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HomeMy WebLinkAboutBuilding Permit 13. 1280 r i .. ,..a ,� � ,,<, Y`Ml� � A ,. . K CITY OF PRIOR LAKE K arfXn Uf of `� ixit nj nspixfion 'Final Permitted ❑ Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the❑Residential/❑International K = 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 SING! F FAMILY Bldg.Permit No. 13-1280 R1SD OccupancyTypeType Construction �N Zoning District K IN`S MANOR Legal Description Ron14372 RUTGERS STREE I NE. Owner of Building Site Address J .B. WOODFITTER & ASSOCIATES, LLC K - Contractor's Name&Address ROBERT D . HUTCHINS City Planner _ wilding Official >� Date: 7/2 Date: US PLACE POST INCONSPICUO ,�. V. gJ N w z ` I. 11 W Wa U w m355ZZ ram m / OgW WyQ (7 0 W Q l IAt) itri: 0 W z F. re i40 rt I 0 LL N O UJ _ » Z m 0 O G A m C m 0pu. 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J tea, 3� .� '_ o v a o U 2 , z 2 Z — SSZZ ` 16 0) va CC U gfloi Zxgx �/ a i N�, MU ~ 6MUM wWw x a a23waa :I til UJ 0 go d, a a_ p cc cc ri Lu Y Vz3o zzZ WN a zO O aI—d� NZ <= � V1Z j O Visj W ~O J Wd 1HH H Gu.u. u. Z 'h � U ? a 0 a O ❑ ❑ O ❑ V N • - ❑ ❑ s. e-----" siCITY OF PRIOR L ICE BUIL ING PERMIT, Date Ree'd 74.—P It jr04, A. ;//:/ ilk TEMPORARY CERTIFICATE OF ZONING COMPLIANCE , - AND UTILITY CONNECTION PRMIT /025 )3E +/Nue Olt. t Aillite file 2 Pink City PERMIT NO 3 Yellow Applierat %lir at AU5/ (Please type or print and sign at bottom) ADDRESS ZONING(office use) L- 31'1.- R ii+cser-2 511,,cC-1- f\J n )5,0 LEES RPTION(office use only) v , s %. LOT BLO . AL.ADDITION 130 i..)CIA PI non or: P1D e,75- 1361 -OSZ - OWNER (Name) 1.,r0t1 i-e 5 eY1-e I 5"1-ey- (Phone) (Address) p//1- BUILDER (Company Name) 10 "3 5 Wood-P,'1-1-_er i. it, ° 15, i._t_6 c-t et e (Phone) q52-1-14/-0t35 6 (Contact Name) 70-e_ -rvp, (photie) 4,12= 7 (I - 1O Z 5- (Address) go, eb)o ini 3, Prior 1_ i _ , PIM 5-5-3 1Z_ TYPE OF WORK DirNew Construction (=Week (JPoreh Me-Roofing. DIU-Siding OLower Level Finish 0 Fireplace DAdditton DAlteration OUtility Connection CODE:p.R.C. DI.B.C. ID Misc.Type of onstruction: I II III IV V A B PROJECT COST/VALUE $ &70, coo. 06 Occupancy Group: A B E F I-1 I M R S U (excluding land) Division: 1 2 3 4 5 I hereby certify that I have Nonskid('information on this application which is to the hest 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 wilt proceed in accordance with submitted plans I am aware that the building official canny. . his i r ii D, • .- Furthermore,I hereby agree that the city official or a designee May enter upon the propeity to perform needed inspections. X 4 „Loil... 1"...iip„,,,,i, --- - - '--- 15.IN 5co3-2,1o9 loi-z5-7/3 Signature Contractor's License No. Date Permit Valuation ie. /4(0. re.) Park Support Fee tj $ ------ Permit Fee $ q /7/. SAC # —1 i . D Plan Check Fee $ ,3? a -q- f 41 Water Meter Size 5/13,; I $ -c' -,, State Surcharge $ 3S.-. 00 Pressure Reducer $ /5(. 0 0 Penally $ _________ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ / 5-1/. CY) Water Tower Fee # $ - ... Mechanical Permit Fee $ /S—i, I so Builder's Deposit $ Sewer&Water Permit Fee $ ,..)--,C., re? I Other $ Gas Fireplace Permit Fee $ 47/ ce) TOTAL DUE ej., 4+2 ---,y, ///)//.3 $Nike,Z ° This pl* aim* t cremes Your Building Permit N'hen A proved k Alf A, Paid //, 6S--j- 1 ipt No. -7,/z70>n r Date if: 1 ril , Building Official Date This is to certify that the lamest in the above application and accompanying documents is in amen-Mike with the City Zoning Ordinance and Roy proceed as fequested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy,a Co di,cate of Occupancy must be issued _ Marini Director //— 71—/a fr- Date - tv't/I. C4,-4-/Clev-te reArtre til -ZNOPervi&pi StArglift, at- p4.4".X 30%, e&V•r!..0.... f Special Conditions,if any 24 hour notice for all inspections(952)447-MIL was(152)447-4245 4646 Dakota Street Prior Lake,MN 55372 --- Bu era - - „.. C„ ofitre- leye: - Lake „ , . . •r, 1411§01;00S.dittters00066101 metillectiil•the ahlidthlrfeteritt tee: rittatinidtWOOlosit la tssitdeavtacatitttaltistgeteittodatitte foto FO,t-.Pd0P464,4-0,4 10 Is an escrow account 00040 1.40ft".#0404.440.00101:114=1#11011. tatill*Wigi.#0:0,- PbOtalg.,drivewarit., Idthctz#04:11012111,0 skolt.:000900AW 04TA. itayarnarstirtqfp.tiv'ihe;:buktiltgonurttiOwk&tr0041,„ WOrila tiot;40t#01#4, within the,180-11t46diftelietlitilii the eitf,slialf tietTtyLktlitt tipiteeT 1444 thitt•Mblatttint Mut the Atotincitott sha:have to daytto somtitii:tsi flu O1i*4004011400 44tiPkik:1010 kir100410.04‘00.41.#1.01,711Vga00000444 c1oap.tp OtrAtt*OltWitOltV.t...112.1)-#.0),01400..*. ktaciOltto-nreeliepoottuaralso.Iviroxjareckanitylikebitreturi4ektitspocli,24ireesarevr.esermkhrwpeikeit -000.0; DATEt IA,/ • iinh SITEADDRESS: 1.14-3-12- Ri.).4"ffigkr5. N pertivtly# iz.001 IIi ROUND TO aiwAit,eri,tAx. .: tp 13 woo _ er 1 j4-, ocfk " O. , <1, 11,2.,5-dd..ti 0 Pr L N 5f 3 2, Lynda /Allen,Buildirig Services Amount / fr- 4- /' Acct 801.20204 Date PLEASE-, I. KEEP'STREETS CLEAN DuRtwe CONSTRUCTION CitY ErIgilleer . . 2. KEEPEROSIO.N CONTI:101.INa. PLACE TEMPORARTOCCURANCY PERIVIIr MUSTROTEXPIRE OR t50011111MILL.BEFORfEITED SIGNATURE.: 75-905/919 REMITTANCE ADVICE 2623 BRANCH 1 J.B.WOODFITTER&ASSOCIATES,LLC ACCOUNT E2 16817 DULUTH AVENUE SE ' • HIDES PRIOR LAKE,MN 55372 • UNT 40144'4. C'sitY iirVt eit/74,1 4,`"/ .• DoLLARS I [Weis on beck. .TE TQ THE QHDEEIQF DESCRIPTION CHECK . NUMBER c3‘ ki\-1 4? t)r.r %A- -/(0&) $ (26 . Z4 Er' k 19%. PRIOR LAKE STATE BANK PRIOR LAKE,MN 55372 • AP 14,10NATURg U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE: OMB N .1660-0008 FEDERAL EMERGENCY MANAGEMENT AGENCY Expiration Dete:July 31,201.5 Notional Flood insurance Program IMPORTANT:Follow the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name exid 4._ 1.4.0,c1; tes imeskr. Policy Number: A2. Building Street A dre s(including Apt.,Unit,Suite,and/or Bldg,No.)or P0.Route and Box No, Compsny NAIC Number: t Utz gui-9e -s Sfree`t 1.4 E Cloy Pr's State NA,N ZIP Code SS 3-/2 ps �.0. A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Pe.v, gra t,oJ t ( f' 31� Sec 3.0 i Ms)T . 1 S f !L e. 21 . 5c-v4 ea u rAii , r1.1.%ina: 'u A4. Building Use(e.g.,Residential Non•Re�s)dedtial Addition,Accessory,etc A5. Latitude/Longitude:Lat. 4'4'• -1.1 Lt. Long, - q3 . b4'1 Horizontal Datum: ❑NAD 1927 piAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is beingused to obtain flood insurance. A7. Building Diagram Number--Lk_ A8. For a building with a crawispace or enclosure(s): A9.For a building with an attached garage: a) Square footage of crawispace or enclosure(s) sq ft a) Square footage of attached garage al sq ft b) Number of permanent flood openings in the crawispace b) Number of permanent flood openings in the attached garage or enclosure(s)within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in c)`Total net area of flood openings in A9.b _2_84 In d) Engineered flood openings? ❑Yes 0 No d) Engineered flood'openings? 0 Yes ❑No, SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 81. NFIP Community Name&Community Number 82.County Name 83.State 270432 t r'otr C.e. Nkt ) 5co' M l••l 84. Map/Panel Number 85.Suffix 86.FIRM Index Date 87.FIRM Panel Effective/ 88.Flood Zone(s) B9.Base Flood Elevation(s)(Zone Revised Date AO,use base flood depth) 2104-ZZoC40ooCC Nov ii {141 -- AE 908.9 810.Indicate the source of the Base Flood Elevation(BFE)beta or base flood depth entered In Item 89: ❑FIS Profile )i',,FIRM 0 Community Determined 0 Other/Source: 811,Indicate elevation datum used for BFE in item B9: 'KNGVD 1929 0 NAVD 1988 0 Other/Source: 812.is the building located in a Coastal Barrier Resources System(CBR$)area or Otherwise Protected Area(OPA)? ❑Yes %No Designation Date: / / 0 CBRS 0 OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: ❑Construction Drawings* 0 Building Under Construction* Finished Construction *A new Elevation Certificate will be required when construction of the building Is complete. C2. Elevations-Zones A1-A30,AE,All,A(with SFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO.Complete Items C2.a-h below according to the building diagram specified Int em A7.in Puerto Rico only,enter meters. Benchmark Utilized: .e4'5 e�E Pr MC r'Lila D ay vu.. - .Vertical Datum: IJ L£V D IctZgl Indicate elevation datum used for the elevations in items a)through h)below, 'NGVD 1929. 0 NAVD 1988 0 Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) C 10 a Xtfeet 0 meters b) Top of the next higher floor: . 0 feet meters c) Bottom of the lowest horizontal structural member(V Zones only) . 0 feet 0 meters d) Attached garage(top of slab) a .L- feet 0 meters e) Lowest.elevation of machinery or equipment servicing the building 1Q,, _ feet 0 meters (Describe type of equipment and location In Comments) f) Lowest adjacent(finished)grade next to building(LAG) Q 00 , 9 •feet ❑meters g) Highest adjacent(finished)grade next to building(HAG) CI )O „.192___ Meet 0 meters h) Lowest adjacent grade et lowest elevation of deck or stairs,including 0 feet 0 meters structural support SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION 1 This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.. certify that the information on this Certificaterepresents my best efforts to interpret the data available. P '"Ie' I understand that any false statement may be 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 longitude in Section A provided bye 'o 0 Check here if attachments. licensed land surveyor? XYes ❑No C , -4_1) Certifisr's Name nVJ� License sr .Kir • I $S t l 9, D A.tN..lo D b(n Title L-rLwS- v.v.v 4 OV Cowpsnyoc mef' teteM,.J �+a lr i tM tM � ` r Address l-Cd 0 `: (466 a lr ecf 4#z.4 °vats vt lie ZIPSSD] OP ketgv Signature MNIIe1N*11 441-ci-ge P�ah a Dae „ 16-/y Tei9PS2,- 43Z- 3[ FEMA Form 086.033(Revised 7/12) See reverse side for continuation. Replaces a8 previous edNJons. ELEVATION CERTIFICATE,page 2 IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(Including,ppt.,Unit,Suite,and/or Bl)dg.No.)or P0.Route and Box No. Policy Number: t e-(.3 7 2 w'tsi e s v 4,et NE City State ZIP Code SS 3 Company NAIC Number:7Z. SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Co t ents • vm• .- t_ • _ o f ` a , Mil _a el.) a c ci �, ode ' aa+ (S- ,e f ,wcii� was .1t 1Le�1 ,� cam, e �v4 ;oti 0 a. lr, (dews a •t�S n y tf e ave(n`tq�er. Signaturen ("'� /� Date r!� iq V SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),'complete Items El-E5.If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,Band C. For Items E1-E4,use natural grade,if available.Check the measurement used.In Puerto Rico only,enter meters. 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,crawispace,or enclosure)is 0 feet ❑meters 0 above or 0 below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is 0 0 meters .D above or 0 below the LAG. E2.For Building Diagrams 8-9 with permanent flood openings provided in Section A Items 8 end/or 9{see pages 8-9 of Instructions), the next higher floor(elevation C2.b in the diagrams)of the building is 0 feet ❑meters ❑above or 0 below the HAG. E3.Attached garage(top of slab)is ❑feet 0 meters 0 above or .0 below the HAG. E4.Top of platform of machinery and/or equipment servicing the building is • 0 feet 0 meters 0 above or 0 below the HAG. E5.Zone AO onif no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance?0 Yes 0 No 0 Unknown.The local official must certify this Information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMMssued 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__--, Address /.f 3 72_ city Prior J.Gjot., State /.4N ZIP Code 5'.537 z. Signature Date JC l Ga-(`i Telephone IF " 'f'y7-A0z' Comments 0 Check here If attachments. SECTION a-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. 0 A community official completed Section E for a building located in Zone A(without a FEMA-Issued_or community-issued BFE)or Zone AO. 33. 0 The following information(Items 04-010)is provided for community floodplain management purposes. G4. Permit Number 05.Date Permit Issued 08.Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: 0 New Construction 0 Substantial Improvement G8. Elevation of as-bulk lowest floor(Including basement)of the building ❑feet 0 meters Datum 09. BFE or(in Zone AO)depth of flooding at the building site: 0 feet 0 meters Datum G10.Community's design flood elevation: 0 feet 0 meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here If attachments. FEMA Form 088.0-33(Revised 7/12) Replaces ell previous editions. ELEVATION CERTIFICATE,page 3 BUILDING PHOTOGRAPHS See Instructions for Item A6. IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(Including Apt.,Unit,Suite,and/or Bldg.No.)or P,O,Route and Box No. Policy Number: City State ZIP Code Company NAIC Number: If using the Elevation Certificate to obtain NFIP flood Insurance,affix at least 2 building photographs below according to the instructions for Item A6, Identify all photographs with date taken; "Front View" and "Rear View"; and, if required,"Right Side View" and "Left Side View?When applicable,photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Section AS,If submitting more photographs than will fit on this page,use the Continuation Page. FEMA Form 086433(Revised 7/12) Replaces ell previous editions. 04 YA1p4 White -Building Canary Engineering '_vins o" Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT a 1 Iocj SS.C2' APPLICATION RECEIVED /a- Zs: /3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 2./372 -Rd!gcrc SI. S_ Accepted Accepted With Corrections Denied ,, Reviewed By: /1' [/�//�� Date: 1 Z3 Comments: See Reverse Side dor Additional lnfoi nationl See Attachments:ents: 1) Grajnp Plan, 2)Einsion r.ontroi ndal:dd "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." Palo .1. /0 White -Building 0 Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST v Ass-,. NAME OF APPLICANT aB 14100,1 -(7-71-1e/e- ,.. , APPLICATION RECEIVED ID- 2S: /3 ...„ The Building, Engineering, and Planning Departments have reviewed the building permit application for constrution activity which is proposed at: 77 / 43 72 ---Rd -get C Si- A . Accepted C Accepted With Corrections Denied Reviewed By: Date: " 13 -/3 Comments: _ 44. # 544-44Ce 4,6— /14'01/4 . 3oZ c2 -11-oht- ya-rd. ere e.5 177u/raj A/e. 4eureAtt- *re c ?),4(e -'et AeeeSSocy "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� gitro4 0 White -Building Canary -Engineering ' se' Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST Ass, NAME OF APPLICANT a B 1410 0:1 � c APPLICATION RECEIVED ' ZS; /3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4372 -Rd/qcrc Accepted ✓ Accepted With Corrections Denied Reviewed By: _ Date: / I ,0 3 Comments: ( / ras45--$ 47- Acc, t'Lh�—g utzvell t To f /4 U / c � Th Pitc5r02(110 o©e-tigS1— / &- i-3- ro )•406 /^i5 c-4-?(S-AJ, Fe-Mia R6-10-e.V24- Resc4fita_vo Ale-ren. , („tart- iee9-0-..3 64 6/2/10-15- 440 renr)Powei As 412.(JR ,- �� tAsry /ebtao Or- 4;(; .-C "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,,3 R.1[9.4 CITY OF PRIOR LAKE Date Rec'd ( �, : HEATING/AIR CONDITIONING/FIREPLACE PERMIT p i �. I rte_ 4ftHNEsoo r.pink 'le .clean ctrl PERMIT NO.•~1 (Please type or print and sign at bottom) 3.Yellow Applinnr ADDRESS A �i 2� ZONING(office use) tik"\--keilb_______a_.,0 E- . LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNED X- • (Name) ,)\ 0 b (Phone) qL 441 a (Address) ? ) IP " I C)Z I— 5S 3 -') 2 ' HOME TECHNOLOES APPLICANT HEARTH & (Name) dba FIRESIDE HEARTH &HOME (Phone) LiC BC662656 (Address) 2700 FAIRVIEW AVENUE N ROSE)MN 5511 (City) (Zip Code) 651.633.2563. (Contact Person) — (Phone) �7 , APPLICANT SIGNATURE a J`\ DATE /i it- \ 4 _ APPLICANT PLEASE COMPLETE BELOW DDECONSTRUCTION ❑REPLACEMENT ElALTERATIONS FURNACE MAKE MODEL FUEL • FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air Plants ❑Steam PLEASE NOTE: Air Conditioner ['Gravity ❑Hat Water Units and Fireplaces Cannot Encroach anlcal 1:1 Radiation into Required Side Yard Setbacks. Air Conditioning ❑Special Devices Fireplaces with Box Additions or ❑Vent.System 0 Other Devices Cantilevers to the Outside of Buildings g Require a Building Permit. FIREPLACE MAKE AND MODEL C L Ti,C1---112--. \ --- < 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 $49.50 Estimated Cost$ 12��' Building Permit # • The Minnesota Statutes*32613.148 HEATING PERMIT FEE $ ',SURCHARGES has been changed for one year effective i STATE SURCHARGE $ .50 July i,2010,until June 30.2011. a TOTAL PERMIT FEE $ The minimum surcharge for a"fixed fee"permit (Office Use Only) Is IS beginning.luly1.2010 This Application Becomes Your Building Permit When Approved Paid Receipt No, I i Date By Building Official Date AKID p WITH 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 BUILDING PERMIT . 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 o1 P. Itec'� CITY OF PRIOR LAKE Date ,A k ,,,. HEATING/AIR CONDITIONING/FIREPLACE PER%fIT �. ��",� 1~ Oro. 4�Mvtiso•ct- � x rf y 1 PE MIT N 'Wiles-ac Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) LI q U v — -- LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION 'ID OWNER j �1 S 1' '4'41'25 (Name) dQ(, i� (Phone) _(Address) —Pt)ONA i 1O L'g sr k (,.-e (Name) \_l V Lk i (P} ne) (Address) � �t t jl l.lrin tat-GA (D69 ��%'f �" 59) (Address) l (CRY) (Zip Code) i . -t1-` (Phone) -D-�f 3-- I •r1 G` (Contact Person) ._. �.. (P . � — APPLICANT SIGNATURE 0 i St Qt(„./._-.) DATE (9-17g i yr APPLICANT PLEASE COMPLETE BELOW W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODELIRt J' Lfel 301-1 0610 3(OC� FUEL )(.11 FLUE SIZE v�cf RETURN OPENINGS !' e INPUT 630 i 000 OUTPUT 00 TYPE OF SYSTEM . - HEATING.OR POWER PLANT PLEASE NOTE: Air Conditioner ❑lVarm Mr Plants 0 Steam h� Units and Fireplaces Cannot Enema eh 0Gravity ' - riot Water into Required Side Yard Setbacks. 4s echanical []Radiation Fireplaces with Box Additions or Air• 0 Conditioning 0 Other DeviSpecial Devices Cantilevers to the Outside of Buildings ent.Systemces Require a Building Permit. FIREPLACE MAKE AND MODEI, FEE SCHEDULE industrial,Commercial&Multi-Family 1%of job cost Residential,Geis Fireplace $49.50 $49.50 minimum =_---_- Residential,Heating&AIC(New Construction) $149.50 Residential,Additions&Al t. s Residential,Heating Only(New Construction) $64,50 Residential,AC Only $49.50 Estimated Cost$ Building Permit # prD HEATING PERMIT FEE $ STATE SURCHARGE $ •0 (UDE" TOTAL PERMIT FEE $ (Office Use Only) This A A. 1 licati+ c' es Your Building Permit W en Apy r ed Paid " Ill"11 ' _r,,,,.1..'. 2r• I/ % I Date By _ B " '1.- Date ` ' 24 hour notice for all inspections(952)447-9850,fax(952)'447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 o� PRI-64 , Date Rec'd �� CITY OF PRIOR LAKE U ,y'' ,v,aN61 SEWER AND WATER PERMIT I. Green File PERMIT NO -� 2. Yellow City NO. ��j_ILo 3. Gold Applicant / (Please type or print and sign at bottom) ADDRESS ZONING(office use) \4 1 a L 1\)c c_,, DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (-2, �3 (Name) ,5rCL( Dona \A ttCti , .(/smej (Phone) (Address) (Address) (City) (Zip Code) APPLICAN i � `` '' (N ( ,f Lit (Name) V� \ lAJ1i t\ri ( liV ' CO - (Phone) --103''` 45- L�t�39 (Address) t q 19 0 IDa-{r 1.--0,, - f 5- '2- 1 l` ( � J oy-ALI - J!J_ 6:1- (Address (City) (Zip Code) (Contact Person)CIACUr(1-2- ) . (Phone) (0 t a^9 VI ^ (5 4.a APPLICANT SIGNATURE 1 * ')'l l() DATE I2. IQ. 1'j APPLICANT PLEASE COMPLETE BELOW Size of water service [ inches. Location of any couplings from structure A feet. Type of sewer pipe. ❑ABC 10 PVC ❑ Cast Iron Estimated length of sewer line -60 feet. Clean out(if required)located at I lk feet from structure. FEE SCHEDULE Residential sewer and water line connection $51.50 Industrial,Com'!&Multi-family 1%of job cost with a$51.50 minimum Sewer connection only $25.50 Water connection only $25.50 - i Estimated Cost $ Building Permit# Ci><\ / SEWER AND WATER PERMIT FEE $ � STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Buildin¢Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 aF Rro.44 Date Recd CITY OF PRIOR LAKE PLUMBING PERMIT 0. .nlue 1 WI5 cn, I PERMIT NO. I e3 l�-C.�4-�' aleaee type w print sad:sign at bottom) a Yellow auq:+x+ ` ADDRESS _ LA 39-2_ t, ey-s 4, ZONING< 7 LEGAL DESCRIPTION-(offices�yate only) LOT SI AIIBTTI�ON� PID i 6-- /�i OWNER (Name)— (Phone) (Address) APPLICANT (Name) 1^1 ley V\11 I t"ttf {' fie} 01 J 1,-.1Li'7 t07-7 (Address)_-. ._1 5 1--V6ReaCa&S d. S . Prior- Lc ko SS 3 7 2 (Address) (City) (Zip Code) (Contact Pelson) C-c' S c-he-veY (Phone) (0 t - '7 Li-7- 1 ,_.. _--._._... APPLICANT SIGNATURE AL/ 4 --.;_! .. ..DATE ... I 2,1 I 3 t t APPLICANT PLEASE COMPLETE BELOW Quantity_ - Type of Fixture Quantity Type of Fixture '`L• Bath Tub with or without showerRough-ins —_. ._.... 1, Water Heater _ . Dishwasher 1 Floor Drain. Water Softener_ ty(Bathroom Sink) 1 Stand Pi Washin_Machine — (.R Lavatory I Laundry Tray(I or 2 compartment sink Sewage Ejector 7) Shower Stall_ Backflow Assembt l Sinks Backflow Assembly Test Bar Sink _____....- Water Closet Lawn Sprinkler `i (Toilet} _....._._ Other l--. FEE SCHEDULE --'"- iadustrial,Commercial&Multi-family l%ofjob cost with a$49.50 minimum ,. -- Residential,New One&Two-Family $149.30 ,,,- Residential,Additions&Alterations $49.50 The Minnesota Statutes§32013.145 • sat $ Building Permit# "SURCHARGE"has been changed for one year effective PI. NO PERMIT FEE $ July I,2010.until dune 30.201i. TE SURCHARGE $ 3.i£,) The minimum surcharge fora"fixed fee"pecten TOTAL PERMIT FEE $ is 5,5,beglaniag duly 1,2010 This Application Becomes Your Building Permit When Approved Paid Receipt No, Building Off tial DaDate p I te �/r 24 hour notice for all inspections(952)447-9850,fax(952)44e141 f LD 1 I Y,O 7`"F!4 J T 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 CITY OF PRIOR LAKE Impervious Surface Calculations (To be Submitted with Building Permit Application) For All Properties Located in the Shoreland District (SD). The Maximum Impervious Surface Coverage Permitted in 30 Percent. Property Address 14-3 Z.. ) 175 Lot Area /6/ 44 (1; 9O¢ def/v) Sq. Feet x 30% = 4 ************************************************************************ LENGTH WIDTH SQ. FEET HOUSE x = • x = ATTACHED GARAGE x = TOTAL PRINCIPLE STRUCTURE DETACHED BLDGS x (Garage/Shed) x TOTAL DETACHED BUILDINGS zW1 DRIVEWAY/PAVED AREAS x = (Driveway-paved or not) x = (Sidewalk/Parking Areas) X = /09g /evr TOTAL PAVED AREAS --yj /// ' PATIOS/POOBCHES/DECKS (Open Decks VI"min.opening between X = boards,with a pervious surface below, -APre �0/ are not considered to be impervious) c% // Z._ /+ TOTAL DECKS OTHER x = arark/4o4 G✓W'C..77;i ,J 14► TOTAL OTHER TOTAL IMPERVIOUS SURFACE �EAVER 74 Prepared By o Date /5--p3, -t3 /. //-/g-/1 Company "1/1446.- 61441/ 7-7-/Z, �wc , Phone #(9c2). 1.12-,?a • PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS /443'72 Rd, st /fie NATURE OF WORK USE OF BUILDINter_ _ _ .: PERMIT NO. ,t r ISSUED CONTRACTOR ,7� oof �-r 2 ,� 1S�a!�'' PHONE 9,x"0 v4t7- eJ 7 INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPE TOR DATE FOOTING JIG/: e4„v 2.e2, lr/Ae/ FOUNDATION (Prior To Backfill) t.ou %c- rtc �,o,�, / %�: A RADON RETARDER PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER/WATER/SEPTIC yG f /� FRAMING /, INSULATION 21011 pi's . , z, ELECTRICAL 1 PLUMBING V,5 2h e a r y' I4 C:42-c....) 1_09 3` y -1 ti HEATING FIREPLACE GAS LINE AIR TEST RADON - - AP o"i j 6 /st Dix--- COVER NO WORK U TIL'TH A OVE HAS BEEN SIGNED HOUSEWRAP LATH t.� �, ;�.� .. tip FINALS GRADING ( PRIOR TO SODDING) U .6A//� BUILDING re--11/k giereoll.r, TA.,tc 4///, ( , s" a,! 0'1 FR 7)06' ELECTRICAL O PLUMBING lt)C-- : .3'- HEATING �' S /30 DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNE 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