Loading...
HomeMy WebLinkAboutBuilding Permit 14. 1321, Deck 15.0396 J J re reLI. ir Iii z6W7 0 ki C) O Z R Z5ggz > a. a O 2 W W y O a 41 a' ce a z Z ❑ ❑ ❑ ❑ ❑ ❑ > rt woo 0w J I W u Z cfl J �\ Z YY = I z o 0al t W O H E O0u. J - O 0 o 4 C m 0 oOOC7 < P d W j P. I 0 W Z — Z S Z = U a co � (� C) a O° SWamS a 0 Z V pWi- gpW , p p Cl) f"' C `,Q a � 3Na2 w wcc w Ley d` ❑ 0000 ❑ 8 8 o 2 p J cc 0 < IQ 0 LLO ' J ~ 0 < 0 O z 0 cA O re Z O 0 w F- P n W Q f-u, 0 F- a� N z z0Zg JZ W Y la J Q OW Z W Z OOWNZt 2 O O O V V a 0 0 u. u. u. = ZU) 3 v 0 b�' 5z 0 0 0000 ❑ ❑a. ❑ 0 c J W Z0 _ 1_ V r W115. 2 J �j � ZVV < C.) 2555Kw o 0 g W W � 0 Q 2 la N �. 000000 i > re 3 Z X NJ 2 r p W -4^ p aaa s J m c 0 U _ 5 11 Z o 114, C ci H re NC - 0 0 W p� w I- z 2 e 1 Z Z a' Z - = = Z - . -� W N C N ." 0 0 a 2 X UJ W a3 IL C� Q i vii Z ec JW < yj -IW W W W X a. X3ma2 �� W W a W ❑ ❑ D❑ ❑ ❑ y J, a & Ce 0 _ ii s a. ~ 0 -�^ �„ o Q a 0 W til w �n _ _] O Z O� \ NVI' ^ do re Z O 0 W H 0, �� F- ,� 04 (� Z a� co Z 2 < z ''' za ..1 - go p C W Cg ° Q O Le � < W Ce CC ICI OIL L.) 0 0 U.$ LLIZLL 0x Cl v o ,c> E. 5Z < 0 a ❑ ❑ D ❑ 0 C) �, � z-- 4..._ k • J w Z Q F J tL 8l Wi ti= WWi Q tW o555Z 4 Z �� iSW WJ , ` ` DW V If. rt- (I z Q NFO h 000000 _ W • .• .. _. 7 o p � x O a J • 2 N O �� YY? t m c 0 14 H _. 0 Fes- C7 OOC) ( 61.4 O U V 14 X Z ceL. Z _ xxZZ �V f-in— F. a� W OC aX3inaa ,� L cc W W W X 14 0 ❑ ❑ ❑ --� • 1 Q O z • • , q Q. Q. U. W ADCC X u. UJ ILI � a Q Q . W J � O 1 , V Z . c ty O qC O�Z =O Z ru co _ � .4 , H V _ W Z F O 46s -...,j — VV CO V U. O N Z HZ �gJz W • ' ' i li+ 0 W 1 J Oa a' W Z 0012yZF�W- E �! a." �` `I V re re O Q C �n o = u. u. 3 v v t) Es Q 0 a 00 ❑ ❑t�f,❑ C) _.. N I „- 0 ❑ E w g 1 § § ■ a. ■ § "1555 © � �0. � � m 0 41 o a ] §� I2ing z z I ❑ OO ❑\❑ > 2 2 D ■ X ■ § D §§ Z z Co p § S _� k § 0 oo0a o@ E o �� 0 w re ma §ref � § A k k $ a. ■ § ■ x J ■ Do � 2 © o oz ~ a � § � a � . w § w x 2 000000 8 p z z a a X ' • > E ILI uj . k z— ... i 2. W % © � z © 0 \ § z 0 cn iii g a� d 2i= o & I- CMAO". I 4 o z w W /k §� �� �� kA k k k / uu g B « 0 000000 U o O £ ■ 2 IA P � ■ Iu; k iiaa2 k k �o��� 2 4 U � � � 2 « % 1000000 ■ z . > 2 0 0 0 _ �1 a § § a 0 ■ / §§I� W E Z ( z z z_ 2x27 z , w k 'e 0 gzwwaX « - a o am Z \ §_J � . _ m k a ■ 3■ � � / / z e 2 OOOO O Z } 0. � / W . a-, > ° nj $ K § ,U / Z I t O k o CO _ i in 9 �` / 2 a. 1.- 0 0 ■ o■ 2 w . � w w �� Wkk���k w 0 -J w 0 0 k < $ 0 $ Z � u. � §� ■ 0 o u ■ « 0 a 000000 0 ' 6 . ' \ k 2 0 ❑ / i Vr gJ i J ` F- �. CZ 0. 0. -- 2 -' 35551 cl > w aaa ,..., — w ° aWWV1 G p `. LL Ui iZg r , § Z 1 000000 > H " 0 41 it re _ 0 N fa W J1 O D. Q / m O m z YYZ o O W 0 Ci F CC OOM. J 1 z0 Q 0 4, 2 • z cc z - zzz ? . 0 c a ,144 c "till 2 CO il 0 a m = WIU I iti. O N * xis ' o 0. al 4 I ° ' W Wl 1 w x 4. 004 00 0 0 rew z a a _ 'o UJ ~ , 0 a U LO W WIII O U z H Z 5 0 :r f Q u a ., 0z — 0 z U N 1 N U a+ Oz H O a I— r H 4 W 44 a - co z a z'' , Z a �' �c a.1- W d' z i=zISJWZ s— Y 0' J A o OS Z N 2 1- - z a' O y G § 0 u. Lii. u. _ u.c� 0 3 0 0 g. U V UZ a O a 000000 0 "'' (N 0 �O c !a/041, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,1 ° • TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 1/ r4- i- Ati AND UTILITY CONNECTION PERMIT l �7""` 1,,A'NES�f: ' White i 2 Pink City PERMIT NO. 24 t 3 Yellow Applicant / • �� (Please type or print and sign at bottom) ADDRESS ZONING(office use) 11-19(0& 141tA-SIDE= 6112. Nid PC/-E) LEGAL DESCRIPTION(office use only) LOA BLOCK 1 ADDITION 51-62.1.04/ SOW-4-J A1'fl4f-W1(-)S PID25 307- G4. 0 OWNER (Name) - (Phone) (Address) BLTIL(Comp ER FA?Z�A F �-�0 hE S (/J L. q s2- q Bs-sin (Company Name) (Phone) (Contact Name) VOID j4.As S£JF 1T 2..— (Phone) q 52 -155-4171 (Address) .Z I 4183 62WADA ASE . LAP-£vl E MW 53014 TYPE OF WORK$(New Construction ❑Deck ❑Porch DRe-Roofing DRe-Siding ❑Lower Level Finish 0 Fireplace DAddition ❑Alteration ❑Utility Connection CODE: R.C. DI.B.C. 0 Misc. Type of Construction: I II III IV V AB PROJECT COST/VALUE $ Zsot 000 Occupancy Group: ABE F HI MR SU Division: 1 2 3 4 5 (excluding land) _.\ I hereby cenify that I have furnished information on this application which is to the best of my knowledge tnie and correct. I also certify that I am the owner or authorized agent for the above. • timed property and that all construction will conform to alt existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official revoke`is .rjust cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed nspccttuns. x �� 8618(0301 I1 s/li AjaSignature Contractor's License No. Date Permit Valuation 2s-Dj0C90 Park Support Fee # $ Permit Fee S //q5.34- -0 SAC $ ,2 4-S t 00 Plan Check Fee $ 1 . 7a Water Meter Size; 1"; $ ' q .co State Surcharge $ l 12S^ . Co Pressure Reducer $ (I I o . 490Penalty $ Sewer/Water Connection Fee # $ ,/5OO. 66 Plumbing Permit Fee $ 1 S , 5—° Water Tower Fee # $ Mechanical Permit Fee $ (5 Y , .9-0 Builder's Deposit $ 2.500 0c Sewer&Water Permit Fee $ 5(e -SD Other $ Gas Fireplace Permit Fee $ 5c/.50 TOTAL DU1f Tem_ //- 7/4- -$/! 04325 T s A ,.....0,...m.,..lic. ion Bec i mes Y. :i 'trig Permit When Approved Paid itt(d4-'5, ` C eipt No.j �_ Date t2,, t ,i4 B B . 4I�a( 113 1Builds Oficialate This is to certify that t a request in I e above application and accompanying documents's in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the 7 y:la 'r c�sot es a temporary Certificate of Zonis complia ce and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued / - I !� ;ice „ 25' 14 Planni'g 6 irector 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 rxl0 � V CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd,:::-VN ecd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Zy 4.5- +r 't. e-' iv//4-, 132-1 I. White File PERMIT NO. /5 3 972. Pink City 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 1+1(P6) 11«I sig /1/41/1/416A1GIS , � LEGAL DESCRIPTION(office use only) K LOT BLOCK ADDITION PID Z 307. 64-6- 0 OWNER (Name) (Phone) (Address) BUILDE(Company ) I4!zofflC HG/`te S 95Z_(ie�'-4/7? Com an Name" (Phone) (Contact Name) Jrv(" /44 S/GLIC/T'Z-- (Phone) R51-45f-6'437 (Address) -I4 0 3 G , A- ,4✓c. LAl- G_(A,c c- /Z -i¢ TYPE OF WORK 0 New Construction IB6eck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace ['Addition ❑Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. 0 Misc: Type of Construction: I II III IV V A B j,5C2(.7 Occupancy Group: A B E F H I M R SU PROJECT COST/VALUE $ t 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- tinned prope df that allconstruction willconform to allexisting state and local laws and willproceed in accordance with submitted plans. I am aware that the building officia c revoke t for just cause. Furthermore,I hereby agree that the city official ora designee may enter upon the property to perform neededspectiops. X /4 BC_ I5 ,. 507 47Z--t /$ Signature Contractor's License No. Date Permit Valuation z 06 0 ` 00 Park Support Fee # $ Permit Fee $ 13 /7- SAC # $ Plan Check Fee $ -z. C' Water Meter Size 5/8"; 1"; $ State Surcharge $ ,i_ &® Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ /ZZ - 6,C/ This Application Becomes Your Building Permit When Approved Paid /2 Z - (n , Rece. t No. /154- l 012,.Y c( H l y) Date 4-, Z f, / BY , .. Building Official �te 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. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Befot e issued. Planning Director Date Sp — 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 601 White - Building Canary Engineering 4/NNESe' Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST Jp6-hrte , _NAME OF APPLICANT APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activ' hich is proposed at: l9"66 , ,*//, Accepted Accepted With Corrections X Denied Reviewed By a..Q Date: 1l 1 Zit(' Comments: 451,5 zcm.. ott 4.4cc, "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." "M"Pl,"" . O1 Rip� k White -Building . ,. Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT \._/4;677/..&) r -- APPLICATION APPLICATION RE EIV /1 Or- f RECEIVED ` The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activ' y which is proposed at: / `Y964 Accepted Accepted With Corrections Denied Reviewed By: : Date: overiw- ///2.11--, 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." 04 1211 I( White -Building '�'HNBso�� Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT / APPLICATION RECEIVED //- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activ. y which is proposed at: /rs?'&6 • �' C P.e.�. , Accepted Accepted With Corrections Denied Reviewed By: /y Date: ll-Z-4,4-01 Comments: See Reverse Side for Additional Information! �. ai,' f)/'grr✓sek S/op dv. said et re s ,'S 2% 13 4,aster ,$ /.G% S tole smcepre,/ 4fe", c,-)t, s /10 . i spowt,'6(e I c Sc j, !t 1 Areas, 6'146 8 no le-64 Dom-- Fgar cea. !t -- /u SP S Sac}R./h©c1/vT1-z Lt- ,. / Ar b,Z� 1/ -14.) -y, 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." Residential Building Permit Checklist New Construct'• ` for Single or Two-family Dwellings in R-1 or R-2 Districts .A Reviewed by: i Date: r1 1 Building Permit# PID: o 'ng: . b Address: ( i Ca Ca (,4- C/' • R Legal: L , B Subdivision: ExistingStructure? YES ®' Existing Nonconf g Structure? YES/NO CONFORMS TO ZO ING ES NO ORDINANCE Yard Setbacks: NA/FAILS/CO i LIE I Standard Pro•osed • Front Yard(can be 20'if av/wli /0') , 25' - d 6414 Z 1.c ' • Side Yards •40 tj-&- 14617-1-- 10'/.k''( i4-, c R. Mum t (c:. .C) • Sidewall exceeding 60'requires additional side 2" 10'setback+ 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. i • Rear Yard (3 -® • 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' Floor Area Ratio: NA/FAILS/CO Ili .30 Maximum I 1t' Yard Encroachments: •NAI FAILS IC•,,'PLI'S Standard Proposed Eaves and Gutters no more than 2 feet • •th and no closer than 5 feet to a lot line(Easements). A/C and other equipment cannot encroach on interior C side yards. to h'' -3 'c--S Tree Preservation:/IA/FAILS/COMPLIES Standard Proposed • Total caliper in • Permit 35%Removal • Caliper Inches Removed • Caliper Inches Preserved • Replacement %;1 L:\TEMPLATE\BLDGLIST.DOC May 151510:03a p.2 Date Rec'd CI:NERs. �? CI'T'Y OF PRIOR LADE hSEWER AND WATER PERMIT ' �s ' ��'�R o< File PERMIT NO 2. Yellow Cary Z i 3. Gold Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) /91 & ` , ;/e 6ro/ ,fid, L1J LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER T7' 474769s (Phone) (Name) � �2. a (Address) (Address) (City) (Zip Code) APPLICANT (Name) / $ gr?,S P/`S ezG°--77-01 +l'01 (Phone) A -gee a 9 5~ (Address) 1-74/./V- fl.iy C.-2°4 ..- ��,c--r ? r, "Ai,/ (Address) (City) (Zip Code) (Contact Person) A e=r'�''r �/-_ (Phone) APPLICANT SIGNATURE DATE S /7— / APPLICANT PLEASE COMPLETE BELOW Size of water service /* inches. Location of any couplings from structure /t feet. Type of sewer pipe. C ABC E PVC Cast Iron Estimated length of sewer line ,ce- feet. Clean out(if required) located at feet from structure. FEE SCHEDULE Residential sewer and water line connection $35.50 Industrial,Com.'l&Multi-family 1%of job cost with a$39.50 minimum Sewer connection only $17.50 Water connection only $17.50 Estimated Cost $ 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 laW-fro tiNGEfiNtir Date elan—YIP Building Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 03/04/2015 1 :45PM FAX 6514637835 FARMINGTON PLUMBING ej0002/00004 : Data Reed CITY OF PRIOR LAXE PLUMBING PRRIVIIT -. .6 t. 0 , . I= fit PERMIT NO, 3.Yellow aopikag 4 Morse toe or Oat awl alga at button* ADDRESS ZONING oargvvse) JR, Aii_sLL 42,_Civ- __ LEGAL DESCRIPTION(office use caly) LOT BLOCIC .ADDITION PIO ....... .....••••••.........r•k 6............,11.... .1.1./.. .....................rp••••••5.4,,,,,,,,,,,,..............6111.., Wairtner—TLEI4a-c'IC iiqtry'Vq$ _ (Phone) _(Address) ........_ __ _ _ , ...._ ARM T , - Maine r 4* , k,I. (Phone) 115 P. 7.8aii i i — (Address) ,•, ( a CA % P P -,A CA' ,e. - - "(I .,.. tf11. SSO (Add M.) (Ci- (Zip Code) (Contact Paso uk.. rik,A (Phone) &AS_ -124193728` 21______ ) APPLICANT SIGNATURE 0 i '''' ... DATE Ad1.1.• •••••••••• '••••.*•WM,.... .„••••••..........m•*.m. — —' A. . ' APPLICANT PLEASE COMPLETE BELOW Quantity J —Type of Fixture Q!.s.anti T i a of Fixture Bath Tub with or without shower Rou: -ins I Dishwasher -I Water Heater I Floor Drain , Water Softener .3 Lavatory a@_1hro .0LE...S.--iiik — Stand Pipe(Washing Machine) LI_ITAg.1)aal22r 2 compartment sink Sewage Elector I Shower Stall _ Backflow Assembly _ t _Sinks ____________ Backflow Assembly Test .,2, Bar Sink _ _ ----771 Lawn Sprinkler V . —Water Closegroilet) ' Other FEE SCHEDULE Sh'Teti.h.RCin-111IA:n-eR.siInG'°.La-u:1'8.11litsizasir-1 ctbtehe-ei 8aiEg7e3ex2tre!nlda4.e14d-78: .1:is 6 C°S"vith a$4930 minimum Rosidential,Now One&Two-Family $149.50 Residential.Additions&Allocations $4930 'fixed fee'permit IS$5.00 , Building Permit# , - —__ ‘,4•,.:_ . •PLUMBING PERMIT FEE $ 1 STATE SURCHARGE $ Val TOTAL PERMIT FEE $ letS$4e.'" (Mace Use Oaly) . This Application Becomes Your Building Permit When Approved Paid Receipt No. — Date By nullinThroitiar' --- bate ---- 24 hour notice for an istspeedons(952)447-9860,fax(952)447-4243 4646 bAota Stred&E.,Prior LAU%Minato Ottk S5372 . . 04 FRr% CITY OF PRIOR LAKE Av Y„ HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'I I.f �+ U en ;vf ...,, 4rikvEsoga ►.Pink File PERMIT NO. 2.Green City 1321 Pleasetype 3.Yellow A lic 1 or print ant p n and slgn at bottom pp I ADDRESS ) l'flcé Wicicich ZONING(office use;14 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER ,Cs.( ! J /P(13/7 (Name ( ) C C. f , �,�.f� �_ f�,,,,� Phone (Address) 1 li3 CG r `c.;V1��c.t..X.r ,, Akre * ( ILY.V VAR 1/14A) 550 1 APPLICANT i ` ,,, t n (Name) t,01t. ilm � JL`'t'V\i-- 'ALL (� r F yy :� Phone) "l52-—4749, -"_ -�/j (Address) 1 f C' � c )61cII IAAA S.:5' ,-S- ..- (Contact Person) h. ► iitAt 1 A (Phone) APPLICANT SIGNATURE illiffir? DATE / 9 APPLICANT PLEASE COMPLETE BELOW FURN NEW MAKE CONSTRUCTIONAND ❑REPLACEMENT ❑ALTERATIONS MODEL FUEL FLUE IZE RETURNS OPENINGS INPUT OUTPUT TYPE OF SI'STEM �--�� HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner O Warm Air Plants O Steam Units and Fireplaces Cannot Encroach ❑Gravity DHot Water ❑Mechanical Into Required Side Yard Setbacks. ❑Radiation Fireplaces with Box Additions or ❑Air Conditioning ❑Special Devices Cantilevers to the Outside of BuildingsOVent.System 111 Other Devices FIREPLACE MAKE AND MODE Require a Building Permit. FEE SC .EDULE Industrial,Commercial &Multi Family 1%of job cost -sidential,Gas Fire.lace $49.50 $49.50 minimum Residential, Heating&A/C(New Construction) $149.50 'e .- la, • editions&Alterations $49.50 Pecirlpntial Heatintr Only New C'nnstrJCtion . $64.50 The Minnesota Statutes§326B.148 Cost t Residential,AC Only $49.50 "SURCHARGE"has been extended $ Building Permit# The minimum surcharge for a -EATING PERMIT FEE $ i. ;U "fixed fee"permit is NATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ s-i e co0 / This Application Becomes Your Building Permit When Approved Paid Receipt No. Building Official Date DatepAmwmpi 24 hour notice for all inspections(952)447-9850 " #I 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 4 PRX0 CITY OF PRIOR LAKE Date Rec'd -----e- �11:I:`: ehf HEATING/AIR CONDITIONING/FIREPLACE PERMIT tiRSP. x U 4NNESo• I.Pink File PERMIT NO. ( ^ Z �i 4� 2.Green City 4. I 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) Nqw \(S\d , &CAW LEGAL DESCRIPTION(office use only) • LOT BLOCK ADDITION PID OWN(Na )RWC7..\C1-1^ t I (Phone) Ot Z"q g s-593'9 (Address)2-\ -k5 C.-,-y r)c AO, AUS 5i-e- 1W Lurevi(1 e. I\t V 550L(U APPLICANT (Name) 3l kyn.c l i\Il 4 --e a-V,v)5 N (Phone) Q57 S9(-/()OQ 5 (Address) ? L5\ \N). W-y-)S M Lg p lC.(>,,(.i She.. -4. 12.0 -5to rn s\.A I(S. M / S 5 33'1 (Contact Person) �Jk-P._,9\nakr te. (Phone) QSZ RgL/0005 APPLICANT SIGNATURES W.K. � A2�k lV DATE /-it/-IijAPPLICANT PLEASE COMPLETE BELOW JSNEW CONSTRUCTION , 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL \,..)6A-V\ ONAq 2SS OO't 3) FUEL V)C YaJ FLUE SIZE RETURN OPENINGS 2 INPUT r(-)(Y) OUTPUT (0 7000 TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water into Required Side Yard Setbacks. UMechanical 0 Radiation Fireplaces with Box Additions or CJAir Conditioning 0 Special Devices Cantilevers to the Outside of Buildings 0 Vent. System 0 Other Devices Require a Building Permit. --_-_-_,*---.......0.. MAKE AND MODEL OXI�SIr103A 2-S Vl FEE SCHEDULE his. . -•.•••- ial&Multi Family I%of job cost Reside s ... , as Fireplace $49.50 $49.50 minimum Residential,Heating&A/C(New Construction '. A• 50 Residential,Additions&Alterations $49.50 Residential,Heating Only(New Construction) $6, : Residential,AC Only $49.50 Cost ', Bin • as: •- • it# I ATING PERMIT FEE $ STATE SURCHARGE $ 5.00 A TOTAL PERMIT FEE $ ' }4 t ��+�' t` This Application Becomes Your Building Permit When Approved Paid Receipt°1Qd'f„L 41 Date By �t Building Official Date 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 170---011'R,0* Builders Deposit io M`""gs�`� 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 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 $1,500.00 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. DATE: II / //1 SITE ADDRESS: I .• 11'1(0(i9 �fu Si - Gt2- Ni`l PERMIT# /41.1"/ REFUND TO BE MAILED TO: z1483 G -"/apA �}vE (41-17-&---- 12 0 L iAr<t.v+tt-a i /VIP/ SSo11 AUTHORIZATION TO RELEASE PLEASE REMEMBER Lynda S.Allen, ilding Services Amount 1. KEEP STREETS CLEAN DURING CONSTRUCTION —_>!¢_:.( Acct.801.20204 Date 2. KEEP EROSION CONTROL IN PLACE 3. TEMPORARY OCCUPANCY P : 1 IT MUST NOT EXPIRE OR $500.00 WILL BE FORFEITED Oerr SIGNATURE: t '.111 RATZLAFF HOMES, INC. 05-12 ANCHOR entxc . 33923 21483 GRENADA AVE SUITE 120 chorf j nd 52- 08-8 LAKEVILLE,MN.55044 Ancha75-1 9529608 gpg3 (952)985.5959 75-1523/96ci 11/26/2014. I PAY TO THE City of Prior lake ORDER OF **11;$43:28 • Eleven Thousand Eight Hundred Forty-Three and 28/100********************************************* *****************, DOLLARS Prior Lake, City of 4646 Dakota St SE i Prior Lake, MN.55372 MEMO 14966 Hillside Circle Building Permit \ *� s ,�. , a; tzEo SIGNS -E li'Q3'39 23Iiu 1:0960 IS 23 21; k000�97.6? Ill. PRl0R LAKE DEPARTMENT BUILDING ANDOF INSPECTION INSPECTION RECORD SITE ADDRESS -icita o l ` l is& �;r NATURE OF WORK Nett Cayts ttic4r• USE OF BUILDING S;AIQ- 4 PERMIT NO. `� DATE ISSUED I tlzt r{ CONTRACTOR fKa{-z cV avtstrac_t•; PHONE I5a ctBS'. // 7'1 INSTALL EROSION''CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES Na h 9 fLecV 014.5 to tom. Q O l ,h 124163$2ECTOR DATE FOOTING - 4- 04 FOUNDATION (Prior To Backfill) J 12/,/ 9 RADON RETARDER t / 2/!6, 1>1 PLACE NO CONCRETE UNTIL ABOVE n HAS BEEN SIGNED C-, L ROUGH - INS SEWER/WATER/SEPTIC z ./1/9 FRAMING INSULATIONf'!3 //2 ?� ELECTRICAL PLUMBING eif) HEATING / �/5 �/ ae(G� FIREPLACE ,,? ,/,z ., GAS LINE AIR TEST �` ' � ' RADON NOARIASP ..,... 1p /1z- COVER NO WORK U TIL THE ABOV AS BEEN SIGNED HOUSEWRAP 6F)ivAL LATH " ' t ' FINALS �j // GRADING ( PRIOR TO SOD G) IA) 6? 34/z I I di'z1rdi' BUILDING-Tel 41t4. o ELECTRICAL PLUMBING w i //17 .742 HEATING ,e6 y v 2f 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