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HomeMy WebLinkAboutBuilding Permit 13. 0935 . ti rftffrafr of ®rte aux K CITY" p rfturtlf of plztibing clusprrfwn , OF PRIOR LAKE Final Permitted ❑ Conditional C.O. Expires ares . kr 'This 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 ‘5//t/'C 11-7"9"7/ �3 3� Bldg.Permit No. Occu ani T e Construction +/ 2/5..'� P Y 3 V�/� Zoning District KLegal Description 4 9, cf../ / CU I/ Pr9 -" �K - Owner of Building Site Address 15 t'&) �'9,V �V� �/L„,5i� Contractor's Name&Address _,: .... �.J[)I%'I/ / 9�i .-?6/ (� c`C),y j t + '' / 6/€%/ - %1LJ/ /�/*city--City Planner Buil ' g Official L/ : GG��. 6. / 5 DateDate: . •r:. .. • :., :� POST IN CONSPICUOUS PLACE r.; ,. ,. ;: Z i -- I- flie iu.N W J� W WZVC < WWJU V faQL, o CZW (0 Z Q % 1 CYC4pc Z E. .) Vt1. ILC7 W N O❑❑ ❑ ❑ ❑ > K V O isk m Z W O > > a Z 0 p 4 ci U O ci t E ppiiJ �' 0 d/ °j W Z ge Z _ S = Z ? a. N \V^> actLL 1 W • IU a �U �U3 JW 01. :E3N .4 LIU a :E 14. WWZ LW W {yl oC 001:1000 0 0 re }a' Z -� p W Q W W z < O .', YV O u. 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Pink PERMIT NO. oI !'� _ - ' 57/00 C� 0 U r� 1 SE ZONING(office use) LEGAL DESCRIPTION(office use only) LOT 1 BLOCK ADDITION COI' tk'/ (d V t eV" 1‹ PItvp9 0270 0 0 (O1Va�mejR (�Q f � Z�r aIMMIIIII lux fasts . A (Phone) (Address) kw;e/e,MN SS-©y9 BUILDER (Company Name) 0 I in r' fill er cl e,4 Sans �``'' ' ! - 0 (Contact Name) O ket raem a�' (Phone)(Phone)CP(7�' 9 S (Address) ' �C t I� /i� g�s ^a, MN v �' �O"' .9711 TYPE OF WORK New Construction Qlkck QYarch QAddition QAlteration QUdiity Connectin Otte-Roofing Otte-Siding OLower LevelFinish 0 Fireplace CODE: 4I.RX. DI.B.C. Type of Construction: I II III IV V 0 Misc: Occupancy Group: A B E F H I M R S U , Division: 1 2 3 4 5 PROJECT COST/VALUE E ��� �/ OI QQ o .- (ex M . o land) ----] I hereby cettit�.that I above-mentioned cel oned. . andin••-=„,„,. .•this application which is to the best of my true and above-can rend - .. / � . conform to all existing state and local laws and will correct. I also�that I ate the ns.owner or authorized far the I hereby agree that the proceed inthe property accordancer y witho perform n Zeds. I am P aware that tv�7drng ,.. city o�ctai or a designee may enter upon the property to ppfosrn n,Kded;. . ;, rA.11611,411 illiMittur.‘11.1.11." Contractor's License No. — Permit Valuation Date Permit Fee 00 0 p p Park Support Fee # S ciwziammni. Si oo $ ` S State Surcharge 4 (Z t4o,- s ' Pressure Reducer S 5�U_GP) Penalty11111111111111111111 t9. ' $ Sewer/Water Connection Fee # /52) • �� Plumbing Permit Fee $ $ _ Mechanical Permit Fee � 54-.50 Water Tower Fee # S S ($ Builder's Deposit $ 2 S 00 Sewer&Water Permit Fee Gas Fireplace Permit Fee TOTAL, T © lreG G rile/Gas e2 7-CC) .. L DUE 4/ 1°4 i U/�i •`rte miam ow .. Banding Permit Paid Race �, �I. rill Date oz, . B .!i No. - S Buil.' :.0 rte /This is to certify that the request in the above application . ] when si o ce by the t th request ft bos a and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as whenissuedtemporary Certificate of Zoning compliance and allows construction to commence. Before requested. This document % ,r cy,a Certificate of Oe must be Planning Director ,coli rrw s . S man Cr Date 24 hour notice for aft inspections(952)447-9850,fax(952)447-4245 Conditions,if any 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 • ,ot ritro1 . Builders Deposit (.., 44..011- City of Prior Lake A$1,500.00 Builders Deposit is included in the Building Permit fees The Builders Deposit Is issued as security to insure compliance fora Final Occupancy Permit. (It is not an escrow account)Ail 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 m also be required and will be refunded if specified trees are preserved for a period of one year. DATE: 7 r--7 / -c) 13 6./ 7,... 1 tdiv Cotif- I' -.• I pERDAIT# /43.93519 SITE ADDRESS: /66 , ei r 4- e, REFUND TO SE MAILED TO: Hrefri e _rtr WO& L;n(olet De;i.-e., 6r.fs,).1 mia 5.51/7k P11E4SE ItEIVIEISIBI_1311. \II rr,.(()N 1 \ I I 1. KEEP STREETS CLEAN 1 - " G CONSTRUCTION II 1 42-/50 d,Op ... 2. KEEP EROSION ' •NTROL I PLACE Lynda S.Al n Building Services Amount e.,1 _14-- Acct.801.20204 - ammo 3. TEMPORAR OCCUP...0" PERMIT M -T ,07.*"'"" PIRE OR$50r Date .....e,,- Ar v-----„„,_ , SIGNATURE: , ..,4tatiagaird ;, --------' Larry toppler, City Engineer , - OR CASITI ONLY IF ALL CheckLocku"S_ECU,RIfY FEATURES LISTED 0,N.:BC141.(..:,Nr4D1,FAt..,...1.40,1/4Tt1:P.ER...1.7:7_,.. C.‘,0PY17247, -'71,1i_. ,..,_,......,....--,,,.7,'":„.,54.1,:f...kri,_-4.7.?*,...;71.44-1:,,:, , :i.4T-.-'-' 1.141, >,Li\-c,;.-7",!*\,7,7,677 x-fo,427 26AP4;*1-4Z-1,-,1'6;46,01 I--1---,, , ...,,,,- A \ , rY ',NA:'',,'1. 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Up*to t*6,6-1,6, . \ 1-,6. .., i',„.,,Nk, • 1 , .0-,,,, ,::•s,...- --,,,e. ...x-44-1,... -.:, tt, l-'' - 1W,-'''i-‘ 10.111..k.' '','..' ,"':Vr'•A‘A ...0 ar '' 'it '47,0j,Scat,7,40. %ill't -f),'"--:- ,*,,t-4.;,'.-. 4:::....,4•-•, Z.,;1'34.,N 6,6, !•!7.5r6f.,i7,4 t.i' - .---- - " -- ).. , 'lir $4... A•:44r. -reee,,,' i %,,4wrt,;,.- .,,p-,tii"Pr i4'i•* ' ,)±21. i U.S.DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY HOMEL ND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 National Flood Insurance Program IMPORTANT:Follow the instructions on pages 1-9. Expiration Date:July 31, 2015 SECTION A-PROPERTY INFORMATION Al. Building Owner's Name �i I it' e p i P IJY USE .; ��'L-� /A S�C- Eie.. M r �i A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No:)or PO.�toute and Box No. olic ' AIC '0=`� o Ail) LG A'., z ,,_ � .. -�,.. P , '•v., City 5' �V� Tie/` /L S61-14.,ny�N91C� tlmb"er y" ��� �AK� State /ri °,,„,...-,24-03-0144., .':. A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) ZIP Code S3 7z, A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory etc..)'� 5/DEM /9}C. Ar,' K Seta W Coo -f A5. Latitude/Longitude:Lat. h/`/.?2CoZ94 Long._ A6. Attach at least 2 photographs of the building if the Certificate is being used t obtain flood insurance. A7. Building Diagram Number__ Horizontal Datum: ❑NAD 1927 NAD 1983 A8. For a building with a crawlspace or enclosure(s): a) Square-footage-of cratirlspace or enclosure(s) A9.For a building with an attached garage: sq ft a) Square footage of attached garage sq ft b) Number of permanent flood openings In the crawlspace ---??.5 - ------ ._ _ or enclosure(s)within 1.0 foot above adjacent grade b) Number of permanent flood openings in the attached garage c) Total net area of flood openings In A8.b within 1.0 foot above adjacent grade d) Engineered flood openings? sq in c) Total net area of flood openings in A9.b ❑Yes 0No _sq in d) Engineered flood openings? ❑Yes l!i No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP Community Name&Community Number C(7 of Pg, 4.6 - Zi c B2.County Name 64. y 32 o�y C .S GO Map/Panel Number 63.State 66.FIRM Index Date B7.FIRM Panel Effective/ B8.Flood Zone(s) B9.Base Flood Elevation(s) ©CI z-/ Revised Date A/c 17 17 F.7 i'.,, AO,use base flood depth) 810.Indicate the sour e f the Base Flood Elevation(BFE)data or base flood depth entered in Item B9: � '' /O �' ❑FIS Profile RM 0 Community Determined 611.Indicate elevation datum used for BFE In Item 89: �Other/Source: 1929 0 NAVD 1988 B12.Is the building located in a Coastal Barrier Resource System(CBRS)area or Otherwise Protecteedd Arear(OPA)?e ❑Yes Designation Date: / / �No 0 CBRS 0 OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: *A new Elevation Certificate will be required when cons truuct oin of the build❑ingBtis complete.ilding UnderConstruction* 174 Finished Construction C2. Elevations-Zones A1-A30,AE,AH,A(witth BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/A0. Complete Items C2.a-h below according to the building diagram specified in Item A7.In Puerto Rico only,enter meters. Benchmark Utilized:, C:71 L Sti / K Indicate elevation datum used for the elevations in items a)through h)beow.Vertical NGVD 1929 0Datum: N V 19 Z`� Datum used for building elevations must be the same as that used for the BF ❑NAVD 1988 0 Other/Source: _ a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 9_12a ® Check the measurement used. b) Top of the next higher floor 9 Z( Z feet ❑meters c) Bottom of the lowest horizontal structural member(V Zones only) 0 feet 0 meters d) Attached garage(top of slab) / s ❑feet ❑meters e) Lowest elevation of machinery or equipment servicing the building -L L_ ,feet ❑meters (Describe type of equipment and location in Comments) ❑feet ❑meters f) Lowest adjacent(finished)grade next to building(LAG) 22§:2±L 8 g) Highest adjacent(finished)grade next to building(HAG) feet 0 meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including 4 9 . feet structural support ;3 Meet 0- meters ❑meters - __ SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.1 certify that the Information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement maybe punishable by fine or Imprisonment under 18 U.S.Code,Section 1001. ❑Check here if comments are provided on back of form. Were latitude and longitud In. ection A provided by a ❑Check here if attachments. licensed land surveyor? es 0 No Certhler's Name � r �,l�a ,Q So License Number PLACE Com.:nyName 23/89. SEAL Address ' Cc, SOI,! G/6/ JJ S HERE 0 Way i ! ZIP Code I 7 Da Telephone Q -3_lyys- -ii�9-�3z8 mmratm......, . ...„..__ FEMA Form 086-0-33(Rev' ed 7/12) See reverse side for continuation. Replaces all previous editions. y ELEVATION CERTIFICATE,page 2 IMPORTANT:In these spaces,copy the corresponding Information from Section A. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or I?0.Route and Box No. FsOCvNSURANQE C'-•,"*A,Nyg SE s• -. yoo . Ci i. u TML. SE )c�N ber , /d2 Lf}, State ZIP Code - t �' �� 110571-ani N.ICrfiJWI*" M SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) r }' Copy both sides of this Elevation Certificate for(1)community official,(2)Insurance agent/company,and(3)building owner. Comments Signature Date ___ SECTIO ILDIGTIIONINEORMATION(SURVEY NOT REQUIRED) FOR ZONE pOAND-ZONE A(WITHOUTBFE) Zones AO and A(without ) completee Certificate is itended to " For items E1-E4,use natural grade,If available.Check the measurement used.In Puerto RI oport only,entteraAmor eterrs. request,complete Sections A,B,and C. El.Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is b)Top of bottom floor(including basement,crawlspace,or enclosure)is • ❑feet 0 meters 0 above or 0 below the HAG. feet above or E2.For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9❑(see pages meters 8-9 of In❑structions), ❑below the LAG, the next higher floor(elevation C2.b in the diagrams)of the building is E3.Attached garage(top of slab)is 0 feet 0 meters 0 above or ❑below the HAG. E4.Top of platform of machinery and/or equipment servicing the building is ❑feet 0 meters 0 above or 0 below the HAG. feet the HAG. E5.Zone AO only:If no flood depth number is available,is the top of the bottom floor elevated in acc❑ordance❑wi h the commeters ❑munity's floodpabove or ❑lainiow management ordinance?❑Yes 0 No 0 Unknown.The local official must certify this information In Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE) CERTIFICATION Therope P rty owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-Issued BFE)or Zone AO must sign here.The statements in Sections A,B,and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Addressor- '`Cm Som 1 0 , `� r eve' . �p City State Sign. _.. to I LG.e / ZIP Code Ssb . �� .4' �,J L` Date - II Telephon-� _ y Cpmm�!� L 5Z- 6 � Y3 z8 0 Check here if attachments. SECTION G-COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8-G10.In Puerto Rico only,enter meters. G1. 0 The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation Information.(Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located In Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3. 0 The following information(Items G4-G10)is provided for community floodplain management purposes. G4. Permit Number G5.Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued. I G7. This permit has been issued for: 0 New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: G9. BFE or(in Zone AO)depth of flooding at the building site: 0 feet 0 meters Datum _ GIG.Community's design flood elevation: ❑feet ❑meters Datum _ 0 feet 0 meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments FEMA Form 086-0-33(Revised 7/12) ❑Check here if attachment;. Replaces all previous editicns. 0, ,, PRIp NEsolt' White -Building Canary -Engineering Pink -Planning • ; 1 • • I _ T 1 1 J. NAME OF APPLICANT _ O-0J Kat n L. ,7'Z_ //1-4-..) S- ,,--/S- APPLICATION RECEIVED , / . 13 The Building, Engineering, and Planning Departments have reviewed the buildin application for construction activity which is proposed at: g permit '> a o 6/9:44/9t"1 e- Pe-1/?fes Accepted V Accepted With Corrections Denied Reviewed By: 5-1 Date: -____p__ _k/_i_a_______ Comments: See Reverse Side for Additional Information! °See Attachments: 1 .radin• Plan 2 Erosion Con I •I "The issuance or granting of a permit or a computations shall not be construed to be a permit an approval specifications ,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." PRip� ra / White -Building stiNNESO</ Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT `--� i'62/÷0-/`/17Z_ //-/, 0 „Co,-�S APPLICATION RECEIVED 7 le . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 54-6 en-At Accepted ✓ Accepted With Corrections Denied • Reviewed By: el Date: 7 75e, /3 Comments: \ • fU)S' (y .5)41-#./ k- L 7- .- (4 Al OI_ ABovc- q ,ql &v. 3 • --B6r-ciaLe--- RA4,4,,,_ 4.„,A - 4 As ,� �� _ . �.�. Si_ Cne--- CD FC:011/•- iVSrS3-c CT-Tr:-4 cug.VI "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.,* ',1 ' O� PRIp4 - �r NNEso� White -Building Canary -Engine wring ` Pink -Planning • • L iiA I • k i . ' l A , NAME OF APPLICANT _ < i,�.a r t i;(..,77c.-- f ,' ..,,, c;�r APPLICATION RECEIVED • The Building, Engineering, and Planning Departments have revi application for construction activity which is proposed at: awed the building permit M Accepted____7__________ Accepted With Corrections Denied Reviewed By: .-z � :-- / • Date: g-.2C-/_i Comments: -- 027. ,-5 r tae , es r ti%red - s"9c0 ,aver-' elextJc � ec /�/ !t^ P/'t fear ctnif .r. f i P t C r 1 4 • f "The issuance or granting of a permit or a p r computations shall not be construed to be a permitfor,nor anf approval o, any violation , ;, ;4, any of the provisions of this code or of any other ordinance of the jurisdiction. Permitts y 0 .. presumingto give authority to violate or cancel the provisions of d ordinances of the jurisdiction shall not be valid." this code or other 4 „ x JACOBSON 6.(22Th Engineers • Surveyors 21029 Heron Way Lakeville, MN 55044 Phone (952)469-4328 Fax (952)469-4624 E-Mail:Jacobson@engrsurv.com To: City of Prior Lake • Attn: Jeff Matzke, Planner From .......... Grant D. Jacobson, .E., P.L. MN License No. 23189 Date: September 17, 2013 Re: Elevation Certification Lot 9, Candy Cove Park, Scott County, MN We have completed an elevation certificate for the above mentioned site. The fieldwork was completed on September 9th,2013. As of this date, the lower floor footings were completed. We took several elevations on the top of the footing in various areas. The average to of footing elevation was 909.70. With a basement floor depth of 4 inches, the finished basement floor elevation will be 910.0. This elevation is above the 909.9 required per the City ty of Prior If you have any questions, please contact me. .t ricro Ft' SCITY OF PRIOR LAKE Date Reed vto PLUMBINGIPERMIT 4,4Naso'tt. 4.HftK FJie : oaia cny PERMIT NO. . 4. or. .t and sr;.at bottom 3•Yellow gppi;pnt ADDRESS ZONING .5L1 CO Cimr0, COu . Tv \ cote ) LEGAL DESCRIPTION(office use only) IAT BLOCK ADDITION PID OWNER (Name) (MO{ (Phone) (Address) ?_ - 12 '* ®. APPLICANT (Name) ',e .1,..\ �t ,- Yj`, l / am_ (Phone) 7,-r t,, ; (Address) _ 1 _ Y, ' \.a C i tia , r``" (� (City) (Zip Code) — (Contact Person) 3eroc r"tL.Y O;Y(Y1G(' t (Phone) t L,' :-• w ;': .`j APPLICANT SIGNATURE ;r_ ri — ± 'U _____— DATE IS It _ APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture =MEEBath Tub with or`without;shower Quantity Type of Fixture 1 Dishwasher Rough-ins FIoor I amIIIWater Heater allallim Lavatory(Bathroom Sink) l Water Softner 1111111.1111 . Laundry Tray(1 or 2 compamnent sink SewaSwa a Ejector (Washing Machine) Ilitillas Shower Stall ge Ejector ■ Backflow Assembly SinksSink Backflow Assembly Test M= Bar 11111111111111. Water Closet(Toilet) Lawn Sprinkler Other EIndustrial,Commercial&Multi-family T%of ob cost with F$E 4 rntHEDULE jnimum Residential,New One&Two-Family $99.50 Residential,Additions&Alterations $39.50 Estimated Cost $ Building Permit#1 PAID WITH PLUMBING PERMIT FEE $ STATE SURCHARGE $ .50BUILDING PERMIT (Office Use Only) TOTAL PERMIT FEE $ This Application Becomes Your Building Permit When Approved Paid Receipt No. Building Official Date $y Date 24 hour notice for ail inspections(952)447-9850 fax 16200 Eagle Creak Aye_ S.R.Prior Lake,MN 553/2-1714 414 245 e FRroE t CITY OF PRIOR LAK 4'� � i. HEATING/AIR CONDITION G/FIRJ+PLACE PERMT ' Date Rec' ' an,esvr' I.Pink File Z. U f F NO. 2.Omen City 1 (Please Or print and sign at bottom} 3.Yeliow Applicant f� ADDRESS 3_, /t : 0 .. 4.4 &* 1W01-1111%(office use) LEGAL DESCRIPTION(office use only) LOT -41f0C1C Cl-iiI4I6 . . PI______ -� 7; I 0 I OWNER (Name) 4 r r AS - Irv_ t ` ../L__ (Phone) Address ill ....._........._....................__I ,.. ,o, ....._.....___J APPLIC• ► (Name} _11./. I *P. . at 11 . �+ (Ph e)---g-5- __ ��- 6' (Contact Person) . 1 ,� ] 0,1!� 4 A , "4116-� ��.� _ _ y (Phone) 9 �. ..i.. APPLICANT SIGNATURE ` � �" . Iriff a ATE J �� APPLIC . 1 PLEASE COMPLETE BELOW EW IFURN CE MADE AND CONSTMOTION D PLACEMENT DALT ATtONS FLUE SIZE DBL FUEL RETURN OPENINGS INPUT TYPE OP SYSTEM OUT �--`.._. Warm Air Plants HEAA STINGG OR POWER PLANT —.� PLEASE Nom:Aft'Conditioner' r Rot Water liens and fireplaces Cannot Enemata ` *vity h nicalConditioning Radiation into Required Side Yard Setbacks. UVent. System Radiation Devices Fireplaces with BOX Additions or a DOther Devices 'v FIREPLACE MAKE AND MOD=L �-- Carttllcver:'to the Outside oi►Buildings LRequire a Building Permit. • st_....ls Industrial,Commercial& Multi Family 1%t ob — ( t -- pi Residential,Heating (NewConstruction) 349.50 minimum $49.50 tesidential,Heating Only(New Construction) ) $64,S140O Residential,Ads&Alterations 549.50 Cost$ Residential,AC Only 549.50 Cost Building Permit# HEATING PERMIT FEE •$ Of, f e/ ifs STATE SURCHARGE $TOTAL PERMIT tt 911We IP eri r‘ ar...' Ills Application Becomes Your Building Permit When ApprovedPaid i Receipt Na. Butdi cis Date to"`' ., , ] ' - I A lllw • 24 boar notice for alt Inspections(952)48iiikOING PERMIT 4646 Dakota Street&E.,Prior Laker Minnesota 55372 Vane madHJ. -i �JNIM019 98@9Z6bZ26 170:0 btO /Ci /96 (34 xo� CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT ®- 3 ,:yi. 4filontsci. 1.F'mic Fi[c z amn fty I PERMIT`NO. /3-q 5 C� 1 (Please type or print and sign at bottom) 3 Yew ^ ' / > i ADDRESS cJ t'�(�C� ii ZONING comet ) /5 LEGAL LEGAL DESCRIPTION(office use only) Sem L e7/Q-L-- LOT BLOCK ADDITION PID‘'73- 6R 1 eO7-0 O'WNEit (Name) G7 VI 1'1 tni�itc. J(,3V'}s (phone) t CJ's"C1 aj5-'9' 1 LYS (Address) 9900) .eztvl by i v APPLICANT (Name) aUUI_C1V--t`V1 -eCt.. i tr (Phone) (051 1-1-'23-6T7 `-1 (Address) l51 2..B .vvDu.S-t -1-1-104, R fJ5-t iltif)Coif- vY1I 55 8 tt (Address) (City) (Zip Code) (Contact Person) L i't!', G' ,L...1' = (Phone) ZO51-v Li a b..... . I-7 cJ 1 mai c APPLICANT SIGNATURE ;"" _��u_._{ DATE �t ce t a- 3G3- cf 0,3 APPLICANT p�.EASE COMF�,ETE BELOW .� Lt2 -`ZG�S— Sc?/ {ZNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL SL?9'5? 1.- ri O t C ) 90,c p,- 61 r7 gcia a FUEL tL,j---c FLUE SIZE �'►t RETURN OPENINGS 1 INPUT �'!D;Dot?(�r�,�?@ OUTPUT ��i 7-rX?�4,6o TYPE OF SYSTEM HEATING OR POWER PLANT D0Wann Air Plants ❑Stearn PLEASE NOTE; Air Conditioner Gravity - ❑Hot Water Units and Fireplaces Cannot Encroach Mechanical ©Radiation into Required Side Yard Setbacks. Air Conditioning ❑Special Devices Fireplaces with Box Additions or Vent.System IJ Other Devices fl GCS ho'i feYL Cantilevers to the Outside of Buildings FIREPLACE MAKE AND MODEL Require a Building Permit. Industrial,Commercial&Multi-Family 1% FEE SCHEDULE y ofjob cost Residential,Gas Fireplace $49.50 •Residential,Heating&A/C(New,Construction $4930 minimum Residential,Heating Only ) $149'50 Residential,Additions&Alterations $49.50 (New Construction) $64.50 Residential,AC Only $49.50 Estimated Cost$ Building Permit # HEATING PERMIT FEE $ STATE SURCHARGE $ ,50 Make Use Only) TOTAL PERMIT FEE $ This Application Becomes Your Building Permit When Approved Paid' 8 �� Jut I/. nil` w IIcdtdiaa Official Date Bi, �� Date 24 hour notice for all Inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.L.,Prior Lake,Minnesota 55372 o� r Rro� Date Rec'd CITY OF PRIOR LAKE . SEWER AND WATER PERMIT 6. 4 -, /'t- : GGreen Filep I PERMIT NO. 1 3 , I 2old Ap (Please type or print and sign at bottom) 3. Gold Applicant ADDRESS 54D( ' Car1 n ` n ZONING(office use) CJ(,�{ (�V 1C.i LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION /n� (( PID (OIvaWNER 0911Dg IA � /7)�` Q�jG�' (Phone) �Y �' l l' /90/3 (Address) (Address) (City) (Zip Code) APPLICANT , n (Name) t os Corr-61G i ✓t /� _ (Phone) �( - ( l 2/a/ (Address) ,q ) 641 V/ L4 l✓e . rc.c_ U az., "iv Seci (Address) ` (City (Zip Code) (Contact Person) .0 .. - '% �t/so V ..._O Il l l'/') 1 one) moo. Li-vi-212_1 APPLICANT SIGNA jIj LCA DATE (Q—"20/ APPLICANT PLEASE COMPLETE BELOW Size of water service ) inches. Location of any couplings from structure 3v feet. Type of sewer pipe. 0 ABC J PVC ❑ Cast Iron Estimated length of sewer line SO feet. Clean out(if required)located at cSO feet from structure. FE Residential sewer and water line connection $51.50 Industrial, SCHEDULE mHEDm &Multi-family 1%of job cost with a$51.50 Sewer connection only $25.50 Water connection only $25.50 minimum Estimated Cost $ Building Permit# SEWER AND WATER PERMIT FEE $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ 8U fPA10 W IN (Office Use Only) r-e�'✓��� MnA /'f This Application Becomes Your Building Permit When Approved Paid Receipt No. Bufldina Official Date By Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 .. FAX 9528822856.______,__ CITY OF SAVAGE0 Y----- , lit 0 OA, .A'] : k e+ =ppb 13"� a t r+ V t a t� 7 }I1x 7F .•. hq'ti.. +fit` y1i.ry b .'; . , r▪ v.; t". .. „ :"%......-44=-,,-',::•:.;is':•-ks:-.:Ai ','o• 41,,v•- ;; Procedure to aahradnllAikswp Air iia gi/or� to 1•14-:=1::c! x.�` ` E x4, i;kli.. Use the Ap opct�e faoltuncl kS S5r 6e Wour9 t€F - , v �y� �p S E.s. rir dt<ed Vont appiathas or aasihtiad 1 L t t. e� P� 43'' s ,w, no conthw lon oppftanoes" power vent or djred vent or osZe ad)(1...„,:•:„.• 3 •�. * t d" t f{ ..z... a r •it i.`::yS,' la)t f r(cfmlsf) 0.15 0.09 .3.2-.4..,; t� fit. r b) igici j ASA wee : �N.� • fie• {—w" l 1t ,y • • 14-i'l }X't...` umMr ted basements) 1 :''? • tT `r • i_ t`v, •YHA. House i • ▪ A: • •=!..: 3•.‘.4.!,.—","*., I.1,1114‘.4 jt g 4 at t,• t' ds( `R, o ,V;•.,-, :."rr''- A Ta 1t 114,/� Is 'i .• + y"•wt .P':` �� ". yo- . ; :. •2't. Capa • :S 1• ,* •. h' ▪ • G Ja ventilation S Hath .: `? . ? �.-.. \'~! � t h tai (dm) (not appioabie • r �s'rF b balanced ventilation+ "` .- I t; t Y t:, y 1, n tyf. .. _ IN(VJ • t MP `k z. s as •.•. - r tt••,�t • . +• «h: �, • b) 135 • 135 i • -.(N;IS$ V,{`�,- s.: c) *finest exhaust .,g. ..14.". �.. � ° IX ?' (din);(not 45e)'°' •• •{,: ,�ta:s• c ie r � «t' [' 3a system• recirculating applcable if • - • • • '" t14: dli• • fir. r. tp.�`'h. tf pointed tnetteup ail .-:` i.,';•:•:4.'-!..'-',;6`!:',1_,'x . 4 ..• !,fiF b , + V t tr.'arty `' :y� ¢*� . intarladtert and • ��JJj (� ? •�.. 4�t ,N •' 4•'i • R .. ID eodtauaq 'l• t 1•.�. a. d) 8fl%of nerd largest (not topics*it exhaust rang(dm): r� *-rte`e, r V �/• system } �y �* �, yy�,,.-��y��• r...-'• rte"tW 7. •off Y' r i.+'{�,• it1 n E f"I'>I^Z • :'• lf powered - trtv�. kltd "t�▪ :�7RJx�.w X: interlocked and '.-_ t .. a �• i •• Ya t A` Y«, r'• chedtosxhaust) • ; :vt , rhtt t• il t t " � Total aunt Capaaty . «--..-- 114 , s I.' X9. Makeup(064 2b+3c+ � j fit. ' ' • 3. ry-i c,s : , 4 Air • f}T �• '-'1°Y-f.'K o s+. a) Total Exhaust Caper*/ /42/-5 • • b y t.'s '4<%' ,t � ?, tt�� (from above) i ...,,,.:,4_4;I .1` • 4 u°` , ated llouse • In raluu4 nom above) _ (.F rt •+ .F� :"tt :+s+ .;J; Alr Qv • • `. ` -0„,...1- ; .sR i ._ r '� value is negative, s . • t ......:‘,„:,..-N::,▪:,; d e: 1 makeup ,��.M.rtpneeded) �i 1' s� ' ^ �w •' •' �f"• 4• For Air -';:i.-."$: L Sizing refer t Opening � .� .. • • • = `t•, t Table sttl d 2 _° `.�i.1-••• - A oUse this�cdunn Ethers�other t an tan-assisted v d gbs or!oll spplano4s t M'+ - r ' ,,»,`� ,: ' • , a 1 j' a column�t there l6 one t l i;.'ts 5 $_ke ' .▪ 4 t �,-}' (an aeeided appNanoe per verkUng stem•t)dkkirtftaht • 1.11.",z.,i +, , c Use Masco nn if there bone atmospherically tented(ether then ' • 'r i K� ,�` t . ` trfC•^ t applukoe. IPPranc. 4 � �i• J� "Included °� f t ri - _' ° Use is column M Mere are mull* y vented gas or wring r l` ,sem t ' '" vented gas or oil appliances and sold fuel appliances. t - er , ;� , -►` .1� • }�.f,�'y���'1. t;• .a7e y;i$�t .t p0%16: t •4‘,'''' , .,'. I '444w."'t. '^'•tiarI+:3 JFK=9� }}'',,''��,✓✓�' '' "� 13 .i' 't!,4 ▪ j .•,,"......1-.1.1 �'t * r' ,'v .•. i:1•!4*` s #1 t f x �', I t 't.-........•••:::••-••;:, K ' i,�t -' `rigs:;;;...-:-.• +A sti- il, r,,a��t°'ai•`.. A • 1. a4 FAX 9528822651-----, CITY OF SAVAGE • >• 1.002 tit'4;' t.,,-it:.4,--. f..•;:•"-...,,s,..,'':,..•:.•*- ,••••,• 1.t:'. ' l. ..;':'`-•: One or muit�le One or Irtlftlpie Fan- t ne ;' +^.1 "' •,±•,`t 1b j 'a '`,j!":,�Jt7�.,/•'=. •;:•::•,?; ' ^"" "ff A ray ! ? Z • :• p vont orect ziitied $antes :,: '• ,...15 a: 1t.; . r > no rtvent applialces lia 1 Cr and pav®rvent or v edgasoral venal e1-('3::r . .r i.tp,,,{�t 5: direct vent ap( roi cne f^ t ii f'Y �etd + •• • applancewg ate Ad. „ t�trr� 2:• t. t._�_; • Type OF Opelfn9 Or Sydtem ( � awe sold 1t1� fW{ pfq i, . t▪ •„,.fo t +„s Passive Opening 1 • • f �, . • Passive Opening ,• •• • 5�'.` cc 1.•Lit ' ii .;-..,:......:- Passive �4/-7o9 i0a77e*``-" _, ► ;:. r Passive Opening 110-163 61-100 g � �` �E;�.� e: Passive Opening 164-232 aY 99:, .,. • r:1; , Pei.... -.: Passive ing 101-143 70.99 >f 1!ac'.:. ' t.: 233 317 144-195 '100-135 ;' ,; g • �1 ,'.� tassivedlFwlh (_ r : 4x ,rt'�` l'''.;;,:,::::•-• • 318 419 196-258 136179 ••e4•1 :.• -.1,.;;,:•;: •-e?.,.,. ;-: ' .0 '. i;::` Motorized Damper 420 339 :-•::,'”' r,.: •1...,•••.••3...*.,,., -s;; r�t a' �;' •:,i• Passive Opening with 1�?X30 111,942 `'' �`•i'0 ti r a: . ., DAOIOnZed 231290 • • 1 ` a;• '• f •4y r, is 540$79 33 •419 'i'-*.X iL a 7;. e ''.• :;.•• •......,. Powered Makeup AO • >679 >419 >290 r:1 " , i + Mfr ' i :ri �/8e 9115 column 1'f there are 06N( n •'>1 y. K'ISX n +"1('•F` yE'.- r; appliances. Y gas aJ�ti+rr3 i� �; rj.- • • f , Fan-assisted or vented f20 r x : r. sr, a Use this appliances. it"..::::. fan-assisted .. '•• t . .”'•1. ' kni:f., F'r t- included. a a one fan aulated appliance pe{ 1� 1 � `; >:N:. . i 9 Other 1 ..., ,ter `'3``' C Use this ;;I' column if there is • ; kz � one atmosphencaNy vented(older flan fan-assisted)gas pr olFtp��an� y�1� .t s r^r I'' `:';" �, a.. •..(r o Use this column lf there ire multiple equivalent gas or oil appiar�xrx�s(andsold fuel,/ J atmospherically vented gas or ail using Sioomnon sealer Thera +r` ' •i 1-•~ �1�_1-�g,,e,',R, IV41�`6_e1 of round y,� �e.'...,.,•�-VY4�e81.1'RY( -y, `.r.� �' n?.4> 'd .�Y .1 yY .yip Fit'` degree show b determine the rern metal dinct Is asa�umed. feat for M+�a ' ,Li ill C•'� � t1"' f.L ? f used,Increase the ofrtaipht!laudUioora •. ._ K .• f .J c If flexible duct is dud by are Mil,Flexible 'J' r r 7''W.' `kz t H Barometric dampers are prop in passive makeup air apen1 ngs ittsn sit*of stretched st y�,i'''i••••,1.';::,.,-..:4,:i:4;::' ..4 ;jd + makeup hall he �1 nw l.lu i rr '.. fr'..+' Powered air Skid/tidy Intatloclted with the ter�edt exhaust systildh �raated ,,. } : k':``• a J tl h r" . • •;,1..... .. ::.'...:-•,. ::.et .fit :. • ,'-..l�':,,v•-.1.:• ,..,...-•._...,-,..., }rtt'..g`'• ::::*.:: I. 4 : l+ Y. • Tf .1 Z� Ag; p • tt yI) •• '.} 's' • i ' R'ti • 1 ,� " iO4` tr` t t}fr �? �?� t y.. • c • f fLjF v P j.M• t ,!, it }, Y,' . :c. � Ss•'ft3 l . �d .�. • y+� �. .. • .+..-•',.:t,1,+i•:.f.--,.,..-140am;. .V.ice, ,••is Tn f 1 • • • ;d i 4. • '• 7••;� ,mo ir.. yE. °!" •• ° :Fri ra ; 4 +. RK,iA la t r a'ri Y tf, ` J. . S . PRIORLAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 5 ' 0. --1.,,_,A CeJvi- --- NATURE OF WORK- • USE OF BUILDING — CO MIT NO. ACAV L i A,. — PERCONTRACTOR - DATE `SSUED _.� ,,,. c .. _ ._: PHONE INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS ATALtLa _ Z1 L TIMES FOOTING , o i1` W ( / INSPECTOR /� © om �. Co ce-I- cd'�" eh ©® DATE FOUNDATION (Prior o Backfill)t ,, . RADON RETARDER PLACE, • • C 1 TE UNTIL ABOVE HAS BEEN SIGNED UGH SEWER/WATER/SEPTIC INS �T�`4r, G-� AMMER FRAMING "` INSULATION r� �®a 1111111111111111111 ELECTRICA -6 _ HEATING _-- ._`; _� M FIREPLACE -- �'.... GAS LINE AIR TEST _ � ,��- ` FAINIMI RADON COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED HOUSEWRAP LATH mip 94' FINALS GRA'ING ( PRIOR TO •DDING) BUILDING r. . • ,� ELECTRICAL _` �W� I4 1111111111111111111 PLUMBING WR 01 ANFAMI HEATING DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED This card must be posted near an electrical service NOTICE cabinet prior to rough-in inspections 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 .>.- i I' et55 rI3' g35 f vz._ 7 '1loOC4 / Cov6A ___ i , ,. 3/ y i I ; C4-4if) o y;12sI/ 1 Co fr i 'c' 04"67PPOL Ta Al/9/4. a -Ey v "S ici,}£R, C(WO`i Co‘ic 38 CLelzio aur -- �L Lt.) c.1 2 2_ob - �v �P��J C�p�� 46 7 4