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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
Cr
f.
EI\JC'L-A 11/3
Date Rec' d
I White
Pink
Yellow
'-//~ 7 (07
1 PERMIT NO. () 1. u 32-01
File
City
Applicant
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT 13 BLOCK ? ADDITION rll3ffEe-S
IJ;I//~
/ ~,-
PID ;;5- 437- 076
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
Jfc",., G S
w~nt ...,/I.1/l1/
~
(Contact Name) It:' I'll
(Address) /fsC'5 ,IhA z",
~ .;J.t!)c)
rAG. A/\/
(Phone)
(Phone)
ftfAi
{;-5/- 4ot; - 4400
~9~ 3?'i-1t.3!
TYPE OF WORK 6"New Construction 0Deck OPorch ORe-Roofing
OAdditlOn OAlteration o Utility ConnectlOn
be
CODE: ~I.R.C. DI.B.C.
Type of Constnlction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV V A
HIM R
2 3 4 5
ORe-Siding ~wer Level Finish
Fireplace
-l
I
I
o MISe.
B
S U
/qr 7?O
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have hlfmshcd Information this application which IS to the best of my knowledge true and COlTect. I alsu certify that I am the owner Dr authOrIzed agent for the
abllvc-mentloned prnplTty and tha ,Ill e strlle 10 will eonf()rm to all eXlstlOg state and loeallaws and will proceed in accmdance with Sllbmilted plans. I am aware that the blllldlOg
llfflci,~ permit f(1I" st c sc rthermore. I hereby agree that the CIty official m a deSignee may enter upon the propelty to perform needed lOspectHlns
4 -,J.7-0 7
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbin~&.fI11it Fee
Mechanical Permit Fee
{a fJ , t) 0
100 , 0 0
3S,.s;o
Sewer & Water Permit Fee
Gas Fireplace PermIt Fee
C B~"ild",' p'~~J App,",,'
lluildll1!! Unlclal ~ ~a: 7
/4'5Y
Contractor's License No.
Date
Park Support Fee
SAC
#
#
'5'",0 0
,~o
O(j ,0 C
/5<::)0.00
l 000. co
IS(J{), DC
Water Meter
Size 5/8"
".
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
~
IThls IS to certify that the request in the abuvl' applicauon and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested ThiS document
I ::L:' ".""", m",,""'" " '''''pm"" Ceo,",,,,, ,,' '''''00' ~"""" 00' ,,""m '"'''''''''''''' '" mmm'"" '"'''' """,m"',. , em",,,,,, ,,' o""poo,, m:" '"
I . . Plannit~re:t~J-J 513: ~ 2te ~ ~ial c'tm/::t::::~...A )
24 hOllr notiee for all inspections (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: S(ff ~ 7
Building Permit #
Address: / ~ ~S-9
Legal: L /3 , B 5"
PID:
Zoning:
~
~_.. 17 /5!"-
Subdivision: ~ ~
Existing Nonconforming Structure? YEs€>
~
Existing Structure? YES~
. 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
pond.
. Refer in- round ools to the Plannin De artment
. From OHW (Prior or Spring Lake)
I YES I NO I
Standard
25'
10'1
25' if abutting a street
10' setback + 1'1,
2"11' over 50'
25'
10' sidel
25' rear /J()J-i6
30'
I I
? ~ -fa tI/lJL-,
I CONFORMS TO ZONING
ORDINANCE
.
Floor Area Ratio: NA I FAIL C
.30 Maximum
fJ,4
75' or setback average of
adjacent structures, but no
less than 50'
Yard Encroachments: NA I FAI
Eaves and Gutters no more than 2 fee In WI
closer than 5 feet to a lot line Easements.
AlC and other equipment cannot encroach on interior
side ards.
Standard
Proposed
)JCJ~C
j'JOtJC
~
Tree Preservation:(NIV FAILS 1 COMPLIES Standard Proposed
. Total caliper inches
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement Y2:1
L:\TEMPLA TE\BLDGLIST.DOC
~.,~
Whit: - Building
~(::8nafV - Engineei'pttD
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
tJ ~/l'( /I tUtU
?//2 7 /(/7
1-1 () I'Z'l t- S
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/L/ L/5/
!;-I{/C i /1 vi!"
0,
Accepted
~x
Accepted With Corrections
Denied
Reviewed By:
M4iS
Date:
'iJ -I() -o/'
Comments: See Reverse Side for Additi~m=ll Information!
. "',., ...:..' 1.,J..t-'. .
See Att.achiiietffs: 1) Grading Plan, 2) Erosion CoutrQl M~asures
"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."
White - Building
Canary - Engineering
cPink - Planmnlf"::)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/
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: ~ lftt-,ll~
Comments: 8-J- a;; '/-,;::co-! f?u.r-:/J, ~
~~~.4-) ~ ~ ~~ t:-~
~ ~ ~,,~.
Date: s/~ 7
~)
~ r-c-t- ~,
A ir Co~tio:oer ::.nd Other M=cal
Units Cannot EDeroaeh into ed
Side Yard Setbacks
"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."
(
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
tJ~nt/f!fl,u Hom.6-..s
~/2-7 /67
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/L/ L/ 5~
.
Accepted
Accepted With Corrections
E1tJCLAt/C ff,
/'
Denied
Reviewed By:
~
~_ aJ-(
~
~
~
Date: ~/~ ~ 7
, .
~~
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."
07/18/2007 WED 10:04 FAX 952 767 1900 GENZ-RYAN
I4l 012/012
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I f'ink
2. Green
:;: Ydlll\\'
File:
(it,.
_"~I,~ljClUll
I PERMIT NO:Q1:-.03Zl;
I
ZONING (office
use)
ADDRESS
14459 ENCLAVE CT
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) WENSMANN HOMES
(Phone)
(Address) 1895 PLAZA DR, STE 200, EAGAN, MN 55122
APPLICANT
(Name) G~NZ.RYAN
(Phone) 952-767-1000
(Address)
2200 W HWY 13
(Acldress)
BURNSVILLE
(City)
55337
(Zip Cll<.k)
--_.
(Phone) 952:X67-1000
APPLICANTSIGNA1U ; '" ~ ~! ); DATE 7/17/07
APP JCANT PLEASE COMPLETE BELOW
.'.-t!lNE\V CO'NSTRUCTION [] REPLACEi\;lENT D ALTERATIONS
FURNACE MAKE AND MODEL _LENNOX q.~.3UF48C110 FUEL _~~!:_.GAS
FLUE SIZE RETURN OPENINGS .~ INPUT 110,000 OUTPUT 101,200
TYPE OF SYSTEM HEATING OR POWER PLANT
~Warl1l Air Plants
~Gravity
o Mechanical
~!\ ir Conditioning
~VCI1l. System
o Steam
o Hot Water
o Radiation
o Spcejal D~,i(:es _
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Indll~trial, Commcrcial & Multi-Family
fEE SCHEDULE
] % of job cost Residential, Gas Fireplace
539.50 mlllillllllll
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Healing & l\iC (Nl.:\\" COl1slruelion)
ResidcntiaL Heming Onl) (Nell' COllstruelion)
$39.50
$39.50
(Office Use Ouly)
This Apl)licatioll Becomes Your Building Permit When Approved
Estimated Cost $ __...._.__
HEATfNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
BlIil~illg Permit it PAID WITH
~ 8UI1.0lNG PERMIT
Dafe
'Zeceipt No.
Buihliu2 Otlicial
By
24 hOllr notice lor all inspections (952) 417-9850, fax (952) 447-4245
1t:lv
07/31/07 08:36 FAX 763 576 7299
AUTOMATIC GARAGE DOOR
~002
CITY OF PRIOR LAKE
REA TINGI AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
~: ;~w El~icon.1 PERMIT NO. 07.0 3zd
ZONING (office
use)
IY
~u
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
AD DmON
PID
OWNER
(Name) \~~~I ~aoc.
F~ rY\r'\ SSIa.~
(AddresS)' ~O-- - \
(phone) (PSI A (jCJ~ - <../'100
APPLICANT
(Namefl l.~^ h..:r J ~-'? fX-.r-~ d-
(Addres:k
9co /09'u' a, ~ AJ #ICX)O
I
(Address)
(Contact Person) -f: C\ ~ \Jexw"'e.fhO r-'I
F~
(phone) ~lo3- Sll , -dS'dS
rJ,n~f].L~(-'I.tyrn) /'1 5531<.0
~ L (Zip Code)
(Phone) ~tJ>3 - Sfl<.o-/~ , ~
APPLICANT SIGNATIJRE DATE
APPLICANT PLEASE COMPLETE BELOW
flNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANf
DWann Air Plants
DGravity
o Mechanical
DAir Conditioning
OVent. System
o Stearn
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family l
Residential, Heating & AlC (New Constr ction)
Residential, Heating Only (New construjtion>
Estimateti Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
~\')lrd
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Additions & Alterations
Residential, AC Only
-' :')~-.
$39.50
$39.50
Building Permit #
$
$
$ r--~--~_.
I
.50
PAID v",n~
BUilDING PERMiT
(orner U!~ Only)
I
This Application Becomes Your Building Permit When Approved
I
I
I
Buildinl! Offici.l I Dat~
t hm ..OK Co< .11...,"0,.. (952) <47-""'0, Cn (952) 447-4245
Pailu~ I ~ Z.GE!l Receipt No..
Date By
(TUE) 6 5' 07 7: 56:)1 7: 55 tlo. 4860053666 P 2
vare .Kec-o -
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
t. ~ ~h1I I PERMIT NO'7. 32.D 1
I I ZO~G (_U~J I
I
3..<:e tYPe ar print and sign at botrDm) _
.ADDRESS 14%9 8nd~~ t} ~
LEGAL DESCRIPTION (office use 01l1y)
LOT BLOCK
ADDmu -r
Pill
OWNER \ \ n'A .
(Name) \ATtXl~m~~ ~~'S
(Address) ~$' ~\n..~ 't~\ g\)\~::ttac:f:)
(Addres.~)
..~--
:~~
(City)
(phone) 65)-qob-LpfoD
~(
(Zip Code)
APPLICANT \ '\"h' ~ ~\\ Q-
(Name) . 'N"\-X\ '1... '€; ~ \ ~ I~ \. ~
,(Address) -1',) D \'1\~~~-e.,~ ~.
~'VrS)
,(Comacr,P",=>) - \l~~
APP.LICANr$J:G:NAl~. _ ~.~~4-
. ~~(ehorle)
~~ MY)~ .SS-}~I
. (City) I (Zip Code)
(phone) C,51-4s:l.- '1SbS:-
'.~~DATE 0/s/o 7 .
APPIJCANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of at ,y couplings fromstru.cture ~ feet
TYJ?C of sewel pipe. 0 ABC . fYj PVC 0 Cast Iro~
Estimated 1enl ~ of sewer line ~() ket.
Clean om (if r ~quired) located ~ feet from structure.
FEE SCHEDULE
Residential :;ewer and water line connect on $35.50 Industrial. Com'l & Multi-family 1% oIjob UJ;st with it $39.50 w.i.a.imUffi
Sewer connection only $17.50 Water connection only $17.50-
Estimated Cost $
Building P'-"11l1it #
SEWER AND WATER PERMIT FEE
STATE )URCHARGE
TOTAl PERMIT FEE
$
$
$
.50
~ID \.VJTIi
eu$LJI)~G P2Rrltrr
(Offi.ce Use Only)
This Application Bewrnes Your Bnili:l ing Permit Whea Approved
Building Official
D~te
Paid Recc:ipt No.
J;JateJUN 2 0 2007 By
24 hour Dotke for all inspections (952) 447-985U. fax (95.2) 447-4245
FROM WENZEL PLUMBING & HEATING 651-452-0367
''rIJE \
1.1, ,
is 5.07 7: 56 81 7: 55 ~O. 4860053666 P
(:;ITY OF PRIOR LAKE PLlJM:BING PERMIT
Date Rec'd
1. MJlJ~ FJI::
2. Gold Ci~.
), Yellow A;opUant
I PERMIT NO.~ 3ZD, /
]
ZONING (offic~ U~c)
LEGAL DESCRIPTION (office us, onls)
LOT BLOCK
.ADDIT ON
PID
1
.-1
I
g,~ l~.0.. ~\'\\.6 (Pbooei5}--4t&-41ftJD
(AdUr~5) LS .S-~\b,-V:,-~-, ~~\e...~aQ~~o..:" I ~\". .5$/;;22-
~~~~;:mT \;J<e);\z<t\. ~~ ~ ~ ~\~, (Phone) 651-4 S2. - i5t>
(Arldre"dtlb t\\~i,C<l\~\'~~~'l'-- \\\n. SSP I
(Add:r, s) (City) (Zip Code)
(Cont~ctPmon) ~~~ ~\N.~ (Phone) 0S'-Lf.~~--)~
APPLID\NTSIGNATURE -i~('fjl (5.. DATE b S, OZ
PLICANT PLEASE COMPLETE BELOW
Quantity , TJp : of Fixture Qwmtity Type of Fixture
cL Bath Tub with or' vitfiout shower 3 - Rough-ins
( Dishwasher I \Vater Heater
.-. i - - ... ....-.1
Floor Drain Water Softner
---..
-.... LI Lavatory (Bathroc m Sink) I Stand Pipe (Washing Machine)
Laundry Tr.1Y (l O' 2 eomp.:lrtrnent sink. Sewage Ejector
t Shower Stall Backflow Assembly
- --
I Sinks Backi10w Assembly Test
Bar Sink Lawn Sprinkler ......-
-3 Water Closet (Toil ~t) ~- I Other - __..I
,
, FEE SCHEDULE
Industrial, Commercial & Multi-family % of job CQst with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential. Additions & Alteration~ $39.50
Estimated (ost S
Building Permit #
PAiD 'vVlTI.j
.s(dUiLDING PERMiT
(omce trSt Only)
PLUMBING PERMJT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
This Application Becomes Your 811 ilding PermIt WbeD Approved
Paid
,
Receipt No.
- Building Off'lclMJ .
Date
24 hi ur notice for all In!pections (932) 447~850. fu(952) 447-4245 .
~ 6200 Engle Cl"Ci:k Ave., S.t., Prjor Lake, MN s3372-171'4
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK c.. t .
USE OF BUILDING
PERMIT NO. 07,0320
CONTRACTOR ~ I/#JAES PHON :3 /
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I Q #/P I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING Vts ~ f.e
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~71(E ~ 1IZ'"J2;V~1" I I
FINALS
GRADING P ior to Sodding) /1 ~1-ol
BUILDIN \ 0 W
ELECTRICAL
PLUMBING
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.
8
FOR ALL INSPECTIONS (952) 447-9850
.
Standard
24'
5' from side lot line or
30' from r-o-w on corner lots
10%
Proposed
20'
.
.
.
5'
fs,.9 l)
~
t:r/..-J
.
I Building Height: NA / FAIL~O~
2-,'
35' Maximum
Proposed
-
30% Maximum
Bluff in Shorelan . N FAILS / COMPLIES
. Setback from top of bluff
Standard
By planning dept.
Proposed
.
20' From Top of Bluff
By City Engineer
No importing/exporting
.
.
A\
Floodplai~ NA 1 FAILS / COMPLIES Standard Proposed
. 1 00 ye n-n6od elevation 908.9' Prior Lake
914.4' Sorina Lake
. Lowest floor elevation 909.9' Prior Lake I
915.4' SprinQ Lake
. Proposed lowest floor elevation Must be l' above flood
elevation for new and existing
structures. If existing
structure was constructed
9/19/90-11/22/97 then
additional foot is not reauired.
. Elevations 15 feet from structure Must be flood elevation or
hiQher
. Road access must be no more than 2 feet below 907.9' for Prior Lake
ReQulatorv Flood Protection Elevation 913.4' for Spring Lake
.
Standard
832 sq.ft. or 25% rear yard
Proposed
.
.
10'
15'
.
.
L:\TEMPLA TE\BLDGLIST.DOC