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HomeMy WebLinkAboutBuilding Permit 13. 0016 �s; i � .. �. ..,;'_ — ..i _ �. is i _ , �. u..,, .,a i ?�. hnV .: �. i c_.hi.,n .. i '.r _. ir..i i �. r..n �.,. �. i �.,� _ �. �, u._. �. .i_ CITY OF PRIOR LAKE !rirnrftnznf of pui1Mn c lusprrfitin F inal Perm El Conditional C.O. Exp This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / O International Building Code certifying that at the time of issuance this structure was in compliance with the various i ordinances of the City of Prior Lake regulating building construction or use. For the following: S INGLE FAMILY Use Classification Bldg. Permit No. 13 -0016 Occupancy Type R3 Type Construction VN Zoning District r UD ' Legal Description L3, B2, THE COVES OF NORTHWOOD MEADOWS Owner of Building site Address 2 _ 90 4 KN O L L R I D G E DRIVE'' Contractor's Name & Address D ONNA ( HOMES K ROBERT D, HUTCHINS City Planner Buildin Offici Date: b ' �-- ( "3 Date: POST CONSPICUOUS PLACE ST IN CON PI O E C S U Y V G J Z► ,, ,i, . ri o Zu. ~ t *ZUU 0 w c^' 2 555 = > v W V F W W U 0 < 41 V LL a z ti ('v ❑ 0 0 0 0 o h gx o o z N, o N W ! - + • Z YY Z r I Z c W C L OgIJ i ,... 0 Q 0 a a O W a Z • v Z W Z ZSZ V c d a LL a 3 'I 2 ca D 0 a Z ZILIW M Z j N O CO J % J W 8 Z X O W F. 00000❑ i o la iii ore z • a a I 1 p � >: Q < 0 w x. � � z L r a° a t oz 0 - 0 ~ ,{ < v a a s v, z za z W N V w J W L' J N o 0 gou.? 0 / 3 0 v 0Z < 0 z a 000000 0 O ILL J a � ~ w t t- c , z w s555z V i O p 2 LUWN 0 a r WVLLLL0 a ? LU UN r ❑000OD O W et z � ` Y. N 0 j I�- z m J m c O 3A C • Z YY ' Z 0 r g O0�. 1 o Q 0 r — Z Le 2- S x 2 V 0. s to V R m2Wa�2 a 2 g' il = 0 I- M W Y ij w r a y ❑DDD ' 0 0 O w a a a s I- Cd J U.1 i y) o < 0 g ° .. t P a ° 03 s r go Z 0 al 1— too 43 r r aO N h I p Z w Z 0 r. z _ Z w � w W w , OxW o O LL ` tL� � O 3 C) 0 I. 0 a 0 a ❑DDD`�O 0 lk to c 0 -s f- 2 - F za - J O: W LL ZUU a 0 W II, z aaa cos ,q 000wca< J ■ z 4w ++ 1 WWW v1 I M Q 0 0 W X G r O LL N er O ILI O'/ g » a m o ILI O - , f . a 0 0 -; u. z U 0 0. O S < r as W fl X O W = XXzZ 0 c a O O 0 O. 2 i W UJ X a i Q S O W , C n 0 D O z F C Au J J W W LU X k. aa J w w a w A ❑DD ❑ o a w Gy ' O. Oa. U. �� = Q a0 w W Q ` 0 a 0 o oC J U Q , a. a g g o p � r a: z o Z w H -Y 0 �� '' °' w a _o z a- co o zp z W *, H w -' W 0 w z ~0 � ? ' re cr te a o Q O o W g o c� o0 0 ��--a n o u tiu. 3 0 . 0 3. 0Z 4 0 a DDD0DD 0 N M a X0 c I pl ?R „r , CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (2-10 . INNES°� iti c / 3 '-' V o / 1. White He 2. Pink City t PERMIT NO 1 VO ` cif, i 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) ,Lgo Kno!Irici e Drive,' F tY LEGAL DESCRIPTION (office use only) LOT 3 BLOCK 2 ADDITION MC (Vt, QF NJOv+woocl Heceiows OWNER (Name) Donna-4 I-4 o me S (Phone) 113- 9 31 ” 01 1 'T (Address Ib Colt Ave N1 Nit p\e F $m•Ie M..LI, 5 5 3LO9 BUILDER I_ (Company Name)OO f r Q \i 14 n r11 C.S (Phone)71u 3 " � 31. 01 1 4. (Contact ( Name) - PQ Lk] n_ , 1 (Phone)(Q I L- gig- 1 -{� L7 c, (Address) 1 Q5 �3 7"TV ej N gapie C'i rc ve. l■-i Ll 552X. '1 TYPE OF WORK a New Construction ❑Deck ['Porch DRe- Roofing ['Re-Siding ['Lower Level Finish ❑ Fireplace Addition ['Alteration ❑Utility Connection CODE: DI.R.C. DI.B.C. ❑ Misc: Type of Construction: I II III IV V A B ,,`, "� Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ �D /Tc'T1' Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnished informa- .n on . 's 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- • • at all cons . ction ' conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official c. - oke this permit fo just us Furtherm • e, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X � � = A_� , G 35 4$ 1 3 1 12 S • r. atur �w / Contractor's License No. Date Permit Valuation /L 3 04 000` _ Park Support Fee # $ Permit Fee $ [ 3 , Sc) SAC # $ 2 4-35 Plan Check Fee $ (t ) , 15 Water Meter Size / "; 1"; $ 4 , - State Surcharge $ t 15 - '" Pressure Reducer $ 20, - Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ (S 4 (7)-"2 Water Tower Fee # $ t O D© - Mechanical Permit Fee $ t S i • ; Builder's Deposit $ ( S 9,- Sewer & Water Permit Fee $ S -3-:=:) Other $ Gas Fireplace Permit Fee $ 5-4. Co TOTAL DUE — � 5 2# �Au c-.0 ( b , z- ` , t o f This . ph •? ti ,n, : ecomes Yolk Building Permit Wh App ved Paid ,/U , `J Rece' t No , i Date /, - _ / By- Building O tciaff 1 --., Date tents is in anth h Zoning Ordinance and may proceed as document • when This is s ' d tut elCity P lann er request inc cons titutes the above a temporary application Certificate and of Zoning accompanying docum compli, ce and all accord . s construction ce wite to City commence. Before occupancy, a Certificate of requested. Occupancy This must be issued . ��// _ _ (z- 2-- Planning Director Date Special Conditions, if any 22 our notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 * 4it li\kArDe' of PR/04- Rip� U tr White - Building P Canary - Engineering �'`^NES °� Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT D 0 /'■A/A7 / . APPLICATION RECEIVED /L - % c ° i Z The Building, Engineering, and Planning Departments have reviewed the building permit application for co activity which is proposed at: y Accepted i ' Accepted With Corrections Denied Reviewed By A_)// a Date: I z- z G., 2-- Comments: ee",.tvec2cr 6 o 5 (c).vJ /'f�? cw -1 // "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� PRlp�, ( JN White - Building yl �� Canary - Engineering NNES� Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT .. ' '`- /,-, ��i f l k , i " ;- APPLICATION RECEIVED :1 i . 1 ' --' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted V Accepted With Corrections Denied • Reviewed By: �� �- Date: /z 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." - *.^to vr'� . 3Se ,'�i` - ,as.��'- :'�z+^^:,:xx^: s. .ray.;", ;r`•'. �.�"- °.ta;s'f;;. FR /0 O 4' E U 1 trf White - Building Canary - Engineering MiNNESO Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ) L) 0 4.Pcji 7 NZ- APPLICATION RECEIVED /1 , / 0 . J Z.- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted X Accepted With Corrections Denied Reviewed By: /VVA Date: 12-12-12 -- 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." • • ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS. • Surface storm water drainage flowing to the perimeter of this lot to and from adjoining properties must be conveyed to the roadway and /or to the rear of the lot in drainage swales within the drainage • easement. • All- bare soil areas must be protected from eroding into neighboring properties through the properly installed and maintained silt fence or bales. . . • The fence required by the•erosion control plan must be installed prior to any earthwork being started. ". • The builder is responsible for maintaining the erosion control measures until the turf is established. • • • ", The rock construct* entrance must be installed at the time of .� iibackfilling of the foundation. .. • • G \Admin \dept info \AbbITIONAL COMMENTS FOR BUILDING PERMIT APPI.ICATIONS,doc Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R -1 or R -2 Districts Reviewed by: 6 Date: 1=-- zt f i Z Building Permit # P : Zoning: Address: t 4 Z " O \ er \� tsC ..,.. ' �, Legal: L , B Subdivision: Existing Structure? YES 1 I . Existing Nonconforming Structure? YES 1 NO CONFORMS TO ZONING NO ORDINANCE Yard Setbacks: NA 1 FAILS/ COM 1 Standard Proposed • Front Yard (can be 20' if avg. 1 50') 25' z S. 3?)' • Side Yards ,. 10'1 25' if abutting a street 2 a . l 82 2.e). \3 • Sidewall exceeding 60' requires additional side 2" 10' setback + setback for every 1' over 60' in length. Not required 2 "11' over 60' if building wall is 10' -0" or greater of being parallel to a side lot line. t • Rear Yard 25' cU % ' - f • 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' L Floor Area Ratio: NA/ FAILS / C LIES I .30 Maximum 1 , r\ I . ` Yard Encroachments: 61 FAILS !COMPLIES 1 Standard Proposed Eaves and Gutters no more than 2 feet in width and no closer than 5 feet to a lot line (Easements). NC and other equipment cannot encroach on interior side yards. Tree Preservation: / FAILS 1 COMPLIES Standard Proposed • Total caliper inch s • Permit 35% Removal • Caliper Inches Rerr,?oved _ • • Calipelriches P,dserved _ • Replacement 'h :1 L : \TBM L A TE\BLDGLIST.DOC / Driveway: NA / FAILS / CO de 1 Standard Proposed j • Maximum width at prope ' y line 24' 2-.41 • Required setback 5' from side lot line or 30' from r -o -w on corner lots 2-D • Maximum slope . 10% 4 6 • All parking areas to be paved including R -V or spaces adjacent to the garage • Location to match subdivision grading plan • `t-le:. Building Height: NA/ FAILS / COS 35' Maximum z ` Shoreland District: NA / FAILS / e ' ES _ Standard Proposed Minimum lot area square feet 7,500 Rio, 7,999 Non -ri s • • Minimum lot width 50' Rip, 57.3' Non -rip Shoreland alterations — Impervious surface 30% Maximum cA.• > Ugp • Z Zo I Bluff in Shoreland:FAILS I COMPLIES Standard Proposed _ • Setback from to of bluff I p By planning dept, • Bluff impact zone 20' From Top of Bluff • Engineering certification submitted /approved By City Engineer • Grading in bluff or bluff impact zone No importing /exporting . Floodplain:e 1 FAILS/ COMPLIES Standard Proposed ( • 100 year flood elevation 908.9' Prior Lake 914.4' Spring Lake • Lowest floor elevation 909.9' Prior Lake / 915.4' Spring Lake • Proposed lowest floor elevation Must be 1' above flood - elevation for new and existing structures. If existing structure was constructed 9/19/90- 11/22/97 then additional foot is not required. • Elevations 15 feet from structure Must be flood elevation or higher • Road access must be no more than 2 feet below 907.9' for Prior Lake Regulatory Flood Protection Elevation 913.4' for Spring Lake I Accessory Structure: / FAILS / COMPLIES 1 Standard Proposed • Size 1000 sq.ft. or 30% rear q yard • Not located in front yardjMaterials) • Side yard and rear yard setbacks 10' • Maximum height 15' • Materials compatible with principle structure L: \TEMPLATE\BLDGLIST.DOC --° CITY OF PRIOR LAKE Impervious Surface Calculations (To be Submitted with Building Permit Application) For All Properties Located in the Shoreland District (SD). The Maximum Impervious Surface Coverage Permitted in 30 Percent. Property Address Z 9 --) K Apo )) r i`he ► e Lot Area ) 5 30s Sq. Feet x 30% = S v LENGTH WIDTH SQ. FEET HOUSE x = x = ATTACHED GARAGE x = TOTAL PRINCIPLE STRUCTURE / 6 3 7 DETACHED BLDGS x (Garage /Shed) X TOTAL DETACHED BUILDINGS DRIVEWAY/PAVED AREAS • x = (Driveway -paved or not) X = (Sidewalk/Parking Areas) x = TOTAL PAVED AREAS 7 Z ) PATIOS/PORCHES/DECKS x = (Open Decks'/" min. opening between X _ boards, with a pervious surface below, are not considered to be impervious) X = TOTAL DECKS ( 1 OTHER x = X = TOTAL OTHER TOTAL IMPERVIOUS SURFACE z q 7 7 IJN VER 1 Z. I) 9 Prepared By .j ZW et � ,w• Date / Z - 6 - / 2 Company /ra„he t 41eepi �. , /.vc . Phone # 9sZ —/3z- 3' N 04 p R1p_ Da Rec'' ,� CITY OF PRIOR LAKE PLUMBING PERMIT 1/ 3 v SO �� 13 -06/6 I. Blue File PERMIT NO. 2. Gold City 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS Z O G (office use) Zg ',C. 1n I -e up LEGAL DESCRIPTION (office use only) LOT LOCK Z f CD' ADDITION 1 4 /' )) jp 2 [/ T (Z - 1333 -ii Yc (Name) OWNER � (..)Vl'n ) hica (Phone) (Address) (Name) AN ) v1 1.c_. (7G3) 236- G 9 �l S (Name) L ) c- w- 1 J -1--A--C • (Phone) (Address) 6 25 &-ri v „ 4 * - 1 o € je(r--- -5 ,4,, 5 ©3 J,,(Address) �j (City) (Zip Code) (Contact Person) �v'/e' ( _ . - a1 `7' (Phone) (7 6 0 236- 6 q of APPLICANT SIGNATURE ', DATE 2 a- 1 APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower / Rough -ins Dishwasher / Water Heater F L f. / Floor Drain Water Softener I Lavatory (Bathroom Sink) Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler 3 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 $ IL/ U Building Permit # PLUMBING PERMIT FEE $ PAID WITH STATE SURCHARGE $ .so BUILDING PERMIT TOTAL PERMIT FEE $ ( Office Use Only) This Applic on Becomes Your Building P � 't r W n Approved Paid Receipt No. li.r. � / 1..,. Date ti Baiidine t a Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 . - Jan 08 13 05 :42a Bill Coppin Sewer & Water 9529553522 p2 0a0 Pii1Q Date Rec'd QTY QR PRIOR LAIKE SEWER AND WATER PERMIT PRRMLT NO. Emil iy• ay... or ;dittoed s at bottom) ADDRESS ZONING (emu LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) f\ (N r,rL'\J 1340 e) - 763 • (Addtess) Ea. 51-; 3 P A i e, n! , a S • • (Address) (Qty Cap a.. APPLICANT t a m e ) C.© e1 S q► , o f iulcx,' e. (Phone) 61a.- so e- (Address) S 6t-t N. f' -.. 4.1.-f S 9 (Address) (Ccustact Person) f3 ; (phone) G So' - (11 APPLICANT SIGNATURE _ DATE t g 1 APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Lactation Of any couplings from stricture feet. . - Type of sewer pipe, ❑ ABC 121 PVC 0 Cast Iron Estimated length of sewer line b feet. Clean out (ifrequired) located at feet from structure. FEE SCHEDULE Residential sewer and water line connection $51.50 Industrial, Confl & Multi- fan►i1y 1% of job cost with a $51.50 minimum Sewer connection only $25.50 Water connection only $25.50 Estimated Cost $ Building Permit SEWER AND WATER PERMIT FEB STATE SURCHARGE $ .50 PAD WITH TOTAL PERMIT FEE $ BUILDING PEPMiltT (Office rho Only) This Application Becomes Your Building Permit When Approved Pall Rece pt Na Date By aSul ldtn& Metal Date 24 hour notice for all inspections (952) 447 -9850 fax (952) 447-4245 4646 Dakota Street S.E. , Prior Lake, Mhmesota 55372 t •A) 4 PRIO CITY OF PRIOR LAKE Date Rec'd ,� 3 ; ; t HEATING /AIR CONDITIONING/FIREPLACE PERMIT ;;;; I ��r� O SFr I V 1. Pink Fie 2. Green City PERMIT NO. /3 — OO /6 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) L. 14'1011 CtC3 C, LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PIO OWNER (o 3- 551- 0114 ( ( (Name) D ( 3rd S e (Phone) 7 (Address) "I CO 5 5 Ward C /v /MaPie envei MN 553L / (Name) '1 t heui 1 �'l C� + Ric (Phone) -- /o3 " 51z- I ( ° ( (Address) ' 1 50 3 ptk/nlourh Prve / Ci o ld en vc t e,.( 55421 t,�,,' (Address) (City) (Zip Code) (Contact Person) �r _ !' (Phone) 3 - 12 -, 1 Le APPLICANT SIGNATURE �� r i � I DATE Z/ 14 /13 / APPLICANT PLEASE COMPLETE BELOW 1EW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS FURNACE MAKE AND MODEL CC \l CC S9 5 C2 VA O$b s l _1 U FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING. OR POWER PLANT PLEASE NOTE: Air Conditioner ['Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ['Gravity ' • ❑ Hot Water into Required Side Yard Setbacks. ❑ Mechanical 0 Radiation Fireplaces with Box Additions or ['Air Conditioning ❑ Special Devices ['Vent. System 0 Other Devices Cantilevers to the Outside of Buiidings 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. Residential, AC Only $49.50 Estimated Cost $ 1 (0 Building Permit # PAID WITH HEATING PERMIT FEE $ 141.50 BUILDING P RMtI° STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ i 5O .00 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Butldine Official Date 24 hour notice for all inspections (952) 447 9850, fax (952) 447 - 4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 • • • • t • • Feb. 2.. 2013 6:30AM No. 0709 P. 1 DAl • 01 alt 0 4 , (Try OF PRIOR LAKE BUILDING Pte', Date P eo'd 1 �► T ORA`RY CERTIFICATE OF ZONING COMPLIANCE ' AND urrirry CONI CrION PER IS �- i PERMIT. NO. 0 4 / S. leITISOr *QM t ADDRESS i ZCANITNG igen A e ?f ,iol(Plc r° - - L GAL DESCRIPTION N (rape Ina only) 1 .--- LOT BLOCK ADDr1ION OWNS f ` (Kane) _ s,.. fl fI 0 �. ... ----- - __. (Phone) (Addmss) ligliiella (cos x '_ 1 G � �c Se /1 (Phone) _ 74 3-- 36?-03/ 7 (Contact Name) s ( �r/ c 3 9 ?..1 6 �GCsL`�' V r 0 to', L.7'L 3 9 j = V t( y "OA 57.5 a 7 TYPE OPWORK. ill New contused= Qnc& Qom+ Diasicrag piowele* Finish Nilimplace QUti y fence iaa COEB GILR.C. Clukc. 0 Mite: Type of Coratradiant x I D lv © A ll< - o Qma aacy Gro+ ; A 8 E F I M R S V RBDJECT COST/VALUE $ I a 0-4'' Div 1 2 3 4 5 4 3 I ird+7 andt' don Thave des c #is ap�icu�a s r., k to the beR dmy apse end eaw i 2 da as *uci ewer ue �a bud ymt OW abwn,emmateaed a+ld �i v 4tn. ia� yr b att f�a a�si 4swi a!ai pa000a4 b a000¢deaoa adds aaelimimad a ® aewor iat 9�a b ig (Add aavdaedds Ta P e�I bada�r eethatt'hcdtyafielde a&wipesmgworst=diepcape tpa}eel=seeded cere c4oes Ltarose No. Date Permit Valuation _— Path Support Pee # - S P Fee+ 8 SAC 0 ' $ Plea Chart ee 'Wean-Meter Size 5 /8' 1 Sane&Mow S Pastore Reef . Seater/Water Comedian Pee # $ Pinmt*/ Pesxait Pee - $ Vtatec Toaaer Pee • 0 s $ Mecbanicit Permit Pee $ lea Deceit S • S e w e r * Water Pat *Fee Other $ Gar Pee Permit Pee -S TOTAL DM 5 ale A Noma Tea IB lPessmftWbaa Paid �' 11; - - - SUi i.' Fi'11RIT ph is to eget that ON Moat is me actors Iwzoodos as l mcgalavoieztioeumeett is ht aaca0an a aids Ste CO Wilma end stairproceed as Tilit tid when std by the Oty Banner aoeadtates a lnsepowy Certificate allotting mmpiban©e and dose eoest ocdcn to tae. Wore eccupsar, a Cot isnot - — ►ham Beier: — twist thet eas.tt at 2411 - 40dea el p »a 74 44 ,faoc 44"7 -42 - • N46 A��Sonae B,P., PetOr �ae, M�naW ffi337s p4P o, 4 Builders Deposit sOO" 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 complianc fora 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 bet 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 be refunded if specified trees are preserved fora period of one year. By signing this I, the undersigned contractor, acknowledge that 1 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: 2 ° * i16)L'11 7 6 6 7 Off, PERMIT # }- REFUND TO BE MAILED TO: D ofJ N /ij t` &1i5v` 9( 5-5 4,3 4 - , o v� . � . MI) P t C i€ ) (747;-' , M / 4 55 PLEASE REMEMBER 5c) L '.. Allen, Building Services Amount 1. KEEP STREETS CLEAN DURING CONSTRUCTION 6. Z_ t3 _ Acct.801.20204 2. KEEP EROSION CONTROL IN P ' ' : Date 3. TEMPORARY OCCUPA Col R T NOT EXPIRE OR $500.00 WILL BE FORFEITED il y SIGNATURE: !It 2 Wells Fargo Bank N. A. Minneapolis, M N 55 4 79 DONNAY . X1,7 1 910 PH. {763) 531 4 9655 6 A071VE ._< MAPLE GRAVE N 55369 .` . ,,. " DATE . * AMOUNT , January, 2, 2013 $ * * *30,59' 28 Pay . Teri thousand five hundred <; ninety-five dollars and 28 cents i THE G . ty of Prior rQ " 'Lake; of DEn 4646 " pako a St: S , ] ?ri Lake, N1� 55372 RIZE[I ATUFtE . I "0 28 L" , :0 9 L0000 L 91:2 60 5 270 70 7 11' J :\FORMSIBUILDERS DEPOSIT FORM.DOC R'OR P L DEPARTMENT AND INSPECTION INSPECTION RECORD SITE ADDRESS -2 `l 0 4 \Zlao,.� NATURE OF WORK N o Pc c � Poti —cA 4 o� CIS . USE OF BUILDING ts-Nc, t` A «-_t PERMIT NO. -0 - DATE ISSUED l z. CONTRACTOR , -+--\ (- PHONE 411 1/1 • o�5r NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE ERMIT I Y SEPARATE bOCU s 7h" G Cl -� S (✓ J.^ Tti/t ++1�. � 4 t 1 { c c "M''_ N PECT641 v , k _ DATE S I FOOTING We I f Z 1 I FOUNDATION (Prior to Backfill) 1 /6 " /'LJ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED -.-, ROUGH - I N S SEWER /WATER /SEPTIC - FRAMING fG .,f ,S / c f 7 INSULATION R ,/ ELECTRICAL �` PLUMBING HEATING (if required) FIREPLACE 1 , GAS LINE AIR TEST ?A)(2'-' \ ‘" COVE)R ' ORK UNTIL ABOVE HAS BEEN SIGNED � . s �P �� // L 1 FINALS GRADING (Prior to Sodding) BUILDING L o c .-(v- 12 f - ELECTRICAL PLUMBING p e, s 3 HEATING S=- i 1- t3 DO NOT OCCUPY UNTIL ABOVE HAS 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 4 • 14 100 .i t