Loading...
HomeMy WebLinkAboutBuilding Permit 14. 1108 .-:. .....,..aie.,•: w ,.. `:.:gin.Y 7.- .., .. .: 0 I,j � t -r _.i „i .,„c„, i _.i i , _ r tr ..ifFn.. u.ir„i V�.ivai_Yl.,i.. (I� Ii,.,,,wn. Y._� .. �rV,.n,., C4 4 rrtifixafr ,of ( rrupanty CITY OF PRIOR LAKE � . !iparfxurtt of !ititbing c3ttsprtfion `Final Permitted ❑ Conditional C.O. Expiresc This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential/❑International Building Code certifying that at the time ofissuance this structure was in compliance with the various ' ordinances of the City of Prior Lake regulating building construction or use. For the following: /,( IG�i �r .S f/\/ 1-,6— L ``"f/ L, Bldg.Permit No. /, `T-.` S Use Classification L�1 �c. �� ,, Occupancy Type Type Construction Zoning District 4 3 f' S E I (-, CSL-.(:,< � 7-6S >Ci Legal Description / A / / , Owner of Building Site Address ,/......1-560 S/ / 1 t_— v' 1 Kr Contractor's Name&Address //e.447.71//...-"":."71/G/--- /6716/-16"� /(06 '6/4-7— ig Ll /--/b./7 C r / uilding Official Date: S."...' Date: POST IN CONSPICUOUS PLACE �, 9 a-,..',, ,,,,'„,,7..,"'',',',,,./:''‘,""''',,'''.'''''"'""� ' '^ ^ i V_V__V s! V ^�'' 5t ``f 3 _V_V V-V � _V r1 2) Z N J LL V E z Li, V LL LL W W 1 ❑ ❑ ❑k❑ ❑ O �t-'' U �p m c O w 0 O z z U F- x z z —=$= u=—�. a Z ° I m O W m mmm N U d azuiwax co la Lit WW z p a. X (a a 2 �/ ) W W W ❑ ❑ ❑ ❑� U U Z \' m0 _ a tpyC z Ym U N a W w W Z a 0he 53 g0 0 - 03 P.. z zaO or. z 3 Da O 4 -z z a V1 w w -J W mo n O ? 0Z ~ z W Y m °C a o WF- Z 0 UJ UJ F' z �� < W O O O t U CZ O- D O u�u.z N 0O 3 U U c) z < 0 o=. ❑❑ ❑ CIA❑ V T ❑ ❑ c W Z1 � JF-FeW5a W gZ 055W > C � WtQ W i 0ilri: 0 a' Z W N O 0 N 0 O adJ w I, m C O s C �13 ~ c OOLLQ rt o a W r z X Z - = = ZZ W c 8 N o 1 N 0 OW. Cagere Wwm2 a Z D. nu1.., sm V O O Z �' O > > W W K LL a � 3v� Ja � W W oc z ry \ 000000 4 Wit' C.) a Q. LL C J � X 51 � Z 0 O Q LL F- Z p IN V 0 Qu. 2 ce is wz z z 0 N e Q 3 " W Ez o O a Z ai v v , a� s z Z0Z5 JZ W ce ce a Q c N F- Z �� W 2 re is U N C t 0 uO. uO. IL. za ❑ V ❑ ❑ 5. a v ? Q 0 a 0000 ❑ Z16 F kZ6� a J 41 a w 0gWWu 3 -. \ z p@@JJJ _ � 000000 ( 0 0 N r0 -it' x J o N Z 0 celW 0 » a Zm of. 44, F- re pLJ 0U Lea Z BZ ` ` W N V z = . xW = 2x 1 I W Z d v a3Wa122W S j + k w w W W1. a 000000 0 0 Z z a 0 '� c ` , O < Ute+- crWy W W �v z r S , V O Y s Y V t� p - 1 h- 0 o°°,► 0 Z t/� o 00 W 1-" '" v V v a 02 F0 _ 4. Z ~ UJ W W J w C7 F- to re L J aO N Z ~ ZZ5 < Wii 0 0 0 15 V V a tel E 0 LL ul. U. U. co p ,� 30 a. U = Q 0 a 000000 0 ❑' ❑ c w r: I$ -$ � 2� #ir. x - z§�< 4 Ni ( � Hill . �1 . ƒ ‹ 4. ' J _ ❑oOOOO r / UJ Z07S ` P. � � � w o k UJ / C4 X �/� ` 2 ■ / 0 z o 0 Q LI gezzzz 4 2 0 k3/��$ : § J E IQ � w «&mu . E % a ■ tea$ 4 al ƒ 0 Q g OOOooO 2 2 t w � � . ' . k 0 Z U / ii CC CC[I Ilild II CC uJ WIII I- ',..j- : 25. CD K ILI ' N < Izi2 & 2 © � $ a. 000OOO , it CI a \f\Q Q / \ tPRlp� CITY OFILPRILEBUILDING PERMIT, Date Rec'd TEMPYCETIFICATEOFZNINGCMPLIANCE C *!Nlvesot° I, while FilePERMIT NO. `¢ / /O 2. Pink City ` 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZO G(office use) ClC, ' liFL 1 Go(.3Tz.--r / LEGAL DESCRIPTION(office use only) LOT 3 BLOCK S ADDITIONEN... /..E. '1Z -V—.... .ST�"M.S PID -5-e-o32-0 OWNER (Name) (Phone) (Address) BUILDER (Company Name) _`t L4 ND tM F- Q(Phone) 1'52`440- 94 (Contact Name)ERI -p1-'444 I—T614%A - P64'&411' 3 (Phone) " /A-1.4e- (Address)11 OZ I 56)4 1?-r VD.SE_ Pg.toiz. L 104<e., /4K1, . 55372-. TYPE OF WORK XNew Construction ['Deck ❑Porch ORe-Roofing ORe-Siding ['Lower Level Finish 0 Fireplace ❑Addition DAlteration ❑Utility Connection CODE: Ell.R.C. ❑I.B.C. 0 Misc. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ Z4i 1t cx — Occupancy Group: A B E H I M S U (excluding land) Division: (12 2 3 4 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-menu ed propel a d 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 ca oke th int for just cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. Signature Contractor's License No, Date Permit Valuation efL '` - Park Support Fee # $ tom_= Permit Fee —$ ^,e5. >t' & SAC # $ 2 tie) Plan Check Fee $ J Water Meter Size 5/8", I" $ wet. eje, State Surcharge $ /3/.ex) Pressure Reducer $ /5"6. re, Penalty $ ..---- Sewer/Water Connection Fee # $ /56600 Plumbing Permit Fee $ .J( Water Tower Fee # $ � Mechanical Permit Fee $ / + Builder's Deposit $ ��h io S . Sewer&Water Permit Fee $ —C—/` s } Other $ Gas Fireplace Permit Fee I $ :544 (i % TOTAL D3/44".444,, `ti,7.4.- $l' 11 Q o R This Application Becomes Your Building Permit When Approved Paid /2.,, II �3 , b8 Receipt No. .�7c? �/1� Date /0, 7,,t (f By 5yt,c,.c i Qe.-t-e- C2rwrS2 \6\t Building Official Dat This is to certify that the reqs •st in the above application and accompanying documis i accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City P ser c nshtujes a temporary Certificate of Zoning co '.lia e and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued �/� Plasm 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 • Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R-1 or Districts e Reviewed by: —. ,'i Z Building Permit# PID: --".."11111' Zoning: p c5- /- 7 Address: c Legal: L , B Subdivision: Existing Structure? YES/ 0 Existing Nonconf► 4 ing Structure? YES I NO CONFORMS TO ZONING NO ORDINANCE Yard Setbacks: NA/FAILS/Co art ES 1 Standard ' Proposed • Front Yard(can be 20'if avg.w/in 150') ' 25' ?-- „,f '` • Side Yards 107 25'if abutting a street (5-, 0 Sidewall exceeding 60'requires additional side 2" 10'setback+ _ i • setback for every 1'over 60'in length. Not required 2"/1'over 60' if building wall is 10'-0"or greater of being parallel to • a side lot line. • Rear Yard 25' 97 e f • Patio Door: provide for minimum 10'deck or sign 10'side/ statement indicating no deck will be built in the future 25'rear • From 100 year flood elevation of wetland/NURP 30' pond. • Refer in-ground pools to the Planning Department • From OHW(Prior or Spring Lake) 75'or setback average of adjacent structures,but no less than 50' "Z.N 5 (2-113 I Floor Area Ratio: NA/FA S I COMP I .30 Maximum I ' , 76 Yard Encroachment •N 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. Tree Preservation: FAILS/COMPLIES 1 Standard Proposed • Total caliper in s • Permit 35%Removal • Caliper Inches Removed • Caliper Inches Preserved • Replacement %:1 L:\TEMPLATE\BLDGLIST.DOC ,�y O� YRlp+i' c White - Building ,hHNBso��` Canary -Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT �'O _2/t 1 t (,� ���,L� APPLICATION RECEIVED 7` /7 / The Building, Engineering, and Planning Departments have reviewed the building permit application/- ee--/Z,c/f(/ for construction act�i 'ty which is proposed at: ✓Cf- Accepted Accepted With Corrections Denied Reviewed By: c' ••‘..-k.. Date: \ \'L\VN Comments: \ S -Is...`\ cl...--11 o -' Vv`4. .N^ A O,.\\ (j S lar- CA wir r ,. "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." (gfJ \ White -Building Canary -Engineering 4ron asoo Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 33-40 Ct � e'oe/01-/--- APPLICATION RECEIVED %' /7 / .f- ,/,' s The Building, Engineering, and Planning Departments have reviewed the building permit ap lication for construction acti ity which is proposed at: Aey/a4A/ 4 //e)'9'9 67—-5 . . tit Accepted Accepted With Corrections Deed k { Reviewed By:is /'Ari:�1 .-._ -•� Date: 149 24 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." viti° t0White -Building 'hMv�aso��" Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 53-00 CAJ Ce- (7OU�-1---- APPLICATION RECEIVED F. /7 /(7/ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction acti 'ty which is proposed at: lee--72,4/ri e) /eY,--2 S Accepted X Accepted With Corrections Denied Reviewed By: M45 Date: /0 3-/y Comments: See Reverse Side for Additional Information! See Attachments: 1) Grading 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." 10/31/2014 12:24 9524926006 GLOWING HEARTH PAGE 01/QD 4,� 1'xtta�P CITY OF PRIOR LAKE Date Rec'd ° i..i, BEATING/AIR CONDITIONING/FIREPLACE PERMIT AtilY*fir T 4i'lNvaeor0' 1.Vick Fill PERMIT NO. 2.Gram City (Please type or print and sign at bottom) 3.Y:tkrw 4yiiont • ADDRESS ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) ' ! , , ,L . J !l . 4. 4. ,J . . ` (Phone) :. 0 � 00 r Address ,. _too l .�. e . �ri Cf�,,. ?„.. .._2 'fl44\) '5 APPLICANT -- —. (Name) ' ► 0 vaA._k.A.,d 1 t Ia.! ('hone)R52..... -a_L9.2-:___ _____-7 . _ (Address) ,ik 011MBSTIMM. Al ail 4 4.4 k 3 (Contact Person) 1 . A 0 (Phone) y9_,01 m.2_ Wircifr APPLICANT SIGI3ATURE " DATE (O ! ...V______ APPLI ANT PLEASE COMPLETE BELOW ONEW CONSTRUCTION OR.EPLACEMENTALTERATIONS FURNACE MAKE AND MODEL. FUEL FLUE SIZE RETURN OPENINGS INP T _OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE;Air Conditioner DWarm Air Plants OSteam Units and Fireplaces Cannot Encroach vity =' echanical O Rot Water on into Required Side Yard Setbacks. DAir nditionln Fireplaces with Boar Additions or Conditioning O Special Devices Cantilevers to the Outside of Buildings OVent. System OOther Devic Require a Building permit. FIREPLACE MAKE AND MOTEL , .: .: a ,. !g ' - P - ,, F SCHEDULE , Industrial, Commercial&Multi Parnily I%ofjob cost Residentia .:-...-s— ` $49.50 minimum _ . Residential, Heating&A/C(New Construction) $149.50 Residential,Additions&Altera• ', s $49.50 R dt�ti 1 -Tray,n Oniv Ct ,w f., mtctiom) S64.50 Residential,AC Only $49.50 Ie MInnesota statutes St cost S "SURCHARGE"has been extended Buitdin$Permit# L The minimum surcharge fora .4EATJNG PERMIT FEE $ 141 eSO 47 "fixed fee"permit is ''" ' '• TATE SURCHARGE S Kw iCOTAL PERMIT FEE S al , This Application Becomes Your Building Permit When Approved Paid Receipt No. Builditt Official Date Date By i.4 P .►r. al 24 hour notice for all inspections(952)447-9850 4646 Dakota Street'S.E.,Prior Lake,Minnesota 55372 g ni !0. _ a Date Rec'd o� 'Rio CITY OF PRIOR LAKE /D, l d, I se SEWER AND WATER PERMIT / V 4 vataamtr • n. a. alaw Ow y. pERMrr No. f✓ ./. 11Dg 3. GM Appticad • (Please type or print and sign at bottom) ZONING mice no 5500 Sr\el 1 C. : • X/ LEGAL DESCRIPTION(office use only) LOT BLOCK6 ADDITION 621-0\\.9. `-^r eS LID ,?5- JDA' - 032 -0 OWNER (Name) k tit.►J+fl1-1(V-v1 PS (Phone) 450-1-11-10-94 00 (Address) %102. F P41`l?.- -= (Address) (Clq) (Zip Code) APPLICANT STOCKER EXCAVATING COMPANY, INC. 952/890-4241 (Name) (Photic) _ (Address) 12336 Boone Avenue Savage, MN 55378 (Address) (City) (Zip Code) Curt / same (Contact Person) A i (Phone) q APPLICANT SIGNATURE p• 4'; //! -- DATE ! - "23— `' • 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. . Clears otit(if required) located at • feet from structure. FEE SCHEDULE Residential sewer and Water line connection S35.50 Industrial,Com'1 Sc Multi-family 1%of job cost with a S39.50 minimum Sewer connection only S 17.50 Water connection only 517.50 Estimated Cost S Building Permit# SEWER AND WATER PERMIT FEE $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ ' (Office Use Only) This Application Becomes Your Building Permit When Approved ' Paid P 19e TO E011 *-MG 'FrNiT • Da 1' By Building Official • Date V 24 hour notice for alt inspections(952)447-9850 fax(952)447-424 \ -----71 C1-101NY1)(111:11i:11()IN(11°N1C:;../.1;illit .PI,ACIP., A <1�, J);►t�: I(ir'tl ��,��Il(-)¢ , . NC/A , •t , ,aj ` .le,.c- 1.11E,A.1.1NC/A11t 4 1 ii,Iit1�l.1 l ,, /G�4 U -"� is► ty _ 1.rank ,fie t�q ♦ !�`�f,VmYtl,.: '. ],iM„n t;ay + lr It ILMI 1 NO.' y,Yttiva Atplit>nt 1_ , _ _/7' X10(i'icasr.Iyptunallnlni14 �i1r,t nCbullonl)AUI:)1ti;iti %ONLN( (.14 t:tt•.t:) --- . _ ___.. .._ _.._. 1 12'. / / 1,1(CiAi DES( ItW.110N(unict•ass:Wily) 1,()'I' J 1}I•()t 11., SA.1)l7)I ION Cry_ (_'.'�`kL S�' I'11) 5- 5 - 03G-tOWNI lt� ��ppn (� Ct I(Id;unt,) _(.I,Y'� . _ _ ____. _.___.__. . ,,,,,„t►c)'1 �� �{ !V ' `lUQ..Jat --c"' ,0,, g \- q,A, e r: t.)... ..ucs_L. ev N)._..... (Address) \ --) ,,,),,,_ . .__..__,...__ ...... .... ..._. 5--s,—3-1 . , . , . _..API'- t('AN I t(hlitic)_ � u It , t_ (1.'i►rtc) } l` '. ..c� (.\�t' } 4 �\ ( 0, ,� ( �'k (' `art` `1 (, ,). (Address) (('Ii;) (Zip(:odr.) (Contact l ei ui►) k l:e `� 1 7 _�, (,V1 �`... `_ (I'liwic:) . ) I a( �; AI'.l'I IUAts.11 t,l(1NA'I't-)i(is ..,---..-..\;,:_----.)-.-.S\- . G `1,'1 !.. _ .:\- . --_:.:-...7-:z_--...--.-- -- I)AT1. A1►1'1,)C'AN`a' PLEASE C'OMI'1.,1�;1'It,.1311,1,t.)��1 INIM •(ON:,I'RUC i ION ( -�1(f�i'i.n(i+misty l 111 n l,'1 i+l'i�11Old RIR MA1 I AND MOOIti. _,�"' l_•. `�\.I S!J 7.-__.,_.________. I1IJFI f"G� I,ll)i,Sl%)i .� .__._ ._ _ ttf;'I'URN I'1(Nlt`ICiS _ �� 11'il.'U I (.1l_i'i'I'l.l'I)317(3 7'Yl'I Ole S]'ti'Lum 111x"A',t'1NO 011.I'OWWI PLANT 1541V,um Ai, PlonkPIXASl1;NOT14: Air C011t111100er __....._ i (Steam I..I(,tnvily ' i 111nt Sv,tt•,• UllIIS mill I Il-ejiiitccs Cnunul Kncruacii Ill/Acvhunici:1i Into Required sxl Sidu Yard Setbacks.1 R nliadcnt l INA ii.Conditioning 111 Special DeviklesYirepIn ens withflux Atitlilivns Or 'R.V,-UI.,5.►'sleni 11 Other Devices . C'niitllee'cl.Ii►(Iia On(sitk ui'11011iIinls ltcqulre 0 11011tlli11;Permit. vIl(lif I AC:JS MAKI!AND MOi)lil, ---------- PEP;SCIIJ',l)(IJ,E Industrial,Clin11)11 i,i1&Multi-family I;' ol'jot/evil Residential,(ins Fit enlace .119.50 minimum $19.50 Residential,)tenting,' ,VC(14cw Cowinuciitiii) 3:I,I9.5(/ Residential,Addition::,!4..AII'i,itiont; Itr;cide,tial,Ileatinl;Only(New I'nnstiuclion) PK 50 3'tl.S(► Itcsideniitil,AC Only I49.S11 Issiiiitnted l':'(':<1 1. .____.___.._ !Wilding Permit )1 L p\,\\40...,,k. 5 ,0 Gt t. , 1k . IIiiATING PERMIT FEE STATESURCiIAIIyC;.l.; . I()l'Ai,PIt,RMII�pl.I' ; ti1,00y) i - PAID WITH I`Iii' Appikaitiun Jimmies Your IluHtlh►1;Permit When Ai)iti'uvcd Pnid .. t I _ 17u1t Rtivainu t illi l 11y oat 2•I lionr►iutice Gu•all instipctlons(952)4,42-9650,tax(952)+17-4' 15 MA()AO Unluiln;Wel S.ir..,Prior hike,Minnesota .5x372 i F>i;fo4 Data Reed CITY OF PRIOR LAKE PLUMBING PERMIT •. 4 0. /0' /4( 3. girs PERMIT NO. /q. J J�� Motif err4 or Priataad tiill at bottom) ADDRESS ZONING(Mos use) 65oa 5I1 (,o, ro- ac _ 73 / LEGAL DESCRIPTION(omcs on odd • LOT 3 BLOCK 5 ADDITION 6Fta Le C.ra K. L s,...1-1..4.-es MRS-.5 - 03Z—0 owrtER { ` Q 1 (N ) - ai a t b- 1��c*� S (Phone) 9 2-A4 a - q40 0 ( ) t .7 1 ct 196r0'- ed 5f - -error 1-h1-L ) MN 5cs--5iZ APPLICANT nte) h D N1eC frNhC0.' Co. ,0, (Phone) 952-IS g "At)(1'J (Addtrss) L 20 Lr' (5+ K1 W kkto Pct.at,e; 5,0 7 (A ) ty) (Zip Code) (Contact Person) .' . • - . .'kf' (phone) 9 5 2-7st-53094:; APPLICANT SIGNATURE 410°.... ."1 i - .;... . DATE e/e94 /14 APPLICANT PLEASE COMPLETE BELOW Quantity Tips of Fixture Quantl Type of Fixture f Bath Mb with or without shower Raugt,_ins Dishwasher Water Heater gFloor Drain 0 Water Softener 6 —Lavatory(Bathroom Sink) f Stand Pipe(Washing Machine) /_ Laundry Tray(1 or 2 compartment sink 0 Sewage Ejector Shower Stall /� Backflow Assembly / SinksBackflow Assembly Test 0 Bar Sink / Lawn Sprinkler 1, Water Closet(Toilet) Other The Minn r, ..._---.. -- -.---. - FEE SCHEDULE esota Statutes§326B.r48 ,fob cost wish a$49.50 minimum Residential,New Ono&Two-Family $149.50 "SURCHARGE"has been extended € Residential,Additions&Alterations $49.50 The minimum surcharge for a "fixed fee"permit is$5.00 • $ aurins Fertrdt ii .PLUMBING PERMIT FEB $ r ' ti STATE SURCHARGE $ 5.00V ) ?1'' TOTAL PERMIT FEE $ ��„- (Mee mob) • 14 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Bundles°tidal Date 24 hour notice for all inspections(952)447-91150,fax(952)447.4245 4446 Dakota Street 5.1.,Prior Lie,tYtlnnesota 55372 PAID WITH A E;U3DN,l = PRMIT 04 FR10 Builders Deposit il:, U SoP City of Prior Lake A $2,500.00 Builders Deposit is included 1.11 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 shalt 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$500.00 Tree Deposit may also be required and will be refunded if specified trees are preserved for a period of one year. By signing this I, the undersigned contractor, acknowledge that I am aware of the erosion control requirements of the City of Prior Lakkee as outlined in the Erosion Control Measures for Building Contractors handout. DATE1- 16 : 1" (�o'(� SITE ADDRESS: 6 o S)JELL Gov�•T PERMIT# �l REFUND TO BE MAILED TO: IAE-=?LANn l-koM�s (7 c�Z( F i i4 (Pc J t-1-1— lZb• 5� . toz l�►akt,CF� J4t4• �S�72 PLEASPLEASE REMEMBER 1. KEEP STREETS CLEAN DURING CONSTRUCTION ���I�r�'r/'`\I i` ''`. , 2. KEEP EROSION CONTROL IN PLACE (For City Office u e ons) 3. TEMPORARY OCCUPANCY PERMIT MUST NOT G0' 2-2- E 2 �!S 215 0(� BOO EXPIRE OR a QQ WILL SE FORFEITED Date Amount .../.. / / SIGNATURE: ( r /. �— La oppler L f da Alien City E er Build g Svcs. 44 �'. — & .:.�,_, ,:�,,�s„r;,d::SECURITY FEATURES INCLUDE TRUE WATERMARK PAPER HEAT SENSITIVE ICON ANDOILROL�OGRAM �� � *ni � ��� 3 *a:,:,;;;I- ;, :, Ni.;::.x ..,,,,,4!:::44;,,,k,,;;;;4;, w a. 'ra ° a�' E. F'?r' ak,;.`"2.�" ...43 �t' .' '" n "w *a`.wn:::. "9'��"9 . `�,� ''S `g.`1*a�",�, �4 x .�' '' 3' ,,, as '27"' M itV: ,re - ' v`"6> ;p. f.Y 'S`^ .S'�R'•s �rv.�"'V�t$ :: k^ 'A; �yy„ffi k. 2k� t X 2 k C , ' ..r .°' s: .sffi � 5�`�.`l: �` �.i �5�µ "�'.tt.: t 1.h �` rv�41 ` : v F`4. , +r.*$es,z .v x"^,� , g a+ ,. 1,2,. ' _ �. "`+€ 10441 a �- c 4 t ", €k ' � `2 e -7I.,e:. f I`wia as s �s � : *a',�wY1' � k:i 1 ,:.,AU� er ," l,F,`.� ,,s g,m i �� °� �,;. �..,:, a ��sr� ,;��a 3 , - ''.d &y � qty aa', g. � fx at t 1` �a§ E + g s.� '', t,'4 ..nm,; a �. 'f. x -. x 'x "`�cv ��. `� a$a,ae fi" { a ,aa� s" �9^ 'X . ^ `� �,*� wT. ` �- °S, t t , 5 � 'mak'aer.: %. t :x�`,„ a4011'l' '` r '�� ''l s i l s�' xm ;alt .s�" r 'f n. k c -14,4'.;,, ,,,,,,; ', &:'. > .r?::''''' ,, ,V, .+@ sg` JLK:i ,a �.s- ',, ^•.t sA'x,r, .. K t R ; a�, '� `"a . a:� a 'a .4.. '' fit' �a + sr. '=F� '' Pa tai` "� a s.� .t.,; ,4,`.. , ,;r. .,,r,,,,v, a' , �. a a I `- # um.. :::: '" 4a''t�i. . t� > ��p c" `,1,40,. e �T, ,ri' $ „„ , -444,0,!;,4.„;—;4;''4A1,440,814-4,1A4 � „- .--, r, k y air o "��.a 3,s ate: .s°'� �'� .' 10 � ,� � r„� � s „9 a, ,,v a ';�' 6y,"�E °:.a`.,. .s i"- j ' �.a.,% "� ��GENI,I s3 SuY " ' r: g u ..e .a'. # yea ata � 3 : a v¢ ,T vx , c� ; 4&' W>�tl Ti-i.0 ,'° �zk" -t-g' Cx ��,� gJ V ', t k` . w• ;� `.4,4 tv,„ 0.1OINAl�z O0.Ku .y,' ,, *.r, ...!:;,,A41% a 4�, , �.. F: ,t ..�.��.�".+�`� ;., .' r Nt'7.1 b�}NI y-*Qo �t' xy t as ffi + q e+. ' at '° , ' ,`' �` v''i, 'w•_. -a �p GENUINE * IiinV' fin& a �.k'.,a 4 .r t. } \ �YNIDWO a.- a '{ �I � yt r s �---`,..,-,-.'-;,/,-,:.,;:- d A I y. '#per C?. �mwv. ..._ DEPARTMENT OF PRIOR BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS sre) SA'FLC . oleT NATURE OF WORK ,� -r- rf USE OF BUILDING, 4yj ` l ��� ki 2-2e ri, /E/ -A/2PERMIT NO. / 7 DAT ISSUED' ' CONTRACTOR PHONE .Ato INSTALL EROSIO C N TOL A D AINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING 0\\`\ FOUNDATION (Prior To Backfill) RADON RETARDER PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER/WATER/SEPTICL�, FRAMING '`-'\ t\\ � INSULATION 112 ELECTRICAL PLUMBING --t-- (-4( - \Ars` f'-'S 4,-LL It 7 (� HEATING --- "l t FIREPLACE ems- \\\ iL GAS LINE AIR TEST yylce„a RADON4111111111111M tt i W4 COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED HOUSEWRAP T 1 15VLATH L t u Lv 11-V t):: FINALS GRADING ( PRIOR TO SODDING) BUILDING • ELECTRICAL PLUMBING — t .1.I HEATING i-) DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGN D 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