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(c + CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
t AND UTILITY CONNECTION PERMIT
r.,7 4 4 1
''',N'NESdoP I. white File PERMIT NO .
2. Pink City t + 1 1 ei
3 Yellow Applicant 1 (j
(Please type or print and sign at bottom)
ADDRESS / ZONING (office use)
; _ ' Cca.cl∎,v - wt r
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION P1D
OWNER . _
(Name) • 1 v� 4 I / 2 v1 l Ca -. . . v (Phone) q y yo st.ts
L
(Address) i 1 9 .7 c- c,‘ a- � c- k wsct. 0 r.
BUILDER C
(Company Name) �� r r c� vt L. - e t . C c' ' T (Phone) 95 L 9 2 -- z 7 2 -
(Contact Name) r- r Y a. V c.. -e — 4.69 .e. 0 : y -e. (Phone) ev ( Z - ZS- Cv (k°
(Address) 3 C1 7 "7 Co o / 4 v 1 LA-) 0 r U e do fr. Vv\ v1 . SC 3 5
1
TYPE OF WORK ❑ New Construction ['Deck ❑Porch ['Re-Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
`Addition ['Alteration ❑Utility Connection
CODE: ►'11.R.C. ❑I.B.C. ❑ Misc.
Type of struction: I II III IV V A B PROJECT COST /VALUE $ '5 coo,
et.) Occupancy Group: A B E F HI MR S U
Division: 1 2 3 4 5 (excluding land)
I 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 just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x 2 G ( 3` /s ///
Signature Contractor's License No. Date
Permit Valuation Jr 5 &co . Park Support Fee # $
r
Permit Fee $ Z O SAC # $
Plan Check Fee $ 44)8. - Water Meter Size 5/8 "; 1 "; $
State Surcharge $ 21.50 Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $ /'
Plumbing Permit Fee $ �4. 6-0 Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ 12 10 • This /cat.. Becomgs Your Building Permit en A roved Paid Z 7 Q, (� Rec t No. � ('
Date ;3. Zb, t/ B i 7
ii . '
: !Ulm! Ofticia Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signe the t Planner constitutes a temporary Certificate of Zoning mpliance d allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
irect r D e 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
2 °17 New Constr ction for Single or Two - family Dwellings in 1 or R- Districts
Reviewed by: ,s- . - 2
(• G te: 3 I 1
Building Permi • PID. Zoning:
Address: 4 I a 1
Ga,-Tc.t+.Y., 1.-AF
Legal: L , B Subdivision:
Existing Structure? 0/ NO Existing Nonconforming Structure? YES /
CONFORMS TO ZONING YV NO
ORDINANCE
I Yard Setbacks: NA / FAILS/ CO LI S 1 Standard Proposed I
• Front Yard (can be 20' if avg. 150') 25' 2 ` w tr't Ncs..-
• Side Yards 2 0 ? 5rc.4.1 Ac>I> 0
25' ' abutting a street /
?,j , 3 +
• 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' ---
• 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'
lCP , e1 cz—
I Floor Area Ratio: NA / FAILS / C • • IES 1 .30 Maximum 1 . 1 3 1
Yard Encroachments NA / FAILS /COMPLIES Standard Proposed I
Eaves and Gutters no than 2 feet in width and no
closer than 5 feet to a !at line (Easements).
NC and other equipment cannot encroach on interior
side yards.
Tree Preservation: NA FAILS / COMPLIES Standard Proposed
• Total caliper in , ` t o Ir.( Permit 35% Removal 1 Z. - co •
• Caliper Inches Removed 2,z, a
• Caliper Inches Preserved 4-3A
• Replacement '/2:1
L: \TEMPLATE\BLDGLIST.DOC 7, 4A
��b`uG
Driveway: N / FAILS / COMPLIES ( Standard ( Proposed
• Maxi um width at property line 24'
• Requi d 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
Buildin g Height: NA / FAILS / C6 1 S 1 35' Maximum I c
Shoreland District N / FAILS / COMPLIES Standard Proposed
Minimum lot area uare feet) 7,500 Rip, 7,999 Non -rip
Minimum lot width 50' Rip, 57.3' Non -rip
Shoreland alterations
Impervious suiface 30% Maximum
Bluff in Shorelandl FAILS / COMPLIES Standard Proposed
• Setback from t, .f 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
Fioodplain( NA B / FAILS / COMPLIES I Standard I. Proposed
• 100 ye#t"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: N / FAILS / COMPLIES Standard 1 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 "
• e
DEPARTMENT OF
P RIOR LAKE BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 1 LA, • E
NATURE OF WORK 7 rt
USE OF BUILDING Ras A 42...„ �
PERMIT NO. 1(� I f3 z- DATE ISSUED 3/,�5 li
CONTRACTOR - re t FNc:r~ PHONE coiz - L I&&
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IAt $T ,\l_L., �RoS10 J C4)14 -n2.01_, IF YAf t5 P1 NSPECTOR' P ' (Alh 1T+�ln! D ATE A A t S.
I .1100-TINEI 1 1
1ffOUNDATION-(Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
- sig: R`/ WATER -f $E. TFC
FRAMING
INSULATION 6/ cf/ 1i
ELECTRICAL c
PLUMBING `/ / T //
HEATING (if required)
:
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING (//3
ELECTRICAL
PLUMBING
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