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For the following :; u e rr . SINGLE FAMILY 19 -1104 ' Use Cla ssification Bld Permit No. i � P USD *4 Occupancy 'Type R3 Type Construction VN Zoning District t, Legal Description L11, B9, JEFFERS PASS THIRD AnDITION ,y , : \ f i'a 3913 STATION PLACE N.W. � -�.� - Owner of Building Site Address �;�, Contractor's Name & Address RATZ L A F F HOMES, INC, , �`� . ROBERT D. HUTCH I NS j1/ City Planner a. `" ,, Building Official ' Date: < : l / Date: ;,. ' `' POST IN CONSPICUOUS PLACE arin ) :� __ . -, _ 6' 16: '-n _, �._� . . .. _ - 69 I-_ _- __ .- tr 0414 `•n Ir1.., 70'4003 1 6. 1��� l er , "1� 16�IIttN 'r:+/41.3/ Nl �.1 t�N '' ";1.1 '�H tip. t n u t o r u , N 11 n to nlh ,, ulhl rl a nlhl l . . 1 0 l rrr <rr�nr r nt1 r i rrrrr - -- SIN,,. n��N N��N , N IN ,3 N��n : �N ��II 1� ., � tt � � yy , � r r �, rrur ur.- rule ruler, rrrr ,ru r � rr rti�r� � . r trr 1 e- r �. ur r . • - r ,A 1u 1 1. 11111 r�rIM�WArr�ll :.rule 1111n.. r rrrr } i r rrin ! 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U c a v) 0 d 2x 21 a 0 O =W < =W W � z x O k o. w 3 tn w W ; w ❑ ❑ ❑❑ ❑ 0 re re 0 0 w CL a LL 1 ,l H � ++ Z J �. W �-4 0 < U �+- 0 g P r•• z a ° o 03 0 0 z w. • � a 3 n a S O O ° ' I N Z co W W -1 W z CL n co 0 w w w O � ? z� a o o ° 135 o 0 0° U U) p U U U ? Q O a 0000❑❑ 0 00 E rxlp\ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd a_ � ` TEMPORARY CERTIFICATE OF ZONING COMPLIANCE t-,/ AND UTILITY CONNECTION PERMIT 9- ('- /2— 4, ,„6,'C'" �, File a i , I. White File 2. Pink city PERMIT NO /Z 1/ 3. Yellow Applicant • (Please type or print and sign at bottom) ADDRESS ZONING (office use) 391 s - rA - n oni pica. Nw LEGAL DESCRIPTION (office use only) LOT ( ( BLOCK !i ADDITION a , F. s PID OWNER (Name) -- - (Phone) - - (Address) - -. d BUILDER q S2 -95S- sq s q (Company Name) �TLLAr y°"` S I NG . (Phone) �l /J (Contact Name) - °^l 14 ASi Ii:NFRIT2_ (Phone) 9 52 ,- `78S`I /? "Pi (Address) - 2.1 4 t 3 G12F- AD4- q $�►1 T6. IZ LAKE VI 4 sSO99 TYPE OF WORK 1Zi.iNew Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ELower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE: I.R.C. ❑I.B.C. ❑ Misc: Type of onstruction: I II III IV V A B Occupancy Group: A B E F III MR S U PROJECT COST /VALUE $ 1 IO O d 0 Division: 1 2 (5) 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 correct. I also certify that I am the owner or authorized agent for the above- ntioned pro rty and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 a aware that the building official o is ermit forjust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed spec m ' ns. X QC 1 $l0 30? 9 Blz._ Signature Contractor's License No. Date Permit Valuation 41 _ Park Support Fee # $ Permit Fee $ I . �v SAC # $ t 365. - Plan Check Fee $ I 4 t . . LP 12> Water Meter Size'; 1 "; $ 4 c State Surcharge $ 10 S17 Pressure Reducer $ I Z..o _ Penalty $ Sewer /Water Connection Fee # $ I SW, Plumbing Permit Fee $ 5.5o Water Tower Fee # $ (cf> Mechanical Permit Fee $ l S 4- �o Builder's Deposit $ 1 Ste. - Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ �• S� TOTAL DUE $ 759 be This • • plication l : o � e • Your Building Permit Whe Ap oved Paid 1,&1- Rece' t No. 7 b L I Date D z_. By , I ;J1/_,� to 3 (L guile ing Offcia' ate This is to certi' at the re.,�,i, in ' e above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed . the P1.G r co stitutes a temporary Certificate of Zoning comp ce a d allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. (1 / � . 4 '���� 1p 3 L 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 • * , . Z it) 164:4 • *1° !`* 470) o PRro� Builders Deposit ; NESOoP 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. DATE: /Q• f/ •a s SITE ADDRESS: 39/3 sniknoWit., PERMIT # IZ • 1k4. REFUND TO BE MAILED TO: /aft, t1,c #SM&S hilit vi M optip- '49- PLEASE REMEMBER 1. KEEP STREETS CLEAN DURING CONSTRUCTION 2. KEEP EROSION CONTROL IN PLACE 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR $500.00 WILL BE FORFEITED AUTHORIZATION TO RELEASE SIGNATURE: D e ynda S. Building Services Acct. 801.20204 J:IFORMSIBUILDERS DEPOSIT FORM.DOC 6 Vil - D CITY` OF PRIOR LAKE D;tte Ree'd ' HEATING /AIR CONDITIONING/FIREPLACE PERMIT r'v r S4o 1. pig at y PE NO. 2. �rct:� C3 7 ,�f 3. Yaws Apsliraat 1 — // G / case type or print and aigu at bottom) r . ADDRESS ZONING (office w ,.. Pig .-477 Pia:66 Nu) , ... , ,.. ,.... T,F'GAL DESCRIPTION (ofFicc use only) v 7 LOT BLOCK ADDITION P117 "WEB f (Name) � � Mg .. (Phone } � 1 q (Address) 91 f. 1 i. i t it A . 'fittC. „ IX " I 4i(tVt& ( J77A/ 550 APPLICANT (Name) e) ,.. MA ..b.rf /4 D7 ( Phone) 9 7__ � �D- —C AI* (Address) !� A l . /1 , # 4, / 11 V i! (A,•) ''� / (City 4. (Zip Cade) (:Contact Person) f _ (Phone) ` - -. 97 A E PLICANT SIGNATURE , ~ DATE 1 , _ • • APP, ANT PLEASE COMPLETE BELOW FW CONSTR It CTION ❑ REPLACEMENT ❑ ALTh?ATIbNS FIMA.CE MAKE AND MODEL FUEL FLUE SIZE IifTURN OPENINGS L 'FUT OUTPUT TYPE OF SYSTEM IICEATING OR POWER PLANT -- ❑WarmAir)tilants ©Stearn PLEASE NOTE: Aix Conditioner Units and Fireplaces Cannot Encroach ❑ " r aaity ❑ Hot Water into p Tee Required Side Yard Setbacks. . 4i fochanical ❑ Spe tan iel Devices ❑ Spec Fireplaces with Box Additions or ❑Air Conditioning ❑Vent. ;'system 0 OtJwrDevices Cantilevers to the Ontsicle of$itildings Require a Building Permit. , FIREPLACE MAKE AND IvMODE1, 1010, ti 1 41 — 1 r is — — FEE SCHEYI --��, Industrial, Comm:eial & Multi- Family 1% of job cost osidential, Gras Fireplace . AID W $49.50 $49.50 minimum Residential, I epting & A/C (New Construction) $149.50 csidentiai, ' Mentions & Alterations 3 :, IN s 549.50 Residential, Beating Only (New Construction) $64.50 Residential, AC Only 349.50 • The SURCHA16E' has been extended C ost Minnesota Statutes § 326B.1.48 Building Permit Y 0: 'the rolnimUm surcharge for a • HEATING PERMIT FEE $ i "fixed fee" permit i$ $5.00 STATE SURCHARGE $ _ . - Y `fit iJ . t w, , T ©TAL PERMIT EE S ' (Of$ce Uses only) * 1 ., This Application Becomes Your Building Permit When Approved paid Receipt No. Date By ,Building. 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J A � .. 1io e , (ye) — (Address) 'a C ' 3 /4 , lr►.% P_'Z►A r s ve..... r i ., __ i.t do }- {(Address) ( t (Zip ( C o n t a c t Person) t f k -- ( P h o n e ) _ _ .. -- ,APPLICANT SIG-NATURE SIG-NATURE _.- _ - I. �AT� �. APPLICANT PLEASCOMPLETE BELOW T, s of Fixture Q _Jal ty _ Tvti'e +af �+i�cture Quantity I Type ____2_,a Bough -41.1$ _ 1 Bath Tub with or without shower i rata heater . — Dishwasher .. •. td tatet Softener ..T t Floor Dr+aiit -- 3 rand, Pipe (Washing M achine) � Sink c Ejector 1, Laundry Tray (1 or 2 compartnaeztt sitalc 1. j Shower Stall � -- w ycw a 1 l Sinks t l: :aclt{low Asseztlbly_,. .� 'ackflow Assembly Test _ S nnkler Bax Sink f .awnt� - Waxer Closet (Toilet) a; ttl�er -_• - . FEE SCHEDULE �tesitetrtti2), New One Zr. Two- Family S 149.56 Iltdastrlal, Commercial Mniti- Family 1% of #aii cost with S49.50 Jnitt>tktttm Resi:k 1tial, Ad tilio s do Alterations 549,50 -' 1st BR.tiJding Permit 1` _. PAID Willi The Minncsato Stattttcs � 326.1 ' BUR .CHARGE" has been changed for One year effective l?LLTMl3lNGPRRMI>r PEE $ BUILDING PERMIT ,lil , 2 1O. niat3l ante 30, 201 I. STATE SIB.CI 1,RGE $ ., .. 30 minimum snreit:ow for A "find fns" petondt TOTAL PERMIT .FEE $ . is b I7C drmingaidy 1 '2010 ,, r ' � Receipt No. This Application :Beco» rraes Your flailing Permit When Approved Paid 1 Date By T)uJdinxDCliaSnl _, r!n!c 24 hour nottace for all inspections (952) 447 -9850, fax f it) 447 -421$ 4640 Dnitnta Street S.E,, Prior Lake, Minaneooin 55372 PRIOR LAKE BUILDING AND INSPECTION INSPECTION RE i I?$II ti lie SITE ADDRESS- -- ' 0 � kE N. ( A. NATURE OF WORK SPA No t:) e>te T —USE BUILDING 'r.v F.4rt PERMIT NO. 1 z- -- //04 DATE ISSUED '/ g /12- CONTRACTOR -r- z 4ets (me-. PHONE 9 5 1 'ASS -4111 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW _ THE PERMIT IS BY SEPARATE DOCUME IT t -- ���� ( f`- CrALU ��zc j �ar.J �,e..fTRUt j 46c1"5 e ,.1 6 � Ty � . INSPEC OR DATE I FOOTING I I I I FOUNDATION (Prior to Backfill) 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED 1?Nuo--t Ve-reiv2.2 ‘ i .'ROUGH — INS SEWER / WATER / SEPTIC FRAMING 2 ., INSULATION ELECTRICAL PLUMBING , ./ / / <00 l/' 13 ft. -, HEATING (if required) ` FIREPLACE GAS LINE AIR TEST ‘:7Ip1 � �Sr � COVE NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 1a 56 -,... AP AtTee FINALS GRADING (Prior to Sodding) BUILDING tom,,,► 6 X111 i3 1 f 2 b `c�3 /5v ELECTRICAL PLUMBING HEATING _ - 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