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Building Permit 14. 0150
AAAAA AAAA Crrfif t zfr of Orrttftattrg CITY OF PRIOR LAKE i arfn unrf Zf c3Itsiarrfiott K Final Permitted ❑ Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the❑Residential 1❑International K 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: K - Use Classification /A/6 —419,-//41' .� �/ /151-Bldg.Permit No. � /50 '�✓� Occupancy Type �J Type Construction VW Zoning District P(i-C) Legal Description i- 5 /J �� /" 6:ie.- ()OA- L 7 Owner of Building ��y/ Site Address /` 5 5 � ei KY42 4 Contractor's Name&Address V 671)5/1114 A/Ai C-41���p7 /.,4 K I f) f/V7-6/6//1649 City Planner Building Official Date: Date: • POST IN CONSPICUOUS PLACE CD J W Z _ F J LL ~ f- Iri WVZV4 . gg1Z Z> F. W C ? wWco 41 C O C LL La Z aZ "� - in 000000 W >0 CC iaajj A. 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Pink City 3.Yellow Applicant ` 41115ZI (Please type or print and sign at bottom) ADDRESS ZONING(office use) 114 s-- , 5‘02'e_ 6r--c54, ..aa N. 14/ POD LEGAL DESCRIPTION(office use only) LOT gMLOCK / ADDITION J e/4 'SU -triegii/�i PID • 501• 005• OWNER A47- ('4/ _ce(Name) jvtt/GP-ft ,4`! ev4 i.ef (Phone) *S-j g,.173- 1 cf-?p 2 (Address) lJ rs /476�1-7 E 1'._1/, 4Ve (/0/! BUIL(CompaERny Name) 4-449..S^/7,d/04 t1 S `U,'Yr c4 f1 J (Phone) 9.5-2 .S r %'�l.L (Contact Name) 13-1X 2 ( ' '/f-1007:41,49,-t (Phone) /; J f--70,il (Address) .-C41.0yd i" a S X6.Jc•e TYPE OF WORK f New Construction ['Deck ['Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace ❑Addition ['Alteration ['Utility Connection CODE: 05I.R.C. ❑I.B.C. 0 Misc: Type of Construction: I II III IV V AB � ��,,// Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ ,- Ila CA) 0 Division: 1 2 3 4 5 (excluding land) I hereby certify that I h e 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 pr erty 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 cause urthetmore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections: X i /3L6'3 yd9q 9 3/5//v/ Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ 2 (tar o© Permit Fee $ /1 B 50e1 � SAC # ! $ Plan Check Fee $ , Water Meter Sizi0"; 1"; ' State Surcharge $ I a o QO Pressure Reducer $ (t©, Penalty $ Sewer/Water Connection Fee # $, /t 500 Plumbing Permit Fee $ J 5-y sf Water Tower Fee # $ 4 Q oO . 65, Mechanical Permit Fee $ sq s0 Builder's Deposit $ 2 SOC• 60 Sewer&Water Permit Fee $ 6 Other $ Gas Fireplace Permit Fee $ 5'c/ `�Sa TOTAL DUE t r 3f 9 $ I J T� • ' , t9:tion B'comes Yo i :uilding Pe .,' When Approved Paid -7_3$, 2 s R eipt No. Li'4 ��� �� Date �3_ ��. t�f :Ting Official Da- This is to certify that the quest' the above application and accompanying docu t-nts is in. cordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the C/°an;-,constitutes a temporary Certificate of Zoning co'pliance. • allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. '/ Pr.ping Director D.te Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 C White -Building Canary Engineering Pink Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST 1..) 1i?A' " COS it HOP/C S NAME OF APPLICANT V ��� " APPLICATION RECEIVED '3 . .5- . /4- 4-- -The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /45 5f7/& eI ,04/c/&' V `* Accepted Accepted With Corrections _. P t Denied i a %; _ Date: =! Reviewed By: f _..,„11,„„ Comments: "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." o/ Yxro�P 6 White -Building �' scrtCanary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT I V ri /vffl/9 OW /Or/ /it rI -S APPLICATION RECEIVED . . 5-. /4— The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4-z57 SH-07,6 --,,,,--/-,04,v&---- Accepted t Accepted With Corrections , Denied 4 Reviewed By: � /1,*1!� Date: Comments 2_ (pf-AN� C Si -otci�l( See Atm t' t$: 1)Grading Pla4 2)Ensign C "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." 601 White - Building ,y� ���. Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT V / /(,.//11,`7V/" a/ '/ %t7 APPLICATION RECEIVED - 5 /4- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4z57 5//&& Accepted Accepted With Corrections > Denied474* . Reviewed By: �-C Date: 0779( Comments: advt )) /)a. 4.Fa.i v� 50-s � Yt r trt 4 62-el 4 --eJ3 -2- Mec •ti: co/ VUtU54 leo{- L VL lOac[4S ®N (Os- CN"� 7 "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." From:Genz-Ryan 952+767+1900 02/28/2014 08:13 #025 P.001/O.1,;W pRro CITY OF PRIOR LAKE Date Recd ° BEATING/AIR CONDITIONING/FIREPLACE PERMIT 40oo z r. Cty PERMIT NO. 3.Yellow Applicant (Please type or prlat and alga at bottom) ADDRESS ZONING(oftx cm) 14259 SHORE CREST DRIVE LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER CASEY RESIDENCE (Phone) (Address) • (APPLICANTName) GENZ RYAN (Phone) 952-767-1000 (Address) 2200 W HWY 13 BURNSVILLE 55337 .� (Address) (City) (Zip Code) (Contact Person) LONI PETERSON (Phone) 952-767-1867 APPLICANT SIGNATURE L '„t tt-'t arm DATE 2/28/14 APPLICANT PLEASE COMPLETE BELOW ANEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL CARRIER 59SC2A080S 17-16 FUEL NAT GAS FLUE SIZE RETURN OPENINGS INPUT 80, 000 OUTPUT 73,600 TYPE OF SYSTEM HEATING OR POWER PLANT -- pWarn,Air Plants ❑Steam PLEASE NOTE: Mr Conditioner DGravity 0 Hot Water Units and Fireplaces Cannot Encroach into Required Slue Yard Setback.. $Mechanical p Radiation/gfAiFire V, with Box Additions or We Conditioning 0 OtheSpecial CakeDevies Cantilevers to the Outside of Buildings Went.System ❑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 $49.50 Estimated Cost$ Building Permit # The Minncsoia Statutes /613.148 HEATING PERMIT FEE $ "SURCHARGE"has been cluing, ror one year effe4tice STATE SURCHARGE $ .50 July 1.2010,until June MI,:W I I. TOTAL PERMIT FEE $ The minimum surcharge for a"fixed fee"permit (Office Use Only) tc {.beginning duly 1.2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official —bate 24 hour notice for all Inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 (esi PRIo� Date Rec'd 47/ 9 CITY OF PRIOR LAKE NSEWER AND WATER PERMIT `rNES� 2. Yell w Fc;1Y PERMIT NO. 3. Gold Applicant I I (Please type or print and sign at bottom) ADDRESS ZONING(office use) 14259 Shore Crest Drive NW LEGAL DESCRIPTION(office use only) LOT 5 BLOCK 1 ADDITION Jeffers Pond 7th Addition PID 255010050 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) (959) 445-41:10g (Address) 18190 Dairy Lane. Ste 101 Jordan, MN 55352 (Address) (City) (Zip Code) (Contact Person) Charlie Bohn / (Phone) (612) 919-1542 APPLICANT SIGNATURE 8I Ptd C/ Y Y GVI(I / DATE 04.09.14 APPLICANT PLEASE COMPLETE BELOW Size of water service 1 inches. Location of any couplings from structure NA feet. Type of sewer pipe. ❑ ABC rg 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'l&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 $ WITH SURCHARGE $ t�L�o�� PERMIT TOTAL PERMIT FEE $ (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 1 �R10 CITY OF PRIOR LAKE Date Rec'd °f j '� HEATING/AIR CONDITIONING/FIREPLACE PERMIT i oMvEs°to Pk a.arm cal, PERMIT NO. /y_0/5-6 1.Yellow Apnoea _ (Please type or print and sign at bottom) ADDRESS � 4e7. 5C1 .Y� 0Q - �1 ` \ ZONING(officeurs) . LEGAL DESCRIPTION(office use only) �1 t, LOT 2 BLOCK / ADDITION �1 TG 1�/Ly( v'c P6'11 c) 5•e f-yl I'1 ;Wimp 6 5-0/- 005-0 OWN�R�t OVek--(\ in e &1 • (Name (Phone)V— � qe 9/ (Address) l S. ) ¢� Se\--t_.,/... / APPLICANT • (Name) HEARTH & HOME TECHNOLOGIES (Phone) . dba FIRESIDE HEARTH & HOME (Address) Lie BC662656 270aI RVIEW AVENUE N (City) (Zip Code) ROSEVILLE, MN 55113 ���"` (Contact Person) 651.633.2.5E1 (Phone) % APPLICANT SIGNATURE DATE APPLICANT PLEASE COMPLETE BELOW W CONSTRUCTION 0 REPLACEMENT ❑ALTERATIONS • FURNACE D MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM BEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ❑Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach ❑Gravi ❑Hot Water into Required Side Yard Setbacks. - anical7.....„,— ❑Radiation Air Conditionin 0 Special Devices Fireplaces with Box Additions or ❑Vent.System ❑Other Devices Cantilevers to the Outside of Buildings I Require a Building Permit. FIREPLACE MAKE AND MODEL liULA.)L— l �� FEE SCHEDULE *. (3\114)1) Industrial,Commercial&Multi-Family 1%ofjob cost Residential,Gas Fireplace $49.50 �y $49.50minimum Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50 Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 Estimated Cost$ Building Permit # 't11e Minnesota Statutes§32613.148 t "SURCHARGE'has been changedkar one HEATING PERMIT FEE $ year effective STATE SURCHARGE $ .50 July 1,2010,until June 30.2011. TOT-ALPERI4IIT EE The minimum surcharge for a'"flsed fee"perm it (Office Use Only) is ti,.,,beginning duly 1.20111 This Application Becomes Your Building Permit When Approved Paid Receipt No. . Date By Buildine Official Date - 24 hour notice for ail inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.R.,Prior Lake,Minnesota 55372 N Apr. 10. 2014 1:04PM No. 0596 P. 1 DfiD ,� 01 le 100.4 3 CITY OF PRIOR LAKE PLUMBING PERMIT trate Ric d ' vrsat ,'' Mil 2LPEnMIT NOS 1 mean rive mount and del attotem) _.,..__ ADDRESS !24259 J oY+_ C"rt ZONING tea e - LB1 AL DESCRIPTION Office nee oath LOT BLOCK ADDITION BID Gym. (A)e,,,,,,,a,,,,,- 6,,,,Abv.,,, Wettyl,te_t... (Address) APPLTCA"B\VKAVte–MCses4t\At>oi (Address)3)8 R'a " f►cn: --, Ste c OO 1=� _ asp) _ (AdalT) (City) (VP Code) (Contact P. ,.:.. • - < 51~`775`--/sof 1 t /���,� � �. (fie) _ APPLICANT SIGNATURE 1i " DATE 41=D l I• AZYLICANT MARL CUmma%BELOW — Quantlty Type of FixtureQuantity Type of Fixture — I - Bath Tub with or without shower Rough ins F Dishwater I Water Ileaber _, Floor Drain Water Softener _ Lavatory(Bathroom Sink) 1 Stand Pipe(Washing Machine) — IL Laundry Tray(I or 2 compartment sink _ •,-. -• Sewage Netter — Shower Stall Backflow Assembly. Sinks - Backflow Assembly Test �_ Bar Sink Lawn Sprinkler — 3 Water Closet Milet)) .. _ Oth r — FEE SCHEDULE Judustkfal,( mmerdal&MuIt1-hmfly 15%of Job cost with a$4950 minimum Residential, Odle&liseao-amily 3149.50 Raaidcotiet,Additions&Alterations $49.50 Die Hones*Statutes#32as . .1 It ..fit $ Building permit "SURCHARGE"has been changed lbs one year(Active PLUMBING PERMIT FEB $ July 1.2010,until Juno 30,2011. STATE SURCHARGE $ 54 The ml lain serc)*rae for*"I red he wont Tom,PERMIT FEE $ tsa&begtmingduty 1.2010 Tbb Application Bemuse Your Bunding Permit When Approved Paid ReceiptNo. — a*ndtaaaw�►t Date `" ,rA6) WITH 24l am once for ill toponym'(952)UMWfox(952)417.4245 U.LDING P�t IIT 4046 Debate Street ILL Prior Lake,iidtnnesoaa 5$370 v Pittpt E., Builders• Deposit ,...., 4/1/visigsolt. 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: ne;e1 SITE ADDRESS: /91,77S-i' ' '9C6.0 C‘e7,9e ge.'-‘rie' ,e. - - PERMIT# 14. (50 REFUND TO BE MAILED TO: . 9,r-J'. /9.'6 / c -cf----...2 ‘/' A UTHORI • ION TO RELEASE Lynda S.All- -----Am--------------n 1).1.4EIVS III ItitiMEN111F-411, ,i_ ig/ , th,,,fn iServices • , ., $ 1. KEEP STREETS CLEAN DURING CONSTRUCTION Date Acct.80.1.20204 2. KEEP EROSION CONTROL IN PLACE 3. TEMPORARY OCCUPA CY PERMIT MUST NOT EXPIRE OR $500.00 WILL BE FORFEITED .-- SIGNATURE: , , ,, .../ ..._.....,............... TRADEMARK TITLE SERVICES, INC. M&I B140 HARRIS BANK N.A. 142126 / 1 ESCROW ACCOUNT 7" 5 9 ° 14_0405s 13875 EIWY 13 S SUITE 126 , .., SAVAGE,MN 55378 /1[111 PHONE: (952) 226-7900 DATE AMOUNT 4 March 19, 2014 $ *****11,733,28 " 1 -., PAY --Eleven Thousand Seven Hundred Thirty Three and 28/100 -------------------------------------------------------------------- Dollars TO THE ORDER OF City of Prior Lake VOID AFTER 90 D A MEMO: • AUTHORIZ•D ATURE Ilit k ii 2 i 2 Glill I;a ? 4000 28131', 003 9 sig., s 3 t., liglig DEPARTMENT PRIOR LAKE BUILDING ANDOF INSPECTION INSPECTION RECORD SITE ADDRESS RI (,� 2res - Or- NATURE r NATURE OF WORK OJaw C. 101,1k, _ USE OF BUILDWt� At PERMIT NO. Pr. DATE ISSUED 3 �y iy CONTRACTOR Ws s�,c in PHONE /-SSS-7 3)7 INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING Fj (Prior To Backfill) ®b /j7)//y- FOUNDATION RADON RETARDER PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER/WATER/SEPTIC U y p �✓' FRAMING V., (D,..e_ -q19- INSULATION S /iii ELECTRICAL r PLUMBING Vrs, to q 1t Jr/ HEATING 2'1 \,Lk FIREPLACE s2'Zl L� GAS LINE AIR TEST RADON RETARDER '?�/ ' COVER NO WORK UNTIL THE A/Bc VE HAS BEEN SIGNED HOUSEWRAPz— gt,-) V‘-k. LATH tY, 7://V FINALS [RADING ( PRIOR TO SODDING) -r/L(4 BUILDING \AAL �L-U � 2�((4 ELECTRICAL PLUMBING t,) C ,J r 'y 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 INP ..IONS (952) 447-9850