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CITY OF PRIOR LAKE -_
• Ptparfutruf o Puiltfing xtsprxfton - ..:..,,>
V Final Permitted ❑ Conditional C.O. Expires = =_ ''
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( li - 7 This Certificate issued pursuant to the requirements of Section 110 of the ❑ Residential / ❑ International;,.
Building Code certifying that at the time of issuance this structure was in compliance with the various ='
�` - ' ordinances of the City of Prior Lake regulating building construction or use For the following:
/ X
0,<:::01:._ Use Classification -) /N6 t 1---1)/k1/ _ /' Bldg. Permit No. (./I ' - 66 5- -
G'?i - : -� _
Occupancy Type T ype Construction 1 Zoning District / c /
Legal Description L- Z C L 4 - � %,c., 17 F Gf /1,0 .77-?' / b tC' U /t /Ei) U`D6 �' )
Owner of Building S ite Address �(,72 t /� , -�/ /V t-+”) ❑ / - /V A ./
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Contractor's Name &Address %f iC / 4 6- / /1/Z1/ -/e- _,� r` `L (/ /C` -i! C .rte [� /< . 0-6-2-
AL / /: City Planner
1 ,_„..., - ���
. a
_ Building Official
V c
(� D ate: r�� / I Date:
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DATE TIME
CITY OF PRIOR LAKE /��
INSPECTION NOTICE SCHEDULED £o (sit /
ADDRESS )1,0325-- Tn.A,s k Q\
OWNER CONTR.
PHONE NO. PERMIT NO. 8 -- 853
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
• r- •, OVtc r •_ 4- One RA
erzar
ULo - I - IP
6 0 R
• t ► Jo Fr i • c /IVA 1 1 1 , W/
fX0
Tp Q C
W ORK SATISFACTORY, PROCEED
❑ C RRECT ACTION AND PROCEED
❑ CORRECT ' O' ALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner /Contr:
CAL 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
1NSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS /6325 / k :.7
OWNER CONTR.
PHONE NO. PERMIT NO. O ' ?53
❑ FOOTING ❑ PLUMBING RI ;",g' EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
p 7ia/ 6'ra/r Zns..
D; rec F s / OK i✓ef ?' .5 - /de C , 7
frcpe-i77 / 2 /' dr ' rr 97 e CeeXe- i e-,01
2 )d %fcC7 . '4r Se,c ,
❑ WORK SATISFACTORY, PROCEED
,CORRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: . `Owner /Contra
CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
G - rePt/r' M.,,r 4 ,Z,, i�..f -j-/y ✓ .
DATE TIME
CITY OF PRIOR LAKE Z
INSPECTION NOTICE SCHEDULED
ADDRESS I Cy3aS )c.� V‹ -c .
OWNER CONTR.
PHONE NO. PERMIT NO. C, S53
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL iZ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
Q .Q.. 4-ar A r U £J 6 (') - cr 8
2, /
? Wrr voS1) ' .11-r Ar—.n
t ie Oa 0 -tx4 I--9_,5
116 D41,t().....\---
❑ WORK SATISFACTORY, PROCEED
`CORRECT ACTION AND PROCEED
❑ CORRE A , . CA LL FOR REINSPECTION BEFORE COVERING
Inspecto /' Owner /Contra
CAL • - :50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
4 PR /0
4' CITY OF PRIOR LAKE BUILDING PERMIT, Dat Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �
AND UTILITY CONNECTION PERMIT M O ppU
l ` , NESO
I. White File PERMIT N°. 00—,
2. Pink City oe53
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS � � 4 ZONING (office use)
i G3� — rn.� 1 �1C..ii Sri 3 , 1 ( e. , `a CL --�JG , r L 1� 1 SD
LEGAL DESCRIPTION (office use only)
LOTQOBLOCK 1 -1 ADDITION - 1 - 1-4EbW .-5c 4--Itz;z7444. --- PID 2 +5 . Q(
OWNER
(Name) (Phone)
(Address)
BUILDER . / / '/
(Company Name) fCt j ✓ ?Ct r ,ke4 / mP5 (Phone / G 0234. —..0 fib
(Contact Name) A/ /.t ✓ 7L Ella 1 /f�/ (Phor 6/0 — -). Ya 76
(Address) 94' 4 4 Cr 5l) . . t° ADS- EA 4i751. / c A /05.5j0 r!D
TYPE OF WORK ,New Construction DDeck DPorch ❑Re- Roofing ERe-Siding ['Lower Level Finish ❑ Fireplace
['Addition ['Alteration ❑Utility Connection
CODE: JI.R.C. ❑I.B.C. ❑ Misc:
Type of Construction: I II HI IV V A B co
Occupancy Group: A B E F HI M R S U PROJECT COST /VALUE $ / 71, . —
Division: 2 3 4 5 (excluding land)
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 enter upon the property to perform needed inspections.
4 --
x
2 rr —Sy 3�.7 . 13 • 0�3
Signature J Contractor's License No. Date
Permit Valuation f t 000, • Park Support Fee # $
Permit Fee $ 1527.50 SAC # $ /Sac.
Plan Check Fee $ 1 ctz. se Water Meter Siz 5/ ; 1"; $ ] ZS •
State Surcharge $ S co Pressure Reducer $ ' to- -
Penalty $ Sewer /Water Connection Fee # $ / 561D. -
Plumbing Permit Fee $ S6. Water Tower Fee # $ 060. .
Mechanical Permit Fee $ ( 50, . Builder's Deposit $ ( 500
Sewer & Water Permit Fee $ —2 Other $
Gas Fireplace Permit Fee $ TOTAL DUE $7.2 / . se,
This ' .. 'c nBecomesYou>rBuildingPermit Wh nA ove Paid 9257. eiptNo. .3( yes
p Date /O. G7 ( B 31 oe
uildin • . • Date
This is to certify ., , the re. u t in the above application and accompany' do ents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when si,. e. by •' Planner co 'tines a temporary Certificate of Zo ing mpliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issue_ I' - C Og
tor Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
H c PR Pr CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /Z , ,¢, ab
AND UTILITY CONNECTION PERMIT
ri
L6 a// Q £ . 0853
a',NNESO�P I white File PERMIT NO.
3 Yellow Applicant
/� a /`�q7D
3 ellp (�(f l/ /
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
«3Z.5 - TA,'/ //✓ 9 Cam /vI
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID Z5 ,4 -5' . 0 67 /. 0
OWNER
(Name) (Phone)
(Address)
BUILDER
(Company Name) fg / ' e ' / ff0 /16,5 (Phone) 96 23( o . (o O1''O
(Contact Name) /61/L4 /4/1Nt y (Phone) (o f 1. Z Sa_ 4-674
(Address) q4,4,e... 5O0771 ff be SO Zoe 3(��evvs✓, 6 NA/ 5,5306
TYPE OF WORK ❑ New Construction ['Deck ['Porch ❑Re- Roofing ['Re-Siding ®Lower Level Finish ❑ Fireplace
['Addition ['Alteration ❑ Utility Connection
CODE: .R.C. ❑I.B.C. ❑ Misc.
Type of o struction: I II III IV V AB
Occup cy Group: A B E F HI MR S U PROJECT COST /VALUE $
Division: 1 2 3 4 5
(excluding land)
I hereby certify that 1 have furnished information on this application which is to the best of my knowledge true and correct. I also certify that 1 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 enter upon the property to perform needed inspections.
X 2.6o54-32.7
Signature Contractor's Licezile No. Date
Permit Valuation 3, 00 O . 0 0 Park Support Fee # $
Permit Fee $ 74, 75' SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ /, 50 Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ 57), 00 Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee 1 $ Other $
Gas Fireplace Permit Fee $ ,.50.00 TOTAL DUE $/769 , 2.5"
This Applic on :3 o : . • - • ding Permit When ppr ved Paid /76 - 2- y ceipt No. 571,J/
1/1 pp 2. 06 Date /z , S. B
Building ticui to
This is to certify at the r . cst in the above application and accompanying docu• ents is i accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by ity '1 . onstitutc , •s .orary Certificate of Zoning c pliance , nd allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued /
1
Ok
Planning Dir tor P ate Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street 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: PO- Date: ? ;0 /e, g
Building Permit # PID: Zoning:
Address: f6 T411, Cx-
Legal: L , B Subdivision:
Existing Structure? YES /,0 Existing Nonconforming Structure? YES / NO
CONFORMS TO ZONING NO
ORDINANCE .
Yard Setbacks: NA / FAILS/ COMPLIES 1 Standard Proposed I
• Front Yard (can be 20' if avg. w /in 150') 25' 2S. 't
• Side Yards .A0'r 1•-5 mo`j05 .)
2 if abutting a street ,-� a • ( R v'� e
• Sidewall exceeding 50' requires additional side 2" 10' setback + _
setback for every 1' over 50' in length 2 "/1' over 50'
• Rear Yard 25' G7. (4.
• Patio Door: provide for minimum 10' deck or sign 10' side/
statement indicating no deck will be built in the future 25' rear
• From 100 year flood elevation of wetland /NURP 30'
pond
• From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no --
less than 50'
I Floor Area Ratio: NA / FAILS / C' ' IES I .30 Maximum 1 Zog4 ( 2.--Ts i cx r.
Eu AAA v. A� I te.( Qo
Yard Encroachments: 6, FAILS /COMPLIES r Standard Proposed
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line (Easements).
A/C and other equipment cannot encroach on interior
side yards.
Tree Preservation: 4)i FAILS / COMPLIES 1 Standard 1 Proposed I
• Total caliper inches
• Permit 25% Removal
• Caliper Inches Removed
• Caliper Inches Preserved
• Replacement 1/2 :1
L : \TEMPLATE\BLDGLIST.DOC
Driveway: NA / FAILS / COMPLIES Standard 1 Proposed I
• Maximum width at property line 24' I Co'
• Required setback 5' from side lot line or S
30' from r -o -w on corner lots
• Maximum slope 10% (P.C.,
• All parking areas to be paved including R -V or
spaces adjacent to the garage
• Location to match subdivision grading plan E"
I Building Height: NA / FAILS / COMPLIES 1 35' Maximum I 2 r,' I
I Shoreland District: NA / FAILS / (GO ►IPLIES 1 Standard 1 Proposed
Minimum lot area (square feet) ll�� 7,500 Rip, 7,999 Non -rip
Minimum lot width 50' Rip, 57.3' Non -rip
Shoreland alterations
Impervious surface 30% Maximum 566',06 ✓ Gilx2.�S'
i ? (90 t9 < 3z? S a
Bluff in Shoreland: �tA FAILS / COMPLIES Standard Proposed
• Setback from top of bluff By planning dept.
• Bluff impact zone 20' From Top of Bluff
• Engineering certification submitted /approved By City Engineer
• Grading in bluff or bluff impact zone No importing /exporting
Floodplain W / FAILS / COMPLIES 1. Standard Proposed
• 100 ye r od elevation 908.9' Prior Lake
914.4' Spring Lake
• Lowest floor elevation 909.9' Prior Lake /
915.4' Spring Lake
• Proposed lowest floor elevation Must be 1' above flood
elevation for new and existing
structures. If existing
structure was constructed
9/19/90- 11/22/97 then
additional foot is not required.
• Elevations 15 feet from structure Must be flood elevation or
higher
• Road access must be no more than 2 feet below 907.9' for Prior Lake
Regulatory Flood Protection Elevation 913.4' for Spring Lake
Accessory Structure: N1 / FAILS / COMPLIES Standard Proposed
• Size \, 832 sq.ft. or 25% rear yard
• Not located in front yard (Materials)
• Side yard and rear yard setbacks 10'
• Maximum height 15'
• Materials compatible with principle structure
L:\TEMPLATETLDGLIST.DOC
Residential Building Permit Checklist
Basem; i t Fi • u or Inte ?or Alteration to Single Family Homes
BY: ` Date: el-. at
Building Permit # 8 . , g PID: zs', 4f,, v /. o Zoning:
Site Address /32 /vjN4"q C�
Legal: L B Subdivision:
Existing Structur . YES q NO
CONFORMS TO ZONING YES NO
ORDINANCE
YES I NO
Is this an expansion of the existing footprint or Refer to Planning
building height?
Is the property located within the flood plain? Refer to Planning ✓
Does the alteration include any additional kitchens? Refer to Planning
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors?
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single ✓
family home (office, group home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
Nv ^�
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L: \TEMPLATE\ALTCHCK.D OC
o� rRto�
White - Building
y� �P Canary - Engineering
" "ES° Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT �iq//e-- / 1/016-5
APPLICATION RECEIVED 9'• / oe
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/Go. 32 "7 /n✓ /crq
Accepted Accepted With Corrections
Denied
Reviewed By: //'�** Date:
/ �0 o
Comments: �A-/* S - # -�i v_ t -ice
"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."
�PRI�
O w � '
U r
White - Building
P Canary - Engineering
44NNEso 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 t/ Accepted With Corrections
Denied
Reviewed By: �, Date: " 3 6 os
Comments: ( r/� 06 rev __ � t rE /1-A.,€) � f c gm - 4 7;
0
. �_I' Conditi
Cults Carukot Encroach into-
lie4;11.e
yite 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."
0� PR0
E.,
U t
White - Building
Canary - Engineering
M�NNESdcP Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /// . /'J'/467 NG/ 6S
APPLICATION RECEIVED , 9 . / ci'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/6 r%2 7. ,/ //v,/c: 1 (L / , ,
Accepted Accepted With Corrections ___Z____
Denied
Reviewed By: /14 Date: /d 11 7 1 _og
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading 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."
ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS
• Surface storm water drainage flowing to the perimeter of this lot to
and from adjoining properties must be conveyed to the roadway
and /or to the rear of the lot in drainage swales within the drainage
easement.
• All bare soil areas must be protected from eroding into neighboring
properties through the properly installed and maintained silt fence or
bales.
• The silt fence required by the erosion control plan must be installed
prior to any earthwork being started.
• The builder is responsible for maintaining the erosion control
measures until the turf is established.
• The rock construction entrance must be installed at the time of
backfilling of the foundation.
G: \Admin \dept info \ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATXONS.doc
QI S8PA ) ti.0 CITY OF PRIOR LAKE Date Rec'd
SC HEATING /AIR CONDITIONING/FIREPLACE PERMIT
y 4646 Dakota Street S.E.
� I / T. Prior Lake, MN 55372-1714
ESO 1 Pink File 053
Green Cit PERMIT NO.
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (orrice use)
16325 TAHINKA COURT
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name MANLEY LAND DEVELOPMENT (Phone) 612- 250 -4676
(Address)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone) 651 -633-
2561
(Address) 2700 NORTH FAIRVIEW AVENUE ROSEVILLE 55113
(Address) (City) (Zip Code)
(Contact Person) CHRISTA WEGWART (Phone) 651 -633-
2561
APPLICANT SIGNATURE CHRISTA WEGWART DATE 12 -5 -08
APPLICANT PLEASE COMPLETE BELOW
X❑ NEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
['Warm Air Plants ❑ Steam PLEASE NOTE:
❑Gravit ❑ Hot Water Air Conditioner Units
❑ Mechanical ❑ Radiation Cannot Encroach into
❑Air Conditioning ❑ Special Devices Required Side Yard
❑Vent. System ❑ Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEATILATOR NDV4236I
FEE SCHEDULE
Industrial, Commercial & Multi - Family 1% of job cost Residential, Gas Fireplace $39.50
$39.50 minimum
Residential, Heating & A/C (New Construction) $99.50 Residential, Additions & Alterations $39.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $39.50
Estimated Cost $ Building Permit # s � y ���,
HEATING PERMIT FEE $
STATE SURCHARGE $ .50 O 4Ut
TOTAL PERMIT FEE $ _
(Office Use Only) f�
This Application Becomes Your Building Permit When Approved 'P Paid f 200 Receipt No.
11 DEC III O�V
www.cityofpriorla - .i��it+ ,B
Building Official 1 . t'
By' -
PRI CITY OF PRIOR LAKE Date Rec'd
e HEATING /AIR CONDITIONING /FIREPLACE PERMIT u (
,. t pk* : k Q •
liJ 1NNES° 't4' 1. Pink File
z. Green City PERMIT NO. f?,'5
3. Yellow Applicant
ease type or print and sign at bottom)
DRESS ZONING (office use)
/&7) S' 7,4/4 lc A CT AL ‘^-i
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
t
PLIC /, //I Su --7 "/
(Address) E4 Ale" 4k AW'75 --�-� i- fit' -�
(Address) (City) (Zip Code)
Contact Person) ak o n (Phone) 6 ( 2 -,)10- Y sue=/ k
APPLICANT SIGNATU
?6.ATE /1 Off"
APPLICAN ASE COMPLETE BELOW
['NEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
EGravity ❑ Hot Water into Required Side Yard Setbacks.
['Mechanical ❑ Radiation
❑Air Conditioning El Special Devices Fireplaces with Box Additions or
[Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi - Family 1% of job cost Residential, Gas Fireplace $49.50
$49.50 minimum
Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
Estimated Cost $ Building Permit # / /
HEATING PERMIT FEE $ �,1
� r� ( 6 STATE SURCHARGE $ .50 ' J( ���///
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Recei . Mir
Building Official Date Dat' ' , ` B y i t AI
l! I "
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
10/14/08 TUE 11:00 FAX 952 890 2753 STOCKER EXCAVATING 1001 .....
�'YRis-', Date 12c:c'd ( .,4111115 ) 1 \ `ti . Cr IT OF PRI()R LAKE '- x 4SEWIER.ANrI WATER PERMIT
•
V r.,
- t «, K.e Ydlor tits PERMIT NO. S 53J
) . c „w Ap iie.n, la
(Please type or print and sign ac norrom) _
A DWU SS - -- - ZONING ( ,lure 4ire)
a 1 P\-1=A11L14 CULt pT
LEGAL DESCRIPTION (office use only)
z.OTO hr.00K L-{ AEl DIr.0NTh( U_t4 FF5 OF ,)0f f (-- Ju,,v ,,AOoL, - --
OWNER
(Name) Manley Land Develop_ment . _,_ _ (Phone) 952- 236 -604Q
(Address)764 Sourherr ss Drive W Burnsville, MN 55106
(AActre,.) (City) (LIp Cade)
APPLICANT
(Name) STOCKER EXCAVATING COnTAN`i, INC. (phone) 952/a90 -42 1
(Address) 12336 Boone Avenue Savage, MN 5537$
(Address) (City) (Zip Code)
Curt-. same
(Contact Person) r (Phone)
— �,i.,k .frt ..—_. DATE . 0' .._ / 4- a K APPLICANT SIGNATURE. ���:�
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches. � �� -_�-- -- '- - - -- -�^
Location of any couplings from structure feet.
' Type of sewer pipe. 0 ABC (.( PVC fl Cast Iron
Estimated length of sewer line rect.
Clean out (if required) Located at feet from structure.
FEE SCHEDULE
Residential sewer and water line corinrrrion S35 50 industrial, C:om'1 & Multi - family 1% of job cost with a $39.50 minimum
Sewer connection only S17.50 Water connection only S17.50
Estimated Cost $ Building Fermi(
SEWER AND WATER PERMIT FEE S ___
/�
STATE SURCFIARGE _ _ .. _ .S0 PAIU IT�"�
TOTAL PERMIT FEN; v 1'
(Office Use Only)
This Application Becomes Your I3uildicig Permit When Appro''ed j'L :C.T-- I c h jI Iet No tr, tt 7 B ) •
uilding Official _ r)au _— - 5 o o s __...
24 hour notice for nil inaperr■uiu (952) 4 . .5f1, fn; (95).) 4414245
BY --- -- ___::, _. w�J
P R I O R LAKE BUILDING A D INSPECTION
INSPECTION RECORD
SITE ADDRESS 1(7-; ;' [ ("41A A - L.-
NATURE OF WORK ‘ F- / ().y6,.�,,.,.- No Acc-c, per. L. c_. Fi s to
USE OF BUILDING 1 �tw
PERMIT NO. CO. O 53 DATE ISSUED 30 /06
CONTRACTOR FAut. 634 -- PHONE lo`z. -Z-S° - 14.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INS'ECTOR DAT
FOOTING / / /° .0,
1 FOUNDATION (Prior to Backfill) /19 , /O /i I
PLACE NO CONCRETE UNTIL ABOVE HAS BE 6N SIGNED
ROUGH - INS
SEWER /WATER /SEPTIC 7 :'/1 ;7/
FRAMING G e6 /4iloo
_ INSULATION CL. r Pt 'SQ / -e 0
ELECTRICAL n
PLUMBING 06 1'S Wte is /` A , t /z. f
HEATING (if required) I` • /�� /
FIREPLACE W PO /274s q ' P.
GAS LINE AIR TEST /U4,' D 66- CP 0 /l A6
COVER N ORK UNTIL HAS BEEN SIGNED
I i-�uS� C..444 - if i`� 0 1
s
GRADING (Prior to Soddin) _ 4 b7,s/if
BUILDING 4e S L im ��sr, i
ELECTRICAL
PLUMBING* fy i / 0 6 rt
HEATING j 1 f o I
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
00 i NOTICE
This car 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
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Pennitted in 30 Percent.
Property Address /6 � let / /
k' (� 6 ' f /U w•
Lot Area (N.A. See Table) Sq. Feet x 30% = (N.A. See Table)
*************************************.***********•* * * * * ** ** ** * ***** * ** ** * * * * * *** **
LENGTH WIDTH SQ. FEET
HOUSE x =
ATTACHED GARAGE x =
=
TOTAL PRINCIPLE STRUCTURE l - 15 SF
DETACHED BLDGS x =
(Garage /Shed) _
—
TOTAL DETACHED BUILDINGS
DRIVEWAY/PAVED AREAS x = ,l
(Driveway -paved or not) x j9/,',y0.4.4/ = 432 6..
(Sidewalk /Parking Areas) = 1 75 <.f
TOTAL PAVE I AREAS 50'/ S. �.
PATIOS /PORCHES /DECKS x =
(Open Decks ''V" min. opening between x
boards, with a pervious surface below.
are not considered to be impervious) _
X =
TOTAL DECKS /o''G
OTHER x =
x =
TOTAL, OTHER
TOTAL IMPERVIOUS SURFACE P2p2I
UNDER/OVER (N.A. See Table) (N.A. See Table)
Prepared By Peter Hawkinson Date /d44/8
Company Pioneer Engineering P.A. Phone # (651) 681 -1914
Lot AO Block THE :'LUFFS AT NORTHWOOD MEADOW