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HomeMy WebLinkAboutBuilding Permit 12. 1142 r��� A-, AAA, ? ' X14 ,ui _. i .. 1 < .. � �, .re _ rr _ � � r -� -- • , J rrfiftrafr of ®txnprntgr 4 CITY OF PRIOR LAKE lrpartntrnt o !uiLMu fiun Ef Final Permitted ❑ Con C.O. Expires This Certificate issue pursuant to the requirements of Section 110 of the ❑ R esidential / ❑ In ternational 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: � j t / '�t i ( . C✓ f " / ^! �'/ / L1---/ Bldg. Permit No. _ Use Classification � / r 1 Occupancy �"', Type Construction �/ Ii Zoning District `' - P Y TYP e Legal Description L (- e / //it : C 6 f/ C / [. 77/ F / • t ` Site Address / 6, / 2_(..) A. 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Yellow Applicant (Please type or print a and sign at bottom) ( ZONING (office use) ADDRESS /(Q 1 " o ��011 t(� t s C, c 0 0 R T P u D LEGAL DESCRIPTION (office use only) 1D� 5 LOT3a BLOCK / ADDITION T t- COJ 6 Of NO 114- IM P � D OWNER A IA ` (Phone) (Name) v (Address) /� �/ BUILDER IAw/' I I A Yt'lt 3v`�c1 �/`' C� ( Phone) (t1'S 7 CO �j i �1 `( t o (Company Name) � ft 1 l'+r L 2. `7 Z © � � � (Contact Name) TAY /�'(�/U f tt (Phone) ZZ (Address) 3 (O 3 a S i r ` r a+✓ "ft), p' CS-0 2- k/ . TYPE OF WORK 10-New Construction ❑Deck [Porch ❑Re- Roofing ❑ Re- Siding mower Level Finish 1Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE: ([].I.R.C. ❑ ❑ Misc: I.B.C. / 0 O 0 Type of Construction: I II III IV V A B Occupancy Group: A B E F PROJECT COST /VALUE $ S H 3 4 5 S U (cxdnding land) D1yit+iyII: that I have timaished information on this appliunion which is to the best of my knowledge m c and correct. I also certify that I am the owner or authorized agent for the l b certify I am aware that the building above - mentioned property and that all construction will conform to all existing state and local laws and will proceed in accxxtLurcc with submitted plans. official can r just cause. Furtherm hereby awe that are c ore, I hereb a re city official or a drawee may enter' upon the property to perform needed inspections. evo is ' ' � for l /� - � 04- ( � 313 Z ` — - — / Z Al Sigma - 0 X P.. ontractor's License No. Date ' t Permit Valuation • .302- o Park Support Fee # $ - Permit Fee $ Z (9 5. g0 SAC # $ 2 i( p S r Plan Check Fee $ ( "t.. 613 Water Meter Size /9'; 1"; $ it O, State Surcharge $ Pressure Reducer $ i Zp _ Penalty $ Sewer /Water Connection Fee # $ 500 .. Water Tower Fee # $ I Q Co - Plumbing Permit Fee $ ( �,� l Mechanical Permit Fee $ l 5 4'p Builder's Deposit $ ( ©o, ' Sewer & Water Permit Fee $ 54P. C� Other Gas Fireplace Permit Fee $ 54- CO TOTAL DUE *AA wlio`iZ $ (1 a C 1 This Appli d ion t • ■1 Your C I Receipt No. frc 3' ,Y Mo Building Permit When ppr ed I Paid T � r 1/ / 1 Date t 7 s By ' _ t a b / Z- Buildin_ O' 1 D' at the re - s in the above application and accompanying documents is in accordan.: with the City Zoning Ordinance and may proceed as requested This document This is Co ce q a Certificate of Occupancy when signed b r. a City Pl, cons rtes a temporaz}LCt rtificace of Zoning compliance an allows instruction to commence. Before occupancy,. must be issued. -- /� �� Date Special Conditions, if any . g Director 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 4 • t 4 *• 2211`A 4 141 + • 4 O PR tp� CITY OF PRIOR LAKE BUILDING PERMIT, DaRec'd t. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 4- te v /3 t l) x AND UTILITY CONNECTION PERMIT WI 1z_ /1 'PjNNEs I. White File 2 3 Pint: City PERMIT NO. /3 /7 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (offi r004 /6 , C V t ic�C- LEGAL DESCRIPTION (office use only) k LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) I BUILDER fifty Nair Pri-"e- "e....-trw/I'/ k R3 :: # 7, 7( C Nike) MAY t *Odle* a ( 4. i 7)-z-4.-- ,? L TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. 16lisc. Vg'" ' V 46 Type of Construction: I II III IV V AB PROJECT COST /VALUE S Occupancy Group: A B E F I I I MR S U (excluding land) Division: 1 2 3 4 5 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 a. •• 'ntioned .ro'- . 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 fficial ; "re -.i 1, I . for just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X —(5 - / Signature s Contractor's License No, •4. Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter S' e 5/8 "• I "; $ #e 0 ` 0 C State Surcharge $ Pressure Reducer $ 1/ 0 - 6 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 $ - 0 0 This Application Becomes Your Building Permit When Approved Paid 5 ` eipt No J„ �( v Date •-• l c . ./ Y c Building Official Date 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, 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 te`t443. fir 4r6 • • Residential Building Permit Checklist New Construction for Single or Two - family Dwellings in R -1 or R -2 Districts Reviewed by: Date: i o 4 __ Building Permit # PID: - Zoning: tu r> Address: t (0 f Zv ei N / 14)c, n Cr Legal: L , B Subdivision: Existing Structure? YES / Existing Nonconforming Structure? YES 1 NO • CONFORMS TO ZONING NO ORD Yard Setbacks: NA I FAILS/ C MPLIE I Standard I Proposed I • Front Yard (can be 20' if av . ' 150') 25' 2-5. o • Side Yards 10'/ Z 4 3�j 25' if abutting a street • 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' 5-0 ► f • Patio Door: provide for minimum 10' deck or sign 10' side/ statement indicating no deck will be built in the future 25' rear - i • 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' if@ I Floor Area Ratio: NA 1 FAIL C PLI • S I .30 Maximum 1 •-20. 7 I . Yard Encroachment NA I FAILS /COMPLIES Standard Proposed I Eaves and Gutters no%'.. e 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. I Tree Preservation NA AILS 1 COMPLIES I Standard l Proposed • Total caliper i • Permit 35% R moval • Caliper Inches Re oved • • Cali er lr ches P,r served • Replacementr Y2:1 L: \TR LxkTE\BLDGLIST.DOC 7 Driveway: NA / FAILS / CO �,�� . Standard Proposed i . 1 • Maximum width at prop:.► ne 24' 2 f 1 • Required setback 5' from side lot line or 30' from r -o -w on comer 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 �\ I Building Height: NA I FAILS / C • 9 IES I 35' Maximum I ( Shoreland District: / FAILS / COMPLIES , Standard Proposed Minimum lot area (sq re 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 Shoreland: NA / FAILS / COMPLIES I Standard Proposed I • 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/ FAILS / COMPLIES Standard ' Proposed I • 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 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 / FAILS / COMPLIES Standard Proposed I • 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:ITEMPLATE\BLDGLIST.DOC (; U tr1 White - Building Canary - Engineering I INEsoc. Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT f' /# ♦ �� � t '' I t- :! M APPLICATION RECEIVED ' . / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ( h Accepted ' Accepted With Corrections Denied ` 1 Reviewed By: L/ ■ Date: te% J Comments: "The "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." of PRIp� C ti U try White - Building Canary - Engineering ^i' i v NESOc P Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ('�, i Ct Z / t APPLICATION RECEIVED 9 2-7-(2.-- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /C9¢2-0 �✓/(..c4 - E cr. Accepted V Accepted With Corrections Denied / Reviewed By: / Date: /.' 8 Z--, Comments: c"- v '--- c-- - -- 4 I/ : n) 779- •• c._, ) ---- i--?e2-,....‹.--1--s- 4— 4...(___ - 7 -- (7 - ,--yve-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." 4 P Rio� 1 u O F" ( 4 ,‘ , = i s White - Building Canary - Engineering „, n„ c i Pink - Planning NNEs P BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT e//4i& l'2C 71 2( ''f 7r APPLICATION RECEIVED 9 L 7. ( 2 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted k Accepted With Corrections Denied Reviewed By: intlA Date: k®' 3 Z 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. • AIL 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. • 3 • : • . The rock constructjon entrance must be installed at the time of �. •• •iiipackfilling of the foundation. • • • • • • • • • • • • • • � Y A G; Admin \dept info \ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS.doc • • • �, CITY 1' �'1 OR. Date A'T l ONnr � 1.A E 1" E CT. • • . • • e exvsiat atfx+ L4_ ,__. ..._ Hoa eot aa4s2 • 111 AiEsS • ' • ., FoiteiG (on • 1 . 111 � 0 I I / . . . ALDESC PT _ • . BLOCK .ADDITION . PID "7 - .3 -- Malffigg-t 1 — . i • • • A i " • oa -- • (Phone) 114 - 0 . I firilM01.1111111 l 61 tg.: I . : i 1 a�ctP4 n) • � It* I 4 (Phone) P . .t. • .ICANT SIGNATURE - . •AlealirAlirr - - .. . . • ' .V ANT PLUM C0 LETT' FLOW .. ENEMY CONS'Y'RUCTIO1 ❑ REPLACEMENT ' • 0 AI TBRATIONS . • .. CAI • MICE AND MOM. • • • , S ZB' - RETURN OPENINGS. INPUT - OUTPUT • • �--- OP SYSTEM iTJNG OR POWER ANT • - PLEASE NOTE: Air Conditioner Warm Air Pests 'Cults and >€ repiaces Cwt Diana( {echanical B Radiation - bite Required Side YafdSetbaelts Hat Water • Coaditionkg • • 0 SPeciiil Devices . Fireplaces with Box Addition or meat, System 0 Other Devices - Canfilevei s to the Outside of Bnildijij . i - ; d �fldfrtg Permit. LACE MAKE AND +�r4ODBL' --11 1i ! — — 1 O- . - 17-P . . • ial Co lal & Multi family • • I% oflob coat ; kfartial, ttea #IrepIace 549.50 • - $49.50 milieu= WA Resting it A/C'(New Cott fr�fotion) $],49.50 paddemial, Additions& A1terratiose • $49.50 ' aid, MOM' Oniy(Neet rConstraction) S64.50 •Restatadial, AC Oaly t , 1 $49.5g 4r\' . illi v im~ Estimated Cost$ Building Pena # _ , b e M7a w , taS 3261 M HEATING MI I' A9URCUAR ' hasbeen am • STATE, SURCHARGE $ year ei Tar" PERNNII�' $ f .. '" �ttllr I: 2 z as l 30, Wooly) . . - 'tne minimum aunt age ter egad . . • Is Is. beginning Wy l,2oli AppEcation Neomei 'Yotlx piulding permit Wheal Approyea • Paid • R: ,„ 115 Date; alit-DING PERMIT Sulidi1a Ot> l pate . • • • hour natise for all ittsliectlo (952) 4474850i 0; fns 447 3.91V8 Hieltf3H �JNIM0 5 g009Z6�ZG6 ZZ :90 EZ0Z1Z1 4 q r Rro CITY OF PRIOR LAKE Date ltec'd ° REATING / AIR CONDITIONING/FIREPLACE PERWT 0 ' . , 1:..'_!`1:7 det4vtvssoV° x `� u..,� Mivirr O. • Mew i . or ., and ,, at • nvv ADDRESS n� ZONING (office ,) . i . .11 — LEGAL DESCRIPTION (u(& use only) 1 LOT BLOCK ADDITION --AU> OWNER (Name) III it L I P • s . (itone) ' 1.7-9 . 14-9'._7199a (Address) r • 1. 11 v-■.1 • r/m.. m {V r r APPLICANTT . (N ) r i . , , ' t (]Phone) t � d - / (Address) e r I _. -�' 'Tt�YV A Of Y 1 S 5.p...L (Address) 0 (' (Zip Code) (Contact Person) L . ._, $ G . .� . ( it 9 _ 7.- •� APPLICANT SIGNATURE 1 � .: __.. DATE 1 / ' A'CANT PLEASE COMPLETE BED, W CONSTRUCTION REPLACEMENT ALTERA ONS FURNACE MAKE AND MODEL Fi FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE N 1 ' : Air Conditioner ['Warm Air Planes ' Steam 0 rovny Hot Water Units and ' . as Cannot ack s�oac6 lir 4 od>snical Radiadon into and .. ide Yard Setbaclrs. • ' Conditioning Y. I .C,ts ❑ Special Devices —"1 Fireplaces .1 Box Additions or ■ ent. System 0 Otivx s vices Cantilevers to , e Outside of Blandings Require aBut , gPermit FIREPLACE MAKE AND MODEL *L.' e _ - , li r - # - , E SCI4EDY Fire Industrial, Commercial & Multi - Family 11/4 of Job cost >ud�tial, Gas Fireplace 549.50 $49.50 minimum Residential, Heating & VC (New Construction) $149.511 Residential, Additioas & Alterations $49.50 Residential, Heating Only (New Construction) 564.50 Resk abet, AC O nly $49.50 4 ,.. ... • The Minnesota Statutes § 326B.148 )oat $ Building Permit # c (A "SURCHARGE' has Uam extended oirrid : ?r�?�i g;_,� :r ?, ?:): +_ is HLATiNO PERMIT F8E $ s 0 The minimum surcharge for STATE SURCHARGE $ r _ f "fixed fee" permit is SSA L� 3 TOTAL PERMIT FEE $ S^, �J 1 nit Appgcatioa Becomes Your Building Permit When Approved Paid •eipt No. E Date , � ," � Building wad ""W to, 24 Boer notice for Mt inspections (952) 441 154, fax (952) 441 -4245 4640 Daiwa Street d.E„ Prior Lake. lruwusota 55372 Qua /Ze 39tld 1-19IH / :H12R03-19NIM019 99G9Z6bZ56 OZ :et ZT9Z /LZ /tt 4-N I. S1 ( 0) rtVNESO RI CITY OF PRIOR LAKE Date Rec'd HEATING /AIR CONDITIONING /FIREPLACE PERMIT / 2 — —2 , I � 2. 1. FGrink een F y PERMIT NO./ , / / 4-a C ity 3. Yellow Appli (Please type or print and sign at bottom) ADDRESS � �''1 ZONING (office use) / 1 (1 di) t ,3 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANTAo A � 6 1.-.201-. ,L ote./ (Name) ( ' ,, (Phone) (Address) 11 C CO C talk G r 6✓',' 1 (Address) (City) (Zip Code) (Contact Person) 1 41 / 3 (Phone) q A jiK APPLICANT SIGNATURE �� DATE Ia 1. e> APPLICANT PLEASE 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 ❑ Gravity ❑ Hot Water into Required Side Yard Setbacks. ❑ Mechanical ❑ Radiation Fireplaces with Box Additions or ❑Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings ['Vent. System ❑Other Devices 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 ;ost $ Building Permit # "SURCHARGE" has been extended until June urc ar e, HE PERMIT FEE $ PAID WITH The minimum sur is $ e for a "fixed fee" permit is $5.00 STATE SURCHARGE $ .50 BUILDING PERMIT 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 O PRro Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT // / / Z h v 5��� I. Blue File PERMIT NO.1 2, . ]' Li 2. Gold Ap 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS { 1 ZONING (office use) 4 �Q r. ✓-c •Ay_ C - LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT (Name) P r e_ c t c. c.) P ( .- w4-) . ) 3 -• c- _ (Phone) 't S ? 4 4/ - Cl l. (Address) L 0 c) 14 \ o , v0-- ( (City) (Zip Code) (Contact Person) o. Y-. C 1 a , L` (Phone) G 1a.- tit 3 - 9 A.4 g APPLICANT SIGNATURE l DATE 11!) 4) 1 Z 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 • . -, wo- Family $149.50 Residential - • •itions & Alterations $49.50 Estimated Cost $ Building Pe • ' # The Minnesota Statutes § 326B.148 ) "SURCHARGE" has been extended 'LUMBING PERMIT FEE ', c P6.' until June 30, 2013, ;TATE SURCHARGE .50 The minimum surcharge for a COTAL PERMIT FEE "fixed fee" permit is $5.00 _ .._.. _ _ ________ _ ___ ____.ng Permit When Approved Paid Receipt No. Date By Buntline Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 .3 MAY -13 -2013 20:11 From: 9526522021 To : 9524474245 Page:1 4 • 0 "I 4 DIte R.c'd A . CITY OF PRIOR LAKE * ) SEWER AND WATER PERMIT PERMIT NO. I a Mama I ‘ - , _1:.; progsl 1 4 1 Or 14.2.4 raver. DI18 Si 1 ION oaks on t,_c _ N Pm P - .: C --'". 14444. t& Wawa Mb/ 0010004 =_ 3: �r 1) k� , z )1 'stn APPLICANT SI: ! ATM ( fie) iI . ., ,y Wass X* 00010 W DM �C ' i -.= +� .r te ^ APPLICANT PLEASE COMPLETE BELOW , Size so eervIce blobs& • Location of any cowlings from structure kat. Typo dowse pipe, 0 ABC * 0 Cast Iron I ck � n out Ioca at feet from stoottwe. moor 151.50 MB SOMME aosidettid ow ter II . 1% Ads s coot w1& a $51.A intake= Bower Doan 4 on 1 y SMS.50 cam cw.c oa on ► left Coot $ / 2 - # MU AND WATERPIIRMIT PPM 1 STAT $U11 $ 42 TOTAL moor Mt $ . T ANIc Ali,: iteaw«1oar .r ► . .� 10 so I:. hit Da 4... - 14 hem mem hod leco &a ada)417.4245 of FRI., Builders Deposit s o r t. 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 compliance for a Final Occupancy Permit. (It is not an escrow account.) All exterior items including but not limited to grading, sodding, landscaping, tree planting, driveways, siding and painting shall be completed 180 days after the date the building permit is issued. If the work is not complete within the 180 day time period, the City shall notify the applicant of the violation and the applicant shall have 10 days to comply 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 be refunded if specified trees are preserved for a period of one year. By signing this 1, the undersigned contractor, acknowledge that 1 am aware of the erosion control requirements of the City of Prior Lake as outlined in the Erosion Control Measures for Building Contractors handout. //__ / r DATE: q --4` I SITE ADDRESS: / �o y 2-0 Cal 1 ( PG C L / PERMIT # � • •' , z. REFUND TO BE MAILED TO: c k / ltJ )44e -fry ti 1 H O - c5 . 7/0 3- Sr fay t4 u e-fN s'ro 2i,( AUTHORIZATION TO RELEASE PLEASE REMEMBER 1 11/ 500 , w _,ynda Allen, Building Services Amount 1. KEEP STREETS CLEAN DURING CONSTRUCTION /0, 7. l3 Acct. 801.20204 2. KEEP EROSION CONTROL IN PLACE Date 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR $500.00 WILL BE FORFEITED SIGNATURE: a . A4 y THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER AND ORIGINAL DOCUMENT SECURITY SCREEN ON BACK WITH PADLOCK SECURITY ICON. - ' }4 'i r 14 Y yt.. 1 t%e i 'br �1 �1 r tl ,144.,!-:.'"i • • 5 v n 4AlS J r 4 1 3 I t / :( ` # t,' ° n { F V!i V i 1.L Jam. � D i ! 2 1 ,;. ��I „ 4 ; K !. 1 4 ., ` 5 $ 2 , c , t ,,.. ary s ,, b, i.ANt+d a' R g r # :i f c; „ .. { r - k ,,; . '' i °P� F(Y.'` 0T y y , , • . . ?ra' � z * . 3 �' , � s , t F 3 s e. , h,i" -r ,� r tl ,,.' , : I a m - 5 �z ., n ,u 2' �� ' r r ? __-'1,' .f ,, ' , � �� . ..I c Y 'tS 1 . ' 0 DS P a s , r { s I ' , $s E I a ° .x t 8 :H P.. 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DATE ISSUED Ret %t'& I /Q t 3 CONTRACTOR awls) Merin flames lames -14.►c PHONE 952.2 •OWWW NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW q / THE PN IT IS BY SEPARATE DOCUMENT f"'-" 4�� INSPECTOR DATE I FOOTING 1 .P$. 1 A /2e// I FOUNDATION (Prior to Backfill) I 3/13/1.5 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER / WATER / SEPTIC Dr.,11(0 g 'of z FRAMING we INSULATION - f • ELECTRICAL PLUMBING PiS 5 1 1; HEATING (if required) Q �/ FIREPLACE V 7 // (� 6 GAS LINE AIR TEST� COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED !Name Itlrap wk. Qr c � 1 V 47 11^4k 1 14 Radon tP2 FINAL GRADING (Prior to Sodding) BUILDING ;d V ELECTRICAL fit✓ 1 PLUMBING - _ 3 HEATING c /2 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 P R I R L A K E DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RCORD SITE ADDRESS C NATURE OF WORK Sr' c 146. !7C —GK c -o�2c� Finlist4 L.L. USE OF BUILDING 5( 1 , 3 c.t F geleN �.-t �� .-,••� PERMIT NO. t z-- \∎ 42- DAT ISSUED 10 f CONTRACTOR 6-4/k /2-1.-6 f"1 .,2 1 PHONE qSz. -ziz. _ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATEDOCUMENT INsr�,.4 s c / ��L Z r • k L.s x.„ t l�lij (∎I CLEt'�W i ns DATE I FOOTING De(..): nA LJ c. , cX 7 /c 1 u' y1, / FOUNDATION (Prior to Backflll) ,P,d. 1 /1 7 72. 1 • PLACE NO CQNC UNTIL ABOVE HAS BEEN SIGNED �p J \ t ' R 0 U GH INS SEWER / WATER / SEPTIC � /,2! FRAMING WG i2/z/4 INSULATION ELECTRICAL PLUMBING `'�' 1/4 HEATING (if required) FIREPLACE i /771W‘( GAS LINE AIR TEST � � Y COVER N WOWORK UNTIL ABOVE HAS BEEN SIGNED I (49 (2/4 iJ >s l# - l� 1 1 FINALS GRADING (Prior to Sodding) CUILDING ELECTRICAL PLUMBING 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 . • V • • . • n