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Pink City PERMI ./J ADDRESS 3.Yellow Applicant / 06020 X74 Qvv iJdT ZONING(office use) LEGAL DESCRIPTION `J pup (office use only) LOT 7 BLOCK ( ADDITION c.c( 5 ofO� b r a •4 R PID , (, OOT,d (Name) PDI BO II (Address) ` I (Phone) i3 7 r BUILDER l�l L/ /./ I1 GJ / (Company Name) 0 I l� (Contact Name) I.I • _, t h (Phone) , - - 071L(V£/[ (Address) 0 V (Phone) ° 2 • ' - 0 _ 6 TYPE OF Wpm New= onstru ■A Co ction ODeck OPorch ORe-Roofing ORe-Siding DAlteration ❑Utility Connection CODE: CII.R.C. Finish['Lower Level F' tsh V; fireplace Type of Construction: C. n: I ]I A 0 Misc: tntctio DivisionOccupancy: ABE F HI S U PROJECT COST/VALUE 41062312 I hereb 2 3 4 (excluding land) Y certify that I have furnished information on abovementioned this application which official c Property and that allfo nano ion willconform to is to the best of my knowled e ok this..z7, (6/- X .,,•t for agent for the just cause. Furth all existing state and local laws g true and correct. I also ���, e�nored I h by agree that the ci and will proceed in actor certify that I am the owner orm authorized X l _ _ ,J J tY cial or a designee may enter upon the ice withsubmitted p ed I aeon aware that the building Property to erf Signature ____5-431_9:_v_______________ /0 / / Permit Valuation WOContractor's License No. / "Or cafe Permit Feeirma...W "---- Park Support Fee Plan Check Fee # $NW � � °�llinlim '®Q Penalty t Q Pressure Reducer $ �/♦. Aja Plumbing Permit Fee Sewer/Water Connection Fee $ /` 0. Oe Mechanical Permit11111W �� # $ Fee Water Tower Fee /�/ o .- S-p # $ Builder's Deposit eve--Do Gas Fireplace Permit Fee40 l Other $ /p..®a TOTAL D This�y,licatio, �i� �/ �1.ZZ,/j 1di r coma,Your Building Permit ,en pproved Al 1 esu d �� /' qa Date Recei•t No. Buildin_Officiate_ U _ B MINI_ Da e This u to certify,.• the request' when signed, t,a Ci q the above application and accompanying documents' , issued. ry "'''er onstituto a temv temporary Certificate of Zoning complian-, an, ordance with the City Zoning Ordinance and may „arm allows construction to commence. Before occupancy,Y proceed as requested. This document Ai� r�- Panty,a Certificate of Occupancy must be Planning i r � — our notice for all insp c�(952)447-9850 fax 4646 DSpecial Conditions,if any Dakota Stree S.E.,Prior Lake, (952)447-4245 Minnesota 55372 Date Recd BUILDING PERMIT, f L CITY OF PRIOR LAKE q G� f Quo TEMPORARY CERTIFICATE OF ZONINGPCOMPLIANCE �oF R TEMPO AND UTILITY CONNECTION F � V h7 1, White File PERMIT NO. 14 2. Pink City 3 Yellow Applicant �INNEg��P ZONING(office use) Please .e or tint and si:n at bottom) Po ADDRESS C k ' \�` Tq Aof HitAlj "-t: (office use only) t n / f) s U LEGAL DESCRIPTIONV I I / uV-d'tY[J( Ati BLOCK ADDITION ` `� s *� � I l LOT1U:11 (Phone) Al OWNER.Disev, i/tr‘rej �" I^ �3 (Name) 61\ ' 62 n /�N.,11:1 o lS� (Address) - \�0�� lP uC SS ' -01 l (Phone) 2',�OisS1 BUILDER v� (Phone) �, 2 I (Company Name) �j�� 5 S 7 (Contact Name) - v��. r � 7S '�P JY� � ��. �q ❑Lower Level Finish ❑Fireplace (Address) - 1 []Re-Siding FC. eck '�'orch ❑Re-Roofing Ce ew Construction tility Connection TYPE OF WORKAddition ❑Altera ion 0 ❑Misc. 2 �� I.B.C. (, A PROJECT COST/VALUE $ I CODE: R C' I II UI N S U (excluding land) Type o Construction: B E F g I M Occupancy Group: A i. 2 3 4 5 that I am the owner or authorized agent for the i� fans. 1 am aware that the building Division: knowledge true and correct. I also certify tcno s form to which is to the best of my proceed in accordance with submitted n plan i s / -d infor�tatict o his app enter upon the property perform I hereby certity that I have htrntt all c ructto ill conform to grl ethat th city official ora sign emnd ay enter t ani ore,I hereby agree that the city 71 0OI j above-ment� p� � �� just ca - Furt Date .ermi 1 official ca _ o. ,' � Contractor's License }f ,� ign,tune Park Support Fee # 11111111111 i� � SAC Permit Valuation $ _ „. Permit Fee $ 7i L ' © Size 5/8"; 1 , 11111111111111111 Plan Check Fee Water Meter Pressure Reducer NIIIIIIIIII UIIIIIIIIIIIIII Penalty 1111111111111111111111 Sewer/Water Connection Fee # Water Tower Fee IIIIIIIIIIIIIII Plumbing Permit Fee 1111111111111111111 Builder's Deposit Mechanical Permit Fee IIINIIIIIIIIIII 11111111111111111111 gIIIIIIIIIIIIIII Other V I�/,/� Sewer&Water Permit Fee TOTAL D I4 Fireplace Permit Fee ��� Recei.t No. %�� 1111711111111. Gas Paid � I' B nppp ,ved � This Apph` tio�Become`your Building PermitDate ji i/ p�`- Date . proceed as requested. This yd°mu the application and accompanying docu ents is i accordance with the City Zoning Ordinance and maY t Certificate of Occup request ins the constitutes app Certificate of Zoning co pliance,nd allows construction to commence. Before occupancy. abov nt This is to certify that the nner consututcs a temporary when signed by he Cu i l if any ' Special Conditions, issued -�ate I1 ,A 4, (952)447-9850,fax(952)447-4245 ' Pl"`"�� 24 hour notice for all inspections r Lake,MN 55372 4646 Dakota Street Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R-1 or R- Districts Reviewed by: Date: 4l \ b 1 . 3 Building Permits Address: 2 Zoning: ( �� Legal:L B Subdivision: Existing Structure? YES/NO . Existing Nonconforming Structure? YES/NO • CONFORMS TO ZONING ORDINANCE NO Yard Setbacks: NA/FAIL S/Clain • Front Yard can be 20 .(' Standard Proposed • ��if /in 150 • Side Yards z S, 8 / 25'if abutting astreet _ 0 • Sidewall exceeding 60'requires additional side 2" k10' )0- • setback for every 1'over 60'in length. No2"/1'over 6t required set 6 ' if building wall is 10'-0"or greater of being parallel to 0' a side lot line. • • Rear Yard • Patio Door: provide for minimum 10'deck or sign 10'side/ Z statement indicating no deck will be built in the future • From 100 year flood elevation of wetland/NURP 25'rear pond. 30' • Refer in-round Bools to the Planning De•artment • From OHW(Prior or Spring Lake) 75' •or setback average of • adjacent structures,but no less than 50' Floor Area Ratio: NA/FAILS!COMP, .30 Maximum Yard Encroachments: NA/FAiLS/CO arraillil Eaves and Gutters no more than 2 feet in width and Standard Proposed closer than 5 feet to a lot line Easements. AIC and other equipment cannot encroach on interior side ards. Tree Preservation: '7-FAILS/COMPLIES • Total calif er inches Standard Proposed. • Permit 35%Removal immimmummo • Gelber er inches Re oved •• Cali;erhiches Preserved • R•-•Iaceme L.� N1Eb TE1BLDGLIST.DOC 6001 PRIp''Nussoll White -Building Canary -Engineering Pink - Planning PIN P R T —PI AT • . PA- u _ N NAME OF APPLICANT DOA/7V //0/165- APPLICATION APPLICATION RECEIVED /O . `5 / /3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Z -7 ° / WK__ i 6 Accepted ' Accepted With Corrections Denied Reviewed By: Date: /` /3 Comments: 6-5 "The issuance or granting of a permit or approval 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." (/ 1 \ White -Building Canary -Engineering Pink -Planning =-; it , NAME OF APPLICANT 1 j/jl �y t , ; APPLICATION RECEIVED The Building, Engineering, and Planning Departments reviewedhave application for construction activity which is proposed at: the building 2 --7 permit - c ''_ Accepted Accepted With Corrections , ________=__ _____.__ , Denied Reviewed By: Date: Comments: "The issuance or granting of a tbea permit for, or an permit approval of .plans, specifications and computations shall not be construed any of the provisions of this code or of any other ordinance of the 'uri sdiction. Permits presuming to give- authority to violate or cancel theapproval of, any violation of ordinances of the jurisdiction shall not be valid." provisions of this code or other O� p�O.p 6 isso, White - Builftg j Canary -Engineering Pink -Planning _SMT , • • Ti. NAME OF APPLICANT p- lllr hioNa.5- APPLICATION RECEIVED .„ The Building, Engineering, and Planning application for construction activity whicis po sed Departments have reviewed the building Z --� permit Accepted 1 _ Accepted With Corrections I Denied Reviewed By: Date: // 2/ f3 Comments: R- -t-4 is, f. Serh Pr,, ve to, W, / re, , See Attachments: 1 Gradi • • 1 . "The issuance or granting of a computations not.be construed toebe�a permt or tpoorvor an oy of the provisionsshall of this code oof any other o plans, specificationsof, and any the give authority his to violater or cancelr rd approval is any . Permitson of ordinances of thegijurisdiction shall not e ordinance of the jurisdiction. provisions of this code or other valid." —YRI�\.\ "� CITY Date Ree'd OF PRIOR LAKE : / 11\ y\ +� U� �, SEWER AND WATER PERMIT /, ��h`N E s off`/ Orem Fi t`c PERMIT N -- Pleasen°wCityO. i rc e or,iZf7r Find Sir as bottom } Gold AGP lean, / 002.: ADDRESS �-� I VV U 4-4 � IGS G Z d 1 ZONING(office use) 7>Jb LEGAL DESCRIPTION(office use only) LOT --TBLOCKI ADDITION VI Ilas (3f- MG4i'1 ;oa Rto.thiPID V6/_ OWNER OO7,Q (Name) 110 elk • Orni t C. (Address) (P5SU. ' U. f, I iii t,.r► L.ro (Address) �- � �/�' (CiEY) (Zip Code) APPLICANT (Name) STOCKER EXCAVATING COMPANY, INC. (Phone) 952/890-4241 (Address) 12336 Boone Avenue Savage, MN 55378 (Address) Curt / (City) (Zip Code) (Contact Person) . / (Phone) Satre j APPLICANT SIGNATURE E grii3Or.X7► F =�-- DATE _ �— .�*— y i APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure Type of sewer pipe. ABC feet. ❑ Estimated length of sewer line PVC ❑ Cast Iron Clean out(if required) located at feet. feet from structure. t t Residential sewer and water line connection $35.50 I� ndSCHEDULE sCH CDm L&Multi fa r Sewer connection only Multi-family l%of job cost with a$39.50 minimum $17.50 Water connection only $17.50 I Estimated Cost 5 i Building Permit# i SEWER AND WATER PERMIT FEE $ STATE SURCHARGE 5 TOTAL PERMIT FEE — — =50 (Office Use Only) i This Application Becomes Your Building Permit When Approved Paid t NO WITH I Date * Building Official W p_. Date B O 1 , P'PROIT 24 hour notice for all inspections(952)447-9350,fax(952)44 7-424s x 1 i i V rRio�r ,14.:;3::-,,,,,:om CITY OF PRIOR LADE HEATING/AIR CONDITIONING/FIREPLACE NING/FIREPLAC Date Rec'dg E PERMIT '�-./ 4��MYESOT P • // (Please r•pink Fite �/} type or print and sign at bottom} 2•Greet► city ADD PERMIT NO. ` KESS 3.Yellow Applicant /4/‘ / / O[ •+ II . ' i ZONING o •• ( flice use) Ak ,PLEGAL DESCRIPTION �� (oHSce use only) LOT 7 BLOCK / ADDITION OWNED �� ' ! / (Name) /r I A _ O.tt I (Address 7-( ■r� (Phone) - - �7 APPLICANT (Name) , N (Address) r ,. , r • ' �. , j "` (Phone) 7(0 12- (Contact Persondot APPLICANT SIGNATURE _ (Phone) ,� DATE -1 APPLICANT PLEASE COMPLET ONE�V CONSTRUCTION E BELOW FURNACE MAKE AND MODEL °REPLACEMENT FLUE SIZE ❑ALTERATIONS TYPE OF RETURN OPENINGS FUEL SYSTEM INPUT OWarm Air Plants HEATING OR POWER OUTPUT ❑Gravity QSING R PLANT PLEASE NOTE:Air Conditioner QMechanical °Hot Water team Units and Fireplaces Cannot r I Air Conditioning °Radiatiota into Required Side Yard do s O�c�oach °Vent. System °Special Devices_______ Fireplaces with t Box Additions Setbacks. FIREPLACE MAKE AND °Other DevicesCantilevers to the Outside of Buildings MODEL Require a Building Permit. igS FEE SCHEDULE Industrial, Commercial&Muni Family Residential,Heating I%ofjob cost Residential,Gas FirePIace Residential,HeatinOIy�C(Ne�v Construction $49.50 minimum Y(NN Consts t ui tio ) $149.50 $49.50 $64.Sb Residential,Additions&Alterations ! Cost$ Residential,AC Only $49.50 HEATING PERMITBuilding Permit# $49.50 STATE SURCHARFEE $ TOTAL PERMIT FEE S -3-7 .-------57616--- 5.00 This Application $ PAIDBecomes Your Building Permit Whene"APPApproved �U� �`i\ip PERMIT j Building 01;7cial Paid Receipt No. I Date Date I By j 24 hour notice for all inspections 4646 Dakota our notice Street f S.E. (952)447-985 - * - Prior Lake,Minnesota 5 � � (� P6= I o� PIZ j0 .�. �, HEATING/AIR CITY OF PRIO �j NG/AIS CONDIT 4, 1►• ION ... G/FIREp;Z,AC Date Re �'fNN>;sdo" E P RMIT leasea or xint and si:n at bottom) ADDRESS I. Pink Pilo 3. Oee ly PERMIT NO. a' 6' H Ct. 4 tct. — ApClplicant lalMlif e r LEGAL DESCRIPTION r ZONING(office use) N(office use only) LOT BLOCK ADDITION OWNER (Name) PID (Address) 0)1-7 I (Phone) APPLICANT (Name) a, w, , AL y �C+ .4.- (Address) — • $Phone) . 8ci- (Address) -� �� , AI'PLIC ` {city) a.ANT SIGNATURE *a', 0 (Thane) (zip Code) (Contact Person) e APPLICANT DATE id L�S NE W CONSTRUCTION PLEASE COMPLETE MPLETE BELOW E AND MODEL • . REPLACEMENT FLUE SIZE ❑ALTERATIONS TYPE OF SYSTEM RETURN OPENINGS• FUEL _ ' INPUT Warm Air Plants HEATING OR POWER PLANT' OUTPUT ❑Gravity ❑Steam ❑MechanicalPLEASE NOTE: (]Air Conditions 0Hot Water Air Co ��� �l ❑Radiation Units and Conditioner [Went.System J ❑Special Devices into Fireplaces Cannot Encroach • Required Side Yard Setbacks. FIREPLACE CI Other Devices Fireplaces with Box ' D MODEL, e n Cantilevers to the Outside tof Buildings v C Require a Building Permit: >Commercial&Multi-Family n [/o of job cost EE SCHEDULE Residential,Heating&AJC(NeN,Construction) + Residential, $49.50 minimum Residential,Gas Fireplace Heating Only(New Construction) $149.50 The Minnesota Statutes $64.50 Residential,Additions $49.50 "SURCHARGE"has been extended 8 'ost$ Residential,AC Only &Alterations $49.50 t until June 30,2013, $49.50 The minimum for a Building Permit # wrrH "fixed jmtini surcharge$5,00 HEATING PERMIT FEE $ (Office Use only) rt OTAL PERMIT i RMIT FEE 50PA iD This Application Becomes Your Building $ '•' 1 '"'4 ' ',' !`_ ==" i Permit When Approved Paid � Bui[dine Official Receipt ji P No. f Date Date 24 hour BY i for ail inspections(952)447-9850, ! 4646 Dakota StreetS.E,,Prior Lake, fax(952) 7.4245 Minnesota 55372 1 notice OV p�O•P - �4 CITY OF PRIOR LA U PLUMBING PERMIT Date Recd � esoo ( / I l` ! 'lease i or t and si„ at ADDRESS bottom I. Blue File r 2. Gold City PERMIT 7�� 3. Yellow Applicant O. • '6 W.14.4/ I ` 1 _( / LEGAL DESCRIpT1O '% ` t N(office use only) LOT BLOCK ADDITION OWNER rnTame) PID44- ' I 69/L�1 (Address) Z l - (Phone) APPLICANT (Name) A , /li .9 Gt. ' (Phone) (Address) J-0 (Address) ` . /L(,il/?L' /r (Contact Person) ,l =' „ .t. de City) � Atte( ,e .J�Q 3 APPLICANT SIGMA (Zip Code) TUBE (Phone) 3_Z 3 _6 S� � APPL C, DATE . c(—�O T ,e of Future PLEASE COMPLETE Bath Tub with or without shower BELOW Dishwaimmiii sher T +e of Future Floor Drain Roush-ins -� Lavato Bathroom ar � Laun• Sink _ Water Softener Tra 1 or 2 com•artment sink _ Stall _ a Stand Pi•e Washin. _ Sewa�eMachine Shower Sink - E'ector Egimem Backflow Assembl - Water Closet Toilet Backflow Assembl Ma Illia Test Industrial,Co Other Commercial&Multi-family 1%of job cost with a$49.50 FEE SCHEDULE minimum Esti Residential New One&Two-Family $149.50 mated Cost $ ,Additions& - -. Buildin Alterations $49.50 g Permit# r-- PLUMBING PERMIT FEE (Office Use Only) SURCHARGE $ STATE SU TOTAL PERMIT FEE $ ____-_Sp 1 This Application Bjitt(1/49j1Kecomes Your Building Permit When A n PProved Paid 1 Aiill Building p�i� Recei,*VT Date 24 hour 'TBy notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior fax 9 Lake,Minnesota 5 372 -4245 (ØeDei to t A$2soo.00 B C%fy of P ' insure compliance Deposit is included in the Prior Lake not limited t Budde for a Final Building Occupancy Permit. Permit fee. The B daysnafter the anceo grading, a Final Oc at (It is not an udders Deposit City shall date the odditylandscaping, tree planting, escrow account.) p sit is issued as security builders deposit the building permit is issued. g, driveways, siding All exterior items Including but situation, posit will be forfeited violation and thenot complete within the painting shall be and the applicant shall have 10 180 daycompleted 180 A builders D applicant will be days to comply Om k to period, the By signing srt mayrequired and billed for clean up or correctivep ork to r one year. be re $2,500.00 A $500. 0 Tree othe s this I,alsoso b requ will be refunded ifs rectify theo handout. City of Prior Lake undersigned contractor, acknowledge treesaare as outlined in the Erosion Co that I am preserved for DATE. ��, �� Control aware of the a period of Measures for erosion control Building Contractors SITE ADDRESS: ��6e /-74-//747, REFUND TO BE MAILED TO: � � IO�ts� PERMIT��?u` 1. KEEP STREETS 'LEASE REMEMBER AUTHo TION TO 2. KEEP CLEAN DURING RELEASE/ �� EROSION CONTROL IN PLACE CONSTRUCTION 3. TEMPORA- • . CUPgNCY PERMIT Lynda S. `:len,Building `��U Q MUST NOT E O Acc g Services Amount Q EXPIRE OR $500.00 nate t.801.20204 SIGNATURE: WILL BE FORFEITED HIS DOCUMENT HAS A COLORED SECURITY BACKGROUND.DO NOT CASH IF THE WORD"V OID IS VISIBLE.THIS PAPER HAS AN ARTIFICIAL WATERMARK ON REVERSE DaNNAY SIDE AND IS ALTERATION PROTECTED. 9655 6,3 � . RD AVENUE NORTH 11-24/1210 MAPLE GROVE,MN 55369 w>Lr (} wsxco -WellsFargo.Bank/1.A. R! 1078 x r P c DATE CHECK NO. Pay *�**�*����**** May 14, 2014 -ArwouNT Twe1e thousand 11078, $***** PAX CityOne hundred fort � 44 . 88 PIH of Prior Lake Y-fdux dollars and 88 cents "1-0TH Dakota 4646 w op St SE Prior Lake', MN 55372` 1: / 2L0 00 2481494233257811' v 4 9 4 2 3 3 2 5 78n• J:IFORMSIBUILDERS DEPOSIT FORM.DOC i PM �O PRIOR LAKE.BUDEILARrüSPECTIDIG INSPECTI ON • N RECORD SITE ADDRESSdr- 4 4# i NATURE OF WORK 4111, • USE OF SUILDIN PERMIT NO. CONTRALTO- �J z--000-2___ SDA !; SSUEp / e --rI'����c,c � NTALL EROSION C 41.4". ./Ae �� I ONRT4,L AND MAINTAIN CLEAN STREETS TALL IMES CLIVINSPECTOR FOUNDATION (Prior To Backfill) ( '� DATE RADON RETARDER 4 t f)2 PLACE NO CONCRETE UNTIL44v#4111.111116........ ,, ' SEWS rATER/SEPTIC� ROUGHABO E AS BEEN SIGNED NS FRAMING INSULATION t� imminiummiglir 421111111111111 ELECTRICAL ��� PLUMBING HEATING ram MI I mi 'III FIREPLACE GAS LINE AIR TEST �� r RADON Pls� �` r� �t KItammiiiimi COVER NO JV�'i WORK UNTIL THE ABOVE HAS E` ��innnn HOUSEWI�Ap P r�� �' v®�g LATH -�,r. EN SIG E: IIMMilaula GRADING ( PRIOR TO SOD FINALS BUILDINU DING) ............._____Emmintairm ELECTRICAL PLUMBING HEATING , DO NOT OCCUPY P Y UNTIL ABOVE HAS BEEN ti E EN SIGNED This card must be posted near an electrics OTICE maintained until all inspections have been ae►'vice cabinet prior to rough-in inspections and approved.be On buildingser and additionsae. where no placed near main entrance, FOR ALL INSPECTIONS (952) 447- 9850