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Building Permit 11. 1238
n D00000 7 0 \ -o\ O m-- ��� oin 7 OO 0 R kr,k§E2 K g 0, 9i 2 0 0 0 11." e� �i�k o ® o$ m e w > Q ■ - / \ 71 \ \ / ■�) � ©� z� � 7-31 .1// .4 > , I 2 % -1 > ® / . 2 0 7 z 2 / % i 11111!7 \ § \ f .4 000000 m k: 2 0 ' §� cnt§/ 'NW 2 » \ q © ?&%mz& n fco 7 2 o § 0 ■ 27�� 22 q 2 I \ 0 ... III i — ca \ k k \ R \� 2 « c' -0 2 q . 2q§ m zi. 2 m 0 �� f�� P .% o \ § / Z �. S 7 1 \ ..--- 0 # 0 § 7 l� - . 000000 c o . i : 0 ,2\§ �_ m 7cnj \ � - . /-o-01/® � . R. a ///\k -1 \ k q/ � \ ° -4r T of PR cs; CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE //. 2,/i AND UTILITY CONNECTION PERMIT ti *INNE sdit• 1. White File 2. Pink City PERMIT NO. /! i 2.3 8 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) rL3-cDa IiavL Avt S. e !2(6 LEGAL DESCRIPTION(office use only) f.I, LOT BLOCK ADDITION La k r l�� PID 2S 0 �. 0 0 5- 0 79 kOWNER . (Name) sa-e c crP l rp r/lP I) (Phone (p 0 — S In / 6e 7$ 5." (Address) I63aa ft ✓ L Pt V e 3 f BUILDER P'/ (Company Name) a W n 2/ (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Si OLower Level Finish ❑Fireplace 'NAddition DAlteration ['Utility Connection CODE: [ ,R.C. ❑I.B.C. ❑Misc. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: ABE F HI MR SU (excluding land) Division: 1 2 3 4 5 I hereby certify that I have furnished information on this a.• .n 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 : ;petty a,./.,..hat all construction will onfor tr.11 existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building o ficial can re/s er - st cause. Furthermore, eby.:ree that the city official ora designee may enter upon the property to perform nee ed inspections. a, / 1 / Signatur Contractor's License No. Date Permit Valuation (&( ,000_-- Park Support Fee # $ Permit Fee $ 7 SOS _. SAC # $ Plan Check Fee $ 4 11-25 Water Meter Size 5/8"; 1"; $ State Surcharge $ 30.50 Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ S fs'v Water Tower Fee # $ Mechanical Permit Fee $ 54.SO Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE L i/ /C // $ f 14-Q 1. 75 This Application B one our Building Permit Wh Approved Paid , Receipt No. r6„,..„, R . • It /541 Date t� My �ti By 04 Building Official 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 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 //**/q•_// T 7isrfet� /144414,441410t. �rw�J Alanrector 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 • 'Srvrigrfig,".# S'a>a+ygz�.r.!n , i"""t,.er,.,..»,._.3.-.•.e-•,.,,......-.. 0411tiell White -Building �NNESOSP Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 1 t- r e )' T7 / 1- APPLICATION , / FAPPLICATION RECEIVED / 1. ' . ' / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted /V. Accepted With Corrections Denied Reviewed By: 'i Date: 1/ 7—// Comments: 4.73 c 4,s Jitynye #11A.5 t rewe e.5-7 eie impel-✓lti,s fur704ee ens "Ire-a7erry`eze., "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." ( PRIo White -Building �INNEso�P Canary - Engineering Pink BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ,i-E-F ey i'4-r reu APPLICATION RECEIVED z-- The -The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /&32Z PAS /1-17-5_ Accepted ' Accepted With Corrections Denied Reviewed By: 431 ' Date: 1/ / // Comments: I- G a t... r/2-en id/xi 87 /2c-c./ `j& Stc-r F S(O c P/20 pv -� CIS . Af i "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." illik CITY OF PRIOR LAKE Ey/67.)0,i0) - Impervious Surface Calculations (To be Submitted with Buildini;;Permit Application). For All Properties Located in tho Shoreland District (SD). The Maximum Impervious Surface Cc; verage Permitted is 30 Percent. Property Address . I CI 3 z 2. Prar . Avc edibloc Lot Area 11 i o (, .. , 1 ..j c:(0'9l\ki sq. ft. x 30% = 14 1 ***************************$* '***********,,****************************** LENGTH WIDTH:i SQ. FEET HOUSE "Po.f,c, x . /4f,S, " x = ATTACHED GARAGE x = TOTAL PRINCIPAL S7::EtUCTURE / 5c DETACHED BUILDINGS x 10 1 (Garag, Shed) x TOTAL DETACHED B'f;'ILDINGS o 1 z DRIVEWAY/PAVED AREAS x — G(0 (Driveway-paved or not) x (Sidewalk/Parking Areas) X _ • TOTAL PAVED AREAL?, PATIOS/PORCHES/DECKS x ne r'. c. (Open Decks''A"min.opening between • x = boards,with a pervious surface below, are not considered to be impervious) X TOTAL DECKS 33 OTHER x x • TOTAL OTHER TOTAL IMPERVIOUS SURFACE 13, GS UNDE•COVER I yam/ l Pre tired. �"�' p By .)t'c� " �'"' , s. s �: Date b Company OA-14k( } LS LA fv4.-Ni .A 1 A _ Phone # I ` ,�. N 4:, 70 L:\HANDOUTS\IMPERvious•doc VIP 73; au/ *. CITY OF PRIG R LAKE Impervious Surface Calculations (To be Submitted with Building;;Permit Application). For All Properties Located in thr; Shoreland District(SD). The Maximum Impervious Surface Cry verage Permitted is 30 Percent. Property Address i(p a 2, P4 e,,t,41, Lot Area I i l o £ ". 44,7 le, sq. ft. x 30% = � +<1 M" ***************************** ************* LENGTH WIDTi:[ SQ, FEET HOUSE x ATTACHED GARAGE x = TOTAL PRINCIPAL Si:RUCTURE Z DETACHED BUILDINGS x (Garage/Shed) X TOTAL DETACHED BUILDINGS unerekh tC kr,oLh'el DRIVEWAY/PAVED AREAS _ � �' " (Driveway-paved or not) 3 x � (Sidewalk/Parking Areas) X. TOTAL PAVED AREA;; c;.y PATIOS%PORCHES/.DECKS x • (Open Decks%,"min.opening between X = boards,with a pervious surface below, are not considered to be impervious) x TOTAL DECKS OTHER X x _ • TOTAL OTHER TOTAL IMPERVIOUS SURFACE UNDE• OVER q5.1 1 Prepared.By X_).o 4„0 '50D �, __— ate �� Company ` .l • ,.; ,C1 I, C ., } , �°,, Phone # i L,\HANDOUTS\IMPERvious.doc O. PRio, ti CITY OF PRIOR LAKE `, Pq HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Recd v �rkivBSo 1.Pink File I--t3,11 3(-ll z c� �;ty I PERMIT NO. I I -(J/ l/ll�( (Please type or print and sign at bottom) s' Yellow ApplicantADDRESS / c 3 2_2._ /00 k i kS I ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER 9 a/ co,"/7-e 1/ Phon -2-e - e esi-. (Address) / 4 3 ?- 2— fel i— 1�1 r /L, S �, APPLICANT A+ li` (Name) Q �A -4 /"--- (Phone) (Address) A 5r-372 (Address) P���ir ,-e (City) (Zip Code) (Contact Person) r (Phone) j APPLICANT SIGNATURE �AV /L_ _`J, `DATE A"V"— A ' 'is ,ANT PLEASE COMPLETE BELOW :NEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air Plants WI: PLEASE NOTE: Air Conditioner ❑GravityWater Units and Fireplaces Cannot Encroach into Required Side Yard Setbacks. ❑Mechanical 0 Radiation ❑FFr Conditioning ❑Special Devices Fireplaces with Box Additions or ent.System 0 Other Devices P Cantilevers to the Outside of Buildings P�a'F�cr f/e�/� g FIREPLACE MAKE AND MODEL Require a Building Permit. Industrial,Commercial&Multi-FamilY 1%of jobFEE SCHEDULE cost Residential,Gas Fireplace $49.50 minimum Residential,Heating&A/C(New Construction) $149.50 Residential Heatin Onl Residential,Additions&Alterations $49.50 g y(New Construction) $64.50 Residential,AC Only $49.50 Estimated Cost$ Building Permit # p D HEATING PERMIT FEE $ 1 STATE SURCHARGE $ .50 +� , TOTAL PERMIT FEE $ 0 V v N aQ— (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Building Official Date Date B 411, 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 —... momalL..\ 4646 Dakota Street&E.,Prior Lake,Minnesota 55372 I ., CITY OF PRIOR LAKE PLUMBING PERMIT Date Recd pq U txj r'�NESo�� 1. Blue File I ( . z2 PERMIT NO. U1XIX (Please type or print and sign at bottom) 3. Yellow Applicant ADDRESS / 3 . .,2- p ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID 1 OWNER (Name) Je T4 /4i-ie // c .. / (Phone) �/ "O 6/.C) �.S"_ (Address) / G 3 L -� 44_ J3 APPLICANT (Name) e II F of/-A , /1 (Phone) ‘./ 2-6 .— C. 2 J 9- 2 (Address) / 6 ?j (Address) � r)(- A e,.� S � 11911''‘')—(0/4/4');,1--:C/4. t,"�J.- �-��e. �J 3 ?� (City) (Zip ode) (Contact Person) . !'hone) �� — C/�?f 5 APPLICANT SIGNATURE � ��_A-d, DATE 7 l /PPLICANT PLEASE.COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower I Rough-ins Dishwasher Floor Drain Water Heater 1 Lavatory(Bathroom Sink) ? Water Softener / Laundry Tray(1 or 2 compartment sink Stand Pipe(Washing Machine) Shower Stall Sewage Ejector I Sinks Backflow Assembly Bar Sink Backflow Assembly Test f Water Closet(Toilet) Lawn Sprinkler Other FIndustrial,Commercial&Multi-family 1%of job cost with a$49 .50 minE imum Residential,Residential,New One&Two-Family $149.50 Residential.Additions&Alterations $49.50 Estimated Cost $ Building Permit# PLUMBING PERMIT FEE $ P6 ' `J STATE SURCHARGE $ .50 �` (Office Use Only) TOTAL PERMIT FEE $ 0 ( i0 tV t—', This Application Becomes Your Building Permit When Approved Paid Rec pt Building Official Date Date i 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 P ROLAKEDEPARTMENT OF BUILDING uILD ING AND INSPECTION INSPECTION RECORD SITE ADDRESS ( (0 3 zZ P412-1e. NATURE OF WORK USE OF BUILDIN _ t—s PERMIT NO. A PIAir.`1 DATE ISSUED ( NI( CONTRACTOR �t---rc• r-g.,--..°-/ J LL PHONE /z.- S ,i - 7g5 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUME dd I t••351 4,. 1., „...r2S i 6Av' C ✓t ,t.. 141A-1A41Y4hN Gc,•PECTOR DATE ry3-c�r� /�DATE VLA I FOOTING I , �'yZ // 7 I FOUNDATION (Prior to Backfill) I W G p� PLACE NO CONCRETE UNTIL Y I r2/G v I ABOVE HAS BEEN SIGNED ROUGH - INS sawsphwiffenveepipm FRAMING / / INSULATION ELECTRICAL 29/ .-44,// PLUMBING . HEATING (if required) 5.4: ,` GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I I FINALS Prior to Sodding) BUILDING 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