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Building Permit 15. 0016
( ,. ,fl.. , :� Cntrfifhhafr of ( rrtyantr r CITY OF PRIOR LAKE rjnu fmruf of !uiLMn pttrhott K' ,1 Final Permitted 0 Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the❑Residential/❑International >c '- 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/A/ 1,477 f/ 'Q i11/LY Bldg.Permit No. /5---/67 Occupancy Type /Q-h// Type Construction /f Zoning District / Legal Description 7, /? 2 /%/ trVi- - OF 5/--// DX' 867-9e,// K Owner of Building Site Addressr / 4/-2-05/*//-1� O3 � y/-�6/) y Contractor's Name&Address (1U/ /- (S /( (//L�6 /‹. / 06')E�v/ 0 /16 / (�,/-. yS City Planner K _ t ,_Building Official 'J Date: I i IC, Date: POST IN CONSPICUOUS PLACE o Jg 5.1- ; 1 Z _ T � r1�,i i 1r, J 0' 1L V [r Z 61 Id 4 ' Mil 2 W � � ii E.N1Wy.i �� 0000 ❑ ❑ 'WC III M) It 0 W Z o aaJ m O o ci _1 C N ILI \l ~ 0 0001 \ 0 a� 0 j Ili Ni Z ce Z _ = = ZZ �- W t 0 w cz N V a D0I- n0 o o z 3 O 3W < JW 'w ui x 0at 00000 UJ rt 0000 ❑ ❑ 0 0 oCZ = O. a U J ' 0 IQ WmF-WV N Z J � O < U 0 O r Z v LL = Cf 03C �Z O 0Z W F'. 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Pink city 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZO G(office use) Aa7 e— /1203S plr KA5_0 LEGAL DESCRIPTION(office use only) LOT BLOCK 2 ADDITION A -c--4 be c1iaa ' / C" e PID V/5, '61 ). i (*P1() OWNER // (Name) e b W w / (Phone) (Address) BUILDER �� ( JL L,� �/)(Company Name) (Phone) Phone (Contact Name) IAA -- / _ ( ,, / _ Address / Mce isie. Ale 11.7,,,,-- ,/ /Q _ `v 7z TYPE OF WORKnstruction ❑Deck ['Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace ❑Addition ❑Alteration ['Utility Connection CODE: B I.R.C. DI.B.C. 0 Misc: Type of Construction: I II III IV V A B Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 3�O a C) ©o Division: 1 2 3 4 5 (excluding land) I hereby certify tha /aye ' hed informatio ifthis 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 . ..e . and that on will confo all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can oke - t cause. ore,I hgree that the cityofficial or a des' ee may enter upon the property to perform needed inspections. X / 1Yigna /c5z33 tractor's License No. Date Permit ValuationPark Support Fee # $ -3042/6W - - Permit /Gtr - Permit Fee $ 2-7 SAC # $ -z-45;-. — Plan Check Fee $ (.71 .75 Water Meter Size 5/8";(1); $ 59a - State 9QState Surcharge $ ( /C. Pressure Reducer $ ( ., Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ (5 Cb Water Tower Fee # $ i Bey Mechanical Permit Fee $ I c4 5-0 Builder's Deposit $ /z�c) pa Sewer&Water Permit Fee $ S Other $ Gas Fireplace Permit Fee $ 4-4 .5-0 TOTA U5 44 O t•,,,eL i, (r is, $r4 3 This Ap,.( . . , B comes Your Building Permitn A ved Paid /3 314 Re pt No. / 4Date '/' 2- .(s B l ::LI12- /& f 4 B 4 ilding Official Date This is to certify the :• est in the above application and accompanying d eats is' accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by • ity,ri anne.constitutes a temporary Certificate of Zoning co pliant d allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. / /A/W 'S i .r.._ -- 11- i 14 P arming Director 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 Construction for Single or Two-family Dwellings in R-1 or R-2 Districts Reviewed by: /4, i® Date: Z , 8 ' . -...� 4 • Building Permit# PID: Zoning: Address: f I) Mz03 5(4A&7 8ffict+ L,jve Legal: L , B Subdivision: . 6Existing Structure? YES Existing Nonconforming Structure? YES I NO CONFORMS TO ZONING 40 NO ORDINANCE Yard Setbacks: NAI FAILS/CO S Standard Proposed • Front Yard(can be 20'if avg. n 150') ' 25' 26-..06 • • Side Yards 10'/ 25'if abutting a street 10- 53 Ip• S • 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. • Rear Yard 25' '72„� t- • 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 01-IW(Prior o'r Spring Lake) 75'or setback average of adjacent structures,but no less than 50' —Z 7j? 5 I Floor Area Ratio: NA/FAILS/C I .30 Maximum . Z 0 Yard Encroachments: •NA/FAILS/ tLIES _ Standard Proposed Eaves and Gutters no more than 2 feet in width and no: , 114-a +y y i-, -- .L__ closer than 5 feet to a lot line(Easements). - 5' ,;L � . a; , ,, a ..' i '_w A/C and other equipment cannot encroach on interior ( ,a a 8 a bs s: side yards. to Tree Preservation. /FAILS/COMPLIES I Standard Proposed • Total caliper in • Permit 35%Removal • Caliper Inches Removed _ • Caliper Inches Preserved • Replacement 1/2:1 L:ITEMPLATE\BLDGLIST.DOC c 04 PRip4 c7 White -Building Canary -Engineering '',rsso'`t" Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT �--� APPLICATION RECEIVED - - � /4-- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activit hich is proposed • / / 462,64/--C2' Accepted Accepted With Corrections Denied Reviewed By: /1444' Date: IL / 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� YRIp�, White -Building �xBsd�r Canary -Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT attk— APPLICATION RECEIVED is The Building, Engineering, and Planning Departments have reviewed the building permit application f or construction activi hich is proposed • /4 ao3 Accepted ✓ Accepted With Corrections Denied Reviewed By: 42 Date: "A 14 Comments: ,,���� - Co its"fk`k., t. 7-es/c&-'v l' /x4(Aim-r-Af Ac-- 7:41a. "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." PRIp+P• White -Building Canary -Engineering _"N * r Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT --�Z APPLICATION RECEIVED la The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activit which is proposed 4(..,:evit.,..„.• 0/42 0 3 1 / f Accepted ✓ Accepted With Corrections Denied Reviewed By: Date: l 2-A/4 Comments: r Units Cannot Encroach into&arc Sidi "hard Setbdcics "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 PRlp Date Rec'd a O' t ' CITY OF PRIOR LAKE lu g SEWER g AND WATER PERMZ. ,IT O. 1. Green File j'2. Yellow City PERMIT NO. 75..." l4) 1 3. Gold Applicant !' (Please type or print and sign at bottom) I ADDRESS [ �CZONING(office use) Z 0,3 �'f �0V /3 �i De, 1 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID _ OWNER (Name) COW—7/e-- e ' i - / -0 `' 6S (Phone) I (Address) (City) (Zip Code) (Address) . L 9 Gly (NameCANT 0 Q u l�s> f n6/"11 et (Phone) 4-4-7, 3 b4 (Address) /7o 7 2- /261/&-72-e kOry P L (Address) (City) (Zip Code) (Contact Person) �e-1, (Phone) APPLICANT SIGNATURE \,4 ( DATE-- / I —1 a 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§326B.148 STATE SURCHARGE $ "SURCHARGE" his been extended TOTAL PERMIT FEE $ The minimum surcharge for a "fixed fee" permit is$5.00 (Office Use Only) V ''� - # This Application Becomes Your Building Permit When Approved Paid xecet ' �lieri� SNC `c.- Date By „ r'�+.{ Building Official Date cp.,- 24 ..-24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 t l% TRIO Date Reed g. CITY OF PRIOR LAKE PLUMBING PERMIT .. o Dic/IC 1.alae Fik PERMIT NO. / 9, 0D(/0 z gala c;ey V, 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) C ( l 3 SkAJ f G,k Cl/, --- e�—e LEGAL DESCRIPTION(office use only) / �� 5—( • O j 'D LOT BLOCK ADDITIONPID ' - v' ' " OWNER. (Name) Cb\ e c C (C'e (Phone) (Address) APPLICANT / (Name) 130 t`Le-41-A-, f 11-1�t,io i - �) S Zf(Phone) . " y C/c'' 3 7 5 Z (Address) pe, 4A IZ_.57 Qri ?( L6,11.{ SS37Z (Address) (City) (Zip Code) (Contact Person) 301— (Phone) C z - Z:7 v— E e-7 Z.-- APPLICANT APPLICANT SIGNATUREDATE 3 -'5--J SIGNATURE ' $ _ fril------- APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity _ Type of Fixture I 'L Bath Tub with or without shower ".1 Rough-ins Dishwasher I Water Heater 1 Floor Drain Water Softener S Lavatory(Bathroom Sink) _ i Stand Pipe(Washing Machine) I Laundry Tray(1 or 2 compartment sink Sewage Ejector 1 Shower Stall Backflow Assembly fo.g' 1 Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler 3 Water Closet(Toilet) Other FEE SCHEDULE The Minnesota Statutes§326B.I."48 job cost with$449.50 minimumResidential New One&Two-Ramily $149.50 "SURCHARGE'"has been extended - " Residential,Additions Sc Alterations $49.50 `�`he 1n11311t1tiill surcharge far "fixed fee"permit is$5.00 $ Building Permit# PLUMBING PERMIT FEE $ STATE SURCHARGE $ XXX 5.00 TOTAL PERMIT FEE $ (Ofiieg(lap QnlY) ijij& , This Application Becomes Your Building Permit When Approved Paid Receipt MR, Date By Building Official Date I 1 li . ' 'All Ir T , 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 , 4646 Dakota Street S.P.,Prior Lake,Minnesota 55372 of PRt04' CITY OF PRIOR LAKE Date Rec'd x HEATING/AIR CONDITIONING/FIREPLACE PERMIT ! l f� fç U tri `� t' 1.Prole File PERMIT NO. ` 3 `�INNEso62.Green City ( coke 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) t IA (941—27 kAsti• 1.0S9Q2kAlyi ` P5-1) LEGAL DESCRIPTION (office use only) /�� LOT BLOCK ADDITION PID 6DVQ V ('v OWNER (Name) 623 EPte/ - L' iAs -true,4.1 a (Phone) (Address) APPLICAN r (Name) (Name) // __- - .. - (Phone)Phone) �# / C./(Address) c9/to coC S ^F , r9 /LL) ' " -O'�e� (Contact Person) 624>r-/S f—r,NI (Phone) 5""/- S73 r 77 VS APPLICANT SIGNATURE / DATE 7 APPLICANT PLEASE COMPLETE BELOW EKEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL 1 MAA t,[- I.firust,/c( ' FUEL PUot i'" FLUE SIZE -3t rt cjc_, RETURN OPENINGS /3 INPUT /dads OUTPUT 945-eitgr0 TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water into Required Side Yard Setbacks. 0 Mechanical 0 Radiation Fireplaces with Box Additions or Iir Conditioning ❑Special Devices Cantilevers to the Outside of Buildings Ent. System 0 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 $ 5.00 IP TOTAL PERMIT FEE $ (--- V This Application Becomes Your Building Permit When Approved Paid I '.-ceipt No. iliddil Date By,AdgMll Building Official Date 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 O SRI Builders Deposit "' $ ` 0 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.)Ail exterior Items including but not limited to grading,sodding, landscaping,tree planting,driveways,siding and painting shalt 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. ..4./..._,,( DATE: 11Z /1203 Sh4f /SITE ADaRESS: �/' �� PERMIT REFUND TO BE MAILED TO: 6 (eelf— L-Z—e--- 1%/fm/ ce eNE" #i c rrfor a![ /MA) 9 37Z_ AUTHO� ZATION TO RELEASE PLEASE REMEMBER 2 LyndS.'41/n,/Building Services IS oun7 1. KEEP STREETS CLEAN DURING CONSTRUCTION Dat• e Acct.801.20204 2. KEEP EROSION CONTROL IN PLACE 3. TEMPORARY OC q PA Y PERMIT M • T NOT - °IRE OR$500.00 WILL BE FORFEITED SIGNATURE: /�:` .Ale- . " • ! COPPER CREED LLC I M(952)250.8869 4132 i I 14198 CO/AMERCE AVE NE STE 500 j,/ 75872/91g � gty PRIOR'LAKE,MN 5.572 i .-/c"17 4 I I Pay to the ( Date I I Order .f ` / Y'- s//7 < f !y, f liars a _ i— LakerNie/ Likeo b i l�N� ,a, ler i45&.40.5454 The First Gall for AN Your Financial Needs I I i For (I/r i':099O ? 2t: 03 O3 u• ` i; 7 0132 t . . . PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS t 4-7_ dS Kor_44 r)--1\i‘s- NATURE OF WORK IRj (k t i�ca. FIN. L.L. ; USE OF BUILDINGS rr•I(vL.5G P i k., Po-',c- i PERMIT NO. /r-/�o DATE ISSUED f2 fig/i4 CONTRACTOR CaPP Z-C K- Lt..f ' PHONES Z-- l5o-3Bb INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING ///5 /27/6_ FOUNDATION (Prior To Backfill) RADON RETARDER V/3 tif6.--PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SED ROUGH - INS SEWER/WATER/SEPTIC FRAMING VC V Ws INSULATION .c;r'°y`` ELECTRICAL PLUMBING Pb 3°?fig-- HEATING «HEATING p 4/61 FIREPLACE P GAS LINE AIR TEST RADON IWINIMMeR N Pry;‘=, COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED HOUSEWRAP -P06 4.//4-//- ----- LATH FINALS GRADING ( PRIOR TO SODDING) BUILDING i C fl' /d e C /2 r ll-r ELECTRICAL PLUMBING PI c� �1T HEATING 9--(-1_-, L, ,,-, f`T" DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGN Lii‘, "--/tr 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