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Building Permit 15. 0025
t 1` ;K CITY OF PRIOR LAKE ° prpar#rrtmt of !uitMn 1nspitfir n ? , ?(Final Permitted ❑ Conditional C.O. Expires } This Certificate issued pursuant to the requirements of Section 110 of the E Residential l❑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 / Ali..,t (✓ / `"�/ 5. / Bldg.Permit No. /�' / Y �� Occupancy Type Type Construction / Zoning District/S a r /� / Legal Description 1 f. t Z .....}/ (-- •N L L (:/G(✓L / / � /Owner of Building Site Address & 3S E-/e �L�= C/ I-_ Contractor's Name&Address ,. //0 d E II _ HU/-614/i/Vs City Planner '` f ., uildiny,Officinal , Date: ;�..f 'yj1, .. e1�Z; 1/.. Date: iPOST IN CONSPICUOUS PLACE • � i i o -k z 1 i§�§� i1a z K � aaa5 � §§■2 C U � � �Cm % \ o \ . 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P ne City PERMIT NO. y�,� (Please type or print and sign at bottom) 3 Yellow Applicant / '(�J J ADDRESS ZONING(office use) &' Eavfe Creed--- Circ ie t2-ts9 LEGAL DESCRIPTION(office use only) LOT 3LOCK 3 ADDITION j�e \ r! (e Ci' Ck . S'4'IDI j00 02 OWNER , ( (Name) ✓6j� / (Phone) G/ / r 1 —4(V 00 (Address) 1 17co (edV VC . 7 )c) i ( 67610/ W q2..?, BUILDER (Company Name)1 Pt010 i 0 5 (Phone) fi—1 f Y SC A6 (Contact Name) vIt .° (PgA1 e) (� (Address) (2 1 • (_ 10i TT' a ) S 3// TYPE OF WORK New Construction ['Deck ❑Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace Addition DAlteration ['Utility Connection CODE: I.R.C. I.B.C. ❑Misr Type of nsttuction: I II III IV V A B i„/,! V�1� -(J1 Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 0/0 7/00 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-mention 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 rev this a 't f jus cause. Furthermore,I hereby agree that the city official ora designee may enter upon the property to perform needed inspections. X 2/o 0 6 5(6 / (1 .,., Signature Contractor's Lice se No. !Date' Permit Valuation a 8Q, .coo Park Support Fee # $ Permit Fee $ l I vv�( rO SAC # $ a 5 Plan Check Fee $ i � P7. c8 Water Meter Size 5/8"; 1"; $ �1 aJ f State Surcharge $ g�r 1 . DO Pressure Reducer $ `t 1 Sor — Penalty $ Sewer/Water Connection Fee # $ I 1 cyt(9.65' Plumbing Permit Fee $ 1 tJ, 4,1 .50 Water Tower Fee # $ l`("CO`CO ! Mechanical Permit Fee $ I SL,1 ,Jb Builder's Deposit $ 21s-®O ♦a) Sewer&Water Permit Fee $ 5/D•y5 Other $ Gas Fireplace Permit Fee $ 5(0.50 , TOTAL DUE i� /2,ZZ 1 $ 1l' ,♦ 's By HI tion 1ecomes Your Building Permit When Approved Paid /2-jid ,' Receipt.iI O. j�� I Date L5 �► l Z�5 t Buil 71 Official toCX - This is to certify that the request in ', above plic 'on and accompanying documents is in acc rdance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner c// titu- s mp;,: ertificate of Zoning compliance .nd a ows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. / 1 _ _Z (l Planni [Director F Date 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 Construction for Single or Two-family Dwellings in R-'f or -2 Districts Reviewed by: , Date: Building Permit# PID; Address: /" Zoning: 39 Legal: L , B Subdivision: Existing Structure? YES Existing Nonconforming Structure? YES!NO CONFORMS TO ZONING NO ORDINANCE1 * Yard Setbacks: NA!FAILS/COM IE • Front Yard(can be 20'if avg., i 50') Standard Proposed • Side Yards Z S_ 10'/ 25'if abutting a street I o • Sidewall exceeding 60'requires additional side 2" 10'setback+ 1 "k - Z 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. • Rear Yard 25' • 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-s round pools to the Plannin. Department • From 01-IW(Prior or Spring Lake) 75'or setback average of adjacent structures,but no z-z- �14.71 less than 50' I Floor Area Ratio: NA/FAILS/COS .30I Maximum I ft 4--622____i Yard Encroachments: FAILS/COMPLIES Standard Eaves and Gutters no more than 2 feet in width and no Proposed closer than 5 feet to a lot line(Easements) _ A/C and other equipment cannot encroach on interior side yards. Tree Preservation:4 FAILS!COMPLIES Standard Proposed caliper inches • Permit 35%Removal • Caliper Inches Removed • Caliper Inches Preserved • Replacement 1/z:1 L:ITEMPLATE\BLDGLIST.DOC YRfp 6C, � White -Building 41/HnrBeoa Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /z . 2 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /k5Jc/' 16 Accepted / Accepted With Corrections Denied Reviewed By: /,l1, Date: /2 -/7—/7 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." YRIO4 White -Building -'�MYBso�� Pink Canary -Planningring BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT '/ „,` / APPLICATION RECEIVED /Z . 2 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /°...5.. 5 ' t-- :% � ... Accepted ✓ Accepted With Corrections . ;, � Denied Reviewed By: (/ ' -`"� . t Date: l Z- t 1 • F Comments: p.. "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." (10 White - Building soy° Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 2 , t The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /&338/ Accepted ✓ Accepted With Corrections Denied Reviewed By: // Date: t Z- t I Comments: Com Lf:i72-05 a"1,4c�. 1)51-i�0 G� r72. -1-5-' 7V- / -- r\ "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." 4 PRtO� CI Date Reed TY OF PRIOR LAKE PLUMBING PERMIT 15 -- ;lot Fic4. 1 PERMIT NC L5_Z5 I (Please type or print and sign at bottom) 3.Yaw ^PPIk"" I ADDRESS ZONING once use) l t,s—s 1_, 1,. C..r,e1` C-I-- ZONII LEGAL DESCRIPTION(office use only) • LOT BLOCK ADDITION PID, $-_ /--LO OWNER (Name) G Q t (Phone) Cc?-'-t`lt? -S-S-34;\ (Address) C ,..S \-� APPLICANTI (Name) V c`���f C(-c l P I., ,r. ; . b `\) c • (Phone) -6."-a.-y q -S-? (Address) (o`-t O o (-1Po I— Tc—. 1 Pr-Co r L ) 55 3-7 Gress) (City) (Zip Code) (Contact Person) �� •\- ‘ o,,a.0,-\ (Phone) & I a-- 1-{$3 - 9 4 ci APPLICANT SIGNATURE - _i____&z:4 DATE 2_ I 166 j 5 T APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture 7.-- Bath Tub with or without shower Rough-ins ( Dishwasher ( Water Heater t Floor Drain Water Softener (o Lavatory(Bathroom Sink) N Stand Pipe(Washing Machine) I Laundry Tray(I or 2 compartment sink Sewage Ejector Q- Shower Stall I Backflow Assembl i*. t � Sinks � Y I Bar Sink _ Backflow Assembly Test Li Water Closet(Toilet) r Other The Minnesota Stahttes§3268.148 FEE SCHEDULE "SURCHARGE:"has been extended T10 cost a$49.50 minimum Residential,New One&Trvo-Family $149.50 The minimum surcharge for a Residential,Additions&Alterations $49.50 "fixed fee"permit is$5.00 $ Building Permit# •PLUMBING PERMIT FEE $ It7r.81:- 1-- STATE SURCHARGE $ pf2 - .UM 5 TOTAL PERMIT FEE $ `00 (Office Use Only) • . This Application Becomes Your Building Permit When Approved Paid RecoiptlslO. Buntline Official Date Date By 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 I 1 O� liPro . c. LACE CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREP Date Re P ERMIT Z •1110 Ar... �NrvEsa 1.Pink File (Please type or print and sign at bottom) 2.Green City 3. PERMIT NO. ADDRESS `Yellow Applicant (, 53c , L --- ZONXNG(office use) i a LEGAL.DESCRIPTION(office use only) LOT BLOCK ADDITION OWNER PID (Name) # or �+ (Phone) 2 0ha,_ (Address) 0 ?- APPLICANT . (i jI�,1S3J (Name) g[ r - (Address) C - t'{�`I� � � � (Phone) l�� ' ��--� - (Contact Person) 44 SS APPLICANT SIGNATURE ,� (Phone) 4 DATE It s APPLI¶tNT PLEASE COMPLETE BELOW FURNACEW E MAK CONSTRMCTION REPLACEMENT FLUE SIZE ODEL ❑ALTERATIONS ND RETURN OPENINGS FUEL TYPE OF SYSTEMPUT OUTPUT Warm Air Plants HEATING OR POWER PLANT ravity ❑Stearn PLEASE NOTE:Air Conditioner echanical Hot Water Units and Fireplaces Cannot Encroach Air Conditioning Radiation into Required Side Yard Setbacks. went. System Special Devices Fireplaces with Box Additions or • Other Devices Cantilevers to the Outside of Buildings MODEL 1Require a Building Permit. FIREPLACE MAKE AND FEE SCHEDULE • `._ -- Industrial, Commercial &Multi Family ----.. Residential, Heating I% of job co Residential,.Gas Fireplace. ;: &A/C(New Construction) $149.50 minimum $49.50 R� idPntial ainf)nly 'erat Tte Minnesota Statutes New Construction) $64.50 Residential,Additions&Alterations 326B.140 Residential,AC Only 549.50 "SURCHARGE"has been extended Cost The minimum surcharge Fora iEATING PERMITBuilding Permit# $49.50 "fixed fee"permit is ;TATE SURCRGE FEE $ L t , SURCHARGE HAIT FEE 5.00 ' l __„„)...4,...N.C..2____ g\t, cq e:) T - This Application Becomes Your Building Permit Whe n Approved Paid Building Official Receipt No. Date Date ! 1WM." 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 y 01 FRI0 CITY OF PRIOR LAKE Date Rec'd it, t HEATING/AIR CONDITIONING/FIREPLACE PERMIT INN65o�P 1.Pink File PERMIT NO. 2.Green App ^� , - (Please type or print and sign at bottom) 3.Yellow Applicant (--J I ADDRESS - _ ,r „�� i ZONING(office use) cr22_1. .r‘ 74 7 _404k- LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT (Name) notqw., 1411 (Per-cecf tivilt � , (Phone) r(c)-.2c›-40 �(42�17'-‘((Address) 1 (?-o3 e'`"t Lark LP/ 7er-c 9L . If ph/l) S37 \ (Contact Person) 4/9 WI MI 5/0 (Phone) APPLICANT SIGNATURE111, /S DATE . /9---.5-1 APPLICANT PLEASE COMPLETE BELOW DNEW CONSTRUCTION ['REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT D Warm Air Plants PLEASE NOTE:Air Conditioner ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water ❑Mechanical into Required Side Yard Setbacks. ❑Radiation Fireplaces with Box Additions or ❑Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings D Vent. System ❑Other Devices Require a Buil ermit. 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 $49.50 Cost$ Building Permit# HEATING PERMIT FEE $ STATE SURCHARGE TOTAL PERMIT FEE $ 5.00 $ ��ll � ��,fy"�, This Application Becomes Your Building Permit When Approved Paid ®f Receipt Na. Building Official Date Date By 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 C-4,,),e'l Builders. Deposit Lake A $2,500.00 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 $2,500.00 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. By signing this I, the undersigned contractor, acknowledge that I am aware of the erosion control requirements of the City of Prior Lake as outlined in the Erosion Control Measures for Building Contractors handout. DATE: /Z• 2 4' SITE ADDRESS: /6.538 ai`64--6 CIL&! L K- PERMIT# REFUND TO BE MAILED TO: 6' 6 _ //Z 57) — F /Q3 PLEASE REMEMBER 1. KEEP STREETS CLEAN DURING CONSTRUCTION AUTHORIZATION TO RELEASE (For City Office Use Only) 2. KEEP EROSION CONTROL IN PLACE 9, 7. `ra,s--60• cs� Date Amount 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR ONE-THIRD M 'Y BE FORFEITED Lynda AI n Building Svcs. SIGNATURE: re,111, / / 4 h2 /q*q d� q/ THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER AND ORIGINAL DOCUMENT SECURITY SCREEN ON BACK WITH PADLOCK SECURITY ICON. Topaz,LLC Real Estate Lot Account KleinBank 14785 14750 Cedar Ave.S Ste.100 Apple Valley,MN 55124 952-953.-4000 ' 12/31/2014 le To THE CITY OF PRIOR LAKE ORDER OF $ "'12,388.48 Twelve Thousand Three Hundred Eighty-Eight and 48/100 *****w,rw******r,r,►,►r*r,r+t**,rr*,t,trrwrrt*w,e**,►,►*r,rr,F*,t**r,t+t,rrr w gwrr CITY OF PRIOR LAKE DOLLARS 4646 DAKOTA STREET SE PRIOR LAKE MN 55372 MEMO V" La AUTHORIZED SIGNATURE t 8/3 ECE 16538 Eagle Creek Circle 11'01478511' 1:091915654,: 00032i3754i1■ . . PRIOR LAKE . .DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS (9S °P10-0. NATURE OF WORK _ ' �� #1 f USE OF BUILDING- F D . �� -Oa) _ ePERMIT NO. ,1-� DATE ISSUED 2 rgq, CONTRACTOR � INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETSO � LI cl�s� AT ALL TIMES FOOTING INSPECTOR DATE IliFOUNDATION (Prior To Backfill) -- �`- ( S� RADON RETARDER � PLACE NO CONCRETE UNTIL ABOVE HAS BEEN INIMEMINIQ SIGNED v<ts� ROUGH - INS SE WER/WATER/SEPTIC FRAMING IMQ INSULATION ELECTRICAL 1111.111111111111111111111111111111111111 PLUMBING _�� HEATING �Q FIREPLACE 111.111111311111. 1......_111111.111111111111 GAS LINE AIR TEST RADON , `1i 42--h:, 3 COVER NO Wp - K�. ' L THE ABOVE. , HAS BEEN SIGNED HOUSEWRAP ; i- LATH 11111111111111111111.11111111111111111111. GRADING - • ; FINALS 'OSS ING) N• BUILDIN(Mg '' MItaill 9 'SY-L__ nesmin ELECTRIe!li PLUMBING HEATINGIF ori. 1.1111111111MIFLWIli INI DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough-in until all inspections have been approved. and dtions where and service cabinet is available, card shall be placed near main entrance.ls no FOR ALL INSPECTIONS (952) 447-9850