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Z FF Z 2--I a o O o CC z V V 0a 0 w o BLL�= Fivti 2 Lt V 114.4.. 1. N cj o 0 z a OOOODo V 1" II ti o� ritlo�9 ' CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec d TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 3 7 ( �4 AND UTILITY CONNECTION PERMIT �r � NNEgo I. White File 2. Pink City PERMIT NO. Il 1:10, 3. Yellow Applicant • (Please type or print and sign at bottom) ADDRESS ZONING(office use) i 14 aLc 1 ,(L 'e i(-est-- 1)ri ale, K, w Pup LEGAL DESCRIPTION(office use only) LOT 11 BLOCK 4 ADDITION J e- -e r s Pon d Sevec-I PID a 5- 5Di -6 2'3o OWNER n (Name) LU54V�Cnrl R-eaS ES -e Sem'CeS, (Phone) £ Ski-.q 3-91q',), (Address) (pC� 4/SS � iE #Zez, P) Val. t 1 VI 055) 2, �; e --11 , BUILDER ���c�l�Lb���C�� V i, � �, <''� v� (Company Name) WelAcDYKICILYLrl l//►►_l.l4Wt "6l/VL-e.. (Phone) QSoZ`QS 3—SSR 9 (Contact Name) ;-eYY1� Q SS 1,0-e.inc -f ri ,, (Phone) C f 9)-�J33-76.-2;7 Ick (Address) (s 1`t�-2 +. vu zo i 1 t Vat�at t'P� m n S 1 ,t-i- TYPE OF WORK )'New Construction ❑Deck ['Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace ['Addition ❑Alteration ['Utility Connection CODE: I.R.C. ❑I.B.C. 0 Misc: Type of onstruction: I II III IV V A B Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ r --Qt:24,- Division: 1 2 3 4 5 (excluding land) 'Z 'e96,90. •- I hereby certify that I have -rnished 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 pror. 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 revo.., is permit for jus .us- urthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. x �✓ . 6G cpb�eg 9 5161) 1 alojq �. , Signature Contractor's License No. Date Permit Valuation 49 01 OOP Park Support Fee # $ Permit Fee $ 2-0kZ).5-0 SAC # $ Z-4 ' .5-2 - Plan Check Fee $ 1 ; 06.. 18 Water Meter Size 5/8'? $ G-4 ✓.- --- State —State Surcharge $ ( 3®^ Pressure Reducer $ l S-63- Penalty $ Sewer/Water Connection Fee # $ t 5 on Plumbing Permit Fee $ t c4-, Water Tower Fee # $ 1 a 0Q,- Mechanical Permit Fee $ (S-41- c Builder's Deposit $ Z`7i90 Sewer&Water Permit Fee $ Sb-SJ Other $ Gas Fireplace Permit Fee $ C 4_ "4:4> TOTAL DUE %t J .,,UEi) 4 3 \4,7 $ Lir `14 irgi a This Ap,►• •• Bec t ii es Your Building Permit n pproved Paid ./2_/„,C) �/ /. 2/ Rec t No. 7o7 2_ / Date , 7. l 1- B at— . � ' I lading Official Date This is to certify th4 the request in th-above application and accompanying docu -nts is accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by •3City Pl. con,'tut-.a temporary Certificate of Zoning co .lian and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. / / As l',! i01111.1..._ f Z ( 1 Planning Di ector ,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 1111:, O6 t PRIG$, m Builders Deposit } s�� City of Prior Lake 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 willwill be billed for cleanup 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: �!. SITE ADDRESS: �¢ � / � ,-•;-- ��-- PERMIT*— 0 REFUND TO BE MAILED TO: IJV /�S�ft/Jtil (,,,/S j �'/ /1-0/1�,.; ,„9.5.E 14=1 727, ....577 417/ 5 Z In /9/"PL-15171491 ry c� �, /11A/ %f „5-,..5/24— vv cif Z - PLEASE REMEMBER 1. KEEP STREETS CLEAN DURING CONSTRUCTION 11 f I� ', C�: 2. KEEP EROSION CONTROL IN PLACE (For City Office use Only) 3. TEMPORARY OCCUPAN Y PERMIT MUST NOT ` 30 i4— baa. U O EXPIRE OR$500.00 L BE FORFEITED Date Amount SIGNATURE: ..." Zpoppler L daA" ' 'IrA-54.4aTrArriej011 .1140;t• rP City Engineer Building Svcs.-, ' i'="'tr4litiliNiiiirMIIVAMIESIF-",:PaiMi 44.1r4,117,4CIPAAIndth 114%40 ^ £ ., C` $3 �r °re �Y ifs ""'" i'' � iiiierr 1-4., },��' �, � &;� s ,.«i�2i`A :2 _ €:� fir s ,8 "w.a. a . . (( qp^_''�k l rA �-! -.. eillit i # '� y�p�_ d mew .Asb "t i { ' � n' Yti�A If w+v1'�i, .a Pf.{ F3 A �". # 6j� � �{ 11?1 t g48 { fie. A 6• l xAir TII k alp " �. I �7 I I) i 4 __ ..i ..iiWI I"Ys-w 4* .a' 7,.''' {F W4411 2',il Artjr-Arzi w:imirehist-glitsw +4£ 8 . J:IFORMSIBUILDERS DEPOSIT FORM-DDC o rxro�, 1. White -Building Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT (Jf T r7 HefleS APPLICATION RECEIVED ` - 2 r_ 14- The 4 -The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: `4-3( / _5 C)re-- C.12-&--...57— 0/E Accepted V Accepted With Corrections Denied / 4 Reviewed By: ./ ' late: Comments: r _ c. a c <d" 44(A/0%ei Cc-64.e-) "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." ..:a .c-- ._z_x.;. .....a..;,�,... ;....,a:i.�'t Atik,rv.�.1vR:'.rrn _ ..,-.,, - .c n . A 11 OA MI 714°4 6WEWhite -Building _ �. Canary -Engineerling Pink -Planning'' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT EAJSw/n NA/ (_`,of r7 /MP/ APPLICATION RECEIVED `� . 2, (- l4-- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4--.3 lr, / _s/-1 G rte, c s Dii AcceptedAccepted With Corrections Denied Aver J Q Reviewed By: Comments: ^tom; ft„t "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 violatinl. any of the provisions of this code or of any other ordinance of the jurisdiction. Perrt�s presuming to give authority to violate or cancel the provisions of this code or; other ordinances of the jurisdiction shall not be valid." 71114? White -Building Canary -Engineering 41/Angssoo Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT WEAL-5-141/9-AIA/ eAUri e.)r7 - 76S APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 43 / st C re-e- C12.51_57- Accepted Accepted With Corrections _ Denied Reviewed By: Date: 4//4--- Comments: s Relict.Side jot Additional infOrmailOnt P --v -4_03,oc7z- if:WS/3- or- L9 T- „ 4,4 " See Attachments: 1)Grading Pla2)Erosion Control Stanthavis "The issuance or granting of a permit or approval of plans, specifications and -t 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. Pernits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." rnro� CITY OF PRIOR LAKE Date Rec'd ° "E" e HEATING/AIR CONDITIONING/FIREPLACE PERMIT , 1.pink File PERMIT NO. J` 4f�ATVf:so /,�� 2.Green City �` 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 14361 SHORE CREST DRIVE 7 11J LEGAL DESCRIPTION(office use only) LOT ( BLOCK`� e4 , �l/yf J��,�D�-�L�J?'D C 7 s Q,1�I� OWNER SELVIG RES IDENCE (Name) (Phone) (Address) APPLICANT GENZ-RYAN952-767-1000 (Name) (Phone) (Address) 2200 WEST HIGHWAY 13, BURNSVILLE, MN 55337 (Contact Person) LONI PETERSON (Phone) 952-767-1867 APPLICANT SIGNATURE DATE 5/21/14 APPLICANT PLEASE COMPLETE BELOW ©NEW CONSTRUCTION ❑REPLACEMENT ['ALTERATIONS FURNACE MAKE AND MODEL CARRIER- 59SC2A080S17-16 FUEL NAT GAS FLUE SIZE RETURN OPENINGS INPUT 80, 000 OUTPUT 73 , 6 0 0 TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner U Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity DHot Water into Required Side Yard Setbacks. ®Mechanical ❑Radiation Fireplaces with Box Additions or ®Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings 0Vent. System El Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL 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 $49.50 Cost$ Building Permit# HEATING PERMIT FEE $ STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ This Application Becomes Your Building Permit When Approved PaidBUJI DI r4 R t Date By Building Official Date 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 PAID WITH BUILDING PFPPMIT Apr. 17. 2014 8:22AM No. 0626 P. 1/.I DAD 04 plxp� • Date Rev'd CITY OP PRIOR LAC PLOMBING PERMIT 14 . I sz, ze, i-VERMIT NO. /1/–0/tirE or t be ADbEEss N36.1 are. i2 rt ZONING& a LEGAL DESC (ommra eonly) LOT BLOCK ADDITION PID (Ildritess) a i A `S\ ve \ �.\ ;• ' lac ) c 5I 4-77$ /St/I �. (Address)3)85"` „ru`tilt; 4S% abet a:. 1/4,1/4r,14),. --55 J (Ad. - ) (CifY) Code) ; ca S/-?7.5---15-10 -/s'(ContactPertnt - -err---- ,/,'/:/, ATB ' 1 APPLICANT S&ONATthE A _ APPLICANT PLEASE COMPLETE BELOW Quantity Type of Future . Quantity Type of Fixture I Bath INA with or rvithotitshower – rRough-ins — Dishwasher .I Water Heater Floor Drain Water Softener • Lavatory(Bathroom Sink) 1— Stand Pipe(Washing Machine) — Laundry Tray(I or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test —_ Bar Sink Lawn Sprinkler _ 3 -Wale!Closet(Toilet) Other FEE SCOEW latkaidal,Commcrdal4t Nolo-family 1%cob coetwitla a$49.50 mtahman Resideutht,New Ode a Two-Family 3149.30 Residential,Additions do Alteration $49.30 'rho Minnesota Steta• tot 13261314a • ...,st 3 Banding Permit 9 • "S URC IARGE°has base cheiagad for one year at kothre PLUMBING PERMIT PEE $ PAID WITH The July 112010, 2 Wit Jane 3Qxl3. STATB SURCHARGE S .50 BUILDING PPRMIT Derma Tea Nine Te"permit TOTAL PERMITPEE $ k II n3 My 1,"a"aM.,. Ms Application Becomes Your BulIdiug Permit Whet Approved Paid Receipt No Date By _ IMaim 00 dal Dat, 24 bear notice for all lespecttoaa(9S2)447.9330,fax(932)447-4245 4444 Dakote Slyest SR,Prior Lake,MNlnneaata 33372 �4 pRlo�� Date Recd � CITY OF PRIOR LAKE SEWER AND WATER PERMIT NNEso 1. Green File PERMIT NO. 2. Yellow City /� i(Jl w 3. Gold Applicant / (Please type or print and sign at bottom) ADDRESS ZONING(office use) 14361 Shore Crest Drive NW LEGAL DESCRIPTION(office use only) LOT 11BLOCK 4 ADDITION Jeffers Pond 7th Addition PID 255010230 OWNER (Name) Jeffers Foundation (Phone) (Address) 2605 Fernbrook Lane N. Ste B Minneapolis. MN 55447 (Address) (City) (Zip Code) APPLICANT (Name) Bohn Well Drilling Co. (Phone) (957) 445-4809 (Address) 18190 Dairy Lane. Ste 101 Jordan. MN 55352 (Address) (City) (Zip Code) (Contact Person) Charlie Bohn (Phone) (612) 919-1542 APPLICANT SIGNATURE DATE APPLICANT PLEASE COMPLETE BELOW Size of water service 1 inches. Location of any couplings from structure NA feet. Type of sewer pipe. ❑ABC at PVC ❑ Cast Iron Estimated length of sewer line 50 feet. Clean out(if required)located at NA feet from structure. FEE SCHEDULE Residential sewer and water line connection $51.50 Industrial,Com'!&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 $ PTD WITH STATE SURCHARGE $ TOTAL PERMIT FEE $ SUILDING PERMIT (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 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 PRIOR DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECOR SITE ADDRESS (4 36, ( Ciate -r R. 1`. NATURE OF WORK yF-0 . pry„ L,L, M _ �o � l USE OF BUILDING G�N 644/11 (>1‘4C--' - PERMIT NO. ( 0 DATE►ISSUED CONTRACTOR - t91s i1 ,.s - PHONE a, (z-5 50 -103 INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSP CTOR DATE FOOTING --W c f,C� vr• ,/ FOUNDATION (Prior To Backfill) ,03 508,A) RADON RETARDER /�; qi/ii PLACE NO CONCRETE UNTIL ABOVi HAS BEEN SIGNED ROUGH - INS SEWER/WATER/SEPTIC /9d 1/�j/ FRAMING INSULATION 7Wy ELECTRICAL PLUMBING . 17/ i F4) HEATING SJ3cJf7' FIREPLACE (JJ S- ,`i GAS LINE AIR TEST 1� j` Q�j 1r1/3(1 COVER NO WORK UNTIL THE ABO E A EEN SIGNED HOUSEWRAP fiZ (�// LATH FINALS GRADING ( PRIOR TO SODDING) -Ptv ra P/AVrs/i R 6 BUILDING 46 414 ELECTRICAL PLUMBING C 7/2` i7 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