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Expires 51. 4 4 :W ;,, This Certificate issued pursuant to the requirements of Section 110 of the ❑ Residential 1 ❑ International`s'` Building Code certifying that at the time of issuance this structure was in compliance with the various it.; ' ordinances of the City of Prior Lake regulating building construction or use For the following: ,'' Use Classification S I N G L E FAMILY Bldg. Permit No. 12-10(19 ( f i i i i Occupancy Type R Type Construction N Zoning District P U S D s (i '" Legal De scription [6, R2, JEFFERS POND THIRD ADDITION (''' 3903 STATION PLACE N.W. O wner o Bu Site Address Contractor Name &Address rIZLAFF HOMES, INC. `"' ROBERT D, HUTCHI NS � l,{ •� City Planner i1 C � )3uil d ing Official �� 1, _ � (1 Date: C ;) / <. , Date: E; /- A P OST IN CONSPICUOUS PLACE 11 1 1 1 1 „„ 1 _ .. ._ . 1 O ill N N N N. .111{ 1 : 11 1 � r.• ra V .v �� a ii � .; ' r, 11 . 11 ... 11 . I 1 ., (1) 1 O N,:,., 1 H ,111 :.. 1111 AI N , Imu., 11 L. 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W N F- 2 a o 0 oo�N _ v v a . to 0 ❑ ❑ U? < 0 a 000 0 / 4 rxlp` CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ti TEMPORARY CERTIFICATE OF ZONING COMPLIANCE jZ c ' AND UTILITY CONNECTION PERMIT Q r.'N ES D' ' M ae iA y� % 1. White File z. Pink city PERMIT NO'� 3. Yellow Applicant • /677 (Please type or print and sign at bottom) ADDRESS ZONING (office use) 39 03 SrA-11 ofq P NIA] LEGAL DESCRIPTION (office use only) LOT g BLOCK 2-- ADDITION -('--D PID OWNER (Name) - — (Phone) • - (Address) - - BUILDER J OB , ce 1 '1S2 - 95S- SIS9 (Company Name) RATLIA� Oct-' S l NG . (Phone) f o nt 14 AS5 E∎JP�1T2_ (Phone) 952" 9bS -- 4 / 71 (Contact Name) ( ) (Address) 'Xi 4 t 3 671ZF N A D A- 44.1E_ 5 . 1 r r E I Z a i LA E v1 41 -E. S SO 4 9 TYPE OF WORK 174.New Construction ['Deck ['Porch ❑Re- Roofing DRe-Siding ['Lower Level Finish ❑ Fireplace ['Addition ['Alteration ['Utility Connection CODE: I.R.C. ❑I.B.C. ❑ Misc: Type of onstruction: I II III IV V A B (' O 4°°(7 Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ Division: 1 2 (^) 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- do ed o. - and th all construction to all exig and laws and ll in accordance h submitted plans. I am that the building official ' o pr y ,ermit for j ust cause. Furthermore I hereby conform agree that stin the city state offtcial or local a designee wi may enter proceed upon the property to perform neede ini6731- ' spe ns. aware X / � ' RC. I $!0 30? 9 Signature Contractor's License No. Date Permit Valuation 1 4 I 6 00 Park Support Fee # $ Permit Fee $ (2 �q S 0 SAC # $ Z 3 S-, Plan Check Fee $ �2 i-±.Le' Water Meter Size P$ "; 1 "; $ 4 -- State Surcharge $ - j© Se:, Pressure Reducer $ (Zo, , Penalty $ Sewer /Water Connection Fee # $ (sct)- Plumbing Permit Fee $ I S So Water Tower Fee # $ (oce.. - Mechanical Permit Fee $ (� 4 so Builder's De $ 1 Sow ._ Sewer & Water Permit Fee $ sue. 5o Other $ Gas Fireplace Permit Fee $ Jt- 41.-50 TOTAL DUE $ p'9 bl, This plic . do i B • comes Your Building Permit When A , pro ed Paid 7 7 G' Re ipt No. C �US I Date /0 : f r_ B , 14 14 Building • fficia Date This is to certi that the r:1 est in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed . • the ,! ty ' er constitutes - ft-temporary Certificate of Zoning compli. ce • d allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. / / Planningi 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 k rw .%.%-t...1kt Residential Building Permit Checklist New Construction for Single or Two - family Dwellings in R -1 or R -2 Districts Reviewed by: Date: i o /3 /(Z 1 Building Permit # PID: Zoning: Q „ Sr> Address: 3 , Sr,,1,�., P� fit- �� Legal: L , B Subdivision: Existing Structure? YES 1 N . Existing Nonconforming Structure? YES 1 NO CONFORMS TO ZONING YES NO ORDINANCE I Yard Setbacks: NA 1 FAILS/ COMPLIES Standard I Proposed • Front Yard (can be 20' if avg. w /in 150') 2.6” (5 (5.4 • Side Yards ~-6, 25' if abutting a street t O. 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 -e- (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 ., Tess than 50' I Floor Area Ratio: NA 1 FAILS 1 COIVIIES I .30 Maximum f Pu o I . Yard Encroachments: I" 1 FAILS /COMPLIES Standard I Proposed Eaves and Gutters no more than 2 feet in width and no closer than 5 feet to a lot line (Easements). A/C and other equipment cannot encroach on interior side yards. I Tree Preservation: NA I FAILS/COMPLIES I Standard Proposed • Total caliper inches • Permit 35% Removal • Caliper Inches Renloved • CalipeIrlches P,r6served • Replacem -h-V 1/2:1 L: \TEME.LikTE\BLD GLIST.D 0 C / Driveway: NA / FAILS / COMPLIES _ I Standard Proposed I • Maximum width at property line 24' zo' • Required setback 5' from side lot line or _ 30' from r -o -w on corner lots T > v- o • Maximum slope _ 10% All parking areas to be paved including R -V 4 �.� , e � � � i • or �.° � .o spaces adjacent to the garage _ 'I • • Location to match subdivision grading p'an I Building Height: NA / FAILS / COMPLIES 1 35' Maximum I Pt p i Shoreland District: NA / FAILS / COMPLIE :S . Standard Proposed I Minimum lot area (square fe et) ___ 7,500 Rip, 7,999 Non -rip Minimum lot width 50' Rip, 57.3' Non -rip Shoreland alterations Impervious surface _ 30% Maximum PoJ SEL -" IMF Sot- Fc✓kGF N PoLra Bluff in Shoreland: NA / FAILS / COMPLIES TAaL& Flo" Standard Proposed I • 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 Floodplain: NA / FAILS / COMPLIES _ Standard I 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 9/19/90- 11/22/97 then additional foot is not required. • Elevations 15 feet from structure Must be flood elevation or i higher • Road access must be no more than 2 fe3t below 907.9' for Prior Lake Regulatory Flood Protection Elevation 913.4' for Spring Lake Accessory Structure: NA / FAILS / COMPLIES 1 Standard Proposed Size p • 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 ot " Builders Deposit U try ESOP 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 :/i9. v • 'Z SITE ADDRESS: 3 943 ,l ��IS 0, PL.. PERMIT # I 1 • 10?? REFUND TO BE MAILED TO: L ;II " � S I • Lemit// 1 N 5 04* PLEASE REMEMBER 1. KEEP STREETS CLEAN DURING CONSTRUCTION 2. KEEP EROSION CONTROL IN PLACE 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR $500.00 WILL BE FORFEITED AUTHORIZATION TO RELEASE SIGNATURE: 43-00.Od ynda S. A n wng Services Amount 6. Acct. 801.20204 Da J:\FORMSIBUILDERS DEPOSIT FORM.DOC PRIO, U rn White - Building Canary - Engineering 4 /'N-NESO' Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT // APPLICATION RECEIVED 7. /i — /2- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3903-39/3 C./ / / / V I J PL.-19 A/W Accepted ✓ Accepted With Corrections Denied Reviewed By: `w - Date: /o 3 lZ Comments: l _e L.- k'-C rr 4/1177 -rti C N - tr'2ZonCrr< kr A R4c/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." .,.,..:, .., t , ; ....- .y. -. a.,... .. , ,.,�sl+,a_ . ......*,n „ r� , • . ^m- .*.vn„a.?Irt1n- w.4..a.we. t •+n..e. _.,".. ...__. ,� , 1 . ,-• ..,.� — --� ^, PR to ''---.... ./9 White - Building Canary - Engineering 41.1 ^NES 00P Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /// --, /1/ � y ,!'' 1 APPLICATION RECEIVED f The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Q -,.5' , 1 - }i7DA/ PLA Ait/V Accepted .k. Accepted With Corrections Denied C` _ Reviewed By: Date: / - J L Comments: See Reverse Side for Additional Information! See Attachments: 1) Grading Plan, 2) Erosion Control Standards "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 1 ° ®R 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. a All- bare soil areas must be protected from eroding into neighboring properties through the properly installed and maintained silt fence or bales, a The silt fence requirec by the erosion control plan must be installed prior to any earthwork being started. G 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 • 4 _ . i1ackfilling of the founda`lon. • • G ; \Admin \dept info \ADDITIONAL COMMENTS FOR BLJ:LDIN 13 PERMIT APPLICATIONS,doc r PRIp� x U ny White - Building Canary - Engineering �INNES °� 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 ,, I ,, 4- - 7 Reviewed By: Date: ( 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." ?Rio CITY OF PRIOR LAKE .Ditte Iec'd _ D °':, .<::, F EAT ,-, .,).V ; .....>..x ING /AIR CONDITIONING/ FIREPLACE PERMIT ` 4 A , NrEso�` �. > are F;1e ,' z. i) c�t'y PERMIT .NO. ;a _, ®9y 1 3. v::cw Applitor.t ;Please type or print and sign at bottom) ADDRESS ZONING (olSce • Se} LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION - PID OWNER (Name) df 1� (C C4:1 i__ _ (Phone) 45 ( Address ) g t Li 7 1 G r t a i . - / ( Ice E , II) 55 4/2 C L L APPLIC.LL. (ii � core r'Vl ` )— 9 .— (Phone) q (Address) L ., .... 0 �C ( Ri..CQC k 1 nAr ll\ 55 3 ' . ■ _ (Addte (City) (Zip Cod -) �_ (Contact person) 1>t 2 t C \ -A (Phone) r C mac, ('A ` "t ' - ., --- ,..,,-) APPLICANT SIGNATURE �-'" /4.,-- "" ~' r!G. - LT , / _, / APR WANT C ANT PLEASE COMPLETE BELOW &NEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS 'FURNACE MAKE 1 MODEL FUEL FLUE SIZE RETCRN OPENINGS INPUT OUTPUT TYPE OP' SYSTEM BEATLTG OR POWER PLANT .- - PLEASE NOTE; Air Conditioner ❑ Warm Ait Plants 0.Stearn Units and Fireplaces Cannot i ncroach :gamic), Lf fTct tx ater info Required Side Y'ard Setbacks. Conditioning Special i ui S D Fireplaces with Box Additions or 0 Specl Devices :Vent. System Q Other Devices Cantilevers to the Outside of Buildings .Require a Building Permit. FIREPLACE MAKE AND ivIODE # , t , I , ; ` 0 -t - FEE SC,Ei Industrial, Ccmmcrciai & Multi-Family 1% of job cost C Residential, c as fireplace $49.50 S49.50 minimum `__-- Residerta1, L- Ieating & At (New Construction) 5149.50 Residential, Additions & Alterative �h `il $49.50 Residential, Heating Only (Now Constroaticei) 564.50 Residential, AC Only �'�111J ill, i $49 The Minnesota Statutes § 3266.148 BUILD NG G " 5URCHARG has been extended Cost $ Building Permit i nL`,;c11 ji i e 30,, az1 3, \ \,e � The minimum surcharge for a HEATING PEEMIT FEE $ r - �, , V -< "fixed fee" permit is gS.vll STATE SURCHARGE $ , ,. CJ 0: \ / U �, _TOTAL PERMIT FEE S �. 1�`�' (Oi2iee Ilse Only) � / 'l� (_J This Application Becomes Your Building Permit When Approved ' Paid ' Receipt No. I Date By . -- tfuilain Ofacial Date .. , . . . - 24 hour notice for ail inspections (952) 447 -9950, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 avE i.?o 2 HI Ea`]= t , ':o - 1E 9flo Z.6bZS6 ST :GO £TOZ/ 6I /Zo 11/2013 01:42 6514637935 FARMINTON PLUMING @H PAGE 0 a 9(0 t5 Date Reed 0 L fie CITY OF PRIOR. LAKE PLUMBINC PERMIT A ..—velsrf " It/ZYNEse 1. aii, ?.1 IrfriaT NOI 1 4, Z 17144 •• . Y 1. '4'ellow Ai plicimi r:linsicApntasii Ogu at.oitura) -- _____ 1 •DD1tEss ZONING (dam tg.4 390 -- ______ ______, EGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID ___ —.----- ---_---..... ---- . --, _ AVNER t'% i Name) Address) , _ .. - • ----------- , .._ --. — -- • - - --- NIARTIC-Pin., _ ( N a m e ) — r q n _ r i _ l i . f t : 0 , S l a i t o _ _ _ _ 1 1 4_ _ (pborid :mdress) (Address (City) (Zip Code) (Ciontet Person) k.1Z game) . ______ , - L APPLICANT SIGNATURE 2-)c20 j , rib_tc).1),44-,„,, :!: )ATE b l I A 13 APPLICANT PLEASE COMPLETE :13'.:LOW ... Quaptjy_ _______DR---exo titre 5 uantity Type of Fix:tore _ / Bath Tub with or without shower , ----- Dishwasher I . •, • /ater Heater , . E Fioor Drain — qater Softener _„...: 7.. Lav_AL7 (BaParoomSinls)__ ...;:t pipeffashinzylachi _______ t12) Laurtthy Tray (1 or 2 compartment sink . , ..!... . — . - Shower Stall E ta.ck --_ , flow Assembly . ,. Sinks ---- I 3a.ekflow AssernbIy Test _ — -. ' Bar Sitik :I ,a.TARrinkler --- .___— • Water Closet (Toilet other .._ FEE SCIEfEDULE industrial. Com & Multi-family 1% ofjob coast nil) a $49.50 minimum Resi It ntiaI, New Ono & Two-Family S 149.50 Resjcl,mtial. Additions & Alterations $49.so • ' ' - 1st $ Building Permn f• The Minnesota Siahatl § 326B.14 • +URCHARGe." htv beta changed For one year effective PURVIBING PERMIT TER • PAID WITH July i, 2010, Rotil:ione 30, 201/. STATE ST_TRCHARLig $ . .50 8UILDING PERMIT : ralnimula surcharge rgr a "riattl fee" permit TOTAL PERMIT reE $ '------- This Application ilea:Hiles Your Mating Perntit When Approved Paid . Receipt -. ---- . Date By 15niildIrpz Official Date —„.. 24 iimir notice far all inSp(thqUIS On) 44749.501 fint (P52) 447 440 Dakota Street S.F.., Prior Lake, Minnesota 55372 ____. • ------- • .. ___ -... __, ~_. ' ' � � ~.^ * ° PRIOR LAKE BUILDING AND IN ECTION r File INSPECTION - RE O D SITE ADDRESS 3'ta 1P . NATURE OF WORK C FA, pec-‘4. ale USE OF BUILDING e- FArt IL- A t &■> PERMIT NO. Iz- !a°‘c\ DATE ISSUED t°/3 /tz_ CONTRACTOR z 1 e--. PHONE 9 S 2 - -`k85•471dt NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS B �/ Y , SEPARATE DOCUME Tn N CrA L L- t‘?-9, U?/ i �" a AAA f» ►-4 � � Cam. ^f{ "R.� l.. INSPE OR DATE FOOTING Lev, 'g ro5. .�.. ' G..fe 1 1 �, .. 1 FOUNDATION (Prior to Backfill) !' 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED 1��,a...r -,° -v L =P-- st4G ROUGH - INS SEWER /WATER /SEPTIC FRAMING c26 INSULATION /-' :3 ELECTRICAL PLUMBING Y HEATING (if required) / 11) / 7 / FIREPLACE GAS LINE AIR TEST , ;'., " "14C4 COVER NO W • RK UNTIL ABOVE HAS BEEN SIGNED I 0 5, ,d. : :. I FINALS GRADING (Prior to Sodding) m 7/1 / j BUILDING P4k = " 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