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Expires , 5 ,:: --__ 61 Final Permitted ">__f , This Certificate issued pursuant to the requirements of Section 110 of the 0 Reside tial / D International 1 ) Building Code certifying that at the time of issuance this structure was in compliance with the various �;iiiii ! or dinances of the City of Prior Lake regulating building construction or use For the following: I 40 ' : 5 / A!C C F `111 L .—l.� Bldg. Permit No. > Use Classi C' / / �� ' �� %� 0\ Z oning • D istrict P V J - - -- + T ��3 Type Construction} Occupancy Type /`7ENUU W .., L .1 4.'-. 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(Phone) (Address) cc24. , t td e._,,..— BUILDER (Company Name) ri e \ ti A Sc' Sam a. 1- � "C n i ty ' 5 - (Phone) ! S Z i f6 ? — 8 6 0 0 (Contact Name) V c--.1 A1 c':'— i= (Phone) - ) L 2 -E' 2 - - 7b6 > (Address) 17‘ ii s ) trtvc,er PAT 91 . i 3 s' 1 Y-e r: lt MN .5"5a4 v DA-0=s" 1)12- .- �t.b 2- 7 2 TYPE OF WORK Q1Qew Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration DUtility Connection CODE: 6I.R.C. DI.B.C. ❑ Misc: Type of Construction: I II III IV V A B /� C �� Occupancy Group: A B E F III MR S U PROJECT COST /VALUE $ 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-4f 1c ;-1-06-311‘y lop_ Signatltre Contractor's License No. ate Permit Valuation a5, (12415), Park Support Fee # $ Permit Fee $ SAC # $ l 56,3. S O Z. t oo. - Plan Check Fee $ / 0 (6. zs Water Meter Siz = 1 "; $ 6o(®, - State Surcharge $ 72- SO Pressure Reducer $ ©- Penalty $ Sewer /Water Connection Fee # $ \ Plumbing Permit Fee $ t S L Water Tower Fee # $ / COO Mechanical Permit Fee $ T Builder's Deposit $ /500, 0 0 Sewer & Water Permit Fee $ ( 5 Se` Other $ 3 f 0 0 . UO Gas Fireplace Permit Fee $ 54. TOTAL DUE g , . o y i %/ $ / 99L, 2 This ApA. /v io , comes Y i Building Permit When Approved Paid %Z/ 9*0 , 7i-Z CO eipt No. /{o Date . 9., /v / Buil: ing O ficial l ate This is to certify that the req st in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed . • - City '1. ner constitutes a temporary Certificate of Zoning compliance an allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. ,, Icy. (o (o Planning Dire c Da 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: , Date: to /Z a 7,a Building Permit # PID: Zoning: av5O Address: !col Q> l ( Ark t►J t‘A G - . Legal: L , B Subdivision: Existing Structure? YES / a Existing Nonconforming Structure? YES / NO CONFORMS TO ZONING Ycs NO ORDINANCE Yard Setbacks: NA / FAILS/ COME IES Standard Proposed • Front Yard (can be 20' if avg. w /in 150') 25' 2S•S • • Side Yards 11 — •S 25' if abutting a street '7.5 1 . 5 • 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' 'Z • 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' Floor Area Ratio: NA / FAILS 1 COFLIES 30 Maximum I Z Yard Encroachments: NA /FAILS /CIES Standard Proposed Eaves and Gutters no more than 2 feet in width anatir Coonationeraid # 0, mom ,, closer than 5 feet to a lot line Easements . ) , 1 r , , , , , NC and other equipment cannot encroach on interior Side Yar Seth: eks side yards. Tree Preservation: 0// FAILS / COMPLIES Standard Proposed • Total caliper inches • Permit 35% Removal • Caliper Inches Removed • Caliper Inches Preserved • Replacement Y2:1 L: \TEMP LATE\BLD GLIST. D O C Driveway: NA 1 FAILS I C$JIES Standard Proposed • Maximum width at property line 24' 2.4 • Required setback 5' from side lot line or 30' from r -o -w on corner lots 7. 5 • Maximum slope 10% c9.370 • All parking areas to be paved including R -V or spaces adjacent to the garage — • Location to match subdivision grading plan I Building Height: NA / FAILS / CQ jP _IES 1 35' Maximum I 2 3 t I Shoreland District: NA / FAILS / CQVLIES 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 J 30% Maximum FtO 2 -1 7 Bluff in Shoreland: / FAILS 1 COMPLIES Standard Proposed • Setback from to 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 I Floodplain: / FAILS 1 COMPLIES Standard 1 Proposed • 100 yea 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 Rood Protection Elevation 913.4' for Spring Lake I Accessory Structure: 0 / FAILS / COMPLIES Standard 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\BLD GLIST.DOC O PRI0 [r1 White - Building n,, � . Canary - Engineering NNESO Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT i APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /_ Accepted X Accepted With Corrections Denied Reviewed By: "C-- Date: /D /Z 7 //U 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 the roadway and /or to the rear of the lot in drainage swales within the drainage 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. • 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 r PRIp U '7z " 'INNESO � White - Building P Canary Engineering Pink Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT g4ltp APPLICATION RECEIVED /0 . 2Z / o The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /&2.0/ ja.kiiie" C t. . Accepted ./ Accepted With Corrections ` Denied i Reviewed By: A , ice:►.._ I ate: ( 0 6 �-0 Comments: C., &-( - M4 -1"' rr9 - ,.-J C---- -- 777---c-- , (S6 - 5 -. /47 /(4,- 65- 1 "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." 3- PRI i x m White - Building Canary - Engineering "'INNESO� Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT r , Z / 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 '? KA 1 Reviewed By: Date: Comments: ,ir CO®.dit30nerand Ott Mcchanici Ong Cannot l+ ncroac into Required Side Yard Setbac "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." 4 P Rip Date Rec'd 4 , :„:;:.,,t- CITY OF PRIOR LAKE PLUMBING PERMIT „,,, z.-,,,, [ ....„,„,, f-iLC W /a . U 1 -7 44NNESo* ,. Blue File PERMIT NO . 2. Y ell City Applicant / 0 / � O0 � 3 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) ,t 2-81 /�f nib A cx-r_ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) a ,Ei O J T0A/ t rA�e i Hem ei (Phone) (Address) APPLICANT' (Name) t i4 p 1 1 LS i OnTna - k-- (Phone) 457` '97 (Address) 8 "3° JA /Ar/A/A o/iC! ,ei47 0 kflOL' 33725 • (Addre (Ci ) (Zip Code) (Contact Person) £ IJ (Phone) C./, 7.7D 1 76 c' 4 11 G doe 'fj/'.i' APPLICANT SIGNATURE &Ot ( DATE f '70 APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough -ins Dishwasher Water Heater Floor Drain / titer Softene Lavatory (Bathroom Sink) n me (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi - family 1% of job cost with a $49.50 minimum Residential, New One & Two - Family $149.50 Residential, Additions & Alterations $49.50 The Minnesota Statutes § 326B.148 .t $ Building Permit # "SURCHARGE" has been changed for one year effective PLUMBING PERMIT FEE $ 9( o ± iuly 1, 2010, until June 30.2011. STATE SURCHARGE $ .50 The minimum surcharge for a "fired fee” permit is S;, beginning July 1.2010 TOTAL PERMIT FEE $ St f . SO This Application Becomes Your Building Permit When Approved Paid¢ Receipt No. 2 of 7 Building Official Date Da te/ �+ i I B f ait —._' 24 hour notice for all inspections (952) 447 -9850, fax (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 JAN - 18 -2011 1E.:19 FRCIM:AIR MECHANICAL EACAN 6514526925 TO:952447 P:2/2 Pl�.l CITY OF PRIOR LAKE Date R.ee'd HEA TING /AIR CONDITIONING/FIREPLACE PERMIT dvArEso not ra- - c:� c;r, PERIIIIT NO (PIcfLSe Ippc or print and sign at bottom) 3. yellow Appsc:nt -. ADDRESS ZONING (ol:Sor w e) LEGAL DESCRIPTION (offic use only) - - - v LOT BLOCK ADDITION --- FID OWNER (Name) 1i — QlciS1v 9" (Phone) (Address) AJ ICAN { f (Phone) (,, 1 (({ - 7 -, (Address) 4. o.- �- 1A,, b • A - (Address) (City) � (Zip Cale) (Cottl3.Ct t� l"- V,....6, V,....6, (Phone) — /.C � j 7? APPLICANT SIGNAT -. ) f ,� " ' _, ► v /_ •t ':� ._ DATE J,1 r4 .?i T . 7� -- __. __ alt' ‘V APPLICANT PLEASE COMPLETE BELOW alt' V CONSTRUCTION Q REPLACEMENT 0 ALTERATIONS FURNACE MAKE AM MODEL Bjlit - 3 cQ > ( Q FUEL --/ uk FLUE STT_F, t ._ RETURN OPENLNGS ' INPUT ��t, ('J� 0 OCiTPU'T� 110 0 l J TYEE OF SYSTEM HEATING OR POWER PLANT �� ° Jinn Air Plants ❑ Stearn PLEASE NOTE: Air Conditioner LIGmvity Unite and Fireplaces Cannot Encroach 1Z`1� r ic,tl ❑ llot Water tb ❑ Radiation into Required Side Yard Seacks - I •1Cir Conditioning ❑ Special Devices Fireplaces with Box Additions or ❑Vent, System Q Ot}ier Devices Cantilevers to the Outside of Buildings FIREPLACE. MAJ] AND MODEL A2 egt, ire a B uilding p of 10 [n�fustrinl. Commercial & Multi-j anljh o FEE SCHEDULE 1 job cost Resider tia (, (?as Fireplace $49 549,50 minimum Residential...Healing & AIC (New Construction) - r4 5U. ::' Residential, Additions & Alterations Residential. klentine Only (New Construction $49 5U ) �fi -`'� Residential, AC C}nfy $49.50 Estimated Cost $ Building Permit 4 PAID WM HEATING PERMIT PEE $ BUILDING PEf STATE SURCHARGE S ,50 TOTAL PERMIT FEE $ ( Of(icr t1*e Only) This Application Becornes. Your Building, Permit When Approved Paid Receipt No.- Rnildin_ Official Date , 1 0 / / ( B // / /�`—� Dstc c 24 hour notice for all inspections (9:52) 447 - 9850, lix (952) 447 -4245 4646i Dakota Street S.F.., Prior Lake, Minnesota 55372 / 01/19/2011 08:48 (FAX) P.001/001 0t "II °4} Date Rec' CITY OF PRIOR LAKE , SEWER AND WATER PERMIT N sc cr I ' °rC0 r ' PERMIT NO. O l :. Ycllow l '` l 3. Cold Applicant • ease j . or zinc and si_• n at bottom ADDRESS ZONING (office use) I .4a ' IR /0,6 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PJD OWNER (Name) P t ." 1 11 ^ r i 11 - (Phone) (Address) (Address) (City) (Zip Code) APPLICANT� -�-� (Name) - • < 4 _ hone (Address) ig 3)? b i . e.- ) (Joe— J/ 5 q3 (Address) City •/ (Zip ode) (Contact Person) Pe"1 b (Phone) 4,12 9ga 9 'a 7W APPLICANT SIGNATURE DATE APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure 1) feet. Type of sewer pipe. ❑ ABC Fl PVC ❑ Cast Iron Estimated length of sewer line feet. Clean out (if required) located at feet from structure. FEE SCHEDULE Residential sewer and water line connection $$1.50 Industrial, Com'1 & Multi - family l% of job cost with a $51.50 minimums Sewer connection only $25.50 Water connection only $25.50 Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE $ STATE SURCHARGE $ . PAID WITH RMIT TOTAL PERMIT FEE $ BUILD IN p (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By 1luildint Official Date 24 hour notice for all Inspections (952) 447 -9850, fax (952) 447.4245 • 4646 Dakota Street S.E., Prlor Lake, Minnesota 55372 Jan 18 11 04:57p p.1 4 P Rla Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT I ,y I PERMIT NO. 3. Yellow Appliczn: (Please type or print and sign at bottom) ADDRESS ` �- ZONING (office use) /0)8/ 8j -! / i`3`/ /j)a t - LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER - (Name) (F e- 1cE'.-S4J R -[A r - + .ta 1 ADv... es (Phone) (Address) APPLICANT (Name) v +;��v:�.�4, lw� (Phone) 0(Z 2 iI (Address) tA' - 5 L '. & ) .A ∎ Af C: SS 3 i (Address) (City) (Zip Code) (Contact Person) iz�. �c,t,�•;.0 (Phone) C/Z Zh<'_ APPLICANT SIGNATURE % - DATE APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough -ins Dishwasher 1 Water Heater Floor Drain ' Water Softener Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi- family 1% of job cost with a S49.50 minimum Residentia :, New One & Two - Family $149.50 Residential, Additions & Alterations S49.50 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE 5 STATE SURCHARGE S .50 PAID Wrni TOTAL PERMIT FEE S BUILDING PERMIT (Office Use Only) This Application Becomes Your Building Permit When Approved Paid ' Receipt No. Date By Buildine official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 CITY 4 . OF PRIOR LAKE I pervious 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 /6221 ,4� �. � (i f/ Lot Area (N.A. See Table) Sq. Feet x 30% = . (N.A. See Table) * * * * * ** ****** **** * * **** k** * ** **** k** *** **** ****** k ** * * ****** ** *** *** ********* *** LENGTH WIDTH SQ. FEET HOUSE x = ATTACHED GARAGE x = = TOTAL PRINCIPLE STRUCTURE Ij 4/ZZ Sg DETACHED BLDGS x = (Garage /Shed) x = TOTAL !r ETACIIED BUILDINGS DRIVEWAY /PAVED AREAS x (Driveway -paved or not) x deivtbvty = 5/6 4,F (Sidewalk/Parking Areas) x � � = 7 TOTAL PAVED AREAS 665 5, F PATIOS /PORCHES /DECKS x = (Open Decks '/" min. opening between x boards, with a pervious surface below, are not considered to be impervious) pen = if is x / 44.'0 = 4 6 $.F TOTAL DECKS 11 / S F. OTHER x = x = TOTAL OTHER TOTAL IMPERVIOUS SURFACE Z ,z 1 / 57F UNDER/OVER (N.A. See Table) (N.A. See Table) Prepared By Peter Hawkinson Date /a//??� /Q Company Pioneer Engineering P.A. Phone # (65 1) 681 -1914 Lot l( ;1 lock THE : L1[ FFS AT NORTHWOOD MEADOW PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS r 4.2-s( TAIA imcA 6 NATURE OF WORK F =lu r.16, p��,l Por.H USE OF BUILDING 5F1' PERMIT NO. JO, 997 DATE ISSUED to CONTRACTOR F(6� -osr- - 1, ( � c vi.i PHONE 6 (Z• zsz - 78 N NOTE: THIS IS NOT A PERMIT FO ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT 1 iJSTAL . E ? CJS ( V M/ti"r4 vs> INSPECTOR - r � " DATE IF 1 ///sic I FOUNDATION (Prior to Backfill) 1 H - V(76 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED (ZAP oo,.1 � �s c��c� -- '� R an ra is SEWER / WATER / SEPTIC R�. „ /gJiv FRAMING /174 ' 1 " INSULATION ELECTRICAL PLUMBING /2 / HEATING (if required) FIREPLACE GAS LINE AIR p TEST r"V1�}, ,x/0/14, � /z / " ` RPO V N ?rPr COEh NO VE WORK UNTIL ABO HA , B EN SI E FINALS GRADING (Prior to Soddi g) BUILDING j, *in titi r ELECTRICAL PLUMBING nc-r ' - .4044P -k -- vc,4 4- A/ ,/J / /77 HEATING Q /kzo/ ` rr 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. FOR ALL INSPECTIONS (952) 447 - 9850