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Home My WebLink AboutBuilding Permit #13-057 \ Cn��i��x�� (�xx��x�r CITY OF PRIOR LAKE ��r��n�r��t� �� t��t�t� �l�ts��t � Final Permitted ❑ Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the ❑ Residential /❑ International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the Ciry of Prior Lake regulating building construction or use. For the following: Use Classification � 1��i � F A M i L Y Bldg. Permit No. 1�— t 7�1 S 7 �� P! �SD • Occupancy Type R 3 Type Construction Zoning District , Legal Description �� Fi ,,1..F F F F R� P� J�� F 1 R� T A 1� T1 I T I �� T C Owner of Building Site Address � F � S l �� `� R 1� C C � � �� Contractor's Name & Address n� C r " r R�RFRT i? , !�l!TCH I �'S ,`�� ' � Crty Planner ( -� ( Building Off'icial Date: �t � � ' � � ! Date: �� ' POST IN CONSPICUOUS PLACE � �. CITY OF PRIOR LAKE DATE TIME INSPECTION NOTICE SCHEDULED ��j' ( ADDRESS �5�� OWNER CONTR. PHONE NO. PERMIT NO. ' 3 ^ S� O FOOTING � PLUMBING RI ❑ FOUNDATION ❑ MECH RI � �G�D/FILLING ❑ FRAMING ❑ WATER HOOKUP � C�MPLAINT ❑ INSULATION O SEWER HOOKUP � F�REPLACE RI �INAL ❑ FIREPLACE FINAL ❑ SITE INSPECTION � PLUMBING FINAL ❑ GASLINE AIR TST ❑ MECH FINAL � COMMENTS: �WORK SATISFACTORY, PROCEED ❑ CORREC C ON AND PROCEED ❑ CORR T W , CALL FOR REINSPECTION BEFORE COVERING Inspecto , OwneNContr. CAL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY! �vsnon CfTY OF PRIOR LAKE �A TIME INSPECTION NOTiCE SCHEDULED ld /� ' �- ?� / ADDRESS j `�/ �� f � �' � ^ �� !J OWNER CONTR. PHONE NO. PERMIT NO. _ ��-��,� � O FOOTING ❑ P�UMBING RI ❑ FOUNDATION � EXlGRAD/FILLING O FRAMING � MECH RI � COMPLAINT � WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION O SEYVER HOOKUP FINAL ❑ FIREPLACE FINA� 0 INSPECTION � PLUMBING FINAI � GASLINE AIR TST O MECH FINAI, p COMMENTS: . �5�� -L � � (, � v � - ----- c�2 � � � -` ❑ WORK SATISFACTORY, PROCEED �ORRECT ACTION AND PROCEED � O CORRECT O CALL FOR REINSPECTION BEFORE COVERING Inspector. nedContr: CALL 447.9850 FOR THE NEXT INSPECTION 24 NOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL flEALTg � SAFETYt wsnon CITY OF PRIOR LAKE DATE TIME INSPECTION NOT(CE SCHEDULED �l �� , �J // , �� / ADDRESS �� a � �� L�� OWNER CONTR. PHONE NO. PERMIT NO. _ �.� °�j 7 ❑ FOOTING 0 PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI O FRAMfNG ❑ WATER HOOKUP � COMPLAINT ❑ INSULATION O SEWER HOOKUP 0 FIREPU4CE RI O FINAL ❑ FIREPLACE FINAL ❑ PLUMBING FINAL ❑ GqSLINE AIR TST ❑ SITE INSPECTION D MECH FINAL ❑ COM MENTS:'�t = //t , �/� L ��'��(�-'° �`' ��3� %'-t'3,� r.� � �L, �. ` t �� ' � r �t ,c�r�%' � � "T' e�,l�' ,'� � --_�.� , �' G'� ° , � � � . C""i P . / /,+ 1 � ❑ WORK SATISFACTORY, PROCEED �CORRECT ACTION ANO PROCEED �❑ ORRECT W K, ALL FOR Ff�INSPECTION BEFaRE COVERING u Inspedor. � � er on r. " CALL 9fQR THE NEXT INSPECTION 24 HOURS IN ADYANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH d� SAF6TY1 lNSNOTI CITY OF PRIOR LAKE DATE TIME INSPECTION NOTICE SCHEDULEO Z � AODRESS , — �'� r Q �. OWNER CONTR. PHONE NO. PERMIT NO. _ 1 3— Od�"� O FOOTING 0 PLUMBING RI ❑ EX/GRADlFILLING O FOUNDATION ❑ MECH RI ❑ COMPLAINT O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION O SEVYER HOOKUP ❑ FIREPLACE FINAL � INAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST SITE INSPECTION O MECH FINAL ❑ COMMENTS: % `'` i� Iti5 r,D-2 �.'luI 2 ` ' l..t�w��Q,F2, � r(� " ��e� n 'TQIi� �a/�1F�� C.1GLI�L � �— � ` ` aS o0 i or�rS C' a�'S� �t �6riM��i �I �� nPl`P<1�Ir1�t �-t.�M� � � - - �� ❑ WORK SATISFACTORY, PROCEED O CORRECT ACTION AND PROCEED � CORRE RK, CALL FOR REINSPECTION BEFORE COVERING Inspedo OwnedContr. CALL 4� -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH 6c SAFETY! lNSNOTi CITY OF PRIOR LAKE DATE TIME INSPECTION NOTICE SCHEbULED � � ADDRESS � �p W ( � (�S l OWNER CONTR. PHONE NO. PERMIT NO. ��. DO �� ❑ FOOTING O P�UMBING RI ❑ FJ(/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMtNG ❑ WATER HOOKUP � FIREPLACE R( [] INSULATION O SEWER HOOKUP ,� FINAL �-FINAL �LUMBING FINAL ,� GAS R TST ❑ SITE INSPECTIOM MECH FINAI ❑ COMMENTS: I . � C (�, x 2. ��_ � � , u�u� � �� 1Ja,.,� �, -�; xl��c< x ��.� �' ► � ��,,�,,� _� � +_; ��.� �f�� ; �� r�. � - � � X I6< < r- a cg� �t, � ❑ WORK SATISFACTORY, PROCEED �' CORRECT AC710N ANO PROCEED �CORREC RK, CALL FOR REINSPECTION BEFORE COVERING Inspector. Owner/Contr. CALL 447 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE � CODE REQUIREMENTSARE FOR YOUR PERSONAL H�4LTH dc SAFETYl �vsHOr� oF pR� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd � ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE v � AND UTILITY CONNECTION PERMIT �- Z Z, �� '�NHeso� 2 P n c� y PERMIT NO . /� _ v/ I ; Yeilow ApphcaM � Please or rint and si at bottom) ADDRESS / ,�/ ZONING (oflice use> � S�} � �i'/d s ��► � �� io� ��4+� E ��!/� • �' C�S� LEGAL DESCRIPTION (of1'ice use only) LOT�� BLOCK !�j ADDITION •��ICS 'Oif/� 6%'�ffQ . PID �s'� OWNER T�� '�.TEit� ��'rr (Phone) ��' 7SS^ 7/ 97 (Name) '�� (Address) a �`i�i !g � � � ��o �� /"��" s✓�•3 BUII,DER (Company Name) (Phone) (Contact Name) _ (Phone) (Address) TYPE OF WORK New Construction Dec� ❑Porch ❑Re•Roofing ❑Re-Sidmg Lower Level F�msh F�replace Addrtion ❑Altera on Unlity Connect�on CODE: ❑I.R.C. ❑I.B.C. O Misc _ Type of Construction: I II III IV V A B �� PROJECT COST/VALUE ??9S am Occupancy Group: A B E F H I M R S U (excluding land) � � Division• 1 2 3 4 5 � I hereby ceruty that l have h�rmshed mformation on this applicahon which �s tu the best of my knuwledge h'ue and coirect [ also cetufy that 1 am the owner or authunzed agent for thc above-menuoned ptopc�ty and that atl cunstruct�on wdI conform to atl exisnng sWte and local laws and will proceed m accordance wrth subm�ttcd plans I am aware that the bwldmg ufficial can revoke Uus pe�mrt for�ust c use Furthermore, I hereby agree that the c�ty offiaal or a designee may ewter upon the p�opeiTy to peiform necded inspections � X � �j . . / c�/ a�ol3 Si e Contractor's Luense No ate Permit Valuation `g � Park Support Fee # $ �Permit Fee $ � 2 3 � . ? � SAC # �' �- Plan Check Fee $� `s � Water Meter Size 5/8" t',; $ �� State Surcharge $ , , Pressure Reducer $ — � Penalty � .� `$ Sewer/Water Connection Fee # $ � Plumbing Permit�Fte $ J Water'I'swer Fee # $ �� Mechamcai Permit Fee $ ` j Builder's Deposit- �� Sewer & Water Permit Fee $ � Other $ . Gas Fireplace Perrnrt Fee $ ` .—U TOTAL DiJE J �,'� , �' $ j� I I 1 �. •� 0� � VF This Ap licatio ecomes �nur Building Permit en pproved Paid i t NO. Date '� 1 /3 Bu�idme ic�al _-' D.ue This �s to ceru hat the e ucst m the abuve appluanon and accompanymg d❑me ts is m acco�dance w�th the Ciry Zunm� Ord�nance and may prucecA as �equcsecd Th�ti document when signed th iry 1 nne c nstuutes a ter�2�rary Certtficate oP Zomn com iance and allows cunstrucuon to commence Befure uccupancy, a Ccihticate nf Occupancy must bc issued � , � /3 Plamm�g Director Date Special Conditions, if any 24 hour notice for ali inspections (952) 447-9R50, fax (952) 4�7-a245 4646 Dakota Street Prior Lake, MN 55372 ., � . , • . ' ._ . � � � K � e . r ._ L � .� • w • r � _ ,. _ , . ' t ' _ .- � ' ��y� .� ' _ 3 ``• , • �a . • � � s 4 , � . . �1 . ' . * '` . _, - "'�� .. ' . � '�• �` . ' i r , .. ` ' ' �� 4 - . , , -' • � !, ' " . • ° i . . ' � . ' ` 1 n Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R•1 or R-2 Districts Reviewed by: i ) �—�'--- Date: rZ �� Ki) Building Permit # PID: � Zoning: � � s , Address: 3 �� (� i � l Legal: L , B Subdivision: Existing Structure? YES 1 t� . Existing Nonconforming Structure? YES 1 NO � CONFORMS TO ZONING Y NO ORD[NANCE Yard Setbacks: NA / FAILSI GO P ES Standard Proposed • Front Yard can be 20' if avg. in 150' 25' �" 5•� . Side Yards 10'/ 25' if abutting a street `o • �1 , , �D • Sidewall exceeding 60' requires additional side 2" 10' setback + setback for every 1' over 60' in length. Not required 2"/1' over 60' if buifding wall is 10'-0" or greater of being parailel to _ a side lofi line. • RearYard 25' �o -� � Patio Door; provide for minimum 10' deck or sign 10' side/ sfatement indicatin no deck will be built in the future 25' rear — • From 100 year flood elevation of wetland/NURP 30' - pond. — • Refer in- round pools to the Plannin De artment • From OHW (Prior or Spring Lake) 75' or setback average of adjacent structures, but no ...._ less than 50' Floor Area Ratio: NA I FAILS / COMP .30 Maximum � �� .� 1 . Yard Encroachments: NA 1�AILS ICO LIES Standard Proposed Eaves and Gufters no more than 2 feet in width and na `�' �`�-��'��"aL�-- �=�'�� ' �'-�� '��--=- � closer than 5 feet to a lot line Easements . �h�� '�� ; � '; '�' � '� ` � � � � " AIC and other equipment cannot encroach on inferior �� -' � � �- `` '� �� a `;;�„� �� ,..� s- side ards. Tree Preservation: NA / FAILS 1 COMPLIES Standard Proposed • Total cali er inches • Permit 35% Removal • Cali er Inches Re oved • � Cali �r'i�ches P,��served • Re lacementf '/2:1 L:\TEMEb�TE�BLD GLTST.D 0 C / Driveway: NA I FAILS 1 CO ES � Standard Proposed • Maximum width at ro e line 24,� � � • Required setback • 5' from side lot line or 30' from r-o-w on corner lofs l U� • Maximum slo e � 10% -� _ 3 • A(( parking areas to be paved including R-V or s aces ad'acent to the ara e _ • • Location to mafch subdivision radin lan - �N� Building Height: NA/ FAILS / CO IES 35' Maximum Z � � Shoreland District: NA / FAILS / C PLIES , Standard Proposed Minimum fot area square feet 7,500 Ri , 7,999 Non-ri - Minimum lot width � 50' Ri , 57.3' Non-rip Shoreland alterations Im ervious surface 30% Maximum p� b Z, Bluff in Shoreland N'! FAILS 1 COMPLIES 5tandard Proposed • Setback from top of bluff By planning dept, � Bluff im act zone 20' From Top of Bluff • En ineerin certification submitted/a roved By City Engineer • Grading in bluff or bluff im act zone No importing/exporting Floodplain; �1 1 FAILS / COMPLIES Sfandard Proposed • 100 year flood elevation 908.9' Prior Lake 914.4' Spring Lake • Lowest floor elevation 909.9' Prior Lake / 915.4' S rin Lake • Proposed lowest floor elevation Must be 1' above flood • elevation for new and existing • strucfures, ff existir�g sfructure was consfructed 9/19/90-11/22/97 fhen additionaf foot is not required. . � • Elevations 15 feet from strucfure Must be flood elevation or �' � hi her • Road access must be no more fhan 2 feef below 907.9' for Prior Lake Re u(ato Flood Protection Elevation 913.4' for Spring Lake Accessory Structure: �N / FAILS / COMPLIES Standard Proposed � Size � 1000 sq,ft. or 30% rear yard • Not located in front ard Materials • Side ard and rear ard setbacks 10' � • Maximum hei ht � • Maferials com atible with rinci le strucfure L:\TEMPLATE�BLDGLIST.DOC O � PRIp�, � � �� U tr� White - Building ,� � Canary - Engineering ^'NES° Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT �T r /v ��"—/ `/ `�/ APPLICATION RECEIVED �• Z Z • � The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .��/ l/V�c�d s � D �� Accepted � Accepted With Corrections Denied � ___ _ � �� z / �3 Reviewed By: � Date: � � Comments: �^�''�- � ��^J y �ft�-�^� �^� <-�,a�' 5 �--�.4� �-� 1-�-�� r�,��-S _ "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." � . . . . . , . , . . , . . . . . . . . . . . .� ....e.,,��.. . ,. �'� O� PRIO� �. � � � �� U tn White - Building �� Canary - Engineering �INNES��P Pink - Planning B P M T I AT TM K � � i ;�` .' ; ' < �, '`'��.% NAME OF APPLICANT � � r � - � � � �� : , /� APPLICATION RECEIVED ` -� The Building, Engineering, and Planning Departments have re iewed the building permit application for construction activity which is proposed at: ._' '� ! 4" ! f !' . .. . . r ,' �.� Accepted 4 ' j Accept�d With Corrections � Denied , ' _.,..__ ' I ,� � ,!�!' , ' w"' _..__._ L f ' , �O � Reviewed By: �---- Date: I - . - --^- Comments: � � • d ' - .�.�� '�a� ��at�t F.�crna�r;h in� ::�� - � � � � �� ,c�:� "The issuance or granting of a permit or approval of lans, specifications and computations shall not be construed to be a permit for, or an a proval of, any viotation of any of the provisions of this code or of any other ordinance o the jurisdiction. Permits presuming to give authority to violate or cancel the provisi ns of this code or other ordinances of the jurisdiction shall not be valid." » , „ , _�........ . ,.. .. . �. .._-. .. � PRI O � ti .. U White - Building Canary - Engineering M �NNESD� P Pink - Pianning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT �,,.1 �Jf �I I�� J l� -�C:.: f-� .��//V C'J APPLICATION RECEIVED f � Z " • ��' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: , �.._."�� l f f� � ��_ l/,.J C� C:.- � Accepted Accepted With Corrections Denied Reviewed By: Date: Z� 7' 13 Comments: See Reverse Side for Additional Information� See Attachments• 1) Grading Plan� 2) Erosion Control Standards "The issuance or granting of a permit or approval of plans, specificatians 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." ' � ' t �ITY OF P��R �AK� � ��pe��s ��f�� a��t��s (To be Submitted with Building Permit AppEication) For A11 Praperties Located in the Shoreland District (SD}. The Max.imum Impervious Surface Coverage P�rmitted in 30 t�rcent. f L-o � ll i i3 0� i< <� Prop�rty �ddress 3 � � (i`�i �S ��/ �'�-C�S �.�rJ ! � �OBI �iu•v � Lot Area O�GO� 5 � Sq. Feet x 30% _ .............. �l/. SeP ��,�� T T '1` T ' T � '1` T 'F T '1` 't' * T ' T T 'F 't` '�` '1` T ? T 'f` '1` T T T T �F 'F '1� '1` T T '1` T 'F T T T T T T T T T ' T T T T T '1' ? T T T '�i� T T T � T T T T ? T T LENGTH WIDTH SQ. FEET HOUSE X = x = ATTACHED GARAGE x = TOT�L PRINCIPLE S'I'RUC'TTJytE ...................:.. �j �Q� Z S� DETACHED BLDGS x �Gara;eiShed) X TOTAL D�TAC�IED �iUILl�il`dGS ....................... '--� l � � S � DRNEWAY/PAVED A.REAS x �/„ = :� �(Driveway-paved or not) X S/�t w�� b �i l 5� (SidewalklParking Areas) x = /204 SF TOTAI, PAVED AR�AS ......................................... �.�F PATIOS/PORCHESlDECKS x _ _ (Qpen Decks '/." min. opening between X = boards, with a pervious surface below, D �� are not considered to be impervious) � � X zU SF �� ,' � TOTAI. DECKS ........................................................ � OTHER X - x = TOTAL OTHER ...............................�`�� Je/3 Sr '��. �p�R�oUS SV�f�C�' • �JNDER/OVER N_A. SP� �Q�f� � �5 repared By ��e r�- ��i..,��i n so � Date �"�g'� rnpany �� ;.� P��i�l� l� �• Phone # �65�) �8�-��I/� � � PRIp� CITY O►F PRIt3R LAKE PLUlVIBING PERMIT � � � �(3 r �`NNES�� l..J� .�� `�l1\ 1�S t.Bkk E� � PERMIT NO. �� y��. ,� ease or and at uotaum ADDRF.SS ZQ�` �J5`�� Ic�.s l�i �t�.� ��, n�c�a�oN co�,� �y� LOT BLOCK ADDI'TION PID OWN�R �(Nfame} f��) (Ad.d=ess� APk'�.�CANT �C`.,�l.e.�;'�� Q �l.A.�11t� t i'�C;� L l_ C �hone) �� ' ��-f � - (c�� {Name} (AddzeSS) � ��J �`� �`4..�.'� C��- S � . S � � � t at I_.�.�sZ � �Addze�� {City) (Zip (Co�tact Person) � �- �� ~� �. �y {�102t$� �' � `� � � y � " �'�� . f DATE �� t� 5� ZC� I 3 APPLICANi' STGNATtJrRL� --' APPI.I�t�NT PLEASE COMPLETE BELOW Quanfi T of F"nrture usn�i ctf F�ixtnr } Bafh Tub with or without shower Rou h-ins _ } Dishwashec � Water Heater 1 F�oor Drain Water Saf�euer Lavato afhroom Sink 1 Stamd ' e ashin Machic Laun Tra L or 2 cam artrnent sin1� Sewa e E'ectnr Shov�rer S#all Backflow Assembl �� Backflow Assembl Test Baz Sink Lawn S' er 5 Water Closet Toiiet) Other �'EE �CHEDULE Industrial, Commerciai & Multi �amily I°/fl af job cos# with a$49.Sfl minimum Residen � Addilaons & Alteration� 3 � • -- � � Permit # ' 17�e Mennesota 5tatutes § 325B.148 "SURCHA,RG�° has been changed For ane pLUMBING P �E � ' year effectiWe Juty P. 2014 until June 3U, ZO# i STATE S GE $ �d C`k� �— 'I'(�e miaimnm surc6arge tor s"f�ed fee" permit TOT ERNIIT FEE � Es � begfnaing Ju1y 1. 2U10 This Applics�ian Secomes Yoar S g Permit When Approved Paid �i��D ��""�� ReceiptNo. . � � O � PRIp� CITY OF PRIOR LAKE Date Rec'd � � HEATING/AIR CONDITIONING/FIREPLACE PERMIT U t ,y, o � P '. r'�` F`'e pERMIT NO. NNeS 2. Green City /�� _ �D� � 3. Yellow Applicant � (Please type or print and sign at bottom) ADDRESS ZONING (office use) � �� ►-.�: � �S �j LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Nw e) R L ) (� � Y� � � �� (Phone) lP S�^ 7 S � -'? I 9 � Address A ame � � 1 �`-�- ) �P � Z � � ()-- � � Y� (N ) � q� ��--� � � sr (Phone (Address) �� 1 �4 R-v-� � k C� r .S' W L � n S�� (Contact Person) �� ar�� -°� (Phone) fo f 2 c3 7 U '� �� APPLICANT SIGNATU — - .�,... � DATE .S�/ �� APPLICANT PLEASE COMPLETE BELOW �EW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL�o a�� FUEL �J �i FLUE SIZE �`` RETURN OPENINGS � INPUT r/ OUTPUT 90, �' TYPE OF SYSTEM HEATING OR POWER PLANT pLEASE NOTE: Air Conditioner ❑ Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach ❑ Gravity ❑ Hot Water into Required Side Yard Setbacks. ❑ Mechanical ❑ Radiation Fireplaces with Box Additions or � Air Conditioning ❑ Special Devices Cantilevers to the Outside of Buildings � Vent. System Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial & Multi Family 1% of job cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 Cost $ Building Permit# HEATING PERMIT FEE $ ��p�� P � R ��. STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ 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 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 � � t�Rta� Date Rec'd � CITY tJF PRI(lR LAKE PLUM$ING PEP;MIT � � �, � -OD�7 drrNNE50�� g"� "�° r PERMIT NO. l� .�� /� 7. OoIA Ch7 L _ �. Ydlow AppfKVn+ ease ar t end sign ai bottom� _ ADDRESS - ---____.._ --- E ZONINGto�re �`�`�1 1.�,..1�� ;c� �. i�.J cx.l _ � ��d.�',4 -- -.�..._ --_-- LEGAL DFSCRIPTION {office use only) LOT �I }3LOCK /6 ADI}IT'ION ��P�;,s f l/� y(d I s � � _ P3D�J �� / " �.5 7� - OWNER } f _— - -- - - - --..� (Name} __ �_ ►"`ti�� t}l� ------- (Phone) ------- (Address) ,�_ _ -------- APM,ICANT - {� �� _ Y � �..C.. C._- (Phone) � �J �. ° y � � � � � (Address) __ � �S � � � �..5 �*. � �� t' t C�' L.�•�. -- • - `J� � � � �. _ (Addz�ess} {City) (Zip Code) (Contact Pesson) __ `J'�-'' `.�G. �X"C�X" {Phone} � 1 2 -� 4 � -- 3a�s 3 .�_ APPLICANTSIGNATUI2L ___ ^�� ---- - . DATE � - -- ---.- _- APPL ICA.ATT PLEASE COMPLCTE BELOW Quan� Type of Ffixture uantit � T of Fixtore .__ Bath 1�zb wath or withaut shower Rou h-ins ___ 1 D ishwasher Water Heater _ � Floor llrain _ __ _ Water Softener Lavato Bafhroom Sink Stand Pi e ashin Machine L,auttd 'I'ray (1 ar 2 eom_�arknnent sink _ . Sewa e E'ector Shower Stalt Aackflow Assembty 5inks Backflow Assembl Test _ __� __._ �ar Sink ---- - �- Lawn S rinkler _ �__ _ . Water �loset (7'oilet) � :,�. Other _ FE�SCHEDULE Indusirial, Commerciai & Muiti-family 1% af job cost witb a S49.Stl minimum Resi ential, New One & Ttvaramrly $149.50 . Rssidential, Additions & Alterations S49.50 Thc Minttesota Statutes � 326}3.idx � � �st S __.._. �,,.-� ' Building Yermit # __ ___ "SLIRCI IARGi;" has bren changc;d t'or one ,.-'' ycar etTective PL.UMF3�� I�It�i PERMIT FEE $ .1t�t}� 1, 2t1t4, cantii Jane 30, 20I i. STA r SUREHARCr� $ 7�_'�` -� The minimum s�vchar�e for a"Gxatil �ee" permit �Tt1.L �'ERMtT FEE $ is t i, beRinnidg Jufy I. 2UlU 'Chis Application Becomes Your Building Permit When Approved Paid � Receipt Nn.� Uate By Batkltrg Ottfetal `- -__.� Aate _ _ --- 24 haar nntlec for ell iospectioes (952) Qd'7-9854, fax (952) d4T-42Q5 4b46 Dakota Str�t S.E., Prior Lake, Minneeota SS372 �A�� Y�L.� i f�7 I��'1L��i�� F�'�'RM� ----�� ..� .�_ O � PRIp� CITY OF PRIOR LAKE Date Rec'd � � �.<<°-, � HEATING/AIR CONDITIONING/FIREPLACE PERMIT � ;. x U -* tx� .,•.:�. ��NNES�� 2, Gr en Ci y PERMIT NO r 3. Yellow Applica��t �� r / (Please type or print and sign at bottom) ADDRESS ZONING (office use) .-._ ' c� / � � � ; � � � < I t 3 c �" . •--•.` � LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER , (Name) �� f � � - . � � (Phone) / �- t � ; , � (Address) APPLICANT (Name) f �, - < � � ; .� �_ - ' . �- ' (Phone) ��:1 1 ; � � 1 f , � 1 . � (Address) • " �' 1 << 4 - � � �` + . `.� t< � 1 �, , � : ( fi , t-,,,,, r z ; �j` � (Contact Person) `�, ; , . � , f. �'� �? �. � (Phone) ;'. � - ' ( � ' APPLICANT SIGNATUR� � r.._ . ,- DATE ` `� �� ' ; ,, . APPLICANT PLEASE COMPLETE BELOW �NEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL . r. FUEL �. � f F� FLUE SIZE : RETURN OPENINGS '. INPUT , �-,, OUTPUT , � TYPE OF SYSTEM HEATING OR POWER PLANT pLEASE NOTE: Air Conditioner ❑ Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach ❑ Gravity ❑ Hot Water into Required Side Yard Setbacks. ❑ Mechanical ❑ Radiation Fireplaces with Box Additions or DAir Conditioning ❑ Special Devices Cantilevers to the Outside of Buildings 0 Vent. System ❑ Other Devices Require a Builciing Permit. FIREPLACE MAKE AND MODEL,,_�( �� FEESCHEDULE Industrial, Com�nercial & Multi Fainily 1% of job cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating & A/C (New Conshliction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 Cost $ Building Permit# _��,�_�, HEATING PERMIT FEE $ �� p �, R �� STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ 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 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 o � p�o� CYTY Q�+' Pl�OR LA�+ Date Rec�d � �EATZN�/AIR CUNDYT�ONYNG,l�'�'R.E�LACE ��T U � ' �v"�' �: � � PE�v,lxT r�o. /� � � � � �� t zoNirta c�„� � � i 1 �� :��,��o�f��, �u�LD�� r LUT BL�C�C Ab�ITI�I�T � O'�R �� (pt�u�,��.+�_,t�� lrl'1t�t �Sr .a�rt.icc.�rr�r ��) (!'hoae} (Addreas) � �� (Contact �cxsoa) � (Pltone) � APPLICAN'�' SXCrNATIJRl3 DATB � APP CANT PI,�ASE CG11VYp�T$ BEY,,OR' CONSTRUCTION REPLACEMENT ❑ AL'I'ERA'TYONS �IJRNAC�M�,KB 2�O�BL g�Jg,r, PL� S�ZE �t�'s'Z'IlRfil O�CPV'IIVCrS INPUT oUTptTT TY'PS OF SY31�+M HBATXNCx O� �'O�YPB P�.AN�' �Wum Air i� ��,m pI,�AS� N4T�: Air Cond[tioser �Grtv�tY ❑ Hot Wuer Cl'n[t: �4otd F�: C.�u�uot B��cL �� ('�q�� ixto Rcqu�ed 3ida'Yard SdbRCk�. ir Co�a�i � �irepl�cc� wkL �oz Additf�ai or e�. SY� � O�r pCVic� Cu;�ilcver� to t�e Outrlda ot8 r,� Requ�rc A � permtt. x �� T�IRE]?J.AC� MAKE A.ND biODEL.It�� ,�. �% �� ~`� I�dustzi� C,or�aa�l dr M�tf-Fa�nit�+ 19'. of�ab cat e iut, (3as �'' �49.30 S�l.50 m� �1, H�t� dE AI9C (New C.aa�trwatiaa) Si49.S0 ' RatlQ�al, .d Altaruioaa t49.50 ��, �1e�ting C}alY (Ne,W Cc►�ructteu►) �64.50 R�tial, AC OaIY S4�.S0 The hIi�nesot7� Statut�s � 326B.14� �o� S Buitding panr�tt �f "SU�CHARGB" �as bee� extencte�t L�:� �'Li:a 3�, ��: x�, :�EATII�YC3 PERMIT FE� S � �� 'rh� m�nimut�t sunfi�arge tor a iT�►TF SURC'HAR�3E S .54 � "Ffxed fee^ pe�r�tc is ��.�� rOTAL PERNA'T F� � � . _, �'hit AppHcstloe Bec�►nae= Yoar B�iWing Prra�i�t W.�en Approved �a�d Dote �_ a�8diyr o�1a�i Droe Z4 �our no� �br a!l ��eGWa� {9S� 44y l85A, fM� (9S2) 4h-4243 r64i Dalceta Stt+�et 5.�., �trNrLak�.l�inn�toca 5s372 Q�olTO 3�d Hl2lt�i 9hII�1(r1J 9089Z6tiZS6 bZ ��Z £t0Z/Z0/�0 P � DEPARTMENT OF ' R L A K B E UILDI NC AND INSPECTION IN PE TI N R E D SITE ADDRESS �� NATURE OF WORK � C`- r�c. .��, ��,� � L N �� USE OF BUILDING r �,`�,� � D� ��--�,"� � PERMIT NO. ��- S� DATE ISSU D 2 4 t� CONTRACTOR � o�a SK.,� �� r,.,�� PHONE � 5�• 7 ss -� 19 � NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PER IS BY SEPARA --, `�i" �► �� 1�9ti� f I R" �l /VGr°t-F INSP � � � � � FOOTING DATE G � � FOUNDATION (Prior to Backfill) �/2, � PLACE NO CONCRETE UNTIL ABOVE HAS �EEN SIGNED ��p`'`s r'°��- s A� R O U G H- I NS SEWER / WATER / SEPTIC � , f �. FRAMING �c r�.�.,,.,�.",�,�� INSULATION � �� ` ELECTRICAL s 3�- f 3 PLUMBING � � ��j z a HEATING (if required) c� �' ,� �.�t �3 FIREPLACE .� r.,� GAS LINE AIR TEST �� ` NO WORK UNTIL ABOV E HAS EN S GNED I�u ��c,J R.�-? �-� � � , (0 3 l3 FINALS GRADING (Prior to Sod i g) �� BUILDING � � �- r� ,� , `� 25 ELECTRICAL PLUMBING HEATING DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an elect�icai 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 " [PRINT pN 30" X 42" SHEET] � C.� W � z z�z xmz c�rz cz z r�-iCp n�� _ �� z� n Om o o=o o-�o 00o v�o o r�� 0�7p 00 D O � � � O O �0 m m Zr�*i ��r�i tZnDm or�*i r�i m� Z G� fTl �7 C�� D m -i �J= m= ��• G n �m�n(�O -' I �7 � - a_"� r� r� m c� _� �"' z � o v o c� n I I z S � D= m � (n C� �7 ''' o o? 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