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HomeMy WebLinkAboutBldg Permit 05-0919 & 06-0450 ~,.:;;.. (Please type or print and sign at b , _. _ . ,.) . ADDRESS 14-4b3 .F;'U'L,q V e CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT fr AI.W. LOT 14 BLOCK? LEGAL DESCRIPTION (office use only) - ADDITION A IFFre-A!s OWNER (Name) (Address) BUILDER (Company Name) WI3AJ5M,.:NN )./OMI!!E-S (Contact Name) -r;;;., .:;i'JfElZlDAAI (Address) I a'~ 5 p~,., z". he 5cJ, p1t>O Date Rec' d ~~ ~~oS I PERMIT NO. 05"". 0'1/1 I I White 2. Pink 3 Yellow File City Applicant ZONING (office use) PUS' 0 PcIU b I~r /It> /) PID ~1j -4~7-t)~/- t:> o Misc. B S U PROJECT COST IV ALUE $ (excluding land) (Phone) (Phone) t,~/- ~b~ -f41J~ (Phone) ~6::J ~ ~(, ~ - 7 ~ :s I - TYPE OF WORK ~New Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace OAddition OAlteration OUtility Connection CODE: !0f.R.C. DI.B.C. Type of Construction: Occupancy Group: A B Division: I E III IV H I 2 3 A R 5 IS4_~~o I hereby certilY that I have f\imished mformation on this application which is to the best of my knowledge true and correct. I also celtilY that I am the owner or authorIzed agent for the above-mentioned propelty and tha all con uction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg official ~ this per for st cau Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspections. Id1I1 I .. 145ft ~r~3-o5 x I Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee Signature V M 4 II F 1 jj 13~.tJ()tJ. tJ~ $ /5/P..r,So $ /O/b,ZP_ $ 9~,S"o_ $ $ $ $ $ l ()() . ()i) I I (){) ,UD I y--~ 40"()() This ~lilti"/omes Your Building Pennit When Approved ----'l'V' I ~ Q-{~dS Building Otlicial "Date $ $ $ $ $ $ $ $ f14"-() 12-f.tJS- $ e"772.7~ , Receipt No.~OrJi/tJ By ti 0- Contractor's License No. I Park Support Fee # I SAC # I Water Meter Size 5/8"; 1"; Pressure Reducer Sewer/Water Connection Fee # Water Tower Fee # Builder's Deposit I Other I TOTAL DUE Paid W1~ol .I -r>? Date Q ~ ;:) ~ - ., Date l/fSV.OV 300.00 7f. Oc) I ,flX). (JrJ J ~ OIJ().O() I: - roo- ()() t thc request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requestcd. This document Cit Plan stllUtcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be , q-/.r'()~ (It:.aJ 011 II~ oJ-. ~~'\ Date Special Conditions, if any - 24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Residential Building Permit Checklist New Construction for Single or Two.family Dwellings in R.1 orR72 Districts', Reviewed by; fh ik. 1ZJr.."", Date; . '" -1.>- as- Building Permit # Address; ".l'd {.,f '3 Legal: L ./tiL, s-13 PID: .u-"Q37.(j'/-O Zoning: PI/SO ~ "cl'/X.. ~..,- /I/. W. Subdivision: 3c-th"1 (7lJ.1cl I ~t- ,.ft:k! . \ Existing. ~tru"'~ture? YES @ Existing Nonconforming Structure? YES I@) ---'~'~-) . . Co/ NO CONFORMS TO ZONING ORDINANCE Yard Setbacks: NAI FAIL~I ~MPLlE;; . Front. Yard.(can be 20' if~') . Side Yards Standard 25' 10'1 25' if abutting a street Proposed ).r' ql , 81'S- . Sidewall exceeding 50' requires additional side 2" setback for every l' over 50' in length I. Rear Yard I ~ . . Patio Door: provide for minimum 10' deck or sign statement indicating no deck will be built in the future . From 100 year flood elevation of wetland/NURP pond . From OHW (Prior or Spring Lake) 10' setback + 2"/1' over 50' 25' 10' sidel 25' rear 30' Sl:V nfr Nit '- 75' or setback average of adjacent structures, but no less than 50' /VA- ,,--....) I Floor Area Ratio: NAI FAILS ItOMPLlES ~ , Yard EncroachmenC --;JAILS {COMPLIES Eaves and Gutters no than 2 feet in width and no closer than 5 feet to a lot line (Easements). Ale and other equipment cannot encroach on interior side yards. .30 Maximum I .Ii' Standard Proposed I Tree Preservatiorf. ~AILS 1 COMPLIES . Total caliper inChes . Permit 25% Removal . Caliper Inches Removed I. Caliper Inches Preserved I. Replacement Standard Proposed ~ %:1 L:\TE:rvIPLA TE\BLDGLIST.DOC I Driveway: NA/FAILS/~ · Maximum width at ~""'ILJ ;1;11:I- · Required setback , , I. Maximum slope · All parking ~reas to be paved incluQing R-\( or spaces adjacent to the garaqe. ;- \ '" · location to match subdivision gradinq plan , Building Height: t~MP~~'LS ... .... Shoreland Distric~hlLS (C~S__) Minimum lot area (~feet) I Minimum lot width Shoreland alterations Impervious. surface . I Bluff in Shorelan(: IClA i)=AILS / COMPLIES · Setbackfrotn~bluff I. Bluff impact zone I. Enqineerir'lq certification submitted/approved I. Gradinq in bluff or bluff impact zone , , I FloodplainfNA"i F).ILS / COMPLIES · 1 00 ye~ elevation '\ \1 · lowest floor elevation · Proposed lowest floor elevation · Elevations 15 feet from structure · Road access must be no more than 2 feet below Requlatory Flood Protection Elevation I Accessory Structure( ~AILS / COMPLIES · Size '-"" I. Not located in front yard (Materials) I. Side yard and rear yard setbacks · Maximum heiqht · Materials compatible with principle structure L:\TEMPLA TE\BLDGLIST.DOC ,. '~~=r;~'- .:1-' I Standard . · 24', . 5' from side lot line or JO'from r-o-w on comer lots . .10% I . 35' Maximum Standard 7,500 Rip, 7,999 Non-rip 50' Rip, 57.3' Non-lip 30% Maximum Standard By planning dept. 20' From Top otBluff By City Engineer No importing/exportinq Standard 908.9' Prior lake 914.4' Spring Lake 909.9' Prior lake 1 915.4' Spring lake Must be l' above flood elevation for new and existing structures. If existing structure was constructed 9/19/90-11/22/97 then additional foot is not required. Must be flood elevation or . hiQher 907.9' for Prior Lake 913.4' for Spring lake I Standard I 832 sq.ft. or 25% rear yard I I 10' I 15' I .... Proposed ,,' II' 7 '. . \ I.." 'i' !.6..t ~ ~.1" Nil- J.4' ( I' Proposed u~ Proposed Proposed Proposed -._~.jr 'r. / CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 524-.0(, AND UTILITY CONNECTION PERMIT . . / . ria Wj .:# OS: oq IC/ I, White File I P l' i ~:~I~W ~~;licant ERMI NO.O~, 0450 (Please type or print and sign at bottom) ADDRESS J44~3 GNI!!LAIIE t.-r LOTI4 BLOCK? LEGAL DESCRIPTION (office use only) - ADDITION rI ~rJ'#e~s OWNER (Name) (Address) BUILDER (Company Name) WIfW~IHAIfIJI (Contact Name) 7'iiM (Address) lff7s PLA '2-A DR. J..fDM ~ -5", ZONING (office use) PusD P6A1.6 PID 3-t; -- 437- t:1f1- tJ (Phone) t41-4tJ(,-44t'JlJ (Phone) brd - 3" CJ- 7r, 3/ Oe... (Phone) /All' ~()O RtI ZA o Fireplace / '8'. 50 CJ . 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 II conform to all existing state and local laws and will proceed in accordance with submittcd plans. I am aware that the buildmg ore, I hereby agree that the city official or a designee may enter upon the property to perform needed mspections. /4Z;Y ?-;13r()(P I. TYPE OF WORK 0 New Construction DDeck ~orch ORe-Roofing OAddition OAlteration OU~ Connection CODE: 1\ii.R.C. DI.B.C. Type of ~~struction: I II III IV V A B Occupancy Group: A B E F HIM R S U . Division: 1 2 3 4 5 I Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee .-' ~fJ' tI. $ 3 L '-/' 2-,S $ ~/O. 7(, $ 9 . C::::-o $ $ $ $ $ Jfd, 00 - This Application Becomes Your Building Pennit When Approved ~4J;J-; Building Otlicial S/~4/o (p Daie $ $ $ $ $ $ $ $ $S8!!!-.S/ IJ ../ Rectwt No. 51..5:ry o ORe-Siding \cLower Level Finish o Misc. PROJECT COST IV ALUE $ (excluding land) Contractor's License No. Park Support Fee SAC # # Date ThIS IS to certilY that the request in the above applical10n and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signcd by thc City Planner consl1tutcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Ccrtificatc of Occupancy must be ~p~: ~,,;.~ Nil ~.100di~~~ 24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245 . ~ .. ~ 16200 Eagle Creek Avenue Prior Lake, MN 55372 tN- ~ ' Water Meter Size 5/8"; I"; I Pressure Reducer I SewerlWater Connection Fee I Water Tower Fee I Builder's Deposit Other # # TOTAL DUE I Paid 50"1-,; ~/ I Date ~ . .r..t:J" MAY-24-06 09:25 " FROM-Wensmann Homes 6519053678 T-726 P.002/003 F-846 ..' May 23,,~006:_ '. City of Pri~r Lake. . . . ~ui1ding-1nspectionIPlanning Department 16200.Eagle' Creek AVEmue .. ' Prior Lake/MN 55372 _' Re:' . Jeff~rs Pond l~'Ad'di~ionLot 14, Block 5 Please 'accept this letter ~ written authorization' that .we are awate the impervious surface '. area ofthe.above loi ~ll increase due to the'porch addItion weare requestIng on our .. model home_. . . We' pave in~luded the revised taple and are still well within t4e limit~ approved With the' ~UD whenthis porch addition is added._ . . . . . We' have tried' v.ery h~d to ~3.t<e sure. all p'ossible '~dditio~s' ~e' inclu4ed with the d~ginal .. building permit. This is still' our intent however; because this was built as.8. model home, . .the. purch~er .did not have the chance to maket~t d~Cision at time of pennit_ Therefore; ':. ~e .are requesting ~his minor modification at this time. .' . if you: have any' q~estions regarding this issue, 'please feel free to coI.ltact m~ at our administrative offices_ . . Si,ncerely,. _ , . <~1f1ur.41umtJ.L). . K;ill~urra~. ..' . U ,f\ssistaIit Vice President. ..(~). ~~"a\_~ . . . RHS .Build,ing, 189S"Plaza Drive, Suite :200. Eagan'; MN ssrn." Phone; 651:406.4400 . .F~ 651.~05:367a. . WWW.wensmann.com BUILDING PERMIT APPLICATION DeeARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED (/V 6//5 j'? /-j/V N /-/0/'-/65 5. Z 4-~ O&, The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: '" 1C;-~t/;3 6/VCLH v& COU~I \ Accepted Denied ~'~" Accepted With Corrections ~ ~ " .,.~::.~--, '" .. Reviewed By: ~~(' ?11U..H ~' L~ Le:vsI oJ., ^"'-'-G! Q j:_~~ ~'L'" ~ ~ I~" Date: 5'ls(J~(. " --- rif~~. Comments: I , /Z YIZ-- ftlo ~- too /9 '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." t'GI7hit,.. - 9ulld~ Canary - t:ngl~;;;rtng Pink - Planning BUILDING PERMIT APPLICATION De.eARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED WENSI'1/1/11N fI()/"165 5.24-.06 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /H~3 ENC-LIt v& (!..{)UK.;/ Accepted V' Accepted With Corrections Denied Reviewed By: Comments: ~ ~ Date: shah" , liThe 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.1I , ~~ ~~ n~~~~~::, ~ ~ - Phlfi~ BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I /l ) 1"1., A, ~. ( ., ,/ .e...'~'''_i ,/ f"./ /"/>1' ."_."~ ~-' \,....,1 . "-",,,,- . ~.. '. --c.- - ....^ ~-' / J ::3 J I;" j , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I//t/~~ C;;VC<~~ Ur' ,..;. Accepted Denied Accepted With Corrections (7)r ~ Reviewed By: ,M /I rz~ all.. '10 I-c..s Date: qrlr"-os- ;,.' Comments: ~ .A-O ~ , ~lfY' ~ ~ ~. 7'Lo ~,(1~ ~p ~ c::. t? YI M.t.., J-r 0-- ~~ PliO OJ 7'/,92- ~ ~ ~,L: "D~ ~ T. c/ .. '1 ~~ ~ &-0 liThe 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." ~ BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED LV c:;?/ ~ BIb I I' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ItllI /P3 & N&!C; /vc--.O r ~ Accepted Accepted With Corrections Denied 14 f2e~ c:L all Date: q,.../~-O.s- "'(1 h.J ~ 1-h:-..c:lC)~~ Reviewed By: Comments: '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.1I White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED (V~-11x.OA~ q/ d 3/~ - ! I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /1/l/~3 &~v!(j u~ CO.1 Accepted )( , ---- Accepted With Corrections Denied Reviewed By: .~ Date: {-ZO-O..s-- . ". . ....-..~.,.............' .. !. :(" .-: ~1.f~. Comment~':. See Reverse Side for Addition~1 InfnrlT1~tionl f(~Jr./~Ij,.S w.Jl W(!J{K. t:lrtd I'~'" crl r-c..r ~,/ . 1'I1~.}.J. I<<. {t!)rp/t-leI h,v (XLuftwtr1' ~.,v 6~ A~"llfJ'tW.f,1- b~ '_ G2rfl ~ .,.< c.w J! fA- See Attachments: 1) Grading Plan, 2) Erosion f..ontrol Meastire~ .,.~~. ~-: liThe 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. II it ~ ,~ ..--,/ ;;fllo';;~ o 7\ ~ -....-- - ~ v'. ,~- ,. ... ..,.:..:::.."lE';O........ ~ GlW;r.._ - nc.r. 'ftu.ow . M'l"U~l/T Ci01.o . r::tT'1 - 11'1 ~ _ HL 1lfoo1liI--' th.II'~ 1 l6..- Nr6. ffl C!~y OF PRIOR LAKE SE1VER .h..ND WATER P:::~::T HOTE: Sewei- and rlater contractors must be registered wi th t..~e City. AP~LICANT' ~\ t~';?-,. \ ADDRESS: P-lL\ ~ ~ ,~~ s :::~; ~.7!'_-?:: = . PHON"E :tJs)-'-I9-~ J ~ DAT:::: ~/J'!~ 3:'::G. ?~?..:.~!:' :? 1- Es~i!:\at:ad lemg't!'l F~~~ IN TE~ BL~~KS ~IO of vater service - I , f"a2t-. 2. s i z;e of we. ter se:::-..r ice 3 . 4. 5. 6. Type of sewer pipe. Aes i nc~ ( es). (1 rv) frotn S~:::-..lctu::e lV(\;\- PVC.~ Cast Iron 3(:) feet. Lo~a~ioM of any cou~ling5 ~sti~2ted length of sewer line Cle2n out st=-~ct:u=e . ( if required) , loca't.ed . ..... ~ ~. fee^~J1fL ~_feet frcm ------- ------- ===============--...=============== :========-===;:::===---=====.:=. Tt.:.s a~o!icaticn becomes J:'our per::nit ....hen c::>provec.. B~ DATE: . . ====-=:==~==~=====~=========~===---==--~:=======~====---====~~~~=~ F:;!S: $ S S 35.00 .50 35.50 Sewer and w~~e~ line connecti~n pe~it. Surcharge TOT _~L * Fse fc= eithe= sewe= C~ water i~civid~2~ly ~s $20.00 p~U5 $ : 50 su:::-char::;e. - * Sa~~~ anc wa~e= pe~its' issuec for new =ons~r~~. must be rec?~dec on. the buildin~ pe~it car~ at.t~ID~~~rV~suance t,:) l:1st:.re t:lat no c.u?l.lca~e se....e~ a:,.~ ~a~'v(je~fS. are issued. . ' C;;:f'11V1'i fn) fE .' ([gr' . -. - - .~.. ~ .."........... ~~OUN~ P~ZD ' D;'::~ ?~.: J R'::~;:Z?'!' ~ ~~,..~.~ .r;;\.:.J .e' ..: ,', j.< :O':'...!:;~~~f.,~..:,...{~.7.?'-.~...~.~~._.....€....~'f:~:.... ,,\1\ "~-1.".~!i~~j1J~I) ,..,,,:,~,I~.ffj ..;".~~.~,~...~~:,. ';,~.'}~~ ";';:~i!~~/',~,;~, ,~~~:~& .~~.'.\>~~i.'~ .c"'" ":;'i'ill~-!t .. '1.. ':t~'a:f~ .' "'>I< '.~~ < ';"'~~~:t' ,ti.~:';' :': ."" ~ ~ ;:~;' :';" --{~~.~/,..;~ ~S ~~~ ;;:~7:7"h : '. ,., f l vS6ES0098v 'oIvto: 1 r 'lS/EO: 11 SO ,OE '8 lOIZTl/Ol WED l1:ZZ FAX 6124414245 CITY OF PRIOR LAKE @OO, l;ITY OF PRIOR LAKE PLUMBING PERMIT Date Ree'd lPltuc: type or l'I'i:tt 1IDd' ftcD ~t: .::...,,) ADDRESS \ . lli4b::, ~~~ t\ \ %\.) I Blue !'ill 'J. Geld CiI7 ,. Ttl""" ""rlClUII .5- !flf . ruWIT NO. ZONING (018= \lie' J LEGAL DESCFJPTi~officc \lie onlt) LOT , ~ B10cx..s APOmON PID f I I I ~~ ..~ \~'ffi0tJf\ Y'\ 1ome.9::,. . (phon<) t:.sJ.J.fD(, -l/Jjoo (Address) 2>~S-~A.~~. ~\~~D ~f'\ l~t\\ ss-}~Z- -, . ~~~l~d ~~';'.~ \\~~. (Phone) ((;S/-f5)~/Sb.S (A~e$S)_17JD~Cl~.,,~c. ~ ~W\~ ~/~/. (A~~ . -" (City) . (Zip Code) (COQtaClP<rson) '\TeJ,.~?~...~_ (Phone) ,~/~-I5"b~ APPLICANTSIGNATIJRE ..~ D~TB <g/l91~ ~LlI~~ PLEASE COMPU.l~ '~EL)W - 11p" "rFixtqte , QUDlity Type of Flxtiin Bath Tub with or without shoWer . 1 , R.ou~jns I Dishv'~r I \ J Wat~.~e.attr ., rJoq~p;a", " Vf~~'~*~~ ..: I Lava't91Y.(~ Sink) j I Stan~..Pipt!~bingMlIChine}. I ~lfi'yTJ'ay(tor2 compa.~.."..tslnk I I Sew:r~Ei'Xf: I Shower Stall I j BacHlow ASsembly I Sinks I . .1 Bac.Ulow Assembly Test I ~ar SinK . . ~ j LaWTl Sprinkler :) j W~.C1oset (Toilet) / . , Otbe.- _ Quautify CJ(. l .~ I I 1 ~..-... . FEE S"-~lo.JJULE fndustrilJl. Commercial &: Multi-family 1% or job cost with a $39.50 minimum Estimated CO$t S Building P~rmiT 71 Rc.sideptjll'. N~ One &: 'T'wl>-f'imil, $99.50 Re::JidentiaJ. A.ddititm &. AltenlliollS 139.50 ~ PA/0WRJt". n i '~DING \p~RM1T .50 L SEP 2 3 ,",j . j .' ',... : .... .. Ci:..;; .:". '''1,.' .'., . I , :':~I' ,. ~~:- r ~ ~~.~.~.~; ~ ,:"~~lrl~'i.&U~:oIlG}~~.e-; ".J"':;~ ',. L EO~G~V~iS9 ~Niiv3'H ~ DNIHWfl1d 13ZN3M WOBd PLUMDlNG l'~T t'l:.C S STATE SURCHARGE S TOtAl:. p~ FEE $ (omtt V,e: On~) Date Rec'd tll (J)tase tylle or print and si~ at bottotl\l Ai>DRESS r/~C/u3 ~ (]j- I.. Pink Z. On... ]. v.llow ~:;. \ PERMIT NO.Z- L)ltlI f,pphClllt ~ · ZONING (office Uie) LEGAL DESCRIPTION (office use only) PID LOT BLOCK ADDmON OWNER (Name)~ (Phone) (,51- LlOC4 - '1'100 (Address) /'ffS f.~ ~. #;J.eo APPLICANT (Natne(1l ..\-"""'"^'^ h~1 )k-.~A' ~ F=. P . (Phone) ~lo3. 5'1 , - 'dS"dS (AddressL g9CO /09J.1, ~J..J #trIO 0J.n/YMfJJ.I~ .rnn 5S3/(p . (Address) , ~ ~ - (dty) (Zip Code) (' (Contact pen;on) ~ C\ ~ u..,N''''P''''''..... . (Phone) ~<. - S 'llp- ., ;;lllo APPLICANT SIGNATURE k!\.l~ lJp~ DATE - - APPLICANT PLEASE COMPLETE BELOW ~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER pLANT OWann Air Plants 0 Steam PLEASE NOTE: OGravily 0 Hot Watcr Air Conditioner Units o Mechanical 0 Radiation Cannot Encroach into OAir Conditioning 0 Special Devices Required Side Yard DVcnt. Systcm 0 Othcr Dcviccs Setbaeks FIREPLACE MAKE AND MODEL ~ c,otj'd'3{Q~-_-.-___ FEE SCHEDULE Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplacc 539.50 mi~imum Residcntial, Hcating & AlC (Ncw Construction) 599.50 Residential, Additions & Altcrations Residcntial, Hcating Only (New Construction) S64.50 Residential, AC Only S39.50 $39,50 S39.50 Estimated Cost $ REA TlNG PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50. ~ (Omce Use Only) This Application Becomes Your Building Permit When Approved Paid . Receipt No. Date By BuildlnR Omcial Dltt L. 14 hour notice for an inspectiolU (951) 447-9850, fax (952) 447-4245 600~ HaaG 3~VHV~ ~I~VWOlilV 666L 9L9 &9L XV~ 66:11 90/60/11 PRIOR LAKE INSPECTION RECORD DEPARTMI;NT OF BUILDING' AND INSPECTION SITE ADDRESS &4(,3 ~ItLI.w t:".,..- /v. 11/. NATURE OF WORK tie w ~s + ,.~fJCJI-l USE OF BUILDING S. t:. o. PERMIT NO. 05.0'1/9 DATE ISSUED CONTRACTOR j1/c"s '"4tH" PHONE-"J.. '3' ,... 7' 11 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR .I DATE I FOOTING f/ID I ~ J , FOUNDATION (Prior to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) I FIREPLACE ~ GAS LINE AIR TEST f--fl(~ - COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS /I /f? NO s-,y." I J I f7U;J ~ !&,~ It I ~ 7/;t 1;41 } 117 OCCUpy UNTIL' AB~VEl. HAS BEEr! SIGNED NOTICE - GRADING (Prior to Sodding) .- BU~LDING(!~+~ !-r~ ELECTRICAL PLUMBING HEATING DO NOT .bli; I I 'f'~ I//I~ , 1/, ! JlIJ . I IIIL//o:) 11/,. 'f 11/1 I . 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 an.d additions where no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850 I f'; @erfifitafe nf ~ttupant1! CITY OF PRIOR LAKE ~tpatfmtnf of ~uilbing Jfnspttfinn ~ Final Permitted o Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 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 SINC:it.C F/7/"'l/t.-L/ . Bldg. Permit No. 65, {;tf/q . K.3 Type Construction v' A/ . Zoning District P (/ G 0 L.- /4, "S ..n; F;; cJ!::..:5 Po""; 0 / zr I Site Address /44(,3 C:/IICtA Ve c.. r /I/. P<I. 18q5 ~u:lZ.'t OK-. : IIZu(), cAc;,/iN Occupancy Type Legal Description Owner of Building _ \\ Contraitor's Naml & Address we rlSI"lH NAI. 11/ ' I \ ! , I" ~ , . I . I 1") r~ \ ~, Building Official _ City Planner Date: Date: CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 14 L\ {, -'3 Gv\'L( ~ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING ~~ULAT~ .16 srr~~N~~~~~ o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: LL- i(I -';;0<0 TIME z::-_ ~I c; ~ ,Ii , o EXIGRADIFILLING o COMPLAINT o FIREPLACE R1 o FIREPLACE FINAL o GASLINE AIR TST o +-- etriA q(T. I a I Jc:> /\1 /D {JI' (_ 't?~~A-r\-I'>o i WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORR7][jEALL FOR REINSPECTION BEFORE COVERING . Inspector Owner/Contr: CAllL 1"7-985 OR THE; NEXT INSPECTION 24 HOURS IN ADVANCE. COD'JJEQUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI lNSNOTl DATE nile CITY OF PRIOR LAKE ,#.,- INSPECTION NOTICE SCHEDULED ADDRESS Il\LtL.. ) ~\_ 10J... OWNER CONTR. PHONE NO. PERMIT NO. 5" -- i/ '7 o FOOTING o PLUMBING RI o EXIGRADIFILLING o FOUNDATION o MECH RI o COMPLAINT o FRAMING o WATER HOOKUP o FIREPLACE RI o INSULATION o SEWER HOOKUP o FIREPLACE FINAL o FINAL )! PLUMBING FINAL o GASLINE AIR TST o SITE INSPECTION DMECH FINAL 0 COMMENTS: I,~f~- ~, Rtf~td>, ,Arl'Q'S'9 ~y 2~ t.)L, 1rf s .Ca.J..1 ~r" ~ ---r I ) ~ 1..J7-~ 8T~ ~ ~f- ~~ o WORK SATISFACTORY, PROCEED )?. CORRE2fT N AND PROCEED o CORRE.. T.Jl K, LL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL 447- 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS .J 4 ~'$ ~ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ...er FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ~ PLUMBING FINAL /' '-t MECH FINAL COMMENTS: A I,M~\(.~ ~~. ~ SoJ. 8'~ ~_ &n-1~.,~ 2. 3, -)-"""'1' +t? ... /5-I-f5C? DATE { inI"CA nilE !i' -erlf:( o EXIGRADJFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED X CORREC . CALL FOR REINSPECTION BEFORE COVERING Owner/Contr: -98~R THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOn EQUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/