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P PERMIT NO z 3. Yellow City ' 3ow Applicant t ✓✓ (Please type or print and sign at bottom) ADDRESS ZONING (office use) i 1, 2 - 85 iOki)ika, eo Ki l t LEGAL DESCRIPTION (office use only) LOT2L4 BLOCK Li ADDITION ' Thc, RI uF l-1 NJQrityved N4acjb illy (Name) . A h ' (Phone) — 169,3 1(o:J 5 ) D 7 I (Address) 1 bJ 5 i `J' tt A v c I u I" Ikp (i 552)L/j' a ( r v '" 1 I `� BUILDER 5630 / ( i ' r (Company Name) i A ,>♦ ' ■1► •• .5 (Phone) 7b3 ?1 7} 81 1(4 `"1 (Contact Name) I. £ a (Phone) 912 q I `1 g 096 (Address)9 05 [p A $ l (-')v v IV M 4 /z. zqo. 55 TYPE OF WORK g,New Construction eck ['Porch ❑Re- Roofing ❑Re- Siding Et,ower Level Finish ,I Fireplace Addition ['Alteration ['Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑ Misr. Type of Construction: I II III IV V A B n Occupancy Group: A B E F III MR S U PROJECT COST /VALUE $ iglu B D U Division: 1 2 3 4 5 (excluding land) I hereby - - - .. t I have fumis infor ation 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 abov' entioned p ..erty and t all con ction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building o' ial can revol f. 'list cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X �; 3 & ____HI3a)12___ I Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ 210 vo Permit Fee $ S AC # $ l,�it3 . SC 23(46 0(5 Plan Check Fee $ ti t i 3) R g Water Meter S e 5/ ', 1 "; $ 41 0 0 State Surcharge $ ' OS. 0 0 Pressure Reducer $ / Z O • ejcp Penalty $ Sewer /Water Connection Fee # $ W ater Tower Fee # $ r � O Plumbing Permit Fee $ 1Sy• 573 Water 00 0 . C96 Mechanical Permit Fee $ 1 .4 To Builder's Deposit $ , 1 5 - 00 • 50 Sewer & Water Permit Fee $ 54-5 � Other $ / Gas Fireplace Permit Fee $ 5- y . 5-D TOTAL DUE $ (0 317 28 This Ap . ' ati. n Bells es Your Building Permit When Approved Paid /0 P7, 7, R ec pt No. (,: j 76' six_, ... $/42_ Building Official a te 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 signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. 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 ‘•• , %.) • ; Builders Deposit $o �>� City of Prior Lake A $1,500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposit is issued as security to insure compliance for a Final Occupancy Permit. (It is not an escrow account.) All exterior items including but not limited to grading, sodding, landscaping, tree planting, driveways, siding and painting shall be completed 180 days after the date the building permit is issued. If the work is not complete within the 180 day time period, the City shall notify the applicant of the violation and the applicant shall have 10 days to comply or the $1,500.00 builders deposit will be forfeited and the applicant will be billed for clean up or corrective work to rectify the situation. A $500.00 Tree Deposit may also be required and will be refunded if specified trees are preserved for a period of one year. By signing this I, the undersigned contractor, acknowledge that I am aware of the erosion control requirements of the City of Prior Lake as outlined in the Erosion Control Measures for Building Contractors handout. DATE: 4 30 - /2 - SITE ADDRESS: / & Z s5 7t N //0 ' �' PERMIT # - 3 Z REFUND TO BE MAILED TO: DO NN,+ y 963 63 £ f/ VE /4 rI /P6,6 6 1,%x, // 35 % %q AUTHORIZATION TO RELEASE PLEASE REMEMBER ' � Soo 66 Lynda S. Allen, Building Services Amount 1. KEEP STREETS CLEAN DURING CONSTRUCTION 0, 7- /3 Acct. 801.20204 Date 2. KEEP EROSION CONTROL IN PLA E ---=-MMIZEVENMEtWAGAW . 3. TEMPORARY OCCUPAN P IT 4 ST NOT EXPIRE OR $500.00 WILL BE FORFEITED SIGNATURE: A,1j 26268 Wells Fargo Bank, N.A. DONNAY Minneapolis, MN 55479 17 -1 -910 PH. (763) 531 -0714 9655 - 63RD AVE N MAPLE GROVE, MN 55369 DATE AMOUNT May 16, 2012 $ * * ** *10,317.28 ?ay: ***************Ten thousand three hundred seventeen dollars and 28 cents O TH THE City of Prior Lake w ORDER 4646 Dakota St SE OF Prior Lake, MN 55372 AUT ORIZED SIGNATURE "0 26 26811' 409 L0000191: 260 5 2707070 J: \FORMS \BUILDERS DEPOSIT FORM.DOC Residential Building Permit Checklist New Const uction for Single or Two - family Dwellings in R- or -2 Districts f w_ Reviewed by: Date: S g /17--- Building Permit # Zoning: Address: k- 7T / J l C r Legal: L , B Subdivision: Existing Structure? YES 16 Existing Nonconforming Structure? YES / NO CONFORMS TO ZONING NO ORDINANCE Yard Setbacks: NA 1 FAILS/ COMPLIES 1 Standard I Proposed I • Front Yard (can be 20' if avg. w /in 150') 25' Z .. • Side Yards 10'/ - 25' if abutting a street - 1 , 5 • 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. 25' c. : 47 i • Rear Yard • 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 / FAILS / COMPLIES 1 .30 Maximum Z/ I Yard Encroachments: NA 1 FAILS /COMPLIES Standard Proposed Eaves and Gutters no more than 2 feet in width 4nano U®fler and del Tia... closer than 5 feet to a lot line (Easements). T 4 t 9 Cgr, et Enercvach If NC and other equipment cannot encroach on interior . a''< -4 ;i side yards. I Tree Preservation: NA 1 FAILS / COMPLIES 1 Standard Proposed I • Total caliper inches • Permit 35% Removal • Caliper Inches Rerr?oved • Caliper /riches P,r6served • Re lmentl Y2:1 -pace- L:\TEMPLATE\BLDGLIST.DOC 1 Driveway: NA / FAILS / y PL * _ Standard Proposed • Maximum width at pr. • - • , ine 24' 2+ • 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 e/ ` Building Height: NA / FAILS / CO .0 1 35' Maximum I 441 Shoreland District: NA / FAILS / C P IES 1 , 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 p,c-, Zy 6 Bluff in Shorelan• FAILS / COMPLIES Standard Proposed • Setback from o• 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 NA FAILS / COMPLIES Standard Proposed I • 100 ye 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 Pr. -ction Elevation 913.4' for Spring Lake Accessory Structur- i / FAILS / COMPLIES Standard Proposed I • 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 0 PRIpIe ti � U m White - Building Canary - Engineering "'`^NESO.:i Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT DO/UAMY /io /21'3 APPLICATION RECEIVED 4' - 70. 12_ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /1, zzS . .779r/I09 Co vit . Accepted Accepted With Corrections X_ Denied �/ Reviewed By: Date: --S / / Comments: 7 705,CAA. exnA re k- -,,,.4 ro ck evOvran,•c_Q Wtus# b.e_ 1'14 p ■cer_e_ u,A. ff -�v r � i S eSt�`n < i SL(Lc-1 "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." ''y127 e U White - Building Canary - Engineering "''NNESO•o' Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST , NAME OF APPLICANT f ` 1V '/ 2 APPLICATION RECEIVED - � � 1 --.- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: > - i / { //J/44' ' C. ..: W t.. i Accepted Accepted With Corrections Denied Reviewed By: Date: Comments: Conditions' and Other Mecidiu,.w. Units Cannot R ntarostckinto Racjrirpe Side Yard Setback "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." �,. O4 PRIp� U rn White - Building M, �P Canary - Engineering LANES° Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT l APPLICATION RECEIVED 7 0, /2 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction r, ` / activity which is proposed at: /, ° t "7 f 7`/ ! !✓ . - Cis V Un..-7 --* ,/ Accepted Accepted With Corrections Denied Reviewed By: �/F Date: `57 /5 // 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." ' PRip 4 , Date Rec'd CITY OF PRIOR LAKE z / Z�. '" H , SEWER AND WATER PERMIT ' . Q 7 3. Oo d ppixint PERMIT NO. �� + 3!� Z. (Please type or print and sign at bottom) ADDRESS ZONING (office use) 5 Td h : t1t41 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER r� (Phone) 7 6r�' S 07 k� (Name) VOc N. q �\c�MQ, (Address) ©S 63'p tOQ . hl Mraeke., C.9 r & (Address) (City) (Zip Code) APPLICANT p (Name) Co \ e n ' ee ( e_. L A) 0.x r (Phone) 61a — S©t" C (Address) 869 Qt '3. \ P iCuJ y (Address) (City) (Zip Code) (Contact Person) (.�. ti\ Cgj c' (Phone) 6" - Sr $ ` c i 4 1 7 1 4 APPLICANT SIGNATURE DATE 5 "- X01 APPLICANT PLEASE COMPLETE BELOW Size of water service `k inches. Location of any couplings from structure feet. Type of sewer pipe. ❑ ABC K1 PVC ❑ Cast Iron Estimated length of sewer line 1 4 0 feet. Clean out (if required) located at feet from structure. FEE SCHEDULE Residential sewer and water line connection $51.50 Industrial, Com'1 & 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 $ STATE SURCHARGE $ 54 PK TOTAL PERMIT FEE (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Buntline Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 MAY -8-2012 12:31 FROM: AIR MECHANICAL EAGAN 6514526525 TO: 9529474245 P:2'20/ • '''' '$ CITY CAF PG kt Date Reed co c 1..'," HE i�TWGj C ND 'I RI i'� It T LS E /FIREPLACE PERMIT 4"Zx I. PiA Ft% 2. Cron Qry PERMIT NO. (Mug tppg ocrrint nj sit= at bctfom 3. "'n °w 40 ADDRESS 16285 TAR:.NKA. PLACE NW ZONING �T (r�fffSC Imo LEGAL L XPSCRIPTIoN (of&c use only) —. - • LOT 2-I BLOCK 4 ADDITION BLUFFS OF NORTHiWOD MEADOWS PM . OWNER - �_ PDAO r .0 - 2, .TAMIE MARTENS {�'` ai, c) ?TErr $ / DQlvNAY HOMES (Phone) 762-234-5429 - (Address) N kk1,'p T CA ITT - tNas»c)_ AIR MECHANICAL INC. (Phone) 763- 746 -3752 (Address) 16411 ABERDEEN STREET NE RAVI LAKE, Kr1 55304 (Address) BETTY (OW (Zip cede) (contact Person) 763 - 74 6 -3 752 APPLICANT SIGNA ' .. - - _ _'" _ E ..� ..i. .. DATE 5- 08 -2012 APPLIC4NT PLEASE COMPLETE BELOW NEW CONSTRUCTION Q R.FPLACEM:ENT 0 ALTERATIONS FURNACE MAKE AND MODEL DAY & NIGHT ki?t+lBQ50141oA kUEL NAT FLUE SIZE 2 . RETURN OPENI1 5$ I'D _ INPUT 60, 000 _ o1: rpur 55,200 TYPE OF SYSTEM HEATING OR POWER PLANT E3Warm Air Flouts Q Steam. PLEASE NOTE: Air Conditioner DGraviry Units and Fireplaces, Q Mechanical riot water Cannot Encroach Q Radiation Required Side Yard Setbacks. DA 0 Sp=eial Devices Fireplaces 'with Box A.dditinns or Cantilevers to the Outside of Buildings pVtrt, System ❑ f}«ixer I7cvir e$ FIREPLACE MAKF> AND MODEL Required Building Permit. FEE SCHEDULE Industrial. Commercial Pc Multi- Family I% of job cost Residential, Gas Fireplace 549.50 $49.50 minimum Ralidot;al, Hearing & Ar`C (New Construction 5149.50 Residential, Additions & Alicrations S49.50 Remidcutial, irl:catin Only (Neer Conatrructian) 564.50 Residential, AC Only $49 _50 Estitn,ated Cost $ Building Permit x HEATING PERMIT FEF, STATE SURCHARGE $ .50 t�it �® !At STATE TOTAL PERMIT' FEE $ I '�G R (Office, Z1.Ne Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Build Ice Official T} aTt Date _ BY 24 hour notice for an inspections (.52) 447 -9354, fax (952) 447 -4245 4646 Dakota Streit S.E. . Prior Lake, Minnesota 5$372 Jul, 13. 2012 5:54AM P. No, 7878 P. 2 . 0 4 pRto �� CI OF PRIOR L BY7 PERMIT, Date Rec'd TEMPORARY CERT ZONING COMPLIANCE • ITY CONNECTION PERMIT 4/: A'NE S ° Foe I. White City L . 3(02. • 2 rin c PERMIT NO.� 3. Yellow A9plIcsAt • (p lease a or penal and sign at bot ADDRESS ZONING (office use) • LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PM (Name) 1007 4 n cc.. v 11 Ddb `✓` (Phone) (Address) • r (Company Name) re r 0 6 .A £ t• h 1 es (Phone) (Contact Name) 11 i. 1,1 (Phone) 76 3 3 6 7 -- 03/ 7 (Address) ei a S h t Cw4) 4 oe PI 0-c __ ii i e Vl Ya, 6 ('e L( TYPE OF WORK. D New Construction ❑beck OPorch ❑Re- Roofing ❑ReSiding ❑Lower Level Finish J OFitcplace OAddition ❑Alteration ❑Utility Connection CODE: ❑LRC. ❑I.B.C, ❑ Mist, Type of Construction: I If III IV V AB o p Occupancy Group: A B E F HI M R S 'a PROJECT COST /VALUE $ / 54)O f ,c. 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 above - mentioned property d that all construction will conform to all estistiag state lend local laws and -will proceed in accordance with submitted plans. I am aware that the building official revoke this - r just cause. Furthermore, 'hereby agree that the city official or a designee may eater upon the property to perform needed inspe ns, X 1 ' D(e 0? i g P� 77/x / <a. ignatu2 ' Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Feed $ SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1"; $ State Surcharge $ Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit lee $ Water Tower Fee • # : $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other 14116 141 1 *Il Gas Fireplace Permit pee $ TOTAL DUE ts) G r This Application Becomes Your Building Permit When Approved Paid Receipt No. Date , By Building Official Date Tuffs 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 signed by the City Planner constitutes a temporary Certificate of Zoning Compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be issued, Planning Director at 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 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. Property Address Lot Area 7 .A.=1 Sq. Feet x 44.7 = 32;1E> E LENGTH WIDTH SQ.FEET HOUSE x = o 0 Z x = ATTACHED GARAGE x = 686 /s8 TOTAL PRINCIPLE STRUCTURE s,1 DETACHED BLDGS x (Garage /Shed) x TOTAL DETACHED BUILDINGS — DRIVEWAY/PAVED AREAS x = (Driveway -paved or not) x = (SidewalkfParking Areas) x = TOTAL PAVED AREAS to l4- S.F. PATIOS/PORCHES/DECKS x = (Open Decks Vi" min. opening between x = boards, with a pervious surface below, are not considered to be impervious) X _ • TOTAL DECKS (,D S� OTHER x = x = TOTAL OTHER TOTAL, IMPERVIOUS SURFACE L z C z UNDE' OVER 1 O 1(, Prepared By !Q Date `f - Company Protje 0-40, Phone # x-32- 3800 Bev. 5 - i - /Z PRIOR LAKE PU DEPARTMENT OF AND INSPECTION INSPECTION RECORD SITE ADDRESS j (off R I Ql/Iht\Ica C) NATURE OF WORK New Ca•s- USE OF BUILDING s ►Nle :l, OeVac PERMIT NO. 12 - 342 DATE ISSUED •SW /2_ CONTRACTOR be,,,�e.. �E �c PHONE S (1 - 70 NOTE: THIS IS NOT A PE �cu� PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT 9 4 - as : I - s 1� { `Q n ,I 4 oR No lhs�e� � �c� V OrJ1C�Y� l � �TC� � 1 vi 1 �t DATE I FOOTING 1 I FOUNDATION (Prior to Backfill) 1 pp PLACA NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ac9-orn 66 7 4 / Z - Q Q. 4'1A ROUGH -INS Pi' wz- SEWER / WATER / SEPTIC 'Vii FRAMING 7 INSULATION 1 1 ELECTRICAL PLUMBING J (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I t - Ic 3u se wVa. f 1 X strb //z- FINALS -GRADING (Prior to Sodding) 4 cl I \ 1 BUILDING 1 (x) , i tiiitZ ELECTRICAL PLUMBING 1 7/2° / t7 r HEATING PP? 6 1 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