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CITY OF PRIOR L AKE s,
Prpartntrnt of Puilbing c "�J usprr fi an ,
' ❑ Final Permitted El Conditional C.O. Exp
This Certificate issued pursuant to the requirements of Section 110 of the D R esidential / D I nternational
� Building Code certifying that at the time of issuance this structure was in compliance with the various
. ,
ordinances of the City of Prior Lake regu building construction or use. For the following:
Use Classification
V i / vGL.C: F/4/1/ Bldg. Permit No. �Z
Occupancy Type teJ Type Construction V�/ Zoning District t` d'S
/ CO Vac F Nl/`z�l LUoGr� ME7aLX W
Le Description ` 1 1 / ' l'
_ z7 / J(i1J_ J e. PIS.. ��
WI Owner of Building Site Add ress
Contractor's Name &Address
6 CO 7TA G N s /7ZL ,&J, 1 / -:
/e.b!'Ld2 //v 7,( 2 ? City Planner -'
ii°„..::-*.c Building Official
-;>?._:. 1 / / , r -; :-.„ , ,
Date:
Date:
POST IN CONSPICUOUS PLACE ""
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ol PRIOR CITY OF PRIOR LAKE BUILDING PERMIT, . Date Rec'd
.' \ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
c.) ................. i .............. _.. r27 AND UTILITY CONNECTION PERM 4.5; /Z
r kN E S
I. white File
?. Pink City PERMIT NO . / Z Co //
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
Z`i Si 141tus-i— u. NI v./ POSO
LEGAL DESCRIPTION (office use only) /
LOT 3 BLOCK ) ADDITION ,l4 C n F ( a �`AF Ws PID 2.54 (ZO D o
OWNER ISZ -� cB�') O 1
(Name) t
���+�"T�E- ��� (Phone) f GO
(Address) 14p1 -f kitiAn AFri i ALLF `1 Mil/ :cS / Z4
BUILDER /� / 1
(Company Name) JIb AA ( ipE l�*J��Qti t (iJC (Phone) �1 -.�n- l
(Contact Name) fe--bY f'��1f &-I,1 (Phone) ( Si - Z(01
(Address) 14$ lS FA4P34,Y VW( 1 metL vAuk.y I4 ssi 2A
TYPE OF WORK ' New Construction ['Deck ❑Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
Addition ['Alteration ['Utility Connection
CODE: LR.C. ❑I.B.C. ❑ Misc:
Type of onstruction: I II III IV V AB
Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ 21 ) ® 000 1
Division: 1 2 3 4 5 (excluding land)
I hereby certi 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- mentit ed pro. . • • 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 - Yoke is pe�t just cause. Furthermore I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
President, Stone
x r. . s Cottage Construction, Inc. %14 1 S Z(A Z.
f Signature Contractor's License No. Date
Permit Valuation Z - �- O Ol) Park Support Fee # $
Permit Fee $ # $
t117_� 0 ,�� $ 2,
Plan Check Fee $
(IAA - 2,9 Water Meter Size '4"; 1 "; $ 48 .
State Surcharge $ (17.-- _ Pressure Reducer $ 2.-0,
Penalty $ Sewer /Water Connection Fee # $ t Se`s.
Plumbing Permit Fee $ 1 4.---o. Water Tower Fee # $ ( _ _
Mechanical Permit Fee $ (� , . Builder's Deposit $ k5 for.), r
Sewer & Water Permit Fee $ 6-G._ Other $ (� } S qz,41z..., (� ,
Gas Fireplace Permit Fee $ ^ TOTAL DUE 4fy - $ (v L, v (,r
This ,lic. 'on: • omes Your wilding Permit Whe Appr ed Paid /0 4 -(62 Recei No. 6362 L t ✓
Date By
Buildi . Officialte
This is to c. tha the it. r st ' the above application and accompanying docume. s is in ac ordance with the City Zoning Ordinance and may proceed as requested. This document
when si .y the/ ity . , e constitutes a temporary Certificate of Zoning comp ance and : ows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
t►._. _ i1 • '7.../ 1--
_ Director Date Special Conditions, if any _
4 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Residential Building Permit Checklist
New Co ruc on for Single or Two - family Dwellings ' ' R -1 • R -2 Districts
1
Reviewed by:
PP- Date: e (ic
Building Permit # PID: Zoning: - n ��
Address :e7�� e-,406
Legal: L , B Subdivisi n: ,--- ,
Existing Structure? YES /, Existing Nonconfo ing Structure? YES / NO
CONFORMS TO ZONING E i NO
ORDINANCE
1 Yard Setbacks: NA / FAILS/ CO I , 1 Standard Proposed
• Front Yard (can be 20' if avg. n 150') X 25' z- 2>
• Side Yards r*' O' --1.:
25' if abutting a street 7 - .
8) .m
• Sidewall exceeding 60' requires additional side 2" 10' setback +
setback for every 1' over 60' in length. Not required 2 "11' over 60'
if building wall is 10' -0" or greater of being parallel to
a side lot line.
• Rear Yard 25' 1 -.
• 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'
V(p ft -2 f t 01 /tcoce I
1 Floor Area Ratio: NA 1 FAIL 1 CO IES 7)
.30 Maximum 1 . /
Yard Encroachments: NA 1 FAILS 1 0 LIES Standard Proposed
Eaves and Gutters no more than 2 fe in width and no
closer than 5 feet to a lot line (Easements).
AIC and other equipment cannot encroach on interior
side yards.
Tree Preservation: NA 1 FAILS / COMPLIES Standard Proposed
• Total caliper inches
• Permit 35% Removal
• Caliper Inches Rer ?oved
• " Caliper Inches Preserved
• Replacementf '/2:1
L: \TEMPLATE\BLD GLIST.D O C
/
Driveway: NA /FAILS / PIES Standard Proposed I.
• Maximum width at pr y line
24' -Z4 I
• Required setback 5' from side lot line or
30' from r -o -w on corner lots (
• Maximum slope . 10% � 1 -'-
• All parking areas to be paved including R -V or
spaces adjacent to the garage r
• Location to match subdivision grading plan � j -
1 Building Height: NA / FAILS / COM S
ddJJ 35' Maximum 1 -2 - 'c---- I
Shoreland District: NA / FAILS / CO IP IES , 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 Zz '- 0
Bluff in Shoreland:,l / FAILS /t OMP L IES 7
Standard Proposed
• Setback from to h 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
1 Floodplain:t4 / FAILS / COMPLIES Standard Proposed
• 100 year flood 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
9/19190- 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: I 1 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
O0 PRIp.
F,
rri
White - Building
Canary - Engineering
41'^NES °�P Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT , S`[ DiC)& CO 6 -�
APPLICATION RECEIVED 6 • ' S / 2 --
T he Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
7 We-10 ox.
Accepted v Accepted With Corrections
Denied
;
Reviewed By: A Date:
Comments: y11 cr -� i► - ;r/�ex =- XCICTe
(D7/2 ec.„(509.4,
"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 *w.g
Alt\ PRIp1
y
White - Building
Canary - Engineering
LANES° . 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: A P, gri Date: " �'
!• i P
Comments: `'
Air Conte a Vii, .
Units .alw
Side Yard Setbae
"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 O� .,
CITY OF PRIOR LAKE Date Recd
HEATING /AIR CONDITIONING /FIREPLACE PERMIT
�
r
NNE SO�
2. Gre
I. Pink en File PERMIT NO. /2 ....4//
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS " ZONING (office
J ! / ` i j . /) use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER S JI KG/a p ,t j
L (1 2 ' (Ph ... ) L
(Name) � � Z J
(Address) ` U ` * '1 ' VI D�+( v f..
APPLICANT
(Name) HEARTH & HOME TECHNOLOGIES, INC. (Phone)
dba FIRESIDE HEARTH & HOME
(Address) LiC. BCO512060
2700 FAIRVIEW AVENUE N
ILLt, MN 55113 (City) (zip Code)
Y 651.633.2561
(Contact Person) c l ` � ' � • • ••' (Phone)
APPLICANT SIGNATURE DATE
"APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
❑Warm Air Plants ❑ Steam PLEASE NOTE:
❑ Gravity ❑ Hot Water Air Conditioner Units
❑ Mechanical ❑ Radiation Cannot Encroach into
❑ Air Conditioning ❑ Special Devices Required Side Yard
['Vent. System ❑ Other Devices Setbacks
f
FIREPLACE MAKE AND MODEL m47' N - 6 7 — 2: 4 - )3 c ) i — 5
FEE SCHEDULE F -
Industrial, Commercial & Multi- Family 1 %ofjob cost Residential, Gas Fireplace $39.
$39.50 minimum
Residential, Heating & A/C (New Construction) $99.50 Residential, Additions & Alterations $39.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $39.50
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $ PAID MTH
STATE SURCHARGE $ ? fso BUILDING PERMIT PERMIT FEE $ 'xi
(Office Use Only)
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
oQ Pi2* Date Recd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
1NN ESOt
1. G reenYellow FC i pP PERMIT NO. 1 7 • b I
2. r/
3 Gold Applicant f.
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
9.951 KYI Di.I( ■ W
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) . 1_ .► QA t (Phone)
(Address) c/ 124101c (t C f - r c1 sZ (... ?r t f3Y
(Address) (City) (Zip Code)
APPLICANT) �` , j
(Name) l,,l -1' )Y \` sk t C`; ) (Phone) ciSD — 44S - "l q VO9
(Address) (� C #.2-.t LC.J[L S `. \ D( C� 66,363
(Address) l p (City) (Zip Code)
;
(Contact Person) C Ar\CIx, r Q ;t211i� Y\-41 _ (Phone) CO 1 a-
APPLICANT SIGNATURE !a ! \J-c DATE P. CIPO/ (Z.
APPLICANT PLEASE COMPLETE BELOW
Size of water service 1 inches.
Location of any couplings from structure 50 feet.
Type of sewer pipe. ❑ ABC ❑ PVC ❑ Cast Iron
Estimated length of sewer line 5D 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 #
SEWER AND WATER PERMIT FEE $ % hi
STATE SURCHARGE $ .50 p v' ' rkl1
TOTAL PERMIT FEE �'
(Office Use Only)
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
° � - � CITY OF PRIOR LAKE PLUMBING PERMIT _„,
4,0 i, _,_i , o . i ' F'
+tEsoCt` Applicant �5 ' Bloc He PERMIT NO.
2. Y Any
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS \\ 4y!) `` r /� \ / I ZO]
•
4J
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION P1D
OWNER
(Name) (Phone)
(Address)
APPLICANT C l� Q.Y . Q �1 ^,� its I�aLam, (Phone) 95 --10
(Address) \ 5 34 r S i2 �� {-)Cd< S - C c t t)c �c-�Lp
(Address) (City) (Zir
(Contact Person) cc _ ' c._.V Y (Phone) 1 a - -7 4 -) - 3
APPLICANT SIGNAT ' 4,-,.......-___ ,,&,), • / 20,
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fiixtur
Z Bath Tub with or without shower ,, ? Rough -ins
1 Dishwasher j Water Heater
\ Floor Drain Water Softener
Cj Lavatory (Bathroom Sink) i Stand Pipe (Washing Mad
i, Laundry Tray (1 or 2 compartment sink Sewage Ejector
t, Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
3 Water Closet (Toilet) Other
FEE SCHEDULE ;f''
industrial, Commercial & Multi - family 1% of joh cost with a $49.50 minimum i , One & wo-Family ;
. a , 1 • • T . ons & Alterations
BUROIING PERMIT
The Minnesota Statutes § 326B.148
hst $ Building Permit #
"SURCHARGE" has been changed for one
year effective PLUMBING PE ` ! T FEE
.1nly i, 2010, until June 30, 2011. STATE SURC ■,•1' GE $ . t ')
The minimum surcharge fora "fixed fee" permit TOTAL P f1 I T FEE $
is 5 beginning July 1, 2010
This Application Becomes Your Buiidin ermit When Approved Paid Receipt No.
Date By
/ mate
P R IO R LAKE DEPARTMENT OF
, BUILDING AND INSPECTION
INSPE
R
SITE ADDRESS Z`eil II
NATURE OF WORK - I1.1 p -tom -t ( L .L
USE OF BUILDING t ��,
PERMIT NO. ( — (I DATE ISSUED (.) 7 -1 tz
CONTRACTOR S�-- s� -. PHONES ( -Z (.i tc.3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMT
N G 'v' / s lc �Z3s i 6 w Pt(- 'IN PECTOR' D TE "1
!FOOT
1
FOUNDATION (Prior to Backfill) 1 Pi9 ,7f �J 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
` - ROUGH - INS
SEWER /WATER /SEPTIC M 7711/2.
FRAMING (A)C_ Q,4 7 SO 2
INSULATION cnu.. 064 5'w�46 Est- z1L,.4'ro7 4 &/1
ELECTRICAL
PLUMBING 9 , ✓;2
HEATING (if required) x/01 -P ? /ra
FIREPLACE ` '?` / ���1
S LINE AI TEST R Ury. d-w
� COV 5 ffO WORK UNTIL ABOVE HAS BEEN SIG
/. /,4z1/41 )- (ri 1 12/11a
FINALS
GRADING (Prior to Sodding) ✓1 (� €l
- BUILDING d t I� ( Z ce 161) 0
ELECTRICAL
PLUMBING ,5 i /,
HEATING 2 / z
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