HomeMy WebLinkAboutBuilding Permit 98-0790 ,. .,.,. ..:�.:�� : � :� _ w . _______ ______ __ .. ....
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'- CITY OF PRIOR LAKE � � �
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; 6d Final Pernutted � Conditional C.O. Exgires
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� This Certificate issued pursuant to the requiremenrs of Section 307 of the Uniform Building Code ��
�: certifying that at the iime of issuance this structure was in compliance with the various ordinances of the �.
� City of Prior La1ce regulating building construcrion or use. For the following: �
�. ;
= 6 UseClassiflcatio►� Single FBmily BIdg.PermitNo. 98-79Q '
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� Occupancy Type R � Type Construction V Fire Zone N�A Zoning Discrict R �' •,
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�; Legat Description �11, B4, CARDINAI, RIDGE 4TH
� Owner of &eilding Site Address 16345 VICTORIA CURVE , ��
�, Contracwr'sName&Address HOMES BX SE 1668 E CI;IFF ROAA BURNSVILLE MN 55337 �„ �
� � Robert D. Hutchins Don Rye �'�
� �- � City Planner �'
� Building Official '�_
`. �`: � Date: b " � _ e?e� Dace: , �
v ` POST IN A CONSPICUOUS PLACE �
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T � DATE TIME
GITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED �� f 3 �
ADDRESS I �� `�-� �I� CiT�� l � � (� � V �
OWNER CONTR.
PHONE NO. PERMIT NO. �S " ��D _
❑ FOOTlNG ❑ PLUMBING RI ❑ EXC/GRAD/FiLLING
0 FRAMING ❑ MECHANICAL ❑ LKSHORElWETLAND
� INSULATtON O WATER HOOKUP ❑ COMPUIINT
❑ FINAL ❑ SEWER HQOKUP ❑ SEPTIC FINAL
❑ FOUNDATION ❑ SEPTIC INSTALL ❑ FIREPLACE
❑ DEMOLITION ❑ PLUMBING FINAL � ,FiFi SOL7
❑ FtRE PREV. O SITE INSPECTION
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COMMENTS: o� -�/�t.a� � �-o�r.` Gu.c_ .r�-� Q„Q�,�,
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Wt)RK SATISFACTpRY, PROCEED
O CORRECT ACTION AND P OCEED
❑ CORRECT WORK REINSPECTION BEFORE COVERING
Inspector. OwneNContr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSON.4L HEALTH & SAFETY.�
DATE TIME
CITY OF PRIOR LAKE c��.t.��-iN
iNSPECTiON NOTICE 7`�� SCHEDULED 9'�� "�'l�' 9 ' �
PERMIT NO. q�� � CoM�ETEO
ADDRESS � �i3 �5 V� uA�'i�- �LflG
OWNER CONTR.
� TELEPIIONE NO.
1L O FOOTIN(3 ❑PLUMBIN(i RI 031TE INSPECTION
� ❑ FRAMING � � ECHANlCAL-RI ❑ EXCAY.lCaRADINCiIFILUNG
� ❑ INSULATION �ATER Fi00KUP ❑ IAKESHOAE/WETLANDS
0❑ WALL BD. O R SET/TURN ON ❑ COMPLAINT
Z❑ FlNAL SEWER HOOKUP ❑ GAS LINE AIR TEST
Q O FOUNDATION ❑ SEPTIC INSTALL. O SEPTIC FINAL
_❑ DEMO�. ❑ SEPTIC MAINT. O FIREPLACE
J O FIRE PREV. O PLUMBINfi F'INAL ❑ MECHANICAL FINAL
= COMMENTS:
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�y K SATISFACTORY:PROCEED ❑ PHOTO TAKEN
4 RECT WOAK AND PFiOCEED
�❑ CORRECT WORK. ClU.L FOR REINSPECTION BEFORE COVERING
O CARRECT UNSAFE CONDITION 1MTHIN HOUAS. INSPECTOR WILL RETURN.
❑ STOP ORDER D. CALL INSPECTOR.
❑ INSPECTION R UI . ARRAN6E AOCESS.
catl for ihe next 'on 24 h rs in advance.
Owner/Contr. on site
Inspector 447-4230
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED � r0 ;�
ADDRESS 1 �o � � 5 V �(�T(��(,�, �,,VL
OWNER CONTR.
PHONE NO. PERMIT NO. �1 � - 7g(j
❑ FOOTING ❑ PLUMBING RI ❑ EXC/GRADlFILLING
❑ FRAMING ❑ MECHANICAI ❑ LKSHORENVETLAND
❑ INSULATION ❑ WATER HOOKUP Q COMPLAINT
❑ FINAI O SEWER HOOKUP ❑ SEPTIC FINAL
❑ FOUNDATION �❑ EPTIC INSTALL O FIREPLACE
❑ DEMOLITION �LUMBING FINAL ❑
❑ FIRE PREV. ❑ SITE INSPECTION �
COMMENTS:
�^S
� �
� RK SATISFACTORY, PROCEED
O CORRECT A 710 AND PROCEED
❑ CORRECT W RK, L F R REINSPECTION BEFORE COVERING
Inspector: OwnerlContr:
CALL 447-4 30 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUI ENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
— — ��
DATE TtME
ClTY OF PRIOR LAKE �
INSPECTION NOTICE �-` 3�CHEDULED Ff d�"
ADDRESS ��03� 5 �/ � Z�UV►1�4, �'C�.�,�'
OWNER CONTR.
PHONE NO. PERMIT NO. �o ' �6
❑ FOOTING ❑ RI � ❑ EXC/GRADIFILLING
❑ FRAMING �A �CJ MECHANICAL ❑ LKSHOREIWETLAND
❑ INSULATION / O WATER HOOKUP ❑ COMPLAINT
❑ FINAL ❑ SEWER HOOKUP ❑ SEPTIC FINAL
❑ FOUNDATION ❑ SEPTIC INSTALL ❑ FIREPI.ACE
d DEMOLITION ❑ PLUMBING FINAL ❑
❑ FlRE PREV. ❑ SITE INSPECTION
MENTS:
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❑ K 8ATISFA Y, P ED
CT ACTI N A PR E D
❑ CORRECT WOR , LL 0 R INSPECTION BEFORE COVERING
Inspector: anrner/Contr:
CALL 447-4 0 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY.�
DATE TIME
CITY QF PRIOR LAKE
"iNSPECTION NOTIGE � , SCHEDULED �Q �
ADDRESS J���'o���c( ��;.L�/�
OWNER �1G y1��g� • CONTR. �dK�l�s 8� �c.�f�E
PHONE NO. PERMIT NO. �-- �
❑ FOOTING ❑ PLUMBING RI EXClGI2AD/FILLING
O FRAMfNG ❑ MECHANICAL Q K3HOREIWETLAND
❑ INSULATtON ❑ WATER HOOKUP ❑ COMPLAIN7
�FINAL ❑ SEWER HOOKUP ❑ SEPTIC FINAL
❑ FOUNDATION ❑ SEPTIC INSTALI ❑ FIREPLACE
O DEMOLITION ❑ PLUMBING FINAL ❑
❑ FIRE PREV. ❑ SITE INSPECTION
COMMENTS: o �l� 8 x J S L. oGJ €I� �D
so�>c,
�WORK SATISFACTORY, PROCEED
O CORRECT ACTION AND PROCEED
� CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: , /Contr:
CAI.L 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YDUR PERSONAL HEALTH & SAFETY!
, • �.,.
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CITY OF PRIOR LAKE �. w��e File
� � � ��y�� �*\ BUILDING PERMIT 2 � p '°� �"y
_ � � 3. Yellow Applicaut
� TEMPORARY CERT(FICATE OF
` �! + � � ZONING COMPLIANCE
����1 �►ND UTILITY CONNECTION PERMIT Permit No. 9r�—'r
DIRECTIONS � 1. DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Piease Print or Type and sign at bottom) BUILDING INFORMATION
2. SITE ADDRESS 11. SIZE OF STRUCTURE
� � (Height) idth) (Depth) /
(O
3. LEGAL DESCRIPTION 12. NO.OF STOR�S
LOT BLOCK � PID �S :3eG�" �T`� '� I
/ 13. NP F CONSTRUCTION
ADDITION � ` < � -
4. OWNER ( e (Address) (Tel. No.) � 1 FLOOR AREA APPORTIONMENT USE
5. ARCHI CT Name) (Address) � (Tel. No
6. BUILDER (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS
� � � /� ��/!/(� � �3> OCCUPANTS
7. TYPE OF WORK Fireplace O Septic O Deck O Re-roofing D Porch O SEATS
New Construction� Alterations O Addition O Fnish Attic O Re-siding O Finish Basement O 16. PROJECT COSTNALUE
Chimney O Misc.
8. PROPER REA OR ACRES 9. PROPER ENSIONS 10. CULVERT SIZE � . OM L N DAT
Sq. Ft. Width Yes �
I here certiTy that I ave f ished information on this application which i o the best of my knowledge true and correct. I also certiy at I am the owner or authorized ageM for
the above mentio d roperly and that a construction will conform to al existing state and local laws and will proceed in accordance with submitted plans. 1 am aware thet the
building officia n voke this i ust cause. Furthermore, I hereby agree that fhe city official or a des nee maygnter upon the property to perfo needed irispectl �
X ��,�I -
Signature Lcens No. O�te
FOR ADMINISTRATIVE USE
SETBACKS: Required MATERIAL FILED WITH APPLICATION
Actual SOIL TESTS O ENERGY DATA O
Front Back Side Side
BUILDING DEPARTMENT VALUATION OFF STREET PARKING PILING LOGS O PERCOLATION TESTS O
SPACES REQ. PLANS & SPECS O SETS
USE OF BUILDING S �./�
SPACES ON PLAN SURVEY O COPIES
PERMIT VALUATION ��,� PLOT PLAN O
TYPE OF CONSIRUCTION: I II III IV V Amount BrougM Forvuard .................. $
Occupancy Group A B E F H I M R S U ��'
� �
niviston 1 2 3 a ParkSupportFee ...............••••.....••• $ .'� .
Pertnit Fee ................................... $ Id �7 . ZS SAC ......................................... $ l �� �
Plen Chedc Fee ....................... �. $ �p� •�� Collective Street Fee ........................ $
/�^ -7 Sewer Tap . $
State Surcharge ............................. $ SP� ! . ! �
$
Penalty .................... . .... $ Pressure Reducer ........ $ �S.
����'� 7�� �� ..................
Plumbing Pertnit Fee $ Meter Hom ................................... $ _
��� � " � Water Meter PS
Mechanic�al Permit Fee .. .��:.,��lf.. $ l 0 d � d .........................•....... $ •
��� 7 �� ` 9 � � �-/� 1 /' � � Sewer & Water Connection Fee ........... $ �Z� �
Sewer & Water Permit ..... 7 �` '� 1 Water Tower Fee � �
�, ` ........................... $
Gas Fireplace e it ... .... ......... $ Water Tap ................................... $ .
This Applicad d' ertnit When Builde�'s Deposit $ 1��.
By Date Other ... �..1. " r. �� ............... $ ,�I�Q• O C7
To�� o�e ...� ..�............ $� 2,.�y-�
Certifiqte of Occupancy Paid + � Recei t No.
Issued
Date ' 2b '' By
This is to cerUf�r lhat the reques in the above application and acxompanying documents is in aa;ordance with the City Zoning Ordinar�ce and may prac�d as u . This docwment wf�
sign City P n er co iiutes a temporary Certifi Z�n' mpliance and allows construction to commence. Before occupancy, a Certff'�cate of Occupancy must be issued.
lY
C' Plann Dat Special Conditions N arry
24 hour noCice for all i�spections 447-4230 /� ��/ D
T /
ONEEM - FILE
O � P R I�� YELLOMI - APPLICANT
� OOLD - CIT�
�r �
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V �
CITY OF PRIOR LAKE NO. q�-7?o
���`NES��P SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT: V n���� �� C-V � l PHONE ��11 �� '
ADDRES S: �( Inu .[`) �_ Ic,. ►� � DATE : `� 3 � �
SIGNATURE: BLDG. PERMIT # ��
SITE ADDRESS: '����5 U� ��'•^% � C��-' PID#��-��ZoZ- A37"�
FILL IN THE BLANKS
1. Estimated length of water service � v feet.
2. Size of water service � inch(es).
3. Location of any couplings from structure '— fe�t.
4. Type of sewer pipe. ABS PVC X Cast Iron
5. Estimated length of sewer line � � feet.
6. Clean out (if required), located at feet from
structure.
_____________________�___�___________-__________________________-__
This app i r 'be.¢mmese"�our permit when approved.
`�`�"��_�'�-
BY DATE : 9���I�
FEES: $ 35.00 Sewer and water line connection permit.
$ .50 Surcharge
$ 35.50 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. pAID WITH pAID W��
DATE PAID B UILDING PERMlT p,MOUNT PA�� BU��DlNG PERM�IT
.
RECEIPT # REC'D BY
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
.��F R� l,. TY O F P R I O R L�CE 3. Yellow Applicaot
PRIp
� �x
� m PLUMB/NG PERMIT PP No. 9� ^�9�
Applicant: V n � <<-� � � � � � v �. - - Phone: Y� ?- a � � .
Address: �{ 1� � Cs��- �. /1..� - 3 df C' �, �.�
The Center ot Ihe L�ke Counlry
Signature:
Legal Description: Lot �� Block Sub /��
site Address: �(.3 `i 5 V����n:n C ��
�
Building Permit # 9�- ��D PID #�S-�ot� D��� o -
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
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 (1 or 2 compartment sink) Sewage Ejector
` Shower StaN Bacl�low Assembly (RPZ, Double Check, PVB)
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
� Water Closet (toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum) $
Residential, New One & Two Family $99.50 $
Residential, Additions & Alterations $39.50 $
State Surcharge $ .50
f
GRAND TOTAL $
This permit is granted upon the express condition that said
contractor, shall comply in all resp,ects with the ordinances
/ of�� �ing Code and the amer�drgents thereof.
B �
`'�E PT NO. DA1'E
� I� �, �� ; � s�' "�• ATTEST
Call for all inspections 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
L_ Pidi • 1�iEn
o � Q F PR1pRt �ITY OF PRIOR LAKE � C!;� � ��; �: �°"�• :"�«
� �, ,TYPE Q� S7AUCTURE
u t „ , t 6 2 0 0 E e g 1 e C r s e k A v. S. E p o� m N N o . q�- � 9 a <'
m
Prtor Lske� MN 55�7Z D � �
" HEATINt� APPL�CATI�N / PERMIT 1 R 5U�2rnil� � TwaFamlly Multt Famity
0
z � -� S- � (� In et►la1 PubNc OIh�
Date -\ L7 PID � ��' ,� �'� � I� � til � � _.,
Silo Addreea � �O �� ^ v� Q.� � A��C lJ '2. Fee ScAedute
tot (1_ Bbck � Ad�flbn � Industrfaf Commendsl8 Muld •Famity 196 of �ob cflsi (�39.50 minimt�n)
Owner`e N$me � ej S Residenxlal� kesting & AC $99.50
Residential Heating Onry $64.50
u�
Add�ess ResidenNal, Ges Fkieptao� $39.5fl
� Residenttal, Addi�ana 8 AlteraHons �9.54
� Heslin� Contracbar . Residential� AC On�y $39.6a
N v ` 2� �
Add�ess � .
` TefsphoAS p - `t �Q �-- �O ��� Remember io ar�d the 5iate Surcharye on the boUtom o) IAjs appElcattan.
r •
� Fwnace Make & Modst � Y��"�` �' npE OF S1►STEM �he price of your heat�g psrrt�f! incrluudes one rougPr�n and one linal ir�specilon.
� {� Warm Air P�anta
z Madet Siza ��-U ,� � � Additio�ai inspections wiN De bilted al $35.00 each.
¢ M�e�� House FtsalEn �est Record musl be subrnitted wiih be�ore b�tild•
Conn. Lo�d — 9 �D➢ R�lID� N�9[
z Air CandRiar�ing T ing certEticafe o! oocupancy wiN be issued.
¢ Fue� �_��Flue 5ize Vent. System
W 1 HEATiNG OA POWfi1 PWNT �Z CA�CUU►TtQNS RE�IIfRED wfEh number of supply and �elurn ope�ngs t�led pe.
= SL�IyI Op61i1A96 4�O room wilh CFlN s pe� ape��g. New s�ru�tur�s a Qd�i�ons send lloor ptan rrith supply
� Sieam ar►d rel�trn locaiions �hown. HEAT LpSS GAICULAT�ONIS, PAY[u�Ni'T AND
¢ Aety�n Openings ltct Wsis� APPLtCAT101�S MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16P00 EAGLE
A Radiation CREEK AVE. S.E. Pf1iOR #AKE, MN 55372.
� In�ut �� �� Outpui Spea�l Davices
� GNy ►�afl bualnes� houra are B o.m. - 4:30 p.m.
� Edr.
z Olher Devicss ALL WORK MUST BE I�ISPECTED �ROUGHaN A�ID F7NAL) • CALL C�TY NALL
° Clm.
�' 407-42.1D
TYPE OF WORK I hereby ap�ly foi � mechantcal sysiems permtl and I acknowledge thal ihe
�, intcr�naEian above is compEele a�d accurate; that lhe worN watl be in cor►forrr►anca
m A�etelians Replacernertt Nev+i Ccnstnrction with the ad9n�nces and codes ot ltse cily and wilh Ihe aEale bu�ding/mechanicat
N codes; that this form daes nal become a pe�mil untli signed by Ihe BUiLDING
� F�spair Est Comp. Dale OFFICIAL; Ihat Ihe wo�k will be in accordance with the app�ored �lan in lhe
Est, Cast i Buitding Pe�mit � T �� ,�__ case af ali wa�k which requlrea review and appravsl al plans.
°�' HEATING PEHMR FEE i -��-- "f ' O� S� I U
c�'v AQplicant's Signs�ura Date
� STATE SURCHARGE $ .5O �
o PAID WITH ` � l�s�� � R� (�` ��
TOTAL PERMIT FfFS $ R.��t�����,�Nr; pE�tMIT p��
FROM : SAHER Heating and A�C PHONE N0. : 6124738565 Oct. @8 1998 01:03PM P3
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� �., CITY OF PRIOR LAKE Mc ;. Y�"�, :��
� , m 1620o Ea le Creek Av. S.E. 9�= 0�90 1YPE OF STRUCTURE �
9 Permil No. W
Prior Lake, MN 55372 ,
NEATING APPLICATION / PERMIT Sing�e Family Two-Family Mulli-Family O�o
Commercial Induslrial Public • p{�� O
— PID M_ g�- � 7Qd W
SAe Address �'�F� )/� �� xj t��, ', Fee Schedule W
W
f �
Lot � 8bck �_ Add�ion � �../ Induslria{, Commercial8 Multi-Family 19�e ol job cost (s39.50 minimum)
liesidenliat, Fleating 8 AC 599.50 �
Owner's Name � ��,,��, n�j,� �
Residential, Healing Only s64.50
Addtess ��;,�� Residenlial, Gas Firep{ace a39,50 V�i
db� FKlyd! COrnN Residenlial, Additions 8 Alleralions 539.50 a
Heating Contraclor • Residential, AC Only 539.50 . �D
Address n� K F�i�vi�► Av�
n
61?/633?561 Remember to add Ihe Slale Su�charge on the bottom ol this app{icaGon, �
Telephone p �
. 3
Furnace Make 8 Model A.� � T1fPE OF SYSTEM �
The price ol your healing permit includes une rough-in and one (�al inspeclion. �
Warm Air Plants
Model Size _ ��./h �11 Gravity � Addilional inspections will be billed al 535.00 each.
Conn. Load Mechanical House Heating Test Record must be submilted with i i
Air Conditioning ��19 D�iQ11I �llmt?g[ be�o►e build
ing certificale ot occupancy will be issued.
Fuel -'� � Flue Size Vent. System
HEATING OR POWER PLAN� �I SA��-�IAIlQ-LV� AE�UIRED with number ol supply and retum upenings Nsted q
Supply Openings room with CFM's per opening. New slruclures or additions send floor plan with supply
Sleam and relurn localions shown, HEAT LOSS CALCUtATIONS, PAYMENT A(VD
Relurn Ope�ings Ho{ Water APPLICATIONS MAY 6E MAILED TO THE CITY OF PRIOR LAKE. 16200 EAGLE �
Radiation CREEK AVE. S.E. PRIOR UIKE, MN 55372. �
Input Outpul E-+
Special Devices Cily Hall business hours are 9 a.m. - 4:30 p.m.
Edr. . � �
Olher Devices ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL W
Cfm. -
44i-4230 �
TYPE OF WOAK �
I hereby apply for a mechanical sy5tems permit and I acknowledge thaf lhe �
Alterations Replacement New Conslruclion �j( inlormation above is complele and accu�ale; Ihal the work will be in conlo►mance �
wilh Ihe ordinances a�d codes ot the cily and with Ihe slale building/mechenical
Repair Est. Comp. Dale _ j(� ���5� codes; lhai lhis lorm does not become a permit until signed by the BUILDING
OFFICIAL; Ihal Ihe work will be in accordance with !he approved plan in the
Est. Cost $_ /�(e1L�-�>; 9uilding PermA q_ �� case of all work which requires �eview and approval ol plans.
HEATING PEflMIT FEE a � �U// 3 y�
licanl's Si n ^ T — ' Dale �
STATE SUACNARGE 3 .50 PP � 9 a
� PAID WITH . � '� ' � _ f�i�,�3�9� �
TOTAL PERMIT FEES $ Receipt � BUILDING PERMIT �� �� �, �• ; / Date ~
CITY OF PRIOR LAKE
, Impervious Surface Calculations
, (To be Submitted with Building Permit Application)
For All Properties Located in the Shoreland District (SD).
The Ma�cimum Impervious Surface Coverage Permitted in 30 Percent.
Property Address
. Lot Area �/7/ � Sq. Feet x 30% _ .............. �J "!�
*************** ********************************************************
LENGTH WIDTH SQ. FEET
HOUSE � x =
-,�.C� X �� -
ATTACHED GARAGE x =
TOTAL PRINCIPLE STRUCTURE ...................... " !� 2v
DETACHED BLDGS x
(Garage/Shed) X
TOTAL DETACHED BUILDINGS ....................... �
DRIVEWAYlPAVED AREAS -----�/�� . x
(Driveway-paved or not) �'� � x =
(Sidewalk/Pazking Areas) X =
TOTAL PAVED AREAS ......................................... � O
PATIOS/PORCHES/DECKS x =
(Open Decks %," min. opening between X =
boards, with a pervious surface below,
are not considered to be impervious)
X =
TOTAL DECKS ........................................................ �
OTHER x =
x =
TOTALOTHER ....................................................... �
TOTAL IMPERVIOUS SURFACE �`�
E ER
Prepared By Date � �L—f�
Company Phone # ����.���
. DEPARTMENT OF � �:t �' ;��'' �':����'�,.:..- � .
.PRIt'�R LA �� �:.:::.:.�..,
K E BUILDING AND INSPECTION �'� '� �•�.
. . �. . . - . . .
� ' � ' .,.� " , . � � , ' ' .. ;� � -° ' -
. , ''"' � : v, . ',
.;INP .���
. E TI N RE RD .
SITE ADDRESS � 3 J ��--c�H.� � a,�••�- . � - '� :=� � '
NATURE OF WORK N' �� Nsr �� �
, � USE OF BUILDING � � • F• �•
. = PERMIT NO.� . • � o DATE ISSUED S � S `'� ��'�=: � = � �`
, . -� CONTRACTOR � �- � � , =�_-,. � �.:. ; -
::�.
� �.; NOTE� THIS IS NO A PERMI FOt� ANY OF TH� INSPECtiONS�,���LOW �
` �_ � " THE ,PERMIT IS BY SEPARATE DOCUMENT " .;,����� � ;
. . . INSPECTOp � DATE , .
�OOTING . ., . �,✓ - �:� y ��°�,:;� +. .
. _ ° �' � FOUNDAYION (Prior to Backfill) ���✓ �:�.�'�;.,. "y ``�` ' � -
a � - ;r�; . tr. � s.; ,
. ,y��.�;;',� ° �?�`A�CE;;NO,��:�ONCR�TE UNTIL'ABaV'L� HAS BE�N��`�1��.����=.� �'���`�'�.�z.��,;:j�
�.,
.: �'.w��..
� r ,iv'aS.. ��;'� ' �S,�z��{: fQ.." ,." ;�i .•�, .�?�Flr.;� . � ' ' - � . . . �.,�i�g�lv!,,• y an$�'.�''�^',`i� r+� 'y��'«'r .
q��ti � . � . . , �� s�'.�;;*' �- . .�,
. . ,. . �;�a�,. .t� . �:: � R O U G H - I N S � � -���:,� � �
� SEWER / WATER / SEPTIC � 9 � ': °�� F.��. ,
. ��AMING� � t0 -'I.tt1-���� �
� .�; . INSULATION� -� �
, `r?: ELECTRICAL � " �, , �
��.�:� PLUMBING r. � . � . //� � 1/'� .{ �° ' { :�
-v^_, �; ) (v y+� 7V ' ��� �: � � '*Y�� S•. ,'.'.
*'�,�.: C. G :.;;
� :����P ;H�A7iNG �(if required)� � �� r�` _ ��'� � ' �Y
. � FIREPLACE � � , ., ���.���� ` y.; �:w�� �,
. o �, �` `..'.
,�>..-��..,-..
� GAS L NE dIR TE T� � • , /! _ �- I ,�' `��`"� � µ`� `��
i S 1�..� .r.:
. �.. j��:� : ; . .:..,,. � - -� .. � .,:f,, � � � � ;
�. s��.
�,_�; :�;.:4,�-: .:��i���:�_;°C�OVER'�NO WORK UNTIL AB(�VE HAS BEE1� SIGN��'��y`�
, -
.;;:Mg:�� _ „ . � �_�r . : : ":.> .
_ ; Tri; � '
; , . : -��.,_-. , FINQLS ; _ . -
r � GRADING Prior to Soddin ) � � - � �; : � � � �
...v:a .- .
' � B�1iLDING� . - , . . . - �.:�.:. : �.�:;w r. ; , .
:;�.� . �=� �„�:"�.��;�:�
` � x' - -
ELECTRICAL " � � � �
� PLUMBING ' J . . . ,
- HEATING .. �r��; . .
,�,�r;�v��,u,DO:� Nt?T OCCUPY � UNTIL ABOVE HAS BEEN S�aNED��, 4,=. -
Si';` S`��.� ...:•?'�.2 • e ,�•.tMi,.r ' . '!': � . . ' • ' - • _ ��,iw'+r.'.�.� "_ � S ti;� -• - ' .
� � �;�� ;:A: �' X � ; :�� - N O T I C E f �-.�:. - _ ,,
_ �.;?�'��'�'ar,�-.,�J:Erf` 5 : }; , Y . , ', .'�'= _ -,� . , , . , , , � � '.:�;.����::i iq,',�Y`"�,,;��c i_ .: t::�
i` .'� '��. �, .,�.:;',. , .�' .�. ,.,,' � ..+, , . � , ` = - . :.. ��;,�;� ,�"' ',�Sj„
;:�§�,��,����, ,� -'Th�s�"card - mu$t be`posted nea�r`��an electrical service cabihet pric�r to rough-in' inspec�iorrat.�.��;� ::�:.�� �
`z� �z; � ,r'�� ,� ' � . ..��,..-::: � h:. ,. ���+<' :`'`'` .
�:�. �„ �.,.»�,�.:��,�-.��;and maintainec� until all inspections`have been approved.- On buitdings and addlt�t�ns �:;�� ;
:��� where no service cabinef is availabte, card shatl be placed near main entrance. �" ` .. .:;•= �`�;
'- ` . � '
= �, ���` ���� + � �� _ � � Call between 8:00 and 9:00 A.M. for all inspections � " �
` FOR ALL INSPECTIONS 447-4230 �
� �F PRIp
� �
�
U m
White - Butlding
Canary - Engineering
Pink - Planning
The Center otlhe L�ke Country
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:
1�.3 �S � , ��,�.� (.�.�c �
Accepted � Accepted With Corrections
Denied
Reviewed B : � ��� Date: �' ? ��
Y
� �- s (��� �`-Tit1�+c�� �
Comments: /NSn��--�- S<�-,- ���r �
"The issuance or granting of a permit or approval of plans, specificatians 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."
� . '•~ • �F pR/p�, ! � T / � �
.
r e • �� `�
v , rn
Whit� - Building
Canary - Engineering
Pink - Planning
The Center ot�he Lrke Country
BUILDING PERMIT APPLIGATION 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:
��.���- �,��� �,�.:.�. �;
�� , Acc�pted �/ Accepted With Corrections
' Denied
� Reviewed By: l�U.���2 � Fs'�rA��/ Date: ��
Comments: TN� �2�r,�G �fLo,�� �E t.��"sr �oT u�E �s Go�,��
" To g-ri� To �E ,E�o�.t.E ��rt� Fvu.�, T� Ex,s � �•vc� G��o�
Ol�l LdT 17 !S t�T L�'�'fs i ,,'� �ET r7���lE� TH�ti ?f!6 f��s.�
`�,fb. ,jiJSrER� aF �"2R�fn1� A� SN�42 �DG� ou TNIS LoTL/�/F_� .Z'
. �',gvE f��owrssro�I %o CRao� A 3� f �� r� �� �nJ ra L o7 �Z To �'fELP
' T2�UEnJT �(G�rOnI,
:,
, SEE 1�E�SksE 5i0i= �02 A�Ifi��.r(�L l�/FvRrtFirianl
�� ATTTiCx(M¢'NTS � Y�OLLow`S ' �. �05 i aN C e.�uT2nL !'"L!4 nJ �� Iri NRL
�,
�2ROr•'`�CQ fNSG��C'�ran! INFoR/N,�}T►anl �_ G9��Ol+V G PL�4n/ T L�T /Z �NO
• - �� C,oM/✓18n1 LOT LlnJ� l�2Api�s[� /tiFodtr�LFf �dN s�.RJCy I
. �
' "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."
�
/
'
�
� ��
m
White - Building
Canary - Engineering
Pink - Planning
The frn�er of the L�ke Coun�ry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
fj
NAME OF APPLICANT � � �, �:. -�' � �� J..�'''
,
APPLICATION RECEfVED %€��`�'l�,��
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
r '
4t ;'
�� u � 5 �,� , f.1�� �� �..- �., z , �; �
Acce ted " Accepted With Corrections
p
Denied
Reviewed By: - - Date: �� - ,
Comments:
"The issuance or granting of a permit or approval of plans, specificatians 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."