HomeMy WebLinkAboutBuilding Permit 13. 0974 (9 -4 1._f"
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PlitCITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
(Ef
4. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT �� 2-0. 1:-
___
4/NHeso'tt' I. White File PERMIT NO.
2_ Pink City
3 Yellow Applicant /3 i M.......
(Please type or print and sign at bottom)
ADDRESS ZONING-(office use)
1 L/3 3 Surte, A'E 4i/
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION 411-',1 1//66. f(14--[ ) PID 2_3-- �},(,3 6
OWNER 0
(Name) WE L, c4-- Cvr'r 6/Act (Phone)
(Address) /y S 3 Surr(y /..."-,e. N
BUILDER r�
(Company Name) Prec)3iG+-, 4-4. . myor e,o./j--- DaA-J° .t Deihl (Phone) SSS-3V-24-31
(Contact Name) 13(i/✓n r''1 kJ 1.S (Phone) �')1-• 39y --23 1
(Address) 6//70 6661),^ccii, S/4 .S Pt 4( Lek-e
TYPE OF WORK 0 New Construction ['Deck ❑Porch ORe-Roofing ['Re-Siding ❑Lower Level Finish 0 Fireplace
Addition Alteration ❑Utility Connection
CODE: re.' .C. DI.B.C. 0 Misc.
Type of C=nstruction: I II III IV V A B
PROJECT COST/VALUE $ OW
Occupancy Group: ABE F HI MR SU (excluding land)
Division: I 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 it for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
4/77
Signature Contractor's License No. Date
Permit Valuation c7' — Park Support Fee # $
Permit Fee $ (5Z,co SAC # $
Plan Check Fee $ ea, ' t3 Water Meter Size 5/8"; 1"; $
State Surcharge $ 2 , - Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ v 4" Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee y $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE q.lG ' , $ It. 15
This App; ation ', om Y# r B'hilding Permit When 'pprove. Paid a-762-/3 ',,ttpt No. 70031
I_ Date /
I. r� _ Z ( r1 j y
'.uildine Official Da
This is to certi l that th r quest in the abs a application and accompanying docume' s is in ace dance with the City Zoning Ordinance and may proceed as requested. This document
when signed/ the Cit nr r onst Lutes a temporary Certificate of Zoning corn. ance and ows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued. . j.
Pan tr Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
SAFE HAVEN HAVEN
4 52E38TH AVENUE SOUTH
STRUCTURAL ENGINEERING. MINNEAPOLIS, MN 55417
612-2E14-7033
August 8, 2013
Locus Architecture
708 West 40th St
Minneapolis, MN 55409
Re: Project# 13166 - Structural Design
14538 Surrey Lane NE
Prior Lake, MN
Dear Wynne:
As you requested, I have designed the addition for the residence located at 14538
Surrey Land NE in Prior Lake, Minnesota. The Construction Documents dated August 9,
2013 includes the minimum structural member sizes required for construction per the
Minnesota State Building Code.
Please call me if you have any questions concerning this project.
Sincerely,
Safe Haven Structural Engineering LLC o, +N
uta
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r � ramsecsammtigto
4
7 s4
Derek 0 Phillips, P.E.
MN Reg. No. 47507 "s' Op MI$; '`
‹ patq Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
z..) y --,,w....-1
NvilEse
eka < NO.Yellow Apes [PERMITi • 4
(Please type or print and sign at bottom)
ADDRESS )4 S 155 S v r'pe.1/41 1 a>vv,d AJ £ Pr,,,,- f_o.ISe. M N ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PIP
OWNER
(Name) (Phone)
(Address) 14 5'ty`6_,._ a,dr ler y t ay.A N F_
APPLICANT
(Name) Ao,no. lishoss316,13,4 P to e...6 "°J ,oc_ _ (Phone) (15 2 °t 3 S- S i SO _ ._.
(Address) Li(f) Re. t t none- 14 o-4.16,,,a. . _ ac.)r '-i3._.....
(Address) (City) (Zip Code)
(Contact Person) Sra,t'xe Pur .%4.€ t- (Phone) Gil•-5IO L- 21:3-7
APPLICANT SIGNATURE e....,---- -iiiie.- —.. - DATE "e ,zV 2 3
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softener
Lavatory(Bathroom Sink) Stand Pipe(Washing Machine)
Laundry Tray(I or 2 compartment sink Sewe 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&Tw+ ,
Residential,Additio i' - ' terations $49.50
The Minnesota Statutes*326E3.148 )st $ t OO Building Permit# PA ( D i'3
"SL.RCI lARGE has been changed for one
year effective PLUMBING PERMIT FEE $ :-V\
5 0 P
i..1)
July i.2019,until June 30,20ti. STATE SURCHARGE $ t
l'he minimum surcharge fora"fixed fee"permit TOTAL PERMIT FEE $ - o _ S
I%S ,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
PRIOR LAKE DE, ENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS (45 Lzof-r
NATURE OF WORK -v 0 i Tk
USE OF BUILDING n.00
PERMIT NO. 13. "l 1s' DATE I SUED
CONTRACTOR ?1{-1 Pe-4 PHONE 6S"1 � - Zg , ►
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR TEE
FOOTING
kfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING � vrAf,tt?
INSULATION i%
ELECTRICAL <�
PLUMBING
HEATING r6 3%
QST
�IhIrJ� DER
COVER VO WORK UNTIL THE ABOVE HAS BEEN SIGNED
HOUSEWRAP i ? LATH
FINALS
PRIOR TO SODDING)
BUILDING IS lY
ELECTRICAL
PLUMBING
HEATING
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.
FOR ALL INSPECTIONS (952) 447-9850