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410 Li r iftr tfr of ®rrupauxgr ;
t, ` CITY OF PRIOR LAKE `r
;:.:ti3---= Prparintruf of Puilltitt jhrsintfiatt
0,0-21 ' Final Permitted ❑ Conditional C.O. Expires
. .3 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
Oyx a ordinances of the City of Prior Lake regulating building construction or use For the following:
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(I Use Classification S //V64. 6 f"�ft -/I l / Bldg. Permit N o. �2 . Zeal-- i� ', . iff
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� Occupancy Type ? Type Construction V Zo ning District Pc/5
Legal Description L ev , .z I / 1 eK° •5170 �
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Owner o f Building Site Address Gl I 0 d�E
Contractor's Name & Address ' - 17/0/(-17)/k/ / G; - _ _
O66 /L-� _ /- (i7G'ti /t"`/ it Planner
` i Building Official
(, .3 Date: / , I ( — Date:
�;�,. . r 1 POST IN CONSPICUOUS PLACE
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�� f PR; ' CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,;
•
; N i TEMPORARY CERTIFICATE OF ZONING COMPLIANCE () `
1 AND UTILITY CONNECTION PERMIT
�'NE
r I. White File
2. Pink city PERMIT NO. /2 7 _ ',
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS I ZONING (office use)
� e, Iq b id Cnu LT PVS0
LEGAL DESCRIPTION (office use only)
•
LOT BLOCK , ADDITION 1 tC * 1_ . , - - . / n PID 2i-) 4.P _ a.. ,4
OWNER
(Name)
(Phone)
tk
(Address)
BUILDER
Widl_
(Company Name) D.R. Horton, Inc 952 -985 -7272
(Phone)
(Contact Name) Brooke Nereid 952 - 985 -7806
(Phone)
(Address) 20860 Kenbridge Court #100 Lakeville, MN 55044
TYPE OF WORK L New Construction ❑Deck ❑Porch ❑Re- Roofing ERe-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 A B
Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $ `--J / (_,, C>C)C
Division: 1 2 3 4 5 (excluding land)
I I hereby certify that I 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 at all truction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official ke this pe 't for ' Furthermore, I hereby agree that the city offiaal or a des may enter upon the property to perform needed ' Inspect ns.
Si ature Contractor's License No Date
Permit Valuation Park Support Fee # $
Permit Fee $ 'Z-� 45 ti SAC
# $ Z7-0G> j
Plan Check Fee $ k ., 4 .0 J Water Meter Size 5/8" Y� $
Surcharge $ 4.-; State Surch
I Pressure Reducer $
` - ( t'4d L •- —
Penalty $
Sewer /Water Connection Fee # $ _ vD
Plumbing Permit Fee $ �--�.�
L �T.2 Water Tower Fee # $ k O Ot, - a
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other. $
Gas Fireplac: Permit Fee $ 121152,0e
an 54- 5 1.-, .4-, TOTAL DUE � 0 -. / 2_ /
This A1 is ion : es i . Building Permit When • ppro ed Paid `2- f 3 0/ Receipt No. f , Date II 614,67
Z . 12 B
• 4.� t z
Building Official Date
r
This is to ce ' at the r lest in L' ab.ve application and accompanying documents in accordance with the City Zoning Ordinance and may proceed as requested. This document
when sign the ty ' ne c d s a temporary Certificate of Zoning compli. i ce and - ows construction to commence. Before occu an
issued. % p cy, a Certificate of Occupancy must be Ilk
Planning Director
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 I
%I
,
•41 it 4 or
jik ,4110,-or Vali&
Residential Building Permit Checklist
New Constructio far Single or Two - family Dwellings in R -I or R -2 istricts
Reviewed by:
f()D , _ Date: A / 2 —
Building Permit # PID: Zoning:
Address: ,� ' � P U
Legal: L , B Subdivision:
Existing Structure? YES 1 NOj . Existing Nonconforming Structure? YES N6 ,
CONFORMS TO ZONING ' YES NO
ORDINANCE __
Yard Setbacks: NA/ FAILS/ CO LI Standard Proposed
• Front Yard (can be 20' if avg. in 150') 25' 2 ;--;-- . o
• Side Yards 10'/
25' if abutting a street ( 0 , O
• Sidewall exceeding 60' requires additional side 2" 10' setback +
setback for every 1' over 60' in length. Not required T/1' over 60'
if building wall is 10' -0" or greater of being parallel to
a side lot line.
• Rear Yard 25' (07.
• 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 r
less than 50'
-7 ---(i/0 t /(5 2 21 '•-
I Floor Area Ratio: NA / FAILS 1 COM 3 S 1 .30 Maximum I : i"-7
Yard Encroachments: NA 1 FAILS IC01,1 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.
Tree Preservation: N I FAILS / COMPLIES Standard I Proposed I
• Total caliper ins
• Permit 35% Removal
• Caliper Inches Re oved
• Caliper Inches P, served
• Replacements %:1
L: \TEMPLATE\BLDGLIST.DOC
•
I Driveway: NA / FAILS / CO / 1.1 • Standard Proposed
• Maximum width at prope i► me 24' - '
• Required setback • 5' from side lot line or
30' from r -o -w on corner lots
• Maximum slope • 10% ( ,
• All parking areas to be paved including R -V or
spaces adjacent to the garage
• Location to match subdivision grading plan
Building Height: NA / FAILS / Cc'IES
35' Maximum I ��;
Shoreland District: NA / FAILS / C . 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 2-
a,
>-1z�� ��
Bluff in Shoreland: FAILS / COMPLIES Standard Proposed
• Setback from t 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: , 1 FAILS / COMPLIES Standard Proposed
• 100 yea 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: / 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
PRIp
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White - Building
Canary - Engineering
MINNEso Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT D. e__ /1 a / 04
APPLICATION RECEIVED 4' , /n. ,Z_
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: r.
'. 0 /7 0 1 EPEW (1- .
Accepted r Accepted With Corrections
Denied
Reviewed By: ",lor _ Date: 4- ((p /
Comments: r. -t— 5 f ► ' 4 .„-pit-0
sl
,,,,, rocc,e-m Az— A-L, To . 7 z----5 .
"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."
(2D White - Building
Canary - Engineering
^"LANES °�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:
Accepted Accepted With Corrections
Denied tO) 11
Reviewed By: ( Date: 4 t a /2
Comments:
her ed1
tlnits Cr a r it Erter- - s.;. , , t Required.
"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."
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White - Building
�� �, Canary - Engineering
LANES° Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT D - 1
APPLICATION RECEIVED /0.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 7 0 / -i iV
Accepted K Accepted With Corrections
Denied
Reviewed By: J ' C Date: L///7//2..
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
:ibackfilling of the foundation.
G: \Admin \dept info \ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS.doc
The City of Prior Lake
Trupervious Surface Calculations
(To be submitted with building permit application)
For All Properties Located in the ShoreTand District (SD)
lie Maximum. Mtpervious Surface Coverage ?emitted is 30 Percent
Property Addre 9 o'B [Len Gond
Lot Area 15,374 sq. ft. X 30% = _A 2
LENGTH WIDTH SQUARE FEET
I TOUSE
aaw PY3
NITACIlt D GARAGE
TOTAL PRINCIPAL STRUCTURE 2,6E1
DETACIIED BUILDINGS
(GarageiShed)
_
TOTAL DETACHED BUIT,int<us 0
DRIvEWAY /PAVED _AREAS x = 931
(Driveway- paved or not x _
(S i dewalkiParkinu Ats) x 0
TOTAL PAVED AREAS 931
PATIOSIPORCHESIDECKS — 0
e JO), flriCiifli batticzn X
NvJthi ptriivipt surFac.z1,1211 X
are MT COFIS:d7.10± tb * 2C icripereicua)
TOTAL DECKS 0
!UFA L CYJHER 0
TOTAL IMPERVIOUS SURFACE 3,592
6P--qt/
Rev 29 February 2012
024=1*???. Date Rec'd
A --
CITY OF PRIOR LAKE PLUMBING PERMIT
41, v/qEso'c'
r. Blue File 1 PERMIT NO.
2 Gold City
3. Yellow Applicant
(P lease •
Please type or print m t and sign at botto _
ADDRESS ZONING (Mae use)
.,3 6 1 0'130 EN ((4)g LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER 40 at)I\1 - - S 7? 4 1
„/ 4 2 ... e 7?
(Name) P 2. I (Phone) t .24_ _
? ' — k i —› — 7
(Address) L. (-E- 6-, (...) K L.- A; i) r 1 1)(1.- C f SLiiTL i CC
" I
APPLICANT
(Name) 1 t. uL e, Tvc (- Rum E5A,6.-- (Phone) 65/- L3/c7 - q. 2( 0)
D c c-
(Address) 65 T t c-• TM i N., Dial t) 5 f.), 7 20 t, _}
, M ki -, / a 1
/
(Address) (City) (Zip Code)
A f _
(Contact Person) Pr) v i1/4:- 1-)t)m 13 (P hone) 5 65 /-3/7 - 4 2 2-
,
APPLICANT SIGNATURE t / 1 -----do ) j' j„., DATE 6, / / t: I - 4.-- )
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower 3 Rough-ins
I Dishwasher 1 Water Heater
I Floor Drain Water Softener
C, Lavatory (Bathroom Sink) f Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
i Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
4 Water Closet (Toilet) Other
• FEE SCHEDULE
Industrial, Commercial & Multi-family 1% ofjob cost with a $4950 minimum Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
- • . • Thst
The Minnesota Statutes § 32613.148 $ Building Permit #
"SURCHARGE" has been changed for one
year effective PLUMBING PERMIT FEB $
July 1, 2010. until June 30, 2011. STATE SURCHARGE $ .5e5 PAID WITH
1 he minima ni surcharge for R "fixed fee" permit TOTAL PERMIT FEE $ DUILDING PERM
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
-- —
4 44 1 . t . t,, .
‘;1/40bAt
i
'
p n CITY OF PRIOR LAKE Date Rec'd
° ` HEATING /AIR CONDITIONING/FIREPLACE PERMIT
414/NrEso * l. Pink cry PERMIT NO. ril
J. Yellow Applicant
(Please type or print and sign at bottom) _
ADDRESS ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
APPLICANT
(Name) GENZ -RYAN (Phone) 952- 767 -1847
(Address) 2200 HIGHWAY 13 W, BURNSVILLE, MN 55337
(Address) (City) (Zip Code)
(Contact Person) LISA HERNANDE Z 1- (Phone) 952-767-1847 .
APPLICANT SIGNATURE :�" f.G!� e'k f i /(// / DATE -2 -- - ■
APPLICANT PLEASE COMP TE BELOW
ANEW CONSTRUCTION ❑ REPLACEMENT D ALTERATIONS / , r •
FURNACE MAKE AND MODEL (� 1 t • 5��V'� 8 too ' "" 1 1 ti FUEL J Y���il ttc
FLUE SIZE _ RETURN OPENINGS 1 ■ INPUT 1 CC: CO OUTPUT {2. ax)
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
DWarm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑ Hot Water
s Mechanical into Required Side Yard Setbacks.
❑ Radiation Fireplaces with Bo= Additions or
17 it Conditioning ❑ Special Devices
❑Vent. System 4Othe Devices iAwitf _ Cantilevers to the Outside of Buildings
j Require a Building Permit.
FIREPLACE MAKE AND MODEL - It( {.mil f iC ' 1 'j 1 rj'"//i r i t
FEE SCHEDULE
Industrial, Commercial & Multi - Family 1% of job cost Residential, Gas Fireplace 549.50
$49.50 minimum
Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations S49.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only 549.50
Estimated Cost $ Building Permit #
The ivlinncsotn Statures § 326[3.148
HEATING PERMIT FEE $ "S LI RCt 1ARGE" has been changed for one
year effective
STATE SURCHARGE $ .50 July 1, 2010, until June 30.2011.
TOTAL PERMIT FEE $ The minimum surcharge fora "fixed r & permit
(Omce Ure Only) Is If, beginning July 1.2010
This Application Becomes Your Building Permit When Approved Paid
BU bIPNG PERMIT
Date By
Balldlne Official Date i
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
iCryRip Rec'd
CITY OF PRIOR LAKE Z 1
�� SEWER AND WATER PERMIT
I„'NESO
2 Y
I. Gelloreen w File City PERMIT NO. f Z
.
3. Gold Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
(Address) (City) (Zip Code)
APPLICANT �- 6 s t- Y S ,� 3 55
(Name) - S S. in • 5.-ii--c. nn -- '' oo (Phone)
(Address) ," 1C. A -t-A-t
, (AAddress) (City) (Zip Code)
n1
(Contact Person) ' ' L t I' , A (Phone) & 1 1 q'" 1/3 Q
APPLICANT SIGNATURE PW M I N14111. DATE
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) 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 #
The Minnesota Statutes § 326B.148 SR AND WATER PERMIT FEE $ f) D 13k1
"SURCHARGE" has been extended 'E SURCHARGE $ .50
until June 30, 2013, .L PERMIT FEE $ 'J ( 0
The minimum surcharge for a 1J V
"fixed fee" permit is $5.00
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Buildine Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
PRIOR LA K E DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RE
SITE ADDRESS C�i
NATURE OF WORK 1 :11- 'v 0 — � ' °v �E i� ��� �� Fit.] L .L
USE OF BUILDING r
PERMIT NO. 12 - —2- 4 DATE ISSUED g- f z_
CONTRACTOR 1 ��� � � PHONE R52" I5 -
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMITJS BY SEPARATE DOCUMENT
(nr i ("' - S i
�►�7 �--- S t Vii' I NSPECTOR c4 1 DATE
I FOOTING J t 4/
FOUNDATION (Prior to Backfill) 1 kit / I $.4 .
LACE NO CONCR TE N L ABOVE ' HAS BEEN SIGNED
/ C U �- c`
C1 ' .\49 ` 5(L--- ROUGH INS t
SEWER /WATER /SEPTIC 5/10 )3-2_
FRAMING 4 f
INSULATION S � q
"
ELECTRICAL
PLUMBING -e6 Jz�,
HEATING (if required)
FIREPLACE ` P"
GAS INE AIR TE,S-T Pio G )3!
(2 COVER NO WORK UNTIL ABOVE HAS BEEN SIGN D
14.2 LA.- 1 e.15
FINALS
GRADING (Pri • to Sodding) f` • cr•;
BUILDING ti • 11 - \- kft /4 ;ir
ELECTRICAL
PLUMBING
e t ,,/IC/
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
, -, - �,7 2-;--- i v . "mac
CERTIFICATE OF SURVEY V 32 5058 —1 2
for
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O — _ / Building Date
� — - Zoning„, .. Date ' di/z_-
s E 0219.. 0 00 � adlt,, G -3 Date l itz
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Scale: 1” = 30'
DESCRIPTION
I hereby certify that this survey, plan, or Lot 6, Block 2,
report was prepared by me or under my direct HICKORY SHORES
supervision and that I am a duly Licensed Scott County, Minnesota
Land Surveyor under the Laws of the State
of Ma Plat bearings shown
� o Denotes iron monument set, or see note.
It -ri r i Ray H. Brandt •Denotes iron monument found
Date 02aAprii 2012 Reg. No. 8140
Rest 06 April 2012 Existing El. Eposed!t
BRANDT ENGINEERING & SURVEYING, LLC
1713 Southcross Drive West, Suite A
Burnsville V\ 55306
(952) 435 -1966 v32- 5058 -12