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ADDITION -. ~ :.T~ OWNER (Name) 1Y\ Q... ~ E:;..J, ~-T- ~O'f'r\ 1;. <..., (Address) \, buS L-E::- BUILDER (Company Name) (Contact Name) ZONING (office use) k( PID ~()d/)-O (Phone) q Sz . t>cl (). eell 2.. L L A \~v, \ \.l- b'JO~ (\I\tJ -.J./V 0-'\ " v...... \:":. 'f'f'\G.~ cJ, ~ Ioc- \-\o~"E~" ~Y'\~Dv-..v, ~ k" (Phone) ~S2.' f) '1 () <0, L L (Phone) (Address) \'60'- TYPE OF WORK NNew Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace DAddition OAlteration o Utility Connection 0 Misc. CODE: DI.R.c. DI.B.c. Type of Construction: Occupancy Group: A B Division: I E B S U PROJECT COST/VALUE $ 3501000 (excluding land) II F 1 III IV V A HIM R 2 3 4 5 I hereby certifY that I have hlrnlshed mformation 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 abovc-mcntlOncd propcrty 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 buildmg official can revoke thIS permit for Just cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspeetlOns x ?h~; (\ .on \.0 ~ ) Signature ~- 2---05- Date Permit Valuation Permit Fee $ Plan Check Fee $ State Surcharge $ Penalty $ Plumbing Permit Fee $ Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas Fireplace Permit Fee $ ~. Lay IY/) .6 ::> Contractor's License No. Park Support Fee SAC Water Meter Size 5/8' ; 1" Pressure Reducer Sewer/Water Connection Fee # Water Tower Fee # Builder's Deposit Other TOTAL DUE UIVltO {, ,I, ()~ ~ Paid /~ f'1?;8. '70' Date " . e. () r- Becomes Your Building Permit When Approved # # $ $ $ $ $ $ $ $ $ /0 ThIS IS to certifY that the request in the above application and aecompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThiS document . ~~ p~,,, "meo"ry Con""" of Z;-Ti;;d ,lIow, ,oo'""'~' :;".:1' C;~"'" "f o:;~' m:." b, Planning Director . Date Special~~ 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 White - Building C _S;~nary.. - Engineer~ Plnk- Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED -'0'...<__ ~,/~/ / /' i\ /~:r; " .,;..:.~,:.'"j I' \/ ('.~,,/ ." "'" , A- /) _.....')L ..:.J --.:::;:, C .:) The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: -'j r):';; J _ ''':'''- .' j! .: .l. ,</,' ,1'1(2/(. j"'" i . Accepted x Accepted With Corrections Denied Reviewed By: A1'M Date: ~-I- (f)..s Comments: See Reverse Side for Additional Information! See Attachments: 1) Grading Plan, 2) Erosion Control Measures "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." cWhite - Build'iiiQ-') Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED me! ~/I ~~ 5"- 2-6S' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~'JBI- ~f~P Accepted Accepted With Corrections X Denied e... Reviewed BQj7~ Comments: Date: st~~ / I ~ar~. 4it ~ ~~ "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." . " White - Building Canary - Engineering = "Ink ~lannJ.!ia:> "- .. 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 X Denied _ /-\ .... (7 Reviewed S{/r/'jJ ()I.-;~ Comments: Date: <) J /~~ / I j(-)r~cl ~ ~C({lte/{ /-f-G'~( C9! ~n ~~~~J ~/~, L6 ~~ ~ ~ ~ Air Conilitioncr aLd O..her Mccha.l1ical Units Carnot Encroach into Required S.:de Yard Setba.ck.~ "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." 05/17/2005 09:31 9524512155 DASEN COmRACTmG I'1AY-26-2 ae4 16. e6 CITY OF PRlOO ~KE 952.14~ '424~ PAGE 01 r. .I!:IJJ (,I.l. "'" ....t.- . ,,""'... '-.& CITY OF PRIOR LAKE SEWER AND WATER PERMIT t ~ Euu ~ PEF.MJ'll~~ ~S(1) ~_ ,1 \~ND'G~~~J r:'~ 1Q.r1~Jp2I1~lJI.l ADDRESS _E& ~~ ---I ?ID ____-~ LEOAL D:ESCUP'.:!ON (Om/:. use cl!1y) LoT BLOCK ACUmON (Pk::/L~ -[?lJ) -R1?fd-_ ~Jlli-~-~~- (atY) __ _ (~CO~, ----= ----- (l'hone) 9:P.aJd(D/ - 3-I~ItT'.- / (\r~1.Q.Q., UN E2~If:1.-- {acyl (Zi;l Cldc) (Phone) l~>Jq~L/Jrf1l-.- DATE ~O- \J,~~-===, [;--~. OWN:'~ . (Nun~)~ ~ ~~<:. (A-~~~~~ <~i\\1; ~\) ~~~~n ~O-cH~ (AddI':ss) o_li~~~~a.1. ~ ~ (con=<Per"'")~ ~ ~ AP'PttCANrSIG~~Annu. J) APPLICANT PLEASE COMPLETE BEI,OW Size of water service inches. Loca'~ion of any coupl;from muct11re'_ feet. Type of sewer pipe. 0 ABC 0 PVC D Cas:; ':ron EstiDJ.,ated length of sewer line _ feet. Clean out (if r~d) 10C81e.l at _ feet from strUctUre. ---------- --- I FF,E SCHEDULE RMidimwd U'Yl It and. wmcr 1:'<111 coanedioa S35-'0 tnduJlri~ Com'\ &. Multl.-t'anlily 1% ofj,1b cost wi:b. I $~9 .50 tl..inimum scwe= canner;tlon only J11.'0 Wam~OlS cmIy S17.S0 EstiMated Cost S Building permit # __ SEWER AND W ATBR pERMIT FEE. STATE SURCHARGE TOTAL PERMIT FEn s S $ -p&U). WITH RiJilfifNG PERMIT rOMe.! UN Or.q) \ ni, A>P::: ........, '(oar BW1dlIII ,.",,1' _. ...PP......'\\ BuJld'-r. cmc!a1 Date -- ~-i'~~'~-~--'~._'-'q.. , ' i H ZOO; \: \\\ -~)' :8t~-'.~ -- ) --- l.4Il011r norie. for ,II ia~t1.cdOll. (951) ta!-98!O. fax (9gl 4i.'7-4:24! rOTrL P.01 CITY OF PRIOR LAKE HEA TING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd ~. ~~e;w ~l~icant I PERMIT NO. 0. 5/ 0 I ZONING (office use) 2731 COUGAR PATH LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name MCDEVITT HOMES lPhone) (Address) APPLICANT (Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone) 2561 651-633- (Address) 2700 NORTH F AIRVIEW AVENUE (Address) ROSEVILLE (City) (Phone) _651-633-2561 55113 (Zip Code) (Contact Person) BRENDA HUSTON APPLICANT SIGNATURE BRENDA HUSTON DATE 7/705 xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT DWarm Air Plants D Steam PLEASE NOTE: DGravity D Hot Water Air Conditioner Units D Mechanical D Radiation Cannot Encroach into DAir Conditioning D Special Devices Required Side Yard DVent. System D Other Devices Setbacks FIREPLACE MAKE AND MODEL HEATN GLO SL-750TR-D APPLICANT PLEASE COMPLETE BELOW Industrial, Commercial & Multi-Family FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ PAID WITH .5~U'LDING PERMIT (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. D'9m 1 2 2005 By , Buildinl! Official Date 24 hour notice for all inspections (952) 44~~8~50. fax (952) 447~4245 "-~.-~ '" - CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd (Pleuc lYIlC CJt"DDIK _Ii _ .t ~ I ADDRESS ~ I 3 I I..... PUe 1 o.w City ,. - ....- CO'-'o-QY" PQ + h _ I PERMITNOu'~_ S-/4 I I ZONlNGt__1 I PID Il.I!GAL DI!SCIlIPnoN ,.... -..." LOT BLOCK ADDITION OWNER (NAme) m c. De.... I t\ 1+.... Y>-t e j (Addn::ss) C\ .s::l. ~) 8" '5 0 - ?? 7 ~ ~ ~~~1-\~SSiC.'" pJr.(!r. (Addtess) p 0- d ;) I J ~ (Address) (h;u~ s ~ ,. '-' I' C-e J 7-'Z<;. (Phone) 'L 01 .J. C -.. (City) (Phone) G~}-C:.8J- 3-2.S<.. /YJ/V .s S J ;;;J <- (Zip Code) ~ I 2-- (p J ') - -"7 J' J 0 (Conract Pvson) APPUCANT SIGNATURE DATE 7 - 2 S () S QaaBtity 1)pe or Jihtare ~tity Type or Fixtun ~ Bath Tub with Of without shower 3 Rough-ins I Dishwasher I ~ ater Heatei I Floor Drain \\ ater Softner S Lavatory (Bathroom Sink) I C-...I ~ (Washing Machine) I Laundry Tray (l or 2 compartment sinlt Sewage Ejector f Shower S13lJ B Assembly I Sinks B Assembly Test Bar Sink I Lawn Spnnkler .3 Watler Closet (Toilet) Other APPLICANT PLEASE COMPLETE BELOW FEE SCHEDULE Indusuial, Commucialcl Multi.flllllily 1% of.1Ob l;QS\ ...ids. $39.50 minimum Residential. New One &. Two-Family S99.50 RC3idcntial. Additions.t. Alterations S39.50 Estimated Cost S Building Permit II (OllSff Vie Only) nis AppIh:aticnI ~ YOIIr Bujlding Pulait Wbca AppI.,.cd Paid PLUMBING PERMIT FEE $ STATESURCHAROE S TOTAL PERM1T FEE $ .so ~ 0IIIiciaI 0. o.lt 14 ...... .atia r. . iIupectiMa (95%) 447-JISt" Iu (JSl) ..,....1<45 JQ8t Ucte CJ'fttl Aft.. 5.E., PrIor...... MN 553'n-J714 88/23/2885 88:29 9528947939 At~DERSOtj A I R me. PAGE 81 CITY OF PRIOR LAKE HEATING/AIR CONDITIONlNG/FIREPLACE PERMIT Date Rec' d CO\A.7t1-~ f/r1- f h i $::.. ~~loo".1 PERMIT NO. C15. ()~-I 0 I ZONING (offiet Il~) LEGAL DESCRIPTION (office use only) LOT BLOCK. ADDITION PID OWNER (Name) rYlt.. Devc-!t HO~5 (Phone) ~5~ ~8'70 -~?~2. (Address) (Contact Person) (Phone) 9 S).. . f~l{ - 7 '13 9 rc5tt'tW.J'tI,/I-e, ~.,J :5"""5"337 (City) (Zip Code) (Phone) 9S-..2 - 1"9' So' - 7 93 f DATE 8-;l)-oS APPLICANT SIGNATURE ~EW CONSTRUCTION o REPLACEMENT o ALTERATIONS ~ FURNACE MAKE AND MODEL :~~y~ T .3 SJJ.~1t UO C{~ 10-0 FUEL ;11}. I 31'( I RETURN OPENINGS 7 INPUT / tJO/ I}OO OUTPUT 9,?S-oo FLUE SIZE J:JrlL , , TYPE OF SYSTEM HEATING OR POWER PLANT . BWaTm Air Plants o Stenm PLEASE NOTE: DOrnvity o Hot Wa.ter Air Conditioner Units o Mechanical o R:..diation Cannot Enctoach into ~ir Conditioning o Special Devices Roquired Side Yard ~t. System o Other Devices Setbacks FIR.EPLACE MAKE AND MODEL I APPLICANT PLEASE COMPLETE BELOW Industrial, Commercial & Multi.Family FEE SCHEDULE 1 % of jOb co~t Residential, Gas Fireplace $39.50 minimum $99.50 Residential. Additions & Alterations $64.50 Residential. AC Only $39.50 Residential, Heating & Ale (New Con~tructlon) Residential, Heating Only (New Construction) $39.50 $39.50 Estimate<i Cost $ Building Pennit # (Ollie!: U~e On I}') This Application Become~ Your Bunding Permit When Approved HEA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ PAID WITH .~ILDING PERMIT Building OrnCIAI -- - ---~-~ Due 24 hour notice for 1111 in~pection~ (952) 44i~~/50, fu (952) 447-4245 ;,~-:..- -' -.,.'. PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 27#~1 Q~o~~ NATURE OF WORK Ne.....> USE OF BUILDING Sf'\-! ~ / PERMIT NO. 0.6- OSlO DATE ISSUED'" 51 /~S- CONTRACTOR t\r.D~vr\:LH~ PHONE 9'.:>~' a?tJ. E7:l.? NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT FOOTING SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST 'ell';,. ~'I~bS ff I/',,/J I' )"u-]' ER NO WORK UNTil AS HAS BEEN SIGNED . b FOUNDATION (Prior to Backfill) (J0 (, PLACE NO CONCRETE UNTil ABOVE HAS BEEN SIGNED ROUGH - "VC. we.. p..J .cxs- FINALS GRADING (Prior to Sodding) BUIL.DING {...{J v'YI'h \ q.t~ ELECTRICAL . 0 PLUMBING HEATING DO NOT 11. 1- (); I -L1'LD 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 Residential Building Permit Checklist New Construction for Single or Two.family Dwellings in R.1 or R.2 Distrlcts Reviewed by: 7. D I Building Pell1JJt #(). '... h () U Address: 2'/5{ ~'f1V"'^ Date: r;- -1 ~ PID: Cfo,/ -02-7 -.f) Zoning: Legal: L , B Subdivision: Existing Structure? YES I NO Existing Nonconforming Structure? YES I NO I CONFORMS TO ZONING ORDINANCE YES NO Yard Setbacks: NA 1 FAILSI COMPLIES Standard Proposed . Front Yard (can be 20' if avq. w/in 150') 25' -Z(P. 2s . Side Yards 10'1 j{P. 7. S' 25' if abutting a street II ,'2.</ . Sidewall exceeding 50' requires additional side 2" 10' setback + setback for ever; l' over 50' in length 2"/1' over 50' . Rear Yard 25' . Patio Door: provide for minimum 10' deck or sign 10' sidel 0'< statement indicatinq no deck will be built in the future 25' rear . From 100 year flood elevation of wetland/NURP 30' A/4 pond . From OHW (Prior or Spring Lake) 75' or setback average of ;J1t adjacent structures, but no less than 50' .30 Maximum .f7 Standard Proposed f\)of ~ Tree Preservatidn~ FAILS 1 COMPLIES I Standard Proposed . Total calicer inches I . Permit 25% Removal I . Calioer Inches R.emoved I I . Calioer Inches Freserled ! Replacement I Yz:1 . I L: 'TEMPLA TE\BLDGLlSTDOC r Driveway: NA / FAILS I COMPLIES Standard I Proposed . Maximum width at property line 24' Lyf . Required setback 5' from side lot line or (:l (' 30' from r-o-w on corner lots . Maximum slope 10% 7.5 ..../0 . All parking areas to be paved including R-V or spaces adiacent to the garaqe ('.J ,4- . Location to match subdivision qradinq plan n\.C Building Height: COMPLIES I FAILS 35' Maximum r\c.. Shoreland Oistric Minimum lot area Minimum lot width Shoreland alterations 1m ervious surface I FAILS I COMPLIES are feet) Proposed 30% Maximum Bluff in Shoreland: N I FAILS I COMPLIES . Setback from top of bluff Standard By planning dept. Proposed . roved . . Floodplain(NA) FAILS / COMPLIES Standard Proposed . 100 year flood elevation 908.9' Prior Lake 914.4' Sprinq Lake . Lowest floor elevation 909.9' Prior Lake I 915.4' Sprinq Lake . Proposed lowest floor elevation Must be l' above flood elevation for new and existing structures. If existing structure was constructed 9/19/90-11/22197 then additional foot is not required. . Elevations 15 feet from structure Must be flood elevation or hiQher . Road access must be no more than 2 feet below 907.9' for Prior Lake Requlatorv Flood Protection Elevation 913.4' for 8prinq Lake ~ Accessor'l Structure( N41 F A.ILS / COMPLIES Standard Proposed . Size V 832 Sq.ft. or 25% rear yard . Not lecated in front yard (Materials) . Side 'lard and rear yard setbacks 10' . Maximum heiaht 15' . Materials compatible with principle structure LTE:YIPL\ TE BLDGLlSTDOC