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HomeMy WebLinkAboutBuilding Permit 15. 0174 ATAT KN./ " .,'`�7 ' s. T- I,,„n( 1 � 1^ r :. � 'k,,, w� i'::hn:�h „:',;,, r .n.:/.ii. '. V.„i_., ..,ii .. ,..�i,_ .. .. Etrfifirafr of Orrupattrg :: CITY OF PRIOR LAKE prpar n�rnnf of !niLMn ixis rtfion n Final Permitted ❑ Conditional C.O. Expires re uirements o Section 110 of the Residential/❑International This Certificate issued pursuant to the q f 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: /�, s/q ,�'>�1/�/ Bldg.Permit No. �� 7 Use Classification `-' ` v/ /� �v r. 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Yellow ApplicantS / 7# i /7"c" //�j O� r.� ZONING(office use) LEGAL DESCRIPTION(office use only) ���� LOT 2 BLOCK /,‘ADDITION e e,---r !:2" / j< '"��%�'c�v`-/PID ZS ,,, OWNER / , (Name) //G�/`�//- , e-- 'r-OG/�-e� (Phone) 2 2—Z O (Address) �'?p 7 •er,� %,G /4 �ll A."-. .5---.1-27 -,"-y BUILDER " (Company Name) e.. "// d/2-1 ri � // Gl �/- (phone �Z ze/� (Contact Name) e"./e"./ l6.---A//46.---A//42/14 ) b � 0 (Address) F?�7 ,. ..e. �� (Phone) �,Z ' Z2"— 2P, l� o✓rte %� ,i< �,S"z7 TYPE OF WORK ; ew Construction ❑Deck ❑porch ❑Re-Roofing ❑Re-Siding ower Level Finish N Addition DAlteration ❑Utility Connection CODEC. ❑ ❑Fireplace LB.C. Type f Construction I II III IV V A 0 Mise: Occupancy Group: A B B F H I B Division: M R S ii PROJECT COST /VALUE 2 3 4 5 $ I hereby cern (excluding land) certify that I have furnished information on this application which is to the best of m Ih ecer ify t a I have and that a information this l appform to l is to the and myl laws and will eroceed in atcor also certify with s official mcan revoke is permit for just cause. Furthe y SON lige true and correct I rmore I hereby agree that the city official ora deli nee ma enter u on the ro that I am the owner or authorized agent for the X g y ubmirm plans. I am aware that the building p P perry to perform needed inspections. Signature �C�o fZ � _Z ��.- Contractor's License No. Permit Valuation Date Permit Fee Se:7Z© Park Support Fee # MIIIIIIIIIIII PIan Check Fee $ 2-2-‘25-5–n glaimuli Pressure Reducer $ 50{). T o Plumbing Permit Fee Sewer/Water Connection Fee $ r D_ it $ t $ 15' E0 r- Mechanical Permit Fee �` D Water Tower Fee # $ Builder's Deposit $ ( O Oa .- - Sewer&Water Permit Fee $ ' Gas Fireplace Permit Fee $ 7C– O Other $ Z 6"CO_ O TOTAL DUE1111111111111111111111 This A.• cati.'f:ecomes Your Building Permit Wh_ .4 li 0 a�/r'� / ApP wed Paid / i�ii. �, Z Date t No. Builditr Official Date S This is to certify that the r.quest in the above application and accompanying when signed by Ci 4 pp docume is is in accordance with the issued. t1'j anter onstitutes a temporary Certificate of Zoni com.ranee and allows construction City Zoning Ordinance and may proceed as requested. This document • coon to commence. Before occupancy,a Certificate of Occup/111 4116 ancy panty must be Platwing Director- ---"' 24 hour notice for all ins Date ctions(952)447-9850 fax(952)447-4248 Special Conditions,if pe 4YRI0 0O U0 cU White -Building Canary Engineering ,� nr$sd�r Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 17&., ,,01/7/61e4.40m44........„ c' aid'er-i• APPLICATION RECEIVED 1. Z-5 " /6 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is propose: . / . 357° / .�/ L _ fl.�. ., ' Accepted t/ Accepted With Corrections Denied ilti ==. Reviewed By: Date: ,A-- ,S Comments: t • G o --ec., "e5 t oi•-j 144147Airvi--(o'•-j14414 Ai 6,,,..-674-i•-f -11.-3-r5A-c, F .-\--- 6-r...---I-vv\ -5. "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." o* ?Rio* (g,i% White -Building Canary -Engineering 44vivssdo Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT Gj/deal/-ii L2.-- { (6e1.6--ei. APPLICATION RECEIVED /. Z 6 . 7-5-- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: J j 9 ji,K.ea lx-1 ` Accepted Accepted With Corrections Denied ,,d,� Reviewed By: /� Date: 2-6--f 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." o� PRI°. N ea White -Building Canary -Engineering `tongsse" Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 7//6- -4-61-41 • Cie.kl-61,/.. APPLICATION RECEIVED /. Z The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Accepted With Corrections Denied Reviewed By: Date: Z 5 /3— Comments: 3 - 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." o� pRr\o4 Date Rec'd CITY OF PRIOR LAKE .3 x , SEWER ANDWATER PERMIT • • t 5 V „,1 .,NNEs f t. 1 Green File PERMIT NO. 2. Yellow City 3. Gold Applicant , (PIeese type or print and sign at bottom) ADDRESSZONING(office use) \,.55-'7 )' ��d)6 .49, / LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER `— , �r '` s t , , �?.C'�/-c! d,� (Phone) 9.4-�f 7t7 " 7`C.r�C .J (Name) //lf`p/�1�1 7J (Address) J g3/A? U ' `. '' C462-1-11---/ii--) Jl-'7" 7Z (Address) (City) (Zip Code) APPLICANT (Name) a / 3' G . (Phone) 90) 4 -6-240 (Address) 1j 4/ .L .lAde. dozy-) J , (Address � ty) (Zip Code) (Contact Person) _ GZ/??'21 %� (Phone) o/a"'�.%9`AS 9 9 APPLICANT SIGNATURE .... _ A ® DATE L.-F/-14d t • APPLICANT PLEASE COMPLETE BELOW Size of water service / inches. Location of any couplings from structure ,I!/,q feet. Type of sewer pipe. ❑ABC �� PVC 0 Cast Iron Estimated length of sewer line,,619 feet. Clean out(if required)located at 1L6 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 $ (. 2-i'CL) STATE SURCHARGE $ A .50 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date D%M Building Official Date BIALNK P -R j T 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 ';..,,.., C11 PRI0� CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT U u. ir` 'AihrEgO��' Pink �� PERMCI'NO. iii 3.Yellow macaw a L (Please type or print awl sign at bottom) I; ADDRESS ZONING(otl'ioc use) i, 3 5 7 9 [,v, /�j- /�,4 .ii! Il. LEGAL DESCRIPTION(office use only) Ili I. LOT i 2-BLOCK An ADDITION PID 0 ----' '3 7 / o it ........ L. .I OWNS it 'I- (Name) (Phone) 'I' (Address) li APPLICANT ,. • - (Name) Ir/ ` / ' _ (Phone) -7> z^, 7Y'r S' .3 is / j •. (Address) l C 4 S3' , 4 • a. / re-is v•/4. S S'? e 7 (Address) (City) (Zip Code) (Contact Person) / "1 •+G-Ge is-, (Phone) 9 - a- s' .o 0 ' APPLICANT SIGNATURE _ 6 c DATE L///-1— y APPLICANT PLEASE COMPLETE BELOW NEW CONSTR CTIONCl REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL G-d- q 1'74M 4,d Po V.-L.f FUEL /At!'' FL / - FL'UE SIZE a,'P tr. RETURN OPENINGS / INPUT 8$OOaa OUTPUT lie,_. • TYPE OF SYSTEM HEATING OR POWERPLANT -- [>�'Warm Air Plants /ove��it i4✓ 1149 PLEASE NOTE: Air Conditioner Steam Units and Fireplaces Cannot Encroach ©Gravity RI Hot Waley g,re/44%/4gev ,2 Q Mechanical ❑Radiation into Required Side Yard Setbacks. • ..�lr Conditioning 0Special Devicca Fireplaces with Box Additions or OVent.System A;4/04jIgi ©Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL - FEE SCHEDULE Industrial,Commercial&Multi-Family I%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 $49.50 Estimated Cost$ /7, c — Building Permit #I c f 7 y The Minnesota Statutes§32613,148 "SURCHARGE"has been changed for one HEATING PERMIT FEE $ year effective STATE SURCHARGE $ .50 July I,2010,until June 30.2011. TOTAL PERMIT FEE $ Tie minimum surcharge roe a 'fixed fce"permit (Oilier list Only) is a,beginning July 1,2010 This Application Becomes Your Building Permit When Approved Paid lo A ,tti i, Date .By .,1)/1► e �� t3ulldlna Official DareAw.-' • r 2 24 hour notice for all inspections(952)447-9850,fax(952)441-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 5537E 77 O, PRI() 1 Builders Deposit 44 so�P City of Prior Lake A $2,500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposit is issued as security to insure compliance for a Final Occupancy Permit (driveways, 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 $2,500.00 builders deposit wilt 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 be refunded if specified trees are preserved for a period of one year. By signing this I, the undersigned contractor, acknowledge that I am aware of the erosion control requirements of the City of Prior Lake as outlined in the Erosion Control Measures for Building Contractors handout. DATE: / 27/r SITE ADDRESS: �S c3 ( �'�� '/�� / 'G✓ PERMIT# A-4 X74 / c REFUND TO BE MAILED TO: -" C -v1 '- / /Sic'? Acy wG,� e" .„, G Cilie, /11.,,, c-5- Yy PLEASE REMEMBER AUTHORIZATION TO'RELEASE 1. KEEP STREETS CLEAN DURING CONSTRUCTION (For City Office Use Only) 751 2. KEEP EROSION CONTROL IN PLACE //- /e_. /52./ 6-0 O.,00 Date ount 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR ONE-THIRD MAY BE FORFEITED Lynda Allen Building Svcs. SIGNATURE: o ORIGINAL DOCUMENT IS PRINTED ON CHEMICAL REACTIVE PAPER&HAS A MICROPRINTED BORDER O s t p First 1 merf , de iCo ani � -� taFl.f�i�lTi�t, T~+'irst`Aihe>�c.ii�t'�ar,��,H'S8 77145118 � �. i, f4.561.;16 Ra2u” 0�xte f9 �lfc 3f7,Tt 5F1 ton '"" '!''"r : t '' u 1'� ', N.55337 San t.%na(.. 9';2 " a 4i�5 e� '-'4"-",,,,,,, ,19.-,-2,199.1'.4'i£i7 FILE NO.1379553 DMA02/23/2015,7-,„,,:,: ay ''''''',.:, x,'.. d f r 13 ; r .':'.''..',44,--',/,''' '' ',144070-4,41' � 44 X08, k�fi- +M 7�i {y1 /gyp S � ,.' d i @t E r DOLLARS 3 --',,.-,,,,,,,,,,!,,,.,:,,,-,ii,,,.., $ q a4444 x � � q 4t r s.$6 Tn S(E., ( ur• 4� a -': ':':O;::::: ?-.,-';'',: .-:' —, a TO THE City of Prior Lake ORDERr OF to ... > � r, o THE FACE OF THIS DOCUMENT INCLUDES A HIDDEN WORD-DO NOT CASH IF THE WORD VOID IS VISIBLEo `"` n' 77 L1 5887u' i: i. 2 2 24 12551: 3007 ? L00001' PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECOR119 SITE ADDRESS NATURE OF WORK �� +�©s 1L. USE OF BUILDING PERMIT NO. ‘L. " " CONTRACTOR t�(� DATE ISS ED Z r- INSTALL EROSION CONRTOL �_ 'c PHONE � �� AND MAINTAIN CLEAN STREETS AT ALL TIMES FOOTING immommINSPECTOR DATE FOUNDATION (Prior To Backfill) RADON RETARDER �/ AIIN PLACE NO CONCRETE UNTIL ABOVE H A S =EEN SIGNED ROUGH - IN SEWER WATER/SEPTIC fiRGrAMILI............._111111111111111111 FRAMING r INSULATION , ' PLUMBING 6 .. ` FIREPLACE A IAMY GAS LINE AIR TEST 5�` RADON t�,r 4d, COVER NO W.RK UNTIL THE ABOVE HAS BEEN SIGNE HOUSEWRAP "i' - D .rrS"" LATH L p munimin FINALS RADING ( PRIOR TO SODDING) GRBUIL ADING riblI ji�ftlk7 ZIIIII ELECTRICAL �� PC,UMBING '� HEATING Ewe' 10 `R�� 111.111.11.11111111111111111111111.11. DO NOT •CCUPY UNTIL ABOVE HAS BEEN SIGNED This card must be posted near an electricallOssri TICE cabinet prior to rough-in maintained until all inspections have been approved. service cabinet is available, card shall be placed anentrance. inspections no p d near main entra FOR ALL INSPECTIONS (952) 447-9850