HomeMy WebLinkAboutBuilding Permit 07-1002 / _ _ - \i - ' / - \ �/ \
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C��r��Y�i���� �� (�x����tx�r
CITY OF PRIOR LAKE
�Q��r����r� �� �.�x������ �1�t���x�z.a�t
� Final Permitted ❑ Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the � Residential /❑ International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
Use Classification `� �/�j C L� Ff� /°/ /Lt� Bldg. Permit No. G �. / G G Z
� , �
Occugancy Type �- Type Construction � Zoning District �- � .
Legal Description L Z� G '¢' � � 7E rJ� %E/� /�%/ ��'y� ,r
Owner of Building Sife Address ��"'L �G ..S N� E / V� �/ N. 1 V�
Contractor's Name & Address T� L L�/� �'^�, �✓ /7 L��-�- !t! G l� �T f VE . � f/f! K � �.. r
,�,a /'�}cT J li�'S City Planner S f+"u�- K�-� n/ �/E7�
� Building Official
Date: �l �' � 1 I Date:
POST IN CONSPICUOUS PLACE
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED S //
ADDRESS 1��! a�
OWNER CONTR.
PHONE NO. PERMIT NO. 7� /00'Z
0 FOOTING ❑ PLUMBING RI ❑ EX/GRAD/PILLiNG
❑ FOUNDATION O MECH RI ❑ COMPLAINT
❑ FRAMING 0 WATER HOOKUP ❑ FIREPLACE RI
❑ 1NSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FiNAL
,�C FINAL ❑ PLUMBING FINAL O GASLINE AIR TST
❑ SITE INSPECTION O MECH FINAI �
COMMENTS:
r
`Q�WORK SATISFACTORY, PROCEED
✓ —
� CORRECT ACTION AND PROCEED
❑ CORRECT RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAL 7-985Q FOR THE NEXT INSPECTION 24 HOURS IN ADYANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HE9LTH dc SAFETY!
INSNOT!
�� r�
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED �,2 G
ADDRESS � W
OWNER CONTR.
PHONE NO. PERMIT NO. �` � OO�
O FOOTING O PLUMBING RI ❑ EXIGRAU/FILLING
❑ FOUNDATION O MECH RI ❑ COMPLAINT
❑ FRAMING O WA7ER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
�FINAL ❑ PLUMBING FINAL ❑ GASUNE AIR TST
O SITE INSPECTION O MECH FINAL ❑
COMMENTS:
� • �� �Q. 'v�S fv�/� � �K?- �83�
2, Pro � ,d.�. �ra-�o I�ss
a. W�•o►.
� . ca.., l r� � .e5
" —' D
❑ WORK SATISFACTORY, PROCEED
Q CORRECT TION AND PROCEED
�CORRE W CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwneNContr:
CAL 447 850 FOR THE (VEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
rnswori
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED �p�L � ° �
ADDRESS 1 G � [ V ��[
OWNER CONTR.
PHONE NO. PERMIT NO. 7
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILUNG
❑ FOUNDATION O MECH RI ❑ COMPLAINT
❑ FRAMING O WATER HOOKUP ❑ FIREPLACE RI
� INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL �'PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
� e�ok
� �
❑ WORK SATISFACTORY, PROCEED
�CORRECT ACTION PROCEED
❑ CORRECT R LL FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
uvsnon
oF PRI�� CITY OF PRIOR LAKE SUILDING PERMIT, Date Rec'd
,� r TEMPORARY CERTIFICATE OF ZONING COMPLIANCE `� I��
� � AND UTILITY CONNECTION PERMIT ' '
U �
M��'NES��P � Wh��e Fde pERMIT NO. O U Z
2 RnA C�ty
3 Yeqow Apphcant
Please e or rint and si n at bottom)
ADDRESS ZONING (oFlFice use)
�/�'O SA�tvE �,Jk N.w. S'�/�FKc�,E� tit..� Ss3 �-q f` (
LEGAL DESCRIPTION (ofTice use only)
LOT Z► BLOCK y ADDITION ST��MM�- A��b�- PID Z.S, O. �? „ �
OWNER
(Name) (Phone)
(Address)
BUII.,DER
(Company Name) TO t,.�., �$jtOTW �G S � �JL, (Phone) '�J SZ " � �� �0 � 9�D<�� c..��
(Contact Name) !�� 1�+�l��c�F- �r'J k��a"� (Phone) f/� �4 �" L� � �Riex CG��
(Address) �Me�'/ /4✓F I�) �.J $•�A�1� ,E.� N � '� IoSI - � 3" b `f f �I Cf�.. j
TYPE OF WORK �New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Sidmg �.,ower Level Fimsh �Fireplace (
Add�non ❑Alteraaon ❑Unlity Connection
CODE:� I.R.C. ❑I.B.C. O Misc.
Type of Construction: I II III N V A B pROJECT COSTIVALUE $ 2�o,L,aeO 4 �
Occupancy Group: A B E H I M R S U
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have fi�rmshed mformation on th�s applicanon wh�ch is to the best of my knuwledge true and conect I also cerufy that I am the owner or author�zcd agent for the
above-menhoned property and that all construchon will conform ro all existmg srnre and local laws and will proceed m accordance wuh subm�tted plans I am aware that the buildmg
official c revoke this per rt for�ust cause Furthermore, I hereby agree hat the city official or a designee may enter upon the property ro perform needed mspecuons
X .'=—�. � ��,. pR��. � Zo �i r3 b b Z ���/c �
Signature Contractor's L�cense No. Date
Permit Valuation 3 OQ�� OQ Park Support Fee # $ .�—.
Permit Fee $ 2 S � SAC # $ r( S, 00
Plan Check Fee $( ' g Water Meter Size 5/S", $ �s, d O
State Surcharge $ `� S�� Pressure Reducer $ O r O O
Penalty $ • Sewer/Water Connection Fee # $� SOO, p 0
Plumbing Permit Fee $ d� �� Water Tower Fee # $ D ��� d �
Mechanical Permit Fee $ �•� Q � Builder's Deposit $ISQ Q ��
.
Sewer & Water Permit Fee $ 35. �O Other $
Gas Fireplace Permit Fee $ Q� d � TOTAL DLTE �a �� $� � � b f
This Applicallon Becomes Your Building Pernut When Approved Paid Q Cel t No. , j
��/���,/l�. , Date �c�. /�( c�
�,y�, �a 9 a
Buddma Ufticial D�te
This is to cerufy that the request m the above appLcation and accompanymg documents �s m accordance w�th the City Zunmg Ordmance and may proceed as requcsted This document
when signed by the Gry Planner constuutes a temporary C��tificate of Zomng compl�ance and allows construcuon to commence Beiore occupancy, a Ceruficare of Occupancy must be
ts �
ti
� r� 0 �
Planning D'uector ate Special Condi6ons, if any
24 hour notice for all inspections (952) 447-9850, fax (9S2) 44 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: ��/9� �.
_ y�-�-
,
Building Rer�it # PID: Zoning:
Address: /� �/ �� ?� � �, Gc,, ,
/ - 7
.����} � 2. T, B�._ Sub rvision: �`� p.c �'7c, � aGE
5
Existing Structure? YES NO � . Existing Nonconforming Structure? YE NO
CONFORMS TO ZONING YES NO
ORDINANCE
Yard Setbacks: NA I FAIL OMPLIE Standard Pro osed
• Front Yard can be 20' if av . wrn 150' 25' 2 '�+�^'•
• Side Yarcfs 10'/ .
25' if abutting a street Z S 1N•
• Sidewall exceeding 50' requires additional side 2" 10' setback + �D �
setback for eve 1' over 50' in len th 2"/1' over 50'
• Rear Yard 25' 2• I� �
• Patio Door. provide for minimum 10' deck or sign 10' side!
statement indicatin no deck will be built in the future 25' rear oN� .
. From 100 year flood elevation of wetlandlNURP 30' �
pond. �'�
• Refer in round ols to the Plannin De a�tment
. From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no ��
less than 50'
Floor Area Ratio: NA ! FAIL I OMPLIE .30 Maximum /
Yard Encroachments: NA I FAIL MPLtE Standard Pro osed
Eaves and Gutters no more than 2 feet in width and no D ��..
closer than 5 feet to a lot line Easements .
A/C and other equipment cannot encroach on interior O ��.
side ards.
Tree Preservatia N FAILS 1 COMPLIES Standard Pro osed
• Total cali er inches
• PeRnit 25% Removal
• Cali r Inches Removed
. Cali r Inches Preserved
• Re lacement �� �
L:\TEMPLATE�BLDGLIST.DOC
Drivewa : NA I FAIL COMPLI Standard Proposed
• Maximum width at ro ert line 24' ''
• Required setback � 5' from side lot line or �
30' ftom r-o-w on° comer lots /0
• Maximum slo e 10 d
• All parking areas to be paved including R-V or � �
s aces ad'ace�t to the ara e " � �� ��•-+
• Locatiori to �rnatcl� subdivision radin lan ., . f
Buildin Hei ht: NA / FAILS COMPLIES 35' Maximum �
Shoreland District N FAILS i COMPUES Standard Pro osed
Minimum lot area s uare feet 7,500 Ri , 7,999 Non-ri
Minimum lot width 50' Ri , 57.3' Non-ri
Shoreland alterations
Im ervious surface 30% Maximum
` y F
Bluff in,Shoreland N FAILS 1 COMPLIES Standard Pro osed
•�' Setbaek from top of bluff By planning dept.
• Bluff im act zone 20' From Top of Bluff
.. • En ineen'h certification submitted/a roved B Ci En ineer
'� � "` ' Grad in bluff or bluff im act zone No importing/ex ortin
Flood lain NA FAILS / COMPLIES Standard Pro osed
• 100 year ood elevation 908.9' Prior Lake
914.4' S rin Lake
• lowest floor e{evatian 909.9' Prior Lake /
915.4' S rin Lake
� Proposed lowest floor efevation Must be 1' above flood
� e{evation for new and existing
structures. If existing
' �. � ��� structure was constructed
9/19/90-11/22/97 then
ad�tional foot is not uired.
• Elevations 15 feet from structure Must be flood elevation or
' ' hi her
• Road access must be no more than 2 feet below 907.9' for Prior Lake
° f2 ulat Flood Protection Elevation 913.4' for S ring Lake
Accesso Structure NA AILS / COMPLIES Standard Pro osed
• Size 832 s.ft. or 25% rear ard
• Not located in front ard Materials �
• Side arci and rear ard setbacks 10'
• Maximum hei ht 15'
• Materials com atible with rinci 1e structure
L:\TEMPLATE�BLDGLIST.DOC
O � PRip�
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White - Buildin
,� ,��, Canary - Engineering
NNES° Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT I ��-' �� S •
APPLICATION RECEIVED I � � ( • v
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
C�� S � �I N , U� .
Accepted Accepted With Corrections �
Denied ,
�
Reviewed By: S��e� Date: �d l � 0 7
Comments: I�.e.�t� ls�-�� "O''.+� �
w , �L'r� ,
.
� �
��ao ��^�a�J Gt•�..� /��c�� • 2� 0 6
/��. C' . �O'�O c.�J.�j"� S�B C Z a a�.
"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 approvat 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 cancet the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
O � PRIp�
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White - Building
, ,� C ' ring
NNESO Pink - Plannin
BUILDING PERMlT APPLICATION DEPARTMENT CHECKLIST
��� 4..' � � � 4.. t, ! ., .
NAME OF APPLICANT I
APPLICATION RECEIVED � � ` � � � ��
w«,e
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
�:.- " _ ' �`� . � '
�(; , �; �f-�r � l � r�L; ti.
u Accepted Accepted With Corrections �
Denied
._ � •
Reviewed By: Date: �� l � 0 7
Comments: �� �.� ' •
�
,
e
. -,
� �� � into ��e�
�7�.ts Cannot �
A � `�
"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 approvai of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Perm�ts
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
���
O � PRIp�
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W ' - Building
�. Canary - Eng�neenn
"'I1viv�so'� n
�UILDItdG PERMIT APPLICATION DEPARTMENT CHECKLIST
.-----�
NAME OF APPLICANT � C� 1 - - �- Y� S.
APPLICATION RECEIVED � d � �� U
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: N
��- S� E W .V�.
A+ccepted Accepted With Correations
Denied
Reviewed By: __�� Date: �O - /b -O 7
Comments: �l�,Q��;�+�+� �t ��s�l ���1
1 e�
"The issuance or granting of a permit or approval of plans, specifiica#ions �r�c1
computations shall nat 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 ofi the jurisdiction. Permit�
presuming to give authority to violate or cancei the provisions o# this code or other
ordinances o# the jurisdiction shail not be valid."
ADDITION�t- COMMENTS FOR BUTLDIN6 PERMI�' APP1-ICATIONS
• Surfa�� s'�'orm water drainage f lowing to fihe perimet�r of this lot fio
and from Qdjo�n�h9 prop�rties musfi be conveyed to the rondwoy
nnd/or �o i'he re�r of the lofi in drainage swales wathin the drainage
ectsement.
� •�lil bare soil oreas musfi be protected from eroding into neighboring
properties fihrough the properly insfialled and maintained siifi fence or
bales,
• The silt fence required by fihe ero�ion control plan musfi be instqlled
prior fio ony earthwork being started,
• The builder is respons�bie for maintaining fihe erosion control
measures unfii) the fiurf is esfiablished,
��� � �- The rock consfirucfiion entrQnce musfi be . insi�olied afi fihe fiime o�
backfiliing o-� the founda�ion.
. ,. , . ,
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�
s�uw�na�w.p+ a�fou►uwrtzon�. col�►�eN�'s goR puuuz� r�aNaT' �t:oNS��
Oct. 24. �i1�7 1:33PNi Plymouth Plurr�bing � HFztinh N��, [lil5 P, 1
Date Rec'd
p F pRl�,p CIT'Y OF PRIOR I,A�E
� � SEWER AND WATER PERMIT
� �
�
r 'y'N E S 0 �
�: � C PERMIT NO.
3, Oold Aavhaut •
lea.ae or t and ' at bottoa�) �
ADDRESS ' � �� O ��� �� ZO1vING t��
,u4�
LEGAL DB6CR1PT10N (oEEice use only)
LOT SLOCK ADDITlON � PID
OwNER
Drivewa : NA / FAIL COMPLI Standard Pro osed
• Maximum width at ro rt line � 24' f
• Required setback '�. ,'. 5' from side tot line or
' 30' from r-o-w orfi comer lots �/0 r
• Maximum slo 10%
• AIf parking areas to be paved including R-V or �, �
s aces ad'ace�t to the ara e � " ' � ����-►
• L�atiori�to�rnatcitsa�iivision radin lan . .t.� . �F
Buildin Hei ht: NA 1 FAtLS COMPLlES 35' Maximum �
Shoreland District N FAILS I COMPLIES Standard Pro osed
Minimum lot area s uare feet 7,500 Ri , 7,999 Non-ri
Minimum lot width 50' Ri , 57.3' Non-ri
Shoreland alterations
Im rvious surface 30�o Maximum
* A _ .
' R
Bluff in N FAILS I COMPLIES Standard Pro osed
•�� Setback from top of bluff By planning dept.
• Bluff iro act zone 20' From Top of Bluff
. • En ineen� certification submitted/a roved B Ci En ineer
�� '' ' Grdd in bluff or bluff im act zone No importinglexportin
.
Floo lain NA FAILS / COMPLIES Standard Pro osed
• 100 year ood elevation 908.9' Prior Lake
' 914.4' S rin Lake
• Lowest floor elevation 909.9' Prior Lake I
915.4' S rin Lake
• Propu�s�d lowest floor elevation Must be 1' above flood
elevation for new and existing
t � structures. If existing
a e , ''i _a�..�i..� ...............w�w.w4wd
�.c. 3. 2i'�JI 11:OIHNi Plymouth Plumbing � NF�,tin_ N��, �902 P. 1
�F PRI�� Date �2ec'd
� i�\ � CXTY OF PRIOR LAKE PLUMS�IG PERMIT
U u �
� �� (
�'NbS�
` e'� F''` pERM�T NO. �
z c�ia cuy
3. Yd1aw pppLam
(�C34C Ot � 87.1� 9� �[ bOtLO'07
ADDRESS ZONLNG co�ceuu)
I tou� � Sc,�.c�. W��
I.$GAL DESCRIPT�ON (o95oe use oaty)
LOT SLOCK ADDTTION PID
OWNER
(Name) (Phone)
(Address)
AP'PY.ICANT
(Name}� �.,,.�irt �l,y�,�1}ray,�� ,,� r�L . (Phoae) "2 b� � ��, to — �0 1 �8
t)
(Address) l2Z'li� �-t�rdl ,�_�C. � �r�Ci1 Q SS�'llA
(Address) (CicS') (Zip Code)
(Contact Person) (Phnne) "l lo �— �lg lo ^ l.� 1 S�
APPLZCANT SIGNATiJRE � DATE r�- j 3 � b''�
APPLICANT P EASE COMPLETE BELOW
uantl T e o,f �lure uanti c of �iacture
Bath 'T�b with or witl�out shower Rou -ins '
, Dishwashcx Water Heater
Floor Drain �Vater Softener
Lavato athroom Sink Stand Pi as ' Machine
Laun Tra 1 or 2 com ent sink Sewa�e E�ector
2 Shower Stall Backflow Assembl
Sinks Backflow Assembt Test
Bar Sink Lawn S 'nkler
Water Closet Toi�et Other
FEE 3CAEDULE
1ndw�n;aJ, Commcrcial & Multi-faan�y 196 of job ccst with a S39.S0 minimum Residrnrisl, New One � 7waFaoni�y 549.50
Residtntial, Addidons & Alterations $39.50
Estimated Cost $ Building Pcrmit #
PLUMBING PERMIT FEE $ ��� �
STATE SURCHARGE $ � ����� �,����,
TOTAL PERMrT FEE $
(�lce tTSe OnlY)
Thia AppGcation Becomes Your Building Pe�rmit When Approved eccipt No.
�EC 0 6 2007 y
BaUdlAE O[4cie1 Date . I
24 hoar n�tice for sU �napee[ioas (952) 41 S0, isz (952) 4��-4245 ,
Q646 Aakoto Street SE., Prior La !
�
. �
�� PRlp�
CITY OF PRIOR LAKE vate Rec'd
� �
� HEATING/AIR CONDITIONING/FIREPLACE PERMIT
U
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�'NES�
` "`"` �`` PERMIT NO. O
1 Gam Ciry
7. Yellow App6�n1
Please e or int and si at bottom
ADDItESS ZONING torC�
r 1 � � �)
' � � O \�.J
LEGAL DESCRIPTION (oHice use only)
LOT BLOCK ADDITIOIV PID
OWNE (Phone)Q� '
(Name) �
S 1 Q.�-e. � �.J
(Address)
Drivewa : NA 1 FAIL COMPLI Standard Pro osed
24 �
• Maximum width at ro rt line -
. Required setback �- �'� 5' from side.tot line or ,' /0 �
30' from r-o-w or� comer lots
. Maximum slo e 10%
. All parking areas to be paved including R-V or °, , �
� � j ��
s aces ad'acent to the ara e ,�
• LocatioR�tomatcftsubdivision radin lan '�'` '
Buiidin Hei ht: NA 1 FAILS COMPLIES 35' Maximum '�
Shoreland District N FAILS / COMPLIES Standard Pro osed
Minimum lot area s uare feet 7,500 Ri , 7,999 Non-ri
Minimum lot width 50' Ri , 57.3' Non-ri
Shoreland alterations
Im n►ious surface 30°� Maximum
'� � ' Standard Pro osed
Bluff in N FAILS 1 COMPLIES
•�` Setback from top of bluff By planning dept.
• gluff iro act zone 20' From Top of Bluff
. • En ineen'h certification submittedla roved B Ci En ineer
°� '� :' Grad i�i bluff or bluff im act zone No importin lexporting
Floo tain NA FAILS 1 COMPLIES Standard Pro osed
• 100 year ood elevation 908.9' Prior Lake
• 914.4' S rin Lake
. Lowest floor elevation 909.9' Prior Lake /
915.4' S rin Lake
_ c�„u,�o� ��Wpct flnnr Plevation Must be 1' above flood
F PRIp
� '� CITY OF PRIOR LAKE Date Rec'd
� D� HEATING/AIR CONDITIONING/FIREPLACE PERMIT �.{� , p 0
�'�Hxeso
l. Pink F��� pERMIT NO.
2. Gran Ciry O� ` O O Z
3 Yellow Applicant
lease or rint and si at bouom
ADDRESS ZONING (otfice use)
1(0�+�1 U SR�:� v� a�
LEGAL DESCRIPTION (office use oniy)
LOT BLOCK ADDITION PID
OWNER � _ � �
(Name) .=T D1d B(Z.O TF.� r�LS 1 n1 C �- � (Phone) 9 �`i�S- �}08
(Address) � � f�'Z.� r�I (�: I�IC.� � ' 1�
• APPLICANT
(Name) _�iCtaTl.et�n 4' Co c� u�•LG 7W C� (Phone) '7 � 3-�7..� - 3b77
(Address) j �3_`75 c� C �..;.vutv l20 �� � ' �'YI�tL- �2va � r►'�/� 5 �5 3G� 9
Address) (City) (Zip Code)
(Contact Person) �.. o (Phone) � 1 Z- 3!� 9- S� 5`�
APPLICANT SIGNATURE ` I DATE
APPLICANT PLEASE COMPLETE BELOW
NEW CONSTRUCTION [] REPLACEMENT � ALTERATIONS
FURNACE MAKE AND MODEL �R�r�-�,� ' j�� �Av �oGl -' (Z(1 FUEL NAT CoA'S
FLUE SIZE ��� PJ(� RETURN OPENINGS I I INPUT 1 Z� �x�'rI OUTPUT / I6 M$ hI
TYPE OF SYSTEM HEATING OR POWER PLANT
� Warm Air Plants ❑ Steam PLEASE NOTE:
Gravity ❑ Hot Water Air Conditioner Units
� Mechanical ❑ Radiation Cannot Enccoach into
Air Conditioning ❑ Special Devices Required Side Yard
�Vent. System ❑ Other Devices SetbaCks
FIREPLACE MAKE AND MODEL ' '
FEE SCHEDULE �
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace $39.50
$39.50 minimum
Residential, Heating & A/C (New Construction� $99.50 Residentiai, Additions & Alterations $39.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $39.50
Estimated Cost $ Building Permit #
�� �
HEATING PERNIIT FEE $ �UILC�D�IV ,�,� P�F��IIIT
STATE SURCHARGE $ .50
� TOTAL PERMIT FEE $
(Oifice Use Only)
This Agplication Becomes Your Building Permit When Approved Paid Receipt No.
Date A Q By
Building OfTicial Date 1. �+ � � v
24 hour notice for all inspections (952) 447-9850, fax (952) 447-41A5
16200 Eagle Creek Avenue, Prior Lake, MN 55372 `�
CITY �� PR�OR LAKE
Impervious Surface Calculations
(To be Submitted with Building Perrnit Application)
For All Properties Located in the Shoreland District (SD).
The IVlaximum Impervious Surface Coverage Permitted is 30 Percent.
Property Address __ 1�p��� S�� �/�' y_/(/. (�
l� 6�� s �
Lot Area � sq. ft. x 30% = L�q�7, e�
�*�:***�:*=r***�:**�****��:*�*��***�**�**�**��:****************�*�:�***********
LENGTH WIDTH SQ. FEET
HOUSE x =
x =
ATTACHED GARAGE x =
TOTAL PRINCIPAL STRUCTUR.E ...................... 3 /,��
.��_,.
��vctc�s /�a2c�/
DETACHED BUILDTNGS x � l�iAr,C �/,o �.
(Garage/Shed) X
TOTAL DETACHED BUILDINGS ....................... ,�/Q
RIVEW AVED AREAS x =
(Driveway-payed or not) . X =
Sidewa atking .Areas) �. X Z � _ � ! 1 -
f
TOTAL PAVEl� AREAS ...................................:..... I I� D GI'
PATIOS/PORCHES/DECKS x -
(Open Decks'/," min. opening behveen � _
X
boards, with a pervious surface below,
are not considered to be impervious)
X • _
TOTAL DECKS ........................................................ ,vA
OTHER x ' _
x =
T�.TAL OTHER ...................................................... ,(jA _
TOTAL IMPERVIOUS SURFACE � t� � �
vrr�E vER 2.2
Prepared By �� !� Date 9-/3 7l7 �
CompanY L�,�vbi.�i� �. �,�. Phone # C9S2-� �2 -3��
P� I Q R `.. �EPARTl��NT OF
A� E BUILDf1NG AND INSPECTION
I N P E TI N
RE RD
SITE ADDRESS i�� � � S�� W AY N• W•
NATURE OF WORK W ,t,. - • ���
USE OF BUILDING . . ��
PERMIT NO. O� �ObZ DATE ISSUED O �
CONTRACTOR `T��.�.• ��.�0't'7'1E�S , N�C.. PHONEl� ' 0 - � �'
NOTE: THIS IS NOT A PERMIT FOR ANY QF THE fNSPECTI�� �1I
THE PERMIT IS BY SEPARATE DOCUMENT
�T�O� � � � N �' � NSPECTOR - DATE w
FOOTING ��. �,
FOUNDATlON (Prior to Backfill) � _�
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER ! WATER / SEPTIC
FRAMING ;�
INSULATION �
ELECTRICAL
PLUMBING i�l (�t ( 1�( � yl
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST� N , iZ, t$ 0�5
COVER NO WORK UNT1L ABOVE HAS N SIGNED
.
/ !'
�� �' FINALS
GRADING (Prior to Sodding) � ��
B�i1LDING � .�, �j.. � $ � a
EL��TRICAL
PLUMBING �� ,-
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electricaf 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
Drivewa : NQ 1 FAIL COMPLI Standard Pro osed
• Maximum width at ro e line 24' �' �
• Required setback ' � 5' from side Iot line or r
30' from r-o-w on comer lots ��
• Maximum slo 10%
• AI! parking areas to be paved including R-V or °. �
s aces ad'acer�t to the a e " ° ��
• Locatiori to �rnatctr subdivision radin lan ., .�•� � �'
Bui(din Hei ht: NA 1 FAILS COMPLIES 35' Maximum �
Shoreland District N FAILS I COMPLlES Standard Pro osed
Minimum lot area s uare feet 7,500 Ri , 7,999 Non-ri
Minimum lot width 50' Ri , 57.3' Non-ri
Shoreland alterations
Im ervious surface 30°�6 Maximum
.` s A
Bluff in N FAILS / COMPLIES Standard Pro sed
•�' Setback from top of bluff By p(anning dept.
• Bluff iro act zone 20' From Top of Bluff
. • En ineerih certification submitted/a roved By Ci En ineer
'� :' Grad in bluff or bluff im act zone No importin lexporting
Flood tain NA FAILS 1 COMPLlES Standard Pro osed
• 100 year ood elevation 908.9' Prior Lake
914.4' S rin Lake
• Lowest floor elevation 909.9' Prior Lake /
915.4' S rin Lake
• Proposed lowest floor elevation Must be 1' above flood
elevation for new and existing
stru�tur�s. If existing
° . � �� st�ucture was consttucted
9119190-11122197 then
additional foof is not uired.
• Elevations 15 feet from stnacture Must be flood elevation or
' ' h' her
• Road access must be no more than Z feet below 907.9' for Prior Lake
� F2 utat_ Flood Protection Elevation 913.4' fo� Sprin Lake
Accesso Structure NA AILS / C�MPLIES Standard Pro osed
• Size 832 s.ft. or 25% rear ard
• Not located in front ard Materials �
• Side ard and rear arcl setbacks 10'
• Maximum hei ht 15'
• Materials com atible with rinci ie structure
L:\TEMPLATE\BLDGLIST.DOC
Residential Buiiding Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by: ` � Date: ��/g� �.
, y��
�
Building Per�it # PID: Zoning:
Address: /� �rf� ?� � �� Gc�, ,
• �Legair L�- �. B�_ Sub ivision: �� �.�. �7� rC/C�GE�
�
Existing Structure? YES NO � . Existing Nonconforming Structure? YE NO
CONFORMS TO ZONING YES NO
ORDINANCE
Yard Setbacks: NA 1 FAfL OMPU Standard Pro osed
• Front Yard can be 20' if av . w�n 150' 25' � '�+t'''''
• Side Yards 10'f , .
25' if abutting a street 2 S 1 M!N•
• Sidewaii exceeding 50' requires additional side 2" 10' setback + , r
setback for eve 1' over 50' in len th 2"l1' over 50'
• Rear Yard 25' Z• I�+�+ �
• Patio Door. provide for minimum 10' deck or sign 10' side/
statement indicatin no deck will be buiit in the future 25' rear oN� .
• From 100 year flood elevatian of wetland/NURP 30' �
pond. �'�
• Refer in- round ols to the Plannin De artment
• From OHW (Prior ar Spring Lake) 75' or setback average of
adjacent structures, but na N �
less than 50'
Fioor Area Ratio: NA I FAIL / OMPLIE .30 Maximum /
Yard Encroachments: NA I FAIL MPLIE Standard Pro osed
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a fot line Easements . �� ��
A/C and other equipment cannot encroach on interior ���_...
side ards.
Tree Preservatio N FAILS / COMPLIES Standard Pro osed
• Total cali r inches
• Permit 25% Removal
• Ca1i r inches Removed
• Cali � Inches PreseNed
• Re lacement ��
L:\TEMPLATE�BLDGLI5T.DOC