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Home My WebLink AboutBuilding Permit #13-093 i i C�� (�x�ix��x�r . CITY OF PRIOR LAKE ��xt� �� ixi�� 1�t��t 'C� Final Permitted ❑ Conditional C.O. Expires � This Certificate issued pursuant to the requirements of Section I10 of the ❑ Residential /❑ International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the Ciry of Prior Lake regulating building coristruction or use. For the following: Use Classification � t� r, �� F q..M j� Y Bldg. Permit No. �,..,,�� q� `� � R1 Occupancy Type �� Type Construction v � Zoning District Legal Descriphon �� w T�� ,�,�� c T A T F C oWnerofsu�ia�n s�teAaa�ess 1377? KF�"� I{�!(iT�!�' AVEhIIE Contractor's Name & Address ��,�,� �� T � P r� � ��'�� ' t ��'�� i �> CrtyPlanner Building Official Date: ' Date: ' POST IN CONSPICUOUS PLACE C�TY OF PRIOR LAKE DATE TIAAE INSPECTION NOTICE SCHEDULED G �� ADDRESS � � OWNER CONTR. PHONE NO. PERMIT Np, �?� —� 3 O FOOTING O PLUMBING RI ❑ FOUNDATION ❑ MECH RI � �G�D/FILLING ❑ FRAMING ❑ WATER HOOKUP � COMPLAINT ❑ INSULATION ❑ SEWER HOOKUP � F�REPLACE RI ,�FINAL O PLUMBING FINAL � F�REPLACE FINAL O SITE INSPECTION O MECH FINAL 0 GASLINE AIR TST ❑ COMMENTS: � WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT O , CALL FOR REINSPECTION BEFORE COVERING Inspector. OwnedContr. CALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH � SAFETY! �vor, CITY OF PRIOR LAKE DATE TIME INSPECT(ON NOTICE SCHEDUL.EO '3 ADDRESS 3 �7Z e%�� OWNER CONTR. PHONE NO. PERMIT NO �3 -�3 O FOOTING � PLUMBING RI p E)(/GRAD/FILLING ❑ FOUNDATION � MECH RI O FRAMtNG ❑ WATER HOOKUP � COMPLAINT ❑ INSULATION O SEWER HOOKUP � F�REPLACE RI �.FINAL ❑ FIREPUICE FINAL � SITE INSPECTION � PLUMBING FINAL 0 GASIINE AIR TST O MECH FINAL ❑ COMMENTS: I � ��.�� ;��- c : < �.11t��l � lo f �'ocKtL, ❑ WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERlNG inspector. Owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS tN ADVANCE. CODE REQUIREMENTSARE FOR YDUR PERSONAL NEALTH dc SAFETY! lNSNOTI C�TY OF PRIOR LAKE DATE TIME INSPECTION NOTICE SCHEDULED ,�(P � ADDRESS I � � � ,� o � ^ Q � � �-- �� OVYNER CONTR. PHONE NO. PERMIT NQ. �� D FOOTING O PLUMBING RI O FOUNDATION O MECH RI ��G�D/FILLING O FRAM(NG ❑ WATER HOOKUP � COMPI�IINT ❑ lNSUl.AT10N ❑ SEWER HOOKUP � F�REPLACE RI ❑ FINAL ❑ FIREPLACE FINAL ❑ SITE INSPECTION � PLUMSING FINAL � GASLI �R TSTn O MECH FlNAI. �„� � ' COMMENTS: l� ; < < � WORK SATISFACTORY, PROCEED � CORR T ACTION AND PROCEED ❑ COR EC RK, CALL FOR REINSPECTION BEFORE COVERiNG Inspect . OwnedContr. CA 447- 50 FOR TNE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH d� SAFETY.� uv.cvori CITY OF PRIOR LAKE DATE TIME INSPECTION NOTICE SCHEDULED � y ( ADDRESS f 3 � � 2 � ; �,�,g � { � OWNER CONTR. PHONE NO. PERMIT NO. _1 �—�'J 3 O FOOTING 0 PLUMBING RI � FJ(/GRADlFILIiNG O FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMfNG ❑ WATER HOOKUP � FIREPLACE Rt � INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL O FINAL �( PLUMBING FINAL ❑ GASLINE AIR TST ❑ SITE INSPECTION D MECH FINA� p COMMENTS: � � ' � c �P evK`s D2 , r2 l.� a,�-e3 � C� � � � � � � � _ c ,�f? o � �- �� L �Q K,�C�, �� A� � �f� � � ,,.�.�.� � S�_�� ,� � [7 WORK SATISFACTORY, PROCEED CORRE TION AND PROCEED ❑ C RRE T RK, CALL FOR RElNSPECT{ON BEFORE COVERING Inspedor. OwneNContr. CALL 447-9850 FOR THE NEXT INSPECTION 24 NOURS IN ADVANCE. CODE REQUIREMENTSARP FOR YOUR PERSONAL HEALTH 6c SAFETYI rNSnor� ClTY OF PRIOR LAKE o�rE TIM1E INSPECTION NOTICE SCHEDULED ,5 � ADDRESS �� p2 �� g � OWNER CONTR. PHONE NO. PERMIT NO. _ � � �" ( � t] FOOTING 0 PLUMBING RI 0 E)(/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI O FRAMING WATER HOOKUP � COMPLAINT ❑ lNSULATION ❑ FtREPLACE R( O F1NAL �R HOOKUP ❑ FIREPLACE FINA� f� SITE INSPECTION � P�-UMBING FINAL O GASLINE AIR TST CI MECH FINAL ❑ COMMENTS: ) �� Z ` � J v" � I � ❑ WORK SATISFACTORY, PROCEED � CORR CT TION AND PROCEED ❑ COR C RK, CALL FOR REINSPECTION BEFORE COVERING Inspector. OwneNContr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH d� S�iFETY! rnsNOn o � PR�O� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd y ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 3� /� U � AND UTILITY CONNECTION PERMIT l- "�''�rNeso�c* � "'''�„ F��° PERMIT NO. �� ,� ? r��G c�i , Yeilow Applicam Please or rint and si at bottom ADDRESS � 7 � 7�, �� ZOIVING (ott use) �'� LEGAL DESCRIPTION (oflfice use only) LOT ! BLOCK ADDITION �I ��1 S`J:� iS��l �� S PID � ' ��'� �� r E� OWNER /j (Name) H� � � �� v/'� S (Phone) ��J� �'�3� Sa (Address) � t�`7J` �p o� , �I � � t,/a � 2 j/ �/ � � 1 BUII,DER / / (Company Name) l.�G `�1 � 7' �l �l{ � (Phone) 6� �� 1�� S� (Contact Name) �l b�, �^✓1 �i (Phone) (Address) y 1.� � g G �o�.� TYPE OF WORK �9a�r Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑L.ower Level Fims11 ❑ F�replace ❑Adduion ❑Alteration ❑Utii�ty Connecnon �+ CODE: �LR.C. ❑I.B.C. ❑ Misc Type of Construction: I II III IV V A B pROJECT COST/VA.LUE $-� 3� S�� Occupancy Group: A B E F H I M R S U � (excluding land) Division: 1 2 3 4 5 1 hcreby certity that f have fumished mformahon on th�s app(�caaon which is to che best of my knowledge hue and currect I alsu ceinfy that I am the owne� o� author�zcA agent for the above-menhoned propc�ry and that all consauction wdl conform «> atl ews[mg state and local laws and will proceed m accurdance w�th subm�ttcd planti I am aware that thc buildmg ot7"icial can r [ s peimtt �us[ cause Fuitheimore, I hereby agree that the aty offiaal or a designee may enter upon the property to perform necded inspccnons X ��-�`--�—� .� a �.�yq �/ �-.�.� 1� Signature Contractor's License No Date Permit Valuation Z e 0e� �- Park Support Fee # $ Permit Fee $ ZZ 5 � SAC # $ Plan Check Fee $ �. � g Water Meter Size /"; 1", $ � � � State Surcharge $ . 5Q Pressure Reducer $ � Z� _ Penalty $ Sewer/Water Connection Fee # $ � s� � Plumbing Permit Fee $ � s , 7 ,p Water Tower Fee # $ ` � pp� ,- Mechanical Permit Fee $ � S p Builder's Deposit $ t �� . � Sewer & Water Permit Fee $ �. Other $ Gas Fireplace Permit Fee $ � . � TOTAL DUE� � �G;[ t`� $/ P � �,. �%' This A ication c me Y r Build�►g Perntit When pproved Paid Z Z ei t NO. � Date "> C . Z-! ►t / 3 Buddme Utticial Date This �s to c �fy that d�e req c, n the above appLcauon and accompanymg doc �me s is m accoidance w�th the Gty Zumng Ordmance and may pruceeA as �equcsted Th�a document when stg � by he rt Pl� consututes a.tempurary Cernficate uf Zumng mp ance and alluws cunstruchon tu commence Before uccupancy, a Ce�nhcate uf Occupancy must be issucd ------ � �� r � anning Director Date Special Conditions, if any 24 hour noticc for aIl inspcctions (952) 447-9R50, fax (952) 447-4245 ' / 4646 Dakota Street Prior Lake, MN 553�2 Residential Building Permit Checklist New Construction for Sing(e or Two-family Dwellings in R•1 or R•2 D'[stricts Reviewed by: �� .�— -; Date: Z� i � �� 3 Building Permit # � _ __.__ s ' Zoning: Address: � 3 'l 1 Z � �r, �( �"�� T"� � � I C Legal: L , B Suhdivision: Existing Structure? YES /�. Existing Nonconforming Structure? YES / NO � CONFORMS TO ZONING Y NO ORDINANCE Yard Setbacks: NA 1 FAILSI CO IES Standard Proposed • Front Yard can be 20' if avg. wlin 150' 25 � Z �' • Side Yards L L.An�"'� Po ��— 10'! � �,� ��„��.., �� ,,�.H.�a v �N 25' if abutting a street �° �j � 1 v' ��.45 �..°.v`�..�� 2 S • 1 O, o • Sidewa►I exceeding 60' requires additional side 2" 10' setback + setback for every 1' over 60' in length. Not required 2"/1' over 60' if building wall is 10'-0" or greater of being paral(el to _ a side lot line. � ` • Rear Yard 25� •� Patio Door; provide for minimum 10' deck or sign �0' side/ _ sfatement indicatin no deck will be built in the fiuture 25' rear • From 100 year flood elevation of wetlandlNURP 30' - pond. — • Refer in- round pools to the Plannin De artment • From OHW (Prior or Spring Lake} 75' or setback average of adjacent strucfures, but no � less than 50' Floor Area Ratio: NA 1 FAILS 1 COMP IES .30 Maximum . Yard Encroachments: NA / �AILS (C LIES , � �,- !"° -�� a^,= ° ' ;�?��b� . �x ��.��. , o �sed Eaves and Gutters no more than 2 feet in width art��, �;�g�� `"�,,;� .�;�.� y�;i:::. °�... cfoser than 5 feet to a lot line Easemenfs . �,� °, _ y'�,,,k�" �, _ AIC and other equipment cannot encroach on interior side ards. Tree Preservation: ( FA(LS / COMPLIES Standard Proposed • Total cali er inches • Permit 35% Removal • Gali er Inches Re oved • � Cali, �r'Ir�ches P,��served � • Re lacemen �/Z:1 � L:\TEMEb1�1TE�BLD GLIST.D 0 C / Driveway: NA / FAILS / CO P ES � Standard Proposed • Maximum width at ro line 24' 2 �� -�,�- I Do� • Required setback • 5' from side lot (ine or 30' from r-o-w on corner lofs �.C� � ' • Maximum slo e � 10°fo • A(( parking areas to be paved including R-V or s aces ad'acent to the ara e • • Location to match subdivision rading plan - ��} � Building Height: NA/ FAILS! C IES 35' Maximum (� Shoreland Districf: FAILS / COMPLIES , Standard Minimum lot area squ�re feef Proposed 7,500 Ri , 7,999 Non-ri Minimum lot width � 50' Ri , 57.3' Non-ri Shoreland alterations Im ervious surFace 30% Maximum Bluff in Shoreland•. FAILS ! COMPLIES Standard Setback from t f biuff Proposed � By planning dept. • Bluff im act zone 20' From Top of Bluff • En ineerin certification submitted/a roved By City Engineer • Grading in bluff or bluff im act zone No importing/exporting Floodplain: A FAILS / COMPLIES Sfandard Proposed • 100 year ood elevation 908.9' Prior Lake 914.4' Spring Lake • Lowest floor elevation 909.9' Prior Lake / 915.4' S rin Lake � Proposed lowest floor elevation Must be 1' above flood . elevation for new and existing • sfructures. If existir�g structure was consfructed 9119/90-11/22197 then additional foot is not required. � � Elevations 15 feet from structure Must be flood elevation or � � hi her • Road access must be no more than 2 feefi below 907.9' for Prior Lake Re ulafo Flood Profection Elevation 913.4' for Spring Lake Accessory Sfructure: I�A I FAILS / COMPLIES Sfandard Proposed • Size 1000 sq.ft. or 30% rear yard • Not located in fronf ard Maferials • Side ard and rear ard setbacks q�� • • Maximum heiah� ��, � Maferials cr �vith rinci le sfrucfure L:ITEMPLA` � O � PRlp� � � H U t:f White - Building MINNES��P Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT �, " �/ l t. ,"Jt,�� ffi �F � �.� �;��. , f� r'.� �... ��'�.!��' �`l `1 APPLICATION RECEIVED f • �� rt� The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: %..�' f' /� � /�" :{a.. �,/ � %/VC`;i l �i ��% �� ''�. �'��.- Accepted Accepted With Corrections Denied Reviewed By: /{� Date: � 2 '� 2 '� 3 Comments: See Reverse Side for Additional Information! �.J See Attachments: 1) Gradina Plan. 2�Erosiori 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." . � ��°��l�L ��M�t��l�'S �� U�L�� PR��' ��P��`c��NS � Surfac� s�orm wa�er drai�a�� I�wing fo fh� perime�er �� his l�f �'o and f rom ad joining pr�perfi�� musf �� eo�veyed �a fi�i� roadw�y and/or fio fih� r�ar of fhe lo� in drainage swaies vui��hin �h� drainage � �a�ement. � . . . & AI!- ba.re soii ar�as mu�� be pr��ecfed from �roding in�o neighboring properties �hrough ��h� pr�perly insfialled and main�c�ined siifi fence or bal�s. . • � . � The�si{� ��nc� required by fihe��rosion confir�l plan m�s� b� insfiaaled }- prior �ro any ear�'hwork ��i�ng s�arfed, �. � Th� builder is respansible for maintaining �h� �rasion eontro.l measures un�il �i�e �ur:� i� ��iablis�ied. . • � - �� .�he rock cons�ruc�jon ��n�rance mus� be insi'alled afi �he fime o� � .��.� ' •��ackfilli�g o� fihe �o��a�.ion. .. � . . - �. . . � � . . .-. .,,� ` `� . �:, . 6:\tidmin\dept info�ADDITIONAL COpAMENTS F�R B�� p�RNST APPI-TCATSONS,doc O � PRip�, ti � U t White - Building '�,NNESO�r Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT f�"L �,�(,� /'�D � � �'�G�L� �C/��S APPLICATION RECEIVED � � �� • �� The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /�.3 7 � Z /��r ; /�/S%/� � /�,� f�� /�� Accepted �/ Accepted With Corrections Denied -- _ _� / , �� . / Reviewed By: Date: _ 3 _�_� Comments: ��-�-�-- b�-�s �� l��-�-� �v G c6� 5 �,�45� - � �- �_ � �'''�� "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 � PRIp� � � H U t White - Building Canary - Engineering �INNES�� Pink - Planning R��LDING PERMIT APPLICATION DEPARTMENT CHEGKLIST � NAME OF APPLICANT , � . . . : � . . � , .. � . : t . " �.., ,�.. _ -� f . -.:.-, � f ." f APPLICATION RECEIVED ' � " �� ` �� . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: A � ✓. ' , f r ' , t � , � � i � Accepted � Accepted With Corrections Denied � - -- -�-_._._ �• t / / • 1� , ,., /� l � � � �'' Date: � �' Reviewed B - � �' 1" - Y• Comments: ' � s� r m.es.�;i s.,..m. ., ,., a !/�A�.1. .e �?3 b; .., c,��i;4 . �II1t8 �:�$Ot �.�"iX1C�1'O�S�C�Y lII� �t�1aY.��'� '.., Q � � Y �� V � �"fL1T L� ' � t 0, �/ l ✓ - - 'TL l4 V "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 .� rRro� � � � Builders Deposit V � ��SO�� City of Prior Lake A$1,500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposif 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 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 Meastares for Building Contractors handout. DATE: �''��--� / SITE ADDRESS: � 3�� ,�/J� �' . f �, /'J PERMIT # I.3 _____� REFUND TO BE MAILED TO: _ w�L �� ,r �•�-��i S • • PLEASE REMEMEER AUTHO ATION TO RELEASE 1. KEEP STREETS CLEAN DURING CONSTRUCTION � �-- _�� S UO,Gp 2. KEEP EROSION CONTROL IN PLACE ✓naa s. en, Building Services �nount — 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR $50U Da e�,� Acct. 801.20204 SIGNATURE: ..�___.__ .._..._---__�.----- . .. ``J LarrY � gineer �• •� � '� e �, . . ' ■ � � Walillut WALNUT RIDGE HOMES First Bank Blue Earth � • - 10181 240TH STREET EAST 306 S. Main St. �F�2 ` LAKEVILLE, MN 55044 P.O. Box 40 ` ; �iUMES -! 952-426-5201 Blue Earth, MN 56013 3 507-526-3241 Date 2/15/2013 � Pay to the '_ ' 3- 1E�/os�2 ' Order of CITY OF PRIOR LAKE �' '�.�.. � � � � ��;. $ **11,292.08 ' ELEVEN-THOiTSAND TWO-HUNDRED-1�l t � � rl � X�&�'D`0�8ifI�O� ; � � •� � m. �, Dollars , � 4� f CITY OF PRIOR LAKE �''' =��a�"�' x � ''��;»..� �' �$..r' 4646 DAKOTA STREET S.E. '��°�� ky��,;�::� �..,'.,;�"� �,; ��`'�` '' - PRIOR LAKE, MN 55372 ;�::� :°<�-��`� � _wx�=-�' ; Memo 13772 KENSINGTON AVE-BURNS-BUILDING PER . �..._. _ ._�.. __.I . ---- : FORMS1Bi�ILDERS DEPOSIT FORM.DOC P RI / aa�� C�� a��„-, �,�� r�� , c �� , p� �� Date Rec d � � CITY OF PRIOR LAKE � � SEWER AND WATER PERMIT � I Green File pERMIT NO . �— � 2 Yellow C�ry 3. Gold Apphcant Please or 'nt and si at bottom ADDRESS ZONING (ot�t use) � 3 7�� re� , � �.�� -� �'f LEGAL DESCRBTION (oflFce use only) LOT BLOCK ADDITION PID OWNER l (Name) a `� � � �i�c� �� /,�i�i!'� S (Phone) (Address) (Address) (City) (Zip Code) APPLICANT � (Name) � 9��1 �J�h � �f� �./G �1(' (Phone) ��,�-- 7��-'_ ��'q� (Address) 1.��'� S� �j - c � V�+ ��t � ��c�� ,� /1✓Y �i9�� /�C `�� 5 �� 7� (Address) (City) (Zip Code) (Contact Person) � J �� (Phone) � � � '� �� ` 7��I APPLICANT SIGNATURE �� - DATE � a3 � APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. ❑ ABC ❑ PVC ❑ Cast Iron Estimated length of sewer line feet. Clean out (if required) located at feet from structure. FEESCHEDULE Residential sewer and water line connection $51.50 Industrial, Com'1 & 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 $ � ( `j�� 1 �.�/ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By BuildinQ Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 C./� \ m: 0411E/2013 22:18 #136 P.001/ �.� pittp� IIate Rec'd � CITY t)F PRIOR LA�E PLUMBING PEItNIIT '�'�viv�sa�" ,. 81 ue `'�° rPERMIT NO. � 2. Gold Ciry � �j ._D� � 3. Yelfom AppkieaN � n../ nease or ' t and si at battom nn�ss 2orm�tG c�a �� 7� e��S�i� .��i�� /� � EGAL D�SCRII"'1'ION (a�96ce,� unly) :.OT �LOCK ADDITION FID .� . . . y� . ; , _ , . r �. . . .. • �. , , f�, yy7 � - 7ame} ��'�� I ! ! (•' ti �/'��: � .� / ! �"��_� {Phone) ___ ._; J_%�l �'�fy � �Xt� � ,�. � �� ' � , , . �L ►�s � � � 4 � �" � -r I , � �� c � ��` '��, � �t' �I�'� /i . - ='��;1. j�.; v�� `�rT �I�� C��CLI�I/t�� f?'` ��l 'J �''�'-� �� J ��e� ��.. � � �� ,aa�ess� �(� ?� � � �`t �; �' ��1E f ? - �� / !/��''��.� �.��' > `,.�,��L� �Aaar�s� {cs� " {z�� coae} `antact Person) l l ��t��-9 i J!. `!:' 1�� ' (Phane) %•' .. i --• r ,..— � ��l ^ , ;. , ��r/ /'' j -�/�% E'1'I.ICANT SIGNATUR�� % � -�� i .l•E !�' ' � ��c. � DATE I � l � .'�� . � ; APP��CANT PLEASE COMPLET� BELQW � nanti T e of I�Yx�tre nanti e af �'ix#ure � Bath 'Tub with nr without shower Rou h-ins Dishwasher ( Water Heater t Floar Drasn Water Saftener ,-�> Lavato athroom Sin�c Stand Pi e ashi Machine Laun Tra 1 or 2 com artment sink Sewa e B'ector '" Sl:ower Stall Bacitfl�w Assembl 53�a�CS Back£low Assec►ab1 Test Baz Sink Lawn S rinklex , %> Water Closet Toilet Otiier �'EE SCHE�ULE fndustriat, Commercial & Multi-family 1% of job cost with a$44.50 minimutn RESidentisi, New One & Two-Family $I49.SA Residential, Additions 8c Aiterations 549.50 o Minr►csota Statt�tes § 32GB.I4R � � �st $ . $uilding Permi# # • �.HARG� lias been changod for one 8"/1�� 'Y V f 1�`� yer:roffsctive p�UMBINGPLRMITFEE $ �� p �� ty �, 2dt�, z:nt;1 �une 3a 2tJf 3 . STATE SURCHARGE $ .SO �r�� imt��p surehxrgc far e"rzc8 fee" permit Tf)TAL PERNIIT FE�+ $ is '�i, begiuning dnEy 1, 2U1U Chis Ap�lication �escames Your Building �ermi# Wlaen Approved Paid Iteceipt No. Date By BniIdins Offiaial Datc ?A 6our notice for all faspections (952) 4�7 9850, fax (95Z) 447-4Z45 4b46 Dako#a Btreet S.E., Prior Lake, Minnesota 55372 o � rxza�, C� �-' I�`35� ,�, � CITY �F PRIOR LAKE Date Rec'd � HEATING/AIR CONDITIONING/FIREPLACE PERMIT �r ti�' NNE�� z_ � �, c;� PERMIT NO. 3 Yellow Applicant • Please e or rint and si n at bottom ADDRESS ZONING (o£fice use) } 7-�.�. 1c_u�' `Sl � �Y1 � 1�C_. LEC:AL DESCRIPTION (office use onty) LOT BLOCK ADDITION PID OWNER (�,�c�� t(�(V�.Q-S (Name) WQ�v� ' (Phone) q�r�-� `5� � (Address) (�� l'` �, � U�� l � j� �- APPLICANT , � r�r�,2„ (Name)_ ��f n��1�cD-A'1�cD�� Y1L (Phone) ��' � �� -� (Address) i l�� I � P�e_D"� S� ��- l*c9.YYl ��-K.L �l� �� (Address) (City) (Zip Code) (Contact Person) � Q�CI� �C� (Phone) � �� f �"� � `��" 5�- APPLICANTSIGNATURE DATE 3 °�� APPLICANT PLEASE COMPLETE BELOW �NEW CONSTRUCTION ❑ REl'LACEMENT ❑ ALTERATIONS FURNACE MAKE AND MODEL �� q �as�z}� EQ(�5�1 FUEL I� (.�.'s FLUE SIZE RETURN OPENINGS INPUT OUTPUT % UO� � 13� U TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air Plants PLEASE NOTE: Air Conditioner ❑ Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑ Hot Water � Mechanical ❑ Radiation into Required Side Yard Setbacks. �Air Conditioning ❑ Special Devices Fireplaces with $ox AdditionS or �Vent. System ❑ Other l�evices Cantilevers to the Outside of Buildings Require a Building T'ermit. FJREPLACB MAKE AND MODEL FEE SCHEDULE lndushial, Commercia] & Multi-fiamily 1% oFjob cost Resideniial, Gas Fireplace $49.50 $49.50 minimum Residential, Heating & A!C (Nerc� Construction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64.50 i2esidentiat, AC Only $49.50 Estimated Cost $ Building Permit # HEATING PERMIT FEE $ �� STATE SURCHARGE $ .50 TOTAL PERMIT FEE � �(,��i�� I�.�I� � (Offce 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 ,� g��, CX'�''Y UF PRIOR �A�E nste ]Etec'� �,,° �,� �EA'�'�G ,��iDYTYO�N�/] � �' �A,CE PER1v�IT � � . ��re: t�� . w...r.. ��,,. ��' � a �, PE� N4. 7. �"«tor A�.e a �' #� i� - AxDDB�^�i ZDIy�'i� t�ws) � �� I.E�AAx �1F.�CStF3'�Ol�fi �e vre � �.OT �C A�i?T1'�C� � �� ' c �� =�� t �` . �� (�� i �r� � � .r- �—' ��) tbd�) E�;o�tFe� i i�.a-+t...� f�I�ut> �� AFPLIC',A� SH31+TA`I� �A'� ,�l,�'P T �'L�AS� Ct)MPLET� B�l,G1'VS�' w car�r�uc�or� I� ��ar�r �,'��a�� 'U�iN�►,CE MA� ANp M�EL �tJB�. Ft.'UB SY2E �tET'UItN O��N�Nt3� II�F�"1TT' d�fJ?P�" �� flF SYS� BBA.TIl 08 PUW�R �'LA�''T �L� NtY�'�: Air CQ�an� pW'�rm 1tn P�q S�s 'L�b �id �� c�ot � � ' Hat W'ater �Q �ir�d S� X�re! 9�sda, *r��i 8peci�l Dsri� �� ''c Add�ti�nt W' [j�y��, � dt�r s ��vert to t�e f)ab�e o! �ld� � Ret�r�irs � ��dia� P�. ��.AE� �E � l+4QD��L . � bsdrosvial� �CoAm�ei�t � Mt�l��r iS6 ot job �� td�s� (3is F3rmQl�cs �49.i0 u�.s� � Rtaid+�t, � �c ,NoC {Nw► C�) glt9.st► ' Rc ' 'os�s S49.so R�e�da�. �r� EkIY (�w C,o�io�) Str�.Stt �ssid�. AC Qs�y 549.�1 1hc Mistzttt�t �ttt�es � 326�.14F8 ' ' O � � ��%� �� `� °Si��IAR�B" h�ur be�s a�ende� � ��• �'�'il y�,r� ��3, �C:,:3, :�EAA'T� �BR7u�T F&� $ 7'he �irauuaaaa s�r�e t�r a �TATB �C7R�.C#E S '9E�ce�1 �' pa�t ts �5.w 0 ['tU'i"AL PF�th�IIT F�'E �,�'„�,�� 4 'r'le� Ap�r��a B#09nls YB�r' H� �'!�#t 1� Appi'O�a'Ed �Ei R�oe�pt N0. � �v �i/l`�F� � o�w � . , �, j� 2� 44xr nasof �Or ��e�on� {!ss} M"1�BS0, ts� (9'�� 41�'7-4�ks QrollB �i'b!d �� 9Z6bZS6 ZO�ZT £T6ZfZZli�O PRIO LA K E BUI D�ING A DONSPECTION IN PE TI N RE R SITE ADDRESS � ��'��- ��'t`� ►''�'�'�'^� v � NATURE OF WORK �'� � N�. P� Np p�� - ��. �•�-• USE OF BUILDING Si� v 4-`' � �"r�- PERMIT NO. I 3• QP9� DATE ISSUED Z�� 3 CONTRACTOR ��c.� t��c►c�C �`�O*�s PHONE �o �z- e°3 s�s8 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY S�PAR�TE DQCU I�AE�T -� �oNT+`��- � �0..1 , �(�kyNM GeS�a r�'��i SPECTOR DATE FOOTING '(.JC 3 �� FOUNDATION (Prior to Backfill) ,� <� � PLACE NO ONCRETE UNTIL ABOVE HAS BEEN SIGNED ��w�a �,,.,�� e...._�., R O U G H- I N S SEWER / WATER / SEPTIC S��c !,"e� 8 i� FRAMING �� `--� INSULATION ,�a �' ELECTRICAL PLUMBING�� , �y' �� '� �~� � HEATING (if required) FIREPLACE GAS LINE AIR TEST �� , �' . . �1F� ' �N - � 3 �� COVER NO W �JNTIL ABOVE AH S BEEN SIGN ��D � o�S�t��'' �..,P�-'�1� �� r � � 2�,�/3 FINA S GRADING (Prior to Sodding) � 2 / � BUILDING A � �� ELECTRICAL PLUMBING !� fb HEATING DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an elect�ical 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 �OT DATE: 02-OS-13 FILE: CTS 13004 OS A W N � C O �.� � C NN ND �m � NN �� O f�l�TIOD� f�r'�� Or"� ''� ,�j'�� O UlU1 .Z).Z7.� � f� SO N-1 f S� OQ ��'.,� r � r V N m � ww m � " 000 O f X o �.rncn F � m �� v � � � � � � � � � N � O � �O ��,�� 0001'�*t � m � Zo o m� j,,� ' cD rt- p m °' � ��.�< G�O o�p (ntnt�v v, cJ�� rt �� • m O (n ��NCn r^ � Z mmm o o a 3 �`'� �„-.�-° ��, n� v v v o m g;, ;, n n �T1 0 0 p I'Tl V U1 W �� C. S 0 A C D D m m m m X D � � W � r G. I O�O ��O�p S� n m 3 z � m z z z z � o z z � ?�(�� C C m r'�� n W�IZ�N �<N �� z n D = � o m m m z � � 3 z r � � 0 r C �� N z � OD fn = (n :` N 3 m { y p N vi vi � G� c m z Z I'Tl O�.. � Z � (/� G7 Q Z �� N f fp A C C'J O �� rt 7 �•� D � Z Z � o m � D O N O m p rn �� c� z m �m� o ,-. � mc� .+ � �� Z z Z z �� C � Z (n � I N" � �O tn Z �i � x o c o z rn c 1 c �� -I �I � N.�r UI �, 0 p cn � � D 3 � '��t�N D N �O-iN ��• N �� t0� �' p�fn �n p m o m� Z O m o n � O O Gd n N� C O n m D D -a C z o y n� �_ �� J A� ,.�, f �� Z C � p p N v T � � am � a c o Z � o n � ' Z O O �� 'roC �� 3 � —I .'O Z O � 0 � vZ �� • z � r � � '�9 � � n �, D z � I' Z W � � � � � O (�E N �^ rn � c�n °� �l � �- � - � � o � Oo ' � O�OC,d an � n � O �a o s -• � � � � n � � • � Q � � � � m '� � � � � � � � r ,� � � � 03� 1 � <_ _ 'I w i I�II AT y m na n i � �O 0 omp �o°� N00'�0')6"E x R�, x�°9 92.90 � � � 3 �� R � � � z�n � � �� o=� ----- � ° R,�_ -� I �F2'AfiP1�GE AND UTILITY EASE NT --� � ; � � � � i � N o � o I ` -� o I � � �` ° �`�� ° m� � � �� ' ? 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A N � � � � � fm �� n y � ---- 51_29 --- -- '� 19.50 ° 11. 1�.15 "' � � --. � � - O `y � � � ? � � SETBACK L NE � I „ (1044.80)'� 211.15 '� " N II � 7 N N� ' x' I � O \ y � � �� N(n Jp� \ 2 � N I �I o�` O '0 N N�I O �J � � �� t�` fC � C�J � I � v � � � � V m O \` \\ � J � � � I � � � � � �� b � \ �� w r n � °°� ��`� � �dS34��d1{V�l o � � o�O � � � �' 91.70 ��b'M '�NO� ��nl S 0'0 "IN� v `� � � rn n � rn N � I R � � � � p ��A� 3N1� B�JfI� 2�fllfl� �91 � rn � O N Z � ,� Z� 3nb' NOl�NISN3�l I A R6, � C r � rn � � µ � � �, LL'L�bOI= � ° o 'aJ,H 1(1N d01 � � � � � � �i�'dWH�N�B , '� rn N � G, �� Z � � � ° � P� � i' �'c� � `� `<`� � � � �� o�� C1 � i � I