Loading...
HomeMy WebLinkAboutBuilding Permit 12. 0878 $ �� � q 7' ac s W. W , §§vq \ \ M \�� 0 \ E Y0 Egii0 i { o ' OOOOC� ' S R _ 0 v \ § , 0 § 2 z z \ § 44 O 0 _ ° k 2 0 0 004 ��� § \ \ 0 .. 0 W 2E=IZƒ / 2 .9 \ § § §\ 3 SS X \ 0- 2§ (n a ¢ , , 5 d q § � 000000 } c • 0 / § Q \ J 0 \ C.) It CC O z 0 ? P 0 - } 0 $ �© 7 \ 0 8 W rz < 3 § § I u w a.j 0 $ n w � &� § - a � p 2 rZ2 -I . § cL o / pui ce w Z RRC2z� a 0 S q & § 0 9 ��� @�§ Q ` q 0 0 f o? « 0 a 000000 U ., o - - -------- � { J i Y.1 I IY d..11 . ...I It . ♦ , , , A , - . , 1'11' fit`. , t 11111W1� k ✓ .dCP. a 1.17 - i •., - y f,. �N IRA, � Y ; , 1 J ly. Y..Y•..�. ei p1,1•�.... ♦ 11...,, ! a,, m hI 11111 1 1 1 4 .. 1'1 111 , , ,$„/ 111'�` Vli"Wr.. 11 11 .. 1 $ - _.:.. >.;.....,.. tea:. .� .`,�,., X`i•�i v,. Y.^`v' . •. J J . . r 1JJ1 ♦., J.hl. 4111'1 1111 / �1.1.. 11.1111,. . 1J ... ......sn. .%•, w eF. Y.'4. .y . °f, 1 : ' f ° d 4 1r h .1.111. .111 9�t1 11. 1 1 Ib"Wr 1"rry IIIr : W�,;VI"rW llllr ,:rr 11 , W11111111, 1 � l / /lr(' aV l/lr �I1 N1 , 1111,, Nl n 1 1! 111.�� p ... •.. • ••• o•o .J .•t J... 1 f.J yJ 1 �'�' I Fh f IJId11: ,.., i h �rrlr { ;., +1111v `;YI"Ir.�l"1 *♦ ,+ 111, 11 „ ,� 1 11 iN{0�1, ,m ,VNIN V �Ih r! 1 1 \ ,A1 ":4f.:410*,', .... p p. AIJ, �11,1.e I�hhl 111V°i �p 1 : .11111 „ 111 �Wo 11 1 144 1111111,'111m6::, 1111rr,it �, .: t ( "01 _- *I1.11 8!!11!1 01 il'i NI_ 1h1 /11 „Ahh :11"PI �orA,1�11nW�' l 111'1h41i lot t. "Pit* l t0r ;; 110! vll nl 1NI110 fl ll °: oNN 1. 0 o flllll fl�llf NH0 �. f1��N full p I� . , I. .. � . .111tllllhtl �1111�I�IJi.I1�I111W11 11111'41111,,1�11NIItf v�1 � Nllllt ; If 111 �: f1,111 �� if�l 11111 �y fl�ll .� 11, i ll 11 � J . �� r, _- I) � 1 .. CITY OF PRIOR LAKE >,;;;iiTill Priaarfittrtlf of '#Auiltrittg 4Ittsiartfion ` Final Permitted ❑ Conditional C.O. Expires =_ 1 � �� �\ This Certificate issue pursuant to the requirements of Sect 110 of the El Resi / 17] Internationa Building Code certifying that at the time of issuance this structure was in compliance with the various f C t ordinances of the City of Prior Lake regulating building construction or use For the following: G �� f Si tiff} . /1-V / Bldg. Permit No. Use Classification }� � c . �;�� 01:; : Occupancy Type Type Construction V Zoning • District 1�-� Legal Description �� Site Address 1 � 7 01 t✓ ei / � / -. Owner of Building ♦ 'I� �� ' ' iGe - yi- -i l-7`�i`"2GS Contracto Name & ;'�,,,,� �^' " ♦ %+�, O g-7-. ,:,...,..1,._._ I �l I3' ) L / i ( (l�/ S City Planner _.., yi tI 'r' ' Bur mg Official, '' ! _ ( 4 Date: ..:'01 ♦ - 1 Date: POST IN CONSPICUOUS PLACE (.44* i;' « 7, mm tom _ 0110 7 01 111111 `40111 4411 11110 Imo 7 01111 lrtRl Noll mr 0, - .. .. .. „:. 7 ( 11 1 11 11 1' 11 1111 .,111 , .111) 11 1 : <I 11111 11 11 1 1 1 ■ 1111111 "rule 111111 1111111 11111111) 1111111 111111 111"11 ' ,y;W : . - . - � d 1: (N 11 RI,.: NI 1 111 11 (1 111 :::M I"1111.. Illml 1111 1 r lul.r I"1 1111. 4v . . .. 1 4 a. t * i t .. * n _. _ ..� u � 1 :+ � 1 1 , ... 11111 1 � (11111., >. II� ,. I 11 r .11 ,111 1 "1: Ulll 16 . 1. .1 Y♦ 1 ♦� ♦� ♦.♦ `•:ti4� 0 , ; 0101 111 1. 11 11 , 111011 11111 111 111 11 1 1 . 1 11.. 1 ..11 1 . • .• . : • -.z- �� 1' N _ NA 0 1111 n : 0111! -"44140 1 1 1 u11r� , ..., 111 m Aoo1l !111111 0 1 1111 .1.1 -�1.1 . 1 � � ,.1.1 1 1 .. .. .. 1... .v ... ....., vs.hv.•a.r.ekJ.o: sa.. 1111 .:. . r:m111 1 .11111 1 . ,111.111.1 ♦: .." V,. ... ... .•J Y ... .:!. 0.4... 0. 1... eeo :.•:..h :.g vr.:..e..:.•.:...,..,.::_ __:y: �..: 1 1 \ " -.11 Ili J. ul/ /1 111 � ..111111 111111 11111 111111 .Ilrl1.111 I.11.. 1 � j 111. ♦� 111. �1 .... 1. ♦.•.. 1.♦.. J r,. p.... r,.tP.• ............:.......•.•. :..:...:. ..., :: _•... ..:. _..•. s r- >.•._ ss c -..__ . 371111 111 11, .11 1. . :11..11 �WII"1 11"11: 111"W � . Irlll :Irll. ai 1.111 � .... � 1... Q � 1... t.� 1.110..x. r.. a. r. ��....... ,.,,.•.•.v..1.,. - _ - __ ).M4i 11"1 111111 1"11 " I�.Ii1..�..11 � 111 1f 1 11�11111.♦IUI �.� �: ... _ _ _ __- s., c.- ... f ..Iry ♦.Jrll. 1. a1 1 11 1... .�I..v ♦.� .r �.� ... .... r.1 ..... ..,.. LC..• nA1�, .•.{ �' Qd4va:: +: s•:t..:..v.:•a :-s.:. >.> __ _.,:: .v;.: __- __° _ _ _ _ ��� ly Y•a .h',, ♦1 WA' ..... b 11.. V. WJ. •l.OVM ii •.a ciY•.•..n•.oee:� �....gr.•r::• •! > + :..:, ; . ...... -s. _ _ - �;:�w- J W Z z 1 - N J „,- LL �- LLZUUa U W A, °5 55= Z w o& W W N 0 O g N w 0 i ( 2 Z u) 0000❑❑ O u ,v W = CC w N 0 n.CLQ m Z p J Z >> z ` c O 0 cc I a' 0OLLJ �1 ik O 0 o 4 W 1- 2 0 00 c < F , W I Z Cr Z- x x Z? U c n Z. c Ed � U 0 W x LL c■ W to y 1 O v0 0 a mxWWmx c 0 0 z w o F- re a 2 3 v� a 2 w w w 1- R 0 0 0 0 0 0 NI, \ ikts1/4 0 0 X ISJ - i CZ CC 0 il r d d LL W W V © O a Q �`\ 0 I Q Y 0 ' U \ i v H a ao re o a H % 3 'cr w co z rt a. IL r: 0 O O (7aC9F m z A , � a CO re U LI 111 _I cc ce O r:4 0v W W O= .., =a W `\\ R ° a O -J 2 VV O W 11.1 W z 00 Nzi- 2 O O ti U o Si - O u. u. O - � U U a U? a o a 0000❑❑ 0 0M o o o c U Q H _ W Z z I-- w P J re U E LLZ 8 Q Lt' Z < ,, 2 N Z Z 41 o w �w 0__ 0 Al F WULLLLC9 w N 0000❑❑ 0 o — w x re O N et o w O D 0. < l � Z Ca 5 0 K a" 0 ci F 2 0 0 0 �J v 0? w j w 00 (92 O U c a- O y Z � =_xxz w �„ ai v a m x W� m x ; a Z O O Z x 04 • a23 � 0 0 _ z Q. a LL f- . � } z lv , O Z U O oC :I i . YV Z J Q 2 �� aa Q 0 u O J Z C Z H N a ` n OI oZ O 00 W _ • a 1- Z O ~O HQ a Z w U U a O N Z 3 F 2 E J J? 2 Ct < Q O O w z OOrecnzl 2 ,� 0 0 0 a � 0 0 LLLLLL o N U? a O a 0000❑❑ 0 ❑ ❑ c ,• ON k j ° § k ri �re u Lli ww ) )) > 7 o■ ww vj $ 2 k 0 ( 2 § | wo 1 R i 000EJ 4 0 > & q 0 2 _ ° z § 0 d §§ a § ' 0 k % E k 2 / O 0C < k \ F. / r.• z z ce zzzzz o c a 0 0 a F a 0 co 2 k § �� §§§ LUc 0 w a a 3 ■a■ w w ƒ w ® 000000 § § § I $ CL a F IL 0 < 0 § \ \ / 2 § m \ K • 0 ■z o z %« w a 2 o F 2 0 G Z qR � , % CL z 2 w ® w w .. g Ltj U. CO w §§�Mam . & ) § r$ 0$ LU o °°uFu2 q 2 0 0 E 3z 2 o a 000000 0 � O 0 / J 0 w Z _ co p J a' t L re W LE < 4- = W ti) Q U W U _ U W z 0 Q a onZ > �, 2 CL W W N 0 Q W a' Z Fe 11013000 > N re ci =o w = o v N W Z 0 a a J CO loG -I Z Y Y Z 0 0 4 o H E O O LL J O W S • " Z re z_ X z \ �1 U c a i col 0 w IL LL � .. J W 2 W R CI) O X1 1 0 a Z 2W W M S Z N DUF DU O 0 Z I- O 1 J W Q J W a 23 coa 2 w w W R 000000 0 w CL CL o = J � + 0 < re O Z O Z W p ~< - W cc 0 a� N O Z z W N W W W m re O La w w w OM 4C g aw 0 re a W Z OO�UZI- 0 O y a 0 0 LLaLL?�iu> 0 a 5 a 0 a 0 000❑❑ 0 0❑ E. in C PRI�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT g - . ( Z trj NE SOt r. White File PERMIT NO S70 Pink City 3 Yellow Applicant Z (Please type or print and sign at bottom) ADDRESS ZONING (office use) 1 -10 2 k p _ LH or - F , v -t---1 LYE /e--1-5D LEGAL DESCRIPTION (office use only) � ,,/ LOT 1--BLOCK - 2- ADDITION PC_Pc 4 t-4 T F.---1-A--1-e- S PID iC: 41'7..kS• 0 OWNER Y (Name) K E I-►AtJ p A c - -I I_ S (Phone) (Address) BUILDER �/ ' 1 (Company Name) Key 4� LA t O M F S (Phone) 9 Z "' 440 — 94°0 (Contact Name) pet v.- PLC+-) f-r A -- TEQt4'► I T Ailiecy - So P • (Phone) rit-._ (Address) rit Z I - FL 314- Mt t--1 c . Fat ( L A 1/_ i .4 • S 5 3 -7 2 TYPE OF WORK [1'New Construction ['Deck ['Porch ❑Re- Roofing ['Re-Siding ['Lower Level Finish ❑ Fireplace U ['Alteration ❑Utility Connection CODE: C. ❑I.B.C. ❑ Misc. Type of onstruction: I II III IV V AB 'j oc Occupancy Group: A B E F H I M S U PROJECT COST /VALUE $ (aC7 ( (excluding land) Division: C 2 3 4 5 l 1 hereby certi' that I have fur. ished 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- mentte d prop an. 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 .ke t . it t r Just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. pr. " EC- -i) ,S g j -i -12 Signature Contractor's License No. Date Permit Valuation Z& (( 000 — Park Support Fee # $ Permit Fee $ '2,6 (1. G-40 SAC # $ 1—M,S. — Plan Check Fee $ (-Z $ 2 ,(06 Water Meter Size 5/8 "; ; $ 510 — State Surcharge $ (30..i—c3 Pressure Reducer $ ( &a .- Penalty $ Sewer /Water Connection Fee # $ ( 5-00. — Plumbing Permit Fee $ ( 4-,Sc) Water Tower Fee # $ (�QQ — \ Mechanical Permit Fee $ I t . x S� Builder's Deposit $ r S( — Sewer & Water Permit Fee $ C T 50 Other $ Gas Fireplace Permit Fee $ 51t • a _ f TOTAL DUE / $ `q 997 lob _ 7 This A icati�n t • •' m our Building Permit When ppr. ved Paid PAWASC r ei it No. ��� — 4 l Z r Date V. }� ,) . , _ ( � o Buildil .. Official I ate This is t0 certi- at the equ the hove application and accompanying documents in ac ordance with the City Zoning Ordinance and may proceed as requested. This document when signe., . the Cit Pla , onst kites a tempoia y Certificate of Zoning compli cc and Bows construction to commence. Before occupancy, a Certificate of Occupancy must be issued // Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 4:061 R I Builders Depos U 1 il l;A City of Prior Lake A $1,500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposit is issued as security to insure comp liance for a Final Occupancy Permit. (It is not an escrow account.) All exterior xterior items including but not limited to grading, sodding, landscaping, tree planting, driveways, siding and painting shall be comp leted 180 days after the date the building pe rmit is issued. If the work is not complete within the 18 d ay time period, the City s notif the app licant of the violation and the applicant shall have 10 days to co mply or the $1,500.00 builders deposit will be forfeited and the applicant will be billed for clean up or corrective work to rectify the situation. A $500.00 Tree Deposit may also be required and will be refunded if specified trees are p reserved for a p eriod of one year. By signing this I, the undersigned contractor, acknowledge tha I am aware of the erosion control requirements of the City of Prior Lake as outlined in the Erosion Control Measures for Bui lding Contractors handout. DATE: r� - 4-, - 12 SITE ADDRESS: 7 Z LM O t$ r - - 1 - 10'&1 PERMIT # l � �� REFUND TO BE MAILED TO: ���LPrt�1 �M E=5 17 1— N 4 P t -4 - r �� - . 1' I D2 LA ICE � < <� 3_l Z AUTHORIZATION TO RELEASE PLEASE REM EMBER / y ` L y n da S. Allen, Building Services 1. KEEP STREETS CLEA DURING CONSTRUCTION i3 Acct. 801.20204 2. KEEP EROSION CONTROL I N PLACE Date 3. TEMPORARY OCCUPAN Y PERMIT M UST NOT EXP IRE OR $500.00 WILL BE FO RFEITED SIGNATURE: "� v E ° . ` . s° V. ;''''''4,".#4,404' r 6 a +�rx, -mss a-t A ' 3 3261 4. ,we."47,07‘414414.444-;*0.4v, - ' + 4.; -- �" : r e t i.0 . . . ..' ' .4 4 � DATE � A RMUR .,;:;;f%t::5„,,,,,z,,,w a a_ r s '$ e� & t a t N i s AMOUNT ' " " � , ' : " 'a r c '� . . a „ , tit. .-`' t ��;dt • F a �'`c 3 , _ a .�` y x i „ , ,. s « ,, "` : „, ..''..,4 . .4...- r L ``s� a te- . o ' . - + ' ., $ ' .a '*' ...4 x � � � 10 39 (6 4 . , . . . . -' . ,4,41 . 4.140 , ,, � , ,, ., ;w it ,p. N -r -,, ,, a . ., r a ,..1 ,v � i- "c ° ,�, _ . 1 ,40i , „' ;, y. ' t ” , r a' x 3 , f . 7, ▪ � � 4, � � � a.' + " , - , 0,'',- e + ,, a . - f,, x X x, x - i yi ' r 4)(41, . ° a .,s a s s ,,, r4. 4 r. m ar , ,. r `ggs`` _ `” .. � % ' a m «. ti # t , a : „. �' _ a '7�Y4 J , , y ,a �: ° B ,� x �a� '§tr � ,'" � �.� #�� �u 4 '�z. � 1=c3"�x �„ , A � � ��� .��. K"m �� y 1�` + �im ' 4 e w d *tr:41,:r. t o ▪ b r ' h# ° Sr � ' w a, f rs y , . % . '. - .s...-2 W vYt � {,�� � ` 0. q ' k ° q ' + �' _" , Y ' }}g�, f , '3w & - !' „, .. s x `t ' , 1 ' ' + w eu d se S iF Y , .,+ d �'�;,.d.' '''§',!' . -s« 'I t tit._ 1 � .` r f. - ; :i- ; �9` . �4 ,. t n,� . e�«' ` r.....S. m,. Y': r s ', e '� a c ,.. J:IFORMSIBUILDERS DEPOSIT FORM.DOC Residential Building Permit Checklist New Construction for Single or Two- family Dwellings in -1 or R -2 Districts Reviewed by: _. Date: 8 z II z.. (...._____, Building Permit # PIDL) Zoning: te.i Ski Address: Legal: L , B Subdivision: Existing Structure? YES 1 0 . Existing Nonconforming Structure? YES 1 NO CONFORMS TO ZONING NO ORDINANCE Yard Setbacks: NA I FAILS/ CO PIES I Standard Proposed I • Front Yard (can be 20' if avgI In 150') 25' 1 • Side Yards 10'1 V `� 25' if abutting a street . Zz • Sidewall exceeding 60' requires additional side 2" 10' setback + setback for every 1' over 60' in length. Not required 2 "11' over 60' if building wall is 10' -0" or greater of being parallel to a side lot line. • Rear Yard 25 e2 . `0 • 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' I Floor Area zZ dy Zeco 4 atio: NA 1 FAILS 1 CO PIES I .30 Maximum I . r' 4 ( . Yard Encroachments: FAILS ICOMPLIES Standard I Proposed Eaves and Gutters no mg- 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 I COMPLIES Standard Proposed • Total caliper indt fs • Permit 35% Removal • Caliper Inches Rerrjoved • • CalipeIrtches P,r6served • Replacementf Y2:1 L: \TEMPLr TE\BLDGLIST.DOC / I Driveway: NA / FAILS / COI r E . Standard Proposed I • Maximum width at prop: a ' e 24' p I • Required setback 5' 2'� ' from side lot line or 30' from r -o -w on corner lots 2 • Maximum slope • 10% • All parking areas to be paved including R -V or spaces adjacent to the garage • Location to match subdivision grading plan C 1 Building Height: NA / FAILS / COVS 1 35' Maximum I ( I I Shoreland District: NA / FAILS / CtIES , 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 (1 .. c\ Bluff in Shorelan•WFAILS / COMPLIES Standard I Proposed • Setback from Op of bluff By planning dept. i • 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 Floodplai . / FAILS / COMPLIES Standard Proposed I • 100 y 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 Accessory Structure: A FAILS / COMPLIES Standard 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 4 - 1 , O, U x W hite - Building "'7NNES Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT '(.6 L, /*-i A-i/) "I NV S APPLICATION RECEIVED • 7 f Z__ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted X Accepted With Corrections Denied ���� Reviewed By: 4* Date: c2 it " / 2- Comments: See Reverse Side for Additional Information! See Attachments: 1) Grading Plan, 2) Erosion Control Standards "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 .Qibackf illing of the foundation. • • 6, \Admin \dept info \ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS,doc PRI0 e U rn White - Building Canary - Engineering NiNESO� Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /667e//9 /9" 'D H'fO/L 1 (T APPLICATION RECEIVED �� 7 _ / 7— The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /%� 30,-/t40 //C Accepted Accepted With Corrections Denied r ` Reviewed By: Date: (( Comments: 1 -e - -e -- r — CT —414j "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." 7,,, , ,o.frw44, .4 .4it rw . ',41 ...<2 "'" fi :4"4& ' ""m # Yn .. .'. "'''' ..c.» -.-. , ,q;r* - „ +i4'4, +M1Vie +'v( v4 PRIp c U rn x White - Building or) ,,,„ ,,,,,, Canary - Engineering �' INES °�A Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Accepted With Corrections Denied Reviewed By: Date: J Z' ( 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." PUG -14 -2012 09:31 Fr cm: D &D MECI -MICAL 9527588298 T o : 95E447 el 245 Page:1'D1D �RI0 Date Recd L., CITY OF PRIOR LAKE PLUMBING PERMIT 441.e 3- flue F d itl tz, ci:r , PERMIT NO. Z s. Yd Aoci .-J (P)ease type or print artd bIn at bottom) . ADDRESS ZONING (efiaccvu) 17 2_ gE LM O PJ T .f \(e- ) LEGAL DESCRLPfON (office use only) LOT BLCICK ADD ON E L PM lJ - fin 1 N TG s PID (Name) R .k' J LPI ^ ys /; - (Phone) 9 �" 97O 4 � (Address) ) 7az_) 1; 0 ,= 1 t °d SE iermi r h - r2iti APPLICAi\T ►1 1( ° phone /. g ''S© 9 (Address) 6 6' + /U k [ �� C � 1 ( mdse. ) ( • (Zip Code) (Contact Person) l`- c . S ri ' " (Phone) 952 -7s Ga e D `g' APPLICANT SIGNATURE .. - -, l�'� -r : /. DA'ik. _ J ' 1 2 A_PPLUCANT PLEASE COMPLETE BELOW W Type of Fixture w 1 uautit Type of Future Bath Tub with. or without shower 0 Rough -ins Dishwasher Rater Heater Floor Drain Water Softener All WI Lavato Bathroom Sink) �� StazidPile ashin Machine) Lanni r Tray (1 t or 2 corn. ailment sink 0 Sewage E'eetor Shower Stall C' Backflow Assetnbl r / Sinks 0 Backflow Assembly Test Bar Sink Lawn S.rinkJer Water Closet Toilet) CA Other ,_„__,"_ FEE SCHEDULE Industrial, Commercial & Multi family I°%o of jab cost with a $49.50 minimum Residential, New One & Two- Family $149.50 Residential, Additions & Alterations _ ',F , - . "' Est $ Building Permit # y�� �av o.� 9 The Minrtcsot: Statutes e 3261:3.)4R t ® "SURCHARGE" yar cl j} r e been changed for one PLUMBING PERMIT FEE S W . • year 3 July 1. 2010, ',Mil ',Mil June e 30, 7.011. STATE SURCHARGE $ 12P26 .50 6LN6 The minimum surcharge rug a "fixed fee" permit TOTAL PERMIT FEE $ is , beginning July 1.2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By $niid'us Official Date 24 hour notice for all i ectiuns (952) 447 -9850, fax (952) 447 -4245 4646 Dsltnla Street S.E., Prior Lake, Minnesota 55172 AUG, 7. 2312 3 :52PM METRO AIR 952- 447 -3126 NC. L82 F. PO �luc, CITY OF PRIOR LAKE Date Itcc'd ° 'x BEATING /AIR CONDITIONING/FIREPLACE PERMIT l '-':/.,-. ` c 0,, 4f 'v � is Cit i u 1' Il.'I' T + lC.): g 3. 1'ellpw ny:pli�d � 1,....... (Please tvic exvrinc and Si }t;.l at bottom) — _.__ ...... ( ADDRESS ZONINGIorr \ - ,A -*- C)5 v P1 ( 3 ic‘k . r i i ki \I k. r0 W LEGAL DESCRIPTION (;iil'icc use only) ---- _ _- -_. LO.. - B ,O CIS -A ADDITION C 45 -r^. +1 s ,, 1 . .,S . • - • • -- - ED r Clot Ni' Lt - -- - _ _ ... .. _.. vi � (Yhot -- 1 . (Address) k--� \. C''1 , s t`, %\ _ ..r (Itianac)_ sL.- r u ' 1 Y L„ . _ .. . . (Phone) q C - M kA 1 - \,_'. - l 1, (.Address) 1 c '\ V... J \\ _ o 04 ■ c Q f \ 0- `,-., ,1/4 6f \N N " ' `i •'t " _ -.___ (Address) (Cit (Zip Cndc) t tAn t.. (Contact Person) APPLICANT SIGNATURE — DATE Al L1CANT PLEASE COMPLETE BELOW ANEW CONSTRUCTION ❑ REPLACE,M ENT 0 ALTERA' V o ( N � Sf FURNACE MAKE AND MODEL _ - \ S __ FULL. i C _^,._,__ ...�_._.._.... FLUE SIZE le__ C. RETURN OPENINGS .> INPUT IQ 0 6C� °urn. :73 0CIG_._ TYPE OF SYSTEM HEATING OR POWER PLANT - _— _ -- - .•.--._.,......_..,..., PLEASE NOTE: Air Corrllilicnict. ' {1\'strtn Air Plriitts El Steam Units and Fireplace; Cahoot Enercrrtcb - jGravit} ❑ Hot Wow( into Regiih ed Side 'Van.' Sotimel:s. Mechanical ❑ Radiation r CQ di [] Special Devices Fireplaces svitli tins Additions or ,gjAi A lVcnt. System ❑ Other Devices -- -- .— Cmitllc;vers to the outside of Build io;ts ' — - - Require st Building tterinll, 1 LACE MAKE AND MODLL �----- __ r ___ - __ IEEE SCHEDULE' Indus Cunune roia1 & hlu.ti-,7n rally I% of job cotit Residential, Gtls Vit'eptzac $49.50 49.50 minimum Resken ial., Heating ' A!C (New Constirction) $149.50 Residential, Additions & Alteratlimit $'4 RcsiL:ential, Heating • ily (Ncw Construction) $(14,50 Residential, AC Only 3etg,50 1 ' Uctitnated Cost $ Building Permit f; 11 0 1 \G. HEATING PERMPC FEE - -- �' tt gy 1 M1 I* ` STATE, SURCHARGE $ _SQ BtJ LDI G 0` TOTAL PERMIT FEE $ - -- - - - -- . ,co Ise Only) This Application Becomes Your BuildinS Perinit When Approved. Paid Receipt N _� _ 134 _. - __ ---- - -____ _ .___,___ . Dale 1= ulldiita O>7lclzl - Uo-tte 24 horn' notice for all iuspectious (952) 4479850, fax (952) 447.4245 4646 Dakota Street S,E,, Prior Lake, Minnesota 55372 1 i f V Ri o CITY [ F PRIOR LAKE Date 'lee' d .7, r ' HEATING/AIR CONDITIONING/FIREPLACE P ; RIVIIT :. G raan ;:;, FilERMIT NO. (PICdSC )e or print d 6i u at bottom) 3. Yel Ap ;Lcbnt I i • ADDRESS - - (• ZONING (ciao: sac) 1. 1 a, a Ark du. r 1 • LEGAL DESCRIPTION (office use only) `— 1 LOT BLOCK ADDITION . _ ^ 1 HD . U'S 1'ER' �' ^ _,E . (Name). 1 f pit • " )_S , , _ (Phone - 0 t- 11 . ) ^ (0 � �� W. • (Ad ress) � 1? f 1 Ct'il s ri_ po tr' 1r - \ l2(;) St Q r�� c's'T' LJIC )110. 55 __ !r Tame Gi...0.1 A ) t (1- i rm � ,... (P ) �, � I'` - '1 c!- '_ m� ) , :� �. hone �., (Address) ) DO r• -1 ta(aC l ` _) M. C f 1 f ' Y V .. �,_ (A :dress) ( Cs�f) (Zip CJLe) (Contact Person) . .--.1 U. C ' C� C-.l_. ; J D -- ' 1 {Pho�.e) r APPLICANT SIGNATURE . _ DATE a� y Yy�t PLEASE r APPLICANT L LEASE' COMPLETE BELOW 11 — ... ['NEW CONSTRUCTION ❑ REPLACEMENT 0 ALT CATIONS FURNACE MAKE AND MODEL - ?U EL FLUE SIZE .. RETURN OPENING'S INPUT r i OUTPUT TYPE OF SYSTEM HEATING OR PO'9VER PLANT ' —" ❑'Jlurnt Air ]?lants PLEASE : �O'i'i ; Air Conditioner • ', . St earn Units anLd t replaces Cannot Encroach ❑Gravity 0 Hot \Vftter El Aiec &ani;a Radiation Required Side Yard Setbacks. ❑Air Conditioning ❑ Spacial De1'iCCB l~ ireplacetilr5ith Box Additions or [Went, System ❑ Oil= Davin s Cantileweis to the Outside of Buildings R equire a;Building Permit. FIREPLACE MAKE AND MODEL _ -c a .. , . 7 .S oT . I v' - - • NEE SCIiEDUL = —�--�I Industrial, Commercial & Multi - Family 1% of jo6 cost staal, Gas Fireplace } S49.50 549.50 minimum► --- J I 'aic'enlittl, Heating C (■1w Construction) 5149.50 Residential, Additions & Altcra irns S49.50 identiul, He .:ti I(7 .(Now• Construction) $64.50 Residential, AC Only .� S49.50 ' 1 .,}1 Estimated Cost _ Duildin; Permit # + h) t „ t`he tvn Stae HEATING PERh1IT - ;;EE $ L-T C i . '5 "; URCE:I liARG �mesota ' htls bee s chan for or.: ' \..9,D �" STATE SURCHAR :. ye reflective TOTAL PERl1zIT FIDE S 5 L� f �� _) Th 1 • tl l y t, A vtl, u�:• l .A :3e . 4 :. lmiuircum Surcharge for rl '117“:1 fro" pcl•u j is fS, bcg:anir.g bury 1, :010 VI J3e•comea ¥our Building 'Permit When Approved Maid 1 Receipt No. ' IT Date I By iNG PER Al Data Z4 hula notice fur all Ins (95l) 447 -9350, fax 0521441 -4745 H9IH :H1�iyEH ENIN01O 9009Z6bZ96 ZS:80 ZTOZ /8ZI60 Aug. 8. 2012 9:25AM No. 4147 P. 2 PO Date Ree'd CPR/0 C CITY OF PRIOR LAKE i SEWER AND WATER PERMIT v 4'Nxesotr 1011111 t. .� i1e PERMIT NO. 2. Yellow F tin ), Cur d AF plic.:a P1r_a ar print and si ar botto - - ZONING (office use) ADDRESS 1 r i O 2-1 nrlon Avg. il Cam' , LEGAL DESCRIPTION ;office use only) LOT t; BLOCK c) ADDITION r ° ^ t' -c S. PID — OWNER (Name) , t :. fJ _ +,i• (Phone) R 6 - y 1. (Address) 1'1 02.1 E Pors•-_T1} $e .- 'e 1b Pe►C 1a. 55 '12_ (Address) (City) (Zip Code) - APPLICANTT (Name) STOCKER EXCAVATING COMPANY, IRO . (Phone) 952/890 - -4241. - (Address) 12336 Boone Avenue Savage, ;IAN 55378 — (Address) (City) (Zip Code) - Cur t same (Contact Person) (Phone) APPLICANT SIGNATURE A rr rM�.I /f /,+ir __ DATE - $ - i 2 • APPLICANT PLEASE COMPLETE BELOW Si of water service inches. Location of any couplings from stricture feet. Type of sewer pipe. 0 ABC [] PVC [] Cast Iron Estimated length of sewer line feet. Clean out (if required) located at . feet from structure, FEE SCHEDULE Residential sewer and water fine connection $35.50 Industrial, Coral & lvittlti•farsily 1 %o job cost with a S39.50 minimum Sewer Connection only 517.50 Water connection only S17.50 . Estimated Cost $ Building Permit # • SEWER AND WATER PERMIT FEE $ pAID WIT STATE SURCHARGE $ 50 eu ���l G ?ERA' 1 t TOTAL PERMIT FEE $ (Office Usc Only) . This Application Becomes Your Building Permit When Approved ' Paid Receipt No. I Bate By Building (Mew Date - - 24 hour notice for al! inspections (952) 447 - 9850, fax (452) 447 -4245 Aug. 8. 2012 9:25AM No. 4197 P. 1 �ar� • ,s• 123; 6 Boone. Avenue • , ':sir =:� - 1 k u IE i Y=om .Savage, M�� 55378 Dfik,e: (952) 890-424i Fax:: (952) 89Q -2153 • FAX COVER SHEET Date: TO: l_ti FROM: . . FAX: x ~1 41 ' 4Z i s RE: t'� z►�- r� Number of pages transmitted: ck includinc cover getter. If you do not receive all the pages, or if you have any questions concerning your fax, please call 952-590-4241 as soon as possible. • PRI0R LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD , 1 SITE ADDRESS ('7 0v A ., N i t „........... NATURE OF WORK 'F- ItSC, - r-,�. L.L. 00 c r e._4,,* USE OF BUILDING -- ter ._'` ( -= - ii--"c, PERMIT NO. ( z -P ,1 DATE ISSUED 6 /7—k 1/ 2 CONTRACTOR K-.-1 L A PHONE .4 --1 I- NOTE: THIS IS NOT A\ PERMIT FOR ANY OF THE INSPECTIONS S BELOW THE PERMIT IS BY S ARATE D COME - .„ � i,�.0 rt I N s. `�-"� �'" 7 I � (�?/uC(�Y.4�••• � � r IN� ��� DATE i I FOOTING 1 (r d- g z7 ice, I I FOUNDATION (Prior to Backfill) 1 fl/ 9/ ✓z I 240ot■- 1 ACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED <iTAILO ROUGH - INS SEWER /WATER /SEPTIC OS/ q/7/ 2 FRAMING 9S i0/1z-- INSULATION p/ io /s)i �:_ ELECTRICAL PLUMBING ,E h `o, 4 HEATING (if required) i)6 k i/r- FIREP LACE a S LINE AIR TEST '///, P12 <� 2/4001\i" t P iluc, COVER O WORK UNTIL ABOV HAS BEEN SIGNED FINALS GRADING (Prior to Sodding) fP /0°ij -- BUILDING : - i - 1 / /' ELECTRICAL PLUMBING c HEATING t2.A _ )) i4 , -L 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