HomeMy WebLinkAboutExcavating & Filling Permit
CITY OF PRIOR LAKE
APPLICA nON FOR
EXCAVATING/FILLING PERMIT
Permit No.
OS (? 0;
Date
7 / / R / 05
447-4230
Property Owner:
Address:
X: t4y I
15527
3~vr,l/
~()~)l '
Ca Ilr,t,{ !J ve, IV. b.
Phone 1/ ~/~-g37 ..3880
Applicant
Address:
Phone 1/
Contractor:
}-~fAY" I 636 ~h
Phone 1/
Address:
Consultant
Engineer / Surveyor
Phone
1/
Will the excavation or filling be in a: Watercourse Wetland
Purpose for the proposed excavating or filling: f/) 5f ~ I) e) f/l).,
Estimated start date:
7/IF/()'
to be removed or deposited:
In what manner will the material be removed and/or deposited?
oe"
What highway, street, or other public way will material for removal or depositation be hauled or carried? htv y z, I
/ ~
What, if any, street, avenue, lane. alley. highway. right of way, thoroughfare or public ground will be obstructed? d r.e."
IT SHALL BE THE RESPONSffiILITY AND THE BURDEN OF THE APPUCANT TO DEMONSTRATE TO THE SATISFACTION OF THE CITY
ENGINEER FOR THE CITY OF PRIOR LAKE THAT THE PROPOSED EXCA V A TlON AND/OR FILUNG COMPUES WITH THE OVERALL CITY
OF PRIOR LAKE STORM WATER MANAGEMENT PLAN. SAID BURDEN SHALL INCLUDE THE FURNISHING OF A REPORT WITH SUPPORT-
1NG CALCULATIONS OF A REGISTERED PROFESSIONAL ENGINEER.
Will proposed excavation or depositon affect the City of Prior Lake overall storm water management plan? Yes - NOX If
yes, show proposed effect.
SUBMISSION REQUIREMENTS:
(A) Completed application form (8) Completed legal description (C) Map or plat of the proposed filling or excavating showing location and amount of material
proposed to be removed of deposited, with a description of the area (D) The depth or heights to which such removal or deposition is proposed throughout the
area and the proposed angle of all slopes to be shown on a 2' contour map at a scale of I" = 50' or larger: The proposed and origirial contours shall be shown in-
cluding all property within ISO' of proposed eltcavation or deposition and shall be signed by an engineer or surveyor registered in the State of ~:;anesota .(E)
Erosion control plan (F) Affect on existing utilities (G) Protection of site by erection of suitable fence, guard or barricade (H) Application fee (I) Bond. letter of
credit, or deposit of monies in a sum sufficient to pay the cost of restoring a site. The extra ordinary costs of repairing. highways, streets or other public ways
along designated routes of travel and to pay such expenses as the City may incur by reason of doing anything required to be done (J) Public liability insurance.
Amount of bond
Permit fee rdJ. c; ()
Letter of credit. or deposit of mo~ liability insurance provided
Signature of applicant ~ Date 7//(/0.5
City Enginee, -7 If- Date 7/11{/ (J ..
/' -
Permit is valid if signed by City Engineer.
Permit deposit
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~" Z4-.oS-
While
Pink
Yellow
File
City
Applicant
I PERMIT NO.
ZONING (oflice use)
ADDRESS
S52-
A\/c
Ie I S.o
LEGAL DESCRIPTION (office use only)
LOT 5BLOCK
ADDITION
jVOlaH G~//V'''VOOCJ
PID 25.0..35. 60S: ()
],> Ply J
136
(Phone)
j... blV JJ1-3! J 0
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration o Utility Connection
ORe-Siding OLower Level I'inish 0 Fireplace
CODE: OLR.C. OLB.C. o Mise.
Type of Constmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
,
~erAIN ,,.,i l.:; k;ALL- . bRAI> t N 6
PROJECT COST /V ALUE $
(excluding land)
'reby certily that I have furnished mformation on this application which is to the best of my knowledge true and cOlTect. I also cerlify that I am the owner or authorized agent for the
Jbov" entlOned properry and that all construction WIll conform to all existmg state and local laws and will proceed in accordance with submllted plans. I am aware that the buildmg
official an revoke this permit for Just cause Further re, I hereby agree that the cIty oflicial or a designee may enter upon the property to perform needed mspeclions.
/~~~
Contractor's License No.
Date
# $
# $
$
$
# $
# $
$
$
$
Receipt No.
By
Signature
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
Permit Valuation
Permit Fee
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
This Application Becomes Your Building Permit When Approved
Date
Buildil1!! Official
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. TillS document
when signed by the City Planner conSWUles a temporary CertifIcate of Zonmg compliance and allows construction to commence. Before occupancy, a CertIfIcate of Occupancy mllst be
issued
Planning Director
Special Conditions, if any
Date
24 hOUI" notire for all inspectiuns (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
\
/
- - - --------------
~ )
-rKof..r:>co;..,
CITY OF PRIOR LAKE
Impervious Surfact~ Calculations
. (To be Submitted with Buildinl~ Pennit Application)
. For All Properties Located in th(: Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address' /.<'5"2' < 7' C I j 1\ / L
-'" _ A, VYlIA.'~- I~NlAri Nf. L of.> 7, t., ,f '/l L,J~ j .
. . [V,;(2.1"', bt-I>' 'J""~"
Lot Area , I) q o~ 4'~lJ')(. ,,-lit~ qo~) Sq. Feet x 30% = .............. 3/ 5-7'- .
****************************** *********~*******************************
LENGTH WIDTH SQ. FEET
HOUSE 21..) x 2~ = {, 'Z "'/
ANI;> x =
" . ,
ATTACHED GARAGE x =
TOTAL PRINCIPLE STRUCTURE......................
Gz,-/
DET ACHED BLDGS
( Garage/Shed)
x
x
. TOTAL DETACHED BUILDINGS.......................
DRIVEW A YIP A VED AREAS
(Driveway-paved or not)
(Sidewalk/Parking Areas)
X.
x
=
=
f 'f'\ \"'1
x .....
~ J
=
?.s'
TOT AL PAVED AREA:S......................................... Z s-
" '~.'
PATIOS/PORCHES/DECKS ?f.lrho silt}, X
=
39'6
(Open Decks I;''' min. opening between
boards, with a pervious surface below,
are not considered to 1:>eimpervious)
X
X
=
TOTAL DECKS............l ............................................ 3 (,,1 'b
X
X
=
OTHER
=
TOTAL OTHER.........~.,...........................................
~OTALIMPERVIOUSSURFACE
,-~"""~.
C UNDERfYVER
~repa~d By ,~S;a-lIc)~~~.l(o,.j
LIt 0 c-17
IZ(5Z(
Date 7 ;;y,4F
I
I
Company IT"" 1 1 PY. ""r'TPying. r.n \'. A.
Phone # (g'i?) 447-2'i70
--- --- - ~- ---- ~ - -----
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
jC/JJeL- BOliN
&.23. tJS
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/55 Z 7 CAt-r1t/T /J~/6. ;1/ C.
Accepted
Accepted With Corrections
Denied
Reviewed By:
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."
CITY OF PRIOR LAKE
Impervious SurfacE~ Calculations ~
, (To be Submitted with Building Permit Application) \~s'- ,;:> \ r\
, For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 PerlUint9 1 2005, \
I r r Z 7 '-~.~ '7 i 8 1"" ~ //1. ~Ilij.(. , _ ---'-
Property Address' -::> :) C p.IM ~.+. oft" ~, ~ ,rllj,.JtJo -:::- ~ --
Lot Area Il, 'iDS (, MJuJe- H. 4 oj) , Sq. Feet x 30% = .............. 3,572,.
************************************************************************
LENGTH WIDTH SQ. FEET
HOUSE z....\ x ZCr, = G,Z '1
AN]) X =
, ., .
ATTACHED GARAGE x =
TOTAL PRINCIPLE STRUCTURE...................... r.oz'i
DETACHED BLDGS
( Garage/Shed)
x
x
TOTAL DETACHED BUILDINGS.......................
DRIVEW A YIP A VED AREAS
x
=
(Dliveway-paved or not) X
(Sidewalk/Parking Areas) [f,J.q/ S I/'I.-b :;- x ,5"
,
=
'Zs-
=
TOT AL PAVED AREftJ.:S......................................... Z S'
,>-'-.' ..
PATIOS/PORCHES/DECKS WIO s\()..b x
(Open Decks 114" min, opening between
boards, with a pervious surface below,
are not considered to D:e, impervious)
573
=
x
=
x
=
TOTAL DECKS............f ,..................,...................~....
573
OTHER
x
x
=
=
TOTAL OTHER........t~.f...........................................
,
:rOTAL IMPERVIOUS SURFACE
~VER", '
Prepared By 5ctJtf' IV', (')&'),4 .v!o,J
I I, 1:2:z..
I '2/ -;, 5b
Date 7/1 /~,S-
I ~ IO,3oJJ
I'
Company ".<111 Py, C;:l1r"pying. r.n 1> A.
Phone # (Q'1?) 447-2')70
--- - - ~--~-~-_.- ---
MR 6115.0170 Subp.35. Riprap shore protection. "Riprap shore
protection" means coarse stones, boulders, cobbles, artificially
broken rock or concrete, or brick materials laid loosely or
within gabion baskets against the slope of the existing bank of
a public water.
6115.0215 RESTORATION OF PUBLIC WATERS
Subp. 4. No per.mit required. No permit is required for
the following activities, unless prohibited elsewhere in parts
6115.0150 to 6115.0280:
A. to perform bank or shoreline zone restoration work
using willow wattles, willow posts, brush mattressing, brush
layering, fiber roll breakwaters, plant carpets, root wads, and
other natural materials installed by hand for the purpose of
shoreline zone restoration work, if:
(1) the project is approved by the commissioner
and designed or reviewed by the local soil and water
conservation district or the local watershed district;
(2) the design does not interfere with navigation
or other riparian uses of the waterbody;
(3) the project is done during times of the year
when it will not interfere with fish spawning or the nesting of
protected bird species;
(4) local origin native plant species, adapted
for the site, are used;
(5) an aquatic plant management permit is
obtained, when aquatic macrophytes are used;
(6) the waterward encroachment is the minimum
necessary for the purpose of the project; and
(7) a maintenance plan is developed for the
project and a copy submitted for review to the department area
fisheries office;
E. to install natural rock riprap and associated
filter materials where there is a demonstrated need to prevent
erosion or to restore eroded shoreline, when there is a
demonstrated need for such work, except along the shores of Lake
Superior and officially designated trout streams, if:
(1) the rock is sized appropriately with the
erosion potential of the wave or current action of the
particular water body, but in no case shall the rock average
less than six inches in diameter or more than 30 inches in
diameter;
(2) the rock is placed so that it conforms to the
natural alignment of the shoreline zone;
(3) the finished slope, as measured on top of the
rocks, is not steeper than three to one (horizontal to
vertical) ;
(4) no materials are placed more than six feet
----
-I
waterward of the ordinary high water level, unless the
commissioner determines that this dimension may be measured from
another point due to the particular nature of water levels of
the public water;
(5) the total length of shoreline to be affected
does not exceed 200 feet for public waterbasins or public water
wetlands or five times the width of the public watercourse
measured at bank full conditions;
(6) the riprap does not cover emergent
vegetation, unless authorized by an aquatic plant management
permit;
(7) the riprap does not obstruct navigation or
the flow of water;
(8) a filter, consisting of crushed rock, gravel,
or suitable filter fabric material is placed underneath the
rock; and
(9) the rock and any filter material are free
from organic material, soil, clay, debris, trash, or any
material that may cause siltation or pollute the waterbody.
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address \C;CS-Z- \
~~\""'~ ~~'"'~ N ~
Lot Area ~U:2..\ o...~o~ ~ 9C4.o Sq. Feet x 30% = .............. \3'Z-lp
************************************************************************
HOUSE
AND
LENGTH vnDTH
1-'-t x '2..~
x
x
=
=
SQ. FEET
(.q"Z..~
=
ATTACHED GARAGE
TOTAL PRINCIPLE STRUCTURE......................
DETACHED BLDGS
( Garage/Shed)
x
x
TOTAL DETACHED BUILDINGS.......................
DRIVEWAY /P A VED AREAS
(Driveway-paved or not)
(Sidewalk/Parking Areas)
x
x
=
=
.e~\~ 5 X5 ~ zs
TO AL PAVED AREAS.........................................
PATIOS/PORCHES/DECKS ~D $\ro,
(Open Decks W' min. opening between
boards, with a pervious surface below,
are not considered to be impervious)
=
4 B"2-.
x
X
=
OTHER
X
TOT AL DECKS...............
TOTALIMPERVIOUSSURFA
~VER~ .
Prepared. By ,-'t""-~~
Company "",llpy <:;l1nTPyin8 r.n P A
Date
Phone # (q')?) 447-')')70
lo~
'"Ui
'-\. ~ "'2...
\ \~ \
\QS
1"'2.~. L, O{ t:)
--_---!
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address \~CS"2-.-'
~~\"'V'\ k~'J'..\R- N ~
Lot Area ~L\'Z..\ o...~o~ €..L.. 904.0 Sq. Feet x 30% = .............. \3'Z-Lp
************************************************************************
HOUSE
AND
LENGTH vnDTH
'2A x '2..~
x
=
SQ. FEET
lq'Z..,,-\
ATTACHED GARAGE
x
=
TOTAL PRINCIPLE STRUCTURE......................
lo~
DETACHED BLDGS
( Garage/Shed)
x
x
TOTAL DETACHED BUILDINGS.......................
DRIVEWAY /p A VED AREAS
(Driveway-paved or not)
(Sidewalk/Parking Areas)
x
x
=
=
~~\<4l S xS ~ Z5
TO AL PAVED AREAS.........................................
--u;
PATIOS/PORCHES/DECKS ~u $\a'n
(Open Decks W' min. opening between
boards, with a pervious surface below,
are not considered to be impervious)
x
x
=
4B,-
x
TOTAL DECKS........................................................
~ ~ "2...
OTHER
x
x
=
TOTAL OTHER................................................ .....
TOTAL IMPERVIOUS SURFACE
~VER, .
PreparedBy ,-'t..._~~
Company "::l1'py Sl1nrpyin~ r.n P A
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\QS
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Date
Phone # (q'i?) 447-2'i70
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SURVEY PREPARED FOR:
KARL BONN
15527 CALMUr A ~NUE NE
PRIOR LAKE, MN. 55372
VALLEY SURVEYING ca, PeA.
16670 FRANKLIN 'TRAIL SE
SUITE 230
PRIOR LAKE, MN 55372
(952) 447-2570
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ELEVA T10N 901.9
6/22/05
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EXlST1NG
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FLOOR EUVA nON
-914.46
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SITE DETAILS:
Prop~ty ar~ to ttI.vatlon 904 - 4. 421 sq. ft.
Exsltlng ConClWt. Patio - 482 8q.ft.
ExIsting Concr.t. tmtry - 25 sq.ft.
Exltltlng Dwttlllng(24'x26') - 624 8q.ft.
Toto! Existing Imprllous SUrfo~ - 1.1J1 sq.ft. (25.6X)
LEGAL DESCRIP770N AS PROVIDED:
LO/' B. NORT'HGRAINWOOD. Scott County. Minnesota. Also showing the
location of all visible improvements and encroachments on to or off from
said propNty If any this 22nd day of June, 2005.
"
20 0
~
Scale in
10 20
I I
Feet
I h.-.by c~/fy that this tlUrwy WOtl prepar<<l by m. or un~
my dlrtlct supwvltllon and that I am a duly LIct1nHd Land
Surw)G'" und~ th. lawtl of th. $tat. of MlnntlSOta.
. DENOTCS IRON MONUMENT FOlJND
o DENOTES IRON MONUMENT SET AND MARKED
BY MN LIe. NO.1018J or MN uc. NO.42J09
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GREG C: /l)WGS/10069-LOT8.DJW;
SURVEY PREPARED FOR:
KARL BOHN \
15527 CALMUT AVENUE NE
PRIOR LAKE. MN. 55372
20 0
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Scale 'in
,,'1.0'
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EXISTING
DWELLING
VALLEY SURVCYlNGca., P.A.
16670 FRANKLIN TRAIL SE
SUITE 230
PRIOR LAKE. kiN 55372
(952) 447-2570
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925. 14
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EXISTING
DWELLING
FLOOR ELEVAnON
=914.46
PRIOR
MK$
ELEVA TION 901.9
6/22/05
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SITE DETAILS:
Prop",.t)' artJO to tllsvotlon 904 .. 11.908 sq.ft.
Exsltlng Canertlttl PatIo - 57.1 sq. ft.
Existing Canertlttl tin try - 25 sq. ft.
Ex/stIng DWfllllng(24'x26') - 624 sq.ft.
Total Existing ImptJlVlous SurfOCtl - 1.222 sq.ft. (10..JX)
LEGAL DESC/?IPnON AS PROVIDED:
Lots 7 and 8 and the North Half of Lot 6, NO/?TH
GRAINWOOD. Scott County, Minnesota. Also showing the
location of all visible improvements and encroachments
on to or off from said property if any this 22nd day of
June. 2005.
BENCHMARK ELEVATION 914.46 EXISTING FLOOR ELEVATION, LOT 8
92:.87 DENOTES EXISTING SPOT ELEVA710N
-9.2(.7- DENOTES EXISTING ELEVA TlON CONTOfjR LINE
10 20
I I
Feet
I h",.t1by ctlf't/fy that this $UrvrlY was prepared by mil or undi
my dlrYlct supflf'Vlslon and that I om 0 duly Uc.nslld Land
Surveyor under thtl lows of thtl Statfl of Mlnntlsota.
. DENOTES IRON MONUMENT FOUND
o DENOTES IRON MONUMENT SET AND MARKED
BY MNLIC. NO.1018.J or MN LIe. No.42.J09
Mlnnflsota LlCT M . . or Minnesota Llcsnstl No. 42.J09
Dattld this I . of .3 i.A. 'r ' 2005
FILE NO. 10127 BOOK 248 PAGE 21
GREG C: /DWGS/10069-LOTS-8-7-6,DM;
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