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HomeMy WebLinkAboutBuilding Permit 13. 0584 - - ` ' " - ' ' 3 R 4 'J' 4". +k. P ,...^,y,.,. 4'3 x. a w« er Y .f ,8,vy'c _.. ,?C‘ yA A, A ` N , A, Crrfiftxafr oaf (> rrnpanr CITY OF PRIOR LAKE • ;,2- !iprfmntf 'If !uilMn 1n%pixf on K ❑ Final Permitted ❑'Conditional C.O. Expires '' This Certificate issued pursuant to the requirements of Section 110 of the❑Residential 1❑International K = Building Code certifying thatat 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: K Use Classification �/N�'�L L Fr//1//L Bldg.Permit No. /� vi,) Districtv0 I pancy 1'pa .-' Type Construction Zoning '� Legal Description L * L� /--/160 o�-y .�HGf�,S / , / R, G, `z D f 7 V Owner of Building Site Address ,36-(, / �/ 67 >' �. f . / &AL1 U�-/ /NL � - Contractor's Name&Address 1 .-.Cr) E f Z-7 (" 7 C1 / 7 city planner > B ilding Official Date: � b1 Date: POST IN CONSPICUOUS PLACE o P i i a2� 2 v2 \ > i iiiiig o�5.il 10 2 E t � � � ° Q. . OOOOD W D . o \ ul t q < i 0 o e 2 Z fli }} ■ o a EQ. I- g e oval 2 w � § I- rg z - xxz ■ a ■ 00 2 §$wwgx 2 2u) - a �222 �a W uJ � & • a ■ ■ ■ a■ � � w ILI o � OooOCO aU1411 a u. n 0 .=ul \ b ■ i & w al 44,.., Z § g Q \ 0 ■ S 0 Si § k te� p % & o§ « o a OocO O = .. JaaF.. �r Z _ Z H C; EIQ E i \ 0 J K IT. rt ILI 1.1J �1 e( ;it, �g5g =_ CIO 0 z hi ia o�� , > it 1 i Li\ VLLLL �. O 3 *00000 , 1�� 0 i M �1 — O N CO c p aafV W Z 4 Z Va V ` ILI 114C C0. la 0LLa 2 000 z WV oZ0 0 W 04 W ( 4. 7= g= ca VOU JWJW , WW V W I 0000 ❑ ❑ v0 � aLL } J z re O a r W W u 0 in S ' V > 01 thd re Z -1 174 o ocoa0N Z IC w . l► o 0 o a Dui WW = tm � OI 2 pO1cZ0 LL LL LL LL H o .< Z 0 a ❑ _0 a 000 E. -.1 j _ 2 1k i'' ■P. 3 ■ � ■ q i $� iu) ti < 3 5\� gm: 45 02 2 241 ® ■ § rd SS � � � > k 000000 j t 7 U : a 2 z 2IL 01 \ iii 0 a. a. � � k § . ■ o9re � o ; 0 u, $ ■ m o § m « §a! g + 2 _ tr z _ xzz ■ & S S a © $w � �s ■ a � � � § § ° 4S2 � x a2 $ # a2 W Ul � 2 OOQOO Ci ,, § 2K © % a a t o IQ W 4; t47 0 < w { b I- § B \§ - 0 � S $2 � St 01 rt to ci liii lece 112C§ I ■ Q Q g U ■ 2 0 a OQOO O U Ki M OO` 5 - I1- W 11. v � 14 k . � � 2 0 0 ww2 $ 4 ■ o �� � ■ a W � u �� � & 2 » OOOOCO 0 \ CC O _ u. & § o ` �� � 4Z k ILI § 2 2 � x22 0 0 § § , S ° F § 0 0001 \ § © & § 0 § w §E3a § � k # \ U a ■ aI-ug 65 oo .ILI Tb I- p k. } § § ■ a.X 4 % 8 \ W OCOOO 4� a.CZ k • )slil\ fi E E ) 0 c § pz : o 0 S $ rt � 0i�t- u) 2 ■ Q 0 �k 2 § § �2�z . k pe oe iii§ a § Q 02 0 iii k 2u.U.22 § 0 k.) 0 ft f §2 2 $ a oQOOQO U c 0 J W = I� oZWWW !Li V UUa e� 25551_ F ?� o� Nt Z !Z w 0Uu. � t9 W y 0000 ❑ ❑ p r u. i \ U 0 eir W Ley Z 0 w Z MM z 0 F wa t, 5 ii a og1Q 0 W aixzz .f� CO a C0 0 W m =Wd' OD= \ 4.. a 6 z 2 �W '~4j � U ` W W �Z !C k. a � 3waTe W v z ❑ ❑ ❑ ❑ ❑ ve C2 sa p W -g 0 \\ tW W Z O 0 c) ~ N 0 01 ZZ 0 oz u9 WI_ d z Z o W Z22 v, U 5 _,3 ooche o U ? a 0 a 000000 0 F Pluo CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd �` ° '` TEMPORARY CERTIFICATE OF ZONING COMPLIANCE M i� 3 � g, kik AND UTILITY CONNECTION PERMIT 5, 2 13 4--if+crt:60.41- . i ,s. Fit PERMIT NO. / 4 3 YeItwv Arohaat ._..eJJ (Please type or print and'slgrt at batt: ADDRESSZONI140 of rice use) 3( <v / T Dg.Ivc 5-mi P050 LEGAL DESCRIPTION(office use only) LOT q BLOCK l ADDITION /'Cr-0, -' S/ 5 ii4i4D. ND 2`3 , 4-'14- 064- b OWNER (Name) (Phone) (Address) BUILDER D.R.HORTON, INC952-985-7272 (Company Name) (Phone) .. (cootact Name) Brooke Nereid bmhareid@drhorton.com (I' 952-985-7806 (Address) 20860 Kenbridge Court, Lakeville, MN 55044 TYPE OF WORK r iNe Constructtoa C eek OPoitt I�+sg DReIng C :t we le l Finish [ fireplace DAddition GMtera ion DUUtitity Connection CODE: 1I.R.C. QLB.C. 0 Misc. Type of Construction: I I/ T IV V A 13 PROJECT COST/VALUE $ ��3 ��....7 Occupancy Ccctpauy Group: ABE E RI M R S U l - ' (excittdtlttg tend) Division: I 2 3 4 S' I hereby certify that I have€unsishcckmforttiation on this.application which is to the best deny I:noseledge lave and correct. ratio certify that I am the owner or authorized ages for the above mentioned proper and thai all a tst actionwill cootbrm to all existing ate and local laWs and wilt proceed in acetottanee with submitted plats. I mi aware that the beading official.can revoke this permit forma st,cause Putdtthanwre,I hereby itgreerhat the city officiator a deaignce designmay enter.o the PrniThil.to Perform needed atpeetmns. r BC605657 5��� Signator f actor's Li se No Date . Permit Valuation Park$01)Port Pee $ Permit Pee $ 3 11--w.)--0 SAC # $ z4-35.06 Plan Check Fee $ aic,..--5e .Water Meter Size$/8' 10; $ 590, U O State Surcharge -2_ZZ. . _ Pressure Reducer $ /57), UO Penalty $ - Sewer/Water Connection Pee # $ /5 0 a s 0 I Plumbing Permit Fee $ Water Tower Fee # $ I 0 i� � sU CvaC� . c Mechanical Permit Fee $ .74 Builder's Deposit $ L 5-0 C-0 Sewer&Water Permit Fee $ Other $ ____------ Gas Fireplace Permit Fee $ 51TOTAL Du_ a G, 1 i.. /.3 513q p 0. 0; This Appl =riot Jae •mes ', ,rBuil?dinA Permit When ppt ved e 134 14)0. '0 25 Receipt No. 10 95 i ( tR Date '"' By t3uiltlxtig Pate This is to certify that the , testi, e a:ve application and accompanying di ument is to accordance with the City Zoning Ordinance and may proceed as requested. This document when signed the City ° n e sin es a temporary Certificate of Zoni.s comer tee and allows construction to commence. Before occupancy.a Certificate of Occupancy must be issued t . -.l 5 /3 Planning Director Date Special Conditions,if any 24 hour notice for all inspections(95214474850,fax(952)447.4245 4646 Dakota Street Prior Lake,MN 55372 „.. 'as .,, E3 ui 1.. _ , . s 1:)fitpolitik ,4:4, . ... .. d Elr u; 411.t C PIbr l ° compliance tat o days=to compiY Cif the( k , QdNd�3t ittraPlito Porlrika .g, OVOIt t4 WOO5117 k FWidee a �,: and$taingritt �tfte'r` tO”lkirkthe N a`:., ISftz41 Aknea :day pLe dEt' : "shaft intennlilinted tof . : att f�y� *it* - . . Cl �or I vaOTktO :is dObI� lei r. >� : f Dego::' tf r d wWbe r fi ( s 9 # B Tua4 1.tome � Tet, 5/23/; 3 . PERIVIrr it .,'' DAV. Sij ' -SITE A D.R. Horton, Inc Attn: )ADA fo�I , ,WA LDr 20860 Kenbridge Court Suite 100 1 , . !°: � r L 1 ' r Lakeville, MN 55044 / .4z,5-6d_($0 Lynda S. len,B lding Seryices Amount i'...2.1.1 Acct 801.x0204 Date `„rib gel l I'F `E'� I.Ia Ib;l Cl '� i` � 54: Lar wa. puce oppler, City Engineer Viil.l.Be P ;sF c,,,/ ,',.7.;-..# 7sfr..bis < '� "�'� ! �•,.;. ., 3, : ,1 sa,,�A s. r > 4 ,,. �, x " 41,' . ffi ' 0 , ; j.� i.,,,"< „, a an e ,,,„7,,,,;,,-...-*,,,',-. .. i ;. .�. 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",;--------:-,'-, sa." ! 1I�n ! �14 �1 „--,:,rig:: a 4 d IM !' +fit . _ ,I ,IL,h����a �I� !1 �! �-���•� a„I�NI I s d ,.-.,�� ai �I �'�I,�!s� PI ,„,,,,.... ,,,----,--_-_-_-„,„„,,,,,,7,-,„... .sfft� .i;.=�"�.�.�--. .: i S�f41 t 1 I �.- -.pi y y�F .����- � :_- -1,.� t��S�I!g� I NI. ! !�� h N I!i'�I.i 4!*; P � �=�: a,�:.5 � ! a y�y'�, Lt ,, ,it .--,-- „,•.;,::•,,,.,g ..a4'1%4'61'a q p U S ,:t.',.''''.$1'17,--;- 's .1..l` ,',..':,''(';'4E'', e”a a” ',,'" .,,r ; �x a' t' �"`�a�r�5„,.;,',1,,1:-1,.`,',`�.r'�” �. "�f 'X4 �, �, .�. r � 4� �r'} ,�r � '�& ���t�wa �: � : '' i : '..,,7 : :-- 'tyw I':4,,,, .' a is f " ,s'..4.147- 1.',...j,;'''''''^':7 j ': ;� , ' ega °" ., , Vis;.,s a y+-F s �` "n t:R N '4M� i,: ..,. ,i,,,,*.,, 4..:.2.4 Its-4,,.zex1 ,,z ad'r yam y^h X :$" r - " '. �z t�,a 1� 7' v I! p;i _ �'xs ,8 „,,,1,.;10x a p `�il�{ y e}.€ °�.L� �- � � x z.1144.:t40,'�.:� x�4,� �� �ir�*^+t� �: ,,,E_.-=:-, 4 ,,--Z-- 'l��P� �,� � I� }'� s •�' _ �. 7� _ ''” -!, � �h ' 7)044'',. "' �','N �m '. '. J�11'11I � ,ell '", �x 0 --- 'i F " w'�,\�; Idl - `�' - i''':-.- r€ Ip!'1m 4,„ V' I !1 q ,. _� ,�-�.4.��� ---�,, BILI ��hl��!�y��u 11NI ,,V� �s �— �'� - ��� 11�111II li< y ! 1 � THIRTEEN THOUSAND NINE HUNDRED SIXTY AND 08/100 ************** * ** * _ # - ti ,}4. -14:+,� _ 145,4 gr' ,.v47,", �s i "' X41 t� 1 ,", ' 't .r,.4 ! r i r N y Iv r ,kms ll 1, ' ' a , I, 4� t 0 - - ,ail iik,)„ III . �°'s �. x " ,_ p 1 x,1, e f: CITY OF PRIOR LAKE(PERMITS) h l 1 ' 4 N r� 4646 DAKOTA STREET SE r4« b '� rim y u: , K- ` PRIOR LAKE MN 55372G� " , _ _--.*-1.,--�'fi I� ,k #Y R e5 t �i '. .1,:'-'- `'..1.t‘'• ,, ..- fi , gt2 N ! s a d ��>x p-, � �'� x }�����i � � ���-�, 4� � -vb� it 'L`"+'fix� e! �y.�f� a N,�'� •"� "��� K �y � ",S.°' � +� �X� v4,d u ,� *�-� *�[ ��,F k. _• .t;,.:;,..�,_ _ ,o.,,a,.,.f ,.�,a+,n. a ..n..n_, ..<..u...a ..•a_�a�,ax v s..._h .,,.,..r.. �.�,., 25 ,,..E ay.sn�$'.:'G.Xw„ <.,,w.� , ,...... .>.,."h .... _.-> ,s ... .. _. ii'00529 ?33��' �:06LLi, 2 ?88!: 329 903 676611' 04 PR/0, t7 N Z PR/0,t) White -Building Canary -Engineering 44NNESe• Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT p, e_, 116114-Dt." APPLICATION RECEIVED - 13 • 13 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3(06 / /1-4)-A) 7 ,---/(__- 40,Li V-E, S (-/LYI Accepted V Accepted With Corrections Denied 1 Reviewed By: /fifrk Date: 6 i Comments: C_ CdA-40 t-- J ' riekrAdd C,hili -h2.4C41-#.---44' t(41-6- "The (dh.6"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." :n.., ',.,1r.., _q,-Ar „+ta 'w ,. .MRS::,a , ''' .nn '... .;w.... 'w 4"11' x,r4.-,,,t‘ . >L, .* q' T''' /"','','7.F.9 ....'""'"r"'" _.. ( FRIo4 tie. U tri White -Building Canary -Engineering ''INNEs°llPink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ./. IL , Ito ( .I ..:'t"-1' APPLICATION RECEIVED ). • -- . I–) The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted V Accepted With Corrections Denied Reviewed By: ,e 0 11 -----' Date: -4/)-1--------- Comments: A "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." tkyPgfa'eeq , yr'''4 *'- , a •ft .'•',"r-rTA7y ,FA--g . — IRE""""` ,a 0 "Ips .1)".''a C ti �� 01 White -Building Canary -Engineering yf JNEsotP Pink Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT .L2 /c• HOit: ` APPLICATION RECEIVED C - f✓ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: '-?((-6, I/ --T14_,./0 E7 e._ D it/ v e s (..,LY' Accepted Accepted With Corrections Denied Reviewed By: Date: 6---3/- t3 Comments: See Reverse Side for Additional Informationli 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." Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R•1 r R-2 Districts Reviewed by: SNA Wcc- ($-- ------ Building Permit# PID: Zoning: rju 5 p Address: -zoo ( �`v/ ° 2 Legal: L , B Subdivision: Aii Existing Structure? YES 1407 . Existing Nonconforming Structure? YES I NO • CONFORMS TO ZONING NO ORDINANCE 1 Yard Setbacks; NAI FAILS/C e i r IES Standard Proposed • Front Yard(can be 20'if avg.wlin 150') 25' dr • Side Yards 10'1 25'if abutting a street (3 -0 • Sidewall 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 parallel to a side lot line. • • Rear Yard 25' . • 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. • 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' 2f�/ (z r I Floor Area Ratio: NAI FAILS I CO .IES .30 Maximum I , 2- Yard Encroachments: I FAILS ICOMPLIES 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: NAI FAILS 1 COMPLIES Standard Proposed • Total caliper inches • Permit 35%Removal ▪ Caliper Inches Removed . •• Calip�r'lgches Preserved ' • Replaceme Y:1 L:\TEMELkTE\BLD GLIST.D 0 C / The City of Prior Lake Impervious Surface Calculations (To be submitted with building permit application) For All Properties Located in the Shoreland District (SD) l'he Maximum Impervious Surface Coverage Pennitted is 30 Percent Property Address 3661 Turner Drive Lot Area 12,518 sq. ft. X 30% = 3,755.4 LENGTH WIDTH SQUARE' FEET I IOUSE ATTACI IUD GARAGE TOTAL PRINCIPAL STRUCTURE 2,866 DETACHED BUILDINGS (Garage/Shed) TOTAL DETACHED BUILDINGS 0 DRIVE WAY IPAVED AREAS x = 872 (Driveway- paved or not) (Sidewalk/Parking Ar x 0 TOTAL PAVED AREAS 872 PATIOS/PORCHES/DECKS x 0 (open pulp) nilu. npciiii2 bavoom X Loarck n.ith i ritrvic,qt 4-tutu,:b4,-1rro.., X za-e L107 eousIdzTed to tv itripervivas) TOTAL DECKS OTHER TOTAL OTHER 0 TOTAL IMPERVIOUS SURFACE 3,738 6?-0'46t 10 May 2013 1 P RIp CITY OF PRIOR LAKE Date R ec'd ,4,--.,;.4.-. e HEATING/AIR CONDITIONING/FIREPLACE PERMIT v , •rxrI, t Pink Pile INNES6C x.theca City PERMIT NO. 7 3.Yellow Applicant /��D�� (Please type or print and sign at bottom) ADDRESS ZONING(office use) 3 5W LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID ,Q OWNER /�_ ,J (Name) V, " Ii;�J40- �i�(�2 117$ (Phone)q – X72 7 e _ (Address)2D$Co0 ,),1),t,uolia C 43E'1,00c 4...-4,4 ?Pc1 y APPLICANT HEARTH & HOME TECHNOLOGIES . (Name) dba FIRESIDE HEARTH & HOMphone) • Lic 662656 • (Address) 2700 FAIRVIEW AVENUE N (Address) ROSEVILLE, MN 55113 (City) (Zip Code) 651.633.2561 (Contact Person) (Phone) • APPLICANT SIGNATURE pacibic,,,,,,,--- �J /DATE C — 1 /-13 APPLICANT PLEASE COMPLETE BELOW lEW 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 0 Steam Units and Fireplaces Cannot Encroach ['Gravity 0 Hot Water into Required Side Yard Setbacks. la-Mechanical 0 Radiation Fireplaces with Box Additions or ['Air Conditioning 0 Special Devices ❑Vent.System 0 Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL /4'' �, L D r I —L °06rze--- FEE SCHEDULE Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas FireplacePAWITH $49.50 ' !® H $49.50 minimum 1 Y9 1 17 Residential,Heating&A/C(New Construction) $149.50 Residential,Additions ?ii: �� ��R50 Residential,Heating Only(New Construction) $64.50 Residential,AC Only 49.50 Estimated Cost$ (I e l9r aD Building Permit # The Minnesota Statutes§32613.158 "SU RCI IARUE"has been changed for one HEATING PERMIT FEE $ year ef!Ceti ve STATE SURCHARGE $ .50 July L 2010,until June 30,2011. TOTAL PERMIT FEE $ The minimum surcharge for a"fixed fee"permit (Office Use Only) is ;,beginning July 1,2010 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 ?Ripe Date Rec'd CITY OF PRIOR LAKE try SEWER AND WATER PERMIT 4fINNESOl. 1. GYreenellow FileCity 13_,04r-o.PERMIT NO. 3. Gold Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 34,6/ lQ,lf- LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER J)�Q. #�i1?.Td4/ (Name) �/ (Phone) (Address) (Address) (City) (Zip Code) APPLICANT ps �, yiiC fAVC.. (Name) (Phone) 'C/ 13C ' (Address) 04 I Arl -, 5 AcrrNbS ssD4?3 (Address) (City) - (Zip Code) (Contact Person) /i k ��'oti1s�/✓4 / / (Phone) '/? 9/9q3#. APPLICANT SIGNATURE I/ ,/ t���L... DATE 7-3-13 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. 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 $ PAID WITH STATE SURCHARGE $ BINDING PERMIT TOTAL PERMIT FEE $ (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 pR1O Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT H v 4rAl so'�° t,slue File — 2.sola City PERMIT NO. l? y I)3` 3.Yellow Applicant �V 0 _1 (PIease Type or print and sign of tuitions) ADDRESS ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER - • (Name) (Phone) (Address) APPLICTT f' ' G w l (Name) -._-1A,�i) L OA- (Phone) !1U J - 5 :2-2-6;-1 (Address) 3''a5';) VA()C f j{it 1. i W 1- (-I,U-17l `5`: 414') (Address) (City) (Zip Code) (Contact Person) G1-i'l G et (Phone) 110 • 2 L .J•`7- ) �!!\\ APPLICANT SIGNATURE ) t'4 /1 (. DATE 2-(e101 5 APPLICANT PLEASE COMPLETE BELOW Quantity ' Type of Fixture Quantity' Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher Water Heater- Floor eater-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 One&Two-Family $149.50 • Residential,Additions&Alterations $49.50 Estimated Cost $ Building Permit# PLUMBING PERMIT FEE $ PAID WITH STATE SURCHARGE $ 11LDING PERMIT TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your.Bullding Permit When Approved Paid Receipt No. __...:_. ._ �,_..:. .,...._......_._..-:.-.- Ilate.._.,...._..._._.. ..-.......,,_ B.. __.__._..._---_......_....___� .._:.:....�-_--•---__.--------------....._...._..-_...--.._-___._____._---_.._______...---- 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 04 rRI0 CITY OF PRIOR LAKE Date Rec'd a,. cHEATING/AIR CONDITIONING/FIREPLACE PERMIT ri g ` MvEs°�t` �:Pink Ci y PERMIT NOP-9*-i. 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) LL t f tLC v\,-12-r- )-(L LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID • OWNER (Name) (Phone) (Address) APPLIC (Name)-nM , N 110 g �- 144'9 (Phone) It' 41 " iZ X07 (Address) 1 ) 0.41. (...,d ea 0141,14(-Wel 5544"/ (Address) -( ity) (Zip Code) (Contact Person) •S (Phone) l U b 7-5 3-4/ g APPLICANT SIGNATURE Q OLLUAMtka, DATE 0-2Z- ZD 1.3 APPLICANT PLEASE COMPLETE BELOW 1:1 W CONSTRUCTION ❑REPLACEMENT 0 ALTERATIONS FURNACE MAKE •1 D ODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner :Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water into Required Side Yard Setbacks. ❑Mechanical ❑Radiation ❑Air Conditioning 0 Special Devices Fireplaces with Boz Additions or ['Vent.System 0 Other Devices Cantilevers to the Outside of Buildings Require a Budding 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 • $49.50 Estimated Cost$ Building Permit # PAID WITH STATE SURCHARGE FEEATING PERMIT $ .5, O I�.DI If ' PERMIT TOTAL PERMIT FEE $ (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 DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS( Tv 2. £k- NATURE OF WORK 0 e>y --4•� 4 c . USE OF BUILDIN .., r 04,../.i PERMIT NO. 21,4t4 DA E ISSUED .�/ CONTRACTOR D-(z. •- /from , c. PHONE 'i52.-f,g -76 INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING 1-1 -13 FOUNDATION (Prior To Backfill) RADON RETARDER m "OW,L) *I5 PLACE NO CONCRETE UNTIL AtOVE HAS BEN SIGNED ROUGH - INS SEWERNVATER/SEPTIC Fb VilY/feft7 FRAMING gig3_,3 INSULATION Of ; ELECTRICAL PLUMBING te m eZei-6frvastir/>ous4 0aa,, 5"165 ' "� ,/ HEATING "5,74' , iik (8- a y FIREPLACE 8 -.)(e.^ a GAS LINE AIR TEST 8-�,..r`� RADON &ffo(A1cv, 'I - i3 COVER NO WORK UNTIL THE ABOVE HAS B EN SIGNED I HOUSEWRAP1d07, jLATH I lOtsf,f- I pC,--", FINAL GRADING ( PRIOR TO SODDING) tv c, l°`/ 1/474 BUILDING 'i I �'40 c gi a3 l ' t--e_ & 6 ( I4 ELECTRICAL ,—' . PLUMBING r►fi.+-,/°.ter Imot- _ /0 /7 /3 HEATING D r 7 ,ii 7 `/ / _I DO NOT OCCUPY UNTIL A:6 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