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O (Please type or print and sign at bottom) `y / 3 Yellow Applicant ADDRESS `/, Q 3 -7 7 I,]&t fMc?„ J/' / ZONING(o0icir use) LEGAL DESCRIPTION(office use only) ,� /� LOT 1.-BLOCKADDITION /2t /'4 071-- i(/0rifklAv PID 25:451. OWNER / r (Name) _ * = 4-e S r L G (Phone) 9A— )10` poi (Address) BUILDER �' � (Company Name) /" t �4r , i l OCG (Phone) 5.� -90 - - _ (Contact Name) // Ai .eW (Address) /71"/6 Jr.,it//12-e. /9o,A, 44,4' 1 Z �5 ai,✓l�C P /G1 S3 ®�7'y TYPE OF WORK pfNew Construction ['Deck ❑Porch ❑Re•Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace DAddition ['Alteration ❑Utility Connection CODE: I ❑I.B.C. 0 Misc. Type of F .R.C.nstruction; I II MP/ V AB _ Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ /J- !7, Division: 1 2 3 4 5 (excluding land) i II hereby certify that I have furnished information this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent fo'the above-mentioned property and that all co ction will conform to all existing stale and local laws and wilt proceed in accordance with submitted plans. I am aware that the building j official ca .' . Funhermore,I hereby agree that the city official or a designee mayenter upon the property to i& P P p rty perform needed rnspcctions. ! X ..41+- - n ',3'/ r /2 -ee •/i ignature Contractor's License No. Date Permit Valuation Z ®' — Park Support Fee # $ Permit Fee $ Plan Check Fee S 31.5=7 SAC # $ �� 5 t t S Co g Water Meter Size ; 1"; $ State Surcharge $ 8p�' � ��. �� Pressure Reducer S Cl O. — Penalty $ Sewer/Water Connection Fee # $ 1�00..- Plumbing Permit Fee $ Water Tower Fee I S' .So # $ IDoo,. Mechanical Permit Fee $ 5- O Builder's Deposit $ Sewer&Water Permit Fee $ S DO.. 5-L7,+7O Other $ Gas Fireplace Permit Fee 5 TOTAL DUE This A i fcati .,nes Your Building Permit When App oved G,�41.c tz/,42 - — / Paid Ib (R UJ v��I eiptNo. Co- _ Date / . ) ( /3 ,l,.J'. -e/� l7—/I/� (7-- Building Z — Building Official mate This is to cert hat the regi in the above application and accompanying documents is in ccordance With the City Zoning Ordinance and may proceed as requested. This document when sign the C'y Pia is., co mutes a temporary Certificate of Zoning corn ance a allows construction to commence. Before occupancy,a Certificate of Occupancy mini be - issued Planning Direct() - Date 24 hour notice for all inspections(952)447-9850,las(952)447-4245 Special Conditions,if 4646 Dakota Street Prior Lake,MN 55372 --"0 -, 40-440,04.0 4401 ' .. IP19,44 . x,..... ,. fir.. ' '7 ;tga awp y'' OVRI° White -Building Canary -Engineering `"/INNESO t. Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 6 APPLICATION RECEIVED / 2 , . / 2_ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: cf,'.. ,'y I %, o` / ' Ki_) / • . Accepted v Accepted With Corrections Denied Reviewed By: Date: I c 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." PRIp4 U x White -Building 41jNNESOCanary -Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED (.9 . / 2. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /(u037 TA-I-0 /066 Accepted ' Accepted With Corrections Denied Reviewed By: ate: 12-4 /zComments: •� �e�:,� — AdL� vv1 C.c.214 indal 77%)-1,75 "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." _ . O4 PR/04, c t.") la r7; White -Building y�NnrEso�P Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT FiE-1,1_,),„5/0/4E-, APPLICATION RECEIVED 12. , (c . / 2..... The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /(c 037 /17 '/41 (--)L- . Accepted X Accepted With Corrections Denied Reviewed By: 4416 Date: 12-12.12_ 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." Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts Reviewed by: Date: 12_/b t z Building Permit# Zoning: Address: t b p 3 1.-Af-t taw r Legal: L , B Subdivision: Existing Structure? YES/ . Existing Nonconforming Structure? YES I NO • CONFORMS TO ZONING l5 NO ORDINANCE I Yard Setbacks: NA I FAILS/C . P S Standard Proposed • Front Yard(can be 20'if av w/iin 150') 25' • Side Yards 10'/ 25'if abutting a street ( ` - 4 • \ SZ— • 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. • Rear Yard 25' c° - • 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 wetland/NURP 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' I Floor Area Ratio: NA/FAILS I C Ijj�j ES .30 Maximum I t Yard Encroachments: 61 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. I Tree Preservation: FAILS I COMPLIES Standard Proposed • Total caliper inches • Permit 35%Removal • Caliper Inches loved •• Calipe lgches P, served • R�placemi tr %:1 L:\TEMBIATE\BLD GLIST.D 0 C CITY OF PRIOR LAKE Impervious Surface Calculations (To be Submitted with Building Permit Application) For All Properties Located in the Shoreland District (SD). The Maximum Impervious Surface Coverage Permitted in 30 Percent. Property Address / O 3 7 T'cL. h c'n k0. P Z et. CP zc�.8 f Lot Area ($, 5-7 f Sq. Feet xo = 4/d©S **: *********** *: ***************: ************************************** LENGTH WIDTH SQ. FEET HOUSE x = x = ATTACHED GARAGE x = TOTAL PRINCIPLE STRUCTURE /S37 Z DETACHED BLDGS x (Garage/Shed) x TOTAL DETACHED BUILDINGS DRIVEWAY/PAVED AREAS x = (Driveway-paved or not) x = (Sidewalk/Parking Areas) x = TOTAL PAVED AREAS 07 PATIOS/PORCHES/DECKS x = (Open Decks''Vs"min.opening between X = boards,with a pervious surface below, are not considered to be impervious) X = TOTAL DECKS 1 3) OTHER x = X = TOTAL OTHER ... TOTAL IMPERVIOUS SURFACE 287 8 UNDE: OVER 1 7 Z 7 Prepared By /14-,rioypAZe, ..& j Date JZ- 3- r Company l.-'o 4 �rr�,rteer,rr� Co. ltic . Phone # 'sz-413 z 06 t►tattwtt>r ,ctnut-put uuii.i,w w w.t.uyvttttbut twwc.a rttatuti tout Y�Y t15.� Yttt p1 TRip� Date Roca NIL CITY OF PRIOR LAKE PLUMBING PE H ' `v LIQ 1NIT v ' BUILQiiIr r-..--;1; tzPERMITNO. 141L}(Please tie owwtsado t�eeto+aalx vta n '3 ADDRESS ZONING ) I�D TotLawv_A P(. ,0 LEGAL DESCRIPTION(ohne we only) LOT BLOCTC ADDITION PID OWNER (Na /@ 064,09 /i Ow/4' 1/c4fl:5 (Phone) 95 – Y6/ "(J UO) (Address) yd.1,, / 44 /&., mil. . (Na IJ• ,S t'//4 . I(4 /.,- (phone) 4.9-01-Y g- 74.75-- (Address) 329g 4159n ig-. iles3TAi 9 S /'14- $33 (Address) (City) (Zip Code) (Contact Person) Li"r (ane) C'c1'a-(43 -77671 APPLICANT SIGNATURE DATE 3/lolC3 APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture 1 Bath Tub with or without shower -- Rough-ins / Dishwasher / Water Heater / Floor Drain Water Softener Ccs Lavatory(Bathroom Sink) I Stand Pipe(Washing Machine) ' Laundry Tray(I or 2 eldinparknellt sink — Sewage Ejector Z Shower Stall I Backflow Assembly I Sinks -- Backflow Assembly Test Bar Sink / Lawn Sprinkler Y Water Closet(Toilet) Other FEE SCHEDULE Industrial,Commercial k Multi-qty 1%of job con with a$49.50 minimum Residential,New One&Two-Family $149.50 Residential,Additions&Alterations $49.50 • The Minnesota Statutes i 3263.145 lid $ Building Permit# "SURCHARGE"has changed wrap pAiD W1�M . year effective PLUMBING PERMIT FEE $ ��) n►" July 1.2010.until June 30,5011. STATE SURCHARGE $ B[J,'JG The *know saa+elaaxe far a"axed ke"Wrath TOTAL PERMIT FEE $ is xl ti moi'i,20/4 T61s App#eat on Becomes Your Bal dhag Permit When Approved Paid ReceiptNo. Date By Sattetaa OmdM Data ID WITH 24 hear sell.e ler all Inspec s(952)4479850,fax(453)447 IL Q f NG p 4646 Dakota Street SX.,Prior Lake,l t nnesota 55372 cRMIT i ort __ �_ - —_ —_— T2o/2013 3:l$ M 4 r Rto CITY OF PRIOR LAKE Date Rec'd Q4.. t!P BEATING/AIR CONDITIONING/FIREPLACE PERMIT ft;74-1 , io. 4'Mvsso° Y?: �; PERMIT NO. / /� 3.Yellow Applicant /� 'C�V '/ I (Please type or print and sign at bottom) ADDRESS ZONING(office use) I6O37 ge„,„„ LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OW (Nam e))RF f (Phone) 9 -'-O (Address) /76Glc' 9_,,, r`a—i • APPLICANT HEARTH & HOME TECHNOLOGIES, I , (Name) dba FIRESIDE HEARTH & HOMkhone) • Lic. BC0512060 (Address) //�� 2700 FAIRVIEW AVENUE N Pa�(,�. (Address) ROSEVILLE, MN 55113 (City) (Zip Code) (Contact Person) 651.633.2561 (Phone) _ • APPLICANT SIGNATURE Ph ��. DATE 2-'"i co'/3 _ APPLICANT PLEASE COMPLETE BELOW • 1NEW CONSTRUCTION O REPLACEMENT O ALTERATIONS • FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT T TYPE OF SYSTEM HEATING OR POWER PLANT — ❑Warm Air Plants ❑Steam PLEASE NOTE: Air Conditioner Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water into Required Side Yard Setbacks. ❑Mechanical 0 Radiation OAir Conditioning 0 Special Devices Fireplaces with Box Additions or Cantilevers to the Outside of Buildings OVent.System 0 Other Devices Require a Building Permit. FIREPLACE MAKE AND MODELN/y1 SL��d �P 2:70(.10/3 FEE SCHEDULE Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace $49.50 $49.50 minimum j) Residential,Heating&A/C(New Construction) $149.50 Residential,Additions teraattlollWITH l n U $49.50 Residential,Heating Only(New Construction) $64.50 Residential,AC Only I1 /IIINI( PFRMR9.50 . Estimated Cost$ /2690_ Building Permit # The Minnesota Statutes§32613.148 HEATING PERMIT FEE $ "SU RCI lARGE"has been changed for one year effective STATE SURCHARGE $ .50 July 1,2010,until June 30,2011. TOTAL PERMIT FEE $ The minimum surcharge for a"fixed fet"permit (Office Use Only) is i5 beginning July 1.2010 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 From: 02/13/2013 05:27 #042 P.001/OPE/ 4PRt0 CITY OF PRIOR LAKE Date Reed �, HEATING/AIR CONDITIONING/FIRE ,kik PLACE PERMIT x 1.a ca°,, I PERMIT NO. /3_00v/ I (Please type or print and sign at bottom) 3.YamAppfies "` ADDRESS I} i OS"7 a 'lAka/P MW ZONING(office nae) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) )9eJt -hlx p 1'jrfl y 401TIC,S (Phone) (Address) i APPLIANX ,/A� (Name)Cr.Mia i tedAms i c.0��. 1 1/1 C . (Phone) 41.A"W t-1 •77117 (Address) ' I .aa ., c_; A L. — ■.•�ds 11 A A (Address) (City) (Zip Code) (Contact Person) ►..6\--- t`:•_ 1R (Phone) IP- _ � e APPLICANT SIGNATURE/!►�� �;� ' —.I DATE — 4PLICANT PLEASE COMPLETE NEW CONSTRUCTION 0 REPLACEMENT ❑ALTERATIONSBELOW FURNACE MAKE AND MODEL p,,r, Q Ia,5'gy$(.,R05 1 FUEL Mai.. Co 5 FLUE SIZE RETURN OPENINGS INPUT RI( ATO OUTPUT _ TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ❑Warm Air Plants 0 Steam []Gravity Hot Water Units and Fireplaces Cannot Encroach Da Mechanical 0 Radiation into Required Side Yard Setbacks. ®Air Conditioning 1:3 Special Devices Fireplaces with Box Additions or watt.System 0 Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial,Commercial&Multi-Family I%ofjob cost Residential,Gas Fireplace $49.50 S49.50 minimum Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $4950 Residential,Heating Only(New Construction) $64.50 Residential,AC Only $4930 Estimated Cost$ }LIQ-50 Building Permit # HEATING PERMIT FEE $ MCI.SO PAID WITH STATE SURCHARGE $ .50 BUILDING PERMIT (Office Use Only) TOTAL PERMIT FEE $ 1 S 0.00 This Application Becomes Your Building Permit When Approved Paid Receipt No. } Building Official Date Date By 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 PRI R LAKE BDUEPILA DRINT MCEANNTDOI NF SPECTION INSPECTION RECORD SITE ADDRESS 16 d3 -t Tett cam' 14,4 NATURE OF WORK �t INS. D6c.-� * k=-,,,, N o . :912-e-4,4 USE OF BUILDING g PERMIT NO. 34- DAT ISSUED 12- r z CONTRACTOR Ft PHONE qSz - 6� - 4 SQA-, NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMEN INSPECTOR DATE FOOTING •,/z,/,3 I FOUNDATION (Prior to Backfill) :::ii7/ PLACENO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER /WATER /SEPTIC d'iS 35 FRAMING e,�� /3 INSULATION p ELECTRICAL . J PLUMBING HEATING (if required) FIREPLACE —' GAS LINE AIR TEST °' COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED \►3 t-A-lsA ) FINALS GRADING (Prior to Sodding) BUILDING—c ` — 4 ei5I�3 el,Ji/47 _ ELECTRICAL PLUMBING 5/4' 13 HEATING 4 c/141,3 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 d1 "004 Ilk Builders Deposit 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. DATE: / 2 - 6, "l '7 fi44 1 SITE ADDRESS: Ge � �< ,� - 4.j _ -• PERMIT# REFUND TO BE MAILED TO: rile"'`5` °•,. �-�,�, - 17G 4� c)IA u1° e'A l:AUTHORIZATION TO RELEASE f3 4' 2, , ✓://e , wt 14 If I 47,l/Oui o j ynda S.A en,Building Services Amount PLEASE REMEMBER 3___ '±_r____/,, � Acct.801.20204 1. KEEP STREETS CLEAN DURING CONSTRUCTION ��ate 6o, 0 D 2. KEEP EROSION CONTROL IN PLACE 3. TEMPORARY OCCUPANCY PERMIT MU^ NnTe"--_----------,-=''''''.-- "" 75.131 I _----.---,-,w,-.-----,---,-,,,,,..-,-.,_---.,-..--.....• 75 131 gf919 Si�+�• 'LY HOMES I5 C. �. 2.., / . PATH STE I3 ! �. E FAM 1 E6 DS jONIP MN 55044 S LAKEVILLE, / i• Ii; o � ID eho PolliEREof AY f i „ o I IF , `` V 1cv a r,.,.0 R e►N 5178 FIELDSTONE FAY HOME1,31 NC. 75-1314/919 11 ii 17645 JUNIPER MILPATH STE 5 / LAKEVILLE, MN 55044 ` � 20 6 ® / / I I -7VOvJO THE . LI.' wo pTAy RDER OF a �0 DObb � C1 , co o ci' ii -,,,-,-..1.-„ CASTL�ROCK BANK {{p '.� CASTLE ROCIC,MN FARMINOTON,MN is � : 55010 . 55024 a` 11 P; (507)645-7751 (651)463-4014 PP ' ea,k141249(-Tr- 7 { —— --- FOR 1. 1, ({(Q Y 3 11.005L7811• 1:0919L3L48': 23LL20?OLII' ii BU -100