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Building Permit 15. 0586
�'' x,,,‘ , / xJ A l A. „l t , f f t r f "- F'`T i?C' ' A' /C- \/ X Xs. ,.: �l..t �, .I. ._ \, _.,I I_: _.,f.,t�. ..��f.Vl_.If I..YI.�_.lil.lV�ft.. ..I�l tl �V.t.,IIl1Yf���� ...� ;?I I.:YI f�.1 I_. I..il_.I _. .i ...I ,, i.. Crrfiftiafr of ®xinprxtxi CITYF O PRIOR LAKE Prp rfmi rtf of !uilin clusprtfiuu V'inal Permitted ❑ Conditional C.O. Expires I : This Certificate issued pursuant to the requirements of Section 110 of the ❑Residential l❑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: ,5 - / /1/ /5 C' �„ Use Classification y Bldg.Permit No. > Occupancy Type Type Construction Zoning District /' Legal Description L.7/ R t 1961../ C// - _ Owner of Building Site Address .5.5Z1--- .54/51-4., 1A/ - >1 Contractor's Name&Address /L / �L4 AID �� 5 /?...4d96--71,7- Q. L7� �/ ty Planner Building Official T�i (// p Date: t t t I I( Date: POST IN CONSPICUOUS PLACE = ' 0 J 2 w Z _ = FN - F' W � W w�aga? Q5o F c, wWUf o _ Lr 8VtL1iO Z Q `11 W ? 1/ > w ce o W o o J o o N 111 o as I M li H 2 ocl ou. COz o 0 w 2 Z Z— =2ZZ O U C) co 0 a. m Wmma a Z O C) t a23Na2 V W W W x 000000 00 00 re W Ce a ISL = 1. p J ce W W ( re Z Y V z O = < go o 00b h _O ce Z _0 Z W F N V ►� -o 0 .'s 0r a Z e 3 .�� w Iai. F N d ZpZQ J2 W N woo J 4C () w HZ � J W W W }}fid Ce W Z 0O= IXN� 2 ce K 0 Q O N p 0 IL IL IL Z - t, O O 0 0 IS V v = a 0 a ❑ ❑ 0o U ❑ ❑0 c1. 1 / it;- NQ iZVVQ n►CP aaasi V44a c� j lii 2 + 114 .4 2 Q y ' O ` -. .... 4. p oY e2 J i �� O O ti C� 4 G1 Zr=2� �l w v' ,s J01�t42 V h �` a �3� �� W 9 LI �� DOp p00 j ir 14. Lu N Z V 2 e 2 O� s� c, 02 0 V a, 4 a o 2 0 C a s °� + C z 2 O, .xj, _ 0 4 a 10 2 Q o a 0 p�C'21' =v ,gam Q a � lw re w �a ii! " epR,04.t; CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 4-. 28,15 AND UTILITY CONNECTION PERMIT �iA'NES��P 1. White Cit PERMIT NO. /5 5-0 2. Pink City 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 'ss z4e.LL. (.-;,ves—r Al LEGAL DESCRIPTION(office use only) LOT 2. BLOCK S ADDITION -EA4LE. ZEEi& ..s.'T-A}'T m'j PID 2 500 031-6) OWNER (Name) (Phone) (Address) BUILDER I (Company Name) K LA11 ' gpMa-S (Phone) `r5Z 440-C:144:3C:'4:3C (Contact Name) E. 111.-- F[..c1 )15t4 I F>;- I�+J,im IT 11411- (Phone) J`'1. (Address) 1-10Zt F,sc4- "Poi N-r D . , P¢.tor- LA-V- , M A. 55312 TYPE OF WORK KNew Construction ❑Deck ❑Porch ❑Re-Roofing ERe-Siding 0.ower Level Finish ❑Fireplace DAddition ❑Alteration ❑Utility Connection CODE: j'IR.C. ❑I.B.C. ❑Misc. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ Z7 c.�J ick Occupancy Group: ABE F HI M Z? S U (excluding land) Division: ® 2 3 4 5 I hereby certify that I have furnished 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-mentioned pro.crty 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 ryoke..i Ver it for Just cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X �/G W 5c- 4pr6-7(aSea-_, 4-Z`i'- 1 Signature Contractor's License No. Date Permit Valuation .71.&( coo.. - Park Support Fee # $ •:------" Permit Fee $ 07///5% 07,l� c !)`6' SAC # $of/es. 0 0 2..Plan Check Fee $ oP' Water Meter Size 5/8" $ 0p0 State Surcharge $ r 3—, sz) Pressure Reducer $ /g0-00 Penalty $ l — Sewer/Water Connection Fee # $ /,..,5-0 C . 0 0 D Plumbing Permit Fee $ /� 5-0 Water Tower Fee # $ /0 a 0 . 6 0 Mechanical Permit Fee $ • - _— Builder's Deposit $ ` 00 ,O ° : Sewer&Water Permit Fee $ [ Other $ Gas Fireplace Permit Fee $ . i d. TOTAL D3.41.4t4.4 A 4„..2.4s-- $ /; GI TA,/,(JU 11 This App do I;eco ! our Building Pe 't Whet App,.ved Paid (-4,0e Receipt No. /44,43 ,� 2-Alit G r Date By roJ Bui ilia Official D<te l ' This is to certify that t c request in the above application and accompanying documents is in aces dance with the City Zoning Ordinance and may proceed as requested. This document when signed b 'e C t Plann. constitutes a temporary Certificate of Zoning complia e and a ows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. AI IL/ ..A 5 D F VI'lanmng lirector . Date Special Conditions,if any 24 hour notice for all inspectiot (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 in R-1 or R-2 Districts Reviewed by: Date: G- 20 f ,S- Building Permit# r PID: Zoning: Address: C--- . cSZ``$(' �r-'fit_, Legal: L , B Subdivision: Existing Structure? YES/09 Existing Nonconforming Structure? YES I NO 0 CONFORMS TO ZONING NO ORDINANCE NE Yard Setbacks: NAI FAILS/COMPLIES I Standard Proposed I • Front Yard(can be 20'if avg.w/in 150') ' 25' t 2_ . c7 • Side Yards 10'/ 25'if abutting a street -� " l . c • exceeding requires 60' 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. i • Rear Yard 25' C5 fi+ • 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 OHW(Prior or Spring Lake) 75'or setback average of adjacent structures,but no less than 50' Floor Area Ratio: NA 1 FAILS/COMPLIES I .30 Maximum I ` • 2 Yard Encroachments: •N1/FAILS IC r4uill IES (0(9Standard Proposed Eaves and Gutters no more than 2 feet in width and no .4_ c,L,G:CiCm : ." . ;ii: .,.. a, -_- closer than 5 feet to a lot line(Easements). jails (;pinnrt R into Requi c NC and other equipment cannot encroach on interior Side Yard Setbacks (P>1 S(� side yards. Tree Preservation: I FAILS 1 COMPLIES Standard Proposed • Total caliper inc s • Permit 35%Removal • Caliper Inches Removed • Caliper Inches Preserved • Replacement %:1 L:ITEMPLATE'BLDGLIST.DOC 04 Pal% c7 White -Building , t. Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /ly4 APPLICATION RECEIVED - l5 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 552- 4- 1�66(� (07W(--- Accepted X Accepted With Corrections Denied Reviewed By: 41/0Date: S-21-/r Comments: See Reverse Side for Additionay 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." 0 YRIgt t7 ee White -Building ' v�,;es�" Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT / APPLICATION RECEIVED 2,E -l r ,�^ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 5 52- - 1 � Accepted ✓ Accepted With Corrections Denied Reviewed By: Date:=, Date: 5 2 0 1 Comments: ir, , ,t,• . t k Units CesaltEsereadi into Require, Side Y*rd Setback I I "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." fY O� YF1p+P White - Building ,hao��, Canary -Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST / , NAME OF APPLICANT APPLICATION RECEIVED / .C`f The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 55z46/,(_, rz��, . Accepted I" Accepted With Corrections Denied 67 --- Reviewed By: t ' Date: /Se,/(:) Comments: (- 61—tql C;"elaeiNj--- /ire! Co7r1( "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 YR104 Date Reevi,d CITY OF PRIOR LAKE PLUMBING PERMIT ••. 6 •5 4....0. . _ . Liu- PERMIT NO. 3.Yellow AppboM Olire (Please type or print and sign at bottom) ADDRESSZONING orrice use) CA— LEGAL DESCRIPTION(office use only) . LOT 2 BLOCK J ADDITION Eric; )e_ Cry.e. k PID (Nag R et.y ti% t r C�1 . c ('hone) 9 Z-t H Q --CP-i0 fl ) (Address) 176 2 I -F41 rt- iN C -S E: APPLICANT &A ` ` S N{ I l c k R ti ►G A Cc (Phone) �. S- Z- 8 -,s'o 9 5 (Name) // � c p (Address) !i,Z C 6 St . M O NZc..d 7 C`a U f, s(v 0 7 (Address) (City) (Zip Code) (Contact Person) b-,c of i .o Si-ark..-pc (Phone)'i5 Z 7 58—R6 r/S- APPLICANT SIGNATURE 4ie f DATE J/lo' 42 o i 5 APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture 3 Bath Tub with or without shower / Rough-ins G ,64 , if Dishwasher / Water Heater i _ Floor Drain c Water Softener Z Lavatory(Bathroom Sink) / Stand Pipe(Washing Machine) / Laundry Tray(I or 2 compartment sink Q Sewage Ejector Shower Stall _ C., Backflow Assembly / Sinks & Backflow Assembly Test p Bar Sink ( Lawn Sprinkler 3 Water Closet(Toilet) Z Other iED Tile Minnesota Statutes§326-B.14.8 �Fob'coat with a$49FEE.50SCIminimumULE 8t Two-Family New One $149.50 "SURCHARGE"has been extended Residential,Additions&Alterations $49.50 • The minimum surcharge for a $ Building Permit# "fixed fee"permit is$5.00 .PLUMBING PERMIT FEE $ A A 4t-I/6).1 ict eAr S STATE SURCHARGE $ , : 5 4 TOTAL PERMIT FEE $ •1 iii14,� (Office Use Only) - 'NO/ / /I This Application Becomes Your Building Permit When Approved raid R p4. A:"... Date 1 Bulldtne Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447.4245 4646 Dakota Street S.T.,Prior Lake,Minnesota 55372 Date Recd OR LAKE PLUMBING PERMIT • oQ p °$ CITY OF PRI EC) t.5106 t� PERMIT NO. /5, (� 1 4,Ootd L ty k gsdo 3.Yettmr Applicant r ZONING(office use) lease C or,riot and st:<at bottom ADDRESS - '2 ) i C- - • LEGAL DBSCRIPTION(office use only) _ LOT , �Z BLOCK ..c3ADpITtON �Ae- re e- (phone) �5 Z"'�'`-�Q— -����" OWNED R N C l (�2. t 'S �`� (Address) <�5 Z j -. ------- CT N C {Phone) APPLICANT `, Pti ?.; G P ,Q lib it �i�J S E A �V (ZipCode) (Name) Z.. (Address) 7 ) St` N (City) _ . 7f {Address) G� 'Z--�'`J � 111 v t U c-- e f k--Pc (Phone) -- (CQntactPerson) i____ , DATE APPLICANT SIGNATt31t13 --! T I,e of Fixture APPLICANT PLEASE COMPLETE BELOW .t,.-- Dishwasher / .� t e of Fixture Roush-ins j• i OE Bath Tub with or without shower Water Softener Dishwasher Stand Pi•e Wasbin:Machine 1�- Floor DrainIIIII 5ewa:eE'ector 1i Lavato Bathroom corno 'arttnentsink , Backflow ect0r bl Lound Tra I or 2 Backflow Assembl Test 11111111W11 �- Shower Stall1111111111101 111111111011 Other Bar Sink111111110111111 Water Closet Toilet $149.50 allinill FEE SCHEDULE e&Two-Family $49.30 9 5o minimum Residential,New On --- ---- •- Residential,Additions Ei Alterations The Minnesota has bee§ efor a 8 Soli cost with a 54 "SU RC ARGS"has been extended � Building permit# The minimum surcharge for a $ "fixed fee"permit is$5,00 PLUMBING PERMIT FEB $ �, QQ 111) &116-1--eAr-S STATE SURCHARGE � TOTAL PES t No. Receipt Permit When Approved 'atd . \ (OUse Only) �Y This Application Becomes Your Building Date hournsit Date i 24 notice for all Bat— omefaf (952)447-9850,fax(952)44?-4z4g 4646Dakota Street S.lu Prior Lake,llltnncsota 55372 1 • v ?Rio, CITY OF PRIOR LAKE Date Rec'd o � F_� HEATING/AIR CONDITIONING/FIREPLACE PERMIfi so AIL 4,, lesol, 1.Pink File PERMIT NO. �, 2.Green City �, (Please type or print and sign at bottom) 3.Yellow Applicant // �� ADDRESS 5-6m. ZONING(office use) rirf1 COmr-1-- R1 LEGAL DESCRIPTION(office use only) LOT 2 BLOCK ADDITION 0 ,L/,�i„ , C Ye e i oay /-rlec • PID,45-•,-42'O3/—® g2er L � 1. Lci VIf! O}M Phone) qd4L4Q- - U15___ (Address) ritTat ( flSkpO - 2J , s APPLI I _ t (Name) AlMtM PI k..`.,, (Phone) I , / (Address) + i/ /M16 /,6. (Contact Person) alu j i<f. A. 4 (Phone) I ” P1 / 1 APPLICANT SIGNATUREWillI e , w / DATE LP- 15___ ( (Adii ' _ PLEASE COMPLETE BELOW ANEW CONSTRUCTION Q REPLACEMEN T ❑ALTERATIONS FURNACEMAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Mr Conditioner ❑Warn Air Plants ❑Steam Units and Fireplaces Cannot Encroach ElGravity ❑Hot Water into Re uired Side Yard Setbacks. . fMical echan ❑Radiation q ❑Air ConditioningcalFireplaces with Box Additions or ❑Special Devices Cantilevers to the Outside of Buildings [Went. System :Other Device g FIREPLACE MAKE AND MODE Require a Building Permit. 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 TOTAL,ERMIT FEE $GE 5.00AID VII C4' P RMr 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 zm l c rw PRIOR LAKE -DB Eu 01F N BUILDING AND ENTNSPECTIO INSPECTION RECO - SITE ADDRESS - NATURE OF WOR "� ! /c J' L r USE OF BUILDIN ,��� pgTE SUED PERMIT NO. /3; PHONE ' CONTRACTOR A , ��-«=-� t " INSTALL EROSION ONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING -2_ , s FOUNDATION (Prior To Backfill) '1�-�-- � RADON RETARDER PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWERNVATER/SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING FIREPLACE -1111111111111111.1111.11111111111 GAS LINE AIR TEST ■ COVER NO RADON - r •-�= NTIL THE ABOVE HAS BEEN SIGNED 11111.11111111111111111111111111 HOUSEWRAP -/ LATH FINALS GRADING ( PRIOR TO SODDING) BUILDING ELECTRICAL �© PLUMBING 111i111 15 HEATING a ifffi DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE -in This card must be posted near an electrical service binet On buildings and additnons where no ections and maintained until all inspections have been approved. service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850 04 Pwo, ��. Builders Deposit U b., So�P 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: `Z 4 - ( S SITE ADDRESS: 5524- S LL ( Otjo--7 PERMIT# /-5--_.. T% REFUND TO BE MAILED TO: 1‹ ...-f Liar-11- Moble S 1 7 0 2) F IS E-1 Poi)..s-r 1J2 i'w SE.. RLI 02.. LaLL . , fri+s . SS-5-7 2 PLEASE REMEMBER 1. KEEP STREETS CLEAN DURING CONSTRUCTION (For City Office Use Only) 2. KEEP EROSION CONTROL IN PLACE //.., 34..(5-- mount pd Date Amount 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR ONE-THIRD MAY BE FORFEITED Lynda len Buildin Svcs. SIGNATURE: 4 ,,,I ... _____,, ; FOR SECURITY PURPOSES THE FACE OF THIS DOCUMENT CONTAINS A TWO TONED COLORED BACKGROUND AND MICROPRINTING IN THE BORDER 1� mss ii dF i xw s , �, I1I ���`m t t: �` '*reH '^ 4 � 3laa�i�,o.ef�`� �.at.t �'�re nNx'a1 " 1` *: B i aux 1.:'ani y` .rb "'} ;S.. ,A 4 '. 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