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CITY OF PRIOR LAKE 4`
_ Prilarfittruf of puili u h jt prrfiint
2 Final Permitted ❑ Conditional C.O. Expires
❑ This Certificate issued pursuant to the requirements of Section 110 of the ❑ Residential / El Internat 't 11
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: c+
Use Classification SINGLE FAMILY Bldg. Permit No. 19 -1 ] 77 1' '
, ; R3 V
R N PUSD 3 1,
ti Occupancy Type Type Construction v Zoning District r V J
` L24, Bla THE COVES OF NORTHWOOD MEADOWS
Le Description
., i 16437 KNOLLRI DGE COURT N , . `f'
Owner of Building Site Address
G BI HOME 112 FIFTH ST. , E. , #103, CHASKA, MN 5 .:
Contractor's Name & Address .
',..7--z
ROBERT D. HUTCH "
slf r City Planner 1
a ,,� 2 Building Official j
�t�"; Date: i -� Date: s ,)
(( POST IN CONSPICUOUS PLACE ,, d �r w :
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o� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE / J - /Z
� AND UTILITY CONNECTION PERMIT
j N NES o
1. white Pile
2 Pink City PERMIT NO. /'Z ` 1 ( 77
.
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
1 X143.7 notitri(I (t P .k) (A) P (15P
LEGAL DESCRIPTION (office use only) �
LOTaLl BLOCK \ ADDITION IN_ coves 4 � PID Zj . . 2.. 0Z¢.
OWNER .—r-- (Phone) �f - "lG��� C (Name) (-0 A 1.1, (-- 9 t �i �/
(Address) I 1 t C e iI y ' l ` , - S S. 4 101) 4r1 l`. � 0 ail 9 s/ , 5
BUILDER -"Ii
(Company Name) l — : " G` (Phone)
(Contact Nam 1 L a, if
J i (Phone)
(Address) 2._ Si , 2_• � W ( M M{) �� r
TYPE OF WORK ] New Construction DDeck ❑Porch ❑Re- Roofing ❑Re- Siding DLower Level Finish 1:1 Fireplace
/ Addition ❑Alteration ❑Utility Connection
CODE: NL.R.C. EII.B.C. ❑ Misc:
Type of Construction: I II III IV V A B
Occupancy Group: A B E F A I M R S U PROJECT COST /VALUE $ j6Oi 00
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 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 c- revoke this pe t for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
s ,, , 42 00 r /0' 3 -i
R � • ' Signature ontractor's License No. Date
Permit Valuation Z 11 C p e - - Park Support Fee # $
Permit Fee $ SAC # $ Z 7 (05.
Plan Check Fee $ 1351 , (o s. Water Meter Size 5a "; 1 "; $ 4 ° o e , -
State Surcharge $ (3 s, s'c) Pressure Reducer $ l 20. -
Penalty $ Sewer /Water Connection Fee # $ t s oo -
Plumbing Permit Fee $ ( 4 . S Water Tower Fee # $ I O oo. -
Mechanical Permit Fee $ (5' A • Sb Builder's Deposit $ (s oo.
Sewer & Water Permit Fee $ 5( • S, Other $
Gas Fireplace Permit Fee $ 54 0 TOTAL DUE $1011151,416
This/ � pplicati a l eco I' s Your Building Permit WL Ap owed Paid /0 y h h ). � R eCel t NO. I�73/ K
Date j() I j 7 / Z._ By c ,.,pi
- � i cD 0 /
Buildin Official ate
This is to c rtify that the request ' the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when siu : . by . C' • . cc institutes a tefttporary Certificate of Zoning compliance d allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
�� /r
' '� t lt tC II--
Planni■ g hrect ."151111 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
O- PRIOie
N ri
White - Building
�',NNESO�P Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT . �fr/-%
APPLICATION RECEIVED 2.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1
43 /6t/ (.7 A'
Accepted Accepted With Corrections
Denied
Reviewed By: Date: _
Comments: See Reverse Side for Additional Informatio.n.j _
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."
•
Ab®ITIONAL COMMENTS; FOR BUILbING 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
F... Abackfilling of the foundation.
•
•
•
•
G \Admin \dept info\ ADDITIONAL COMMENTS FOR BLILDING PERMIT APPLICATIONS.doc
((PRIG,
�
c
ti �
/ White - Building
Canary - Engineering
y� Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT `r1 fien
APPLICATION RECEIVED /0 ` 4—`
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1(0 44,3 /(AM - 6 — a Ai
Accepted ' Accepted With Corrections
Denied
By:
��J • Date: /0 5 i Z
Reviewed
Comments: S (o/• i 41nrTn- .✓ cm's' ->'`
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."
� O� PRIple
ti x
rr1
White - Building
Canary - Engineering
1 INNESO� P 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 F
/ l// aw.mr
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."
Residential Building Permit Checklist
New Construction for Single.or Two- family Dwellings in -1 or R -2 Districts
Reviewed by: _ Date: (e) t S 1
Building Permit # PID: Zoning: P te ,
Address: p
I (043 7 400c 12 ■Pc Or.
Legal: L , B Subdivision:
Existing Structure? YES 0 . Existing Nonconforming Structure? YES 1 NO
s.'
CONFORMS TO ZONING '�
NO
ORDINANCE
I Yard Setbacks: NA 1 FAILS/ COMIOS Standard Proposed
• Front Yard (can be 20' if avg. vin 150')
25' z5
Side Yards 10 I)
• 25' if abutting a street ( ,
r
• Sidewall exceeding 60' requires additional side 2" 10' setback +
setback for every 1' over 60' in length. Not required 271' over 60'
if building wall is 10' -0" or greater of being parallel to
a side lot line. 25' o
• Rear Yard 10' side!
• Patio Door: provide for minimum 10' deck or sign 10' statement indicating no deck will be built in the future 25' rear ear
• From 100 year flood elevation of wetland /NURP
pond. ......
• Refer in- ground pools to the Planning Department
• From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no --
d less than 50'
l'd S IB •till eg i`l m I . l �- I
Floor Area Ratio: NA I FAILS 1 COLS i .30 Maximum .
Yard Encroachments: NA 1 FAILS IC9MPLIES
Standard Proposed
Eaves and Gutters no more than 2 feet trrwidth and no
closer than 5 feet to a lot line (Easements).
NC and other equipment cannot encroach on interior
side yards.
Tree Preservation: :!.A 1 COMPLIES Standard Pro p osed
• Total caliper inches
• Permit 35% Removal
• Caliper Inches Removed
• Calip ?inches P,r4served
• R placement/ 'h:1
LATEENIPTATE\BLDGLIST.DOC
Driveway: NA / FAILS / CO LP IES _
Standard Proposed I
• Maximum width at •ro• line 24'
• Required setback • — 5' Z`�
' from side lot line or
30' from r -o -w on corner lots (p
• Maximum slope 10%
• All parking areas to be paved including R -V or
s •aces ad'acent to the • ara• e
• Location to match subdivision rading flan
LN6r
Building Height: NA I FAILS I CON} LIES IES_ 35' Maximum ' _
Shoreland District: NA/ FAILS / 6 ►' PLIE>
Minimum lot area square feet "' .Standard Proposed
Minimum lot width — 7,500 Rip, 7,999 Non rip
Shoreland alterations — 50' Rip, 57.3' Non rip
Im•ervious surface
30% Maximum 15 Si
-2 ' (9` . 7 ' -
Bluff in Shoreland: £'7 FAILS / COMPLIES
Standard Proposed I
• Setback from top of bluff
By planning dept.
• Bluff im.act zone _ 20' From Top of Bluff
• En•ineerin• certification submitted /a• •rcved By City Engineer
• Grading in bluff or bluff im.act zone _ No importing /exporting
Floodplain: / FAILS / COMPLIES _
Standard Proposed
• 100 yea ood elevation 908.9' Prior Lake
Lowest floor elevation 914.4' Spring Lake
• 909.9' Prior Lake /
Proposed lowest floor elevation 915.4' Spring Lake
• eva Must be 1' above flood
elevation for new and existing
structures. If existing
structure was constructed
9/19/90- 11/22/97 then
Elevations 15 feet from structure _ additional foot is not required.
• t Must be flood elevation or 1
higher
• Road access must be no more than 2 feet below 907.9' for Prior Lake
Res ulato Flood Protection Elevation _ 913.4' for Spring Lake
Accessory Structure: N FAILS / COMPLIEES Standard
• Size — Proposed I
• Not located in front yard (Materials) _ 1000 sq,ft. or 30% rear yard
• Side yard and rear yard setbacks 10'
• Maximum MIN —
15'
• Materials com•atible with •rinci.le strucfure
L:ITEMPLATEVBLDGLIST.DOC
pR/0 Date Rec'd
o 4P; CITY OF PRIOR LAKE PLUMBING PERMIT Z—
v
''t'NESdo I. Blue File
2. Gold City PERMIT NO. /Z / i -7 7
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
QWNER
(Phone)
(Address)
APPLICANT( ` t
(Name) C � . r c d � �j��, , �• ! �, °^ t-- (Phone) ° I f 3. - 'i 9 1- < 7 1, 1
(Address) t-t. U 0 H e � � v c9 i •rte 1 f 1 t — . o f L --g- �. S )—
(Acress) (City) (Zip Code)
(Contact Person) o (Phone) 61 X- 4 ? 3 qay c)
APPLICANT SIGNATURE /A— DATE 11 1 A y 1 1
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough -ins
Dishwasher Water Heater
Floor Drain Water Softener
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi - family 1% of job cost with a $49.50 minimum Residential, New One & Two - , . ily $149.50
Residential, Additions & , erations $49.50
Estimated Cost $ Building Permit # . �/ I P
The Minnesota Statutes § 326B.148 �' \
"SURCHARGE" has been extended PLUMBING PERMIT FEE $
until June 30, 2013, STATE SURCHARGE $ .50
The minimum surcharge for a TOTAL PERMIT FEE $
"fixed fee" permit is $5.00
- -- wria . at..,,, 1,M‘u...v3 I uui Duiiding Permit When Approved Paid Receipt No.
Date By
Buildinu Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
7 CITY OF PRIOR LAKE I Date R�o�d
° ` -� �' PLEATING /AIR CONDITIONING /F.I1EPLACE PE�1 ,1 IT
vr , : , r.'..
I
• '114i:YEscio. 1. 1 i F tic y 1 E` L� v lT NO. ' i 7
� �^ I 1 — ii
. Gfcw E it
3. Yel:cw App
leS t or print and sign at bottom) - _ZONING Y •
I ADDRES I T ZONYN'G coilt:c t4c)
*,____ (c) 14 \ \ri ,Q.5 (_,.--.\-., N11\,/
LEGAL DESCRIPTION ION (othc use oily) 1 •
• LOT ' BLOCK ADDITION El D
•
OV6'NER t
(Name) R - ^r 1 • (Phone) a •-5-S g-
(Address) 11 . , ` _ 1 . r • ' •_:. 1 Ce.. , S 1 01 t\i -.,521:
APPUCAN ' J ` : -L /4),
(Name) L ► `� 1...1 : " 4] �A►.. (Plane) - 1
(Address) on . k o+e --,cS- , 1Y- 1rC .QQ. 5-5,95—.
(A ess) ity) (tip Cade)
(Contact Person) t. } t Cr\C,t <'-', _ ( Phone)
Al?PLICANT SIGNATURE DATE ... `'!,; _ f �.
.. ` i' ICANT PLEASE COMPLETE 13ELOW
gi LW CONSTRUCTION 0 REPLACEMENT 0 ALTERA' 'IONS - .
FURNACE MAKB AND MODEL . FIJI' -
i
FLUE SIZE , • .- RETURN OPENINGS INPUT k OUTPUT --
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE N
O;[ L: Air Conditioner
❑'9larni Air Plants 0 Steam Units and Fii ep1aces Cannot Encroach
0 uv iiy 0 Hot Water into Require+; Side Yard Setbacks.
Mechanical 0 Radiat' . Fireplaces wi':h Box Additions or
Air Conditioning El Special Uce ev _ - . Cantilevers t ;i the Outside of Buildings
Vent. System 0 Other Devices .
`` ��_ . Require a Balding Permit.
FIREPLACE MAKE AND MODEL \ -tct)k — If 1 4 ' :
FEE SC1-TED ..,_. .....______�., 1
Industrial, Commercial &Multi - Family 1% of job cos: r " rsidentirxl, Gas Fireplace; S 1 s45.50
. $9.50 minimum .• ' Cous�tic�:on) S49.50
Residential. Mditiars & Alteration: k S49.50
ResidonResidential, , Heating (New .6149.SO .Residential, AC Only II
Residers ial, Keating Only (N w- ConstrUctinn) $64.50
r
•
\4/ Estimated Cost S Building Permit 4
.` HEATING 11 � • ".he Minnesota StUr.neS § 31613.14S
••. TIl'G PERMIT FEE S ``1- " eIAR SU. GE" hu'�ccr ganged fa, or,
e \� year effective. effective. STATE S'URCI3 ATZ G S .0 C ) . :n i' :1 i iS, ^:tl'i': ,itr:;c •3 . : ;. i i TOTAL PERMIT FEE S 59.- 3 ! he n,, tilihum surctnxt be far at fixed tee" rcrmil
p .1 • Use on 0)1c6s0,5
- _ _ is , bc$ inning July 1, 2010
This Application Becomes Your Building Permit When Approved Paid PAIL °
Date BU y� VY r
Dare
Building Offlciat I`
""
24 hour notice for ull inspection': (,452)4.11-0850; fm (952) 341 -4245 j .
Elea/ T3 39Vc1 FINK' :H1 =H _'NIi ii =, - 93092:617Z.:56 b£: t ZTGZ /EL3JIT
J .a tl
4 e RIO CITY OF PRIOR LAKE Date Rec'd
!.e HEATING /AIR CONDITIONING /FIREPLACE PERMIT 1 7 /Z__ 1
. ii x
V to
Q+ 1. Pink City 7�M / 1 77
1i'NEso 1 Green City PERMIT NO. �� /
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
16 I�i't0 (lrf p C ir
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
APPLICANT f _ /D 6°1 (Name) c 1'►', ' 5 O (Phone) (i2
(Address) t 0.05 C J/` C L6 L h
Fly-, 6a I l
(Address) (City) (Zip Code)
. 0 (Contact Person) c1'-N 1 (Phone)
APPLICANT SIGNATURE Vi-/-g--7-� DATE t / ( `� f"
APPLICANT PLEASE COMPLETE BELOW
❑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
DGravity ❑ Hot Water into Required Side Yard Setbacks.
❑ Mechanical ❑ Radiation Fireplaces with Box Additions or
❑Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings
Other DVent. System ❑ Other Devices 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 Minnesota Statutes § 326B.148
"SURCHARGE" has been extended 1 st $ Building Permit # 'AID !A ,TH
until June 30, 2013, 61M Df n
The minimum surcharge for a EATING PERMIT FEE $ '``G P ERM IT
"fixed fee" permit is $5.00 TATE SURCHARGE $ .50
OTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Buildine Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
NOV -27 -2012 11:14 From: 9526522021 To:9524474245 Page:1
)ZZ b
4 .• ate Recd
AY � CITY OF PRIOR LAKE
SEWER R AND WATER PERMIT
'
t.a�
. z. Y g PERMIT Mi. IZA
(:ova
tease or tint find al at bottom) _ � �
ADDRESS ZONING (af:ct in
LEGAL DESCRIP` QN (office use only)
LOT BLOCK ADDITION PM
( i�erzs r +; 3 A l- J - (Phone)
(A ddress)
_.., (Ad de r ) (City) _ (Z�p co) -
APPLz?f7) ` �
teat ) . ; 1 (pixnne) (eta-7 9 6
(Address) SO 6 t `S - , =Q -e_N Mk
(address) (City) (Zip Code)
(Contact Person) N1 J (Phone) k )a ^ 111 ` ' `
APPLICANT SIGNAI'URe - -- .-._ DATE r ,';-- t
APPLICANT PLEASE COMPLETE BELOW _
Size of water servico- inches.
Location Of any couplings from structure feet.
Type of sewer pipe, [I ABC -- 131TVC D Cast Iron
Estimated length of sewer line ,` 6 feet,
Clean out (ifrequired) located at feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $51.50 Industrial, Com'I & Multi - family 1% ofjob cost with a $S1,S4 minimum
Sewer connection only $25.50 Water coF t etion only $25.50
Estimated Cost $ _-� t Building Permit ft-
SEWER ALAI) WATER PERMIT FEE $ _
STATE SIIRCIIARGE $
.50 PAID WITH
TOTAL PERMIT FEE $ f y P - FIMIT
(Office Use only) .
This Application Becomes Your Bui1dhs0 Permit When Approved Paid RecciptNo.
Bul i _ Date $y
$uuding ofticlel n�tc
24 hour notice for all inspections (952)447 -9850, fax (952) 447 -4245
4646 D alai tA Street S.E., Prier Lake, Minnesota 55372
PRIG
Builders Deposi
t
F I,
o A 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 1, the undersigned contractor, acknowledge that 1 am aware of the erosion control
requirements of the City of Prior Lake as outlined in the Erosion Control Measures for Building Contractors
handout. r .
• (Dig/ j� TE ADDRESS: Y1 0 Ot ! it e U ° 0 # a- // 7 7
DATE. ��� �� ��� � � tlll'�
I
REFUND TO BE MAILED TO: 4 _ /�t ,
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
0 � A h AUTH ZATION TO RELEASE
SIGNATURE: t y 1 a, '1 L 1 , / - i t SO • N
11 ynda S. llen Building Services Amount .in Acct. 801.20204
Thrbt s-"---
THE FACE OFTHIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER AND ORIGINAL DOCUMENT SECURITY SCREEN ON BACK WITH PADLOCK SECURITY ICON.
Topaz, LLC KleinBank 10625
Real Estate Lot Account
14750 Cedar Ave. So. Ste. 100
Apple Valley, MN 55124
952- 953 -4000 10/17/2012
PAY
ORDER OF CITY OF PRIOR LAKE $ *10,951.68
Ten Thousand Nine Hundred Fifty - One and 68/ 100*************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** DOLLARS
CITY OF PRIOR LAKE
UTILITY BILLING
4646 DAKOTA STREET SE /t / n
PRIOR LAKE MN 55372 / � ✓
id _
MEMO (,
16437 Knol!ridge Ct. AUTHORIZED SIGNATURE
nv 11 1:09 L9 L56541: 00032L3?51,11•
PRIOR BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS I �� 3 7 imt- ►z i oc. CT". t•L L '` -3 '
NATURE OF WORK $ &t INaLvo &lM51,1 L. L . No peck. ave. po,ec.t►
USE OF BUILDING SrNcv Le- P t `,- �,...5e-i—L ,,. c.,:,
PERMIT NO. to - tt -C- DATE ISSUED 1 ® /k..5 l/2
CONTRACTOR �. . I !A o, PHONE °t - i-46 - 5
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
11• Tr Lt_. /
-vS-t a"-.1 c M -tr c.. ft I/-(-' Cc,e14" S - I— ' " T � M DA E
FOOTING 012- 1 7d .0 I
1 FOUNDATION (Prior to Backfill) 1 VA /a7z9 /tz- I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
u "HIT ROUGH - INS
SEWER / WATER / SEPTIC ,1 1 2
FRAMING ,,f g' -
INSULATION M /.,/
ELECTRICAL
PLUMBING rit (a l ;Z,ed ,:'JJ ?
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST F � ` r/5 2 - c, J, Z
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1 i46-56(.-4-4.40 LArl4- I
64 /�'�/ j I
FINALS
GRADING (Prior to Sodding) I R 4- 1 l3• C0 �t ��,. -°�
BUILDING ih,n}�o St/ (3 -6,p 1Lf 3iIrz- '`PIS ` t 3 ( 3
ELECTRICAL 6 �
PLUMBING g iz /zk`y
HEATING _ f l2(Sf o---
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
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: 16437 Knollridge Court
Lot Area 18,796 Sq. Feet x 30% = 5,639 Sq. Feet
LENGTH WIDTH SQ. FEET
HOUSE irregular x = 1.287
x =
ATTACHED GARAGE irregular x = 771
TOTAL PRINCIPLE STRUCTURE 2,058
DETACHED BLDGS
x
(Proposed Shed) X
TOTAL DETACHED BUILDINGS
DRIVEWAY /PAVED AREAS x =
(Driveway -paved or not) irregular x = 740
(Paved Right -Of -Way) X
(Sidewalk) X
TOTAL PAVED AREAS 740
PATIOS /PORCHES/DECKS Porch (irregular) = 111
(Open Decks 1/4 min. opening between
boards. with a pervious surface below.
are not considered to be impervious)
Deck to have min. openings = 0
TOTAL DECKS 111
Other =
TOTAL OTHER
TOTAL IMPERVIOUS SURFACE 2,909
UNDER/OVER 2,730
Prepared By Harold C. Peterson. L.S. MN License No. 12294 Date 10/16/12
Company James R. Hill, Inc. Phone # (952)- 890 -6044