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Building Permit 14. 0693
^4 .St�,r3 .,S�i'-"+" "'✓ .''"`.._:i.°�,ro ..tr.:,f<.,$ ''dN"7;TT"T,I'"_ i.. U.A , .. .: .. ?A A,_ n 7 f_..Ai:A, ,-XX!�1X - �i. � a l/ A A A '\ K (g rfifttafr of ( r jnxtry ,. ' CITY OF PRIOR LAKE Prpartntrtlf of puII tntg 1n prrfiixt j 'Final Permitted ❑ Conditional C.O. Expires 5` This Certificate issued pursuant to the requirements of Section 110 of the 171Residential/El International K Building Code certifying that at the time of issuance this structure was in compliance with the various 5 ordinances of the City of Prior Lake regulating building construction or use. For the following: S/���eL, f �, yCi � Use Classification / / l L, Bldg Permit No. `� Occupancy Type Type Construction / r 75F--/— L Zoning District f--)(11-)K Legal Description G 5 i T , _ C�/ / l�-`J.. 1 —N F Owner of Building / 'S-/1"/ Site Address �7------i--1,--1/ 6"rpt' �`'� �K Contractor's Name&Address l ��Vr�f '�/1"/A/�/' ( / � l t P„I�1�-J 5� Kte.(�/l i.:-...-7-1 i__-:7- D_ 1!u 1 ! City Planner /' Building Official Date: 1 ((I (` Date: K POST IN CONSPICUOUS PLACE - LI 1U a JOC . 1--: uct = VV < u W W R 14\ 255g < ,o kr- UzWWu % z i l?' 0 u. u. o re Z W 0000 ❑ ❑ , lill V in re =O w x T vU. CNI c3 0 c3 '� ` m L 0 sn J C J Z YYZ �_, z o V a G F 0 0 0 < !I V d LLI a j xxz - . a. N 0co j 0 a °° xwx�U0° x o o z Z o JW < ,JW W W rg W a23waTe i o o cc w 0000 ❑ ❑ a a LL Z a } o J x / u. 0 o u. Y V V/ 0 4 ~ O 03 M u- < o 0 a 0z -� o z w co 0 0Rt im OZ C7FpI- N Z Y 0 0 -J q a0 N O zozQ z W o < z JJ - Od ce oc f3 U.W = W = OOUWiFW- 2 0 0 0 a Z N I-co oo } 0 u. u. u. z u. vn 0 ❑ ❑ C c3 < O a 0000 ❑ V z z � Ili E P CLu. x z w ; Z � c� a > a 0oWwtn z z g z \1 Lu o ti u. 0 j � ��� co 1 0000X0 U =O N 0u. N to ix C O J Z _0i Lu m cO Z 00 D p ? 0 W ri LT- 0 Q. iz • •xi O ? co wC xxzc a a4owa 8 Z E J a 2xiuwax Z JWayJW rii x w a23tna2 Wz 0000 ❑ ❑ • � w �► ) ° re z J 0 W 0 a a 0i 44yy W w z Q 0 b V p V. V O ill1 n W 24 F- Q Z Z0 ZO V Cl) N ���W % a� to z ZOZg Z W Nc o J - o OW re w Z OOliNz � 2 0 00 v ? a 0 a 000000 0 7< ) (0 J 1- W Z Z (o I- rl:.- - W rZUU7 I V W F J �4MUJUI co .1 0 4 --- Q �t! V 0 0 Z 0 0 0 0 ; o.4 PRI3A. � CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT r ' I %3 ea 4t/h't4Eset� t wast rite PERMIT NO. / ' 2 Pink 3 Yellow AppCitylicant F 7 /,p (Please type or print and sign at bottom) ADDRESS ZONING(orrice use) / /33s' S(iar2e z err c /f/4) POD LEGAL DESCRIPTION(office use only) as-.. LOT J JiLOCK 7 ADDITION Jte/.zf 7"� - PID 50(• 017 C OWNER /i. 2 ,t j (Name) '�11S0i?.4!9<9 a'°4/ Fs 4.4„'e- (Phone) f,.SC?— 9:5-3-516 9 7 (Address) C 9 g" / zi6 A .<1.0:--' �•G/.0Jr/.. 40,2.4 , ®' .3 BUILDER / / [ (Company Name) e/?Sii 4/9.9 s-4,0L.t>L e /h#i '-3 (Phone) 9 Ss —94'3" 7 6 GZ (Contact Name) 'e,'P' e( % .f414it 4 (Phone)> 6/�- -,nrcf Z�37 (Address) Cr 9 .c- l�‘ p`-4 _5-.4_ !f/e'er; 44,42k 6f Ile TYPE OF WORK ?few Construction 0 Deck ❑Porch ©Re-Rooting ORe-Siding OLower Level Finish 0 Fireplace UAddition ©Alteration DUtility Connection CODE: ❑I.R.C. DLB.C. 0 Misc. Type of Construction: I II MTV V AB PROJECT COST/VALUE $ e c a c) Occupancy Group: A B E F 111 I M R S U (excluding Land) Division: 1 2 3 4 5 I hereby certify that I have. rnished 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(or the above-mentioned pro •.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 • permit for just cause he e.1 hereby agree that the city official or a designee may enter upon the property to peform needed inspections. I X / c® 6 3 Vs? /7 6 4//' '' Signature Contractor's License No. Date Permit Valuation qS27 C Or Park Support Fee # $ Permit Fee $ SAC # $ ca � ft Plan Check Fee $ .7f Water Meter S' . ;1"; $ ,f 4) ce State Surcharge $ ° Pressure Reducer $ ///t. 06 Penalty S � � Sewer/Water Connection Fee # $ Plumbing Permit Fee .$ /- r-'9', 2) Water Tower Fee # $ /t)c)o , oe Mechanical Permit Fee $ /5-4"/-- O Builder's Deposit $ —)C), (: Sewer&Water Permit Fee $ /„. S 61 Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ /Jr,43, 2 This Applicati..'B,., es Your Building Permit\ , n Ap'roved Paid ��1 �� Z(� Ce t o `7,� l / Date 7 , /6,-/9'- BY f- IMf'U err Date Thu is to certify tthe •a thecstroabove a. :- ., accompanying docu is is in a.., ince with the City Zoning Ordinance and may proceed as summed. This document when signed by/�1,by ' nett constitutes a temporary a !fate of Zoning ante lows construction to commence. Before ocenpstncy.a Certificate of Occupancy must be • issued ii►_ r1- r - r PIanni• a'rector a I. Special Conditions:if any tee for all Inspections(952)44T-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 Residential Building Permit Checklist New Constru tion f. Single or Two-family Dwellings in or R•2 `stricts Reviewed by: ` Date: 1 IX Building Permit# '-----PID: Zoning: ��s Address: � e-c(2ec� cr Legal: L ,(43 B Subdivision: LC.) 1 Existing Structure? YES! Existing NonconfoD; ing Structure? YES I NO CONFORMS TO ZONI / NO ORDINANCE I Yard Setbacks: NA/FAILS/CO ,aI Standard I Proposed I • Front Yard(can be 20'if avg. 50') , 25' re) B Zs, • Side Yards "r-7.5- r 25'if abutting a street 7- • 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. s • Rear Yard !Oi –z a,_ • 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' I Floor Area Ratio: NA/FAILS/C e IES I .30 Maximum I ` p t-P I Yard Encroachments: FAILS/COMPLIES Standard Proposed I Eaves and Gutters no m re than 2 feet in width and no closer than 5 feet to a lot line(Easements). NC and other equipment cannot encroach on interior side yards. Tree Preservation: A FAILS/COMPLIES Standard Proposed • Total caliper inch s • Permit 35%Removal • Caliper Inches Removed • Caliper Inches Preserved • Replacement '/:1 L:\TEMPLATE\BLDGLIST.DOC o* PRio* ti c� White -Building 441011011* Pink -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT GO�iAs1`t u Al 7649-Z APPLICATION RECEIVED '7• / /7 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Accepted With Corrections Denied Reviewed By: /1� Date: 7 -/S^ "V 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." 01 YRIO� White - Building Canary -Engineering 41/NNEsolt" Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST APPLICANT cc'1 ���2� /U i 7F/9—r� NAME OF APP APPLICATION RECEIVED 7- / //7" The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Accepted With Corrections Denied Reviewed By: Date: Comments: l, Goy L 5 ci�� ,� *11"/ OZ: —C(-0341 nr- A.A.- 7—I c‘.-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." rn 04 VRT0� G� White -Building Canary -Engineering aernvBscitt' Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT a ensiy ,t)/�I G- APPLICATION RECEIVED 7. / /V The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: LoV Accepted Accepted With Corrections Denied Reviewed By: A A 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." A Date Rec'd 04 MO CITY OF PRIOR LAKE PLUMBING PERMIT b.,-4 Li ?. 6. Ht 11\wesc , 1.Hluc File I PERMITNO. /4/ 21 2.Oold Ty 3.Ycllow Apilkonl (Please type or print and sign at bottom) ZONING(office use) ADDRESS N33ce9r /" LEGAL DESCRIPTION(office use only) / )1C /� j LOT�BLOCK 7 ADDITION � - Gk5 l) d PIDv�f c-50/—c/i OWNER (Name) (Phone) (Address) APPLICANT I.\ 1 4 ,z51 - 3/7 -`t -d0 (Name) b U Y� (Phone) (Address)3IS `�eYlrn�r >Ck (Address)p _ �9 (City) (Zip Code) t er...L lkar for- (Phone) ; ;-) 7 7S IS-9-/ (Contact Person) JAW/ DATE olcii i/ APPLICANT SIGNATURE j 4 APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture I Bath Tub with or without shower Rough-ins I Dishwasher I Water Heater Floor DrainWater Softener Lavatory(Bathroom Sink) 1 Stand Pipe(Washing Machine) Laundry Tray(1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks . Backflow Assembly Test Bar Sink Lawn Sprinkler 3 Water Closet(Toilet) Other • FEE SCHEDULE Industrial,Commercial&Multi-family 1%of job cost with a$49.50 minimum Residential,New One&Two-Family $149.50 . Residential,Additions&Alterations $49.50 The Minnesota Statutes§326.148 tst $ Building Permit# . "SURCHARGE"has been changed for one PLUMBING PERMIT FEE $ year effective July 1,2010,until June 30,2011, STATE SURCHARGE $ .50 The minimum surcharge fora"fixed fee"permit TOTAL PERMIT FEE $ 1s As beginning July 1,2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. • Date By Buildias Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 ow wiTH 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372Bt qI! D‘�� pERMIT 2-01+ -DV-kr -: ti rnto CITY OF PRIOR LAKE Date Rec'd cot �� HEATING/AIR CONDITIONING/FIREPLACE PERMIT ii,' evik 1.Pink File PERMIT NO. Af/n'NEso1P 2.Green City 3.Yellow Applicant lik-04113 (Please type or print and sign at bottom) ADDRESS - t ZONING(office use) 1.4-1- ) (-911d12-CGPC(4- ').rivti LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID Om R iTt(Name) L \CHL 1 ' ( � (Phone) (Address) t j `fit`- f I`"'G (42eeC74 O IVCI'M APPLICANT I -�}� (Name) al (Phone) '�,12- !1 ~ D~��7-�l) (Address)'L 1 1 A illd ,/ fwd. _fi k ft }� I (Contact Person),tf., V iA) 0 IV.. l (Phone)4 -` C. - 1 k>.1,--1 APPLICANT SIGNATU 41A. '.t= i / DATE r ) 1 1- APPLICANT PLEASE COMPLETE BELOW %NEW CONSTRUCTION U REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL ( r (j(? Q r 1 FUEL C C. FLUE SIZE RETURN OPENINGS INPUT (MI 00C) OU PUT ---` t 0 TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity DHot Water into Required Side Yard Setbacks. GI echanical ❑Radiation Fireplaces with Box Additions or :4 ' it Conditioning ❑Special Devices Cantilevers to the Outside of Buildings ❑Vent.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 $ �1,5.00 � �„I TOTAL PERMIT FEE �1 `, This Application Becomes Your Building Permit When Approved Paid ? Ge No. Date lep\ By Building Official Date 24 hour notice for all inspections(952)44798 0 4646 Dakota Street S.E.,Prior Lake,Minneso 72 OYRIO�' x CITY OF PRIOR LAKE Date Rec'd :; ti HEATING/AIR CONDITIONING/FIREPLACE PERMIT X. :,32. /V k ,,t(y,,,FSp.,D 1.PGreen Citink I PERMIT NO. //I, g51 2. Ty 3.Yenow Applictui (Please type or print and sign at bot1 /4 „ 3tom) ZQNIN G(officeue) ADDRESSCresta \if 1,�. pvd LEGAL DESCRIPTION(office use only) n LOT '7Z/ (4)) 26 BLOCK y ADDITION J Pmt_ ,5 1 Q 'C zi*'.," OWNER V N e 1 1 0 1 1 'E-tf l EstaA (Phone) 9 'Z 3 -! f39 (Nam(Address) t JJ ) LI(g 9-. w , p pot Va L l �) nrI " c I APPLICANT ME TECHN®LOGIi:a hone (Name) e) I' � • IRES1Dtc riEARTH&NOME (Phone) HEARTH&+TOME TECHNOLOGIES dba Lic BC662656 dba FIRESIDE HEARTH &HOME M1 AVENUE N Lic BOA_(Address) x7p0 (City) 2700 FAIRVIEWi NUE N ' ROSEVIL , M11 55113 F,51•633.256t ROSEVILLE, MN 55113 (Contact Person) (Phone). , APPLICANT SIGNATURE a._ 4 G a1'! �'� DATE APPLICANT PLEASE COMPLETE BELOW VEW CONSTRUCTION ❑REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner :Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ['Gravity 0 Hot Water into Required Side Yard Setbacks. f4echanical 0 Radiation Fireplaces with Box Additions or ❑Air Conditioning 00 Special Devices . Cantilevers to the Outside of Buildings [Went.System Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL ( O(DC 11'jt Me I- II-0 J 0-y,2' CcS FEE SCHEDULE $49.50 Industrial,Commercial&Multi-Family I%of job cost Residential,Gas Fireplace $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 $49.50 Estimated Cost$ BuiIding Permit # The Minnesota Statutes§32613.148 "SURCHARGE"has been changed I'or one HEATING PERMIT FEE $ year effective STATE SURCHARGE $ .50 July 1,2010,until June 30,2011. TOTAL PERMIT FEE $ The minimum surcharge fora"fixed fee"permit is 15..,beginning July 1,2010 (Office Use Only) PAID �i e�No. This Application Becomes Your Building Permit When Approved Paid ��$����� ER .T Date ]3y Building Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 Date Rec'd o� PR/04, ,s,.Al k e, CITY OF PRIOR LAKE /0 Z SEWER AND WATER PERMIT U NNESO 1. Green File PERMIT NO. /44 (q3 2. Yellow City t f(/ 3. Gold Applicant (Please type or print and sign at bottom) ZONING(office use) ADDRESS �'a 14335 Shore Crest Drive NW, Prior Lake LEGAL DESCRIPTION(office use only) LOT 5 BLOCK 4 ADDITION Jeffers Pond,7th PID 255010170 OWNER (Name) Wensmann Real Estate Services (Phone) 952-953-9892 6955 146th Street W Apple Valley 55124 (Address) (Address) (City) (Zip Code) APPLICANT 952 445-4809 (Name) Bohn Well Drilling Co (Phone) (Address) 18190 Dairy Lane,Suite 101 Jordan 55352 (Address) (City) (Zip Code) Charlie Bohn (Phone) 612-919-1542 (Contact Person) APPLICANT SIGNATURE g4.412.64. 4 12.6 ( J QCie t 2 ' DATE APPLICANT PLEASE COMPLETE BELOW Size of water service 1 inches. Location of any couplings from structure NA feet. Type of sewer pipe. ❑ ABC 1 >1 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. Date B Building Official Date PAI WITH 24 hour notice for all inspections(952)447-9850,fax(952) WG PERMIT 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 PRIOR LAKE LEPARTMENTOFILDING AND INSPECTION INSP§ CTION RECORD, , SITE ADDRESS Ara NATURE OF WORK, ` c0 n� =k LL1/2 i F„Esz-zioe i0_4 USE OF BUILDING i� , , .,7 / } .4 & 'No Poifrc_ � PERMIT NO. 1 TE ISJED CONTRACTOR n MhAAS PHONE94ARSIIIIAPj 92. INSTALL EROSION CONRTOL AND MAINTAIN CLE N STREE-TrAT AL E INSPECTOR DATE FOOTING. 1/C '2-0-, I Li FOUNDATION (Prior To Backfill) ,/ ? . p/4 RADON RETARDER r /s t;f PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWERNVATER/SEPTIC 9/ ear a. ;' FRAMING INSULATIONni 4,94 may. g ELECTRICAL PLUMBING (�' iIt\ HEATING -. yi/t FIREPLACE 2/(</ GAS LINE AIR TEST /'�'o�k• #$ - /Yf RADONpi G COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED HOUSEWRAP ,i LATH � 7J(. 2,1/: 7' FINALS GRADING ( PRIOR TO SODDING) P1 i 1// BUILDING” 12)11,x{ 16 to/t(.I�.,• t ,? )//r'/fs-_ • ELECTRICAL 1 • PLUMBING ,/ HEATING V f b /G 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