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Building Permit 13. 0725
C rrfiflir fi of Orat sCITY OF PRIOR LAKE .. Prparfittruf of Puilbixrg xtsperfi•arr final Permitted ❑ Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the❑Residential l❑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: Use Classification SINGLE FAMILY Bldg.Permit No. 13-0725 ' Occupancy Type Type Construction Zoning District R1 SD Legal Description Buildingowgerof4971 RUTLEDGE STREET SE r Site Address Contractor's Name&Address ADRIFNNF CARNFY ROBERT D. HUTCHINS City Planner Building Official Date: Date: POST IN CONSPICUOUS PLACE K "§ 0 D C) 00000 O >= z 2 ° A Q. ° 23 o O ymZ „ „ „ O c rn a o z I E ryog mN r m m e3z- m n° > ��'i ", > zZyzZ AOO N 0 xi C w R 0ZZga O n OS�M DO z O = A7 73 r mm r v Ei XI o O •n m m m m 000000 o ..I zz o c Zvi E -D ki CA) C Z A C D n C v m = 3 '9 A z C � 0 = o;o m �� Ca o b m n o >C) Qo �C) 3 z t' m hi PIg z r � 00 xi =-1m y.� v ° m zXX z \, c 2 k.. c o '\ ti W Z- X AI. 000000 ! 1 Z _ N A m555o Ui m amm5immz 1 N = m -1r G) 0\tsk • � 0,00001 o » $ n � 0 z § 7 q qn n g o o o§ ' R . _K&Eo§ -n\ 2 73 o n k -Ik ` Z EBkB §\t1 -i ■ m z o O ro . ■ n , n § cc._ > � � P � • o / -n A 0 z c ` z 0 x ~ rr. 0 ` a m 077 ¥ m � ] 0 : / 000000 \ / �SI K . . . � 0E c 17 Us-10S 2 § % ƒ m . .� -n$ ■ ,2 ,3 § m 0 CO No 2 A 0 « § o8o § 3 g ' m § § z . \ Its:n.° ■ ( c % N� \ 6 r p . . M • P 2 n k : ) 000000 ( .., "1 - 7 k it -n 0 G ° / k���§ w , E � .0 .0M z j o k . \ ` » mj \ kNm : � � ■ r \ k —4 § B_ ; ❑ ❑ te C) 0000 ❑❑ = O c z0 i n n * 0 0Tzmmmp O g C v� O ,0 0 73 73 73 0 0 i > U'� cgm m n0 h •Srl m mN tzi� rs = OZ z vi =�� * -I -I > F1 m O O llO •O _ z- ro ` * > ( z z z � z ,►�% z �i m m m \7! m m 141 , 0�❑❑ 0 ❑ • X '' m m 3 � y � ; � C v t V yCzi =p71 � Gzi 3 = �\ m • 2 z �t rz $x z J r o = 73m c O tin mc. `, 1 ❑ 0 ❑ ❑❑❑ z 2 0ti . • a z ? rmmo O C �rii � v � tli n \ > mm� � 1v ' le N _ z m 'i r O 1 2. Pink City //3 Ie PRIp CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �7 0} 13 AND UTILITY CONNECTION PERMIT 4HNESo 4,' I. White File PERMIT NO. 7 ' ---- 3 Yellow Applicant iii"' .411 (Please type or print and sign at bottom) ADDRESS ZONING(office''-`.) ‘41\11T-\\ q�- 1 , . - t S;b LEGAL DESCRIPTION(office use only) t 1 LOT BLOCK ADDITION PID 91n- 4 C;i OWNER (Name) A ,( ' a. & _ & •i . _ /� (11-6- h ,(�P,hone) 5.537R � �^7 (Address) P\� NU >'e e r V]lX t L 4 o 4 N .53 /R 1 B441-14£41- (Company -)d�� -> (Phone) (Company Name) 1 (Contact Name) 11 4\� Cf /V L (Phone) �T J (Address) 14, OS 0,1,0..)--L , TYPE OF WORK02(Atew Construction ODeck ❑Porch ❑Re-Roofing ORe-Siding ['Lower Level Finish 0 Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE: nJLC. ❑I.B.C. iiitMisc. "41, — •44''. a Type of Construction: I II III IV V A B PROJECT COST/VALUE $ ___.1145CCD Occupancy Group: ABE F HI MR SU (excluding land) Division: 1 2 3 4 5 1 hereby certify that I have furnished information on this application which is to the best of my knowledge nve and coned. I also certify that I am the owner or authoru:ed agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware :hat the building official can revoke this permit for just cause- Furthermore.I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X / dv ,X''� 1\5A II� — fi Signature Contractor's License No. Date Permit Valuation A C e Park Support Fee # $ — Permit Fee $ )1 /3 . 30 SAC # $ a imr , •r Plan Check Fee $ / I/ 13. -77 Water Meter Siz=t, 1"; $ O, Q0 State Surcharge $ / 0 5: wO Pressure Reducer $ //0 .60 Penalty $ — Sewer/Water Connection Fee # $ /5-00. 00 Plumbing Permit Fee $ /5,/, 3-0 Water Tower Fee # $ /6,6, a) Mechanical Permit Fee $ /5/71.- �2 Builder's Deposit $ G9500 4 00 Sewer&Water Permit Fee $ 5--6 ,S-O Other �/ $ --------- Gas — —� Gas Fireplace Permit Fee I $ L5 9 co TOTAL DUE Cljl t 1 , ! -'j j., s/ 3 ;Y // �' ' v"_' Receipt o. Q - This p cati t omes Y ur Building Permit When Approved Paid `�/ f I Date 7�Y/L 3 l BY � or 4 2G /3g . Builting ficial Da e This is to certify that the re uest in he above application and accompanying doc ents',in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by e Cit P,nner, nstitu es a temporary Certificate of Zoning..mpli cc and allows construction to commence. Before occupancy,a Certificate of O:cupancy must be issued. of2- (3 ..•,.,. Director Date Special Conditions,if any our notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 PRIG Builders Deposit U � ' r $ozA, • 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 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: '7, 0 .13 SITE ADDRESS: 417 / A26Gt PERMIT# /3. 12 3 REFUND TO BE MAILED TO: RD/5N/J0 d," -moo 447/ gII ( ` L, . AU lit-WALLA 11U1:1 1 U it�1�i�:AJ PLEASE REMEMBER ' 02.500.00 Lynda S. •i len,Building Services Amount 1. KEEP STREETS CLEAN DURING CONSTRUCTION /o, 9- r.0" Acct.801.20204 Date 2. KEEP EROSION CONTROL IN PLACE 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR$500 AUTHORIZATION TO RE:LEASE SIGNATURE: IX Lar oppler, City Engineer ADRIENNE M CARNEY 17-2/910 3 0 0 6 4960 RUTLEDGE ST.SE PRIOR LAKE,MN 55372-3126 °4 DATE PAY TO THE ORDE O. � JARS =bank, All f®serving youTM / MEMO _ — — I:09 1.0005 2 21: 1.04 779 LEI 2 7 LE,0300-6 J:IFORMSIBUILDERS DEPOSIT FORM.DOC Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R•1 or R-2 Districts tzcL( c3 Reviewed by: Building Permit# e�- PID:2.5 -6(o -Dt62- Zoning: I 11 Address: 4' I K u 6 7/ Legal:L , B Subdivision: Existing Structure? YES 1 NO . Existing Nonconforming Structure? YES I NO . CONFORMS TO ZONING (Y—E-' S NO ORDINANCE Yard Setbacks: NA 1 FAILS!COM IF Standard Proposed ' be 20'if avg.wl n 150 • . • Front Yard(can g ) 25' 3t • Side Yards 10'1 25'if abutting a street t`c ,_0 ® Sidewall exceeding 60'requires additional side 2" 10'setback+ setback for every 1'over 60'in length. Not required 211'over 60' 1511G•.S if building wall is 10'-0"or greater of being parallel to a side lot line. 25' bI�— jq® • Rear Yard a Patio Door: provide for minimum 10'deck or sign 10'side[ , statement indicating no deck will be built in the future 25'rear , • From 100 year flood elevation of wetlandINURP 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' 04x( [ '2 fi3 I Floor Area Ratio: NA/FAILS!CO , IES .30 Maximum I ef-2___ Yard Encroachments:#1 FAILS[COMPLIES Standard Proposed. Eaves and Gutters no mo a than 2 feet in width and no closer than 5 feet to a lot lin ®ler an mer . .ee -s 'u'` A1C and other equipment r titOs 4'„1, -;;A 1 into. ' 1:,' side yards. Si_4e c ,"thack Tree Preservation: ii FAILS I COMPLIES _ Standard I Proposed • Total caliper inc es • Permit 35%Removal • Caliper Inches Rern'oved . •' Calipelrtches Preserved . • RIacementl %:1 L:\TEME&A.TE\BLD GLIST.D 0 C / (0 ) PRIpWhite -NEso'' Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT xm/)/,c. e,4,,,,,v,a, APPLICATION RECEIVED 43'4, /13 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4/97 7/ 'v /dri ,cif 5.6• _ Accepted X Accepted With Corrections Denied Reviewed By: L' '' big Date: >2'13 Comments: See Reverse Side for Additional Information! .r,`v(.v.,i invsf her C.0rrc- A1fProgcA c n y -S,O''l ti/r+/t414.466 AisiayJ b y 4945 vc% v 4 "vs 1- St Terkel See Attachmentsi.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." i, , "s O� PRIp* E-4 J White -Building Canary -Engineering rNNEsd°' Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT4 /e4/'2t--> �- - /&' APPLICATION RECEIVED /13 The Building, Engineering, and Planning Departments have reviewed the building perrnit application for construction activity which is proposed at: 4/9 7/XasTe/L-Cir. 61, -;;'7(-776, Accepted Accepted With Corrections "' Denied ) Reviewed By. e: Comments: P - if 3 17 17. 121 "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. Perrnits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." p4 PRIp�, 7 U tri White -Building Canary -Engineering -/INNESOo' Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ,/`C4/2Piel4;1/g/l/e-y—. APPLICATION RECEIVED '/&' /13 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4.79w--za,vd* Accepted Accepted With Corrections X Denied Reviewed By: P--,6Date: C/PCS, Comments: ; ottrr 711'11.65 . "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." 1 4 vitro, CITY OF PRIOR LAKE Date Rec'd „1,.(3_ 1 rpt. HEATING/AIR CONDITIONING/FIREPLACE PERMIT 10, 9 (.- t., „, .,„: ,.., ,,,,,,,„.:-4 dr-1n, SO) Z: PERMIT NO.1512A511 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) kAG`-\\ ' t NR c L LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER C' (Name) 1 r j'p i'�'_ `fx,y`l r`O (Phone) (Address) ` \ f',.,L00't',I..c...34 APPLICANTff, . (Name) `r� INaa tOr .>AC.Z ` (Phone) (Address) ' ----"D yu' Ck. _ LUC'' J (Address) � (City) (Zip Code) (Contact Person) \IL 1....�_ '`t~'A, ,." (Phone) t r) L.;;;'3s7��`k APPLICANT SIGNATURE • _h. ' .... 7,r‘ a DATE ‘b- r~ )3 APPLICAN6*'LE- . COMPLETE BELOW NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL I C t, _ _ _ � p� \ , (,`�(� FUEL f GC FLUE SIZE :V‘ RETURN OPENINGS In INPUT 1 C) OUTPUT iJ TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner DWarm Air Plants ❑Steam Units and Fireplaces Cannot Encroach OGravity ❑Hot Water into Required Side Yard Setbacks,. AMechanical ❑Radiation Fireplaces with Box Additions or ir Conditioning 0 Special Devices �r�� went.System `4 Other Devices (4 ctvi't(.. ^.../Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL l',t 'P 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,As'' ons&Altera ns $49.50 Residential,Heating Only(New Construction) $64.50 Residentia .-C Only V 9.50 (� Estimated Cost$ ( Build't 1 P: J I / l 'nnesota St utes§ 12613.148 ".' '• CI IARGF.,"h . been changed I'or one HEATING PERMIT FEE $ i y,,r effective 1 v4�- q, �r1 STATE SURCHARGE $ a ' Pt' July 1.' 0.until June MI,2011. 's r" r---zz,.:0—V"r):``1TOTAL PERMIT FEE $ ` ' The mini surcharge for a"tined fee"permit ;L,beginning July 1.2010 {Office Use Only) ,t"il s.z ' it',t1, This Application Becomes Your Building Permit When Approv '. 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 cit p R/�� CI I Y OF PRIOR LAKE PLUMBING PERMIT Date Rec'd F C} cores ' n' `. PERMIT NO. / a:Gold clay i5 3.Yellow sposow (Please type or print and sign at hottest ZONING(off ) ADDRESS ) ,--,, ,.r LEGAL DESCRIPTION wore use only) LOT BLOCK ADOPTION PII7 ONVINER i' s,*---OS \,'t,,,tom:,,j (Phone) (Address) APPLICANT ,, 1.� ,= -`-ll i)-(,-'-i `-i (Name). "' l t t' � ' Ea1'lJ'�' t-L t (Phone) d (Address) i"----a .l`-i � i\5.L'I il�+,.� 1=\:d . 4� i I` �s. �,,t--:, rt ,_�_ . Code) (Address) (City) (Zip (Contact Person) x.1 (Phone) J . '-lei ? _ ;>i-°' 3 � �•L- -- DATE ! 1r �; APPIdCANT SIGNATURE 11 L, ; ___.-- APPLICANT PLEASE COMPLETE BELOW Type of Fixture Quantity Type of Fixture , Quantity 1 Bath Tub with or without shower Rough-ins 1 Dishwasher 1 Water Heater 1 Floor Drain Water Softener ,. Lavatory(Bathroom Sink) 3 tandagePipeF,je(Wtorashing Machine) _. l Laundry Tray(I or 2 compartment sink SSewBackflow Assembly i Shower Stall Backflow Assembly Test l Sinks rinkler Bar Sink Other 2 .Water Closet(Toilet) FEE SCHEDULE dentialNew f)ae&Two-Family $149.50 Industrial,Commercial @Mulli-family 1%of job cost with a$49.$0 rminimumResidential,,Additions dt Alterations $49.50 "'1st $ Building Permit It The Minnesota Statutes f 32613,14g "SURCFIARG6"has been changed for one year effective PLUMB 4 ERMIT FEE $ — IN July I.2010,until June 30,2011. STA n` URCHARGE $ AD v �n� The minimum surcharge fora"fixed Pee purest ' ' AL PERMIT FEE $ I 11 v� tubi beginning July t;201@ rt 1 e This Application Becomes Your Building Permit Whenal Approved Paid ®v‘� eoeipt No. Date By Baiidhsa Official nate 24 hour node*for all Inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.&,Prior Lake,Minnesota 55372 Date Recd (60R104- e CITY OF PRIOR LAKE 4-, A .,, AN U SEWER AND WATER PERMIT ./11.111/VE s°S'V L Green File NO.,3 ()PERMIT 7 Ciplicant ty 2 g GoW Yellow Ap 25— (Please type or print and sign at bottom) ZONING(office use) ADDRESS s ' t-ici1 ( (ZwielseAy, ,s-i-reLt LEGAL DESCRIPTION(office use only) PID )eL tO -f-00'� LOT BLOCK ADDITION OWNER (Name) At (Phone) 1eb'1..� Si- ( C` o^- (Address) c/ (Address) f J (City) (Zip Code) L.� (Name) S U t �D • (Phone) q 5)- 445 - ` g09 (Name)APPLICANTQ � � (Address) 11 O TOO--;I`r' j cs 4-e I N sU /cto-� 5e A G I a— (Aess) (Contact Person) (51k.),..-j_. ` vp (City) (Zip Code) (Phone) / .. Q `C APPLICANT SIGNATURE 4{ ZtG914-7.. DATE 1.f(.e, f`?" APPLICANT PLEASE COMPLETE BELOW Size of water service t inches. Location of any couplings from structure 1,i 11' feet. Type of sewer pipe. ❑ABC QPVC ❑ Cast Iron Estimated length of sewer line feet. Clean out(if required)located at feet from structure. FEE SCHEDULE Residential sewer and water line connection $51.50 Industrial,Com'l&Multi-family 1% f job cost with a$51.50 minimum Sewer connection only $25.50 Water connection only Estimated Cost $ Building Permit# SEWER AND WATER PERMIT r'EE $ 50 STATE SURCHARGE $ TOTAL PERMIT FEE (Office Use Only) Receipt No. This Application Becomes Your Building Permit When Approved Paid 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 LAKEsuE PARTMENTILDING AND OF INSPECTION INSPECTION RECORD SITE ADDRESS 4Iq'r/ bE Ck NATURE OF WORK ,'5F a _ or itt USE OF BUILDIN / P PERMIT NO. j3 , D7A'�"" DAT SSUED CONTRACTOR, th-Jeh1& CA/0-17e-f-/ PHONE Co% 36.-.3 INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING I -may —13 FOUNDATION (Prior To Backfill) ; 13 RADON RETARDER 6 -a3-)3 PLACE NO CONCRETE UNTIL ABOVE HAS BEE' SIGNED ROUGH - IN SEWER/WATER/SEPTIC .00 i5 FRAMING /INSULATION 7'iY/A ELECTRICAL PLUMBING u(„. 9142,M1.! -A 4 TRAIN frRcnut.Vio;)s ,'fav iti Tl.7J"QH��/���//DA PCP V HEATING G" GAS LINE AIR TEST tow( ,6u,w gym' vpityu RADON AMMER COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNEDCF ,0 �; Air HOUSEWRAP.j,,� , i LATH irmizrznim FINALS GRACING ( PRIOR TO SODDING) BUILDINGT.:rnpLyL ' , p `July i1�/� ��� \©1`t H ELECTRICAL PLUMBING �'ia�vra� l�.c�• 2 77 //,/ /f HEATING n&if01''l,�/' - 7:,.17-g.-11 ,07��� J1/4._7' DO NOT OCCUPYUNTIL ABOV BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspection; 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