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"EXHIBIT B"
DRIVEWAY PERMIT FOR CITY USE ONLY
PERMIT # 13-D-07
DATE 7-8-2013
APPLICANT NAME: Earth Wizards PHONE: 612-327-1943
OWNER NAME & ADDRESS: lames Kinser
PROPERTY ADDRESS: 16606 Duluth Ave / 16636 Anna Trl
TO CONSTRUCT:;�New ❑ Replace ❑ Widen
TYPE OF PROPERTY:�Residenfial ❑ Commercial ❑ Industrial
Proposed width of temporary or permanent driveway (Please provide sketch on reverse side or on separate
sheet)
Type of Material Bituminous
Is property within the Shoreland District? ❑ Yes ❑ No (If yes, applicant must submit impervious surface calculation)
The driveway is proposed off what roadway? Duluth Ave.
Is driveway shared by another property owner? ❑ Yes ❑ No (If yes, signature of all parties is required)
Estimated Start Date 7-8-2013
Estimated Completion Date 8-8-2013
SKETCH REQUIREMENTS
1. A driveway sketch is required as part of this permit. The sketch can be drawn on page two of the permit or on a separate
sheet. The sketch does not need to be drawn to scale; however, dimensions must be provided on the sketch.
2. The driveway sketch should include the proposed driveway, existing driveway (dashed line), driveway dimensions, property
lines, dimensions of driveway from property lines, building locations near driveway, arrow indicating north, surface features
near proposed driveway location (trees, hydrants, utilities, etc.).
3. If on a corner lot, the sketch should include dimensions to intersecting roadways.
CONDITIONS OF APPROVAL:
1. No work under this application is to be started until application is approved and the permit is issued.
2. Where work on traveled roadway is necessary, traffic must be protected and flags, signs, safety cones and proper
barricades must be placed in accordance with safety procedures.
3. No foreign material such as dirt, gravel, or bituminous material shall be left or deposited on the road during the
construction of driveway.
4. Road must be swept clean after work is completed.
5. Prior to placement of concrete or bituminous surfacing, the applicant shall notify the Engineering Department at (952) 447-
9830 that the work has been completed and is ready for a final inspection.
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"EXHIBIT B"
6. No changes or alterations in entrances may be made at any time without written permission from the Engineering
Department.
7. Permit expires in 90 days after approval date.
8. Additional Conditions
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� � CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec' d
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
" `� AND UTILITY CONNECTION PERMIT
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� wh�te File pERMIT NO.
2. Pink City
. 3. Yellow Applicant
(Please e or rint and si n at bottom)
ADDRESS ZONING (oet'ice use)
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LEGAL DESCRIPTION (ofl['ice use only)
LOT �' BLOCK ADDITION �v ,r� PID ,,�� -- ��� tJ �1-D
OWNER �
(Name) ��Vl �$ �`"� N/s �.- (Phone) 6 1 � 3 Z'� 19 Y3
(Address) l�C��(� ��.(C.(.t�?¢ �/'�-�-Le. ��.�OJ�1- C,�l� �lN �3�Z
BUII..DER
(Company Name) %� � �) Z�'L� 5 � �V�/ � - (Phone) �6 3 7 f's � 3 � 3 3
(Contact Name) � � �"f (Phone) �r ! 2 � lo O 3� 3�S
(Address) �� `71 CD I.( n.1"1 �16l�ILV 1 f� /V� 5 �c t� 1� � l �� �2-.
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑UtilityConnection Q���� � � D�
CODE: ❑I.R.C. ❑I.B.C. �'Misc: �J 1 S � �'�L'T�'��1� �'�'L �
Type of Constructiion: I II III IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALLJE $ J�i ��� '��
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 correct. I also certify that I am the owner or authorized agent for the
above-mentioned property and that all conshvction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am awaze that the building
X cial can revoke ttu�\�for just cause. �ermore,�gree that the ciry official or a designee may enter upon the property to perform needed inspections.
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Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1' ; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Piumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ /'� $
l�r'f = e f- �t7► •
Gas Fireplace Permit Fee $ $
Tlus Application Becomes Yow Building Permit When Approved n � � r U ���� ReCei t No.
BY �
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Buildin Official Date � ���� �
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This is to certify that the request in the above application and accompanying documer mce and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Ceitificate of Zoning compli �fore 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
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Property Information
Parcel ID: 251480010 Bathrooms: 1.75
Taxpayer Name: KINSER JAMES M& Year Built: 1983
Taxpayer Addressl: 16606 DULUTH AVE SE Deeded Acreage: 0
Taxpayer Address2: PRIOR LAKE, MN 55372 GIS Acreage: 0.29525
Property Address1: 16606 DULUTH AVE SE Zoning Classification:
Property Address2: PRIOR LAKE MN 55372 Legal Description: SubdivisionName REPLAT
OF LOT 14 JO ANNA STEPK Lot 001 Block
School District: 0 Plat Name: PLAT-25148 REPLAT OF LOT 14
Estimated Land Value: $70,000 Block: 001
Estimated Buildings Value: $108,200 Lot: 001
Total Estimated Market Value: $178,200 Unique Well & Boring No.:
Home Style: RAMBLER Well Depth Drilled:
Bedrooms: 4 Well Date Drilled:
This drawing is neither a legally recorded map nor a survey and is not Map Scale N
intended to be used as one. This drawing is a compilation of records, /�
information, and data located in various city, county, and state offces, and 1 inch = 29 feet �
other sources affecting the area shown, and is to be used for reference W E �,.
purposes only. Scott County is not responsible for any inacwracies herein Ma Date '�'
contained. If discrepancies are found, please contact the Scott County p �����
s�Ne orr��e. 6/11 /2013 S
1071 County Hwy 10, Minneapolis, MN 55432 T(763) 784 3833 www.earthwizartfs.com
EARTH WIZARDS, iNC.
Balancing Urban Development and Water Conservation
6/�8/13
City of Prior Lake
4646 Dakota Street S.E.
Prior Lake, MN 55372
Attention: Nate Briese
RE: Partial driveway replacement at 1663fi Anna Trail S.E.
Nate,
Per our phone conversation yesterday please find enclosed check for $30.00 for adding on to permit #13-D-07
for the address location listed above.
I appreciate all your help with getting this permit processed. Please feel free to contact me with any
questions or concerns. Thank you.
Sincerely,
Shelly
Project Consuitant
Earth Wizards, Inc.
612 360 3638
smart ( pavements. landscapes. lakes a streams. design a planning
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lwnd Surveyon j� �j✓
Pla�na►s V � r � " /
1�alle En ineerin C o., [ nc. �
y 9 9
Q (612) 447-2570 Su�te 2os Watsrs Edge Ofiice Plez�
B885 Boudin Strest N.E.
SKETCH PREPARE� OR : � Prior Lake, Min�esota 58372
JOHN MAHONEY
RR I. 60X 239 �
PRIOR LAKE, MN 55372 •
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TO PRICyR LAKE, Stx�tt Eounty, Mixsriesota: � .-
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