HomeMy WebLinkAboutBldg Permit 08-0669, Lower Level 08-1019
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
J-71o
1 White
Pink
\'ellow
File
City
Applicant
LEGAL DESCRIPTION (office use only)
LOT 0 BLOCK
ADDITION
OWNER
(Name)
lie .M ~
c.~ ~ - ,../
-::r;,c
/I- v'R
61111t
C1 of
(Address)
0+
.M,r
(Phone)
8 J ~ .oV
I PERMIT NO. OB, O(PfRCj
ZONING (office use)
PVO
PIDzS.,4.{,{.OlOID
,7C; , -5- "$/-c5 '7 I Y'
1(. C- rc, i/ e
~/
A/f.
BUILDER
(Company Name)
(Contact Name)
(Address)
I'lJ I1l1tl r II C M ~ '? '-r.--, L (Phone)
C-- ~(l c) rJv..J (!.; daft "'"\ h,o Me...> . U> rv) (Phone)
C1~iS- G7 3"':/ t1ve /1/' ,/''V, t'
7c 3 -s- 3l-c, ~7/<(
~/)..- <1/r-C;c-f<.--
Cr-'-~' v't
TYPE OF WORK. ew Construction OOeck o Porch ORe-Roofing ORe-Siding OLower Level Filllsh 0 Fireplace
OAddiuon OAlteration o Utility Connection
CODE: ~.C. DI.B.C, o Mise.
Type of Constnlction: I II III IV V A B PROJECT COST /V ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I~c>, OC'O
I hereby certify that I have hllntshed Information on tlus applicatIOn which IS to the best of my knowledge true and correct I also certify that I am the owner or authollzed agent f\ll the
abovc-mentlllned propcrty and that all Clll1structlon will - orm to all eXisting state and local laws and will proceed in accordance with submitted plans I am aware that the blllldmg
~'''''' "" "",,, '''" ';'m" 71 'm'''" me' ''';'''' "'" '"'' ,~" ~"";:~;;9~~F? ,,, ",,",," m'S~? S- -0 Y
? Signature Contractor's License No - Date I
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ l (). -.
Mechanical Permit Fee $ ( 5D. .
Sewer & Water Permit Fee I $ 52-. ..,
Gas Fireplace PermIt Fee $ S"
~
Park Support Fee
SAC
Water Meter
#
#
$
$
$
$
$
$
/82;. ...
-31.$. ...
. t),'~
l-roo. -
I bOO,'
I 5" t:>(>. ..
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
request In the above application and accompanYing documents IS m accord,1l1ce With the City Zoning Ordmance and may pmceed ,IS requestcd. Tlus documcnt
Planne' ute\ a temporary Certificate of Zontng omplran 'and allows Clll1struction to commence. Before occupancy, a Certlticate of Occupancy must be
t5j 'Z) "S
Date
24 hOllr notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Speciat Conditions. if any
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by: \(g (A-
Building Permit # PID:
Address: -z."{ q 0 (.wJ-.>r- (Ll\)(:)~ f2-D
Date: t: If; ~~,
Zoning:
Legal: L
. B
Subdivision:
Existing Structure? YES I @
Existing Nonconforming Structure? YES I ~
I
diSJ
NO
I
I CONFORMS TO ZONING
ORDINANCE
I
Yard Setbacks: NA 1 FAllSI COMPLIES Standard Proposed
. Front Yard (can be 20' if aVQ. w/in 150') 25' 2<;. 3>?'
. Side Yards 'j{Y( 1 ,.; )D.~
25' if abutting a street
9 OC"
. Sidewall exceeding 50' requires additional side 2" 1 0' setback +
setback for everv l' over 50' in lenQth 2"/1' over 50' fi\<.t- p~
. Rear Yard 25' 3'31-0'
. Patio Door: provide for minimum 10' deck or sign 10' sidel
statement indicatinQ no deck will be built in the future 25' rear .-
. From 100 year flood elevation of wetland/NURP 3D'
pond ---
. From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no ---
less than 50'
Floor Area Ratio:
FAilS I COMPLIES
.30 Maximum
Yard Encroachments: ~J\il FAILS ICOMPLlES Standard Proposed
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 yards.
Tree Preservation: 'NA P FAILS I COMPLIES
. Total caliper inche6
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement
Standard
Proposed
Y2:1
L:\TEMPLA TE\BLDGLIST.DOC
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~ tk15S
cr; . f . 08
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2-790 HAWk:. R-A Dq6 W.
Accepted
v
Accepted With Corrections
Denied
Reviewed By:
'{
/.!;1 /+
Date:
C /-' L'--. ~~..
C I _ ---" /c.... L:
,
Comments: ( IJtt-1 A) ;'/+ / /V
t>~~- (-_/ <:> I .::;./L- L_<-',';,;,~J "{j'2 LX-
/,-,) /:':'c3--6i-") S r7!..,--"r..'::-- $
c.ct-;-).,1U Ar ALe. Tirv1C',;,.y
"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
Pink - Planning
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:
..::..-.-
; i f\. \ ~:........__
i ~
t
Accepted
Denied
./
Accepted With Corrections
Reviewed By:
t-f) (l
Date:
s h,- ;;8
I (
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."
~~'I.~~"
--.....,-_____".,..~____".____._,..,~___. ....__.___.,__._....._. ._.__.______n___
White - Building
Canary - Engineering
Pink - Planning
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Dof\1N6j l:ktJss
~'.I .06
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
HAWk::-. ~ Dq6 gp.
Accepted
2-790
X
~
Accepted With Corrections
Denied
Reviewed By:
IVrl6
Date:
g~J('-o ~
Comments: See Reverse Side for Additional Information I
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."
Drivewav: NA I FAILS I COMPLIES Standard Proposed
. Maximum width at property line 24' (f::, I
. Required setback 5' from side lot line or crl
30' from r-Q-w on comer lots
. Maximum slope 10% o e7~
. All parking areas to be paved including R-Vor
soaces adiacent to the Qarage -
. Location to match subdivision QradinQ plan E)00
t Building Height: NA I FAILS I COMPLIES
35' Maximum
2A'
Shoreland District: NA I FAILS I COMPLIES Standard Proposed
Minimum lot area (square feet) 7,500 Rip, 7,999 Non-rip
Minimum lot width 50' Rip, 57.3' Non-rip
Shore land alterations
Impervious surface PuO. ::: 42.-/.,....30% Maximum ?'~,f...;
.J"'"
Bluff in Shoreland'l NAJI FAILS I COMPLIES Standard Proposed
. Setback from tOp-Of bluff By planning dept.
. Bluff impact zone 20' From Top of Bluff
. EnQineerinQ certification submitted/approved By City Engineer
. Gradina in bluff or bluff impact zone No importing/exporting
r \
Floodplain! N~ I FAILS I COMPLIES Standard Proposed
. 1 00 ye~oocl elevation 908,9' Prior Lake
914.4' SprinQ Lake
. Lowest floor elevation 909.9' Prior Lake /
915.4' Spring 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
higher
. Road access must be no more than 2 feet below 907.9' for Prior Lake
Reaulatorv Flood Protection Elevation 913.4' for Spring Lake
I FAILS I COMPLIES
Standard
832 sq.ft. or 25% rear yard
Pro osed
10'
15'
L:\TEMPLA TE\BLDGLIST.DOC
Dec.19. 2008 2:16PM
Fergusor 3ath & KI tchen Ga: lery
No.8274 P. 1
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGlFlREPLACE PERMIT
Date R.ec'd
\. Pink fi:c
l. c.... Cil\l
l. "011.", Al>llliC>lll
PERMIT NO.
(Please t}lIe or llriDf ud slAlI at bottom)
I ADDRESS
J ., 9. 0 ;-{ 0-0 J{
R ,J'j (
J
ZONING (olliet U~
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
lOWNER
(Name)
(Address)
~bn flCL~
(Phone) _""
APPLlCANT ()
(Name) 'uO I"'"' ~ ~-+ \'0 fY\
Ko 0 t:'l f\ ")
(phone)
(Address)
(Address)
(Contact Person) (6 / t l
APPLICANT SIGNATURE \?,:1.Q (J(~
(City)
(phone) _
DATE
APPLICANT PLEASE COMPLETE BELOW
SNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE REnrRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWallll Air Plants
OGr:l"ity
o Mechanical
OAir Conditlomng
OVent. System
o Ste:un
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NO'fE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to tbe Outside of Buildings
Require a Bullding Permit.
FIREPLACE MAKE AND MODEL
LbV
s:3D
Industrial, C<lmmercial & Multi.Famlly
FEE SCHEDULE
I % of Job cost Residential, Gas Fireplace
$4950 minimum
$149 SO
$64.50
.., to b F \\'c (~ a..C F
0'"- Lowc.t'
Le J e..l
$49.50
Residential, Healing & Ale (New Consuuction)
Residential, Heating Only (i'lew Consll'\lctJOn)
Rcsidentlal, Additions & Alterations
~idential, At Only
$4950
$49 50
Estimated Cost $
Building PermIt '#
REA rING PER.\1IT FEE
STATE SURCHARGE
TOT AL PE.RMIT FEE
$
$
S
PAID VVfTH
.5cBUILOfNG PERMiT
D"te
(Qt'fiu Use 01\1))
This Application Becomes Your 8uilding Permit When Approved
"8uil41nt Official
24 hour notice for all u18peet1ons (952) 447 9850, fax (952) 447-4245 I
4646 Dakota Street S.E., Prior uke 8YmtSOb 5~72 _J
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
7. 4-. of
t ~~\~W ~~~IiCanl I PERMIT NO. cr. ~G- (, rl
ZONING (office use)
H ,,",wit=. ~L .\.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
PLICANT
ame) c..o~f;'!' Sf?:,~(,r ~ lAJ<",",~<(
Address) L6{,Lf ~t.la." ()K..u j
(AMress)
ontact Person) f5, \ ( \
~one) ~ 5~ - 4 ~5 ' l5;t<6
lA/ c,l ~ t" ( fcJ <..V " JV\ Ai 5c~ 3 az
~~ ~~~
Coff I'r\,
PLICANT SIGNATURE ~
{,()
(Phone) 6~1 ~ . bot -'i 9 74
'1-4-0'6
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure _ feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line _ feet.
Clean out (if required) located at feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$51.50 Industrial, Com'l & Multi-family I % of job cost with a $51.50 minimum
$25.50 Water connection only $25.50
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FE.:
$
$ /,; .50
$/
./
0(51
17 A' t Ot/l<---
r 7)Vl V
Estimated Cost $
Building Permit #
Date
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildinl! Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTlFICA TE OF ZONlNG COMPLIANCE
AND UTILITY CONNECTION PERMIT
\. Wlnl$ fil<
.. l'iok Ny
) y,no-w "!'PlIo"",
PERMIT NO.
~
/-I~u.)k ~:d 3 c
Date Rec' d
ZONING (offioc "''It)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
Pro
~~
(Name)
(Address)
~ot!1es
6.r~~.:s+{'-o fY\
I J
(phone)
Do r1 f\ a...'f
BUll.DER
(Company Name) I
(Contact Name) _ 0 ;
(Address)
j
\
(phone)
(Phone) J; I () -1,t, 3 - b 3/ ~
TYPE OF WORK EiNew ConstruCtion ODeclc OPotch ORe. Roofing ORe-Sldmg OLower Level FinISh
DAddition OAltcriltion DUtili!)' Connection ([) .
CODE: OI.R..C. OI.B.C. DMisc!-el"l (loX
Type of ConstrUCtion: I n ill IV V A B
Occupancy Group: A B E F HIM R S '(]
Division: 1 2 3 4 5
~' Fir~lacc:
GCt. ~ F I ~ e.. f> t u..C Q
p:ROJECTCOST/VALUE $ / O(X) ~o
(excluding land)
I hereby certify lhlC IIllVt t~m",hel1 infot~tion on thi.$ applit;ttiOI. whleb. is co the ~ or my moWle(\j!e lI'ue and COIt~C't. I >.150 certify lh~t r 3m the owner or autbcrized lSt!lt tor the
iObov..mentloQed property and lbat all c;>n;I:I'\lCliO%> will ",nibnn to a.ll <XiltiDIl.t&~ lDoI!IOClll&W'9 !lid will pr~eed ill ~ccor&tlcr WIth robmitted pla"s. 1 am aware that the bulldin~
-.. - I" -'):J;.< ~~. -"",,", ,...., "'~...... -,. · "".... =, ~~,,~ "" """"...... .,<loI -""'.
X . L/ b~ d-() :;i/"C::,.~(.J J 0 J I r /0 ~
_ . SLgrlalure Contrat'foc'$ License ;;0 'Cate ,
Pernut Valuation
PermIt Fee S
Plan Check Fee $
State S\ltChiuge $
Penalty $
Plumbing Permit Fee $
Mechamcal Permit Fee $
Scwer & Water Petrnit Fee $
Gas Flteplace Permit Fee $
I Parle. Support Fcc
SAC
#
#-
Warer Meter Size 5/8"; 1",
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
This Appllc&tloll BcCOll1Cll Y OlD' Building Permit WbCD Appro\'cd Pald
Date
BUlldill Ot1kial
Datt
$
$
S
$
$
$
$
$
~_. -.-----..' ->'
ThiS is ro artily that the requ.,r in the .to".,e .ppb~tiOn till! 3ccomp.nyine d~~ is in accorl1.\llC< with the City Zonine OrdinanCe leI! rl\l)lpro<:ecd >.5 requesled. Thi.lllocument
wlten siCltd bY the CiryPllD.Iltr constitUtes a!enlperory Certificatt of ZOlling oomplWlec .nd aII0\\1 con,cruct!On to conunenee. ~lbrt OCCllplAcy, a CertiliCllC ofOcCllponCy nllllt be
iSlued.
Plll\lliU Director
Dlte Special ConditiOl\I, ifllllY
14 hour noOCt for aD Inspection! (952) 447.9~O.1&:l (952) 441-4245
4646 Dakota SUttt S.t., Prior Lakt, Minnt&ou 55372
, d
II 0 L 'ON
AJal 1~9 uaYJ11~ ~ ~1?8 UOSnBJi~
~WOl:L 800~ 'Sl 'PO
OCT-8-2008 08:14 FROM:AIR MECHANICAL EAGAN 6514526925
TO: 9524474245
P:1/1
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink ~lln
2. Ci",on t.oy
;. Y,lIow ^l'l'li...,
PERMIT NO.
[~~~~~~ ~\~ ~~C\h
ZONING (of6ee
U6e)
J.EGAL DESCRIPTION (offi(eu~on1y)
LOT
BLOCK
ADDmON
PlD
OWNE~ ~
(N'ame)~t\~ ~S
(Phone) '7Le?:,- 55(4 C3i (<.J
f.J;~~ a~ _ Yl, ~ r{90LU-1\"l\ ' 55lt2.<C<.e
~c...~ (Phone) l(n~-7L[{.f.'-~~~
(AddrC5S)1 ..J1 t~ ~L~ I VYlb 'S"5~OCf
(City) 1 (Zip Code)
(Coot:1lct Person) (Phone) "1f.i3. - '-t4.(P ..... S 7..5 d..
APPliCANT SiGNA DATE L.Q
APPLI ) LEA. E COMPLETE BELOW
tw CONSTRUCTION (\OREPLACEME. -1'Il 0 AI.TERA.TIONS
FURNACE MAKE. M-JD MODEL .GoC~Y\ ~~sqCB[1-{ ex FGEL}J At. .
FLUE SlZ,E 0.\.'._ RETU~'\J OPENINGS.. . ~ . rNPUT ~~ OUTPUT 9..DiDjt)f)
TYPE OF SYSTEM HEATING OR POWER PLANT
[J)If= Air Plants
OGravity
~CbaniCal
. ' Conditioning
nt System
o Steam
o Hot Water
o R.adiation
o Special Deviccs
o Other Devi.ccs
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Ya~d
Sctbacko;
PlREPL^CE MAKE AND MODEL
Re~idcntlllJ. Heating & Ale (New Cilm;truction)
Residc.nl,ill.1. Hc:.,tillg Only (New C'A:lostnlction)
"
FEE SCHEDULE
1 % of job co~ Re~idc.."T\tillJ. Gas Fireplace
$39.50 minimum
$99.50 Residential, Additi('l]J.s & Alterations
$64.50 Re~idc:n1:ial. AC Only
$39.50
IJldU9trinl, C(lmmcrci~l & Muhi-F3.lllily
$39.50
$39.50
Estimated Cost $ _
HEATING PERMIT FEE
SIA IE SURCHARGE
TOTAL PERMlT FEE
Building Permit #
$
$
$
.50
PAlO V"ln'l
, .: '. . . .. ....., ~",' ,'~r j\ .j"r
-,........"l.. ~ ~. r!) t ,~.~... ~ .;,.,", ,\,.... '~"'?' I!
1>~,~'j:'"t .',);~".,'ii.~ ~ ~~~ d":,-
(Ofliet.l!/lC Olll!')
Thill Applic:1tion Become! Your Building Permit When Approved
DulIdinl.': omchl
Date
\'\ \ Receipt No.
\ \11
24 hour nlltier for all iMpcctions (%2) 44:~;~S50, r.,,; (952) 447-4245
,
IB)'./-
./
CITY OF PRlOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted is 30 Percent.
Property Address Z 1 CJ 0 H-!tv.) Ice; rz IfJtbE- 120M
4-2.% pea- p. v. D. S1T6 fL/rJJ
Lot Area 94-3 ro sq. ft. x ~ = .............. :3 9 ~;. 1
************************************************************************
LENGTH
WIDTH
SQ. FEET
HOUSE
x
x
ATTACHED GARAGE
x
DET ACHED BUILDINGS
(Garage/Shed)
TOTAL PRINCIPAL STRUCTURE...................... Z-8foC;
tl'tClW/i5 fo/C.ct/E"5
X ~CM~
X
TOTAL DETACHED BUILDINGS.......................
;/4
~AVED AREAS X = {p &cJ
(Driveway-paved or not) ,X =
~arking Areas) 3,0 X = ()
TOTAL PAVED AREAS...................................~.....
08{)
X
i
X
=
P ATIOSIPORCHESfDECKS
(Open Decks 0;." min. opening between
boards, with a pervious surface below,
are not considered to be impervious)
X
TOTAL DECKS........................................................ I fJL W?(Y.) A'b611~
X
X
=
OTHER
=
TOTAL OTHER....................................................... }J 'A
TOTAL IMPERVIOUS SURFACE
~R .
Prepared By ~.-L
Company ~L ~ Co. L.
1354-5
.lAJ 0, l
Date $-; 3 -tJg
Phone#_~s4 4>L-?OdO
PRIOR LAKE
~1~A~~~~J!pO~~ ~~C;200RD
NATURE OF WORK -S,=-o lAIC,. ~~ ~ J tt=.,o.. VIe.. t.. L.~t'$lf
.
USE OF BUILDING ~tCo
PERMIT NO. DATE ISSUED ~
CONTRACTOR ",,&s PHONE W2"~/r-4o",
NOTE: THIS IS NOT A ERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING
We
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if re uired
FIREPLACE
GAS I E AIR TEST ('/IprlN f- (.-.f. It> Z 1 tJ5'
. L. 72~2f;~i COVER NO WORK UNTI~ ABOVE HAS BEEN SIGNED
r '-Art/- G- tf".,S6wfIAIJ n/z#~ Rd- L <:,ffA 1l'.16 / ~ /~ ~~ .
FINALS f'
GRADING (Prior to Soddin
, BUILDING :. -()
'~LECTRICAL
LUMBING
HEATING
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
White
Pink
Yellow
\ 2.J\ 2> ~e Rec'd
~ g,_~,,\\1
I PERMIT NO. 0 B- 10"
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
File
City
Applicam
~k:-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
7~s- S-1/-07 l.....p
r-SSc:, 9-
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility ConnectIOn
CODE=~.R.C. DI.B.c.
TYP~ c;~tmction: I IV & A db
Occupancy Group: A BEl M dD s U
Division: 4 5
ireplace
o Misc.
PROJECT COST IV ALUE
(excluding land)
$
I tj, 6iro
2..000. - Park Support Fee # $
Permit Fee $ t,t .t..S SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ I. - Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ - Water Tower Fee # $
Mechanical Permit Fee $ --- Builder's Deposit $
Sewer & Water Permit Fee I $ Other $
$ SO.- TOTAL DUE €/l'Wtl.(;:,o (!,/IJrD /. $ 1/3. Z<
proved I
l2.-
Special Conditions, if any
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
Of\ Bfse,\nt Fi:h or Interior Alteration to Single Family Homes
BY: f{j l?\c-~ Date:,~ /. ~ [ O~
Building PermIt -"-- - - PID: Zoning:
Site Address , I ;) 7)
.2""t,,\~ r~F- f-,Qo~ t<' t:>
Legal: L B Subdivision:
Existing Structure: ~ or NO
I CONFORMS TO ZONING
ORDINANCE
I
vy
I
NO
I
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? ~
Is the property located within the flood plain? Refer to Planning //'
Does the alteration include any additional kitchens? Refer to Planning /'
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? ~
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single /
family home (office, group home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\AL TCHCK.DOC