Loading...
HomeMy WebLinkAboutBuilding Permit 13. 0953 ci J z IN a � W � Zla w VVWU. !Y� > ta ` 4aaaa� t9 a 4$ 555 02W w Z C Z F. LI/ 3G V � LLg '1 rt A. > 'o t 0000 ❑ ❑ re Cr- M N 0 i o d -3 m c O W . O » < Z o g J Z Y Y 2 0 U 0 C F_ a p p ti J F d W t ,; o OO a _ � Z � Z SSZ = i W m DO„ N 0 a °° xwWmx a OC Z czi nu3- 6mo it o o z ~ a � 3v� a � 1 UJ UJ tu 0 0z 000000 CL CL 0 W t a a J F C� N. cc 111 uj \t 0Z o t� Z JJ UJ IU W g L ° Q C U.5is �, 0a o W p $LLu.3LLa 0 3 u c0i I. VIt 0 ❑ ❑ ❑ E. z a 0 a 000000 0 W J V V ui w4... +�� JJ1IID re X zO z ki I ta 14IN W �1` Z O. 1. a W t Z O WLI fi = OOri .Im c O (=j Z Z — == 2? • O U 4 0 00 w mSW��� LL F= W QC a23voaX , ,� `-� o o Cl, I� a 00000❑ t/► N 0 0 re a �°, lit r 10 uu g� o CJ ` o < ci w CC z o z t� s� a s 5 ui 2 O a.W "o CO _ 1=z°°gig ., = w Q �"1= 4c f' w �W iu W W o> > Q N V 0 4C W ILI -I Z OOu.3ay Q A = oa. = LL ,� ,� z - - O iz Osu IC Fi er O � a 0 a o00 ❑❑❑ C.) �� 3 0 8 CS W Z 2 y n Z .J.1 2 IT re Ist-I - vv < ui LI i 02WWy J I 1 iaUtilio z >w cv2 'II v, 000000 U 0 Wet = W y` O aaJ O U. N in �, Z QY QY Z m u' Z O W t 0 88r " z O O W V r Z0 W Z — ZZZZ O Q CF) 4 la en 0 0 0 a m a' a' mLL v °� ii a azulgxa. Z • Milj 4 o o z i- °� ❑ ❑ ❑❑ oil -11111 W W Lai au k' 1111 IN wo z oZ M orz: zrz to <u. c. o m p> o� ` oGyW � 1 V ' WZ ? JZ —1AW d ~� 3w K aOO Wceus N ood 0 44 0 a 000C100 C.,) - 'r of ger CITY OF PRIOR LAKE BUILDING PERMIT, Date Reed TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 4Y AND UTILITY CONNECTION PERMIT o//T//3 t, 4._ , � z i 1N a Fik t ciix PERMIT NO. /] > Ytltow Aprtfaat r �- �,5- CP,IOW tYPe or print ani Ogrtat bottom) ADDRESS ZO 0(mire use) 33f3"/ ifl/.u,i z L IVA r R I LEGAL DESCRIPTION(alike use only) LOT 5 BLOCK / ADDITION M A--PLE G e.... ."/ 5774 PID — lig q ,2 OWNER il rip, (Name) (Probe) (Address) BUILDER (Company Namex.D.R.HORTON, INC _ 0%00 952-985-7272 (Gonia Name) Brooke Hareid bmhareid@drhorton.com 01110,4 952-985-7806 (A&kess) 20860 Kenbridge Court, Lakeville, MN 55044 TYPE OP WOW 'V:Iltwteat n t ?eek 1Porc'h dit l ifittg { itig ttr'I r Finish 0 Flkainne ElAddillen 13Altetation Ciutiliw owned/aft CODE: 1L-R.C. DAC-C. Q ice. TypeolConstructiont I II' (7cctipattr�r j A B E P I H R U PROJECT17 S $ ?i 3 9; (extutDivision, I' 2 3 4 5 landl t=hereby ceittfy that i have tumished fort inion tit thi� tient% b is to the best of my 1.tttstf£ett, tttis'an d condi. 41*c that I ant the tmvnir ttR.autttc>tazed-agt t forthe bovt**n tatonett 1 M M 1-conatlterlan = m so of etnang st?�o'•and l t burs i 7 �sit ac4 4a1nce submuwd plant: tam aro that tl:*Whig i official canrevolm this permit:for 3 . use- an,,�•,._. 1a�ty agreethat t eerty'or t.nFs tb c r utValbeptopetty snr p stotns nclaktltstiteeta►ns'. X BC605657 8�' �3 . _ or o. 4,4L1nscNct D tin Permitvaluation co . 600 ,. . Permit Fie $ 0703105:5-6 SA. " n tt- . s 01‘436: 00 Plan Check t f7}2.„..e. .5-S Water $/g'*;U,, - , q , 0 o State Surcharge $ ' asttre T2itstii Penalty 3 _ SeweP/WateregOttection Pee # $ )5-00 Plumbing Permit Pee $ e so Water tower Fee # $ ��a Od Mechanical Permit Fee $ /sii. Si, Builder's Limit D O Sewer&Water Permit Fee t 547 e_re) Other $ Oas Fireplace Permit Fee $ 5-q .5-0 Tom Au r • q. 3- /3 ' $ 63, 3FO,,O, This App, . t. mut l.:ourBuilding Penult When . 'prove, Paid /Z.‘ Jd •cK R e' t No. /0 61 J �� r 8 Date 9, /7-13 B Building Qfi ciai _ a,to This is to certify that the request in the above,application and accompanying documents'. in actor=•ncswith the City Zoning Ordinance and may proceed as rrquesled. This dmisturns when signed by City OW t'crnstitutes a temporary Certificate of Zdtting tomplia •e and all, vs conitruetion to commence. Before occupancy,a Certificate of f}erttF'Snc4'most be hatred f, jireilili r ! `daitningDireetor o'` °ate Special Conditions,;if any 24 hour notice for all inspecti i is(952)4479450,.fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 - . • • , Builders De sit . . , . . . , _ _ ......, . -447itaok! . „ City ofPil' or La— ke— DifiRrSit Ottitittd 4$40013110,10ARARIFer.00311tpitailge fb'r a kr$44"°;Al°Ettitt4t*'.:!''''''It$*t?'-444444111 the attikift MA"4*fO...*-14414...4441Wwerbirs.. -a• •s - itmliegt tooattitztv•auttctiM.tanctteaptag, teoe F44.1.0V0904:46104*.,:'! Ot**TO)octowagoottf0Ail(*KIX. "al 1 .-0/"-Ilt'n° , • ..ouff ft,rou.A. itilit4itic tow conipw piantingi ttrhaAslaysiortagitantlindtsilqg Oak ba:OfiStnrizitati tfitkaaySiarter.010:414411.1fe:WORP141FlI!• i „,. e:_ , ._ .r or the mat&tha to 44.01110 tierlOWIA6 9411;i0ta a4tUrthf*414$4.00?"0 ato Ale***dnd gt!It'.,*(can.-ifi..4t1;111Zri.114=s1 wasta?-41P41 vootwoliott4044.40ffitivitftst4ttkatiftaadtthC.gafPiarit'wle4fibOniktckt'elEW(1!.q."". • • fora• ., .4 opettnvyait. A4500101/ietellOrittainintarafinztartactuttaitatut willika•raftuttbsit Ifsionittattltaafratatt . . DATE: • - - R/1443. 73 Er9 L a/Ai F./&L.... 4/4--/- PERMIT# 13 • 5_3 . arrEAD:com . . .. 0._ ._ . .... Attn: ,JADA &gee-7%114A co-(' ' putpum.:10 BE mittert To.. D.R. Horton, Inc 20860 Kenbilaie Court Suite 100 '‘,L1 ( 1( wi 11( 1 1 ....... .. Ilekeaie Misi-55644 - . • /// 4tz560 06 Lynda S. ' 'I',,Building Services Amount Acct.801.20204 Date w . , i. wr, IMP EROtgReaTovuoaORCOrgia. IN ik00ifitorRuilliet4- ' '.. I......- ., .... • . . . • La Poppler, City Engineer SINTIVIA, Kee — . s TemposAfty co:* -!Avoyftentor moor NO pola.4— - .,014::$500. . ,..‘Oa. V-44, ..80 PON. OM_ :. • , . . ... ..EMJT -. or.. Wilto . . Ar• . .• • - .. ... • . . .. .. . • THIS CHECK IS PRINTED IN RE_in,AND BLUE INK ON THE FACE ON CHEMICAL AND BLEACH REACTIVE PAPIER WITH INVISIBLE FLUCIfig?,s.- .1.f 1 -I 0 ?..!.,1 i , . • . , .,,.,.A"'•'%.`WI'l'.0,''-"'e..:Iitc".,..1,,,. A.,,.**"4.'',4*, 41‘,.-\„,,''‘,” ' ..‘\-ank ‘'‘ ) ''\>1. ) 644278 DIMSOtIthiiiSb Account ) Atlanta,Dekalb County,iGeorgia 61, cA .,,,,",-1,,:f.,-.,7' ,h.Igl...,.... ••.• .,,,,.J.,"4.•ir-w; ;,,,„ 301 Commerce Street,Suitet0,s;‘• ‘ , \ ..,,,.\\ ,/ \ ,,:"\\, ,., &\ %t 0,9011,11.1,,,, ',.*.At.."',.;„/71 ,1.1-''' :3',",' ''' '''';.,„'"i, . s) TWELVE THOUSAND THREE HUNDRED EIGHTY AND 08/100 . s\ ., ,, \' % , ,- 1 • \\ N ‘,,,e,,,,,.., \ , , ,.,, •.,s••„,,,,,,-.:,,,.,,,.: -,..,,',,.,;,,,ii,,...,.,',,,,,,%,.:,,,,-,%.4.,--•,,,,,' ,• To the , Order Of CITY OP PRIOR LAKE(PERMITS) -, sN-. \,. , ',:. -0k-....i.3.f..4,' 4646 DAKOTA STREET SE .,,,,,A,,,,, ,,,, ,s .,,,,,,,,,,,,s. .•,,,,, • -. :- :, ., „...„,,,,,.., ,,,,,, •t;''...*,\l''''''''''''';:.'..! PRIOR LAKE MN 55372 ) , ,, • , :\,,.... \ , , • ; \‘, -,‘ ' ,‘,-,',0' .,;:; ,..,` 1' AV - N '',,,V''''' s,. )t,,,i„,,,',IV:.,N'Ill', ,,,,..'z'' • , \ _ _ iisoo5565oqui i:og, L L12 ?aal: 329 903 676611° 0 Residential Building Permit Checklist 17.,1) struction for Single or Two-family Dwellings in R-1 or R-2 Districts f ^I Reviewed by: 22 .i'� W 1�� „ Date: o z c1 13 IT Building Permit# PID: Zoning: Address: ,- - - Legal: L , B Subdivision: Existing Structure? YES! O . Existing Nonconforming Structure? YES • CONFORMS TO ZO ING NO ORDINANCE I Yard Setbacks: NA!FAILS/CO A,.1 ES 1 . Standard I Proposed • Front Yard(can be 20'if ay,.In 150') 25' 4 • Side Yards 10'! n f 25'if abutting a street L 5-2 • 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' -5© -4 • 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' .— 114 04- 5-0 4 4-i 6n t toc1. I Floor Area Ratio: NA!FAILS!CO .30 Maximum I ,/2- I Yard Encroachments: PAILS/COMPLIES Standard Proposed Eaves and Gutters no m re 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: FAILS!COMPLIES Standard Proposed • Total caliper in es • Permit 35%Removal • Caliper Inches Reij�oved •• Cali$r'l t ches Preserved • Rpiacem '/:1 L:\T� TBIBLDGLIST.DOO i PRIp4 z U tr1 White -Building Canary -Engineering 41INNESOr°P Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT b /4/01elaY1 APPLICATION RECEIVED (/JV/i3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 33i`1/ Gvonh1z5 L . P Accepted V' Accepted With Corrections Denied Reviewed By: ory Date: S4A Comments: f* c r-vc.. &-c5/ Sr MAY-&- (- .C-e-s3t-e••-5 177-dr-STS /14-16s. "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 oil 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." rte*' '4011*. 74 7:4,,.i;e,1F „,, ,"7",„ 76+4.,,, ( PRJ U t7 White -Building "'r"NESO Canary Engineering Pink -Planning /3, PERMIT APPLICATION DEPARTMENT CHECKLIST NAME2a OF APPLICANT APPLICATION RECEIVED 74”/1 The Building, Engineering, and Planning Departments have reviewed the bui,Iding pe ilk application for construction activity which is proposed at: 33 1? Accepted Accepted With Corrections Denied /40 Reviewed By: r ,.._ Date: 2 f 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." (C5 �e 7 White -Building 41INNEsocl' Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT b 1�.. a/e C a-11 APPLICATION RECEIVED t/ii'/10 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 33 Pt/ lily--46 �--' 1� Accepted X Accepted With Corrections Denied Reviewed By: freM Date: 8-3 0-13 Comments: See Reverse Side for Additional Information! "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." 1 rRro CITY OF PRIOR LAKE Date Rec'd °O,' HEATING/AIR CONDITIONING/FIREPLACE PERMIT .• 4'++ur>�so't" a " g;;y PERMIT NO. /316-3 (Please type or print and sign at bottom) 3.Yellow nyyscom • — ADDRESS ZONING(oifce use) D58 4 s LEGAL DESCRIPTION(office use only) f LOT BLOCK ( ADDITION 07)/4 Len-5 , j pm.25- 999-005- (Natne)R 1D� � � �5 (Phone) Ci 5z- / /1r7 2. (Address) 2O(DC) Kell bridle C-i . C) Lai6e 61 le'lit S5XL LICANT . APP {Name) fireside ilea --/h�-7I'/ v !ionic(phone) (051- 1195,3-2.5L01 . (Address) 7100 Fail/vievu Ilve. 14 I oS-e UII 1 10 k ,5 i 13 i_ y(Address)_ ssl �^l 2 2 }Code) (Contact Person) Leo 1e1 IJ,.1 ler +or- (Phone) (961— (J E :)�1 G. . . APPLICANT SIGNATURE — 7 ::.•• DATE `U. L.= , �„ APPLICANT PLEASE COMPLETE BELOW • EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT []Warm Air Plants Steam PLEASE NOTE: Air Conditioner ID Units and Fireplaces Cannot Encroach me och�arucat 0 Hot Water into Required Side Yard Setbacks. 0 Radiation II Air Conditioning 0 Special Devices Fireplaces with Box Additions or :Went.System 0 Other Devices Cantilevers to the Outside of Buildings FIREPLACE MAKE AND MODEL a. • IL c.., Require a Building Permit. FEE SCHEDULE Industrial,Commercial&Multi-Family I%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 $49.50/ Estimated Cost$ d C c55.°v Building Permit # The Minnesota Statutes§32613.I 4 HEATING PERMIT FEE $ "SURCHARGE"has been changed for one year effective STATE SURCHARGE $ .50 duly 1,2010,until June 30.201 TOTAL PERMIT FEE $ The minimum surcharge for a"filed fee"permit (Office Use Only) is IS beginning July 1.211111 This Application Becomes Your Building Permit When Approved Paid Receipt o tID 'ht Td Date > U!LfjfAJ� BuildinaOfficial Date a.� peRAlla 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 o1 VEtO�P Date Ree 3 CITY OF PRIOR LAKE PLUMBING PERMIT NNES04A i.coa2 if 3 PERMIT NO. 13 (please type or print and signet bottom 3.Yellow Applicant a ADDRESS • ZONING(once use) 3304- SNI N F1 Lp WAY 51\41 LEGAL DESCRIPTION(office use only) LOT Jr BLOCK 1 ADDITION . 5 M !WL trL'N PID OWNER p g I-K012TON (Phone) 752 135` 72,72 (Address) l8(pC K-N6f,1O6-c% COV 1-T 1* (00 t, CAW- VLth , Mn) 55044 APPLICANT 1 �,� '/ (Name) 2 QS�L UL1- � Pw%--t- N T)I� ,-(Phone) 6 S/-31 1` ¢z6f7 (Address) 3)8 G 71 /'i 11V4'L Drive, 50 ZIV t -iV, .fri N 55/z 1 /p� (Address) (City) /,,� ) q /, (Zip Code) (Contact Person) Dr1 UC, -mom/A-5 (Phone) - �✓f—3/ / 4ZO 2 APPLICANT SIGNATURE D._-_i2 DATE11/71Z4/3 APPLICANT PLEASE COMPLETE BELOW Quantity • Type of Fixture Quantity Type of Fixture Bath Tub with or without shower 3 Rough-ins Dishwasher f Water Heater •- Floor Omit.. _ • . Water Softener 5 - Lavatory(Bathroom Sink) 1 Stand Pipe(Washing Machine) t • • Laundry Tray(1 or 2 compartment-sink Sewage Ejector • I Shower Stall Backflow Assembly r minks _ ------------___--- Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet(Toilet) Other `'= - FEE SCHEDULE • Industrial,Cotmnercial&Multi-family I%ofjob cost with a$49.50 minimum Residential,New One&Two-Family $149.50 Residential,Additions&Alterations $49.50 Estimated Cost $. . . . . .. . Building Permit# PLUMBING PERMIT PEE $ STATE SURCHARGE $ .50 F1011 RIAll — TOTAL PERMIT FEE $ ,� �+;VP_, Office Use On �..- This Appli r•• 1 :eco:ues Your Building Permit When.Approved Paid Receipt No. \ A I Date By ` But ins Official Date , 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 _ 4646 Dakota Street S.E,,Prior Lake,Minnesota 55372 • SEP-11-2913 14:54 FROM:STAR PLUMBING AND EX 19529847468 TO:9524474245 P.1 O AO 4 211/0 Date Ree'd 4. :., ,. .�t CITY OF PRIOR.LAKE ` SEWER AND WATER PERMIT q' /l• /3 v i. ah, File Cay [ ERM1TNO. /5: 'S3 2. Who Cit 3. poll Applicant (Reese type or print end sign at bottom) ADDRESS .I �� Z G Wee use) 337 . �ley/ ,_ ._+Vr ••••••••M LEGAL DESCRIPTION(office use only) LOT 5-BLOCK 1 AUDITION ��� can 4O4 / In -- XM9-ze5 p. owi�>�. 9) ,fir - �...�......... (Name) Z-09 ' i ,i • 4 (Phone) . (Address) ._ 4n ddlem) (City) (Zip Code) APPLICANT + !� ,r� ,) - "' (P )rlrs ."� � '", 4 (Name) . 4.. . 44.....,_ . ,. . hone 2-- (Address) t O� 11444-4,24 K..7 /I ' 'J P.•'Lt'. (a41). . +... �',�.. . -_,., J`dc `,1C� (Address) g (City) ,• / (Zip ) (Contact Person) c _. (Phone) j/'Id-- J.t,., / APPLICANT SI NA ',1 DATE ? /3-13 , ' r.�, .ilia_Li APPLICANT PLEASE COMPLETE BELOW Size of water service , / inches. Location of any couplings from structure feet. Type of sewer pipe. 0 ABC ►r PVC 0 Cast Iron Estimated length of sewer line rsV,feet. Clean out(if required)located at _ feet from structure. _ FEE SCHEDULE Residential sewer'ntld water line connection- $51.50 Industrial,Cow'I&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 ft SEWER AND WATER PERMIT FEE $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (0111ee Use Only) This Application Becomes Your Building Permit When Approved ` Paid Receipt No. ANI® �� Bending Official Batts Date^ =RMI _____w 24 hour notice for all inspections(952)447-9850,fax(952)441-4245 4646 Dakota Street S.R.,Prier Lake,Minnesota 55372 o1 POS Date Rec'd ti CITY OF PRIOR LAKE PLUMBING PERMIT U %ley PERMIT NO. 13—b 2.Oold G51 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(owice use) , Z.a LEGAL DESCRIPTION(office use only) LOT BLOCK ADDTTION PB) OWNER (Name) (Phone) (Address) APPLICANT' � V N ' /fie) JfL P1'J ) * (Phone) 413 ' 7.74, (Address) 56 LitA lk J54441 (Address) (City) (Zip Code) (Contact Person) _ (Phone) 1P5-15 3-141 Y t- APPLICANT SIGNATURE �u . J, . .1 DATE I'13.101',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 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 The Minnesota Statutes§320.148est $ Building Permit# "SURCHARGE"has been changed for one PAID WITH year effective PLUMBING PERMIT FEE $ B' I I I r ur PERMIT July 1,2010.until June 30,2011. STATE SURCHARGE $ .50 The minimum surcharge fora'fixed fee"permit TOTAL PERMIT FEE $ beginning July 1,2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Buiidine Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 O� PRIp� Cl! Y OF PRIOR LAKE Date Rec'd N e HEATING/AIR CONDITIONING/FIREPLACE PERMIT M 41INNEso-cP 1. Pink File 2. Green city PERMIT NO. /5_a 7ja (Please 3.Yellow Applicant type or print and sign at bottom) ADDRESS / ZONING;office use) 5 %(-1. Wln d ln( 5 W LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT---- l, , f (Name) T 6% WL' 14L )Ol 4- a (Phone) -1 1/ '41?'7.2..101 (Address) 15556 Y VV,�_ bt - P/ O1trIv'1 554 4:1 (Address) (City) (Zip Code) (Contact Person) I (Phone) `1 lib. 15-3-41k Y APPLICANT SIGNATURE . , Iiit (,l l.X DATE 0'I 3' Zo/3 APPLICANT PLEASE COMPLETE BELOW [NEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air Plants ❑Steam PLEASE NOTE: Air Conditioner ❑Gravity 0 Hot Water Units and Fireplaces Cannot Encroach ❑Mechanical ❑Radiation into Required Side Yard Setbacks. ❑Air Conditioning 0 Special Devices Fireplaces with Box Additions or ❑Vent. System 0 Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. . FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace $4930 $49.50 minimum Residential,Heating&AIC(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 HEATING PERMIT FEE $ BUILDING PFHMIT STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Buildine Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 r PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 3394 4i• FLz) WAS/ ail .6& _ NATURE OF WOR 41,,, . .1 ,�fi /� USE OF B U I LDI NW.tht . 1, )[/)L& /V® brc,-h Lc:Li F i PERMIT NO. /3/, 3 ( DAT1E ISSUED _ CONTRACTOR,, E NOPAZ-e)79 PHONE 95,,2. 9o . 7' Z INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING � lair `�l L� - FOUNDATION (Prior To Backfill) v AT f — RADON RETARDER - / �7 /3 PLACE NO CONCRETE UNTIL - = % E HAS BEEN SI ED ROUGH - INS _ SEWER/WATER/SEPTIC3 — FRAMING C�1`Ci ter i /�% `Y — 'pit /Y " ,,e i?/7/�_ — ELECTRICAL — PLUMBING iver1,Waiir4s;, -W` %✓/ HEATING 1 47/ 3 FIREPLACE /7 l GAS LINE AIR TEST rs �i "% ye; ///1 /1 RADO P/"/A4-7 COVEg NO WORK UNTIL THE ABOVE HAS BEEN SIGNED HOUSEWRAP al , Z LATH 4 -2/'/6/ FINALS I GRADING ( PRIOR TO SODDING) 01.C. (4 I .(I4° BUILDING ELECTRICAL PLUMBING f4 /../3'4.,! HEATING Alegi 041.6 /4r,2. f,� , epli /poi,- DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical s rvice 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