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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~.3.05
White File
Pink City
Yellow Applicant
PERMIT NO. 06,0535
~ tJ.lV.
ZONING (office use)
~/.5D
I}~ ~ j" ~v{,
LOT (, BLOCK ~
LEGAL DESCRIPTION (office use only)
ADDITION
1H't \JU..'~ N,,,..7lt
PIDZ5", 4-04-. 039.0
OWNER L wi r:-
(Name) ~Q~e:.p.1 If-r \1~f1e.. r"~f
(Address) "fJ1~ ~ fkrH ~.lJ.
(Phone) ----1~t ... J.3 ;- tJr,~
BUILDER L / /' ,
(Name) 'fir.> OAV (/;V~ r,wvTlt1J1 (,d- 1#/(;;-
(Contact Name) ~~IJJ 1lt.VPlrf}
(Address) 101l> e. ~t1I It"" 1ttk~ 1 M", ~~~71
TYPE OF WORK
o Misc,
,{C, ~ ,
(Phone) -11JJ.. - ~J - '1 f ()t7
(Phone) (,Iz.. - ~~ - otU'
o New Construction
}CI Deck
o Fireplace
~Porch
OAddition
OUtility Connection
ORe-Roofing
ORe-Siding
OLower Level Finish
OAlteration
PROJECT COST IV ALUE (excluding land) $
,~
00
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 property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans, am aware t 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 r erty to pe 0 needed inspections,
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
1MI
(, It /d~
, I Date
Contractor's License No,
Park Support Fee
~~
Building Official
tor'? /05
Date
$
$
$
$
$
$
$
$
TOTAL DUE Ckl;ve:D &; .C/. oS $ Lf70.o 0
1;,"-~';?- I ~;;;tj&W
#
SAC
#
Water Meter
Size 5/8"; I";
Pressure Reducer
City SAC and WAC
#
Water Tower Fee
#
Builder's Deposit
Other
This Application Becomes Your Building Permit Wlu;n Approved
Paid
Date
This is to certify that the request in the above application and accorr4>anying documents is in accordance with the City Zoning Ordinance and may proceed as requested, This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be
iSS~ ~ ~/o/OS
Planning Director ' Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue 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: ~ ~ f-->
Building Permit # PID:
Address: ,;Jl5"t9--- ~....... ~
Legal: L t, , B.3 Subdivision:
Date:
~(9 /a r
Zoning:
t.J~ 7t/~
Existing Structure?~1 NO
Existing Nonconforming Structure? YES @)
CONFORMS TO ZONING
ORDINANCE
YES
NO
.
~~
Standard
25'
10'1
25' if abutting a street
() ~ l..J ':J ~
Proposed
25 f
.
· Sidewall exceeding 50' requires additional side 2"
setback for eve l' over 50' in len th
. Rear Yard
· Patio Door: provide for minimum 10' deck or sign
statement indicatin no deck will be built in the future
. From 100 year flood elevation of wetland/NURP
ond
· From OHW (Prior or Spring Lake)
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
30'
--:J
~
N"'"
75' or setback average of
adjacent structures, but no
less than 50'
f'1~
.30 Maximum
~
Yard Encroachments: NA 1 FAILS PLlE
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line Easements.
AlC and other equipment cannot encroach on interior
side ards.
Standard
Proposed
A..
A
-
Tree Preservation: rflpJ FAILS I COMPLIES Standard Proposed
. Total caliper inches
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement %:1
L: \TEj\;IPLA TE\BLDGLIST.DOC
* ->t ()f I b (IJA ~/ Hi flli'
CIT-yr OF PFJOR LAKE
Impervious Surface Calculations p~v~ r{/FC tl
(To be Submitted with Building Pennit Application)
For All Properties Located in the Shore land District (3D).
The Maximum Impe,:,ious sur~ace Cove~~nnjtted in 30 percen. t
Property Address 0:28'31- (~rW!')/. W.
Lot Area . .u) 7(P~ ..Sq,Feet x 30% := ,.~..;........ '* ?;/{jO
* * oj: >II * * *;\: >k >I< * * ~:;\I ;11"*:j4 * * *;Ie * ** * >1< * * * * 'It * * * * * >I< *:jC >1:.** * * * * * >I< *:jC * * '* * '1= >1::1: * * * * * *:1<:j< *:jC ** * * >I:
'.
-,:~ ~
HOUSE
F~f(;H
ATTACHED GARA.GE
LENGTH YVTDTH SQ, FEET
x :::: ;311
-----,
x ... Iq/t;
x = Bot
TOTAL PRINCIPLE STRUCTURE..........;...........
DETACHED BLDGS
(Garage/Shed)
~
2373
x
X
TOTAL DETACHED BUILDINGS"..........,..........
D'rUVEW A Y fP A VED AREAS
7J/J
x
X
~!(/,-- X
::::
~J.-
112---
==
P A TI OS
fl."?
TOTAL P A V.ED ;\R.EAS....................;........~..IO......, ';/ ~
(Open Decks 'A' m n, opening between
bOllIds, with B pOrYious surface bdow,
are not con31dered to be Impo;:ryiou~)
4
. X
27
=~
x
==
'X
::::
TOTAL DECKS......,..,...........",..~.....,....... ............._.. 12!i
OTHER
x ::::
-
X ::=
TOT.AL OTHER........."".........,..".......",..... f"" ,+ "f"'", .....
m+'~0~
l 600 Si1il --
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_r~'~hy'cJ~t /-i"c4 Date /J./:Jklr!2 }!EVI7EtJ 6/)/0,.5'
/ / 7 fl.
. -' 'j~ )
Phone # fj;i/ -1fJS -rCCLJU
TOTAL IlYIPERVIOUS SURFACE
~OVER ~..
Prepared By ~C~ 5
Company ~I t.GI E/1:?i
V
'"
~e - Buildi~
anary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
S/lNOrlt/ (!A) jVJ'/X..
fc.2. oS-
eo. /N~.
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Za6Z- (!OUCj~ ~/1/}-j- ;\/IV
Accepted
Accepted With Corrections
,/
Denied
Reviewed By:
~~..~
p~~
&! 1/05
~~
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."
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
6, 2-1"..- (/.f~
~. ~::n ~~~y I PERMIT NO. oS: c f ] r
3. Yellow Apphcant ,
2852-
C {){/G~C ~~71/
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
I OWNER
(Name)
(Address)
(Phone)
PID 2- J -: 4cl4-. oJ ~ (~
(Ph ne) 61) - s-off - 1,)J6
553' ~
(City) (Zip Code)
(Phone) M-5~- 9;;y:'
,,/"
DATE ~.7
(Address)
(Contact Person)
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION o REPLACEMENT o AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM REA TING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
$39.50
Estimated Cost $
l1 S-. {~ ) f-
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ )
$ ~
$ ~
?
(Office llse Only)
This Application Becomes Your Building Permit When Approved
Date a ~
&,2u.O.J
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
ft., V
f' 61
I)d--
6,) I ~
PRIOR LAKE
INSPECTION RECORD
DEPARTMEN7 OF
BUILDING AND INSPECTION
SITE ADDRESS Z~5'~~!" ~
NATURE OF WORK - ,,. ..
USE OF BUILDING ~.P':o.
PERMIT NO. (}6-. {/S3S DATE ISSUED ~
CONTRACTOR ~ PHONE~Z.O
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
EL RICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
Il.A'nI~ J ~~" I I
, FINALS
HEATING
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