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Building Permit 15. 0113
' ,-' ilrrs�'PI .irc. / i it. it i ii .❑ ,if - N r , qtr 1 Ira t of Cox .)la t CITY OF PRIOR LAKE ys ,. . PrpartIttritt of fttiibixtg jinsprictioti . _' Final Permitted ❑ Conditional C.O. Expires the Residential/�International issuance this structure was in compliance with the various This Certificate.issued pursuant to the requirements of Section 110 0 Code certifying that at the time of BuildingrPrior Lake regulating building construction or use. For the followinng: ordinances of the City of .1 L N Al ((-' Bldg.Permit No. Use Classification /Z i ZoningDistrict -;� K Occupancy Type Type Construction__------ — 57--/ % J� Legal Description GZ N�CC- , ` Site Address �' Owner of Building Kr ��`^; ` . Contractor's Name&Address /927 L-./ /�� J City Planner BUildln Official Date: Date: F POST IN CONSPICUOUS PLACE ' v �5 M ��r4 4 ; . \ \ , (1.1 ,-E.:11 VLLK Z [14: ; tL Z V W Z-. �g5g W N � K c� o .� . ' 0000[ O N ,Cl. V i L' 0 OW j a el � aaa , v ; N J Z O A u. J N O !- O _z ie< Or 51 fa U3 W Yt 2 ?OC K f0—. ,_ W W K Z try V 0 G. Te=w 2 V UO O W �y�� co 7�W< JW a. 0- 0 FC F. ` n 23 'o) a2 > G J op W `O) ❑00000 aC v u- X .9 N a 3 W W 0 Hi re �Pt9 � o, W 3 c°) ) 5o 0 z �OZg �ZW oo = WOO ... 0WU W Z OZ O W Ce g O II-LL vZa oz. 00000❑ 0 La \ c:ii E 1 � a - C92WWN \ Z Z W L el O � L < 0 W to OIL {L < r^ O �3 c \ ❑❑ ❑ ❑ ❑ ❑V, W //�� W Z kJ � ) � ` d' 'Q vgj .Y N. m o 0 w Z C ♦ p m m z_ o v o4 • t re 0 0 c7- --I ) i� W v V zQ - xx3 - ' 0. ILI 8 0 w zmWW1 v N Cn V d = g= WWz IOwaC. (-)CAa3 JW 2cna2 1:1001300 ' fell, �W' 4 Y Z J Q W O a V ray v V p Y ep oC ao � WY 1110 J z .- I l LL V O o� OI r Yz N ,i 4c4 < � 3 i- a' z 0 ZO W •z co W W • J A 0. z ZaZ~ z W r 0 0 r0 cai v OW a W Z OOg=LLN x iv ti i T p 0 O a ai o x u. C) v ? < 0 a ❑ ❑❑d ❑ 0 Z 1C P J F1i � izi.i EU 0UU SWWJ 0 w V' O � www z z id iu0it� o W Z 6 re O_ -Z.* CC.�1 0u. N Ott J m c 00 0 Ul » V V 4. O °-a < z F 0 d ! c OYLL -J 0 y 0 j W I- re z - z8Zz pa. W Z � N -4 0 a ZXWESX 0 c z z o JW < JW W W w W L` ‘, aM3v� aM °G z 0000 ❑ ❑ 0 ce LL 0 X J rt rt - J 0 1U W 0 z 0 O k" o U zIlk, :-.... O 0 z U - • F F 0�' , W O U Z W z < O z 0 < V, F uai Z H 0 LU W 1 Ltd Q Z za J - W Ne cc cc v a � Cl) z f-zN z 5 Y a o QW z W Z NEFW- a 0 V V U z N a o 3 = au. u. ZLLy 0 � ❑ 0 N `T U ? < 0 a 000000 (.) ;., %/}. `'\: -1 1 1 -( 'CT-P-I i vT Lr ;..i. 'J L�'��ll t7 � 1/ s, Date P_ec'd ( f \ ` • �F7�— ,,��^^�� 7 CERTIFICATE tE '7� FIC E r`F 'ZONING T.ly "'O YTDT � T j"'t;`i' 1 y I / I \\,)V,41 _{�1:��`�.J_�1 - .i � � '�'1� I t�� �'.�I, i�j t+ �..0� J 11 1 �t ,.a Fr 1•i 4.1, / // . +c'I( I �"jAND 11'17 1,'�T •C� INN C 'I O T 2E'Pa_I to . White e Pale -�.� --t�.,:".? / / 43 z. Pin. c;ty, -,13.1-,'4'�.Iy1a.3. 1�.�, 3. Yellow Applicant (Please type or print and sign at bottom) 1'� D SS ZOI" ,�I"tG(office use) 6 6 V2 Ea /e Creek La R r SE 4 / LEGAL DE3C TION(office use only) .. n LOT 1 BLOCK. 3 ADDITION Ect y to ere k ES ,1--e S PID Z5. 4500. 0 4. 0 _ ER-, I -`qui - (Name) f a..'1.,C. s A e r6O Y 1. - acts (Phone) (Address) L c 11 1.-Jv-. - 170 -r41_64.41 M.A SSI 0-. . BUILDER �_ c �-{- y' 0230 (Company Name) L,164 k Intl e. te , (Phone) I. (Contact Name) ; 7` k-KAk ` ( (Phone)Ci 52- %W.-Q -3O (Address) 145;56 Fri V\ iv `it- 12&. ' = ellet_ri kit M 7C ( ,-- TYPE OF WORK New Construction ['Deck DPorch DRe-Roofing ORe-Siding ['Lower Level Finish 0 Fireplace Addition []Alteration DUtility Connection CODE: XI.R.C. DI.B.C. 0 Misc: Type of Construction: I II III IV -V A B r —. Occupancy Group: A B E F Pi I M R S U PROJECT COST/VALUE $ / De�Otc510. 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 , 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 that 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 lirit'‘144.- Ili&eat---- ------ 13C60d/3i/l6�/S Signature Contractor's License No. ate Permit Valuation 1 i°\ ,0©©,, ' Park Support Fee # $ ° Permit Fee I $ (Z 5,,0 SAC # $ -z....,, a,;. Plan Check Fee $ 1 0 ci� b Water Meter Size"; 1"; $ 5-00 State Surcharge I $ q .1 Pressure Reducer $ iCo„� Penalty $ ` Sewer/Water Connection Fee # I $ i ;7 ©p-— Plumbing Permit Fee $ 1• . . Water Tower Fee # $ ( Opp,. Mechanical Permit Fee $ 1 Builder's Deposit $ Z 5 00, Sewer C Other $ - _ - -- Gas &Water Permit tee $ cc, � - Gas Fireplace Permit Fee $ ,,o TOTAL DUE 6ioni6..150 2. J /5.- $c1 13 +1 . , „.._. This A)�Iic.4 n Be omes iipssr Building Perini When pproved Paid 13L-fl Receipt No. ` ((27 0 t .� Date "5 .: By tY1 c,-4.. Building OfticiaDa e This is to certify that re. t in the above application and accompanying d cuments is' ccordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the er col stitutes a temporary Certificate of Zonin compliance d allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. I. 2t) ", Pl ring Director ��" _ t Dat 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 Residential Building Permit Checklist New C. f.truct'• for Single or Two-family Dwellings i R-1 or R•2 istricts f / Reviewed by: l Date: Zj l � Building Permit# • ■• Zoning: Address: ..Z -E�c.�' --,_1.7, F_ • 1 ( coco "-A Legal: L , B Subdivision: Existing Structure? YES/ 0 Existing Nonconfo . in, Structure? YES/NO CONFORMS TO ZONING fES NO ORDINANCE f . - 4, Yard Setbacks: NA/FAILS/CO Standard Proposed • • Front Yard(can be 20'if avg.(w in 150') , 25' -z-G'. • Side Yards 10'/ ._,,, 25'if abutting a street A ----") `v .p • Sidewall exceeding 60'requires additional side 2" 10'setback+ setback for every 1'over 60'in length. Not required 2"11'over 60' if building wall is 10'-0"or greater of being parallel to • a side lot line. — • • Rear Yard 25' l b. Z • 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' i5-7) s �' � I Floor Area Ratio NAI FAILS/,6.IES I .30 Maximum I ' - o tf5. I Yard Encroachments:lS'/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. Tree Preservation: /FAILS/COMPLIES Standard I Proposed • Total caliper inch • Permit 35%Removal • Caliper Inches Removed • Caliper Inches Preserved • Replacement 1/:1 L:ITEMPLATE\BLDGLIST.DOC nactt c� esi White -Building �iHxBSQ�� Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /7,0,165- APPLICATION 16SAPPLICATION RECEIVED /. / /S The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: fri 1-- C L Q/c-- (>7- Accepted >Accepted Accepted With Corrections Denied Reviewed By: /,?� S Date: 2 "1/-/� 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." White - Building Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECK 1ST NAME OF APPLICANT 32,1AVG /1-Mdeie-Sd Al f7'e/'765" APPLICATION RECEIVED l /6 ' A.C"" The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 16. (e 4Z. e-09.4 Accepted Accepted With Corrections P p Denied r Reviewed By: 3Date: l_ (60t ._ Comments: (6N I 4(ti rAJT 1` 7T6 "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 YRip�, ti White -Building Canary -Engineering 4toThissoo Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT br6r/�vi)j.- //tio6.�6sU&J h0/765S APPLICATION RECEIVED /. /6 • i' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / 4-2_ La t ic-- ` Accepted With Corrections Accepted p Denied Reviewed By: Date: 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.t . PRiO Date YRet9d 5,fe (( • 1 CITY OF PRIOR LAKE PLUMBING PERMIT -. i PERMIT NO. 3.Yeftaw Applicant (Please tyye or print and sign at bottom) ADDRESS ZONING {DEUCE use) I 6 (-1 ' . Co,. ‘ C k ,_.0(x(-. 1- SE- LEGAL DESCRIPTION(office use only) LOT BLOCK 3 ADDITION Elk ,, i f . , it .1_, PI.D O (Name) ]3çCIC4 (Phone) 9 S r Se q 8 - 02,50 (Address) 4 5 S S L(" 1 y) A)V I \)-.,., S-�-. J APPLICANT // �7 (Name) N t'1-f 4k C,o.1 ri I t- b i✓1 (Phone) 5 0n - b U1 S" 1 i ai (Address) I`7 (Address) (Ci ) (Zip Code) .. (Contact Person) . A • s J(Phone) a ) `r).) y ) ) ^ 119 t v --- APPLICANT APPLICANT SIGNATURE DATE 5 1 V J S _ _ _ APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher Water Heater Floor Drain — Water Softener Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) Laundry Tray(I or 2 compartment sink Sewage Ejector Shower Stall — Backflow Assembly _ Sinks Backflow Assembly Test Bar Sink Lawn S.rinkler Water Closet(Toilet) Other The ilitlnesOta Statutes -- -.-. - FEE SCHED>J�,E "StlRCHl itGE" §3268'I'�'$ fJoI costwittia$49.50minimutn Residential,NewOne+&Two-Family $149.50 as teen extended - Residential,Additions&Alterations $49.50 Tile tnil;imutn surcharge for a "fixed fee"permit is$5.00 Building Permit# PLUMBING PERMIT FEE $ STATE SURCHARGE $ } 5.00 TOTAL PERMIT FEE $ (Office Use Only) ff�filif"0 This Application Becomes Your Building Permit When Approved fi Paid Building Otllctal Date w Date By _ `� 24 hour notice for all inspections(952)442,9150,fax(952)449-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 - I I riuQ CITY OF PRIOR LAIN!. Date Reed °a; , i .< HEATING/AIR CONDI'T'IONING/FIREPLACE PERMIT - V% 1 t 411NNESp1p I.tint; rat IrrII PERMIT NO t 2.Green City l - r f. i—fl. — E. _ (Please type or print and sign at bottom) l ADDRESS . ZONING(office unci U �1�-�2 -Ela \e, C - Ci,-__�-'�_ -_ _ ___ .___-J LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID (Name)R . V-d` te`` -�., `��tt/ki%�.)t_._ (Phone) 1�7Z-6ce-(} j�i- (Address) APPLICANT HEARTH &HOME TE (Name) dba FIRESIDE HEARTH & HOME _.. (Phone) (05/_ (033:-2-5101 Lic BC6626 6 J (Address) 2700 FAIRVIEW AVENUE N T�_C tif( ,I- (. 33-- 3t3f3t- ROS E, MN 55113 - 651.633.2561 (Phone) r!e;`il J +- 56- 53 f 2 (Contact Person) _ APPLICANT SIGNATURE C it'e�t L b"" 'U4� `� DATE • OK toga/ or e,rna;7 k•ima;t' 2G- -vitfe_ QU�;Wer-_bps bac COMPLETE BELOW e hay r+h n htliie ,can-% EW CONSTRUCTION 0 REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL FUEL -- FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ❑Wain Air Plants ❑Steam Units and Fireplaces Cannot Encroach ❑cCyyrravity 0 Hot Water into Required Side Yard Setbacks. p"Mechanical. D Radiation Fireplaces with Box Additions or ❑Air Conditioning ❑Special Devices ❑Vent.System 0 Other Devices Cantilevers to the Outside of Buildings "�� /SL--750-11'2,-/R± Require a Building Permit. FIREPLACE MAKE AND MODEL �t�Cc t -�-ci(h FEE SCHEDULE Industrial,Commercial&Multi-Family I%of job cost Residential,Oas 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 II the Iviinnesotu Statutes*32(U.I48 "s(:RC:I IAR(ili has been cillillued for one HEATING PERMIT FEE $__--_- year effective STATE SURCHARGE $ __50 July 1.21)10,until.lune 311,VII 1. TOTAL PERMIT FEE $ 1 lie minimum surcharge for a"fisctl fee"permit (()face Use Only) ----.— is•2j,beginning July 1.2010 This Application Becomes Your Building Permit When Approved Paid Receipt No.-� --- _--nom _. i Date g BulldinaOfti[llI Dote --..- —_ ' h1 " 24 hour notice for all inspections(952)447-9850,fax(952)447.4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 May 08 15 03:19p Microsoft 5076457654 p.1 PO Date Ree'd CITY OF PRIOR LAKE PLUMBING PERMIT ,,,,iy „:,,,,,:, E, :-3,:; ,'; ci ,' , 4tAtvngse* PERMIT NO. 3.Yellow Applicant (llease tyyp,or pyint and sign at bottom) ADDRESS ZONING(office use) LEGAL DESCRIPTION(office use oWy} -- LOT BLOCK 3 ADDITION & , '4 , - - - i 4.-- EID OWNER (Name) 1,._-1-D 1.Ck,r)Cl I (Phone) 9 S r S)98 - OL O (Address) 4 SS S _,..r- In --c)s:-,- ) 0 -.R._ SQ ] O ......_ APPLICANT - (Name) V 0 r-.\--1-Silvi(4 p 1 t..6..,a,3.1.4_._.'' (Phone) 5 6'1 - 4:,L/s' - -- - (Address) I LI 0 3 1:44)_.cc.y._ —kJ ) in n SE OS -7 (Address) (Ciy) (Zip Code) (Contact Person) tii-ey\ et\ z 5 se 0 (Phone) S() ) -c3 I c? - 11 9 q APPLICANT SIGNATURE c---1----- -`,--- DATE 5 l 9 I.1—5 ---..... APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture _ Qii!antity Tym_pi Fixture Bath Tub with or without shower Rough-ins Dishwasher Water Heater Floor Drain Water Softener Lavatory(Bathroom Sink) Stand Pipe C.Washing Machine) — Laundy Tray.(Lor 2 compartment sink , Sewage Ejector * Shower Stall Backflow Assembly _ Sinics _ Backflow Assembly Test • Bar Sink Lawn Sprinkler • Water Closet(Toilet) Other — . . _ . e __ - _ FEE SCHEDULE / TilMinnesota Statutes§326.13.1iii - fiot;cost with a$49.50 minimum "Ste•Ciln-Wil nRi:1';lilt saisubTeheaie ri g:tfeonrdi ResidentialAdditions&AIter ae c . :s Residential,New One&Two-Family " I , aii, • I Building Permit?? "fixed fee"permit is$5.00 , .PLUMBING PERMIT FEE $ _ ,,,,, STATE SURCHARGE S H 1 i TOTAL PERMIT FEE $ III • 1 , (wpm Use Only) V I . This Application Becomes Your Building Permit When Approved Yald __— Date - littildine Official bate _ 24 hour notice for all inspections(952)447-9M,fax(952)447-4245 4646 Dakota Street S.E.,Pelee Lake,Minnesota 55372 . . 04 RI94 Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT 2 U 'L 4f'N'NESO° 1. Green File PERMIT NO. /5 V 3 2. Yellow City ` / 3. Gold Applicant l (Please type or print and sign at bottom) ADDRESS ZONING(office use) IL, (A2 ra LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PIDZ—)&'O{O -k) (Name) 13i'!'r�k�C.l 1�..)CJ t� �/Y) (Phone) (Address) (Address) (City) (Zip Code) AP(NPameLI)ANa � �C- (Phone) O7 S2-5-10 (Address) —I15.O 2—`1 21 l!V N t `P-I (Address) (City) (Zip Code) (Contact Person) ) " 1�'t'S t --) C1-t (Phone) 612- C 1? 6 `g 2-- APPLICANT APPLICANT SIGNATURE '41110A _``', DATE ZiJ 1 ZB I S APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. ❑ ABC ❑ PVC ❑ 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%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 $ The Minnesota Statutes§326B.148 STATE SURCHARGE $ "SURCHARGE"has been extended TOTAL PERMIT FEE $ The minimum surcharge for a "fixed fee"permit is$5.00 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date 4jiMlina Buildine Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 I 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 R.) 4 ?R10 CITY OF PRIOR LAKE Date Rec' P HEATING/AIR CONDITIONING/FIREPLACE PERMIT 2.11 las t.Pints File PERMIT NO. ' vivsso 2.Green City ' 3.Yellow Applicant la (Please type or print and sign at bottom) ADDRESS ZONING(office use) k Qltl42_ ext e Y CA-. 6E LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PLD OWN (Name)" YL'u \ AIYIErrY ` l t hVnt S (Phone) CI 29.a-0230 (Address)y5�5 Y iVl C 'c� r-VC.., l'L E,a9art t\N SS 122— APPLICANT (Name)'� irhc)U\ll ov'i it AC. (Phone) cis?. (4-QX O S (Address)1MS1 1Arif) 1 i Q PY3J,A1 4t,1 Zh ?JAI)&!t I it MA/ �i 5�3 - (Contact Person) - Ph(f i PRIOR LAKE RNT O BUILDINGDEPATMEAND INF SPECTION INSPECTION RECORD SITE ADDRESS ((a CT. NATURE OF WORK S �--�. .f L. USE OF BUILDING _ '. N .L. PERMIT NO. ��._. A ,J E IS UED I t ' 'I! CONTRACTOR PHONE 9 z.-09e,-oz3c) INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING ct `cg FOUNDATION (Prior To Backfill) `� z\ +1\ \ RADON RETARDERSC PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIG ED ROUGH - INS SEWER/WATER/SEPTIC . \ \17 FRAMING 114i4 LS-- INSULATION 1 r-r s--- ELECTRICAL PLUMBING . ` 1* 1 5 HEATING 3 Iz ' c5 FIREPLACE GAS LINE AIR TEST s 1 RADON$111111.111.11 pwl—fiQ COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED I HOUSEWRAP `fit_ LATH I I I FINALS GRADING ( PRIOR TO SODDING) BUILDING -- '� � (S./6k ELECTRICAL PLUMBING -- , r//,5"- HEATING T er//6"- DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNE 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