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CITY OF PRIOR LAKE
11
. I Priaarfntruf of AutiIbin �1 u prrhou
oi` r � Final Permitted ❑ Conditional C.O. Expires = = »,
(NIC , 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: - )
i , S /NCacc f it / g. /Z -GO // ,',
Use Classifi �� Bld Perm No.
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Occupancy Type `3 Type Construction V A 7 Zoning District / S•�
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Legal ' r �!
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> Owner of Building Sit Add ress CT 'Ilift
Contractor's Name & Address VV / t/v 1 / 4 ' � !
/e6[57/1,4 _- / u/ ed A/,`,/pipty Planner :NO
lit; Bui ing Official /�`//
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�� t. „,I Date: 3 Date: I_ -:1
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o - pR /go CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
ti /NI TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
A'N Es o
I. white File PERMIT NO .
2. pink City p 4 0 0 3. Yellow Applicant /
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
3? t/2 0 i 8 h, 1, t „( "up/ 5M) I
LEGAL DESCRIPTION (office use only)
LOT 5 BLOCK ) ADDITION HI
c k0 S A0 r---e3 Pm - 4' , 4 . U (4.0
OWNER
(Name) P . 4- VA to `i r-e to r h S (Phone) 61? - 36 3 - 5/5,8
(Address) Z ) Gtr ( �'fa Y"N'y a,[ ✓' c i (
BUILDER , ``
(Company Name) A. . . U r 4 . _ (Phone) ) L / 2 — 24 - 5? 4)/
(Contact Name) Ca v- V (J' i f) (Phone) 'S a YY7-e
(Address) I O 1 V a 40 5 L. L / v i 16, 41'/ 7 .5 5 0y5'
TYPE OF WORK !New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
Addition DAlteration ❑Utility Connection
CODE: OI.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 $
_ 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. I also certify that I am the owner or authorized agent for the
aofficibove - mentioned r operty • . •, • y t all construction will conform to all existing state and local laws and will proed in acoordance with submitted plans. I am aware that the building
al can this pe •f • j st ca Furtherm e, 1 hereby agree that the city off vial or a designee ma y enter ce upon the property to perform needed inspecti ons.
X \ k 73c 63(r4i, 12117.
Signature Contractor's License No. Date
Permit Valuation ® r Park Support Fee # $ . Z c , . c (y
Permit Fee $ 24 ,9 3 , c
SAC # $
Plan Check Fee $ ( 62 . `).- `J Water Meter Size 5/8 "; f' $ 4 -75- -
State Surcharge $ ( 3 7 -ra) Pressure Reducer $ ( Z c_ - -'
Penalty $ Sewer /Water Connection Fee # $ 5 — ..
/ G'�.�C3
Plumbing Permit Fee $ l 4= 5.0 Water Tower Fee # $
Mechanical Permit Fee $ i- Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ i - , `76, TOTAL DUE , f i,.C: /212c111 $ ; r s
' R ecei t No. ( ,/ ? -.)-
This • .. lead. 1 :: . .. • o ur Building Permit When • • . prov d Paid 3 -. P r
Date — Lo By �/ 1
�� ' z f
- : uilding e i..l Date
This is to • . fy , • t .: reque . the above application and accompanying .. men •. is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when si . . ' • b !. e C• n • nstitutes a temporary Certificate of Zonin ! comp • . ce and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued./ � ; •
..1G 4e /// z r• (
=
• ..nin_ 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
sgs :'^.,*«?.+.r:issMvNro'*.vre: �:d""r,. s ;;m.x*gFbYYut<h >:ps,S» J�' ,.. •, a . , _ , ..s;,
of PRip
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White - Building
�, P Canary - Engineering
Nsso Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT t'V/ . AJ 41 f t 0 / ii
f
APPLICATION RECEIVED / 2.-. -5.11
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed roposed at:
; { i° t' 2 l �....+ / J 1 r ( d V/ /t
.
Accepted g Accepted With Corrections
Denied
Reviewed By: C Date: / 2/.2 dp/
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
: of the foundation.
6: \Admin \dept info \ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS.doc
O4 PR /p
ti 'Y
tx
White - Building
Canary - Engineering
1`NNES W Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT WA L. Afi. : / r ° 6-41 H0/75
APPLICATION RECEIVED /a. 511/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
394 2 0 ` B, /E7 i C..r - 01 . .
p
Accepted
Accepted With Corrections
Denied t 1
Reviewed By: A' Date:
Comments: %- ....,c,/%--17 ( £)S f AJ ? gi , / 4 i 6
719— 5
4c- 77 -
I
"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."
/
( 2L
'y
White - Building
Canary - Engineering
M, ^' " ESO` 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
" , a .., 7
Reviewed By: r Date:
Comments: ?�' - -7 "A_ t5 r ii y 4 �►-r'up4N Cc. er✓
l / cc.. P 4
A
"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."
Residential Building Permit Checklist
New Const u tion for.Single or Two- family Dwellings in R -1 o R -2 Districts
Reviewed b : Date: 1 Z
y l/ Ick t\
Building Permit# PID. Zoning:
Address:
Legal: L , B Subdivision:
Existing Structure? YES / NO Existing Nonconforming Structure? YES / NO
CONFORMS TO ZONING YES NO
ORDINANCE
Yard Setbacks: NA I FAILS/ COMP IL gb I Standard Proposed
• Front Yard (can be 20' if avg:' in 150') 25'
• Side Yards 10'/
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.
• 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'
Floor Area atio: NA I FAILS I COMPLIES 1 .30 Maximum
Yard Encroachments:FAILS /COMPLIES 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 / f A) 1 FAILS / COMPLIES Standard Proposed
• Total caliper iiic-s
• Permit 35% Removal
• Caliper Inches Removed
• Caliper Inches Preserved
• Replacement '/2:1
L: \TEIVIP LATE\B LD G LI S T. D O C
Driveway: NA / FAILS / CO L S
y �' 1 Standard Proposed
• Maximum width at prope y line 24' Z� I
• Required setback 5' from side lot line or ,
30' from r -o -w on corner lots 2 Q
• Maximum slope 10% 1-5
• All parking areas to be paved including R -V or
spaces adjacent to the garage _-
• Location to match subdivision grading plan i
1 Building Height: NA/ FAILS / CO ,IP,LIES 1 35' Maximum
Shoreland District: NA/ FAILS / CO141 1 , Standard Proposed
Minimum lot area (square feet) U 7,500 Rip, 7,999 Non -rip
Minimum lot width 50' Rip, 57.3' Non -rip
Shoreland alterations
Impervious surface 30% Maximum -3 r,.
`O r Z' -`(fg (4 (ot
Bluff in Shorelan : M / FAILS / COMPLIES Standard 1 Proposed
• Setback from toi6if 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:'NA/ FAILS / COMPLIES Standard Proposed I
• 100 yealood elevation 908.9' Prior Lake
914.4' Spring Lake
• Lowest f or 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
Structure r.
ry q�
I Accessory FAILS / COMPLIES Standard Proposed
• Size 1000 sq.ft. or 30% rear yard
• Not located in front y rd (Materials)
• Side yard and rear yard setbacks 10'
• Maximum height 15'
• Materials compatible with principle structure
L: \TEMPLATE\BLD GLIST.D OC
p CITY OF PRIOR LAKE Date Rec'd
o I R e HEATING /AIR CONDITIONING /FIREPLACE PERMIT Z Z ?, / L
PERMIT N O.
il Ijn ,NESD�� ]. Pink File
2. Green City 1� /a /0 //
3. Yellow Applicant llL V
e d3'pnmt end sign at bottom)
ADDRESS r , , ) ZONING (office use)
3 it a'd(i� 4 c 7 -
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
APP CANT
1 a - /f"aOf/inC. G 9I boc)4 '1--. dZSPt_Qte hone} 761 � 7 (o - 7 .a 0 0
.. -.. 36) a co-.' 0 441'1DS 3LvD. Con..) A/ )DS 53
(Address) (City) (Zip Code)
1 ......,•se"?w ° Z 0A) . rob ,SO') (Phone) 7 4' -S 74'. 7 2 4'
ANT SIGNATURE _.. .. �'F 7-42- ----) APPLICANT PLEASE COMPL B
❑NEW 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
['Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
['Gravity ❑ Hot Water into Required Side Yard Setbacks.
❑ Mechanical ❑ Radiation
['Air Conditioning ❑ Special Devices Fireplaces with Box Additions or
❑Ve . System ❑ Other Devices Cantilevers to the Outside of Buildings
,o/hl'Oe& ,M44•Mtv 40 .w). Require a Building Permit.
• EPLACE MA : AND MODEL !1'1/I..577e cDt/Q3e
FEE SCHEDULE
. , Commercial & Multi- Family I% 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
Estimated Cost $ Building Permit #
The Minnesota Statutes § 326B.148
HEATING PERMIT FEE $ "SURCHARGE" has been extended
until June 30, 2013,
STATE SURCHARGE $ .50 The minimum surcharge for a
TOTAL PERMIT FEE $ "fixed fee' permit is $5.00
(Office Use Only)
This Application Becomes Your Building Permit When Approved Pa' eceipt� . `
Ilflf� e___ Da y ,
Buildin¢ Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
P R I R LAKE
O BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS � Z j
/( /ter >�% _ �J ��-� �
lam/ � �'GV /� sd�.
NATURE OF WORK 6 L, 6 • 1 .l
USE OF BUILDING
PERMIT NO. /Z 00/1 , DATE ISSUED
CONTRACTOR
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PER .S IT I BY S EPARATE D M PVT ,
r-�'` ...�, INSPECTO DATE
FOOTING As. god Lr mo /'7/
1 z
FOUNDATION (Prior to Backfill) 1 / /
PLACE NO CONCRETE U AB WE H S BEEN SIGNED
6 10 * U G H I Kar
SEWER /WATER /SEPTIC
FRAMING t.» Pty
INSULATION
ELECTRICAL
PLUMBING (45uuu l Z P � ?z r �3 3 , s 1
HEATING (if required) OWE - z
FIREPLACE Z) tPb ° 2. 2
GAS LI AIR TEST l �p
z
(f
V R N O K UNTIL ABOVE HAS S BEEN SIGNED
f4 i) A7A 1-A 4
FINALS
GRADING (Prior to Soddi •) X01 Zr
BUILDING L_49 BI t *WM
ELECTRICAL (.."-i•L_ 4 sc) ( Z
PLUMBING {�I
HEATING
�hi /51`
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