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Expires (\1 J - ", , 4 ,..„..4:0 � This Certificate issued pursuant to the requirements of Section 110 of the ❑ Residential 1 ❑ International 44 Building Code certifying that at the time of issuance this structure was in compliance with the various Tr-1WP , �• x"41 ordinances of the City of Prior Lake regulating building construction or use. For the following: sry`!9 (41 i,, Use Classification SIN Frl,I� Bldg. Permit No / - 64 ;3 ��� O ccupancy Type Ty p e Construction • ' Zon ing District / — U � i t Legal Description 4 2 > 8 / . /3 Zj O� / �is1 / ' 5 -- C rte 1 (\ ♦ Owner of Building Site Ad dress �5& �✓ �f�JU /� V �. ` •' ) 4:::::::...,,, iayz.�� A/L) HOH 1 Contractor's Name & � � �� (\ v� 1 b /Jb, 1 4 '/t.i r /IL -/S ity Planner j roi) �' /� Building Officia �, Date: r f r D ate: 4) A:•: *. 1 P R PLACE n .. ji POST IN CONSPICUOUS F t !s: 4 V Icd ':- P r.�l 91 .!, 40.17V r,l!^ o f p s r r 1 1 "IIH •'. II 1111 +.,11 ��)N IMAI' � ,, ;. 1, I ,. 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Z u_ N `G J W p 0 w O z U 0 » O U Z 0 I- H 2 OOLLJ U ° a � o w Z Ce O XXZ? a C z z cn t 1 V a =V W =0 w ww Z x ' _ w w w w c e • a � 3v�a� o o re w 0000❑❑ a a O LL I- €.' > Z Eil J 0 44 y O a U O w w 3 . Z Q O w ►. F- 01 . u. go Z v N O 2 — O Z O a F� N U U J �y I 44 -- ° ?o? Z W w u ° a tz a F- N Z 1-Z W 0 0 0 ° U U 0 0 N rzt Oa Q Z 0 0 =Er_ 0 E. O ❑ ❑ v ? < 0 a 0000❑❑ U o R PI p j CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd F ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE iJ 2 / 1 _ .. x AND UTILITY CONNECTION PERMIT / (� U � 41 4NE s ett - 1. white File PERMIT NO . 7 �`3 Pink City 1V S/ � 3 Yellow Applicant (ff �' (Please type or print and sign at bottom) ADDRESS , I ZONING (office use) I ig L.M ] oi -]-r 9 i JUE ►ZI SD LEGAL DESCRIPTION (office use only) LOT p 2-BLOCK i ADDITION k�. LNf Ot -\ E-- PID OWNER (Name) (Phone) (Address) (Company Name) K E y L,t � (Co I--deli t =5 (Phone) c:15 -44 v -`1. 4 op (Contact Name) Fel 4. PLAT -1 J1f t Pr - 2" / i 4 Teny- SUP. (Phone) IYI E (Address) li D21 h i- C1-i- -1"t '2o 5E, R 1012 LA- M , SG 3 TYPE OF WORK 11,New Construction ['Deck ❑Porch ❑Re- Roofing ERe-Siding ['Lower Level Finish ❑ Fireplace ❑Addition ['Alteration ['Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. Type of Construction: I II III IV V AB PROJECT COST /VALUE $ 'n6 7w , Occupancy Group: A B E F H I M 0) S U (excluding land) Division: 2 3 4 5 t 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 - mentioned pro.crty d 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 ca yoke thi .er jt forjust cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. r r X l� C- 63 llOScQ, - 1 - 2C0 - I Z Signature Contractor's License No. Date Permit Valuation ?SO l 1 000,- Park Support Fee # $ Permit Fee $ 7_2.-. S-1 SO SAC # $ --2-3`Th, - Plan Check Fee $ (¢6Q '&6 Water Meter Size 5/8 "; 19; $ 5-10 - - State Surcharge $ l --(9. 50 Pressure Reducer $ ( (d0,- Penalty $ Sewer /Water Connection Fee # $ ( c"-C) �_ Plumbing Permit Fee $ 1 5-k Water Tower Fee # $ Mechanical Permit Fee $ ci'. SD Builder's Deposit $ ,, -C3t9i Sewer & Water Permit Fee $ S r-, >--/J Other $ Gas Fireplace Permit Fee $ 54 p TOTAL DUE $ 1/ , 413 4 This A4cat'.n: / our Building Permit en A proved Paid J ' . 6 ,- IEIFei.t (MEM= Date /042.- ', 7 4. A I. Alit e> - r I__ 0 Budding OlIicia ID ate This is to c • " fy tha he r a 0 in the above application and accompanying docu nts is n accordance with the City Zoning Ordinance and may proceed as requested. This document when sign ..y the ity ' , ' er onsututes a temporary Certificate of Zoning co r plianc and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued # e4 v. Planning Director._. bate Special Conditions, if any ti. 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: IJ ,, Date: 6 i ( Z 111111 0 1, Building Permit # PID: - Zoning: la) SD Address: 5c, i3 .B e, o � ` � Legal: L , B Subdivision: Existing Structure? YES 1 . Existing Nonconforming Structure? YES / NO CONFORMS TO ZONING Y(SS NO ORDINANCE Standard Proposed • Yard Setbacks: NA 1 FAILS/ CO L S z S , Front Yard (can be 20' if avg. W in 150') 25' ▪ Side Yards 10'1 25' if abutting a street 1A.1 l4.1 • 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. 25' 11 \ .1 • Rear Yard 10' side! • Patio Door: provide for minimum 10' deck or sign 10' statement indicating no deck will be built in the future 25' rear ear • From 100 year flood elevation of wetland /NURP pond. • Refer in- ground pools to the Planning Department 75' or setback average of • From OHW (Prior or Spring Lake) adjacent structures, but no _ - 4_00„,, less than 50' 7 - 5 - 4 0 - 4 (8 4 i3 I Floor Area Ratio: NA 1 FAILS / C � Yard Encroachments: L � LIES I .30 Maximum p�p") FAILS /COMPLIES 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:(E4k 1 FAILS 1 COMPLIES Standard Proposed • Total caliper inches • Permit 35% Removal • Caliper Inches Rerra'oved • Ca1i,Kr'Irpches P,r6served • Replacement/ x/2:1 L : \TEMPI?i4TE\BLDGLIST.DOC / Driveway: NA / FAILS / COy1c Standard Proposed • Maximum width at •ro@e 24' • Required setback ZL( 5' from side lot line or 30' from r -o -w on corner lots 14 • Maximum slope 10% • All parking areas to be paved including R -V or spaces adjacent to the garage • Location to match subdivision railing plan Building Height: NA / FAILS / CO1GjPLfE ;' 35' Maximum 1 Shoreland District: NA / FAILS / ' OMPLIES I Minimum lot area square feet IN" Standard Proposed Minimum lot width — 7,500 Rig 7 Non rig Shoreland alterations — 50' Rip, 57.3' Non -rip Im.ervious surface 30% Maximum U-I Z 1111■ 1 Bluff in Shorelan : NA FAILS / COMPLIES Standard Proposed • Setback from S O •f bluff By planning dept. • Bluff im fact zone 20' From Top of Bluff • Ensineerin, certification submitted /al )roved • Grading in bluff or bluff im•act zone By City Engineer No importing /exporting Floodplai rJQa1/ FAILS I COMPLIES • Standard Proposed 100 y 7ood elevation 908.9' Prior Lake Lowest floor elevation 914.4' Spring Lake • 909.9' Prior Lake / • Proposed lowest floor elevation 915.4' Spring Lake Must be 1' above flood elevation for new and existing structures. If existing structure was constructed 9/19/90 - 11/22/97 then Elevations 15 feet from structure additional foot is not required. • t Must be flood elevation or higher • Road access must be no more than 2 feel: below 907.9' for Prior Lake Regulatory Flood Protection Elevation — 913.4' for Spring Lake Accessory Structure / FAILS / COMPLIES Standard Proposed • Size yr _ 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 s atible with I rinci . le structure L: \TEMPLATE\B LD GL I S T. D O C O� PRIpie lik ,4„siot.,-4, e White - Building Canary - Engineering 4 I V NEs0 Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /661 A/0 NO/ICJ APPLICATION RECEIVED - " 2 G- 1Z-- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /56 0 BEltloN frVE. . Accepted '" Accepted With Corrections Denied Reviewed By: 4 I -- - - - D ate: `t i Comments: ea---t-1-.- dos [..-1 s M74-,..)-7-4,,...1 C`' ■` S -s A - L 4 - I mss. "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. w.", 4 Nktefif ,F%Y'*-. --m ..''' cgy r. "..." R"*• i . b x,. q` a.r r.,. ,� ,' ' 'wwe i r PRIp� ti y . White - Building • -• Canary - Engineering " ''NNESO % � Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Accepted With Corrections Denied . _.... 1)4 t-z, Reviewed By: Date: 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." PRIo � White Building Canary - Engineering 41 'NNES0 Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /CL A/0 /ibn' .S APPLICATION RECEIVED ' /2--- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Lib I-1 Accepted X Accepted With Corrections Denied Reviewed By: , Date: gF g '-!L 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." • AbbITIONAL COMMENTS FOR BUILbING PERMIT APPLICATIONS • Surface storm water drainage flowing to the perimeter of this lot to and from adjoining rroperties 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 control plan must be installed prior to any earthwork being started. • The builder is responsible for maintaining the erosion control measures until the tur is established. The rock construction entrance must be installed at the time of -ibackf-illing of the foundation. • G \Admin \dept info \ADDITIONAL COMMENTS FOR PUI -DING PERMIT APPLICATIONS.doc AJG -10 -2012 15: EIS =rem:CaD I1ECHANICAL 9527588E98 To:9524474245 Page:1 ,D Date Reed r>zra ' f ''� CITY OF PRIOR LAKE PLUMBING PERMIT ,_5 v ! - 4:4 4'� ,,, 1, ale File t vck. PERMIT N0. j 4{18 2. Cell Cil) 3. Yap 19e' :mr. (Please type or print and sign at bottom) ADDRESS rzoNlNG coffece u«) 1( E L Nn 0 IVY )\ \i e L— r-EGAL DESCRIPTION (otlice use nrly) ` LOT 2 BLOCK. AIDDIT7ON L P 1 , - 7A -S PM (Tarne) 4 ' f 4 '-.3) rA C ( Phone) 9 5 L I D -9 A PPLICANT Q q52:--758 � 1 , (Name) G' M E- C. A tom- 0 t Chi (Mont) - S O �►" (A.&iress) �G i i 1\3 1 40 jJ 5W Rt 6 UE. O 7 (Address) I/ 1� (City) (Zip Code) (Contact Person) . 1 ` I _ ( `) S ! — �Efr K ` (Phone) 95 s - 3 rX) V 1 C 7 APPLICANT SIGNATURE APPLICANT PLEASE COMPLETE BELOW Q0.211110 Type of Fixture _Quantity Type of Fixture _ 23, -- Bath Tub with or without shower _ 5 Rough - ins ,_ Dishwasher _ /. Water Heater / Ooor Drain Water Softener 6 Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) ,r Laundry Tray (1 or 2 ep .spat latent sink / Sewage Ejector f I Slzower Stall — J3 acklow Assembly Backflow Assemb - Test ,_ ---/ Bar Sink r Lawn Sprinkler Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi - family I% of job cost with a $49.50 minimum Residential, New One & Two-Fatai)y S 14950 Residential, Additions & Alterations $49.50 " 1st $ Building Permit # Ihgr The Minnesota Statutes § 3265.148 "RAC! IARGF" has been than ¢d for of c • ? ��® rltl f'9. year effective & PLUMBING PERMIT FEE $ 1 ► v t .i,;yI, TO. anti; STATE SURCHARGE $ VZr j \ The minimum surcharge nor a "rx ed Ice" permit TOTAL PERMIT FEE $ 01 is , hegineing July 7.2011) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Itiakikin official Date — 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 - 4245 4646 Dakota Street S.E., Prior Lake, MinneAota 55372 Aug. 3. 2012 8:24AM No. 4155 P. 2 D. • Date Ree'd of F r3 r o � 4 CITY' OF PRIOR LAKE x SEWER AND WATY.`R PERMIT • U rd ,.. „ ,NCO.oP r. Gf f. 11 c ERmI NO. r - 44 „,-, 1 p, z. c s c.{f „is. , or rint and sib at boRam O NG orrice ❑sc} .1 ADDRESS • 1 tom rrIes n _ _ LEGAL DESCRIPTION (EA= use only) • LOT .D BLOCK 1 ADDITION ."'":&e-1111011+ - PID . .. —_ OAR (Phone) ��yt -1 Ali - lC�t> Warne) i,10 ctn E� "107 -1 W ` t :'c2 . 3 om (AddxE55) 1 } ^7 L �� (Zip Code) (Address) (City) + AIPPLICANT STOCKIER MCCAVATIN'C Ct 111 INC - - (Phone) _ 952/890 (Name) (Address) , 12336 Boone Avenue — .. Sava e., MN 55378 (Zip Cede) (Address) - (Cif+) Curt / (Phone) s awe (Contact Pe=rson) APPLICANT SIGNATURE: J -s .” DATE - APPLICANT PLEASE COMPLETE BELOW Size of water service inches. . Location of ally couplings from structure _ feet. Type of sewer pipe. 0 ABC Q PVC I _I Cast Iran )sstin)ated length of sewer line feet, . Clean out (if rectuired) located at _ feet from. structure_ FEE SCHEDULE Residential sewer and water line connection £35.50 Industrial, Corn' & Multi family 1% of job cost with a 539.50 minimum Sewer connection only $17.50 Water connection only $17.50 Estimated Cost S Building Permit ii SEWER AND WATER PERMIT FEE S _ 54 ���ID Or" G TOTAL. ER IT FEE $ � ® . (orrice Use onEy) _.. This Application l3ecomes Your Building Permit When Approved ' Paid Receipt No- T . , Date By Building OifcEal DIM r • -_ .. ----- T 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 - 4245 s w' a , e r, � . CITY OF PRIOR LAKE Date I2ec'cl ° , : q S EATING /AIR CONDITIONING/FIREPLACE PERMI T i �INNE $QK� : . 3rn n City A: E RR% [IT N{ Li, 3. Yo1ww Avyll :Lot ,, • Please ,c or .rent and gi en at bosom • F ADDRESS . �6 krj j ZONING (Oa:CC u) LEGAL DESCRIPTION (afha; use only) • T . LOT BLOCK ADDITION P11' • (1�Taan). 1 �'ti.�`i 1 ��r• \JLC._) (Phone) `� � {Address) 1 0 ` '1' �)i 'a(.C 1 . 1 t Lf', �! �l�!l ��� �Cy� . (Nan ) CAN . 1 c. ` 4e X \ k 0 (Phone) C � L1 1 f- ? (Address) (_SCJ t. (City) " (Zip Code) (Aa ess) M1 S.'4'4-00- ��1`� (Phone) ,ir'-'.LO {Cortaet Person) - • � 1. ) Ar.,'--f__ 'r DATE ` 2-- . APPLICANT SIGNATURE – - AtPPLICANT PLEASE COMPLETE BELOW la • W CONSTRUCTION El REPLACEMENT 0 ALTERATIONS _AND MAKE D MODEL , - r'U> 'L • FLUE SIZE X'E RE TURN OP ENINGS INPUT �, - •aOUTPUT „� . TY OF SYSTEM HEATING OR POWER PLANT PLEASE N01 iL: Air Conditioner OWurrn Air Plants 8 Ste}un ()nits and Fireplaces Cannot Encroach 0Gravit`y ❑ Hot Watar into Required Side Yard Setbacks. - lecha ical Radiation Fireplaces will Box Additions or 0 Air Conditioning Speoia Devices Cantilevers ta1ithe Outside of Buildings ©veLt. Systm Other Devi;.cs -- Require a Building Permit. E FIREPLACE MAKE AND MODEL 1c o SL::: ) i%- . • _ FEE SCHED E':_, ' ar st eons!, Gas Fireplace '1 549.50 Irtdt strial, Commercial 8 Multi- Family t ,o jab cost $49.50 minimum Rem etti &l, Ad u its & Alterations;! i 549,50 Residential, Hetsiing & A/C (New Constriction) S149.$0 R sidcntial, AC Only ! S 49 50 Residential, Heating Only (=Mary Constracriou) 564.50 R' „ t Estimated Cost $ • (\.& Building Permit # tale Minnesota Statutes 1 5268.148 $ ') "Si . CHARG'3' has' been changed for one / ' �i T HAT1NCr PERI�SIT FE' ___ � year effective. r �� / STATE SURCHARGE $� 401y 1, Alf), : xrilsr: iL ass.... TOTAL PERMIT FEE S L , { The nt :tmurn surcb►:: (;e for ae "ttKecl tie” permit (OIflce U c t)uly) • ; is ? , Lr; inr. :n; July 1,2010 �� Receipt :No. Wiped • This Application Becomes Your Building Permit eft ApP roved Paid Date Hate w 1 L , • - ,,, . g Official -- • i 24 hums: notice for all impactions (952) :147 fax (952)447 F • ESE /TO 3 -d HNH/ :H1dvV3H ONIfrl019 9009Z6tZ96 LS :80 ZTOZ /8Z /60 JUL. 26.2012 4:37PM METRO AIR 952 - 447 NO. 394 P. 1 Ord CI'1 OF PRIOR. LAKE Da it; Re;;'d f Il 3 ATJNG /AIR CONDMONINC /J I PLACE PERMIT k i .� _ •__.. t, t�v c;i� IITh U... ( 9 3 /. -O X -__... . „. � Pleaso type ur ±tut find sI I at Loll -- —_ ; (7 • , - -- (�� -- � •- [133,111t$S . ST ccl:i - ' 6. .-c,\ Y rcS, (* \) e_, LEGAL DESCRIPTION (office uN dally) l LOT ..I3LOCI ADDITION 1 _. \i',� A CZ � ?ID .. - -..._ _ ... . - - -- - OWNER ,,_ ._3 \ ‘,___,..1 2 ,__. (.: ‹..-, r ' , \ --) - (Asidtcss) \---V \. cA ,e( \,.); (._,,,,,,\\ _...\,.. t i:\ vt s „, \ ,._., ,,‘.,, „ APPLIC N �� ,/ . T c4 _ _v ` c°I , M vi ~) ^ - - (7 une) f � ( a -_ Phone . (Address) W ,c' �. 3 �t + ''',\ 6 r`”' 6 ii hti e t" � ( ... \--,\1/4-,- 1 ` �tl �` ` i (Address) (trite) (zip Co dc) (Contact Person) t�`^ ... a a (Phone) t ,t �,._......__..__ APPLICANT SIGNATURE '`*+.Y` S;N .. 4'` � _� - DATE _ — - _...... - ._.._..._ APPLICANT PLEASE COMPLETE BELOW _ .__ ........... ... - _..._..... _ NEW CONSTRUCTION LJ RE-PLACEMENT ❑ ALTER AT1ONS. FURNACE MAKE AND MODEL ('3 Ca1'"t i 'UL1 ! Y� ;'1 T _......_... FLUE SIZE 1 V C. OP):NINOS �O _ INPUT 1 , t OUTPUT 1 .S � )v . TYRE OP SYSTEM BEATING OR1'Ow.ER - PLEASE IYt?"i'l Aiit t:attlditiotror Y„ Wtu'nt Air Plants d Steam Units and (Fireplaces Canna Ktirt•tmch Cravily ❑ liot Water into Required Situ. VSrrEl Se.tlr;ta.icc, ❑'Mechanical ❑ Radiation ltFir °c.p]uGes with 'lox !t[1LIfI1(til$ or Si it Conditioning ❑ Special Devices ,- _ to the or 1111110111p �— Require a building lrlrrut;i. FIREPLACE MAKE AND MODEL T_.. �,.r_- - .T- __.-- __,.Y.-... -_,_. FEE SCHEDULE Industrial, Corntnerei;tl & Multi - Family 1% of job cost Ilmidcntial, Gas Fireplace 1149.50 $49,50 minimum Residential, fleeting & A/C (New Cotts1rnction) $149.5() Residculial, Additions & Alte a D WITH S49.5o itei& filial , Hooting Only (New Construeliou) $64.511 Residential,A4%t)ttly li!LUNG PFRA,li`t 2stitnaLLcl Cos1S 1 t rot Building Permit # ____ ^_,r FAXED HEATING PERMIT FEE STA1'0, SURCHARGE $ - - , 5° JUL 2 6 7 TOTAL .PERMIT FEE— .------- -_ - -- (Mc.: Use Only) 7...: - . ---- This Application Becomes Your Puilding Permit When Approved. Paid - Rccc(j).t N 1 !' _ _........ is E3y Building Official Date ______ _ -, _ -. ----, —. ^, „^ 24 hour notice fur n11 inspections (952) 447.9$50, fas (952) 447 - 4245 . 4640 Dnkotst Street S,E., Prior Lake, Minnesota 55372 ti VLAIIVIWII Z7 VCFJVa1L sozA 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: ej , l U , 11- SITE ADDRESS: i'0 c, 66.24 1()f. ;/ j /f}/ . PERMIT # / z ' �" ¢3 REFUND TO BE MAILED TO: /e:eyZ- A./i9 /-6/V/155 /70 Z / // f' - /t%ri. /) G. AUTHORIZATION TO RELEASE PLEASE REMEMBER 1((S 0.00 yndaS. en, uinfervic Acct.801.20204 1. KEEP STREETS CLEAN DURING CONSTRUCTION 2. KEEP EROSION CONTROL IN PLACE Date 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR $500.00 WILL BE FORFEITED SIGNATUR , _ Ai \J-"-'1 i Check 133174 133174 KEY LAND KEY LAND HOMES PRIOR LAKE STATE BANK PH. (952) 440 -9400 PRIOR LAKE, MN 55372 DATE IDCHECK ARMOR 17021 FISH POINT RD. SE. 75 905/919 R - 0 - M. E s PRIOR LAKE, MN 55372 One Thousand Four Hundred Thirteen and 68 /100 Dollars AMOUNT Y ro 1413.68 0 \ "SU TITL' E, INC. M : TRUSTACCOUINIT " MLC646)ts :�NK 7 DO1,17THST APPL 1.OM \ .. � \ 1N „SUITE 308 vAL 5 � \: \ APPLE VALL MN 55124 952 953 2sT?0 \ 1 75 \ 780/919 \ „ \ \ \ . ; \ i i ` \ \ \ :. h lot1 )8A , . , DATE b a s no /100ths - - _ July 3, 2014' \ AMOUNT THE ` \ — f • :DER l t y of P - �cT .�.ti \ \\ \ \: L ake , ` �: '.'''''..-'7.-"-‘,‘ 1 1024BG 2/1 Belmont Est Bu \ ; \ 1tt1 Pergit ; � , ::\ \ A 1 III s AUTHORIZED SIGNATU� rr 0 2 1 761111 1 :0 9 190 ?Float: 70009 • 2 311' PRI0R DEPAR LAKE BUILDING ENT OF AND INSPECTION INSPECTION RECORD SITE ADDRESS j NATURE OF WORK E) N e � � �-a `� F L • L USE OF BUILDING 17 L-& ,'v PERMIT NO. DATE ISSUED 8 /q /2- CONTRACTOR Kc� ��. �� ES PHONE 4i6) ck4oc., NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SE ARATE DOCUMENT A- (Nsr�-�L- (=�� mss, Q� d� � k Gc.1 � z-�� INSPECTO DATE FOOTING i f3 6y,„f2 FOUNDATION (Prior to Backfill) 1 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - Re- s - v . A 2, -� -s /). ROUGH - I N S SEWER / WATER / SEPTIC FRAMING 6O INSULATION /0-z. ELECTRICAL !/ PLUMBING �/y le /2/-7 HEATING (if required) l t d I lTIQ FIREPLACE GAS LINE AIR TEST � 1 ��H/__ )1/2 - —" 0P Pk cove ENO WOdRK �IV�TIL ABOVE AS BEEN SIGN 1� K 1 KLi. FINALS GRADING (Prior to Sodding) BUILDING 7 ELECTRICAL PLUMBING /f a 77 ; HEATING j{ z / ���, 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