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LEGAL?.D'S 'TION(office use only) LOT 10 BLOCK ADDITION 3 �/e bee 2.b. 5j00 . b23, 0 ITh (1 Tame) s""•r 11-‘711a�, % eft 7one) i � .... Cie-:-j..y,_ Q ) (Address) �'rT" av. , . i (Company Name)-'i3( )4( /lc .` r� r' f 'e-? , a-,'� I C{mss..-Y 1 .� , (Phone) CIS-2--4 .> ' (Contact Name) AV,-1,1k-FACIA \fl k I y , �.., �` (Phone)�'!57-`� �ci u—0 2;66 (Address) 1-1-5, d 1.-2 " - - Fri J 9 .� >°�' .;?).4-1-C..„ � a—e,',-ret_'v\ ��,1 $'*3 �.��� f �— J t TRIPE OF WO,R New Construction ❑Deck [',Porch ❑Re-Roofing ❑Re-Sit m i ❑Lower Level Finish ❑FireplaceAddition 0Alteration ❑Utility Connection CODE: FII.R.C. ❑3.B.C. Type of Construction: I II 14 1 pay V A Misc: Occupancy Group: A B E F H I M R S U C� �10) ,,,,,,1_,A � Division: 1 2 3 4 5 PROTECT�. CCAS T/'�'A�,3T3� S y (excluding land) I hereby certify that I have furnished infonnadon on this application which is to the best of my knowledge tue and correct. I also certify that I am the owner or authorized agent for the above-mentioned 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 revoke this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. 1s U .3Cw4/3?6' 10/30//i/ Signature Contractor's License No. Date — Permit Valuation Park Support Fee Permit Fee W- ' to $ $ 1115 .�0� SAC $ . g5, _ Plan Check Fee $ yy Z, Water Meter Size 5 '; l' State Surcharge $ l � $ e)63. i U - Pressure Reducer $ ` t 0`-- Penalty $ Sewer/Water Connection Fee $ lSoo.- - Plumbing Permit Fee $ (�- Water Tower Fee Mechanical Permit Fee $ I S 4• SC) Builder's Deposit CO., Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ 5-4 '70 TOTAL DD Ifr $/ • !S This , Pt cati - sec. i-s` oaa Building Permit-Iea,=;rovedT Paid /// ,1 / 3/ y 1 R eipt No. /31 Date i( z 7' ' • Al k -,/Ilt�l 1 t 6 i 4. Building 0 f nal late This is to certify i at the -quest'a the above application and accompanying docu en is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed b e C'`yj'lann constitutes a temporary Certificate of Zoning co ulia ce and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. ii ' --- Plannu_. . Date ----"b— Special Conditions,if any hour notice for nil inspections(952)447-9053,fax(952)447-4245 4646 Dakota Street S._,.,Prior Lake,Minnesota 55372 h� C� tr1 White -Building Mgoc* Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT �,, � �— b�RSO (Li APPLICATION RECEIVED [ 3 I 1 4- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: lI HQU -i CKJ Af(AJ BLVD Accepted Accepted With Corrections Denied 4,1 • Reviewed By: � /"- Date: t r Co ( 1 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 YRI0 0%01 White -Building 44Ana eo*. Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST 020\( i— os RS NAMEf--' OF APPLICANT 1031 I APPLICATION RECEIVED " The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 5RPi 1 HOU P (Ai BLVD Accepted V Accepted With Corrections Denied '1j11. Reviewed By: el Date: c r '/Ai 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." 71144 White -Building *ft/se' Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANTV � DL- f ►J b� RSO APPLICATION RECEIVED f -) I • 1 4 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 5? I H Ut jou BLV Accepted Accepted With Corrections Denied Reviewed By: in Date: ,l- l7-/ y 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 aermit for, or an approval of ppp , 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." Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts Reviewed by: �' r► --, Date: I f '40 t4 . Building Permit# PID: Zoning: Address: �� Cf .fle,,,,,,t---- ,i .vk.€3.— R Lp Legal: L , B Subdivision: Existing Structure? YES/' Existing Nonconforming Structure? YES/NO CONFORMS TO ZONING NO ORDINANCE Yard Setbacks: NA/FAILS/CO S I Standard Proposed • Front Yard(can be 20'if avg. lin 150') , 25' • Side Yards 10'/ . 25'if abutting a street 11. (p • 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 ( n c, 'f • 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 'S3.'1 • From OHW(Prior or Spring Lake) 75'or setback average of adjacent structures,but no Kal f 13' t7 r C less than 50' I Floor Area Ratio: NA/ AILS/CO ' S 1 .30 Maximum f I Yard Encroachment '/FAILS/COMPLIES Standard,, Proposed Eaves and Gutters n ore than 2 feet in width and no closer than 5 feet to a lot line(Easements). - A/C and other equipment cannot encroach on interior side yards. Tree Preservation• p /FAILS/COMPLIES Standard Proposed • Total caliper i ches • Permit 35%Removal • Caliper Inches Removed • Caliper Inches Preserved • Replacement y2;1 L:\TEMPLATE\BLDGLIST.DOC (NE) r Riir3 Date Rec'd e. ,- CITY OF PRIOR LAKE SEWER AND WATER PERMIT 0' 1. Green File PERMIT NO.� 2. Gold City (Please type or print and sign at bottom) 3. Gold Applicant ADDRESS ZONING(office use) (oI ) nodi C rQe_ '.) ,j , - LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID (ONaWNER FQ,AJQ cC 61 (Phone) (Address) (Address) (City) (Zip Code) APPLICANT 41,c ,� (Name) -4 — %"5 C' (Phone) (Address) I 1` if IK J[ '''7r "" 0 t 'V I i"1 fk Mi 57%c7 (Address) (City) 1" , ^ �' �j ¢� (Zip Code) (Contact Person) �`J��:•--�t� ��_ (Phone) �/ i z ( I ( Cq APPLICANT SIGNATURE wig' ® DATE 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'!&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 $ 10 1i STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ ‘1411) I,r 6(1-11‘.•lT (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Buildine Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 Jan 21 1501:26p Microsoft 5076457654 p.1 13aQ • PAIp Date Reed CITY OF PRIOR.LAKE PLUMBING PERMIT -. ' rr„ ss r.Baia Fite PERMIT NO. 11+ a Gold C51y (Please typo or print and signs.Ydfe. at bottom) IADDRESS ZONING once use) LEGAL DESCRIPTION(office use only) LOT 10 BLOCK .ADDITION EfICsi� -�'P P / E S Te 4,p‹,5 Pm OWNER t y (Name) 10 lit -' ,A r #� ' (Phone) —i S 2 " 373 -62Z 0 tf (Address) 'SS Cj ..f D _S1?„t_k j 1(T £t� ..�_ �1a S5 APPLICANT `�` (Nate) c �1 C� .Jci i 1 l.�rib 1/I G} (Phone) CO " 4 4T1 S t 5 t (Address) C r • Kr_ G ' (/ (Address) (City) (Zip Code) (Contact Person) t.2 >n �L..S se. (Phone) SO L U S -- b 5 Y APPLICANT SIGNATURE DATE _ilia Id-0 E s APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher Water Healer Floor Drain Water Softener Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) I anndry Tray(1 or 2 copartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink ` Lawn Sprinkler Water Closet(Toilet) r° Other Tht:Minnt?sota Statutes FEE SCHEDULE �.StIRCHARot §32458.1'4$* iot;costtivitha$44.50minituwn Residential,New Ono. Two-Family $149.50 has been extended" ' ' { Residential,Additions&Alterations $49.50 $The tilllnil)urn surcharge for a "fixed fee"permit is$5.00 Building Permit# A 4D WITH PLUMBING PERMIT FEE $ 1 11 b * D7RARf STATE SURCHARGE $ X) 3.' (( TOTAL PERMIT FEE $ (office Use Only) - This Application Becomes Your Building Permit When Approved Paid ° Receipt No. Bulldine4ilidal fate Date By 24 hour notice for nil Inspections(952)4479850,fax(952)447-4245 4E46 Dakota Street S.E.,Mar Lake,Minnesota 55372 I' 4 PRIG CITY OF PRIOR LAKE Date Rec'd ' ? HEATING/AIR CONDITIONING/FIREPLACE PERMIT U .y tri .4NNEso. 1.Pink File PERMIT NO. 2.Green City 1 1AZ lease 3.Yellow Applicant II (P type or print and sign at bottom) ADDRESS ZONING(office use) -,1\ \bur @.kvNe, ?\�A, LEGAL DESCRIPTION(office use only) • LOT BLOCK ADDITION pm OWNER (Name) -`ccit � ��� \ids (Phone) G57- ' A,-07230 (Address)U35 Srv- . \c , 1 J y) y ' FIZZ APPLICANT 1 (Name) `L ��V' \�` w��'I1�( 4 hc_, (Phone) C .gqg bOD,S (Address)` W. bUyyl tit\U- V('jk L Lk,� } ibVVI`t�in. A/ 5933"Th (Contact Person) ; (),I\OVnt, (Phone) APPLICANT SIGNATURE k11011\0.- 1\4231V DATE IL-15-}y APPLICANT PLEASE COMPLETE BELOW -�AIEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL 1)`tikv\ V RZSS 8bU C., FUEL Y)&-j-m kt/ FLUE SIZE RETURN OPENINGS (p INPUT St), OUTPUT 73(,x, ) TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air Plants PLEASE NOTE:Air Conditioner D W r 0 Steam Units and Fireplaces Cannot Encroach t3' OHot Water into Required Side Yard Setbacks. 21Mechanical ORadiation Air hanical in Fireplaces with Box Additions or Conditioning El Devices Cantilevers to the Outside of Buildings D Vent. System D Other Devices FIR'S ACE MAKE AND MODEL Require a Building Permit. p(«�tV'1 �p�l�p� ?1�� FEE SCHEDULE Industrial,Commercial&Multi Family 1%of job cost Residential,Gas Fireplace $49.50 Residential,Heating&A/ '‘ -w Construction) $49.50 minimum Residential,Heatin Only $149.50 'esidential,�.a a itions&Alterations $49.50 g (New o -;� tion) • . Residential,AC Only i $49.50 _.- ost`. _ 'Ming Permit# • HEATING PERMIT FEE $ STATE SURCHARGE $ 5.00 PAID VOITH TOTAL PERMIT FEE $ •UILDING pis . This Application Becomes Your Building Permit When Approved Paid Receipt No. Building Official Date Date By 24 hour notice for all inspections(952)447-9850 4646 Dakota Street.S.E.,Prior Lake,Minnesota 55372 IC'jfi-*°1 PBuilders Deposit 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 erosion control requirements of the City of Prior Lake as outlined in the Erosion Control Measures for Building Contractors handout. DATE: /©/, 1 SITE ADDRESS: SLI r inezt,Aii- Cu-five- .A/vdRMIT# /719 O PE A � REFUND TO BE MAILED TO: fit.-f'0(.., „l-A--p67-gip/ e/- --:.57,57...S- ele-e(d ...0Z._i Scli re..,-:- /2_0 &-11 /9/4.?"/ /Li'// 4._ 572_2_- PLEASE REMEMBER 1. KEEP STREETS CLEAN DURING CONSTRUCTION (For City Office Use Only) 2. KEEP EROSION CONTROL IN PLACE I/ r 7, '� Ls-6 0 "�� Date Amount 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR ONE-THIRD MAY /// BE FORFEITED Larry Poppler 'Ida Allen City Engineer =uilding Svcs. SIGNATURE: �i THIS CHECK IS VOIC\Ni?ROUT A BLUE"S'BEE BACKGROUND AND A WATERfV1ARK HOLC OF TC THE JGHT TC VERIFY .b" ;3 e ; r r j 2 a e '#*,m�'` i„ r:t ''v . xxs n`• �, ',. y, randI Anderson Homesow* n 3 , r ;-r L �4555 Erin Dr * .sr' ^sx�* c. '" ; '+ .ice'S *� 'a z w § r T" -g 5 SA-. Suite 3 W>ft ur4 fink i '''''''*-1' ` 1'r . „4..,,,,,,„,,,,,,,,, g r . x ; r -'75.76029(.0'-'0'"‘a ' LKS r 4 b� a. raz F -"4'' ,{ t k.,--JA xla' x` fid'- '^`,r ,, , .a & , �r ' n � �i :, , ' x ' baa* ''' " g. ,44z, �'2 �• , ;71,75 a i A .� t r y S , ' - r e 3 � 6° 70AL,p i::::.{,,,,- .• # r'i p d# Eteveh thousand fiveh i it ° t#�rrry n tot s and a , �- � C �' c R CI a ..c. " r1,1-'4„,,,-.,\,,•E,-.-4-0,-,n,'-',. `"'a,',,,;,,'x' d �:x „, .� -m- €. � `�"� �t ; Lc#ke a A . 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'4a a"^'�xi " 'sL� t,4'l4 t+° 5'r ll' LOO L 511' 1: 2 9 L 9 700 3 31: 5 ?000 5 6 5 211' PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS j , U.-1, .. _ kite _ \Oil> NATURE OF WORK _ ► ( t1. 19 E=ir. 4014 �-Otco- P. • 0 USE OF BUILDING Nro , ► ,�_ —� 'Cr-C-1,4 PERMIT NO. rajr,4';jr DATE ISSUED P' t 4 CONTRACTOR I. z46.. pi- ' NP‘... sc.>/•► Rla E5 PHONE ., INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING -- k'-- z 01 FOUNDATION (Prior To Backfill) l RADON RETARDER 12 `Z L� (1' V t-1 \PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER/WATER/SEPTIC �.L� 1.21 2.2 Nti FRAMING + ' to t. p INSULATION ( ELECTRICAL dl PLUMBING \,2l( \ v,f tr- HEATING ` r 3o FIREPLACE l ( 3 /S GAS LINE AIR TEST m .-z_- , 2 f / (a- RADON P t� J COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED( HOUSEWRAP LATH I i7i1 I /76 FINALS GRADING ( PRIORO S ING) �� BUILDING 'k-c `` `y - , ,,t....___ q(t.51 )5-- ELECTRICAL PLUMBING _ T(z z1 I HEATING -- I s az l \s---- 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