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Expires v im ; t'!) l� This Certificate issued pursuant to the requirements of Section 110 of the III Residential l ❑ Intern ;) Building Code certifying that at the time of issuance this structure was in compliance with the various �) 1 ordinances of the City of Prior Lake regulating building construction or use. For the following; ' .o �� �.1 Use Classificatio _ /� �%/«/ i -'� Bldg. Permit No. /Z ?01 y f� 1 p ;�,) 11\ ' // U Occupancy Type ma Type Construction in /� 6 / g �y / District �/Jy /�,./1 I L ! 6 / 1J Vl i 6� P(2 U / 1-1 i • V D� " ) ) Legal Description � • —____. r Owner of Building Site Address 36235 / Q //V TE /'4�-L,:' 1 -Atio „t,..„..., Name & C / Li'� A/C: /iD / Contractor's 1 1 ) �` - /3 ( �' /1v7Th"l / // �•• r' C ity Planner -- 04 i 1'ot. . - Building Official "`) �� ♦. 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Q 0 x 0 000❑❑ V of 3 PR1 CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd ,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE S ` (,, ` AND UTILITY CONNECTION PERMIT `C 4rIN'NEBOl� I While File PERMIT NO . 3 Pink A py /7 3 Yellow Applicam 2 . 1 ?az... (Please type or print and sign at bottom) ADDRESS ZONING (office use) 3 6 3 P Ni2 LEGAL 4-BLOCK (office use only) � LOT T BLOCK I ADDITION' ()Ora ApP\ A * OWNER (Name) (Phone) (Address) (Co DER Q t / ,(� 14611A40,4--- r� (Company Name) � \ (. jl'� (Phone) 61 ",� --- .a.cal - (,o0* n (Contact Name) ,,//��� °Z- - --' (Phone) 41��-'- , � I �C)l l j b (Address) \ r-\.• , a T `t ' • A'A a 1 1 • `'f 4 TYPE OF WORK New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace Addition EAlteration ❑ Utility Connection CODE;.R.C. ❑LB.C. ❑ Misc. Type of Construction: I II III IV V A B t 0 0 0 Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ Division: 1 2 3 4 5 (excluding land) 1 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 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 oke this permit fo ust cause urthermore, 1 hereby agree that the city official or a designee may enter upon the property to perform needed inspections. Signature A Contractor's License No. Date Permit Valuation 2 , U 6 0, - Park Support Fee # $ Permit Fee $ Z, Z co SAC # $ 2-3C,5-- Plan Check Fee $ ( 31 5. 16 Water Meter Size 5/8"; 15' $ 510_ - State Surcharge $ ( ' , Pressure Reducer $ ' (Pc9 , Penalty $ Sewer /Water Connection Fee # $ ( 5-CO - Plumbing Permit Fee $ 1 5 SC3 Water Tower Fee # $ \ oa.) - Mechanical Permit Fee $ \ 5-b Builder's Deposit $ ("5- / Sewer & Water Permit Fee $ 5 c Other $ , Gas Fireplace Permit Fee $ 5-4-- S p TOTAL DUE $ /1 /74, 4 This Ap 1 ca .- o ecomes Your Building Permit Wh Ap oved Paid /4 /7 d R e pt No. 670Z-7 ___ ��, ��' Date - / Z�- B l� ! _ Sze z Buil' ing Oliieial . ate s This is to certi , that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as r quested. This document when signed , t lei Planner cdnstitutes a temporary Certificate of Zoning c plian and allows construction to commence. Before occupancy, a Ccrtiti ate of Occupancy must be issued Planning Directo Date 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 New Constr ction for Single or Two - family Dwellings in R -1 or R -2 istricts Reviewed by: 0 Date: 6 /z Building Permit # PID: - Zoning: Address: 3, 3� pi,„„ A,. Legal: L , B Subdivision: Existing Structure? YES / 0 Existing Nonconforming Structure? YES / NO CONFORMS TO ZONING Y # NO ORDINANCE Yard Setbacks: NA / FAILS/ COOLIES LIES Standard Proposed • Front Yard (can be 20' if avg. w /in 150' 25' z S. 5 • Side Yards q" '_ S 25' if abutting a street i fp .4- • 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 v .23. (c9 5T- 3 • 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 I FAILS! COMPI S I .30 Maximum I ''"e'' • 2 Z- Yard Encroachments:rYA) FAILS It rig • A S Standard Proposed Eaves and Gutters no chafe than 2 feet i 4 idth and no closer than 5 feet to a lot line (Easements). A/C and other equipment cannot encroach on interior side yards. Tree Preservation: * / FAILS/COMPLIES 1 Standard Proposed I • Total caliper inches • Permit 35% Removal • Caliper Inches Rerraoved • Calip i Irlches P,r6served • Replacement/ 'Y2 :1 L: \TEMPL TE\BLDGLIST.DOC / Driveway: NA / FAILS / CONS S Standard Proposed I • Maximum width at property line 24' Z-4 ' • Required setback 5' from side lot line or _ 30' from r -o -w on corner lots Zo . 5 • Maximum slope 10% g, Z, • All parking areas to be paved including R -V or spaces adjacent to the garage • Location to match subdivision grading plan 6-Al&, 1 Building Height: NA / FAILS / COMI S 1 35' Maximum 1 ZS Shoreland District: NA / FAILS / CO[VEP'l�ES , Standard Proposed Minimum lot area (square feet) �v 7,500 Rip, 7,999 Non -rip Minimum lot width 50' Rip, 57.3' Non -rip Shoreland alterations Impervious surface 30% Maximum p.o Z , S Bluff in Shoreland:4, FAILS / COMPLIES Standard Proposed • Setback from top 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 Floodplai 1 FAILS / COMPLIES Standard ( Proposed • 100 ye`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 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:ITEMPLATE\BLDGLIST.DOC Cl PRIp C White - Building Canary - Engineering ��NNeso� Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT .4 -11A ✓J /1 /` CS APPLICATION RECEIVED 0 , (c) t . . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3 3 (9 fOc/ rJ rE: MIS . Accepted ✓ Accepted With Corrections Denied Reviewed By: Date: &/Z. 0 lZ Comments: 0,, - c1 64.-os /.J ' /17 r,v ) Cc-404."/ - , 5 Aer /1-L(_ / i dI-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." - PRIp O 1 i ae l U0 �rx White - Building "'INNESOVP Canary - Engineering 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 /ID 4- --e- ---:::- Reviewed By: Date: &/Z 0 /Z Comments: ----`'_ "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." "10 4' CITY OF PRIOR LAKE Date Rec'd °� HEATING /AIR CONDITIONING/FIREPLACE PERMIT v` P 1 Pink Fi lc II 4 r rNNeso t 7. Green c;, PERMIT NO. 1. YeIMw Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (J(� M O I L V Q — (Phone) (Address) — APPLICANT T : �� , , �n ( Phone) _.,._ ,� (Name) L �. __��_ — --� (Address) 22-00 2 \," V . _ - , �_ ■�U r ns V 111 � Sc 3 w7 (Address) (City) (Zip Code) (Contact Person) Ca I Yl L-C U r (Phone) ( C 2 - 2._:) - )(D - 7 l , eGto APPLICANT SIGNATURE - DATE _ J ��r t 2-- APPLICANT PLEASE COMPLETE BELOW IEW CONSTRUCTION ❑ REPLACEMENT � d ❑ ALTERATIONS FURNACE MAKE AND MODEL Oi..Y G1SGZ14tOOS2 -1 - �l FUEL i CI 0-- FLUE SIZE � RETURN OPENINGS _ INPUT 1 00 l 'Ot. () OUTP t'2 000 TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner arm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach ravity ❑ Hot Water into Required Side Yard Setbacks. m echanical ❑Radiation Fireplaces with Box Additions or r Conditioning ❑ Special Devices ❑vent. System ❑ Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial & Multi - Family 1% 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 The IaiIattx'so a Statutes 326B.148 ±ost $ _�� 0" Building Permit # "SllRt:HARCP" has been extended mall lune 30, 2013, HEATING PERMIT FEE $ The minimum surcharge for a STATE SURCHARGE $ .50 `fixed Etta" permit is $5,(1O DOTAL PERMIT FEE $ This Application Becomes Your Building Permit When Approved Paid Receipt No. _ Date By i% Buntline Official y Date a A ., '. 'APV -3 24 hour notice for all inspections (952) 447 - 9850, fax (952) 447 - 4245 4646 Dakota Street S.E„ Prior Lake, Minnesota 55372 .,:y Ri CITY OF PRIOR LAKE Date Rec'd '�,.. , HEATING /AIR CONDITIONING/FIREPLACE PERMIT • s Irj Pi Fiie P ERMIT NO. 2. GTeeR City j 3. Yellow Applicant (Please type or print and sign at bottom) _ ADDRESS ZONING (office use) 3$ 3$ "0_4,h 1pa... Ne LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER y, (Name) G (Phone) c/ '2> — q°'la_ (Address) 7 5 q 6 1 at,c -,... 12L- PA- /°,,n +t 5 3 Y i HEARTH & HOME TECHNOLOOI , IN. APPLICANT dba FIRESIDE HEARTH & HOME (Name) —L e. BC9532$56 (Phone) 2700 FAIRVIEW AVENUE N (Address) RO-S ey x ..2561 /� (City) (Zip Code) (Contact Person) �/fstc_ - (0 / 2- - 3 —2-17 6 (Phone) APPLICANT SIGNATURE // I 7 - - DATE / y' APPLICANT PLEASE COMPLETE H & HO • • CONSTRUCTION ❑ REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL i 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 1::avitY 0 Hot Water into Required Side Yard Setbacks. hanical ❑ Radiation ❑Air Conditioning ❑ Special Devices Fireplaces with Box Additions or ❑Vent. System ❑Other Devices Cantilevers to the Outside of Buildings } / A Require a Building Permit. FIREPLACE MAKE AND MODEL !� ,C 4/,1 3 3 FEE SCHEDULE Industrial, Commercial & Multi - Family 1% 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 $ 000,, Co Building Permit # The Minnesota Statutes § 32613.148 . HEATING PERMIT FEE $ "SURCHARGE" has hcen changed for one Year effective STATE SURCHARGE $ .50 Jai). 1, 2010, until .tune 30, 2011. TOTAL PERMIT FEE $ The minimum surcharge for a "fixed fee" permit (Office Use Only) is 1, beginnin . July 1.2010 • This Application Becomes Your Building Permit When Approved Paid Receipt No. Date B Building Official Date A PAID VVITE.1 ; • 24 hour notice for all inspections (952) 447 -9850, fax (952) 447- 4245BUILD,NG PERMIT 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 F - p RI0 Date Rec'd r� , A c N, CITY OF PRIOR LAKE PLUMBING PERMIT Lit PERMIT NO oz. (Please type or print and sign at bottom) ADDRESS j ZONING (ofiirex ) R03?). oiv - f-e_ ?cs � LEGAL DESCRIPTION (office use 0=v) LOT BLOCK ADDITION PID OWNER \\ j� ` / (Name) �..) © 1 �� o V O ' V k - (Phone) - (Address) APPLICANT-, r� , , �� (Name) )2_ '�J � (Phone) , (Address) -100 \ Y \l }Y I�S1/ k._. �J5 3 3_7 (Addre ) (City) --7 (Zip Code) (Contact Person) � 4 ' f LOS q (Phone) 1S 1 � 1 - l 9)6 r Vl APPLICANT SIGNATURE (i - 2--- APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity T e of Fixture Bath Tub with or without shower Rough -ins Dishwasher l 1 Water He ater Floor Drain W 1 Water Softener J Lavatory (Bathroom Sink) - 1 Sta nd Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly 1 Sinks Backflow Assembly Test Bar Sink 1 1 Lawn S prinkler 4 Water Closet (Toilet) Other i FEE SCHEDULE Industrial, Commercial & Multi - family I% of job cost with a 549.50 minimum Residential. New One & Two - Family $149.50 Co esidential, Additions & Alterations 549.50 ` . st $ 7, 91 • 00 Building Permit # The Minnesota Statattes § 32611146 "SURCHARGE' has been extended PLUMBING PERMIT FEE 5 until June 30, 2013, , STATE SURCHARGE 5 .50 The minimum surcharge fora TOTAL PERMIT FEE 5 'fixed fee" permit is $5.00 This Application Becomes Your Building Permit When Approved Paid Receipt No. , AtIIV , I Date By pA�� �' �� Building Official Date a t9 1) J 6'. 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 �J k 1.. 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 SEP -10 -2012 14:54 FROM: STAR PLUMBING AND EX 19528847468 TO:9524474245 P.2 Pm VRXq Date Reed H p A c c CITY OF PRIOR LAKE M v g 1 SEWER AND WATER PERMIT rtvNrs ,,, 2. 1. a1 clinu , t w Ci I Flh t {PERMIT NO. OZ Y 3. Gold Applicant • (Please type or print and sign at bottom) AD33RESS 63 C3 e t ^�,� ZONING taartt ��) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID . OWNER $ ' .1 hone (Name) ii - -�� • � -tom � .� -1 �' ) (Address) (Add2ess) (Ci►y) (Zip Code) APPLICANT 7 i1. ` a .14 i (Phone) a Cl A / R r .. /� 53-2/26 (Address) 0 e f Lt., P✓ '- z i: �v �J i t (Address) / (City) i (Zip Code) ' -1 (Contact Person) s .t . �_ (Phone) 4. , / 1J • APPLICANT SIGNA ! ' — �► . /r DATE 1/" / APPLICANT PLEASE COMPLETE BELOW Size of water service / " inches. Location of any couplings from structure. feet. Type of sewer pipe. ❑ ABC W P'VC ❑ Cast Iron Estimated length of sewer line t'�� feet. Clean out (if required) located at feet from structure. _ FEE SCHEDULE Residential sewer acid water line connection $51.50 Industrial, Conf1 & Mu1ti- 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 PER1tdIT FEE $ STATE SURCHARGE $ ,50 TOTAL PERMIT FEE $ PAID WITH BUILDING PERMIT (Office Use Only) This Application Becomes Your Building PermlitWhen Approved , Paid ' Receipt No. Date By Butidine Official Date " -_ 24 hour notice for all inspections (952) 447 -9650, fax (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 • • k -4 • \-4 • 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. /o r 1 ( ) 8/cycle Property Address 3636 pv,7 /e 45 [ ,lAcF7-- - E/zs PONO 4 0 0/ 7,oN 1 Lot Area /D /qy yy . SF LL.1 y yyyy yy x 30% = ///1. S -P T* T T T T T T T T T T T T T T T T T T T T T T T T T T T T LENGTH WIDTH SQ. FEET HOUSE x = x = ATTACHED GARAGE x = TOTAL PRINCIPLE STRUCTURE 20 1/ Si' DETACHED BLDGS x (Garage/Shed) x TOTAL DETACHED BUILDINGS DRIVEWAY/PAVED AREAS x = (Driveway -paved or not) x 9� _ geb SF lire w (Sidewalk/Parking Areas) x 5 t f� c / = / Sf TOTAL PAVED AREAS 732 Sr PATIOS/PORCHES/DECKS x = (Open Decks '' /" min. opening between x = boards, with a pervious surface below, are not considered to be impervious) X TOTAL DECKS OTHER x = X = TOTAL OTHER TOTAL IMPERVIOUS SURFACE 3 qz Sf UNDER/OVER IVA. $ - 41 Ir Prepared By /der Ij // c' Date el /Z Company kOrlrPf 14y14erri✓Iy Phone 4 /ad G, /- l fly PRIOR LAKE DEPARTMENT OF BOLDING AND INSPECTION INSPECTION RECORD SITE ADDRESS Pc)( I S s NATURE OF WORK SEp ,✓p USE OF BUILDING ■A_D c F. ►i 7 L iNv PERMIT NO. (2 - DATE ISSUED (57a0// CONTRACTOR r y c - 'i /4 . 41 . PHONE �Sz- ZZ7- NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW L,T,H - E PE IS BY SEPARATE DOCUMENT % S z� L - + �Y /U �O L /�C � r »'" PECTO / DATE FOOTING I OZ- ' I 1 FOUNDATION (Prior to Backfill) 1 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED avu ROUGH - INS SEWER / WATER / SEPTIC ,frA pir/ FRAMING 1,,6 i o 4- //. INSULATION ELECTRICAL PLUMBING Vii !/ n , z �z fz, 4, ,a / 4 HEATING (if required) FIREPLACE ;Fie / /22// � GAS LINE AIR TEST — I flit? �v'` V(Pf COVE NO WORK UNTIL ABOVE HAS BEEN SIGNS D 1 6 _ L I "• % 2 9 / / x. FINALS GRADING (Prior to Sodding) , ? - , ;l B UILDING 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