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Building Permit 12. 1369
4i ;. .�' Y rl , .. .. YI /,, . 1 _ i n, Y i . �V i �, l' a A A ., i � A C Oirrfjftxafr of Mrrupant CITY OF PRIOR LAKE rQ EFinal Permitted ❑ Conditional C.O. Expires 'C i:r This Certificate issued pu to the requirements of Section 110 of the El Residential / ❑ International 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: Use Classification SINGLE FAMILY Bldg. Permit No. 12-1369 R3 VN PUD Occupancy Type T ype Construction Zoning District Legal Description L16, BI, JEFFERS POND 2ND ADDN. Owner of Building site Address 14979 J E F F E RS PASS Contractor's Name & Address RY --AND HOMES ROBERT D. HUTCHINS City Planner Building Official [,,> e l: Date: (. 71 F Date: POST IN CONSPICUOUS PLACE £ 0 ` n O D00 � O 2 0 ■_ s��� § & o �q 2 m z ■o■ $ �� m § ® � ■ c n z z § ■ 0 z E % -n n > 0 m m 7 2 % z 2§§ 000000 . m �mm �, ■� ■�■� mr . >mr U' -u � z � �s�mis n ■ ■ ■ ■_■ »Boo0 3 % m 0 riO 2 § • m �� ��� h % k o 0 1 . B \ . 000000 z § 0__c1 § / § ¢�2Q m E 2 �t z m �r 0 ❑ 0 0 ❑❑0000 = 0 D v No n n S3 O O O y -n mmm z m ° � m c. tv D ri X 73 x 3 -r Z p N � � to r m m y m y �ZAZ O y 7 . 1 - 0 -i - On i D Z v —0-i Z 0 • x . D • xi r p --0 m z O 000000 It O X z El m m mcyy,mc Z 'o � W m 0 0 • y m � Z 0 m ' m - Z G Z )00 0 3 Z n m ae n 0 0 ■ r „OO m =i : 0 Ni Z Z cc Z r 0 m r "u '13 Q m A 0 4 !• O= m xi C m 0 000 ❑❑ U 0 ti Z z O a in t 1 R. D y / r ` • > 0 z�ss m 0 D n n Z 0 p..43 Z c) mm_ m -I co 0 y `�► C3 ❑ 0000 0 > =A - n gg N ❑ ❑ �� pp n n 0 0 0 3 •-I oo Z m 2 m0 m n hi r 2 2 y 1 ♦ ' C m N ° z 0 2 0 0 � to X - n f) m r c :‹ 4 n i - 11 , Z 73 0 0 l ' f e 000❑❑ 41 m m m m 3� Ig -4 z G O n 11 Q f r - n c M t7 ZZSS - Z 2 2 c o i o . 7.`! y° p ° 3 NI - o z -b ill lll ... C r Z g X Z 1 , C O Z R. m t , \ Z r CO ' 2 G A o C o y N y m 1 , , � , 0000 ❑ 1 . D Z v V • N mm3 4� 4,3 S � m y n y mmz � "C �_ r m i E 0 , • • - 0 000000 li 0 ) ■n n 0 a 0 0 § . ^ � �Kf ° § § k � j k § k k m �§k2 � 2 k -1 rn 0 � o � z- 2 co 0 9 A ,. 0 0 Z -4 z ■ m m > o % r 0 - m 0 X 72 ■R OOQOO ■ X = mm ~ �� ■ ■ *■� k *Irl w § oo h qc2 >Mc J rn f § _1 zzxx Z 73 0 X m ■ o >0 00 o ■ Cu -11 * 2 0 2 r2 § c 2 - m ��$ b / x 2 . t i tq o n 2 . 00 DD00 2 0 ¢22§§ IF > ® 1mm3 < \ 0 ��� 7 m � m@ � P @ 4 r § m O* PRf CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE (1 13 , ( 2_ .. � AND UTILITY CONNECTION PERMIT 1 1 44NES01� L White File pERMIT NO . / Pink Applicant /� l /3 _7 3 Yellow Ap ��62 (Please type or print and sign at bottom) �( ADDRESS ZONING (office use) 1 t 4lt _ . Wr Pas5 po LEGAL DESCRIPTION (office use only) �a� .j ^ — LOT! (y BLOCK I ADDITION � C%'' S I POY %/�'� J 1(1 1 C I t P V Z_ .16s. O Ro . 0 OWNER (Name) (Phone) (Address) BUILDER I (Company Name) if 4 4 _ (Phone) ` tS"�� 0 00 (Contact Name) ame) 1 . i ' N hk (Phone 9 - C }� ' - (Address) 1 V v° - � �� tr 1l - 1 f I W J� TYPE OF WORK ew Construction ODeck ❑Porch DRe- Roofing DRe- Siding OLower Level Finish 0 Fireplace DAddition DAlteration ❑Utility Connection CODE: I.R.C. B.C. O Misc. 1 ^� Type of onstruct : I II III IV V AB PROJECT COST /VALUE $ 1C�' —�1� Occupan Group: A B E F H I M R S U (excluding land) / Division: 1 2 3 4 5 I hereby certify that I have tlimished 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-mentioned property and that all 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 r ke is perm for just care Furthermore, I hereby agree that the city official or a deli nee may enter upon e pro perform needed i i X kr -61-1 )--- Signature Contractor's License No. Date Permit Valuation (S o Ot9� — Park Support Fee # $ Permit Fee $ -� D SAC # $ 23 (s06 . 6 0 Plan Check Fee $ q GI ( $ Water Meter Size 5/8 ";0; $ � ©. State Surcharge $ \ c l O. Pressure Reducer $ t G Penalty $ Sewer /Water Connection Fee # $ /-5-6 o U Plumbing Permit Fee $ /5 SFL) Water Tower Fee # $ f U 6 U d 0 Mechanical Permit Fee $ / S''Li/ S-2.) Builder's Deposit $ /5751 „ 62) Sewer & Water Permit Fee $ 57 Other $ Gas Fireplace Permit Fee $ S --, SZ-) TOTAL DUE $ ! O /55/ 28 This A' �cat'.n : • 0 t s ur ' uilding Permit When pro ed Paid r'e / 55 - Receipt No. n No.. r'• �s , / -( / � _� W / Date 12 0 (( By _ fa o' iZ 1Z- Buildine 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 ■ ector Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 • Residential Building Permit Checklist New Construction for Single or Two - family Dwellings in R -1 or R -2 Districts Reviewed by: / he. Date: , Z /(0 (Z- Building Permit # PID: Zoning: v o S Address: 14 111 .\ 5 pas $ Legal: L , B Subdivision: Existing Structure? YES / 0 Existing Nonconforming Structure? YES / NO • CO NFORMS TO ZONING NO O RD I NANCE Yard Setbacks: NA! FAILS/ Co Is Standard ( Proposed I • Front Yard (can be 20' if avg. , /in 150') 25' Z2s • Side Yards ,1 � 6 . e • �' � t 1 WAS 150 / �1 _ ` if abutting a stree ( • 2 ,5 °• IL P� -�C i I . 5 , cam 'ea5 to. st a K. • 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. of 7• ' • Rear Yard • 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' 1 Floor Area Ratio: NA / FAILS ! COM S .30 Maximum 1 Pc-c) Yard Encroachments: 0/ FAILS /COMPLIES Standard P roposed 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 / COMPLIES f Standard 1 Proposed I • Total caliper inc es • Permit 35% Removal • Caliper Inches Rerr?oved • • CalipiIrlches P,dserved • Replacementf %:1 L: \T] MEbkTE\BLDGLIST.DOC / Driveway: NA / FAILS / CO ! S Standard Proposed • Maximum width at prop me 24' 2�C r • Required setback • 5' from side lot line or 1 • to 30' from r -o -w on corner lots t A `� • Maximum slope * 10% • All parking areas to be paved including R -V or Z- spaces adjacent to the garage — • Location to match subdivision grading plan • ��� Building Height: NA / FAILS / CO 1 S 35' Maximum -- I II 1 Shoreland District: NA / FAILS / Cq Vf LIES . Standard Proposed Minimum lot area (square feet) E-/ 7,500 Rip, 7,999 Non -rip Minimum lot width 50' Rip, 57.3' Non -rip Shoreland alterations Impervious surface 30% Maximum e. D Bluff in Shoreland :1Q' FAILS I COMPLIES Standard Proposed • Setback from ter! bluff By planning dept. • Bluff impact z.ne 20' From Top of Bluff • Engineering certification submitted /approved By City Engineer • Grading in bluff or bluff impact zone No importing /exporting . Floodplain: 5 FAILS / COMPLIES Standard Proposed • 100 yea Tod elevation 908.9' Prior Lake 914.4' Spring Lake • Lowest fl•or 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 ' hi Sher • Road access must be no more than 2 feet below 907.9' for Prior Lake Res ulato Flood Protection Elevation 913.4' for Spring Lake $ Accessory Structure: / FAILS / COMPLIES Standard J Proposed • Size 1000 sq.ft. or 30% rear yard • Not located in front yard (Materials) • 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, L Lo / f‘, g/0,/,-/ Address ic/979 rleFtP/S bass eFFS owe S �� o. r0 riu,u of Area gg43 Sq. Feet x 30% _ s e T T *TT T'•1` TTT mTT'*TT TTTT TT* •l•TT*TT TT•1`T •CTTTTT T*TTTTT TTTT T TTTT'1•TT•i`T'k*•rTT *T'1`T TT T LENGTH WIDTH SQ. FEET HOUSE x = x = Al ''ACHED GARAGE x = r96€ st TOTAL PRINCIPLE STRUCTURE DETACHED BLDGS X (Garage /Shed) X TOTAL DETACHED BUILDINGS DRIVEWAY/PAVED AREAS x = (Driveway -paved or not) x = d/. �t� 7 t5/ 5F (Sidewalk/Parking Areas) X 5 // 9' SF TOTAL PAVED AREAS 75 5F 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 f'cA gg Sr OTHER x — x = TOTAL OTHER TOTAL IMPERVIOUS SURFACE 450 ZS UNDER/OVER 1V4. $ei Prepared By Icier 1. /acuKi 4 ' Date // - /Z Company P;04 r Phone ff (6V),65/- 26/9 r15- U of PRIOR A , e CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd B TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Q AND UTILITY CONNECTION PERMIT Z, ' , ' 13 lA'NESOs_ i/ v v '' ° 1 , l sc t: White File 2. Pink City PERMIT N 0 Q (Please type or print and sign at bottom) s. Yellow Applicant rf / ADDRRot ZONING (office use) 1 °I (...,) ( Pas S LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) BUILDER - S . �l t IG g 4t4+ ) (Company Name)_ I rkt"' 6 ( F �,] one) (Contact Name) Q.C V1 LUr€ (Phone) (4)7(o7- t S (Address) 2 0 ftv.41 \ V \ 1 r eU nic n nt to 4 E:3=3'3 TYPE OF WORK 0 New Construction ['Deck ['Porch ['Re- Roofing ['Re- Siding ['Lower Level Finish C Fireplace ['Addition ['Alteration ['Utility Connection ii QCyQ �,' CODE: DLR.C. I.B.C. ><Misc: Y tiYVi tip` V�IVttEX I VrAi r Type of Construction: I II III IV V A B Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ 75c) ' 0 a 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 true and coned. I also certify that I am the owner or authorized agent for the above - mentioned property and that .1 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 ■ e this ': 4 0 ause. Furthermore, I hereby agree that the city official or a designee i maay enter upon the property to perform needed inspections /l X ' %, re .i�%M—t e 2 I j 1 f 3 Signature Contractor's License No. D e Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; 6 it $ j 0 00 State Surcharge $ Pressure Reducer $ t (0 0 - dD 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 $ 750. co This Application i' comes Your Building Permit When Approved Paid '7377 _ U?J Rec t No. Z Z,.3 bO 1 , 3 , Date 2 F el- i B 1 B '1 1 Official Date This is to certify tha . 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 ity 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, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 4 NES P RI CITY OF PRIOR LAKE Date Recd SEWER AND WATER PERMIT 1 - 1 - 13 j 1. Green File 2. Yellow City PERMIT NO. ( 2 _ ( 3( 3. Gold Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) (Address) (City) (Zip Code) APPLICANT (Name) --1" ` ' �� (Phone) 6 5 i " Y '' 13 .Sf (Address) a 4 Z A -1 i 1,14- ,4a J t4 l ,44_, - 5 SO 33 • (Address) �) � (City) (Zip Code) M (Contact Person) I v f 1 !Le , 4' �— (Phone) C9 I -2 - - q I C - / 3 %d APPLICANT SIGNATURE 'Y v 6Zk DATE I" 7 —U APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. ❑ ABC ❑ PVC ❑ Cast Iron Estimated length of sewer line feet. Clean out (if required) located at feet from structure. FEE SCHEDULE Residential sewer and water line connection $51.50 Industrial, Com'l & Multi - family 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 FEE $ STATE SURCHARGE $ .50 PAID WITH TOTAL PERMIT FEE $ BUILDING PERMIT (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Buildine 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 i o .i1 to y CITY OF PRIOR LAKE Date Recd i 5_° i HEATING /AIR CONDITIONING/FIREPLACF PERMTT v`° d'rtvtvcsa'0P 2. t. p,Ie Gicen Fde t.nr I PERMIT NO. — 3. Yellow Applicant (Please type or print and sign at bottom) _ AD DRESS ZONING (as= use) j_ - 1 .__ c J_ e 'er5 Pass LEGAL DESCRIPTION (office use only) 1 LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT n (Name) f.... e..�l (Phone) c152-1 7' I ' W 1 X (Address) 2:2- U 0 �{ 13 - 5 U.Y n i } S { I le .553 37 Address) t (City) (Zip Code) (Contact Person) Le n I / ..Address) (Phone) 952 - 76 7 " 1 659 Lb .�r APPLICANT SIGNATURE , DATE / - 30 - -I 3 APPLICANT PLEASE COMPLETE BELOW IEt NEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS FURNACE MAKE AND MODEL Ca•frie.r SgSC2../408OS1 -tt, FUEL IUA,T Ge FLUE SIZE RETURN OPENINGS 2. INPUT 80,000 OUTPUT 73, 6C)0 TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ❑Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach ❑ Gravity ❑ Hol Water into Required Side Yard Setbacks. Mechanical El Radiation 9 Air Conditioning 0 Special Devices Fireplaces with Box Additions or Vent. System ❑ OlherDevices 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 549.50 549.50 minimum Residential, Heating & A/C New Construction) 5149.50 Residential, Additions & Alterations 549.50 Residential, Heating Only (New Construction) 564.50 Residential, AC Only 549.50 Estimated Cost S S(P Jo Building Permit # - { G, the Minnesota Statutes § 326[3.143 HEATING PERMIT FEE $ ! 4 so "S( .lt(a IAR(i1i" has hem changed for tine year ni l cti STATE SURCHARGE $ �, .�, ,,_��.�"` Jul:, d1 1. until .loot 3f1. 2f11 I. TOTAL PERMIT FEE $ ,l R) I he minimum surrhnri a Mr a 'n a ree" permit (Office Only) Is t, beginning July 1.20111 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Bulldlna Official Date 24 hour notice for alt inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 . VRio Date Rec'd , � 1 � x, CITY OF PRIOR LAKE PLUMBING PERMIT 1~ r:. d 'irvil so'S 1 Gol He _ I Cfold Cd PERMIT NO 1. Yellow Appheeno _ (Please type or print and sign at bottom) ADDRESS r ZONING (office use) 1 1 ie..cre ss C_ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDPI'ION PID OWNER (Name) c_— (Phone) (Address) APPLICANT (Name) -2X12 NC` ° (Phone) 95 - 7 - l bb (7 (Address) 2 W . qi.k) 1 3 . - - - - ' auxhSVt 55331_ (Address) (City) (Zip Code) (Contact Person) Lb h' ge.ig.xsd (Phone) 95 a "7b7' I 7 , APPLICANT SIGNATURE (.. ° DATE 7 - 3 - 13 APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture A Bath Tub with or without shower Rough -ins i Dishwasher Water Heater i __ Floor Drain _ Water Softener +-L _ Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector 4 Shower Stall Backflow Assembly L. Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler 2_ Water Closet (Toilet) a - Other 5 ttt. -c FEE SCHEDULE Industrial, Commercial & Multi - family I% of job cost with a 549.50 minimum Residential, New One & Two - Family 3149.50 Residential, Additions & Alterations $49.50 0 0 The Minnesota Statutes § 326B.145 Est S zi Building Permit # "St RCI•IAROR" hos been changed for one year effective PLUMBING PERMIT FEE $ 1 — 6 1. .tuts 1, 2010. until June 30, 2011. STATE SURCHARGE $i> The minimum surcharge fora "fixed fee" permit TOTAL PERMIT FEE $ ,.� I is a, beginning July 1, 2010 �'�`►' clD 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, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 Builders Deposit (7 5 A 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 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. ! r� � DATE: I I �a SITE ADDRESS: ( nq i r &eA,/ Pis PERMIT # /z .. /3 67 REFUND TO BE. MAILED TO: r� 1 1/ 1 ) H /.., .42 t.1 /#Al. f ro - / a, 'III. SI �.. I " . MEI 553 PLEASE REMEMBER je 'S ( 5 , 00 Lynda ' Allen, Building Services Amount 1. KEEP STREETS CLEAN DURING CONSTRUCTION ; 2 Acct. 801.20204 2. KEEP EROSION CONTROL IN PLACE _ Date 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR $500.00 WILT FEITED r SIGNATURE: _122 je2ear_______ THE RYLAND GROUP, INC. JPMORGAN CHASE BANK, N.A. RYLAND HOMES TWIN CITIES CD COLUMBUS, OHIO 7599 ANAGRAM DRIVE 56 -1544 -441 12/17/2012 EDEN PRAIRIE, MN 55344 2, 0 a PAY TO THE City Of Prior Lake * *10 ORDER OF e v Ten Thousand One Hundred Fifty-Five and 28/100***''"" DOLLARS 4646 Dakota St SE CHECKS NOT VALID OVER $50,000 Prior Lake, MN 55372 8 MEMO AUTH' I NATURE Bldg Permit for 14979 Jeffers Pass, Alden Spec 100000 #64011' 1:044 L k544 3+: 9 36 L' 4 5 541■ • J: \FORMS \BUILDERS DEPOSIT FORM.DOC I:::I � W V 0 �:,. Q �. :' ..x ,.:' Z perI iiiiHhii r1i ;:i IHiH:I1I . N w ( Ili job N W oiuioiii ; o I h ] IJl [ , 0 xs S 0 to W (,) • •,. . 9 § x F- a a o Q w a W Q _ o I IlII ! w O a) 00 00000000���� - ; 8888088811 1 :—. y M j " 2( 1F"�n h "yg h # nw _ q+,,,, .: "w - -rvr2r xbs^°s ++r wrwminwrre. '' ^gR^B ' , +_?R. ,f JVITtriM 17. St, .; I, ; : .•; ° "P r., .,. „,,,,..',4...17 a W Oo "lb* F Irj White - Building yt � � Canary - Engineering LANES° Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT I t ,i <'L % r °C; ... -- -- APPLICATION RECEIVED /1 1` - The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: (.. .ii.../...., - r 1 Accepted Accepted With Corrections ----/---- Denied Reviewed By: Date: / Comments: Z, pervl , s rite. /S e✓Q %r ets cKm y..P, oe entire, re erf Al-0 20 h ‘t- ka Veyi, - 4tre64.505 ill i 10,44 swr4.te_ tit 4644, be. /:"„' AA- ``9`ve "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.” PRI ti U tx1 White - Building �'IMNES��P Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED / I . /- • / 2 -- Th e 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: ,4163 Date: /2 ' 3"/Z-- 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 •silt fence required by the - erosion co ntrol 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. • • , T rock constructjan entrance must be installed at the time of • s €ackfiiling of the foundation. .. . • • • • • • • • 6: \Admin\dept Info \AbbITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS.doc 04 PR 1 c. 'x u White - Building yr �� Canary - Engineering NNESd Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT A / / ' / APPLICATION RECEIVED l /1-/ / 2-- The Building, Engineering, and Planning Departments have reviewed the building permit 9,*„.6,,..„...________ application for construction activity which is proposed at: /,.-q7) Accepted Accepted With Corrections Denied Reviewed By: 1 /fdr Date: (y S 1 Z Comments: Go s i 4- ' 44,A,A,_,...,- < rfz-f,.5-trS- — 4--c-- 771/ L_ c , ---7. "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." P RIOR LAKE DEPARTiVIENT OF BUILDING NG AND INSPECTION INSPECTION RECORD SITE ADDRESS /4977 J&e5 MSS NATURE OF WORK I N NGLE FAMILY DETACHED t1\16. rod L.L . Aio. w / J USE OF BUILDING PERMIT NO. ` DATE I UED , iZ s /z- CONTRACTOR PHONE da NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIO S BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSTALL EROSION CONTROL & MAINTA;IN CLEAN STREEZ ALL TIMES DATE I FOOTING 1 rn /i/41 1 //8/13 I 1 FOUNDATION (Prior to Backfill) 1 1 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED RADON SYSTEM UNDER CONCRETE SLAB ROUGH INS MEMBRM EWER / WATER /SEPTIC F. 4 Ills Ili I FRAMING r i_z INSULATION 2 76/ , 7 ELECTRICAL PLUMBING V►'S u b Q() I »43 r' . HEATING (if required) 491,� 2/71 i te a• 9dte S LINE AIR TEST M )P 7 `1 ` Z/9 1 , ./ RADON bC VER NO WORK UNTIL AB E HAS BEEN SIGNED SYSTEI f HOUSEWRAP�T zJ7 \ LATH en 1 ) 1 1 FIN LS GRADING (Prior to Sodding) BUILDING -t. c. o 7 o74% 3 Ri1i -/3 ELECTRICAL PLUMBING ,e, ../ /e? HEATING 1.1 '4/ Air CO " b ormo a otteakesinrwriL ABOVE HAS BEEN SIGNED Units : ' ,', 7 ;; ; a , tua. wit °e 'NOTICE This card must be k ' t "near an electrical service cabinet prior to rough -in inspections and maintained until all inspections have been approved. On buildings and additions w here no service cabinet is available, card shall be placed near main entrance. • t"' ‘vrio‘cAfFOR ALL INSPECTIONS (952) �(obNaia `7.5' NI& `•' Ti Urauma -vt> S EAw 4 r k ti 129 13 Rp9bk