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Building Permit 14. 1386
K „ S . \ I y.'lll.1/)/C-'?1� :--' EL. -f 'IVII .�'' A Y , CITY OF PRIOR LAKE prparfittrilf lif ;Iinsytrfiutt , t Final Permitted ❑ Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the ❑Residential/❑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: C� Use Classification S 1 A� ,/_,6- F// /11-y Bldg.Permit No. / 4- - /3 ( Occupancy Type Type Construction Zoning District (C)/ e7 C) N L � 6Z , / Ur=FS Tf- fI L) ty G- 6t3 KLegal Description / �' � Owner of Building Site Address /4/e st-/fiby B69(// 41-:. > Conttrr�acttor's N/ame>&Address ! �,�/r i)—:-)t - 0/\/L- I)£ /( IV /w l'6\ , 167- - f �e/ l� A75 City Planner f Building Official Date: 1 \'� Date:�� POST IN CONSPICUOUS PLACE = I I I f f I I I� f y4.J rylll I I I i � f I a f n r i lug r V� r -, �i / � `/„ 1 \ O JQQ ~ W Z ZfN.. V QZK u. p�UUW Z 4G u.ggg = 0 0 aaa :1 K '6 z Wv 41 ?u8L�t� U . W z �i.„,, O N= 0000 ❑ ❑ a r v LU _ z 1 � 1 m c O W a %S. < 1 ZO �j U 4 Z YYZ 1.7 0 d W 4" D c2 1- OC OO � J U t IU N O W Z re Z _ IXZZ , N Z o4 C X � N \� a 7UWm c c z W W L� W W oC W Q J W W W c, Z 000000 _ ce re a a 0 2 C J Ce co NR WW tt 3 z N p o I G Q v. 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LiN0 UZ < 0 a 000000 V -- N IV) X11 ❑ X ❑ ,�� PRION CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Z 3 4— AND UTILITY CONNECTION PERMIT r*NES�� 1. White File 2. Pink City PERMIT NO./4. /3 S 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESSZONING(office use) l 4\g C\ skAt;1,`� k, 'bQ 1 (r' *C Z( LEGAL DESCRIPTION(office use only) LOT(C) BLOCK cf. ADDITION N 1.& cc 54 xl, FJl'.-rtc11` PID 4.55 O$'01- 0 (Name) (.tar,\,, 4-tct-1 \vo.., 0VfLD444-\r' (Phone) CI53'a' `1110 {� \t I (Address) yds C.Pri\la n Y o ' ►�41. ccoa (Co DER �� i , r (QI c1-- gi91- 5�S-1 (Company Name)a��WL �,y;1V�(�1 .L-� p,� f/ (Phone) � ` (Contact Name)PI\ 'Z,1fi�C, ,1(L.1 Lu n n I t PSI kvi t{ (Phone) wa-'"i��-59-5i / ,a (Address) \1 4-1 t '6Yv 11 e. v\ Avg t, \,) c0�1 ��� TYPE OF WORIZIELNew Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE: i'f.R.C. ❑I.B.C. ❑Misc: / Type of C t 1 truction: I II III IV V A B ^� 0 Q 0-i C J Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ Q" D 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 ._. entioned prope and that all cons 'on will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building .fficial .n revoke this I, it 1r j i cause. urthennore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X !l -.i-�► I BC, t0-33 51)6 / -3 - 14 ' Signature Contractor's License No. Date Permit Valuation _ Q9 9,000.od Park Support Fee # $ Permit Fee $ ^ atm, 5,0 SAC # $ 2 f ," Plan Check Fee $ II 4100 Q @ Water Meter Size 5/8"; 1", $ S10 _ State Surcharge $ / . 1 A Q Pressure Reducer $ ( 50-- Penalty $ ` "C I Sewer/Water Connection Fee # $ Id 5'©�L� Plumbing Permit Fee $ 1 6q .573 Water Tower Fee # $ Mechanical Permit Fee $ I fJ,--(/ 50 Builder's Deposit $ , Sewer&Water Permit Fee $ 5t 6---U Other $ / Gas Fireplace Permit Fee $ 5q,(5--, TOTAL DUE 2 $J 2-I.b 0 Z V 0 T . lie/ion ion B comes Your Building Permit When Approved Paid %Z �, 0 eceipt No. `-� !/ Date /-1.,m,?,./--/ ._ 12115/P( Jit 'tn_Official D This is to certify that the equest in the above application and accompanying docume is in a. ordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the Cit nni consti.tes a temporary Certificate of Zoning comp ce an, allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. dl , r Z. , I , Pl. ng Director Da- Special Conditions,if any 24 hour otice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 04 TR o4, White -Building Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT / a.570 A/e-' APPLICATION RECEIVED /2 . 3. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Accepted With Corrections Denied Reviewed By: 441Date: 12-/f/y Comments: See Reverse a for Additional Infmnationl Cwb 64of w,} It ((peke fro k`/,i Covr,- '„ Dr,vtv7 See Attachments: 1) Grading Plan, 2) Erosion Control Standards "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." PRto+P ti White -Building 414vv$se' Canary -Engineering,. Pink -kenning.:: �.. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT `e& ' "/-6--- APPLICATION /-6 APPLICATION RECEIVED 12 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: • ?. // '/e9 . zlg &k - . Accepted ✓ Accepted With Corrections Denied Reviewed By: Date: 2— ( - ( Comments: 1VLiondthoner and Other e Units Cannot km:roach into.°stiv '.". Side Yard Set Ae (0 "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." ti rn White -Building Canary -Engineering ' rvBso�� Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT // .I- tiTS7 'V1 APPLICATION RECEIVED /1 - 3`. /* The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: iv--/e09y _04- 1 Accepted Accepted With Corrections Denied AO Reviewed By:415 / — Date: l 2 l5 � Comments: j Frovae., 'an. Cevtrtct 64-1:31-En- rjcCa. (PAI(-Idam e*-`^o'(- 1/4(0.4 ;K. "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 ConstruI for Single or Two-family Dwellings in R-1 or District Reviewed by: Date: / 2_ (46-- /1___ . Building Permit# PID: ,� Zonin : Address: !4 e 1 _ v:.4.) r(l_____ r-(5/0 • Legal: L , B Su •ivision: Existing Structure? YES 10 Existing Nonconforming Structure? YES I NO CONFORMS TO ZONING 5 NO ORDINANCE Yard Setbacks: NAI FAILS/COMPLIES .lStandard Proposed I • Front Yard(can be 20'if avg.w/in 150') , 25' ---. ....4C). • Side Yards 10'/ 25'if abutting a street /D. Z o.7,- • Sidewall exceeding 60'requires additional side 2" 10'setback+ setback for every 1'over 60'in length. Not required 271'over 60' if building wall is 10'-0"or greater of being parallel to a side lot line. r • Rear Yard 25' 70 -4- • 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/FAI S/COMPLIES I .30 Maximum I ® 2' ) Yard Encroachments: 'NAI FAILSICOS Standard Proposed Eaves and Gutters no more than 2 feet in width and no; i+ 7vjanditztner and 3, laz. -& Clit.,.-,. closer than 5 feet to a lot line(Easements). tiiiitS Gannet EIW.1 . ilii.,0 e1„ NC and other equipment cannot encroach on interior Side Yard Se`ba ek side yards. i'. Tree Preservation: FAILS/COMPLIES Standard Proposed • Total caliper in s • Permit 35%Removal • Caliper Inches Removed • Caliper Inches Preserved • Replacement Y�:1 L:ITEMPLATE\BLDGLIST.DOC ai V�o�, CITY OF PRIOR LAKE Date Ree C A e HEATING/AIR CONDITIONING/FIREPLACE PERMIT 3, 3 . C� U ri ,--F--, "',NNEsooA i.PGirenken CFiiity e 2, PERMITNO. No 3.Yellow Applicant ` (Please type or print and sign at bottom) ADDRESS ZONING(office use LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER 'rue" C(/ i f' ► (Phone)6 - i7 -06;70 (Address) ' Air j '/40 . / ► d► - J APPLICANTif (Name) I , ii"L - .- -- dr''ALL, (Phone) r r — Iv - (Address) ,aSi / /r (Contact Person) a,r m,, A (Phone) APPLICANT SIGNATURE DATE 3/ 3'./1 S of APPLICANT PLEASE COMPLETE BELOW NEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach El Gravity D Hot Water into Required Side Yard Setbacks. 1. 1 echanical a Radiation Fireplaces with Box Additions or ■Air Conditioning a Special Devices ��ent. System Cantilevers to the Outside of Buildings y a Other Device Require a Building Permit. FIREPLACE MAKE AND MODEL C" ii 6(0 -1 Li 614T-7I.- FE SCHEDULE Industrial, Commercial&Multi Family 1% of job cost esidential,Gas Fireplace $49.50 $49.50 minimum Residential, Heating&AJC(New Construction) $149.50 Residential,Additions&Alterations $49.50 T4PciriP,1.til. Heatincr Only(New Cnnstruction) $64.50 Residential,AC Only $49.50 The Minnesota Statutes g 326B.148 "SURCHARGE"has been extended Cost$ Building Permit# The minimum surcharge for a IEATING PERMIT FEE $ Lig,SO /t CO ir) "fixed fee permit is + :. 3TAl b SURCHARGE $ 5.00HDet C'OTAL PERMIT FEE $ Sq-, / p This Application Becomes Your Building Permit When Approved Paid Receipt No. Building Official Date Date 11:441111111 �. 24 hour notice for all inspections(952)447-98'x$ 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 lt..L-292f4 1.1".;. ,-, e f C TY OF PF,!I OR ,_,Pal, n 41., ) 711Y, OF P,Ir,l(„WitLAKE , r 1- 1NT NGity' l'FLACF PERNII I HEATING/AM(TONI I 1,1. .1. - IRE ., , .. . ., . Zi. 41 ry (,4116e .,(PIMS51200.9',Fai.5.!ke 4104,9,____ ITE',(3:AlribE,SCRIPTION(FAii.x.:i3AP 0,07) N .3.5774245 Date Reed _ 25*: ACitlYilosiv m_ ___. _ _ ,,,,,, vy,to.mc,,i.oilw um) ' o'ame,L________Siae5.4-4- _gee_i_ _-40, 1.e%1,e,L,,,,z41){4174 ,4.___ (Mom),(.A.Ekrress) APPLICANT SIGNATURE, ,. .,-.. _.. APPLIC.A. :NT PLEASE COT.V.01,,ETE 10140''.1,,' ,.....—„....,„...._____.......„--, .,„. ,, Li REPLACEMEM 1107FFT,b"ifkkik7titr:4"7" --C-4.- -2-t- ' FLUE SIZE _______ ,,,_ RETURN OVENiNG$ UW.51.57n A ilants clCilLviiy Vrie.03onicai i',44eiftonditioning CIVent. Syskuu, FIREPLACE M .KE liElD("):1.11$,LIFM 7,001010,f,7,,YrFARY7,r,7,,,1 R;111;illi-P'orn-Ai R.C.SidgaiM,BOOM&A/C 0,4P11,cfrOgrkiViVa) Rggidmitiol,HeietT;inf,Only New CoimnicTion) (43fWt q.Fsq;000 ,,,.,„____,. ru,of fiob cw:IEATING op_POWER PLANT von til 0 ,_ Li Hot Warm- OUTPUT FC MANE NOTEz : ::rivw _ ,, ,,7,,,77_ .,ZE,sncroaoll into Ei Specioi Dpvioos FirE,SCHEDULE olininum: cl ,99g.) %I.50 Redkviai,Ga Fire,pliace Rosidial.,Addraions&Aloxatiom ikoni,iol,,AC Only PoquireNd Side Yatd $39,30 430 VP-- $39,50 Esitini0ed Cog.$ !ILE/02f 6P.,,_ BufMng POIMit Air..)1CMidWi""thlti" HEATING'PERMIT FEE i _-', 71. ?",.:1:4,44:42:::!04,:r..7;c:'-',.....u"''''''' sTATE UR( RU TotAt,rt.RMFT FEE li -47 Ihs Appiliiv.M:ioiT Ilecoyiners Your lOviMing;Permh Whem,Ajr,,,Trovea • Paki"."---------- . "Rei-Pliii Ni;:'--"------- 1 L.- ----1,5-..otTeTT---- — - INItt . --—-'---— 94$:° ”,—„,-.,,,,,,,,„„„,,„,_._ ,,,,,,„-,,,„---,-,,,,,,,,,,,,,,,,,,,,, ,-,,,,,,,,,,,m --, , , „ , '''"'""'"------------. ,,,. .. , M,hops v,Aotice DiC all WVAT06119:11S C,%2)447,,9f,t50,,(NzA(.9M 47 44S 102410 Bagbp Cr,MfAr..A:MUM,il'litifOK Lske,MN 615r2 4 on OF PRIOR LAKE PLUMBING PERMIT civEs0.0" i Bloc File PERMIT NO. l Gold City 3 Yellow Applicant ----------. Please r e or.rint and siat bottom ADDRE/ //SS ZONING(office use) L_ .1/10(a/ 664re- L be LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID r--------OWNER I (Name) __ if #/A ,-/ (./ /‘-itys------ :-_- '4.(Phone) ________------- , (Address) I --__------_—_--- APPLICANT , — (Name) (Phone) ' ---Z -2---:--Z__ __ il . ./ (Address) ...Zi• _' -')-..- Iste/-1,0 ra,/ Ag4Aii' .N...777 --4-t_ Xi/1'A- . .5.. --„z. (Address) (City) (Zip Code) , (Phone) —32/ (Contact Person) APPLICANT SIGNATURE ______Z-2 ,--)e--, ••• -•4:-‘›i____ DATE 2 — APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins 1111111101111111 DishwasherWater Heater Wailillla Floor Drain _ Water Softner 111111Wal Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) IIIIIIIIMM Laundry Tray(1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly / SinksRackflow Assembly Test Bar Sink — ------ — Lawn Sprinkler MEM Water 1111111nall Water Closet(Toilet) Other FEE SCHEDULE Industrial,Commercial&Multi-family 1%of job cost with a $39.50 minimum Residential,New One&Two-Family $99.50 Residential,Additions&Alterations $39.50 $‘ Estimated Cost $ Building Permit#____________ ____ -C 50 PLUMBING PERMIT FEE $ ____ZLI--_---'— :',',i„,,., 4*., CT A TF. SURCHARGE $ .50 '''. f 1 'A r' TOTAL PERMIT' FEE ----- --9 -- Pr141 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. "$$ Date By Building Official Date 24 hour notice or all auspeL6otr;(957.)147-1)950,f-a• ().52. 447-4245 . '' PRIOR LAK5 RNT O BUILDEPADINGTMEAND INF SPECTION INSPECTION RECORD SITE ADDRESS 14-11 89 �LctAi , ,,, ,- ®r, NATURE OF WORK N.e.w 0 Jxt. JG,e' E L .L , //rvs/t Alo PA2cH USE OF BUILDING ,SFs PERMIT NO. /4-, /3e(r DATE ISSUED 1115-144 CONTRACTOR (- 4 � _ .s� ii PHONE 12 - ciC ( -.5-775-9 INSTALL EROSION CONRTOL AND' MAINTAIN CLEAN STREETS AT ALL TIMES ff. ' ' INSPECTOR DATE r Tr FOOTING ? --�._._ \ \-r--\\ c— FOUNDATION \-z \\ c— FOUNDATION (Prior To a kfill) --,- , lit. ) ) - RADON RETARDER T/9/45 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS / SEWER/WATER/SEPTIC G _. 1! -;; , FRAMING ��� �' ' -z z��)15 INSULATION ,x,m.. �`-Pt) ,, .. ELECTRICAL PLUMBING :-` 0-)-ez_ -- HEATING c _ 2J 2-6113-- FIREPLACE 7 05 L 3(i v____, GAS LINE AIR TEST RADON ' COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED HOUSEWRAP LATH - C- FINALS GRADING ( PRIOR TO SOD•ING) tJ� F 6/2./� , BUILDING Te-474-6 eftJ - ' s/iy4- 0 G o o ELECTRICAL PLUMBING v- J , — HEATING 3"iy i�- DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIG E 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 1 UI0 Deposit„1„, Builders 8 '1 , 4101 Ns 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: I')--'3--1 SITE ADDRESS: \\ Sla\k 1M.L PERMIT# /4-' /� 42\tLovz, Lev L 'Ik. tt cC 1\A6i, 13E-11-(Al- REFUND 3E 1-REFUND TO BE MAILED TO: .D C 1\E• M A LLC, V -�-t Kit\i 0 3 IV e, ‘.-1\-U.v i, 1e, , t4 3C 4 AUTHORIZATION TO RELEASE PLEASE REMEMBER AdlifX2.5 O, C Lynda S. • en,.uildin Services 0_ 7 Amount 1. KEEP STREETS CLEAN DURING CONSTRUCTION Date Acct.801.20204 2. KEEP EROSION CONTROL IN PLACE 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR$500.00 WILL BE FORFEITED %is • r Nr SIGNATURE: SA <i .4 ti 4i ,.. Redstone Design LLC ; r- 5 ) 17271 Kenyon Ave �� Lakeville MN 55044 75-119-919 S n DATE B PAY � -- K�H� TOTHE r I $ OZ I'_, ORDER OF IA . ! �,.. m ---- } L. ! AA WWII• J At 0' DOLLARS 8 y,ii ® =ILSli % � t -Mk z - g1)I 4Ji-)1-415"46.601/4•011---- �Hl u ra.' FOR t ewnt ivb 000 2766u'4 409 LAO L L9 2':--_043066880 LH. Jt\FORMS\BUILDERS DEPOSIT FORM.DOC