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'AN , ,.vt ~ .., , M,fh-e S (Phone) (Address) BUILDER (Company Name) (Contact Name) (Address) SA-t-A-e gv..~ c-~c..~ ( Afi"<I/ / (Phone) (Phone) ". tt/? - 3~' - 3C?9t:t TYPE OF WORK [M"'New Construction ODeck OPorch ORe-Roofing ORe-Siding lMCower Level Finish 0 Fireplace OAddition OAlteration OUtility ConnectlOn CODE: ~R.C. DI.B.C. Type of Construction: Occupancy Group: A B Division: o Mise I E II F I III H 2 IV @ A I M R 3 4 5 B S U PROJECT COST IV ALUE (excluding land) $ ,29.5/ /dC> I hereby certify that I 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 Of authorIzed agent for the abnvc-mcntlllned property and that all CllnstructlOn Will conform to all eXisting state and local laws and will proceed in accordance with submrtted plans I am aware that the bUilding nfficial can revoke thIS permit for Just cause Furthermore, I h> 'eby agree that the CIty official or a deSIgnee may enter upon the propel1y to perform needed inS eclInns X a(f'~ __ /37/ t./ 6/(J7 Permit Valuation Permit Fee Contractor's License No. Date Water Tower Fee # $ ----=:--> $ I (, S".DS $ ~SS:ClO $ I ()().06 $ I 5"OC:>. 0::) $ O() ~ . a $ I 5"()O.~ $ $ Park Support Fee SAC # # Plan Check Fcc State Surcharge Penalty , Plumbing Permit Fee ~echanical Permit Fee Water Meter Size 5/8"; " Pressure Reducer Sewer/Water Connection Fee # L:~wer & Water Permit Fee ~as Fireplace Permit Fee Builder's Deposit Other 4 Itzh 7 I Date TOTAL DUE Becomes Your Building Permit When Approved rhls IS to certify that the requl'st in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. TillS document when signed by the City Planner constItutes a temporary Certificate of Zonrng compltance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be II'~~ I Planning Director L_ ViO Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 ': .,.- ---_.~ White - Building ~~eerln~ - II!:J BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 11/'L7-C It:;:. c. 67 The Building, Engineering, and Planning Departments havn reviewed the building permit application for construction activity which is proposed at: ':;-(;;5 f/ 7/G./I/ L-1(i-itLJ /-IJ, Accepted >< Accepted With Corrections _. Denied ~ -Reviewed By: IJJ/YJ 'Date: '1-/2 -0;" Comments: See Reverse Side for Additionallnfnrm::ltinnl c."",(. lJ,p,.or.{;~ (C.,v"'ru/ ~ ... '1,., . Il',-'i". J 'I.,' !) ,'" ( , \,.,~; ,11, ... _~ l' . See ~\.tt~chments: 1) GrC1;dihg 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." r-' White - Building cJ:;,n:fY _ ~~~~g 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 / Denied r Reviewed By: ~O^-r ;... ~ Date: ~j; *7 , Comments: Air Conditioner :.ad Other Mechanical 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," ~te - Buildin~ anary - r::nylneering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT )1/ L-/C' 4- - G-~. (, 7 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: S&S j/ 7J{A I L-1fc'J7D L-iJ 1 Accepted Accepted With Corrections 1-- Denied Reviewed By: (? ~ to Comments: Date: 4' /2./d7 I I I. Rea.J a-'I a.~W h~ mJ-s '2, N~ t\4.s(Jtrh'01I19 w/~ "u.J- Coif e,).- ~c 5,'0\,..\,. (!~ "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." Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R-1 or R.2 Districts Reviewed by: ~ ~ Date: #2~ 7 Building Permit # PID: Zoning: Address: S~~ (i....d ~ '- CI\.. . Legal: L lro , B 3 Subdivision: ~ @ ~ ~, Existing Nonconforming Structure? YES~ Existing Structure? YES @ I CONFORMS TO ZONING ORDINANCE YES NO Standard 25' 10'1 25' if abutting a street Proposed . Sidewall exceeding 50' requires additional side 2" setback for eve l' over 50' in len th . Rear Yard . Patio Door: provide for minimum 10' deck or sign statement indicatin no deck will be built in the future . From 100 year flood elevation of wetland/NURP pond. . Refer in- round ools to the Plannin De artment . From OHW (Prior or Spring Lake) 10' setback + 2"/1' over 50' 25' 1 0' sidel 25' rear 3D' I']. 2,'; ( .2 tJA- 1( 6..,J G: ~ 30' 75' or setback average of adjacent structures, but no less than 50' JIlt I Floor Area Ratio: NA I FAIL~MPLI~ .30 Maximum 2.s-% Standard Proposed N~,JE tJo rJ c Tree Preservation:/ NA tfAILS I COMPLIES . Total caliper inc~ . Permit 25% Removal . Caliper Inches Removed . Caliper Inches Preserved . Replacement Standard Proposed Y2:1 L:\TEMPLA TE\BLDGLIST,DOC Apr 30 07 08:31a 1. 2. 3. 4. "-...-- 5. 6 . ~, .,~. METRO GENERAL SERVICES 763-428-2968 p. 1 GREEN - fILE TELLOW - APPLICANT GOl.D - CIT1 CIT~ OF PRIOR LAKE SEWER AND WATER PERMIT FA~ Cf51..:-- 'It( 7-'/'2-- t/r" s.w. NO.+z1~ NOTE: Sewer and Water contractors must be registered with the city. APPLICANT: (h t=--rRo ADDRESS: 57 Cj 0 SIGNATURE: \ G E:}d ERAi SER. ViC-F-PHONE: (~) 3-L?-d-g-~ c/3S rive, DATE: s-r: I'Yl I c.. Ii ,C) G L I -PY} IV. S 5 :=3 '7 '= BLDG. PERMIT # PID# SITE ADDRESS: FILL, IN THE BLANKS Estimated length of water service bf) feet. Size of water service I '/ inch(es) . Location of any couplings from structure () feet. Type of sewer pipe. ABS PVC ~(i Cast Iron____ Estima ted length of sewer 1 ine 5' () feet. Clean out (if required), structure. located at IV/A- feet from -------------------------------~---------------------------------- ------------------------------------------------------------------ This application becomes your permit when approved. BY DATE: ========f?~Jr:l=~~~============================================= FEES: ~f] Ie! _-E. .e t.M y:';- Sewer and \:!ater line connection permit. . ,?~.. . Surcharge "" No ,--e.e- 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 ?errnit card at the time of issuance to insure,that no duplicate sewer and water permits are issued.. , t,\A~ ij '1 'LOOt DATE,'.PAID AMOUNT PAID PAID Wln1 BU~LDING PERMff \ " , ' .. RECEIPT # \ \ . L:-:-~--:'-'-.. . REC'O BY .16200 Eagle.CreekAv. S.E" Prior Lake, Minnesota 553721 Ph, (952) 447-4230 1 FAX (G'92) 447-4245 A." p,,,,,,! (}nnnrtlln;tv Fmnlover Ma~ 21 07 11: 14a p.2 CITY OF PRIOR LAKE . REA TINGI AIR CONDITIO~"1NGtFrnEPLACE PERMIT lhtte Rec'd ~i,;~~""~~+ "" ,,",,""" I nV,1)'f: yell) /1~()(/ D'lIti ) ... ~; =- ~I~l ~t NO.7:1JS -1 I ZONlNG(-~ I l I PID I LEGAL DBSCRII' nON (om~ use 0tI1y') I L LOT . BLOC); ADDmON ~~~u .it.ltotvlt\ c - \ II . I (Md:rn3) Ol!:_l.-6LW Pl!-0Y A.PPLlCA..'IT(J I.. '. I (Nam<:) . 'lDhr'f HrC.tfIVltJ! r , (AddICl~) ..?-DLo 2- J<./j t.1I!j'7) .X":;hJ i ~l I (COPtQct P~rsOll> / i AFPLICANT SI' iNATURE ~ .- fie 1 I ~ {h (phon'l % L~ Lj:;Z~l}/771 (':3 O,C; ell"'? M J . , [ (phone) :-Lir;?,- +7 ?-2-2LI) I -t-~;I-< t~ r_>;:/;;l,) - \ CP) (pbon:~ ~ 5;'" (.;/l~,-;) ~:J APPLICANT P \ ! EW CONSTRUCTION ~PLAC~MENr ALTEP.ATIONS , I' PUR.."lAC2MA}EAi\rt)MODEL UJ/l1/10X ~ C:l.L-\'.~LI...~ - FUEL J1Lk~-, (7~ \ FLUE SIZE _; RP:TO'RN op:E}lD:.lOS ~PUT L U~ [/t ;r') OUTPut '77 I f-e> () \ TYPE OF SYSTEM 1mATINGORPCfWEitPLA...'IT 1 'il\l"l1l. Air PllUllJ ~ Stotm PI..l:ASE NOTE: .. I"IIvll;y Hol Wll.Cr Air Conditioner Unil~ I echanio4l iU.d l.d1on CiDOo I I3.n.cnw:Jl !n tD tl r ConditlorJnl 3paciX DCV!CClS R.oquirod Sicio Y.ud OVom. S)'Jt,I:m 0 0\1uI1 ~viOM Sedla.c~ Flf{EPLACE hi I.KE AND MODEL I }fElt SCHEDtJ1.E. IllduwifJ. Comr), .,.ela1 &. lvlul~l-rDll11LY 1% otJob ~ Rclilde:ntal, au I'irtpl_ $:39.50 nll!llrnuru lI-n\dcmilll.l1e., nt &. NC (N~", Con~c:tlolll S99.,o RuidCZltill.!. AddttlMR 4l. AtrDraIioM RCli::lenOlll. HOII, ag On!)' (New COru1l\Jcl:io11) $604,:10 iWll1.orlAl. AC Onl)' f.stinu.~'dCost$lO\ Li,O\,) - be) Bulldln,Pertnit"it S39.50 S39.~ SJIl.SO PAID Wlni .50 BUILDING PERMIT HEA UNG PERMIT FEE ST ATE SURCHARGE TOTAL PElUrttt FEE $ S S (Ome. v.. OnJ:j: ~ " Tbh ApQlIr Itl.on BccomtS Your BulldlD.t: Permit Wh.11 Appr<<m:d. [,!. I . y Bull, lilt: Otllclal nile ':OClIptNO. '\ H hour DOt\CAl for allltupect.lona ('il:D.) !&47-?850, fait (951) <<7-4:1d~ PRIOR LAKE DEPAATMENTOF BUILDING AND INSPECTION ~ 1',^s~c1w~ WJ;k-out cotl"'<-\- ~;ox. CcJlA~ IN~Pt:CTluN RECORD- SITE ADDRESS 5{;S~ T~l'l he.~ ~rA- NATURE OF WORK Ne&.J USE OF BUILDING SPD PERMIT NO. 07. 02-/S DATE ISSUED 4-. /3 - 07 j CONTRACTOR 7uil<> l-b..l1./ PHONE-"'12--3f11. ,~?1if F'\.c.~...' NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW :THE PERMIT IS BY SEPARATE DOCUMENT FOOTING 'U/l1 FOUNDATION (Prior to Backfill) / '11J '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 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ~e. WJ-t1.f> /~ I r . I FINALS GRADING (Prior to Sodding) BUILDING .{ \fY\~ \ llJ ''lro ELECTRICAL 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. FOR ALL INSPECTIONS (952) 447-9850