Loading...
HomeMy WebLinkAboutBuilding Permit 12. 0193 I ir iftrufr 11f ®rnxjrnitr K 7: CITY OF PRIOR LAKE r of of 1Bth1 Mzti c Ittsiattfion Final Permitted ❑ Conditional C.O. Expires T his Certificate issued pursuant to the requirements of Section 110 of the ❑ Residential / ❑ 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 S A � 6' L F j /1..y Bldg. Permit No. /1 - 0 / 1 7 3 Occupancy Type , "J Type Construction * Zoning District Legal Description l✓ 3 / B / / �. EF £,€ / 4 / C S Owner of Building Site Address 3(o/6 PC /AJ7E P/955 Contractor's Name & Address J`- yL/`-) r / / d frICS /€)0O24 Ito iy. Cit Planner y Building Offici Date: t\ f 1 \t 7 1 Date: POST IN CONSPICUOUS PLACE ' `' v ^t S } y _ a . ' <,' U -}s pa .- f v 4 \ y ,<'_< f i J a us i : Z � a ?U UQ 0 w X 555= < , '4'4'40 p q w-----...... U' 2kLi 0 a w N w w Z 6. 00❑❑❑❑ U c co W 0 re Z W O 0 a. a m c _ 0 7 J Z x z z o H W F_ E2 p u. .� 0 Q U 4 D 0 1= 16 W O. a c U 0 W Za, z W W N O 1 co U = a m W w m 2 ° 0 Z 0W 0 0 Z F.. C a 2Sco oa 2 c w W W h ' C.' 00000 0 O 0 a W cc ce O a a u. x 0 4 4 W ` 0 rt Z U u. a W F- z X U s .�. z U 0 1_ 3 5P o �� $ pZ g p w H co a I W Z a '4 I - oc u.V W d' W h <W rt R C '4 O y OW a W Z S QRv'zi -- 2 0 U V F-vl a g 0 u. u.u. 0 U aZ a 0 a 000 U ❑ c w Z 1 a 3 a iz W a'4ga i o w 0 WW, &U� Z <84Z 0 _ z �' ❑ ❑ ❑ ❑❑ n > r + 0 C cc o W x N 0 O a. a J m c O Z » pp 12 0 O 8 0c�Z z 0 a a x C Z x Z -xsz3 0 0 o N ° v w O° Z W W X C Z a 3W < jj �W W W Z K a. a3 v... ---' W W W ' ❑❑❑❑❑ a 0 z O Z.t C $ a a u. c 0 44 Y W V z U Z V LL W s{ 0\ 0 co 4 C re O z W I._ N < ai u. H co z F =x� g�z c6 Z W j Y cc re o a q V W W ppx O -1 �1' 1p cd x x o OW OC W Z OO E O O O V V cab < < a 0000 ❑ 0 N ❑ 0 5 2 � � i I t2 ! 8 by" i V W a. 1 c� N ::ijj: k i w = 7 / a 1 / 1 1 ° co o 4 . — , i 1 4 a a 4 Q r. w w ' 0 p .,, 4 / y ; V V w re 1 111111 0/ 0 o 000 o I o u Q 0 u x .3 ..... ,f, .- Y y -a ,., a ■ P -1 a2 W E w■ 0 ��2� k k 0&ww 0 0 I .'1 0 § ■ § i 0000X0 » 2 d S 0 w = cc ~ B u. 0 z §}Z z 0 k ■ 02 . o Q 0 % 0 0 w a�rcJa2� 8 0 $ ca a xx■ az U, / - u� . a.§ § 0 0 w z % 000000 o o z % �- a a 1 1 › o ni ■ IQ 2 0 1- Z / p 0 0 :� Cr:ut C4 Z � 2 � r 0 Z 0 « 2 � 0 � j � 2 & 2 wo < W 4) 0 0 -- E $ 0 $ 0 �U. ■ U.■ O . 5z < 0 a 000000 U )O0 .E 0� PR /p� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd A ,, iTEMP ORARY CERTIFICATE OF ZONING COMPLIANCE I C I 4 i c.) 01 AND UTILITY CONNECTION PERMIT 44NNeso�'� I. White File PERMIT NO . / ? 2 /� 3 3 Yellow Applicant / L 3 Pink City Please or print and sign at bottom) ADDRESS ZONING (office use) 3 b1 (0 Poi v4 _ Pa _, ?usD LEGAL DESCRIPTION (office use only) I ' � LOTS BLOCK 1 ADDITION l'L° t (5 (k -- f\ PID 25 4 7 (703_ 0 OWNER (Name) (Phone) (Address) BUILDER t ct W GHQ -_ � e v'� ©® (Company Name) ( (Phone) /�,� (Coniact Name) 41��1 el (Phones! -' �' ( g. (Address) r )56 A 4aritie E6einiPircuirk e l • bb3t-N TYPE OF WORK .J' ew Construction ❑Deck ❑Porch [1 Re-Roofing ❑Re- Siding ❑ Lowe r Level Finish ❑ Fireplace ❑ Addition ❑Alteration ❑Utility Connection CODE:XI.R.C. ❑I.B.C. ❑ Misc. ! j _ Type of Construction: I II III IV V AB PROJECT COST /VALUE $ 1, 1[7 006 Occupancy Group: A B E F HI MR S U (excluding land) Division: 1 2 3 4 5 1 hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. 1 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 accordance with submitted plans. I am aware that the building official L kb ke this p it forju cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X 4 e/ 3 - 4 (0 -1 3 Signatu 4 Contractor's License No. Date Permit Valuation _a ta ir1E r- Park Support Fee # $ Permit Fee $ Z- � � =-CJ S # $ 7_� . 5/8"6 Plan Check Fee $ ( 5 34.13 Water Meter Size 5/8 " $ 51 State Surcharge $ (mil' Pressure Reducer $ ( O. -'- Penalty $ Sewer /Water Connection Fee # $ (5c, Plumbing Permit Fee $ ' 1 f S - 4 -4, 4.771) Water Tower Fee # $ ( 0E7 5. Mechanical Permit Fee $ �- Builder's Deposit $ '%cam r Sewer & Water Permit Fee $ � ;' R Other $ Gas Fireplace Permit Fee $ 7 ' TOTAL DUE $ F f 1 a /111W / j) ir This A •)�i catipn B ��� 7 ur Building Permit en A roved Paid i l � O • • `'ICJ Rece i t No. (p 5.54 5 / , ; , , !� ► Date 3 t c; (2 By L A Building O � - �" ftici, D at / This iJ ify that t r quc: n the above application and accompanying doc ent is in accordance with the City Zoning Ordinance and may proceed as requested. This document when tip Ci an co mutes a teporaty Certificate of Z mplia ce and allows construction to commence. Before occupancy, a Certi icate of Occupancy must be Issu .. 'tanning Director ate Special Conditions, if any 24 hour notice for all inspections (952) 447 - 9850, fax (952) 447 - 4245 4646 Dakota Street Prior Lake, MN 55372 Residential Building Permit Checklist New Con truction for Single or Two - family Dwellings in R-1 or -2 Districts Reviewed by: it �∎., — Date: 3 Building Permit # • I : oning: Pc) s > Address: �� p„..ss 3 0 • •mac Legal: L , B Subdivision: Existing Structure? YES 1 P . Existing Nonconforming Structure? YES / NO CONFORMS TO ZONING ,P NO ORDINANCE Yard Setbacks: NA 1 FAILS/ C(S Standard Proposed I • Front Yard (can be 20' if a4g. w /in 150') 25' '2.6' ° .S • Side Yards 117 S.- 25' if abutting a street 1 . c • 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. "6"'---. C • Rear Yard tO S • 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. 00- • 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 Ratio: NA / FAILS I I .30 Maximum I . 16 I Yard Encroachments FAILS /COMPLIES 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 1 Standard Proposed • Total caliper' es _ • Permit 35% Removal • Caliper Inches Removed • Caliper Inches Preserved • Replacement '/2:1 L : \TEMPLATE\BLDGLIST.DOC Driveway: NA / FAILS 1 CO Standard Proposed • Maximum width at property line 24' 24 • Required setback 5' from side lot Tine or 30' from r -o -w on corner lots 1. • Maximum slope 10% a. 8 • All parking areas to be paved including R -V or spaces adjacent to the garage • Location to match subdivision grading plan trOPP.to I Building Height: NA / FAILS / CO • 0 1 35' Maximum 1 ''L-' Shoreland District: NA/ FAILS / ielES 1 , 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 2ega Z Bluff in Shorelan • . p / FAILS / COMPLIES 1 Standard 1 Proposed • Setback fro . 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: / FAILS / COMPLIES Standard I Proposed • 100 y 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 Pro ction Elevation 913.4' for Spring Lake Accessory Structure: / 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 At fw Builders Deposit V 0 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 will be refunded if specified trees are preserved for a period of one year. By signing this 1, the undersigned contractor, acknowledge that I am aware of the erosion control requirements of the City of Prior Lake as outlined in the Erosion Control Measures for Building Contractors handout. �,, 0 n , DATE: 3-16- — SITE ADDRESS: 3 G (o 6 / tr.& pass Ai. PERMIT # /27/5 REFUND TO BE MAILED TO: If y 1do' A 74 n - c)i • A y .61/11•41, : alityyl ' . 41 ' m ki .L - PLEASE REMEMBER x 11'''':k € i. € - 4 (cz6 _ow 1. KEEP STREETS CLEAN DURING CONSTRUCTION _.,ynda Building Services Amount 2. KEEP EROSION CONTROL IN PLACE iz. a - r3 Acct. 801.20204 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR $50, .,, , D r, SIGNATURE: c - 1 7 Lar, Por pier, i Y ngineer Y l3"z 'U°i4' �' �'' -�z �..:� � "' , r�` '€ , �%� 1� . �.„'£isi '�, �„, �,�`, � t -.a �� "+.,.t. M ., +� s xsx `3 v '.�� . < ;b. .;$ ,' r v � {€ .z 1 s t,� -. -- y o-, � e��i . , ' � °7 #-� . €� = �,. a '4 �-=�� � �"*zii € � , � ��..,�a`' :i�> ��'w s 3 : � ��g, ��`�` ` °�i f ",2 ..<> - i v € „. "'� ,. ; r fi # °` tf ? 4 ?, 44 ` r ": ui ,»% Ra ".,,. et° E - " � ' ,+, . ,, ,...d j � .: c �ri - € tF ,:r� ,.� €,` � �t�.. � #,� �. � �" °" s� Y.,... °.�,f � ,: x.�x =: ,v, �4, 4 ��g�' { f ,. �, a ,, .a � st ;�..Y � �„ ... , __it _�., �.t � .� ' a, r " `€t } ; �; � F �°A �r �3 r-'�€ _ °� �`�..a.:.��� 4 %:;,� � z t` v4_:ta "� 4 `�z. t -z_a � 1 -r; , . : #� =s - . r a £ s ja - ... t � {° t3:, ; r, ,7' A' .: a 'M1 :.i° �° " ' , z .i ,�,, t I , - „; ,,, ,I,,, t'' , , f a. §t;, 1 . u` ;. f, 3 . t 3 ` a M1 � k i ?s .. � `� %$ �?e Al ij t 3�v r �? s ? , is - a t . «, t,, g is'r, ! t �'Pasr' ” r *"°:_ i , ..,f 3;. ca et o .. "<a 44 ', i ,,,,, ,,;a : .�; r. k` °Cis " 1 W.. � `, y 4 , "` $ ; d t t 4 3 t € c ., . 4 ,.: . 1 - 4 .. j `t"�"�' .�L &,;,n a F, ".z° € ' t ' l ; '' . ° s ` " M1 a ' E f ;' � � ��, ' t ; - fa " at t 3 4 � 4w.f� d ... � � P� @ °' #: f,. r �} -4i ?q F� - -4 s - k ` t°?" ..F,d� i R-. ;; M' § , %a Y° , 1, ' 4 µ ` = - 1 1 W , Fd " s', T 4- : v' # -41.1f-=',„ 1 l # ' t t . g a t a ; t ` # ' ' ' � � 1 „» I �� a: i' r � i r a s T } .st �J< q <. r . t t t I f. N+^ s , j . ` � '. � p s a „ - -.1 .1 '2 - "� ^. @ .. t� z7 ' 4 1pi ` z ti. z .1 "_. } - .. .. Y . } t- , M i. t iii, `t �« " µ 6 - . ' 1 w �'E� . §� 11_ °4 4 t 4 '"` i. ^. / j"'" 1 X a e rt n �i i d e as�� 6 s &, , �#. -`:_ � � � s t ""�s € � `i" ' ° ; � °#af� �� �'is`'" "t` � i«i' � °k �"4' � � � . , -.. ;iF -4 ; � 4.4- t ""t, > ' .1 f 3 z l iAN .. "� °4'11; . � 7-4_4-11Y-=-'1,11.74 , ; . � . tf n � . i 44 ® r" ° ° t w ®' 1 _ r t . at '9 f ` tt SiF 1/ 4 ''4 ,.N.,da1, tt t '� ! ""." i . `'.' ` ' . " t S iii , :' I d �..... , «, 4 ",tJs Sa ���, a 1 t� x4 3x 44 ` r i` ` _ i s ., c --I t °f ' ' 1 ,^3, - �-. # " t } C` ? _. h,a Ir , s¢ 41,,,,,11- ... a ,� e M1 - � t _:3 ; e, �# s s £ 'a ,..r 3'" RI �fi "' � >, � � e�' �. , : �� ` • � ,>rw, s p._-: t ,. f� �O :x 1 "�... �. "` a r' ,. 13 y`'N. . >£st a"° F .,i "� s5s., > . a �€§" i t s ; . a,� .: t « z e z,. ,, a a s, _ F a 'C T ,, c £�' _ m- } $ Y s �� .;, , ' ' ,�° a �' e' er : ! " d �{ �yr3' s� ,» � �` , � r'-` Y t # -" �c`F` t ' # iE � ff� � 't_ � j ' r t # 4�, '?, g � € i � s �� +t .r s € ". 1,14 " �� . > 1.; .��t. ,r$t 3 }€ � " t Ima s m .x A s 1� ," , 6471 4 e a i t , t ht -- t r' : a »ll t ) �€ � ? � '. , r e � (e' ° a v ` s.3 17. . , t .,_�;F- ' l #,,, Pi '"^: YI'll!ti' ; c ._._.._ IA; t ._._. t_ ., if +. lit ..a 1 F ,�. I'M €' .:� f -.i 4 ..s=' t . 14 x ,. w 11 L3 &On' 1 :044 i 1 54431: 936L94551,11 J:IFORMSIBUILDERS DEPOSIT FORM.DOC . "e'""+++xv.c 'A:`!x•� 4 ..149"!a4Rw ".w �: >�°'W""x wa2rxw{ ., ., . . , ..., :., -.. O YRIp 4 White - Building Canary - Engineering INNESdt Pink - Planning J BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT M APPLICATION RECEIVED - i The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: •,-) (0 (I ic i N Accepted Accepted With Corrections Denied Reviewed By: Date: 3/ ?// 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." O PRIp4 t 0 E trf White - Building �INNESOt Canary - Engineering ��'p - Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT L P‘ND 019E5 H APPLICATION RECEIVED 3 _ I 61 , ( Z The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3� 9 Co Pot i t Pi 55 NI iN . _. Accepted Accepted With Corrections Denied , Reviewed By: i Date: 7' 12-- Comments: i , e?" - e-� e 5 ( r_1 41. �i I .-q- ( .J "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." ,s'°'F '±aTfk �ur,?y.'+e`"'"-- F'"sY....ar ac,wur , y r� wn • _ 'fir ;£ .c, u9'';;, 't ,. '' '+^qsw,`: m r:.: ,:' ,» =c5..;,,�.4.r... �,.., 04 ?Rio, ti � —..r Cte - Building `IAVNESO 'cQ' Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT U ND Ho M ES APPLICATION RECEIVED - 1 . 12 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3 (v el (0 POI NTt PA Accepted V Accepted With Corrections Denied / - Reviewed By: .. _. Date: 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 of PRIp. ti U ter White - Building '��NNESO�P Pink Canary - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT i .� Li' H O • `"`� .; APPLICATION RECEIVED �— a, - 1 . L. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: , 3 (0 q l ' f't�f ', t t , \ , 4 N ' Accepted K Accepted With Corrections Denied Reviewed By: G Date: 3/2 //i 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." 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 ins talled at the time of yibackfilling of the foundation. 6: \Admin \dept info \ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS,doc ?Ri CITY OF PRIOR LAKE Date Rec'd H ° HEATING /AIR CONDITIONING/FIREPLACE PERMIT 40 .10 .17,s dfiiv 2 1 . r. "k > Ci i e ty PERMIT NO. a ,eer 3. Yellow Appliwu (Please type or print and sign al bottom) ADDRESS ZONING (office use, 3taqtt 170iRAL. iPikss n/h/ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PTO OWNER (Name) _ (Phone) (Address) APPLICANT G .2 - (C;JI 05 1 - 1 -1 g /24 1 (Name) , _ (Phone) (Address) Z R �, VV 4 I' �` 1 005 V1 J& t nif V 5533 _ Address) (City) (Zip Code) (Contact Person) LAS et- tal.41 A 0/11/ (Phone) C /52 - 11(1 - 11 APPLICANT SIGNATURE illeleMtiiir 1 ML .!J DATE q//0/1 2-- 1 APPLICANT PLEASE . MPLETE BELOW EW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS FURNACE MAKE AND MODEL U Y\AC 3 gD FUEL. Waif: OAS FLUE SIZE RETURN OPENINGS INPUT >s6v i COD OUTPUT 131 ! OO TYPE OF SYSTEM HEATING OR POWER PLANT []Way Air Plants ❑Steam PLEASE NOTE: Air Conditioner Units and Fireplaces Cannot Encroach III Gravity ❑ Hot Water �� Mechanical ❑ Radiation into Required Side Yard Setbacks. it Conditioning ❑ Special Devices Fireplaces with Box Additions or ❑Vent. System ❑ 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 S49.50 Residential, Heating Only (New Constriction) $64.50 Residential, AC Only S49.50 Estimated Cost $ Building Permit # 'Ile Minnesota Statutes * 32613.14ft HEATING PERMIT PEE $ "SURCHARGE" has been chanced for one year effective STATE SURCHARGE $ .50 July 1. 2010, until June 30, 2011. TOTAL PERMIT FEE $ T he minimum surcharge for "used fee" permit (Office Use Only) Is Wit, beginning .luly 1,2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date — Bulldine Official Date '" , ., 4 , 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 4 411 4 11r11. ito ir4+• wi■ P Rfp Date Rec'd ° , , CITY OF PR IOR LAKE PLUMBING PERMIT to 4114\714ES6C1fr 1. slue He PERMIT NO. 2. cola coy 3. Yellow Applkmi • (Please type or print and sign at bottoms ADDRESS , A f ZONING (office �) 3 R (i tei S 1 1 LEGAL DESCRIPTION (office we only) LOT , BLOCK ADDITION _ PLD OWNER (Name) (Phone) (Address) (Name) U ' _ (Phone) � 2~ 7 4-1 ~ ' 1 v , (Address) 1U 6 1 Y 1�� 1 J j 1 (Ad j 0/1(211 (City) (Zip / / Code) (Contact Person) 11 � ' (Phone) `7 n ' i— 10 '- / 52 7 APPLICANT SIGNATURE /41 L iI JA.at�_ DATE ` y .1( 0 if APPLICANT PLEASE COTE BELOW Quantity 'Type of Fixture Quan a Type of Fixture 2.. Bath Tub with o r without shower Rough -ins 1 Dishwasher 1 Water Heater L Floor Drain } Water, Softener 0 Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector `L.; Shower Stall Backflow Assembly 1 Sinks Backflow Assembly Test Bar Sink l Lawn Sprinkler Water Closet (Toil Other FEE SCHEDULE Industrial, Commercial & Multi - family 1% of job cost with a $49.50 minimum Residential, New One & Two- Family S 149.50 Residential, Additions & Alterations $49.50 The Minnesota Statutes § 32613.148 Est $ Building Permit # "SURCHARGE" has been changed for one PAID WITH year effective PLUMBING PERMIT FEE $ PERMIT July I, 2 010. until June 30, 2011. STATE SURCHARGE $ $� R The minimum surcharge fora "feed fee" permit TOTAL PERMIT FEE $ is Vii, beginning July t, 2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Bnitdins Official Date ' 24 hour notice for all inspections (952) 447 -9850, fax (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 i ( IL"Nirt% • MAR- 28 -2a12 12:48 FRCX1:STAR PLUMBING AND EX 19528847468 TO: 9524474245 P. 1. Da0 4 RRiO� Date Reed a CITY OF PRIOR LAKE v SEWE R AND WATER PERMIT ,y 1 °aei �` I PERMIT NO. w 11 3 3. � (Platte (toe or whit and area at bottom) ZONING Wane) 696 R 6 4 /1 I ADDRESS LEGAL DBSCRIPTION (office me only) LOT BLOCK ADDITION PID OWNER (Nate) 5fi40141 () (Add) . (A tally) as Code) 1 8U4 q (Name APPLICANT � j L. x . _l 4, I L (Phone) - (Address) C) d' //L A_ %- r . ..fl '.� % = . � �_ <. _ ...:� -_ r::. Code) (A / (city) ,/ (Zip to (Contact i; (Phone) —..,— aA i •• Mb APPLICANT SIGNA z : .1 ' DATE 3 r' 09 9-/a. APPLICANT PLEASE COMPLETE BELOW Size of water service / " inches. Location of any couplings from structure feet. Type of sewer pipe. 0 ABC cg PVC ❑ Cast Iron Estimated length of sew �� feet. feet from stnicture. Clean out (if required) located at FEE SCHEDULE Residential sewer and Water line connection $51 .50 Industrial, Com'l Sr Multl- family 1% ofjob coati►it aa$S5L5B mininwm Soifer connection only $25 .50 Water cotniedan only $25.50 Estimated Cost $ Building Permit # _ PAID WITH SEWER AND WATER PERMIT FEE t .S(1DDILI��i�1d�a PERMIT SURCHARGE $ T PERMIT FEE (Once via Onb Thb Application Becomes Your Bing Permit When Approved Paid Receipt No. Date By one otttetat Date 24 hour no*ke for all Inspections (952) 4474854, fax (952) 447 -4245 4646 Dakota Street LL, Prior Lake, Minnesota 55372 �Fi 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. P Y 36x6 / '4 NV Leo/ 3, cie f ti Lo 6 ril 400/704/...7 Pro Property Address Lot t'y .. yy ,,yy yy ..yy ..yy yy ..yy ..yy yy yy yy yy .�yy yy yy yy ..yy ..yy ,�yy yy yy yy Sq. Feet x 30% _ /14. y Cee TTT T *TTT***T******TTTT T*TTTTT *TTTTT TTTTTTTTTTTTTTTTTTTT *•*TT TTTT ***TTTT LENGTH WIDTH SQ. FEET HOUSE x = x = ATTACHED GARAGE x = TOTAL PRINCIPLE STRUCTURE 0/07 .5 DETACHED BLDGS x (Garage /Shed) X TOTAL DETACHED BUILDINGS DRIVEWAY/PAVED AREAS x = (Driveway -paved or not) x q 3 f yp (SidewalklParking Areas) x = `/ / 5f TOTAL PAVED AREAS g rS PATIOS/PORCHES/DECKS x = (Open Decks'/" min. opening between X = boards, with a pervious surface below, are not considered to be impervious) X TOTAL DECKS Are: 8 S �^ OTHER x = X = TOTAL OTHER TOTAL IMPERVIOUS SURFACE UNDER/OVER IV.A. $e t' 114 Prepared By Ale/ c,dieI Date Company hoo �P� r�y14 e(/ Pn° Phone # (�f�) 6 �f -iq /' 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 36,6 /'i4/ 1 LoI 3,1v Jfir P, /ger // /Je,0,mfrt/j Lot � yyyJ.yyyyyy .yy LyJ .LL ,yy yYyyJ.y JJ. Jy yyyyy ,yyJ�y Jy .yy Feet y J. 30% = �fi/ yy y > y a y If � y .yy TTT * * * * T * * * * T ? T * T T T T * * * * * * T * * * *TTT * T T *T *TTT T T T T T * * * * * * * * * * * * * T T *TTT T LENGTH WIDTH SQ. FEET HOUSE x = x = ATTACHED GARAGE x = TOTAL PRINCIPLE STRUCTURE f 07 5F DETACHED BLDGS x (Garage /Shed) X TOTAL DETACHED BUILDINGS DRIVEWAY/PAVED AREAS x = (Driveway -paved or not) X = q 3/ r jp (Sidewalk/Parking Areas) X TOTAL PAVED AREAS PATIOS/PORCHES/DECKS x = (Open Decks'' /" min. opening between X = boards, with a pervious surface below, are not considered to be impervious) X TOTAL DECKS PDr` 6 8 51 ' • OTHER x = X = TOTAL OTHER TOTAL IMPERVIOUS SURFACE 32 UNDER/OVER /24. $e Q If Prepared By AV J 6 tr../16 4So Date J tJ. Company Jo4e'I &6 4ee(;4 � -4 Phone# C/'• ) 651-0 PRIOR LAKE DFPARTMENTOF BUILDING AND INSPECTION INSPECTION RECOftD SITE ADDRESS 4t(2 i- NATURE OF WORK SiNc0 C. iti NE�.1•{.. we. no tsHd tt.1. Nib bttk tRacek. USE OF BUILDING S CO PERMIT NO. 1 — 1 DATE ISSUED "SA /�`t. / LIZ-- CONTRACTOR RYLANO l'i D w' PHONE g:'tzl .Go ct:g NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS ELO THE PERMIT IS BY EPARATE CUME T „ < s fr W Prufrious, I NSIr.t- uC.m-4 r I Of FOOTING I/ 1 I FOUNDATION (Prior to Backfill) 1 ef/f 5 iz 1 I J � P CE NO �N� UNTI fl B �5���IC,3t� D ` � U G 1 S SEWER / WATER / SEPTIC f� f' �z _ FRAMING . 4 511/1) INSULATION et We ELECTRICAL � PLUMBING ties Y/r3f U P� 9 `/t `612 HEATING (if required) FIREPLACE GAS LI IR TEST cr SA,c, 1 -24 O VER NO W UNTIL ABOVE HAS BEEN SIGNED t44, os.e &i 4405.,- I I FINALS GRADING (Prior to Soddi ) Q/ qi ((7 -- a BpILDING I S t ig, r> co 19 _ ELECTRICAL PLUMBING we Th6j hz.. HEATING * (p L� DO NOT OCCUPY UNTIL ABOVE HAS BEE IGNED 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