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Home My WebLink AboutBuilding Permit #13-1268 o F pR�o�, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd .� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � � AND UTILITY CONNECTION PERMIT �� - l� ��HNEB�� f��,..�jf'� i wn��e F�ie PERMIT NO . �� 2 PmA Crty �� / (L/C_/ 3 Yeliow Apphcam Please or rint and si n at bottom ADDRESS ZONING ��-�� use� l5 � �� f,� �3�« .5 � � ��,�r� ��' S 5 3 � �ers� LEGAL DESCRIPTION (oflice use only) �� ` � LOT BLOCK ADDITION � 1.��'"� S PID ,'�r O�� I j � OWNER -��'" (Name) _ 1" � �''?�� G�- � t�'1 (Phone) (Address) 1 BUII.,DER �' � � I (Company Name) �G(,2rc'S ("%C{�7`ti.�'1 �� .� /o/ G'Ga, � �i /, 2 � � ,.� / � � (Phone) G�� /, 7 5 � � 7 � �:2 � � (Contact Name) -j C�(�t{ ��,��",�'�'j (Phone) � � �.i � :2�j� v� �l� (Address) S . � � � .�'" '"�-'_ �`7C�z �� i-�(.o .� ' l� �Cl � . 'Z� l TYPE OF WORK ❑ New Cons u ion ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level F�msh ❑ Fireplace ❑Addmon �lteration ❑Ut�l�ty Connecuon CODE: ❑LR.C. ❑I.B.C. ❑ Misc Type of Construction: I II III IV V A B Occupancy Groap: A B E F H I M R S U pROJECT COST/VALUE $ Division: 1 2 3 4 5 (excluding land) I I hcreby certity that [ have h�rnished mformat2on on this appluation which �s to rhe best of my knowledge hue and correct I alsu mit�fy that 1 am the uwner rn�utliorizcA agent for the above-mennoned propciry and that all constiuchon wdt conform ta at! exisnng state and local laws and witl proceed m accardance w�th subm�ttcd plans I am aware that the building � ufficial can revoke this petm�t for�ust cause Furthermore, I hereby agree that the aty official or a designee may enrer upon the properry to pe�form necdcd inspecnuns X G'` ��-�-- �1�� /'� Signamre Contractor's License No Dare r--T-- Permit Valuation Park Support Fee # g o E� � -- Permit Fee $ , � SAC # � Plan Check Fee $ . Water Meter Size 5/8"; 1"; g State Surcharge $ Pressure Reducer g � � � Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee ## $ Mechanical Permit Fee $ Builder's Deposit g Sewer & Water Permit Fee $ Other $ ' Gas Fireplace Permit Fee $ TOTAL DUE $� L � �� This Applic ' Beco� es ur Buitding Perntit When ppro a Paid / Cei t NO. 1 G�C- , � '----- Date � 3 Bm dma Utticial D,l . This is to cernfy that the iequcst m ehe above app4cauon and accompanymg documents u m accordance w�th the C�ty Zunmg Ordmanee and may p�ucecd as requeued This document when signed by the Ciry Plannei cunst�tutes a tempurary Cerhficate uf Zomng compLance and allowt cunsnucuon tu commence Befure uccupancy, a Ceruticate uf Occupancy must be �ssucd /�-Z -/3 Planm g Director Date Special Conditions, if any 24 hour noficc for ali inspections (9S2) 447-9850, fax (952) 447-4245 4646 Dakota Street Prior Lake, MN 55372 O � YR1p � C� C�1 White - Buiiding Canary - Engineering 'hHxBSO'�'' Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST � NAME OF APPLICANT ��I�� ' � APPLICATION RECEIVED � ' `' � - �3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: � �3� l �'�...�� 1�--�� -� , Accepted � Accepted With Corrections Denied Reviewed By: Date: � � � � Comments: � c;a�.�-/'�U. L�'�-�=s � �--� s /1��4- �� --�'+�` �r� �'�. - � � �'� �f�-o �a ��.�-� � L ��'L.- V �-�- c�� i�c� v, Lv��::Kd wo . — ��-� ��-' i`�J c'c.�� a ,� �� ` �: ti-r� rir..r � J� �� cv � �' S c..J"� � �c5✓�-� � _ �, �� v�'�-s" � �1 �'��- `v S�� cvzr� � — � Jv G ('i .� 1� c,'� � "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." O � PRIp C� � White - Building Canary - Engineering �'''""r$gO�`� 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: � � `� �' � �t� �..,1.J �� °� � I i�...�---� • - � �� Accepted � � Accepted ` i#h` Corrections r -,r'�, Denied F � ` Reviewed By: Date: lf �� 3 . 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 � ra,ro� �� c� White - Building �►,,�,,,�� Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMFNT CHECKLIST NAME OF APPUCANT --� �� ! �.%�= �_.,� c��`-� � �% � �' APPLICATION RECEIVED �� !�' �'� The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: c - -- _,- � , � —� � ..� � �( ,4 . �. i �; ,I�� C _ ( ��-�� Accepted Accepted With Corrections Denied Reviewed By: �7 � Date: � � � � '� Comments: See Reverse Side for Additional Informatinn� See Attachments: 1) Gradinq 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." HARRY S. JOHNSON LAND SURVEYORS �� December 4, 20 t3 Building Inspection City o;f Prior Lake Prior Lake, MN Dear Inspector, On Wednesday, December 04, 2013 we took an elevation using excepted survey practices. At that time we found the top of a solid building component on an in progress house addition at 15331 Red Oak Road, Prior Lake, MN, to be 909.59 feet (Elevation datum is based on NVGD 29 data). James Barton Design Build, Inc., St. Paul, MN is performing the house addition. The solid building component will be topped with 4 inches of concrete to bring finished top elevation to 909.92 feet. As a licensed land surveyor in the state of Minnesota I certify the elevations listed above are correct. Any questions or additional requests please contact our office. Thank you, �� V • / ' A' � S ' • �' h � - Thomas E. Hodorff L.S. " �`s�' - �� , ' =r'•:'; . -,, r" ��:�-. . ' • �, t; i` � ��, Minnesota Registration Number 23b77 f ";�',= � \ �r ` � r, � r , j,11. C�, i? i' � S� , > P'� l�i.s��..:' � �, S i ` 5 .�� ri f � 11 yY �4 Slt;�d�� ri,�.;: t } ,-, � .,-• � /,W•; , '{if � t�i�_L.�w' i�,,y•� l.,,.f, �,, ;•�_ ,�,. : �,�� !_. �, :.:; :N •,_ - t •'`;;ft`.�=. _- t. :�� : Harry S. Johnson Co., Inc. 9063 Lyndale Avenue South Bloomington, MN 55420 tele (952)884-5341 fax (952)884-5344 e-mail: tomCa?hsjsurveyors.com www. hsjsurveyors.com U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB N0. 1660-0008 Federal Emergency Management Agency Expires FebruarV 28, 2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTIpN A- PROPERTY INFORMATION For insur2nce Company Use; A1. Building Owner's Name Michelle Stroh PoHcyNumbet A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. CompaRy NRIC hfumber� 15331 Red Oak Road � City Prior Lake State MN ZIP Code 55372 A3 Property Descnption (Lot and Block Numbers, Tax Parcef Number, Legal Descnption, etc.) Lot 42 and that part of Lot 41, RED OAKS, Scott County, Minnesota, lying North of the foilowing described line: Commencing at the Southwest corner of Lot 41, thence on a assumed bearing North 32 degrees 12 minutes 55 seconds East 24 feet along the Northwesterly line of Lot 41 to the point of beginning, thence South 57 degrees 02 minutes 35 seconds East 54.22 feet, thence South 66 degrees 18 minutes 04 seconds East 122.16 feet more or less to the East line of Lot 41 and there terminating (PID 250420271) A4. Building Use (e.g., Residential, Non-Residential, Add�tion, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 44043'35.2" Long. 93025'23.6" Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 3 A8. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage, provide: a) Square footage of crawi space or enclosure(s) sq ft a) Square footage of attached garage sq ft b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage enclosure(s) walls within 1.0 foot above adjacent grade walis within 1.0 foot above adjacent grade c) Totai net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State Prior Lake, City of 270432 Hennepin MN B4. Map/Panel Number B5. Suffix 66. FIRM Index 67. FIRM Panei B8. Ffood B9. Base Fiood Elevation(s) (Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) 270432 0004 C c 11/19/97 X/AE 908.9 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69. ❑ FIS Profile ❑ FIRM � Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: � NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) 612. is the building located in a Coastal Barrier Resources System (CBRS) area or Othenvise Protected Area (OPA)? DYes �No Designation Date ❑ CBRS ❑ OPA SECTION C BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on; ❑ Construction Drawings' ❑ Bui�ding Under Construction* � Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones A1-A30, AE, AH, A(with BFE), VE, V1-V30, V(with BFE), AR, AR1A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized MNDOT monument #: 063E name• "thumb" Vertical Datum 980.63 Conversion/Comments Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enciosure floor)_ 909. 57 � feet ❑ meters (Puerto Rico only) b) Top of the next higher floor 19. 41 feet ❑ meters {Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) 912.15 � feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building ❑ feet ❑ meters (Puerto Rico only) (Describe type of equipment in Comments) � Lowest adjacent (finished) grade (LAG) 908.90 � feet ❑ meters {Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 918.74 � feet ❑ meters (Puerto Rico oniy) SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that fhe information on this Certificate represents my best etforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. ❑ Check here if comments are provided on back of form. c"'�./�� Certifier's Name Thomas E. Hodortf License Number 23677 "� r �� , " �w`�� Title Licensed Land Surveyor Company Name Harry S. Johnson Co. Inc. � Address 9063 Lyndale Ave. So. City Bioomington State MN ZIP Code 55420 Signature Date ��, � / � _��, Q� Telephone 952-884-5341 P FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS _ ��_.,�� NATURE OF WORK ,�,� > • �,.- . USE OF BUILDING 5 PERMIT NO. � DATE ISSUED �r �� CONTRACTOR �+�-�.�5 �-�/ c�.�/a.� PHONE ��"Z- Zyz � Z'( /.� INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPEC R DATE FOOTING� T - ,� �r � .�- � � FOUNDATION (Prior o Backfill) L�.,�- y�r /Lrn:L� / v/ � S� � RADON RETARDER PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING ��- � v � INSULATION �, z � ) ELECTRICAL COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED HOUSEWRAP � ��. � � j FINALS GRADING ( PRIOR TO SODDING) ��_ �- Z- )� BUILDING 1-��-/�-�� ,� , �'�, � — 2 � I �LECTRIC�►L t� c�_Q�- P,��BJ.A�� DO NOT OCCUPY UNTIL ABOVE HAS B N SI ED NOTICE This card must be posted near an electrical service cabinet pri r 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