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'`` CITY OF PRIOR LAKE
f uiI jittspitfnzz
' ' ❑ Final Permitted ❑ Conditional C.O. Expires
f
This Certificate issued pursuant to the requirements of Section 110 of the ❑ Residential / ❑ Internat
,' : 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 ,,_57N �d`i / J, -I /Ly Bldg. Permit No.
1/ ,ZSZ �
Occupancy Type �3 �� S Type Construction " Zoning District /C J
:7
Legal Description G 5 � Z / 1 f✓ L flQN / E / `� S
Owner of Building
! t 1 * 6 L io�'T n V&
g Site Address
Contractor's Name & Address
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6/... -_ , _-. /--/ti Iv City Planner
' f Building Official
h:;;
1' Date: �', Date:
s
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CONSPICUOUS PL ACE
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0� Plli CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /0,3/. �/
,. x AND UTILITY CONNECTION PERMIT
U so)
y�HNES��D ?. White File PERMIT NO. j
Z
Pink City -1I 5. 2
3 Yellow Applicant ( / Z.
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
I le 24- BE LN, - 1 - AVE_ q) . R is
LEGAL DESCRIPTION (office use only) p
LOT g BLOCK I ADDITION pF..... e 4 F�`�+4"T PID 2 Si 447, d ob.. 0
OWNER
(Name) (Phone)
(Address)
BUILDER f 1 ,�
(Company Name) 1•E., L-14 TT,) FelE_S (Phone) 93Z - 4 —94-C)
(Contact Name) 14 " FLAri- 1 i1/4- - PE. aryl (T 4. / y s or - (Phone) 95 a-440-940e)
(Address) 170 Za FI S4-- Pp t ►-k-r - Pi> E . PRI oil- L v.� t ►- I 1 . Gs ?j*"""7 2_
TYPE OF WORK XNew Construction ['Deck EPorch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
['Addition ['Alteration ['Utility Connection
CODE: 50.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V AB PROJECT COST /VALUE $ 21 1 -7
/ —
Occupancy Group: A B E t H 3 S U (excluding land)
Division:
1 I hereby certify that 1 have furnished information on this application which is to the best of my knowledge true and correct. I also certify that 1 am the owner or authorized agent for the
e- pr city d that all construction will conform to all existing state local laws will proceed in accordance w submitted plan I a that the building
o l voke ed thi er forjust cause Furthermore, I hereby agree that the city official or a designee and may enter upon the propetTy to ith perform needed s. mspec uons ware
21)6374C,5'PM lb -Z7 - I i
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
7--e? OCIP ,.-
Permit Fee $ r
'Z-- 6, te a• 5-0 SAC # $ `Z2 3D, `-
Plan Check Fee $ (4 Water Meter Size 5/8 ";`C; $ 4- ' _ -
State Surcharge $ 1 «Z , �` Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $ ` sue ,
Plumbing Permit Fee $ t Water Tower Fee # $ i vv ®. -
Mechanical Permit Fee $ S -O yd Builder's Deposit $ S-00.
Sewer & Water Permit Fee $ 5 9-0 Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ t) G+ a iS
6,14_,I9 tali& l(
This p . i
— ( r `J on Becomes Yaur Building Permit en Ap f oved Paid ' �IC Z � � R ceipt NO. i�
Date / � y , i B �,6,46 j
4 _
•Btu iu _ - Date
• This is to ce hat th r quest in the abovatapplication and accompanying doc ments is it accordance with the City Zoning Ordinance and may proceed as requested. This document
when sign .. , t e CI tanner constitutes a temporary Certificate of Zoning mpliance ind allows construction to commence. Before occupancy, a Certificate of Occupancy must he
issued ii
f
Aft Log
Plaint' _ rector illigip ate Special Conditions, if any
our notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372
•
Driveway: NA / FAILS / CO LI Standard Proposed
• Maximum width at property ine 24' `
• Required setback • 5' from side lot line or c� t r
30' from r -o -w on corner lots � ` \
• Maximum slope 10% 7 •
• 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 / CO LI S 1 35' Maximum I &
Shoreland District: NA / FAILS / C P L IES , Standard Proposed
Minimum lot area (square feet) 7,500 Rip, 7,999 Non -rip
Minimum lot width 50' Rip, 57.3' Non -rip
3 (of1 1Z Shoreland alterations
4o)fWat Impervious surface 30% Maximum 0 t g( o
�IK3� f-z 7f� 3� � ci f ` S / 2-43 " w x..5..9 - ,62./7
B luff in Shoreland FAILS / COMPLIES Standard
5,-04,g I 1 Proposed I
• Setback from t p 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
n
Floodplain: A FAILS / COMPLIES Standard Proposed
• 100 ye ` ood 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: (19/ FAILS / COMPLIES 1 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.DO C
Residential Building Permit Checklist
New Construction for Single or Two - family Dwellings in R -1 or R -2 Districts
Reviewed by: Date: 7
Building Permit # PID: Zoning: 12
Address: 1 Z k . �,..v"\c> .- A ' -
Legal: L , B Subdivision:
Existing Structure? YES O Existing Nonconforming Structure? YES / 0
CONFORMS TO ZONING / YES NO
ORDINANCE
Yard Setbacks: NAI FAILS/ C' P S Standard Proposed
• Front Yard (can be 20' if a • . ' in 150') 25' 'S', S
• Side Yards 101
25' if abutting a street t �.
• 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' `Acn� 0
• 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'
-
L;...( 7 4 2..3c. / < < ( 3
Floor Area Ratio: NA / FAILS 1 C 1 .30 Maximum I • l;
Yard Encroachments NA FAILS /COMPLIES Standard Proposed
Eaves and Gutters no m e 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:, / FAILS / COMPLIES Standard I Proposed
• Total caliper inc s
• Permit 35% Removal
• Caliper Inches Removed
• Caliper Inches Preserved
• Replacement 1 /2 :1
L: \TEMPLATE\B LD GLI S T.D O C
04 PRI() �,
ti
try
White - Building
Canary - Engineering
"'INNESOo' Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /C-07i."ND /tf
APPLICATION RECEIVED 10. 31.11
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/iz4 3a- t-ioff/ r 4-VE
Accepted i Accepted With Corrections
Denied
Reviewed By: / (t) Date: // /' t/
Comments: Co c /11x47 o6,./ c -
"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� PRIp,
c
ri
U
White - Building
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 4 Reviewed By: Pte-- _-- 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."
-, ,,,,, - ..<„. -wv •.. +...'^* A AU `.y:","'9iR'^`r'.irewsa?,+a+F_ aM' . ra as2 •-• •. • #r ,........., .. ..r..rmv,*. ,..,m Gt , „ , : '•w:;? p:�, +rr ,a "R. . +45? Pte, '°°,N4DPO.
O� PRIpie
ti x
U tr1
White - Building
Canary - Engineering
"�`^NES °�P Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED 10, o l 0
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:AL Date: �f�
Comments: See Attachnibnts: 1) Grading Plan, 2) Erosion Control Measu es
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
•
i
1
Dutc Reed
° f . : ∎41, CITY OF PRIOR TAKE PLUMBING PERMIT
A l
4I1 1 Wm 1,4 i ..I'i' i. \O.
2. aul A p p ay
. : . ..2 ...
Please a or rint and al 4n at hatto ) _ _ . . . r
ADDRESS ZONING (urnce me)
1 ,2- SE. �.r NI 4 A ug .
LEGAL DESCRIPTION (omcc nic only) f�
LOT 4 . FLOCK ) ADDITION <�1 ( 'l4l� 1- KC' C g±:cA. - re .. PIP -1•'IP . _ - - .
(Nano) T'Y' 1 (ht_.0 (Phan) - — - ._
(Address) r - 0 2-.i t tsi - pot +'' ko1 SE `1. y. ,,A k.e ., ...
APPLICANT cy ,�Li
(Name) . P �`) h �) C is, ��, .. T . f 1( (Phone) 9 _. _g ' ..
(Address) te 2 -$ w -_ {„_-. jj th -+;'' r C 1 .,.. -
(Address) (City) (Zip Co . —
Code)
'
C � �
(Cclnkuct:PeC on) f1 "v ' ? .y . ? ('hone) w ,_ 2 f "� x>__ � ` �} . ..
AIyPT.ICAN1" SICiNA k"C7RE __.... . - ' _.. - — . , - ....
APP ACANT PLEASE COMPLETE BELOW
Qunnti Type of I hctur9 Quani,lty _ Tapp of n x urc .. —
Bath or .th Tuh with o without shower T L- Rough Ina .,
• / . Dishwasher (- N Water Heater
„ a.. Sand P
Lavatory a ( thraom Sin _.._ _ _ Softener Pipe (
,� ..._....._ � -- ._ ._..._ ...�_._. ..
a ( Mach i inc� .
j Laundry Tray 0 o 2 compartment Rink CS Sawa] actor _,.,. .
/ Shower Stall . 5 — �iinckf.ow Asgombly
-. / - Sinks 0 Backtlow Assenthl Test ..
0 Bar. Sink - _Lawn. Spr.ink or. _.._....._
. ,. Water Clasot (Toilet) Other —. —
FEE SCIIEDULE
Inihlatriul, Commercial & Multi - family 1% o j ❑b cost with a $49, SO minimum Rasidantial, Now Ow & 9wo- Pornily S149,50
Itasidontial, Additions & Altoratlona $49..50
TN Minnouoin Statuia f# 32611.148 ., tst $ — • — , Building Permit t+
"SLJRCI IAROEl" Iuis hnen hanged ('or cau0 _. 14 -
`
yenrcffeclivc PLUMBING PI3RMI'1' PEE ? $ _., , r ��
.114 t, 2010, ' duns 10, 2011. STATE SURCHARG1 $ _
The minimum enrchnr u Inv a " fl ;i (be" narnlll TOTAL PERMIT FEE $ t
IN I, bepitlniuuJuly I., 21110 Pit y
tgl a
Thla Application !loco flies Your :Building Pormit Wilco Approved Paid ceipt No.
nnIn
CITY OF RI Date Rec'd
° vitro, YY EA'Y'1NGIAIIt CONDITIONING/FIREPLACE fJR LAl[
r A•i��i
'?. ; ,Y T PEI MIT
r u. .: P1
a. G,,:n c:, PERMIT NO. Vail
3. YcILaw Apj);ieucd
(Please tlpe or print and sign at bottom)
ADDRESS Arc, (IQ i,k)
- ZONING (of5cc
• / roil -#--
1
LEGAL DESCRIPTION (olhcc use only) , "
LOT 13LOCK ADDITION _ PID
OWNER , 4 L '
(Name) �- 4 �'1 ' r' i - � , ('hone) F 1,.5-P ` 111 c/0._ &b"?
?
(Address) LL
# . K !1 ,"j l G-, , ,Ofl i , t, b �1, I�.� 553 - 1
APPLICANT
(Name) ) I but – ( Lam-- (Phone 4 ) ,V- -' [ : 11,2- —1 9(9
(Address) 1 0(2 j dor- 0. 0 r r. Ji:[77 nj1 `�
Add ess
)—
T
( ) / C'ry) (:Gip Code)
(Contact Person) i'!L p +`G vLC,t �, (Phone) ots `_ 1 r�-•— ,)-
APPLICANT SIONATl(LQE r- •� , r , �..... - _- DATE' A{
0 ' ' LICANT PLEASE' COMPLETE BELOW
- -�
21K CO! STRUCTION ❑ REPLACEMENT N'T ID ALTP 4TIONS
FURNACE MAKE AND MODEL P6EL
FLUE SIZE RETURN OPENINGS _ INPUT OUTPUT _
TYPE OP SYSTEM HEATING 4TING OR POWER. PLANT
❑NNwri Air Plants
PLEASE N(1TE: Air Conditioner
Steam Units and 1{itep e laces Cannot Encroach j
❑Gravity ❑ Hot Water
into
[' Mechanical ❑ Radiation
Required Side `Yard Setbacks.
❑Air Conditionicg CI Sp Devices Fireplaces with Box Additions or
❑Vent. System r ❑ Other Devices _. CantileY•ers 1t the Ourbide of Buildings
FIREPLACE MAKE` AND MODEL ead t C3 Require a Bt�ildfng Permit,
FEE SC.KL'
Irdustrial, Commercial & Multi-Family i .t, ofjob cost Residen:iall, ,irc11 ce $49.50
$49.50 nilgir.,urn •
Residential, Heating & A/C (New Construction) $149.50 Residential, Additions S Alteration! l S' -9.50 [VA
Residential, [dear;ng Only (New Construction) $64.50 Residential, AC Only $49.50
— '1{) I
'' Cost
Building permit #
The Minnesota Statutes *326[1148 W c
"SUI.CHAR(;t:" hits been chmeed for one HEATING PERMIT Fa . �{ ( t��,,,� c e0 -- y ear ere N:: STATE SURCHARGI — „? - . I 1
Ile minimum surcha, c fnr x " fixed
fee" p ant i( TOTAL', PERMIT FEE $ p ' `-1-: 5C')
__-
is ,',:;7:., idly 1,x10
- T1tia Application Becomes Your Building Permit When Approved Paid iacei. o.
l It
Date BUIL ' Pk _
Buildin_ Official Date
24 hour notice for all inspections (952) 447 - 9850, fax (952) 447 -4245
4e46 Dakota Stropt 4. ht. Friar Y car. M.... e...1.14 Ove /T0 39Gd HOIH /:H1i�V31- Er 30O9Z61'Z56 II :ET ITOZ /EI /ZI
Nov. 10. 2011k 8:20A1.. No. 10$1 P. 1
} r n �� pate �tec'd
P R I O i.� CITY OF PRIOR LAKE
n SEWER ANT# WATER PERNIX'T'
k /'NEf 0 •
e .11 Pa` PRRMIT NO.
f. Oofd
Please c cr . rint and si:. ac t o tto rs
ADDRESS ZONING (office use)
I ` o - +"' •
LEGAL DESCRIPTION (office use only) +
LOT 5 BLOCK ADDITION l lr
OWNER
(Name) . = • 4.1011. (Phone) 9 - Ll HO- qq 40
(Address) 1 102. 'F _ -. t3 .tc12-
(Address) (City) (ZIp Cade)
APPLICANT
(Nam *) STOCKER EXCAVATING CO* 'ANY, INC. (Phones) 952/890-4241
(N
(Address) 12336 Boone Avenue Ssva:e k 55378
(Address) (City) (Zip Code)
Curt same
(Contact Person) (Phones) -
•
APPLICANT SIGNATURE la edeMt W211,LDS' Jon& DATE / ?-" / 0 � 1 L - _ -
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) locsted at f et'from structure.
FEE SCHEDULE
Residential sewer and water tine connection $35 -50 Industrial, Corny( & Multi- family I% of jcb cost with a S39.50 minimum
Sewer connection only $ 17,50 Water conreetion only $17.50
Estimated Cost $ , Building Permit
•
SEWER AND WATER PERMIT FEE $ PAID WITH
STATE SURCHARGE $ .50 , DING PERMIT
TOTAL PERMIT FEE $
(Office Ust Oniy)
This Application Becomes Your Building Permit When Approved' ' Paid Receipt No.
Date . .
Hailding i Date -
24 hour notice for all inspections (952) 447 -9850, fix (952) 447 -4245
NOV. 8. 2011 2 : 22 Pf METRO AIR 952 - 447 -8126 NO, 05/ P. 1
p'Igo CITY OF PRIOR LAYS Date Rec'ti
0 41':7'`�14C , HEATING/ AIR CONDITIONING/FIREPLACE PERMIT
I. Nia Gib
4 'rVxrsdt� z (r_h My 3. Yellua. �'LR 11.'i' 1'+I
/4�i kcal .. . .-
`llea l o )___ t mu_l a Lottezn) _ _ _ _. — - -- - • -- -
I \ ,c1 - CS k,VIrvoi\ R ) _,_, ADDRESS - ; ZONLNd (incc ;;; . ._
___ ______._...
. _____
LEGAL DESCRIPTION (office use only) _
LO'r , - BLOCK . 1 ADDITION 7 .. Lk . ? I'ID —�. -- - -- - ___ . .
OWNER ''\-- \ c \\ 0 ip .. \ (Nance) -- (Z hone) _ . _ . _.
(Address) Li CA `ec1\ -``;,, ti ( ....k.1\ , ■"A' li >� t , \- -� -.. . U - .,, •
(Name) , r' i. , • ^ \ 1rl k... (Phone) .. —`L `I _ _. -
(Name) {} S. -�
,� ( t `� f — -L O iN S'l ,mot .. _
(Address)pa� \ -1, \\\ c .� ° 1 1 C ■ (} _......._,
(A.aarcas) (ci.y) (Zip Code)
(Coti[act Person) IA ( A wN t.../ Vr4p k\ C_, (Phoiie) 1 S ' .. \� Qt ""_' 1. \'
APPLICANT SIGNATURr _ DATE, \ APPLICANT PLEASE COMPLETE BELOW _ .....__ .._......_...
ANEW CONSTRUCTION ❑ REPLACEMENT d ALTERAT.LONS
FURNACE MAKE AND MOD3L (3e^yC "\ ' \Q \' \ Vcj' - \.0 FUEL IV��1
FLUE; SIZE le V C_ RETURN OPENINGS % - INPUT } 0 C::) O O 01.1TI't.l"I' 3 ,c -
TYPE OF SYSTEM BEATING OR POWER PLANT �--- -- - - . ___,_.__._._
. PLEASE NOTE: An Couditinua•
I V rio'n Air Plants ❑ 5 :earn Ultits and Fireplaces C:ni I jterltaeh
UGravity 0 Hot Water into Required Side Yard Setbacks.
D Mechnni ❑ Radiation Fireplaces with Itoz Additions or
'jAirConditioning ❑ Special Devices -- Cantilevers to the ()ufs4tle of Iltliitiint;;
,Vent. System 0 Other Devices _ _,
Require a Building Permit,
FIREPLACE MAKE AND MODEL - -- _ — . — _ _....._._... «
l+'I'E SCHEDULE
JndusL :ial, Commercial & NW ti -F m1ity 1% otjo, cos % Ites(dentint, Gas Fireplace $119.50
$49.50 minimum
Residential, J-Jeating & A/C (Now ConstrtctiolJ) $149.50 Residential, Additions & Alterations $49.:0
Residential, I•Ioatittg Only (New Construction) v � $64.50 Residential, AC Only $49.50
Estimated Cost S 1 JQ � Building Permit #
HEATING PERMIT F`J E $ _ PAID WITH
STATE SURCHARGE $ BULDING PERMIT
TOTAL PERMIT FEE
(Office Use O ply)
This Application Bern ties Your Building Permit Wien Approved . Paid Receipt No. __-__
Dane • I3y ^_-- - - - - -. _._-_
nnilatuc Official Date — ___ _� �_._
24 hour notice for all inspections (952) 447 - 9850, fax (952) 447 -4245
4646 Dakota Street S,E,, Prior Lake, Minnesota 55372
. NOV. 8.2011 2:22PM METRO AIR 952- 447 -812f NO. 057 P. 2
•
' 1
_, ■ • 0
0
` S
Keyland Plan # 3776 -111
HVAC Load Calculations
for
- 4 .
• I • '• re i I
RI- VA L. HVAC LoDs
Prepared By:
.ioe Storms
Metro Air inc.
16980 Welcome Ave SE
Prior Lake, MN 55372
952447 -8124
Thursday, May 19, 2011
Rhvac is an ACCA approved Manual J and Manual D computer program.
Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D.
P RIOR DEPAR
LAKE BUILDING AND T OF
ND INSPECTI N
o.
INSPECTION
RECORD
SITE ADDRESS t �24 . ��- }- Av&
,tJ
NATURE OF WORK StNic,c. E 1t [i,�- z-, N. L ILT rrnr.. LL rte.. 4- -F ,,
USE OF BUILDING - 5F-r,
PERMIT NO. tl - vi 5Z DATE ISSUED tc /4
CONTRACTOR K. Rz)M6 PHONE 44- o4 --14
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT j_ Q
j NSTG;... Eti2.aw . et /
G11'4 C -- _,6 ' 2 L � ,,, ' 1 E TO ItT- f tom' DATE
l ✓► l� � S
I FOOTING 1 f 6 1 , / ,
V 1
I FOUNDATION (Prior to Backfill) 1 q i/ t , I
PLACE NO CON TE UN�TI,L G 60 AS BEAN SI,GNED
2 ,,� '(,Sits .
QiCC.. ROUGH _ - I N S� '/s J
SEWER /WATER /SEPTIC 4 ii///,
FRAMING fr (S i2(2 t J y
INSULATION
ELECTRICAL
PLUMBING ff( 124
HEATING (if required) )2i 2 1 �(
FIREPLACE
.
G LINE AIR TEST '` 6 a 4
RA...), 1 CI=A L I — , �� 5 re;
COVER NOW RK UNTIL ABOVE HAS BEEN SIGNED
IEL.),.....4.42,Ato c.
?(/ , Z12s ` c ., -I
1
FINALS
GRADING (Prior to Sodding) (' Ni"-`51\l'
BUILDING ) Ktilz__ .� 2/z1/4,
ELECTRICAL
PLUMBING ,, r - - 9AU2>
HEATING
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
�NEERen ineering
PIS �
CIVIL ENGINEERS LAND PLANNERS LAND SURVEYORS LANDSCAPE ARCHITECTS
2422 Enterprise Drive, Mendota Heights, MN 55120, Phone: (651) 681 1914 Fax: (651) 681 9488 - Pioneereng.com
Certificate of Survey for: KEYLAND HOMES LAKE, MN.
ADDRESS: XXX BUYER: SEVCIK MODEL: 3778-111 - ELEVATION: A
(975.6) N89 ° 21'38 "E 974.8) _ - -
974.8
- _Y 975.6 ^
975.4 X 974.2
LOT AREA = 20,000 SF
HOUSE AREA =2,317 SF DRAINAGE AND UTILITY 972.8
PORCH AREA =236 SF 970 7) EASEMENT PER PLAT X 97t.a
SIDEWALK AREA =69 SF �� 971.° cu
IMP. DRIVEWAY AREA =955 SF m �" 1' (g72 0) x o x
COVERAGE =17. % I CO (972.8)
I
N ' " _
DRIVEWAY AREA ` ,�"7 X 9707 I 9728 1,-2. • o x 972.4
X 972'
(fl
86 2520W
fi N. 109.26 Lt)
a co 0 fa ' 00 5 •:1- h.
0
e
,9 f ` w 1 I i I'
6 X 97 3.6 974.4
Irt.
3 r I : 1 ii- 00 : (973.5)
\ i x 14.000 I 1
_ r° II
0 � 21.07 974.9 (974.0) co' � r - ?
•.: i Z : 9`73.8 s7 T T- - -- 0 5 - 1 . _ ^ 975.4
c to e -; `-� ' I 0 0.00 974.9 97" o PROP o
18.
976.7 16. 00 ?��, as HOUSES
d- GAR 1 r./B.W.O. 0 0 1 s7e.3 CD id
;i EX E d- . ct/ AGE 3C o 2-
i 975.0 I • o
T HOUSE °� / o o° I N '4 ^ ' / / I t
U> 980.7 X 00 0 677.7 /(V 6 00 7.6 I I • ^ O
979.6
r` � 977.7 0 1 13.00 14 I! Z
rn 18.1 10
v 67 0 _ _ (V 977.6 ' 1977.5 ^ X 980.6
9 78 .
. 2 (o 977.7 9 82.6 I rn
� 1 {7.99 * 981.5)* IL ( ) - X 77 . 9
// x 17 .9� � . :0.0
Irl BENCH MARK: - '�/ N : PR OPOSED I (982.1) I: \ \
z TOP OF SPIKE I I ; `
° ELEV.= 977.98 `° 5 7 .1% u `r
,� `\ BENCH MARK:
- k _ , +cep 87a.a I ! CO `TOP OF SPIKE
• ��%1 _.1._ - - - - - -�1 ELEV= 977.90
(978.8) LO --• 2 42 978.6
' r oz irm i ••-••
I .�•.�•. .. -..�0 ri 978.8
I :■rwY�i
9 978.: � r * X 978.6 97 8.4) •
®- L6:�I� .. 97as --
9 .
8.5 .. Al l ■` 7a
976.5 - 978.6 978.1 ..
C(�ssC & �P P (LOA 2 °48'03 " 9 78.1 0
R = 2 030 . 00 z 9 M � ' °'.�, Delve.
99.24 - --- -
BELMONT AVENUE
NOTE: ADD FOUNDATION LEDGE AS REQUIRED LOWEST ALLOWABLE FLOOR ELEVATION :974.0
NOTE: GRADING PLAN BY WESTWOOD LAST DATED 11/27/07 WAS USED HOUSE ELEVATIONS : (PROPOSED) /ASBUILT
TO DETERMINE THE PROPOSED ELEVATIONS SHOWN ON THIS CERTIFICATE.
NOTE: PROPOSED BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL
STRUCTURES
LOCATION OF FOR APPROVED THE LO T CONSTRUCTION PLANS. Y. OCT BUILDER PRIOR TO LOWEST FLOOR ELEVATION (974.5) /
TOP OF FOUNDATION ELEV. : ( 974.3 )
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN PERFORMED ON THIS LOT Y 1.4 ft.
B THE SURVEYOR. THE
IS NOT THE RESPONSIBILITY
IIBYOF OIISOILS OF TUPPORTVTHE SPECIFIC GARAGE SLAB ELEV. ® DOOR *(981.5)* drop
NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER X 000.00 DENOTES EXISTING ELEVATION
THAN THOSE SHOWN ON THE RECORDED PLAT. ( 000.00) DENOTES PROPOSED ELEVATION
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. ---- DENOTES DRAINAGE FLOW DIRECTION
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM -A- DENOTES SPIKE
WE HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 5, BLOCK 1, BELMONT ESTATES
SCOTT COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 15TH REVISED: DAY N OF E; OCTOBER, 2011. I SIGNED: PIO E R ENGINEERING, P.A.
10/18/11 STAKED HOUSE
11/15/11 revise house no restake per client
SCALE : 1 INCH = 30 FEET BY: �� /���lll / / /�i�
Peter J. Hawkinson License No. 42299
7247 110072004 NJKx2
'� ERen ineerin
NE
PIS g
CIVIL ENGINEERS LAND PLANNERS LAND SURVEYORS RS LANDSCAPE ARCHITECTS
2422 Enterprise Drive, Mendota Heights, MN 55120, Phone: (651) 681 1914 Fax: (651) 681 9488 - Pioneereng.com
Certificate of Survey for: KEYLAND HOMES
ADDRESS: PRIOR LAKE, MN.
BUYER: SEVCIK MODEL: 11 7 - 111 ELEVATION: A
N89 °21'38 "E
(975.6) 974.8) - - - -
_ -- 975.3 X 974.8 974.8 975.0
975.7 9 ''. /
LOT AREA = 20,000 SF
HOUSE AREA =2,317 SF ` DRAINAGE AND UTILITY / 972.8 X 97 .9
PORCH AREA =236 SFx 972.4 EASEMENT PER PLAT X 972.3
d 97 0.9
SIDEWALK AREA =69 SF X 971.7 .3 N
X 971
IMP. DRIVEWAY AREA =955 SF o
COVERAGE =17.9 % °' N
X 970.4 7 C D
DRIVEWAY AREA =1,087 �_ X 972.9 I;
X 970.9 U
A 9.X6
72
X 970.6 N ° 25'20 "W a'
c. CO ki
fi 109.26
rii \ \ \
N 5 - 1 X 972.9 9 X 973.7
X972.2 I 5
971.3 X 972.8 Nt
X 970.9 X X 971.7
a)
I
w X 973.1
0) 973.2
f d X9X.92 973.8
X 973.2 >;1
973.5 X 974.2
10 X 972.8 , 92.7 93
X 973.4 14.
O
0 X 97'6 �Cr r 0
� I
O X 974.1 974.0
X 975.3 973.9 Q
Z o a.2 50 4.5 974.2
975.2
° PROPOSED ° I
X 976.1 16.0 ; HOUSES ,� I W
13C F.B.W.O� 0 18.1 PO
//. 976.4 r. EXISTING O GARAGE i o o " 9 I 0)
HOUSE / ■
/N /N�� I O
80.9 p o f 13.0 , 6.0 14.3 983.1 I 4-
978.7
980.0 18.1 , 10.7 N 81.4
- -- - 981.4 20.0 O M0 .7q . 982.0 I 0
Z
i X 981.1 / • 979.3 •:I 7
PROPOSED 1 I
X 979.4 979.0 DRIVEWAY
9 0.3
LO
X980.8 X 5 - � 80.5 I X 979.6
_ - � 5
(978.8) ( ° 1 :78.7
0 ❑3 978.7
s78..a ....... 97: • .. 978.6 978.4)
.. .. 978.7..... .. .... . -97&4
i� ... ... 9785 •
In
D =02 ° 48'03" °
- - - _ R= 2030.00
99.24 - - --
BELMONT A
LOWEST ALLOWABLE FLOOR ELEVATION :974.0
REVISED 5/29/12 GRADING AS -BUILT HOUSE
: (ROPOSE ILT
/ 974 5
NOTE: GRADING PLAN BY WESTWOOD LAST DATED 11/27/07 WAS USED / 983.1
TO DETERMINE THE PROPOSED ELEVATIONS SHOWN ON THIS CERTIFICATE. TOP OF FOUNDATION ELEV. ()
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN PERFORMED ON GARAGE SLAB ELEV. @ DOOR : ( 981. / 981.4 SUPPORT
THIS LOT THE THE SPECIFIC HOUSERISENORT THE RESPON OF OF
NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS X 000.00 DENOTES EXISTING ELEVATION
OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. ( 000.00) DENOTES PROPOSED ELEVATION
DENOTES DRAINAGE FLOW DIRECTION
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM -A-- DENOTES SPIKE
WE HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 5, BLOCK 1, BELMONT ESTATES
SCOTT COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 15TH E Dp
REVISED: OF 2011. I SIGNED: PIO E R ENGINEERING, P.A.
10/18/11 STAKED HOUSE
11/15/11 revise house no restake per client
SCALE : 1 INCH = 30 FEET 5/30/12 GRADING ASBUILT BY.
Peter J. Hawkinson License No. 42299
7247 110072004 NJKx2