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CI) t= < CI) ~ 0:: ~ o III o Z < Z o t= o < t- O w 0:: 0:: o o 0 ~O i.: C o U ';:: Q) c: ~ ;.; o U Q) a. VI oS ui o z c( > o < ~ CI) 0:: ~ o J: .., N Z o t= o W Q. CI) ~ t- >< W Z W J: ~ 0:: o u. o It) ClO Q) ~ ~ ...J ...J < o ;.; !-. ~ ~ ol:j i:: ~ ~ C ~ I.l.., ~ ~ lie; ~ ~ ~ ~ ~ ~ ~ OJ ~ lie; ~ 8 i:: ~ ~ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d \2-f 1..i lot. File City Applicant I PERMIT NO. 07. 0 oz.:J I White Pink Yellow (Please ADDRESS .5 'ItJO '/ !t4tLHvtt? /vrne. LEGAL DESCRIPTION (office use only) LOT z.... BLOCK 3 /: ~J1C 1Ku-.E- ADDITION PID OWNER () (Name) rUt-Ie- )/ Oh1t.-- S ZONING (office use) I '5' L/ . OJ, -0 /fAt,; (Phone) ~/- L/sz- 5206 55/2 BUILDER (Company Name) (Contact Name) (Address) 5;tnl e: (lU/l:r DvtSc /-liW (Phone) (Phone) (42 - Z2J - ~&)cfS- TYPE OF WORK ORe-Siding OLower Level FinIsh New Construction ODeck OPorch ORe-Roofing OAddition OAlteration OUtility ConnectIOn CODE: ~.C. DI.B.C. Type of Construction: Occupancy Group: Division: o Mise. A I E IV &> A I M R 3 4 5 U II F 1 III H 2 B S PROJECT COST IV ALUE $ (excluding land) /97. 300 B ~ Fireplace (I) I hereby certify that 1 have furnIshed 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 abuvc-mcntlllned property and that all construction will confclrm to all eXIStmg state and local laws and will proceed in accordance with submItted plans. I am aware that the buildmg ~'tiCial can re c tlm ptTmlt for ust cau~more. I hereby agree that the CIty official or a deSlgn~;~>er upon the propeny to perform n;;d ms ectlon~ ? Signature Contractor's License No. Date Permit Valuation Park Support Fee SAC # # a Permit Fee Plan Check Fee Water Meter Size 5/8'"1'" State Surcharge I Penalty IPlumbing Permit Fee Mechanical Permit Fee $ $ $ 100.00 $ 00.00 $ .:35. >0 $ 0, D () Pressure Reducer Sewer/Water Connection Fee # # Water Tower Fee Builder's Deposit Other Sewer & Water Permit Fee Gas Fireplace Permit Fee TOTAL DUE tJ'//"f."Et.o This Application Becomes Your Building Pennit When Approved LIZ ,. r ~ '::/..rL~ 1/ S ~~te1 Bulldll1!! OfIlelal $ $ I" 7 S. 00 $ . ()O $ 0, OD $ -00 . 010 $ (J OD. a 0 $ / Sot!) 00 $ $ ~, 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 Cllnstltutcs a temporary Certificate of Zoning compliance and allows constructllln to commence Before occupancy, a CertIficate of Occupancy must be I'~ ~ '/~/07 ~ ~ J~v~ l Planning Director , I Date Special Conditlns, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 ~ - B~~~~ ry - E! . eering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT -~.I)fr: fIomeS, APPLICATION RECEIVED I d- - ;;-.'6--0 h The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~~29t) 7ra/~/ h ~O-C/ ~at00 Accepted Accepted With Corrections ~ Denied Reviewed By: ~ ~~ Date: //<::;/C 7 I Comments: ~ oLf ~"' ~ ~. C-.O. ~ ~- ..y~ fa (f ~ ~~ ~.. - UL L.~~ . ~ ~~~ ~fl~ ~ d~' "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 dink - Plannlncr::::. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /~. ), i . ./ ( " /" ...: ..- _..."t " "./ .." /" / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: )') / (-..... Accepted Accepted With Corrections ~ Denied Reviewed By: ~ Date: It/~ 7 ~ ~ -4~~. _;2-d-~/~ :;1A~a~) ~ ~ ~ ~ /j- d) J (j --Iv ~ ~~ c...., tf .~ ~ ~ Comments: ~~ .Air Conditioner ~d Other Mecbanical Units Cannot Encroach into Required Side Yard Setbacks '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." f-.:j BUILDING PERMIT APP~ICATION DEPARTMENT CHECKLIST NAME OF APPLICANT -:p//) f t'" No 111 eS. APPLICATION RECEIVED / C) - 'd-g-O h The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~'5L/cJtJ -Ira;'! h eod ),atUe-- Accepted X Accepted With Corrections . Denied Reviewed By: ~ Date: 1- 11-07 Comments: ~ee ,Reven:;e Side for Addition~ltnf(){mationl ~ See A.tt~B11T".,"t'. .1). Gr,"di~ pIau, .2)Br~si(}l1C9ntml.MIW'~s '-,. :'- .... . . . '. ',- .' :-'<-':t,,-,,,,,-,>'::--,:'-:'-,, c" _ . _.__. _ . __ _ _ _._ _ liThe issuance or granting of a permit otilPproval pfplans,. specifioations and computations shall not beconstrue(l tope a P8nnJUOr,oran ~pprovalof,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." i Residential Building Permit Checklist New Construction for Single or Two.family Dwellings in R.1 or R-2 Districts Reviewed by ~ 7~ Date (5/0 7 Building Permit # PID: Zoning: Address: 5iot:J TICI1/L ifE.-1-/J Ll'b)e- Legal: L 2-, 8 :3 Subdivision: c)fCLAJltT @ ClDhtZy UK-6-- Existing Structure? YE@ I. CONFORMS TO ZONING . ORDINANCE Existing Nonconforming Structure? YE~ YES NO Yard Setbacks: NA I FAIk6fCOMPLlE1) Standard Proposed . Front Yard (can be 20' if avg. w/in 150') 25' 2-5' . Side Yards 10'/ , 25' if abutting a street \3,8 . Sidewall exceeding 50' requires additional side 2" 10' setback + I setback for every l' over 50' in lenqth 2"/1' over 50' 13 , '7s . Rear Yard 25' /" t.. ' . Patio Door: provide for minimum 10' deck or sign 10' sidel statement indicatinq no deck will be built in the future 25' rear ,.fA . From 100 year flood elevation of wetland/NURP 30' pond. MA . Refer in-qround pools to the Planninq Department . From OHW (Prior or Spring Lake) 75' or setback average of adjacent structures, but no VA less than 50' I Floor Area Ratio: NA I FAILS~~ .30 Maximum /f'?o Yard Encroachments: NAI FAIL MP Eaves and Gutters no more than 2 feet in width and no closer than 5 feet to a lot line Easements. AlC and other equipment cannot encroach on interior side ards, Standard Proposed ()tU6 bPS- - Tree Preservation{1 ~A11 FAILS I COMPLIES Standard Proposed . Total caliper incres . Permit 25% Removal . Caliper Inches Removed . Caliper Inches Preserved . Replacement ~:1 L:\TEMPLA TE\BLDGLIST.DOC Jan 22 07 02:39p 1- 2 . 3 . 4 . '-.......- 5. 6. METRO GENERAL SERVICES 763-428-2968 p. 1 GREEN - FILE YEllOW - APPLICANT GOLD. ell '( FA~ CITY OF PRIOR LAKE SEWER AND WATER PERMIT Cj'51..r tf'l7-'I~ t/~ swoNo1J1D-Z6 NOTE: Sewer and Water contractors must be registered with the city. APPLICANT: rn C-/RO ADDRESS: '::;/1 Cj 0 SIGNATURE: \ SITE ADDRESS: (-5 i=-it) ERAL SER. VjUfi;.IONE: ~!f) 3 -LI-dg-d-, 13g riVe. DATE: IYJ I C-I t1 G L , 4"') /'J. s.s 3 7 I::.: BLDG. PERMIT # PID# FILL, IN THE BLANKS Estimated length of water service E;() feet. Size of water service I 'I inch(es) . Location of any couplings from structure () feet. Type of sewer pipe. ABS PVC ~Ij Cast Iron Estimated length of sewer 1 ine 5" () feet. Clean out (if required), structure. located at NIA- feet from ----------------~------------------------------------------------- ------------------------------------------------------------------ This application becomes your permit when approved. BY DATE: ========fJ~/~~=~~~4~=~========================================== FEES: ..~a I~~~=L ~e~My)L Sewer and water line connection permit. ~. ... Surcharge (,...."'NtJ Fee- TOTAL ~"..,.~~~....... * Fee for either sewer or water individually is $20.00 plus $ .50 surcharge. * Sewer and water permits issued for new construction must be recorded on the building permit card at the time of issuance to insure that no duplicate sewer and water permits are issued. DATE.:J~Ar:D JAN 2 fi 2007. . AMOUNT PAID PAID WITH BU1LDING PERMiT REC'D BY - RECEIpT. # 16200 Eagle. Creek Av. S.E" Prior Lake, Minnesota 55372 / Ph. (152) 447-4230/ FAX (Qs-2) 447-4245 ~1'"l ~nll";)1 flnnnrtllrllt\./ F.mnlnv~r CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd ;2./7/07 I. Blue File 2. Gold City 3 Yellow Applicant I PERMIT NO. 0; 00251 ZONING (office use) ~rc(t '/A-eo/ i I? LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID I ~=~R r e-Jj e (Address) /k~ €> 9- (Phone) APPLlC~ fb I (Name) "/ u~lb,'v "-~('-', (Adm,,,) i::~,-,~" ~~ (Address) )/7;0 r,-- I C~4y (Phone) Cj!;;:'d -Lf 902 - ~ / OJ/ '0o,~d~ /~lpl CSl'""~ (City) (Zip Code) (Contact Person) (Phone) , """ APPLICANT SIGNA TU DATE ~ ?-cY-/, Quantity AP CANT PLEASE COMPLETE BELOW Type of Fixture Quantity Bath Tub with or without shower Dishwasher Floor Drain Lavatory (Bathroom Sink) Laundry Tray (lor 2 compartment sink Shower Stall Sinks Bar Sink Water Closet (Toilet) Type of Fixture Rough-ins Water Heater Water Softner Stand Pipe (Washing Machine) Sewage Ejector Backtlow Assembly Backtlow Assembly Test Lawn Sprinkler Other FEE SCHEDULE Industrial. Commercial & Multi-family J % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Rcsidential. Additions & Alterations $39.50 Estimated Cost $ Building Permit # ~.w/~ (Office Use Only) pplication Becomes Your Building Permit When Approved ,. BUilding~ficial~ 2/1 L~7 PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ .50 I P,;d Date I ::C'iPI No 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd ~. ~;e:n ~~~y I PERMIT NO~ 3. Yellow Applicant ~ ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name PULTE HOMES (Phone) _ 651.452,5200 (Address)815 NORTHWEST PKWY. #140, - EAGAN APPLICANT (Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone) 2561 651-633- (Address) 2700 NORTH F AIRVIEW AVENUE (Address) ROSEVILLE (City) 55113_ (Zip Code) (Contact Person) WENDY SCHROEDER (Phone) _651-633-2561 APPLICANT SIGNATURE WENDY SCHROEDER DATE 2/8/07 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 o Steam PLEASE NOTE: DGravity o Hot Water Air Conditioner Units o Mechanical o Radiation Cannot Encroach into DAir Conditioning o Special Devices Required Side Yard DVent. System o Other Devices Setbacks FIREPLACE MAKE AND MODEL HEATILATOR ND4236I 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 $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ R. . "",.. .~j-("! I 'f.\IL} /'11 I f' t... ..... '.'"."'. .' .." .. ' .. , ~ <:. ' .50";"" .1', , ';, r (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official Date I Paid tlafu8 IIiJ, Luu7 I ::"iP' No 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 Feb 09 07 01:10p p.2 crfY OF PRIOR LAKE . REA TINGJ AIR CONDmONINGfFIREPLACE PER~nT 'D-2te Roc'd LOT BLOC): ~.S:. ~\.." I PERMIt ~O.~ ~ \ ZO"ING("""~' '\ '\ I 'I I 'P1..ut m>~ err mlltl 02\,1, rlll1l1t boC!J"'ll) I ADD~S , i SL\DD \\~cl\\\)t<3(}\ \~Y-\V~__J LEGAL DESCRlI: nON (I:lm.cc ale oo:)'J ADDmON PlD i ' '1 '\ \"') " : (\ . ~) , (Contnct Person> ',--, ('10'1'~ \,/I-t'---l I Al'PLICANT S'!' 1NATURE ~2-l-,-\1/;\._J' I, , I APPLICA1't'T PLEASE CokLETI: BELOW ! " ~~EW CONSTRUCTiON q REPLA:~fC~ p..lU.TERA.TIONS' 1 \ FUR..'lACE :,{Af ~ AND MODEL [,/ 1'7 f./7 /J / - \--y--\2:.\}, \- - \J, t..1 . _'\L.tl .~ FUEL .J'-\:)'\', -'. I I FLUE S[lE , RZTlJllN 0.""",0' WP<Jf 1\\ I i)D[' otm'<Jf ])1.. ,7>C' L) I \1 TYPE OP' SYSTEM Hl'ATING OR PQWJ:7....R PLANT \ . 'PJIUtll AIr PlGJI" ~ Stoam pLEASE NOTE~ I rllvlty Hol W/I1I:r Air C<lnditioner Uni\:9 \ Mech.nlw Radl~an CaonOl EDC"OlJGh into . OAtr CondJuonlnll Sj>>Cial Devl~. \ ~~ Sldo YlUdJ " \ OVotlt S)'SlCm DO-lull ~,~C~ . .><J"-""''"'' _ '_ FIM:PLACE h!. \KE Af'.-o MODEL . -.-- (Ph"",) U<;C'-, \ ~'O> L,q ~ -Tl\ ! OWl-fER ., . \ CN:lme)P~ \ ~ \-\-(",'fv\-p 0, i (Addrm)7\\~--' ~L,~, V~I..:.,~ '~ ' I APPLICA.'l1";. .IC'\ (Name) ..-':::',' ~y (Addtc:l~) ~, - [\..,,-\..~ . '} . I \~'/' ,-. --- \ ~ (Pholle) :l L.O:---' '-l, j' - LJ. ( I ',I c:.s~L-ll:-) (11fJ Codt:) \--:-j"]. . U lJ / R'li<:l~t1..\, Hell' n~ ~ Ale (N..., Cot1W\1rtlon) Roit:=.rulul. H((I, Qi Only (New CO[l1.tJ\lc.tlor.) nK scmmULE I % of Job ~ Relridrorbl, OBJ FlrqJltlQO $39.50 nlin~muro 199.50 ~~.:lO ~39,~O Indll$1Cill. comrl, ~lJU 4t. MulrM'llrtllly R~dcntil\l. Addltitwr & AIUlf1ltiono Rnldcutllal. AC Onl)' S39.j{) ~39. 50 r" "' 'J.C-- , Estiml.!fld Cost ~ l) I L I.::::>~~ Buildini P!ll'1Dit I- ~ PAID \NITH REA'11NG PERMIT FEE STATE SURCrlARGE TOTAL P'ERMlT FEE $ $ S .P! 1 "1"",>, ,', .,. ,",' ~!li- l.2.: ~: L:' , ,. ' : ~- : . (Oillte Ute Onh: Tl1i. APPIl; loon BctOm~ Your BnlldlDI Permit Wh.1l ^pprowd l E;. oJ (). ZOO I ,_ B ,.,Z ",'I_ '.. om"" .~.,- 14 Ml.lr ~c.e for.1I \Il>~~ 19~) ~'7-9Q50. fn. (9~') 417.4143 \ :Cl;OIPl N(), 1 y . I ] PRIOR LAKE INSPECTION RECORD SITEADDRESS ~h'!li ~ NATURE OF WORK ,..- DR. ,...~ USEOFBUIL~~ ~ PERMIT NO. DATE ISSUED . ._ CONTRACTOR PHON . · ~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION FOOTING FOUNDATION (Prior to Backfill) -- qrff7 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST GRADING (Prior to Soddin ) BUILDING ,{ . ' I 'OJ ELECT ICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS BEEN 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. t-I,( l -1 -r -v? SIGNED FOR ALL INSPECTIONS (952) 447-9850