HomeMy WebLinkAboutBuilding Permit 14. 0138 1 k
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CITY OF PRIOR LAKE
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%Final Permitted ❑ Conditional C.
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This Certificate issued pursuant to the requirements of Section 110 of the❑Residential
; � Building Code certifying that at the time of
ordinances of the City of Prior Lake regulating building construction /❑International '
issuancebn this structureioor was in. compliancerthefl with the various
Use Classification s„ 6V6i use. For following:
I �/i
Occupancy Type / Bldg.Permit No. /1--/,...78Type Construction
Legal Description G(, /_;,' � Zoning District �(JS.Q
Owner of Building
Site Address �., e t�j
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_ /U/L�J j /�6(J
� � Contractor's Name&Address �L f'1 Al E. �
C�.(J l.S'�c--r. JO- fl j`(��/ �'', i` r� � ��d f� AJ,S-7}-7/1��U {
Building Official City Planner 'YI
Date: ji _
Date:
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0Pit/o. CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
Eve 'iv'Ci PC
AND UTILITY CONNECTION PERMIT
4/PIlvBipS� I.white File PERMIT NO.
2. Fink City vc _ (36
3 Yellow Applicant LJ
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
3eT0 WIL 1 rte AI w.
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(OIvaWNER A L / �L �/"1 l 0 N 5/h t I(O 1 V (Phone) AS I- S 7 " 75.03
(Address) 3 e 13 WIL,/ ) —Rip G L...-. Al. W W. �i2.10 iZ LA-(cz....- , S .3"]2—
BUILDER .BUILDER // ,r
(Company Name) �'L.-- IV) L� (Phone) Z/2-655- 123 L(
(Contact Name) ' 11 L:-- , L .Th4D 0..�� / ,� (Phone) ep/2- ja S - /�c(
(Address) i 8( Y� it,4f M L c l ?A'w ( Lok v/ LI 5;50 44
TYPE OF WORM _w Construction ❑Deck OPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
Addition DAlteration DUtility Connection
CODE: V .R.C. DI.B.C. ' Misc. ` //v1/Sji IV W 5fID
Type of , • ction: I II III IV V A B /I``
Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE S
(excluding land)
Division: 1 2 3 4 5
I hereb ify ha ha 'fare' h.' infiir,,tion on this application which is to the best of my knowledge true and correct. t also certify that 1 am the owner or authorized agent for the
above- rcton d • o• and h, all c traction will conform to all existing scare and local laws and will proceed in accordance with submitted plans. I am aware that the building
offic' cad re , e fis• r it .r iiip• se. Fun t ••.• hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x A C.107 Z-71 3 9 Z5 �(5
w Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC • # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty • $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $ /'_
Mechanical Permit Fee $ Builder's Deposit $ l (�/"
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $
This Ap y,cae i n B B. omes Your Building Permit '' en • ,proved Paid Receipt No.
ili41 .' 2 ,�.- Date By
l -
:uilding:"'coal Date
This is to certify that the request in,lhe above application and accompanying docu ents is i accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed th g. ty Planner constitutes a temporary Certificate of Zoning c pliance d allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
/ IA%> Z
Planm r t ate Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake,MN 55372
PRtp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
( lff >\ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /�, (� . l 3
AND UTILITY CONNECTION PERMIT
Cr)
n �/` i
In
Es�4�' I White File PERMIT NO.AS X21
2. Pink City
3 Yellow Applicant /
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
8'/0 w/4„e)S e
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
BUILDER
(Company Name) /q2-777.-1 • LPhone))9 Li CY-37?'"
(Contact Name) (Phone)
(Address) /12v ° O ,4 JJ / %2 lt✓ e -- (.. 1— .
TYPE OF WORK ❑New Construction ['Deck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace
['Addition ['Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. °�'""'c /1/e7
Type of Construction: I II HI IV V A B PROJECT COST/VALUE $
Occupancy Group: ABE F HI MR SU (excluding land)
Division: 1 2 3 4 5
I hereby certify that I have furnished information on this 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-mention - property and that . construction 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 re, this permit for ju• e. Further!ore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
4.i ��
x �/I:,,I0ti, J _dr�.:_
'nature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ v Water Meter Size 5/8"; 1"; $ V—TO. GO
State Surcharge $ Pressure Reducer $ �S"� U°
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE
7 . y
-'v $(,5-o_ 0 C�
This Application Becomes Your Building Permit When Approved Paid 6 - c v Rec 'i t No. 3(z.¢
Date /0. 3� B de
I
Building Official Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows 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
4646 Dakota Street Prior Lake,MN 55372
04 PR/04
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
. t TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 3 4 . tit-
,...,
yo
AND UTILITY CONNECTION PERMIT
+,A,. E
I.white Ple PERMIT NO.43-3
2. Pink City 151
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESZONING-(office use)
- -€3-10 vv; Id f ;d6c, NI PUS)
LEGAL DESCRIPTION(office use only)
LOT, BLOCK 1 ADDITION 3-0-4::4'e-,--5 PO;11 PIDZ5.437. /43
OER AA
(Name) AA ! Y )C...,Ve.I(Ville:t')4- (Phone) (1,?";25-o "4ii7
(Address) 1 J •) I W c $h f •-1 j f th7 LI '
BUILDER t i
t1olee., he th emscJm /, eni
(Company Name) 7 tin 51-0;16 C.'"),"/ S fi rf In r:L CAI (Phone) 57 763 3 ,_ES cir
(Contact Name) en 1«• MAINCey . CQB� (Phone) ‘' SL
/' �'� *'� '
(Address) 2.13Z4— /r k / . C y LA W( /7
, A/ 55644.
TYPE OF WORK 8 New Construction ['Deck ['Porch ORe-Roofing ORe-Siding ['Lower Level Finish
['Addition ❑Fireplace
['Alteration ['Utility Connection
CODE: 1`.4I.R.C. ❑I.B.C. 0 Misc:
-Type of'`o traction: I II III IV V AB
,, cupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ y t7O®
ivision: 1 2 3 4 5 (excluding land)
I hereby certify thatI ve furnished information on this application which is to the best ofi my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mnuioned and t al(construction 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 revoke fo ze.ifurthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X _--.. 13G 6 3`'6 8 3///'y
Signa 7d ... License No. Date
Permit Valuation --Z 2' •ar ii. F # $
Permit Fee $ 1-)-i . cc. 4 u # $ t7
Plan Check Fee $ i 151 -7 f3 �. et"; 1"; $ �._
State Surcharge $ lA • •e • $
pp ci®e —
Penalty $ ,� • . er Connection Fee # $ ( 00.
Plumbing Permit Fee $ r l Tower Fee # $
Mechanical Permit Fee $ i l .. Oo Builder's Deposit $ ' a
Sewer&Water Permit Fee $ Other - $ �r
Gas Fireplace Permit Fee $ 5-/6-4_,'Q, TOTAL� ti___, 3,, (rG.I $// 531 30
•
This A'1 :tion 4 s ur%nilding Permit When ;pro d Paid // 3-/. �''�� L R ipt No. '7o 3
/ 1/ �� ,j,Date .i, '?v/.% T
% r
ar Af .. 3 q
Building O i Ici: to
J�'•-`s is to certify . , i,e • 1 in,, above.}pplication and accompanying•. .,ents is .accordance with the City Zoning Ordinance and may proceed as requested. This document
,n signed by a' •/,T.' •,,,:lutes a temporary Certificate of Zoning '..p'.,. and allows construction to commence. Before occupancy,„ a Certificate of Occupancy must be
l !?leanings s ate 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
Residential Building Permit Checklist
New ' • structon for Single or Two-family Dwellings in R-1 or R- Districts
Reviewed by: N Date: ---,
Building Permit# PID: Zoning:
Address: ' C= , v��
Legal: L , B Subdivision:
Existing Structure? YES/ 0 Existing Nonconforming Structure? YES 1 NO
CONFORMS TO ZONINGM.) NO
ORDINANCE
Yard Setbacks: NA 1 FAILS/44PLIES I Standard Proposed
• Front Yard(can be 20'if avg.w/in 150') 25' 2
• Side Yards 10'/
25'if abutting a street C_---- • \ e),.. -z(
-
• Sidewall exceeding 60'requires additional side 2" 10'setback+
setback for every 1'over 60' in length. Not required 2"/1'over 60'
if building wall is 10'-0"or greater of being parallel to
a side lot line.
• Rear Yard 25' >Z--P
• 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'
Cel2- S Ce4-Z-- '
I Floor Area Ratio: N /FAILS/COMP S 30 Maximum
Yard Encroachments: .NA I FAILS/ LIES Standard IProposed
Eaves and Gutters no more than 2 fee in width and no
closer than 5 feet to a lot line(Easements). "
A/C and other equipment cannot encroach on interior
side yards.
Tree Preservation: A/ AILS/COMPLIES Standard I Proposed
• Total caliper i hes
• Permit 35% Removal
• Caliper Inches Removed
• Caliper Inches Preserved
• Replacement %:1
L:\TEMPLATE\BLDGLIST.DOC
Bob Hutchins
From: Nicholas A. Polta <npolta@pioneereng.com>
Sent: Wednesday, March 12, 2014 2:35 PM
To: Bob Hutchins
Cc: Peter J. Hawkinson
Subject: FW:JEFFERS POND FIRST ADDITION 6/11 certificate of survey
Attachments: 114032000 Model (2).pdf; lot 6 blk 11 104289 Impervious Table Jeffers.pdf
Bob
I see no problem with going with a side loaded garage as shown.
3Ave.
Nicholas Polta
Project Manager
Direct Dial: (651)251-0607
Email: npolta• pioneereng.com
PI NEERengineering, P.A.
2422 Enterprise Drive
Mendota Heights, MN 55120
Phone: (651) 681-1914
Fax: (651) 681-9488
Web: www.pioneereng.corn
The electronic data is transmitted for your convenience and is the sole property of Pioneer Engineering, P.A. By accepting,the
recipient agrees to indemnify, hold harmless,and defend Pioneer Engineering, P.A.,from and against any and all damages, liabilities,
claims,losses and expenses(including attorney's fees)arising from the use of this data. This electronic data is subjected to change
and updates are the responsibility of the recipient. Pioneer Engineering, P.A., is not responsible for updating the data or for
compatibility with recipient's hardware and/or software. Please check this file for virus contamination prior to use
From: Peter J. Hawkinson
Sent:Wednesday, March 12, 2014 2:19 PM
To: Nicholas A. Polta
Subject: FW:JEFFERS POND FIRST ADDITION 6/11 certificate of survey
Peter J. Hawkinson L.S.
Direct Dial: (651)251-0619
Email: phawkinson@pioneereng.com
PI NEERengineering, P.A.
2422 Enterprise Drive
Mendota Heights, MN 55120
Phone: (651) 681-1914
Fax: (651) 681-9488
Web: www.pioneerenp.corn
The electronic data is transmitted for your convenience and is the sole property of Pioneer Engineering, P.A. By accepting,the
recipient agrees to indemnify,hold harmless,and defend Pioneer Engineering, P.A.,from and against any and all damages, liabilities,
1
White -Building
Canary -Engineering
414VsOtr Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /-f 7e,/-7/s-f-DAra £ ô f•iS
APPLICATION RECEIVED 3 4-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3b10 W / -DS
Accepted Accepted With Corrections
Denied
r -
Reviewed By: mi7e'��-� Date: /
Comments: (- Gam}-(�-�t- CSS /c) 4^, 5 yet ' I-,v Pei/‘-v
c.,e(9. /11---- (047 6-5-
"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."
e YR1p$
6
White Building
sir Canary -Engineering
Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
`NAME OF APPLICANT ;,, t? -674/6�-S %DNre /VS"/ .. •
• J ...
APPLICATION RECEIVED k 4- �
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.3EI0 W I L-D5
Accepted ✓ Accepted With Corrections
Denied
Reviewed By. .4) tax Date:
-..- 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* Par°�,
White -Building
,hlvxBs��' Canary -Engineering
Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANTg--6/27. 77/-S-7?)1J ( ,v pa' •
APPLICATION RECEIVED '3• 4- . / 4-
The
- - /The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3b10 WO-D5 P1�
Accepted Accepted With Corrections
Denied
Reviewed By: l�/.49.1A Date: /7 r
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."
„ R,04,
Canary -Engineering
44Hrriase' Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT v t ) 1S
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
10 WU—PS 1 C�
NU ,
Accepted Accepted With Corrections
Denied
Reviewed By: Date: �-
Comments: I . ?r/Fjc t3t..pC, '‘ ,2441 (r is tc-f.v'l rAJG rt
/40Q`Se. Se:-.0c-,9 F n ri F 't'_ 7 2J
Tca /4- Tr- PFJ c�_ 77-454.E t-v r crc�
B a
11-ss-06i- .11 0-11- r--
"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.”
..,Reed f..41
CITY OF PRIOR LAKE PLUMBING PERMIT It%
01.
4
t..)
ktrom.00"
1,t'd rc% PERMIT NO.1 ,CO
it
—).•\aCkA(Atfliei 3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING wire use)
3 \c Witc1S C2141?
LEGAL DESCRIPTION(ofRce use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
----,
APPLICANT
(Name) .Yo.y- ?lusr \c LLe-
k ,...) .„. (Phone) q'5;-LILI-1-(07 34
0
(Address) 1. 5q S 9...4-6 0G-ILS r-voko. 4..)z... 1"-tiar. tak.12 553 7 2
(Address) (City) (Zip Code)
(Contact Person) i(2-C-c c..,.h ey-QV (Phone) 6 I --"---1 3-*3
APPLICANT SIGNATURE- 4,4_ 52. ., ....._------- DATE 91(T//6ii /Li
- APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
1, Bath Tub with or without shower 3 Rough-ins
1-7- Dishwasher Water Heater
X Floor Drain Water Softener
5 Lavatory(Bathroom Sink) I Stand Pipe(Washing Machine)
I Laundry Tray(I or 2 compartment sink Sewage Ejector
1- Shower Stall Backflow Assembly _
I Sinks Backflow Assembly Test
Bar Sink -Lawn Sprinkler
I Water Closet(Toilet) Other
-
tsi rbceheanrgeex tfeonrta.l e d $ ,,,,,,„FE:SCI-1,7,DBLE„,---
Tistelitileci ini:i:AllieiRsiii,i,nShtsaattttes-§3 2 6 B 1118 - jjob cost with a$49.50 minimum-"' Residential.New One&Two Faintly $149.50
..-- Residential,Additions&Alterations $49.50
..---
Building Permit#
'too q
"fixed fee"permit is$5.00
FEB $
AW" ---PL rNG PERMIT
ATE SURCHARGE $ UM 5.00 sot,
TOTAL PERMIT FEE $ I
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
----
numine official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
-----
i
PRIpe.i,
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT iO 13. I
/47 ANe\
tri
A'NESO
21.Pink n rileCity PERMIT NO. 4
. Gree .
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
3810 Wilds Ridge NW
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) MJL Homes (Phone) 952-944-7400
(Address) 574 Prairie Center Drive, Suite 135 Eden Prairie, 55344
APPLICANT
(Name) Clearwater Plumbing and Heating (Phone) 952-440-3779
(Address) 19260 Mushtown Road Prior Lake 55372
(Address) (City) (Zip Code)
(Contact Person) Susan Schlink (Phone) 952-440-1740
APPLICANT SIGNATURE c a- Ems% DATE 10/13/15
APPLICANT PLEASE COMPLETE BELOW
®NEW CONSTRUCTION El REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL Lennox already installed by others FUEL
FLUE SIZE RETURN OPENINGSalready in UT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑Hot Water
❑Mechanical 0 Radiation into Required Side Yard Setbacks.
lAir 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
Install Lennox 3.5 ton 13 seer air conditioner
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 $49.50
Estimated Cost$ 9,750.00 Building Permit #
PAH)WM4
HEATING PERMIT FEE $
STATE SURCHARGE $ 1.00�� � �' DC"'
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
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
oc PR* Date Recd
4,AN CITY OF PRIOR LAKE PLUMBING PERMITI
U tzl O. 113.
S�
ji�rN E S0
I. Blue File
2. GoldPERMIT NO • r3e,
City
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
3810 Wilds Ridge NW
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) MJL Homes (Phone) 952-944-7400
(Address) 574 Prairie Center Drive, Suite 135, Eden Prairie 55344
APPLICANT
(Name)Clearwater Pig & Htg (Phone) 952440-3779
(Address) 19260 Mushtown Road Prior Lake 55372
(Address) (City) (Zip Code)
(Contact Person) Susan Schlink (Phone) 952-440-3779
APPLICANT SIGNATURE ale-Cr (5CALIA DATE 10/13/15
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
2 Bath Tub with or without shower Rough-ins
1 Dishwasher 1 Water Heater
1 Floor Drain 1 Water Softener
6 Lavatory(Bathroom Sink) 1 Stand Pipe(Washing Machine)
1 Laundry Tray(1 or 2 compartment sink Sewage Ejector
2 Shower Stall Backflow Assembly
1 Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
4 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
Estimated Cost $ 15,500.00 Building Permit#
PLUMBING PERMIT FEE $
STATE SURCHARGE $
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
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
04/21/2014 15:06 9524926006 GLOWINGHEARTHPAGE 01/p�
oe fl'o CITY OF PRIOR LAKE Date Rec
r, , • HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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ADDRESS 3 ...._..u):15.1
ZONING(office use
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LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER 1 —
(Name) .mai! a A tklAL a ..ig ■ie __ —‘.t` (Phone) - •
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APPLICANT SIQNATURE Orjrifirr,
_.:DATE
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APPLICANT PLEASE COMPLETE BELOW
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CINEW CONSTRUCTION QREPLACEMENT DALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS _INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:
Air Warm Air Plants ❑Stesnrta ..Air Conditioner
�,;.�` � Hot Units and Fireplaces Cannot Encroach
t echanical aHotRadWateration • into Required Side Yard Setbacks.
' it Conditioning ❑Special Devices �' with��Additions or
�Vent.System C.7 Cher Devices - Cantilevers to the Outside of Buildings
FIREPLACE MAKE AND MODEL •,.•;,. .si' « . •e.e Require a Building Per o.
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..ANIMMINIMMININI16
FEE S HEDIJLE
Industrial,Commercial&Multi Family I%of job cost Residential,t Fireplaceas /$49.50
)
$49.50 minimu "
Residential,Heating&A/C(New Construction) $149.50 Residential.Additions&Alto .:•,s $49.50
Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50
Cost$ Building Permit#
(??4\ Cly
HEATING PERMIT FEE _6 t• � �,
STATE SURCHARGE S `CO � -
TOTAL PERMIT FEE S !0
:This Appficatltm Becomes Your Building Permit When Approved Paid
Receipt 0.
_ Buildinf Official Date
IPMI
Date � ��
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
047ro,, CITY OF PRIOR LAKE Date Reed
f..,<` ` � C.
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
('- 1�J
'3t' vl i, F't` PERMIT NO.
a.Green City 14.
xEs �� 3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESSZONING(office use)
3g ( D 1k ds 1 ‘cic\
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) Slone... Con YO *tOC (Phone) J — et83 CoTs1-4,
(Address)2t 324- eIt' Ctrc�2_.
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APPLIC8411
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(Name) ref) i f n. °t• Aft' (Phone) `SZ--431-6g I
(Address)S1OSlr 4--j-`-=' . to s
(Contact Person) f v rte, .P r IneAk-- (Phone) • 552-4 1-5g1
APPLICANT SIGNATURE 9 ' -4‘'
DATE 4/2. 1 cf-
APPLICANT PLEASE COMPLETE BELOW
`NEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL Atren Z,, ( k7)ify lt-kcys-O9 0 FUEL Mak.60213
FLUE SIZE RETURN OPENINGS 14- INPUT 401 POO OUTPUT IV t4DO
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
DWarm Air Plants El Steam Units and Fireplaces Cannot Encroach
WGravity DHot Water into Required Side Yard Setbacks.
Mechanical 0Radiation Fireplaces with Box Additions or
0Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings
OVent.System DOther 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
esidential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50
Cost$ L467.50 Building Per►nit#
HEATING PERMIT FEE $ t 441.54' PAID WITH
STATE SURCHARGE :T*167 BUILDING PERMIT
TOTAL PERMIT FEE
is 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
01 PRto41
Builders Deposit
0 erg'
s011.- 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. (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 $2,500.00 builders deposit will be forfeited and the applicant
will be billed for clean up or corrective work to rectify the situation.
A$500.00 Tree Deposit may also be required and will be refunded if specified trees are preserved for a period of one year. By
signing this I, the undersigned contractor, acknowledge that I am aware of the erosion control requirements of the City of
Prior Lake as outlined in the Erosion Control Measures for Building Contractors handout.
DATE: SITE ADDRESS: c-' ,l C� GI'1J<-. '� j t® /td�V J�!- ` � `
, _/�/. / - PERMIT#
R FUND TO BE r"�ILED TO: <' t
- /4.,//t (If) `7(.
1. KEEP STREETS CLEAN DURING CONSTRUCTION AUTHORIZATION TO RELEASE
2. KEEP EROSION CONTROL IN PLACE (For City Office use Only)
3. TEMPORARY OCCUPANCY PERMIT MUST NOT // .Lj` L, S!>�}_ J
EXPIRE OR$,500:fl�0 WILL BE FORFEITED Date A�/ �I
I
SIGNATURES -
'`' f \1L.
Larry Poppler L ,'da Allen -' -..
City Engineer Buildi g Svcs.
/
8 THE FACE OF THIS DOCUMENT CONTAINS A VOID PANTOGRAPH.ADDITIONAL SECURITY FEATURES DETAILED ON BACK. a
TitleSmart, Inc;
Escrow Account mier
3310th Ave S Suite 260, Hopkins KIN 55343
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Pay elevenThousand.Five:Hundred Thirty One.Dollars and Thirty Cents $1.1,$31.30
void alter 80 d '
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DEPAROF
PRIOR LAKE EUILDINGTMENT AND INSPECTION
0 R D
SITE ADDRESS �‘ EF
NATURE OF WORK 'f N\® 3: ..--e_._.. .__ -G�- cam- -- i' L-,L-
USE OF BUILDING �r 6-- t - /^
.�{
PERMIT NO. (4- (- 0 DATE ISSUED `t (21 f S'
CONTRACTOR 11,A ( its PHONE at 2--6, ---(7- 4
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR174TE
FOOTING P !�3 �- -
FOUNDATION (Prior To Backfill) P5 3(26tii-
RADON RETARDER bC 512°1/14-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER/WATER/SEPTIC I t 4- / I
FRAMING P13 [ IA-
INSULATION
4
INSULATION 15-1-¢ 2' T$ 5 t4 I' g 1I tea ( 4
ELECTRICAL
PLUMBING P15 z`;-75/1,4-
HEATING C�2
FIREPLACE "FT3 C/ 14-
GAS LINE AIR TEST
RADONallant 742420/,/VC'' 'F'T S/ l c i 4-
COVER
COVER NO O K UNTIL THE ABOVE HAS BEEN SIGN
HOUSEWRARA G (� LATH rE S 13 t¢
FINALS
GRADING ( PRIOR TO SODDING) i.9 6 11 2.v /IC
J
BUILDING � (1-6S //�/
ELECTRICAL " `
PLUMBING ''/„.)6 -" ' !-0.01(k-2
HEATING
DO NOT OCCUPY UNTIL ABOV AS 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