ , APPLICANT SI }NATURB / /.....- ~ t-- 7" I NT PLEASE COMFLETE BELOW I' ~EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS . I FCRNACE MA'! ; AND MODEL 15v7 J'JIV-t 350 mXJM></k /(/0 Fl!EL NxiT FLUE SIZE 3," P. L/. u.. RJ!roRN OPENINGS _ /</ _ INPUT /0<; C~ - OUTPUT '?~ c7_ TYPE OF 51':' l..oM REA TING OR POWER PLANT .g)Warm Air P\l\.l1U; 0 Steam iOflVity 0 Hol Wa1ir Mc<:lanieal 0 Ra.dWion . Air Cooditionin~ 8 Speci~l Devices Yont Syttem .other Devices , (Phone) SArr:i' /" DATE d -13-QS -_.-- j PLE_~st Non.; Air Condltoner Units Cannot Encroac:, into i Required Side yard i Setbacks I. ...J \ FIREPLACE M, KE AND MODEL ~ ' "-, ------ ..,_.... FEE SCHEDULE loduHm.l, Commi de.! &: Multi-Family I % of job cost ResldentllI, ailS f'il'cpla.ce S39.50 minimum Ruidenll~\, Heat' g &. NC (New Construction) S99.50 Resid~tial, Addiliol'li & Altorations F-clidcntial. Heali g Only (New ConstrUction) SfrUO Reiidtntlal. AC Only 539 so S3950 S39 50 8timated Cost S Buildin~ Permit # HEATINOPERNfiTFEB STATE SURCHARGE TOTAL PERMIT FEE $. $ S .50 Build! ~ O(tlclal Dale "r \Pt.id~\'b\LY IDate .~ J '11 ~I / 'J) I Receipt No I ' BYfr'. L' V (Olflee lilt Only) Thl$ Appllcll' ,on Becom~ your BuUding Permit Wllen Approved 24 hour Dolice for ull ia.pectioRi (952) 447.9850, fu (952) 447-42~ Dec 18 02 09:01a Advance Surve~ing (952) 474-8267 p.2 CITY OF PRIOR LAKE Impervious Surface Calculations (To be Submitted with Building Pen:tit Applic;:J.tion) For. An-Pr~p'eI1ies Located in the ShorelandDistrict (SD). The Ma.'<.imum ImperVious Surface Coverage Permitted is 30 Percent. Property Address I S- '358' 13 rt.. 'l.""Z-y P 1: (l..t>o.J. l Pr Jot' L4~ . JI/IJ ~. Lot Area 1 f 300 so. ft; . x 30% = nm......... 5/ q 6. . . ************************.****~******.~~***.*************~************** LENGTH WIDTH . SQ. FEET "" z.~4-S- HOUSE x x = ATTACHED GARAGE x = TOTAL PRINCIPAl. STRUCI'URE..n........._..._... 7.- ~ 4-,> DETACHED BUll.DINGS (G:uage/Shec1) x x TOTAL DETACHED Bun.DINGS......._.........~~... DRlVEWAYfPAVED AREAS (Driveway-paved o~ Dot) (SidewaIklParmg Areas) x. X X = [,ol.9 ~O = ... TOT A.I.. PAVED AREAS...........................__........._. li3l.R P ATIOSIPORCHES/DECKS (apen Decks 'I. ~ min. opening. betw=n boards, with a p~ous sW'f'acc below. ate nOf CONiidcred 10 be impervious) x X = "Z.. ~ 4- -= x. = TOTAL DE CKS...n...n..._.~....__........__...._................. z.?t- OTHER ;z.J-. c.J~ II x X = 32- = TOT M. 0 I I'1LR.................."....................................... '3 'L- TOTAL IMPERVIOUS SURFACE ~VER L \ \ u',",~. . Prepared By . 0..:(' c-....I \-\ -" Company ~iv<,~c " S c r ~"i "-:J j +"34-7 I 84--; Date -\"2...- l CZ)'- 02- Phone # '15).- ~ 1 i -7'1Co~ r .\UA:\IfV1'I"T.(.\'....Ps:Rui~fl. tI,..,. PRIOR LAKE INSPECTION RECORD SITE ADDRESS I C; ~Se ~e: Z- Y P~itJT- Ro~o NATURE OF WORK ~ LU ~ 1lu.t:r/~Jt3 USE OF BUILDING 5.~ D. PERMIT NO. 02- /fR /0 DATE ISSUED 1lJII' 0... CONTRACTOR ~ CfteeJC. ~&JL PHONE · · S NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE ?ERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE I FOOTING ~~ ~~.~~ I~. L / q l63 I FOUNDATION (Prior to Backfill) I 'f\~ I /...../L.-) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS - SEWER I WATER I SEPTIC vv I c- 1/ ~/~'3 f" ~ FRAMING VZc.-W~ ~ INSULATION (~(yV\\:~ ~ /LIo(8') ~~ ~ 1/s- 6 ELECTRICAL rwf.-. PLUMBING U~u.l L~'y~Z-it <fW-~A;C-tU... ~ 3/~lQ3 ~~!1!83 HEATING (if required) ~1v fP let lov-!J FIREPLACE ~~ fa/ et /~ GASLlNEAIRTEST~,~\t>l~v-- ~ 3!~qjo3 ~0lllB3 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS q. f')---~ ~j t:., /1 { ,103 f&, /L ~ /83 GRADING (Prior to Sodding) N.o 7'. I". i}:r BUILDING ~?:-~. t--~ () lIL / l to ~ ~ ~ ELECTRICAL ~ PLUMBING ~f91IZ q,1ffi> ~ ~ HEATING ~ DO NOT OCCUpy UNTIL ABOVE HAS 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. I \h )~/fJ3 C1;/~~/d:J qj. /t.-crl/t6 BEEN SIGNED FOR ALL INSPECTIONS (952) 447-9850