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Building Permit 14. 1236
A A A A A A A A A A a A A u .I K CITY OF PRIORI LAKE ' 'K' .K Final Permitted El Conditional C.O. Expires K _ prpartmenf of Pitiitting jittsiattfion , > >� K This Certificate issued pursuant to the requirements of Section 110 of the❑Residential f❑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: �K , Use Classification ,....57 A/ l' //1/Ly Bldg.Permit No. / _ / z-3 , K _ Occupancy Type Type Construction Zoning District / ., i._ L) > Legal Description L /P e--k) / ) 7/9Z_ �7 Owner of Building Site Address /.5:::;52.— 1.)/.--/4/' v//.. .. Contractor'sa �� Name&Address` �C//(-,e �, /(mac/ e y 1--E. /� /0 `�--+� /L.CJ t'( /l.../ F/ / /(./7 / Ai City Planner Building Official z /" � ' .,..,- Date: �� f`? Date: - POST IN CONSPICUOUS PLACE 0 O A n a 0 0 ■ / R 7 § \ O ■ 222 > 2 o q % 4 ~ o0 s r. cIEk m $ m (To to k ��� \ / m 7..1 6) 0 �� o 7 2 q q k Z a n z \ \ / kk z �� Cg m o 2 Q m % z ° o 4 k / \ r OOOQOO / \CA && �tm� t) enc /he 2 A azErm-n ■■ 2/_7) m © ■ Z k r-, o _� k / k o INIPr. /k c f0 a y m \ 2 @ o § O0000O t > X220 wiroz 4 rn A5//\ o tmm� k 5.. i k 5 O O - n 000000 "V 0 > En n n § § K . 2 4zco00 z �4 0 k� r ° � k II m E 'E'o z § � §- tn .tn IQ j q - m •0- -4 Z k • 1.15 CORIP k k > a Sill 00ZI\ 00 > © a. z 2 § 0 OOOocO § x - 2 m rn > m r h § ° n5 � 0c - % 3 ? A ■ ■ Mii M n co k ; \ > 0006) - 0 • k N § / Z � Z § q C § z P. m r9 � § .z § / 0 m Iii § n ] ['''Irl''' OVODDO § 7 � > ii §2 § 0 o � mmE © 41 z m § q A � � t § - / ■ 0 E m -1r 0 J O O QJ � . n OoocOO m o > zn 2 0 © ■ - ' , 0 q � �� � � 2 �� / r 00 . 3 � iE �_ ■ § 02 01 r m m § ® ° K kli § 4 P o� q1;1:1: . z m oG) z o » , m z 0 � ■ n0 c a, f _ j R\ o / z `��o ■ ro� Mk & ! l� \% ■ o o • 4:1000 ir / § m m ® ) r ar ® § a � 7 c c § \ f \ � ^ . memmze m 0 0 E m13 % z > 000zzzzom § • a n FR rTIM m 0 / k 73 o s m iii § 111100iE o -1 E � � � 0 § � m c1, lolo© m \ � mm \- m m 11 73 _■ m -Ir B A- ez /D. /7 /q, 74 of PRlp� CITY OF PRIOR LAKE BUILDING PERMIT,f. c7 f/ Date Rec'd ,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE X AND UTILITY CONNECTION PERMIT 4./6 , * U I,, ��NNEgO.�D I. PinkWke CityFiiPERMIT NO. (4-i 123(e 2. 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 15 5,- Dc ,ke 61'C-ie.-- LEGAL DESCRIPTION(office use only) LOT BLOCK f ADDITION PID OWNER i1 (Name) L././... 9 Iv ,�,��i / �-�-5- (1'� (Phone) Lam-'7 T b 6D/a"( (Address)".23g2_ (2,2-,7ft',nelee e_ ,4, BUILDER 1� ` ,/ (Company Name) Cie-sit- f eir/l2lj GL'- (Phone) ter 96 d/.57/ (Contact Name) SCP/7 ( pt y-r✓j / ` (Phone)�b3/ -"' ece/S (Address) ?e 332 CJ t t pl_ e.ec/i-` is / c,t)/I?' ' /' �(//) _....82)2_, TYPE OF WORK, New Construction ['Deck ❑Porch ❑Re-Roofing [Me-Siding ❑Lower Level Finish El Fireplace ElAddition ['Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑Misc. ,� Type of Construction: I II HI IV V A B PROJECT COST/VALUE $ �': � --- - Occupancy Group: A B E F H I M R S U (excluding land) Division: 1 2 3 4 5 I hereby certify that I have i rnished formation on this application which is to the best of my knowledge trite and correct. I also certify that I am the owner or authorized agent for the above-me .. d properi d t at 1 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,.n revo•e ? jt t cause. Furthermore,I hereby agree that the city official or a designee ma enter upon the property to perform needed inspections. X ,, 1' BCl 3//5 ip /4- 24v( Signature Contractor's License No. Date Permit Valuation &5'49 QQ 0--� Park Support Fee # $ .�--' Permit Fee $ t43•-Q SAC b # $ A0 OQPlan Check Fee $ J (� IS Water Meter Size 5/S"; $ F-t!' ,00 State Surcharge $ ( /'; ooPressure Reducer $ ✓/ !L! 00/ Sewer/Water Connection Fee # $ ��•y Penalty $ � /�}t Plumbing Permit Fee $ / /71 Water Tower Fee # $ /^©® ce Mechanical Permit Fee $ /5--- J / ` Builder's Deposit $ '� Do Sewer&Water Permit Fee $ � SO�'"® 45-ca. Other $ Gas Fireplace Permit Fee $ 5171, sz, TOTAL DUE $ L5 09 , g This Appli . ion B,/,mes Your Building Permit Whe Ap oved Paid /3 O (- -2( Rec pt No. iuOO� , • Date L 6 B • A 4, ,ato 3 Buildit it fticial D to 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. IV i3 f //`g- anni hector 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 71164 , 1?) .c) ,-y1 White -Building Canary -Engineering 44/vN dtt" Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT f2 t // 7 APPLICATION RECEIVED /O. /(0 , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: J5-552- %� C. k~CLe Accepted ✓ Accepted With Corrections Denied d Reviewed By: 4® tar.ir Date: k-) Comments: e"r-rto 6e_c2f tcv\...1 Ces-51VLi 770-76-5 "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, ?Rio. 6 1 I White -Building I , pp1/4-ie.\ Canary -Engineering 40-'"'vE8oo' Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT g E•S 'e°v S APPLICATION RECEIVED /Q. The Building, Engineering, and Planning Departments have reviewed the buil ing application for construction activity which is proposed at: "k /552.. ()Ae ) roe. Accepted Accepted With Corrections • 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." tub White -Building Canary -Engineering 44n/xtsc '' fi Ipg./ Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT L� EX-1ev/O0 S APPLICATION RECEIVED /0. /6 . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /5f 2 J 4x' e 1 el'Cie, Accepted Accepted With Corrections Denied Reviewed By: 4410 Date: /0—3 Fir 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." o PR/ CITY OF PRIOR LAKE Date Rec'd i~A, A HEATING/AIR CONDITIONING/FIREPLACE PERMIT t t.Pink File 0 ! /l�J flhNEso't 2.Green City PERMIT NO. 14 1 Yellow Applicant (PIease type or print and sign at bottom) ADDRESS ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) Cr- 1 C` x-4-01-1 0 r75 (Phone) t 5-1- q t o-Y t t s ) (Address) ' — s,x: n r C 6 k.oZ , \J.) . F-l..r./vv;nV . APPLICANT I (Name) =.tit U c. F rtp n . (Phone) (Address) 0(L O\ Vet-AU." Alia,. (Contact Person) SCo S e 4-&,,,,,,, z (Phone) (, ( a.- ill -(H a y 3. APPLICANT SIGNATURE DATE (I --(c APPLICANT PLEASE COMPLETE BELOW KNEW CONSTRUCTION DREPLACEMENT DALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner DWarm Air Plants D Steam Units and Fireplaces Cannot Encroach UGravity ❑Hot Water into Required Side Yard Setbacks. ❑Mechanical ❑Radiation Fireplaces with Box Additions or DAir Conditioning DSpecial Devices Cantilevers to the Outside of Buildings ❑Vent. System DOther De ices Require a Building Permit. FIREPLACE MAKE AND MODEL 't206. H iJivIlk il,..),t 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,Add' '. s&Alte• tions -.' 0 Residential,Heating Only(New Construction) $64.50 Residential, . Only $49. i< Cost$ Building Pe ' HEATING PERMIT FEE $ STATE SURCHARGE $ 5.0 I TOTAL PERMIT FEE $ i This Application Becomes Your Building Permit When Approved raid li"eceip No. aril Building Official Date I s „BY EB 24 hour notice for all inspections(9 )447-9850 i I 4646 Dakota Street S.E.,Prior Lake,M nesota 55372 oi PRI04, CITY OF PRIOR LAKE Date Rec'd ti HEATING/AIR CONDITIONING/FIREPLACE PERMIT U tart 4'INNESO�P 1.Pink File PERMIT NO.` 2.Green City / 41/Z3, 3.Yellow Applicant !! v (Please type or print and sign at bottom) ADDRESS `- \ ,' (office ZONING use) -` D4 -e Cc re.L � LEGAL DESCRIPTION(office use only) ,-fr LOT BLOCK ADDITION PID OWNER (Name) CAr t s4.. F Ic e t i o i S (Phone) 0,-/ (Address) APPLIC (Name) 4.41✓vt. f -.t.,4_4_, ,Q (Phone) 'sp2 --,,210 -o��'� (Address) 70 1 L 4u j tC.,4- C.L4 7✓1. t Address S�/�. � S�3 fr- (Contact Person) ..cCJ ii 0. _ 4 e. -�` (Phone) g r a—p�'l/� J �� / APPLICANT SIGNATURE �A( (� DATE lO/ -Z /r A/ APPLICANT PLEASE COMPLETE BELOW EW CONSTRUCTION El REPLACEMENT ❑ALTERATIONS � FURNACE M r E AND MODEL "'Z'V 141 d V� g Z FUEL 0414"0414" 7 J FLUE SIZE RETURN OPENINGS 9 INPUT 100OUTPUT -Noe'el TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner i"Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water into Required Side Yard Setbacks. 0 Mechanical 0 Radiation v Fireplaces with Box Additions or BAir Conditioning 0 Special Devices Cantilevers to the Outside of Buildings a Vent. System ❑Other Devices 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 $49.50 Cost$ Building Permit# HEATING PERMIT FEE $ STATE SURCHARGE TOTAL PERMIT FEE $ 5.00 PAID WITH BOr D NC PERMIT 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 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 of pRIO-tP Date Rec'd 74CITY OF PRIOR LAKE "" SEWER AND WATER PERMIT /1 'Z• /4--- 0 JNNEso I. Green File PERMIT NO. / /�)_ & 2. Yellow CiTy / —'`/ 3. Gold Applicant (Please type or print and sign at bottom) ADDRESS _____/5552_ n `,y/ � n f a ZONING(orrice use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) (Address) (City) ip Code) (Name) �I I(..�— r- Z_� 1 '� (Phone) &) l2 l' r _ • '' 11 /� M (Address) • 15 � �i II Li o f 1 1►1 -ill.' 4 atio 1,_ (City) (Zip Code) (Contact Person) ,' -IP Iii 41111 (Phone) APPLICANT SIGNA 7, ' "`J A0. -17 704-5,...1,0-----___ DATE if "/1".' 1 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§62613.148 "SURCHARGE"has been extended STATE SURCHARGE $ TOTAL PERMIT FEE $ The minimum surcharge for a "fixed fee"permit is$5.00 (Office Use Only) m .... ' ^ .,, ,— .. ... This Application Becomes Your Building Permit When Approved Paid 9e ipt No. Date Building Official Date /1 y 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 \-2 g 1 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 p 0.1 P14/0 i. N ,41 Builders Deposit 00 City of Prior Lake A$1,500.00 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 $1,500.00 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. )-1 ,�^ DATE: 10—1_ �1 SITE ADDRESS J 1d ? ani �-t PERMIT#I4. (Z3 O REFUND TO BE MAILED TO: C r - -- ,c-t--e,:d`t p(3 L-LC.. 9_2-3'g ...._ C-i ope z i e ct,s` , A. �1k) S a�_�f AUTH II ' TION TO RELEASE PLEASE REMEMBER di, cit ZI�c)d,UO Lynda S Allen,Building Services Amount 1. KEEP STREETS CLEAN DURING CONSTRUCTION 9 i7, /j Acct.801.20204 2. KEEP EROSION CONTROL IN PLACE Date 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR$500.00 WILL BE FORFEITED A r SIGNATURE: e� �1.1!: E ORIGINAL DOCUMENT HAS A SECURITY VOID BACKGROUND PANTOGRAPH,MICROPRINTED BORDER-SEE REVERSE SIDE FOR COMPLETE SECURITY FEATURES 8 CREST EXTERIORS LLC CASTLE ROCK BANK 021'189 PH 651-460-6181 FARMINGTON,MN 55024 2Z382 CHIPPENDALE AVE �5 1314/' 19 � I FARMINGTON,MN.X65024 �� � z< I PAY TO THE: ( 2 ‘"� -1 " ORDER OF tt Z s. / y'Z DOLLARS ,f1" %,,,,,) �9 i l''') b �5 MEMO: Niko + 1 Al < ® ��s '4''''�t.l II10 2''L La.9uut 1:fl l x;9.13 i'4Hi: 2 L8 1 2 30 3'i a THIS DOCUMENT CONTAINS HEAT SENSITIVE INK. TOUCH OR PRESS AND RED IMAGE DISAPPEARS WITH HEAT @, PRIOR DERO • BUILDINGPATMENT AND INF SPECTION INSPECTION RECORD SITE ADDRESS „ .. b. 4KeNATURER WORK r L - USE R BUILDWO "© f ” - ��� w CZ �F /Jimvl 7-Fffi PERMIT NO. / J DATE I01 S ED CONTRACTOR INSTALL EROSION CONRTOL 'r�� ONE J OL AND MAINTAIN CLEAN STREETS AT LL TIMES FOOTING iNSPEC R DirE FOUNDATION (Prior To1 I /yr 2/` r Backfill) ! y �, RADON RETARDER PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWERNVATER/SEPTIC Ca.) _ \, C%\ it FRAMING Lt>,c_ t>, SIs t< / �s \ INSULATION C_�� b. _ MELECTRICAL ' / a/ PLUMBING 46 if .= / ... 6(// HEATING i G3-<< ; - 7- t`ice P6 ® < FIREPLACE ( c1 ,1‹ . GAS LINE AIR TEST RADON j COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED I HOUSEWRAP i 1;/ LATH I Z--- I 1 ( t 1 t 5--- I GRADING ( PRIOR TO SODDING FINALS BUILDINGri ) yo ELECTRICAL OLUMBING P6rii 11 HEAT 'LL ING DO NOT OCCUPY UNTIL ABOVE HAS B N 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