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HomeMy WebLinkAboutBuilding Permit 13. 0994 �a4 a / 'trfifix .tt of ( rtu alai PRIOR LAKE .. , y = CITY OF P � � r u� �x���� nit Mn , -..r.., .---.!„ Prpartntvat of 0 Conditional C.O. Exp ares Final Permitted �., Section 110 of the❑ Residential F 0 Internationa pursuant to the requirements of Nance with the various issuance this structure was in comp This Certificate issued p that at the time of building construction or use. For the following:Building Code certifying ofPrior Lake regulating k/ f�1�, Bldg.Permit No. ordinances of the City F/ / y l/vDistrict_-----------_„ ' Use Classification Zoning{ �.. �� Type Construction p©te�r,, , `� . + y Occupancy TYPe � ``~��F---i , 5 I N �,: /4,),,q . ,,,_ „,, „ Legal Description S_________________ ite Address . 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ADDRESS ZONING(office use) 3e03 : Ids g 1 , t)k) PvsD LEGAL DESCRIPTION(office use only) LOTS BLOCK 16 ADDITION �- ccs %A ),Aota [-ft'0 11, PID Z5y37•/ 7. OWNER _ L n (Name) Sia tin ANt} . Co utc-� t oto LLC. (Phone) .470- 0 Li 7" t<94 ,* 7 (Address) 333 S S. Cm+rQ.l L_ Tru,•►-1.ai. Al AI ALO ? BUILDER �1� il (Company Name)_ T Cor A.C}i Os") 1-tC- (Phone) ._i_ % Z Z t17 z<9* ,'7 (Contact Name) 13k Gre-Pt. (Phone) 61Z a c/ 7 '9y'7 (Address) `.S d/ /c/l0[ A o k s L' c/✓- /c ko ee AIN SS s 3 7 / TYPE OF WORKtew Construction ❑Deck ❑Porch ORe-Roofing DRe•Siding [Rower Level Finish 0 Fireplace DAddition DAlteration ❑Utility Connection CODE: DLR.C. DI.B.C. 0 Misc. , Type of Construction: I II III IV V A B 2910 0 00 Occupancy Group: ABE T III MR SU PROJECT COST/VALUE $ Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnished information on this application which is to the best of my knowledge tate and correct. I also certify that I ant the owner or authorized agent for the above-mentioned property and that all conshaction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can •_.•-c this ••it for jus _ se Futtherm. I hereby agree that the city official or a designee may enter upon the property-to perform needed inspections. X - 3C Z 'adS72 a- ze 13 Signature Contractor's License No. Date Permit Valuation v/3 /p)„,n _ Park Support Fee # $ Permit Fee $ 3C/(/, sr SAC # $ ,R[f s to Plan Check Fee $ j576– 4zp Water Meter Size 5/8"6) $ 5-C*). - h. CO State Surcharge $ Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ ,!S— Plumbing Permit Fee $ / -&', 52' Water Tower Fee # $ /60CC, e Mechanical Permit Fee S ' Builder's Deposit $ Sewer&Water Permit Fee $ �✓/_ Other $ — • Gas Fireplace Permit Fee $ 57/ _S..- TOTAL DUEf`II$j a C' ( 1.(3 $ / 5 r,L,1?^ This App• ion . omes Your Building Pemtit When 'ppr,vedr--4Ip1 ' - � Receipt No. 7()O7 Date C �, By_____5-4_ All dik. ... /( ....,. V rti t� late , This is to certify that the r,„ lest in above applieauon and accompanying documents'.in. cordance with the City Zoning Ordinance and may proceed as requested. This rllxument when signed by the Cita net• urines a temporary Certificate of Zoning compliau e an allows conshtuctirm to commence. Before occupancy,a Certificate of Occupancy must he issued q Mann�g . tate Special Conditions,if any —r notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 el2104 . tri White -Building Canary -Engineering 41vNE50f Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ,5-6/7/11/ / ce Sj- � . APPLICATION RECEIVED • Z Z . /3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: V v 2 C13 Wf LJ..S. /'x'00 6E- Accepted / Accepted With Corrections P P Denied Reviewed By: Date: Comments: --QS(dy A fikefrAr 5'1PA-CL,,e-rc A7LC- 77‘ "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." 0 PRIp� �z tri White -Building Canary -Engineering 4-iINNEsol• Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT _.; ;� ,,f /7/ /,—' �;.��r �; �? APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted le/ Accepted With Corrections Denied Reviewed By: Date: d 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." �,„u,:,...,�aewir"naei .'.;.r.,an,,,; ,. sFs° "-'"-RPi_a:.,�wi :r ^'<r.?,;m.».esr ;;?.r•: ..,w:.et'!:ar.p e z+Y..ryY 3"rRa .;�x.;'s .}?,ate" R::r.si ,.` 5yX7§oi._k"SL+c:'," + d+'�4'N1' '1 ''a 0 PRIp� ti U trl White -Building Canary -Engineering 'ylNNEsOo Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT `- <---Of",//' / / co, -�µ/�C APPLICATION RECEIVED ' /-3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1/V! L .OS /r /V/ Accepted Accepted With Corrections Denied Reviewed By: /1'13 Date: 7-4'8 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, 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." 044Rip� ff'P W itc'd IEAHEATING/AmHEATING/AmCICO11l DITO "It iIO ? PLACE P RMrT Date Re '4%satzs . tit 11 z PERMIT NO. (31Q4.. ( ease tree os tint caddis at bottom) x'Ulm . ADDRESS (2, — . ZONING wee ) 1 k e - LEGAL DESCRIMON OffiCe WConly) • LOT BLOCK ADDITION pm . (Name) _ 'J 1)ill ._. _ (Phone) :_ ' j (Address) APPLICANT (Name) .C' V S c, n (Phone) _.... 'Address).1 e.e V t- A0d„,It)e_ (Address) (civ) (AP code) (Contact Person) 3ik AP'PLICAN'T SIGNATURE DATE /(I 5(1 S •. APPLICANT PLEASE COMPLETE BELOW • CONSTRUCTIONREPLACIBMENT ❑ALTERATIONS FURNACE MAK&AND MODEL Len A Q X ,fa u T y 0 PUL L) 6cc.s, _ FLUB SIZE RETURN OPENINGS INPUT OUTPUT • TYPE OF SYSTEM HEATING OR POWER PLANT _ . — QWarm Air Planta Sty PLEASE NOTE: Air Conditioner Units and Fireplaces Cannot Encroach •- Rot iiationnto Required Side Yard Setbacks. • , Conditioning Special Devices Fireplaces with Box Additions or 11YenVest,Syatera ❑Other Devices Cantilevera to the Outside ofBuildings Require a Building Permit. FIREPLACE MAKE AND MODEL FEZ SCHEDULE Industrial.Commercial&Multi-Family I%of job cost Residential,Gas Fireplace $49.50 $49.30 minimum Residential,Heating&A/C(New Coostroctien) $149.50 Residential,Additions&Alterations $449.30 Residential,Heating OW(New Wit ) $6430 Residential,AC O ly $49.50 The Minnesota Statutes§326B.148 "SURCHARGE has been extended' ►est$ _ Building Permit # until June 30,2013, WITH The minimum surcharge for a 'MO PERMIT FEE $ "'fixed fee"permit is$S.00 TATE SURCHARGE S_ . GILDING 1-1,.. R�� ._._ _ ... . .._. . ..... ... • . . . OTAL P$RMIT YEE $ • . This Application Becomes Your Building Permit When Approved Paid R ce pt No. . Date By Bulding Official lists 24 hour notice for all inspections(952)447-9$$0,in(952)447-4245 . "1 t 'd 64€0 .4 4 4646 Dakota Street$.$.,Prior Lake,Minnesota 66372 WV6 0:6 E t 4 t 'S 'A oN 01I/\104' Date Rec'd t. CITY OF PRIOR LAKE Er i3 x SEWER AND WATER PERMITTi 4":"n'$E S ColP I. Green File PERMIT NO.�3 2. Yellow City 3. Gold Applicant (PIease type or print and sign at bottom) ADDRESS ZONING(office use) g6 3 WfV5 1412& - i)t LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) 5 u If r M n t DA 5 1/ 116 T i L 42- C-- (Phone) !A./ -1Y 7 477 7 (Address) J ! /()OH-0115) ,A?C E /f 1 Xap. - 537? (Address) (City) (Zip Code) APPLICANT �_ q (Name) FJt1�p1) ft-L--ft-L-- ( __Vic_ c (Phone) 9Aa w )'q 07,a,(Address) 3 /1 i-, ;"0 '°,F}A) (Address) �-� (City) (Zip Code) (Contact Person) l Iq 1 L6 ��� (Phone) �J " I'/ " ,4q 9 APPLICANT SIGNATURE C/Lv-�,/7i,,r1. f' Cd-f , '� -'a DATE APPLICANT PLEASE COMPLETE BELOW Size of water service I inches. Location of any couplings from structure feet. Type of sewer pipe. C ABC PVC El Cast Iron Estimated length of sewer line 51 feet. Clean out(if required) located at feet from structure. FEE SCHEDULE Residential sewer and water line connection $35.50 Industrial,Com'l&Multi-family 1%of job cost with a$39.50 minimum Sewer connection only $17.50 Water connection only $17.50 Estimated Cost $ Building Permit# • SEWER AND WATER PERMIT FEE $ (' STATE SURCHARGE ' .- $ � .50 TOTAL PERMIT FEE $ PEEP r (Office Use^1.1y) This application Becomes Your Building Permit When Approved Paid Receipt No. Date RIADWITH Building Official Date P BUILDING PP/4M 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4� f Fc 1 i OCT-15-2013 1O:50 FROM:RIF:SSC:1-.1 7637463777 TO:9524474245 . Of—188(93 0 „A tug. CITY OF PRIOR LAKE Data Rced ' 47 t BEATING/AIR CONDITIONING/FIREPLACE PERMIT 8 b ifoiwro* lar No •5 , 1 rest , fl ---6-2-----2 Cf--.-- Zi t,_.,_1•-' ,,,- ,, '.._*Mika*%ono — . I ZOMN0 ofteo ust) 2603 WILDS ItIDG2 NW — _22.......-/Z____ . 1.10,41.DESCRIPTION(olece;*caw --....._ LOT BLOCK /6 ADDTTIONjc " ..................—_____.....................—..— .. . _ .. Timm - ....... ....................__, • Moro SUMMIT CONSTI . __..........—................—.—. Mw* : --.._FWCANT .—......—............... ' I oiruceLAIR MECHANICAL,INC. Rho* 763-434-7747 , (Addms) 15411 ABERDEEN ST.NE :ar-2,ear------------UAMLASE---....--eofi.---. (oxitect perm) MELINA SCHWARTZSAU - (Phone) 783-745-3750 . • APP'LICANT SIGNATURE igt:.,"....a.f. Oil i. CP:i.i,.Y.i• I DATE I - _ __— IP I . APPLICANT PLEAS• COMPLETE BELOW 294SW CONSTRUCTION CREPLACEMENT 0 ALTERATIONS : FURNACE MAKE AND MODEL BRYANT 912S848100.521 . rum NATURAL GAS FLUES= RI3TURNOPIDITNOS INPUT OUTPUT 100,000 BTU TM OF SYSTEM BEATING OR POWER PLANT PLEASE NOTE: Air CentillEauer as -arm Air Pbbib Steam Units mad Fireplaces Caine made eabasied ii We*squired Side Yard Setback,. klWindom fr Coadklosies special perk= Flaw has with Box Additioas or el ink Spam 0 mar Devices Cantilevers Se She Outside 011Ittildiags Require a Builigns Perna FIREPLACE MAKE AND MODEL FES SCHEDULE • baluabbl.Conancrefal at MeltiPannly 1%&job coat Residntial Gas Irisplace •Se9.50 $4.30 Wake= RealklaudatifeatIca' &MC(New Celeeewsnee) $149.30 Read.Ad:Pious It Aboranoto $49.30 .• Rookleafbd,&ea*Only(Now Consbaction) $6430 Reekkodal.AC Oaly $49.50 . ! Estimated Cost S 149.50 Builtling Pernik 5 _ illsMtattota Stem*ii 3261M41 $ 149.50 rstmCEARGE"hes hien changed for one HEATING PERMIT FEE your cfhotive STATE SURCHARGE S-5760 .50 Ally I.2014).until June 311.WIT. TOTAL mow.FRE $ 154.50 Tat adaboara aortliago far a Iliad fae"pens* . Mb.Vat Clikt) b SS bexiwaing July I.21110 - 0 The AppSootbaPAID WITH Ilectuues Your&Mug ram*Wien Approved Paid - ReapsNo. ... - . Date J .......... Dais rtuiLmstr 1:5y 24 boar mode*kr an bapeetiva;(pa)4474850.nre(962)441-4245 46441004:ata Street&IL.Prier Lake,SOWN*** 55372 •••..•••r..woew.i.n....................••.••...••.....••••.••••• ••••••..—••••••••••*••• ••••••••••••••••••••••••••••«"••••......—............•••...s...............,•.........§.......*................--.......................... ,Rter tp Date Recd CITY OF PRIOR LAKE PLUMBING PERMIT /0/0/3 NV 1HNEs0o I.Gold File 2. PERMIT NO./3i qq City 3. YellowAApplicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) L6 LA_.) t ISS Rias, Past) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PH) r L51 `S1-0 OWNER (Name) (Phone) (Address) APPLICAN (Name) 1 )\v e-v .� /`(Phone)-- (Address) n_ (_ . c- ,re. S )- . i/A '7' 'i•-1 S"'- '-`,4-, S (Address) (City) (Zip Code) (Contact Person) \ - • CA_ (Phone) qC S Z —L/6-S-- ZO 3 APPLICANT SIGNATURE .4641.11Pir"- - ( DATE ( • ) � APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture 3 Bath Tub with or without shower Rough-ins I, Dishwasher C Water Heater t Floor Drain Water Softener 7 Lavatory(Bathroom Sink) I Stand Pipe(Washing Machine) I Laundry Tray(1 or 2 compartment sink Sewage Ejector 3 Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet(Toilet) Other The Minnesota Statutes§326B.148 FEE SCHEDULE "SURCHARGE has been extended o of job cost with a$49.50 minimum Residential,New One&Two-Family $149.50 The minimum surcharge for a Residential,Additions&Alterations $49.50 "fixed fee" permit is$5.00 st $ Building Permit# PLUMBING PERMIT FEE $ STATE SURCHARGE $ 5. ii TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. PAIDWITH Date BUILDING'WPER IIT 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 Builders Deposit 41N City of Prior Lake A$1,500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposit is issued as security to insure compliance for a Final Occupancy Permit. (It is not an escrow account)All exterior Items Including but not limited to grading,sodding, landscaping,tree planting,driveways,siding and painting shall be completed 180 days after the date the building permit Is issued. If the work is not complete within the 180 day time period, the City shall notify the applicant of the violation and the applicant shall have 10 days to comply or the $1,500.00 builders deposit will be forfeited and the applicant will be billed for clean up or corrective work to rectify the situation. A$500.00 Tree Deposit may also be required and will he refunded if specified trees are preserved for a period of one year. DATE: 8-Z2- J �j SITE ADDRESS: 3603 0-dots PERMIT# /3• 994* REFUND TO BE MAILED TO: SIAJV) i-1-R Coils-fru C:// d f�` 2-LC 52•4°• v •fr — v a. aojc 1141 S5379' AUTHORIZATION TO RELEASE PLEASE REMEMBER, d/ ,�0 UO Lynda S Allen,Building Services —1-----.7Amount 1. KEEP STREETS CLEAN DURING CONSTRUCTIONDate Acct.801.20204 2. KEEP EROSION CONTROL IN PLACE 77x1/,- -$ Z 0° Dc�'?v CXP,, ED 7CO 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR $500.00 WILL BE FORFEITED SIGNATURE: �� ---� SUMMIT CONSTRUCTION LLC 333 S CENTRAL AVE TRUMAN,MN 56088-1220 3031 17-1/910 943 DATE (—�j—i 3PAY i 7089496967 TO THE ORDER OF P f O(� Lam., 1felie I $ /2 S98• fi�a14sand- ie hik.tdrede. n�rieti ' lrl �l ��.� 9 allcrr� ow( `�'G�IJOLLARS 8 WELLS Wells Fargo Bank,N.A, e.« F..ABGo Minnesota wellsfargo.com FOR 3I►03 CJ do( •/ • .09 i0000191: 708 9496 96 7iin AUTHORIZE TO RELEASE: �n J:IFORMS\BUILDERS DEPOSIT FORM.DOC a PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD �3 eV;Lds 4/a...'SITE ADDRESSNO � �„,) NATURE OF WORK i - 4 / l USE OF BUILDING6,, t / ,. , ' .fiaalia -- w/ ! P/P 5c.. DC-di NO. . ” " %