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White 2. Pink 3 Yellow lLDS PATH ZONING (office use) I2ISLJ LEGAL DESCRIPTION (office use only) LOT 3 BLOCK:L ADDITION /Al1I-DS" jJtJru71 3 '!:P- ~ PID 25: 433_ O()3~ D OWNE~ (Name) -e 'Y\ (Phone) 1 ~- ). ~ ~ b- (~. C; -r e1 SN - (Address) BUILDER (Company Name) (Contact Name) (Address) ':John .son ~lIaY\d ~.e.-i IAncl ;)~'. Cf CCt1:ITrV e:Hcn (Phone) q <S '2 - 'i 31- I ?,Do (Phone) U 12 - 2D ~ ~ 2 5 ~ 9 r1N ~'T"J3 TYPE OF WORK Ia New Constr\lction !:3'Deck OPorch ORe-Roofing ORe-Siding OLower Level Finishl8"Fireplace OAddition OAlteration OUtility Connection CODE: ~I.R,C. DI.B.c. Type of~nstmction: Occupancy Group: A B Division: o Misc. J.). c;- 000 ./ I E II F I III IV V HIM 234 A R 5 B S U PROJECT COST IV ALUE $ (excluding land) I hereby cellify that I have f\irnished mformation on this application which is to the best of my knowlcdge true and correct. I also certify that I am the owncr or authorIzed agent for the above-mentIOned properry and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware thatthc building official can revoke this permit for Just cause. Furthermorc, I hereby agree that the ciry official or a designee may enter upon the propelty to perform needed mspectlOns. X ~~~ · ~ !5'C.-J..~3lo 7-]-Jo07 .... S~e Contractor's License No. Date Permit Valuation TOTAL DUE Park Support Fee SAC # # Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee Water Meter Size 5/8 Pressure Reducer Sewer/Water Connection Fee # # Water Tower Fee Builder's Deposit Other This Application Becomes Your Building Pennit When Approved ~;o~ 7/'7107 $ $ I (p $, lJ () $ ~S"s:oo $ /00. DO $ /.5CtJ.Of) $ $ $ $ 000, 0 ~ /Soo. D D 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 conSlllutes y.remporary Certificate of Zoning compliance and allows constru~tion to commence. Before occupancy, a Cerllficate of Occupancy must be iSSU~ ~~ ~ l126~1 ~ ~ J-/-..-6-' Planning Director I Date Special Conditions, if any 24 hOllr noticc for all inspections (952) 447-9850. fax (952) 447-4245 4646 Dakota Street Prior Lake, MN 55372 Orivewa : NA/ FAILS Standard Pro osed . Maximum width at 24' 'Z~ f . Required setback 5' from side lot line or !/f 30' from r"o-w on comer lots . 10% 0/0 ~ . Building Height: NA / FAILS 35' Maximum 27' Pro osed ...- -- 30% Maximum - Bluff in Shoreland:I4AJFAILS / COMPLIES Standard Proposed . Setback from top of bluff By planning dept. . Bluff impact zone 20' From Top of Bluff . Enaineerina. certification submitted/approved By City Engineer . Gradino in bluff or bluff impact zone No importing/exporting - Floodplain:~ N/ FAILS / COMPLIES Standard Proposed . 100 year ood elevation 908.9' Prior Lake 914.4' Sprino Lake . Lowest floor elevation 909.9' Prior Lake / 915.4' Sprina 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 required. . Elevations 15 feet from structure Must be flood elevation or hioher . Road access must be no more than 2 feet below 907.9' for Prior Lake Regulatorv Flood Protection Elevation 913.4' for Spring Lake . Standard 832 sq.ft. or 25% rear yard Pro osed . . 10' 15' . . L:\TEMPLA TE\BLDGLIST.DOC Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R.1 or R-2 Districts Reviewed bY:.. ~ ~ Building Permit # PIC: Address: /40 3 S' u.J iA rP 0-4 Legal: L .:3 , B I Subdivision: tJ ~ Date: 7/17/67 Zoning: ,Jtrd:J... Existing Structure? YES ~ Existing Nonconforming Structure? YES ~ I ~ I NO I I CONFORMS TO ZONING ORDINANCE Yard Setbacks: NA 1 FAILSI COMPLIES . Front Yard can be 20' if av . wfln 150' . Side Yards Standard 25' 10'1 25' if abutting a street Pro osed "30' 023' ,.. . 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 Is to the Plannin De artment . From OHW (Prior or Spring Lake) 10' setback + 2"/1' over 50' 25' 10' sidel 25' rear 30' 0' ( ~e riA 75' or setback average of adjacent structures, but no less than 50' /JA .30 Maximum Standard Pro osed tJ fJ"yo..JL.J No - - Tree Preservation:r1IAj FAILS I COMPLIES Standard Proposed . Total caliper inches . Permit 25% Removal . Caliper Inches Removed . Caliper Inches Preserved . Replacement %:1 L:\TEMPLA TE\BLDGLIST.DOC White - Building Canary - Engineering C, Pink -- "2!J'I~~q3 ,",' ~'""'t';':r(',:':~3':~"!J1II~~fe~ptt,APPLlCAT;19N DEPARTMENT CHECKLIST " .-,.. .,,,.-'" ".,..... '0 ! NAME OF APPLICANT APPLICATION RECEIVED c-/ ,.' ~-l../~' /" [ \. '.; t I C...i,.J )"_ / \... L {.....{. (1.._ ,(v......."-- J ~/'..7 ? ;' -I.A :~ - v _ ~;C_w~ ".-'Jj ,.";. ~. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 2~fi4!l~;f~2(h44/1ffi):u:Iltt:!!th / ~<_/ .. -~ L-' I., __- .~ /"'''''/--/ // I / / Accepted With Corrections ~ccepted Denied (\,: ,'",...." Air CoDdttlo88r and Other .MecbanicaJl Units Ctmwtet ~18t6 Beqoircd Side Yard Setbacks liThe 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." e - Bulldinv anary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 9~' ''1. 3, (j 7 Accepted Accepted With Corrections Denied ,. Reviewed By: ~ ~~ ~ Comments: &-44$~.a1-( ~.. ~.i ~ t!rL ~a~ ~ Date: 7//7 j& 7 / ~~~ ~~~, liThe 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. II While - = C C~ll8ry - Engineering) Pink - ng BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ()oIw~j~ -I~ j 1/ "13,67 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction ?aCtiVily which is ~!3osed at: . ZCJo7 (4{LL f:MtfL/ Accepted. X Accepted With Corrections Denied Reviewed By: ~ Date: 7-2'1-0.'1 Comments: SeE;1 Reverse Side for Additional Inf6rmation! ;1,: . . . .' , .... .~ See Attacluhents: 1) Grading Plan, 2) Erosion Control Meas~e.s "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 vJglation of any of the provisions of this code or of any other ordinance of the jurisdiction." P~its presuming to give authority to violate or cancel the provisions of this code or other~ ordinances of the jurisdiction shall not be valid. II -f ti. _{"r... CITY OF PRIOR LAKE SEWER AND WATER PERMIT Date Rec'd /()~ 2.., () 7 ~: ~:'w ~\~. I PERMIT NO-o7. O,,~ I 3. Gold Applicant ... L( 0 , ~ /A/) /tl f d-M I ZONlNG(_~) I LEGAL DESCRIPTION (office use only) LOT ~ BLOCK ADDITION / A of Vi j. > IV" 1 OWNER (Name) ~ /2 PID (Phone) (Address) (Address) (City) (Zip Code) ~ ,'h1.1tJt11-< f' .... 51 ~.M.t G-~,,,,-< A-rA (Address) dt'^- ~(' APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure _ feet. Type of sewer pipe. 0 ABC 0 pvc 0 Cast Iron Estimated length of sewer line _ feet. Clean out (if required) located at feet from structure. Residential sewer and water line connection Sewer connection only FEE SCHEDULE $35.50 Industrial, Com'l & Multi-family $17 .50 Water connection only Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official Date 24 hour notice for all inspections (952) 447-9850, fax Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT ~. ~L ~~~Iicant I PERMIT NO. (j7_ OG,&31 ZONING (office use) LEGAL DESCRIPTION (office use on!y) LOT BLOCK ADDITION PID OWNER (Name) ,011,-./,50# - R19It-/f/VO - CoN!? neue- T'i ON (Phone) 95,), -e.r3/ - J~ (Address) 3770 Cou APPLICANT (Name) !vl0.::tttte-t..C) Ln.niel~ Inc... (Address) /50'3 D Ca..rr~eI vV~ (Address) (Contact Person) Ma.::rt- +\ \AX\t1 ~ tDn (Phone) ~f) J - l-l d-- 3 - "3 7 3 (~ RC:5uY\D~, MAJ 5f56la8 (City) (Zip Code) , I I e of Fixture APPLICANT SIGNATURE I FEE SCHEDULE Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 Estimated Cost $ /5-510. -- Building Permit # .....u PLUMBING PERMIT FEE $ t:fq.!?D ~\O \Nh p "A\~ STATE SURCHARGE $ .. . G pE.t=\N' TOTAL PERMIT FEE $ /oca\J\\.O\N (Office Use Only) Date Date II. {~ .0 By This Application Becomes Your Building Permit When Approved Buildinl! Official 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 CITY OF PRIOR LAKE REA TINGI AIR CONlnTIONINGlFlREPLACE '~RMIT Date Rec'd ~::~ ~:~. I. p. ERMIT NO. 67 0/ /.. ~I 3. YelloW Applicant. . .' c.p l.i;:A....) . ZONING (office use) W.,lct p~ LEGAL DESCRIPTION (office use only) I LOT BLOCK ADDITION .PID (Address) (Phone) CIS ~ - 4- '-I- G~3 / ~ 0roUe C/rc{;u J/7aJCO {rtlN 063-79 H)o.~4ev meph()/7/r:a{ (phone) qr:::+!?98-199;r-? __0_ 15. Cliff eel ~rnsvll~/!nN ~ fi~ (~ .. ~ - .~~ I~ (Phone) ct5;) 2qr;~/LfI;r //og--07 DATE OWNER (Name) APPLICANT (Name) (Address) (Contact Person) APPLICA PLEASE COMPLETE BE DNEW CONSTRUCTION o REPLACEMENT FURNACE MAKE AND MODEL FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM INPUT HEATING OR POWER PLANT W AL TERA nONS FUEL OUTPUT FEE SCHEDULE 1% of job cost Residential, Gas Fireplace $39.50 minimum Residential, Heating & AlC (New Construction) $99.50 Residential, Heating Only (New Construction) $64.50 . Estimated Cost $ ~OO /'" IlEA TlNG PERMIT FEE STATE SuRCHARGE TOTAL PERMIT FEE ?J09~ PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks DWarrn Air Plants DGravity o Mechanical DAir Conditioning Dvent. System o Steam o Hot Water o Radiation o Special Devices o Other Devices FIREPLACE MAKE AND MODEL Residential, Additions & Alterations Residential, AC only $39.50 r--:::~ ~ Industrial, Commercial & Multi-Family Building Penn it # $ 3Cf,SO PAID WITH $ . .50-A~ ",.r $:9-0 r 061J~LDING Pt-: .\/, ' I Date ~ Date II. I ~ ' () (Office Use Only) This Application Becomes Your Building :Permit When Approved Building Official 24 hour notice for all inspections (9!52) 447-9850, fax (952) 447-4245 PRIOR LAKE INSPECTION RECORD SITE ADDRESS I~J!; Jc)~71f. .. · NATURE .OF WORK .__-.~. ~S'. 1&.. ~.. .'-. Ct>> c..c.. P""'", USE OF BUILDING . . ... .SQ. · ~.Uf>-- PERMIT NO. 01- 0(,(,,;3 DATE ISSUED ~ CONTRACTOR ~~. rp~ PHONE '2.-117-ZS"" NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW . THE PERMIT IS BY SEPA.RATE DOCUMENT DI.I6I'~ e.~r" OIC. #/' i;.IS'f)f:t7';"'OR FOOTING j, 3. DEPA' BUILD" JF J INSPECTION DATE OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOT ICE 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