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HomeMy WebLinkAboutBuilding Permit 14. 1148 r. +fey ,✓��"�� h Crrtifiraft of ®xcnprnx CITY OF PRIOR LAKE 'I l 3rpar�hn�n if of ntt �n nspi t un Final Permitted LIConditional C.O. Expires , This Certificate issued pursuant to the requirements of Section 110 of the DResidential I D 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 `—•iNc L _ FJf-//� -y Bldg.Permit No. " `1 b K. 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DODO U O O / � �Y \ `�„ LIT 0F??ivy LAKE 10-J iING PERI/11T, Date ee'd'.r /, ' TEMPORARY CBRTTYLCT E ?ZONING COMPLIANCE � ' t-” AND UTILITY CONNEC ON PERMIT 9 cc( ( ) L, ;- l T \\....... I. White mile PERMIT 1 C O. Y 4. , I/ 2. Pink City �=-+�. 13 1C (� 3. Yellow Applicant u (Please type or print and sign at bottom) ADDRESS ZO G(office use) 16 6 3 1 E4.✓ ie Creek /C/5D LEGAL DESCRUTION(office use only) LOT 4 BLOCK p? ADDITION 645 k C roe X ES1- PID2 yOO, CO?. d d3WNE$ ) (Name) ]c .l,C,� Y1 r60 V1 H1lit`l (Phone) d -5 .1 .- Qi (Address) 4:n.-.5.5- "V`-1 k1 1.... ),,-. a-..--,to- BUILDER . 1 (Company Name) 44_11LI t Viel efS{'!Y\-*late e:.? , --'• 471g. (Contact Name) ,�1/�C�-�1L'a �;te��.c�-' (Phone) 0152-,�`L � (.�2�t� (Phone) % t 0 2-SO (Address) LI-- ,;., 5 Eyi 6'i ,N„,, j` C- 1-2- €lG fit..k1 Miki5'� ( ,- TYPE OF WORK litSTew Construction ❑Deck [JPorch ORe-Roofing ❑Re-Siding ❑Lower Level Finish ❑Firelace OAddition (Alteration ❑Utility Connection P CODE: P. .R.C. ❑I.B.C. ❑Misc: Type of Construction: I H III IV V A B ` Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ /�J/ — " 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-mentioned property and 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 can revoke this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. C 6o�`3�fs 2 / 1 9/ 3 /moi 74mi-4 Signature Contractor's License No. Date Permit Valuation a 1)W ®,rye — Park Support Fee # $ Permit Fee $ 1�f �6 SAC #Plan Check Fee $ �3&3 �j � $�TO J`Q 4 1/ . 7 cp Water Meter Siz:i,; 1"; $ ', 9y. Do State Surcharge $ Pressure Reducer T ov Penalty $ •�/�� 00 $ �lQ. �� Sewer/Water Connection Fee # $ /` ` Plumbing Permit Fee $ %,`-, ro Water Tower Fee # $ Mechanical Permit Fee $ �7.! Builder's `�� .�� / 57 , Deposit $ a D. PO Sewer&Water Permit Fee $ 5 0 Other $ Gas Fireplace Permit Fee $ ye) TOTAL DUE ilibto „/i4 14' $// J 41. ,`g This Application Becomes Your Building Permit When Approved Paid Receipt No. �' Date By lt Ar 0.4,4..„P I Building Official Date This is to certify that tl-req st in the above application and accompanying documents is' accordance with the City Zoning Ordinance and may proceed as requested. This document when signed.,r e , pit er constitutes a temporuy Certificate of Zoning mplianc and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. df,6/,/ ," 10 /4- /g- nning Director Date Special Conditions,if any --------. 4 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.L.,Prior Lake,Minnesota 55372 (10 White -Building Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ai4A4tod-e APPLICATION RECEIVED 4' • V14- 1,e The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / 37 �Le-tL SGC./ Accepted Accepted With Corrections Denied A 4- Reviewed By: ,[l '�� L _,�� Date: / (4 Comments: t. Gea-rr 'e L°S(c)---i Rir'qtr 6...s,i."J 7----(0,-vt_Lise-5.. "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." White -Building Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT k= t z APPLICATION RECEIVED . 2 / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 6,;-/ L` Accepted Accepted With Corrections "`W "Denied Reviewed By: ri%j- -_..011111L. Date: /if e)(4/4 Comments: 11 "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 PR10 4. ti� c�7 1 White -Building , c* Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 7 . Z / 5/ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /6. 63 .7 40, _ (It/xi/ . 6t--. Accepted Accepted With Corrections Denied Reviewed By: Date: /0—10—/r Comments: See Reverse Side for Additional Informations 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 Construc ion for Single or Two-family Dwellings in -4 or R-2 istricts Reviewed by: (allift . II Date: i 6, l 4 t ¢ J Building Permit# PID: Zoning: Address: ' D Legal: L , B Subdivision: Existing Structure? YES/ 0 Existing Nonconforming Structure? YES/NO CONFORMS TO ZONING ES NO ORDINANCE Yard Setbacks: NA I FAILS/CO jt: Standard Proposed. • Front Yard(can be 20'if avg.win 150') , 25' 2 -S f • Side Yards 10'/ 0 ,t-, © I 25'if abutting a street t_____, z_ • 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. • Rear Yard 25' . ,-c.o • 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' ?i- '3 '- % Z- I Floor Area Ratio: NA/FAILS/C(ilvar, S I .30 Maximum I ' •12 I Yard Encroachments/4/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 Standard Proposed • Total caliper inches • Permit 35%Removal • Caliper Inches Removed • Caliper Inches Preserved • Replacement 1/2:1 L:\TEMPLATE\BLDGLIST.DOC Jan 09 1503:27p Microsoft 5076457654 p.1 DID Date Reed oi:PRIp ' • CITY OF PRIOR LAKE PLUMBING PERMIT •. l r/ E ` 4 ,so,r - • ,.Me File 2.cola my PERMIT N lite fl 140 3.Yellow Applicant _....., ,APicase type or print and sign at bottom) — ZONING orate use) ADDRESS LLGAL DBSC TION(office vsc only) !! LOT BI OCK ADDITI(aN � tt_C PITS ____.—......— i 31 _... . " g` ( . (Name)_,.. CP4 ' Ekc S ') (Phone) 9 (Address) 445 J -. ` 1 ^ 5f _ -- - APPLIC (Name)AIS i�C�r .c • �( 10 L.La_ _____ - (Phone) -.�---( 10'1 J • ? `'-/ (Address) (City) (Zip Code) ( ctdress} (Contact Person) -_f,, La. P <s-4L' tl - (Phone) cb . -ta"- s- -) 1. S`-1 APPLICANT SIGNATURE DATE _ --- _ APPLICANT PLEASE COMPLETE BELOW uanti Type of Fixture Quarto __-_ `_Type of Fixture Qh Bath Tub with or without shower Rough-ins g - - --- Dishwasher ____.. . - -� _� Water Heater Floor Drain Water Softener Lavatory(Bathroom Sinks Stand Pipe(Washin�MachineL .____. _ Ejector Sewage Laundry Tray(1 or 2 compartment sink Suva,.._� 8 Shower Stall Backflow Assembly — _____. Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler _ ....__.._.____.... Water Closet(Toilet) __._ __ _... Other . ...... _ WE SCHEDULE The Minnesota Statutes§326ti.14g' joticostwitha 349.50 minimum Kesidendai,New One&Two-Family $149.50 "SURGHMWE"has Veen extended" " Residential,Additions&Alterations $49.50 • The minimum surcharge for a Building Perrnit# "fixed fee"permit is$5.00 $ ._._..._. —w _ -PLUMBING PERMIT FEE $...,_.__--- o win, STATE SURCHARGE $ 54 i•fjo TOTAL PERMIT FEE $ . -z ,' • (Offteo Use Only) • This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By --Banding Official Date _ _ ________ 24 hour notice for nil inspections(9S2)449-9R50,fax(952)447.4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 RRzo CITY OF PRIOR LAKE Date Recd o a, HEATING/AIR CONDITIONING/FIREPLACE PERMIT it.45; ki .•U 1.Pink Tile / ] �, '�lNNa5OO 2.Green city PERMIT NO. A 1 P 3.Yellow Applicant I I (Please type or print and sign at bottom) ADDRESS 4 ZONING(office use) M ail cae tai_ 5 E______ LEGAL DESCRIPTION(office use only) LOT _,BLOCK ADDITION PID OWN (Name)ER �� /fdQrri �J ! 023v (Phone) (Address) APPLICANT (Name) HEARTH &HOME TECHNOLOGIES (phone} dba FIRESIDE HEART!I &I IOME (Address) Lic BC662656 2700 FAIRVIEW AVENUE N (Contact Person) ROSFVII LF, MN 55113 (Phone) i 74,..., 5,-- 1 APPLICANT SIGNATURE 651.633.2561 DATE APPLICANT PLEASE COMPLETE BELOW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS FURN E MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner D Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach i itty ❑Hot Water into Required Side Yard Setbacks. echanica� ❑Radiation Fireplaces with Box Additions or O Air conditioning 0 Special Devices Cantilevers to the Outside of Buildings OVent. System 0 Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL (Mit S G---2Sv/e-/0- FEE SCHEDULE Industrial,Commercial&Multi Family l%of job cost Residential,Gas Fireplace $49.50 $49.50 minimum Residential,Healing&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50 Residential,Heating Only(New Construction) f $6140 Residential,AC Only $49.50 Cost$ lb . dd Building Permit# HEATING PERMIT FEE $ PA t fITH STATE SURCHARGE $ 5.00 , t TOTAL PERMIT FEE $.� hhL 'slei" PT iT 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 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 0/,..„ ,.PRJ04 CITY OF PRIOR LAKE Date Rec'd 4 ; , HEATING/AIR CONDITIONING/FIREPLACE PERMIT ,t,, 1.Pink File PERMIT NO. 4.4NNEsoes-e' 2.Green City 3.Yellow Applicant I (Please type or print and sign at bottom) ADDRESS ZONING(office use) IU2U39 EC*. C 'ee . C±,SE LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OE (Name) Vl c d\ AldSlii&N,") WMACLS (Phone) gSZgI m230 (Address) L\��s I"c \Vr \>V--. $ - I E op n MR/ 55122- APPLICANT (Name) �UY1cv\itk -cm-ivo ,t,�C, (Phone) Q$ ,�t(OoO. (Address) 3-51 W '1 Uy-yiSV1th.. Oakki e:-31-c_120 biiiiiviite MN 3-S-- 3- -- (Contact 3 +(Contact Person) e. \ V\t (Phone) APPLICANT SIGNATURE S4,1)Ji/V A, f t,,Qf3W9 DATE ii"I3-/q APPLICANT PLEASE COMPLETE BELOW (ANEW CONSTRUCTION 0 REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL 5)tGYI- ci 1 2sci,0080SIi- FUEL n AA Ya. FLUE SIZE RETURN OPENINGS a INPUT SO 006 OUTPUT 7 aooO TYPE 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. Mechanical 0 Radiation Fireplaces with Box Additions or 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,C s.:. ln ercial&Multi Family 1%of job cost Residential .- -ireplace $49.50 $49.50 minimum Residential,Heating&A/C(New o N '•n) $149.50 Residential,Additions&Alterations $49.50 Residential,Heating Only(New Construction) ',64 ! Residential,AC Only $49.50 Cost$ Building Permit# - ATING PERMIT FEE PAID 'H STATE SURCHARGE $ 5.01 TOTAL PERMIT FEE $ 9t1?l.nito ; PE:RM T 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 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 OPRIp4e Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT cNivEse) I. Green File 2. Yellow City 4,0PERMIT NO.(4.1) 3. Gold Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 16 b.59 ,\Q Cre_e C(S4Ar LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID (WNER V f i f�(� - Aame) (Phone) (Address) V (Address) (City) (Zip Code) APPLICANT C, (Name) J j�� � l� (Phone) (Address) 1 6-6 Z. ! t 4 p) kIq a'O , mo (Address) (City) ( (Zip Code) c?' e-z-- (Contact Person) J PM.- . 1 5 ,\)_ 2__ -___ (Phone)__ (0 IZ9 t t�cc APPLICANT SIGNATURE \•.moi ® ' DATE Mir 111. 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# SEWER AND WATER PERMIT FEE $ a .Q STATE SURCHARGE $ .50 i) TOTAL PERMIT FEE $ 6-4)9 �M (Office Use Only) '' 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 Jan 0915 03:27p Microsoft 5076457654 p.1 PD Date Rec'd 01 rluot CITY OF PRIOR LAKE PLUMBING PERMIT •. EtM U ���fff a soo _ '2..MoeClol�� FilePERMIT N(1.� __._. l City 3.Yellow Applicant tPlcase type orpriut and sin at bottom) ADDRESS ZONING(ante use') I (I? ta-6--9—.-Eb..- 1 e----Qr---4-S..,k.-- C-0 Ckr 4 &EGAL DESCRIPTION{oKace use only) LOT L BLOCK a .ADDITION Ek_c l&- ( c; /_ . PID _-- (Name)... f ekc\ (\ hate, se ►'1 _.._ (Phase) 9 S a " 29 F- 0 (Address) L-15" `J S... -f-r-i,- D,r_._..S.4 /3.0 ._ , APPLICANT ` 14°L.1 J • `7 '�� (Name) lV('}r- I\nt. . „.f'. { i f nb_1 (Phone) (Address) $ 0 - it r_ ( ! i... _t1 C S.O.--5_2_ (Address) (City) (Zip Code), ) (Contact Person) 303.4_1‘ € .s L n (Phone) CO-1 -fa._'4 S- .(a S`-t� APPLICANT SIGNATURE -A• - ---- DATE _{ 14_5__-_— APPLICANT PLEASE COMPLETE BELOW ut►totity , Type of Fixture Quantity Type of Fixture Bath Taub with or without shower Rough-ins , ._ Dishwasher �- Water Heater Floor Drain __..._._._ _. �_ Water Softener Lavatory(Bathroom Sink) Stand Pipe(Washin _Machinel__ -. Laundry Tray(1 or 2 compartment sink , Sewage Ejector Shower Stall _ Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Srip nkler I , Water Closet(Toilet) , Other FFE SCHEDULE The Miltnesota Statutes§3260.1¢& . f joli cost witha 349.50 minitnustt Residential,New One&Two-Family $149.50 SURCHARGE"has been extended Residential,Additions&Alterations $49.50 The minimum surcharge for a "fixers fee"permit is$5.00 Building Permit# ��____ -PLUMBING PERMIT FEE $ STATE SURCHARGE $ _ . kfil 5.00 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Dale _ -- By -" Deadfall Official Date __-..-_,- ._._.._,._.. 24 hour notice for all inspections(952)447.9/150,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 O1 pR0 Builders Deposit 0 solA 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: /o'/ L°i SITE ADDRESS: � ,3g E146C'i'&9GC.f . I'¢: //4 PERMIT# REFUND TO BE MAILED TO: 51&'MIDL ,4M092,.5SCA/ 1/0/1 .5- • -,55,5-• / t73• -,55S E,,i D2 ,Sur r (10 Eft GA A./� MitO ,55(ZZ PLEASE REMEMBER 1. KEEP STREETS CLEAN DURING CONSTRUCTION "t f_ .'" .._ . 2. KEEP EROSION CONTROL IN PLACE (For City Office Use Only) 3. TEMPORARY OCCUPANCY PERMIT MUST NOT 7 tus' Z,,5--UO-.O d EXPIRE OR$500.00 WILL BE FORFEITED Date Am•unt SIGNATURE: G%�''V %/V¼ 4A.,'\_,rl \i/f/ Larry Poppler L'T da Allen City Engineer Buil. ng Svcs. • 1- , wAEr..:A ." 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INSTALL EROSION MriCONRT - g is�t OL AND MAINTAIN CLEAN STREETS ALL I ES FOOTING immAT ALL ES FOUNDATIONINSPECTOR (Prior To Backfill) 4a %imilmin.....111111111111111.111.1 RADON RETARDER ®®�' PLACE NO CONCRETE UNTIL AB ROUGH - INS HAS BEE SIGNED SEWER/WATER/SEPTIC FRAMING �, minteiranumallitilMnim INSULATION �� ELECTRICAL tTr,m PLUMBING --ii!!// HEATING MIIIIIIMMIMMIlmi FIREPLACE �� GAS LINE AIR TEST RADON _ giracamillnarnrammum COVER NO WORK UNTI � HOUSEWR P L THE ABOVE HAS BEEN SI LATH � c,,_- 11WMPumiut in ED GRADING ( PRIOR TO SODDING) FINALS WILDING , MIIII ELECTRICAL PLUMBING �� HEATING w �' DO NOT OCCUPY UNTIL ABOVE H AS BEEN SIGNS r This card must be posted near an electrical maintained until cal service cabinet prior to service a all et inspectionsavailable,een approved. On buildings rough-in inspections and card shall be placed near ain enand trance. Where no FOR ALL INSPECTIONS (952) 447- 9850