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HomeMy WebLinkAboutBuilding Permit 15. 0062 -- Errfffixafr of ®xrxpn r r CITY OF PRIOR LAKE , pryzirtittrilf of uiltring jittsprtfirrit l Final Permitted ElConditional C.O. Expires'/ :, =;::11',. '>:7. '>,. , This Certificate issued pursuant to the requirements of Section 110 of the El Residential l❑International Building Code certifying that at the time of issuance this structure was in compliance with the various 11 ordinances of theCity of Prior Lake regulating building construction or use. For the following: �7 Use Classification 5 //V C Li.--:::"' /1_,.- Bldg.Permit No. / K �(42L_._ x Construction Zoning District Occupancy Type Type ; Legal Description —7 _/V _ Owner of Building Site Address / J 4-7 4- . tLL. Contractor's Name&Address �j / /�(/ '' /L. )e��v�%-- �_ �/t.i/�/`�� OCifyPlanner C , Building Official / / i..)--- Date: � Date: � � ›,' POST IN CONSPICUOUS PLACE CZ pj 1y W LIS P. w R LA 13355 = a 4 ogaaa0 U' W W dl 0u. 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Ol U.EE a.O ti Z Z p Z 5 J Z W H W W J W F- Z ILI Y I -� A Ca am w Z �oo��z- ?� I`" O0 O o C') V o = u. � � = LLrn 3v VZ a 0 a. 000000 0 0WI 0 E 0of pg��� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �, 7 �,t' �- AND UTILITY CONNECTION PERMIT U en ~/NNBSUt '. I. White File 2 Pink City (PERMIT NO. /_Z 3 Yellow Applicant •. • fir ` (Please type or print and sign at bottom) ADDRESSZONING(office use) 5414 �4Ie.L�. G.0 r2--T- R. LEGAL DESCRIPTION(office use only) — LOT 6BLOCK 5 ADDITION C/SE.,1L E$TITF PID Za, SCC. 034-:0 OWNER (Name) (Phone) (Address) BUILDER (Company Name) �EELA Nr) 4-61-11e... (Phone) ISIS-Z.-44b-9404:::. !� (Contact Name)EIZI 11-- I?LAI►`3 / 14tfr -`t'-QTh IT 4 (Phone) " Per''/IE." Per''/IE.(Address) )101-3 FI 641 r70 L 6-1-r "2.1 .. E. T OIC L►4+4 .i {* I R• £5 3�7 2, TYPE OF WORK XNew Construction ❑Deck ❑Porch DRe-Roofing DRe-Siding DLower Level Finish 0 Fireplace DAddition DAlteration ❑Utility Connection CODE: �I R.C. ❑I.B.C. 0 Misc. ii L�, Type of Construction: I II III IV V A B PROJECT COST/VALUE $ 17S 1 Occupancy Group: A B E F H I M S U (excluding land) Division: C� 5 I hereby certify that I have fur ished 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-mentio•ed propel nd 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 cater Ike this.-,1 t fo i just cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X '/C Mmac. 4;r1 62 1 -[a - 15 Signature Contractor's License No. Date Permit Valuation t b 4 O O O Park Support Fee # $ Permit Fee $ ( 5 S 7.. � SAC # $ Z,,‘ 5' s K) Plan Check Fee $ ' CJ f Z ‘ s Water Meter Size 5/8";0 $ 5-6 0 State Surcharge $ 9 z — Pressure Reducer $ ! go Penalty $ Sewer/Water Connection Fee # $ t 1.3.647... ... `7-i Plumbing Permit Fee $ Water Tower Fee # $ t •.'27 Mechanical Permit Fee $ t S'A- .470 Builder's Deposit $ Z SpQ' ` — Sewer&Water Permit Fee $ >� Other $$ / 3O . V 6 Gas Fireplace Permit Fee $ 54. t� TOTAL DUE ` / This A li'a. ABecomes Your Building Permit en App ved Paid //r... . eyb Receipt No. ?5U 0.1041111/... 'L© i Date 3 ' �-f. %S it By .� Buildin Date This is to certify th the rest in the above-application and accompanying d uments is in ccordance with the City Zoning Ordinance and may proceed as requested. This document when signed by thi y I. ner constitutes a temporary Certificate of Zoning ompliance d allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued 1`l l Plan • _• Director to Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 - 4646 Dakota Street Prior Lake,MN 55372 Residential Building Permit Checklist New Construction for Single or Two-family Dwellings i -1 or R-2 ttricts Reviewed by: (-.---L. --7 ..,d Date: 1 2 / S — Building Permit# PID: Zoning: Address: r47 4 , ic-- -( . Legal:L , B Subdivision: Existing Structure? YES 1 0 2 Existing Nonconfor 1• Structure? YES I NO CONFORMS TO ZO ING , t S I NO • ORDINANCE I Yard Setbacks: NA!FAILS/CO i' -S Standard I Proposed • Front Yard(can be 20'if avg:wlin 150') ' 25' Z c:- o . • Side Yards 1 10'1 C b 0 25'if abutting a street _ ` • 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. 25' • Rear Yard 10'side/ • Patio Door: provide for minimum 10'deck or sign statement indicating no deck will be built in the future 25'rear — • From 100 year flood elevation of wetlandINURP 30' pond. • Refer in-ground pools to the Planning Department • From 01-IW(Prior dr Spring Lake) 75'or setback average of adjacent structures,but no less than 50' 16 /-7 13 - � I Floor Area R tio: NA I FAILS I ;% "LIES .30 Maximum Yard Encroachments:�FAILS(COMPLIES Standard Proposedfe than 2 feet in width and no Eaves and Gutters no . closer than 5 feet to a lot line(Easements). NC and other equipment cannot encroach on interior side yards. Tree Preservation: FAILS I COMPLIES Standard Proposed • Total caliper inches • Permit 35%Removal • Caliper Inches Removed • Caliper Inches Preserved • Replacement 1/2:1 L:\TEMPLATE\BLD GLIST.D O C of PR/ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Z• i e. Ls- AND — AND UTILITY CONNECTION PERMIT ` �`! � Z U til �/ I. White File f 441VNESOle. z. Whit � PERMIT NO. /r� / 3 Yellow Applicant /J (Please type or print and sign at bottom) ADDRESS ZONING(office use) 5414 .___ ItcL L Clcu -r 10--i LEGAL DESCRIPTION(office use only) L� LOT. BLOCK 5 ADDITION FA? LE. C EE.I� �STf Tg , PID t `D•ScO L -l'• D OWNER (Name) (Phone) (Address) BUILDER 1. Eybia.,..\,;:,/ i1 ,, q'SZ-440�— 94 00 (Company Name) T�l�' -4 5 (Phone)(Contact Name) E14.44-R-At4 i t4 i A — . IT At (Phone) •g-, (Address) 1 1021 FISA. epi 4-r riJ•' e- FIZic a La4E , l!4- 53-1 7.- TYPE TYPE OF WORK El New Construction ['Deck ['Porch ❑Re-Roofing ['Re-Siding Lower Level Finish ❑Fireplace ['Addition DAlteration ['Utility Connection CODE: [ El misc. I.R.C. DI.B.C. �� r — Type of Construction: I II III IV V /,1 B PROJECT COST/VALUE $ l Occupancy Group: ABEHI M (V S U (excluding land) Division: ()) 2 3 4 5 I hereby certify that I hay htrrished 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-mentione, proper ,nd 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 r le this., ,it f,r just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X j _5 jL £p?:-1(.0Ge . 1 sf)- is Signature Contractor's License No. Date Permit Valuation 00. 00 Park Support Fee # $ Permit Fee �� S?. 2S SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ Z r a 0 Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ c"----1 TOTAL DUE iie tr.ii, z..._a 8.1S $ /1o 1 7.5 This Application Becomes Your Building Permit When Approved Paid /643 ,-7, - Receipt No. I - Date A. 44• (J By 5 -t4- ) Building Official Date This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. Planning Director 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 of YR-104, ti � �i White -Building Canary -Engineering aft/NoePink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ,f-- -- ' w APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ,. - Alf I/ K-(1 (, 1 /; ._-6. M&__. • 7 Accepted V Accepted With Corrections Denied Reviewed By: Date: 2,e7 I Com rents: .. .7,,, ,_ 64_, ,...,,,i (--- MAI--( k-,' T--,-to-(-A, c-.4r4-- --1 d "The issuance or granting of a permit or apermit for, or an plans,roval of specifications o e anyaviolationnof computations shall not be construed to be a pe ion. any of the provisions of this code or of anor cancel theother lnance prov s ofns ofuthis risdi ctode oreothes presuming to give authority to violate ordinances of the jurisdiction shall not be valid." ?RI 600i °4' White -Building Canary -Engineering 44NNEse Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /6671-#4 /-\/1-) HD/165 APPLICATION RECEIVED / . . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 76 &- 72_ T /3t2_ . Accepted• V Accepted With Corrections £ DaDteDenied Reviewed By: 2_.co 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." 04 fl_I0 c7 White -Building Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ,/(_e---i/Ly---/-ND w-/tis APPLICATION RECEIVED / • 7 /__5 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: S4-74- SA/6 L-L (!)/ Accepted X Accepted With Corrections Denied Reviewed By: 44 44' Date: /— 16-/S 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." i PRIp CITY OF PRIOR LAKE Date Rec'd • jm Aiii ,,° r. E HEATING/AIR CONDITIONING/FIREPLACE PERMIT (O /5 15J f I,Pink File PERMIT NO. 44/O ese 2.Green City /5- V/ 3.Yellow Applicant 1 (Piease type or print and `i "sign at bottom) ZpNjNG{office use) ADDRESSS , ( t 1 1 4 V 1 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNERMalec.t. hid (Phone) L. 1 A. 61' 121) (Address) 11 1 FiCt4k3011/1"\— 1241 Cf, Pr 1.0Y tiat(t OW C-1#91d\s„ APPLIC... ' -, R , on `'i 1 ' "t (N PLP 1 a1_. a 4.....l r - f ! I (Phone) 1 � (Address) 0 0_ a~'j 1 1 t # / A , � (Phone) (Contact Person) I ' ! . 4-1)t - j r 0,f DATE `t"' ` 1 APPLICANT SIGNATU , 1 APPLICANT PLEASE COMPLETE BELOW 'ANEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL OUTPUT L FLUE SIZE RETURN OPENINGS INPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Warn Air Plants ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water into Required Side Yard Setbacks. El Mechanical ❑Radiation Fireplaces with Box Additions or ❑Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings ❑Vent, System I El Other Device Require a Building Permit. FIREPLACE MAKE AND MODEL -tGA- -" to 1(1 i qj FEE SCHEDULE Industrial,Commercial&Multi Family 1%of job cost Residential,Gas Fireplace $49.50 $49.50 minimum - _ Residential,Heating&AIC(New Construction) $149.50 Residential,Addition t. ' tons $49.50 Residential,Heating Only(New Construction) $64.50 Residential,A y Cost$ Building Penni HEATING PERMIT FEE $ STATE SURCHARGE 5 5.9 t TOTALPERMIT FEE $ �tNo Reeei This Application Becomes Your Building Permit Whet Approved aid p 'ate y Building Official Date 24 hour notice for all inspections(952 47-9850 4646 Dakota Street S.E.,Prior Lake,Minne 55372 i i4 • Date Rec'd o >? fiKt. CITY OF PRIOR LAKE U n SEWER AND WATER PERMIT • �``Nxeso-or PERMIT NO. I. Green City (,7 . t 3. Gold Applicant _ - [ (Please type or print and sign at bottom) ZONING(office usc) ADDRESS _ 5 41 LE Srw..i 1 C.,-\--- LEGAL DESCRIPTION(office use only) LOT BLOCK 5 ADDITION C'S-"r"-41."---S PID OWNER � (Phone) �Sa-l- 10 -i00 (Name) K 1' Key LX\Li O —1 E� (Address) 1107-1 -F►S. Pott�> ? ► S- �s t)0 553"12 Address ��� LLQ (Zip Code) (Address) APPLICANT STOCKER EXCAVATING COMPANY, INC. (Phone) 952/890-4241 (Name) (Address) 12336 Boone Avenue Savage, MN 55378 (Address) (City) (Zip Code) Curt same (Contact Person) / (Phone) , APPLICANT SIGNATURErr .... DATE __L.-7.-- All 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 535.50 Industrial,Com'l&Multi-family 1%of job cost with a S39.50 minimum Sewer connection only $17.50 Water connection only $17.50 Estimated Cost $ Building Permit# SEWER AND WATER PERMIT FEE $ STATE SURCHARGE $ .50 l D�I�ITH TOTAL PERMIT FEE $ " F _ ISr 1f ��RMT ° - • (Orrice use Only) This Application Becomes Your Building Permit When Approved " Paid Receipt No. Date By Building Ottcial • Date 24 hour notice for all inspections i ctions(952)447-9850,fax(952)447-4245 4?Rio • . Date Rec'd 40 CITY OF PRIOR LAKE PLUMBING PERMIT •. sc 1-af" Ott PERMIT NO. (P 7i Gold city 3.Yam Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 54 -70 Slit' W CC0 ? - 4- S -r LEGAL DESCRIPTION(office use only) • LOT S BLOCK)) ADDITION C_-raI e.. C ra y k ��► � S PID ' �} I � - i OWNER [[ + (Name) Gl �;U f�L f err (Phone) 95-2---44O—q1-1-10n (Address) 1 J O •2 ) -s•%F e i v 4- 0 -s-t._ 1:_i oo l- �ke, in'A). APPLICANT.I., pp (Name) .`.� P� t -e U n? IC \ C el 0 - (Phone) f 5 2--77 SS -56 95 (Address) (.0 2 0 --641" •3f. AA) I V Lf e-1"o, 67) (Address) (City) <0 (Zip Code) (Contact Person) _ q . i� -I-e K LL A-- (Phone) q 52---TS eS -_��)9S APPLICANT SIGNATURE _,._f ,e-. .. `- - .€ DATE ,2 `-���`� APPLICANT PLEASE COMPLETE BELOW Quant,it,y Type of Fixture _ Quantity Type of Fixture �J Bath Tub with or without shower (> Rough-ins Dishwasher / Water Heater Floor Drain C) Water Softener �5 Lavatory(Bathroom Sink) / Stand Pipe(Washinj Machine) / _ Laundry Tray(1 or 2 compartment sink 0 Sewage Ejector ,,,,.Z Shower Stall c� Backflow Assembly Sinks C) Backflow Assembly Test / Bar Sink / Lawn Sprinkler —7 Water Closet(Toilet) 6 Other HED fine Minnesota Stattite5§326B.1'48 }ori cost with aF$49.50EE SCm itesidential,New One&Two-Family $149.50 °SURCHARGE"has been extended Residential,Additions&Alterations $49.50 The lnimm�j surcharge for a "fixed fee"permit is$5.00 $ Building Permit# -PLUMBING PERMIT FEE $ Iv iri!>• �� 1 J��,6i STATE SURCHARGE $ AI 4 y 5.00 1 ,.___ TOTAL PERMIT FEE $ (Office Use Only) - This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By 1 607 r 1 Building Official Date ' 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 -I 4646 Dakota Street S.P.,Prior Lake,Minnesota 55372 I' .‘,.. . '111( ( 1i' 1' ti.0 It,I,A1<IG ( , , ) , 1 . J):1(t. it, ci.'d 1 F., t; I..,L'All NCIA I It CON1)11'1()N1 NG/11 It 11'1_,A C,'IP, IiiIzkll'r 6./3-, / \-•,-3 ...--,..ari .. I. rinIr I'if, cit, .. 1)ic,i-trol'i . • . 1 V Ott., 05 mil it rid (I'Icase.typc Itttr)Int owl.5I);)t ill lititifttt) _ .__. A11)1).1t.I.iSt; i . _s „..._..., ( I1 a 1 OWN.ISItu 44 c)-9 4 (1,1i,ino(1C).- (.33... -) 1,..... (...,v--,. „ . __ _111:4 ___. .5—S...)--- $ 1 -A (1\(1(11.C ) ''',). ;A t -:V...) N'. 'N. (7) ' .. .,....-Q---4 C/ ki'.' ‘'`'. .\CSL. 11‘ .) I . ....____.„....,.... i A I'll...ICA N'I' c"))" \. i -4. I, , - ---,, ,, . (ph„„ ) _ 1 --`.)\ )\ , .,_ ,.; ,-, ,. . ___.. ._ .. , ( (., t. ,,,, \..„_( k\ , A,,,, . 1.,z, \\) (\' f. ) CI,- \k':1)-,(1,(-.? -7 1 r.), ...... .__ ..., dd i'cs ) -c) 6..\.-J.... ....i.. "....."3' .4‘-. (Ailtlres5) (City) (7.410.00 N r, y _c-i (\-\ v,'-c \ :‘<.,,, (viitme) _ \ , --', - •-.\,i .-1 -- yi k..\,\,- . 0..:()Iilaci ver:;on) ._,... _ __,, \ , _ )(,,,,\ \\ \ ) ‘_,, .0,1,1,1k.7ANIT st(-_;NATuin,, ---- , k...„,.__,) ,„„•_..‹), r, / .._.-. DATJ.i, . ... ...... _ Al.'1'.1.,1(...!AN'1* l'i.,F.A8li: C(_)1411.'1,1( I'E, 11E 1,01-V ... ... .____ _ ..___ [lb 111'1,At.ALT5U1- CTI A 1.:11,,RATIt)(1:1 1><11,11,,'\V t',0(1-;"l'It(JO('ION S L.—3c) .1 .0,S.1 V vt)Iii., N 60-- c ,RINIACI!: ivil1(it";INI) ivi()D1Ci- 5‘7\ .,'..4.,t^....-1:\'''S.' CAI 1,1,1B1,:2,17,F, ...) IthTURN 01'11,N11•10S ...___ __., , 111I 1,1 .. ' 1' ''0 i(:)0\, 01 l'I'I'lli‹.-C '1'Y'1'1,',().1,'SYS'VEIVI 11.13A'AINCl.t..)„lt.12()VVElt PLANT ._._ 19.,EASte,Nt.r1.1e,: Air Conditioner 154‘Yatra Ail Haws II Steam 11:1Gravity — EI 1101 SVatet Units t4011 !fireplaces Cannot li;ncroaell irtto Required,S.ide'Yard fit:timely:. LI Nwo,,,,ii.i Li „Iimit. replaces will!Box Addition!:or Li specin(1)cvii..c.r; Fi Cantilevers Co the Outside or Buildings (,,SlAir Uttlitlititining NC.- Vttni.SyrActit I-1 Otlicr Diwitxs 11.101111 re It IS tattling l'ermil. FlRlit'1,AC.,1!,tvIAKI1AtNiDIVI01)10, _- - . .__.__ , Fli",le,ti( t 110)(1.1,E , IntltrAt int,(...0titnit'-i,ill.ci.114tIlli-Falltily I%of jolt rail Rtzillentittl,4Ins Vircplact• 1;49.50 $49.50 minimum Rktititlytttittl,licItIitly,&i\f(I(Now'kAttittititt;lion) I1.1,11),50 He:144:111W,Addition!:,V,..A Itertilintir; 1,49.50 Rtmitlentinl,lit:Wing Only(I'lv.:NY Utnntlity.1 ion) 14;4.50 Itesirlential,A('.Only 1;19..`,)0 P.51008(0(1 Co:4$ ., littililinr,l'ormit II I.II!,ATING 1T,R1111'1".1'1W, :1;_. STA:111,St.J1C11A1F11.', :I; .50 TCYVAt,11.1e,RINI yr pie 1Y ...,. .. . $, kUllivt,0:“•.S.Jilly) Thiti AllilliCniiitIl ilecomes Your 14tiltling Permit\Viten APOl'oved Pail] MID- , . ___.. _____._____. . u„,,,,,,o,,,,..,N, ,h„,„.: ,,,,,,,y ..„. .. ..._ . 24 Wit''mike.for n11 ItisppOlons(952)447-9850,his(952)44'7-4245 4tI4til)ItItArtit Strett‘;'3.1c..,I'vIttr Witte,illintleStlIIi 55372 1.1y Q4 PRz�.e� t Builders Deposit goP City of Prior 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$500.00 Tree Deposit may also be required and will be refunded if specified trees are. preserved for a period of one year. By signing this I, the undersigned contractor, acknowledge that I am aware of the eroson control requirements of the City of Prior Lake as outlined in the Erosion Control Measures for BBuuilding Contractors handout. DATE:J . f, Is SITE ADDRESS: 6' 474 UELL Cpvrz i PERMIT#1 ,V REFUND TO BE MAILED TO: Y��-`�L.A�� t\c›NetE.S I7bZt Hsi$- F'osii.-r Jnr a ..s. . I oTz L-A A4F__. 1 Ma• 553"7 2 PLEASE REMEMBER 1. KEEP STREETS CLEAN DURING CONSTRUCTION AU HORI . . �1, ,�< ,n 2. KEEP EROSION CONTROL IN PLACE • (For Ci Office Use Only) 3. TEMPORARY OCCUPANCY PERMIT MUST NOT ', <,S �'2I 5p 0 p 0 EXPIRE OR$500.00 WILL BE FORFEITED Date Amount it � _ SIGNATURE: jipA .....n Larry Poppler I nda Allen City Engineer Buil:ing Svcs. SECURITY FEATURES INCLUDE TRUE WATERMARK PAPER HEAT SENSITIVE ICON AND FOIL HOLOGRAM -:.,,. �' <.kT y far„.•••,:,:„•,,,.. .„.54,�t .A T E C sa» d ,i-..:. � F. ''. :_;44,; ''7,:, z ,24.04704'. vsiB ,.' 's +l a5a't *� * , 4° . arc ,� *c. ,° =° a. �'a �� �� ,..:::....,...4:::: 4 ,4 G i' k.ffi '° i x`°s '",47.4 v �°.a l%ArF .7• 5 �'k m�� , 3 - $} rx� v sY,` , F” + ' '. . , �� �-���`.�,�'.��� rte � `" ``" r. � `u�a a���r� � � ,,ffi a' fit as - °s., v>' , .£#� ..*', , &' t,:". mac' `�� t����.r ,,,r ba v.��� y� �3^t A. �A..� �- ���'`„s;k''�:i DtL,.�a, �.�>�i �.r�'a°.�,."a-i r$n,;:'���� 4�',) �r� °.°' k. 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't''�y,Ma F 4 ,=aP" ,.„...- 5 k d 4 4 q vYfip, �`^ .�` + y a t ".X., =" "t1'. mo w `�, '' '.�� � c�'a '2',46,4, a F }. a ', r._?- $'Y 4 #'m c=': $:xt: :"aV.n Y; v?'4"y --a „.ci t y:4,4�, �t,,a `, r*sa a,;., a �' ;iVi. �,, tr ¢ ems,,, m� i -. ;43 .tea. a, f „ ' 3, `,, x�, .d °,s^" t- � a a, rf.:T , rt e� p �' 4 6 i` ,$ ,0,1 "ka '"x 4, 1 v' l `� 7s, t'x �k Y r$.';..r g.� C S- , fir ; s ,' �'px ,.x�a sE iGEII E�'`tb S f a *. `h a< ' a , r"fid , Y,m �" '��° c� ��s � "sr�e . s� � �;+oZ,vKlolao ar 4a3s +. .. o __ a: tai`r _ a r �sN ,y2 r,#kcg` a'a' r.$f ,_.', yRIflt1 9 l" ,M1 LL 'R fix , � s"° r - NIIIN39i2I 1 + 3� ° , a =. pGENUIN_ ' S r a ',7'''°7- NIP N PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS t; 4 141.1�c�L, -g--- NATURE OF WORK . • It‘..- l4, c_� livezt'�t #f5 /45 USE OF BUILDING r c c c,,y r ,�., p ... IN 2.18, l3" PERMIT NO. / - '2- DATE ISSUED i /2.o l 5— CONTRACTOR PHONE -o N / ' -c �� � 4--c-no EROSION CO TOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTORD E FOOTING INSPECTOR , I c' I c FOUNDATION (Prior To Backfill) %),---e----._ -z ( 1- RADON RETARDER PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWERNVATER/SEPTIC 'may 2 � r FRAMING L-Hp ,, y 1 c' INSULATION e ‹, ,, -- ELECTRICAL PLUMBING ct( r-1 l 15 HEATING t'.p rev'- b_L- .., y [— t tc; FIREPLACE GAS LINE AIR TEST ieQ / - RADON_- N--I( -, COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED HOUSEWRAP LATH FINALS CRADING ( PRIOR TO SODDING) Le___. c' 141 ,�_ BUILDING %� - g 3 ELECTRICAL I 1 r PLUMBING 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