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II 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
I'�,:�: -' ordinances of the City of Prior Lake regulating building construction or use For the following: f _.A: 1
Use Classification c . r
//VGrLC Ff.? //. CO 4I J
Bldg. Permit No.
i _.,,: 1 /
Occupancy Type f Typ Construction V Zoning District ” )
L 3 /3z� 1
Legal Descri tion
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� � TEMPORARY OF PRIOR LAKE BUILDING PERMIT, Date Rec d
ARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT (2. 30.
j `vNES °
1. White File PERMIT NO
3 C .
Pink City // 0044
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING ( office use)
.-). l' ' S .— ru aid E. \ ___ \,/ K. LEGAL DESCRIPTION (office use only)
LOT '� BLOCK C , ADDITION t' ? L C L.-__N1 'a 4\ \) PID Z5.41 OoS, O
OWNER
(Name) (Phone)
(Address)
( (Company ) (Phone) D.R. Horton, Inc. 952- 985 -7272
Com an pany Name
(Contact Name) Brooke Hareid 952 - 985 -7806
(Phone) ( Z l� 3 %'
(Address) 208 &ti-A T -E CT. - 1 00 L t LL m t - 5 0
TYPE OF WORK L New Construction ['Deck ❑Porch ❑Re- Roofing DRe-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ['Alteration DUtility Connection
CODE: I.R.C. ❑I.B.C. ❑ Misc:
Type of Construction: I II III IV V AB 1 -
Occupancy Group: A B E F III MR S U PROJECT COST /VALUE $ a1
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- ntioned 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
offici c}caatt revoke thispermit for ju cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed ins ections. ,
X ` •:/ �'i 1 V) ..e.1 L GC)o P i 1 'a � L C j / / G
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $
1
11.50 SAC # $ 3
Z Z f7.
Plan Check Fee $ I Zq(c $ Water Meter Size 5/8" 1 " $ 415 .,
State Surcharge $ 12/ Pressure Reducer $ 175,
Penalty $ Sewer /Water Connection Fee # $ (,7 00 -
Plumbing Permit Fee $ t S4 5Q Water Tower Fee # $ (0 -
Mechanical Permit Fee $ Builder's Deposit $
i� +.5 1 5 00-
Sewer & Water Permit Fee $ 5(..'50 Other $
Gas Fireplace Permit Fee $ 5A 50 TOTAL DUE $ 1 o 535:86
This Applic ti n Becomes Your Building Permit en A roved Paid it
G i J� S Receipt No. ‘,...2. C / b
/ Date J2 / /I By _.. -h.,,�L
AL/ II "e't•1....___.- 1 31 (. /
r t uilding Official Dat J
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 sign .. the Planner constitutes a temporary Certificate of Zoning c pli ce and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. ,
Ai l
-Plannin Director Date 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
• • •
• • A A r. • •
141-b
Residential Building Permit Checklist
New Construction for Single or Two - family Dwellings in R -1 r R -2 Districts
Reviewed by: Date: /Z /V f r/o
Building Permit # PID: Zoning:
Address: / ( Tu p .
Legal: L , B Subdivision:
Existing Structure? YES l9 Existing Nonconforming Structure? YES / NO
CONFORMS TO ZONING M NO
ORDINANCE
Yard Setbacks: NA / FAILS/ CO ► d. Standard Proposed
• Front Yard (can be 20' if avg. in 150') 25' 2.S. 0
• Side Yards 10'/
25' if abutting a street 1S. b
17. or
• 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' 1 .4.
/ 3p
• 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'
13/(:)-1- &32. -+I ZZ /ioz -zg
I Floor Area Ratio: NA / FAILS / C A�IES 1 .30 Maximum 1 . / ( I
Yard Encroachments:( FAILS /COMPLIES Standard Proposed
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line (Easements).
NC and other equipment cannot encroach on interior
side yards.
Tree Preservation: A/ FAILS / COMPLIES Standard Proposed
• Total caliper inc s
• Permit 35% Removal
• Caliper Inches Removed
• Caliper Inches Preserved
• Replacement '/z:1
L: \TEMP LATE\B LD GLI S T. D O C
Driveway: NA 1 FAILS 1 CO S Standard Proposed
• Maximum width at prop4ty line 24' 2,^t
• Required setback 5' from side lot line or
30' from r -o -w on corner lots (rj ccyy
• Maximum slope 10 % 5.1(i
• All parking areas to be paved including R -V or
spaces adjacent to the garage
• Location to match subdivision grading plan I■/&
I Building Height: NA / FAILS / C II .PIES I 35' Maximum 1 7 5' I
Shoreland District: $ FAILS / COMPLIES Standard Proposed
Minimum lot area (s are feet) 7,500 Rip, 7,999 Non -rip
Minimum lot width 50' Rip, 57.3' Non -rip
Shoreland alterations
Impervious surface 30% Maximum
e -)
I Bluff in Shoreland A FAILS 1 COMPLIES Standard Proposed
• Setback from t 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
1 Floodplain: / FAILS / COMPLIES Standard 1 Proposed
• 100 ye good 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 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:\TEMPLATETLDGLIST.DOC
O� PRIp�
CINNE N White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 1 l
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: N7 Date: /// 0,/
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 drainage
and /or to the rear of the lot in drainage swat es within the
easement.
All bare soil areas must be protected from eroding into neighboring
properties through the properly installed and maintained silt fence or
bales.
E 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.
f 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
c
�
White - Building
Canary - Engineering
"'INNEsor Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT DI e. 11-01e4
APPLICATION RECEIVED Ji- 3 a l 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
34-3 / 7Vi -1 J�/2 o'-1 V C _ .
Accepted p t ed Accepted With Corrections
Denied
gal. Date: /L X� /v
Reviewed By:
Comments: coo. I...- 74 -tJ e /n,i_ri1Ji� <
,___.
dL AJ �T72(515Ti5 /47--- w 6(tli 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 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."
t, O PI
R p ?
... . ,,11 Z
White - Building
Canary - Engineering
�'INNES °� 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: l Date: /2.- 4 ,
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."
OF PRI
CITY OF PRIOR LAKE Date Recd
(E.,,, g HEATING /AIR CONDITIONING /FIREPLACE PERMIT 3. Z Z. I
AN to c)
U
1 'N ESO 'SQ.
�
21 Pink Green Cit File y PERMIT NO.1 Q0041 3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
3431 TURNER DRIVE S.W.
I
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) D.R. HORTON (Phone) 952- 469 -8800
(Address)
APPLICANT
(Name) FIRESIDE HEARTH & HOME (Phone) 651- 638 -3318
(Address) 2700 NORTH FAIRVIEW AVE. ROSEVILLE 55113
(Address) (City) (Zip Code)
(Contact Person) (Phone)
APPLICANT SIGNATURE _WENDY SCHROEDER DATE 651.638.3318_
APPLICANT PLEASE COMPLETE BELOW IF
[NEW CONSTRUCTION
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
DWarm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
['Gravity ❑ Hot Water into Required Side Yard Setbacks.
❑ Mechanical ❑ Radiation Fireplaces with Box Additions or
['Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings
❑Vent. System ❑ Other Devices
Require a Building Permit.
FIREPLACE MAKE AND MODEL _HEAT & GLO SL550TR -IPI -E I
FEE SCHEDULE
Industrial, Commercial & Multi - Family 1% of job cost Residential, Gas Fireplace $49.50
$49.50 minimum
Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $ .5011113ING PERMIT
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date 3 . Z , /1 By • //
BuiIdinc Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
. ,
. 4, 7 I
V* 1
. . . • • S.
1,
03:04:58 p.m. 05-20-2011 1 /3
952 445 7487 Line 1
• . • -. 1 g .:.. . ' • •
- . x ii :: • : .. • . CITY OF PRIOR LAICE PLUMBING PERMIT
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- - . * . •
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• _(Pleapd*e isilitilii and-tin atbottom) . . • .
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APPLICANT PLEASE comtLETE.Bk.,Low . -.--
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2.;. . '' • *. Alift.h.,T.41j:iiit.4 Ot.:vithont.Shower - ." - . .3. '. . Rough-ins . .. . . • • ' . : .': • ..'. 1
.,-.. .....'• : ,s.. I..: '.... ...1),frimher :. - . .. .. .
. .... i .... -' . • / • - •,.- • : :..-..• -, • • i: • - • . . / • . '. . Water Heater
164 " . . •• . . ' . . • .. :
• " 1Viter $oftelior. . : • . • . . : • - :
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• • '. . 47‘. .'
Lavatory (Bathroom Sink) . • : / . : Stand Pipe (Washing Machine) . ' . • • ' 1
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. .. , • .'. 1: ..Laingiry Ttity. or 2 compartment sink . . 'Sewage Ejector • ...
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. . • • . / .* • • ." Shower $tall, . • • • • • ' Bolitlow Aisembly. .
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. . . . . ! . ..: '.Sink0, . ......: . - .. .. _ . . • - • •Backflow Assembly Test • •
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.... .
. . . •
. . . 3 . .. :Watei.Cloiet (Toilet) ' -Other
. " • • -:-.: I
• •
. . • • .
• • PEE SCHEDULE • . '
Industrial, Comtnekeill& Mill-family 1% ofjob cost *03.049.50 minituum . • ' Residential, New One &Two-Family *149.50
• ,..
Residential, Additions & Altekations $49.50
. •
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The Minnesota Statutes § 3160.148 . Building Permit # .
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' • •
. . xem. ege.atiyie . . .PTATigl FE E • .$ . . . : • eu .....c :
• . ...fijiy•i, 2olo • • STATE . . $ ' . . , ......,
The minimuni suieliiiiic tor* "fixed fee" peitnit • TOTAii TEE $ . . : •
h $5, beginning Jtily 14010 . . • • ;• .: i '.
. ,
• • ... . • • ' , i i
• This Application Recomes Your Building Permit When Approved..., . Paid " • • . Receipt No. • - .-: ;
• . . . • . . . . • •
.• . • • . .. .
• • Date. . • ••. .- ' By . •
• •
Biilldb4 Official . . Data: • . . • .. .• - , .
24 hour nodce for all inspection; (952) 447*50, fax (952) 4474245
4646 Dakota Ntrect 8.E, Prior Lake; Minnesota 55372 .. .
1- •
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.. • • • ___________—____ -
}�}•.l1
4 P Rio. Date Rec'd
ti \ CITY OF PRIOR LAKE 2 , I i 1
�' SEWER AND WATER PERMIT
IkNES��
I. Green File
2 Yellow City PERMIT NO. I I , 0 C 4-1
.
3. Gold Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
3L13) T 24 LA.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER iz, ' 1 T- .0,1„2 (Phone)
(Name) Phone
(Address)
(Address) (City) (Zip Code)
APPLICANT
(Name) D. S. iI dU (Phone) 6 L ?. - 119, L i G 3 L i 0
(Address) \ ` Xtre .
(Address) (City) (Zip Code)
(Contact Person) 1 r ^ '`�A h� ` (Phone) !� 11- — 9 . 1 - �✓
APPLICANT SIGNATURE DATE a I l L I
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. ❑ ABC ❑ 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 $51.50 Industrial, Com'l & Multi- family 1% of job cost with a $51.50 minimum
Sewer connection only $25.50 Water connection only $25.50
Estimated Cost $ Building Permit #
AND WATER PERMIT FEE A 1 D \
SEWER N $
STATE SURCHARGE $ .50 '
TOTAL PERMIT FEE $ ' L- 1 L D �
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Building Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
PRIOR LAKE BUILDING AND INSPECTION
INSPECTION RECD RD
SITE ADDRESS 3 f 1 ulzN - S. Lci .
NATURE OF WORK Ftrlilr7 TAJei.G ;,.��. � �K �'t ti, E . i.... �.
USE OF BUILDING
PERMIT NO. 1 1. 004-1 DATE ISSUED u / 3 1 /1
CONTRACTOR D. `EZ , 14 2rvr 1 PHONE 15Z. - `fa5
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE C 64
DOCUMENT
CL S Ar A 4.-4- Tr r� s
ji T/411J PIPE ' / DATE
FOOTING 1 i I /7) u
I FOUNDATION (Prior to Backfill) 1 / ; # 1
PLACE NO CONCRETE UNTIL ABOVE BE EN SIGNED
RA001.1 cicr `1 V 616,-14 -INS
SEWER /WATER / SEPTIC L J fI 4 , 1 6;/ '`
FRAMING
INSULATION % 47 "
ELECTRICAL
PLUMBING _' 3 28 It 1
HEATING (if requir d)
FIREPLACE
GAS LINE AIR TEST - 16'54 1 1
Quo °;,` COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I wceW (2.AP 1.» i ‹/ /t2 /,/
FINALS
GRADING (Prior to Soddin • / .gd iI
BUILDING 7 eD ro 1 11
ELECTRICAL
PLUMBING ((1r 1 P "/m/
HEATING (21 5 3� J
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