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HomeMy WebLinkAboutBuilding Permit 13. 0724 (2) r .«... ty sA `t^d;"yp4 .err 'a - �+,.(':, -. .. • �: �/ ��. �/ �/ �/ �/ �/ �/ .�/ �/ .�/ �/ �/ �/ �/ �/ u U u' ter epi c e r r� ? ?i,>C 1r i ' ?1 :t cZ' „I li[trfflhi zfr .tri ( rrupazrx r CITY OF PRIOR LAKE girpartinrtif sac ptiiibittg cartsprrfiott Final Permitted ❑ Conditional C.O. Expires K - 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 S I N C I F FAMILY Bldg.Permit No. 13-0/7 4 Occupancy Type R3 Type Construction v N Zoning District r U`�D Legal Description L 1 , B2 , HI CKORY SHORES K� Owner of Building Site Address 3887 OBRI EN COURT NW K�T,. Contractor's Name&Address J .B WOOD F I TT E R K ROBERT D , HUTCHI NS ' Planner Building Official Date: I C — 1-'1 Date: KPICUOUS PLACE POST IN CONS _ 2 1 § � ■ u. ■ § r Ldt,i < g2 ) � \ raa » © � r §� IIT.0 i� z 0 qt 2 c.) II ■ § 0 000000 > 2 0 0.../ 111 _ o ■ 0 LU d § § � m k 0 2 01 Z w z o F ral E ■ oQti -1 o @ 0 4. i �A z cc z zzzz w b k � t-,114 k c 0 a © Z W I . a. 6 z ® §u � § § u 002 I- c5 a � §� a � wW W % OQOooO . 0 0 z u) a a o LLI UJ \ § < 0 911,1 5r- 0 0oU zo § / < � z a « 1 . 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NW, Prior Lake, MN 55372 fVSb LEGAL DESCRIPTION(office use only) C,, LOT 1 BLOCK 2 ADDITION Hickory Shore PID 075" ?`58.0c57-D OWNER (Name) Brandon and Kathryn Kuske (Phone) N/A (Address) 3887 O'Brien Ct Nw, Prior Lake, MN BUILDER (Company Name) JB Woodfitter (Phone) 952447-0850 (Contact Name) Joe Tupy (Phone) (1) 612-791-9025.4: (Address) P.O. box 1028 Prior Lake, MN 55372 TYPE OF WORK ( New Construction ❑Deck ❑Porch :Me-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace DAddition ❑Alteration ❑Utility Connection CODE: R.C. ❑I.B.C. 0 Misc: Type of Construction: I II III IV V A B 540 990.00 Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 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 that the building official can revoke this p r just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X /,,, BC032109 4-29-13 _ S' eContractor's License No. Date Permit Valuation ((((((ffff/f 54// ,,,__ Park Support Fee # $ . --- Permit Fee $ 34 A2 , '/s- SAC # $ a'7/ac oO Plan Check Fee $ A34,/, J A Q Water Meter Size 5/8";® � O$ 9® d State Surcharge $ TO Pressure Reducer $ /SD. 00 Penalty $ _.._,_ Sewer/Water Connection Fee # $ /,5"00, )0 Plumbing Permit Fee $ /.5V.CO Water Tower Fee # $ /000 00 Mechanical Permit Fee $ /59 r0 Builder's Deposit $ Z5 . 00 Sewer&Water Permit Fee $ .&"' •S7, Other $ Gas Fireplace Permit Fee $ s5/ CO TOTAL DUE $ J 5`- -'. 4 e Tod --0 by ' i.,..L 8 L//3 p,li,,1'on Becomes Your Building Permit When ApprovedAft, IV 'Lb Receipt No. !s of /� A. `ate 1 Z1 j' By 5#A 5- B ;Zing Official ate This is to certify th. the req est in the above application and accompanying docu nts is accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by th 'ty P .er constitutes a temporary Certificate of Zoning co liar and allows construction to commence. Before occupancy,a Certificate of Occupam-y must be issued. if �/ &' , (,i r.......-_ l Z 1 T •fanning Director ---""111111.111111mftw. ate Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 rixo 601i Builders Depositosit 44K0r City of Prior Lake A$1,500.00 Builders Deposit is included In the Building Permit fee. The Builders Deposit Is issued as security to insure compliance to 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 $1,600.00 builders deposit will be forfeited and the applicant will be billed for clean up or corrective work to madly 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. 6-17-13 DATE: p‘1 SITE ADDRESS: 3887 O'Brian Ct Nw, Prior Lake, MN PERMIT# REFUND TO BE MAILED TO: �O. FOX' O iarLc e.1 MN,5-rj ,' S(�a00 Lynda', le n ,cunt /�..r PLEASE REMEMBER Date Acct.801.20204 1. KEEP STREETS CLEAN DURING CONSTRUCTION .h , 2. KEEP EROSION CONTROL IN PLACE cam_ Lx ler, Ci En ineer 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR$500.00 U rY PP ' g SIGNATURE: .. v ACCOUNT NO.801-20204 RETAINAGE FORFEITURE ACCOUNT NO.32211 AMOUNT: AUTHORIZE TO RELEASE; DATE: J:IFORMSIBUILDERS DEPOSIT FORM.DOC Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R•1 or R-2 Districts Reviewed by:r t leDDate: 6/27/Of Building Permit# PID: - Zoning: PO lY 'SID Address: 38g't D' 31.r - Ct. . Legal: L 1 , B 2- Subdivision: H i car k..,45 INA- , Existing Structure? YES 1 'U. Existing Nonconforming Structure? YES 1 NO . CONFORMS TO ZONING E NO ORDINANCE Yard Setbacks: NA/FAILS!CO fts Standard I Proposed • Front Yard(can be 20'if avg.w/in 150') 25' 25 3 3 • Side Yards 10'1 i0•q`Z 25'if abutting a street . to.40 • Sidewall exceeding 60'requires additional side 2" 10'setback-I- setback for every 1'over 60'in length. Not required 271'over 60' 04' if building wall is 10'-0"or greater of being parallel to a side lot line. • • Rear Yard 25' .otc • Patio Door; provide for minimum 10'deck or sign 10'side! statement indicating no deck will be built in the future 25'rear a<< • From 100 year flood elevation of wetland/NURP 30' - pond. • Refer in-ground pools to the Planning Department • From 01-IW(Prior or Spring Lake) 75'or setback average of adjacent structures,but no less than 50' X 136 zo 05 S I Floor Area Ratio: NA/FAILS 1 CO S I .30 Maximum I — • (.1 Yard Encroachments: NAI PAILS 14*LIES , i_cla dPr.'ISO! Eaves and Gutters no more than 2 feet in width and no l . q ®tEn into Tp 1J1 closer than 5 feet to a lot line(Easements). AIC and other equipment cannot encroach on interior 41 e Tarl etb ck'' • side yards. • Tree Preservation it FAILS!COMPLIES I Standard I Proposed • Total caliper inches • Permit 35%Removal • Caliper Inches Rerr?oved _ •' Calipdr'Igches Preserved ' • Replacem'W Y2:1 L:\T M LrATE\BLDGLIST.D0C / ..rcrwM.;q.^ti✓i'Yw,rp:.'..vr a ., n,'-:.' N.N'+wyGF.,r tty«",v' ;s 9 „ :;,..; t ,... 'x,`,. .s.•,F w -'.4 4 J Y ro :. 4(' r y...l".'.r • 0:7 t PRip White -Building yl �� Canary -Engineering NNES° Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 4,3731 i ,grif e.,r) 01:30 �-- APPLICATION RECEIVED \713 The Building, Engineering, and Planning Departments have reviewe t e b i ing p mil: application for construction activity which is proposed at: Accepted \ Accepted With Corrections Denied Reviewed By: /� Date: 7-2" 13 Comments: See Reverse ode for Additional Informatinni See Attachments: 1) Gradin Plan, 2) Erosion Control Standards "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." ti z U txf White -Building yI �� Canary -Engineering NNES�0Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT eYe ! 9 B � r 1 esii L-®0 APPLICATION RECEIVED 6/261A3 r 3,8 kzr,74--- ..„, The Building, Engineering, and Planning Departments have reviewed a building pp i1: application for construction activity which is proposed at: Accepted Accepted With Corrections Denied Reviewed2: By: l Date: �0 21/L 3 Comments: l• na;LA.C CA-M. ‘.'"C&CY3:01A atC424 C VA us 1- vlot \DQ sir loack Atfe.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." ;„ ... wvoN +ay'+aaf:rrt.�� y :: ''• ej^ ....iev,e.04,-`74,4*-": i..;�Rt'a4,.M1 .»�r`•^.a",..,, 'r` .r,: ti,Ya^` 4.w ed.=+�:':U@&,.:;i•;: A',wjs..0*• z"�q..:�..,.,r.!°N,w., iw„HQOivWw .k�?. ,4•h-;*....v >FF's . ...-. ( PR � U t� White -Buildings Canary -Engineering ` iNNEsO Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT , r- --f°' - u k 4aPPLICATION RECEIVED /2O/A36/ The Building, Engineering, and Planning Departments have revie e ing ; application for construction activity which is proposed at: Accepted Accepted With Corrections p P ,Denied Reviewed By: /4 Date: Comment' "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 ohdingnceg of the jurisdictionf6hll not be valid." �ri Dec 12 2013 09'.52N1 HP FaxScherer Plumbing 9524476735 page 1 DSD Dec. 12. 2013 D:04AM 0324 P. 1 O e) �� WA r� Date Reed� lk CITYO °RIORLA PERMIT /a . /2 . 13 • ., . . PERMIT NO. /3. 7 4... aabN ae siataadeiee ee reteamg _ 2 TWO Aware ADDRESS 7 0 (�2d J 67--_ z° °t• w LEGAL DESCRIPTION(office use Bahl - LOT BLOCK ADDI?ION Pm _1_ ................ OW NUR -- (Name) (Phone) (A ) APPL 'cArrr .5'Ct2-"?2., ,app 6'1 z. 1*7, 3O8 3 lone) (Adder). 4150 on r:--r . P. '... (Addreis) /.- ^ (C;4) (Zp Code) Person).' ..5' 0 Aor (phone) APPLICANT SIONATURB ,ALMME' jag Z.. iZ- !3 •1•40.11.,k 'LIC PLEASE commix num Aof 16�tten aTeof Flxdtre Bath Tub with or without shower Rough-ids Dishwasher Water Heater Plow Drain • Water S9 ftemx - Lays4o y(Badmen Sink) Stand ------ Ta_ik_ I'IYav t1 or 2 mnctnt_+nt sink S c B Machine) -_ Shower StallBeddow Assembly Sinks ' : Bas Sink • Backflow Assembly Test „ - Water Closet(Toilet) _ • Laren Speirnkler Other The Minnesota Statutes S32611.148 PEE SCUD= "SURCHARGE"has been extended • ,rjobcos watt a s4f.so mains= Residential,New One a Twe-Pateny 214130 ' The minimum surcharge for a Reddest d, a Ake<ade.. $49.50 "fixed fed"permit is 55.00 • $ Pmt if PLUMBING PERMIT PBB $ PAID WITH ' STATS 8URcHARaE s �,t mING PERMIT a TOTAL PERM 'BEE $ MM Application Bece nas Your Betiding Porridt When Approved PaidReceipt No aruratee0st?el den Dat° By 24 bur mane Mir all Jesp.ctlie(932)4474$y fat(933)44a.4245 4646 Dakota Street SI,]Mor Lakeblefilltietels S372 - 1 PR/0, CITY OF PRIOR LAKE Date Rec'd ,S o:.,A kiiI HEATING/AIR CONOIITONING/FIREPLACE PERMIT q . 'is.. 3 . . A 4'4Nxas ,.r'°Y ,>� PERMIT NO. 2(tern Opp + 3.Ytltar App1'sca+d ✓ L ' I (Please type or print and sign at bottom) ADDRESS ZONING(ossa:use) 312 8'7 C' g 1- -e. C. LEGAL DESCRIPTIO.i(office use only) . LOT BLOCK ADDITION PID OWNER rr (Name) 3. Ood - t (Phone) X15 —yLi-7-625c (Address) TO la 029, APPLICANTil r k (Name) �--i n 5 6 1 �1 I th Ju V (Phone) ( Si— 1-4 2 3—5'15 I (Address) (51 6 Ca.YY-ou.Se U3 i 1 D(, amemov tat 5500- (Address) (City)) (Zip Code) . (Contact Person) R ` A &a (Phone) , i — . , (3q 9 - APPLICANT SIGNATURE aiAI pi,ri; -c-_4, 1d._ _ DATE - APPLICANT PLEASE COMPLETE BELOW , NEW CONSTRUCTION ❑REPLACEMENT []ALTERATIONS FURNACE MA E AND MODEL l.tfl l d` t U(?-(){41?5P(n(j 1'). FUEL N&*` 64 Gj _ FLUE SIZE 3t. RETURN OPENINGS 1-j INPUT 135 i POO. OUTPUT 12)555 r TYPE OF SYS'JEM BEATING OR POWER PLANT PLEASE NOTE: Air Conditioner • OWarnr Air Plants 0 Steam Units and Fireplaces Cannot Eucroacl'i OGravity ' - 0 Hot Water into Required Side Yard Setbacks. 121 Mechanical O Radiation Fireplaces with Box Additions or i`'Air Conditioning O Special Devices OVent.System 0 Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL FEL SCHEDULE Industrial,Commercial&Multi-Family I%of job cost Residential,Gas Fireplace $49.50 $4930 minimum Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50 Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 Es imated Cost$ Building Permit # PAID WITH STATE SURCHARGE ATING PERMIT L _ sr) p•Iii DING PEP t L .T TOTAL PERMIT FEE $ (Office Use Only) This Apt ilea + .econles Your Building Permit When Approved Paid Receipt No. 4 g, " C.. '1) Date By Bail. aOffcial Data I24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 9 PR/0Dal CITY OF PRIOR LAKE PLUMBING PERMIT Dtb ., pi d' aso' 1. 2.coda city PERMIT NO. A Yellow Appfs __(Pieaaetype orpehat and sign at bottom) ADDBFSS3W6 9 d gZ(}NI�C LEGAL DESCRIPTION(office use only) . LOT BLOCK ADDITION PID (Name) B Wzi2d. -1kor one) (name) ( (Address) � ucAN12� T S C Q 1t�m1)tc,5 LS ti Q... (Phone)(Phone) -Ltk- )-6/3k-1 (Address) 155‘--1% 9-LS2ii 0p,1C.5 tka . SC_ ¶ c i a r SS 7 7 a (Address) (City) (Zip Cod (Contact Person) ( c c \.Q / (phone) (0t a --ILI f-305s 3 APPLICANT SIGNATURE &,v.1. 2 -- 'r DATE ( I 2.013 APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type° Fixture Bath Tub with or without shower Rough-ins 1 Dishwasher I Water Heater - \ floor Drain Water Softener 9 Lavatory(Bathroom Sink) t Stand Pipe(Washing Machine) 1 Laundry Tray(1 or 2 compartment sink Sewage Ejector - „rt) ShowerStali Backflow Assembly 'l Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler 5 Water Closet(Toilet) Other PAID W TH FEE SC ' i ;._ie +► &Tsvo-Ferrol $149..' Industrial,Commercial&Muth f�tily 1%o€iob cost with a$49.50 minimum ,,1: y Residential,Additions&Alterations $49.51 The Minnesota Statutes f 326B.148 ....tist S :• , ding Permit# "SURCHARGE"has been changed for one PLUMBING P•' FEE $ year effective July 1,2010.until June 30.2011. STATE SUR •e 'GE $ O.i - The minimum surcharge fora"fixed fee"permit Tuna, ' - .4 I FEE $ is ,beginning July 1,2010 This Application Becomes Your Building P it When Approved Paid Receipt No. Date BY Sandia Official Date hour notice for an inspections(952)447-9850,fax(952)4 -4245 4t-•rr...L..4..ica....EeF Print-Talc&iMlnnrmta 55372 1 1 4?RIO CITY OF PRIOR LAKE Date Rec'd °S„rig ,y_ HEATING/AIR CONDITIONING/FIREPLACE PERMIT V�f'j!i,f 401invssdit` `•15"k ”- PERMIT NO. //f/j7 // �� 2.Oran Cay / ✓ '/ ( 3.Yeilmr Applicant v/ (Please type or print and sign at bottom) ADDRESSI ZONING(office use) _ 36s-I it. , (VC\''Cr\ Ot - --- P(15°6 . LEGAL DESCRIPTION(office use only) • LOT /BLOCK 2" ADDITION Me'A<o J L /G�' S PID ,�-- 71,3 . ?' d (Nam�e)RD-23 i,,vc9vdWC'e-lr C Ct. S aC 'LLL. ( 0 C (Phone) Cr Z 4-4.7 0 U . • (Address) 90 10 Vo t-U p \ (IA ) S 3-7 (Name)'1+11 )_ .Y vwso, ( -p (Phone)LOS \�UJ�ZS hone (Address) 2 097.1-1,\CO t-C. 'f— r-NN abcc ,....)L\-\--.0.__ ( v<3 (Address) (City) (Zip Code) {Contact Person)J�Q�}t�C *ilii* - ' (Phone) Ip3 k4S , APPLICANT SIGNATURE _� ' —- IA -•TB , VU I Z\ _. APPLICANT PLEASE COMPLETE BELOW 9?�1JCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT . PLEASE NOTE: Air Conditioner ❑Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water into Required Side Yard Setbacks. an cal ❑Radiation ❑Air Conditioning ❑Special Devices Fire It ae,es with Box Additions or ❑Vent.System 0 Other Devices Cantilevers to the Outside of Buildings 1� {{� ++ Require a Building Permit. FIREPLACE MAKE AND MODEL S5\._""' II) — 1 01 t - ,._ 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/y Residential,AC Only $49.50 • Estimated Cost$ 1 S'-,l,( Building Permit # 'the Minnesota Statutes*32613.148 HEATING PERMIT FEE $ "SURCI IARCi year effective has lhungecl Forone: i STATE SURCHARGE $ .50 July 1,2010,until June 30.2011. TOTAL PERMIT REE $ The minimum surcharge for a"fixed fee"perrnil (Office Use Only) is t,�,beginning•i my 1,2010 1 t 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 _ PRIOR LAKEPARTMENT OF BUILDING AND INSPECTIION INSPECTION RECORD 38 ' No l�rc SITE ADDRESS 37 e r/ oU,2.�- NATURE OF WORK USE OF BUILDINGS -6ef A P PERMIT NO. / �DATE SUED CONTRACTOR ► G. .: , PHONES ,11*7® ',5 INSTALL ERO ON CONRT AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTO DA FOOTING b06 61-/, e3 FOUNDATION (Prior To Backfill) RADON RETARDER /, PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWERNVATER/SEPTIC g. -- FRAMING krG �,. INSULATION'/sal- f� )V ELECTRICAL PLUMBING le( Ai r HEATING FIREPLACE GAS LINE AIR TEST P"tr``"` 1' 0/09 41= RADONJtEMPRIESR ' le Jail.-- COVER NO VIORK UNTIL THE ABOVE HAS BEEN SIGNED HOUSEWRAP „,� �. y H 70 OS w✓G av / FINAL GRADING ( PRIOR T SODDI VG) ., BUILDING raffriie 445 ELECTRICAL PLUMBING 4re#0,4 p l L//j HEATING 47,4,1,4.74 to,- rIT � / /2//3 DO NOT OCCUPY UNTIL A=OV- AS 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 PRI R LAK E DEPARTMENT OF BUILDING AND INSPECTION INSPECTION R SITE ADDRESS 3 087 c r$fig/ a- NATURE OF WORK /_OW6k . Lb--v6-7___ USE OF BUILDING 2 -S /Vie_ PERMIT NO. /3. 72-¢ DATE ISSUED 2. CONTRACTOR PHONE (o/L. 385-. 4-043 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 01.1111.11 Ii PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION OW�d Le\e-J ELECTRICAL -- $EptritO PLUMBING B%1 ' HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS BUILDING ELECTRICAL PLUMBING HEATING • 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 of !PatoCITY OF PRIOR LAKE BUILDING PERMIT, Date Recd A. s% TEMPORARY CERTIFICATE OF ZONING COMPLIANCE a AND UTILITY CONNECTION PERMIT - ' �� " +0,„. .41. 1.�Yhtte Felicity rine PERMIT NO./3 -/Zei (Please type or print and sign at bottom) 3 dry nr°trc,m --J iADDRESS $ e) ZONING tonic*3$8 4 O# Sri e_n ( - SCJ uM) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER ,(Name). Drctrav• KVS - (P `one) Cott-5SC-`4c81o3 (Address) 358 1- pl t tL .. CCS- S W ?w'i oc f--ct V.G W►rJ S'S*1 II- BUILDER (Company Name) (Phone) _ (Contact Name) (Phone) _ (Address) TYPE OF WORK 0 New Construction ()Deck ()Porch ❑Re-Roofing DRe•Siding ALower Level Finish Fireplace ()Addition ()Alteration DUtility Connection CODE: Dt:n.c. Di B.c. 0 Misc. /16/‘.16()WA./6e TO C,'O/'�1/'t 67E: G I Type of Construction: I II III IY V A B UM06-7k- 13, Y,,4_- Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ _ Division: I 2 3 4 5 (excluding land) I hereby certify that I have furnished inhumation on this application which is to the best of my knowledge true and comet. I also certify that I am the owner Of authorized agent for the above-mentioned properly and that 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 revolt is permit forost cause. Purl ,1 he by agree that the city official or a designee may enter upon the property to perform needed inspections. X s-ro� Z / / w. Signature ;"° Contractor's License No. to ',, Permit Valuation Park Support Fee # $ Permit Fee $ SAC # S Plan Check Fee S Water Meter Size 5/8";I"; $ State Surcharge S Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee S Builder's Deposit S Sewer 1 Water Permit Fee ' S Other S Gas Fireplace Permit Fee S TOTAL DUE $ () Ci:'/4,..' This Application Bee, Your Building Permit When Approved Paid Receipt No. Date _ By \e , --. (Widen- ;iliciai Dote This is to certify that t request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as reepiestcd. This dncumen when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Cis uficate of Occupancy must be issued Planning Director Date -----------tal Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 1St PR I04, t" CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT l *NE SC) 1 PERMIT NO. 3.Yellow Apr icmt (Please type or print and sign at bottom) ADDRESS ZONING(itfoeuse) 35 i- o farInti el Si LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION ND OWNER (Name) �Y2t V�.ah V—VS l[¢__ (Phone) 1001 -3.65-5/116? (Address) j 42313 v' t.fl.le-ti C.4- g 6.-) APPLICANT (Name) R Y' t at, V,vS i_Q __ (Phone) (0 I 2- 3`$C- -y'$ W (Address) 5S$ - Of Lr,-ey r_-1- g' bill Pr/oi 44/t. SC$7.2 (Address) ` (City) (Zip Code) (Contact Person) a ra v4aL-% u Ag--e.... (Phone) Lo l L -39ss-f 4( APPLICANT SIGNATURE DATE 274/11. APPLICANT PLEASE COMPLETE BELOW (ANEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner DWarm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water into Required Side Yard Setbacks. o Mechanical 0 Radiation q ❑Air Conditioning ❑Special Devices Fireplaces with Box Additions or OVent System ❑//O Devices Cantilevers to the Outside of Buildings FIREPLACE MAKE AND MODEL II& i / CL- Require a Building Permit. FEE SCHEDULE Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace $49.50 $49.50 minimum Residential,Heating&A/C(New Construction) 5149.50 Residential,Additions&Alterations $49.50 Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 Estimated Cost$ Building Permit # HEATING PERMIT FEE $ STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Date 24 hoar notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 04 PR/04) Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT ire *NB SDS u"" Fel PERMIT NO. s.die ds� 3.Yellow App5icmt (Please type or print and sign at bottom) ADDRESS ZONING(office est) 3 8 8 O' iSrien CA- SW LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER )R �j ((N it 1. o"-• )C (Phone) (012- 3 Sc -4/.423 (Address) $S C)i 6r1eM, � CtAl t (Pejo( Lake Pio 5s 3 APPLICANT (Name) �j MALL ova r Y.-VS V-Q,, (Phone) (o(Z- 3 8 5-'/14,3 (Address) 385.4 d' �J'I c2h C.� StA) err u - IA k T2- (Address) (Address) (City) (Zip Code) (Contact Person) 17J1reVeN i.a . U S Vat- ` at- (Phone) (A i Z-SSC"1'6(13 APPLICANT SIGNATURE DATE I`// APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins A 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 Estimated Cost $ Building Permit# PLUMBING PERMIT FEE S STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (ot0fce Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By 'lailellie Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372