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HomeMy WebLinkAboutBuilding Permit 13. 1133 , A, ; A AAAA 7AA A' A ,x ; A 1c ? AAAAis (fti rfi Yxz r t f ( rritunntrir CITY OF PRIOR LAKE Prparftttrtlf d niI tng ntsprrfi.n final Permitted 0 Conditional C.O. Expires 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 K. ordinances of the City of Prior Lake regulating building construction or use. For the following: SINGLE FAMILY 13-1133 Use Classification Bldg.Permit No. l� Occupancy Type R3 Type Construction VN Zoning District R1 SD >} Legal Description K Owner of Building Site Address 14 5 9 0 OAKLAND BEACH AVE::NU Contractor's Name&Address K.A. WITT CONSTRUCTION, INC. ROBERT I). HTITCHINS' L City Planner K Building Official ��/'. Date: 10) 1 (� Date: POST IN CONSPICUOUS PLAC • E 0 J wz 1F F J ~ w U.w - ` U E ti igaa3 p 4 w A,� j�'�1gWV1 V' < `kS V M W85. 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ZtH O V C) C) < 0 a 0000 0 0 c o f PR4) CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,, c TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 61, l&13x AND - I ONN TION PERMIT M/NNESO �I ef p,Q"24/ I. white File PERMIT NO. 3 Pink City _ / /33 3 Yellow Applicant �J� // (Please type or print and sign at bottom) ADDRESS ZONING(office use) 14&iia 0 N, BeAckt Ave e /e S'D LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION 6IAc,RAr PID r' /15 & r 0 OWNER � V& MCJ 3S`i (Name) (Phone) (Address) 14-(09--o Q L N 6A c H /ry 6 S-6 BUILDER pp (Company Name) V-•A• ( 1 TT �}II4SI 1 N C- - (Phone) (0(0-. - 9 -5-91.0 (Contact Name) C I-12A 5 ii0 t'rT (Phone) (Address) 1636 a SO .-. 1--. Ui , Ivey p( 6( IM 1I TYPE OF WORKNew Construction ['Deck ❑Porch [Me-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace ddition DAlteration ❑Utility Connection CODE: J.R.C. ❑I.B.C. 0 Misc. Type of Construction: I II III IV V A B Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ �� (4700 Division: 1 2 3 4 5 (excluding land) I hereby certify that .ave furnished i formation 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-mentio e. pri.,rty an. th, al construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that he building official can r. ok t , .ermit r �st ause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X '� meq - 5 /3 Signature Contractor's License No. Date Permit Valuation �xciow _ Park Support Fee # $ - — Permit Fee $ t 4/ / SAC # $441300, Plan Check Fee $ f/5 9f Water Meter Size 5/8"; $ Jt-go oo State Surcharge $ /g=, — Pressure Reducer $ /570. 1 f Penalty $ ! Sewer/Water Connection Fee # $ / ��r 0 Plumbing Permit Fee $ /g,LLtr) Water Tower Fee # $ /000. O Mechanical Permit Fee $ //5L/jr ^/, Builder's Deposit $ C75—ee°. 00 Sewer&Water Permit Fee $ 56.570 Other $ L�Jr!` Gas Fireplace Permit Fee $ TOTAL DUE ivi $41 '2 qg Th "ca •5 es Y nir Building Permit n Ap roved This Paid 7�Z. Re pt No. ' /I..� G9 3 Date ��i /(� /3 O Building Official --""1.1.0111mon. ate 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. Thi;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 ‘1/. Art 9—a Y/3 ✓ anew otOrriVe,ei—ke..s.1. ,oh /3-87f 'Planning P ector 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 . . 0- p °�A bt. Builder Deposit 0 , • Ittivnvss°o city of Prior Lake • A 51,500,00 Builders Deposit is included In the Building Permit fee. The Builders Deposit is issued as security to insure compliance far a Final Occupancy Perm,it: (it is not an escrow account)AU exterior items including but not limited to grading,sodding, landscaping,tree planting,driveways,siding and painting shall be completed 180 days after-the datethe building permit Is issued. If the:work is not complete within the 180 day time period,the City shell notify the applicant of the violation and the applicant shall have 10 days to comply or the $1,500;00 builders depth it will be forfeited and the'applicant Will be billed for clean up or corrective work to rectify the situation. A$500.00 Tree' ;sit ay also'be required and will be refunded if specified Oman)preserved fora period of one year. D. DATE; 9 /e 6 SITE ADDRESS: i' D 0Avt- 7 --66641PERMIT# /3. 1133 REFUND TO BE MAILED TO: II : N.• 1�Jit 1 1 - e _ IS3D zi e i. L,DE , 11.0.0 'Pc...AL -IA.C; i\J4.1 . I. ,c)'-7 / PLEASE RE1. E171BER Lynda S.Allen Amount DateAcct.801.20204 1. KEEP STREETS CLEAN DURING CONSTRUCTION __ 2. KEEP EROSION CON OL IN PLA E i k i i ' ;` i ;.: ` •� 3. TEMPORARY •TU• i NCY 'E" jT MUST NOT EXPIRE OR$500.00) ., Larry Poppler,City Engineer SIGNATURE: 29009 K.A. WITT CONSTRUCTION, INC. -, Reundbank. 1530 W 280TH ST. Member FDIC opmetattr NEW PRAGUE,MN 56071 ` wwwroundbank.com PH.(952)758-2108 75-155-919 U W Pay: **************Twelve thousand four hundred forty-two dollars and 48 cent; PAY i 0 DATE CHECK AMOUNT October 10, 2013 $*****12, 442 .48 01 . , TO THEV ORDER City of Prior Lake `� of 4646 Dakota St SE 8 Prior Lake, MN 55372 AUTHORIZED SIGNATURE i 00 29009H' ':0 9 /90 L55 ': 5 500 58 6 til• i White -Building 41i3se. Canary -Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT / - - Pvt. h APPLICATION RECEIVED 13 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 14- 7 /1110. Accepted Accepted With Corrections Denied Reviewed By: let) I Date: /j C0 ' 0-0 L 1/ . N m-0-1 LAceg1j Comments: (. s C71; c> A-F- A-14. TTrYkeS , -02- Fes' Apptiekv-A-t- r©v ,t-ttaND v C4- S — �5 A-r- de o 9 ©c -3 . Acittz.. (20400b4 rzokia5-, 4",ea $ rr-C O-G1`911,4 co_ 4c- T1 - A -*s-' W14 Ps - ccd1_,Ari At A *.k) • C-51)--rtr-c (ADAnicl "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� YAto+P White -Building Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT X. ii IN/ Tr' &'JSTA.._. APPLICATION RECEIVED /". ./3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4-5-yo Accepted X Accepted With Corrections Denied Reviewed By: 44W./� Date: /a-/c'-/3 Comments: See Reverse Sidelor Intortliationt Avner Gradins ice, 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." fir ` 0 Y$t(�+i' (gr White -Building 4,.. Bolt+ Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 1. ,• yr co APPLICATION RECEIVED /• f�'' .I3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / *-5-7 0 oi''k--4-r vy '&- i hvo. Accepted X Accepted With Corrections Denied Reviewed By: 2 Date: 9-02 q-/3 Comments: - /ee..satL " #/3-OTfoar�anro✓cJ �ro„ y4.1_0‘ see-44 d- side pea seebach Vara riees (<o.�wt Doc *-/4 ?3935 — Pn u✓�'�t e/�aL/o�• eerti c.,4 'Prorv. Seq*Veyor ilifi.,tti, /w,e,f Cher of TQgi q ar /1110- PRor ;my ec-6' _ P ov�eL Apt feAt 4 r?ort �prl r to Ted, "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." l5 - 112, 3 Land Surveyors Planners �\ L Valley Surveying Go., IA. iki1.3 (952)447-2570 Suite 230 16670 Franklin Trail S.E. Prior Lake, Minnesota 55372 October 23rd,2013 Steve Mosey 14620 Oakland Beach Avenue SE Prior Lake,MN 55372 RE: 14590 Oakland Beach Avenue SE,Prior Lake,MN CERTIFICATION: I hereby certify that on October 23rd, 2013, my firm did, under my direct supervision, measure the top of the foundation at the walkout of the house under construction within the South Half of Lot 9 and Lot 10, OAKLAND BEACH, Scott County, Minnesota. I further certify that the elevation of said top of foundation(lowest floor slab to match) is 911.5, NGVD'29 adj. aI Scott M. Swanson,PLS Minnesota License Number 42309 Our file No.10910 ENT OF HOMELAND SECURITY ELEVATION CERTIFICATE L EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 'ational Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date:July 31,2015 SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Steve Mosey Policy Number. A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 14590 Oakland Beach Avenue SE City Prior Lake State MN ZIP Code 55372 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) p/o Lot 9 and Lot 10,OAKLAND BEACH,Scott County,Minnesota(PIN=251150060) A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)Residential A5. Latitude/Longitude:Lat.44-44'16.9" Long.93-23'21.8"Horizontal Datum: 0 NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 7 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 1472 sq ft a) Square footage of attached garage 768 sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s)within 1.0 foot above adjacent grade 1 within 1.0 foot above adjacent grade 2 c) Total net area of flood openings in A8.b 2880 sq in c) Total net area of flood openings in A9.b 28800 sq in d) Engineered flood openings? 0 Yes (83 No d) Engineered flood openings? 0 Yes 0 No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION Bi.NFIP Community Name&Community Number B2.County Name B3.State Prior Lake,Minnesota 270432 Scott Minnesota B4.Map/Panel Number B5.Suffix B6.FIRM Index Date B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone 0002 C 7/26/1974 Effective/Revised Date Zone(s) AO,use base flood depth) 11/19/1997 X 909.0 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM 0 Community Determined 0 Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 0 Other/Source: B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? 0 Yes ® No Designation Date: ❑ CBRS 0 OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: 0 Construction Drawings* 0 Building Under Construction* ® Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones Al A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,ARAE,AR/A1-A30,AR/AH,AR/AO.Complete Items C2.a-h below according to the building diagram specified in Item A7.In Puerto Rico only,enter meters. Benchmark Utilized: Vertical Datum: NGVD 1929 Indicate elevation datum used for the elevations in items a)through h)below. ®NGVD 1929 0 NAVD 1988 0 Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a)Top of bottom floor(including basement,crawlspace,or enclosure floor) 911.5 ®feet 0 meters b)Top of the next higher floor 921.2 ®feet 0 meters c) Bottom of the lowest horizontal structural member(V Zones only) 0 feet 0 meters d)Attached garage(top of slab) 918.4 ®feet 0 meters e) Lowest elevation of machinery or equipment servicing the building 0 feet 0 meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 911.0 ®feet 0 meters g) Highest adjacent(finished)grade next to building(HAG) 918.8 ®feet 0 meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support 910.9 N feet 0 meters SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ® Check here if attachments. licensed land surveyor? ® Yes 0 No Certifier's Name Scott M.Swanson License Number 42309 Title President Company Name Valley Surveying Co.,P.A. Address 16670 Franklin Trail SE City Prior Lake State MN ZIP Code 55372 Signature Date 02/11/14 Telephone 952-447-2570 •N CERTIFICATE, page 2 PORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number. 14590 Oakland Beach Avenue SE City Prior Lake State MN ZIP Code 55372 Company NAIC Number. SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments The subject home is a walkout rambler and although all site grading may not be complete due to frost,etc.,the LAG and HAG as shown hereon should not fluctuate dramatically when finished.All elevations shown hereon are on NGVD 1929 datum. 0,1 Signature Date 02/11/14 SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5.If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C.For Items E1-E4,use natural grade,if available.Check the measurement used.In Puerto Rico only,enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is 0 feet 0 meters 0 above or 0 below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is 0 feet 0 meters 0 above or 0 below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is 0 feet 0 meters 0 above or 0 below the HAG. E3. Attached garage(top of slab)is 0 feet 0 meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is 0 feet 0 meters 0 above or 0 below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 0 Yes 0 No 0 Unknown.The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owners authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here.The statements in Sections A,B,and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments 0 Check here if attachments. SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8-G10.In Puerto Rico only,enter meters. G1.0 The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.0 A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3. 0 The following information(Items G4-G10)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: 0 New Construction 0 Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: 0 feet 0 meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: 0 feet 0 meters Datum G10.Community's design flood elevation: 0 feet 0 meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments 0 Check here if attachments. • ION CERTIFICATE, page 3 Building Photographs BldgSee InNo.) uctioe6 IMPORTANT: In these spaces,cotorresponding infostrrmationns fforrom ItSectionmA . A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unitpy ,he Suitec,and/or . or P.O.Route and Box No. Policy Number: 14590 Oakland Beach Avenue SE City Prior Lake State MN ZIP Code 55372 Company NAIL Number. If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instrictions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Luft Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than wilt fit on this page,use the Continuation Page. �` r -r �. '. a t,: s .mak i -..mn. "-4 r r � ' ' �t ,,,iiiAiri � f fit" ' .$ 40:.' ' • Atk %It", , ,,,, 0„ aii , torri, _____„,,........4•0 _ ___ ., . , . . _ , ..,... . _ _.,....,..., . _ ,.,:_. .„ .,.....a. ,_ _ . ‘ .._.,,,___ _„,,,,,, ,„z„,,...,...___... ' , .. ,...,4.''',- .., ,.., 1$101110*. :''''' w.a ;� ;Ta: View from Street 02/11/14 • ION CERTIFICATE, page 4 Building Photographs Continuation Page IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number: 14590 Oakland Beach Avenue SE City Prior Lake State MN ZIP Code 55372 Company NAIC Number. If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Section A8. ,I , f ifi t t 'e-'14-,.'' 42 View from Lake 02/11/14 v ,,..1 40 '�• - ,f, s � t Tag of DN d t= N SC\ X N o o s... % X oa° 1 cORAO ATFZfi ,_ t It e AmitRIV z5e ffigifirIg Ma 1 g_. al (4 ..„.._ . b 1R I / R 1 'r 1 I . D COP L' Q� 3w� z „. y 2.o-3 'o m 03 v S d� as I-- m a� o f Quo�. w � N — 3�" q Steve Mosey , ,. ,, d- . ..., , ,. , • , . ...., _ , .. i 1111111 r.--...„),_ i iu "'A 1w 1,k,, Y r 4 i4 • N .. 1p - , us 0 1 Ail ms Map created on 2/11/2014 77SCOU Aerial Photo:April 2011 Legend yitiziszatimmom Disclaimer: This information is to be used for reference purposes only.Scott County does not // Flood way guarantee accuracy of the material contained herein and is not responsible for misuse or sinterpretation. The preceding disclaimer is provided pursuant to Minnesota Statutes 466.03,Subd.21(2000),and the Floodplain er of this service acknowledges that the County shall not be liable for any damages,and expressly waives all claims, rd agrees to defend,indemnify,and hold harmless the County from any and all claims brought by User,its employees or 'ants,or third parties Mich arise out of the user's access or use of data provided. o.rRro�? CITY OF PRIOR LAKE r... ,..7 HEATING/AIR ATJ NG/AIR CONDITIONING/FIREPLACE+ PERMIT Date Re a L. i . 5. t.pini Pete 1 PERMIT N 13• 2.Zen City I 110. `. lease a or.rint and si;n at bottom 3.Yellow Applicant ADDRESS A ' ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNS'- • (Name) _ ,E .—\-- z (Address) (Phone) q___SZ �5� -7 j0 . . i .-e; tut A I APPLICANT 4.. ' , It - (Name) dba FIRESIDE HEARTH &HOME 2700 FAIRVIEW AVENUE N (Phone) (Contact P (Address) (Add .633.2561 (City) (Zip code) erson) \\_,t_, `._ ���� ����61 . i p� t111 (Phone) )t o- 22cL.p 1 APPLICANT SIGNATURE —-- _ —' DATE APPLICANT PLEASE COMPLETE BELOW ` 'ANEW CONSTRUCTION 0 REPLACEMENT • FURNACE MAKE A D ODE[, 0ALTERATIONS • FUEL • FLUB SIZE RETURN OPENINGS INPUT TYPE OP SYSTEM OUTPUT HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner • ❑Warm Air Plants []Steam ❑Gravity Units and Fireplaces Cannot Encroach ❑Hot Water ii:t echanicai *Air Conditioning ❑Radiation into Required Side Yard Setbacks. [Went.System ❑Special Devices Fireplaces with Box Additions or [] C Other Devices Cantilevers to the Outside of BuildingsFIREPLACE MAKE AND MODEL X ( _ Require a Building Permit. • Industrial,CommercialY 1/o&Multi-Familo FEE SCHEDULE of job cost Residential,Gas Fireplace $49.50 minimum •$49.50 • Residential,Heating&A/C(New Construction) $149.50 Residential,Heating Only(New Construction) $64.50 Residential,ACCdOnly Residential,AOnly &Alterations $49.50 $49.50 • Estimated Cost$ IS-10_______:L___. Building Permit # - r. The Minnesota Statutes if 32613.148 HEATING PERMIT FEE "SURCHARGE"has been clumped for one • STATE SURCHARGE $ yeareffective TOTAL PERMIT FEE $ The 54 July 1,2010,until Pea 30,2011. (Office Use Only) r minimum surcharge Corn"fixed fee"permit Ls ss,beginning July 1,2919 This APPI1C VT, comes Your Building Permit When Approved Paid g roi.r1 rajtwin" Jo +. .._ Date • .4 UM —_ --_,.....,� Date 1- I ' 24 hour notice for all inspections(952)447-9850,Fax(952)447-424 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 Cl. Ynl©� 41 a x VP r.tu.1.VI .LAItI Date Recd HEATING/AIR CONDITIONING/FIREPLACE PERMIT drr d x I, cc, PERMIT NO13 . 1125 3.Yaw Alks t Meese tyl le or main and sign at bottom) ADDRESS ZONING(oaks„.e) i - 5qO (bat< I(and, 1.e,Q .h LEGAL DESCRIPTION(office we only) LOT BLOCK ADDITION PID OWNED (Name) 441 LO iI' (,4). t r t j C'_` ' i A 1 I (Phone) (Address) • APPLICAN(Name) 1-1'i r i(k ' Il lltJ l+ �j i n.91 1. o(.. (Phone) C5(gt- 5- 1)( �, (Address) * Z' �j , _,) _.___ (Zip Cede) (Contact Person) *i V'hl.1 (Phone) 15 --3-1 5-60 30, APPLICANT SIGNATURE DATE i 1 f aNO I i 3 APPLICANT PLEASE COMPLETE BELOW VIEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL C(i j r i L r 5 cIT N A O gQ V i- -�- 11-1 FUEL Nafu ri (o FLUE SIZE T V(? RETURN OPENINGS€na frt. b b t 1 at),.INPUT q O c O()6 OUTPUT '71.150 . TYPE OF SYSTEM HEATING OR POWER PLANT �Warcn Air Plants PLEASE NOTE: Mr Conditioner iit3ravity 0 Steam Units and Fireplaces Cannot Encroach 0 Hot Water ;i MechanicalRadiation into Required Side Yard Setbacks. ®Air Conditioning A Special Devices Fireplaces with Box Additions or J Vent.System 0 Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial,Commercial de Multi-Family 1%of job cost Residential,Gas Fireplace •$49.50 $49.50 minimum Residential,Heating dE A/C(New Cin) $149.50 Residential, OG $49.50 Residential,Heating Only(New Construction) $64.50 Residential,AC On `, • Ti �� V $49.50 Estimated Cost$ Building PermW The Minnesota Statutes 13261i.148 HEATING PERMIT FEE "SURCHARGE"has been changed!'or one year still dive STATE SURCHARGE $ N .�Q July 1.21110.until June 30.2011. TOTAL PERMIT FEE $ The nihilism surcharge for a"rimed fee"permit (Melee Um Only) is SS beginning July 1.14111 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Betiding Official Date 24 hour notice for all inspections(952)4479850,fax(952)441-4245 p Riot Date Reed 4,tCITY OF PRIOR LAKE PLUMBING PERMIT I-1.� likk ova (/. VCS 411NNES0* I. Blue Pile 2.Gold city PERMIT NO. /a /73,3 (Please 3.Yellow Applicant type or print and sign at bottom) ADDRESS ZONING(Dolce use) l S 9 0 a Kiciv\h4 (3€ °. -k, ,d . LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT (`� r (Name) se) Y\,y S 9" � i lam► j 1 i 1� LL v (Phone) 9 S�;c�� (-1O1 (Address) 1 \ f.J�i S4i(NCei J` , ry j PCO VQz 3 V (Address) ' (` L. (City) `, (Zip Code) (Contact Person) RV\ >`I \� .' . �/ (Phone) 1 S Cly 1 k~g'J 0 i1s, APPLICANT SIGNATURE SPA', • Litt _ DATE I Q - I 1 13 APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Q Rough-ins Dishwasher I Water Heater I Floor Drain {Z Water Softener y Lavatory(Bathroom Sink) I Stand Pipe(Washing Machine) Laundry Tray(1 or 2 compartment sink ()' Sewage Ejector Shower Stall 0 Backflow Assembly Sinks Q Backflow Assembly Test 1 Bar Sink Lawn Sprinkler 3 Water Closet(Toilet) Q 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§32613.148 .est $ Building Permit# "SURCHARGE"has been changed for one �}D n year effective PLUMBING PERMIT FEE $ �r I— 1 Wi TH .July I,2010,until June 30,2011. STATE SURCHARGE $ e ILb!� The minimum surcharge for a"fixed fee"permit TOTAL PERMIT FEE $ G p � is 35,beginning July l,2010 ma 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 • Date Rec'd 1(g14 '`'' SEWER AND WATER PERMIT /0• /re /3 • 1, Omen Fila PERMIT NO. • Z, Yellow City L - 133 3. Gold Applkant (Please type or print end sign at bottom) ADDRESS lit-69 U OA-v.-LA-IQ 6 OC,, . . 1 A%/&, ZONING(office use) PLz-t co- t-A -j MO 5531?- Rig f' LEGAL DESCRIPTION(office use only) . it)g5ot ,-n-t tIaoFwf9 LOT BLOCK ADDITION 0A-K-t-A-N(> 13t✓/1\-ri1-1 ED a6115OOoO • OWNER S v6 y •P r. Y� n o (Phone) (Name) 1" I v V (Address) 1451 0 0 i1t-v" BAC-t-4V,6,1_ P114UR L-P"VE 5537?- (Address) (City) (Zip Code) APPLICANTa • (Name) K.,A. Wt CO N1,112-V1C-l1 O V-.1 i (N C , ((Phone) 61Sa -ij (O g (Address) 1 s0 Ona- " LI ). Mak) v P i i/te 54 o1 I (Address) (City) (Zip Code) (Contact Person) CA"I'Q-t I (Phone) q 59" -7' "0"i Cg APPLICANT SIGNATURE \ DATE 1014-13 APPLICANT PLEASE COMPLETE BELOW Size of water service I K inches, Location of any couplings from structure 30 feet. Type of sewer pipe, ❑ABC Fg PVC ❑ Cast Iron ` ' Estimated length of sewer line 4o feet. Clean out(if required) located at 30 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# 1:3 1133 SEWER AND WATER PERMIT FEE $ STATE SURCHARGE $ 5•0121 Aro' . TOTAL PERMIT FEE $ PAI BtAAL-D,:i9-1) (Office Use Only) • This Application Becomes Your Building Permit When Approved Paid Receipt No, Date PA f WITH Building Official Date BUD DI 6 PERMIT 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 Oct. 14. 2013 4:45PM K A WITT CONSTRUCTION No. 2630 P. 2 pil© o �R o Date Ree'd CITY OF PRIOR LAKE 1/ /. / 3it'', s I SEWER AND WATER PERMIT • r. rill t90 PERM1-NO, 13-, (i 3.5 ] ). Goa APOIVARt may. a',,cor.intaod .Rai betein G Cdaeeuzo P124 00— t. -re---1 M 553 F c s 2 LEGAL DL&CP PTION(woe ilia oetrl . LOT/ IQ( o+t IIz0P' L.O1 BLOCK ADDITION 0AV-LA*4 E5 136 PID ?5I t 56660 OWNER PA's` MO to - V+ _. (Phone) (Address) 1,i-..5-11O AKr - V6. zto2 553"7 a- , APPL ame . A _t , .r ,A,N5r1L I we_ (Phone) 359`1...%'e ro (Address) 1550 SOO _ T (A). 'r2dI4 .5 � pt (Adc►�) cam) (Pp Code) (Contact Perso>s) . (L4412.-1 1 I 1111111,_ (Phone) Lam-15r , log ...r F ' I'' — DATE 10-14-I APPLSCAN" SIGNATURE w - . z APPLICANT PLEASE COMPLETE BELOW Size of water service S it inches. • Location of any couplings from structure 30 feet. Type of sewer pipe, [J ABG (l PVC d Cast Iron. Estiaated length of sewer nine 40 feet. Clean out(if xequired)located at 30 feet from structure. YEESCHEDULE Residential sewer and water liuc connection $51.50 rndaastrial,Com'!&Multi family 1%of ab cost with a$51.50 minimum Salm-connection only $25.50 Water connection eddy $25.50 , • Estimated Cost S Building Permit ft I i 3 — i 3.3 SEWER AND WATER PERMIT FES $ STATE SURCHAROB $ ,Fdro .+s' , TOTAL PERMIT FEE $ [gym el (Meet)a Only) _ _ This Application Becomes Your Building remit'Wiieu Approved Paid ReceiptNo, Date WITH m euat inn-iritelaa Delo PUa. :[iiaqC i._ 24 hour nettea for oil inspe etlonas(952)441-9$50,fox(952)4474245 4646 Dakota Street S,E.,Prior!ane,Minnesota 55372 RO PRIOR LAKE BUILDINGDEPATMENT AND INF SPECTION INSPECTION RECORD SITE ADDRESS 4(5-(70 ; N0 c //j ''5c NATURE OF WORK USE OF BUILDING _ ,�Cu W/ LFi , 1��c/c l��'r No 71)(41 r PERMIT NO. / '3 GATE ISSUED _ CONTRACTOR j. ,4 /C,,yO PHONE6/2 .3f6 9 INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING k)L T"? /c/7/3 FOUNDATION (Prior To Backfill) i_au. _L�,,��. , � /*9,> RADON RETARDER PLACE NO CONCRETE UNTIL : •VE HAS BEEN SIGNE ROUGH - INS SEWER/WATER/SEPTIC , , FRAMING ' V-- /1/03 INSULATION 1 „/ ? .� ELECTRICAL j PLUMBINGi6s (x0 Pit 74/13 � =� - //ez? 4 HEATING1/6 v FIREPLACE // 8A-73 GAS LINE AIR TESTS ' �, (10^TtrT RADON Iy�l �� COVER NO WORK UNTIL THE ABA BEEN SI ED 4 HOUSEWRAP /AAATH Pr 1710 fr FINALS GRADING ( PRIOR TO SODDING) lEtIJILDING F M,a (Z oPr - '( 7v g �-,,./14/414 ELECTRICAL PLUMBING tr/c HEATING z44- DO / /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