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(jj i~ OWNER (Name) L~ i?vJ 0 II" ) (Phone) (Address) BUILDER I (Company Name) I I (Contact Name) (Address) ~, t~~50-Sg(p~ (~qS ~kV~) - 72- TYPE OF WORK ~w Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace OAddition o Alteration OUtility Connection CODE: 8T!.R.C. DI.B.c. o Misc. TYl'e of Constnletion: I II III IV V A B PROJECT COST IV ALUE $ g~~. d Occupancy Group: A B E F H I M R S U (excluding land) Division: 1 2 3 4 5 tlo37Lf1/2- Contractor's License No. Sewer & Water Permit Fee Builder's Deposit Other $ $ $ $ !JS-. $ ~r--()() , $ It) O(J.- $ (C()O, - $ $ Permit Valuation Permit Fee Plan Check Fee Park Support Fee # SAC # Water Meter Size 5/8"; 1"; State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Pressure Reducer Sewer/Water Connection Fee # Water Tower Fee # This Application Becomes Your Building Permit When Approved ~ ~ ~'CtJI()S 13l1ildll1~ Ofticlal Date Gas Fireplace Permit Fee TOTAL DUE tJ (7. w:- ThIS IS to certify that the request in the above applicatIon and accompanying documents is m accordance with the City Zoning Ordinance and may proceed as requested. ThIs document when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be ISS~.1 ~fp ?//6/05 k-J dl' ' PlannIng DIrector ' , Date - ~Cial ~ 24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 White Pink Tht> Crnlf'r of 'hr tak(" Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /1> t.::;-)-IL) ( tV t.-; /<~ (I ()/~:_.~ APPLICATION RECEIVED -7 r- -7 /' C- o t-.... c......J The Building, Engineering, and Planning Departments have reviewed the building-permit application for construction activity which is proposed at: .~==::' 2 /3; i?/ ,.,f'"" /:,_;' ~' ?,'- "r" ,A_..... ~:. ..'{ (:7/<::- j :-7Cr~ ",}- /' ) "'c. . Accepted X Accepted With Corrections Denied Reviewed By: IW1f:, Date: $3-- 4- 0..$- Comments: See Reverse Side for Additional Information! s~~ A tt::!c'hrn~nts' 1) Gr::loine Plan, 2) Erosion Control Measures "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," White - Building can~~ En~neering (Pink - Pia ~ Thl' Cf"n1f'f or 'he Lakt COU"II)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED r'i ~/ r~ -, ~_.-"- ','0;".. _, The l3uildir'1g, Engineering, arid Planning Departments have reviewed the building permit applic~tion for construction activity which is proposed at: ."~ "r' .t_.~ - ~,.,' / Accepted Accepted With Corrections ~ Denied ~ ~ a-U. ~ Date: p;/~4 ~.'I Reviewed By: Comments: l~~i"" COllwUOJl,Uer and. Q"her r:C[cchanicl~'. i;~ts Cm'.Ilot EncroZlch into Reqnh"ed ~,;t:~ .,,':~~ e 1{f~L1J\2!. :3 ~t:: t ].jaX~I~~ "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," Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R.1 or R~2 Districts-, Reviewed by: ~ ~ Date:?!((J /0 s;- Building Permit # PID: Zoning: Address: 3a-t?8" ~ ~. s: tJ, Legal: L 3 l 8 fa Subdivision: ~ >lJ JJ.. -.- Existing Structure? YES t;iifP Existing Nonconforming Structure? YES @ I CONFORMS TO ZONING ORDINANCE YES NO I Yard Setbacks: NAI FA~ COMPLlE~ Standard Proposed . Front Yard (can be 20' if aVQ, w/in 150') 25' 2..$' . Side Yards 10'1 25' if abutting a street /0 , . Sidewall exceeding 50' requires additional side 2" 10' setback + setback for every l' over 50' in lenQth 2"/1' over 50' /IJ I . Rear Yard 25' 79' . Patio Door: provide for minimum 10' deck or sign 10' side/ statement indicatino no deck will be built in the future 25' rear /JA . From 100 year flood elevation of wetland/NURP 30' pond /Vii . From OHW (Prior or Spring Lake) 75' or setback average of adjacent structures, but no ))A less than 50' Floor Area Ratio: NA 1 FAIL ,30 Maximum Yard Encroachments: NA 1 FAI 1 OMPLlE Eaves and Gutters no more than 2 feet in width and no closer than 5 feet to a lot line Easements. Ale and other equipment cannot encroach on interior side ards, Standard Proposed Nt. ~ /Va f'1e - Tree PreselVation:~ FAILS 1 COMPLIES Standard Proposed . Total caliper inches . Permit 25% Removal . Caliper Inches Removed . Caliper Inches Presef\led . Replacement Y2: 1 L:\TEMPLA TE\BLDGLlST.DOC "he ('eoler or .hl" t.kr ('ounu-,.. C White -=-BuildiliQ::) Canary - Engmeering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ,MeI7DOtV dIGOO/c":""" 7 2- 7. oS APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3288 Gt2Iqqs ST- S.[v. /' Accepted Accepted With Corrections Denied Reviewed By: ~ -:;;~ Date: ?//oh>5 , f ~ ~ ~~ ~ ~ ~ ~~ -A~a~ ~- 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." Rug 31 05 03:14p Caro1~n Feldman Madson 9524477848 . .~_.. ~- Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT (Pltuc rype Ilt priDr IIId sip . bouollll) I ADDREss 3A<2?S? f. ~ Ew- I PERMIT NO~ '11(( I LEGAL DESCRIPTION (.- -..." LOT BLOCK AD DrnON c? I'C-/'~ ~ So-- s+ P"'IO If' ~ I ZONING ,..... '""I OWNER (Name) PID (Phone) (Addr~) (Address) (Ciry) (Zip Cade) (Contacr Person) =~./i== W50iJ ~\{(faiJ(}jl''nQ ~ (Phone) q5d.Lt4 )-5/)~.s 111 '.-r-' "Y A 1/1/1 .....-...- -= _ (Address) -D (Q 56 ) ~ ~ rl" {o ~ 14lb '" ,IV <:J ~ S j ;-L (Address) (City) (Zip C~) o f'> (phone) 121:). -9/9 - SY03 -- 3).-- 5- ..ATE APPLICANT PLEASE COMPLETE BELOW Size of water service -L inches. Loc;ation of any couplings from strU~'; feet TyPe of sewer pipe. 0 ABC .~ f2J.PVC 0 Cast Iron Estimated length of sewer line ..!t::.Q feet. Clean out (if required) located at _ feet from structure, FEE SCHEDULE R.:sidential sewer and WilIer line connection S3S.s0 llldustrial, Com'l & Multi-family 1% of job cost with il 539-50 minimum Sewer connection only SI7,50 Water connection onl)' $11.50 Estimated Cost S Building Pennir # SEWER AND W A"fER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE S $ $ .50 (om~ Ute Only) Tbl$ J\pplication Bl:colfte, Your Bllilding Permit When Approved I :P' No BURdin.; Odi~i.' Dare I:~ 14 hour llotite for all inspeCtiolU (952) 44'7-9&50. f.u (952.) 447-U4S PAID WITH BUILDING PERMIT TOTAL P.et1 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd I. Pink 2. Green 3. Yellow ~l~icanl I PERMIT NO.S. 7/fJ ADDRESS 3288 GRIGGS STREET ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name MEADOWBROOK HOME BUILDERS iPhone) (Address) APPLICANT (Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone) 2561 651-633- (Address) 2700 NORTH F AIRVIEW AVENUE (Address) ROSEVILLE (City) 55113_ (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE 10/17/ 05 xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT DWarm Air Plants o Steam PLEASE NOTE: DGravity o Hot Water Air Conditioner Units o Mechanical o Radiation Cannot Encroach into DAir Conditioning o Special Devices Required Side Yard DVent. System o Other Devices Setbacks FIREPLACE MAKE AND MODEL HEAT N GLO 6000TRXI APPLICANT PLEASE COMPLETE BELOW Industrial, Commercial & Multi-Family FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39,50 minimum $99,50 Residential, Additions & Alterations $64,50 Residential, AC Only $39,50 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) $39,50 $39,50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ ~'D W\TH B\ULD\NG PERMIT (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No, Buildinl! Official Date Date OCT By 24 hour notice for all inspections (952) 441-9850, fax (952) 447-4245 Driveway: NA / FAILS · Maximum width at · Required setback . . . Ian Shore/and District: Minimum lot area s uare feet Minimum lot width Shore/and alterations 1m ervious surface Bluff in Shoreland: A AILS / COMPLIES · Setback from top of bluff . . roved . Floodplai: FAILS / COMPLIES · 100 year flood elevation · Lowest floor elevation · Proposed lowest floor elevation · Elevations 15 feet from structure · Road access must be no more than 2 feet below Re ulato Flood Protection Elevation . . . . . L"TEMPLA TE\BLDGLlST.DOC Standard 24' 5' from side lot line or 30' from r-o-w on comer lots 10% 35' Maximum 30% Maximum Standard By planning dept. Standard 908,9' Prior Lake 914.4' S rin Lake 909,9' Prior Lake / 915.4' S rin Lake Must be l' above flood elevation for new and existing structures, If existing structure was constructed 9/19/90-11/22197 then additional foot is not re uired. Must be flood elevation or hi her 907,9' for Prior Lake 913.4' for S rin Lake Standard 832 s .ft. or 25% rear ard 10' 15' Proposed z.z trIv ~ a-fz...; - Z 7 ' Proposed Proposed Proposed Proposed CITY OF PRIOR LAKE PLUMBING PERMIT (Ple~se Me or print lUld siW)1l1 bottomJ_ ADDRESS 32..8'8" '6r-/??.J:- S-lr--ee-:I- I nlu< Fa. I PERMIT NO_S:"'_'j[fJ 1 CWd CI,y J, -"1:110- ^ppH'''''1 [ ZONn-:G (,"", "'" tOT BLOCK ADDITION PID -~ LEGAL DESCRIPTION (office use only) [OWNER (Name) (Address) /l;U ~c/~ &-ot:J-I:: ~i~;- ~c:L"e.e- - -:__ ,.... (Phone) 1-7Z-Z33-~0tJ '} I /f.-A- '- APPLICANT SIGN A TURE (Phone) ./7',9 .;z - c:?// ~CJ ~r-~ ~. (City) (Zip Code) (Phone) v/2 -22..1 -7"'99!.L.:;" ~d"kL DATE /,(;')-/~-~'5 APPLlCAN'T <" "' ~_ L (Name) c../C:;;~ ~~~~_l ~---y--.. ZIOOt? ~;?~d A7~ (Adm:~ AOn (Addrcs~) (Contact Person) Quantity Type of Fixture QUAntity Type of Fixture .~ Bath Tub with or without. shower Rough-ins I Dishwasher / Water Heater ( Floor Drain Water Softner 7 Lavatory (Ba.throom Sink) 7 Stand Pipe (Washing Machin I Laundry Tray (1 or 2 compartment sink Sewage Ejector -' I Shower Stall Bacldlow Assem bly I Sinks Bllcl<f10W Assembly Test. ~ I Bar Sink - Lawn Sprinkler ~ 4 Water Closet (Toilet) Other - - APPLICANT PLEASE COMPLETE BELOW - 0) .! FEE SCHEDULE InduSlrinl, Commercial & Multi-f:\lTIily 1% of job co~t with 9 $3950 minimum Residential, New One &. Two-Fllmily ~;9IUO Rcsldentil1~. Additions & Altcratiom ~i:l9.50 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE ,~ STATE SURCHARGE $ TOT AL PERMIT FEE 5; PAID WITH BUll'OlNG PERMIT (OIDcc \J.~c Only) Thi5 Application Becomes Your Building Permit When Approved ' 'Pai<.1 Receipt No, ~:-~ By ~ O~lc Building Omcll!ll 1.4 hour notice for IlII iMD~etions (952) 447-9850. fax (952) 447-4245 11:34 CITY OF PRIOR LAK~ 9524474245 P.01 l!l:iRtc R.et'd CITY OF PRIOR LAKE REA TINGI AIR CONDI.TIONINGlFlREPLACE PERMIT r=;~;gmd;~:; s S,y~ + i =n ~:~ I PERMIT NO. ~ --~ ~. ~oIh,w ^~~U""'l' .., · ...LL-p I ZO~:;('~~l LOT BLOCK ADDITION PID -~ LEGAL DESCJUPTION (office ut.l! oaly) OWNER (N ame) (Address) /U-t-A.d~ .6r~o~ r/br t::~ (phone) q@-;;33-.~cJ() i J /U"^- . ~;~~Fc~ /nLd~~J 4t~one) "i1'/--~~f0 Z/ 005 lcu'74~ d!.--l C;O;-~ ~u- (Addre.~s) / (city) (Zip C~I:le) (Contact Person) ~OCJ (Phone) b/.2.-ZU-?"9?'-!5:__ APPLICANTSIGNATURF.. ~~ DATE /t?- Itf-tJ~:. (Address) ;, APPLICANT PLEASE COMPJ..IETE BELOW I!:J!~. CONSTRUCTION D REPLACEMENT 0 At.. TBRA TlONS FURNACE MAKE AND MODEL ;O~ .~ /1 t?, (Tl7O FUEL FLUE SIZE RETU'llN OPENINGS INPUT OUTPUT --,.-.- HEATING OR POWER PLANT TYPE OF SYSTEM DWann Air Plll.Ots OOmvl1)' o MeehaJJic:a1 DAir Condif.ionjr"g OV('Iot. SY9l-em o Steam o Hot Water o Radiation o Sl'llcilll Devices o Othf!f Dcvict:J1 :PLEASE NO'rE: Air Condltiomrr Units Cannot Enr:rol!loh lnto Required Side Yard Setbacks FIREPLACE. MAKE ANP MODEL Xnctustrial, Comn1r.r:.:18.1 & Multi-Family FEE SCHEDULE 1% of .lob cost ~e~ldcntlfl,l, Oas Fireplace S39.~a Il1 inirlll~!l'l $99.50 Rcsidenlia~ Additions & Al~el1ltions S:6,t.~O Rc}~idel'1l1al. AC Only $3:~.SO RlI9idcnlia!, HOitlng & AlC (Naw Consuuctioll) Rr.:rldentillJ, HeatioA O"ly (1'Jcv,; COMtl'UetiOl1) S311.~O S3'i',50 Estimated Cost $ Building Permit r/. HEA TING PERMIT FEE ST A TE SURCHARGE TOTAL PERMIT FEE $ 39.50 PAID WITH :~'NG PERMIT (O('foet IJI/lIl Oll.ly) :: APPII..tl~" B."".... Your Ihllld,OI! P.rlll~ WIlen A......;.. i I nulldin(\ OfnoAI DRI1!l; t1 Receipt No. ~"~ -.. -., B~' 2 0 2005 By 24 no!lI' notlce far liD lMpecllonll (951.) 4~7-9850, fa.~ ('5'2) 447-4M.<; 1(i,20() Eagle Crttlk. ;\oyenll\\ Pr\lI~ J,.llIke, MN 55372