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HomeMy WebLinkAboutBuilding Permit 14. 1106 SF ICt ? 1 + f f l I }. A-3 f • yyS Ni� r n ='. _.ii.. _.ii..ir_.r r�_.i _ .ir_.u. _. r,. _. �.i _. ..fn_.i i_;Nr _.i. c Iu.VY_.� I� �`_ VVa _n i �i VVti"_i Ili_. _. �i_. ..n._ .Y_. _.i i__i � ..n C r ftfirafr of ®ttix axe CITY OF PRIOR LAKE Priaarfinttlf o uiIM xtg 1ttspi tfi.mzi Final Permitted ❑ Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the El Residential/El International 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 SINGLF FAMILY Bldg.Permit No. 14-11()6 ,t� R1 SD Occupancy Type Type Construction Zoning District 1, Legal Description I 1 . Bi CRYSTAI BAY TOWNEIGMFS 2ND ADDN . Owner of Building Site Address 15548 DRAKE CIRCLE ' Contractor's Name&Address t 7f)f:RF ST FXT F R I O R S .> ROBERT D , HUTCHINS ' '�. . 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CTEMPORARY CERTIFICATE OF ZONING COMPLIANCE Q g AND UTILITY CONNECTION PERMIT 9., �Z"� At'kivaaoKP t.white Fig 2 r;nit coy PERMIT NO. /4/--- I(G h (Please type or print and sign at bottom) 3 Yellow Applicant ADDRESS 7 ZONING(office use) 16 1.6 ice' K� Lei,G A isb LEGAL DESCRIPTION(office use only) /' LOT I BLOCK I ADDITION c1 .5-611 BC --TAAAD inte6 PID (Name) `!7�D\.t-) Pio +r5 //__5 (Phone) (O 1 " q�0 -Co 1.X I (Address) A2 3 2 9 p CIS\e_ V-vj e BUILDER 1 (Company Name)L_ 6� 3± 0(5/,4-el- 1-1--C— (Phone) 1'-- `C bp—(91 / 1 (Contact Name) Sia �✓�\ (Phone) ( 1 *' $Z9 ^ on/4s- -.( - (Address) 2_2_302_ It PPS(4,,e � G.�fVVl�r -�j,il 1 i '1/1/1/0 5502_v 1��: TYPE OF WORKi-ytew Construction ❑Beck ❑Porch DRe-Roofing DRe•Sidi ng[Addition DAlteration (_[Lower Level Finish 0 Fireplace / ❑Utility Connection CODE:' ]I.R.C. DLB.C. 0 Misc. Type of Constntction: I II III IV V A B Occupancy Group: A B E F HI MR SU PROJECT COST/VALUE $ 356, d Q Division: 1 2 4 5 (excluding land) I hereby certify that I have finished information on this application which is to the best of knowledge trete and correct. I also certify that I am the owner or authoitied agent for the above-mentioned property and th.t 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 c ` is It 3 it f{ st cause F+inhermore.I hereby agree that the city official or a designee may enter upon the property to perform needed in pectin .r (93 Li 1P5 Z CI 1 I tgnature Contractor's License No, ate Permit Valuation J (000 Park Support Fee # $ Permit Fee $ (77 3.J1,^ SAC # $ e Plan Check Fee $ /45 7 7 ' Water Meter Size 5!8".D $ .6-90. 00 State Surcharge $ ! /7500 7,� QD Pressure Reducer $ /56. 00 Penalty $ Sewer/Water Connection Fee # $ / Plumbing Permit Fee $ /5c/[ .,5--e, Water Tower Fee # $ Mechanical Permit Fee $ --� oe - ��p� `J2y, S(> Builder's Deposit $ ,5- , CO Sewer&Water Permit Fee $ c I �-o Other 00,Gas Fireplace Permit Fee $ g44,s--b TOTAL DUE This App Date natio t eco; es Your Building Permit When ;pp ed Paid /350,aS. Z Re ipt No. 72"1-6,7 E, i .41,..-...411101a.-.4' I/© ( • .ttd.ing Official t 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 tern rary Certificate of Zoning compliance and allows consinictton to commence. Before occupancy.a Certificate of Occupancy must be issued /e9 - 6-/r v Planning Director Date Special Conditions,if any 24 hoar notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 / 0P%* White -Building "avNtisolf' Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 6reES i oQ S APPLICATION RECEIVED 9 /2, The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: X X)c ZM ( w /. , , p44,03 %I? ho USS i c>1 *LLQ Accepted Accepted With Corrections `-x / '4 !©p�.6 Denied0 \1-111S w'(.0 PrddresS Reviewed By: Date: tel/(/e' Comments: ,� lnan ; �'i— ; 04 PRIp44 G� White -Building 41/w,,,Eso•0 Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 2i ?ES7 APPLICATION RECEIVED 9 /2, / V The Building, Engineering,and Planning Departments have reviewed the building permit application for construction activity which is proposed at: X X C X N66 61-I v6- . 6c5-z'i I.53-17'f NIAvs /1 hovs lhir. Accepted2( Accepted With Corrections 43e., wA Pp d4 Denied 1$ !S w }�rd dVeSS Reviewed By: . �/ ' Date: C /K 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." 4 pRtpDate Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT 9 /¢. v 0+•NEsOI. Blue File PERMIT NO. / / / 3.Yell App /-1-Iii �/� 3.Yellow Applicant ���(((/// (Please type or print and sign at bottom) ADDRESS /� ,� /9.X._ /` ZONING(office use) LEGAL DESCRIPTION(office use only) LOTO BLOCK / ADDITION ( f$, -z Pn ,)- 07-0/W-0 OWNER (Name) C--,2£ST __.)(-7---(,,--0#.1 5 (Phone) (Address) l`/972//1. 16--7-c>"1 /#/' APPLICANT / �L ,601.„/7,1 D 7.A/6- a(2.- (�' /Z .4?,( (Name) (Phone) (Address) /14ce 120 5f /f_z-1 / _ ` 0444 -AC= 4 e✓ C✓U5) (Address) (City) �+ (Zip Code) (Contact Person) Al • K. / -ate (Phone) ( /2' F/ V APPLICANT SIGNATURE All DATE ` f06--/f APPLICANT PLEASE COMPLETE BELOW c..) Quantity Type of Fixture Quantity Type of Fixture 2_ Bath Tub with or without shower Rough-ins C Dishwasher ( Water Heater ( Floor Drain ( Water Softener 6 Lavatory(Bathroom Sink) Z Stand Pipe(Washing Machine) / Laundry Tray(1 or 2 compartment sink Sewage Ejector 3 Shower Stall Backflow Assembly 2 Sinks Backflow Assembly Test l Bar Sink Lawn Sprinkler 5 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# The Minnesota Statutes§326B.148 PLUMBING PERMIT FEE $ "SURCHARGE"has been extended STATE SURCHARGE $ The minimum surcharge for a TOTAL PERMIT FEE $ "fixed fee"permit is$5.00 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid \ -..T -'pt No. NO / A Date IAIMILS1111 Building Official Date _� • r .. 24 hour notice for all inspections(952)447-9850,fax(9S *J!�,r._N G R. -_ , P,, 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 ' 011/0 CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT 9 2 �/4/ ,1.Pink Fite PERMIT NO. 2.Green City I' 3.Yellow Applicant r (Please type or print and sign at bottom) ADDRESS ZONING(office use) /56. 1.2 0 rte-k-C Com` cc( -e R/S,L LEGAL DESCRIPTION (office use only) LOT / BLOCK / ADDITION ( /2937q y PID (1)7- -D OWNER (Name) Cies t.:-.4 1- o IS (Phone) (Address) APPLICANT (Name) P`►'t _ L-1--eel-4-,<'L C (Phone) cs--Z -A/o . O '4, t--. (Address) `7O 1 L 4-si(4. u ! I- (Contact Person) 6 L., c Li r,t . V (Phone) APPLICANT SIGNATU' Al / L DATE f/z3 laa !Li APPLICANT PLEASE COMPLETE BELOW . r2f4TEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL TU 41 Co gl q 3 6, V FUEL .4/k Ar_ I FLUE SIZE 3 riiL RETURN OPENINGS /0 INPUT <0.406' OUTPUT 75; %2U TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner EtWarm Air Plants 0 Steam Units and Fireplaces Cannot Encroach Gravity ❑Hot Water into Required Side Yard Setbacks. ❑Mechanical 0 Radiation Fireplaces with Box Additions or it Conditioning ❑Special Devices Cantilevers to the Outside of Buildings lent. 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 $49.50 Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 Cost$ Building Permit# HEATING PERMIT FEE $ STATE SURCHARGE $ 5.00 PAID WI ' TOTAL PERMIT FEE $ WWI DI 'r,RMIT This Application Becomes Your Building Permit When Approved Paid Ilk i Re ',t o. . Building Official Date Date rJ ;9,��O Pall 24 hour notice for all inspections(952)447-9850 �� 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 Lakeville Fireplaces 9529498355 p.1 010 • v R CITY OF PRIOR LAKE Date et i '4 MATING/AIR CONDITIONING/FIREPLACE PERMIT 1 draws `* ;:o, 72; PERMIT NO 3.ream asatkes ; Meese tyle or print and siva at bottom' - ADDRESS ZONING(office use) . ( 65-9 o r t. C,..; I-C.. t • LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION Pl1) - i . OWNER „. •i ' (Name) ts_f(S4, €.44T'r_S'''0 1-s_ (Phone) 1 (Address) Eck( iv\ :n s o^ APPLI (NameM4C ;.hk`? Cse r kit.=-S (Phone) (Address) C@'\ coo 1 V F r n 1n A u E C. (Contact Person) , .1\ (Phone) G (pD-CP' i 'T.Lra APPLICANT SIGNATURE /r -- DATE I - 1— SLI E APPLICANT PLEASE COMPLETE BELOW EW CONSTRUCTION_ ❑REPLACEMENT 0 ALTERATIONS i FURNACE MAKE D MODEL \f.A\ -ks)`- L.s1.0 &)(DC)CJ Sc-`IS( ccU UEL FLUE SIZE RETURN OPENINGS INF r 3c U 00 OUTPUT, J TYPE OF SYSTEM HEATING OR POWER PLANT CjWatm Air Plants Steam PLEASE NOTE: Air Conditioner OViarmly 8 apt Weer Units and Fireplaces Cannot Encroach OGravD Mechanical 0 Rot Water Into Required Side Yard Setbacks. Air Conditioning Special Devices Fireplaces withBox Additions or Vent.Systun Other Devices Cantilevers to the Outside of Buildings . ( n Require a Buil Permit FIREPLACE,MAKE AND MODEL C- ! Sc_-750 FEE SCHEDULE Indusuiat,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace •$4930 $49.50 minimum Residential,Heating&A/C(New Construction) 3149.50 Residential.Additions&Aitetationa 349.50 Residential,Heating Only(New Construetioa) $6450 Residential,AC Only $49.50 Estimated Cost$ Building Permit tt ! Tie Minnesota Statutes f 32613.148 "SURCHARGE”two been champed for one HEATING PERMIT FEE $ year effective STATE SURCHARGE $ .50 July 1,21110,Unlit June 30.2011. TOTAL PERMIT FEE $ The tahilmnaa servearle tar a*nave fee"permit (OIfes Use Only) la IS bqgi{tning July t.2@ts This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By ' Ballasts Official Date 0 WITH 24 hour notke for all inspections(952)447-9850,fax(952)447-4243U!, z' fir?.''j - ;r•-;t '- s 4 I 4644 Dakota Street S.E.,Prior Lake,Minnesota 55372 i I PRIp;i Date Rec'd r~ y CITY OF PRIOR LAKE I ' (Z f SEWER AND WATER PERMIT �jNNEsd 0 I. Green File PERMIT NO R I I �►- 2. Gold Applicant 01(3. Gold � � (Please type or print and sign at bottom) ADDRESS I 2 ulvli'Li(office i.se) I 6-4,93 Vie A.A2.... r'‘ i"U‘ e---- LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PIE) OWNER (Name) (Phone) (Address) (Address) (City) (Zip Code) APPLICANT �- (Name) -- 1;�C C� \ C__ (Phone) (fi/ CI 9) 1 / 2-- (Address) [ 1 ' 2.9' 4,g1-2- 5i' W N e' T 1 CJI YYL 55'057 (Address) �^ (City) (Zip Code) (Contact Person) —11 Pfroa--5 # . 1,i-5 on_- (Phone) APPLICANT SIGNATURE . .,�� DATE 0 6q .1.2_, Z Q ��"' 1 IP 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'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# i ne iviiniiesota statutes g 3e015.1423 SEWER AND WATER PERMIT FEE $ "SURCHARGE"has been extended STATE SURCHARGE $ The minimum surcharge for a TOTAL PERMIT FEE $ "fixed fee"permit is$5.00 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt . �. Building Official Date Date re riVAMEN 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 1i 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 1\1J\ it.Oi PR 0 u Builders Deposit soli City of Prior Lake 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: IZ 1 SITE ADDRESS: /-- c-4. C\ PERMIT# f'il--- 6,6 REFUND TO BE MAILED TO: L-i�G m 2_2.30 ef 7 PP -ND/1-Z / .df PLEASE REMEMBER 1. KEEP STREETS CLEAN DURING CONSTRUCTION "'A\ #r L§:A 4 Kit . , -:f 2. KEEP EROSION CONTROL IN PLACE (For city Office Use Only) 3. TEMPORARY OCCUPANCY PERMIT MUST NOT 9, /7 Is- d'2-1s30, (0 EXPIRE OR$500.00 WIL B- FORFEITED Date Amount ,,„,i SIGNATUR- •MY .,,,ia/ ,1 , Larry Poppler Ly,rda Allen City Engineer Build' g Svcs. �. ORIGINAL DOCUMENT HAS A SECURITY VOID BACKGROUND PANTOGRAPH MICROPRINTED BORDER-SEE REVERSE SIDE FOR COh1PLETE SECURITY FEATURES CREST EXTERIORS:LLC CASTLEROCKBANK PH 651-460-6181 FARMINGTON,MN 55024 021081 22382.CHIPPENDALE AVE.. 75.13141919 FARMINGTON MN 55024 . ” 1()/Li)ji 11_4 PqY TO THE, � PAY TO TF .,D \'D . MEMO.uY`A j \ / ‘n0)\Q,r sy, may AUTHORIZED SI . RE' T :'',:J 11.0 2 LOB til' 1:09 19 1 3 2461: 2 &8 L 2 3 30 3n' 8 THIS DOCUMENT CONTAINS HEAT SENSITIVE INK. TOUCH OR PRESS AND RED IMAGE DISAPPEARS WITH HEAT. J:IFORMSIBUILDERS DEPOSIT FORM.DOC OF LAKE PRIOR BUILLADEPARTMENTDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 15 S4 4 NATURE OF WOR , ,, M , .,%I' _.: / . M ' USE OF BUILDING � �r DE ISSUED '4/PERMIT NO. Low. . CONTRACTOR L7:_-3%. PHONE PHONE SPIX7 '7 � - INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING FOUNDATION (Prior To Backfill) ex /7(c, �-' RADON RETARDER )f/ 7 /' PLA E NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED L L � P!') 12 24, ROUGH - INS SEWERNVATER/SE TIC t r 6/-i) FRAMING INSULATION a9P / rfri ELECTRICAL PLUMBING / HEATING I hpFIREPLACE GAS LINE AIR TEST ,. r 21 1 RADON : p(,P � COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNE HOUSEWRAP ; LATH pi)oc 2 :. FINALS GRADING ( PRIOR TO SODDING) BUILDING Irl 212-1firef6 ELECTRICAL PLUMBING 1/ HEATING ‘2(_,i ...15/ DO NOT OCCUPY-UNTIL ABOVE HAS EN 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