HomeMy WebLinkAboutBuilding Permit 14. 0506 _.1.;-; ♦:.� .. a ', W ..,a. .,.., �'w; . o.w� '4..t ^� t'4,..y.*' ... ... ♦{ .W.J..f"M. _:'.An• ...Y ...�..P`�:x,. vi . f '
lc b,
yK
CITY OF PRIOR LAKE
Prj:fzirfittettf of !uilMn Jn%prifion
K
Final Permitted E Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the C7 Residential/0 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 regulatingbuilding construction or use. For the following:
Use Classification S I NGI E FAM I I Y Bldg.Permit No. 14-0506
R1SD
Occupancy Type Type Construction Zoning District
Legal Description 11 , R2 , FAGI F CREEK ESTATES
16676 MARKLEY LAKE DRIVE
Owner ofBuilding SiteAddress „.
>, , Contractor's Name&Address KFYI AND HOMES >
ROBERT D . HUTCH INSL city Planner
Building Official
Date: k i ' 1 0 t,\{ Date:
POST IN CONSPICUOUS PLACE
. � ' . .
. i'. ...1 2 1u
§ ] ■ ■ �_ b
�2v2 � iii I %
2a. a.a.M 3 %
_ - 0krecek z . §
2 � wu � ■ O
J OCOO ❑ c 1
.� 0 7
0
re _
�, 0 r4 0
aa - zu L 0 §
7 z =nz � 0 v
0 e §§ U. -1 0 0 § §
0 0 & 2 _ 2x2 $ U $ Si §
■ IL 8 ■
X
S %§ §6 % = 2 2 2 -- 2
a2 § § a24, 00Z 2 2 :
oOOO ❑ O J E 2 § i
0 § at § \
w 0 k § S
II
� � � § � �
IAA
§ o 11. ILI LU� �x�� al ct ■� tD
0 § 2 u. .. k o O l
a � « 0 a 000000 U
0 J N
F ZZwwa 0
� UV •41,...
Z W
� 55gz > cd
aaa �
0 2 w w co . i 0 qi<$' .• A 8 r: it (I z 4,
W
0000 ❑ ❑
4-'
�2re
P
W v
W _m
2�Vwwg �x t o o zNa
11. !IL
O1 1
rn 0 a x •,, �
a3wa
w w - w
V 000000 o o Z
` I X
x Z J O W
o < 0 u.
CI ° o W H F < 3 a
E- a a � f- 3rc o�
a.r: co Z Zo — z _ �i It y W W Se w rt L' J W0U W WW �~ m .rMaIII V O
a 0 1 o uo.uo. u.zZra 0 03 U U I.
C) = < 0 a ❑❑ ❑ ❑0❑ CO) ❑ 0 0 5
ti Builders Deposit
U
to
$oP City of Prior Lake
A $2,500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposit is issued as security to insure
compliance for a Final 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 preseryed for a period of one year. By
signing this 1, the undersigned contractor, acknowledge that I am aware of the erosion control requirements of the Cityof
Prior Lake as outlined in the Erosion Control Measures for Building Contractors handout.
DATE: 2 SITE ADDRESS: �vCv-140 -G�� �14� PERMIT#_IL�-5°6
REFUND TO BE MAILED TO: �LAIJ� �pr✓ e. S..
1^7 0 21 Fi iz. 7>o,t-l-r c � .S- .�o�. �A
mg. 5531?
PLEASE REMEMBER
1. KEEP STREETS CLEAN DURING CONSTRUCTIONI.
2. KEEP EROSION CONTROL IN PLACE (For city Office use only)
3. TEMPORARY OCCUPANCY PERMIT MUST NOT 1 ��--14— .�fZ D U. V
i/9
EXPIRE OR $500.00 ILL BE FORFEITED Date Amount
SIGNATURE: 'v v ._
L r ler ? nd5 Allen,w I,\‘'.,
Ci neer�-^,\1;6 •iitig Svcs
it 3°pW
k1'.#. ' ''�Y. t,�•-`...4
a1i
`r
,..
4,0
irP
WRHEATSENSITIVE ICON AND FOIL HOLsOtGM � .fi °yTRUE WATERMARK PAP, . mtt "4 fit5 e " E a atIttt ; p .,cSECURITY FEATURES INCLUD.E ,t .ttrte- d ? ga 0,„,„„,,,,a°f`++,,a ` ua - c , a s Cat ' • � v 5A� a , � v � a: � 4^. r y . #t "zv § ` � b °s . fi , 3 _Sa ' ifj �a3' �._
,4qai " 1,,,,,,i;-4,,.., tn I B 04,4% Y " " r . i ' ,ti £ `" & r' .1� 3e ,4,14,4",1,4,-, 14-.:L-Pt ',, ,, 'h> . t®Y >..tY<'� t33,aa ' ,.: .« ":, , �,� ,' � 44,142444
0.
l.
g ; Et . i4 E � �x � ,„ ms �, .' a� f 4 � ,� � ,F ,. „,µ Yt x1 , �ms .� a " ,_ � T,"a -„ � ,� j � + � 1a r4'=t � 1 m � fi t ,u- s � C tyax1 � .�� �� vt� aLI `"01ke �q �� �, � h m "4i " 43, SidVtVe42' w ,� t t :s' e5 °, , f��rlii',g,q . tt, r�tt't� ; �� r 4Ftn7 tamuL � ax ,,,,.s,,,,„.,k.,�s r � 4, a„, ,, Yp4,,,f VT.; s 0, ri'RC,, e M ' a� ” y; 4 -i 4 `� ��.S . a '` �r44 . cH 7n �Ya�33.3 ; . s # 'w � YPh-��� r,�:�txd, � yP '1 't§ ,' , . a * �s t.,!,.tz‘' � i { y AirC.. y�, :.$ ` a ,, y�iF �ly� . � �1 " '- ,�vb �� '.t # AZ.;;AY x, ,, s ' '7-:11:41,4121,-:,1
wZ' -� \x e,�,h ,si � � 4.01,40-'',sstif xk 3" € 3- A K + m ,, ,U�'+ a = sri '4 L4& t 1 « y aYZOR6N `iyit1 * � o, aa '. � .7,-
';e1.#,,,� . 4,-,:',,:4:,.., t1 � '�� INALOO 3IRN3 - „, " t - • x ' fk,' 01,',°t.,'' 7'rqRv: 1' , jr, '4y4*^ .°IA3zNO a 4 * s '+as ? r yp, n ,'-'2 , r. LL O Z ' `` gf,r H-,3,4,,,y ""t`"3. ,k „ ,Ya e+ . , -, . �GENUINE metamn At} + , 'aekr,: 1G zn . tX " c a .fi- / m� tl< 7 r , , , - ! 45
4, ' r0Y' om >¢"` : A , ;41,1
$ 0 0; #r w �a ; v?„ •,,; : it. x ma: $ , � a aFL v- 5°n as �”
%
•
ati,
ft . 4
x .,
of PRI3 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd •
�, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �— .��3 /7'j
AND UTILITY CONNECTION PERMIT i �
,'iHfves.... I. White File 3 PPERMIT NO. / L'
ell City /
3 Yellow Applicant ��// Le
I (Please type or print and sign at bottom)
ADDRESS ZONING(office use)
I tda ice MARILLE LAV- JDzkve ' I5.i)
LEGAL DESCRIPTION(office use only) //
LOT '1 BLOCK 2 ADDITION E.,41-..E.,41-.. L.E..C. , (�ZEE1L PID ,{0":%'�� C77-G`
OWNER
(Name) (Phone)
(Address)
BUILDER V
(Company Name)K Li $ 1'/1 -S (Phone)%z' 0 —944>c'a
(Contact Name) Eat 1L.-PLH*aS ) 1-11-1)A -?EPP tT " (Phone) —•ME.
(Address) 17 n 2 I F)E Pot s T 2b. S E- PI 0-2_. LAb) Mil. •SS 7 Z
TYPE OF WORK KNew Construction ['Deck ['Porch ORe-Roofing ORe-Siding filbe,wer Level Finish 0 Fireplace
['Addition []Alteration ❑Utility Connection
CODE: KI I.R.C. DI.B.C. 0 Misc.
Type of Construction: I II III IV V A B PROJECT COST/VALUE $2210:. l 9 7c.
Occupancy Group: A B E H I M S U (excluding land)
Division: Y 2 3 4 5 i
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-mention d propetry mnd at 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 ethis r t fo just cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X 1?›4--• (403-7G5T:, —2.1, - 14
Signature Contractor's License No. Date
Permit Valuation f Park Support Fee # $ ,.------
Permit Fee $ /if/6;
/f`6 ` j(1 SAC # $r ger 'l67
Plan Check Fee $ l/ {� G)ci" Water Meter Size 5/8"1" $ C'� ti(1e)
(/
State Surcharge $ l /c/�i� S1 Pressure Reducer $ f5��a
Penalty $ k - Sewer/Water Connection Fee # $ /67h4 j)0
Plumbing Permit Fee $ /meq s ) Water Tower Fee # $ ! '7
rC
Mechanical Permit Fee $ / -7/ Builder's Deposit $ G') ; , ; -
Sewer&Water Permit Fee $ - , �� Other $
Gas Fireplace Permit Fee I $ 5-r ,5-o TOTAL D� ( -/d.,i tZ $ 1/ 7'5; • 0 i
This • •pli, ', :'?omei t :opt.tng Perini When Approved Paid f!` .5G ?tNo.
94510. 77=1
/Al VAL Date ,. !O.
V B tjldim,''ticial ate
_/
This is to certify that the re test in th,above a.plication and accompanying documents is i cc`rdance with the City Zoning Ordinance and may proceed as requested. TIas document
when signed by the City nner c ,tute t mporary errtificate of Zoning compliance d lows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued
illdgerfforft
it A 1 (1.-
Planning DI-ctor Date I. Special Conditions,if any
24 hour notice for all inspections( .2)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
Residential Building Permit Checklist
New o structior • Single or ,.-family Dwellings in R-1 or -2 Districts
Reviewed by: ogilk Date: / 1 i____
Building Permit# PID:• 1 Zoning: ,�
Address: `Q c- L • A .
Legal: L , B Subdivisi611
Existing Structure? YES I Existing Nonconforming Structure? YES I NO
CONFORMS TO ZONING1-'-°
NO
ORDINANCE
` Yard Setbacks: NA!FAILS!COP S Standard Proposed
• Front Yard(can be 20'if avg.w/in 150') 25' ZS—_ p•
• Side Yards 10'/
25'if abutting a street ( 1 .9, 1
• Sidewall exceeding 60'requires additional side 2" 10'setback+
setback for every 1'over 60'in length. Not required 271'over 60'
if building wall is 10'-0"or greater of being parallel to
a side lot line.
• Rear Yard 25' -?'),c�,11
• Patio Door: provide for minimum 10'deck or sign 10'side! l
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'
-4s ) tZ�S'
I Floor Area Ratio: NA!FAILS!CO 9 S I .30 Maximum I ' • Z I
-
Yard Encroachments:I !FAILS/COMPLIES Standard Proposed
Eaves and Gutters no more 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.
r
Tree Preservation: ' i /FAILS I COMPLIES Standard Proposed
• Total caliper in,
• Permit 35%R:. oval
• Caliper Inches 'emoved
• Caliper Inches Preserved
• Replacement /:1
L:\TEMPLATE\BLDGLIST.DOC
u YBlp601
White -Building
, �. Canary -Engineering
Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT / '17/1Z,1L /799&
APPLICATION RECEIVED 5: 2-3. / Li
The Building, Engineering, and Planning Departments have reviewed the building permilt
application for construction activity which is proposed at:
//o(9 /7 pikekL /A-K. ..
Accepted X Accepted With Corrections
Denied ,r
Reviewed By: A/0 Date: S '"f
Comments: See RaviAre Side for ikkliVonal Information!
�See At chments: 1)Graidlin Plan. 2)Erosion Control Standen*
"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."
0-to1
PR
White -Building
Canary -Engineering
4fiftrEs�
Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
r
NAME OF APPLICANT ii 'I /4)99L---,c
APPLICATION RECEIVED 5 25.. it/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/b (27Z2 rJi,4 kL /4i .
Accepted ✓ Accepted With Corrections
Denied An,
Reviewed By: di v t- Date:
Comments:
1 - en-+S ivy t A N-r.- •v _'- C-,60.7-."-, 4 S
Ar.,j^%.__,
c/2- ---- (s fc5 , r-
'-- y w Pf-no'si 52, nit-c-- .,s G
7-0 Tel-c-- k'(544-- Pk.A.. -77 646- /5 SS, 77
- 4 �„— /Kr—
(0..
'7 7 1-
"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."
.•_:::_ ,,.�:'u s::_ ,.a. ..:1 ` +. ,, .. _ .. w•rs:..®s«:: - ... .. M..•n a ',+k e•-.iw.a �wa+.
ti
c7
White -Building
Canary -Engineering
Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ,(/A
APPLICATION RECEIVED ✓• .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Ia 1974 pi 1AL /4 1 � •
Accepted Accepted With Corrections
Denied
Reviewed By: Date:
Comments:
_ F
"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."
•
Date Rec'd
PRICITY OF PRIOR LAKE ,J /
:7HN(4t'ru
SEWER AND WATER PERMIT
�`'xxesotr
I. Green File PERMIT NO.
2. Ycllow City
3. Gold Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
X61 rn(3-YV-15 1- -'Q IS b
LEGAL DESCRIPTION(office use only) ,I
ID Jr�� �n7
LOT I BLOCK ADDITION e_G-goe_- e f'�'R'�' - � P �r
OWNER
(Name) k'e.jIP,kO r,m_as (Phone) ' 6a-f-it-i0-qy oo
(Address) 11 2-i Y%St-}Ports 124:::• SG S'r Pe‘cccz_ LAu i� �53'l2
(Address) (City) (Zip Code)
}
APPLICANT
(Name) STOCKER EXCAVATING COMPANY, INC. (Phone) 952/890-4241
(Address) 12336 Boone Avenue Savage, MN 55378
(Address) (City) (Zip Code)
Curt same
(Contact Person) (Phone)
APPLICANT SIGNATURE �. �%i� DATE (-011414
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 S35.50 Industrial,Com't&Multi-family 1%of job cost with a 539.50 minimum
Sewer connection only $17.50 Water connection only S17.50
Estimated Cost $ Building Permit#
SEWER AND WATER PERMIT FEE $ r
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ .
(Office Use Only)
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
Date Ree'd
-
CITY OF PRIOR LAKE PLUMBING PERMIT -. . 9. I q
tat
z
,.... ' PERMIT NO.
1 OM OW
3.Yellow Applicant
(Please type ex psint and slot at battens)
ADDRESS ZONING&ma uses
I 6 6, 76 19 4 t r k-ley Lik —be /
LEGAL DESCRIPTION(oaks use only) •
•
c; i
LOT I BLOCK Z ADDMON C 1 i e., Cree k. pm,i5--.5e,e-- on9-e
. .
OWNER -
(Name) keAl 1 it ) /JOr _s• (Phone) 932 -4/4L)-9 /de9
(Address) ) 7z ) ar:‹4 A f led --5i-e-,-.0fLA-k4 rid
A i
APPLICAN'T A -..... 1
(Name) -A‘?alve e hi Ai i t/I 1(-747--"/ C-: (Phone) q5 2-75,5---g 0E95
(Address) 6, 2.0 L44‘ „St' Al i ) Al eki-6-640.. 5O7/
(Address) (CftY)a (Zip Code)
(Contact Person)
.,9
APPLICANT SIGNATURE A ,..41, ..,:.-:.if,' DATE ________
APPLICANT PLEASE COMPLETE BELOW _
Quantity Type of Fixture = Type of Fixture
.
f Bath Tub with or without shower 0 Rough-ins
a
/ Dishwasher t , Water Heater
I/ Floor Drainij Water Softener -
-
Lavatory(Bathroom Sink) J Stand Pipe(Washing Machine)
/ Laundry Tray(1 or 2 compartment sink C.) Sewage Ejector
Shower Stall 0 Backflow Assembly
/
Sinks Backflow Assembly Test
D Bar Sink Lawn Sprinkler .
g
-Water Closet(Toilet) Other
lire ifir-theSoiriitirtriies ---' FRE SCHEDULE
"SURCHARGE"has heengex32te6nBcilitt! firA4.°8t with a$493°minimum Residential.New One&Two-Family $149.50
Residential,Additbans&Alterations $49.50
The minimum surcharge for a .3 .
Buikling
fixed fee Pew&ii permit is$5.00
•PLUMBING PERMIT FEE $
_. ri. -----
STATE SURCHARGE $ LJL X 5.00
TOTAL PERMIT FEE $
(011ke Use Oaks) •
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Butldint Ottlels1 Dak
24 hour notice Sr all inspections(952)447-9M fu(952)447-4245
4646 Dakota¬ 5.1t.,Prior Lake,Minnesota 55372
. .
MAY. 22. 2014 11 : 11AM METRO AIR 952-447-8126 NO. 767 P. 1 DAg
�,�1 Off, CCJ'x'O ,I?R1OR ISA {L Dote ltur'si
,,!...i-" s''; c.
R'RI.A`TING(A.IR COND111()N1NG/ JRl!'LAC1r PERMIT �, 2 151
•
f
arsil to ► . tt [vi1.Mv1'NO ».....•_._. _ •
1
nMb* n1*It ... . . ._,__ ....... . .
.,ll'iSeas typal s r Atm shsi>11611 at Out 1).». .. :-_•_._-...,»._.,,...........-.w.,—_.. ...... -.-. ..
Ii)D :1utSOi'tl{NCi r. ,,,el.
e -Il .eA .. . ._�.s - ___.... .. ... ..a..I 1 Rittc4,
�:ltt3A1.1ixt Olit xrON(c MIX WO (..__. ____�•.....� .... .. .. __.. _..
•
Lail. l3L( CLD„ADDrriaN `� r'?.,.. _« i,1 5 5L ..-zee.. .4. U
ii.iirre
Narlsc t lto,isQ- 4 4 q...14c30..
9\614.10 11iza 1. " ") .».�'. :, .Jc::. 5 . . L ..._. '.s�`3J' ......___.-..__ .
.... ... ________.
/ C‘ \44 \\ 411' ..( lik e r I of. \-04.4iv .51 5; -3 '1 ).,.,..,
(Cuntac.�tI?c tJn). .. . L s 11 Ai:}L $ _ . (mune) _.�1., .J,,__ c3 _.__..
AY'.1'i.1CANis SLONAT'U ti `'- E, • 1JA',i7S
- __,..,._.__....... ... . ... AI'1 LLCANT I'IJM' ,COIYiPTr+ .'1'J 131$1,QW ___
TIItW COIS'iltUCTION ltltt'J,ACIlMIlNT I A1;1'lt tATIt ,` `
1rUltNACr1 MAIO ANIS MOWS..:,s?. _ _ ^.., Ittlt:t. . ._
rn.tlrs seas ' .!'.._-_...__ jccr>ulof Os It tl'1' O ou'r��tl'!'5r jac)0.
.. :_..._.._
TYt,'ktU3?51Y!>;'1'1311M . unATINci.OR VOW1111.PLANT ---•-•-----.— . -...._.�.�._.- _
PLBAb NO'1.14 Air Conditioner
�}1Yat1u Mr Moms �tetwu �
itonty ' list!`Yater Unita anti!Waldo Conant tolicrunult
ksollostiunl 1tottio iuo Into ltarlluiruc!Sitio Xttrtl t�thncka,
•
rrt'tmtlrttawtllg I swam mom
....__.» 11'iraplatoo with Dux Additions nr
c»G 3lyatkna o Device ____� -"'"' ' Continues to Ilia Outxilla n1'unlitilu+t
Jterluiru a building l'a r telt,
11119t1.1.r1C13 dtA19. ANL1 MOM, -- --.---....,,..._...__.
V1I SCHEDULE _
lode* .t.iill Os Mn111-hazily 1%otjub weal ittuktoalkiI,Gas I11topine
$49.39 Widow4q.3p
Kook[ ltiol,l r,. &AIC(Now ciou4rucUou) ,3(4y 1ll ltculstaibiat Addle.oIJd qe Mardian, r
nook ,{ .; Only(Now Cunnituoll nl) 344.30 ucwdtsltlnl,AC Only 149.%
SP-
004. 349.111
��'�Q'��t liitlinulttltl Cool� _._.. . „_.,�
.�„ ltsrildiun l'arltlil �
' �' 1•l I3ATLNf3!IMMIX).rilii $. •..._.•..
TOTAL 1'1ltt'fl'r If1 I $
it (pa Ws Wain
'Nila Apptigollon'income,Yus 3Juilt� lug Null Wizen A IiYintd Paid ---— 1%a'.
ni .�.,. ..
pt Atra.
tsrklMataRt)lllet;r! "-- —„ -Data' -- _-_... . il . . . . .
Onto
0. /1401111.44./1401111.44.."•_.N..•••••
24 kour blies nor url(psmitoos(952)447-.91.30101 nix(951)441.424 ..._. ..
4646 Dnkwld fitteopi,14.1 Prior Lobo'Allnnsnain 55392
•Oi Date Rec'd lit'St •
CITY OF PRIOR LAKE PLUMBING PERMIT -.
6'01
•
lizz 24' PERMIT NO. /,/, 5-0b
3.Wire Iispenul
glum tiPs oz edsl wed slo st wen/
ADDRESS ZONING owe we
6 6 -76 itY)At r kity l_k _be R/57.6 I
LEGAL DESCRIPTION Wiles NS only) •
•
LOT I BLOCK Z ADDITION (AA le_ (ret k. pm Rj--5-eo -0091-0 i
• .
OWNER. kai 1 fteN 0 10 rn .
4 .
(Phone) 932 -11i/1)
(Name) es.
(Addless) I 70 ii c-,..4„„ , /--- ied ./-L, k
APPLICANT
(Phone)
(Address) & Z 0 Ls"' 51- N & Afe.w-i?-,46,14.. 54.6 7 1
(Address) (Citi)(i (Zip Code)
i
(Contset Person) BAV; 0 , e ief. —
Thoi,09,5-2-75-s -86'7.
APPLICANT SIGNATURE .....4." A -II A -,.,:al•at DATE________________
APPLICANT PLEASE COMPLETE BELOW
J QuantiV Type of Fixture Quantity Type of Fixture
"
f Bath 1Nib with or without shower Rough-ins
/ Dishwasher Water Heater .
/ , Floor Drain Water Softener .
'7 Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) .,
i Laundry Tray(I or 2 compartment sink Z Sewage Ejector _
/ Shower Stall (2 Backflow Assembly
_
r)/ Sinks ' Backflow Assembly Test N
Bar Sink i Lawn Sprinkler
g _Water Closet(Toilet) Other
The ' ------- . FEE SCHEDULE
Staute §32601infru.cost with
a$4930 minimu
m
Residential,New One&We-Family $149.50
"SURCHARGE"has been extended. • Residuals!,Addition&Alturations 34930
• The minimum surcharge for a •• - Handbag Permit it
*fixed fee.Permit la$5.00 - .
•PLUMBING PERMIT FEB $
d/
AX7- t6),.1,ic, S
STATE SURCHARGE $ xm 5.00
TOTAL PERMIT FEE $
Make Use Oaly) •
This Application Becomes Year Building Permit When Approved Paid Receipt No.
Date By i•
1 .
Waage Otadal Dale
24 hear nodes Ow all inspeetiens(9$2)447-911*Oa 0152)447-4243
OM Dakota Street ILL,Prier Lake,Mount* 55372 PAID WITH
• -
BUILDING PERMIT
• - •
1
07/16/2014 11:14 9524926686 GLD$INGi HEATH PAGE 01/10
at lup CITY OP PRIOR LAKE 'Date Rey
10:21 1 HEATING/AIR CONDITIONING/FIREPLACE PERMIT 7, /c/, l
...k
' • Ille PERMIT NO. "
3,Yellow Applicant
! i ee a or iarmt end sin at bottom)DRESS ZONING(office um
1% f _ ? / Si)
...LEGAL DESCRIPTION(dries use only)
LOT / BLOCK 7- ADDm0N = Ze ere/- PID I5:_ 5 oz'y-o
OWNER (-,
} (Name) i. s a00 (Phone)q5Z1-940-"%f Address 0. la1iA •.a \ • � w ��� a
: • Al11 �
- .
.�. t . . ,
...APPLI I . •
• (Name) • �t . r %. b . thi 11*L.? (Phone) -:! _ •
— 7W
(Address)
is' 1 a iii 1t ' ► *fte a & A /P► ~-' ..,.
: .. (C Person) , 6-, (Phone) . i `97(0?
APP•LICANT SIGNATURE CI. �.-• DATE l i(' t
APPLI I PLEASE COMPLETE BELOW
•
EW CONSTRUCTION 0 REPLACEMENT DALTERATIONS .
FURNACE MAKE AND MODEL FUEL •
'.,' FLUE•SIZE ' RETURN OPENINGS INPUT OUTPUT . ��.,
s•„• • =YPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Mr Conditioner
• DD Warm Air Plants D Steam Units and Fireplaces Cannot Encroach
i 'uueicai vity Hot Water Into Required Side Yard Setbacks,
Radiation Fireplaces with Box Additions or
ID Air Conditioning DSpecial Devices Cantilevers to the Outside of Buildings
DYont System 0Otber De cos Require a Building Permit
. FIREPLACE MAKE AND MODEL K..*t .10,1. 4 is III Ir''':' – —
g RL SCI bULE
4. I�dustriel,Commercial&Multi Family 1%ofjob cost 'donde,Gas Fireplace :049.50
•, � f S49.50 ninimum
Rgsidcndei,Heating c&A/C Co cacti n) $149.50 Residential,Additions&Alterations 049.50
'' "efltrgenf
o f atutes nm) $643° A
AC Only $4940
"SURCHARGE"Ines been extended Coit S Building Permft# -
The minimum surcharge fora EATING PERMIT FEB $
iWe
'hied "pe ATE SURCHARGE $ KoI+ •
fee permit is .cx,#i I OTAL PERMIT FEE • $ "4e : i ti_ A ! ,
ll
JT1*1i Appii sa Becomes Your Building Permit When Approved 'PaidR ,.
n �r# c Dates •
. 24 hour node.for all Inspections(952)447-9850 •
4646 Dakota Street S,E.,Prior Lake,Minnesota 55372
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /to6 'fIowa-
NATURE OF WORK w/ LL-P, i() . 1 F/P- Iv'!
USE OF BUILDIN / ,j 7 Aja Porch_
PERMIT NO. /4-, 506, DAT ISSUED
CONTRACTOR t4Wh #4•765 PHONE 2. 990 ?me,
INSTALL EROSION tONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
FOOTING ._. Cd
t`)i1, ( r1
FOUNDATION (Prior To Backfill) -\,=)(--t-- ) )1
RADON RETARDER /1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SI N D
ROUGH - INS
SEWERNVATER/SEPTIC p I Tli -\
FRAMING Li t_ DLA. s 11� ) y 9�-c____ i`-,
INSULATION
ELECTRICAL
PLUMBING
HEATING _ fttj)L'-çFIREPLACE %e,-(_- ___ 7
GAS LINE AIR TEST mom, 434-- (t ( Is
RADON- F-rk ri.I ' -`-c� z .?ZiI '
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGN D
HOUSEWRAP �1 I l ,/y — LATH
I FINALS
GRADING ( PRIOR TO SODDING) ilb, l t ill
',BUILDING ---c4 b dVt\ty V
ELECTRICAL
PLUMBING c...c..r Vivi l`i
HEATING I ( 1
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED I
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 Ino
service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850