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Building Permit 14. 0572
A7MA�@q A�� ��� � .��`� � ��k �k� �,�,. CITY OF PRIOR LAKE prp zrfnu try of7fAttilklitt jInsiarrfion ,C7 Final Permitted El Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the❑Residential/❑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 following: construction or use. For the Use Classification Jr r-/N N (,6, /--1../V/L / 5 7 Z Bldg.Permit No. Occupancy Type Type Construction Zoning District x Legal Description l / l/� --i-/ FF�I s^ 2 N.� Owner of Building Site Address +31 v i1 (J/ 6i2.65.7- 1 Contractor's Name&Address KOe 6❑t Ui (/7" 5l9 ti Building Official ; City Planner Date: l,y1,//,, ,e..,., Date: POST CONSPICUOUS PLACE : , V� r `k' x i - xs aa��,n'� .�.? etM ,np „7 �6, � '. t,6 ,Lil. !.I n A. .q 5 2 0 0 . N. . n 010000 -5 0 > go n n g 00 0 0 _■ � - ,, ,, , O 8 $ p R 30,3 2 , 'J) l l k�cic§ P 93 A m/ % o o0 % ' r inEr ; - 0 -z>z o § 2113 q & > ® m § ®_ ® • §■ ■ .4 _ I � © § 0 § % / 0 mm 7-31 r o - m % ri o k k ~ 4 m m 8 8 • ik ' 000000 x k m m ~ mrI > mr [ 2 o K f m ` z mx& cn n ■ m n ■ _■ - m o n > 000 § C -1 m , r m o - 0 2 2 4 m /k g § ( m 0 `A 0 A 01 § § . q 2 m . o%❑ODQ 0 X22§2 § a cmm9 ® m t21o ;;;§ q m m ,m p N - _ in § -1r o El o� Pitr,�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Reed a TEMPORARY CERTIFICATE OF ZONING COMPLIANCE i�, /IN AID U T'ILITY CONNECTION PERMIT6 -i-4_7 Ar'A'NES__ � t iniac rile Pink isCity PERMIT NO. (4_3-72_ I 2 Yellow Applicant (Please ty jie or print and sign at bottom) ADDRESS ZONING(office usc) /913 . 9 Szeir-- - _ e9cS -44/e.,- e ri4C/ ! LEGAL DESCRIPTION(office use only) LOT y BLOCK 1/ADDITION / ' mil/' 764 • PID 2,-) • g..)I. 61((' , 0 1 ONER VS' (Name) t' t 15r3'i.Q.i n /�-t°,4/Es 44 (Phone) f`:S"�J-- >5-3 P6 S Codr (Address) 9�`- S� >4✓'� �2/� ,�r� BUILDER (Company Name) / s"fry.4h✓v s44 /P "t'..) (Phone) 4S`.) - 915-3-- 996Z (Contact NName) ‘-'14$'# ( d y7f 4)/44,, /' j t�_ (Phone) 6/3 -�Ctey`7�?.�7 (Address) ( , 9 s-.' / 4 S/. ee..e' 4e7,,ok aei/ey TYPE OF WORK [ sle.,v Construction ❑Deck ❑Forch ORe•Roouing ❑Re:Siding DLower Level Finish 0 Fireplace Addition DAlteration ❑Utility Connection CODE: a.R.C. OLB.C. 0 Misc. ._ ,_ Type of Construction: I II III IV V A B PROTECT COST/VALUE $ 4;7-re., C'c'tJ Occupancy Group: A B E F H I M R S U • Division: i 2 3 4 5 (excluding land) fI hereby cettify that I have rnished information on this application which is to the best of my knowledge true and correct. I also certify that I sin the owner or authorized agent for the above-mentioned prop- 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 tevoke permit for just cause '' the • .re,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections X - - _ c70 6 3 Vcf'i7..-- 6/1/rr Signature Contractor's License No. Dale Permit Valuation 7_,5-4:24 � i Park Support Fee ## $ Permit Fee # $ $ (q�'� SAC Z� . r Plan Check Fee $ + 2l! La _. Water Meter Size / ; 1"' $ 4 g,6). State Surcharge $ l 1 Z�. �l� Pressure Reducer $ O Penalty $ Sewer/Water Connection Fee # $ ( c00. Plumbing.Permit Fee $ f 5- * � Water Tower Fee ---� # $ 0 00 Mechanical Permit Fee $ \5-- ca Builder's Deposit $ 2— v - Sewer&Water Permit Fee $ ,-‘%', 50 Other — $ Gas Fireplace Permit Fee $ 5-4-.9-‘? TOTAL DUE . $ fire-f-J .28 This Ap not coni!YotirBuilding Permit y ten A roved %RI d �\ t- -- rZ Receipt No. 4 C ��4'a� �\ ! Z3 (4 ��ate p_ ...Z3. l By Bt dint:Official Ej Date (� AO This is to certify hat E • quest in the above application and accompanying docu ems is in, 'ordance with the City Zoning Ordinance and may proceed as requested. This document when signed 1 O •t Plan, constitutes a temporary Certificate of Zoning c ipliaucc a allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued / i/ f Plasm ; ►'r ctor _ ale Special Conditions,if any hour notice for all inspections(952)447-9850,fax(952)447.4245 -^ 4646 Dakota Street Prior Lake,MN 55372 Residential Building Permit Checklist New Construc on for Single or Two-family Dwellings in R- or R- 'istricts Reviewed by: IPDate: -441111111111hi t''' Building Permit# �: r 0 / `�- Address: ,tc PID: Zoning: S Legal: L , B r, v t4 Subdivision: Existing Structure? YES/�� . Existing Nonconforming Structure? YES/NO CONFORMS TO ZONING 44,47, ORDINANCE NO Yard Setbacks: NA/FAILS/COM Z • Front Yard can be 20'if al's. ".-150' Standard Pro osed • Side Yards 2 G F�. 25'if abutting a street imi11111111111 • Sidewall exceeding 60'requires additional side 2" setback for every 1'over 60'in length. 2 Not required 10'setback+ if building wall is 10'-0"or greater of being2"/1'over 60' a side lot line. parallel to • Rear Yard • Patio Door: provide for minimum 10'deck or sign 10'side/ t tl MIN statement indicative no deck will be built in the future • From 100 year flood elevation of wetland/NURP 25'rear 11 pond. 30' 1111 • Refer in-s round Tools to the Plannin, De.artment • From 011W(Prior or Spring Lake) 75'or setback average of adjacent structures,but no less than 50' Floor Area Ratio: NA/FAILS/CO,4 r 111111111 .30 Maximum Yard Encroachments: f FAILS/COMPLIES Eaves and Gutters no ore than 2 feet in width and no Standard Proposed closer than 5 feet to a lot line Easements . A/C and other equipment cannot encroach on interior side ards. Tree Preservation:42y FAILS/COMPLIES • Total call s er i �s Standard Pro osed • Permit 35%Removal • Cali.er Inches Removed .......______111111111111111111..-- • Cali.er Inches Preserved . • Re ilacement ■ L:ITEMPLATE\BLDGLIST.DOC -.6,-;\ O1 rRi 6 41' soy° White -Building g Canary -Engineering Pink -Planning DIN P R T —P I AT • . 'A- 1EN , NAME OF APPLICANT 4' # 4 l:c6,12.2._ APPLICATION RECEIVED 6 , • / The Building, Engineering, and Planning Departments have reviewed the building application for construction activi ed at: permit , which is pro.•s AA 4.? - I ,. Accepted Accepted With Corrections Denied Reviewed By: Date: (p t $ /4 Comments: ___( er s/O--4-1 t4. A r. "The issuance or granting of a computations shall not be construed toe be'a permit or t f or,vor, an aal of pp oval o,lans, a fyations and 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 rovisi nviolation of ordinances of the jurisdiction shall not be valid." P ons of this code or other PRZo 6.00V White -Building Canary -Engineering Pink -Planning Pi P - rTa • • AT . • NAME OF APPLICANT —/ - ,, APPLICATION RECEIVED The .Building, Engineering, and Planning Departments have reviewed the application for construction activj y which is proposed at: �,, building Permit / Accepted V Accepted With Corrections Denied Reviewed BY,„ ';i 1,� Comments: Dater 40 / B /4 "The or "The issuance not beigopermit or computationsy of the provisionsshall of this code construed to of aapproval anoplans, specificationsf, and Permit for, aoof thej approval jurisdiction. .violation Perofs presuming to give authority to violate or cancel any other theeinance provisions the jurisdiction. Perthes ordinances of the jurisdiction shall not be valid." of this code or other (qf \ ea White -Building Canary -Engineering Pink -Planning I _ P_RAT ' • • _I 'T • . -Ai I, NAME OF APPLICANT APPLICATION RECEIVED �" The Building, Engineering, application for cngstructinand Planning Departments have reviewed Z� , which is pro.psed at; the building / / Pe►mit ��u4:4 Accepted Accepted With Corrections Denied Reviewed By: Date: - � Comments: -i_ � : = - •k- 1• _ • • 1••i1 =! 1..:• 111 -1 .•] See Attachments: 1 Gradin• - ards "The issuance or "Theissuance shall be construedgopermit or computationsof aoy of the provisions not code of aapproval of plans, of,specifications and presuming to give authority thispermit for, aoan of thejapproval is any . Permits any other einance o the jurisdiction. ty to violate or cancel the provisions ordinances of the jurisdiction shall not be valid."° of this code or other , pn or,, CITY OF PRIOR LAKE Date Rec'd r„'-4 k' tr c HEATING/AIR CONDITIONING/FIREPLACE PERMIT lardi. ik s. Mrr,ta sttct. 1.Pink File I PERMIT NO. 2.Green City (Please type or print and sign at bottom) 3.Yellow Applicant • ADDRESS t 32_ ZONING(office use) _ 1 Shige ejcsi)-- 'b ( .!-- , LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (A S MCA—/n r1 _Ct( 54-k,/r (Phone) 95`2S- (Address) � � 974 �� APPLICANT (Name) - a, •o _ • (Phone}.. (Address) dba.FIRESIDE HEARTH 8t HOME (Contact Person) Lic BC6 2700 FATPVTFW AVENUE N (Phone) APPLICANT SIGNATURE ROSEVILLE, MN 55113 651.633.2561 DATE APPLICANT PLEASE COMPLETE BELOW iNIEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS FURN CE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner El Warm Air Plants 0 Steam OG ❑Hot Water Units and Fireplaces Cannot Encroach into Required Side Yard Setbacks. echanical ❑Radiation ❑Alr Conditioning 0 Special Devices Fireplaces with Box Additions or ❑Vent. System ❑Other Devices Cantilevers to the Outside of Buildings FIREPLACE MAKE AND MODELL/00C,– i. Pt Require a Building Permit. FEE SCHEDULE , Industrial,Commercial&Multi Family 1%of job cost Residential,Gas FireplaceC $49.50 minimum $49.50 Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 Cost$ $49.50 Building Permit# HEATING PERMIT FEE $ STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $$ This Application Becomes Your Building Permit When Approved Paid , e' o. 41(Building Official Date - Date $y 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 CLI Gd�F�XL7ll '�~`1� �CAppfe.i. L, _ Oi PRIO Date Rec'd �� CITY OF PRIOR LAKE 20 .--,.) SEWER AND WATER PERMIT `� V AN , j`�'N E s:< 1. Green File 2. Yellow c,ty PERMIT NO. /V, 5.'7Z (Please type or print and sign at bottom) 3. Gold Applicant ADDRESS 14329 Shore Crest Drive NW Z G(office use) 6 LEGAL DESCRIPTION(office use only) LOT 4 BLOCK 4 ADDITION Jeffers Pond, 7th PID 255010160 OWNER (Name) Wensmann Real Estate Services (Phone) 952-953-9892 (Address) 6955 146th Street W Apple Valley 55124 (Address) (City) (Zip Code) APPLICANT (Name) Bohn Well Drilling Co 952-445-4809 (Phone) (Address) 18190 Dairy Lane,Suite 101 Jordan 55352 (Address) (City) (Zip Code) (Contact Person) Charlie Bohn 612-919-1542 (Phone) APPLICANT SIGNATURE G34-c tt'Z 61-40.A ,� DATE APPLICANT PLEASE COMPLETE BELOW Size of water service 1 inches. Location of any couplings from structure NA feet. Type of sewer pipe. ❑ABC ❑PVC ❑ Cast Iron Estimated length of sewer line 50 feet. Clean out(if required)located at NA 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 $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Building Official Date By Date WHIT �p 24 hour notice for all inspections(952)447-9850,fax(952)447 �� �rrTn 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 1L�IEJ'i PERMIT u , �'I,IIlVBd1�TG PERMIT Recd ,....„, EO�� )+ it/ Please I.Bloc File ADDRESS e or rint and si u at bottom 2.Gold Ciir PERMIT NO. J D;""�7J �•Yellow Appffaml N. 1/3R,/ 5,sre., S •. ��, �� ZONIlVG(office use) LEGAL DESCRIPTIO �� L� �L [� N(office use only) LOT "BLOCKADDITION.� -� 3 rc:41 5e y^e1W - - OWNER PID - tf�-c�j (Name) (Address) (Phone) APPLICANT (Name � `,e.YYr�i f , A1111111111L. • (Phone) / /`�=Z (Address �� ) (City) (Zip Code) ,� 1�/ (Address) 0 (Contact Person) APPLICANT SIGNATURE '7, /� (Phone) 651' —/ / DATE 3// I APPLICANT PLEASE COMPLETE BELOW linnam T I e of Fixture 11111111111 Bath Tub with or without shower Dishwasher a of Fixture Rou'h-ins Floor• Drain. �' Lavato Bathroom Sink Water Softener Laundi Tra (1 or 2 corn artment sink _� Stand e e ashin_ Machine Shower Stall Sewa:a E'ector Backflow Asserllbl MainBar sink 11.1111111.mBackflow Assembl Test Water Closet(Toilet 11111111. Oawn S.rinkler Other Industrial,Commercial&Multi-family 1%of job cost with a EE SCHEDULE $49.50 minimum Residential,New One& Residential,Additions&Alterations $149.50 The Minnesota Statutes§326E.148 est $ $49.50 "SURCf-IARGE"has been changed for one Building Permit# July g� year effective 1 ► 20f 0,until.lune 30,20 f 1, PLUMBING PERMIT FEE $ The mi ul 1,surcharge +� STATE SURCHARGE Ismsbrclariu f nl fixed fee"permit G $ beginning r ,_opo TOTAL PERMIT FEE $ .50 This Application Becomes Your Building Permit When Approved Paid Receipt No. Buildintr Official nate Date B Y 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 PAID 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 �t© WITH i� PARTMENT � r PRIOR LAKE BUDEILDING ANDOF INSPECTION INSPECTION RECORD SITE ADDRESS NATURE OF WORK Z' USE OF BUILDING �� ' `�� PERMIT NO. - ' _`� �' � ��.►A . CONTRACTOR Z DATE I.S ED r'�� INSTALL EROSION CONRTr O qNp " • PHONE ca(Z, ig,���p 4 MAIN A IN CLEAN STREETS AT ALL _ los ES TIMES FOOTING FOUNDATION (Prior To Backfill iminINSPECTOR ® GATE RADON RETARDER ) ®� Lc- ---c ' EXIIIIIIIIIIIIII PLACE NO CONCRETE UNTIL A 3 BOVE HAS BEEN SIGNED SEWER/WATER/SEP ROUGH - INS �" TIC FRAMINGMIVINESMIMEMINIMIN INSULATION nalina ELECTRICAL PLUMBING V, C, !*‘ HEATING `',2,9 C __ F FIREPLACEmionyini GAS LINE AIR TESTimmunimaiiminii RADON, r'.F I COVER NO WORK UNTIL THE ABOVE HAS BE HOUSEWRAP EN SIGNED fir.,:i LATH IVAM©® GRADING ( PRIOR TO SODDING) FINALS BUILDING ;Dry ELECTRICAL 0 /Z _ ' numemil PLUMBING HEATING idc-- m..............._CO ASFAMIIIIIMMINIMI 111111111111111111111111. DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED This card must be posted near an electrical NOTICE cabinet maintained until all inspections na hel a been approved. On buildings Idingrior s and additionsewh ns and service cabinet is available, card shall be placed near main entrance. Fere no FOR ALL INSPECTIONS (952) 447-9850 . X/ Builders Deposit 4.1:4r�ssci1t. • • City of Prior Lake A$i,504.00 Builders Deposit is included in the Building Permit fee. The Builders Deposit Is Issued Anal Occupancy e. (Isi Fs not an escrow punting,driveways, mitng ad f account,)All exterior items including but not limited to panting shall be completed 180 days after the date the buildin erm as security iftInsurecompliance Is not c o forpie a within the 180 day time period, the City shall notify the a grading, sodding, landscaping,tree within 180 a deposit be forfeitedCityand the the t ppli an billed for olati up andr correctivehe applicant applicant of the violation the gpermit Is issued if the work Is not complete A$500.00 Tree Deposit may also be required and will be refunded if specified trees are preserved or shall have 1y days to comply or the work to rectify the situation, DATE; ' �, a period of one year. SITE ADDRESS: ` PERMIT# REFUND TC} BE MAILED TO:Ze/e&J* ,.i, ,w/C:r o- k YI, __, I liL f�1 I3 It AUTII . ZATION TO 1. KEEP STREETS CLEAN DURING CONSTRUCTION RELEASE CN Lynda S. len,Buildin 4_Z, S_Q oU 2. KEEP EROSION CONTROL IN PLACE Zo /services Date Acct.801.20204 3. TEMPORARY OCCUPA1, CY PERMIT MUST NOT EXPIRE OR$500.00 WILL BE FORFEITED i SIGNATURE: ,/' 4 - CASH ONLY IF ALL CheckLock _.. .. rt'''''' ''''''''4:',. .'''',°'' SECURITY FEATURES LISTED ON BACK INDICATE NO TAMPERING OR .-''', 1.''''':4'71 '6�. a "; `z. + a t COPYING _ ` ' r-a '''Cost �"�'� � - ; -^r xr" ak;X. .4-Axa-w"w,°$. ,t,,, ,,,,:, ..., _ y., ?. ,. }a« .c s., `R` y a� :.PAY TO THE ` * ,'O'■ER OF ,� A * 0 i .: --' , '� �� ��dQ '4P " I / '�� n .„. $ 11, ?its 8 EEE (� �= ,, Av , s Sar A TAMPI .EIE§14TANTi —" Z'",`4 ,4i` � s s t, DOLLARS 98x4,„ zW N�fl C" .;v 4 "" A 1 ?'. Ny o, '8 6 3 � • W.dF ,.,?; i,..".".�,"„ww,..'-a»�.44z, r.-t dS't t 't & a ;;^ -"�+� "' i i v a'k '' "tt�e� " - '�' � . � , °"fir w�' ` € xvd +�s §. `,, s '''''''':634;'''''''':'4'i- r0520EQt o * ,-;a