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CITY OF PRIOR LAKE o,._ _' Prparfturtif of pnitMn Jnspi tthunc Iiii . j (11'1- -17 ® Final Permitted ❑ Conditional C.O. Expires s1 c ♦ (O es -, This Certificate issued pursuant to the requirements of Section 110 of the El Residential / ❑ International c Building Code certifying that at the time of issuance this structure was in compliance with the various 4 ' r ' ' ordinances of the City of Prior Lake regulating building construction or use For the following: ♦ �1'% (;' T ��++ a � ♦ ;% ♦ -= Use Classification S I N G I E FAMILY Bldg. Pernut No. 13-039 ) �1 ♦ al `/ w ♦ Occupancy Type R3 Type Construction Y N Zoning District R 1 S 1: 1 tit "` L1, 137, STEMMER RIDGE ADDITION ♦ Le Description „ ��'. `� .' 15591 BRENTWOOD PASS 1 Owner of Building Site Address r Contractor's Name & Address K E Y L A N D HOMES - `'' 1 ' ROBERT P, HUTCHINS �h C ity Planner �) Official (1 . 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N 8 z a23vn k H W v z L°t� 1 C) re ❑0❑❑ , li l 1 0 0 O _ i I \ a a LL F- i C az 1 0 z hi F- w • oW O Q 2 O n Z r u a i V 0 W a3 N Z �° --1 ? =1 re a ° 15 Q A o O W a W z 00 N Z � 2 `�.� O O O at v V U 1') 0 0 aau - -u-u 3 0 0 ,� < 0 a 0000❑❑ 0 ; '711L.0 0 E PR1O CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ( 0 " - i .... TEMPORARY CERTIFICATE OF ZONING COMPLIANCE f- /2_, a .. AND UTILITY CONNECTION PERMIT ''/ ,NHESOgP I. white File PERMIT NO . 2 Pink Applicant /3 / 2.... 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 1 . 1 LE y -a.-ry l,,,,D,„ pp, 4.15-D LEGAL DESCRIPTION (office use only) LOT t BLOCK 1 ADDITIONS - gun E.. PID Z`-C. 4+ . °64. OWNER (Name) (Phone) (Address) BUILDER (Company Name) kE..q1-A1.-1C) t l tbt ASS (Phone) 952 -440 — 94 oU (Contact Name) E'211L - IPL_.c1 4 /Tt4i Ps- Mg-in IT 4 (Phone) *! � E- (Address) 1 Fi S 1-\-- Pt): �w -r . , 1�210� L►41 i 1 1A . , 63 - t Z TYPE OF WORK New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace A ddition DAlteration ❑Utility Connection CODE:. I.R.C. ❑I.B.C. ❑ Misc. Type of Construction: I II III IV V A B PROJECT COST /VALUE $ 32co 1 (90U Occupancy Group: A B E F H I M ®S U (excluding land) Division: © 2 3 4 5 1 I hereby certify that I have a rnished information on this application which is to the best of my knowledge true and correct. I also certify that 1 am the owner or authorized agent for the above -menno ed prop ty a d 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 ca oke t s p a m for Just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. x RL(0314em 1° -1 3 Signature Contractor's License No Date Permit Valuation .....---7) 11 6 .. — Park Support Fee # $ ` Permit Fee $ 1 2:M ? SAC $ 2436" . () 0 Plan Check Fee $ t C 4 � , Water Meter Size 5/8" f ll . \ $ ..5 60 State Surcharge $ l " Pressure Reducer $ Penalty $ Sewer /Water Connection Fee $ /, vTZ) 62) Plumbing Permit Fee $ /5 4 5G) Water Tower Fee # $ /0-V2) _ if?) Mechanical Permit Fee $ /S --4. Sp Builder's Deposit $ _ z ip Sewer & Water Permit Fee $ 3-6. Other $ Gas Fireplace Permit Fee $ J - 4 - 50 TOTAL DUE �.�' _r i 3 $/ 40 e . Co e) This Applik • - (€ ion : ecomes Your Building Permit en App oved Paid � & r. C. 0 eipt No. (� �/ � T i. Date .-, .7 -'/ y • Building Official - Date This is to certi thit the request in the above application and accompanying docu nts is in ac•ordance with the City Zoning Ordinance and may proceed as requested. This document when signe . t ' , ity PI nner constitutes a temporary Certificate of Zoning co , .liance an. llows construction to commence. Before occupancy, a Certificate of Occupancy must be issued �, _ 4 ( ) 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 Construction for Single or Two- family Dwellings in "4 or R -2 Districts Reviewed by: Date: Building Permit# • =• ronmg: .1, • P Address: 1 I (2 -- —; � S Legal: L , B Subdivision: Existing Structure? YES 1 Ne . Existing Nonconforming Structure? YES 1 NO-: • CONFORMS TO ZONING YES N ORDINANCE 1 Yard Setbacks: NA I FAILS/ COMPLIES Standard Proposed I 25' • Front Yard (can be 20' if avg. w 150') ,-> . _ • Side Yards 10'/ 25' if abutting a street • c • 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. • Rear Yard 25' / G ` 4- • 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 1 FAILS l COMPLIES I .30 Maximum 1 , 4 1 . Yard Encroachments: ,,NA'/ 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). AIC and other equipment cannot encroach on interior side yards. Tree Preservation: NIA I FAILS 1 COMPLIES I Standard Proposed • Total caliper inches • Permit 35% Removal • Caliper Inches Re 'oved • • Calipcc1nphes Preserved • Rellacemeliti Y2:1 L : \TEMELATE\BLD GLIST.D O C I Driveway: NA / FAILS / COMELIES • Standard Proposed • Maximum width at property line I _ d4 2 ,1 • Required setback • 5' from side lot line or - -- -- •s / _ 30' from r -o -w on corner lots 4 . ` • Maximum slope . 10 %° • All parking areas to be paved including R -V or �° spaces adjacent to the garage • Location to match subdivision grading plan 1 Building Height: NA/ FAILS / COMPLIES 35' Maximum 7 / I Shoreland District: NA I FAILS / COIrUES _ Standard Proposed I 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 71 7 I Bluff in Shoreland: NA I FAILS / COMPLIES Standard Proposed • Setback from tofrof 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 • 100 yeat flood elevation e 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 feet below 907.9' for Prior Lake Regulatory Flood Protection Elevation _ 913.4' for Spring Lake Accessory Structure: NA / 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 :ITEMPLATEIBLDGLIST.DOC O � PRIp� x U rn White - Building Canary - Engineering ��NNESO�� 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 Reviewed By: Date: 4 G 7 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." O� PRIp� trl White - Building yI �P Canary - Engineering vES° Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT Z 0 MA / .L 2 i APPLICATION RECEIVED !T / � 3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 5C// l / -)- 6't/ .D f2/ 5 Accepted I/ Accepted With Corrections Denied Reviewed By: 4 0W/ i� Date: Comments: Sfer✓ h(40.i',�(/. ) C,ci5/- 5'r�� - 2 �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." PR /P ..,(, e z U m White - Building Canary - Engineering 1-1 NESO8P 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: / ; 2 l %' rm. 1`T" / t r , 1 0 y`,/ d e'7. - Accepted 1\ Accepted With Corrections Denied Reviewed By: in0 Date: . C' / 3 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." .. i, ,,,,•. ,y�e�c. .sw.. p .. , ,wffivE,.�s•,.i..,..,.�p� �q..a.,.,. .. .. _. ,� --��` ,. ..s.a . +�7fix �f�►+A1 - ,r #tw^r° !--. • i • Date Rec'd of CITY OF PRIOR LAKE U / / I SEWER AND WATER PERMIT / • * �Nxeso jr cr,Z, F;i`, PERMIT NO. /..3' Yellow Cii J. Cold Appiicmi (Please type or print and sign at bottom) ADDRESS ZONING (office us) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION �''� -mm� l"ti� PID OWNER jj }} (Name) .VF; / t PJ-. -1 t'"1n'eY1>E (Phone) ct 5 <-- yt-IflA O0 1 1 o2-i 1=tis }Q�t SC S're 1Do (Address) `��. � ��- L 1� V � � 553 Z (Address) (City) (Zip Code) APPLICANT (Name) STOCKER EXCAVATING COMPANY, INC ( Phone) 952/890 -4241 (Address) 12336 Boone Avenue Savage, MN 55378 (Address) (City) (Zip Code) • Curt same (Contact Person) /n (Phone) s APPLICANT SIGNATURE r�/ DATE _ � Fr - ! APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. 1 1 ABC 1 1 PVC ( Cast Iron Estimated length of sewer line feet. Clean out (if required) located at feet from structure. FEE SCHEDULE Residential sewer and water line connection 135.50 Industrial, Com'l & Multi- family 1% of job cost with a $39.50 minimum Sewer connection only S17.50 Water connection only $17.50 Estimated Cost S Building Permit SEWER AND WATER PERMIT FEE $ i STATE SURCHARGE $ .50 p' TOTAL PERMIT FEE $ A�D , �`�1 �A011 (Office Usc Only) 11V This Application Becomes Your Building Permit When Approved Paid Receipt No • Date By Building Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 i0. 2013 4:12PM METRO AIR 952 447 - 8126 N0,982 P. 1 CITY OF PMOR LAIC Date R 1:,1,0 , , I)E.�ATI G /AIR CONDITIONING /FIREPLACE PERMIT p J. Pink Vila [itiM1T yl( No. a• /3, .-- a- r5 1 0,c,„ chy }, Yellow asaiiannt � .._- ___.....,- ...�_......_ Ake of print anon atb - - -- lFi'.,4�Q ZCiNJNC (ai — ne; r CI,, IA) tS 0,4 f a t" __ L ESCItIC"TlON (office use only) � I3LOCID ADDITION -54k.Y in k""+ �t P1.77 ER-7-N\ *, \ .)/\ \\ t0 vis ,,, S -_ (Phone) =? \A \ ° i f ass) _. _ -._ _ ..... _ _ _ _......__._ _ _ __ ._ ___..........____ . _ . ' ' r- u c -, .r- .. ,>;`"7 t,�, �_.. (Phone) cl __ -.\! kii 1 .A. _. �� ess , — f (Zip Code) (Address) (City) act Pion) A £ 41. \"' k _ (Phon .s ';; v\ .,. ' \-`, S,. .- -. - -.- - ,ICANT SIGNATURE t ' T DATIL _....=_ -__ . _.:.,.....__. —_ _ APPLXCANT PLEASE COMPLE B L_O W _._. ...._ _ ... -- IL.W CONSTRUCTION Cl REPLACEMENT 0 ALTERATIO'N�� ��, FUELIV!�1 �h' ACE MAKE AND MODEL • ,. --- SIZE RETURN OPENINGS INPU`I _____.... OUl'PU i _. ______ Or SYSTEM ITEATING OR POW B- PLANT PLEASE NC)`l'Iv: Aft' Conditioner �. Warns Air Plants Cl Steam Units find. Fireplaces cnnut)t It ttcrt)n [arivily 0 Hot Water into Requited Side Yut'd Setback 1 Mechanical © Radiation it'ireplat-cs with Box Mtlitionls or 'Air Conditioning C} Special Devices Cantilevers to lire t7uts;itle of lluiltli[ Require a Budding Perroil Vent, Syslcn3 ID Other Devices PLACE MAKE AND MODEL _ _ _ . �. _��,w— � T - I'l'E SCHEDULE ri01, Commercial & Multi- t°amily 1% orjob cost Residential, Gas fireplace $49,50 $49,$0 minimum enlial, I•Ieating & A/C (New Cotnstruction) $149.54 Residential, Additions & Alteratiana $49.50 ential, l•Ieating Only (New Construction) $64.50 Residential, AC Only $43 Estimated Cost S \ _ Building Perinit # ____ _ . F AOD HEATZNO PERMIT FEB $ APR 1 Q � Q'3 ` PERMIT SURCHARGE $. - ._.� �! TOTAL PEFT 'PEE $ __ " A f " e 'e Us Only) - - , P _ — „, ;a ,., tits Application. Becomes Your f' uilding Permit When Approved. Paid o )Oaf �, 13 y+. . _.— .......... -- linilciittn.Offiiccinl Date r • _ . �--- - -.- -- — 24. flour notice for all inspections (952) 447-9850, sax om 447.4745 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 PRIG Date Recd V { CITY OF PRIOR LAKE PLUMBING PERMIT l,`NE,00 1. 81ue ',fide,. ............. z Dora [PERMIT NO. �j) (Please 3. Yellow Applicant ��/ ( type or print and sign at bottom) �� ADDRESS ZONING (office use) 1 (4:7 9 I 6.e,f)- tooct--, Kss LEGAL DESCRIPTION (office use only) LOT / BLOCK ADDITION ` - - 1- e;t ' , ' j : ,Vi `µ. PID OWNER f--;()M %I (Name) �F,V 0 - b , E - 7 (Phone) t 1.`5 L ,— Li Li r 0 1 (Address) 17O 1� t 2e i n4` 5t. l T ;or i A k ., r ) A) APPLICANT t,, -? iN (Name) _ ` -U M° . C KA N iC 1 l .) (Phone) sb 2-7373 - SO 95 (Address) 7 2 0 (01' _ A) 6) hl rid //6)F �....-' i 7� (Address) (City) (Zip Code) , U` ) _l N -(? ) K (Contact Person) 952 - 7 S * .. 3693-- C 9 3 (Phone) � 5 APPLICANT SIGNATURE --( 1 '-c. , . - f- -°" t DATE / 1 / APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without show er 0 Rough -ins Dishwasher i Water Heater 1 Floor Drain yr Water Softener 3 _ Lavatory (Bathroom Sink) ( Stand Pipe (Washing Machine) ( Laundry Tray (1 or 2 compartment sink ,er Sewage Ejector f }, Shower Stall % Backflow Assembly _ i Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler 4 Water Closet (Toilet) A/ Other FEE SCHEDULE Industrial, Commercial & Multi- family 1% of job cost with a $49.50 minimum Residential, New One & Two - Family $ 149.50 Residential, Additions & Alterations $49.50 The Minnesota Statutes § 32613.148 The $ Building Permit # "SURC.1-IARGE" has been changed for one � year effective PLUMBING PERMIT FEE $ & 1 ' ) July t, 2010, until June 30, 2011. STATE SURCHARGE $ .50 1 1 The minimum surcharge fora 'fixed fee" permit TOTAL PERMIT FEE $ u is si, beginning July i, 2010 veff41 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Date � �D �1���� 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 11 ®i• ° � k - i` 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 (3UVL �tl • ,Q4'p 0, CITY OF PRIOR 'LAKE Date }ivied H BLEATING/AIR CONDmONING/1' RPLACE PERMIT 'II/ /3 at I. Qtr - PERISI IT NO. / 4 • $. Whir Apgli R. 'lease t • c or It and sign at bottom) ADDRESS ZONING (0.03,-= ) ° s i , 0l fl 0 . ass . .. I LEGAL DESCRIPTION (office use only) LOT BLOCK . ADDITION PID OWNER I) I G - (Pane) _(Address) ij Oht 4" •? &Q Y ( 1 (32L e_Q_ SS • .App '.-7 'ma ( L • (I�T'd e) L2) i a �"t -- ho ne) ' . r� 4 ' y �P t (Address) ,....../ r tt . • .. /� e I .. - • . / . 6 S t S,3- ` ( ft s) ' (Czry �] t Code (Contact Person) -� 1 c. .,,.r A (Pk (Phone) � �� 1. �a - or 7, APPLICANT SIGNATURE _A S DATE _ - APP r CANT PLEASE COMPLETE BELOW ei W CONSTRUCTION ❑ REPLACEMENT: 0 ALTERATIONS FURNACE MAKE •, s MODEL -, FUEL FLUE SIZE _ ' RETURN OPENINGS NMI OUTPUT TYPE OP SYSTEM HEATING OR POWER PLANT []VJamr Air Plants PLEASE NOTE: Air Conditioner [1. Steam Units and Fireplaces Cannot Encroach Arciblical 0 Ho t Water into Required Side Yard Setbacl s. ©Ait tio ning ©Special b Special Devices � Fir laces with Box Additions or • Conditioning ❑Vent System ❑ Other Devices Cantilevers to the Outside of Ruidings — Require a Building Perinit. FIREPLACE MAKE Arrp sor - — 7 o7e • . FEE SCHED L -te Industrial, Commercial & Multi - Family 1% of job cost .sidential, Gas Fireplace , $49.50 $49.50 minimum. Residential, Heating & AiC New Construction) $149.50 • ' Residential, Additions & Alterations $49.50 Residential, Heating Daly (New Construction) $64.50 Residential, AC Only A9.50 . The Minnesota Statutes § 326B.14$ '°st $ __ • Building Permit 4 _ "SUPCflARGE" has been extended _ "\ nni Tizrne 30, 20/3, EATING PERMIT FEE $ ! r ' . kj The minimum surcharge fora "TATE SURCHARGE — •../ ` „ fixed fee" penilit is $5.00 TOTAL PERMIT FEE $ xo This Application Becomes•Your Building Permit When Approved Paid E.T." is de'," e '" . Date ^ ;T • Builrlial[ offi • Date • . _ 24 hour notice for all inspections (952) 447 - 9850, fat (952) 447 A4 .. s..a,: D�..... .a o r, m__. . ..,__ - CVC /TO 3Nt'd H 3H O`JIf ri 9009Z617Z56 £Z :0T £TOZ; bT190 DEPARTM OF PRIOR BUILDING AND ENT IN SPECTION INSPECTION RECORD SITE ADDRESS /6v ' / SEENTWOot7 P ASS NATURE OF WORK USE OF BUILDING ift PERMIT NO. - DATE � ISSUED � CONTRACTOR 7 • , S PHONE • INSTALL EROSION C. NRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING S- /5-'3 FOUNDATION (Prior To Backfill) RADON RETARDER PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER/WATER/SEPTIC FRAMING r i, �( �'[ ��, . , / 7-0 / !; INSULATION L ELECTRICAL �n PLUMBING 1 ti (17 Pk' HEATING FIREPLACE GAS LINE AIR TEST, , R Q q10/13(z F . RADON PIPINCI COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED HOUSEWRAP LATH 1 o4 r2/ FINALS GRADING ( PWR. TO SODDING G 6/, BUILDING /.6 } 11,.3 2°./ ELECTRICAL PLUMBING c ;, °, ,fig /3 HEATING , „ 'K _ice DO NOT OCCUPY UNTIL ABOVS BEEN SIGNE 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 -9650