HomeMy WebLinkAboutBuilding Permit 14. 0283 _ c
xc
CITY OF PRIOR LAKE
! parfnunf of tiI Mng jittsprtfiritt
Final Permitted ❑ Conditional C.O. Expires
,K�K
This.Certificate issued pursuant to the requirements of Section 110 of the El 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
,j1..7 L e-----//V ! 2 rki/il Bldg.Permit No. /4. Z.
/
/J V nin District k/
K Occupancy Type r`� . Type Construction / Zo g -�_. y
Legal Description L i B a ( e f)($L� ( —6 L.- -7 7 � 1 /E S
Owner of Building Site Address 533 b C L �"L2
Al.
��kll/C�' c
&Address /Z.t/ N lJ L.- Ale)e/C SO M //v/fi5
Contractor's Name r1 C
/ C ///V
/ )/�6 IL"T 1/_ I(/l S Planner
l Building Official
K
�, I ``j\`t,� Date:
Date: \\\ ��
POST IN CONSPICUOUS PLACE
uiE
o p
w
JWz Oz� ZG 1_ a a ZZVV
111 \
a 5 5 5 z Fe
ea grEal
\ ui I
W Co _ wc.) u.u•0
pODOC0
V
o
I N
C
LZ`
C Z U V a'
p �s� p >>a a� a
la �'� YY = W N
zzO O
Z KWO ', ZzzWWWW Z a � � mire z_ o W mW� '= 0 WNL. va ? W afl
-16 ci \ ❑oao
0 a v o
ti
x M o H /- t- LA
5 N N V V J W
go o Z w F- Y CZ a o
CZ o�Z� z W 0 0 0 ',L
0 CO Z �ZSM ;1 a v v w
C SL40 0c
LL oW
I
W Z 00 Z - y
p u.u.11- O
�_ a 0004o 0
w 2 _ _g §
wu. � ` .
',I
� . \ § v § � \ ui E
\ K
_ z >
- - K& § § � k . \ 2 m ..
§ S � � � k
OOO ❑ ❑ o \ 0 §
)3s6 . u Q m
0
cz0
U. 0.1 §
as a z
LU-I 3 2 J2L k
E o o @ U
.44
k ■ o§ zz U k 1.0 §
co k ix w sf §WMI * C la w A z \
CSQ � � � � � 2 2 °
a ■ ■ ■ a ■ i Ti ) . W W § UJ
000000 > , 0 0 } §21 X %
e J 1•••
0,1 C2cc
w � - .. / � � U.
Y . , o
§ a - . ■
� � , IL l '
%2 § § 3 IZI
..
ak § 2 222§ � z w � § § d %
Og Z ■ z § §■ w « 2 0 et
0
O2 § lii § U. U. U.§z § 0
az 2 0 a OOOO O 0 ' o o 0 £
PERMIT,
'
c'''. -7--'" ,1\
CITY OF PRIOR
A10 ; �J.1 JI I IDEI � R � lry Dt.te 1ee'd
t /1 7 TEMPORARY CERTIFICATE 7ZONING COT/IiLIANCE f', Hi*
��j ..
ANT UTILITY C I TMECTI'ON PERMIT
y'TN 13
1. white File '°�T";)
2. Pink City PERMIT 1'1 O. / 7 Q
3. Yellow Applicant U
(Please type or print and sign at bottom)
ADDRESS
ZONING(office use)
533g CIed % -I- (Ss ye( ?oa... d 5E
LEGAL DESCRTION(office use only)
LOT 11 BLOCK ADDITION Ea �e C fee k E 540t4-es
PID 2 , 500• C
OINNLT ±,_. ' 0 )
(Name) AC '�. er<`�0 Lit. i lite.`((Phone)
(Address) ill- Tr. 5 `l ! 1 - 1 G2-() t—ael44 1t ,`j I ' 1
(Company Name) L. lei( ref -Ork . it2`j, • (Phone) c.s-6.-426 O23L'i
(Contact Name) ,411/VAlketa Vliketi"k.Y (Phone)CI 2-" (66.-M- 0 2- O
(Address) L 666 Fri IA v *-e r 1-e—t- �, �4M �J d
TYPE OF WORK V n�Iew Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: dR.C. ❑I.B.C. ❑Misc:
Type of Construction: I II III IV V ` A B4::::450Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ OS l i ''
r Division: 1 2 3 4 5 (excluding land)
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 than:the building ,
official can revoke this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X 7„944/1't-11C--142.,d ------- 13C60I/35r/c q/ torn,/
Signature
Contractor's License No. ate
Permit Valuation �3 t Park Support Fee $
Permit Fee $�' ,p SAC # $ 24e, ..r .
Plan Check Fee $ f l 7727 • .2Water Meter Size 49'; 1"; 6 a—
State Surcharge $ ( f a ` C° Pressure Reducer $ 1, (;� ._
Penalty $ `� 1 Sewer/Water Connection Fee + $ ?r—
Plumbing Permit Fee $ ( -4-`SZ'
- iL`Sj Water Tower Fee # $ , 000 __
Mechanical Permit Fee $ S,4%.c Builder's Deposit $ Z C-3"Cr
Sewer&Water Permit Fee $ 5- `7°
o Other $
Gas Fireplace Permit Fee $ 5-4.� TOTAL DUE $Ili 4,1,/ L'
This Ap: :icatio v
7- . es Your Building Permit Whe,Appr, ed Paid ' I) 4-7 Receipt No. '711 93
Date 50 2_• By . Go
r But clno•_ --.411111111111111_ •ate
This is to c- .'fy that e reque tin the above application� and accompanying documents in acco• ance with the City Zoning Ordinance and may proceed as requested. This document
when sir/by 'e t , I,,,n er constitutes a temporary Certificate of Zoning complia ce and a .ws construction to commence. Before occupancy,a Certificate of Occupancy must be
issued. / `
Aicidailaws..-__Plannin —.r Date p S ecial Conditions,if any
24 hour notice for ail inspections(952)447-9850,fax(952)447-4245 •
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
,1?1,,,,,)
Itl
. ,, , _
ulildcvs D pcsioit
i c�tINIYEsfl�� City <el ;'rior Lake
A$1,500.00 Builders Deposit is included In the Building Permit fee. The Builders Deposit is issued as security to insure compliance fir a
Final Occupancy Permit. (It is not and 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�yyill be billed for clean up or corrective work toi rectify the situation.
A$500.00 Tree Deposit may also he required and will be re(uftded if specified trees are preserved for a period of one year.
DATE: 1/J/a//y
` `, 03
SITE ADDRESS: 533 ii C re ti f ;ver noa-4_ . PERMIT#
REFUND TO BE MAILED TO: Br ! k/It.e('s cl i. 1-TU 71 e 5
�5S 5 orf n Dr too , .
a n_ f Alt) 551a� � u i � ���I. r� ! i`�c, � ih
I 44 2 560 00
Lynda S.Allen,Bui ing Services Amount
L1� E s �lEB� ' -11 -t 4Acct 801.20204
Date
kr.
1. KEEP STREETS CLEAN DURING CONSTRUCTION � �``
2. KEEP EROSION CONTROL IN PLACE
•
3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR $500.00' Lar oppler, City Engineer
_ _=.,,_:.. .2ite._______.._ .
SIGNATURE: t- W
aurz�ayv-rmnr It ,� -0.',.41'.k. IC: y r; 1. 1f „
._ `: ar Ili ', i 1 .It -; i n W' 'a41' ,• �1 .81t,'. t1 F� r e ii
-t c-0110441"R-4o, „�vn'1u ,r:,K ltll"tl'.`Ik. .14 t �'"' y11u"! -..440..,..;,;.14'4uI`I I,..,aN I)YN.. N �:I%:.iN1f :K I���P ; ..:J t1 INV*,"' +''''
i "il d.. '�— v 1 ;•00 t f W, .;14 :. . _,-1,,,,,,,,,,-„,,,,. 11�;�� a :.,,,,,,,, ,,i ::� d; ,a, „.. ;. 'I•:li +,
i ,'4 s, "1 i, •••-,�l 'd„�01,-.) 1 II0h.: „ II .: lin dl a'u d. i �, ;I,'ry�1 1 i ;;;1 'd .�,... �I uu s,�1T �'� t 1 '•" 1!a :� ,1
?,y�r h FIr1 sI jr I ,s;. �Igpf•4: •°'"iR l�'1' :'S'•,;�;;i,a�'': h '1,,1idl! ,,1 Y ''.4A1,141:10�1 i.!.g.1 i,,.L, ,3'..J r. 4 rrV �,al, �i! 0, i n.l 1
.N' a '� i5 iN '� a:;,:�1,0 a,� i ,p,":tl�l l 1�'�1.d4 7� h',Y,. Pt1, }., ..AiMr_ ,1. 1 a,rr,1�1 flu,,�nM'i" d •�i .0,”.
+r11 � i n 1"� ,'�.�ni;�t I ,w� i11° �I� �: ?IIp��M i' -!Hdi'C t.'.��41" i�� � 7:�r�llau�llm 1�1" ., �ql ,I 't I�:;�y1 it 9�"�h��.,;� t�, 4'f�" ,1•I r tip. t s
I 1 +� t I �I."Ri �y. i YI� i 1dN"x ''"'"40..".'.-7'.-:,-.1."1';'0i.
I��7 1 I,p q n 7
:17,47, .. fie' 1'V' ' 'I ' i�h, a a ,n I 4S 1� ,,,a,1�, WI'k ',�'��,±'I''M' I tl r
�� h IV w m �s {d � 5 R rirw�� -� �`17 >" 11 -,,'...,:',-.-,4,-.44n
..f��
+` s k� '� iOY ��� iiPP l YY" rt �p
1 ▪ w �r ' '� pl 7' 1111 '4.1V.3 1�',�Ihil1�'I�'npl � � ��f � ��f �:r
�J � X11 ��i� �,�It�£ ���41�: I '� !i '�li ��I'� I,',:•!,-,4%,:.,� '"--.441'4,,'> i',��i���;� �1��,� � w4 ,x �
11 un � i t,, ikj:,h'I - �" I. iA 1I , ia �1'��n Il 0.,. " -: `, ._r ,'q«.s;.',4 t '';1
z �, 'N' :,1 u rF�, 1 r��., °a� ay��. ',\V"-",'10"� " d]Il,412 ,da�¢ , ..,,,...t1,;,-.. ,,,,....7.,, a
x. `+: y.. y, ..eke may.# 'yy ' o �` ' f��''�
▪k tle q L I ?:n , ` " . '',$,-,,,,,17,41M-6,', `,ij� t 11 +7`r,I 1 5 . W t 3',i.p x it-,. F x a#d -.,,.
1 € i1's 11Lp� „c 11, ,„4,,,r„,3., '1� u1 .. Pv :iI ,. :V. '�' s r f r a
1.11'1,,k, I lu�:i�.144';i11.1.,-::'''''''''''''i'�wrl � ,I l � � 1 u:;: � :_�u. � p1 a�,
:.:lfi� 1 ,n'n l .- p�: .t 111 I.N , `:� '::'9' ,j: I1
1:. 1i ��f1 ��,� a:..l�,�,,.r ,, �e. -; �1,Id.h w 1 �u Y ��u�m4.M�;,� j ,::'rz#.�a, "� < ' f '``�v's"r:; e ^m '`f'n.�jt �,E�t��t+�� ��
.�, ; p1 .S x �,i ,1 X11 #111't1 I� ''r 1 x. `� 4 W b
fn Tbli,14
@yr J�ty�.•: ��a�� ?�`�� �i1�:.'� � �r'�`t1 P 1,j
!J a1 .xAb 6✓?fN4rvtl,; it Y'4.:;" �,%.,,,1i1ro a P' 4 .a4 h . r j ' >r
�., `�d 11 N'''''1, �I r.,,,; �1 'u.�+.1 it>; �1 �li F -i,tf :: . ^..'� . °7T a 'V "➢ `tfi fi u ,�, :� ��,x pa`:'1 � s :4I �`1 . *,, . ,- .atel,xr<,:: _. u w J 1 ` 1 dU^ .? fi., ':$°.'... 0 0
: Lha • o
0 0 c 0
° ° 0 - - _
P° ° O °0 s -
PR10gool
White -Building
Canary -Engineering
\ .....44101,001'.. Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT fM/loC, //7../0-0/z4 0/-!'
APPLICATION RECEIVED 4— - /," / '
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
533 '' e/— ' / ,e-/ c/ ?t ,
iZ ,
Accepted Accepte• With Corrections
Denied / /
�►:i - 1-
Reviewed By: L\ ___ - - -
Comments: k- / ,i- N oma 15:1, 5( rJ4(JV 144tr
CcA-• -•cepte•
issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
PRI()
uo� _
ti
White -Building
Canary -Engineering
'evey$se# Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT , A/06,
APPLICATION RECEIVED T //.
The Building, Engineering, and Planning Departments have reviewed the. building permil
application for construction activity which is proposed at:
533/ C/4-6,--2:-.717- ,67 v`677c- , , •
Accepted Accepte• With Corrections
Denied s
Reviewed By: 4/h. B
Comments:
"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 PR/04,
White -Building
, Se. Canary -Engineering
Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT �0�. ,I✓D R0", •
1
APPLICATION RECEIVED ¢ - 7/-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
533 ' i ,67Ve7e--
Accepted DC Accepted With Corrections
Denied
Reviewed By: /ni Date: -Z4 iy
Comments: See Reverse Side for Additional Information!
Aly bro6" sa.v*/K O& .'i ( Wi /l be fop/NLe/ 6y hi/Irr
G rHe 4, F,44.1/ e•eito4 S ,vim
See Attachments: 1) Grading Plan, 2) Erosion Control Standar
"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 01'
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 Co ructio iiiii•Single or Two-family Dwellings in 1 or R-2 D' tricts
Reviewed by: ', Date: 4 2Z t4
Building Permit# PID: Zoning:
Address: �� - i
Legal: L , B Subdivision:
1
Existing Structure? YES/ 0 Existing Nonconfo ing Structure? YES/NO
CONFORMS TO ZONINGNO
ORDINANCE
Yard Setbacks: NA/FAILS!C I S Standard I Proposed
• Front Yard(can be 20'if avg. ,' in 150') 25' 'Z
• Side Yards 10'! _
25' if abutting a street Z- S
-- ,T
• 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. t
• Rear Yard 25' 46, '-1---
•
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 t____
less than 50'
Floor Area Ratio: NA/FAILS 1 COP ES .30 Maximum I I
Yard Encroachments: FAILS/COMPLIES Standard Proposed
Eaves and Gutters no m e 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: N /FAILS!COMPLIES Standard IProposed
• Total caliper inc es
• Permit 35% Removal
• Caliper Inches Removed
• Caliper Inches Preserved
• Replacement 'h:1
L:\TEMPLATE\BLDGLIST.DOC
l
i
�Rro CTTY OF PRIOR LAKE Date Rec'd •
°-1‘;•':'-'•-6---71 HEATING/AIR CONDITIONING/FIREPLACE PERMIT 5 � ` • 1*''
"`V���,-!:,',,rl
� i.Pe k PERMIT NO 'l. --
dnves x.o,ee" cer ��
3.Yellow Applieent •
(Please type or print and signet bottom)
ADDRESS ' ZONING(office use)
3 3 g exff-b ,^T- et-VE--12 4 5 i t
LEGAL DESCRIPTION(office we only)
LOT BLOCK ADDITION PID
OWNE(Name) Se o L Avo 0 k u (Phone) /1ST. K'. o2.30 •
(Address) " / S S l-4, A, ` ' 1 J S?2_2_,
APPLIC(Name)
HEARTH &HOME TECHNOLOGIES (Phone) •
dba F11RES1DE HEARTH &HOME
(Address) Lic BC662656
2709kVIEW AVENUE N (city) (Zip Code)
ROSEVILLE, MN 55113
(Contact Person) Rc; 633.2561 (Phone)
APPLICANT SIGNATURE DATE
t
APPLICANT PLEASE COMPLETE BELOW •
'fiaW CONSMlle- .0N ❑REPLACEMENT ❑ALTERATIONS •
FURNACE MAKE AND MODEL — FUEL
FLUE SIZE •RETURN OPENINGS INPUT OUTPUT
•
TYPE OP SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach
❑Gravity 0 Hot Water into Required Side Yard Setbacks.
o Mechanical 0 Radiation Fireplaces with Box Additions or .
DAir Conditioning ID Special Devices Cantilevers to the Outside of Buildings
❑Vent.System 0 Other Devices
( .--Require a Building Permit.
FIREPLACE MAKE AND MODEL R f 0610 S-1'7 ri
P�
FEE SCHEDULE
Industrial,Commercial&Multi-Family I%of job cost Residential,Gas Fireplace $49.50
$49.50 minimum
Residential,Heating&A/C(Now Construction) $149.50 Residential,Additions&Alterations $49.50
Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50
Estimated Cost$ Building Permit #
The Minnesota Statutes*32613.148 f
"SURCHARGE"less been changed for one
HEATING PERMIT FEE $ year effective
STATE SURCHARGE $ .50 July I,2010,until June 30.2011.
TOTAL PERMIT FEE $ The minimum surcharge for a"ilsed fee"permit
Is
(Office Use Only) �+,5+,beginning.lnly 1.2010
This Application Becomes Your Building Permit When Approved Paid 1011+1
tt
Date tLD1N PERMIT
%undine Official Date •
24 hour notice for all Inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
RI0 Date Rec'd
4 CITY OF PRIOR LAKE
"" 4 SEWER AND WATER PERMIT 5-, 19 . 14
�jNNESO��
'. Green FCityile PERMIT NO. 1L.1, Z�
2. Yellow
3. Gold Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
t5; Cr 2-QP,S2- ii
LEGAL DESCRIPTION(office use only) !!--� h [�]
LOT BLOCK ADDITION PID(95 €. )' 0�
(ONS ER r n ^ QL 1:1,4,900.9uJ r'! ) (Phone)
(Address)
(Address) (City) (Zip Code)
01., (Name)APPLICANT Q- --�7 S"t_-- 1,-5 (Phone) z4 7 b 5 '8 2-4;)",,
( ( z.dress) "7, W )q9d Ad17 1 'v
(Address) (City) / (Zip Code)
(Contact Person) "`-1 moi T. '`'S — (Phone) / �2- 119
APPLICANT SIGNATURE �� _. DATE 1 i i /�
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 $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ PAID WITH
(Office Use Only) BUILDING PERMIT"
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
04 pItID� CITY OF PRIOR LAKE Date Rec'd
M HEATING/AIR CONDITIONING/FIREPLACE PERMIT , 6. ( • , /t
).0i
n, 7
1.Pink File PERMIT NO. '1 �S
NNEsolP 2.Green City /� , 8
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
533 Dfccikc 'ver _dsc, R
LEGAL DESCRIPTION (office use only)
LOT I/ BLOCKS ADDITION -79/ c re e-k S PID �5--_oO 0
OWNE(Name)
%yjj-j' NJUJ JX\ CIOVY)e.S (Phone) 052- Ng -6243
(Address)lESS y1 CR'. Rst.11.0 eATY1 1V SSA?7
APPLICANT UuRNSVILLE HEA &A/C, INC. (Phone)
(Name) 3451 W.Burnsville Parkway
(Address) Suite 120
Burnsville,MN 55337
(Contact Person) (952)894-0005 (Phone)
APPLICANT SIGNATURE` , VtA& U DATE (Q-Z-1'-
APPLICANT PLEASE COMPLETE BELOW
jEW CONSTRUCTION 0 REPLACEMENT ❑ALTERATIONS /
FURNACE MAKE AND MODEL rL c Ct��,C1jt�s bbbS(l- FUEL nO Irr,�,l
FLUE SIZE RETURN OPENINGS Co INPUT SO, )O() OUTPUT-16,()C0
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑Hot Water into Required Side Yard Setbacks.
®Mechanical 0 Radiation Fireplaces with Box Additions or
n'Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings
0 Vent. System 0 Other Devices Require a Building Permit.
MAKE AND MODELbaoy* (,'p ,-21)3(0 3 doh
FEE.SCHEDULE
Industrial,Commercial&Multi Family 1%of j•, cost Residential, G, Fireplace $49.50
$49.50 mil' urn
Residential,Heating&A/C (New Construction) $149.50 Residen . ,Additions&Alterations $49.50
Residential,Heating Only(New Construction) $64.50 Re •.-ntial,AC Only $49.50
Cost$ B b:. • ng Permit#
HEATING PERMIT FEE $ PAID Krim
STATE SURCHARGE $ 5.01 BUILDING P�RM��
TOTAL PERMIT FE $
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
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
i � SEP 10 2000 c'd
CITY OF PRIOR LAKE PLUMBING PE I IT
g01 gy
s4I i -
''LT, FEZ PERMIT NO
3 Yaw Applicant.
(Please type or print and sign at bottom)
ADDRESS ZONING corm use)
% % C! F- KiKe 1 Rat
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER ,{ ..,•,t, �a U"1 O' Of,
(Name) Gt ( i r r i d r Vn 1b Y Y tP�j (Phone) A ', ..1.0-14. 4.4.
(Address) 45 t5 .G-vi S4 0v vt i t2D fA 'tom t Mid
APPLICANT N tMil-CV)!c�{ Pi r � --s__7_1_,.61
(Name) `� A W1 (Phone) _ Q�� —
(Address) 14 Di t ejt 0 vl q i ,., 606 Mf)Q. ,_
(Address) (City) (Zip Code)
(Contact Person) ��.� (Phone) cD(Y—LP4 5 11J54
APPLICANT SIGNATURE /21N 9-'-h DATE
— APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without showerRough-ins
Dishwasher Water Heater
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
Th
e Minnesota Statutes§326B 14.8 [lob cost with a$49.50 minimum Residential,New One&TwoFam]ly $149.50
'SURCHARGE"has peen extended Residential,Additions&Alterations $49.50
The minimum surcharge fora
"fixed fee"permit is$5i 00 $ Building Permit
-PLUMBING PERMIT FEB $
STATE SURCHARGE $ 1M5.°0PAID WITH
carrke trsean ) TOTAL PERMIT FEE BU ILD NC, PERMIT
IT
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Hutldine Official Date
__
24 hour notice for all Inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
.
bEPARTMENT OF
PRIOR BUILDING AND INSPECTION
INSPECTION RE ORD
SITE ADDRESS
^)Z01:> i ► vim- . '?
NATURE OF WORK „.il► .0.;0.4......12 _‘...... '-
USE OF BUILDIN , ' .N L.A� ► et..
PERMIT NO. -41-50(--
____DATE I SUED - L_�
CONTRACTOR A ► ' ' 5=214 i /t7-... - PHONE 6t z —erg o 2-30
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
FOOTING ---S)'(-c_-- 5---1 t it
FOUNDATION (Prior To Backfill) — s--- 1 VI
RADON RETARDER ” c_-- ( iy
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER/WATER/SEPTIC - 5' L 1
FRAMING ‘'().3( q
INSULATION Z--t--(/ 6((g/t�
ELECTRICAL
PLUMBING - sizv try ` t'z bl ( z ) N
HEATING
FIREPLACE 1-c.-- /1-(
GAS LINE AIR TEST 'l//1 „�-- D Le- t`� �`f
1_.-c (o b q f
RADON-1111111111111111111W-17 I Pi � D `{
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
HOUSEWRAP 6\ ) 9f (' ' TH 4, 113( ly
FINALS
GRADING ( PRIOR TO SODDING) ---b•'-(.- o (.1-4 t`1
.1 BUILDING -ft-vi-p N1-16,
.ELECTRICAL /
PLUMBING a;,--L. U V 71 ( l4
HEATING Tht-'�-�'
8((F0
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