Loading...
HomeMy WebLinkAboutBuilding 06-0791 w ::I i= l!!~ ~ ~ '.0 Ww ~U ~i= 0::0 OZ -z 0::0 0..- u.... ofd ~~ -z u_ a W ..J :J a W J: U U) -:r - ~ U) U) W 0:: a a c( 0:: ... z o o 0:: W Z ~ o C) .J... ~ <ell ..J -~... ..J o::u.o:: -"'ww- !:!::~uu< a~~~~ ~o..o..o..::i C)~WWU) xo!!;!!;< wUu.u..C) 000000 o z ... i 0:: W a.. 0..0....J :J:J< ~~~ 0:: oou...J C) ooC)~ z_J:J:z_ iijO::o::o::iiju. ~J:w~~J: ::::lU'" ::::lO ..Jw~ ..JW o..:::E;>eIlo..:::E 000000 o z w z o J: 0.. z o z i= 0_ z 0 o w ~!:(~~ ~ _a-.J z b~~eIl::::l~W 000:: ~!::: u.. u.. u.. ~ t. ~ ell oooOG..p en t- Z w :E :E o u C) z a: w > o o w 0:: o u.. W !Xl Z o i= o W 0.. U) o 0 z W W jjj ~ ~ 0:: 000:: 0:: 0:: 0 0.. 0.. u.. >= 0 ..J 0:: z ..J 0<< ... z U 0 < i= ~ U i= < c( t- ell U ~ W 0:: 0:: o 0:: ~ 8 ~o i..: c: o o -.:: Q) c ~ .... o ti Q) a. VI c w o z c( > a c( z U) 0:: ::::l o J: 'It N Z o i= U W 0.. ell Z ... >< w z W J: ... 0:: o u. o It) ~ ~ ~ ~ "ll ~ ~ ~ o ~ Q., ~ ~ ~ ~ ~ ~ ~ ~ ~ :::;) OJ "-l llc: "-l ~ u ;:: c ~ ~ w ::I i= ~~ ~~ Ww ~U ~i= 0::0 OZ -z 0::0 0..- u.... ofd ~~ -z u_ a w ..J :J a w J: U U) ~ ,...:r'\ U) U) W 0:: a a c( 0:: ... z o U 0:: W Z ~ o .J... ~ ~~ ::i iX:U:o:: .J... w- ~~~u< ~~~~o..~ 0::0..0.. ..J C)~w~U) xo!!;_~ wUu..u.."" 000000 o z ... i 0:: W a.. 0..0....J ::::l::J< ~~~ 0:: oou...J C) ooC)~ Z J::I:z_ -a:o::o::iXiU. ~J:~~~13 ::::lO ::Jw ..Jw~ ..J.., o..:::E;>eIlo.."", 000000 o z w z o J: a.. z o i= z z 0 Q 0 ~ C)!:(C)i= ell ~o~~..J~ ",z~::::lc(w o5~eIlz", f2 u.. u.. :5... u: en 0000l5l0 en t- Z w :E :E o u C) z a: w > o o w 0:: o u.. W !Xl Z o i= U W 0.. ell o 0 Z W W jjj W w 0:: o 0 o 0 0:: 0:: 0.. 0.. >= 0 0:: z o < ... z o 0 < i= ~ U i= c( c( ... U) fd ~ 0:: 0:: 0:: 000 ~~ .... ... c o ~ Q) c ~ o i..: o ti 8- VI c w o z ~ a c( ~ U) 0:: ::::l o J: 'It N Z o i= U W 0.. ell ~ ... >< W Z W J: ... 0:: o u. o It) co en r-:. ~ ..J ..J c( U ~ ~ ~ ~ "ll ~ ~ ~ o ~ Q., ~ ~ llc: ~ ~ ~ ~ ~ ~ ;;;; OJ "-l llc: ~ 8 ;:: ~ ~ w ::I i= ~i Ww ~u ~i= 0::0 OZ -z 0::0 0..- u.... ofd ~~ -z u_ o W ..J :J o W J: U U) U) U) W 0:: o o c( 0:: ... z o o 0:: w ~ o (!) .J.... ~ c(eIl ..J -~... .J o::u.o:: i!;~~~< ~~:5:5~ 0::0..0..0..- (!)~WW~ ~o!!;!!;< iLlou..u..C) 000000 o z ... i 0:: W a.. 0..0....J ::::l:J< ~~~ 0:: oou...J C) oOC)< Z_:I::I:z~ iXiO::O::O::iXiU. ~J:w~::EJ: ::::lu'" ::::lU ..Jw~ ..JW 0.. :::E ;> ell ~~ oooop.p o z w z o :I: a.. z o z i= 0_ z U en ow", ~!:(~~ ~ Z _o-.J Z W b~~U)::::l~W :E 000:: ~!::: :E u..u..u..~u..eIl 0 000000 U C) z a: w > o U w 0:: o u.. W !Xl Z o i= o W 0.. ell Z jjj 0:: 0:: o U. .J .J < U ){ l:i c o o -.:: Q) c ~ i..: o ti 8- VI E w o Z ~ o c( ~ U) 0:: :J o J: 'It N Z o i= U w a.. U) ~ ... >< W Z W J: ... 0:: o u. o It) CO ~ ~ ~ ~ ~ "ll ~ ~ ~ o ~ Q., ~ ~ llc: ~ ~ ~ ~ ~ ~ ;;;; OJ ~ llc: ~ I w ::I i= ~ ~" ~ ~~ o W ..J :J o W :I: U U) Ww ~U ~i= 0::0 OZ iX:~ 0..- U) 11.... II) 0:: ofd ~ w 5~ ~ ~ 0:: l- Z o o C) .J... Z <ell ::i -~... ..J o::u.o:: ~-~~~~ 0..0..- ww~ ;;:;00::0::< ~~u:u:C) '[)O 0 0 0 0 o Z l- i 0:: W a.. 0..0....J ::::l::J< ~~~ 0:: oou....J C) ooC)c( z_J:J:z~ iXiO::O::O::iXiU. ~J:W~::EJ: ::::lu'" ::::lu ..Jw~ ..Jw o..:::E;>eIlo..::E 000000 o Z W Z o J: a.. z o z i= 0_ z U o w ~!:(~~ ~ i=~j.J..J~ O::::l<~<w OOo::Z~~!::: u.u.u._ U) 0000 0 ~ ~~ w :E :E o u ~ <U ~ ~ ~ ~ o C) z a: w > o U w 0:: o 11. W !Xl Z o i= o W 0.. ell o 0 Z W W jjj W W 0:: U 0 0:: o 0 0:: 0:: 0 a.. 0.. 11. ~ ~ ::l o c( < ... z U U 0 ){ c( i= 0:: ~ U ~ i= < ;> c( ... ... II) fd fd ~ 0:: 0:: 0:: 0:: 0:: 000 ~~ ~ i..: c: o U -.:: Q) c ~ i..: o '0 8- VI c w o z c( > o c( ~ II) 0:: :J o J: 'It N Z o i= U w a.. U) ~ l- >< W Z W J: l- 0:: o u. o It) co en r-:. ~ ..J ..J c( U E ~ ~ "ll ~ ~ ~ o ~ Q., ~ ~ llc: ~ ~ ~ ~ ~ ~ ;;;; OJ ~ llc: "-l 8 ;:: c ~ ~ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d 8.7. o~ White Pink 3 Yellow File City Applicant \ PERMIT NO. Or,. 019/1 (Please ADDRESS 3B I L{ t?J, JJ. uJ I LEGAL DESCRIPTION (office use only) ,;J Nd t:t~ # PID ZS. LOT~BLOCK ADDITION ZONING (office use) puo :5 0 z..3. [) OWNER (Name) (Phone) (Address) BUILDER (Company Name) (Contact Name) (Address) (Phone) tJ-J- 'Y de - ~"Y{J 0 (Phone) (, /2- 31, ? - ? (, / .)... S .f /.:1 2... jJ4/nt'J' /J,... ew Construction OAddition OAltera IOn CODE: MI.R.C. OI.B.C. Type of.t;nstruction: I II III IV Occupancy Group: A B E F H I Division: 1 2 3 ORe-Siding OLower Level Finish o Mise Fireplace (I) V M 4 A R 5 B S U PROJECT COST IV ALUE $ (excluding land) ;2~() Of} 0 t:fl / x L'YS-r Contractor's License No. Park Support Fee SAC # # Permit Valuation Permit Fee $ Plan Check Fee $ State Surcharge $ Penalty $ Plumbing Permit Fee $ /~. d:1 Mechanical Permit Fee $ (!Jt1. ~ Sewer & Water Permit Fee $ ss:SO Gas Fireplace Permit Fee $ .l/ t? CI'fI Water Meter Siz / ;1"; Pressure Reducer Sewer/Water ConnectIOn Fee # # Water Tower Fee Builder's Deposit Other TOTAL DUE This Application Becomes Your Building Pennit When Approved \ #~~~.~-- I Buildll1!! Official r/db Date Date $ $ $ $ $ $ $ $ $ / SSO. DC 5"t).ufJ ..sV.~ / ..s-O&? - /&&l:7. ~ /S-~ eN ThIS IS to cerllfy that the request m the above applicatIOn and accompanymg documents is in accordance WIth the City ZllOing Ordinance and may proceed as requested. Tim document when Signed by the City Planner conslltutes a temporary Certificate of Zonmg compliance and allows construction to commence Before occupancy. a Cerllflcate of Occupancy must be lSS~L~ ~ 72-3/tJfo Planning Director f/-, Date ,.. Ilf"'~o-L( ~ sp:~~ e~nditi;ns, tt any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 WILDING PERMIT APPLICATION DEPARTMENT CHIOCKLlSI v~ E- NS I, t\ N N f,.7.oG NAME OF APPLICANT - APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: , 381L-{ ,J.L0J Accepted x Accepted With Corrections Denied Reviewed By: vvIJI2, Date: g- /5-0' Comments: See Reverse Side for Additional Information! We,./u 5-(rv Ce "V'- 2),.,'V(11I ~ ~ ~ ~ See Attachments: I) Grading Plan, 2) Erosion Control Me.a<\lreS "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 01 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 - FnQineering Qink - Planiiiilg:) BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED . I i. " .,,- j . , i. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~-, r; _5 0' / t-( /(: (f-::j ~) / i{l {(1' j / !' / / ..- 1-.:.& /1 Q J ...... ....~ ,'.' , / ) // !'(./ . . /.>:;{ Accepted Accepted With Corrections / Denied Reviewed By: ~ ~ Dale: 'F:jOAJ/o(" Comments: e-.o a..t-R ,~~':"'J. M.2: ~....__". ~) o;? ~tt~ Oo-t'd--' ~ ~. Air Conditionernnd Other ~Iechanical . U.lllts Cannot Encroach into Reqlljred ~ l;) "'; "~,T . _ "I' .1'""":1 '""!,.... _1..... ~J!~J(~ Jf!:.t1.4{1 ~~i~t~:'3.{~',~lS "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." ~~er) ~~~ng Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED W~NSf1f\NN 8. 7.0G The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 381'-( ~~ ~D< h. AJ./().. Accepted Accepted With Corrections X Denied Reviewed By: d ~ Comments: ~ ~ ~~ d- ~" (!....v.,~... ~ 6..,.JJ ()tr.J1... ~~~- Date: ms~ , , ~~ "The issuance or granting of a permit or approval of plans, specific computations shall not be construed to be a permit for, or an approval of, am any of the provisions of this code or of any other ordinance of the jurisdicti presuming to give authority to violate or cancel the provisions of this ( ordinances of the jurisdiction shall not be valid." ;3r/'1 fl~ ~-'J1AA ~ P.dl#ll JL I!I., jt/ IV, -- fT --7 r --;J -- HOLLOW IMPERVIOUS AREA TABLE PATIOS HOUSE WI DRIVEWAYS PORCHES PROPOSED ACTUAL STOOP BIT. AREAS DECKS IMPERVIOUS IMPERVIOUS DIFFERENCE DATE OF LOT BLOCK LOT (Sa.FT.) (Sa.FT.) (Sa.FT.) _lsa.FTJ ..iSa.FT.) (Sa.FT.) CERT TIER 1 1 1923 400 144 2467 0 5 1 2 1923 400 144 2467 0 5 1 3 2117 524 144 2785 0 5 1 4 2117 528 144 2789 0 5 1 5 1923 476 144 2543 0 5 1 6 1923 425 144 2492 0 5 1 7 1923 388 144 2455 0 5 1 8 1923 547 144 2614 0 5 1 9 1923 401 144 2468 0 5 1 10 1923 400 144 2467 0 5 1 11 1923 400 144 2467 0 5 1 12 1923 400 144 2467 0 5 1 13 1923 416 144 2483 0 5 1 14 1923 544 144 2611 0 5 1 15 2117 669 144 2930 0 5 1 16 2117 669 144 2930 0 5 1 17 2117 669 144 2930 0 5 1 18 2117 691 144 2952 0 5 1 19 2117 694 144 2955 0 5 1 20 2117 671 144 2932 0 5 1 21 2117 670 144 2931 0 5 1 22 2117 669 144 2930 2930 0 REV 8/3/2006 5 1 23 2117 669 144 2930 2999 69 REV 8/21/2006 5 TOTALS 46363.00 12320.00 3312.00 61995.00 69.00 Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts Reviewed by: ~ 'i'f.. 6 ~ Date: 8(2. z.(tJ ~ Building Permit # PID: . Address: 39 It.( ~ ~ ~. Legal:Lo?3 . B 1_' sdctivision: 9~ Zoning: }J.w. ~ ~a-reI( ~ ~~. Existing Structure? YESlEQ) Existing Nonconforming Structure? YES@ I CONFORMS TO ZONING ORDINANCE I YES I NO I Proposed 2S ' t JS.I (5 k5lo (!l . Standard 25' 10'/ 25' if abutting a street · 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 ond · From OHW (Prior or Spring Lake) 10' setback + 2"/1' over 50' 25' 10' side/ 25' rear 30' A t-JA. 75' or setback average of adjacent structures, but no less than 50' NA. .30 Maximum Standard Pro osed tS~,ug l'JojVc; ~. Tree Preservation:<< NA))FAILS I COMPLIES · Total caliper incnis · Permit 25% Removal · Caliper Inches Removed · Caliper Inches Preserved · Replacement Standard Proposed X:1 L:\TEMPLA TE\BLDGLIST.DOC R RMUGW-E2N8Z-E2L00p6LUM1B5r :N0G5 !l. HL'A'!'! N C EYj 04F PR I OR LAkE 9524474245 P. 01 F 0 I;t r:. lr U..I - JL-Ujbl \N1Ul~) o. LO UU l't,UU/U1. 1__,J!""', L'J"~'un.,. CJ TV OF PRIOR LAKE PLU?dBlNG PERMIT Date Rec'd OWNER (Name) (Addc~) ~~ ~ I PJ<:RMlTNO. ". ~I 1. "cn_ ~liWII , . \~~ ~~ ~. % ,\j . I I ZONlNG~(<>"'1 ~~~clcX~ PID LEGAL DESCRIP'i:10N (office 11.'>l: OJ ly) LOT~ BLOCK \ ADnmON ~LICANT\ \~".__\ ~\\ (Name) ~ (AddIeu) IllD ~~~~ (J\~) (COnI4dp<aon)~ ~_ APPLICANT SIGNA11.T.RE (PhOf+e) rasl-4-Ci.:>-Wo U ~ VVYl. I (Phone) 05J,...4~-ISh ~.~t~\n, S51~' '1City) . (Zip, Code) (phone) ~)-qS2-15~ DATE ~UIDfc:_ Quail tity .,' Type 0 r Fi;J:ture QuaDtit}' l)'pe ofFixtare I . Batti Tub with or wit h'out shower ROUgh-ins r DishwaSher , i Water Heater i flpor: Pz$, Water SoftDer 71. 4vatory (Bathroom )ink) 1 Stahd P~Jle (Washmg Ma~hlae) L4und.ry Tray (l or 2 compar1l1lent !link Se'\'I2lge Ejector rt..- Shower StalI . Bacldlow.Assembly r Sinks Backtlow Assembly Tl!lSt Bar Sink . Lawn Sprinkler ~ WatDr Closet IToilet) Otbcr , .PUCANT PLEASE COMPLETE BELOW . FEE SCHEDULE In<lustrial. Comttlercial de. MI,l/ti..t'amily 1 % I ,(job cost with & ~9.30 lIIinilTUlm R.$denti"l. New One & Two-:Fllmlly $99.50 Residential. Mditi0n3 & A1ler1.tio:ll! S39.~ . . . /-lAID E3timated Cos1 $ Building Ponn~1\l . 8t "LDING W'tH PLUMBlNGPE'RMrrF.EE S . PI2f::M11/ :;TA TE SPRCHARGE $ .50 rOTAL ~E:RMIT FEE S (Offic.c U!c Oll.ly) This Applic:rtlOD ~mes Your BlIildi 19 Permit When Approved aui1cIi<ll; oai6,aJ . D,at.! , iptHo. 24 honr I oriC'e Cor.n in.rpectIolll (9S2.) oU7-98 ,(951) .H1-4245 . 162~ 0 iagle Crec:l::'.4ve., S.E.. Nor Lak MN 5'37z..1114 f By ______._____ ______1 9524474245 P.02 IJate .tUC'Q - CITY OF PRIOR LAKE SEWER AND WATER PERMIT P;ID ':~ (Cf1:Y.l cmwne) $)-qab-~D ~( , (rIP O:ldc) ) ~......~) ~. MTrl. ss-}~r (Cil;y) t (Zip Code) (Phone) ~51-l{S~-1S-bS- '.'~"bAn1 cg ~ ~ APPLlC4NT PU}4$E COrdPLETE BELOW Siu ofwater S(rvice inches. LocsIian of llJI}'ooUpIi~s iimxI~~ feet. Type of sewe:J; F i,pe. 0 Aa~ pve 0 Cast Iro~ Estimated lengtll' of sew~r line 30 t. Clean ont (if ro; uired)' I~ a1; J=t-:.tet from structure. FEE SCl@)ULE ResidenlW sewer snd W*r line lXlI:IJ1t:Ctior S3S.50' Industrial, 'Com'I ~ Multi-fumily 1% of job cost with a $39.50 minimum Sewercono~ononly S17.s0 Wara-~Olloaly $17.50- Estimated Cost ~ Building Permit # ~ 13lJ/l:r'1J ~7J1.I :J ____.-_ !flt'r. " S 50 -'Vb rJ~ S . f:11"frr SEWER A W WATER. PERMIT FEE STA'ffi St RCHARGE ' TOTALr ~RMrr FEE (om.~ Un Oaly) This Application Bee<lmes 'Yoar BttiJdm(: Permit When Approved Bandiaf 0$011I lbll! v ftm r~ 0 _ m ~ ! i , ~G3 0 lQ06 ill ~y Receipt No. SEP-05-2006 15:02 CITY OF PRIOR LAkE 9524474245 P.04 CITY OF PRIOR LAKE HEA rING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'cl ;. ~~ ~~~ I PERMJT NO. L - 7'TQ1 l V"I.... ^rrl...,., . .!Ii.. 1-7J. Please . e Ot }lrint .nd si~ II bOllon,) ADDRESS ---) r Il ZONING (oIfiCt 3gl.l~ j~SpbCvry r-<'c\0~ Qq I\JLOI ,..., LEGAL DESCRIP'nON (O(Jlc~ llS~ ol\ly) LOT aLOCK ADDrTJON PlD OWNm U 'e s' (Name) )'.n I~C'CL.r\I~_..__ ~~~~ I~~:'S;~~ ...1 -.~'-."'- (Addre~ 1 ggSJl 07t'l f)v'. S/{ dUJ APPLICANT I Q (Name) l~Cnt..- <-J1CU~ _____~ (AddreSS);J-;?[Q. W. \:.-twc'l /'3 rfF~ '71 .'.7 /iiO '" (P110[l(~) .!d) - tf) ~- L.J 'U B L(Yf/ysv.H.lc (Cily) (Zip Code) ('~ C;' r) .- ~71 ':7 (( 'v Y '\ (Phone) ..... I J tX lV.. - ~.1L. J: 30 O~ DATE _ .,_. . APPLICANT PLEASE COMPLETI~ BELOW t1CW CONSTRUCTION . 0 REPLACEMENT- 0 AL TERA TIONS .. FURNACE MAkE AND MODEL l- {:rV\(;JX (-ri.13 U r.~ '-I j5- E" CCJ~.__ FUEL no..1 ~:'::!.... FLUE SIZE ._.___ RETURN OPENINGS --..L ~ INPUT -_)5.," CU-) OUTPUT. ~ )q(A.} HEA TING OR POWF.R PLANT , (Add ress) r:J53j" 7 (Contact Pel.son) __ APPUCANT SIGNATURE TYE OF SYSTEM jQ~ar~ Ail' 1'18nL~ ~'1IVIlY echall ical r COIlditialling o:a..VeJ1t. System o Steam o Ho! Waler o Radiation o Special Deviec~ _.__ ._ o Olher De"i~s _______ PLllA,SE NOTE: Air Conditioner Ullrls Cannot Encloach into Required Side Yard SetbacJes FIREPLA,CE MAKE ^ND MODL~L lnd\lsu'illl, COJ1)ll)el'e;al &. Mulli-Falllily - - ,rIm SCHI.mm...E 1% ofjoh cost Reridcl1lial..G~s Flrcplncc $39.50I'njnimum $99.50 %4.50 ~~.~ S39..s0 Rc:sjdC:J11i~l, Healing &. NC (New CO"tl'"eliol1) Residenlial, Healing Onl)' (New Consll'uction) Residel1lial, lie Only Rcstdel1liel, Additions &. Alle,'alions S39.50 PAlO wrrjf.SO 9UILOfNG PERMIT (orr.c~ Use Only) ,~ .~~'--."'.----,...._--.....-....... This ApplkSltion B<<:omes Your Duilding Permit When AJIPr<lved In! !fIai?~: '! 1) L.:.l 'J [i ! Estl111ated Cos~ S HEA TrNG PERMIT FEE STATE SURCHARGE TOTAL PERMIT FER Building Pel'I11ir ff__.. $ $ $-- .50 I'lullllin~ O(ljt\I~1 D~te n \~l Ie: .. .....;.;.. J;;. ~f1> u 7 Receipt No, . ~B);- j' / 2A honl' notice fa.oall iUSl1eclions (~52) ~~7'9850, In (952) 447.4245~j l.t~ 'y~ .:=-=.::::.;=~:::--___ ~__ ,j OCT-05-2006 15:42 CITY OF PRIOR LAkE 9524474245 P.02 CITY OF PRIOR LAKE REA TING/AIR CONDITIONlNGfFIREPLACE PERMIT Date Rec'd I, "..... 2. er-. J. v,II.", ~;_, [ PERMIT NO.~. ~ ZONING (afnce ""0) It-d k.) W LEGAL DESCRIPTION (offlceusl!only) LOT BLOCK ADDmON PID OWNERt J (Name)' nJnuO~ I %~S" R~-c~ a-#~ , (Phone) G:SI- c.;O~ #YYao (Address) APPLICANT (Namcrll~~~ 'b rj_~~ ON--A. c\- (AddressL ~!lCD /09.tJ, (kx>- JJ -#/CX)D (Alld.re.u) I (Contact Person) j( r\ ~ ~ne..l"'r.n"" r- P (Phone) ~t.o~ - SrJ 1- dS~S APPLICANT SIGNATURE DATI: APPLICANT PLEASE COMPLETE BELOW ~w CONSTRUCTION 0 REPLACEMENT 0 ALTERA nONS FURNACE MAKE Aim MODEL FUEL FLUE SIZE R.E11JRN OPENINGS OUTPUT TYPE OF SYSTEM cAa/nV1.1~~ Imn 5S3/~ ------r (City) (Zip cod~l (Phone) fl~~ ~ S'lV;-/~ llo DWann Air Plants OGravity o Mechanical [JAir Conditioning DVent. System PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FrREPLACE MAKE AND MODEL IndllS"ll'ial, Commercial & Multi-Family FEE SCHEDULE 1% of job cost Residential, Gas Fireplace S39.50 minimum $99.50 S64.50 S39.50 Residcntlal, HeatIng &. Ale (Ncw Construction) Rr:~idcnt;al. Heatin.g Only (New Construction) (OffiCl'USt Onl]') Thill Application Becomes Your Building Permit When Approved Estimated Cost S HBA T1NG PERMIT FEE STATE SURCHARGE TOTAL PERMIT FETe. Residcntial, Additions &. Alter~ JO,A S39.S0 Residential, AC Only rt./) ,/() $39.50 '"'i'tlt.~ ~')o) . Building Perm it # \..) t:>i:.. 'Y ~ .50 'Iy~)'- S Bui\d;I\I~ Of rid. I 011.. 24 bour nOlice for all illSpUliolls (952) 447"~6.,f.x (952) 447-414S TOTAL P. 02 CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd /o,23,Oh ~. ~~ ~!~ I PERMIT NO. {J/. 079/ I 3 Yellow Applicant . ", ZONING (office use) /524-7 WI f-;O f' fJKA/V LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID I OWNER (Name) (Address) (Phone) APPLICANT (Name) ~)C(.C! ( ~"<,",G~k..(. 1~ Co (Address) II ~ f 2 <~ (Phone) 1r~.. 151' - ~v) l.J o.rkf-}.v " S r"1 f'r (City) (Zip Code) (Phone) crf2.) 9; -:2.. yo J DATE to -.2:~ -0 C' c.~. q (Address) (Contact Person) ~(~fV\ ~ / APPLICANT SIGNATURE Quantity Type of Fixture Quantity Type of Fixture l Bath Tub with or without shower Rough-ins Dishwasher Water Heater , Floor Drain Water Softner .L Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (lor 2 compartment sink Sewage Ejector I Shower Stall Backflow Assembly '.I- Sinks Backflow Assembly Test ( Bar Sink Lawn Sprinkler .1 Water Closet (Toilet) Other APPLICANT PLEASE COMPLETE BELOW FEE SCHEDULE Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family Residential, Additions & Alteratio Rec~ By Estimated Cost $ ~,-, r 0 Building Permit # (Office lJse Only) PLUMBING PERMIT FEE $ ~ STATE SURCHARGE $$ .50 TOTAL PERMIT FEE This Application Becomes Your Building Permit When Approved Building Official Date paid~ Dat/D, z3. 6~ 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDiNG AND INSPECTION SITE ADDRESS . (L , AO N,"'. NATURE OF WORK ~ c.'~. ~l4,)~; A;;~: &.,(,.. ~S'1>J F:P. USEOFBUILDI~ .0. PERMIT NO. . . . . () '. .DATE ISSUED f'ij'l'L/Ol,. . CONTRACTOR -liS,J ~C · PHON Ej)f2,- , - ~ 20 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT FOOTING FOUNDATION (Prior to Backfill) S~ PLACE NO CONCRETE UNTIL ABOVE HAS ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING 0; HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED (./I:1WE '+ Hous,w~p I J ] FINALS ADING (Prior to Sodding) )/1:1 //.17.,&-6 .DING Pb ";TRICAL JIBING t.t: ,.,NG 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 CITY OF PRIOR LAKE Impervious Surface Calculations (To be Submitted'with Building Permit Application) For All Properties Located in ~e Shoreland District (SD). The Maximum Impervious Surface Coverage Permitted in 30 Percent. Property Address ~ I '-/ RAsPBeRRY f<:r:o~ ROAD p,bJ, Lot Area (N.A. - SEE TABLE) Sq. Feet x 30% = .............. (N.A. - SEE TABLE) ***************************************************~******************** LENGTH WIDTH HOUSE i (;AAA(j€ (''''lll~~S- .:!~^~;/~~r:r x x x = SQ. FEET "2., 13 f = ATTACHED GARAGE = TOTAL PRINCIPLE STRUCTURE...................... 2, f3/ DETACHED BLDGS (GarageiShed) x x TOTAL DETACHED BUILDINGS....................... 0 <:iiRIVEWAYtP A VED AREAS x = (;,70 (Driveway-paved or not) X = ~arking Areas) X = 25 TOTAL P A YED AREAS......................................... GCfS P A TIOS/PORCHES/DECKS (Open Decks v." min. opening between boards, with a pervious surface below, are not considered to be impervious) f()~ x = I~f' x = S77JtJ P X = 1... if TOTAL DECKS........................................................ 173 OTIIER x = x = TOTAL OTIillR...................................................... 0 TOTAL IMPERVIOUS SURFACE I 2.'1Jiq . I 8(q!Gb UNDER/OYER (N.A. - SEE TABLE) . Prepared BY\) ~ <Z, ~S1"C5Lr lf~ Date Compal1Y Pioneer Engineering Phone # 651-681-1914 Lot G~, Block~, JEFFERS POND S~CAJWD 4D~