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Rl I.: r . _ L &rfiftrafr of ®crupanxvr _ ='
CITY OF PRIOR LAKE � j T "
c0,: !'par ±mruf of putIbiu iJxtsprthh.0
` " "' ___ y Final Permitted ❑ Conditional C.O. Expires
i;;,, • ,, ` .1 This Certificate issued pursuant to the requirements of Section 110 of the ❑ Residential 1 ❑ 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 > / /v(? f!"IJl % //. Bldg. Permit No. /- • 5 `-0 �l
.ate 1 l '/� / �), / /, i�
° - Occupancy Type Type Construction V /" Zoning District /` v x
Oi;1..1 = Legal Description L /4 Cs / t / /1 & . __ G ,,-=--- 4r6'�- >Nf vo a•� t /t/ JL VS
(EI, = O wner of Building Site Address 7 ` t"7� 6 // t V /V / U� 6 / .
Contractor' Name & A J� I N (/ f (I f. / /7�V (� .(/ n
I t. / /,.../ �� ! G 4 [/ t/ %' City Planner
> Building Official _ '
046.5!' Date: ' 1 Date: :00
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POST IN CONSPICUOUS 17
CO S CUOUS PLACE
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K -0,/,9\ /CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
U / f \, TEMPORARY CE RTIFICATE OF ZONING COMPLIANCE 5,/4-. /3
/ l_. ..... % AND UTILITY CONNECTION PERMIT
`
1. White File
PERMIT NO. �1
3 Pink City /
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
I\ L 5 -� (+AW a cK C c t Asti
LEGAL DESCRIPTION (office use only)
LOT 11.-1 BLOCK 1 ADDITION .Q (:Dv ej (* N c v A-0 �+ 4 �Mi h w,j PID 2 j �Q a i 4
e - mf to i Ut� ' 1. Vi 1 I V1,U Inc,- (Phone) NCj - 4) U 136
(Address) lkU 1 l Virivi w V c'c\I , kr I✓ It V ctikr j , tU \N ,7 11-11- BUILDER j :Jl
(Company Name) ��'C C O l l t� � I � S� 0,100 I VI L (Phone) q 92 — a�9 — 1
h
(Contact Namee))� "n4 \ P 1 -e, SI ` r (Phone) p c\ - 2.112 1 [U2 3
(Address) I4 U i C) El/11N 4 �;�i r r t e W �' �, y M�� 5 7-1
1. TYPE OF WORK New Construction ❑Deck ❑Porch ❑Re- Roofing DRe-Siding ❑Lower Level Finish ❑ Fireplace
Addition ❑Alteration ❑Utility Connection
CODE: fI.R.C. ❑I.B.C. ❑ Misc:
Type of Construction: I If III IV V A B /r �;
Occupancy Group: A B E F H O I M R S U PROJECT COST /VALUE $ .2 kC 1 4 - 1 C '
Division: 1 2 3 4 5 (excluding land)
I hereby cert that 1 . e If 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 -ment oiled . optA. d 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 ca evok thi;(• it for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed insp ions.
fi
X teaC06 57a/v co kw C U?�L * s /,s
I Signature 1046 Contractor's License No. Date
Permit Valuation 0 /_ (p t / 0 Park Support Fee # $
Permit Fee $ '][
2 7, SAC
# $ 2-435,00
Plan Check Fee $ / ` 2 3 7 Water Meter Size / 8 "• 1"; $ qgo 00
State Surcharge $ / , z 66 Pressure Reducer $ //D 0j
Penalty $ Sewer /Water Connection Fee # $ /56 Q , 0 0
Plumbing Permit Fee $ /34" 57) Water Tower Fee # $ /000, J
Mechanical Permit Fee $ i S —/ T Builder's Deposit $ 2 -500 . 00
_
Sewer & Water Permit Fee $ , 50 Other $ _
Gas Fireplace Permit Fee $ ,45---f � TOTAL DUE (A 0 e ,,,¢ 1 3 ) $ /1 ,/ Q Fa ,
• App f a : ecomes Y�y y ,, uilding Permit When A .proved Paid `�
_ �� �J.34 ., � Re Ipt No. (0 fl X
_ __ Date c. ,
ui ding O ' tci. D. This is to certify tha 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, 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 S.E., Prior Lake, Minnesota 55372
I
4 - 1 7 R107
U
White - Building
Canary - Engineering
4''NNFSOc Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ���i " c% � 779 c �'� fJ,�'?Z
APPLICATION RECEIVED / 4" /-3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/17 -rivk_ (,U of
Accepted Accepted With Corrections >/—
Denied
Reviewed By: R- Date: 5i5/3
Comments:
. � �,. Y44 1A oS► o (j -; - k) rP ; S p540,_U5)-
203.. 11PT
"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 N \\
m
White - Building
Canary - Engineering
M ` ^ 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:
k 6
Accepted x Accepted With Corrections
Denied
Reviewed By: %/M Date: 5`31' 13
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."
i PR/
AL
h
U m
White - Building
Canary - Engineering
M' "^ C50 ` 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:
i /ii:1.� Date: 4 //'
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."
F PRIG
. l C CITY OF PRIOR LAKE PLUMBING PERMIT Date Recd
1. Blue He
2. Gold City P E RMI T' NO. / 3 ,0,5-,9e1
3. Yellow AppBcau
(Please type or print and sign at bottom)
ADDRESS
l ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
APPLICANT
(Name) \l� t tl�� tK1C LL c_ � ��f - �� 3` i
Phone) J ?-
(Address) 1 `- `. �� �'1 1 Ct .0 ,� � ( f } 1( _ eti<- 4 SS 3 7 2
(Address) (City) (Zip Code)
(Contact Person i' - �`
1 '
(Phone) CC, i t. - { '_ 1 - _�C:6
APPLICANT SIGNATURE (�- = = ", - ---- -- DATE J t J 3
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
7- _ Bath Tub with or without shower
1 Dishwasher 1 _ Water Heater
1 Floor Drain _ Water Softener
`p Lavatory (Bathroom Sink) 1 Stand Pipe (Washing Machine)
1 Laundry Tray (1 or 2 compartment sink Sewage Isjector
2 Shower Stall Backflow Assembly
1 _ Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
y Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi -family I% of job cost with a $49.50 minimum Residential, Ne . e ■ . Two - Family $149.50
Resid ..., , dditions & Alterations $49.50
The Minnesota Statutes *326B.148 ist $ g Permit #
"SURCHARGE" has been changed for one
year effective PLUMBING ERMIT FEE $
mail July 1, 2010, June 30, 2011. STA CHARGE $ 5. r/e 1 �`�
The minimum surcharge fora 'fixed fee" permit TorrAi, PERMIT FEE $
is 5....1. beginning July 1, 2010
Y ,
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Building Official Date
•
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -424
' D WITH
4646 Dakota Street S.E., Prior Lake, Minnesota 55372 hUIL PERMIT
......yro CITY cw PRIOR LAKE it Itoc1(L
I.-'' .
, , HEATING /AIR CONDITIONING/FIREPLACE PERMIT g, ' 1 3
4.,„,.,., I. Pi,d File PI�RMT't N-C, _.,�__..- ...._._
2. Oren Ciky _ t
7. YMOW APPltann � ,• ..- D? b. I
Please c or print and sign at buttow)
ADDRESS v__ 1 ZONING (offi tnte)
6i-I88 88 }a w�- . �� _ �, _. _._ &V 5 4
,
LEGAL DESCRIPTION (office use only) / ,,,� , /� �1,, /,,, ,�
LOT / I IBLOCK / ADDITION L /�� 4 Ui a't 4:014 feq-do s PID 25 wi Z..' 00-0
(Name) 5 tD e__ .e C' GV1S'ftuL1Gf1 _ (Phone) a $1. . SS. 7 . 1
(Address)
A PPLICANT . . __ . . .. - � ...__- ..�.., � . ✓r'
(Nance) (Phone) f� _j•30
( A dd ress) �C7Q Al e. ( OSCL I i c __ 5 Li 'N
(Address) (City) alp Code)
( Cont act Person)TC (Phone) � G
A PPLICANT SIGNATURE , _ I DATE _ ,_ L` � / 3.,_
APPLICANT PLEASE COMPLETE BELOW _ _
❑NEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS '
FURNACE MAKE AND MODEL
FLUE SIZE RETURN OPENINGS INPUT S1000 OUTPUT — _.____
TYPE OF SYSTEM HEATING OR POWER PLANT
❑Wa1m Air Plants ❑ Steam PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
❑Gravity ❑ Hot Water into Required Side Yard Setbacks.
❑ Mechunical ❑ Radiation
Air Conditioning Fireplaces with fax Additions or
❑ g ❑ [] Other Devices es Cantilevers to the Outside of Buildings
Require a Building Permit.
❑Vent Syatem [] Othr Device R
FIREPLACE MAKE AND MODEL_ -• 4 , , ► ■ • , , t_ �3
FEE SCHEDULE
Industrial, Commercial & Multi- Family I% 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 #,
The Minnontn Statutes :.12616.148
'SWRCI1AR(iii" Ns heen . tlnLCd I'itr one
HEATING PERMIT FEE $ year e li • t•c
STATE SURCHARGE $ _._ DSO .Luis 1, 21110. not: .luny 30, 21111.
TOTAL PERMIT FEE $ •fhe nduhnuln sin•ehar a fw. n "Used fee" permit
(()Glue Use Only)
"' -- I s,�' f �,bee' ping 1,2
•
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By _
[tulldine Official Date .
. , r
24 hour notice for all inspections (952) 447 -9850, fax (952)'U/4Snt � ��-`
4646 Dakota Street S.E., Prior Lake, Minnesota 55 t��11 I"
04 PRI0+P Date Rec'd
E
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT r1 30 /3
l NNES ° '�
Green File PERMIT NO
2. Gol City / O
3. Gold Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
16488 Hawk Ridge Court NW, Prior Lake 55372 P1/55
LEGAL DESCRIPTION (office use only)
LOT 14 BLOCK 1 ADDITION Coves of Northwood Meadows PID 254620140
OWNER
(Name) Sean & Teresa Meyer (Phone)
(Address)
(Address) (City) (Zip Code)
APPLICANT
(Name) Bohn Well Drilling (Phone) 952 -445 -4809
(Address) 18190 Dairy Lane,. Suite 101 Prior 1 ake 55352
(Address) (City) (Zip Code)
(Contact Person) Charlie Bohn (Phone) 612- 919 -1542
APPLICANT SIGNATURE` !'f,.(tPIU U:l4 -h t7 " DATE 7. 13.13
APPLICANT PLEASE COMPLETE BELOW
Size of water service 1 inches.
Location of any couplings from structure NA feet.
Type of sewer pipe. ❑ 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 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 $ Building Permit #
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ PAID WITH
(office use only)
BUILDING PERMIT
This Application Becomes Your Building 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
•
PRIOR LAKE DE PARTM O
BU ILDING AND ENT I NSPECTION
INSPECTION RECORD
SITE ADDRESS ,00' iy /4A) H �, bviet
NATURE OF WORK P /.v L.L.ch
N i EC.X D .►
USE OF BUILDINGS ' • ,9Aji GV ! /-At
PERMIT NO. 3 5 s DATE ISSUED
CONTRACTOR (gi r=r1 . � � . ,- PHONES ,7-• .317 -/3c
INSTALL EROSION CONRTOL AN' MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
FOOTING
k )-- FOUNDATION (Prior To Backfill) � �l 1 3 3
RADON RETARDER
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWERJWATER/SEPTIC
FRAMING i/7/9
INSULATION s d2d ‘'
ELECTRICAL
PLUMBING 14�, $?/5
HEATING ? ti
FIREPLACE V
GAS LINE AIR TEST
RADON Sallffinglk . 42 l
COVER NO WORK UNTIL THE ABOVE HAS BEEN S ED
HOUSEWRAP � LATH 1 6'
FINAL S
GRADING ( PRIOR TO SODDING) C P?r //2.
BUILDING L ((-(- ( AV,7
I
PLUMBING j
HEATING 1 ; )' 6 /a
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