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Building Permit 11.596
''',„,,A-.-',A, as f , r ,, v § .. � • a � IYVdif l�I �� f a j I � b rrfi of ®xxuJnrt CITY OF PRIOR LAKE K = -.---' -- --Prparhuntf of puittritt jittsprfititt :--= '' �' . F Permitted ) ,J Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the ❑ Residential l ❑ 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: Use Classification 5 fA/4 1;1/i/ L-/ Bldg. Permit No. II ' 057 Occupancy Type /e....7 Type Construction /V` /� !Zoning D is ist - ri i7 ct , —; 7- S� Legal Description L 7� 3 3� LL6G /%a /`�' / ,/� / / / E6- Owner of Building Site Address / '1 1 3 & L` 9 � � V�, Contractor's Name & Address / / l / i) l i a` /C.c --� Y �f � / fi_ l r-'f ' e /�) ; a City Planner ( Building Official Date: 1( ! f Date: ` ✓ tt! POST IN CONSPICUOUS PLACE E O O• n C1,0 000 "a 0> E 0 i 0 0 0 ■ - n g -n �� o 2 0 SS n o g 2 0 0 . s z ■2§ m m o 73 to r n k X) r �§ Z 2 z C") 3 171 ca � ■ o tel t > -4 m CA § Q Q � P 0§ ■ cn 0 � z ■ t - 2 -1 § co xi 0 0 f) z N 0 k % 0 § m c4 1 % k 0 0 000000 41 X � § 2 m � ®� x � 2 z 0 0Si -4C)E ! B \ q § § § ■ m 0 © ■ % 0 2 q >§ - $ �2 §§ c ■ z ' m 0 \ 2 2 § ® i n � 2 000000 V I Co z x Z g2�§§ 2 * 0 C. -o -o9$ « mkk� q A t -- § CO5 z -4 r o 5 X 0 0 n O OQO0 - 0 0 a 20 n n a o 0 . ` 0 2 z K@ ) § z m z � / c ti r m � * m s� §7 0 � � i• � -4 � § ®§Q P �k v , 0 z k ■ g 0 $ § . B q 0 O % o ° Mm 4Th z _e r 0 1 m k 00 O OOQ 0 \ z rn§ m I >mr r nc -4nc $ C 1 %$ m o ' o R FO \ §� § ` m h _ § o $ — X 2 2 2 � ` c m r §§ P r li k x z x 0 mb k ■ m � . 000000 m ■ g511 /\ ). 0 InrnmE® \ § mM ; k k m XI � 7 � E § a t z -I r 0 - O n 000000 11 0 > ■0 ii n O ■ m nn'i o o @ 2 @ 2 2) 3 > m xi m oo b . 0 0 m ■ 3. § o z § ■ =.I -0 hi , � q 2 m §Q § ® z k % A� : z q z o « �� x \ 0 rn m % 2 § 0 k a 17 - 0 % 2 0 § 000000 0 , m 121. m m ■ r sz § m § m 0 § 2 .v ƒ § >0 0 3 -I M ■ § r n0 0■ q M C7 0 7 r m r 'a -a o m o - X M 0 § $ m . 71 0)11 0000 Pi > 0 rnmmE - & \ ..nnrn \.` k 2 2 g Z I - � § o --;:i 7 0 0� n 000000 - 0 0 > En 2 0 0 0 . 0 §ze) z m z m m . o rn / k m/ m z z- 0 z- Z k \ % t q q q Z M 0- �� w * > ■ cn n z 2 O g z -1 1 0 2x j 0 23 § 5 � ^ - i X 73 0 73 73 00 % 00000 A 'T1 X § m m ���r \ § 2? � � ®� kK� m 0# n § 2 @ m n Viz = -z ■ z = ..*4 E m m r2 k§ \ § 0 ay d U z ` zxx z c § z } m r§\ P § r = k 0 * ) § ■ $ 000000 2 / G) comma§ k, - < ����_� % 0 NI � mm�m _. q rn z� ■ ■ co - m u) -4 r 0 of PRIp CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Z3, ( 1 AND UTILITY CONNECTION PERMIT *I NN ES6t� L White File 2 Pink City PERMIT NO. /I, 5q` Y � 3 Yellow Applicant ` l (Please type or print and sign at bottom) ADDRESS ZONING (office use) /6 W Ae /re),,7" /9,-e kis:0 LEGAL DESCRIPTION (office use only) LOT 7 BLOCK 2 ADDITION 13e/ elbrtir 1 7' PID ;"6 ' '7- 0/F-0 OWNER (Name) (Phone) (Address) BUILDER (Company Name) R 1 I C. '►�' !7// ` ..L IC'"l � (Phone) 9J) - ) 7 -2 10 (Contact Name) Alt i2 lt L- 0 (Phone) , (Address) 5 14 r ,,y TYPE OF WORK ,kNew Construction ['Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace DAddition EAlteration ❑Utility Connection CODE: R.C. L ❑L ❑ Misc. B.C. _3013 ��� Type of Co struction: I II MTV V A B PROJECT COST /VALUE $ _ Occupancy Group: A B E F H I M R S U Division: 1 2 3 4 5 (excluding land) 1 � 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 far 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 buildin -., ffi ocial can revoke this permit fo just cau •. Furthermore, I hereby agree that the city official or a designee ay enter upon the property to perform needed inspections. , X / (o t i I ee � /i Sig i . r e Contractor's License No. / Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ - ZZ '•��• .:9. Plan Check Fee $ t 1 4 18 Water Meter Sizes'; 1 "; $ c `© State Surcharge $ l 50., — Pressure Reducer $ ci 0 , � , Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ 5-4.5a Water Tower F # $ ( 0 GO Mechanical Permit Fee $ t 5 sc Builder's Deposit $ ( 5 00.. Sewer & Water Permit Fee $ , Other $ rt r '2.t P3.215 Gas Fireplace Permit Fee $ 5"4 - TOTAL DUE $ CALLISP 1 ° 7/11 I This Ap �ation Bec � , Y • , : uilding Permit When pr ed Paid j �J , a y' Receipt No. Yl �, � Date 7� - 7't I By rat 13'lcc..'i1- Btiildin.Oftici, J Date This is to certify t• t the request ' he al). e application and accompanying documents is n ac ordance with the City Zoning Ordinance and may proceed as requested. This document when signed biCity P ann s , u s a temporarytertificate of Zoning complianc and Ilows construction to commence. Before occupancy, a Certificate of Occui cy must be issued \ 'ii 7 t ( i . ` nning r ire or 1 D to Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 X/"--- Residential Building Permit Checklist New Cons r ction for Single or Two - family Dwellings 'n -1 or R -2 Districts Reviewed by: fi Date: I ( �• Building Permit # • I • Zoning: Address: IQ) *°1, P e:.-c--M,, AI Legal: L , B Subdivision: Existing Structure? YES ( 0 Existing Nonconforming Structure? YES / NO CONFORMS TO ZONING NO ORDINANCE Yard Setbacks: NA 1 FAILS / C s ES Standard Proposed • Front Yard can be 20' if a g. v in 150') 25' z S 33 • Side Yards 101 25' if abutting a street 22, . 34. 2.1.6 - S • Sidewall exceeding 60' requires additional side 2" 10' setback + setback for every 1' over 60' in length. Not required 2 "/1 over 60' if building wall is 10' -0" or greater of being parallel to a side lot line. • Rear Yard 25' 'A . 41 • 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. • Refer in- ground pools to the Planning Department • From OHW (Prior or Spring Lake) 75' or setback average of adjacent structures, but no less than 50' Z?.�Z i- tl3(2apo 1 I Floor Area Ratio: NA / FAILS / %,IES 1 .30 Maximum 1 - f — I . Yard Encroachments: ir FAILS /COMPLIES 1 Standard Proposed Eaves and Gutters no more than 2 feet in width and no closer than 5 feet to a lot line (Easements). NC and other equipment cannot encroach on interior side yards. Tree Preservation /,FAILS 1 COMPLIES Standard Proposed I • Total caliper i c es • Permit 35% Removal • Caliper Inches Removed • Caliper Inches Preserved • Replacement %:1 L : \TEMPLATE\BLDGLIST.DOC Driveway: NA / FAILS / C PLI 1 Standard 1 Proposed • Maximum width at prope y line 24' • Required setback 5' from side lot line or 30' from r -o -w on corner lots Z . 3 C_ • Maximum slope 10% . 4 , • All parking areas to be paved including R -V or spaces adjacent to the garage • Location to match subdivision grading plan Building Height: NA / FAILS / C • ' S 35' Maximum r t Shoreland District: NA / FAILS / CO S Standard Proposed Minimum lot area (square feet) 7,500 Rip, 7,999 Non -rip Minimum lot width 50' Rip, 57.3' Non -rip Shoreland alterations Impervious surface / 30% Maximum l �o, 7..7,„ Bluff id Shoreland: NA 1 FAILS /`COMPLIES 1 Standard 1 Proposed 1 • 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: NA 1 FAILS !COMPLIES Standard 1 Proposed ' • 100 year flood 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 a " 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: NA 1 FAILS 1 COMPLIES 1 Standard 1 Proposed • Size 1000 sq.ft. or 30% rear yard • Not located in front yard (Materials) • Side yard and rear yard setbacks 10' • Maximum height 15' • Materials compatible with principle structure L : \TEMPLATE\BLDGLIST.DOC 04 PR/0.4) z U tr7 White - Building Canary - Engineering "T1NNESOlP Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT j C+( LAfJ.D 1OME5 APPLICATION RECEIVED (p. Z3,1 1 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: (.0 A \iE• Accepted Accepted With Corrections Denied / / Reviewed By: �_ ! — Date: 7 I f Comments: -,C_cs '1d— S toe - j (AY CL.S71-A- ( At / (M . "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." .e.. A . ' " . ky ?.r; ...lot : ^:a,.R. ..:;!'ta. Fj .aa . 4'44`' ''.4 „ :;hT .444'"4 _.. may„ ; ..:k ,.. I _, e,';r„ it ? A = ( U tr1 White - Building Canary - Engineering NN ES° Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT i I r . ,l_ . { �' E i APPLICATION RECEIVED ' • = -�• f The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I t Lt A ;. Accepted Accepted With Corrections Denied 2 Reviewed By: e Date: 1 / '� r Y p Comments: "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." 4 PRIG v A _ , White - Building 4f iNNESO OP Pink Canary - Planning ing BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 1 12. 1 CJf-i LA I mo . D t APPLICATION RECEIVED 67. 23. ( i The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I (0 4-9 13 L t- /i C NT: A V E". Accepted X. Accepted With Corrections Denied Reviewed By: -.77 Date: 7/7/// Comments: See Attachrtients: 1) Grading Plan, 2) Erosion Co "trot Measu See Reverse Side for Additional Information! "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." 4 NESO� PRio Date Rec'd o (et; CITY OF PRIOR LAKE PLUMBING PERMIT �� 41 v 4 1. Blue File 2. Gold City PERMIT NO . / / . / 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS _— ZONING (office use) / & ¢- 9 &2, a / LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT (Name) 0 elA/ . , (Phone) g f Z - Z5 2 _ - 75 - 7 (Address) G (Address (City) (Zip Code) (Contact Person) 76 ' (Phone) APPLICANT SIGNATURE // . DATE Y 7-12 // APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough -ins Dishwasher Water Heater Floor Drain Water Softener Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi- family 1% of job cost with a $49.50 minimum Residential, New One o- Family 50 Residential, Add' • ns & Alterations $49.50 Estimated Cost $ Building Permit # A").p ID The Minnesota Statutes § 326B.148 "SURCHARGE" has been changed for one PLUMBING PERMIT FEE $ year effective STATE SURCHARGE $ .50 July 1, 2010, until June 30, 2011. TOTAL PERMIT FEE $ ,. 4 The minimum surcharge for a "fixed fee" permit is 555, beginning July 1, 2010 This Application Becomes Your Building Permit When Approved Paid Re - Buntline Official Date D a7/ ti_ ' B . 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 / 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 O� rRlo� Date Rec'd CITY OF PRIOR LAKE '3' 4 SEWER AND WATER PERMIT 1- / Z ` / INNEse 1. Green File 2. Yellow City PERMIT NO . ti di. 3. Gold Applicant � (Please type or print and sign at bottom) ADDRESS ZONING (office use) /6 t/ 7 ,0e0/417o111 ac'('' LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) (Address) (City) (Zip Code) APPLICANT • ,p / / ®/ (Name) j) C -. w E �2 ! ! etArk` (Phone) (Address) 1 0 Box S '7( & ?O flake 55372 (Address) (City) (Zip Code) (Contact Person) _ in _ � (Phone) [ 52=29.2 -753j APPLICANT SIGNATURE /1ii 1 /_ x _ DATE 7-12---// APPLICANT PLEASE COMPLETE BELOW Size of water service _I.& inches. Location of any couplings from structure feet. Type of sewer pipe. ❑ ABC structure' ❑ Cast Iron Estimated length of sewer line 30 feet. Clean out (if required) located at feet from structure. FEE SCHEDULE Residential sewer and water line connection $51.50 Industrial, Com'l & Multi- family 1% of job cost with a $51.50 minimum Sewer connection only $25.50 Water connection only $25.50 Estimated Cost $ /50066 Building Permit # SEWER AND WATER PERMIT FEE $ 1 A STATE SURCHARGE $ .50 T\( TOTAL PERMIT FEE $ (Office Use Only) Ea This Application Becomes Your Building Permit When Approved P. ' s .� 1r ' air D Buildine Official Date ' i ( FE 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 I 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 JUN. 27.2011 10:18AM METRO AIR 952 NO. 313 P. 1 ant OF PRIOR. LAKE Ditto ltei'd g.r17Qfi HEATING/AIR. CONDITION1 G/F PLACE PBRIVIIT 1 4 iiiii ,'(:. t3 _ 4�a z a � P R_i___ >< MU k_..... ■ oss2 true tN t ,t did plan at ba twW .^ _..., '""r" rONll�tf� (o�co we) ADDRESS 1 --- LEGAL UILSC'1tt1''!'IOJ!1Wire use not,) LOT BLOCK A'DD1TION PID , t — ► ^� �` (t'izane) �3 � m i GI. (Name) APPLICANT C \ k ' i D t. t.. (Phone) 1 - r�� '•$1 __ ..- (I`Tgine) ` r -- (Address) C l) ` (k` L a rte,,, d wk e 6' 1 0, '4 �7 S' g "3" (Aatbati) (City) COP ou4a) (Contact Pt rBOn) (1'i ut>c) 1 4 A 'l 7 r tl cl, _, ip APPLICANT SIGNATURE � `'-� DA'Ili 1,7._,,„ 1111 APPLICANT PLEASE COML'LETE BJi LOW +- iVISW CONSTRUCTION 0 REPLACEMENT C1 ALTERATIONS 1 =UILNACII Mt KE AND MODEL r 5►' _` '\1g aHV FUEL .- N G , . MR SIZ1 '('I ( RETURN °moos _ INPUT _PI' IV' OUTPUT II- TYPE OJ SYSTEM HEATING. OR. PO PLANT rums N ©xltl Air Cttuditlouvs{ Warm Air Pima ! Uniti nod �lrttpincos Cnnnu iicrdaclt Grimily ' • }lot Water into Required Stu Xard tiebacks- Mechanic al Radiation 1 ire btccs with Dux Additions air Air G+nudltloaditg Oilir Spacial Devices au :movers t o the Outside orDuildiu Vo.1nt, Syatotu piltctl)ovleoa ,� _. gs Repko 8 Meting l'orrli, FILU WLACJI MAIQ3 AND MODEL -- - PEN SSCIIJCDULIC IuduArinl, Conimuroial A Muth -1 'may I% otjub mist Raaideutial, Qna l +irepiacn $49.50 549,50 minimum itasldattloI, lusting & A/C (Now Coasiruotion) Si 49.50 Ito&Identiat, Additions & Akeredon $49.50 Rosideutiet, lleatinS Duly (Now Ceueue tton) $64.30 kaldentInt, AC Only 549.50 ISslimeicd Cast $ ‘ 1 I � � - 13ididing Permit 11 _� MATING 1� > >�tMr�� ��1 3� � B ` I�ID WITH M A sUZtC a $ UILUING PERMIT . astk t i . � r TOTAL MOW FEE $ - - 71 c tion Meows Your Buildhts Pern.dt When A ' , yea Paid 1t c Nv� la nit is OJfidul + �� That 24 bony tonne for alt lnspgiluna (952) 441.9850, In (952) 447.4246 4646 J)akutn Elreept.R.,Prior take, Albumin 55372 JUN. 27.2011 10:18AM METRO AIR 952 -447 -8126 NO. 313 P. 2 FAXED New Construction Energy Code Compliance Certificate • 1 1CIMedie�nnuan, Aeann �6, . nue l ae lbroosu , aarambenb+i�te bola buvde .g. rr% uar.Ceaaerer d d JUN 2 71tO 11 ae 6o ambled tbend eLtl116tkd6emM MR + atddanpuriawlvd4,lhYbt+Il01.R _. W ise Deals �.,, .....--.....„w METRO AIR, INC. _ '' ; +c/t , 14 THERMA[. ENVELOPE IL 41,1 7:ri e" _.,... 1-, - _ 1 RADON SYSTEM Type: Check AN Thal Appiy I halos 14,►,) Avivu(I t o P tani rrx lt+y; ,terf e ) Insulation LoCLocution e? - r I Other Below fimtirc Slab Pismo be Hem Belo' Fou ndationWaii anircuillIMIIIIIII � •• � •1 , Perimeter or Slab on grade - _••�•� tllnl.lols1 t Julio, Rim hid 1' Meol* 1111111111111 1111 1 1111111111111111111111tOPIInkensoit Ht1nN,r aaoe.r . watt 1111 111111111111 col DM 11111111011111111111111111111 Ceiling, vaulted 111 11111. ■ li Whelewe or caeillevered moo •� Bonus room t,veri„m a Min Ili �••- Describe other ins hited,u see �� / - YVlndows & Doors I Netdi t. orCoolh Duets OutsideCoudltioeod a tune Ave ar It -ract 1411 s Soler Heat Cie • 1, .. . - aid one dvctr U: allIllIllIllZ Not .: aimed* all dodo !venial in m„ etitivl • 11 • on f IIIMIIIIIII 11, ' Cooling • on flEIPAINIIIIIMIIPIMIC ; Not reyufrailper molt. cods MawudlNulrcrr ��� .1;�'..� pawed Mndet 0 '` AO 0 / 4 y O ). I 1 ' oo WA fa KW tieViaa. Relic, or BOA ! r t# +� ! ?���y le Out iu iLn: Two x r 1 o iibm sitluctgse ('nkpielcd tC . *� - BenOmia OM I .ca •.. ' ltxryxem: Alert U tj. MI :.1,1,... HttNF1G ��� d : : all Code - -ill. 'Jouw1 duct Ok Mucha nialf VonUhdton 8yetont Describe lu y ndditiwud or wobbled iratlug or ooabil 1 _.. >o systems If losinAod: (e.g, We km= or air Combustion Air deka 4 i rao NM pump with go back -up fiettece): lima! gamer Veclikuar IRV • in etyma Low: - Mire VI ti,+a hawser Ycnlilal,or ; V ., . , la � btl,u• stsoutbo; Low o t"d ltnt : ry ■ Continuous exhumed , e rani ai in elks; of a describe! ' te n sue, wt.. •', Pei manna yeditatioti rule Iu afbus tree TO • manias i„tennillou t+ m rated . of ■ it ooutiuular)Ado gsOne: 11.111111111111111.1111111111_ 11,111111111=011 c:reabod by BAM version 1152000 1 P Rea CITY* OF PRIOR LAVE Date Recd � HEATING /AIR CONDfl1ONING /FIREPLACE PERMIT 1: g 1 PERMIT NO. 2. Yale., Diu, Pious %J. or sad st bon s ADDRESS i Im ~ ZONING osr.s m LEGAL DESCRIPTION office use only) LOT BLOCK ADOrrION PID OWNER . (Name) 11 I .. 1110e..4111 • ! (Phone) . t,.Ld r % ! — Q. (Address) 5 s Vr ‘e elre 1 IP. , ` (t9cc IIM) ' .5D.., APPLICANT "" �' `` ( Name L t • .. i . ra. - AL ... i \Y & .. AIP (phone) t4 t ZQ C 0 (Address) e • :,, kis.- ! cni . I + -akr'1 fl'* 65 3: 3 5.— (Address) (ter) J W Code) (Contact Person) A ..... .■ F (Phone) 91/4,2— `f"'7 ' - P-'�✓� 7 r• r'1' APPLICANT SIGNATURE apiiit - DATE" ' lr 1' PLICANT PLEASE CQMPLETE BELOW 1;1 W CONSTRUCTION ❑ REPLACEMENT 0 ALTERATIONS FURNACE MAKE ! r MODEL - FUEL FLUE SIZE Rt3TURN OPENINGS �^ INPUT OUTPUT TYPB OF SYSTEM HEATING OR POWER PLANT — PLEASE NOTE: Air Conditioner ❑warm Air plants Steam rawly Units and Fireplaces Cannot Sncs+oteh rawly Hot Water dcal Radiation into Required Side Yard Setbacks. Fireplaces with Box Additions or Conditioning 0 De Cantilevers to the Outside oiBuil Require a Building Permit. FIREPLACE MAKE AND MODEL ,..40, d E,i i lM . F A , SCHED - ----„' Industrial, Commercial &Mniti- Purity lib of Job cost esidential, Gas Fireplace $49.50 549.50 minimum - - Residential, Hearing 41 A/C (Now Construction) $149.50 Residential, Additions 4 AJrerntiutai 549. - .• Residential, Heating Only (New Ctnntruction) $64.50 Residential, AC Only 549 fir] ' ' ' Cost $ Building Pewit # • Thu Minncsots Statute ¢ 32611/48 4 . "SURCHARGE" haw beien changed for one HEATING PERMIT FEE $ @C51\> \.6::(VP. year el1bctivc STATE SURCHARGE $ e!UitN i %:r:::. :se!¢il tet ^. :l:1. • TOTAL PERMIT IrE,E $ [ . 4"51 The , ..'\ The minimum surcharge fora "fixed fix" perm tc, beginning Jnly ], MO ---- This Application 8eeoaies Your Building Permit When Approved Paid Receipt No. trti Wake Official Bits D BUILDING PE '231111.1111111 24 boar notice for all tespecdem (952) 447 -9850, fax (gam) 441 -4245 4646 Dakota Street S.H., Prior L ih., Minaciots 55.212 TO /t0 3Erdd l- )IH /:H1W3H 9NIM010 9089Z6P S 90:ZT ttOZ /St /60 -1 4? ' t P.4411 • 4 PRIOR LAKE DEPARTMENT BUILDING AND INSPECTION. • INSPECTION RECORD SITE ADDRESS !X4 8 .- i"'la+J1' Ave 6. LA NATURE OF WORK s N L-e- FA K Pv9G ea_ N. L ,� USE OF BUILDING 4F'7 If PERMIT NO. l�r 5°I(, DATE ISSUED 7 t( CONTRACTOR etct i t - A * 5 D 14.0116 PHONE 1 9 Z • 7 - . : 5 1 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS FLOW THE PERM IpS SEPA_ FjATE DOCUA /� �NS1 E � << � t sPECTO (� 4 VC �D AT I FOOTING I -� 1 I FOUNDATION (Prior to Backfill) 1 /, 7A1,74. 4 PLACE NOaN UNTO, ABOV �A �I�� IC� �D 01" 41.5M1 e iJ SEWER/WATER/SEPTIC F. r) 2//s 1 , FRAMING l'1J�i l e4 q74 / / INSULATION /e/51- g' /r ELECTRICAL PLUMBING I�i (} r pp, - 71;i1( 8 /Zj� / y HEATING (if required) y/,/ FIREPLACE c?/ .y GAS LINE AIR TEST ~ F OVER 1NORK UNTIL ABOVE HAS BEEN use di 9 le/)/ 5 FINALS GRADING (Prior to Sodding) C 1 /Zi t/ O Iggl,( , BUILDING 1 15 1 )) r q it ELECTRICAL PLUMBING ///Z/ Z 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. • 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 Permitted in 30 Percent. Property Address /4411 Q ( r-tc. 4...+ v e (L c 7, ) c c k z Lot Area Zo, 00 1 Sq. Feet x 30% = 60040 ***************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** LENGTH WIDTH SQ. FEET HOUSE x x = ATTACHED GARAGE x = TOTAL PRINCIPLE STRUCTURE Z Z 9 7 DETACHED BLDGS x (Garage/Shed) X TOTAL DETACHED BUILDINGS DRIVEWAY/PAVED AREAS x = (Driveway -paved or not) x = (Sidewalk/Parking Areas) x = TOTAL PAVED AREAS 7 L' PATIOS/PORCHES /DECKS x = (Open Decks 'A" min. opening between X _ boards, with a pervious surface below, are not considered to be impervious) X TOTAL DECKS 1 7 3 OTHER x = X = TOTAL OTHER TOTAL IMPERVIOUS SURFACE 3 Z 3 b UNDE OVER , 2 7 Prepared By L'� -47.4( Date 4 Z -/i Company L,v 4 /Nc , Phone # 9s Y3 Z - 3 000