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HomeMy WebLinkAboutBuilding Permit 14. 0019 , CITY OF PRIOR LAKE Prjaarfturnf of !uUMn k pirfion X'inal Permitted ❑ Conditional C.O. Expires , This Certificate issued pursuant •to the requirements •of Section •110 of the ❑Residential l❑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: c S'AI (4 �/Ly Bldg.Permit No. �7-`oo Use Classification Cir Occupancy Type Type Construction (//1 Zoning District P(1540 D Legal Description 2— / 5 Z-- / e (, 6., e/rij i V Owner of Building Site Address 4� 7 1 q/2//A//121&O i/Z �1 /���j /fes �y 1� J /� _ Contractor's Name&Address / /i"/"R`4 E / 39,4//L.3/' " - Q/7� y i '1 / //B(i&i/<//S City Planner Building Official +(')L 1/ Date: \O 11.. Z,o 1 //...7. Date: POST IN CONSPICUOUS PLACE ,. � � \ ; \ y.>' 0 J F J a a LaE. * V V < C ki „_ Lu , �� O2WWN C7 .1C o �� S. I uou. 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(T�57 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS t ZONING(office use) 4 l 1 G5, vo \Noc c C cks PLLSL) LEGAL DESCRIPTION(office use only) ( or. jr � ) LTB' LOCK ADDITION1 �\y00 Q PID (95--b3 p- ---0O -- OWNER OWNER (Name) (Phone) (Address) BUILDER --.. \ • (Company Name) \' l\��`k� � S (Phone) 4oC1 A O `6 c\-2.. „ u n (Contact Name) J1C� � C CCi (Phone) (Address) S'\c 0 &CX-1 TYPE OF WORKNew Construction ❑Deck ❑Porch ❑Re-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace 6 Addition ['Alteration ❑Utility Connection CODE: [ R.C. ❑I.B.C. 0 Misc. Type of Construction: I II III IV V A Brr Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ ` `DUO (excluding land) Division: 1 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 const action will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that rhe building 1official can r e this permit f dust cans urthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X / 0 1,6 Su So //1i�/ Signature Contractor's License No. /ate Permit Valuation ., �C7Q ,- Park Support Fee # $ � � J Permit Fee $ 7.2Z-1 5„ - SAC # $ r✓ .Plan Check Fee $ (4 q Z k 08 Water Meter Size 5/8"A; $ 5go, l State Surcharge $ 5;.93 Pressure Reducer $ r s0.- Penalty $ Sewer/Water Connection Fee # $ Nr�G, Plumbing Permit Fee $ I hl*s c Water Tower Fee # $ w fi Mechanical Permit Fee $ (ic Builder's Deposit $ V—S- ,.. e- (.j Sewer&Water Permit Fee $ S ',SZ., Other 11/0, Tree 5se rri,t. $ ,-4)-- Gas Fireplace Permit Fee 1 $ 5-4 9> TOTAL DUEep /. zj / 4 $ , 60/- e.0 This Ap, ca'on B: o es ; r Bu4ding Permit When Appr t ved Paid 7(e ( . (:),?5Receipt ry � �� , Date ?j (,`(� By Building Official I - This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. Th.s document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued / I// /—?( --- ! Planning ' / / %J rector 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 °4 p�o� %�''� Deposit - 1 ./.. uiIders p U r I. y City of Prior Lake so A$2,500.00 Builders Dep,-it is i II ' ded in the Building Permit fee. The Builders Deposit is issued as security to insure compliance for a Fina Occupancy Permit. (It is not an 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 $2,500.00 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 may also be required and will be refunded if specified trees are preserved for a period of one year. By signing this I, the undersigned contractor, acknowledge that I am aware of the erosion control requirements of the City of Prior Lake as outlined in the Erosion Control Measures for Building Contractors handout. DATE: 11 I 1 SITE ADDRESS: 4 \a1 I G tvc^ ►r. t j•. 00C..k PERMIT# f G'( - / y - REFUND TO BE MAILED TO: -PvvvNo-c�st %/Y1tl «mom • ' .a C - .-N _ (.,i.) M A • c PLEASE REMEMBER 1. KEEP STREETS CLEAN DURING CONSTRUCTION Lynda S.Allen ,' 'Amount 2. KEEP EROSION CONTROL IN PLACE /U. 2 .!4- 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR$500.00 Date Acct.801.20204 . . - SIGNATURE:- . f�a Larry Poppler, City Engineer 5) J C- Name /irrn d C.le... 44./711 Z ibn-,J J LL1f, 75-905/919 1 Account No3 S / Date pY‘ii)---- ll1 %i�� I $=?tati lesor er �.r/ z+ , ��� .../ u7 v o Dollars n E; ... PRIOR LAKE STATE BANK itrHwy.13 6 Dululh Ave.P.O.Boz 369, Leke,NW 55372(95�447.2101 pp For COLONIAL CLASSIC. J:IFORMSIBUILDERS DEPOSIT FORM.DOC 04Po+P White -Building Mi,o,$ ct• Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /2//Viv4 e-66 /*IV/ 7 /07G=am APPLICATION RECEIVED I 1. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4 / 7 / G/ / 4V<)f- 0c- Accepted Accepted With Corrections Denied Reviewed By: Date: /-02/ ' r �� 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." 01 pia% White -Building 44Ans ssa�� Cana Engineering rY Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /f/VN� �& M/%/ /��� APPLICATION RECEIVED / r'. /*/ - The Building, Engineering, and Planning Departments have reviewed the building permit application for con struction activity which is proposed at: 6/< /A/tv0W2 &//c___ . Accepted VI Accepted With Corrections Denied Reviewed By: MO Date: -Z2- / � y Comments: See Reverse Side for Mato*infortmgoo Re /'W VV C..2(i6 /`I IT afire 5.4 4 a-414-,i - o T ‘....,1,14"00,/ SeeAttachments: 1) Ginding Flan:2)Erosion CordmiStangorcis "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." 60 White -Building -Engineering ,hNxEse Canary Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT f//017/ c'{& M//( 4/1 /476 APPLICATION RECEIVED /- 1. C The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4-/ il 6mmifrV Z'P 61K-- . Accepted ✓ Accepted With Corrections Denied Reviewed By: Date: %/ (/4 Comments: I_ r-e 64-=,.‘ r e4r."' ( / Z.C .1'41‘ ra(---4-- /174r--L-• ((P-75' —2- / Sr- - -k- Two 9-00^.r' 922 7 "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." 952 445 7487 Line 1 09:09:50 a.m. 05-19-2014 2 Y�Drg 04 rtirp� t:I'I'x VI+'YUK LAKI Date Rec.'d �411111:B PRATING/AIR CONDITIONING/PIIiEPLACE PERMIT " sc" 2.Pink c PERMIT NO. 1/.1. i q 1 1Yellow Applicant �� (Please type or print and sign at bottom) • ADDRESS/�� ZONING(office u:,c) 4`/7/ dogiv /1in(Ada l ede LEGAL DESCRIPTIO�N(o ocg useo y) LOT ZZBLLO'C' K C ADDITION PID gg .O32 .Get- ,o s" OWNER �-- (Name) 6......ctr t-o1^...'L ifomif (Phone) • (Address) APPLICANT ,--, (Name) „ , , w,rd _ . (Phone) 9SQ7- yS/.S`"' k,9.2 (Address) 5V/ A-% t,evi c ,i,e 1 &lu -41, _ IA/ ..5"r379 (Contact Person) 3e 6 (Phone) ?fa-yyc-r 9.2 APPLICANT SIGNATURE /1/_G''�-z� .'/ DATE 5-«-Zo/y APPLICANT PLEASE COMPLETE BELOW _ 1213W CONSTRUCTION ['REPLACEMENT El ALTERATION FURNACE-MAKEANDMODEL LEAs$ pvli..IilutitroPxitt FUEL af. G=.7s FLUE SIZE 3" PVC RETURN OPENINGS II INPUT Atr 000 OUTPUT d TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Mr Conditioner ❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach DGravity MHot Water into Required Side Yard Setbacks. (Mechanical Radiation Fireplaces with Box Additions or ❑Air Conditioning ['Special Devices Cantilevers to the Outside of Buildings ff, ❑Vent.System ❑Other Devices Require a Building Permit. J I� FIREPLACE MAKE AND MODEL FEE SCHEDULE :1 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 $49.50 Cost$ Building Permit# HEATING PERMIT FEB $ STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ PAID WITH Dill iNG PaP4t 1' ; This Application Becomes Your Building Permit When Approved Paid Receipt No. , Building Official Date Date By 24 hour notice for all inspections(952)447-9850 r' 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 PAID WITH BUiLDi (. PFRMF r 1 i 06/19/2014 09:27 9524926006 GLOWING HEARTH PAGE eii./g.A0 .., i CITY OF PRIOR LAKE Date Reed HEATING/AIR CONDITIONING/FIREPLACE PERMIT , . 1'PInjc ne * PERMIT NO. %N=1,4vgfo' 2.Green City /1/. CO/9 1Naiow Appliont . (Please type or print and sign at bottom) - ' ADDRESS ZONINGi:ofAce use) G - - c, /e/. 41 A Ai di • r. LEGAL DESCRIP ON(office use only) • • LOT •,Af:104 9 PID )).5---03a?-e,de52- 0 r OWNER to, ..„... frlirlac-%'1/4-34, R.A.JrNexi [ iirsnv Salione) CO 1 . ,30— .$.q..),.... ' . Address b 0 lit.C> S ifribr A , N Aro e2rx... .. .APPLICANT (Name) ' it . . " f at A, 1-1‘,-, I twill ' I (Phone) Cl5N-c-NA-.9670 ill 1 ie. (Address) SAO Ariarise. • AO _ A IQ r: •--' (Contact Person) lerMIPIPi _ ... mg, (Phone) q,,. 'S - 1a- 1249 - Jr APPLICANT SIGNATURE ...ae _ DATE Ce I ICI I i(l- ir .. APPLICANT PLEASE COMPLETE BELOW 4 "W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FUN' CE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner DWann Air Plants' 0 Steam Units and Fireplaces Cannot Encroach *Gravity 0 Hot Water into Required Side Yard Setbacks. 1' eobanicat 0 Radiation fireplaces with Box Additions or . . DAir Conditioning El Special Devices , Cantilevers to the Outside of Buildings ;0 Vent. System 0 Other Devi- -s Require a Building Permit. FIkEPLACE MAKE AND MODEL I:fr. lax- . .--s a A 1 ----L- A., .' FEE SCHEDULE - ' 744:14 9197m7g.-pliff- Industrial,Commercial&Multi Family 1%of job cost . •;ill *7. , i;:' '. '.IP : - $49.50 $49.50 minimum Residential,Heating&AJC(New Construction) $149.50 'esidential,Additions&Alterations $49.50 PiVefirrigestrYtatlYe-sv-regft, :', etion) $64.50 Residential,AC Only $49.50 * Cost$ Building Permitl/ "SURCHARGE"has been extended Pie minimum surcharge for a :MATING PERMIT FEE $ Ltt - ' • • • - 3TATE SURCHARGE $ 5,00 ,,,/169' 'Nixed fee permit is$5.tri v rum,pERmrr FEE $ Sttr3jr> 10 Ito a'‘ This Application Becomes Your Building Permit When Approved Paid rti:Alle , TV, ... . , .. _ Date Building Official Date . • 24 hour notice for all inspections(952)447-9650 ...o? 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 1 e6/19i2014 00:27 9524926006 GLOWING HEARTH PAGE @IllgaQ of t'RFpfP • CITY OF PRIOR LAKE Dile Reed '— IAI CONDITIONING/FIREPLACEPERMIT 4 ( ., -- ,, i.pi.k 4' N.a, x. City PERMIT NO. 14. 3.Yellow Applicept il (Please type or pant and sign at bottom) . .ADDRESS ' 9 G -- A ,L) CO P ZONING afl~ic e) .` LEGAL DESCRIPTION(office use only} "' -------- .. LOT BLOCK ADDITION PID GSE M ' (Name) 1 Y "1 t , one .w"' 3 '_ ' -, Address 10 li.+ t) S ifribr _ # '' ill 'Arm '7. — .-' , APPLICANT ------- (Name) • it .. mg ., t mail t (Phone) r-9}CAI.. ( (Address) 6,110, 1r ite: 01* (Contact Person) � I (phone) a JP! Ce APPLICANT SIGNATURE DATEC.2 11.11(1' :.„ = ° APPLICANT PLEASE COMPLETE BELOW • W CONSTRUCTION 0REPLACEMENT 0ALTERATIONS FURN CE MAKE AND MODEL FUEL . FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ... - PLEASE NOTE;Air Conditioner 0% TM Air Plants 0 Steam Units and Fireplaces Cannot Encroach Gravity tY Hot Water into Required Side Yard Setbacks. e haticai 0 Radiation Fireplaces with Box Additions or . ' DAIr Conditioning ©Special Devices Cantilevers to the Outside of Buildings ;Client. System 0Other Devi-es ;tee:. Require a Building Permit. FIkEPLACE MAKE AND MODEL r l r -. FEE SCHEDULE " • T `" 1 Jar'` ' Industrial,Commercial&Multi Family 1%of job cost •:,� , ; $49.5.0 $49.50 minimum Residential,Heating&A/C(New Construction) $14950 'esidentlal,Additions&Alterations $49.50 nP tisi. tt Q..atr�3. w etioti) $64.50 Residential,AC Only $49.50 'I ns lv nnesota S Lutes' 6I ' Cost$ Bualclin,g Permit# • "SURCHARGE"has been extended The minimum surcharge for a IEATING PERMIT FEE $ Ittr S 1 of° a, >TATE SURCHARGE $ 5 00 r s..,- , : 952 445 7487 Line 1 09:09:20 a.m. 05-19-2014 1 /IP° apo Yxta� CITYi 1 • Date Reed OF PRIOR LAKE PLUMBING PERMIT •. • W h. ,* r x u% aq I PERMIT NO. /f Od/a (Please type or phtnt and stju at bottom) Yellow 'h°Ps""h ADDRESS ZONING(Acme) g./7/ 6.-4.9�•4.v000/.6,•e.74. .. iEGALDESCRurnon euse ody w� 5rzz 04-7 -7— &7g0-�'L LOT BLOCK ADDITION pm, ,75. 0 3 i4 - 0 C er-01' (N / #1,e7 4 e.-- # a$1'/4e iapas,e: s (Phone) (Address) APPLICANT / A/_ / // �/: 9 (Hams) /Alt ea,✓ f$S fa 1 -'1 ,.est(pie) 9jOt - Yi.: 4 .1 (Address) • 69 / a Set-Wo-vi 21,9.0,,,..._ 5°4 s4 ,40X- 53`$'75 (Address) (City) f��,. �" (Zip Code)(Contact Person) .0 A •A1 4eS...-4g,/ 4 ano OIFY APPLICANT SItiNATt7RE ./. .i At' _.M-O. DATE 7/9/7 APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture 2— Bath Tub with or without shower Rough-ins 1 Dishwasher / Water Heater 3 _Floor Drain Water Softener 7 Lavatory(Bathroom Sink) / Stand Pipe(Washing Machine) L Laundry Tray(I or 2 compartment sink Sewage Ejector 3 . Shower Stall / Sinks Backflow Assembly Backflow Assembly Test / Bar Sink Lawn Sprinkler S Water Closet(Toilet) Other 79te Minnesota Statutes- __ .__ FEE SCHEDULE "SURCHARGEen" 326 1'471 job cost with a$49.50 minimum Residential,New Ow&Thodtami[ir $149.50 • The minimum surchar extended' Reaideat.l,gddttonsdtAiteca<tass $49.50 S for a "fixed fee"permftis$5.00 .$ Building Permit# •PLUMBING MOAT FEE $ STATE SURCHARGE $ mei 5.00• .1 rotes�•Only) TOTAL PERMIT FEE $. This Application Becomes Your Building Permit When Approved Paid Receipt No. Bundles°Md.! Date Date By 1. 24 hour nodes for all inspections 052)4474150,fax(952)447-4245 e 4646 Dakota Street&IL,Prior Into,Minnesota 56372 • PAID WITH : • PAID WITH DUILDI v BUILDING PC°4111 Emir Date Rec'd °4 Yftf°, c CITY OF PRIOR LAKE __-SE�LR-A-PVD-F7��k`FER-FER�I`�_.___- . __...._ __----- _ _----__._ .'ST...._ _._ _._ ..._ • U n 4rkHes.tr Groot `oy ZYdbw 6� PERMIT NO. ,¢" _ jf . 3. Gold Apphc.n, (Please type or print and sign at bottom) ZONING(olficc usc) ADDRESS x-1-1"1 I 6 n wood CI:r LEGAL ESCRIP ETON(office use only) q-Tfx.:t LBCK �O ADDITIONADDITIONCI min1�-�-'t___,,t PID �t (Name))R rinYralit- TIUrnLS ; Ifle-• (Phone) (Address) tAL C: l SU...►In t 01 O &.Tho,t 1,AI,1 66101 — (Address) (City) (Zip Code) l APPLICANT (Name) STOCKER EXCAVATING COMPANY, INC. (phone) 952/890-4241 — (Address) 12336 B ne Avenue Savage, MN 55378 (Ad ress) (City) (Zip Code) Ur same (Contact Person) (Phone) APPLICANT SIG URE DATE APPLICANT PLEASE COMPLETE BELOW Size of water service inches. . Location of any couplings from structure feet. Type of sewer pipe. ❑ ABC f l 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 535.50 Industrial,Cotn'I&Multi-family I%of job cost with a S39.50 minimum Sewer connection only S17.50 Water connection only S 17.50 Estimated Cost S Building Permit t -)\ SEWER AND WATER PERMIT FEE S (� STATE SURCHARGE 5 5 t `�J � TOTAL PERMIT FEE $ _ �� io 1 / cGi(Onice Use Only) II This Application Becomes Your Building Permit When Approved Paid 11.111 Receip jf Ilirli11177" . Building Official Date — 24 hour notice for all inspections(952)447-9350,fax(952)447-4245 i i i' PRIOR LAKE RNT O BUILDEPADINGTMEAND INF SPECTIION INSPECTION RECORD SITE ADDRESS 4( d CIO .Zaft.-� NATURE OF WORK :slow Flo 1r i . -- .E � USE OF BUILDING ` _ y PERMIT NO. 14--01/4:9 j 1 f �f DATE ISSUED I E . CONTRACTOR Fu4N,4 L;1- ricvt( �` •l,,g-5 PHONE �,�_41c) -6.e;gz_ PINS AL R N CO RTO AND MAINTAIN CLEAN STREETS AT ALL TIMES ie e 1( -H( v-61cf://z-/-/v , ���� INSPECTOR DATE FOOTING Z /�� FOUNDATION (Prior To Backfill) at-c- RADON RETARDER PLACE so,CONCRETE UNTIL ABOVE HAS BEEN SIGNED L-L- 1 -', 08 (/,<// ROUGH - INS SEWER/WATER/SEPTIC P4 .,41(.7/,/ FRAMING 1� 17 ) i INSULATION cP,' 7/5/,'r -- ELECTRICAL —' PLUMBING w c fi 07/ — HEATING t 1 i; I ti FIREPLACE —' GAS LINE AIR TEST VkiTimitk., bjf rl zcliv RADON RETARDER COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED HOUSEWRAF -'- 6(13/14, LATH 6Q U14-1/4 I FINALS GRADING ( PRIOR TO SODDING) BUILDINGq(254 Li 'Dk_ 0 L-( / d y .� I / _ S ELECTRICAL PLUMBING yO (/ Fib 7//.2 / — HEATING -1)w q(2 /(Y 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