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HomeMy WebLinkAboutBuilding Permit 12. 0395 44,0-414-0„ e��- r- } �"�/"�' / l � ' � n ` \ f- ��_, ����� ...� �-- � _ _ _ ��_ � -d.^ . t ...a.•�:r: '.:. �. r . �. sf .....^'z: s r .. r' ,. .; rgR....:.. ;..._.•.. �;> .:.. :<'rx..:..a,;.;..:.s..t �:.. . .:�v `n>. vT�:. Fa - '•w� ..n.'•`..u...y� •i4,Y.•�`, ✓r .,�4'r✓2y r3t.2',$vt• ?•d. titid•. a n . c... vrr.ct,�.•.•.•.,ro.•a4.:u:..c..o mow..: u: ✓'..•.ti .ts••:c 3t'� . .� fi3;1`i`r� �rr`o•'�'Xrr a 3-`` y ` S d..; 17, f� ++ r, Y t , q.t.,. a :t.h'h 70 Q .h.d �S PVhh JdOd .,.dMh 6 . i .�, },< G r ,: d,.,, ,., . . ' 0 rtt :i'let ?,. ! , 1 , J r 1 , �s w, n° �, y . �J.. 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Permit No. � dk 2 Occupancy Type 1 �-. i T Construction V'/ Zoning District /C1 L! �, k : Legal Description /L 8 i / �v� �) / � �/����� "9 !�VW ir e� : � } !�, ', Own er of Building Site Address f - De. .^� Cff » / /,J -' E� / /.1 " At /ti / e. ` / Contractor's Name & Address / r9r� / !'t: /4L6)'- / City Planner P;':'::6' Building Official 1 0, Date: ( �(' Date: (; , POST IN CONSPICUOUS PLACE U r li r9 � 1„ t 'Fi ii . _ ` .�i .. li f;: ::' .. i •p r ,. ••i A , i . . I . . .. , .. ; , y . .. 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LLI q 2 I R & z } % 0 Q 0 0 \ § § z § a - 2 $ § R o w A o 0 §@ \ / / }�� 3 ` �� w g / / K z u_ u.7 k /q • §§ & S \ Q� < 0 a O000 0 0 o 0 • ce \ \ o IX = / o� PR I0� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE J l - �© 12_ �' AND UTILITY CONNECTION PERMIT dr r .S. E r�rN E So 1. White File 2. Rik City PERMIT NO. /2 . ?6 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) R. qZ / tcNo1f/'dS' c d r p (O LEGAL DESCRIPTION (office use only) r. LOT 5 BLOCK / ADDITION '7'(4 L Cov e S 0 !` d»Jo/Itt we o ( U? Lee, jor,'f PID Z5, i? , 0 05, , 0 (Name) A 7 "i 1" A -5 `t ft-7v f Mtir (Phone) 6 r 1 0? r - ,3 1 i Y? (Address) / 07 6 6 fCi N,./ KC, (r{ t_,,/ CX/0o.O jj v A. Al r✓ BUILDER � / (Company Name) x- q k i P1 (-4 t tt '' te f —T c (Phone) 6 1 � ! 6 3 iii lr' O (Contact Name) M. Y t et t4 (Phone"t r L 2 9 L 0 9 6 / (Address) 3(b 3 :`( .5 7 F c N5 i r' h N DSO 2- y TYPE OF WORK New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace 'iJ Addition ['Alteration ❑Utility Connection CODE: I.R.C. A DI.B.C. ❑ Mme= Type of Construction: I 11 III IV V A B Occupancy Group: A B E F II I M. R S U PROJECT COST /VALUE $ 2 (0 ( la O O Division: 1 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. Furth e, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X � CSC 6 31 3z� s - - -/ z Sign Contractor's License No. Date Permit Valuation Z zb rX�D Park Support Fee # $ , Permit Fee $ t e) SO SAC # $ Z fo 5. Plan Check Fee $ t 1 a q 5 Water Meter Size "; 1 "; $ State Surcharge $ t t 4 ` Pressure Reducer $ + Zo Penalty $ Sewer /Water Connection Fee # $ i co, - Plumbing Permit Fee $ ( -4 � Water Tower Fee # $ f p ° 0 „ - Mechanical Permit Fee $ C "�� Builder's Deposit $ t 5 Sewer & Water Permit Fee $ 5-co Other $ Gas Fireplace Permit Fee $ J 1- '� TOTAL DUE *AID - J3e j' 1 $ l Q' 504-, i 1pp 'cation - .x , Your Building Permit When A • . . ed Paid / 7)d . if R ipt No. Za5" E•V Date & J., i . (Z AA . 141-' �� 5 zz f2_ :ilding 11' Date This is to c tf , u that • • quest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when sign; . * % - ' ann. constitutes a temporary Certificate of Zoning co ., plian .- and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. -• A -- ti " Planni r g Director P .1 e 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 C - E PRIp, CITY OF PRIOR LAKE BUILDING PERMIT, D ate Reed \ y TEMPORARY CERTIFICATE OF 'CONING COMPLIANCE g pc �� AND UTILITY CONNECTION PERMIT / ' S O O t. white Ni le PERMIT NO . /1 4.¢ 2- Pink City 2 " 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (oflie use) 02/ 21 kiVO V Pk S c Q( LEGAL DESCRIPTION (office use only) / . W �/� LOT 5 BLOCK ADDITION i.J C O ( AJe ( ') r 9 o d Y P L ID A C(Dw f OWNER (Name) ji(.... L (Phone) (Address) (Company C ticii ki tic f i t! t , l �oAtc. f (Phone) 6s 1 �/ 6 3 ( 5 ' 5 ' 0 (Contact Name) . 3 A- `( /�'�c re( ti-- (Phone) 9 J z Cf L O q16 ( (Address) 3 (0 3=- s' -f- /Pt A j lb ftl S 2- `( TYPE OF WORK ❑ New Construction ❑Deck ['Porch DRe-Roofing DRe- Siding ►- awerLevel Finish ❑ Fireplace ❑Addition DAlteration ❑Utility Connection 3 CODE: 01.R.C. DI.B.C. ❑ Misc: _ — Type of Construction: I II Ill IV V A J3 Occupancy Group: A B E F HI M R S U PROJECT COST /VALUE $ /0 00 0 Division: 1 2 3 4 5 (excluding land) 1 hereby citify 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 authcuizcd agent for the above - mentioned property and that all construction will conform to all existing state and local laws and will proceed in ac urdancc with submitted plans. I tru aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a desilmee may enter upon the property to perform needed inspections. 6 3 ( 3 -� 1 -zo - (� x Si n ature Contractor's License No Date Permit Valuation _3 t G G C.) u C 0 Park Support Fee # _ $ Permit Fee $ 1 ¢., 7 5 SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; I "; $ State Surcharge $ /, 67) Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ .4, Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee ' $ TOTAL DUE "d ez1�2- $ /3 0 15 This Applicatio comes Your Building Permit When Approved Paid /'"`° . 7f ' Re ' ' t No. t ' )- iU Date /t' el. -iL B _ Buil , g i f . tclai Dat This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, e Certificate of Occupancy must be issued. Planning -- i - - -- ----- -- - --- -- - - - - -- - - -- ---- -- ------- - - -- -- --------- - - - - -- la rwing Director Date Special Conditions, Wally 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 o CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd 4''/ . c TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �i'" AND UTILITY CONNECTION PERMIT I Z . 12 , 12- r"R E S' f ( V 01 `L . 315 1. white File PERMIT N 17, 145* 2- Polk City � J 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 2 2-- i IvtAD ltr : J )c_ Dr ,.,,`Gr- (.., itC._ LEGAL DESCRIPTION (office use only) LOT 5- BLOCK / ADDITION Co j -.s o - » W et4c 4° HD OWNER (Name) _ (Phone) (Address) BUILDER , / a (Company Name) ( 4/ tcJ 14rri ( J (Phone) 6 7 Q' (Contact Name) S f} 64-4C.47( (Phone) t 1 L zc L• © 6 t (Address) 3l O ; ST f tit (NJ 91?-1 S L Se TYPE OF WORK D New Construction eck ❑Porch DRe- Roofing DRe- Siding ['Lower Level Finish D Fireplace ['Addition ['Alteration DUtility Connection CODE: ( {I.R.C. LJI.B.C. ❑ Mme: Type of Construction: I II III IV V A B Occupancy Group: A B E F 11 I M R S U PROJECT COST /VALUE $ 0D I D Division: 1 2 3 4 5 (excluding land) 1 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 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 awurdancc with submitted plans. I am aware that the building official can revoke ' rmit for just cause. Furthermo e, I hereby agree that the city official or a desigmee may suer upon the property to perform needed inspections. X 0 c. 63(3z s /L — /o <L Si Contractor's License No. Date 2 e Permit Valuation 3 t b d 0, 0 Q Park Support Fee # $ Permit Fee $ V SAC # $ Plan Check Fee $ 5/ 3(9 Water Meter Size 5/8 "; 1"; $ State Surcharge $ ( Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE / $ 1'47, 1 GAic.d0 1�(k /( This Appli . ' t 4 comes Your Building Permit Whe Approved Paid i 44-7.. / / Receipt No _� 79 / iti , Date 124,7 //L By j. -C/ „._ (az Tu, Date This is to ce that + : request in the above application and a . panying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signe jt • e or Planner constitutes a temporary Certificate of Zoning comp ce an allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. / '� r Planning r r:• or 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 Residential Building Permit Checklist New Construction for Single or Two- family Dwellings in R- or R -2 Districts Reviewed by: /40 L Date: Building Permi .; • I: Zoning: Address: 7, Dn i' -' ( ) Legal: L , B Subdivision: Existing Structure? YES 4.∎ 0 Existing Nonconforming Structure? YES / NO CONFORMS TO ZONING . `( E ' NO ORDINANCE I Yard Setbacks: NA I FAILS/ CO I 'S 1 Standard 1 Proposed I • Front Yard (can be 20' if avg. w in 150') 25' 2_c • Side Yards 10'1 / 25' if abutting a street / , • Sidewall exceeding 60' requires additional side 2" 10' setback + setback for every 1' over 60' in length. Not required 271' over 60' if building wall is 10' -0" or greater of being parallel to -- a side lot line. • Rear Yard 25' 73 _04- • 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' --...-- - z0 4z C e_ 41 I Floor Area Ratio: A I FAILS / COMP ES 1 .30 Maximum 1 ,, f (.f, I Yard Encroachments " A 1 AILS /COMPLIES Standard Proposed Eaves and Gutters n 10 . - 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: d/ FAILS / COMPLIES 1 Standard ' Proposed • Total caliper inches • Permit 35% Removal • Caliper Inches Rerrjoved • Calip TInches Preserved • Replacementl Yz :1 L: \TEMPI TE\BLDGLIST.DOC / Driveway: NA I FAILS / C o i S Standard Proposed I • Maximum width at property line 24' ► • Required setback • 5' from side lot line or ` r 30' from r-o-w on corner lots (' i • Maximum slope 10% • All parking areas to be paved including R -V or spaces adjacent to the garage — • Location to match subdivision I railing plan , Building Height: NA I FAILS / CO S 35' Maximum ( Shoreland District A FAILS I COMPLIES Standard Proposed Minimum lot area r e feet) 7,500 Rip, 7,999 Non -rip Minimum lot width 50' Rip, 57.3' Non -rip Shoreland alterations Impervious surface 30% Maximum Bluff in ShorelanM I/ FAILS / COMPLIES Standard Proposed • Setback from f 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 1 Floodplain . / FAILS / COMPLIES Standard Proposed • 100 ye ood 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 I Accessory Structure:P 1 FAILS / COMPLIES 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 o rRro� — m White - Building yI �P Canary - Engineering NNEso Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ei -fWitt ( .5 /`., . - . , /L l ' 7 / in-"; _ - APPLICATION RECEIVED S- / U. i Z _ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .- qq 2 I %A' OL2„et D 4 & b/u vtc- . Accepted Accepted With Corrections Denied Reviewed By: 1 �� Date: � z / ._ 5 Comments: - �S,�,✓ �'� >� �1-(A-Yr'46N C i•--` --- 12,..‹,... 6 1 - c Ar nc_,_ ( (,,,(5-5- "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." O PRIp1 i U rn White - Building Canary - Engineering �rNNESO�P 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: .- D.. /14 V Accepted Accepted With Corrections Denied 4 _. Reviewed By: _ _ ._..._ Date: ez 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." o� PR�o� 12 3 t 7 5 h-rs U r, White - Building Canary - Engineering "'`^ nFS °cP Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ?-7. i The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: --, --y- 1-1 -- 71 ; a" l 114 V icr— Accepted A., Accepted With Corrections Denied Reviewed By: V Date: , ����/ 2. Comments: See Attachments: 1) Grading Plan, 2) Erosion Control Standards 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." NW -05 -2012 20:52 From: 9586522021 To:9524474245 Paoe:2 /0 0 1 . PRIQ Date Rec'd CITY OF FOR LAKE SEWER AND WATER PERMIT YNe 1 z PERt NO. [� VA V ADD SS and dam :tbow* ZONING use) LEGAL DESCRIPTION (ottix Ilse only) LOT BLOCK ADDITION PID (N LL, its, M l 'W (Phone) (��,..,'� ` " ^ ! i (Address) (AddEeas) (City) Code) APP (Name ... 1 IlIC.3 (ph k.t.1 Z ' 1 t 1 - 4C WSL b (Address) d� C 6 BC (Contact t? ) . ) APPLICANT SIGNATURE X4 : " DATE 14c, s,4 Y APPLICANT PLEASE COMPLETE BELOW Size cif water service_ 7 inches. - - Location of any couplings from structure _ feet. Type of sewer pipe. ❑ ABC. PVC 0 Cast Iron ` Estimated length of sewer line '40 feet. Clean out (if required) located aiX feet from structure. TEE SCHEDULE Residential sewer and water liter connection $51.50 Industrial, Com'1 & Multi - family 1% of job Cost with a $51.50 minimum Sewer connection only $25.50 Water connection only $25.50 Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE $ PAID STATE SURCHARGE 3 .50 BUILDING .PERMIT TOTAL PERMIT FEE $ (Office arse Oath This Application Becomes Your Building Permit When Approved Paid Receipt Na. Date >y Banat Mittel Date 24 hoar notice for au inspections (9S) 4479854, fax (152) 447 -4245 4646 Dakota Street S E , Prior Lake, Minnesota 55372 1 1 * )14111 1., (.0) Rio CITY OF PRIOR LAKE Date Rec'd HEATING /AIR CONDITIONING /FIREPLACE PERMIT / 7, / Z ",, IvivESo 'cP I Pink File PERMIT NO . p 2. Green City /2 37 "- 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING ( office use) a 1 K,'f it J 5 e 0 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICA (Name) ANT 4W\ � t o Pe C - G �l /h fi < (Phone) VO �7 � 0 0 t (Address) Lk 5 C � -4., L�l k 'hi, . 4,4 (Address) / (City) i 1 / / (Zip Code) (Contact Person) � � I '' r � l J (Phone) 10 a 7 d� () 4 C 0`-f APPLICANT SIGNATURE ANNE _ // DATE 1 a(? 1 ao l D APPLICANT PLEASE COMPLETE BELOW ['NEW CONSTRUCTION El REPLACEMENT ❑ ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT DWarm Air Plants PLEASE NOTE: Air Conditioner ❑ Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑ Hot Water into Required Side Yard Setbacks. ❑ Mechanical ❑ Radiation ['Air Conditioning ❑ Special Devices Fireplaces with Box Additions or ['Vent. System 111 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 The Minnesota Statutes § 326B.148 "SURCHARGE" has been extended ost $ Building Permit # until June 30, 2013, PAID WITH The minimum surcharge for a -EATING PERMIT FEE $ "fixed fee" permit is $5.00 ;TATE SURCHARGE $ .50 U LDING PEAMI`T TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Buildine Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 unio CITY OF PRIIOR LAKE Date Recd ,,° "`` .` 'r' , ATING /AID. CONDITIONING /FIREPLACE PER]1 CIT 0.1 .}a' ji 3.y...,,,, App1;.rL ' • ()?lea t ype of Eriut and is i at bottom) i . ADDRESS t• _ ZONING (office a::) 1 ''DI &0 ly-i'd _ LEGAL DESCRIPTION (office use oily) — LOT BLOCK ADDITION P ix) OWNER 1 ]� C 1 C (Tame) Q • rri ` . .:mil a , (Phone) ( .- - - u. 3 — 1 F S [ (Address) al L 7) r t Jk. , - Rrirtr) 1 r' ±( `Yl , 1,11 f0 . 5; sC) D- - APPLICANT , �;� (Name) G t i\YL\ \r d t' (Phone) � (, (Address) 1 0 F. r1 � . i7 Gn , j- 1 ()_ A . �..3� _ / _ _ (Address) { iC r' ' ' A) r (7' > Cede) 1 ' Jl (Contact person) ---.) �� r �� ` 'hone j � tip_ — 7 AP APPLICANT SIGNATURE , - �' "` -DATE V ,a APP ' ANT PLEASE COMPLETE BELOW ' .NEW CONSTRLI TI Li REPLACEMENT ALTEI2A i1ONS • FURNACE MAKE A MODEL _ FLAX L , FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM BEATING OR POVirER PLANT ?' PLEASE NOTE: Air Conditioner - 111Warm Air Plants 0 Steam Units and P it :places Cannot Encroach ©Gravity 0 Ho; Water into Requirel!Side Yard Setbacks. 0 Mechanical CJ Radiation Fireplaces will Box Additions or DAirConditioning 0 Special Dovices DVent. System ❑ Other Devi $ _. Cantilevers ttli the Outside of Buildings .Require a Building Permit. FIREPLACE MAKE AND MODEL r P r i' FEE SCHED t '- Ifu strial, Commercial Sc Multi - Family 1% of job cost esitlential, Gas Firep � ~` S43.50 $49,50 minimum Residential, liming & A/C (Now Construction) $149.50 Residential, Additions & Alteratioiu; 549.50 Residential, ica:uig Only (New Construction) $64.50 Residential, AC Only 549.50 - s 'sti ated Cost Building Permit # __ ` ' - _ 'r fie Misinesota StaCutes + 32E13.148 1 ■) \ . i ( MATING PER1VtTT FEE ' $1 1iARGE has �CCn changed for o .1e � � n �--� . �. ,car etl'ective 'rff ST,TE SURCH,ItGE ' � TOTAL PE PEE w u 1, •�3rc hat� u ;e for a " r � The >ni �im�tt surcharge ce ra "fixed fee" permit (Office ty) P : is xi, bea,inning July 1, 2030 This Application 13econies Your Building Permit When Approved Paid ), Rec: i t No. P Date By M Building Official v , . �: -F 24 hour notice For all inspeetiun$ (952) 447 -9550, fax (952) 447 -4245 16416 Dakota Street S.F.. Prior 1,ake Min npcotn SS372 avC /TO Iikid HD H / :Hli'1V3 -i 9NIMO19 3009ZGPZS6 L9 :80 ZTOZ /OZ /60 i PRr Date Rec'd (. 0. . „ 5 , 4' CITY OF PRIOR LAKE PLUMBING PERMIT V sl 4rfNNESOtP 1. Blue File 3V 2. cola City PERMIT NO. \ / 2 .... 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS + ZONING (office use) a��\ KvNo kV cHc 9 LEGAL DESCRIPTION (office use only) J LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT rr, (Name) P r F- < < (` cc) P \ u b , ,$) ) T `^ c 4 (Phone) ° 1 S )- 'y y -1- f _i 6 I (Address) ( o Li UC3 14 , v PO ,f T r- r , I Pr' ,,, r L.�..li L 5 5 31 i ddress) (City) (Zip Code) (Contact Person) C) .- se. Ct 0.3 (Phone) I L 1 1 - - LIE 3 - `)'- 41 APPLICANT SIGNATURE DATE °\ 1 ( L — 2 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 & Two - Family $149.50 Residential, Additions & Alterations $49.50 Rct; mated rest $ Building Permit # Z. .. � r0 g. �_ � The Minnesota Statutes § 326B.148 `f'/ "SURCHARGE” has been extended PLUMBING PERMIT FEE $ until June 30, 2013, STATE SURCHARGE $ .50 4-. '" 11 14/1 - The minimum surcharge for a TOTAL PERMIT FEE $ "fixed fee" permit is $5.00 This Application tsecomes I uui ....riding Permit When Approved Paid Receipt No. Date By Building Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 P R I R LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION R SITE ADDRESS C Z I ( 9-1,-, , 5--- h'- NATURE OF WORK 51' , • .-.. FAW\kL C) - 00 D( ( (>x-- 00_15m, L USE OF BUILDING �-c) PERMIT NO. (2-- 31c DATE ISSUED c /zzif Z CONTRACTOR .i . — ri rZ ( Tr i - PHONE `lSZ - 1 1 12 - 676 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE , DOCUMENT -' A4-4,_ T( t 5 T " - �-� -x3 (dam C-° ' `f INSPECT DATE 1 - . vet-A F� ; j�drrrk Y(, 1 1 6 /j5 / m 1 FOUNDATION (Prior to Backfill) I g,� Q 1 1 1: NO ONCR TE Uri. AITOXE BEEN SIGNED (2ADAv-=" b U 6 4 5 - INS SEWER / WATER / SEPTIC i P /r FRAMING k.) 6- , /P INSULATION 46 '44/( z ELECTRICAL `�' PLUMBING ffr ' HEATING (if required) f FIREPLACE �e �� �� RA° 161.% GAS t NE AIR TEST / Ifi y_ ___ hz - j ,,,� _ COVER INFO � OR UNTIL ABOVE HAS BEEN SIGNED 1 -3 t2 k ? , L AS I 1 FINALS GRADING (Prior to Sodding) /�! µ n 0 IA� BUILDING Sia d �z _ //-F z ELECTRICAL PLI-IMBING / HEATING r9 f DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be ppsted 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