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Building, Heating, Plumbing & Water Permits 13.472
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A 41/\ � 1P ID zS', 4 $, o 62 • OWNER (Name) (Phone) (Address) BUILDER ,/ .-� (Company Name) ' ' ' Ai 4: A I (Phone) ` 1 .- - _ cDtD a l.-6 00 C) (Contact Name) / I ll ' )� !S� , (Phone) a e3oA - -(� j (Address) 11 y��Zi ^ �tieiin n `-e � N t� TYPE OF WOR ,I New Construction ❑Deck ❑Porch DRe- Roofing DRe- Siding ❑Lower Level Finish 0 Fireplace Addition ❑Alteration ❑Utility Connection COD.R.C. DI.B.C. 0 Misc. Type of Construction: I II III TV V AB PROJECT COST /VALUE $ Occupancy Group: A B E F H 1 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 above - mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke this . rmit for ust cause j urthermore, 1 hereby agree that the city official or a designee may enter upon the property to perform needed Inspections. X / i t0� / i 3 SLL-I3 -3-d3________ Signature All Contractor's License No. Date RAO Permit Valuation Jiffy ! _ Park Support Fee # $ Permit Fee $ - ' /1 ∎ SAC # $ Plan Check Fee _/A Water Meter Size 5 /8 "; 0 $ ' o d State Surcharge $ C 6 e CV Pressure Reducer $ �L / - r Q 0 Penalty $ Sewer /Water Connection Fee # $ /g o U O Plumbing Permit Fee $ /c 4 Ca) Water Tower Fee # $ / a O 0) 0 0 Mechanical Permit Fee $ j r1, SD Builder's Deposit $ z so v 0 0 Sewer & Water Permit Fee $ --- ee . SD Other $ Gas Fireplace Permit Fee I $ S� S- TOTAL DUE $ ( €S7. Lye • T /Beco r es Your Building Pe - t When Approved Paid AMMILMINIM 'ei et No. err �� p Date Z / t , in, .fticial a te i This is to certify th the re. est in the above application and accompanying documents is in ccordance with the City Zoning Ordinance and may proceed as requested. This document when signed by t . ity P ner constitutes a temporary Certificate of Zoning comp ante d allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. r 'lant Director - -_ Dat Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 +- 2 s Residential Building Permit Checklist New Constructs • for Single or Two- family Dwellings in 1 or R- Districts Reviewed by: 4 , L. Date: Building Permit # Pl ? , Zoning: p Address: 1 if2,4((_ 1,(.,,tii-- 6cp,t---- Legal: L , B Subdivision: Existing Structure? YES / 0 . Existing Nonconforming Structure? YES 1 NO • CONFORMS TO ZONING YO NO ORDINANCE �— I Yard Setbacks: NA I FAILS/ COMP Standard Proposed I • Front Yard (can be 20' if avg. in 150') 25 ' _ ' • Side Yards 3 '� 25' if abutting a street r'. 0 • Sidewall exceeding 60' requires additional side 2" '10' setback + setback for every 1' over 60' in length. Not required 271' over 60' if building wall is 10' -0" or greater of being parallel to a side lot line. r • Rear Yard (© 31 O • Patio Door; provide for minimum 10' deck or sign 10' side/ statement indicating no deck will be built in thafuture 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' 1 Floor Area Ratio: NA / FAILS 1 CO IES .30 Maximum pv n I . ' Yard Encroachments: i '. 1 FAILS /COMPLIES Standard Proposed 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. Tree Preservation: NA/ FAILS / COMPLIES Standard Proposed I • Total caliper inches • Permit 35% Removal • Galiper Inches Rerra'oved • • Cali Preserved • Replacement Y2 :1 L : \T kkTE\BLDGLIST.D0C Driveway: NA / FAILS / C • 1 • IES • Standard Proposed property Maximum width at rorty ne 24 , li • � • Required setback 5' from side lot line or 30' from r -o -w on comer lots f �� • Maximum slope • 10% L • All parking areas to be paved including R -V or spaces adjacent to the garage _ • Location to match subdivision grading plan Building Height: NA / FAILS / CO S 35' Maximum Shoreland District: NA / FAILS / C • 1 7LIES • Standard Proposed Minimum lot area square feet 7,500 Rig, 7,999 Non -ri. Minimum lot width 50' Rip, 57.3' Non -rip Shoreland alterations Impervious surface 30% J 30% Maximum ter. /5" "0 3 L 31 ( 4 f 556 Mr A/' G l�� / A". /L Bluff in Shoreland: e / FAILS / COMPLIES Standard Proposed • 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: NAY FAILS / COMPLIES Standard Proposed • 100 year flood elevation 908.9' Prior Lake • Lowest floor elevation 914.4' Spring Lake 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- 11/22197 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: I f /FAILS 1 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 :1TEMPLATE\BLD GLIST.D O C ( 4FRIN \ rr1 White - Building 44A/ < Canary - Engineering NESO Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /_ / 4- l9)■49 f90 APPLICATION RECEIVED r- .1 / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3 0 9' - jam /L— paid . Accepted Accepted With Corrections Denied Reviewed By: QJ2 Date: 6X Comments: 11 / � cA a a t- G i- t ,zt ett 4 vt-,'-i, "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." 04 PRio� U rrr White - Building yI �P Canary - Engineering NrvESO Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /c21� /i /r'),/ - 7 --) APPLICATION RECEIVED `' / / , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1 0; - - 7/ '- -, c._- /-- 6 / f-) L2 , Accepted Accepted With Corrections Denied Reviewed By: MO Date: S --- al- 1 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." ' aV*•-.sm- e+,.,x,.yc71x+A.„;y,; .;.F. weann+M.k'PB°*'.a:.r. .. _.- xR",p�'.vrm , .m ^w.w`^..xy7dep"a'as' °mow. ...w..as..; ..... ...x ,.M�..;..a.,T.p*ru r > .n..x �...ry,n+w,:.. ... w.-a .v.,r•..... O� PRIO�' U tr1 White - Building yr �� Canary - Engineering NNESO 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 J Reviewed By: tv ` ��.: Date: f - 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." 04 PRI% c. Builders Deposit loivi4Esolt. City of Prior Lake A $2,500.00 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 $2,500.00 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 I, 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. , A DATE: ` 3 / 5 SITE ADDRESS: • Z� "7C� l� Mi / P ERMIT 3 . t)-94 REFUND TO BE MAILED TO: e._/") [ {D . e---C - d e -. , t , ; .4 r 1S /'1/)/1i 5 J3 � � ' . 41-2, soo _co Lynda S. len, Building Services Amount 12 - 12-- _ i3 Acct. 801.20204 PLEASE REMEMBER Date 1. KEEP STREETS CLEAN DURING CONSTRUCTION 2. KEEP EROSION CONTROL IN PLACE 3. TEMPORARY OCCUPA • - MIT MU • Wd RE OR $500.00 WILL BE FORFEITED t SIGNATURE: ( L y oppler, City Engr'. ------ _ —,—.7 — .._ _.. J .....- ..�. _. _.. __.____._. 2 57 CENTRA HOMES, LLC .'' 11460' - - Robinson Dr NW k ' Mn4 -Roby, MN . 5)433 75-511-919 PAY` ro e ' ***42 DOLLARS AND 32 CENTS DATE AMOUNT , ORDER OF 05 � 2 1 1 2. 0 13 *****42 258 3 2 City of Prioake ' r; L 4646 Dakota Street E Prior take; MN 55372 1714 ' , AS>TNC .'e SI . "� v0 23570e 1:091905 L L41: 260000" 4 PR Date Rec'd ! � �^ CITY OF PRIOR LAKE PLUMBING PERMIT �o < C vc (3 I-I B I 4 alp` F'l` PERMIT NO. �/�) 2 Yel City l ✓ - n��r'J� (Please type or 3. Yellow Applicant ({ �` (P typ print and sipn at bottom) ADDRESS ZONING (oa;ce use) 3� Ir ?G 101 CJ4- LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNE ( �� � (Name) R L UJ COY) 01. (Phone) (Address) APPLICANT` � (� J �,�., � ) I G� {Name) V(� � . V� �,� �I t i��� �) l I' (Phone) q5 ;- / - S (Address) d V[ } 13 , , 501 l/`, 1 ' 5 (Address) (City) (Zip Code) n� �,j QS?,-76-).- C C� 9 (Contact Person) f U lC V I def � 7t a (Phone) " �D 3 / APPLICANT SIGNATURE Q 4 /L % (1 ? =�! !/mo DATE . 6/6"/ . APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough -ins 1 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 1 Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet (Toilet) I Other ' L m f p um P FEE SCHEDULE Industrial, Commercial & Multi -family 1% of job cost with a $49.50 minimum Residential, New One & Two- Family $149.50 C Residential, Additions & Alterations $49.50 The Minnesota Statutes § 3268.148 +st s4:-"d5 Building Permit # "SURCHARGE" has been extended until June 30, 2013, PLUMBING PERMIT FEE $ The minimum surcharge for a STATE SURCHARGE $ .50 "fixed fee" permit is $5.00 TOTAL PERMIT FEE $ This Application Becomes Your Building Permit When Approved Paid , RAI �eGliap ®' a r� t5eWYII' lr'1 �7� Date BU$LDI PERMIT 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 ItrG CITY OF PRIOR LAKE Date Recd . liff BEATING /AIR CONDITIONING/FIREPLACE PERMIT & , /5/. /3 Ai l n NVAT t � z c ci PERMIT NO. ,3 . 12 9. 3. Yellow Applicant 7 (Please type or print and sign at bottom) ADDRESS ZONING (otriceuse) 4 9 (AIL 1 P0 (aji LEGAL DESCRIPTION (office vse only) LOT BLOCK ADDITION PID (Name) i (1.) e CY46/ ) Ca 1 at (Phone) (Address) APPLICAN (Name) ( t 17. ir\ , (J�1 / 4C (phone) s ( / ' / ' (Address) (��` C w J / n /1)11 Me / r N (Aaa s s (City) (Zip Code) (Contact Person) i V IL (3 , L-6)26 l (Phone) < QS 70 / 0 5 APPLICANT SIGNATURE ' - 1 DATE V i vti iftiLLt P atk—j --- W—L3 APPLICANT PLEASE COMPLETE BELOW E s /CONSTW.UCTION cam REPLACEMENT ❑ ALTERATIONS \ �, FURNACE MAKE ND MODEL CO( n V 1 ,5(, c� 6 U CC S 1 3' FUEL L 0 FLUE SIZE RETURN OPENINGS _ 1 _... • INPUT (4_5 N COn OUTPUT � ) E 7 ‘er?la OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Mr Conditioner Air Plants Steam Ai iJpits and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water i nto Required Side Yard Setbacks. hanical '0 Radiation Fireplaces with Box Additions or c onditioning ❑ Special .Devices [Went. System 0 Other Devices : - Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MADE AND MODEL FEE SCHEDULE Industrial, Conunercial & 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 � / Ti uildin Permit # _ F1.148 mast $ i �� The Minnesota Statutes § 326 g "SURCHARGE" has been extended until June 30, 2013, HEATING PERMIT FEE $ The minimum surcharge for a STATE SURCHARGE $ .50 "fixed fee" permit is $5.00 TOTAL PERMIT FEE $ This Application Becomes Your Budding Permit When Approved Paid PAir l l H Date BUULL:N*40 P ERMIT Bulldine Metal Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E.. Prior Lake. Minnesota 55172 0 i r RIO Date Rec'd CITY OF PRIOR LAKE 1‘.13 SEWER AND WATER PERMIT 8 �. \ji'NEsoo Yellow . Green File City PERMIT NO. / 47 2 . 3. Gold Applicant lease a or print and sign at bottom) ADDRESS • ZONING (office use) , --4 git a „ e J: LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER Q�,� n # (Name) /� �f (Phone) (Address) (Address) (City) (Zip Code) APPLICANT O tSrm. �/) 4v NL Ac. (phone) 4 7 7V / (Name) �/ (Address) 9/‘• C 1,6 . Il irs lv S' . 4 Address) (City) / Q (Zip Code) (Contact Person) Li / ,; ' '"'r b / (Phone) 61 � ! '9 z V C ' APPLICANT SIGNATURE ANIN�L/ DATE g "l APPLICANT PLEASE COMPLETE BELOW Size of water service 1 inches. Location of any couplings from struc e feet. Type of sewer pipe. ❑ ABC PVC ❑ Cast Iron Estimated length of sewer line f et. 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 $ \NITH TOTAL PERMIT FEE $ BUtL ®9 G PER” (Office Use Only) 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 RNT O BUIL TME AND 0 N F SPECTION INSPECTION g 7 / e,/� SITE ADDRESS C4 , etzf NATURE OF WOR -r In to e5 GI_f ik9 A ' USE OF BUILDING i' . fi/ d ,jAv6, 4. PERMIT NO. 3, 47z. (DATE ISSUED CONTRACTOR PHONY/fit • Agq• 6000 INSTALL EROS 0 CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING ^ to_ S 1 FOUNDATION (Prior To Backfill) (r (0 RADON RETARDER '- -�;=-"L- - ,P & / s - 3 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER/WATER/SEPTI /d' FRAMING�� - c, 0 , i i 13 INSULATION f Pe 12/ ELECTRICAL / •� PLUMBING L>,(j. (,i�s�i/3f�I , g4 ?/3/3 HEATING FIREPLACE VP "4 1►11131211W5,___ GAS LINE AIR TEST "'%`' RADON IVERFAAIDER P (Pa— 'Kt4. 4 47 (3 COVE N ORK UNTIL THE ABOVE HAS BEEN SI N D HOUSEWRAP Q (s LATH �°,� �z FINALS GRADING ( PRIOR TO SODDING) 6 8/6 / BUILDING T-e'.64, Ktiirc P6 8ji6jg Y(,6 1 i ELECTRICAL PLUMBING Iv C 8" 3 HEATING ( S 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. L FOR ALL INSPECTIONS (952) 447 -9850