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DATE TIME
CITY OF PRIOR LAKE gCHEDULED �
INSPECTION NOTICE • /
ADDRESS -�`
OWNERCONTR.
PHONE NO.
PERMIT NO. ____1112__3 Z
0 PLUMBING RI 0 EX/GRAD/FILLING
p FOONINGDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP
❑ FRA0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
0 PLUMBING FINAL 0 GASLINE AIR TST
›;FINAL
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS:
fiWORK SATISFACTORY,PROCEED
O CORRECT ACTION AND PROCEED
O CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Lz5„4aili—i--_
Inspector.
Owner/Contra
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
1NSNOTI
DATE TIME
CITY OF PRIOR LAKE SCHEDULED Z I
INSPECTION NOTICE
ADDRESS 5 3 CI C C—Ae
OWNER CONTR.
PHONE NO. PERMIT NO. \ 5 • I z �
❑ 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
f FINAL 0 PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL 1
COMMENTS:
-.V-112,,J. 'kJ, Ai--t/re
_ - t 6 < r
^ 4-'f 7L
i ,t r FJ 4-/),0 is
❑ WORK SATISFACTORY,PROCEED
CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
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I �3,C-Ai.j 5C ,.TON'i(office use only) _
- � PID„:„ J 'A—
LOT LOCK ADDflION E6,_ L�'�e PID„:„
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(Address) ' '71-1 rx �' -- 3 n Jc
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(Phone) "
(Company a Name) Ai^,
(Contact Name) � � --'� ��.�� ! '' .....)c-----; .•
(Address) 'k V\ •V ( p iepiace
ch ❑Re-R_ ❑Re-Siding °L°fiver Level Finish 0
�B OF WORKNe:v Construction C�DeCk �poCo�ection
Addition ❑Alteration °Utility
�Mist: ��Z. ���
CODE: n R C. DI.3.C. V • A B PROJECT CO$T/ A
Type ofConstruction: I B. In ryF HI "1 R SU (excluding land)
3 4 5
�C`aspS�,7]t^f Grow3: 1 2 3 I am the owner or authorized agent for the
�1Ji530�2' certifyplans. I am al+are that the building
proceed in accordance with submitted
that ceded ner tauth
application which is to the best of my 1 aowledge tree and cai.ect. I also -
a ee that the city official or a designee may enter upon the property to perform I hereby certify that I have furnished information on this P'_
abuve•mentioned propetr�and rh t ail consuuction will c I ny e yo�e��trnn state and local laws and 4v ,
nr%cial can revol— is Pett forjust_cruse. Fuxtltertnore, l - - rate
L Contractor's License No.
`{ ���_ Signature # $ '��
Park Support Fee �, r
0* �al A i
Permit Valuation // � .6,-
Permit Fee 'lij ®. 00
Sewer/Water Connection Fee iii /'+ 15 S�,
SgaIIIIIIIIIIIINIUIIIIIMIIII
�`O Water Tower Fee / 10
5 ,�
Plumbing Permit Fee Builder's Dep � ��—'
&
Mechanical Fee 'TI TO Other /i
_ SD /
Sewer�Water Permit Fee TOTAL DUE ��` �•G3
$ `J�d. CO /�., - l
Gas Fireplace Permit Fee29 & — RecsVPt No.
- � �Permit When upr, ed Paid : ..
MIMI
This Ap•• Lea'on'•. o r,� o Building Date /
I
I�•a (0 This document
/ u l �11r����� D to rust be
F3uiidins _fi ci~ �Ordinance and may proceed as requested.
accordance•.vtth"the City Zonin, p a e eras req oef ocnT is d ,-
that• -request in the above a�plication and accompanying.iocum be
This is to ce.ty
� constitutes a to porar/Cern. of Zoning corn I ante nd allows crntsuucrion to eoi:vxxencc. Before,xcu an ,
when signed by .1 f
(D ,'7 r Special if any
issued. 6� -'
dA7�2=1179851?,ta%(952)��Di.-tor ::rice for all Inspections(952)-"� "
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
Residential Building Permit Checklist r 2 Districts
New Const u-tion for Single or Two-family Dwellings in
Date: j 5
Reviewed by: A
Zoning Building Permit# '
PID:
Address: 53, ._ ��
Legal:L________, B.___— Subdivision:
Existing Structure? YES f 0
Existing Nonconforming Structure? YESIf"
,,
CONFORMS TO ZONING / O����
ORDINANCE . _ _� .
Proposed
Standard -.-
Yard Setbacks: NA I FAILS/CO __.._ --_------
® Front Yard can be 20'if av►,, . m 150' 1111111111511111111111 75. '
10'1 _ o
o Side Yards 25'if abutting a street
o
10'setback+
® Sidewall exceeding 60' requires additional side 2" 2"11'obr 60' 1111 -
setback for every 1'over 60'in length. Not required
to
if building wall is 10'-0"or greater of being parallel
a side lot line.
® Rear Yard 10'sidel
® Patio Door: provide for minimum 10'deck or sign rear
11111111111
statement indicating no deck will be built in the future 25'r
• From 100 year flood elevation of wetland/NURP
30' OM
pond.
• Refer in-ground .00ls to the Planning Department• 75'or setback average of
From 01-IW(Prior or Spring Lake) adjacent structures,but no
less than 50'
`7 MY Z1 .30 Maximum
Floor Area Ratio: NA! AILS I CO Ati
Yard Encroachments I 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 .
AIC and other equipment cannot encroach on interior
side ards. proposed
A.
Tree.Preservation: 1� I FAILS 1 COMPLIES
Standard
• Total call,er inirs
• Permit 35%Removal IIIIIIIIIIIIIIIIIIIIIIIIINIIIIIIIIIII
• Calmer Inches Removed
• Calmer Inches Preserved IIIIIIIIIIIIIIIIIIIMIIIIIIIIIIIIIIMI
• Replacement INIINIIWIIIIIIIMIIMIIIIIIIIIIIIIIII
L:\TEMPLATSBLD GLIST.D O C
niWhite -Building
Canary -Engineering
Pink -Planning
I • • _ ' ; 11 1 l i
NAME OF APPLICANT AP�A A
_ /4/7 I --_:. 4...., /1-4-)/Y) C----
APPLICATION RECEIVED
tannin Departments have reviewed the building permit
The Building, Engineering, and P 9
application for construction activity which is proposed at:
Accepted
_ Accepted With Corrections
Denied /e2 —2-1S—
Reviewed
Z-1Reviewed By:
—._.44&3-----_._------.._. Date:
Comments:
See R= , '1..•,- ., ;.*010,•a
of plans, specifications and
granting of a permit or approval of, any tviolation d
"The p issuance or g 9 permit for, or an approval
of this code or of any other ordinance of the
ojuri dis code Permits
otheri
of
computations shall not be construed to be a
any of the provisions provisions presuming to give authority to violate or cancel the p
ordinances of the jurisdiction shall not be valid."
04 YRI
White -Building
Engineering
�' pink
Canary -Planning
-PI AT •N9 PA- 1 T ._ ,LIT
• PER
74/7^, , ice/ }�G9'YIC �
NAME OF APPLICANT ft 1 - f g, —
The Building, Engineering, and
APPLICATION RECEIVED permit
Planning Departments have reviewed the building p
which is proposed at:
application for construction activity
X 90 4 —1"–
Accepted
Accepted With Corrections
Denied
iti: '4.N... Date: 2
Reviewed By: _
Comments: 1 1 a j aXx_ • -
° `r-
� Cts A.
royal of plans, specifications and
granting of a permit or app royal of, fictions and
"The issuance or permit for, or an approval
computationsother ordinance of the j
of
shall noto this code or o be any the provisions of this code or other
anypresuming of provision
Permits
to give authority to violate or cancel
ordinances urisdiction shall not be valid."
of the j
4 YZz104'0
r -�-- White -Building
w c7 Canary -Engineering
' semi*
Pink -Planning
9 1 i_11 'P
_ s ./int /1.4,97) �'
APPLICANT .•ie� A _ !'� /7
NAME OF Tr- i g: S,._.
APPLICATION RECEIVED
w ...,_ . nnin Departments have:reviewed the building permit
�` -� a Building, Engineering, and Pla 9
.�. application for construction activity which is proposed at:
� 9.
5' g
-Accepted
1 ._-._--.. - Accepted With Corrections
Denied , 41
Date: �° Z
Reviewed By: .
Comments:
approval of plans, specifications. and
granting of a permit or royal of, any violation d
The issuance or g 9 or an
of
computations shall not be is strued tocode or of any e a other ordinance of the jurisdi code ore otheri
ts
any u the to give s
authorityothis to violate or cancel the provisions of this presuming to give
ordinances of the jurisdiction shall not be valid."
o. rRIO Date Rec'd
� e CITY OF PRIOR LAKE /0. // l
H SEWER AND WATER PERMIT
lifiNis -
1. Green File
2. Yellow City PERMIT NO. L r
/
3. Gold Applicant
i a or ' ' t and Si at bottom ZONING(office use)
6 40 '65 ib.fi 6) )\/;-.43---
LEGAL DESCRIPTION(office use only)
PID
LOT BLOCK ADDITION
OWNER (Phone)
(Name)
(Address) (Address) (City) (Zip Code)
APPLICANT t 3 -r,�.''� C-- ` one) •
dowso I 6r, - , --2 _i_
V
(Address) (City)
K/!
(Zip Code)
gio .Person) 61Y/ . � 2 (�I Q-c__
_ (Phone) ___ _312-. 4:1 1 (Q3e)
Z
i% -
SIGNATURE �: �L -..... =,„ • _
if AP 'LICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings Lfrom BC �PVC � Cast Iron structure feet.
e
Type of sewer pipe. feet.
Estimated length of sewer line feet from structure.
Clean out(if required)located at
FEE SCHEDULE
Residential sewer and water line connection $51.50 Industrial,C oon Multi-family 1%of job cost with a$51.50 minimum
Sewer connection only
$25.50 Waterc
nly $25.50
Estimated Cost $ Building Permit#
the minnesota statutes S sLtin.l1-rts
SEWER AND WATER PERMIT FEE $
---- "SURCHARGE"has been extended
STATE SURCHARGE $ -_ The minimum surcharge for a
TOTAL PERMIT FEE "fixed fee"permit is$5.00
(Office Use Only) Receipt No.
This Application Becomes Your Building Permit When Approved Paid
Date
l Lill■
Date ~ PERMITBuildinE Official I
24 hour4646 Dakota Street S.E. Prior Lake,9Minnesot 9 5 372_4�
°�C Date Rec'd
o� P R Iop PLUMBING PERMIT
ti
CITY OF PRIOR LAKE d13 . 'S
U �
�rj o�� Blue Fie
CApplicant
PERMIT NO. i 5-, (Z
NN g 5 2. coria y
3 Yellow Applicant
ZONING(office use)
Please i'• or . '.t and si i' at bottom
ADDRESS
5390 Snell Court SE
LEGAL DESCRIPTION(office use only)
PID Z5'�Q 0•03g—if 10BLOCK 5 ADDITION Ea.le Creek Estates
(Phone) 952'898'0230
OR Brandi Anderson Homes
(Address) 4555 Erin Dr Ste 120 Eagan, Mn 55122
(Phone) 507-645-7654
APPLICANT
Northfield Plumbing 55057
(Name) Northfield, Mn
(Zip Code)
1403 Heritage Drive Ste C (City)
(Address) (Address)
(Contact Person)
507-645-7654
Jim Jessen or Wendy Jessen (Phone) 11/11/155
54
iii. DATE
APPLICANT SIGNATURE -
APPLICANT PLEASE COMPLETE BELOW T ,e of Fixture
TQuanti e of Fixture Rout -ins
Quanti 11111113. Bath Tub with or without shower
Dishwasher 1111111.11111
11111111111 Water Softener
111111111111 Floor Drain1111110111110 Stand Pi•e(Washin:Machine)
Lavato (Bathroom Sink) 1 Sewa:e E'ector
IIIIINI
1 Laund Tra 1 or 2 corn•artlnent sink 111111101.1 0 Backflow Assembl
Shower Stall111111112111Backflow Assembl Test
0
1111111111
Lawn S•rinkler
Bar Sink Other
Water Closet(Toilet)
FEE SCHEDULE
Industrial,Commercial&Multi-family 1%of job cost with a$49.50 minimum Residential,New One&TwoFamily $149.50
Residential,Additions&Alterations $49.50
Building Permit#
Estimated Cost $
PLUMBING PERMIT FEE $ 1 21
STATE SURCHARGE $
TOTAL PERMIT FEE $ DWITH
(Office Use Only) Paid
This Application Becomes Your Building Permit When Approved
Date By
Date
Building Official
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
Date Rec'd�
r x ro�� CITY OF PRIOR LAKE
9 AIR CONDITIONING/FIREPLACE PERMIT I( • i 1•I 1
� HEATING/
�rlNNEili;76SO�C I. Pink File PERMIT NO. Oil
M
2.Green Cny
3.Yellow Applicant
'lease t 1.a or .tint and si+ at bottom
ZONING(office use)
ADDRESS
LEGAL DESCRIPTION(office use only) PID
LOT BLOCK ADDITION R ( �}
OWNS, �v,7
t � (Phone) T�C�!�'"r�(�� 1 —
(Address)
APPLIC:-yT. ♦ qtr , , �i /t_ (Phone) 5
(Name) Illi � l+z- Y �'M► -
' it y y 20 r f St
f, 1 ' (City) (Zip Code)
(Address) .• (Address)
(Phone)
(Contact Person) _ 1, li iif / `�
APPLICANT SIGNATURE "`,,'...AA' /IR—'-ma. • DATE
/
APPLICANT PLEAS COMPLETE BELOW
la EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
I ZSSO _I�_ � .FUEL
FURNACE MAKE AND MODEL Ili&I C = 4INPUT _. OUTPUT r _ -
FLUE SIZE RETURN OPENINGS �0
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner
0 Steam Units and Fireplaces Cannot Encroach
Warm Air Plants 0 Hot Water into Required Side Yard Setbacks.
11■Gravity 0 Radiation Fireplaces with Box Additions or
Mechanical 0 Special Devices Cantilevers to the Outside of Buildings
11•Vent.Systemtoning
0 Other Devices Require a Building Permit.
■
€ E MAKE AND MODEL,, `-
FEE SCHEDULE $49.50
1%of job cost Residential,Gas Fireplace
Industrial,Commercial&Multi Fatuity $49.50 minimums ; Alterations $49.50
Residential, -=- ing&A/C(New Construction) $149.50 Residentia• • i,ential,AC Only $49.50
Residential,Heating c• (New Construction) $64.50
Est'„: -, os `;
Building Permit #
HEATING PERMIT FEE $_________
1,00
STATE SURCHARGE $ '°��
TOTAL PERMIT FEE $ r•1'
(Office Use Only) * * 'eceipt No.
This Application Becomes Your Building Permit When Approved Paid
Date By
Buildina Official
Date
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
( O Builders Deposit
lu-
l, City of Prior Lake
sit is
A $2,500.00 Builders Depose.
it is included in the Builodti an es g rowit eaccount.) All exterior it ms rs ncluding ut t not
othlie date limited compliance
for a Final Occupancy
Permit. (It is n
landscaping, tree planting, driveways, siding and painting shall be completed 180 tify the da
licant of the
grading, sodding, Citshall no
applicant
ear. By
building permit is issued. If the work is not complete withinothe $2,500 00 builders deposit will be forfeited and the
violation and the applicant shall have 10 days to comply
will be billed for clean up or corrective work to rectify the situation. for a
A$500.00 Tree Deposit may also be required and will beet ndeat I a m aware of the eros on control requ'pementsfof the one Y City of
sig /23
ning this I, the undersigned contractor, acknowledge
Prior Lake as outlined in the Erosion Control Measures for Building Contractors handout. PERMIT#________
iS - Z--
D
ATE: �� '�'� SITE ADDRESS: `�`�fo SN(
REFUND TO BE MAILED TO: ¢ �� N Da– - Z-0- ,t/ Ai 551 Z
PLEASE REMEMBER -. �-if i
(For City Office Use Only)
1. KEEP STREETS CLEAN DURING CONSTRUCTION Z 714J2 , 5oo �'�
2. KEEP EROSION CONTROL IN PLACE Date
------:--------; Amount
ST NOT / 1
3. TEMPORARY OCCUPANCY PERMIT MU Lynda Al n
EXPIRE OR ONE-THIRD MAY BE FORFEITED Building Svcs.
z ei.: )
IIt
/SIGNATURE: VAV 1L4
THIS CHECK IS VOID WITHOUT A BLUE&RED BACKGROUND AND A WATERMARK HOLD UP TO THE LIGHT TO VERIFY µ
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i Anderson Homes, s` ,STT " " 741 e4 fi ''�r.,
- ,hti
a¢ t; ,o-i----
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ll'0 L 258 Lila 1:09 L9056801: 34 LO 73660°
2.06-
PRIOR
0CS
DROF
BUILEPADING TMENT AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 5.3, G, ;
NATURE OF WORK yin cI -p���
USE OF BUILDING
DTE ISSUED
PERMIT NO. /5, � z-- . CR 50
P r�'� PHONE g5-2- -(F98
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR
d d
FOOTING
FOUNDATION (Prior To Backfill) vD 1Q-A) `--
RADON RETARDER Q "`"� \ 16 I`h
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
_SEWERNVATER/SEPTIC a 14-9\
FRAMING ''' . .z Q
INSULATION " 2 ( ' \ i
ELECTRICAL
PLUMBING I--+.-i `�`�—' Li (
HEATING tt
FIREPLACE
GAS LINE AIR TEST
RADONVINEW 101#6P/,(26 ABO E HAS BEEN SIGNED
COVER NO WORK UNTIL THE
I HOUSEWRAP z R(i te LATH 1 I
I
FINALS
GRADING ( PRIOR TO SODDING) _ --
BUILDING -Tx-0 ., L-5-)(, t I 2 2 I�
`_. ELECTRICAL
• PLUMBING
HEATING r✓)2tfer,•
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