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Building Permit 15. 0225
.. c, �} \' A��f � A A �� .A4 ..IYliil'. ry� A.':,� A A---AA-AA �:.I .. ,,. _.I ail.. .: i, 1 _. ,_ Ltrftnnxtfr of ( r pant r , i� PRIOR LAKE CITY OF O ' , , Pqrarfturttf of e*.fAtlilbittg jittsprrtion ,., , >, ,X Final Permitted ❑ Conditional C.O. Expires K This Certificate issued pursuant to the requirements of Section 110 of the ❑Residential 1❑International ; C 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: ` Use Classification 5/n/6[I /C/ t'7 i.--y 1 / Bldg.Permit No. /5• Z'Z5 �yancP Y TypeType Occupancy T e Construction Zoning District / elL ', Legal Description / . Ci U (2 r f -i_s- r*/ 77/ &U/,/ ' il / 434-C/ 5/IOi 01/ 65/ S >`, � Owner of BuildingSite Address .� -.J Contractor's Name&Address G Ai 37,1y t Ai Ai -(../J/6,17 I-- 6/1J S iF / )/..LL /r....-/ I) -/ti c j�`f/ `-:City Planner Building Official Date: �7 i�% I 'l i Date: , POST IN CONSPICUOUS PLACE 5' 0 D ` 0 O n n k g / mm E $ z09o/ 9 1 > H r m m mlc �co z m ■ t -I 2 \ m 2x2222 z m § 59 '• g to v \ \ / -I m J®= © 213 % -^ 0 z q CO- = z §73 ® 0 r i § . z § r o i m x o' mhi z - 0 0 |- / § 2 f ��■ 000000ko . ) 2 W ? m � ` m r > r � mC . 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ZONING(office use) l t7'3 49, Sh1-z ‘,A-3-# Ile vc 'P U D LEGAL DESCRIPTION(office use only) firer Wes( LOT Q BLOCK qADDITION Jr-Ger�SPID ZS 50 i . 0 20. OWNER WehSrna-n^ Cubfom ' / Lt-953�9gRa (Name) �f 115IYlhr'1 Real ESiall1' f.ices, �G (Phone) (Address)(OL SS 14(D St' W -A. 2,oz. -Ar ple VoJ 1ev r NW SJ 12 4 BUILDER We.rtSrl�'K-fl Cu m yes (Phone) 46a_gs.--q$aa (Company Name) +y (Contact Name) k flN Wren',mQl n (Phone) (.0 1 a - - t O 3 7 (Address)(A55 I'4to! S+ W #201 Apple i/'o.tl l YY1 n 65, a.4- TYPE OF WORK 0 New Construction ['Deck OPorch ORe-Roofing ORe-Siding []Lower Level Finish 0 Fireplace ['Addition ['Alteration ['Utility Connection CODE: !fit .R.C. DLB.C. 0 Misc: Type of onstruction: I II III IV V A B PROJECT COST/VALUES �`� D�Q Occupancy Group: A B E F H I M R S U 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 •,,,perry 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 rev.-this permit for use. Furthermore,I hereby agree that the city official or�designee m�^n��nth property to perform needed inspections. fl-_.°A'�'i C lY�_�_-- X / �r� Signature Contractor's License No. Date Permit Valuation Z ''( C V oc., Park Support Fee # $ Permit Fee $ L %p 3 ''';-° SAC # $ Z4G�,- Plan Check Fee $ t 3 VI .Zv Water Meter Siz ;1"; $ tj c..)v r $ State Surcharge $ C 3/ . 5 j Pressure Reducer (cb.. - Penalty $ Sewer/Water Connection Fee # $ 1 5-04),r — Plumbing Permit Fee $ , Water Tower Fee # $ \ 0,00.-— ¶ •�,� $ Builder's Deposit ...z_c; <" Mechanical Permit Fee $ .� $ , .. � �'c;-7,.., Other Sewer&Water Permit Fee $ 5-(_,, $ (�t �.� r� Gas Fireplace Permit Fee $ TOTAL DUE gl / This Ap r I :-••mes Your Building Permit ' ,,,Ap, • edir,i iff Paid 7 ,I Z`i /� e pt No. Date 1,,/7A- Bui sing• ., r ate ce Thiswhen is tosigned that the egttest••er nr theconstitutes abovea temapplicatiaryon Cand accote of mpanying dog•,•uments is" accordanwith Orinanceand may proceed as requested. This document . porertificaZoninmplian < d allows construction the toCitycommence.Zoningd Before occupancy.a Certificate of Occupancy must be c issued. '1 1' . `' / 3 ( ' Planning D rector a ate 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 Constru tion or Single or Two-family Dwellings in R-1 or R.2 Districts -7 Reviewed by: Date: - . Building Permit# .� B 1: Zoning: U Address: 1 4 3 4- 7 �� . � �'� Legal: L , B Subdivision: Existing Structure? YES6 Existing Nonconfor1 ing Structure? YES!NO CONFORMS TO ZONING , .7 NO ORDINANCE I Yard Setbacks: NA!FAILS!Cl:: p,.., S .1 Standard I Proposed I • Front Yard(can be 20'if avg. 50') • 25' 7-.‘, _- - .5' . • Side Yards itrr-t, 5 25'if abutting a street �. 5 • 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. •r • Rear Yard __JET' i b 3 I . ( • 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' 1 Floor Area Ratio: NA!FAILS!CP IES .30 Maximum Pc.(> I Yard Encroachments: •N FAILS/COMPLIES Standard Proposed 1 Eaves and Gutters no e 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: A FAILS!COMPLIES I Standard Proposed • Total caliper Inc • Permit 35%Removal • Caliper Inches Removed • Caliper Inches Preserved • Replacement 1/2:1 L:\TEMPLATE\BLDGLIST.DOC o pyo,, 0 m White - Building Canary -Engineering 'fon,,, idtP• Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT WENS/lin/V/v COXTD/`7 / ire APPLICATION RECEIVED 3. 4 . 1.5- The 5The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / ¢34' 5tOtL6 &t 'TDe. . Accepted t� Accepted With Corrections /7 Denied ei ,.._i 4. e Reviewed By:Y 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." YR.4. V a^ White -Building Pink Canary -Pla- nninging BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT -' AIAJ v-r-77)/t-/ /1-0 APPLICATION RECEIVED 4- . j - Theuilding, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / 4-3 f-c7 57-1-0/1 0,-,1 6 1)ic' , Accepted L Accepted With Corrections Denied Reviewed By: Date: t S Comments: • "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed tote 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 Ya10+P (gf iri White -Building ,�mos��' Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT W E/V5/�/ -I Nfv <'U�' fL/ /-U/t/cam APPLICATION RECEIVED • ` " /—? The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / 43 5 /l Ci s7 r-'. . Accepted Accepted With Corrections Denied Reviewed By: /1 Date: 3--/7—/3- 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 shalt not be valid.° 0. ?R10 CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT (,1, Y A4' , ,5 `t.:, E4) M'HNESO 2 t PG' , F�,,,ile PERMIT NO. -5 ��� �,e� 3 Yellow Apphnri (Please type or print and sign at bottom) ADDRESSZONING or=use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER " t (Name) :.' \`�„\"`\ ,\',. ;`` '�i.. (Phone) �) (Address) (,\_: ` ' 'l,,,,",. t t } E APPLICANT `-.,\ . ,1 c. ..1. ' (Name) \., ' ;°,, }, \, .t'• (Phone) .x' ), E..- i .,1 _( -- }+ `1 t 4t i�; �'(Address) t ) kA,1 . t j , 1 i,1 , if 3 ''' ( Address), (City) (Zip Code) (Contact Person) ^N , �e `�. t ,‘,‘,.\,,,,,,,, '\. 1 \::\„)N. (Phone) APPLICANT SIGNATURE ' '�`� )'C'-‘-1` � �,- I\ , �3 ?� DATE , t i-,'" APPLICANT PLEASE COMPLETE BELOW KNEW CONSTRUCTION 0 REPLACEMENT ❑ALTERATIONS, FURNACE MAKE AND MODEL i.t."‘ r (--)�' '; e ,,; (. ; l A _ r ,l l " FUEL } FLUE SIZE iE RETURN OPENINGS /i INPUT ij nw\ 1 s OUTPUT r (..4 +fid., TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner :Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach [JGravity 0 Hot Water into Required Side Yard Setbacks. Mechanical ' 0 Radiation Air Conditioning 0 Special Devices Fireplaces with Box Additions or ent.System ❑Other Devices Cantilevers to the Outside of Buildings 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 4 �M3 r_.:__._aCost '';�,:i; Building Permit # � �� The Minnesota Statutes$32613.148 // l 7./ "SURCHARGE"has been changed for one HEATING PERMIT FEE $ '� k. r T year effective STATE SURCHARGE $ .50 'r- July 1.2010,until June 30.2011. TOTAL PERMIT FEE $ The minimum surcharge fora"fixed fee"permit is 55,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 A PR job Date Rec'd CITY OF PRIOR LAKE U g SEWER AND WATER PERMIT Q" l�'NESO� I. Green File PERMIT 2. Yellow City /5 2 25-3 3. Gold Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 14349 Shore Crest Drive NW LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION Jeffers Pond,7th PID OWNER (Name) Wensmann Real Estate Services (Phone) 952-953-9892 (Address) 6955 146th Street W Apple VallNO.ey 55124 (Address) (City) (Zip Code) APPLICANT (Name) Bohn Well Drilling Co (Phone) 952-445-4809 (Address) 18190 Dairy Lane,Suite 101 Jordan 55352 (Address) (City) (Zip Code) (Contact Person) Charlie Bohn /' / (Phone) .2 a/ 612-919-1542 APPLICANT SIGNATURE 94 C %� 1 DATE APPLICANT PLEASE COMPLETE BELOW Size of water service 1 inches. Location of any couplings from structure NA feet. Type of sewer pipe. ❑ ABC X 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 $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ ?Ain voili (Office Use Only) U l.'"'1 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 04 VRIO� Date Rec'd a �OF PRIOR LAKE PLUMBING PERMIT 3 (6 h l 6 73 44„,VE50i� 1.Bloc File 6/ -'% i_ama city PERMIT NO. J ` L 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS Ili z \4 ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) . APPLICANTS\wcc ro �5 4` (Name) (Phone) 6.5]-31?—(42Z6 ` (Address) 31 s mti S a00 �� 5N-7.2-' (Address) (City) /` +� (Zip Code) (Contact Person) - • `k� (Phone) (S1-< S ,`�// `,/ift" DATE 3)/ /, s APPLICANT SIGNATURE �, APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture j Bath Tub with or without showerRough-ins ' Dishwasher Water Heater i Floor Drain Water Softener 4 Lavatory(Bathroom Sink) 1 Stand Pipe(Washing Machine) i Laundry Tray(1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly 1 Sinks Backflow Assembly Test 1 Bar Sink Lawn Sprinkler j Water Closet(Toilet) Other The Minnesota Statutes§326B.148 FEE SCHEDULE "SURCHARGE"has been extended. o ofjob cost with a$49.50 minimum Residential,New One&Two-Family $149.50 The minimum surcharge for a Residential,Additions&Alterations $49.50 • "fixed fee"permit is$5.00 st $ Building Permit# PLUMBING PERMIT FEE $ STATE SURCHARGE $ .50 PAID V4114 TOTAL PERMIT FEE $ � PER" p�� '�j (Office Use Only) �^' This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Date 24 hour notice for all inspectio s-(952)447-9850,ha(952)447-4245 4646 Dakota Street S.E.,Prior iota 55372t t 41') �j niti, G PQ . 1.4.. ri Builders Deposit t). s City of Prior Lake A41,500.00 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 tithe period,the city shall notify the applicant of the violation and the applicant shall have 10 days to comply or the 71,500,00 builders deposit will be forfeited and the applicant will be billed for clean up or corrective work to rectify the situation. A$600.00 Tree Deposit may also be required and will be-refunded if specified trees are preserved for a period of one year. DATE: /9///.5.--- S.ITE\ADDRESS: / . '711 S% 4 �/�-�S_ �4 �:/- Z2.6.- PERMIT# REFUND TO BE MAILED TO: S/ i'..f ' , a'.1‘fs-111/7 .r-- .,4;fr s s•- /V(,Q iM SI'. e.r/e p.' , / �h7/ l�� PLEASE REMEMBER A a ; , TION TO RELEASE ill 1 1. KEEP STREETS CLEAN DURING CONSTRUCTION Lyn'_ ••.A11en,a uilding Se ices A�� Amount 2. KEEP EROSION CONTROL IN PLACE Date Acct.801.20204 3. TEMPORARY OCCUPA Y PERMIT MUST NOT EXPIRE OR$500.00 WILL BE FORFEITED SIGNATURE: , /. - CASH ONLY IF ALL Checklock SECURITY FEATURES.LISTED ON BACK INDICATE NO TAMPERING OR COPYING 4,14t t �� :, fin, , s • x � ���' ` � x� ' ,�; ' • WELLS FARGO BANK,NAS � ��' v��� Wens, n �Dus om Homes 17 00.1/910 ` �[ 6955146th Street West#20 d F ����pl �,�Ile�r,MN 55124 � �� � ; • �52 953 9892 3/1°7/201 l X :Y . PAY TOTHE ORDER of CITY OF PRIOR LAKE ' **12,163.28 a- **************************AA,....**********4****************9 Twelve Thousand One Hundred Sixty Three and 28/100*** DOLLARS /IL "'pops' ---� A TAMPER RESISTANT TONER AREA A ;p ttM` ti'-i 4p F�Y7; � • - ^hh:sY, " '`oN�Sq�, d� �� CITY CF PRIOR LAKE �� �� �® L �pEP 4646 DAKOTA STREET SE - , PRIOR LA# E,111 N 55372 ' ,. 31 F yp rEMO r ; x:n■052523"• t: 79L0000L9t: L43255- •,- 41' , rr DEPARTMENT PRl0R LAKE BUILDING ANDOF INSPECTION INSPECTION RECORD SITE ADDRESS (q� { C Gsr1)- NATU RE OF WORK �;,,� ��tSh USE OF BUILDING or Pke-tivf-i >Nrv. PERMIT NO. I J. DATE ISSUED 3 CONTRACTOR w 14S11�rNnJ 51-61"i, r-tC-S PHONE G,iZ- -7037 INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING 3/2%`s FOUNDATION (Prior To Backfill) RADON RETARDER PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER/WATER/SEPTIC (4 3/g0/7 {a FRAMING INSULATION - q <c ELECTRICAL PLUMBINGth's ( 4,(7,,,„, fE 4/e2/ec..�,,. HEATING FIREPLACE 1/kV1(3 GAS LINE AIR TEST RADON r�''6 fig ',, COVER NO WORK UNTIL THE AB VE`HAS BEEN SIGNED HOUSEWRAP Pb `4 f zt(c7 LATH FINALS GRADING ( PRIOR TO SO DING) BUILDING '- "-�a o/Ja ELECTRICAL PLUMBING G/ l 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 INSPECTIONS (952) 447-9850