Loading...
HomeMy WebLinkAboutBuilding Permit 11.377 � - n. •. u.,. + ' ,.o . y f'a. 44N -P\ ' °•. .'' ,an...a � ., .r;. . ... ...... x r : \<� "4 "' re U. '4` "u. o.r./'ar - �t.4 ���Ah�) ��. r, ' \ 0 i- o ,.; 5 / ,:, n'iNi! h ' � T ON'r C1J J OMr �r 0' P •iw ' " ' '': , , r. _. ": g "h C ' . fh ♦ �. A� '+�nhv1 rC ;' ��Cr . \1 � - \ e •. .\ r �y - � ''�vh', rn , Zi vvr Y vrr�,ya 1 r C r v l1" v 4�1�iy� \� �ra�, *rrT +vr, r�iir� Vr n, rrr •, �51r r 'r�v r r •, rr C r� ,'J�i ; � �� r� rurw, rrrrrrrrr.�ArrrVT10,,f,',, i r err 4 r �lir � nipr • � nfu +�� nitrr r, nfirr ,� Nw+ � nitr +� ntirr � nryn � +� r _ n a , ,1 r aur �� roar :. nru+ rr�lr+ �� rrtti � , ru � nnn , ntitn e'�pr g rr ti ' et � i rti r +�tt �" r 1�. ,�4r"� � f � it j � (g::::...." °n J 04 ; 7 : _ CITY OF PRIOR LAKE !par±mrttf of u it M t q c1usprtrfi.ou . ❑F inal Permitted ❑ Conditional C.O. Expires 0 7,7-_, n. u This Certificate issued pursuant to the requirements of Section 110 of the CA Residential / El International ,) Building Code certifying that at the time of issuance this structure was in compliance with the various �' ' ordinances of the City of Prior Lake regulating building construction or use For the following: E� II! �♦ h) �� -' Use Cl ass ifi cat i on S l N C /` /�/ / L7 Bld Permit No. 1 / 3 7 7 (64::f." Th !! l /' t �♦ I II Occupancy Type t 3 Type Construction Y N Zoning District �v� Legal Description (4'" + ) EY ▪ p Owner of Building Site Address .2 9P �2 iV A /c-( U 4 P i....) � /, _ E Contractor's Name & Add ress I ) tJ h / i /•7 / l I C/ VF -7..0 C y � )� �����,, E � C6 n�( /� .- f C %/ "� /✓` f S 1 City Planner Building Official 04* tiv: Date: l ' Date: (, PLACE ,- .. _ .; �r' .' � 63 -- ri -- POST IN CONSPICUOUS U _. _ .. � -- � ' +' � �t rl - r t . l� ° � ni Ur '? rrrn Ilir � 1 mrr 1A a ri rr rrlgr 1,141 rrlhr nlhr r rr a u,, --- rl r n rnln., m m rani , rr rr a a hr >, r 1 11 � �l � r _ n 1 1 rIN , rr rl 11 N , a N 1h N N(r � � � a � 1n�1 v 1 n1 rrr � . ,nr rnlN 1r11N , nlpr rr N IJhICC, r r �� N � , A 1 4 7 � „r 1 ;,111 1111,nnnr r�nar. 11nr 1nwe. vn1 lnn� r1 d, � tl. 1 �- A "� 1 �. 111 ! 1 rll Illare 11111a ":1111111 i1 1 r 111.. 1111111 .111111 I rule 111„ � 1 1. i r i.. .! 111 1111 '11 r �un1 1�n11r �nNn �nIN1 lrnae.., r1n11n 1�1n1h �Nn ! .1111. ,M1 rrr nn r l A . � . a � r:. ��n a ��a � re � r.���e, ..n�� a,.��a -1�.rn A� ar 1 . 1 � ♦ iA 11 1 k I.IIIR A 11 1 ak 11 p 11111E ; 111 Ale.lf 11H J 11111 A l .. lf 11 1 1 1111„ 11 1. r..il •.... ,1... •.111 r..11 i...l ,.111 r.l.l ,..,1 "� ll..l n1 11.,. n1 1.1.. "� llll�.n�j nI Ih�,h n1 1,,, \/ •:01 �/ . 1 ..,1' ..,1 1111. �Nr lll l...l lll.. n 1 �41111 n1 11..• n1 1.... " nI lll. i1 n♦ . ♦ ♦♦ . , ♦I ♦ . ♦♦ ♦ . ♦I 1 , \ I.. 1 � 1 , •, �� I. � i/, ♦I X1 1... I ♦1' 1.� ♦.11..1 ♦.I1.„ ♦.I ..,, n.11... ♦.♦.,.. �.�,.., ♦.♦ , ,11.1 14• _ U .♦ VM On�.VMO.•.�i'i,4�Ji +n 9i4'O.•�i 4i••J.•.�i'P�,.... �P�4'Jt.�i GhV3.Ji�..r,�A.• >y •: v. "a ti } '..F '".. r_�:isi. ;t> •c {. ?. i "-���{ �•s:::r •t�•': }ij: "'!•!•.J��.•�::�'.. , v DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED (()1 (3( ADDRESS a 718 e , OWNER CONTR. 1 PHONE NO. PERMIT NO. t ` 3 ❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST ❑ SITE INSPECTION ❑ MECH FINAL ❑ COMMENTS: 35 kT WORK SATISFACTORY, SATISFACTORY, PROCEED ❑ CORREC ' AC ION AND PROCEED ❑ CORR T WO - ALL FOR REINSPECTION BEFORE COVERING Inspector: � Owner /Contr: 1111/ VOr CALL 447 -98E0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI F PRIO ,,p CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd \',,- TEMPORARY CERTIFICATE OF ZONING COMPLIANCE s 62. � ,1 AND UTILITY CONNECTION PERMIT " ArES O I. white File . Pe PERMIT NO. / / 37 3. Yellow City 3. Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) QA q8 NauoK 2i cogc Rc PUD LEGAL DESCRIPTION (office use only) + f LOT BLOCK 1 ADDITION \► I' $ Of 1\101 `1�% A WCOCk ivteacto-AD 25 44 00(0. O OWNER , (Name) l) y t'1 rky IA r) r - G (Phone) /0 531 07 (Address) C hP 5 G ( rte NV raj NA 0 r i i i . Li ,d ,C BUILDER 2 (Company Name) t J(JY) V1 ay f e ( Phone ) 7(,/ 3 63 / (T1/ (Contact Name) .4_ - , _ (Phone) 1, q IC/ p - / 7 (Address) (1 Oa I V a,p 4 e (- YD ye MNI k)5,30 TYPE OF WORK New Construction ❑Deck ❑Porch ❑Re- Roofing :Me- Siding ['Lower Level Finish 1:1 Fireplace Addition ❑Alteration ['Utility Connection CODE: R.C. ❑I.B.C. ❑ Misc: Type of o nstruction: I 11 III IV V A B /� �/1 / Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $ p ( 17 ©O) fi Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnished inform. -.n on . s 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 above - mentioned pr. • and t all con- . ction w 1 conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can rev. - this permit fo st taus: Furtherrn •re, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X et„."" _ ___,,,,. 2.0 5 5- 5Zs j i/ .� ature ir Contractor's License o. D to Permit Valuation 4 C OD. _ Park Support Fee # $ Permit Fee $ I.:01; 5 SAC # $ 2- 2:542 . Plan Check Fee $ t - } -1 $ Water Meter Siz ir ; 1 "; $ & t 0 .. — State Surcharge $ t Z — Pressure Reducer $ q Penalty $ Sewer /Water Connection Fee # $ ( tt — Plumbing Permit Fee $ ( 5 4 S- Water Tower Fee # $ Op Mechanical Permit Fee $ l f c-- 4 .57". Builder's Deposit $ ( Ste - Sewer & Water Permit Fee $ S &., So Other $ Gas Fireplace Permit Fee $ 54 . SO TOTAL DUE $ 14t �.Z$ \ This Ap / cation By ' . es o , Building Permit Whe Appr ed Paid 1/ If 23 � c-3 / Receipt No. /G /G' / Alt Date 5J /6/ / / By . L' Ah■ _AI. 4111111 Building Official Date This is to certify that the request in the above application and accompanying documents ' in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed the ' Planner constitutes a temporary Certificate of Zoning compli ce and llows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 / I Residential Building Permit Checklist New n \ st y I tion for Single or Two - family Dwellings in 1 or Districts Reviewed by: \ Date: Building Permit # 'ID: Zoning: Address: —2:7 1 ( G ' 47 pc.I D Legal: L , B Subdivision: Existing Structure? YES 0 Existing Noncon Structure? YE NO CONFORMS TO ZONING ES NO ORDINANCE I Yard Setbacks: NA 1 FAILS/ C P IES Standard Proposed • Front Yard (can be 20' if avg /in 150') 25' 2.5%33' • Side Yards X407 - -s 25' if abutting a street t. 0 lc • Sidewall exceeding 60' requires additional side 2" 10' setback + setback for every 1' over 60' in length. Not required 2 11' over 60' if building wall is 10' -0" or greater of being parallel to a side lot line. • Rear Yard 25' -7_, = 384,7 • Patio Door: provide for minimum 10' deck or sign 10' side/ statement indicating no deck will be built in the future 25' rear • From 100 year flood elevation of wetland /NURP 30' pond. • Refer in- ground pools to the Planning Department • From OHW (Prior or Spring Lake) 75' or setback average of adjacent structures, but no --- less than 50' I Floor Area Ratio: NA / FAILS / C P ES .30 Maximum l ® I Yard Encroachments: NA 1 FAILS IC �� • IES Standard Proposed Eaves and Gutters no more than 2 feet width and no ! • / DECK ` 1 �� closer than 5 feet to a lot line Easements . , • , A • A/C and other equipment cannot encroach on interior U .r • �" " • II�t �d(0 �„� • R side arils. AOt N I , ,Le - . Tree Preservation: / FAILS / COMPLIES I Standard Proposed • Total caliper inc s • Permit 35% Removal • Caliper Inches Removed • Caliper Inches Preserved • Replacement '/2:1 L: \TEMPLATE\BLD GLIST.DO C Driveway: NA / FAILS / C PLI S Standard Proposed J • Maximum width at pro ert ne 24' - 2,4 1 • Required setback 5' from side lot line or 30' from r -o -w on corner lots ;9 • Maximum slope 10% • • All parking areas to be paved including R -V or spaces adjacent to the garage • Location to match subdivision grading plan C'Ne., I Building Height: NA / FAILS 1 CO PIES 35' Maximum 1 221 I Shoreland District: NA / FAILS / C " IES Standard Proposed Minimum lot area (square feet) 7,500 Rip, 7,999 Non -rip Minimum lot width 50' Rip, 57.3' Non -rip Shoreland alterations Impervious surface ---30% Maximum p , ZS Bluff in Shorelan : FAILS / COMPLIES Standard Proposed • Setback from to of bluff By planning dept. • Bluff impact zone 20' From Top of Bluff • Engineering certification submitted /approved By City Engineer • Grading i bluff or bluff impact zone No importing /exporting Floodplai FAILS / COMPLIES 1 Standard 1 Proposed • 100 y-. s od elevation 908.9' Prior Lake 914.4' Spring Lake • Lowest floor elevation 909.9' Prior Lake / 915.4' Spring Lake • Proposed lowest floor elevation Must be 1' above flood elevation for new and existing structures. If existing structure was constructed 9/19/90- 11/22/97 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 Regulatory Flood Protection Elevation 913.4' for Spring Lake Accessory Structure FAILS / COMPLIES Standard 1 Proposed • Size 1000 sq.ft. or 30% rear yard • Not located in fron yard (Materials) • Side yard and rear yard setbacks 10' • Maximum height 15' • Materials compatible with principle structure L: \TEMPLATE\BLDGLI ST. D OC 04 PRIp,? ti U tTi ....,) White - Building Canary - Engineering ""^NESOC Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT DG ti' N Ay t)kri e--` APPLICATION RECEIVED 5. 4 • / / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: z 1 98 /- t /24 06 e //.- 4 Accepted X Accepted With Corrections Denied Reviewed By: ��G Date: . • Comments: See Attachitients: 1) Grading Plan, 2) Erosion Coral Measures See Reverse Side for Additional Information! "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." ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS, • Surface storm water drainage flowing to the perimeter of this lot to and from adjoining properties must be conveyed to the roadway and /or to the rear of the lot in drainage swales within the drainage easement. • All bare soil areas must be protected from eroding into neighboring properties through the properly installed and maintained silt fence or bales. • The silt fence required by the erosion control plan must be installed prior to any earthwork being started, • The builder is responsible for maintaining the erosion control measures until the turf is established. • The rock construction entrance must be installed at the time of backfilling of the foundation. G; \Admin Wept info \ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS,doc � P Rip x U White - Building Canary - Engineering 4 ' 11 NNESO Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT DO N Ahqy /MMES APPLICATION RECEIVED S- 6 • / / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 17 78 HAVVK -- / 24 o c e -- r� . Accepted v Accepted With Corrections Denied Reviewed By: Date: c /fo I Comments: o •/rz.d c_. � �� ? /1(r�',1- r � (_61,A.-/ / ! f ')/ ES Ste' "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." w U rrl White - Building Canary - Engineering 4 '`^NES ° 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: Accepted 1/ Accepted With Corrections Denied 4 f"--- -� ',. Reviewed By: Date: Comments: .° Conditioner and bie P� -, Side Yard Eetbac7 "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." N CITY OF PRIOR 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 in 30 Percent. Property Address Z7c1. �-� �►� 1� t�� 4.e Road Lot Area 09 7 Sq. Feet x o o = 4[ 0 ***************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** LENGTH WIDTH SQ. FEET HOUSE X = q l ° I x = ATTACHED GARAGE X = (Q7 O TOTAL PRINCIPLE STRUCTURE t bl S.F. DETACHED BLDGS x (Garage /Shed) X TOTAL DETACHED BUILDINGS DRIVEWAY/PAVED AREAS x = (Driveway -paved or not) x (Sidewalk/Parking Areas) x = TOTAL PAVED AREAS e51 S, F PATIOS/PORCHES /DECKS i d x (L = (Z, ° (Open Decks' /" min. opening between X = boards, with a pervious surface below, are not considered to be impervious) _ I X _ TOTAL DECKS "S.F, OTHER x = X = TOTAL OTHER TOTAL IMPERVIOUS SURFACE S 1 2 -3 (95 UNDE • VER 1 4-7-1- 1 (‘.1 Prepared By // P , 4 0 e: t,,,..l.vr- Date q- 2 - ( 1 Company Pc o(:) t 9wt. ak Phone # 6 lS2 - X32- 3ooa L 1. 1 . 2011 7 • ,,:A\ \:. 2651 P. 2 PRZ CITY OF PRIORLATKE BUILDING PE ST, Date Recd TE PORAR'Y CERTIFICATE OF ZONING COMPLIANCE AND •CJT L1TY CONNECTION PERMIT ,p � Y.tip 1. write file PERMIT NO 3. Yetcw Wicant (Plcase type orprint and Ago atbottom) - ADDRESS t ZONING (atlice we) 7 ? _ g A1u) ,I/ i i� , 3e ._ _____ __ . LEGAL DESCRIPTION (office use only) - LOT BLOCK. ADDITION P113 OV4'NSR n f (Name) t 1 (10_1 �L D f/�J (Phone) _ (Address) • Fe_ ()s Eft . � , . (Phone) -5 / Q (Ccmpan�t Name) ) � � Phazle �y (Contact Name) t; 7 t 1 , V .. (Phone) 76LA -" 3 6 "03 ( 7 (Address) ` ,,, 5 N ... i t . 4 U . 41S . Q• . MT 01? WORK. D New Cons Horton [Week DPorc'h DRe- Roafmg URetid'ulg DLower Level Finlah Wit:place DAddicon DAlteration DUtiiity coma don ., AI cti A /. e el CODB: Of.a.C. JI.B.C. 0 F l r e P tic, C e: S L d use+ L-. , Tnie of Constn3ction: 1 If III IV V A B Occupancy Group: A. B E F III M 1 5 Ll PROJECT COST /VALt(E $ 4 Division: 7. 2 3 4 5 (excluding land) hereby tert ' ihs, have ramighed intgrrzarpa on thla appLcation wh1± la to the lest of my lmowledge ttrc an correct. I alto certify that I ea the owner or authorized Aatt :t for t atxlve euo led property &loll t all consti 1cdon will conform to all existing state and local i3ws and will proceed L acoardanre with s ubmitted ptsn5.. Tarn aware that Le building official revoke this re . j r sr. ca use. Furthermore, there's agree that Me city official or a dslan ee may enter upCu the prop to perform needed iup coons. X �,"- (2: 0 q i Pfkl. — 7, Si III re Contractor's License No. Date ' Permit Valuation Park Support Fat # S Permit Fee} ' $ SAC # S µ— Plan Chick Fee S Water Meter Size 5 /8"; 1"i $ State Surcharge $ Pressure Reducer $ � Penalty $ Sewer /Wat r Connection Fcc 0 $ Plumbing Permit Pee S Water Tower Fee . # ° $ MccLanical Pcrmit Fcc S i3ulidcr's Deposit Sewer & Water Permit Fee S Other . �i G A Fireplace Permit Fee $ TOTAL DU �• DUE Tills Appne atinu Becomes Your Building Permit When. Approved Paid Receipt No. a Date � B BuildiN Official Date This Js to certify that the request In the. above appllca @on and seccrep.myitsg documents is In accordance wtrh tae City 'Lolling Ordinance and may proceed as requested_ Tads document wbeo £1 -d by the City P1. nr• er canst=mtes a temporary Cettirea'e of Zoning compliance anti apnoea constrxtfon to commence. Before occupancy, a Certificate WIQrcupazzzy mutt be it Yed. Pitinai oat ' ^ special condaoas. 24 hour no rice for all inspections (951) 447 -9850, fax (952) 4 47-424 5 - 46461)A ota Street 5 .E., Prior Loke,,liinncsobi 55372 Jul. 13. 2011 7:30AM No. 26 5 P. FERGUSON ,s% t ` ENTERPRISES,INC FACSIMILE TRANSMITTAL SHEET =o: FROSS: 1 be_. COMMNY: { ' - c it r o - P f‘io C i� o 7/1 3 TOTAL NO. CP PAGES, INCLU171NG COVER • PHONE HUMBER, SELIDER'S R E' ERENcia `7UEIBER: R& ' YOUR REFERENCE NUMBER: Q URGENT ❑ FOR REVIEW b PLEASE COMMENT CI PLEASE REPLY ❑ PLEASE RECYCLE NOM/COMMENTS; • 925 DECATUR AVE NO , GOLDEN VALLEY, MN 55427 111[ITT os, PR i CITY OF PRIOR LAKE AUG �` at � e Re ed U HEATING /AIR CONDITIONING/FIREPLACE PERMIT f N Se By . �'ES� z. Pink c;ry PERMIT NO . (Please type or print and sign at bottom) 3. Yellow Applicant tt3711 ADDRESS ZONING (office use) a7 9 14 ,,1/4_,,,,1( r ;J_..., PA), p , (A) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) 0 o Y, n ,.t il �s „� s (Phone) (Address) APPLICANT ( Name) Cl, c VI c tet, ,,", , c _ (Phone) ? Co -7 7 `I 6 , 3 2 ..J' 7 (Address) RP L I L( a 12 ¢-r A.c.t S f. 1 (i 17 , L....lc. -t. i //, . C 3 0 Y (Address) (City) (Zip Code) (Contact Person) / r • e.., l � f (Phone) 7 Co 3. 2 Y C, , 3 7.x'.1' APPLICANT SIGNATURE _..--/ DATE d' LI y If 0 t APPLICANT PLEASE COMPLETE BELOW [ANEW CONSTRUCTION 0 REPLACEMENT ❑ ALTERATIONS f FURNACE MAKE AND MODEL _ P t.. -t (1I s' it ( lv o 1 M PO O LS" ;=1 s A _ FUEL N c 4 ca r a il FLUE SIZE . t t RETURN OPENINGS j ( -) _ INPUT 7 5 f p oo OUTPUT 6 % o c TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner �G arm Air Plants ❑Steam Units and Fireplaces Cannot Encroach n ❑ Hot Water into Required Side Yard Setbacks. El Mechanical ❑Radiation ®Air Conditioning 0 Special Devices Fireplaces with Box Additions or ['Vent. System 0 Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE hdustrial, Commercial & Multi - Family 1% of job cost Residential, Gas Fireplace $49.50 $49.50 minimum Reslential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50 Resh ntial, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 Estimated Cost $ Building Permit # HEATING PERMIT FEE $ BUIL ID WITH STATE SURCHARGE $ .50 pER��� ( Office Use Only TOTAL PERMIT FEE $ This Applica, Becomes Your Building ermit When Approve ,a r g PP Receipt No. 'a E ' V C N il f "47% Building Ulm DA D U 2 9 2011 Ulf B y /'`i Id l Ar 24 hour notice for all inspections (952) 7 - 9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior ke.,Minnesota a f Thr e 4 ...„ 4 • "414), i c .--- P RIp� Date Rec'd A CIT OF PRIOR LAKE PLUMBING PERMIT 8 . 30. / / TNESo 1 Blue File Gold City PERMIT 1\ '77 PERMIT NO.�� 3 . 3. Yellow Applicant k (Please type or print and sign at bottom) ADDRESS ZONING (office use) Z 79O M4 ✓4- �z i0c6 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) " - T A ., _ ame) ) , • . A / 1 _� (Phone)) 70-2.D e -6g D 4 ._..___ Address -- ' 6o te✓ 4A- lakcu- 4,'6(..,,, S i .,L.- - --..c---1 6...1 (Address) (C /t1 . ,L.-- ty) (Zip Code) ( Contact Person) tait`O (Phone) 7 6 - 2_2 b " d qYS � / PLICANT SIGNAT 4 il DATE_ ) 6 - -2' • PPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity, Type of Fixture Bath Tub with or without shower Rough -ins Dishwasher Water Heater Floor Drain Water Softener Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi- family 1% of job cost with a $49.50 minimum Residential, New One & Two - Family $149.50 Residential, Additions & Alterations $49.50 The Minnesota Statutes § 326B.148 -ost $ Building Permit # D �/ "SURCHARGE" has been extended PLUMBING PERMIT FEE $ Pt‘ 1 I until June 30, 2013, STATE SURCHARGE $ .50 The minimum surcharge fora TOTAL PERMIT FEE $ . "fixed fee" permit is $5.00 This Application Becomes Your Building Permit When Approved Pai� Recei e dIA A alial D. Buildine Official Date d 3 By 4/11V 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 og VRlo Date Rec'd : tr CITY OF PRIOR LAKE 5 !ail SEWER AND WATER PERMIT 41 !wivgso`t ¢ '• Green Fite PERMIT NO.' s. G ol d App 377 3. Good Applicant • (Please type or print and sign at bottom) ADDRESS ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) '00 r N\,/),,,/ 1.-k pf'4. - (Phone) 7 (-)3 ` S A 1 -0704 -It (Address) ( 11 OD 6 � AJ P Mr ke (lc �: q,. S S i c■ Ot (Address) (City) (Zip Code) APPLICANT (Name) C�tio •(\ SOu)2( iAjoA€( (Phone) 95 l ( Address) 9- t 0,0r,; 4% s t /tvL ( u,4!\ 6 5 .M4Z (Address) (City) (Zip Code) (Contact Person) \\ L© o ; ^ (Phone) (l) S(i "`I 1 4 APPLICANT SIGNATURE DATE g - \\ APPLICANT PLEASE COMPLETE BELOW Size of water service 1' inches. • Location of any couplings from structure feet. Type of sewer pipe. ❑ ABC tgi PVC ❑ Cast Iron • Estimated length of sewer line 1 -in feet. Clean out (if required) located at feet from structure. FEE SCHEDULE Residential sewer and water line connection $51.50 Industrial, Com'l & Multi- family 1% of job cost with a $51.50 minimum Sewer connection only $25.50 Water connection only $25.50 • Estimated Cost $ Building Permit # RID WITH BUILDING PERMIT SEWER AND WATER PERMIT FEE $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ . (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E. Prior Lake, Minnesota 55372 DEPARTMENT OF PRIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 2zq tom- NATURE OF WORK s(w.pt -C FAA-0.1 c'ec-i F t. �.L . No Po USE OF BUILDING 5 (`a PERMIT NO. 1 1 677 DATE ISSUED 5/ A t CONTRACTOR Dot-IP-1AI I1aetas PHONE lo(Z- 9 tc.- 4o8s NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUIIENT ? ( ate ST4 u rzos c a.-� C6ry S �IAy..it�41A1 C�.0 �T3 ` `�c- T "1� T+�-0� INS ECTOR TiQC DATE I FOOTING f I I FOUNDATION (Prior to Backfill) 1 1 ' PLACE NO CONCRETEJJNTIL ABOVE HAS BEEN SIGNED IZ a CySrtll f t)- -C41'^' `' R O G H 11.16 S 6 SEWER / WATER / SEPTIC FRAMING INSULATION f $,/ ELECTRICAL PLUMBING f GA.<, HEATING (if required) 1 FIREPLACE /»/ t) GAS LINE AIR TEST y �C15VER VIVifi TIL ABOVE HAS BEEN SIGNED 1 (4,, -4-47.."P /p(4 LA +c g ?/.1 `))(1 1 I FINALS GRAbING (Prior to Soddir ) ' q BUILDING 4 to I i r� /"/ (o zS 1 I II AL ELE TRI C C PLUMBING d /.3 /" HEATING /, e, 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