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HomeMy WebLinkAboutBuilding Permit 15. 0163, Demo 15. 0221 ,. •...,M..,.N t..,�.-:ii,,._.,rr".,,...�...-.. ..rHr...- �.-mv�-,.�,a„ -.k;: +vy„ ys•Wer wS ^".-".i'"ska..r :•y..;+..;HeNwss:...:M. ^x+ ♦ 5'... y a'iF&, - ,_ , ,i.. _.i:. .,r .. n,.,r :,r.u,,.,nau:,Y i,_ n._i i..i..ii•. rV.❑_.u.Jr•.rdlVi..n,n.. r_., i_.i r i r_.i i.c, i_,t .i,. _. _. .. ,� Cntrfifirafr of (fir arty CITY OF PRIOR LAKE !irnrfnun of niI Mu cltn p r tot [ inal Permitted ❑ Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the E Residential/❑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 Sing 1 P Family Bldg.Permit No: 15-0163 ' Occupancy,TypeType Construction Zoning District R 1 S �' - Legal.Description Lot 53, LnkPside Park 16030 Owner of Building Site Address Eagle Creek Avenue Contractor's Name&Address Greenwnod Design dui ld, 4890 W 77th St, Suite 150, ` RoDert D . Hutchins Edina, MN 5543" City Planner uilding Official Date: 2t1 (/„ Date: `r POST IN CONSPICUOUS PLACE _ 10 J sto tip: Z W '1 ), �2 U U Arq , f, illIL Q 0 core 000000 r; `- V w O 61.[c w 0 111ft..._iu Oa.a. � � m � Q o • W O h x h z ce idH f G 0 2 O UjWd 3W W tU W nTe3v� n � w C4 0000 ❑❑ 8 8 LL /1... i J O Z 0 • ?Wt WW Z < 0 `- , ii ..p a , N U v ` .� A ao N Z =o ?~ z W `.` re re C Q c OW W W Z 83g42t 2 i .... _. v V 1' U V a. 0 O u�.u. u. =60 0 0 0 U? a 0 a=. DOODAD V _ 14 2 - § UE 14 tari41 § £ } k k) 22 § k% 2 0 ■ w w ■ - . 6 0 o 5ee0 ® 12 £ - § Z ❑ OOOOO / » 2 % 4 § z 4 q L. 'N.) 0 A o � ' �� u. 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J 0 p. fel Z0 H0 — a. 0 Z oC a� N i •zpZS Z W 'Y CZ J A ILV CO Q• W HZ "10J W Q, d, t 0 O O W Z - Z 0 0 u) F- E ,1 , O O V ir. co I w vz a O a ❑❑ 001k0 V � '�' ,R' `3 ,1 _ o� PRlp.P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd e TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 2 20•6s • • ` . • ' I ' ' ECTION PERMIT erl p4mied Am" 4,,NNEsolP I. White File 2. Pink City PERMIT NO. /5- /6,3 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) /l oho /e&— 1i e 4S' RISC' LEGAL DESCRIPTION(office use only) ► 'ih ?r/teciw�, P1 Go 71-a53 ,uhdiis/1077 Cd2 w,ele iv z.c' :f, LOT BLOCK ADDITION PID //j/l/ OF.c2._. OWNE(Name) gid //lQ- f, oir, / /urk (Phone) (,12 17 / (Address) ` zo ibkece,-00 -e,� $MAeree! /V *-5:j•2"/ BUILDER , - (Company Name) Vth/� /97 '1l1 C (Phone) ---2"�7' ' / (Contact Name) toehi,e// 7 (Phone) /0/204,--V-306.06. (Address) A/es-7 77ih J3yee f Sade.. /50, ,616;z0 /�f'. b--JT1S 5•C- t r? TYPE OF WORK New Construction ❑Deck ['Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish [I Fireplace Addition ['Alteration ['Utility Connection • CODE: R.C. ❑I.B.C. ❑Misc. Type of Construction: I II III IV V� ® z/PROJECT COST/VALUE $ '5 Occupancy Group: ABE F HI M W S U / (excluding land) Division: 1 2 3 4 5 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 rey his permit fo 1st cau Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X ./�.. /_ g Co z 99VCy 0/404 r-- -.re Contractor's License No. Date Permit Valuation 2._& 51, 00 '_ Park Support Fee # $ Permit Fee $ Ze j--i • SAC # $ Plan Check Fee $ �3j ! r/Z Water Meter Size 1"; $ ff y�l/l• Oa _ L State Surcharge $ ! zf 27 Pressure Reducer $ /5o a Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ /5-4A Water Tower Fee # $ Mechanical Permit Fee $ / 9, Builder's Deposit $ tda CD Sewer&Water Permit Fee $ /7� 6V Other �y� $ J --/ Gas Fireplace Permit Fee $ . �9-1/.L[� c TOTAL DUE O%�. tzo Z- 7 - $ —7/9 t _- This App' at'. Becomesour Building Permit ' en -pproved Paid ?°7 14' R ipt No.fas0 Date 3 Z 7 /5--- i. ,4 i / A Bt �iciti 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 r hficate..of Occupancy must be issued. P �� 1 t /L - �6``� '�c �G�f7rn�L f ®efn Vi�r��y Pl:/ng Director Date Special Con ''ons,if any o 24 hour notice fo II inspections(9.52)447-9850,fax(952)447-4245 4646 Dako Street Prior Lake,MN 55372 - 4. 1r� R/"04 CITY OF PRIOR LAKE Date Rec'd 11 1 vs DEMOLITION PERMIT 4rrA'NESOc PERMIT NO. (5,-z2 ) (Please type or print and sign at bottom) / ADDRESS 6o3o1 ZONING(office use) LEGAL DESCRIPTION(office use only) LOTS 3BLOCK4 ADDITION Lc.,Lkf,/(' 44 PID OWNER • (Name) L-.,L l . (Phone) s .1. Ita . , (Address) CONTRACTOR �^ ^ J �/ (Company Name) (7-1" I b4 ..,/�/ (Phone) 6J7s (Contact Name) 547 ,/.....0A47"oA47" I ,�, (Phone) 642 � Se 1-4 r , (Address) 7 00 1� ,)t 77 if /56 £% / /�, / [ 3 5/3 5 Use of rlingz INTERNATIONAL BDING CODE Type of Construction: t/ II III IV V A B 6., r / Occupancy Group: A B E F H I M R S U Division: 1 2 3 4 5 e MPCA NOTIFICATION OF INTENT TO PERFORM A DEMOLITION 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' accordance with submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree tilt .. ti ty,i cial o design m enter upon the property to perform needed inspections. 3-&77 • ignature Date � 1 +� �+ Ai i 7, � J �,t 1' u1 ut 1 +�+t � 'v�iiie ' _ This !:cation Becomes Your Demolition `,��,f i i;� ° t `" {'' "#c '' " rmit When Approved . . :, ,.aw , �: k ,0 de9- C-4fr A i‘‘4\\thith._ 3 /3/5— Building Offlcia mw- Date This is to certify that the -. -st i. . aboveRppli 'on and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. ' .3 / ( 3// //.�- .7-- in a'rector Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 16200 Eagle Creek Avenue,Prior Lake,Minnesota 55372 White - Building Canary -Engineering U(D4fiNbrEs Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT q,&&WOOD DE 76i / 5W12 APPLICATION RECEIVED Z . 2 .O . !C The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /('030 6/966 C� i� 11 V5it/v6 56 Accepted !% Accepted With Corrections Denied -- /fe" Reviewed By: it Date: / Comments: j- r-o" / ("' "i Ar 4r,<- 04t5 • sarif� � `�, fi1'rj ' ��LL'i �`iit7/:� v 11 ' ;► ' . Ir--PA-1 Wome . PO1 / ✓ /s .7/�Fecs7&% 3^ /4? -6G� ��'v� �12� .�` 5 6�-�s riti� M Y, 54(024.5". r/Frc `' ivc7 lS /ss <6,0 �r 117771-60-601-&711 t � -' (P(cy , 4.. 45' - g'„)-(e-r- ie&2,J(ro Acia. kw 41-44 $ -/s , , "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." 1.4.404 ?RIP+ White -Building ' lEsc Canary -Engineering Pink -Planning 4 ILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT q/G6..6/Vi C O o ;I67 I Ci/� APPLICATION RECEIVED • c ' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /&620 6-1/6,& -e Accepted Accepted With Corrections Denied Reviewed By: /1 Date: 3 -02-5--76- Comments: 02- Comments: iee_s,,44/y‘ 14L-ilovrt 1-45 ?Cartel yaP r e-doce4, /A:Ae xe...eCtel he# frebdiell 7 nk A-.1 o eei t jet 00,er?y .rztivAircs se4t-le3404.1 eeeteotooti / y mss Aire:en-L(4k cf,id off/I e ,' r /h (See //niter cc rWep:Y. "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." YRIO6001 White -Building Canary -Engineering 411^'r►a$O`tt' Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT q/2-6-_-&----A4V00t) DES-I0` i 630/L0 APPLICATION v/ - APPLICATION RECEIVED 2- . • /5 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / 030 6r/6 ( :� y/ (�/47(/`6 5 . Accepted L/ Accepted With Corrections Denied II Reviewed By: L � _) �._.__ Date: .3/ Z s Comments: See Reverse Side for Additional Information! A l6MT"Lor-- l Rsi 1 /eiu12c 0 /F 4v/vve.7 bv,4162. VA-Lvt. 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." 0 . , tom - MINNESOTA DEPARTMENT OF ALTH Minnesota Well and Boring'WELL OR BORING LOCATION H4 .__ WELL AND BORING SEALIN RECORD Seal Na ?.. scori County Name Mmnasotang t}nique Weal Na. --` - -- Minnesota Statutes,Chapter 1031 or W-wiles No, Township Name Township No. Range Na. Section No.rtrar on(urn €q. Date Sealed _ ... .._"�I Dots Well or Boring Constructed _..._._.. _ ._._....... .. g �g, E Q. GPS LOCATION-decimal degrees to our decimal;dace-at _« Latitude LongaUdt3 Depth Before Sealing r R. Ougnat Depth 12 , ..........ft. e AQUIFER(S) STATIC WATER LEVEL Numerical.St-eet:Address e Fire Nun-ber and City of Well or Bor ng„ocat=on k.,Single An ler „_Multiequrter { �ryry -°" 4 r'd WELLfBOR}N4 M aao ed Estimated Date Measured _... Show - '' ,O,U ' — - 't` i^ Water-Supply Weil f Mont Well Show exact location of well a boring Sketch map of well or barngf` In section Arid with X" location.showing property ,�Env:Bore Hale ;Other ,--- `^ ,o.,r+'_..._ `-- below �above land surface tines roads and buildrigs N CASING TYPE(S) E n 1 f '''''')L i. Stt a .Plastic f Tito Other 1 `• , p: WELLHEAD COMPLETION IMil ori E a —4-- T . L-=-I ; f*„ Outside: _Welt Howe At Grade Inside: .i Casement Offset IIIht ler '' Pitiess Adopterlin�t —a Caries !Wel Pit i 1% :. a Buried S i. ---,./ ..Well Pit Mile I Other _ Other..,, ..... PROPE OWNPR'SNMt PANYNAMECASINGS) e Y Diameter Dept- Set in oversize hole's Annular spaces initially groutetl? .,. t. ir#spert owners isiiirig s ss,different Oran wail location acsras-iuicatea above e t q y � .... �._,rt from _...�t... t�_f.L_._{......ft. -°"=Yes No '+�Yes �'No .IJnknown J t1 P 5`�4k .... ih.from tq._.._. _.ft. 'l Yes No .w;Yes :No Unknown 41 in,from to r. _�Yes No 1 Yes l ---. _.._..... ,No Unknown WELL OWNERS NAMEt.'OMPANY NAME SCREEN/OPEN HOLE i Well sane-n morning address it ddferent than property carers a-tdress indicated above Screen'ram _ } d - fo : .,/, ,,f t. Open Hble from to tt «'.a ,,, OBSTRUCTIONS t , Rods.Drop Pipe Check Valuers? i Debris - Fil)"'" No Obstruction Type of Obstructions(Oescrbe` IHARDnearby welt or boring NESS I Obstructions removed, Yes i Na Describe . GEOLOGICAL MATERIAL 1 COLOR. epRMATItIORR FROM TO --. _� ._.__ _ ..... h known,indicate estimated formation log from - PUMP ' - i Type C r. a) v^at^{«(f i.'tC' 1 Ci Reproved r'',Nci Pre_e ��- v.. Other ' S ri A i } ^tor,r* a (1 1..METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS,OR CASING AND BORE HOLE: No Annular Space Exists 'Annutat-Space Grouted with Tremie Pipe Casing-Pertoratiorr Removal I -- in.from tp:: _..._ ft. , }Perforated . Removed -rt, in.Siam_ ..,.__._.,to__._ _........ .......ft. ,-Perforated Removed I t 4-/ Type of Perforator —— ..-. VARIANCE I Was a variance granted from the MOH for this welt? Yes _No TN#_.., 3 GROUTING MATERIAL(S) (One bag of cement=94 lbs.,one bag of bentonite=50 lbs.) I.Groutnng Maternal. _.._ 'r,,,i :1 from to ..._j ft._.___-...... yards I bags __..... .__ from to It. yeas bags ' ..._.._ .� .... _....._from _.._...._ to i OTHER WELLS AND BORINGS REMARKS,SOURCE.OF DATA,DIFFICULTIES IN SEALING - (?cher unseated and unused well or baring o^property`? , !Yea„fit._No Now many? . _.--.. LICENSED OR REGISTERED CONTRACTOR CERTIFICATION This well or boring was seal-d inaccordance with Minnesota Rules.Chapter 4725.The information contained it this report is trueea ofrn,s in lec.e. Ld Lrren:r'ee Or<str.ess N.-a .—_.... L;canse or Reastratan No. ,q� 4. « „f j } y,dd }/ tttl Gert.,ed Repr tr.o .nature �- ¢ Uerirtiied Rep. Date r t ....... -i,,,,,,,,,,,,',FILE WG+ i PttiOtznarTY iii -1 G .4 P`E .._ ......._ d d d` /apt:). --- t P€�£rE wu 3”i itr'tvi':;2 c tSPY m .a,k„7 & ( :Na r a of S sg Weh ar E3colg HEC 14?4-t 4 IC#14U 0422 5;'•3f? LETTER OF INTENT • Re: 16030 Eagle Creek Avenue, Katherina & Robert Yurko (owners) INTRODUCTION: The diagram (Exhibit A) highlights a unique property condition within the city, where an county road right-of-way exists between Eagle Creek Avenue and the adjoining property addresses: 16000, 16010, 16020, 16030, 16044, 16058, 16072, 16084, and 16094. Some of these properties have existing garages located partially on their property and partially Within the county road right-of-way, while others have no garage and are intending to seek an agreement with the city that would allow them to construct a garage (partially within their property and partially within the county road right-of-way). Property owners, Katherina and Robert Yurko (16030) have 54 feet of frontage along the county road right-of-way, at a depth of 47 feet, and wish to keep and maintain their existing garage in the same manner of operation and in its current location (partially on their property and partially within the county road right-of-way). A new roof was put on the structure in 2014; The Yurko's plan to install new garage doors and put a fresh coat of paint on the structure in the future. They have received a Demolition permit for the existing cabin on the property and are seeking a Building Permit to construct a new home detached from this existing garage on their property, however they have been informed by Building Permit/Inspections staff that they must demolish it in order to get a Building Permit due to the City Code Zoning Ordinance, Part 11 Zoning, Section 1107.2300 Non-conformities: 1107.2302(4) A legal nonconformity may be continued at the size and the manner of operation existing at the time of adoption of this Ordinance, except as provided herein. (4) Damaged or Destroyed Structures. If the cost to repair a non-conformity involving a damaged structure is more than 50% of the County Assessor's market value of the structure at the time of the damage, the structure shall be removed or made to conform to this Ordinance within 12 months of the occurrence of the damage. To keep their demolition/building process moving, Katherina and Robert Yurko, owners of the property located at 16030 Eagle Creek Ave SE, Prior Lake, Minnesota, herby acknowledge the following conditions attached to the demolition permit on record with the City of Prior Lake. 1) Owners have placed $2,500 (value determined as 125% of two contractor estimates, see Exhibit B&C) in escrow monies with the City of Prior Lake and will seek an agreement to retain/maintain the detached garage located at 16030 Eagle Creek Ave SE, by following the process of approval from the city of Prior Lake Planning Commission and/or City Council. Favorable action by the Prior Lake Planning Commission and/or City Council would need to occur by March 26, 2016, (12 months after the start of the house building permit issuance), and would result in the owner being refunded their$2,500. 2) If owners are unsuccessful in formal requests to retain/maintain the detached garage at 16030 Eagle Creek Ave SE, the owner may elect for the detached garage demolition any time after the house demolition permit is issued. Demolition of the detached garage will occur by March 26, 2016, (12 months after the start of the house building permit issuance), and would result in the owner being refunded their$2,500. pRiOZ) 6011 ,yMemo , Date: Wednesday, May 13, 2015 To: Janet Ringberg From: Lynda Allen Subject: Demolition Permit #15-0221 16030 Eagle Creek Avenue The demolition permit has been closed on the above referenced project. Please return the $5,000.00 demolition deposit to: Greenwood Design Build, LLC 4820 West 77th Street, Suite 150 Edina, Minnesota 55435 Thank you. L a S. Allen Building Services Assistant 'S 111 . Phone 952.447.9800 / Fax 952.447.4245/www.eityofpriorlake.com o rRx°4 CITY OF PRIOR LAKE Date Rec'd ['':, r , .. HEATING/AIR CONDITIONING/FIREPLACE PERMIT zn 4fr a K .,,,,,k Fite PERMIT NO. hNESO 2.Green Cif}'. (5'• 6 (Please type or print and sign at bottom) ADDRESSor ,,a ZONING(office use) k I? NO k Ave .Creel() LEGAL DESCRIPTION(office use only) LOT BLOCK. ADDITION PID OWN)• 1 tv1v A I 1= L (Phone) (Name) lf 9 A •� l Addres '1 109' 101 4. I !. mil A�PPLI• } y`� jaaj� j f ff)) (Flame) i ' !� Dm,�} (Phone) I • I ?) `. gip. (Address) S �` II . f 1/£ r (Contact Person) f �' (Phone) VW,. ! f sr*APPLICANT SIGNAT .f.,' , DATE ' t-- I s APPLICANT PLEASE COMPLETE BELOW ENEW CONSTRUCTION ['REPLACEMENT OALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ©Warm Air Plants El Steam Units and Fireplaces Cannot Encroach OGravity OHot Water into Required Side Yard Setbacks. Mechanical ❑Radiation Fireplaces with Box Additions or Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings 0 Vent. System *Othervices Require a Building Permit. FIREPLACE MADE AND MODEL 1 • tida i FEE SCHEDULE Industrial,Commercial&Multi Family I%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) $54.50 Residential,AC Only $49.50 Cost$ Building Permit# HEATING PERMIT FEE $ STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ ',9,(' ,..../4 q ! This Application Becomes Your Building Permit When Approved Paid K . Building Official Date Date By 24 hour notice for all inspections(952)447-9850 ` -i,,), 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 Date Rec'dale (67cP R Ips CITY OF PRIOR LAKE i.':A N x SEWER AND WATER PERMIT 3. II - i7 ./-,.,..,, ,,,r k,„Eso I. YellowCit PERMIT NO. z. Yellow cay 3. Gold Applicant •WS (Please type or print and sign at bottom) ADDRESSZONING(office use) 10?e)30 '4:" Air / ei_e_„__..„4 azze.,/ 5-... --/ LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) 1� + �7%?1t.. _i 2.-e.I 9, 7_.) (Phone) ,/ ,�/ (Address) 44/4801.2 >i 771 -:.l�C. ,,A / o tW) S5'?"g,.J (Address) (City) (Zip Code) AP(Name) ... /,/'iV7)"r_i Phone '7.'1 7 "7"7 a —.> 'C ) (Name) ..J..,l1'3,�.1�,,.�/ a " " / ` (Phone) (Address) r/A .0(2/x:(l ' � (Address) 41Lee2/Y)/ �} (ZipipCode)odj (Contact Person) €C, .�?2/.40 530-2/-1-4.--) (Phone) fa/I " / 9 4S97 7 APPLICANT SIGNATURE r�.v `fes45) /,R _ / DATE ,tj/ APPLICANT PLEASE COMPLETE BELOW Size of water service f inches. Location of any couplings from structure WA feet. Type of sewer pipe. ❑ ABc, [yj PVC ❑ Cast Iron Estimated length of sewer line ..,4V feet. Clean out(if required) located at Jc2i feet from structure. FEE SCHEDULE Residential sewer and water line connection $51.50 Industrial,Com'I&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 $ 6)ZZOL 2'-i-d---) STATE SURCHARGE $ r .50 1;24:ejey..z TOTAL PERMIT FEE $ • (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. . } �i Da BUIL . PERMIT Building Official Date T 24 hour notice for all inspections(952)447-9850,f 952) 245 4646 Dakota Street S.E.,Prior Lake,Minnes 55372 ot Ptua,p CITY OF PRIOR LAKE Date Rec'd ,,°y } 9r. HEATING/AIR CONDITIONING/FIREPLACE PERMIT .,, ' vNEsco„t, 1.rGinFik PERMIT NO. 15 ttO I'YeoApplcan • (Please type or print and sign at bottom) ADDRESS ZONING(office use) I(.D 0 30 EaSkt Crees,c 4x. . E:._ LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PI© (Name)NE (�'t:ectrlt 1* ' t UA.i,..\6, (Phone) CDT: 4-43O (Address)4 ZO L ."iP . S\iOcc.- \ c) i VNVL-- 1 \'\(\‘I''' ' cfA.31 APPLICANT (Phone) �`�s' —' rr�l— (Name)R Yett1 f "�'f'V-t 4- t+r (Address)5-105 3c to 1i=k71 Sk, t3, mss,I►-G.- k C}2-W- lf-ki1(1-'03 05 Pl. (Contact Person) V W w' e 1 niKeAtc:{,. (Phone) qsz_4�l—.3 1 I f_ APPLICANT SIGNATURE g) 9 , / _DATE v1 Ca 115 APPLICANT PLEASE COMPLETE BELOW { ,NEW CONSTRUCTION DREPLACEMENT El ALTERATIONS FURNACE MAKE AND MODEL .1v1i n S95c2_CCC)gi FUEL t ..C'''‘PC FLUE SIZE 3 " RETURN OPENINGS \C INPUT ZDIDDO OUTPUT —7-a,)(rn0 TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Warm Air Plants DSteam Units and Fireplaces Cannot Encroach DGravity DHot Water into Required Side Yard Setbacks. ®Mechanical 0 Radiation Fireplaces with Box Additions or ESAir Conditioning 0 Special Devices Cantilevers to the Outside of Buildings El Vent,System ❑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 Pennitl! HEATING PERMIT FEE $ STATE SURCHARGE $ 5,01) TOTAL PERMIT FEE $ This Application Becomes Your Building Permit When Approved Paid , • ',ipt No. Date `�1gi "' Building Official bate ' t Pg. 24 hour notice for all inspections(952)447-9850 --® " ' 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 v0 4 VRI% Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT i4(, 15-� ` e 1. Blue File / 2.Gold oily PERMIT NO. /5 _/(5 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 1 ( c 3 O EoL C- ree. A ile.._. SE- LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER X01 Z 'SW - �/.30� (Name) &re el-. c.✓on� 1:>e S (Phone)(5."-\ (Address) APPLICANT (Name) S e-Y V i irk p(.vork 6 i' (Phone) 320--9 ad '(//66(. (Address) 02 72 70) ii cre_. .1)45_5e f S53 ZS- (Address) (City) (Zip Code) (Contact Person) `Ti'm 5,e r--JJ 1'Yr (Phone) 'SR' itvii... APPLICANT SIGNATURE Gid 7 ', DATE Z. APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture o? Bath Tub with or without shower Rough-ins i Dishwasher / Water Heater Floor Drain Water Softener SLavatory(Bathroom Sink) Stand Pipe(Washing Machine) / Laundry Tray(1 or 2 compartment sink Sewage Ejector .7 Shower Stall Backflow Assembly ,O Sinks Backflow Assembly Test / Bar Sink Lawn Sprinkler 3 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# Tileinnesota Statutes , , iii:.,•z "SURCHARGE has been ; x:ten( en PLUMBING PERMIT FEE $ The minimum surchar� • for STATE SURCHARGE $ t,x er gee" permit is : .. , . TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Ill Receipt No. 1111 Date � , + Buildine Official Date a�r11f��i� 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 , 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 '11; CPRi;*;? l� U Memo 4filvi,Es07) Date: Tuesday, February 09, 2016 To: Janet Ringberg From: Lynda Allen Subject: Building Permit #15-0163 16030 Eagle Creek Avenue SE This memo authorizes the return of the $2,500.00 escrow monies. Please return to: Katherina Yurko 16030 Eagle Creek Avenue SE Prior Lake, Minnesota 55372 Thank you. LyndilL S. Allen Building Services Assistant Phone 952.447.9800 / Fax 952.447.4245/www.cityofpriorlake.com