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Expires - <� ` tea ( ..a_ 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 ._5 / /\/' (, C / / L y // 2 ▪ tii) Bldg. Permit No. Occupancy Type /�� Type Construction Y /E !� (oft: �, Zoning District ititC (( ♦ Legal Description 1 -- 2 ,, 1, /VI-1 f-�L 6/1.-E N 2 rve� /� DU/\/. - tl) O of Building 7-1.755 r Site Address / 5 UA C-, y E G (4, t//7 A 4 G A INC . . r Contractor's Name & Address D. �'� . /C �� _I /eu E.�� 0 -'t"/ —// 5 r _ , a� �� ity Planner ;!. Building Official :::‘t:.:,;':' lii ' ' 1 Date: / • Z 5 �- Date: ' =' (;;` * POST IN CONSPICUOUS PLACE -itA , IN 11hN pnn ulm lunl 11111 � .' 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Horton, Inc. 952 - 985 -7272 (Company Name) (Phone) (Contact Name) Brooke Hareid 1' (Phone) 952- 985 -7806 • (Address) ao8(i? n 4_ (-?_R._.\ C � F c ___-- r * 100 L 1Z_ 0 ■ LLB , i`\ n 55 A 4 TYPE OF WORK N New Construction ['Deck ['Porch ❑Re- Roofing ['Re-Siding ['Lower Level Finish ❑ Fireplace ['Addition ❑Alteration ❑Utility Connection CODE: JI.R.C. ❑I.B.C. ❑ Misc: Type of Construction: I II III IV V AB t Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ 1 (09, S75 Division: 1 2 3 4 5 (excluding land) I hereby certify that I ave 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- entioned pro. -rty and t 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 offic'.1 t an revoke th', permit f•r ju c. use. Furthering e, I hereby agree that the city official or a designee may enter upon the property to perform needed i pecti l ns. % _.►AA.. I -11 - Cl/ _ 2c�3r�,C 1 /`t Signature Contractor's License No. Date Permit Valuation -Z c` 0 O 00 _ Park Support Fee # $ Permit Fee $ Z ` at 3.50 SAC # $ ZZ',D. " Plan Check Fee $ C415. -( e Water Meter Size 5/8" dP $ AI 5 State Surcharge $ ( 4 - Pressure Reducer $ (Z S- Penalty $ Sewer /Water Connection Fee # $ (SpO . Plumbing Permit Fee $ 154.50 Water Tower Fee # $ (000. - Mechanical Permit Fee $ 1 54.5 Builder's Deposit $ (S 00. — Sewer & Water Permit Fee $ 56 . S Other $ Gas Fireplace Permit Fee $ SA So TOTAL DUE % III 0 14: Z-6 This App , . lion : • om • . ' our Building Permit Wh n proved Paid (h e L k Receipt No. 4, Z se; I • Date p_ 2 0 1 l By , �6 Ia.— A - Iff - , ,1 7 i ■111.■ , i 7 11 Building Official Date This is to certify that the request in th- above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This c1 ' when signed by the City ner c/./ 'n, .titutes a temporary Certificate of Zoning compliance d allows construction to commence. Before occupancy, a Certificate of Ocr issued. ..' r4� 4/7 u Planning II rector 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 6 • f 4,t e. Residential Building Permit Checklist New Construction for Single or Two - family Dwellings in R 1 or -2 Districts Reviewed by: Date: �'- ff Building Permit # � D: Zoning: Address: I Legal: L , B Subdivision: Existing Structure? YES !G Existing Nonconforming Structure? YES CONFORMS TO ZONING j NO ORDINANCE Yard Setbacks: NA / FAILS/ CO dIES I Sta and Proposed • Front Yard (can be 20' if avg. w /in 150') 25' 25.o • Side Yards 10'/ 25' if abutting a street 11.27 11.1 • 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 30' • 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' ttv84+ 1 -r i'4 5/Z 04 I Floor Area Ratio: NA / FAILS / CO 1 .30 Maximum 1 • 13 I Yard Encroachments: e?) FAILS /COMPLIES Standard 1 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 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:\TEMPLATE\BLDGLIST.DOC Driveway: NA / FAILS / CO P r ES Standard Proposed • Maximum width at property line 24' ZA` • Required setback 5' from side lot line or 30' from r -o -w on corner lots 1 1.1 • Maximum slope 10% 8.00 • All parking areas to be paved including R -V or spaces adjacent to the garage • Location to match subdivision grading plan a 1.3 C. . 1 Building Height: NA / FAILS / ES 1 35' Maximum 1 Z'( ' I Shoreland District: ( FAILS / COMPLIES 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 30% Maximum Bluff in Shorelan . N AILS / COMPLIES Standard Proposed • Setback fro t op 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 Floodplai fi FAILS / COMPLIES Standard Proposed • 100 ye: 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. N FAILS / COMPLIES Standard Proposed I • 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 \BLDGLI ST. DOC PRIp Q4 � N a. v U t White - Building Canary - Engineering 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 a 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." O le ti PRlo x U m Wh - Building 4-1, �P Canary - Engineering ^NES° Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT D. 1Z. H O PTO I lJ APPLICATION RECEIVED T_ 4 ( The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: (75 , . Accepted ' Accepted With Corrections Denied Reviewed By: Date: `f` 7 1 Comments: Ccw.,7-4 E f o-' f in/girt-rT -4'7%) "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 PRIO i ti AN C White - Building Canary - Engineering ��NNES��P Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT D. R . HORMN; APPLICATION RECEIVED 4 4- ( The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ( 755 L_Q Accepted ).<- Accepted With Corrections Denied Reviewed By: —Tr Date: 2///z/// • Comments: See Attachments: 1) Grading Plan, 2) Erosion Oarztrol 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 0 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. 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. • The rock construction entrance must be installed at the time of backfilling of the foundation. Gt \Admin \dept info \ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS,doc 952 445 7487 Line 1 12:28:50 p.m. 06 -13 -2011 4 /4 y } .� Date Heed a i M CITY OF PRIOR LAKE PLUMBING PERMIT F 8 . a IM V 1. Blue File PERMIT NO. z. c��a cey i s. rd� np,�»i tilf#4 _(Please type or print and sign at bottom) ADDRFSS ZONING (orrice use) _ / 757S cee oleiz .yam ?.3 "/ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION HD OWNER /147,e_ 7 .J (Name) ' (Phone) (Address) (N T � / Gt- 1 e e/ 'Yea �t o a r ! 64 4 -6 (Phone) 9 �°� " T �•/ / v /r (Address) 6 / £ 57 `"1'D .-t ✓/ v. &. 5 L / -5 7 79 (Address) !! (City) (Zip Code) • (Contact Person) a v ./.-. /� (Phone) APPLICANT SIGNATURE � a' ✓ r /iA/ DATE 4/ APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Z _ Bath Tub with or without shower Rough -ins / Dishwasher t Water Heater a / • Floor Drai Water Softener 4. Lavatory (Bathroom Sink / Stand Pipe (Washing Machine) / Laundry Tray (1 or 2 compartment sink Se Ejector Shower Stall Backflow Assembly _ / Sinks Backflow Assembly Test Bar Sink / Lawn Sprinkler • 5 • Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi -family I% of job cost with a $49.50 minimun Residential, New One & Two-Family $149.50 , Residential, Additions & Alterations $49.50 The Minnesota Statutes ¢ 3268.148 Est $ Building Permit # "SURCHARGE" has been changed for one . year effective PLUMBING PERMIT FEE $ The mi my 1, 2 rge " �� permit 010, until June 2011. STATE SURCHARGE $ .50 PAID WITH TOTAL PERMIT FEE $ � O NG PERM � is 55, beginning 3nly 1, 2010 This Application Becomes Your Budding Permit When Approved Paid Receipt No. • Date By . • Buitdin¢ Official Date • 24 hour noticetfor all Inspections (952 441 - 9850 , fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 I. w s .€ i *` 4 ,��, ! l rr CT !1T 7)T1 Tlln Y A irT 952 445 7487 Line 1 12:28:17 p.m. 06-13-2011 3 I4.'d lic HA'T'ING /AIR CONDITIONING /FIREJPLACE PERMIT Ut z: ' T df l(yNEso t" t. Pint File PERMIT NO. 2. Green Cit 3. Yellow Applicant 0 (Please i e or irint and sign at bottom) ADDRESS ZONING (once ose) /7333 5:7 .-, /2 ritr 4 e 1 LI LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Na r- 1 . 4 0 , 7`O .../ (Phone) �. (Address) _ APPLICANT, 6 ` (Name) U d ( 2 l �SoZ 7/i =LbJ� am.e 11 i Ca Pi / P + / / !/t `1A. v 1,,,,_,_ e tG09'� rr/G- (Ph �- +/ (Address) (City) (Zip Code) (Address) S ' ( (%G �-i 4 > !i! d " :1 STS - (Contact Person) / p' i 4 6 . /C,' ✓ (Phone) �/ APPLICANT SIGNATURE ... 00 i ArtO DA TE G 31/4/ APPLICANT PLEASE COMPLETE BELOW 1: NEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS FURNACE MAKE A D MODEL t., 4 .i✓' / n ✓ 5$,4 /to- 1- / L. FUEL Jir!C Cel FLUE SIZE 3 rt We. - RETURN OPENINGS 9 INPUT /pj OD v OUTPUT as a TYPE OF SYS TEM HEATING OR POWER PLANT nm Air Plants P1 EASE NOTE: Air Conditioner Wa .-°'.Steam Units and fireplaces Cannot Encroach ❑Gravity El Hot Water ❑ Mechanical into Required Side Yard Setbacks. ❑ ltadiatian it Conditioning ❑Special Devices Fire with Box Additions or [Went. System ❑ Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL - FEE SCHEDULE Industrial, Commercial & Multi- Family I% 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 Constriction) $64.50 Residential, AC Only $49.50 • Estimated Cost $ /P, S`Oo.00 Building Permit # The Minnesota Statutes § 32613.148 . HEATING PERMIT FEB $ "SURCHARGE" has been changed for one year effective STATE SURCHARGE $ .50 July 1, 2010, until June 30. 2011. • TOTAL PERMIT FEE 5 The minimum surcharge for a "fixed fee" permit (Office Use Only) is y5, beginning July 1.2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Bate By n % to Building Official .. Date j 9451 . 24 hour notice for nil inspections (952) 447-9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 • 1. 952 445 7487 Line 1 12 28:50 p -m 06 -13 -2011 4 /4 ' -.. `U+ 'Jaw H.ec d ° CITY OF PRIOR LAKE PLUMBING PERMIT go _ „4.„',. s 1. Blue File PERMIT NO, 2. Gold City 3. Yellow Appliconl (Please type or print and sign at bottom) ADDRESS ZONING (orrice use) / 73 5 -„-z . ? 4,0 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION pID OWNER b , ` / 4,,L T© . (Name) 1—' (Phone) (Address) APPLICANT, / / / �/ �-- U/ Q (Name) ./--- • ei e / Ne G � oz�e f l am- (Phone) 9 sd r T r✓ �' / b /� (Address) 6- 9 / a 5'��. -?'ID •f b/l ev--e----- .W 44 (City) _ - -- _.5 7, (Address) ( ty) (Zip Code) (Contact Person) U v l./,. /.d--/ (Phone) APPLICANT SIGNATURE it•��,,g, 06.01 r- _ DA1'E lv /3 APPLICANT PLEASE CO MPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture z Bath Tub with or without shower Rough -ins 1 Dishwasher t Water Heater Floor Drain _ . a Water Softener (o Lavatory (Bathroom Sink): / Stand Pipe (Washing Machine) i / Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly / Sinks 1 Bac kflow Assembly Test Bar Sink / Lawn Sprinkler -...V 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 * 326F .148 tst Building Permit # • "SURCHARGE" has been changed for one year effective PLUMBING PERMIT FEE $ July 1 , 2010, until 3une 30, 201 i. STATE SURCHARGE $ .50 - The minimum surcharge for a "fixed fee" permit is ; s , beginning July 1, 2010 TOTAL PERMIT FEE $ This Application Becomes Your Building Permit When Approved Paid Receipt No. Buildine Official _ Dale Jay – Date • 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 . 1 OA rRIO+ Date Rec'd 6 CITY OF PRIOR LAKE 28 / G/ C SEWER AND WATER PERMIT j n NESn 21. Green Yellow File City PERMIT NO. `/. z44 . 3. Gold Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) V1 SSS 5....u.An-Azt.o___ait.4 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) (Address) (City) (Zip Code) APPLICANT (Name) 'b, S // 1M - E. -- (Phone) 6 5!- ' q { �i 0 _ 13.5-5 31 (Address) 14. ,q (Address) (City) (Zip Code) (Contact Person) I "L t lc 1 (Phone) 6 1 - - q 1 9- APPLICANT SIGNATURE DATE 4/' a 1 1 APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. n 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 # SEWER AND WATER PERMIT FEE $ PA t D By STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ j� u t (1 a� (Office Use Only) UU �✓ This Application Becomes Your Building Permit When Approved Paid Recei . ► le rl i a Dat r , G( By , Buildine Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 I 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 PRIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 1 555 - k .,,�RA I T3 L. vp NATURE OF WORK 5 rr&L.4 FAH (/ic.. Lowe*. Co, aL. t rt!. (1a USE OF BUILDING ,-- / p O1�`" PERMIT NO. DATE ISSUED 4 /7 Xi CONTRACTOR cx R., a t-b.4 PHONE z- °, a S• - i>aaro NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT (/J $r"4L.L. Erxe6 /e..3 - r Qt- mAli- r-4"/J GG• a � " 1 S SP PECT R � T DATE I FOOTING I �/ s�zz /, I FOUNDATION (Prior to Backfill) 1 I PLACE NO CONCRETE UNTIL AB%/E HAS E N SIG �J R °N Sc-1 S Rd ( I- -INS 1 / SEWER / WATER / SEPTIC FRAMING g96 INSULATION A0( L t . 3, ELECTRICAL < PLUMBING P b A iv, ► Pi lz$ HEATING (if required) Q) FIREPLACE 6 /8 /`y GAS LINE AIR TEST i'o T/ ��/// RiA Pt iuv K Co //� COVER NO WORK UNTIL ABO BEEN SIZ;NED sC'WrP LT k•A (-t- 1 .!!!� �f j FINALS GRADING (Prior to Sodding) BUILDING �- , , 11- f - It * b Miliffifir )/ ELECTRICAL PLUMBING - 4 0an s�J HEATING ,fir A DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED � NOTICE \`J - 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