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Building Permit 12.301
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Building Code certifying that at the time f issuance this structure was in compliance with the various r I' _ _ _ ordinances of the City of Prior Lake regulating building construction or use For the following: .'' t k_. S / 7 FH Pi / /1. 3O/ `. , Use Classifica Bldg. Permit No. OA 123 Vi1/4/ P 11 Sv . , Occupancy Type Type Construction Zoning District _ >� _ L egal Description U / �/N �� Po/VD Fa Ore-VI n ,t� � ;;• • I Owner of Building Site Address 37 / Z poi / N � /'� � Y y — _f-- `' j t1 Contractor's Name & Address ; !w/3 tit -t7l City Planner • �� Building Official j,, r,r �} 2; ' Date: Date: , • I _ POST IN CONSPICUOUS PLACE �` i s ;TIP �' I P}� I "u1 I ; �I i t 1 41 ":' � ? � p�1 p ; � r � dl :'r� I i � � I ;.110 i , n -' I .I!�� ?� N � 11 ', ; 1 tii.�i' 'v. � ' I,T: � 1 ��1:.. 11? 11; Il 4 1111 N '1 '' ('. �'''.: ' �'�' . � ; q. 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PU50 LEGAL DESCRIPTION (office use only) (�. 'j[.! a / (� y� LOTI. BLOCK ADDITIOir- y1A t -� ��fl \ PID ZSS' • 411 . 0 07. 0 OWNER (Name) (Phone) (Address) BUILDER (Company Name) Ai 1 g _a„/ - 1 aOb l a-4 � 0�Y - (Phone) �' c�►'"t ( / J � (Contact Name) fj�`e�1. (Phonef i 59--a-act. , ( � V ( OQ �� (Address) '1�. 1 4 A I (JJ 1/Th j /1/-\19Yl.Z� fl �) 5�J' `i'�F' TYPE OF WORKNew Construction ❑Deck ❑Porch ❑Re- Roofing ERe-Siding ❑Lower Level Finish ❑ Fireplace ['Addition ❑Alteration ['Utility Connection CODE: ZI.R.C. ❑I.B.C. ❑ Misc. 1� Type of Construction: I II 111 IV V A B PROJECT COST /VALUE $ 1 6 5) c 0 �J Occupancy Group: A B E F HI MR S U (excluding land) Division: 1 2 3 4 5 1 hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that 1 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 revoke this permit for lust cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform ne_ded inspections. Signature L Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ 1, 6 . so Plan Check Fee $ I, 1 15" . te6 Water Meter Size 5/8 ". $ \q 0.06 State Surcharge $ 1 5 • �� Pressure Reducer $ 1(00,06 Penalty $ Sewer /Water Connection Fee # $ /` s 0 0 Plumbing Permit Fee $ 5'L /. Sb Water Tower Fee # $ /, DDO, O G Mechanical Permit Fee $ / -q' 550 Builder's Deposit $ / 5 • O G Sewer & Water Permit Fee $ 56, . Other $ Gas Fireplace Permit Fee $ 64 so TOTAL DUE e i, i/ 5 jZ $ /0/ 685.. 68 This Application Becomes Your Building Permit When Approved Paid 101(k? t1 > W V Recei o. ea 5 7 r/I Z &'ire2k Date ' % 7 ,/ 1., By Bui S /Z� 2 Official Date This is to certify that t-c request in the above application and accompanying docum•nts - in accordance with the City Zoning Ordinance and may proceed as requested. This document when sign; b the y Planner constitutes a temporary Certificate of Zoning com lia c and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued f/ r/ .. ` �_ z f Z- Planning _ 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 Residential Building Permit Checklist New Constr ction for Single or Two - family Dwellings in R -1 or R- Districts h Reviewed by: Date: .z- ( Z Building Permit # --14 - Zoning: Address: r U5 ) - 31( .p. Legal: L , B Sub i vi'sion: 5 Existing Structure? YES / 0 Existing Nonconforming Structure? YES / NO CONFORMS TO ZONING NO ORDINANCE . Yard Setbacks: NA / FAILS! C PIES I Standard Proposed • Front Yard (can be 20' if a w /in 150') 25' Z5 , • Side Yards i (S , .>- — 25' if abutting a street • 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. I t • Rear Yard (0 11,C • Patio Door: provide for minimum 10' deck or sign ' 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 1 FAILS / CO LIES .30 Maximum h .7-- Yard Encroachments• 1 FAILS /COMPLIES 1 Standard Proposed Eaves and Gutters no re 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 1 Proposed • Total caliper i -s • Permit 35% Removal • Caliper Inches Regoved • Caliper Inches Pr6served • Re lacementf %:1 p— L: \TEMPLi4TE\BLDGLIST.DOC 1 Driveway: NA / FAILS / C E S I Standard Proposed • Maximum width at prope y line 24' z...-f1 • Required setback 5' from side lot line or 30' from r -o -w on corner lots I 3.5 • Maximum slope 10% /- j • All parking areas to be paved including R -V or spaces adjacent to the garage • Location to match subdivision grading plan �a 1 Building Height: NA/ FAILS / COM¢S 1 35' Maximum I Z 1- ` Shoreland District: NA/ FAILS / CC�i(il�JES . Standard Proposed Minimum lot area (square feet) CVO 7,500 Rip, 7,999 Non -rip Minimum lot width 50' Rip, 57.3' Non -rip Shoreland alterations Impervious surface 30% Maximum 1, ' .,, Bluff in Shorelan : NA / 'AILS / COMPLIES Standard Proposed • Setback fro op o sluff By planning dept. • Bluff impact :one 20' From Top of Bluff • Engineering Certification submitted /approved By City Engineer • Gradin ' uff or bluff impact zone No importing /exporting Floodpla' : NA FAILS / COMPLIES Standard ' Proposed • 100 } e ood elevation 908.9' Prior Lake I 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: \TEMPLATE\BLD GLIST. D O C O� PRIp.4 e ti � U m White - Building Canary - Engineering 411n 'NESdC P Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT kC y'LA Alt) liU/A'/ : APPLICATION RECEIVED . *. 10 . / 7 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3 - 7 i Z P Q 1 Pfi-sS Al 14/. Accepted Accepted With Corrections Denied / Reviewed By: it Date 5- Z z— Comments: 40 '6( <i - Afo-°P''cfr•-/ Cc-,.fr4ki 5 - - J„ A" 1 P*7'1 "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." ....<> +. r.- .vnew�+- m+^-_....,...,.. .. _..: ..., ,, ivs°7i?+R:.'&.' '. .. 'n'r; �- ..n..-- 8 - -s .._ .....,.���.•., ,.. .... _._...... _...... ... .- ,. O� PRip4 H x __ U r=r White - Building Canary - Engineering " NESO Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT o yi4''�� o E APPLICATION RECEIVED * � 1 G 1 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3 - 7 / .,. p 0 / ' rE Piss AI 1 /t/ Accepted X Accepted With Corrections Denied Reviewed By: � Date: 5 / 3 // � Comments: See Attachments: 1) Grading Plan, 2) Erosion Control Standards 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 :ibackfiliing of the foundation. • 6: \Admin \dept info \ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS.doc c N PRI p 1i m White - Building Canary - Engineering NES O`SA 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: /I i i Date: Z 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." F rRi A CITY OF PRIOR LAKE Date Rec'd ,_,: HEATING /AIR CONDITIONING /FIREPLACE PERMIT a',wNES6C° I, R e 1 Cis PERMIT NO . I1Z: 2 P City mt 1 J. Yellow Applk lease typ or print and sign at b ) ottom ADDRESS 31 a- PO idt fiA6._ N NI , ZONING (office use) , . LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT (Name) GENZ -RYAN (Phone) 952767 -1847 (Address) 2200 HIGHWAY 13 W, BURNSVILLE, MN 5533 (Address) (City) (Zip Code) (Contact Person) LISA HERNANDEZ ,- (Phone) 952 -767 -18'' 7 APPLICANT SIGNATURE r :44 h � t a DATE r 111 APPLICANT PLEASE • OMP TE BELOW \]NEW CO • STRUCTION E R • ENT ❑ ALTERATION FURNACE MAKE AND MODEL it jj / �� S li3f\ C 0 11 FUEL � FLUE SIZE RETURN OPENINGS INPUT _O f OG OUTPUT 7 4.0t0 TYPE OP 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. V Mechanical ❑ Radiation a it Conditioning Special Devices Fireplaces with Box Additions or "Vent. System Other Devices �`���� #�(� Cantilevers to the Outside of Buildings �j Require a Building Permit. �n FIREPLACE MAKE AND MODEL V a le, _ , ) ' tr ∎ J if 7, C_ A._ FEE SCHEDULE Industrial, Commercial & Multi- Family l% of job cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating & A/C (New Construction) 5149.50 Residential, Additions & Alterations 249.50 Residential, Heating Only (New Construction) 264.5 Residential, AC Only RAID WITH Estimated Cost $1 V ` 1 Building Permit # BUILDING PERmiT The Minncsota Statutes * 32613.148 "SURCHARGE" has been changed ler one HEATING PERMIT FEE $ year effective STATE SURCHARGE $ .50 July 1, 2010, until June 30, 2011. TOTAL PERMIT FEE 5 The minimum surcharge far n "fixed fee" permit (Office Use Only) Is lam, beginning duly 1.1010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Bolidine Official Da to 24 hour notice for all inspections (952) 447 -9650, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 vitro, Date Rec'd °. - CITY OF PRIOR LAKE PLUMBING PERMIT t . ) 4 - :: :. _1! .-zi:.'1 �t�'+v �. aim a ,• �,,, � �,., IPERMI.T NO. .30 1 3. Yellen A,gI= l ._._ _.. —.— _- _..... _..... _. (Please type or print and sign at bottom) ADDRESS 1 ZONING Office use) 3 l )2 - P ass NW _ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT (Name) GE - RY A N (Phone) 952 -767 -1847 (Address) 2200 IGHWAY 13 W , BURNSVILLE, MN 55337 (Address) (City) (Zip Code) (Contact Person) LISA HERNANDE. Y i (Phone) 952 - 767 -1847 APPLICANT SIGNATURE ' ifft I f V /f 4 - DATE 5 11 1 12-' APPLICANT PLEASE COMP E BELOW Quantity T A li e of Fixture 1 uan I'M T i e of Fixture Bath Tub with or without shower Rough -ins 1 Dishwasher { Water Heater 1 _ Floor Drain 1 Water Softener ,5 Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) L _ { Laundry Tray (1 or 2 compartment sink Sewage Ejector 1 Shower Stall Baekflow Assembly 1 Sinks Backflow Assembly Test Bar Sink 1 Lawn Sprinkler Water Closet (Toilet) Other FEE SCHEDULE industrial, Commercial & Multi- family 1% of job cost with a 549.50 minimum Residential, New One & Two- Family 2149.50 Residential, Additions & Alterations 249.50 H The Minnesota Statutes 32613.]45 .. •st $� St) Building Permit # t "SURCHARGE" has been changed for one m WI T year effective PLUMBING PERMIT FEE $ P' 1 July i, 2010, until dune 30, 201 STATE SURCHARGE $ .50 BU LDior p� 'The minimum surcharge for a "axed fee" permit TOTAL PERMIT FEE $ 14, r is s.s., 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 MAY-9-2812 17:57 FROM: STAR PLUMBING AND EX 19528847468 TO : 9524474245 P.2 g,D o , 9Rio Date Rec'd 4 CITY OF PRIOR LADE U � : ; SEWER AND WATER PERMIT �INNGSG�� t. YH, pus NO. 3e, 2. Yollovr S�y [1:ERMIT 3. MI Applicant a 1 or . • t and sign at bottom) a , /� ZONING (office use) ADDRESS 37/2 eP i skpl) / t/ LL // __ 7/ /N/ _ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDS i Corr ID - . . OW (Phone) (Name)..._ r► .� ! ! _:. _._ ' - •�. 1.,- - (Address) . I -- (aa{tcess) (City) `- (Zip Code) APPLICANT (P1non +. /a f * l am 14 4f-- 4 I • e)1 99 �f ! _ r (Name) A. (Address) / ff . al . l.t. .�! / 1 g6 —t •- S. l 1., t' z�f1 (Address) ' / (City) ��}}) ( (Zip Code) r tre) (Phone) ,rte / 4?II (Contact Person) � ���° APPLICANT SIGNA • •, 1 i k .411 DATE '" /©— /0- APPLICANT PLEASE COMPLETE BELOW Size ofwater service , 1 irr inches. Location of any couplings from structure feet. Type of sewer pipe. ❑ ABC Di PVC 0 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, Cona'i & Multi - family 1a ofjob costwitb. a $51.50 minimum Sewer connection only $25.50 Water connection only $25,50 Estimated Cost $ Building Permit # . SEWER AND WATER. PERMIT FEE $ - '$ p � / 11 . STATE SURCHARGE J,LDI TOTAL PERMIT FEE $ `� P u-F Aiii (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By miming Official Date 24 hour notice for all inspections (952) 447-9850, sax (452) 447 -42455 4646 Dakota Street 8.E., Prior take, Minnesota 55372 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 37/ Iol`d // 4.5S/ 4 ' 7 7i/3‘c. 3 ilE': /oxO bi/274/ /4'0 /0A71 Lot yy Area yy yy � . y y ; yy s -1 . y y . yy . . yy yy yy yy ,,yy yy yy yy Sq. .yy Feet yJ. yy 30% = yy yy yy yy yy /J /.. S yy e yy e t � yy , � yy / � yy yy yy ..yy T*** * T T T T T* T m T T T T T T T T T T T ** T T T T* YET ? T T T T T**** T T T T T T T T T T T T? T T T T T T T T T****** * LENGTH WIDTH SQ. FEET HOUSE x = x = ATTACHED GARAGE x = TOTAL. PRINCIPLE STRUCTURE 7 7 5A' DETACHED BLDGS x (GarageiShed) x TOTAL DETACHED BUILDINGS - DRIVEWAY/PAVED AREAS x = (Driveway -paved or not) x fl(o.v(e-c,y/ Q7W (Sidewalk/Parking Areas) x 5 cAx /C = /09 ST TOTAL PAVED AREAS /o es" 5r PATIOS/PORCHES/DECKS x = (Open Decks `/." min. opening between X = boards, with a pervious surface below, are not considered to be impervious) X = TOTAL DECKS t 20 cG, gg Sr OTHER x = x = TOTAL OTHER . -----' TOTAL IMPERVIOUS SURFACE 2,c(53 St' UNDER/OVER NQ. 5e' Qb�e Prepared By / /er f gctivei 654 Date 17,6 7, Company 44 ety 61,i C e/74y 4f Phone # (i)s/-iiq PRIOR LAKE D EPAR+MENT OF B BUILDING AND INSPECTION INSPECTION R SITE ADDRESS 37 l2 -o.,4 pas NATURE OF WORK I \Jew USE OF BUILDING S F> PERMIT NO. 12. - 3ot DATE ISSUED S CONTRACTOR D R, PH (,P(� —3 q(o - y282__ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW _ THE PERMIT IS BY SEPARATE DOCUMENT �O ..1.vlspe -hvvis W i }�,. or � fo Cc .l u 1 s 4 PE�c r R DATE I FOOTING I iPS -0A__ I I FOUNDATION (Prior to Backfill) h�j- s /7 /z_ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGN D "1" /24114-2r (/=/ : R O U G H - INS Radovt SEWER / WATER / SEPTIC /c/- , Z/,.- FRAMING INSULATION ELECTRICAL PLUMBING (4 fh �� 2 j 1 f rr HEATING (if required) FIREPLACE GAS LINE AIR TEST \ L 4 V COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I Haase wry L I `[ l 7/ 1 1 -40 4 A- FINALS GRADING (Prior to Sodding) '1A11-1 BUILDING ELECTRICAL 1" PLUMBING HEATING QJ 411kii 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