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C NES> J P CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1 White File PERMIT NO 3 Yellow Applicant /i � (Please type or print and sign at bottom) ADDRESS ZONING (office use) /645 / �,�ti4rt1(0 £ 7 /(n 44 OA R150 LEGAL DESCRIPTION (office use only) LO'2 jBLOCK ? ADDITION t3/u ¢( re 4/Q r1 hG..4204 PID p3 'tsJ9O /- Q OWNER , (Name) L a ge 1/ c 4 9 - n 5 ' ‘'✓k4 el. G e . (Phone) 15 0.s• 3(//1 (Address) / 396, 3 we Pe d 4 - i5) d' tcu4.444 yl' /lam LY et 5`"'3 3 7 BUILDER --"- / 1 (Company Name) f +CI .� 7o e .LL(! l�Qht / re..�.h (Phone) fiP— 0 a (Contact Name) f�/9Vt �it/�o /4 / (Phone) 95 2 O'9- t$fit2 (Address)/ 76 `5' Z M poi. A.. 0 J42 635 L4 14 v.1te- J4 �5 TYPE OF WORK New Construction ❑Deck ❑Porch ❑Re- Roofing DRe-Siding DLower Level Finish ❑ Fireplace ❑Addition ❑Alteration DUtility Connection CODE: 'l . ' .C. ❑I.B.C. ❑ Misc. Type of onstruction: I II IlI IV V A B PROJECT COST /VALUE $ /1 POP Occupancy Group: A B E F If I MR S U r Division: 1 2 3 4 5 (excluding land) 1 hereby certify that 1 have furnished information on this application which is to the hest of my knowledge tnte and correct. 1 also certify that 1 am the owner on authorized agent for the abnvc- mentioned property and th 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 official can revoke this ermit for list cause Furthermore, 1 hereby agree that the city official or a designee may enter upon the property to perform needed inspections /• Signature Contractor's License No. Date Permit Valuation t 5 ® - Park Support Fee # $ Permit Fee $ [? I I Plan Check Fee t � . `.v , SAC # $ 7-2:3›, -- �, 9 /g —i! T .. Water Meter Siz ; I" $ c k a State Surcharge ! $ �y to Pressure Reducer $ CI 0- Penalty $ �� Sewer /Water Connection Fee # $ , Plumbing Permit Fee $ , (. Water Tower Fee # $ ( b 0 QK Mechanical Permit Fee $ -4` -_‘.--J 5�' Builder's Deposit $ C Sewer & Water Permit Fee $ t5-& r 5-0 Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ q6(44-10 C;d4' -I.-tp 14711 This / !/ f Head/ s . • r / Your Building Permit The Appr• ed Paid Receipt No. ° Date By A. '7a, �� ' Building Orrick _ Dale This is to ecru, hat the remit' in th • a e application and accompanying document sin ate ante with the City Zoning Ordinance and may proceed as requested. This document when signed the ,'ty P n • con nu a temporary Certifit of Zoning compli, cc and lows conshuction to commence. Before occupancy, a Certificate of Occupancy must be issued J Planning P,' or Date Special Conditions, if any 24 hour notice for all inspections (952) 447 - 9850, fax (952) 447 - 4245 4646 Dakota Street Prior Lake, MN 55372 A \ Residential Building Permit Checklist New Constr ction for Single or Two - family Dwellings in R- or R Districts lel) i ,-__ Reviewed by: '/ Date: c Z i Building Permit # ID: Z ping: Address: (2( - SD (Q:, z t� bk- w 14.49- CZ- • Legal: L , B Subdivision: Existing Structure? YES / 6 Existing Nonconforming Structure? YES / NO CONFORMS TO ZONING 0 NO ORDINANCE Yard Setbacks: NA / FAILS / C LIES 1 Standard Proposed I • Front Yard (can be 20' if a g. w /in 150') 25' 7-c. 33' • Side Yards 107 25' if abutting a street '7_ S "i - 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 be' g arallel to a side lot line. I • Rear Yards plc. re ~(Z 25'—.- 4-4„ 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' I Floor Area Ratio: NA / FAILS / 4• IES 1 .30 Maximum 1 . t 9 I Yard Encroachments CI) FAILS /COMPLIES Standard Proposed I 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. I Tree Preservation: N / FAILS / COMPLIES 1 Standard Proposed • Total caliper in h • Permit 35% Removal • Caliper Inches Removed • Caliper Inches Preserved • Replacement %:1 L: \TEMPLATE\BLDGLIST.DOC Driveway: NA 1 FAILS 1 CO ' S I Standard Proposed I • Maximum width at pro e y line 24' i/ • Required setback 5' from side lot line or 30' from r -o -w on corner lots - • Maximum slope 10% co. t- • 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 / FAILS / CepyLIES 1 35' Maximum 1 2Z..` I Shoreland District: NA I FAILS 1 C LIES , Standard I Proposed Minimum lot area (square feet) U 7,500 Rip, 7,999 Non -rip Minimum lot width 50' Rip, 57.3' Non -rip Shoreland alterations Impervious surface 30% Maximum Fop 2 -1. ce, Bluff in Shoreland#1 FAILS / COMPLIES 1 Standard Proposed I • Setback from 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 Floodplain /FAILS / COMPLIES I Standard Proposed I • 100 ye r flood elevation 908.9' Prior Lake 914.4' S rping 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 I Accessory Structure: S / 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\BLDGLIST.DOC ■ PRIp4 U trl White - Building 'y�NNESO�Q' Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT Fi L-D5TD 1\)b APPLICATION RECEIVED G. lip. 1 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1 to 21 1 H 1 NKA C; T: . Accepted 1.7 Accepted With Corrections Denied /411 / Reviewed By: ' ► ' . te: Z C( Comments: s ? 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." a .� >; ,..,. _,p.:.. .. — ,,.. .., A na >, ..,.: . -,..„ ..... ... . .,. ,,,. ..,, .. .. _ .. .p.yw r *Z,cq�• r'' �'.. .. a'rz 04 PI( ti U trf White - Building y�NNES� . Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT - 1 EL CY % I 0 E APPLICATION RECEIVED (.9 . I ( . 1 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: (c2 1 H I Ni ACA 1 . . Accepted Accepted With Corrections Denied Reviewed By: 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 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. GAAdmin \dept info \ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS,doc O � PR /0. l U trl White - Building yI �P Canary - Engineering NNES� Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ( L. r L '` APPLICATION RECEIVED G. { . e„, The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1 -2 C. I i }: 1-1 f ciA c �. : � i . . Accepted ✓ Accepted With Corrections Denied Reviewed By: 4 0 '` 7 �( 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 PRIDE CITY OF PRIOR LAKE Date Rec'd N HEATING /AIR CONDITIONING/FIREPLACE PERMIT 7, t 3 • (, j x U 1 ':r 4 — j�'NES0 .i¢' 2 . 1. Pink „ File PERMIT NO. 1(( � / ., ( I 3 5/ 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) ! 6-- . LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PLO OWNER (Name) A.' ' • _ (Phone) I. (Address) 1I,Ja11 QlwAL. VJ (Name CANT ✓1�1 (Phone) 15 ( 0 (Address) /Ai /./_ 11I iltii / (Addy- s) (City) (Zip Code) (Contact Person) ' _ , � / ■ alt` (Phone) 9 5a • -• t 0 J od b APPLICANT SIGNATURE � i� z / F/4 1T 1 .. . �) f _ DATE - . - APPLICANT PLEASE COMPLETE BELOW NEW CONSTRUCTION y � ❑ REPLACEMENT E] ALTERATIONS FURNACE MAKE MODEL CAST - J��yb( ✓1 It FUEL , o 1 6 FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ['Warm 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 ❑ Special Devices ['Vent. System 0 Other Devices Cantilevers to the Outside of Buildings 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) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 The Minnesota Statutes § 326B.148 r, st $ C O 3 . Building Permit # I , "SURCHARGE" has been changed for one EATING PER FEE $ ' 49 •. � ll 66JJ /D - • year effective July 1, 2010, until June 30, 2011. 'ATE SURCHARGE $ ING PERM The minimum surcharge for a "fixed fee" permit )TAL PERMIT FEE $ 1V-1, SD is $5. beginning July 1, 2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Buildin¢ Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 - _ • l p1 R Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT rzy .., x -- 1, 13,0 � � I NESD (275 l. Blue File PERMIT NO. l 5 2. Gold City PERMIT 1\ 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) ko&i T LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Name) 1V0, P161)6 (Phone) (Address) \ UN 1 ¶W C' APPLICANT t 1 \ v'' A (Name) (Phone) ' J ` U (Address) 4 1 �� J. M.1 .L . i 5 (Addre t (City) q (ZipCode) ! u (Contact Person) o 1,.....)&1� n 1 A (Phone) 5 ; t- Q APPLICANT SIGNATU' K '11o, 0 �. V ilia, q 14 !".4 DATE (RI MO I t t APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture ' a Bath Tub with or without shower Rough -ins Dishwasher I Water Heater Floor Drain Water Softener 3 Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector 0 1 Shower Stall Backflow Assembly i Sinks Backflow Assembly Test Bar Sink 1 Lawn Sprinkler 3 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 Est $ S24110 , ` Building Permit # "SURCHARGE" has been changed for one It year effective PLUMBING PERMIT FEE $ Y lb �/j+h . rat July 1, 2010, until June 30, 2011. STATE SURCHARGE $ .t'i IN �' The minimum surcharge fora "fixed fee" permit TOTAL PERMIT FEE $ -f ,q) P CR�p� is S5, beginning July 1, 2010 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 07/15/2011 23:30 9528816976695295 BOB JE(3-E PAGE 01 Date Rec'd c� pte,p4 CITY OF PRIOR LAKE ±� SEWER AND WATER PERMIT ti er t 1. O Y e1a � ra PERMIT NO. I ' 5103 1. Gold Applicant (tae type imprint a>Qd:Ma at bottom) ZONING toeloe use) ADDRESS UU491 7 lVi Ka_____ciT _ . LEGAL 13ESCRIPTION (office use only) LOT BLOCK ADDI'T'ION HD OWTriia i s (Name) I 1 C , ' 1 ' ii i & 1, (Phone) (Address) (Address) (guy) (zip Code) APPLI ILL... (Na:mj i C — Eye.. - (Phone) (Address) a. 1 0 12 d din • ► i► di M i ► 11 I MI (City (Zip Cede) (Contact Person) 4111 i A (Phone) --- APPLICANT SIGNATURE i 4.4 DATE , 7-45-,2b1/ r APPLICANT PLEASE COMPLETE BELOW Size of water service , 1 inches. Location of any couplings from structure • feet. Type of sewer pipe. 0 ABC (1VC 0 Cast Iron Estimated length of sewer line Sn feet. Clean out (if required) located at feet from structure. FEE SCHEDULE Residential sewer and water line connection 535.50 industrial. Com & Multi- fancily 1% of job cost with a $39.50 minimum Sewer connection only .. $17.50 Water connection only $17.50 Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE $ , STATE SURCHARGE $ .A WITH TOTAL FEE $ i PERMIT e (Office tJ Only) This Application Becomes Your Building Permit When Approved I Receipt o. Date Building Official ii e IMEIMINI 24 hour notice for all inspections (952) 447-9850, fax (952) 441-4245 rxe.n 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 l(n Z4 I T �., ; n �� Q C+ tit Lot Area - 7 9 5 Sq. Feet x o= 3 18/1 *************:*************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** LENGTH WIDTH SQ. FEET HOUSE x = x = ATTACHED GARAGE x = TOTAL PRINCIPLE STRUCTURE '-i LI 3 DETACHED BLDGS x (Garage /Shed) x TOTAL DETACHED BUILDINGS DRIVEWAY/PAVED AREAS x = (Driveway -paved or not) x = (Sidewalk/Parking Areas) x = • TOTAL PAVED AREAS c - 7 PATIOS/PORCHES /DECKS x = (Open Decks VI" min. opening between x = boards, with a pervious surface below, are not considered to be impervious) X _ TOTAL DECKS 3 O OTHER x = x = TOTAL OTHER TOTAL IMPERVIOUS SURFACE Z - 56 UNDER/9 VER 9 Z 8 Prepared By _ . _ _ _��/ _ Date ' / /7 Company /i'o de e-�� I %tdec i 4 ,&'c . Phone # 9- - '/J - 3.000 DEPARTMENT OF P RIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS (C,2 '1( •` f.4{4►Nr-aer (= »J. No NATURE OF WORK S I 41 `- -- i ► - - &2 6,4, tx USE OF PERMIT ga ERMIT NO . DATE ISSUED - t CONTRACTOR -._L + LA r..-A. PHONE 1.52 - t • 13,Set NOTE: THIS IS NOT A PERMIT FOR A Y OF THE INSPECTIONS INSPECTIOr BELOW f PERMIT IS BY S P RATE D e - ;UMEN INSP11 • - DATE I FOOTING 1 17/12/l' I I FOUNDATION (Prior to Backfill) 1/ 4 //.0 f 1 LACE N�O� C ONC U TIL A VE HAS BEp SIGNE , � RbU H IN� SEWER / WATER / SEPTIC 7//-51'' r FRAMING tdC P.I / 41( �t INSULATION � .8 /0 ELECTRICAL PLUMBING #13 .,.} �' HEATING (if required) f ansiasxor GA LINE AIR TEST DA" 1 � P d) COVER��IVO VE "H RK UNTIL ABOA'S BEEN SIGN lE10,-. 044 L.44-tit 1 6( sfrot, afro 1 FIN ALS GRADING (Prior to Sodding) q31/0 BUILDING ELECTRICAL PLUMBING M W3ak. HEATING WWT 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 A A CONSULTING ENGINEERS, FIELDSTONE FAMILY HOMES, INC IlO17E PLANNERS and LAND SURVEYORS PROJECT NO. 14748.00 ENGINEE • • COMPANY, INC. 1000 EAST 146th ST., STE. 240, BURNSVILLE, MN 55337 PH (952)432 -3000 CERTIFICATE OF SURVEY Legal Description: LOT 23, BLOCK 4, THE BLUFFS OF NORTHWOOD MEADOWS, SCOTT COUNTY, MINNESOTA + 953.4 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION -- INDICATES DIRECTION OF SURFACE DRAINAGE (96 .50) = FINISHED GARAGE FLOOR ELEVATION (962.83) = TOP OF FOUNDATION ELEVATION (954,79) = BASEMENT FLOOR ELEVATION SCALE : 1" = 30' BENCHMARK: LOT AREA: 7,952 SQ.FT. TNH LOTS 19 & 20, BLOCK 4 HOUSE AREA: 1,443 SQ.FT. ELEV.= 961.90 DRIVEWAY AREA: 607 SQ.FT. PORCH AREA: 66 SQ.FT. PATIO 16291 91 TA COURT APPROVED / Buiidln - Date Zoning . / /',� _i►. i Date r r Graldin I 0tt0 / 3a J K y r: O z 4' ' hl".✓, PG/ ) 1 ( 4' 1 / 4 4 ( +J rev • p� 1 r / ���G, HUB= 960.43 .-1 "x / 0 v9 g 'J m 1 ■ ∎ (: s N- b . -Q.4 X01 �� , � L O 9 rn 2y op OpRS� L A. 0 '�s O S a' c / 0 '-t - " O � p 515. � • � ( / Gam 7 O • . . .a t . •• 5' � 6 ,� 2.0 . (J)C;Z Dt=c K / ,M ^ �o` 2 C7 D i'\ • N o ,• L g . / �� `%' ,�•6.7 HUB= 956.70 NAG E & N \ �, O 0 ��,�''�� \ 9 -{- 9 5 '' 0. 4 11.67 UTILITY 4 0, , P Q C 4s S, EASEMENT HUB = 960.37 rv (9� \ L e ti -y 6 QO J O . -. O m 19.50 00 Q�O ' <0 •`) `" M 0 \ • 10 \ `1 u v c . 2� • 1 ., X52.6 �� 9 / rt, t ' P `' • 953.4 / 1) 1 6'7 � ti jO�, ; ` `� OA, / ` x `' • \:* , tee •2 O � S O \ \ �� � O :51.6 95 6 � '92. HUB= 55.92 . (Ni i �� / • 51.4 B \ ... , / a m 7.67 S .-. . ' ) 4) \ ' 2. , \/ b 4 , , IX *` (; \1• 10 c'