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' +DODO Z 7 m m m m tl m E c * m ° ° it = mx3 0 N z O m u v ° m r z z z- z m 0 Z _ m C m -% - > 0 3 -1 b n n ' r D z z c -i o z z z r A m v U� M c 0 kr m ❑ ❑D❑ y z X 1 ' 0 T-nnm \ 0 R. a 0 �mm3o O 4. y sss0 © m z ammz'n "TI 73 r. (A .1,: i a r 0 h R F PRt CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE f• AND UTILITY CONNECTION PERMIT 83 U 1 ( a k ) 1„ 4.IYE50lls t White File P ERMIT NO. 2 pink City 0 i) j 3 Yellow App „... C , 1 (Please type or print and sign at bottom) ADDRESS ZONING (office use) /6/x (/�5ttok.4r 1-4/ 67 � ' � R-1 SO LEGAL DESCRIPTION (office use only) LOT (1 BLOCK 3 ADDITION , 'h 4( Oi /(f p f i4ivai) PID Z5 1 4 q OR/ V OWNER ./� ` �'' //�++ (Name) F i e td re+tM•'f �0 wt c g (Phone) 7 -s fG S - ge - r 1 (Address)/ 76 J t /r.v f Idk :1„„ '4 /35 3 $ Zoskr Gvtk. 43- 4 `7' BUILDER ,--• t (Company Name) k t 4 ( 6` 6.4avt F;7 yµ Gtr / q y , t . S (Phone) '&1 - 'C - 6f c 7 (Contact Name) 1 7 f /4"\ -/ T/z / ) f&-o?' � ) (5/11rev-e„) (Phone ! / (Address) TYPE OF WORK New Construction ❑Deck ❑Porch ❑Re- Roofing DRe-Siding ❑Lower Level Finish ❑ Fireplace ❑Addition DAlteration DUtility Connection CODE: R .C. ❑I.B.C. ❑ Misc. Type of o nstruction: I II III IV V A B )�J D Occupancy Group: A B E F 11 I M R S U PROJECT COST /VALUE $ / Division: I 2 3 4 5 (excluding land 1 hereby certify that 1 have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that 1 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 revoke this permit for just cause Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. R Signature Contractor's License No. Date Permit Valuation 1 (/ O DO , Park Support Fee # $ Permit Fee $ Plan Check Fee 144,7. So SAC # $ 2 ....3 c. 5 , .. $ q C 9e Water Meter Size f(/}8 "; 1 "; $ 4 S State Surcharge 5 / .g.9 S'p Pressure Reducer $ ( Z 49_ Penalty 5 Sewer /Water Connection Fee # $ 5 .- Plumbing Permit Fee 5 St. co Water Tower Fee # $ i Ddp ..► Mechanical Permit Fee $ ( 5-¢. s-0 Builder's Deposit $ ' ew Sewer & Water Permit Fee $ S,, . S Other $ S Gas Fireplace Permit Fee $ TOTAL DUE $ 4 Q go. Q Q1 • This . plica o n r , y „ es Y o urBuilding Permit Whe App .ved Paid WA'. Yr ( eipt No. 6 /0_5:1 r / Date 0, /Z- .. /Z. - ■ (0 2 'Wing Official r , This is to ten '• that t e r. u t in the above application and accompanying docume is in ordance with the City Zoning Ordinance and may proceed as requested. This document when sign . y the • ty eer co tines a temporary Certificate of Zoning comp ante d allows construction to commence. Before occupancy, a Certificate of Occupancy must be i - ssued p Planet _ - . - ate 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 Constructs• for Single or Two - family Dwellings ' R -1 or R -2 Districts f , Reviewed by: Date: al l ! ►L.■ Building Permit # • 1: Zoning: Address: R S k ' 1 \/ IS ‘ ct Iv> CA_ Legal: L , B Subdivision: Existing Structure? YES / .►e Existing Nonconforming Structure? YES / NO CONFORMS TO ZONING YE5) NO ORDINANCE I Yard Setbacks: NA 1 FAILS/ C 6 �f LIES Standard Proposed • Front Yard (can be 20' if avg. w /in 150') 25' 2 -S . • Side Yards 25' if abutting a street 1 . - 1 • 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 25' 5o -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 wetlandlNURP 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 / COMES 1 .30 Maximum 1 . I Yard Encroachments: NA / FAILS /C • a/ • LIES Standard J Proposed Eaves and Gutters no more than 2 feet in width and no iAmdit oner and Other Alec_ closer than 5 feet to a lot line (Easements). Tits Cannot Ene. NC and other equipment cannot encroach on interior Side Yom; side yards. Tree Preservation: 6/ FAILS/ COMPLIES Standard Proposed • Total caliper inches • Permit 35% Removal • Caliper Inches Rem loved • " Calipa Inches P,r6served • Replacemenr 1/2:1 L : \TEMPL `kTE\BLDGLIST.DOC Driveway: NA / FAILS / COOLIES Standard Proposed • Maximum width at property line 24' 2. g ' • Required setback 5' from side lot line or _ 30' from r -o -w on corner lots 2.5 • Maximum slope • 10% , C7 • All parking areas to be paved including R -V or spaces adjacent to the garage _ • Location to match subdivision gradingplan L , Building Height: NA / FAILS / COM, S 1 35' Maximum ' Shoreland District: NA/ FAILS / COKES 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 Pup 5o . 3 Bluff in Shoreland: / FAILS / COMPLIES 1 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 Floodplain: FAILS / COMPLIES Standard Proposed • 100 ye ood elevation 908.9' Prior Lake 914.4' Spring Lake • Lowe t 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 Protection Elevation_ 913.4' for Spring Lake Accessory Structure: 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: \TEMPLATE\BLDGLIST.DOC (N PRI°1 C E U tr1 White - Building y I , Canary - Engineering LANES° Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT f / rx L s / UN £ APPLICATION RECEIVED ,30.12_ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: AP / 9 7 V's/ o /J./4.- / � Ac Accepted e p ted With Corrections P Denied / I f Reviewed By: Date: ///o/ v Comments: (. ,9 o A...." _ el,/4/ 1 ifILZAZA., 4.4 7FL5eTx ,4r ALL- Tim z "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." c, PRIO l ti U m White - Building y� NNESO�� 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 .m.___..__ e ty //) Reviewed By: Date: Comments: Lii Cona inter std bier Units Cannot Encroach. in' 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." O� P RIO Nc A White - Building Canary - Engineering y r - . "HES° Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /C°!LIZ,LAS c .. APPLICATION RECEIVED 53 , . 0. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: �'! 1 1 1 7 v' j v h il-I- h c--f /� ,f ` . Accepted X Accepted With Corrections Denied Reviewed By: Date: 7-II /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." I • ADDITIONAL COMMENTS FOR 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. • All- bare sail areas must be protected from eroding into neighboring properties through the properly installed and maintained silt fence or bales. • The silt fence requirec 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 -Abackfilling of the foundation. • • 6: \Admin \dept info \ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS,doc • t_� l t ev4 c cl.} a 'f Pr ' s , ,- lAL , (:_el IAA p Rjo Date Rec'd ° N :,, i CITY OF PRIOR LAKE PLUMBING PERMIT 41 IVNESO 4' ` B'`6 Cif PERMIT NO . 3. Ye City / — J 7. Yellow Applicta G71 (Please type or print and sign at bottom) ADDRESS ZONING (ofcease) 161q t),, owl AA./ - {.., 5 Lt5 cl- __ LEGAL, DESCRIPTION (office use only) LOT BLOCK ADDITION PM OWNER F�e 4-o Pc i �t 6 ( f;� (Phone) 9S Li 61- i n OD (Name) (7)-7- te e I ( Pho / ne . (Address) 1 G y C j v t 1 fe.r 4 5 )- /3 s /4vi if/ 06 S 9`7 _ • APPLICANT L ry 1 [� - 7 (Name) W 1 a b f I,lit,K�i1G,i t I (k - (Phone) 6 C '0`YZJ -76 7 (Address) 3a-7° 6 /gin PL 'k h17� 5, gi'/' X33 (Address) (City) (Zip Code) (Contact Person) I '1 _ (Phone} _ ?5 0 � r ��� APPLICANT SIGNATURE S �___ I DATE l /5-4- I APPLICANT PLEASE COMPLETE BELOW Quantity' Type of Fixture Quantity Type of Fixture / Bath Tub with or without shower ,3 Rough -ins / Dishwasher / Water Heater i Floor Drain — i Water Softener ` Lavatory (Bathroom Sink) 1 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 3 Water Closet (Toilet) Other FEE SCIIEDULE Industrial, Commercial & Multi- family 1% of job cost with a $4950 minimum Residential, New One & Two - Family $149.50 Residential, Additions & Alterations $49.50 The Minnesota Statutes § 326B.148 _Est $ Building Permit # "SURCHARGE" has been changed for one year effective PLUMBING PERMIT FEE $ July /, 2010, until June 30, 20i I. STATE SURCHARGE $ .50 The minimum surcharge for a "fixed fee" permit TOTAL PERMIT FEE $ is Si, beginning July 1, 2010 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 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 . r R iot \ Date Rec'd N CITY OF PRIOR LAKE i ( �- Z3 SEWER AND WATER PERMIT � fi' NEs60 . . Green File ty PERMIT NO. 12, I 00 I 2 Yellow Ci 3. Gold Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) /1/4 / 7 7 V s/ 11 Q r ',. /1.7S f'.-- P LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER ^ (Name) ± e,Jd s 7' r►ii (Phone) (Address) (Address) (City) (Zip Code) APPLICANT 6 f (Name) / / J ev. S E—KC -. (Phone) tfr /.2 , ? l• G — '15'9' S (Address) (Address) (City) (Zip Code) (Contact Person) i (Phone) APPLICANT SIGNATURE -• ,010.. N DATE // `"4"--- /' APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. ❑ ABC ❑ 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 $51.50 Industrial, Com'l & 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 $ FP.< ( 1 STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ i tJ W i, (Office Use Only) i This Application ' • I l es Your Building Permit When Approved Paid Receipt No. I ' 1 � is , 1 Z�. Date By Building i 'cial Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 � A ( A --- p CITY OF PRIOR LAKE Date Rec'd `r c ` HEATING /AIR CONDITIONING/FIREPLACE PERMIT 1 8 g) 4'1NNESO -iP " �' F ' k PERMIT N . c F c t O Z 3. Yeltow Applicant • (Please type or print and sign at bottom) ADDRESS ZONING (office use) 1( C 7vic ,, •'. \As. LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER Mame) 1.- ' �`\ ey e (Phone) (Address) APPLICANTii, .., hone �'- (Name) �� -i e t l )1(k \ \ (Phone) .. (Address)��i`_--OC) t--\-\\n/ `1 1 -3 VN (- ? i T3U' i``e. 5 (Address) (City) (Zip Code) (Contact Person) L` '. \ OTT (Phone) "t C 5Z ! - CGJ1 - 1(J6 r D APPLICANT SIGNATURE :IA-LAD \NU-.4-it.--- DATE "1 i I 01 Ili APPLICANT PLEASE COMPLETE BELOW 1/NEW CONSTRUCTION ❑ r REEPLACEMENT / ❑ ALTERATIONS FURNACE MAKE AND MODEL CRY Y 1t', \C , Y1 -)�Z\' j.) 11 - lW FUEL \O\k , 0 0, FLUE SIZE RETURN OPENINGS _ INPUT Sol `�o 6 OUTPUT '7 ✓ I GU n TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air Plants ❑Steam PLEASE NOTE: Air Conditioner Units and Fireplaces Cannot Encroach ❑ rarity D Hot Water into Required Side Yard Setbacks. s.: i echanical El Radiation q ►_• Air Conditioning 0 Special Devices Fireplaces with Box Additions or went. System ❑ Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial & Multi - Family I% 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) - -7 $64.50 Residential, AC Only $49.50 The M innesot< Statutes § 3260,143 ost $ ( q Building Permit # h 'SURCHARGE" has been extended sO l'� (BAH June 3(1, 2013, EATING PERMIT FEE $ D �C4 r,R The minimum surcharge fora ITATE SURCHARGE $ 5,4* � P., "fixed fee" permit is 5,00 'OTAL PERMIT FEE $�k� 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 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 1 Vitro- El El id NNE S 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 $1,600.00 builders deposit will be forfeited and the applicant will be billed for clean up or corrective work to rectify the situation. A $500.00 Tree Deposit may also be required and will be refunded if specified trees are preserved for a period of one year. DATE: �- a$.- / a SITE ADDRESS: /OW? 7 'v,' S / 4I& 4V y le it 445 e r 2 'PERMIT # 12 .100 1 REFUND TO BE MAILED TO: f ��•G cG/ vt/r' 1 Now e. r S _ / 3 AstA I V./tie , IV _53 0 2 7 14 ,' AUTHORIZATION TO RELEASE PLEASE REMEMBER // / f '( Soa . 00 1. KEEP STREETS CLEAN DURING CONSTRUCTION _.ynda S. • /len, Buildtpg Services Amount 10 - L(- 0 Acct. 801.20204 Date 2. KEEP EROSION CONTROL IN PLACE 3. TEMPORARY OCCUPANCY PERMIT 4 NOT EXPIRE OR $500.00 WILL BE FORFEITED SIGNATURE: ii FIELDSTONE FAMILY HOMES, INC. 5062 ......... ji 17645 JUNIPER PATH STE 135 75 1314/919 ii LAKEVILLE, MN 55044 20 / II ) � Pg PRDEROF _ � o r t ) ii r $ .RLa 1 i m I I ( � T O J � /J m � 003, /: "�+ `° � ;'s 1 • CASTLE ROCK BANK c - P 1 ) CASTLE ROCK, MN FARMINGTON, MN �i 55010 55024 n. ` - g % (507) 645 -7751 (651) 463 -4014 / „ II li FOR C�1C�� i li 11' 00 506 211' � 0919L3i 8 — —"_ . 3LLZ0701n' , Bus -loo 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 / 6 / / 7 1//570,v412 /% fW'TS 0(ee A �� 3.z Lot Area 7c7 Sq. Feet x�. & - = 3Z74 ***************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** LENGTH WIDTH SQ. FEET HOUSE x = t ATTACHED GARAGE x = TOTAL PRINCIPLE STRUCTURE 1 4-6S DETACHED BLDGS x (Garage /Shed) x TOTAL DETACHED BUILDINGS /04 DRIVEWAY /PAVED AREAS x = 7(, (Driveway -paved or not) x = (Sidewalk/Parking Areas) x = TOTAL PAVED AREAS PATIOCHES ECKS x = 66 (Open Decks'''R' min. opening between x = boards, with a pervious surface below, are not considered to be impervious) X _ TOTAL DECKS OTHER x = x = TOTAL OTHER A//j TOTAL IMPERVIOUS SURFACE Z2_� UNDE' OVER Gt76' Prepared By /pi/ 7e f Date 7-z - 7 — 1 Z. Company /45"6,27e._. eh5 e: K.15 Phone # 9sz - S�3Z - seoc� PRIOR DEPARTMENT OF K BUILDING DING AN D INSPECTION INSPECTI0N RECO9D SITE ADDRESS /(,(7 7 ILIA /A p/c/ (r,2 NATURE OF WORK .5 1/o F© � PPc.g, P2l� c / 2 F /N .. L .� USE OF BUILDING Sin/vc -6-- F.9- 4 6� . /iv& PERMIT NO. c Z- / oot DAT ISSUED 960/ CONTRACTOR ! i6Gi o /i f..4,,,1� /' �� z. 5 PHONE 4 0' . s ©o NOTE: THIS IS NOT A PERMIT FOR A NY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUM EN T NSI-�4. `�5 Co.✓�-� o 4 4TA 1 - c ,.1 c: '�' 4_(.1-7-- '' � INSPECTO DATE I FOOTING 1 T /3 1 /� I FOUNDATION (Prior to Backfill) J >/, T �,. I P LACE N CONCRETE UNTIL ABOVE I OVE HAS BEEN SIGNED 400N -) cvV )6 ROUGH - I N S SEWER / WATER /SEPTIC FRAMING `t,/;,t/ INSULATION ELECTRICAL PLUMBING HEATING (if required) os°, FIREPLACE GAS LINE AITEST y �"P t �► `1 s COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I Uu5 &.444. -p ,1 .. / . L4 113 1 €5,6 , FINALS GRADING (Prior to Sodding) /, )) /7 , 6//7 J BUILDING i 1. (.13 / `, ELECTRICAL PLUMBING t l I h `It, HEATING (LA it 4 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 f ♦• "• * • • i i • k,.