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'=" CITY OF PRIOR LAKE
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foe—, Priaarfttirtif of puitbitt 4nsprtfilatt ....„.: /
❑ Final Permitted ❑ Conditional C.O. Expires _
10 This Certificate issued pursuant to the requirements of Section 110 of the ❑ Residential l ❑ International)
Building Code certifying that at the time of issuance this structure was in compliance with the various-
ovv. ' ' ordinances of the City of Prior Lake regulating building construction or use. For the following: '. 'i
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`I' «1 Use Classification $ � N � tH / / Bld Permit No. / l) - 7 q
Occupancy Type ��� Type Construction Z oning District
L egal Description 4 G ~ 2 , e4--- - 6 GiLvf1 0/� /V6iL kv 60, t7 14L)o( - )
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Owner of Building Site Address / li Z 4--/ 779 H /N/viP dT.
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Contractor's Name & Address F/ /: f)-72 ic - i /L /40/ - /f�.
( :_i= le-.6 bit— .' H1/7 / Ai ss City Planner
Building 0 •a
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�� Pj o �' CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
�� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE rr1�
L) AND UTILITY CONNECTION PERMIT
v Z Z ' 0/\
V
�
L White File PERMIT NO . ///yyy///���
2. Pink City /O /,/
3. Yellow Applicant // j
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
/ &2 /t %r IA YQ 0) - PU$j
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION Bik i%r5 o r 00,t1,, M €4.z1, ')J> PID ZS 4-s q . 070. 0
OWNER > -_
(Name) .11 / 4- hit ia✓c '� (Phone)
(Address) S V— 3 4 411,
BUILDER
(Company Name) rI e \c C S _ c,
O I h A A- ""t "t J 3L- (Phone) ! S Z ' 1 / 6 Y— 86°°
(Contact Name) % c-y A v I . (Phone) e- 1) L -2 -E ,2 -- 7b 6 Y
(Address) i 76 Li 5 ) uvl "1.4./' e- A Sic .) 35"L/("k,.) (t Mk $ 4 PAUL bt2 -- 7.9 1 7 7
TYPE OF WORK jirNew Construction ['Deck ['Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
['Addition ['Alteration ❑Utility Connection
CODE: I R.C. ❑I.B.C. ❑ Misc:
Type of Construction: I lI III IV V A B
Occupancy Group: A B E F III MR S U PROJECT COST /VALUE $ /60 d
Division: 1 2 3 4 5 (excluding land)
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 re is permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x ,' /� / i-et k 2-0U 3it6`-/ /o /Zf/iv
Signattire Contractor's License No. Dat
Permit Valuation Park Support Fee # $
l6 Z t o00.
Permit Fee $ SAC # $
1425. 50 "2 100_ •
Plan Check Fee $ 24:..58 Water Meter Size; 1 "; $ iP (O.
State Surcharge $ 8 1. • Pressure Reducer $ cto. ,
Penalty $ Sewer /Water Connection Fee # $ 1 5 •
Plumbing Permit Fee $ ( r5, Q 5n Water Tower Fee # $ t 0 O •
Mechanical Permit Fee $ 54 Builder's Deposit $ �� Q 0 U Q
Sewer & Water Permit Fee $ Other $
S(c ,.Sc> 3 /v0.00
Fireplace -Permit Fee $ _ TOTAL DUE w.92 ceYJ Di / ./o/z.4//a $ /Z. 4, 9 0 5 '
This A l 'Feat' . , Becomes our Building Permit W en App ved Paid / Z (L 9i 9 • .� Re . No. 6 /(
' Date /D . s.1, ! j B
uilding Official Date
This is to certify that the reque 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 e City P er constitutese temporary Certificate of Zoning comp 'mice an allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. /
Iir t ZS I �'
Planning i Dat Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Residential Building Permit Checklist
New Construction for Single or Two - family Dwellings in R -1 or R -2 Districts
Reviewed by: c Date: i o lZ 8I
i
PID: Zonng:
Building Permit # P u so
Address: 167_4.
Legal: L , B Subdivision:
Existing Structure? YES I Existing Nonconforming Structure? YES 1 NO
CONFORMS TO ZONING Y NO
ORDINANCE
I Yard Setbacks: NA`I FAILS/ COMES Standard Proposed
• Front Yard (can be 20' if avg. w /in 150') 25' ZS• 3'
• Side Yards `' 't-5
25' if abutting a street S
• Sidewall exceeding 60' requires additional side 2" 10' setback +
setback for every 1' over 60' in length. Not required 2 "/1' over 60'
if building wall is 10' -0" or greater of being parallel to
a side lot line.
• Rear Yard 25' 5 1 . 8 3
• Patio Door: provide for minimum 10' deck or sign 10' side/
statement indicating no deck will be built in the future 25' rear --
• From 100 year flood elevation of wetland /NURP 30'
pond.
• Refer in- ground pools to the Planning Department
• From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no
less than 50'
I Floor Area Ratio: NA 1 FAILS 1 COMPS .30 Maximum 1
Yard Encroachments: NA FAILS /CO ; tES Standard Proposed
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line (Easements).
A/C and other equipment cannot encroach on interior I. �.'
side yards.
Tree Preservation: e/ FAILS / COMPLIES 1 Standard Proposed
• Total caliper inches
• Permit 35% Removal
• Caliper Inches Removed
• Caliper Inches Preserved
• Replacement 1/2:1
L:\TEMPLATE\BLDGLIST.DOC
Driveway: NA / FAILS / COMR11 Standard 1 Proposed
• Maximum width at property line 24' "Z-k
• Required setback 5' from side lot line or
30' from r -o -w on corner lots 7 •5
• Maximum slope 10% .V.°‘
• All parking areas to be paved including R -V or
spaces adjacent to the garage
• Location to match subdivision grading plan
1 Building Height: NA 1 FAILS / C011 1IES 1 35' Maximum I -2 - 4 ='
Shoreland District: NA / FAILS / gdyiDLIES Standard Proposed
Minimum lot area (square feet) 7,500 Rip, 7,999 Non -rip
Minimum lot width 50' Rip, 57.3' Non -rip
Shoreland alterations
Impervious surface .Maximum lc-)p 3��®
Bluff in Shoreland: ,1 FAILS / COMPLIES Standard Proposed
• Setback from top of bluff By planning dept.
• Bluff impact zone 20' From Top of Bluff
• Engineering certification submitted /approved By City Engineer
• Grading in bluff or bluff impact zone No importing /exporting
Floodplain: FAILS / COMPLIES Standard Proposed
• 100 year flood elevation 908.9' Prior Lake
914.4' Spring Lake
• Lowest floor elevation 909.9' Prior Lake /
915.4' Spring Lake
• Proposed lowest floor elevation Must be 1' 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
higher
• Road access must be no more than 2 feet below 907.9' for Prior Lake
Regulatory Flood Protection Elevation 913.4' for Spring Lake
Accessory Structure: & / FAILS / COMPLIES ( Standard 1 Proposed
• Size 1000 sq.ft. or 30% rear yard
• Not located in front yard (Materials)
• Side yard and rear yard setbacks 10'
• Maximum height 15'
• Materials compatible with principle structure
L: \TEMPLATE\B LD GLIST. D O C
C i
RIp�
White - Building
Canary - Engineering
NES0 P ink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/ /
NAME OF APPLICANT 0 4 L
APPLICATION RECEIVED /O. Z 1 /Z
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
CI . .
Accepted Accepted With Corrections
Denied 4 J
1 ...
Reviewed By: t ". 41, Date: to A8/
Comments:
Co.t/r>2..9c, -5(d"- ) 1 4,14-",- -A.i Ccc '
/-
��� Air— 1. mss.
"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."
"19
1
White - Building
�� z A Canary - Engineering
NNESO Pink - Planning
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: 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."
A
..
(
White - Building
" ' / vN ESO C. Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
f
NAME OF APPLICANT ''N; �'(-, --t-f -' )-t (
APPLICATION RECEIVED /C . Z 2.. / 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: /
Accepted K Accepted With Corrections
Denied ,,
Reviewed By: �.1/ff L C---- Date: /G /2 7 /Le
Comments: See Attachments: 1) Grading Plan, 2) Erosion Control Measures
See Reverse Side for Additional Information)
"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."
ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS
• Surface storm water drainage flowing to the perimeter of this lot to
and from adjoining properties must be conveyed to
road w
and /or to the rear of the lot in drainage swales within the 9 y
easement.
All bare soil areas must be protected from eroding into neighboring
properties through the properly installed and maintained silt fence or
bales.
• The silt fence required by the erosion control plan must be installed
prior to any earthwork being started.
. The builder is responsible for maintaining the erosion control
measures until the turf is established.
0 The rock construction entrance must be installed at the time of
backfilling of the foundation.
G; \Admin \dept info \ ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS,doc
741PR CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
c..)
4, /rottEscfs' 1: P at ak m C C% [PERMIT NO.
• k 1
1 YrIk. APPfir"
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
--/( ' 9 1 1 / - - TAI 4 - q C4 - —
LEGAL DESCRIPTION (office use only) „
LOT 1 BLOCK L / ADDITION TL- tii./(1 d r - ,, ,,,,,,(.,,,, pm
OWNER / i / i
(Name) V LAN- til, ro, iie,k12J-b-vi-t2 rct i14 cly /4.),..112 (Phone) 4/()9
(Address) a
APPLICANT / / ,
/,'
(Name) tKii (Phone) a) - _30? - 9J3C-,
( Address) N( , „ , ,S)\p..c(..,a.Q__Q__— 55 3f) 9
( Add,e3s) , (OW (Zip Code)
(Phone) 1/) -(,'&- V.),)_;
(Contact Person) . 1 — —
APPLICANT SIGNATURE DATE
.. .
APPLICANT PLEASE COMPLETE BELOW
EfNEW CONSTRUCTION El REPLACEMENT 0 ALTERATIONS
D
FURNACE MAKE AND MODEL 4,_..)( i A, 3 C Aig\ . / 1 , -, FUEL A-ft
( - ; -k--- UT 6 gocio OUTPUT _ 5 (-, CC C)
FLUE SIZE -4?-et--Qe... RETURN OPENINGS INPUT
__.)
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
OWarrn Air Plants 0 Steam Units and Fireplaces Cannot Encroach
DGravity ' - 0 Hot Water into Required Side Yard Setbacks.
Mcchanii.al D Radiation Fireplaces with Box Additions or
ir Conditioning E] Special Devices Cantilevers to the Outside of Buildings
[Vent. System ID Other Devices
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace $49.50
49.50 minimum
Residential, Heating & A/C (New Construction) S149.50 Residential, Additions & Alterations S49_50
Residential, 'Fleeting Only (New Construction) $64.50 Residential, AC Only $49.50
Estimated Cost $ Building Permit #
PAID WITH
HEATING PERMIT FEE $ BUILDING PERMIT
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
(001re Use only) ____
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Bulldlne Offlelal Date
24 hour notice for all Inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.F., Prior Lake, Minnesota 55372
tv "
V krrii
•
ig"
Nov. 2. 2010 10:52AM Wenzel— Plymouth No. 0354 P. 2
Date Reed
a ` par, CITY OF PRIOR LAKE PLUMBING PERMIT
Hp1ES ❑'SI'' 1. glue Fib PE] T NO • 7. 00Id A
1 YiFbN App. 1J U t,,,.,
' lease f , a or •■ at and sl: n at bottom
ADDRESS I - z - (onlca use) I)
I •
16 Z4 I _?�AH 1I h COO 1 _— [
LEGAL DOSCPIPTION (office use enly) •
LOT BLOCK ADDITION PJD
wa me) Fr C L7 S 1 1 v � � l.+ M I M E J (Phone) l5 4-6q- L7 e60
(Dame) . / LA-4g (Address) 1744- JU N I PE 1n f4-711 11 5 LT /55 I /I L I N •
APPLICANT
(Name) 61CU 1 ' ' 'tBG t-. Cx (Phone) '51 -q1`1- 4-Ze20
(Address) 4 ' IV NeE G' Z
(Address) • (CITY) (Zip Coda)
(Contact Person) Pb V e 1 45 r� (Phone) � - 4 262
APPLICANT SIGNATURE - i llif d- .-- DATE 1 I 0 2- 2- / D
APPLICANT PLEASE COMPLETE BELOW
Qunnti • T + a of Fixture WE= T eofFixture
Ma Bath Tub with or without shower Roo :h - ins
I Dishwaslrer Water Heater
Floor Drain Water Softener
2, _ Lavatory (Balitroon1 Sink Stand Pi ashlu: Machine
1' _ Laundt Tra 1 or 2 cam I artment sink 1.1.11111111 Serve: a E ector
Shower Stall_ Backflaw Asselnbl
1 Sinks BeckilowAssembl Test
• Bar Sink Lawn Sprinkler
Water Closet Toilet . 0thar
FEE SCHEDULE
Industrial, Commercial & Multi•family I% ()Club cost wills a $49.50 col ransom . Residential. New One & 7`tvo- Family $149.50
Residential, Additions & Alterations $49.50
Estimated Cost $ 7, ObO Building Penult it
PLUMBING PERMIT EBB $ PAID WITS -I
STATE SURCflARGB $
TOTAL P Ii1VIT'J<' ii i 13 ILDING PERMIT
( Office Use Only)
This Application f mines Your Building Permit 'When Approved Paid Receipt No.
Dale By • .
- " Posing winch] Date
24 liou• notice for all Inspections (952) 447 -9850, fax (952) 447 :4245 .
4646 Dakota Street S.E., Prior Lake, Min des oIn 55372
\i0.13A4)
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 Z-4 7;9-/ -/NX4 COU/zr
4-5.
Lot Area 7 / () Sq. Feet x /0 = 5274
LENGTH WIDTH SQ. FEET
HOUSE x _
x -
ATTACHED GARAGE x
TOTAL PRINCIPLE STRUCTURE o 4
DETACHED BLDGS X
(Garage /Shed) X
TOTAL DETACHED BUILDINGS NA
DRIVEWAY/PAVED AREAS = 6t 1
(Sidewalk/Parking Areas) 5// 3 , s x
TOTAL PAVED AREAS 4 9 t S�
PATIOS/PORCHES /DECKS x
(Open Decks 'A" min. opening between X =-
boards, with a pervious surface below,
are not considered to be impervious)
X
TOTAL DECKS
OTHER x
x -
TOTAL OTHER jJ 4
TOTAL IMPERVIOUS SURFACE ZG S3 . S
UNDE• OVER I 6 2 I 1
Prepared By /4/ P Date /a _ /0 /o
Company %Se 61)41,1re lN1 / c , Phone # 69c2) 4-32 - 3 00
PRI0R
LAKE BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS ' (.z 41 TA< tk ∎'- '°' Gr.
NATURE OF WORK Sri4vc..6 FAri■n L7.)-tu -t cab Dec-w, Q° t F-0,1,
USE OF BUILDING s
PERMIT NO. /0. 99& DATE ISSUED `o (ZsA.a
CONTRACTOR F 1 s FA vt Iki IL PHONE ( -- z-82.• 187
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
sTr Al- I T w+Es
I N S�.a�,,, E (LCf,+I oa (.. �+- 'S'(rpt- G (� / /�5 �'.t�S�� INSP CT R DATE
!FOOTING 1 �� 47/1 1
FOUNDATION (Prior to Backfill) 1 Pg '` -s -(6 I
PLACE NO CONCRETE UNTIL ABOVE HAS B SIGNED
.aa� 4,, , G,.50.. c. s R o U '° ill S //�
SEWER / WATER / SEPTIC . -/ - "tB .0
FRAMING vf, I°L co
INSULATION i/ Z5 /o
ELECTRICAL ,
PLUMBING (2'y bl I 0
HEATING (if required) t l
GAS LINE AIR TEST cltt
4
"a''1 PtP"COVeRnIt O WORK UNTIL ABOVE HAS EEN SIGNED
1 IA,- s6--t...-42,-A-4 L,6.1-1-e _ I
Okiv6/ A(G -ro ea_. FINALS
GRADING (Prior to Sodd'ng) _
•
BUILDING j 4-,.., e' ft 1 ' 2Z. `i
ELECTRICAL
PLUMBING w 0w4A,,- siPt 'o-mg P8 0 %a
HEATING 'Z /x`�'� DO NOT OCCUPY UNTIL ABOVE
i t
S 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 i
LJ 7 25 ? - 7. S, 25
FIELDSTONE FAMILY HOMES
A A E and LAND SURVEYORS ROJECT NO. 14649.00
P OONSULNG ENGINS Th\
NGINEERING
•
•
COMP ANY, INC . f
1000 EAST 146th ST., STE. 240, BURNSVILLE, MN 55337 PH (952)432 -300 ''•
CERTIFICATE OF SURVEY
Legal Description: LOT 29, BLOCK 4 THE BLUFFS OF NORTHWOOD MEADOWS
SCOTT COUNTY, MINNESOTA.
11)111111 963.0 DENOTES EXISTING ELEVATION
(965.0) DENOTES PROPOSED ELEVATION
t — INDICATES DIRECTION OF SURFACE DRAINAGE
(965.33) = FINISHED GARAGE FLOOR ELEVATION
(965.66) = TOP OF FOUNDATION ELEVATION
(962.49) = BASEMENT FLOOR ELEVATION
SCALE : 1" = 30'
LOT AREA:7,150 SQ.FT.
HOUSE AREA:1,904 SQ.FT.
DRIVEWAY AREA: 621 SQ.F - 1 1 119 : .2.7
PORCH AREA: 46.7 SQ.FT. 25.11 5° s ..34) 2
BENCH MARK:
TNH AT L27 B4, ELEV. = 967.15
ADDRESS:16241 TAHINKA COURT _
pppROVED
Buiidin 1 .." Date
- - Date t® to
Zoning , - s Dote / 27____D___ . .
Grading _. --
25.00 el-
� EXISTING
-- in G) sr Q i
O I
O N N ° ° HOUSE L C /
M rj 2 c0
� HU6= 963.x5 S80.43'57"
a ° m 19.17 (963.5) 1 E c
, 0. 00 H a "'
4 1 ' 10
— o^ ^ �n c3) (1762.43 . W ��
�¢ O v 3 �rn 10 35.83 —� Lo 0�� cv
co
Di g t. V D C I 4 o p 17.00 W W °' .° `� }- 1 10
Y up tp
Q
M
N r
C 2 9. cv _ _1 c
in c'ENd I. (1) m'i.'° L3'Thc:a
2 N ^° 'v?G 96 4 .5 rn c° p - - TEL. ® 7 50 96 2.5 83 `" k � � 10
co co co HUB = 9 9 5 9.5 -�� . f
130.00 9 7.7
S80' „ to 43 5 7 E H UB = 857.38 956.0 -171., ° N—.
A GE AND `` v
VACANT LOT UTxILITY EA SEMENT
I hereby certify that this i a sru18TH day correct ct re
presentation of 2a tract as shown and described
hereon. As prepared by n
Inn. Reg. No. 19086
USSELL P. DAMLO
P 4 ‘‘
riln
e
401+643 "- • -.left.. ,:40,11145)0
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