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HomeMy WebLinkAboutBuilding Permit 13. 0348 c f F K , z 3 X AT-A fi a _ i.a _. :_ ,. i .. ,, r.. _. _. .. ,. :. _, r ,_ i'i r ,. 7 ,i n➢..fY ,, i .iY : nVlr'Y' _. i :, hY� ._ „il __'Y ' i _. i .lRi � , i ,. i T.�l i i . i i _. �.i.. ,_ i ., i _ ..., C rrfiftxafr of ®x ianxtty :: ,. CITY OF PRIOR LAKE prparfmrx f of itiI.MMztj jinsp•trtion Z Final Permitted ❑ Conditional C.O. Expires • .... a This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / El 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 :' u se class S T N L E FAMILY Bldg. Permit No. 13 -0348 R5 VN K1Sll Occupancy Type Type Construction Zoning District ' Legal Description L8, B5, STEMMER RIDGE i • • . 1, , Owner of Building Site Address Contractor's Name & Address FIELDSTONE FAMILY HOMES • :: ROBERT D. HUTCH I NS,�,, , /t ( City Planner ( i „,Building Official p ` J i 1 f •_) Date: Date: t POST IN CONSPICUOUS PLACE n i i '''',i'„'', l I ' :1 i ! ''i P11' f Idle I t '• ":1',""":'‘'' i i 7 § e ■use § 004 0 iii % 23 \ q z > m$ § $k 2 2 0 U� � z ■ § , 000000 > 2 S J r _ A / u. -J Z §§ k w k§ q Z be ■ ° 2 0 © k X o ix 000< 2 k \ 0 w §■JJ§ 0 a. z $ iii a a=■§■= _jQ< _ _ju § § Z 1- p a�§ ■ ate ww w ■ 000000 ( g 8 z % a. IL 0 Fib. k 2 § 0 § « X ■ I- z . o � k § 22 9 § ■ 2 § z § & 01 2 § d . (5 g / 0 Q)0 0 § a_ en 0 ao ■� W L ..1 % 0 uj 2 ■ ■ \§ s . ■ ■ o /� § 2 § u. 2 0 $ 0 Q Q■ 2 0 I ooDOkD U &O 0 E. O ^F F_ u) Z Z F aII ~ tuw 0 w U p � z ° g a 5�gz ao.aD u, 0 0� 0 °a C �V 0 w u. C7 ire ? E, M 000000 W N l W O M CY— et O IL. N mt O 0 W 00 . a. a. CO C 0 O • Y Y Z z o F g w 2 O O O o a , ^� 41 l u ,; z z a z -zzz? w o a. 0 0 i 0 w m iw am c a z 4 � wa ga t) ■ o w z o a ESm a. Xt 0 0 z w "- a a a ,,,,., cr w w �- 0 z O a z 5 r o o z v to y d Oz r O a z 4 WIX a0 vs z zo?g z W J w } . � Z� X A . 0 0 .... c.,, 0 a 0 a 000000 0 F 0 X 5 o4 PRIp CITY 01? PRIOR LAKE BUILDING PERMIT, APR 1t2'd 1 ,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE '1 m AND UTILITY CONNECTION PERMIT ;7,4, ..._ f By 41 iNHESdo P i. While File PERMIT NO. /3 3 3 Pink City Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) ,,W f / /'S", 34- wiw eLz LEGAL DESCRIPTION (office use only) / "`" LOT BLOCK ADDITION 3r : • bi4 e.,74._ k r e4 e. PID LS, 440, 055_ 0 OWNER Q ! '" d c � (i �l' (Name) F -) A ova -- �Gc NA , ' tie !G la04 e S (Phone) 7S t ( o ( (Address) 1 76. 1/ ✓4.4A M ip-t� Ott.- 5 ` G� t (i-C /_. Lt Lt..-- (i dile , /G( l/l � Z1 y BUILDER /,.D , ,[ U (Company Name) J- r t eC u 5`l Q 4.-- 0A I # Ut on e-.5 (Phone) o 02 `7(� f ^ Gic (Contact Name) Ere )e/9 G. , / 77: t"....tiT (Phone) % r 2 9 1 " ' (Address)/7/ L(U ji; 0 0- y - Aft 1 4. / ib. L�� 0(/1 4 S r TYPE OF WORK IN New Construction [Deck [Porch DRe- Roofing DRe- Siding ['Lower Level Finish 0 Fireplace DAddition DAlteration DUtility Connection CODE: E .R C. D1.B.c. D Misc. Type of Construction: I II III IV V A B Occupancy Group: A B E F H 1 M R S U PROJECT COST /VALUE $ /l y J L/V K/ Division: 1 2 3 4 5 (excluding land) 1 hereby certify that 1 have furnished infor non this application which is to the best of my knowledge true and correct. 1 also certify that 1 am the owner or authorized agent for the above-mentioned properly and that al stnution will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building : 1n151 ran revoked ' use Funhermore, t hereby agree that the city official or a desi nee may enter upon the property to perform needed inspections. G z3/ / 4"S Signature Contractors License No. Date Permit Valuation Z 240 D 00 — Park Support Fee # $ Permit Fee / $ ( 8 .50 SAC # $ 2-4-3S. Plan Check Fee 5 ' 7 (o ( Water Meter Size W"; 1"; $ State Surcharge 5 t 1 3 r Pressure Reducer $ l 1 e - Penalty $ Sewer /Water Connection Fee # $ ( Sty Plumbing Permit Fee $ Water Tower Fee # $ (0 ��_ Mechanical Permit Fee 5 t 5 , Builder's Deposit $ 2 -5oa_ Sewer & Water Permit Fee $ (fl • so Other $ Gas Fireplace Permit Fee $ 54 . 5-(7 TOTAL DUE s • T TK� 1 R--',. "s,N� - 4. li This A ' ica ion � e om s our Building Permit When Approved Paid �r�MS� Recei t „ +. / 1 / 4 1 I _ `} / Date 311 k 3 By mu A 1 Building Official Date Thus is to ce tt in ove application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as rcghested. This document when sign by ify 1 i the P request er constitutes the ab a temporary Certifinte of Zoning mpliaryryceee and allows construction to commence. Before occupancy a Certificate of Occupancy must be issued 7 �J J Q L� !/`cy Planning Director 1 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 o 4 , 14 * .1 .e714 0 3. 0, „„..t.4 • Residential Building Permit Checklist New Con ruc , n for Single or Two - family Dwellings in R -1 or -2 Districts Reviewed by: /40 ti Date: 4- /y.Z. / 3 Building Permit # 1 Zoning: Address: Zr,,dl 4. l fit,} gi— , 2- k . .b . Legal: L , B Subdivision: Existing Structure? YES IV . Existing Nonconforming Structure? YES Idri CONFORMS TO ZONING NO ORDINANCE 1 . 1 Yard Setbacks; NA 1 FAILS/ COS Standard Proposed • Front Yard ( can be 20' if avg. w/m 150') 25' 25 . • Side Yards • 10'i .butting a street 3 I • Sidewall exceeding 60' requires additional side 2" 10' setback + setback for every 1' over 60' in length. Not required 271' over 60' if building wall is 10' -0" or greater of being parallel to a side lot line. t • Rear Yard 25' 7 O • Patio Door: provide for minimum 10' deck or sign 10' side/ statement indicating no deck wi11 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'tva 41"?,,/ i Floor Area Ratio: NA 1 FAILS!' CQI WES 1 .30 Maximum 1 • r I Yard Encroachments: FAILS /COMPLIES Standard Proposed Eaves and Gutters no ore 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: liyi FAILS] COMPLIES Standard I Proposed • Total caliper Inches • Permit 35% Removal • Caliper Inches Rerr?oved • • Calipecrl es P,rherved • Replacement/ %:1 L :ITEMELkTE'BLD GLIST.D O C • Driveway: NA I FAILS 1 C I IES Standard Proposed • Maximum width at pro rt line 24' 2,,4 • Required setback 5' from side lot line or 30' from r -o -w on corner lots '-- • Maximum scope . 10% g . ©70 • AU parking areas to be paved including R -V or spaces adjacent to the garage • Location to match subdivision grading plan • ..-- �lVl --, . ■ 1 Building Height: NA/ FAILS 1 CO,,iii S 35' Maximu 2. Shoreland District: NA I FAILS 1 C • r , IES , , Standard Proposed 1 Minimum lot area (square feet) 7,500 Rip, 7,999 Non rip • Minimum lot width 50' Rip, 57.3' Non -rip Shoreland alterations Impervious surface 7 r I 30% Maximum 757 . 2 G► Se 1 Bluff in Shorela d: / FAILS / COMPLIES Standard Proposed • Setback from top of bluff 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: r/ FAILS / COMPLIES Standard Proposed • 100 year flood elevation 908.9' P 914A' Spring Lake • Lowest floor elevation 909.9' Prior Lake / 915.4' S I ring Lake • Proposed lowest floor eleva tion above flood • elevation for new and existing . structures. If existing , structure was constructed . 9119/90-11/22/97 then additional foot is not required. . \ • Elevations 15 feet from structure Must be flood elevation or hi. her • Road access must be no more than 2 feet below 907.9' for - Regulatory Flood Protection Elevation 913.4' for Spring Accessory Structure: 6i1 FAILS / COMPLIES Standard Proposed 1 • 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 com•atible with •rinci•le structure L: \TEMPLATE\BLD GLIST.D O C O� PRIp� U to White - Building t'INNES��P Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT r/E2—.0C7bAi- APPLICATION RECEIVED 4- . //._ i The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 2-094- /(5m Accepted Accepted With Corrections Denied , Reviewed By: � / �� ' � ' � - - Date: /_ Comments: /, C6,14 C., 6 o^) / - "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." (rI L White - Building Canary - Engineering NES Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT t --3 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ' ; Accepted 1./ Accepted Accepted With Corrections Denied 49 Reviewed By: - Date: 4 %` Z Z I 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." .?u,.: 4 ni�k "` "a .' ' �vk ?+ra f T . �_; . x'.',c 1? '4 . :: ' ,, m ' +r: r ry T's nnra• r r,R^..:!"C. x+an i +r 04 PRIOR' t tr1 White - Building yI �A Canary - Engineering NNESO Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT I/ / C ' l b, I APPLICATION RECEIVED 1 i - /3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 2_ � -� /,a i ,. /, Accepted . Accepted With Corrections Denied Reviewed By: NW Date: y- 2G -/3 Comments: See Reverse Side for Additional Information! "inl►A E.O.F 97f © Easf Lof 4tic 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." 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 ' ?4 Lot Area / 7 77/ Sq. Feet x 30% = S 33/ ************* 4*************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** LENGTH WIDTH SQ. FEET HOUSE x = x = ,. ATTACHED GARAGE x = / v ¢zr; / TOTAL PRINCIPLE STRUCTURE ---/-7-39 175T 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 711 PATIOS/PORCHES/DECKS x = (Open Decks 'V," min. opening between X _ boards, with a pervious surface below, are not considered to be impervious) X = TOTAL DECKS 1 gr f''/2c# OTHER x = x = TOTAL OTHER /f} TOTAL IMPERVIOUS SURFACE ursep UNDE VER 4 - / */ Z loS Prepared By 4.a !` , ,Q1, 6- Date 4 -g-6 Company %n b(jkL 7LJ6 /. Phone # ( 9 2 � -32 -3e)a° VRfp� Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT - ZU . (3 ¢ '4'xesoo 1. Gold 2. cola C ci P ERMIT NO./.3 3 4.,r r 3. Yellow Applicant a (Please a or Tint and sign at bottom) DRESS ZONING (office use) 6205 i�c A) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT l I ^� ame1 ► t R� • k (P hone) 6c- a`(� 76 / di) s 33 (Address) (City) (Zip Code) Person e- i1 v- 7 (Phone) AP • i • x . 1 •= ` _ _ -- DA 2_ l2 AP PLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough -ins Dishwasher Water Heater Floor Drain Water Softener Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler 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 $ Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ .5(� D 10 WI T/ TOTAL L PERMIT FEE $ (Office Use Only) �� P �� MIT 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 h - • { 3 r 4: 4 iii CITY OF PRIOR LAKE Date Rec'd e HEATING /AIR CONDITIONING/FIREPLACE PERMIT ti g , dT Eso i. Pink File 2. Corea Cit PERMIT NO. 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS 2 c c o /6,6^..- '" �"`" Z ONING (office use) PAID W T LEGAL DESCRIPTION (office use only) BUTLOTNO PERMIT LOT BLOCK ADDITION PID OWNER t ) (Name) i f t v t 4 (Phon q i (Address) /7 & c /' t /3 HEARTH & HOME TECHNOLOGIES APPLICANT dba FIRESIDE HEARTH & HQ one) • Lic 662656 (Address) 2700 FAIRVIEW AVENUE N (Address) ROSt,V1LLL, MN 55113 (City) (Zip Code) 651.633.2561 (Contact Person) //�� (Phone) APPLICANT SIGNATURE , S OW DATE 1 e `3 APPLICANT PLEASE COMPLETE BELOW • • VEIKEW CONSTRUCTION ❑ REPLACEMENT 0 ALTERATIONS • FURNACE MAKE AND MODEL 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 ❑ r : vity ❑ Hot Water al Mechanical ❑ Radiation into Required Side Yard Setbacks. ■Air Conditioning ❑ Special Devices Fireplaces with Box Additions or ['Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings .t� Require a Building Permit. FIREPLACE MAKE AND MODEL /I --U 5L. 5 49 T'/�, —2 - 19 Z — E-- d 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 $ !2 00,.. DO Building Permit # The Minnesota Statutes § 32613.148 HEATING PERMIT FEE $ "Sl. RCtIARG6" has heat changed For one ear effective STATE SURCHARGE $ .50 July 1, 2010, until June 30, 2011. TOTAL PERMIT FEE $ The minimum surcharge for a "fixed fee" permit (Office Use duly) is CS beginnint; July 1, 2010 This Application Becomes Your Building Permit When Approved Paid p ` j rce_ipt N Date BUILDING [WITH MIT Buildins Official Date • 24 hour notice for alt inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 attFtti ©t_ �p ro 01-13141 CITY OF PRIOR LAKE Date Rec'd t. 2 HEATING /AIR CONDITIONING/FIREPLACE PERMIT „ l Rn k en r ity oe PERMIT NO. 1 .3 . , 03 ' 7 I , Gre C 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER Ck c t f�o� il./1. '" (Name) �'L\ STO+(1.f2. Csl(1'v l L� � (Phone ) L ila (Address) 1 '62 \UY\ t ( 4„\-\A -\ 1- S LDS KhAIL 1 l ' c7 `-i APPLICANK \ y�2 (Name) C' 1 f t L( (—C. \Y� (Phone) ' ��`1 `� y T (Address) , L I 1 ` M cI X \ 5 9 VAC, rv- \ PHIL. MA lY t 5 l Jr) (3H (Address) (City) (Zip Code) (Contact Person ) ' ` ' , __ rr' (Phone) ���� jj W it APPLICANT SIGNATURE /��JZ DATE 5 �i APPLICANT PLEASE COMPLETE BELOW (NEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS FURNACE MAKE AND MODEL ? C ay * (1107S1 FUEL \\)0L (: FLUE SIZE RETURN OPENINGS INPUT 24 TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach Gravity ❑ Hot Water Mechanical ❑ Radaation into Required Side Yard Setbacks. A ir Conditioning ❑ 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 FEE SCHEDULE Industrial, Commercial & Multi - Family 1% ofjob cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Altera � $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only �® V V I I n $49.50 BUILDING PERMIT Estimated Cost $ Building Permit # HEATING PERMIT FEE $ STATE SURCHARGE $ .50 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, fax (952) 447 -4245 i i PR.io CITY OF PRIOR LAKE Date Recd 4 P HEATING /AIR CONDITIONING/FIREPLACE PERMIT ail _it-, -,..:.v Lil 'so is area city PERMIT NO. 3 151P . Yellow Applieetlt (Please type or print and sign at bottom) ADDRESS 2 p ci l d 6, p 'd ZONING (office use, LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PLO (Name p U WNER j ' (N) 79 fe ,," (Phone) 2,-q l (Address) /76 11 r PaA l /9 ,---i APPLICANT HtAKI H & HOME TECHNOLOGIES (Name) dba FIRESIDE HEARTH & HQone) Lic 662656 • (Address) 2700 FAIRVIEW AVENUE N (Address) ROSVILLt, MN 55113 (City) (Zip Code) 651.633.2561 (Contact Person) (Phone) • APPLICANT SIGNATURE _ a/44-1i e21-- DATE 1- APPLICANT PLEASE COMPLETE BELOW E W CONSTRUCTION ❑ REPLACEMENT 0 ALTERATIONS • FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT • 0Warrn Air Plants ❑Steam PLEASE NOTE: Air Conditioner ❑ , . vity ❑Hot Water Units and Fireplaces Cannot Encroach Ti Mechanical ❑Radiation into Required Side Yard Setbacks. ■Air Conditioning ❑Special Devices Fireplaces with Box Additions or went. System 0 Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL h1v1 5L sTO 1/2-1-12—e, FEE SCHEDULE Industrial, Commercial & Multi - Family 1 % ofjob 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 $ / 0 C2_ ©D Building Permit # The Minnesota Statutes * 326E3.148 HEATING PERMIT FEE $ "SU'RC:t has been changed t'or one year effective STATE SURCHARGE $ .50 July I. 2010, until June 30. 2011. TOTAL PERMIT FEE $ The minimum surch.n a for a "fixed See" permit (Office Use Daly) is y 5.. y ti, beginning July 1.2010 • his Application Becomes Your Building Permit When Approved Paid ei � t p N �. o �� Date rare 1 i Building Date UILDING PERMIT • 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 • C o° Buil ders Deposit City of Prior Lake l 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: 1 1 '7' / _3 SITE ADDRESS: AOW /G.7 5d Xi 14/ PERMIT # /3.340 REFUND TO BE MAILED TO: r ,, ,a 34a F wt ' 1/ tV vw € �j • I'7Ci Lj5 ✓u. 0 ref ,'' S.4 i"k /3 4 , ' 1,a_ wl.ln i PLEASE REMEMBER /2 Z / cov a) Lynda r,. Allen, Building Services 1. KEEP STREETS CLEAN DURING CONSTRUCTION Date /3 Acct. 801.20204 2. KEEP EROSION CONTROL IN PLACE 3. TEMPORARY OCCUPANCY PERMI/ ` UST NOT EXPIRE OR $500.00 WILL BE FORFEITED SIGNATURE: FIELDSTONE FAMILY HOMES, INC. 5255 tt 17645 JUNIPER PATH STE 135 75 1314/919 I. LAKEVILLE, MN 55044 r7/ l 36 20 1. � Papa% AY ` ('J/. t ® &k • A -.. — $ (1 6 t ( o . e U _ Q ' 1 1�� . 1 • CASTLE ROCK BANK ' ' r a ;; E r - CASTLE ROCK,. MN FARMINGTON, MN 55024 3 ` 1< (507) 55010 645-7751 (651) 963 -4014 "il . FOR l (( `� 4 �� ` _......011111 RP ii II 00 525511' 1 :09 19L30481: 231, L2070Loi BUS-100 J:IFORMS \BUILDERS DEPOSIT FORM.DOC PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 2 o ° t 1aS =` = lei.' -J . NATURE OF WORK SFv. INc . 'FIN. [..1.. No pE .oz USE OF BUILDING 5iNsc, zK pAvylt . PERMIT NO. 3 DATE ISSUED CONTRACTOR Ft14. vS - ..17S s F tttt, (40.41e5 PHONE °15i - 4 . 086=e, INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING 5/ FOUNDATION (Prior To Backfi RADON RETARDER PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER/WATER/SEPTIC �6 b/ / ice FRAMING wr. r eI INSULATION // /0 ELECTRICAL PLUMBING] (s 0 Co )J HEATING ,p (POP FIREPLACE (� / , GAS LINE AIR TEST RADON RETARDER moo._ 4 P. Imo- 1 k COVER NO WORK UNTIL THE ABOVE HAS BEEN SI N HOUSEWRAP e ( 1,, i ,„ LATH 1 kr ,f 1 11/3 /3 FINALS I GRADING ( PRIOR TO SODDING) k . _ 1 1 113 BUILDING / i"l i3 ELECTRICAL PLUMBING ' / X % HEATING 7 DO DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIG D 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