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PID -OL/3- OWNER (Name) Ri 1 1 anA M~l1r=n Herm"'nn (Phone) 440 1614 (Address) 14151 Timothv Ave. BUILDER (Name) Tlnll'J ('r:lrl c:rm I TPC' (Contact Name) J:):>11'J Carlson (Address) 7185 - 132nd street West ~ (Phone) 952 431 4488 (Phone) fi1? 7?() 4()4S (trllrk) Apple Valley TYPE OF WORK o New Construction DDeck OPorch ORe-Roofing ORe-Siding OUtility Connection OLower Level Finish o Fireplace geAddition o Alteration PROJECT COST/VALUE (excluding land) no. 000.00 o Misc. 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. 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 the property, perfi need inspections. x Permit Valuation 30 Permit Fee $ Plan Check Fee $ State Surcharge $ Penalty $ Plumbing Permit Fee $ Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas Fireplace Permit Fee $ This Application Becomes Your Building Permit When Approved ~~ Building Official 11/5/03 r Date Be 5552 Contractor's License No. 07-24-03 Date Park Support Fee # $ SAC # $ Water Meter Size 5/8"; I"; $ Pressure Reducer $ City SAC and WAC # $ Water Tower Fee # $ Builder's Deposit $ Other $ TOTAL DUE }/fIn ,~ l6 :'LO.O] $U3.tJQ I Paid ~ J!~ Date ". -c-... ?) r-- I ~;eiPtNO is 3~ This is to certify that the request in the above application and accompanying 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 '~7~ ~A7 ~~ ~. Pl~"i"g Di~",", 'D," Spod. C""d~ 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-l or R-2 Districts ,.. Reviewed by: ~ 7~1--- Date: ?jS-/o -:3 Building Permit # Site Address: PID: Zoning: /tf/5( r~ ~ ' Subdivision: ~ ~ tt~~, Legal: L 1 , B tf Existing Structure? ~ NO Existing Nonconforming Structure? YES~ YES NO I CONFORMS TO ZONING ORDINANCE Yard Setbacks: N/A I FAILSA COMPLIES . Front Yard (setback avera e if in-fill lot) . Side Yard (25' if abuttin a street) . Side Yard (Easements) . Sidewall exceeding 50 feet required additional side setback of 2" for eve foot over 5 0' Ion . Rear Yard (Easements) . From 100 ear flood elevation of wetland . From OHW (Prior or Spring Lake) Standard 25' 10' 10' Wall over 50'? 25' 30' 75' or setback average of adjacent structures no less than 50" A r1~ Floor Area Ratio: N/A I FAILS .30 Ma.'Cimum Yard Encroachments: NA I FAIL Eaves and Gutters no more than 2 feet in WI no closer than 5 feet to a lot line (Easements). NC and other equipment cannot encroach on interior side ards. Standard Tree Preservation(NA I)FAILS I COMPLIES Standard Proposed "'\ . Total caliper inches \ . Can remove 25 % of total . Caliper Inches Removed . Caliper Inches Preserved . Replacement Y2:1 L: \TE?v1PLA TE\BLDGLIST .DOC White - Building { CanarY - ~nglneerln...9? Pink - tanning lh. e.nlff of 1M I..... Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED f f ,.". ., / ' ,,~~, / ,';' . _,_.:.-_ ;_,./i/.. -j . ..... /,-; ,,_ /.(~,+-_.. i V/A - . ~. . { f l ;.- ,.-'"-....r-'. I"" ,~.<""1 .....,/ _. (_~, .."-""....._ . ,.. .- '..:;0 .- '____ <?-.3c> -- <:5 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is prop'osed ,~t: /r:,/~V/ ./~).';~-;-',' '- . c:.~ /; "'<2..-- ..;./ Accepted X Accepted With Corrections Denied Reviewed By: ~ Date: Comments: See Reverse Side for Additional Information! ~ /1..0 /63 . I See Attachments: 1) CFIlliRg :Plt1R, 2) Erosion Control Measures "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 qr other ordinances of the jurisdiction shall not be valid." ~ lWhit,a - Buildinv Canary - Engineering Pink - Planning Th. C,nl.. 01 th. I..k. Counl" APPLICATION RECEIVED BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST ~?~~ '7-36- 6 NAME OF APPLICANT The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity whic;P is proposed at: FI/.Y/ C7.x~o?fr ~~ Accepted With Corrections / Accepted Denied ,. ~ ~I- Date: 7/5/0.7 I(~ ~ J_/~~ Reviewed By: 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." . ~ ..,.. 'r:. White - Building Can",')' - ~~g <::Pink - Planmn Thf' ("f'nlf'r or Ihf' l.akr Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED / . ,I 'I' ; / /.' ./ . ,.~._ .~) r,....__........ '~__'~ //-_. - ~ '-> The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: , I / /._ .F / Accepted Accepted With Corrections / Denied .. Reviewed By: Comments: --A . ~ ~~ .. ~~ Date: p / S-~ :5 / ~~~~ U A.d-~ .. "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 ordinan'Ces of the jurisdiction shall not be valid." Driveway: NA I FAILS / COMPLIES Standard Proposed . Maximum width at property line 24' . Required setback 5' from side lot line 30' from R-O-W on comer lots . Maximum slope 10% . All parking areas to be paved including R-V or spaces adjacent to the garage . Location to match Subdivision grading plan 1 35' Maximum I If? I i I Buildin2 Hei2h( COMPLIES) FAILS --=-- Shoreland Distric~1 FAILS 1 COMPLIES Standard Proposed Minimum lot area (Square feet) . 7,500 Rip, 7,999 Non-rip Minimum lot width 50' Rip, 57.3' Non-rip Shore land alterations Intpervious surface 30% Maximum Bluff in Shorelan IN FAILS 1 COMPLIES · Setback from to of bluff . roved Standard 30' setback from slope less than 18% 20' From Top of Bluff By City Engineer No importing/exporting Pro osed . . FAILS 1 COMPLIES Standard 908.9 Prior Lake 914.4 S rin Lake 909.9 Prior Lake / 915.4 S rin Lake Must be 1 foot above flood elevation for new and existing structures. If existing structure was constructed 9/19/90- 11122/97 then additional foot is not re uired. Must be flood elevation or hi er 907.9 for Prior Lake 913.4 for Spring Lake Pro osed . · Lowest floor elevation · Proposed lowest floor elevation · Elevations 15 feet from structure · Road access must be no more than 2 feet below Re lato Flood Protection Elevation Accesso A FAILS 1 COMPLIES Standard 832 sq.ft. /25% rear yard Pro osed . 10' L:\TEMPLA TE\BLDGLIST.DOC PRIOR LAKE . INSPECTION RECORD . SITE ADDRESS 1~P1dTJ:Lr A"6'~UE" NATURE OF WORK ~1"J J bRILl S7lJ#NI USE OF BUILDING SP; D, , PERMIT NO. ~3 - ~3 DATI; ISSUED ~ CONTRACTO~ . &/StJtJ, /-,J,. P~O~E - ~-'1~-s!'I2.r NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION I FOOTING I c;~ % t1/> t!:{] , FOUNDATION (Prior to Backfill) I ;;vf I f5 - ~- () PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS INSPECTOR DATE f rflJ r ... . COVER NO WORK UNTIL ABOVE HAS B'EEN SIGNED 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