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HomeMy WebLinkAboutBuilding Permit 14. 0786 u 7 , , , X-.XX X X X X X X \ &rfifiraft of Orturrantv CITY OF PRIOR LAKE r prparfittrtlf of ilbittg n prtfion = >t ' Final Permitted D Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the❑Residential/❑International K Building Code certifying that at the time of issuance this structure was in compliance with the various K. ordinances of the City of Prior Lake regulating building construction or use. For the following: SINGLE FAMILY Bldg,Permit No. 14-0786 Use Classification PUSD District Occupancy Type Type Construction Zoning >, Legal Description ii a OVES nF NnRTHWfOT) MFAIInWS Owner of BuildingSite Address 16479 HAWK RIDGE COURT GB /�M Contractor's Name&Address << G B 1 HOMES �K ROBERT D. HUTCH I NS ? t City Planner Building Official ' i Date: 1 I (h 1 7((t-l" V Date: POST IN CONSPICUOUS PLACE N. 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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd UN TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � rN AND UTILITY CONNECTION PERMIT ( , /1--/ /� it?.it?. ,� t ES0 1.White File 2. Pink City PERMIT NO. /4- -7 8 6 3.Yellow Applicant , (Please type or print and sign at bottom) ADDRESS �� � - ZONING(office use) V . u ve (:11 pt./s.6 LEGAL DESCRIPTION(office use only) p ,/ LOT 1-1 BLOCK I ADDITION �AQ ( O Oa S CF Aire-ilit.ornb D 6--- `7 e'1- 0/1-0 (Name) l D it1 LIL (Phone) I q\—11 lJ -05 72 (Address) l 111 50 1.e ctVlI kv 0 BUILDERt!I/ "L J(/`i q- --5-C 2 Z (Company Name) �a /t^-C (Phone) (Contact Name) Ct Cr're �1/(� j / , /'(Phone)�/ �^ (Address) 1 1� CjAlel � ^ 4 l V� l.-" r 1 V( V71 ife >5-5(p TYPE OF WORKew Construction ['Deck [-Porch ❑Re-Roofing EIRe-Siding ['Lower Level Finish ElFireplace 6'El Addition DAlteration Utility Connection CODE: .R.C. ❑I.B.C. ElMisc: Type of C nstruction: I II III IV V AB LJ� 00 Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ — 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-mention, 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 re .lye this pe ..t-f. " . ca Furthe . -,I hereby agree that the city offi •' or st e a enter upon property to perform needed inspections. Signature Contractor's Lic se No. -eate Permit Valuation 5-7 (Yr) Park Support Fee # $ --, Permit Fee $ Race/. 5 6 SAC # $,2446, 00 Plan Check Fee $ / 3 0,9-Cf. Water Meter Size /8", 1"; $ '/ '. 0 0 State Surcharge $ / 7, SO Pressure Reducer $ // 0, 0(a Penalty $ Sewer/Water Connection Fee # $ / 5 •ir)e) Plumbing Permit Fee $ /51, Water Tower Fee # $ /t'jf 0 � '57° Deposit "' Mechanical Permit Fee $ /�"z/ ( Builder's $ ,Qin c (t,• L)c2 Sewer&Water Permit Fee $ / So Other $ Gas Fireplace Permit Fee $ 57 0 TOTAL DUF ,2 r.,4_,(4_,,... $ if o36,,.z sF This Appl' do. %ecomes Your Building Permit en Ap :tied Paid /le 936. yr R eipt No. "/l9-j 1 firDate S-_"_S't p -i g I:tied13 . ding Official_ ate \ This is to certify th.t the re• est in the above application and accompanying documents is' accordance with the City Zoning Ordinance and may proceed as re nested. This document when signed by _' ity . ; ner onstitutes a temporary Certificate of Zoning co ,.liance .d allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. /I ,/ A► ltd gE 7 3 PlanmlemPPIP11111,..._ D.e Special Conditions,if any 4 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 � p�O+i' O ti� White -Building Canary -Engineering *Amitscit'' Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT `G /34_ kyr , APPLICATION RECEIVED ( ` /q` / V The Building, Engineering, and Planning Departments have reviewed the building permit application for constru tion activity which is proposed at: l62 '79 r .),,t'icki , a-/-. . Accepted t./ Accepted With Corrections Denied Reviewed By: Date: 3 Comments: f G" /511- i 16.,.E /444-4. - ,.-J --:1-5741-1%-i Sn-451 ,k- iI141e5 . "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." 4YRIO 60i White -Building Canary Engineering 4''^'l f Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT G 6,.-i- //elm .- s APPLICATION RECEIVED I- it, { C The Building, Engineering, and Planning Departments have reviewed the building permit application for constr tion activity which is proposed at: / "7f 1,°< a!1 . Accepted ✓ Accepted With Corrections w Denied Reviewed By: Date: 7 3, (9 - Comments: a,. f x.. "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." ( Qi' 4 White -Building Canary -Engineering MS� Pink -Planning • P _ - � 'P I • • P, ; Al NAME OF APPLICANT CS • ! -0m e S APPLICATION RECEIVED / The Building, Engineering, and Planning Departments have reviewed the building permit application for constru tion activity which is proposed at: /6 i / -a)4 ADI .4 - C-/-, Accepted ✓ Accepted With Corrections Denied �� Reviewed By: Date.�^- e Comments: "The issuance or granting of a permit or approval of plans, specifications and royal of, any violation of computations shall not be construed to be a permit for, or an approvalion. any of the provisions of this code or of any otherordinanceinarov s ofns ofuthisi ctode oreother rmits presuming to give authority to violate or cancelthep ordinances of the jurisdiction shall not be valid." 08/2014 14:14 9524926006 GLOWING PEARTH PAGE 0: razo4 CITY OF PRIOR LAIC. ,It TING/AIR CONDITIONING/F PLACE PERMIT D, _ / (7 Z./ PERMIT °or t and as bottom' • RESS 1 1 . 11B * k--ett 8).,„ - Cv-+-- ZONINTG 0 AL DESCRIPTION(office use only) ,�,,,� 7 BLOCK ADDITION/ . (Ga ' c/te C 2 I`l1 wa:y ND �J�' �� -0/7-0 MR • am*lb a&,...!_ • (Phone) eea I I , Sill a /r0 .l► xANT �.�,�.._ . •.. ) 1 a �` , r , ..1* (Phone) 9,�i, 0 . Ai SS pct Person) ,A, di.—., s (P ) S2^kg 2:9 [CANT SIGNATURE 41 0/ Al ..._DATE �, APPLXC • tFPLEASIt COMPLETE BELOW CONSTRUC'T'ION ❑REPLAC ACE MAKE AND MODEL �MEAtT C7ALTERA EL SIZE RETURN OPENINGS FUEL, OF SYSTEM �� OUTPUT Oyu Plants HEATING OR POWER PLANT [ LSteam PLEASENOT Ah consumer C Hot Water Uaib and Fireplaces Cam*Enere ec a�nirai QRadia into Reqs Side Yard Setbacks. kir Conditioning Fireplaces with Box Addition r 'rC System QSpecial Devices d Other Device Can ^ers to the Outside of Buildi ACE MAKE AND MODEL _ � , Require a Building Permit. Commercial&Multi Family 1F FEE SCHEDULE ,„...._- ,, ..______ — ofjob cost If 11,Heating do AJC(New�nsaitetion $49.50 minimum X49.. m')) $64.50$149.50 Residential,Ada-ionsd Altarationa $49.: hleattatelsvehteirch[ARGE`has been extended Cost$ Residential,AC Only X49_• Bi P -.3 'J dsixl#°num}s�urcha`�r��gc�f�yojrwga �4T�•IG PERMIT PEE iTATE SURCHARGE S�.�j�,.1 fee" .yyl#t is VPTY GiuA/rZI/RMIT .V ..,,,(0 nation Becomes Your Building Permit When Approved Paid ufloi — Date Dale '4; 1 ) ?1 ', forur notice €4646A Street S.R. puke, Minnesota 55372 Sep 25 14 09: 36a Adam Mingo 15076459639 p. l of rRrp� CITY OF PRIOR LAI Date Rec'd . : HEATING/AIR CONDITIONING/FIREPLACE PERMIT U en 1.Pink File PERMIT NO. A��A'NESa�r 2.Green City 3.Yellow Applicant fitiv•. (Please type or print and sign at bottom) ADDRESS j ZONING(office use) 14-cikiif‘,:),94. (o.--t r+ LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER _ 1,..L, , (Name) (J ' (Phone) (Address) APPLICANT (��� , 1 (Name) f C'/ nj.Gl �� (Phone)dc-7)3 660(0) (Address) ) ).D5 C c . IA ee Ll, (Contact Person) A o-ct vi-- tM'i h` (Phone) APPLICANT SIGNATUREII ' ef(dCsieoic. DATE APPLICANT PLEASE COMPLETE BELOW EW CONSTRUCTION ID REPLACEMENT ❑ALTERATIONS FURN CE MAKE AND MODEL FUEL FLUE SIZE _RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air PlantsPLEASE NOTE:Air Conditioner DSteam Units and Fireplaces Cannot Encroach ❑Gravity DHot Water into Required Side Yard Setbacks. ❑Mechanical D Radiation Fireplaces with Box Additions or Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings ❑Vent. System ❑Other Devices FIREPLACE MAKE AND MODEL Require a Building Permit. FEE SCHEDULE Industrial,Commercial&Multi Family 1% of job cost Residential,Gas Fireplace $49.50 $49.50 minimumI 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 TOTAL PERMIT FEE $ • This Application Becomes Your Building Permit When Approved Paid � I Receipt No. + A i Date <' Building Official Date _ By V��� "� 24 hour notice for all inspections(952)447-9850 A�\-��� 4646 Dakota Street S.E., Prior Lake,Minnesota 55372 R� PR/94, Date Rec'd CITY SEWER ANDOF PRIOR WATER PERMLAKE IT i `7--7 jNNEsoo I. Green File PERMIT NO./4- 6 2. Yellow App (Please type or print and sign at bottom) 3. Gold Applicant %%% ADDRESS el/7 F. �c'"!fire R� ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) (Address) (City) (Zip Code) APPLICANT s / (Name) /c/ �cLl (Phone) `off— 4:78,074:78,07/ (Address) /6 a3ci 51194 sl/ (Address) (City) (Contact Person) �,�- .401" (Zip Code) (Phone) (mow?a4,5;?•-- 6 3 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'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 $ The Minnesota Statutes§326B.148 STATE SURCHARGE $ "SURCHARGE"has been extended TOTAL PERMIT FEE $ The minimum surcharge for a (Office Use Only) "fixed fee"permit is$5.00 4�c `� it This Application Becomes Your Building Permit When Approved Paid -rx.,;tiVa • o. Buildine Official Date By MIT Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 rRZo4k CIPIP . CITY OF PRIOR LAKE PLUMBING PE Date Rec' , . rio. . 1 ir Pik ease r it or and .. at t+ PERMIT NO. `ari„ &I dDDR$Sg3.taw Apidiart ZONING own Die !GAI,DESC pT,ION(caw use oath AT BLOCK ADDITION WNBR PID amc) dam) (Phone) VI:I ta� r•a4•c.rr a.cs• ddress) • 0 •.c_ (Phone) `1 E. - si L4 2-,S t.t .dress) r"•s f .. { -7 3-Person) r (Zip Code) 'PLICANT SIGNATURE (Phone) , _ ___-•.__- DATE uanti APPLICANT PLEASE COMPLETE BELOW T i.e of Fixture Bath Tub with or without shower s Hain j"e of Fixture Dishwasher < i-itis Floor Drain Water Neater Lawtto Bathroom Sink1111111111111111�� Wager Softener Laund Tra I or 2 co " meat sink Stand Pi.e a` Shower Stall ow , �- Sew ; �= Machina Sinks essei Backflow Assembl Bar Sink _� Backflow Water Closet oilet1111.111111111111 Lawn S. InkierTest Ninaesot �tt . Other FEE 149.50 ZCHARGl3s has been es§3268.248• [Doti cost with s$49.50 CFLEDULE e minimum foraextendedResidential,New One dt Two-�,ntt fixed fee" surcharge charge for a 1.Additions&Ak Y s 49.50 Residential. txatlom 549 SO Penn tr 1s,$x.40 � S Building permit# •PLUMBING PERMIT PEE $ STATE SURCHARGE $ lee use only TOTAL PERFEE $ X - J R KITH 'his Application Becomes Your Bufldln l 1 LD NG PERMIT S Permit When Approved Paid Receipt No. NM= Bonentultcl•1 Dae bstc • 24 hour notice for all inspections(952)447 90st by(952)447-4245 4646 Dakota Street S.B.►Prior Lake,Minnesota sxln 0 aui 'Sul J.1 1 d V9L9-Lby-Zg6 o eJd e9 } i:tiflt+L . pR.,0 ri‘,,,,. ..1 1 Builders Deposj t A SSP City of Pri $2,500.00 Builders Deposit is included in the Building Permitor Lake A $2,50 .0 for a Final osis Pi is not an escrow account.) All gradigradin fee. The Builders Depositisissued as security 9, sodding, landsca in n p g, tree Alantin exterior items including80h to insure 9 permit is issued. If the work is not complete within the 180 day time period, the g, driveways, siding and painting peril be completed l n days after the date th violation and the applicant shall have 10 days to comply or the $2,500.00 buil but not limited to of will be billed for clean up or corrective work to rectify the situation. City shall notify thea e $500.00 Tree Deposit may also be required and will be refunded if s dens deposit will be forfeited and the applicant Agning this I, the may s contractor, sand will be that I ami aware Prior Lake as outlined in the Erosion Control Meaacknowledge for Building specified trees are for a period of one year. By of the erosion control requirements of the City of DATE: �--���� Contractors handout. SITE ADDRESS: /°"54-79 "47/ -. , -i'e2 6— REFUND TO BE MAILED TO: PERMIT# //4-,796 ,Sc1v r /63 PLEASE REMEMBER 1. KEEP STREETS CLEAN DURING CONSTRUCTION 2. KEEP EROSION CONTROL IN PLACE 3. TEMPORARY OCCUPANCY PERMIT MUST NOT �� ����}������� �� � f��il '; 1 � EXPIRE OR $500.00 WILL BE FO- ,TED ' (For City Office Use Only) � - �2�Sda od 114Date Amount l/fr SIGNATURE: i d ut!r vi, Larry Poppler Allen City EngineerdS B s. ilding Svcs. THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER AND ORIGINAL DOCUMENT Topaz,LLC Real MENT SECURITY SCREEN ON BACK WITH PADLOCK SECURITY ICON stte Lot Account E tate Lot S Ste.100 1CleirtBon`k Apple Valley,'MN 55I24 9s2-9s3`-�o�° � 14026 PAY {. CITY OF P' $/7/2014 o>�nO t�dF Ri4RLAKE Eleven Thousand Nine Huhdred.Thi rty-Six and 88%1 a0*"********"*****" * **11,936.88 �1 *"` CITY OF PRIOR »*** w ************** ******* .*******►***** LAKE a 4646 DAKOTA STREET SE ' DOLLARS PRIOR� � � , �Md..` � �.LAKE MSI X6372 17/1 Coves 16479 Hawkridge;.�. Ct AUTHORIZED SIGNATURE 11'0 L402611" i:0 /9156541: 9 19 1 56 541: 00032137 J:IFORMSIBUILDERS DEPOSIT FORM.DOC" • PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTIINSPECT! • N RECO - 0 ON SITE ADDRESS i NATURE OF WORK • �. i USE OF BUILDINGWORK 1,�� PERMIT NO. .. ., '; > • I CONTRACTOR ���gal �' DATE ISSUED PHONE . � `'- MAINTAIN CLEAN STREETS qTq �e 5 '`�'' FOOTING ALL TIMES INSPECTOR - FOUNDATION (Prior To Backfill DATE AMIMlnm...m.......IMMIIIIIIIIIIUI RADON RETARDER ) �,,6 Aal :.® PLACE NO CONCRETE UNTIL Ag '//1 7 5 ROUGH - INSE H S BEEN SIGNED .1111111111111111 SEWER/WATER/SEPTIC 121111111 FRAMING 6f e� INSULATION ELECTRICAL ��©� PLUMBINGiiiiimmuninumen HEATING FIREPLACE �Q GAS LINE AIR TEST, . 'Nereareliallmin....___IIMIIIIIIIIM IIS RADON RETARDER i` COVER NO WORK RK UNTIL THE AB* ' _ Mei ,`v LATH __-� A -EEN SIGNED GRADING 111.111.0m I FINALS lanai( PRIOR TO SODDING) BUILDING ELECTRICAL �� PLUMBING ��� HEATING `_ DO NOT OCCUPY all II Iv • UNTIL ABOVE HAS BEEN SIGNED This card must be NOTICE This maicard until posted near an electrical service cabinet prior service all inspectionset svhave v ebeen a p or to roe approved. On buildingsAh-In inspections and and shall be and additions where no placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850