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Building Permit 15. 0046
A - A ' CITY OF PRIOR LAKE Priaarfturuf of Iguilbing 4nsiartfitin K [ZFinal 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: > Use Classification S/I`lG L4:5 F F//LyBldg.Permit No. District ��� Occupancy Type Type Construction Zoning - ', Legal Description L `T / �� ' / ,-7 E L/A//C ✓O t)/ — Ai-Y-716/ (vii-1) :- Owner of Building Site Address jg C //i�Lsi L't C/ l'V Contractor's Name&Address e/-4! Lr)f-F HC//65 - ( i�o tiC/L/ O, /--ii-C-.:1--/7//5, City Planner Building Official f Date: 1:1' 7 I ' _ Date: s K =,. - ....-/ POST IN CONSPICUOUS PLACE N t J ~ W E I _�_ I_ V ty uui 1 J F < ii � aaa , z 555Z no z . 2 Ulla co W N '"- L �.�. 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Type of Construction: I II III IV V A B Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ Division: 1 2 3 4 5 (excluding land) I hereby c rtify 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 above•m toned •ro a t• hat 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• revA t •ei,r just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed ins ctiu X alit � 1 CI & 307 iZ7z coon Signature Contractor's License No. Date Permit Valuation2 ( 0�-- Park Support Fee # $ Permit Fee $ r° SAC Plan Check Fee $ (2O .,qe> Water Meter Size 03"; 1"; $ State Surcharge 7 sk�-� g $ ' t 6' Sp Pressure Reducer $ _ 3 Penalty $ (� O. 7 Sewer/Water Connection Fee # $ 1 4 Plumbing Permit Fee $ l 5 .c o Water Tower Fee #1 $ 1006,- Mechanical Permit Fee $ ` S 4.co Builder's Deposit $ —' 2500. Sewer&Water Permit Fee $ 5 c... so Other $ Gas Fireplace Permit Fee $ 5 .So TOTAL DUE $11) /_r_/„-4-S This Aic. '.n B omes Your Building Permit VVI n Ar ed Paid I I (p(p(p , 4(, Receipt No. �� I�t Date ) . ' � 5- BY b7 io .�L tZ_ 'LZ T- t uildnrg Utiicia Date This is to certify at ,reqs; tin the above application and accompanying d mems's in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by 'c t PIa'Cr constitutes a temporary Certificate of Zoning mplia a and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued l_ . • �► 141111111.� 17- i Planning Di Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 O poop Ay Builders Deposit fri atiN rntA Eso1i 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: I2` Z` /11 iii9SITE ADDRESS: , s O /(.L SI DE_ G/(2 /\/(/‘7 46 PERMIT# /✓ • REFUND TO BE MAILED TO: Zi`� 3 &QE&J4caq �lv� St,t►T£ (Co LA E vi t-L-E- Mil S5"°41 AUT I rATION TO RELEASE PLEASE REMEMBER /i(//, ,4r2,57J?)_Ui) 1. KEEP STREETS CLEAN DURING CONSTRUCTION Lynda S Allen,Bui]dii)g Services Amount �s_ —L—y t S Acct.801.20204 Date 2. KEEP EROSION CONTROL iN PLACE 3. TEMPORARY 0 � y ANC -MIT MUST NOT EXPIRE OR$500.00 WILL BE FORFEITED 411 SIGNATURE: ,illIPP (RATZIAFF HOMES;.INC. 05-12 ANCHOR BANK 34059 2i483 GRENADA AVE SUITE.120 www -1523/68-8 llr chor 5-1 /geo E3Dg3 LAKEVILLE,MN 55044 75=152�/98Q ,. {552985 X959. ; 1 �'�YTOTHE oi�DER DFLct,i6L_ Jfi DOas 11ST . MEMO r+iT 14.111si C t.C 101,7") m/ ® IiG i't�340Wn' r:Og6C1 '' 1: ©Q04 76:7 Lu'. J:\FORMS\BUiLDERS DEPOSIT FORM.DOC Residential Building Permit Checklist Ne Const•uction for Single or Two-family Dwellings in R-1 or -2 Distri s . : qi i Reviewed by: Date: \ z 7Z Building Permit# PID: Zoning: Address: Legal: L , B Subdivision: Existing Structure? YES./ttr0 Existing Nonconforming Structure? YES/NO CONFORMS TO ZONING6.0NO ORDINANCE Yard Setbacks: NA!FAILS/CO ('IES Scan dar Proposed • Front Yard(can be 20'if avg.w/in 150') , k o• 3c0 -'3 • Side Yards 101 1-1-1,-t•-. 25'if abutting a street �. k • Sidewall exceeding 60'requires additional side 2" 10'setback+ setback for every 1'over 60'in length. Not required 2"/1'over 60' if building wall is 10'-0"or greater of being parallel to a side lot line. • Rear Yard tit IS.r, • Patio Door: provide for minimum 10'deck or sign 10'side/ statement indicating no deck will be built in the future 25'rear • From 100 year flood elevation of wetland/NURP 30' pond. • Refer in-ground pools to the Planning Department -- • From OHW(Prior or Spring Lake) 75'or setback average of adjacent structures,but no less than 50' 1FloorArea Ratio: NA/FAILS!C4ES I .30 Maximum I -Pt" 17 Yard Encroachments: 'NA/FAILS/COMPLIES Standard Proposed Eaves and Gutters no more than 2 feet in width and no g , ,ar �� y l . and otter- i=J closer than 5 feet to a lot line(Easements). NC and other equipment cannot encroach on interior side yards. ;: Eti Tree Preservation: NA/FAILS/COMPLIES Standard Proposed • Total caliper inches • Permit 35%Removal • Caliper Inches Removed • Caliper Inches Preserved • Replacement 1/:1 L:\TEMPLATE\BLDGLIST.DOC 4 YRlp+i O 6� White -Building Canary -Engineering Mrv,,,$so��' Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST ' / ' jyleTh/Lea___/ NAME OF APPLICANT APPLICATION RECEIVED Z - (4— The Building, Engineering, and Planning Departments have reviewed the building permit applicationjfor construction activit hich is proposed at:di..;Lez_e________ l 1756 AW �� 4 i- Accepted ✓ Accepted With Corrections Denied Reviewed By: .. 141Date: I i Z Z- Comments: ® "-x-0-c,L., e6 kou rv."c� ,-w-ra e 4. 5 ` -cz�GtS,tr k-c- Act..%---Tirv\es, "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." 04 PRipie S White -Building ' nr�s��' Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activi hich is proposed at: , We. deL Accepted Accepted With Corrections Denied , Reviewed By: 4146 Date: r � 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." TR/04, t: c� White -Building , �, Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST /air NAME OF APPLICANT APPLICATION RECEIVED , Z �" �¢ The Building, Engineering, and Planning.Departments have reviewed the building permit application for construction activit hich is proposed at: /147_6-0 t '_10,61eie„, ,„ Accepted Accepted With Corrections Denied Reviewed By: Date: Comments: 'f PS • "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." May 151510:03ap.3 p,AD 4. �f ?RIOT Date Rec'd A, ANCITY OF PRIOR LAKE Iv SEWER AND WATER PERMIT 5"_ CC . /C 4 ,Esdir ]. Green File PERMIT NO. �. Yellaw Gtity 3. Gold Applicant s (Tease type or print and sign at bottom) ADDRESS ZONING(office use) /4/7 co /1/1/f4,701 C'' '`' ,M Gt,'' LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID . OWNER / �L �/_� (Name) t /R7'- f7"37 -7e..„s-- (Phone) (Address) (Address) (City) (Zip Code) APItiTT f (NamPLICAe) C� '�P S /'.-2,Slf1/'/'r x-C4 04.6 `/�9�,' (Phone) ',la) - ;lP to- 5`9,5-- (Address) `9"lam(Address) / LAP/ _,.,, e4'/ / ,47-1-7— p';'7,7 7 5 't55" A (Address) (City) (Zip Code) (Contact Person) .,-1-1,7 6;: t-� (Phone) APPLICANT SIGNATURE DATE -'7 - APPLICANT PLEASE COMPLETE BELOW Size of water service/ '`r{' inches. Location of any couplings from structure 47 feet. Type of sewer pipe. J ABC PVC n Cast Iron Estimated length of sewer line 25 feet. Clean out(if required)located at feet from structure. FEE SCHEDULE Residential sewer and water line connection $35.50 Industrial,Com'l&Multi-family 1%ofjob cost with a$39.50 minimum Sewer connection only $17.50 Water connection only $17.50 Estimated Cost $ Building Permit# SEWER AND WATER PERMIT FEE $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid PAID 1. 1 No. Date BUILD!- ,L E T Building Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 03/04/2015 1 :45PM FAX 6514837835 FARMINGTON PLUMBING @j0001/0000A0 . : a 21(1O , Date Recd ca . CITY OF PRIOR LAKE PLUMBING PERMIT -, r... U b . . k 143:11 Fct„ PERMIT NO. 1 Yettio Applicant (Please tun orpint tusejbmttitotsata) ADDRESS —1 ZONING.(etrue use) 0 I ,. ,... 4 11) ei 0 ff . - 1 . LEGAL DESCRIPTION cake use slaty) LOT BLOCK .ADDIZION { ._. PID • ; EOVirNERL. d . _____Lo (Nerne) tA_1•ve.S__________ (Phone) H (Address) sy_r ,L .1 02.,Lii , Eri __ APPLIC• . j (Name) siro rrt i A. 10 .4.1p 1 1 ,I CI' U ,, (phone) (AAdreas) .c?‘10 ' 0 ,-, .4 A iaj A e. II ie... Threvitort, L..,A. —SS O 22,It (Address) (C 1) (Zig cwe) (Contact-Person) ,DLt.ift. (Phone) APPLIC.01 B .445,______ T SI--- ---GNATURE I ''' 1__ -- t . . --PP: APPLICANT PLEASE'COMPLETE BELOW Sillutity Type of Fixture — Qiintil Type of Fixture 1 Bath Tub with or without shower Rough-ins I . i Dishwasher 1.. Water Heater 1 Floor Drain Water Softener • , , __Lavatory(Bathroom Sink) Stanas _Whin aching) i Laundry Trail or 2.cot artuum :nt sink §sgewa Iiiector L. Shower Stall_ Backflow Assembly I. Sinks Backflow Assembly Test —....... Bar Sink I Lawn Sprinkler .,.._ YLatstickNirpitet) , Other lice's-0.6 FEE SCHEDULE Statutes§3261 148* pas cost with a$49.50 minimum Residential,New One&TWelausily $i49.50 "SURCHARGE*has been extended' — Residential,Additions&Alterations $49,30 - The intuit/nun surcharge for a 's . "fixed fee"permit is$5.00 - . _ Building Permit# •PLUMBING PERMIT FEE S . tioA „- - 4• - STATE SURCHARGE $ nrkriop- --.C.`;;,,' TOTAL PERIM PEE $ c4r4A' pm"Uss WO • eg1/4\-,':k This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By -- itull4Ine°Metal bate — 1 24 hour notice for all Inspections(952)4474854,fa%(952)447-4245 4646 Dakota Street S.E. Prior Lake,Minnesota 55372 . - . . , CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT 3 . j 4 `V1.rinkFilePERMIT NO.2.Green City (S 3.Yellow Applicant (Please typt or print and sign at bottom) ADDRESS ZONING(office use) Iggs0 H1 ad ( '- jVvV LEGAL AN DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Nam e) Ik()vy) (Phone) 052.-6125-5G S 9 (Address)2L3irD elY'an1x&k. / \)t,. Late.V 1 lk RN Sag`i APPLICANT (Name) URNSVILLE rthhi IN4.2&AIC,INC. (Phone) (Address) 3451 W.Burnsville Parkway Suite 120 (Contact Person) Burnsville,MN 55337 (Phone) (952)894-Non APPLICANT SIGNATURE StyaelAw 1-,awv-6 i- DATE 712-1 /15- 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 ❑Gravity ❑Hot Water into Required Side Yard Setbacks. 0 Mechanical 0 Radiation Fireplaces with Box Additions or ❑Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings ❑Vent. System ❑Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE In•u '• , •mmercial&Multi Family 1%of job cost Residential,Gas Fireplace $49.50 $49.50 minimum Residential,Heating&A/C le"" _,i • ction) $149.50 Residentia :• tions&Alt rations $49.50 Residential,Heating Only(New Constructio' ',64.50 Re •_ = al,AC Onl $49.50 Cost$ :.i ding Permit# HEA I _ ' ° •t i T FEE $ 4.t."r7 E SURCHARGE $ 5.00 " TOTAL PERMIT FEE $ 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 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 riz.to ,. CITY OF PRIOR LAKEIL DiteoRectis . . e HEATING/AIR CONDITIONING/FIREPLACE PERMIT 1 u mi 44NatESO'Ct' 2l.GPirneken FCiiltey PERMIT NO. I _1/0 rf 3.Yellow Applicant Wig , "i - (Please type or print and sign at bottom) ADDRESS ZONING(office use) i - 50 1—\11 11\C';a_ 0.:‘(' N 0 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER c.) \ \ r (Name) K cri----2Ack4--t- • (Phone)95a--(-4 51. (Address) p 1145 0) Cq ii-conc(f6._ A ."1 00 6,4vato mm sso'izi- i 1 APPLICAN —_,‘c imhoui t Whim, (Phone) (Address) c skrt cs, \ r - .-. a_c.....c\‘ ) a ir-.I i C.7\ tr\1 rif\Kj- (Contact Person) 4.32:‘"c-\r N ....ik iv (Phone) APPLICANT SIGNATURE 41111V ---- DATE al lb ( lc I APPLICANT PLEASE COMPLETE BELOW n‹-W CONSTRUCTION 0 REPLACEMENT CIALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner El Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach E=1 ravity 0 Hot Water into Required Side Yard Setbacks. 2 k,echanical 0 Radiation Fireplaces with Box Additions or ElAir Conditioning El Special Devices Cantilevers to the Outside of Buildings El Vent. System CI Other Devices Require a Building Permit. FIREPLACE MAKE AND MODE10") 00:1A-4G0 .s(----)sT)-(- _,... t e I .....---gs FEE SCHEDULE . Industrial, Commercial & Multi Family 1%of job cost Residential,Gas Fireplace ---5) $49.50 $49.50 minimum Residential, Heating&A/C (New Construction) $149.50 Residentia, - • ition-TMAlterations $49.50 R0•6r1pritini min eatiy Only New Conctruction) $64.50 Residential.AC Only $49.50 The Minnesota Statutes 3268.148 Cost$ Building Permit# "SURCHARGE"has been extended The minimum surcharge for a -IEATING PERMIT FEE $ Ltel.SDe;10,._ —To ;TATE SURCHARGE $ 5.00 "fixed fee"permit is TOTAL PERMIT FEE $ 54,St .c6-2-_\ 0... T-c- This Application Becomes Your Building Permit When Approved Paid R410 win+. Date 1191AUYNGYP!::HMIT - Building Official Date 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 V . PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS l ' 1����.-s� Ute Gr . NATURE OF WORK �� D I . FitJtsi+ t...t,L.L . IPv=6%. Nic,-. a4 . USE OF BUILDING S,N��� 44��•+��.� L1�s‘4�.�t�c> PERMIT NO. DATE ISSUED �z/:.�/,.F CONTRACTOR t-2�,4�.�- I rc�s PHONE qct -°lbs-it1c\ INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES ,, L- L \P 1 tido q ► { INSPECTOR DATE FOOTING id c 0 /e2/ 5 FOUNDATION (Prior To Backfill) RADON RETARDER ->,--. 3(2 ( Is tt ' P ACE NO CONCRETE UNTIL UGH ABOVEINS HAS BEEN SIGNED �r� RO - SEWER/WATER/SEPTIC FRAMING IP► 7/4//k7 INSULATION irw, 2/ , ELECTRICAL PLUMBING 0A 3''211 HEATING fkFIREPLACE s - 312 ) GAS LINE AIR TEST Mc' f?S ' RADON 11111MMIIIMINK " tRI>Jv i 3kiix COVER NO WORK UNTIL THE ABO HAS BEEN SIGNED HOUSEWRAP R497" z/iATH FINALS GRADING ( PRIOR TO SODDING) tic rib 7///s BUILDING 11,10 { . ti.1Lt 1f 427-'1 V ELI CTRICAL PLUMBING i',C! 0wAl> HEATING Ql 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