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HomeMy WebLinkAboutBuilding 13-0850 `-7,c.,,--\ s n O r" O o Ri y N (< tro n 6 ITl E ° `' .., . �� ",i ce a � : , , S .. ti s QM p ., co ` ti -i ` f p cow , Z "° C ,-`-i, co O J sL 0 - O E+ M" i, "1' Y N aco , e; ,- o +.- ki. ': n `° .. o F o � m �� m ' k L.'4 ao '71 7o ❑ P. g 3> o i,O cc 3::, S ❑ ,,. Ci-1 (I) mm b # z r DATE TIME CITY PRIOR LAKE SCHEDULED INSPECTION NOTICE /9/2cK - ADDRESS Ld!5,3 cr= i-tri4- OWNER CONTR. PHONE NO. PERMIT NO. / - 1 ❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING ❑ FOUNDATION 0 MECH RI 0 COMPLAINT ❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI ❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST ❑ SITE INSPECTION 0 MECH FINAL 0 COMMENTS: a(e,. .-12_ c---' (-4 s.. Attie,. ..•� .�. • ._� i _ -�.� Ai / e Kip.i....--, 20©d at ÷ret2)-0y!,,, I I L ql 5;/ WORK SATISFACTORY,PROCEED ��/❑111 CORRECT ACTION AND PROCEED ❑ CORRECT W K,CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr. CALL 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! 1NSNOTI DATE TIME CITY OF PRIOR LAKE GT� ���� INSPECTION NOTICE SCHEDULED f IA !* ADDRESS 'e53 L /( OWNER Zi CONTR. PHONE NO. PERMIT NO. /3",e�� ❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING ❑ FOUNDATION 0 MECH RI 0 COMPLAINT ❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI ❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL )FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST ❑ SITE INSPECTION 0 MECH FINAL 0 COMMENTS: Tree. . ree rn — 75 "a7' 2`?"e e Vr/teahk,e L ;f1S i4 Profen y re tires K5 u1/' tree re ure N,0-/fiefi("pert/ GW►7er a" ' pfl'eloh$ J rAs it /a0'� Jchtionat‘00 tRes ►� J J CL-- 921,3;& /e-er -1o24 /UO�oet- ince/ 1921,3lt '�u r Park free• ►t. ❑ WORK SATISFACTORY,PROCEED CORRECT ACTION AND PROCEED O CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL 447-9850 F•R THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! INSNOTI CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 1 1 DATE TIME ADDRESS LA cll 5 3 1Qs.>Lc`n, 4- OWNER CONTR. PHONE NO. PERMIT NO. (3 '-" BSO ❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING ❑ FOUNDATION 0 MECH RI 0 COMPLAINT ❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI ❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST ❑ SITE INSPECTION 0 MECH FINAL 0 COMMENTS: I I. M 0.:KV in froc i c5Y1 O -uvt (1K4-;I -L 't`s "t94-akt:c 2.• P h a( &oAO I`L4S tI`Q1'1 3, at& 4-- Tri b / 11. N4 &t..%.44.. b I,_.W wb Zq a� I; �.tr-ti r c��. d-Q� �,. a.- .,. ¶O S 5. �k 6 `� (n. �k���. DQ�� 4- ' .,,-c.- ll CvLA% AQ /4-C. . LIt&i 4-, 8// 1 iV feoDeur-eVesaat ❑ WORK SATISFACTORY,PROCEED ❑ CORRECT ACTION AND PROCEED 7CCORRf9r WORK,CALL FOR REINSPECTION BEFORE COVERING Inspecto . Owner/Contr. CAL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! INSNOTI DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED i 7itil ADDRESS L17?)53 OWNER CONTR. PHONE NO. PERMIT NO. I3 -- ASO ❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING ❑ FOUNDATION 0 MECH RI 0 COMPLAINT ❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI ❑ INSULATION 0 SEWER HOOKUP FIREPLACE FINAL `�S'�INAL 0 PLUMBING FINAL •GASLIAIR TST ❑ SITE INSPECTION 0 MECH FINAL ❑ COMMENTS: p 1 F.:owl- (E,t-oAD. !tis+ 14 . Parw.:v � � t102.- `fpv�°°) &nf 3. dog 0.11 ba,-t., %o,l I4. ua 0 i r)'r:V.O.— 5. rine foLa21, poo-kit, 6— n _ _ U1n4 t. A I t's\-,\A, 5' ' ,� ti 1. 4 V SLI _ * V'17 LA ai ic . a. p,.,)6, tk k-- �A�I 10 . A-C. 01A . !` it, , �A-To- ❑ WORK SATISFACTORY,PROCEED O CORRECT ACTION AND PROCEED ACORRE W,•- ,CALL FOR REINSPECTION BEFORE COVERING Inspector. IMP Owner/Contr. T I CALL 447 '• 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH do SAFETY! INSNOTI DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 1 2//LI ADDRESS 463 2� OWNER CONTR. PHONE NO. PERMIT NO. I S — es- 0 s❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING O FOUNDATION 0 MECH RI ❑ COMPLAINT O FRAMING 0 WATER HOOKUP ❑ FIREPLACE RI O INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL O FINAL %.PLUMBING FINAL 0 GASLINE AIR TST O SITE INSPECTION ❑ MECH FINAL 0 COMMENTS: #0 e_ Ueli+Ne , i7j 2, u t ci.� rwm-L LA,254 Ula( l7 3���1�Q ka 'i ! . 3-e) 1- MT ❑ WORK SATISFACTORY,PROCEED CORRECT CTION AND PROCEED ❑ CORRE RK,CALL FOR REINSPECTION BEFORE COVERING Inspect° Owner/Contr. CALL -98 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! IMSNOTI �� YKjO� tiCITY OF PRIOR LAKE BUILDING PERMITDate Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �3 �' AND UTILITY CONNECTION PERMIT j *iv Ese' '. while File PERMIT NO. 2. Pcity /3 9)5D 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 53 gectCh J-. . Prior 1-CI /el51) ,//&9 IAL/ LEGAL DESCRIPTION(office use only) LOT I BLOCK I ADDITION 13--e r CA 0le-e r) heat-1} PID Z5-- d2-€5 , 0141-. 6 OWNER (Name) (Phone) _ (Address) BUILDER -a ; n ' l (Company Name) 5 v'\V OC)d 421 Hr- r 143 SO G I'61 e 5 (Phone) C15 2- 9"41- °8 5 o (Contact Name) Jot- 1,k)p ( (Phone) &i 7-- lcil - C10Z 5- � � (Address) 0_ Bo x 102_6 i F3 O r Let14e.iii Ki 5-5-3 7 Z TYPE OF WORK NiNew Construction ['Deck ['Porch ['Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace ['Addition ❑Alteration ❑Utility Connection CODE: .R.C. ❑I.B.C. 0 Misc: Type of nstruction: I II III IV V A B Occupancy Group: A B E F H I M R SU PROJECT COST/VALUE $ 8 7 �- /7 0a:1 0 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 thine just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X :-- JO\A) 3co 3Z loci 69 -Z-7- ) Signature Contractor's License No. Date Permit ValuationO rl�' Q4 Park Support Fee # $ — Permit Fee $ 5 62. S SAC # $ Plan Check Fee $ ,/,/6 ; 7 . :C, Water Meter Size 1"; $ /J 'o 00 State Surcharge $ 113 7 SO Pressure Reducer $ �� a o® / Penalty $ - Sewer/Water Connection Fee # $ Plumbing Permit Fee $ /53f, s--0 Water Tower Fee # $ - Mechanical Permit Fee $ /5—q S� Builder's Deposit $ a 3..e0 Sewer&Water Permit Fee $ l sya,S© Other•d/ ,G,G LA o $ 7 g F3,,i 2 Gas Fireplace Permit Fee $ s- . 0 TOTAL DUE�-t l D) S _LI13 ,-1 $ 22,59a4 ' A, This Ap i ti.. Y.com..Your Building Permit When Approved Paid 22_ 510 .,c) Rec ' t No. &9- 70 /' //ir_ t I___ Date G, /3 By , B ilding` trial Date 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 issued.when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction tp commen'e. Bea c occupancy, cergcate of Occupancy must be /1/ t's....I�� (.4v401 °Y. yt Ir.r84. 1� S— _/3 98 q3 tree repl.cew.,e-t Plannig_'oirector Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 O� PRIp� H Z u White -Building Canary -Engineering 'ylNNESoc, Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT `I WO oto 7g1Q-- APPLICATION RECEIVED .2- 7. /,3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ¢053 & et-, s7eEt ET• . Accepted I Accepted With Corrections Denied k........; Reviewed By: Date: 6/1,/ Co ents: U 4MAGA-)17/41A) - /Kr V4- - IT rh,L S -'IA) 1 • it-- UP7 E5 iii".t 552 U`l es raolV1 lig OD I- i (5-- - c 4 40 ' • i j 5 V1 . L©GAigO Al /VI C. La c 3 ( AI Dia 5 ,c2v6- / s ate. 4 - Do Alor P(6 /A1 g. d. ul tom' A , w . 1S-e-044 ' r, Ar Jr . A.. Ai -:..), - &_.-a, Aik_v c."2-6,-- AA-e---- o/c-4V. "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." PfA '4441/4* 4_"4,'4 ba,'1-fr `; <r5€ V" ?a+set `^'`�a #N�' v ,,c" i4, +r.,.. 04 PRI04. ti U trl White -Building yr �� Canary -Engineering ^NEso 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 activity which is proposed at: Accepted Accepted With Corrections Denied Reviewed By: Date: e- ‘-/s .. 93 zComments: — 73- o' ret -e�aCer^a - rettircd Cescrow repa,'.eI 9893 /1a r, ,'nq /P ptct$ `ti- a. a are "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." ( P;IO*� U trl White -Building �'INrvEso� Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT J_ 15. 1,1/601) -1 //t.-1 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: i-e53 J-'cr-1 16 E-E ! // C . • Accepted Accepted With Corrections Denied Reviewed By: ,i49L Date: 7-/e` /3 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." Amt pRio4 6%00 trf Memo SO* Date: Thursday,January 14, 2016 To: Janet Ringberg From: Lynda Allen Subject: Building Permit #13-0850 4853 Beach Street NE The contractor on the above-subject permit has not met the terms of the tree escrow. Therefore, the City will retain $2,000.00 (5100.00 per inch) from the original amount of$9,893.00. Please return $7,893.00 to: J.B. Woodfitter & Associates Post Office Box 1028 Prior Lake, Minnesota 55372 Thank you. Lyn S. Allen Buil ing Services Assistant Phone 952.447.9800 / Fax 952.447.4245/www.cityofpriorlake.com M ,, '*Rio i ‘cjo MEMORANDUM DATE: Friday, August 21, 2015 TO: Janet Ringberg FROM: Lynda Allen RE: Building Permit 13-0850 4853 Beach Street N.E. The Certificate of Occupancy has expired on the above-referenced home. This memo will authorize retaining $833.00 from the Builder's Deposit. The amount to be returned is $1,667.00. Return to: J.B. Woodfitter& Associates Post Office Box 1028 Prior Lake, Minnesota 55372 Thank you. : '., Lynda S. Al �, Building Se ices Assistant CITY OF PRIOR LAKE Impervious Surface Calculations (To be Submitted with Building Permit Application) For All Properties Located in the Shoreland District (SD). The Maximum Impervious Surface Coverage Permitted in 30 Percent. gfi9- 1.-/ Property Address �gC3 Lot Area ) S/ lot Sq. Feet x 30% = LENGTH WIDTH SQ. FEET HOUSE x = x = ATTACHED GARAGE x = TOTAL PRINCIPLE STRUCTURE 2.5--3 DETACHED BLDGS x (Garage/Shed) x TOTAL DETACHED BUILDINGS El DRIVEWAY/PAVED AREAS x = (Driveway-paved or not) x = (Sidewalk/Parking Areas) x = IQ��,'/1 TOTAL PAVED AREAS -7-7 PATIOS/PORCHES/DECKS x = ei-ire6v)- ia-arzeid 8q-13 (Open Decks''h"min.opening between x = boards,with a pervious surface below, -7 Z -t are not considered to be impervious) X = 224- &o v 1-ew TOTAL DECKS 6 1 OTHER x = x = TOTAL OTHER )U.i TOTAL IMPERVIOUS SURFACE ' 14Z 1 I UNDE' 0 VER .— / �' I 1 9 lam! Prepared By C U` l Date g6v/Sf 7-Z` , ism p/, Company ) /vvC.c-v616w//,‘ [/D. Phone #Os-Z� CITY OF PRIOR LAKE Date Rec'd 4 rxzo.fP BEAMING/AIR CONOI'T][ONINGJFIREPLACE PERMIT /6, /. /3 i /vInso'st- z c«a cgt PERMIT NO, /3 g56 3.wilow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(ofeeuse) tl,ecv .ok s-f-- illi ° , LEGAL DESCRIPTION(office use only) LA,I' I BLOCK / ADDITION !719 n PTD W .'°Mg" 60/ o O'WNFR f:)�1V(\O -V -C-1‘7. (P q52.-44` 1-ts2 � . } � -�1hone} . (Address) 'O Tp I D')----S APPLICANT - (Name) .JIIGf. l f n4 ---k !i Air (Phone) (,51 Li 23-595n (Address) 151 C-Q..rkrdU.S I 1 tD A 1)5--C-VVICRA V* 5 SCL0 8 (Address) (City) r�t 41-2.- (Zip Code) 11_4(Contaef Person) _ a.•. YA c._ (Phone) (25( - Jam• 115 f APPLICANT SIGNATURE _ 1-_ _►_. s/ -DATE APPLICANT PLEASE COMPLETE BELOW 1 NEW CONSTRUCTION [REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL L qf\ri 0‘1( �}\`Cl T), 3c I4)) FUEL L 66,4-- I FLUE SIZE '3 RETURN OPENINGS 3 INPUT 1. i MO OUTPUT 12t j15t TYPE OF SYSTEM . • HEATING.OR POWER PLANT PLEASE NOTE: Air Conditioner ❑Wang Air Plants 0 Steam Units and Fireplaces Cannot Encroach [Gravity` ' D Hot Water into Required Side Yard Setbacks. f MechanicalRadiation❑ Fireplaces with Box Additions or Conditioning Conditioning [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&AIC(New Construction) $149.50 Residential,Additions&Alterations $49.50 Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 Estimated Cost$ Building Permit # HEATING PERMIT FiSi $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date PAIT VeITH l3uttdta¢Official Date 24 hour notice for all Inspections(952)447-9850,fax(952)4 L!KI... 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 I ,;(.--:;t petp+P Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT v _ '�1'14Es043" ''rCt..J I i,,(..(ft _\'}(r S' nt.evie --- 2,(2,,,, e2„ PERMIT NO. /3-f3-6 3 Wk. Aptfror r•ease f or. , and al,n at bonnie) .___ ADDRESS ZONING(ottw usc) jcr.~ xi,Q) ' c-,...,1- _ -,...I LEGAL DESCRIPTION((Accuse only) LOT BLOCK ADDITIONPID OWNER (Name) (Phone) (Address) APPLICANT L , ( ) 1 a'1 tt _ ,.t-( (Phone) Cr-J-), j f..(z.--1~'Ll (Name) „ (Address) j.. S(-a ) Cit. Y-,c\ '11,e,,, +L( L tit = `..aS P -1 (Address) (City) (Zip Code) (Contact Person) -+k -, t_>E-.b' (Phone) ;l 2_ t`-i 7 -SCE 9 APPLICANT SIGNATURE l'- _� .." '- DATE '15.12.-0 l-'.__ APPLICANT PLEASE COMPLETE BELOW. -... _.......-.�._.._ Quantity Type_of Fixture Quantity .eofFlature j Bath Tub with or without shower Rough-ins Dishwasher j Water heater — _ l Floor Drain Water Softener i,, Lavatory(Bathroom Sink) j Stand Pi Washin_Machine i Laundry Tray(1 or 2 compartment sink Sewage Ejector 2.. Shower Stall Backflow Assembi Sinks Backflow Assembly Test _ _ \ Bar Sink Lawn Sprinkler 1-i 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 The Minnesota Statutes 13268,148 '"'1st $ Building Permit# "SURCHARGE"has been changed lot one year effective PLUMBING PERMIT FEE $ July 1,2010,until June 30,201 1. STATE SURCHARGE $ 5 C ') an- The minimum surcharge fora"fixed fee"permit TOTAL PERMIT FEE $ is its beginning July r.2070 mm This Application Becomes Your Building Permit When Approved Paid ', Receipt No. Date By handbag Official Date.... .', . 24 hour notice for all Inspections(952)447.9550,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 PAID WITH BUILDING PEf MM 1 0p� PRIO.p SEWER PERMIT CITY OF PRIOR LAKE 9 L3 AND WATER 'Date� Rec'd 4fINNEso0 1. Green File PERMIT NO. 2. Gol /2 3. Gold Applicant ,,,,,JJ e ' t and sign at bottom) ADDRESS ZONING(office use) 4-8 s- —12Th ekxct, .4---- LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) (Address) (City) (Zip Code) APPLICANT "lame) 41C1 Pi i-ii (Phone\ (0/L- 7L/7- 302)3 dream). I 'S 4 g IZv d. .10 Z t PSL _, S S 31 z— (Address) (Address) (City) (Zip Code) intact Perso~, -. �4---C-- (Phone) . ` •L . SIGNAT • API _ o : .0 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 $ 1 -' ` D B STATE SURCHARGE $ TOTAL PERMIT FEE $ B,D,.....! (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. �w~ Date By Buildine Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 1 1 4 mo, CITY OF PRIOR LAKE Date Recd • A° �' '�� HEATING/AIR CONDITIONING/FIREPLACE PERMIT FV a ��\\��Ur Y"I�� V c.„.�� 4r1Htvssci0 1.r;"t a City I PERMIT NO. 13 . tw) Z,cne 1.Yellow AVpI(canl (Please type or print and sign at bottom) ADDRESS , //??�� ZONING�{ 5.-3 1 (ufCicr use)q ....cw . , L._ 1 LEGAL DESCRIPTION(office use only) ` LOT BLOCK ADDITION PID (Name `) 'IbU(ARANC i Assn .LC !13( ., (Phone)(A5 2 41 6 (Address)O %p` ' V)?C /j RO 0( A r ), )1,0 al L APPLIC41sIT `` n ,�. ] ) (Name) - T�ofx_ t� . ( .0� (Phone) j5' - �.k' .,) J — 2 (o f (Address)nip -10 V\t,W I )V�. 'uys,j tuL r •: -.413 (Address) ' (City) (Zip Code) kAAUt \ Lt ?31(ContactPerson) , (Phone) l APPLICANT SIGNATURE I DATE1 c.)1 ci'' ..�� __ __... APPLICANT PLEASE COMPLETE BELOW ` CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS • FURNACE MAKE AND MODEL FUEL, FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ❑Wa1m Air PlantsPLEASE NOTE: Air Conditioner Gray' 0 Steam Units and Fireplaces Cannot Encroach oatmeal ❑Hot Water into Required Side Yard Setbacks. ❑Radiation Fireplaces with Box Additions or Air Conditioning 0 Special Devices p Cantilevers to the Outside of Buildings ❑Vent.System 0 Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL ; 14S) V LS - , e 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 $49.50 Estimated Cost$ L.b\,C) Building Permit # The Minnesota Statutes§32611148 HEATING PERMIT FEE $ 'SURCHARGE"has been changed liar one year effective STATE SURCHARGE $ .50 Joiy 1,2010,until June 30,2011. TOTAL PERMIT FEE $ The minimum surcharge for a"fixed fee"permtl (Office Use Only) Is K,beginning July I.21110 This Application Becomes Your Building Permit When Approved Paid Receipt No. . PAID WITH Date BU i bING PERMIT 13011(111m Official Date 24 hour notice for all inspections(952)447-98511,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 I LAKDEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 7" &5 ,7)c'` SI NATURE OF WOR 4/le. eDeC Al F/ 'Ai, 129466 USE OF BUILDIN ; Js - - I FM PERMIT NO. / =-- 3 DA ISSUED 5 CONTRACTORS 00.00 , •i - ' A PHONE 2 V 0:5-40 INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES v2(51011? INSPECT ATE FOOTING k,,)(, Q.� - �� efts FOUNDATION (Prior To Backfill) ; , /- / Vr---- RADON RETARDER 64`' '`''i`' Ca uav PL CE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED 5((4 :)- p� h offy ROUGH - INS SEWER/WATER/SEPTIC Ld c 0 ,,, ,/i r FRAMING lit)C- to/zTia INSULATION ,s1 a2 -r/ / . ,lr;;, i..;'4 i,f'.sA ELECTRICAL PLUMBING kA(p-,tl5uo ¢t- r 3 — 1� ii ///)(7)- 1(7 HEATING 10(20 FIREPLACE ft GAS LINE AIR TEST RADON ReffARPSR ep.0.6 Pi; )4 q M *b LI7l 13COVER N W RK UNTIL THE ABOVE HAS BEN SIG �E HOUSEWRAP 4-, ,4,,),, LATH Gam' / ,Wigif p F INALS GRADING ( PRIOR TO SODDING) 6/2/X BUILDING-141-6f i(/c 00 4, [,., e #,, ELECTRICAL I 6 PLUMBING )igliP1 Ny_ • , HEATING 4e DO NOT OCCUPY UNTIL ABOVE HAS BEEN.S ED • 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 INSPECTINS (952) 447-9850