HomeMy WebLinkAboutBuilding Permit 15. 0056 X
&rfifiraft IICITY OF PRIOR LA
KE=
Final Permitted Prparforrof of i�C xiS�,tPx tir ,
❑ Conditional C.O. Expires
This Certificate issued pursuant to the
Building Code certa an requirements o
ordinances ofg that at the time of of Section 110 0
the City of Prior issuance this structure of
the in aal/
Use i Classification Lake regulating buildingwas International
� construction or ocompliance with the
r use. various p
occupancy Type -V the following:
Bldg.Pe No.
Type Cons Bld Permit
•
Legal Descriptiontt'uction
—++
Zoning District P f 1 J D
Owner of Building
{ Contractor's NameSite Address SS7�
ROBERT D. &Address
DRAKE CIRCLE
HUTCHINS n
in
Date: k. t�— g Official City Planner
Build
Date:
POST IN CONSPICUOUS PLACE
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of PR/0+- CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, c TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �J
AND UTILITY CONNECTION PERMIT ie), 2 l ' IV-
T..)
ArI1yNEgp4t. I. White File
2. Pink City PERMIT NO 15 005/4
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS . Ai ZONING(office use)
/5570 , d�to bre l&-
LEGAL DESCRIPTION(office use only)
LOT I BLOCK l ADDITION PID Z5
OWNER � �J �a j ��� G
(Name) /` (Phone)! /Pig//
(Address) 2` 3g a CA
tpe pwo / %la
1 BUILDER
(Company Name) eSit /e/DFS e-ZiC
(Phone) / / 9/40
6/
(Contact Name) SC-0 if /A1--"--41 (Phone) 65` (F2! 2r2
(Address) 2
2_3 rr2.. eh �p� alm G r''' llcp /d 49 "/ `-
TYPE OF WORK ❑New Construction ❑Deck ❑Porch ❑Re-Roofing ORe-Siding ['Lower Level Finish ❑Fireplace
❑Addition ['Alteration DUtility Connection
CODE: I.R.C. ❑I.B.C. ❑Misc.
Type of nstruction: I II III IV V A B PROJECT COST/VALUE $ C'
d‘:;)
Occupancy Group: A B E F H I M R SU (excluding land)
Division: 1 2 3 4 5
I hereby certify that I ha e furs shed 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- -coned pr..•1 a a tin 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 re�d.+1y i r t for ist cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
Ix
Signature Contractor's License No. Date
Permit Valuation & 71 ,or) - Park Support Fee # $ -r
Permit Fee $ A.):2--,17-r 5e.,,, SAC ,f # $ 0
Plan Check Fee $ f!%_ c7 7g Water Meter Size 5/8"(jl) 4--7$ 7 CO
State Surcharge $ C G 6(6 Pressure Reducer �l $ /�0, 0 (')
Penalty $ — Sewer/Water Connection Fee # $ /A cte.E)(r)
PlumbingPermit Fee $ /T Water Tower Fee # $ /66er
Mechanical Permit Fee $ 1 .s Builder's Deposit $ LI 0 (7
-
Sewer&Water Permit Fee $ /T)
c, Other $ 1 -
Gas Fireplace Permit Fee $ „7-,/F (-7)) TOTAL DUE ein. 60 `/-2.14' $✓ 1)5. . �8
`jy
This Applic tnB; •t esYs.trBuildingPermitWh: Apprt ed Paid /3 oaf.Z Rec t No. ���
/' 111, f� Date l _p ,/ By
:uildi f fticial -gr$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. This 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
,/// � �_ /7 6./Y
// Planning I'ectsr 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
- - — -
Oi PRIp+P
0
White -Building
Canary -Engineering
' i 8olr Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Lk FZ ef--ki// t / -
APPLICATION RECEIVED /0, 2 7. / V
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i5-- -/./e7i do rre .
Accepted V Accepted With Corrections
N.
Denied
Reviewed By: c A
N Date: 1/ ' 1
Comments:
/_ 6:-)A-W-----`1,— .64 ).3 /0-."-) T A44-4(4./1-7-4-,(-1 GA,' TWA-I
-7.))1-- --- C Ar—O4C -- F----r(441 -
"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."
601
White -Building
, ���. Canary -Engineering
Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT &2664" t4/1e /
APPLICATION RECEIVED /0, 2 7. / 1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
c7)44 ic
Accepted 2( Accepted With Corrections
Denied
• /VReviewed By: � , � �� Date: _G
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."
PRI%
O�
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White Building
nase' Canary -Engineering
Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (..�-/� c T Z= `/eY/ &, c
APPLICATION RECEIVED /(3. Z 7. / V
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted , Accepted With Corrections
Denied
Reviewed By: 444FX Date: /0-31-7
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."
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CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT t
�d3( • t
ti z �"
U ty,
l.Pink File PERMIT NO. 4
IA 'i
2.Green City i
�INxEso� 3.Yellow Applicant
AI
(Please type or print and sign at bottom) ZONING(. re-, 64"ADDRESS
/ c570 014L2' CCVG 1
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
{F
OWNER
(Name) C f e J Ef Pi-C) I S (Phone)
(Address)
APPLIC T Phone 9s--2 -aya-ala zi
(Name) '�( 4'L 13 -P✓i4 rt ' (Phone)
(Address) 70 / L`4c) rf0u d Ch r4k'i*` ill_ c„
(Contact Person) ,p II.fr, c.._, ...7.J (Phone) ? s-Z- ;416 '-h/
tc
APPLICANT SIGNATURE .pDATE 1 D h 1 ll Li
APPLICANT PLEASE COMPLETE BELOW
. NEW CONSTRUCTION 0 REPLACEMENT ❑ALTERATIONS 0 0-#4 '
FURNACE MAKE AND MODEL—FLY g7 d e 0 g V gee, FUEL
FLUE SIZE '''6` c pv RETURN OPENINGS l(s INPUT &OO& OUTPUT 7 7-0,9-el
TYIT OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑Hot Water into Required Side Yard Setbacks.
U.. . echanical 0 Radiation Fireplaces with Box Additions or
:I Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings
•Vent. System 0 Other Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL
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 $49.50Residential,AC Only $49.50
Residential,Heating Only(New Construction) $64.50
Cost$ Building Permit#
HEATING PERMIT FEE $
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $
This Application Becomes Your Building Permit When Approved Paid
�laFece itNo
Date WM
Building Official Date lir
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
rRioope Date Rec'd
CITY OF PRIOR LAKE 5'zt 15`-"
g SEWER AND WATER PERMIT
cvEsoo
,. Green File PERMIT NO. f 5,Yelow App
City
3. GoldApplicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
1 55 70 O ti
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
O(NameWNER) -"11P- 1--
_ (Phone)
(Address)
(Address) (City) (Zip Code)
APPL
I —
(Name) —� (Phone)
j 7
(Address) I � 1 � ' .• �t - r$ "9 7
(Address) (City) (;)
(Zip Code)
(Contact Person) 1 PA Q -4- I .05 9--c..__ (Phone) )a ?)4 b 5 cis 2.
APPLICANT SIGNATURE DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. ❑ ABC ❑ PVC ❑ Cast Iron
Estimated length of sewer line feet.
Clean out(if required) located at feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $51.50 Industrial,Com'!&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#
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
ITH
Date z ' "1
Buildine Official Date ' ;"' '* RMtT
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
6Dat
O� P Rlp�cCITY OF PRIOR LAKE PLUMBING PERMITe Recd
`7C �.S
2.Gold City I.Yell ApplicantFite I PERMIT N . /1 L
(Please type or t6
print and sign at bottom) 3. Ye Iow 1,O 1,/
ADDRESSC
ZONING(office use)
p vsO
LEGAL DESCRIPTION(office use only)
LOT BLOCK J ADDITIONS1j¢-C.. �/()46//11-440/1/ PID
OWNER c....42,57.-
� �f'�/ C/� d
(Name)
(Phone)
(Address)
(Name)
CANT����`" 1,1 /
(Phone) 5v7(� � J
(Address) /'q 4(‘‘ 51� c cse"4
Rif-4.e
(City) (Zip Code)
(Contact Person)
/�'G�G�r„' ����%�L-�
shone) 6/2-0/2 '69/r
APPLICANT SIGNATURE DATE 6'�7—/5
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixtureuanti
Q h' Type of Fixture
( Bath Tub with or without shower , Rough-ins
Z Dishwasher / Water Heater
/ Floor Drain
ci Lavatory(Bathroom Sink) / Water Softener
Laundry Tray(1 or 2 compartment sink Z- Sa Ej (Washing Machine)
Seewawa
3 Shower Stall ge Eector
/ Sinks Backflow Assembly
/ Bar Sink Backflow Assembly Test
L Water Closet(Toilet) Other
FEE
Industrial,Commercial&Multi-family 1%of job cost with$49.50 minimumuResidential,New One&Two-Family $149.50
Residential,Additions&Alterations $49.50
The Minnesota Statutes§326B.148 $ Building Permit#
"SURCHARGE"has been extended
The minimum surcharge for a PLUMBING PERMIT FEE $
"fixed fee"permit is$5.00 STATE SURCHARGE $ l
TOTAL PERMIT FEE $ c. eg3
This Application Becomes Your Building Permit When Approved Paid
Receipt No.
PAIBandit's Official Date rf,3 rTH
Date DV
24 hour notice for all inspections(952)447-9850,fax(952)447-4245 1
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
o1 PR0
0 Builders Deposit
iv
City of Prior Lake
CJ
A $2,500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposit is issued as security to insure
compliance for a Final Occupancy Permit: (It is not an escrow account) All exterior items including but not limited to
grading, sodding, landscaping, tree planting, driveways, siding and painting shall be completed 180 days after the date the
building permit is issued. If the work is not complete within the 180 day time period,the City shall notify the applicant of the
violation and the applicant shall have 10 days to comply or the$2,500.00 builders deposit will be forfeited and the applicant
will be billed for clean up or corrective work to rectify the situation.
A$500.00 Tree Deposit may also be required and will be refunded if specified trees are 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 Lake as outlined in the Erosion Control Measures for Building Contractors handout.
DATE: 1(14 Z714— SITE ADDRESS: /J 6 7° 49R-''''‘) /6b e'l - �S_-_
PERMIT#
REFUND TO BE MAILED TO: C,//2, -7—/ 7AoJ,
Z Z 30`Z f figkI01II,e. /9-
F i/Z/'1/h/' / 1./1 .1C24—
PLEASE REMEMBER y�L
AUO 4 _ F-
1. KEEP STREETS CLEAN DURING CONSTRUCTION
(For City Office Use Only)
2. KEEP EROSION CONTROL IN PLACE /R'!r Z/ -4)-?)-C)1 )Daatete Amount
3. TEMPORARY OCCUPANCY PERMIT MUST NOT
EXPIRE OR ONE-THIRD MAY BE FORFEITED kw_ //
Larry Poppler 'nda Allen
,/
/City Engineer L uilding Svcs.
SIGNATURE: a IVf
A ORIGINAL DOCUMENT HAS A SECURITY VOID BACKGROUND PANTOGRAPH MICROPRINTED BORDER-SEE REVERSE SIDE FOR COMPLETE SECURITY FEATURES
CRESTEXTERIORS LLC
PH,651-460-6181 CASTLE ROCKBANK
22382 CHIPPENDALE FARMINGTON 5NK 021426
22382 1 I r) /i
FARMINGTON,MN. AVEAV 75-1314/919
L., .L._,,i I Li.
PAY TH .t\i \) EI
ORDERTO OFE LA D O\V__L
111
4 tto,-,
LI
' '= - k
DOLLARS
MEMO Y1. \t._.` i �6
U'O2Lit 2f ►' I:09,k9;i314a,. 2 &8i2 30 3T �73jI
8 THIS DOCUMENT CONTAINS HEAT SENSITIVE INK TOUCH OR PRESS AND RED IMAGE DISAPPEARS WITH HEAT. �,
PRIOR
NTOFLAI-4(711kr;LAD .4,,.„E
AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 4110 Y .
NATURE OF WO" ,_ �, 4-) / ,•
USE OF BUILDIN ,or '
'WIW
PERMIT NO. - l -_ DATE *SUED
�
CONTRACTOR c .77PHONE 457--
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
FOOTING
FOUNDATION (Prior To Backfill)
RADON RETARDER
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER/WATER/SEPTIC
FRAMING WC_ i/22
INSULATION Cr:'d
ELECTRICAL I
PLUMBING no5 47-p-
HEATING
FIREPLACE FP 14,1j5--
GAS LINE AIR TEST el) �f' /
RADON EDIMPRIt
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
HOUSEWRAP All /6 LATH "'Pie .0:77
FINALS
• GRADING ( PRIOR TO SODDING) /. x,/G •
BUILDING 416
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