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CITY OF PRIOR LAKE
N. Prpar tturit± of uilktiu insprrfnin
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
ordinances of the City of Prior Lake regulating building construction or use. For the following:
�� Use Classification - /Ly Bldg. Permit No. Z'
'
� � 3 T yp Construction Zonin e l� (J L r
, Occupancy Type Al g District
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Legal Description L C� Z � � �O � � / � <y .
/ � ��-
� Owner of Building JJ Site Address 0 6 3' ��Gi/N7 f"') /9...a.J //
Contractor's Name & Address /G yLf; b /
r j� — U "� / ity Planner . _ 51
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Building Official .t
Date: < ` f _ - Date: ')
- POST IN CONSPICUOUS PLACE
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o _ r f PRJCITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE (_5' /L
AND UTILITY CONNECTION PERMIT
iNNESO�� I. white File PERMIT NO . / 77
,
2 Pink City Date Recd 7
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
3631. P -- Pc `, 1\(1® _ eU D
LEGAL DESCRIPTION (office use only) ` � [ k ��
LOT BLOCK �— ADDITION1 ` E4 (3 ( ;) 01 7- 4 — V 11 �' ?ID zS" �jJ 3 0 13 ,Q
'
OWNER
(Name) (Phone)
(Address)
BUILDER
(Company Name) a I t/UG�/ (Phone) 1°[-- - 9 -- '\'U ono
(Contact Name) .�! ° '4 elltAFIL (Phone) —' b
(Address) n' 1 S Nt'" E-jQ/y ° :iri 344
TYPE OF WORK-New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: I.R.C. ❑I.B.C. ❑ Misc. ( ( � /� •
Type o Construction: I II III IV V AB PROJECT COST /VALUE $ ` � • ) 0 `—>
Occupancy Group: A B E F HI MR S U (excluding land)
Division: 1 2 3 4 5
1 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 I 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 rev e this permit for ist cause urthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X � /�. - e_03.5 (43 ll-1 ? -1 -
Signature Contractor's License No. Date
Permit Valuation a.i01e0e.' Park Support Fee # $
Permit Fee $ 0 11 (� 3 X76 SAC # $ !� r
t V V . JlJ Wa ter Meter Size 5/8 "�9 $ Z l to
Plan Check Fee $
/2-30. 7 5 0- -
St ate Surcharge $ P ressure Reducer $ 1
/ZD_ 10°- —
�
Penalty $ Sewer /Water Connection Fee # $ 1509
Plumbing Permit Fee $ f A . i Water Tower Fee # $
Mechanical Permit Fee $ I S 4 - C° Builder's Deposit $ 1 500.^
Sewer & Water Permit Fee $ 5 o Other $
Gas Fireplace Permit Fee $ 54 . TOTAL DUE Al $ 7 1 �
i
# ` i1�/ D
This Applic. in / •c.` s ' urBuil ■ '•_ itWh - nApp .ved Paid kAt ` jj E ei.t No.MIN�A1—
II ' r Date .• , a (Z Fr.
ing(Alicia NW' h ate
This is to certify that h request i e abo ..plication and accompanying doct ents is - n accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the it Plan er tiff e• 'mporary certificate of Zoning co pliancc nd allows construction to commence. Before occupancy, a Certificate of Occupancy must he
issued
li I IZ--
Planning Direc . 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 Construction for Single or Two - family Dwellings 1 R- or R -2 Districts
Reviewed by: Date: 1 (8 P
Building Permit # PID: Zoning: p,,
Address: Z z
Legal: L , B Subdivision:
Existing Structure? YES 10 . Existing Nonconforming Structure? YES / NO
CONFORMS TO ZONING NO
ORDINANCE I 0
i .
I Yard Setbacks: NAI FAILS/ CO LIES Standard Proposed
• Front Yard (can be 20' if avg. wlin 150') 25' '
• Side Yards /le -t'c--
25' if abutting a street 1
C 7•,0
• 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 tO 3S-1.S-
• 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 1 FAILS 1 CpPLIES
.30 Maximum 1 f —D. . Z-41- I
I Yard Encroachments: & I FAILS /COMPLIES I 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.
I Tree Preservation: 01 FAILS 1 COMPLIES Standard I Proposed
• Total caliper inches
• Permit 35% Removal
• Caliper Inches Rerrjoved
• " Caliper Inches P,r6served
• Replacementf 1/2:1
L:\T /B METATE\BLD GLIST.D O C
Driveway: NA /FAILS / COMJL ES Standard
Maximum width at property line Propoed
• 24'
• Required setback
•
5' from side lot line or
30' from r -o -w on corner lots C�
• Maximum slope 10%
• 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 / COIVel, 1 35' Maximum 1 v
Shoreland District: NA / FAILS / Cq S Standard
Minimum lot area (square feet) ` Proposed
Minimum lot width 7,500 Rip, 7,999 Non rip
Shoreland alterations 50' Rip, 57.3' Non rip
Impervious surface 30 %Maximum �
1�1 D Z.
�
Bluff in Shoreland / FAILS / COMPLIES Standard
Setback from t of bluff Proposed
• ff 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 N / FAILS / COMPLIES Standard
100 ye ood elevation Proposed
• 908.9' Prior Lake
Lowest floor elevation 914.4' Spring Lake
• 909.9' Prior Lake /
915.4' Spring Lake
Proposed lowest floor elevation Must be 1' above flood •
• evat
elevation for new and existing
structures. If existing
structure was constructed
9/19/90- 11/22/97 then
Elevations 15 feet from structure additional foot is not required.
• t 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
• Size Proposed
1000 sq,ft. or 30% rear yard
• Not located in front ard (Materials)
• Side yard and rear yard setbacks 10'
■ • Maximum height
15'
• Materials compatible with principle structure
TOBLDGLIST.DOC
O� PRIo.
U 0 9 x
h7
White - Building
�, P Canary - Engineering
LANES° Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT L. iN ID
APPLICATION RECEIVED --- , I I Z---
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
- 3(o3 C J pj p\sS .
I
Accepted Accepted With Corrections
Denied
AI i � . r�
Reviewed By: �: /� Date: /
Comments: G --- ei s ins �,,,L4. +7,�•' c ,. �i�-)
c W--,2r=r-Tr5 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."
0. PRIG,
ti x
U m
White - Building
Canary - Engineering
�'N °�P 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:
Y
Accepted Accepted With Corrections
Denied , At
Reviewed By: - "�, Date: f
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."
, _,
r PRIp h H
CI k ) A
White - Building
Canary - Engineering
^ ' I NNESO � Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ii... k_
APPLICATION RECEIVED -7- (7.,_ 1 7 ° . '
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
_._ r .r i. . Po ( N � E 0 \ S...-i \�
Accepted Accepted With Corrections
_____
Denied
Reviewed By: Date: '2 J 12_
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Standards
"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."
I'a Date Rec'd
o
,s.,( . 67- ""
�� . Ri .; : ,� CITY OF PRIOR LAKE PLUMBING PERMIT
U ,
trilVNt soy`' t. at " a Pk L 3. Yllow Applkvm ft_
(Please type or print and sign at bottom)
ADDRESS ZONING (ofrioe use)
-g( 'Pass
LEGAL DESCRIPTION (office use only) (�
LOT BLOCK 2- �� � ADDITION T r S r J PID
OWNER
ame) �` 0 YLss (Phone)
(Address)
APPLICANT =� 7 _C
. 2:2-CO `'
(Name) ' 7- 4 a_.4-1 (Phone)) (6
(Address) N\ \ . _ \fv _. Y l " \ S - ' 2 J - 7
n • (Add (City) (Zip Code)
(Contact Person) �cu �
i Los u' c (Phone) (55'2:-) - 7 (0 '- t S S t
APPLICANT SIGNATURE _ DATE e(2.4/ l
APPLICANT PLEASE COMPLETE B ELOW _
_ Quantity Type of Fixture Quantity Type of Fixture
lf . Bath Tub with or without shower 3
Dishwasher t Water Heater
Floor Drain g(1 Water Softener
Lavatory (Bathroom Sink) i Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
Shower Stall - Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink 2- Lawn Sprinkler
3 Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi- fancily 1% of job cost with a $49.50 minimum Residential, New One & Two - Family $149.50
Residential, Additions & Alterations $49.50
The Minnesota Statutes § 32613.148 .. Est $ Building Permit #
"SURCHARGE" has been changed for one kk --,
year effective PLUMBING PERMIT FEE $ . ON x CA^
�
July 1, 2010, until June 30, 2011. STATE SURCHARGE $ V - TP V The minimum surcbarge fora "fixed fee" permit TOTAL PERMIT FEE $ fi
Is , 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
c,1f �' I1
i
f pR / CITY OF PRIOR LAKE Date Rec'd
° „,.. -: C HEATING /AIR CONDITIONING /FIREPLACE PERMIT
4 'Ct' I Aek Fite
Mveso oem eery PERMIT NQ.
1. Yslbw Appl
(Please type or print and sign at bottom) FL 11(°
ADDRESS ZONING (otexcusc)
?� 6S°1 `poi n * --SS
LEGAL DESCRIPTION (office use only) ' C
LOT 5 BLOCK Z ADDITION J-Q,- c� "' c.v S 2a 5 ' pro
owNER �,1 D �T� S
( Name) �� (Phone)
(Address)
(Name) T C 7( -J 17- 1 2 N a _ e - 1 (Phone) , ( 9 e 2 . — ) 7 ( 0 7 - V65 ! .
(Address) 22- DO V 1 V. 1 \1 'v
3 W yy V( ikC GSN3
Address) (City) (Zip Code)
Ct7 t n L re_ Person) l OS U (Phone) ( S2' 76) 7 - (8G 1 •
APPLICANT SIGNATURE / ` W DATE ei 2-4 / 1. —
lor APPLICANT PLEASE COMPLETE BELOW
NEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL Cc -1'rl W E 1 _'.1.11\_100S2.1 —• 1.4 FUEL N C' ' C`1
FLUE SIZE RETURN OPENINGS 3 INPUT (00 000 OUTPUT 92 000
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.
0 Mechanical 0 Radiation
j4ir Conditioning ❑ Special Devices Fireplaces with Box Additions or
❑ Vent. 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 01‘111A
Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Altg l �N 9.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only �►` $49.50
Estimated Cost $ Building Permit It 14 .7 - -
The Minnesota Statutes $ 32611.148
HEATING PERMIT FEE $ "SU' RCHAR(ili" has been changed for one
year effective
STATE SURCHARGE $ .50 .fitly 1.2010. until June 30.2111 t.
TOTAL PERMIT FEE s The minimum surcharge rm. a " rived fee" permit
(Office Use Only) is S;, beginning July 1.2010
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Hulldlna Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
* fa
i4 • vai
SEP -18 -2012 16:.13 .._FROM: AND EX 19528847468 TO: 9524474245 P.2___ D
_
t V RID Date-Reed
CITY OF PRIOR LAKE
H
� SEWER AND WATER PERMIT
t , C
1$ * ' ' t .t 2 y 1 PERMIT NO. it 11(4
3. Qold Applicant •
(Please type nr plot and ZONING {o95oe use) ADDRESS ZONING
365 9 �� � .. n at bottom}
. . I,
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PTD
OWNER $ / ,
(Name) .,�_ ___ .* = (Phone)
(Address) , .
(Adds's') (City) (Zip Code) .
APPLICANT - l t „1 -4. _. _to .[�. (Phone) d c� gg N 4 . 'T
(Name) �(�/�/
t i / IL IN: 4 .•� ' 1 %. / :: _ ./..&..,_ (Address) '`"'
(Address) ' / (CRY) l/ ty (Zp Coode)
(Contact Person) _ d .l _ (Phone) 60 ` r� 1 - 3A6
411111111; , DA k.'... / / _ /2,
APPLICANT SIGNA ' '
INV
APPLICANT PLEASE COMPLETE BELOW
Size of water service 1' 11 inches.
Location of any couplings from structure feet.
Type of sewer pipe. ❑ ABC rg PVC ❑ Cast Iron
Estimated length of sewer line cc?) feet.
Clean out (if required) located at, feet from structure.
FEE SCHEDULE
Residential sewer and Witter 'line. connection - $51.50 Industrial, Com'l & Multi-family 1% of job cost witlx:0.$5 50 minimum
Sewet Connection only $25.50 Water connection only $25.50
Estimated Cost $ Building Permit # • • .
SEWER AND WATER PERMIT FEE $ ��� b t i-c
STATE SURCHARGE $ .50 4 P` ® � `
�
��� ? �'
TOTAL PERMIT FEE $ io�!'�
(office Use only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Buntline OUlcl*l late
` 24 hour notice for all inspections (952) 447 - 9850, fox (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
•
4 p Ri o CITY OF PRIOR LAKE Date Rec'd
. ::: 4' HEATING /AIR CONDITIONING/FIREPLACE PERMIT
Al 1
41474NEso61' 1. Z Pile
x. � cirr PERMIT NO. 12
3. Yc11ow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
• l/- 3C/ t > ,0 1161/
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER I ' /
(Name) `/ `� ' ) G ' » (Phone) 4 2- — Z 21 G G'(:. •
(Address) 7 4 "1 C qt ' t
v
APPLICANT . L p y
(Name) �� � �r/�t j�/ f� �•r y 2 (Phone) 6 C-1-6 3 3 — /* / Z
(Address) 2 7 6 ' 1 ' o � , vl.-c iL12 "V '2 L , `i2V 5-5-7 3
v ' (Address) (City) (Zip Code)
(Contact Person) r �- 7 (Phone) 6 1 -� `
,�1 L
APPLICANT SIGNATURE )V 0.4// "' DATE 7 ` 441 / L
APPLICANT PLEASE COMPLETE BELOW •
•
DNEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Wane 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
:Went. System ❑ Other Devices Cantilevers to the Outside of Buildings
- � j Require a Building Permit.
FIREPLACE MAKE AND MODEL th4.,, h Nov 3 y 3 - -
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
a
Estimated Cost $ l o d d -C Building Permit #
The Minnesota Statutes * 326B.148
HEATING PERMIT FEE $ "SURCHARGE" has been changed For one
year effective
STATE SURCHARGE $ .50 July 1, 2010, until June 30. 2011.
TOTAL PERMIT FEE $ The minimum surcharge for a "tied fee" permit
(Office Use Only) Is `S5, beginning July 1, 20111
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Building Official Date P ' '
24 hour notice for all inspections (952) 447-9850, fax (952) 447 -4245 euiL D i 1�f" `-.p
4646 Dakota Street S.E., Prior Lake, Minnesota 55372 . r 1 ft4��
RUG-27-2012 OS : 44 CITY OF PR I OR LRKE MA I NT - - • - • ' P . 07/0 DAD
. . . _ . . . ....
- - • - - - ' - - - - • ' - ' - - - • - - -
Date Reed
zy
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(
\ CITY OF PRIOR LAKE PLIIMBING PERMEIT
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APPLIcANt sragAirakg 4.--cd c t<4 . 1712 , --4...,
DATE • -If 2A. / —
- ..4 PLEASE cOIOLOE at 'LOW
---
' Quantity I Ine
— Of Fixture
1 1 . 7444,:pp mth. ot without tho,, • ., -Roil iln.im_ ., , ., .. .. .. , ..............
j i Dist.m.:51ier . L rWacer Heater
. • . , . , .. . .
a i 1.,.„d 1 ___i• • i. Stind. Pt4: .
T 2T9T1 Ft ----- 1 - ex73 . e teto
i _____: _______ba ansky (I, U3partrilcsRla . Rqr . ..
: SLUM!' *ALI ... i. Eackfiew Anserabbi ..., .. , , ... , ..
I
- -- Sinks - - "- " t 'flackflow Atisemtgv Tcst _
' — --- -- ...... .
L._ Bar Sit.K . . .
' . ___„.,,,,, 2_ . .. .. . t 34,weEpliak10 . .: . _:,. • • .
IVeet Clinet.7plet).
-- —
CH.V DULY
Ira.1;1-.1.10., CtornacitI fi,'..Multi 4% of loll cosi vi1 49,5003.11murs R.1-critiii. Nor Ne a. Tvra IMMO
ResSI=isi. Atlitiots 3.1 AI t¢nlirt.tc $.49.50
. - . ....%1 S Building Paraii ti -PAID WITH
mckiirmssai stators f 3Z13.14E ,.,.., ,,,..„„,
*Si ;Rai ARGE° h.s Wm 04110 rut tat. ..
yoar aim/ ve PLUIVIDINCi PERMIT PBS $ - . - ILJILDING PcrAirr
?...., i
4ist 1,21;11D, until Ai:lc:10,201f. STATE SLMCFTARGE s .5
lilt tainirrana 4k I'd &WI rOf lc merni fte" mpg; !
tOTAL PERMIT FEE $
Is 45- IsNiatiag aityl, MI G ---
__ m ... .
I - ' ..:. • ---.]
This Applicatfnn Dames Your Bulidlog Pang( Wititli iipproved I ! Paid i Ettitt5ip'. No-
'
1 at 1 By
— iigka - 71 - 0,fktil DA*
1 -- 7 7
24 or uctice tar til inaptaians pm 447480, fox (952) 447-4215
4646146)h Blatt SX, Pllor LON, NIIIrms&ix .55,72
. ., ... .. ..... ...„ . • - ..- - -
..-----------
TOTAL P . 07
RUC-27 -2012 CB: 43 CITY OF PRIOR LAKE MRINT 13.BEr�3010 •
CITY OF .PRIfiii LLWE D tt wed
. &,;:-;,,,.... . t'
i_Z)
' PE 1;7N
i .._ 1 J
J• gQrrr htoF,-a�d l .
fPc c peeririntat dripaat5et tns) ' ---
I ADMlR SS J Z (afrctum) (PS'S
�. _ .�_.._ _..._._ ._. _.._ ._. . , ..... • .
U GA.L, l]PS PTION (calm asc r441I
3'OT 'ELOC1C . DDITIC .� ., •e " G"t'+c pa) _..._
( aiste). . ....y.... tit _ ... (Rhone) �:
(altidrrssl
} AP'- I- -.0'1.4"x` w,..�....,,.,..,,._. _.. . „-....,.. .................. .....— ...- ,......__........,__� •
(MMdre ). •'Z \Lf _ . ... i s v ;fit '
womb -�• ,c ; ( 2l� Code? 0A-rni r (�trzc:attPrrrozz} . ...-------- - -w—�- - �-, (I %1%i>3c) .(.96Z).. .74;::..7 t .t .__ 1: ..,.r
AFPLIcAlVi SIONATtr .L ,.... ..........._ ... DAB L 82,4j12- . �.._,......__.. �..
_
APPLICANT PLEASE c MPLETE li.ELOW .
CONSTRUCTION oiiEVI -',e 4f }i`4T . 0A€vT7,RATiQNS " '
FURNACE M A K E ANr) MODEL & — Y r i e e" -1 ' •
c)2 . 2.1 vu >, I N! c: -- ei. a _..
a..us st.ztr MURN orsvi s ._ , _ Npur i 00, On ourr UT 57, pate
MB OPSYSTEM R A ENGOlt POWER 2Y..AN
PLEASE NOTE. - An- °Guilifie trP•
lsrc! Air Fjant; 0 Blears i tildtk *nd Fir places Cunnot.F,AtXgnnh i
f C;tsvi S' Ka wain
wh
I y, uixcci SidrYAM Seibsck>F.
0I44h8aied 0itatiietion kin :01M W$fiYAUXgd!Iitf s #
jtireoditiostin,g ' �id; Datrces
[:vent. Sysmil ii t: t4rpoir ____ _ , IC4Q ityerS t* the 0Ottide Of Buildings 1
i FI . ' FACE MANE Alit MODEL
i Ifi�gitiYv b IIEr {tClfrt it. – ._
Fn KL. HMI tiLE
Pi daatriis%Commie] & bf It .i-kntOy � 1 %nfjcb,cns5 RKsikiti i, U Fit Thee $k9S4 •
51 44. i= �t PAIL /MI—°N
i�(CEFtiAl, I•tc�li et. AZ. [�� ('A�3iSr.3inr§ 51Sf9 }�wtFicatia.L AddiFitinY After-aims
ittsidtptiti.Belling 00iY [New : -o tifn) $64.513 Russ ndit,I, AC Only tU lLOi 5P
E3titt ttd Cost $ ,,, T R Building Pam it }f
7'he Mi:ttr'glis;Similes f :oitk.P. ”1
1ti3'.ili`.HARIlitr hms Fcr_tty;innc.;l for t14
t1 A IMG PERMI: FEE •tifi-{iCtI3vs;
A't•'E ,SURC fARQE 30 , J113 ! " 1. MP, tao1it .;iir4e 11. ?tt! 1
'TOTAL P.M MIT FEE N' TkO rdntmurn $nrcline t Am ' 1 sr1 tst
rte
lO Tfe tltetlnly} ............ ... tt:. N- On•aina•iI 1.11441
Thi3 APlitAtidli ReMneS ¥411r Iluilding fermi t WI= A proyed ; Paid _._.___ Receipt IIcz7' - - -•—
_ • Date . }Ty
- tattd4: f�l�c�2 .� _ w .... i _�_ _ ..... � - . •
24 final' neci fnr.sii 4nspettiFro (02)44740k rtna. (952j 447•#224$
4644 I1S&Alm & #rte! S.E. Frio:' 1.11k1e•, .mil'.. ff 443'm
t
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.
e Address �6 3 � � • � P s �/ � 11,1-66--60 .55 � 8/0,,k Pro
Property 6,� P 45 P §Yva ✓40e f 7roni
Lot Area y . yy 61060 I Sq. Feet x 30% _ /!, ' re 741(p
LENGTH WIDTH SQ. FEET
HOUSE x =
x =
ATTACHED GARAGE x =
TOTAL PRINCIPLE STRUCTURE 2 o66 Sf
DETACHED BLDGS x
(Garage/Shed) x
TOTAL DETACHED BUILDINGS
DRIVEWAY/PAVED AREAS x =
(Driveway -paved or not) X d / 7O-4 Sr
(Sidewalk/Parking Areas) X 5 17 51
TOTAL PAVED AREAS PO; 5f
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 (ofCI g05r
OTHER x =
x =
-- TOTAL OTIIER
TOTAL AL IM ER 4 IOUS SURFACE z ?`( / ✓F
UNDER/OVER / 4. 5(e /
Prepared By PPM- i/. //t Date 7-141
• Coinpariy P ;o4err Lny;nee(ri 4 ' Phone # l G 51) 6- /- t 4111
PRIOR LAKE DFPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
I Al A .4. A
SITE ADDRESS
NATURE OF WORK rei9-64+ "(Ai b.-I--
USE OF BUILDING A rcI . ..f r A r AlF/Z/ 4 -
PERMIT NO. .4rAvArz, ATE ISSUED
CONTRACTOR easb PHONE
NOTE: THIS IS NOT • PERMIT FOR ANY OF THE INSPE TIONS BE OW
THE PERMIT IS BY SEPARATE DOCUMgNT
Exashohl e9h17 L.. 1 Kik/
FOOTING
DATE
&Jai 7 k7 e I - 1 77r
1
1 FOUNDATION (Prior to Backfill) 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
/MOW geliveDANT - INS
SEWER / WATER / SEPTIC
FRAMING q-ifet hz_
INSULATION /c).ef fAihe
ELECTRICAL
PLUMBING ?t,
RA. 94.
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST tz•krA,e, 0%4,4 cr.P,
(214-66A1 Pde,c6CTIOVA.IZAWL ABOVE HAS B EN S 1 GNED
IR0.56W/WP LA77/ 1
FINALS
GRADING (Prior to Sodding)
BUILDING /4 // /t/ rZ- '
ELECTRICAL
PLUMBING fct
HEATING 61\410 (2,(4• (°
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
PleNEERengineerin
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: RYLAND HOMES
S: 3639 LOT AREA =9060 sf 24 BU HILLESHEIM I MODEL S SPRI GFIE D
HOUSE AREA =2066 sf�.® •
PORCH AREA =80 sf G
DRIVEWAY AREA =706 sf \ J v
SIDEWALK AREA =97 sf /N ��
COVERAGE =32.5 %
�\. NN N ,sue
BENCH MARK: r /0,-, N � \0
\
TOP OF SPIKE . v- /
ELEV.= 979.9 �/,. N/ u
\
2 3 S ∎N • N N
'7
\ \ \ (9j w e 0 - N-416-NN
N
(
1
9, � � ? RJ 972.2 R, i . N /
8 J \. o `19 �S'' N NN
•N N
�� \ �� �`� • /` ^o 9 ,� o 0 .41/ '' 7t.a • QJ N N \
/ 972.2 9,? /1 S,O N / . \ \
J2 9) 9y 971.1 gg
/ (p • O g j �� 72.2 Q \ �h N
N p 0 rO' C 2�0 971.4
p
(9 J A. ` a �' / e1 / . 0 71.7 �� -I C I I S (9) 4
, � h / 9 ^ ' / 7J , ry e O j J ef / ,i / BENCH MARK:
/ 7 <' / m,y1 - - - - -- -TOP OF SPIKE
( � ELEV.= 971.82
co 6 . . , �. SF v c O \ A
c "P 7 ,j � /9 65.6 7 I .� V / J j
/ �., .96 p o ,o o 0
/
' \ s / 964.6 x .S\ ,\Q.) -.S.) • Q om'
(9 • 7) ^ p' /
(96.) 9S • 0 < S8 o° 'h"
o
5 o, -, "6) 7 OJ � \ 5 (9 3 � � � / / ,
4/41 C ' \ ro / ate + "V
S A FR Gr \ 4D / a°�ro � �
S A� </, i
92i, qT ? \ �/ S ^ ^J (96
F
93,
308 (9 SS8 � APPROVED
Buildin: Date
zoning T Date - �z
BENCH MARK:
Grading F4 -- aa r ?-
TOP NUT HYDRANT OUTLOT "C"
ELEV. = 956.46
NOTE: ADD FOUNDATION LEDGE AS REQUIRED
NOTE: GRADING PLAN BY PIONEER ENGINEERING LAST DATED 2/13/12 WAS USED LOWEST ALLOWABLE FLOOR ELEVATION :965.8
TO DETERMINE THE PROPOSED ELEVATIONS SHOWN ON THIS CERTIFICATE.
NOTE: PROPOSED BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL HOUSE ELEVATIONS : (PROPOSED) /ASBUILT
LOCATION OF STRUCTURES ON THE LOT ONLY. CONTACT BUILDER PRIOR TO LOWEST FLOOR ELEVATION : (966.3) /
CONSTRUCTION FOR APPROVED CONSTRUCTION PLANS.
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN PERFORMED ON THIS LOT TOP OF FOUNDATION ELEV. (975.0) /
BY THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC GARAGE SLAB ELEV. CO DOOR : (974.3) /
HOUSE PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR.
NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER
THAN THOSE SHOWN ON THE RECORDED PLAT.
X 000.00 DENOTES EXISTING ELEVATION
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. (000.00) DENOTES PROPOSED ELEVATION
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM DENOTES DRAINAGE FLOW DIRECTION
DENOTES SPIKE
WE HEREBY CERTIFY TO RYLAND HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
AO
LOT
5, BLOCK 2, JEFFERS POND FIFTH ADDITION
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 29TH DAY OF JUNE, 2012.
REVISED: NOTE:
7/06/12 STAKE HOUSE SIGNED: PIONEER ENGINEERING, P.A.
SCALE : 1 INCH = 30 FEET 7/11/12 client grade revisions /
BY: I/ -
73871 112100008
Peter J. Hawkinson License No. 42299