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Home My WebLink AboutPermits 05-0533, 05-0469, 05-1228 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please type or print and si~ at bottom) ADDRESS i9'S-O C-OA/~OY 57' NeE LEGAL DESCRIPTION (office use only) <3 rs'l LlH BLOCK CON.;e 0-"'/ ~ ADDITION OWNER (Name) kJA-l/t t 'I5D C//A./~ lJy - , 57 Alt: (Address) BUILDER (Company Name) (Contact Name) /-:J.M/ (Address) Z3?R~ ~,.o~....e~ I White Pink 3 Yellow File City Applicant PERMIT NO. 05.0533 PI pa rl'U-,I..) ,gAy Date Rec' d 6- J~-'~ ZONING (office use) Rt5[J ORe.Siding fLower Level Finish ~ Fireplace PROJECTCOST/VALUE $ Z 7~ PIP P.P- (excluding land) TYPE OF WORK g"New Construction ODeck OPorch ORe-Roofing OAddition OAlteration OUtility Connection 0 Misc. PID,..fZS/ / ~ tJ 15 tJ ~\ ~etLf~f 7' L~~/' /f'J,(,61"v ~tI~ (Phone) (?tJ7j fJ/tJ - ?7Yf- ~~/~~ LA~li /YJ~ ~37c "'5~"A/~U~:T &V-//,a~APS (Phone) 19~z) 9JJY- 9cf/2_ L:'JA'6/1/CR ~~../;1/ (Phone) (9 Sz J ~~9- 9cr /z.. Ave j LM"~t//;?e ~",,/ ~~vf,/~ CODE: M.R.c. DI.B.C. Type of ~stnlction: I Occupancy Group: A B E Division: II F I III IV R')~B H J.- \M" R U zV4 I hereby certity that I have furnished mt()rmation on this application which IS to the best of my knowledge true and correct. I also certlty that I am the owner or authorIzed agent for the above-mentIoned proper and that all construction Will conform all exist state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg official ca r; voke ~;7~ Furthermore, I he. yagree the CIty ;a;?/9 95;;"7e property to perform ne~ h;/ ~ S- /' . , signature - Contractor's License No. - , Date Permit Valuation #~ 7S; dOOrO(j Permit Fee $2-~o3,S-Q Plan Check Fee $ ( 3eo 7 r 28 State Surcharge $ f 37, S-o Penalty $ Plumbing Permit Fee $ I () 0, () t) Mechanical Permit Fee $ I ~CJ , tJ t) Sewer & Water Permit Fee $ :3~, S- 0 Gas Fireplace Permit Fee $ '1~, 00 i::.:~~P'~;~h;:-;d Buildlllg Ofticial bate . <i~;~. To 6E-$1J..S'eO I' $ $ $ rll/Sao,t)1J $ Me;, 00 $ S; g~3. 76 Park Support Fee SAC # # $ $ -- --- Paid Date ~ yr3',7f &>, 9',0.>' Receipt ~p ~93 5s By 11~ ThIS IS to certity that the request in the above applicatIon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document when signed by the City Planner constItutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be iSS~~ ~/8/b~ M ~ /' Planning Director Date sp~~~ 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Water Meter Size 5/8"; 1"; Pressure Reducer Sewer/Water Connection Fee # Water Tower Fee # Builder's Deposit I Other T/lbc f)EPosir I TOTAL DUE Mutiv &. q. t1,S CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ! ;:!v6 w: as: 0533 ~i~i~e ~:~y I PERMtT NO. O~I ZZdl 3 Yellow Applicant V", U (Please type or print and sil!:n at bottom) ADDRESS 6+50 c.tJAlIfUJ,/ S//~l ;116 LEGAL DESCRIPTION (office use only) ZONING (office use) Ie /.t:::: f? LOT BLOCK ADDITION pm 25~ / /4-; Ol.s.~ OWNER (N ame) /a; tiE;V~ (Phone) (Address) BUILDER (Company Name) (Contact Name) (Address) (Phone) (Phone) 4~~ 97J/2- ~/()/l/I3ea651 1/ /l AI 0 IZ6 Ai flL /-Irtlf AI TYPE OF WORK 0 New Construction ODeck OPorch ORe. Roofing OAddition OAlteration OUtility ConnectIon CODE: OI.R.C. OI.B.C. jlMiSC Type of Constnlction: I II III IV V A B Occupancy Group: A B E F H I M R S U Division: 1 2 3 4 5 ORe-Siding OLower Level finish 0 Fireplace MG/bte t!,oo/tUTt:/O (/ ;) PROJECT COST /V ALUE $ (excluding land) I hereby certify that I have hlrnlshed mformatlOn on this applicatIon which IS to the best of my knowlcdge true and correct. I also certlty that I am the owner or authorIzed agcnt filf the above-mentlOncd property and that all construction Will conform to all eXlstmg state and local laws and w1l1 proceed In accordancc with submitted plans. I am aware that the blllldmg 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 mspectlons x Signature Contractor's License No. Permit Valuation # $ ~ # $ Water Meter Size 5/8"Q?' {j f'6~ e Pressure Reducer JI $ Sewer/Water Connection Fee # $ Water Tower Fee # $ Builder's Deposit $ Other $ TOTAL DUE $ Park Support Fee Permit Fee $ Plan Check Fee $ State Surcharge $ Penalty $ Plumbing Permit Fee $ Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas Fireplace Permit Fee $ SAC This Application Becomes Your Building Permit When Approved 75.00 -/~J()5" -" f / Rece/py'No. By .y /. rf Paid Date BlltldlIlg Ol1icial Date Date I I Sl).oDI 2..5~ 00 I I I I - I '10.001 I SV8.::JfD ThIS IS to certity that the request 111 the above application and accompanYing documents is m accordance WIth the City Zoning Ordinance and may proceed as requcsted ThIS document when signed by the City Planner constItutes a temporalY Certificate of ZOnIng compliance and allows constructIon to commence Before occupancy, a Certlticatc of Occupancy must be issued Planning Director Date 24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Special Conditions, if any CITY OF PRIOR LAKE DEMOLITION PERMIT Date Rec' d 5 --;23-0S- (Please type or print and si~ at bottom) ADDRESS t r 50 C~A/ ~ C1'v ~~ N.C. , PERMIT NO. tJ~-O <V~<f z~~Oeuse) LEGAL DESCRIPTION (office use only) 53 'f !J-~ LOT BLOCK ADDITION CtiA.//f9}6 -<5Ay prrv( zS// ~ t? /5l) ~=R ~AI/t 1~50 (Address) .7 L!t'A /' /?tI~ IN ~;;~ (Phone) ~tJY) 9//1 ~ ?.1?/,r " Ct7A/~~Y 57 /lie ~/M! LA-A't. ~-3?? . - . CONTRACTOR ./~...-r:. /" ,,~...tIII!. . ~ ,. D ' f) (Company Name) "//t}1/Ic.,/f'r=;J/ ~v/I~f'~ . (Phone( 7',5". 9'o~- 7'JPZ (Contact Name) e~1V "CJ~.ENCk~/)'AA/ (Phone) - 9"rJ'j/-- 9rP/C (Address) Z3,fg~ 6I.4~c:J .4vl! I /4~/1//)# /n/!/ e,'JtlY'Y , Use of Building: 6i.-vqA v INTERNATIONAL BUll.,DING CODE Type of Constnlction: I IT ill IV f:!J A @ Occupancy Group: A B E F HIM (if) s U Division: 1 2 0 4 Y D NIPCA NOTIFICATION OF INTENT TO PERFORM A DEMOLITION Fv/Wi/./ ~~l.. , 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-mentione property and that all construction will conform to all existing state and local laws and will proceed in acco nc ith s bmitted plans. aware that the building official can revoke this permit for just cause. Furthermore, I h~.'hat '_ "Y 'ci?gn" to " upon ,he pmpert)' to pworm ;.../Z'-W..Y /././ c.. I . Signature / Date Building Official ojz--o ;4s Date ~'li'll..~< IDE1'..b ^ f~ t ~I' 0", J.-'~) !7 \~. ~ This Application Becomes Your Demolition Permit When Approved ~ ~ ertify that the request in the above application and accompanying documents is in accordance with the City ZonIng Ordinance and may proceed as requested. ( ... .~ 5 {\,~ (l>s ~ '=OM'yJ I>'- ~. 24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245 16200 Eagle Creek Avenue, Prior Lake, Minnesota 55372 Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts Reviewed by: ~ ~m.~ Building Permit # b4S0 ~ PID: Address: ~ . Legal: L5~$, Bft Date: b- ~ -oS- Zoning: JQl'ro dS"II,-/~OIS- 0 Subdivision: ~~ Existing Nonconforming Structure? YES I NO Existing Structure? YES / NO CONFORMS TO ZONING ORDINANCE Yard Setbacks: NA / FAILS/ COMPLIES · Front Yard (can be 20' if avg, w/in 1S0') . Side Yards · Sidewall exceeding 50' requires additional side 2" setback for every l' over 50' in length I. Rear Yard · Patio Door: provide for minimum 10' deck or sign statement indicating no deck will be built in the future . From 100 year flood elevation of wetland/NURP pond · From OHW (Prior or Spring Lake) I Floor Area Ratio: NA' FAILS' COMPLIES I Yard Encroachments: NA' FAILS 'COMPLIES Eaves and Gutters no more than 2 feet in width and no closer than S feet to a lot line (Easements), AlC and other equipment cannot encroach on interior side yards. Tree Preserlation: NA' FAILS' COMPLIES . Total calioer inches I. Permit 25% Removal I. Calioer Inches Removed I. Caliper Inches Preserved I. Replacement L: \TE-;VIPLA lEBLDGLlST.DOC <!J!iIt de. v"a- 7S' or setback average of ~ ~ adjacent structures, but no( ) less than 50' _ ~ YES Standard 2S' 10'1 25' if abutting a street 10' setback + 2"/1' over SO' 25' 1 0' sidel 25' rear 30' .30 Maximum Standard Standard 12:1 NO J-- - Propos~d -l) oK v'B.. t>~ ~ oJ:. va. --- -----.;.......... (, .) LJ+ .s.ele.. -c:.\c..r/~ c(e~k. S',,"-..wL &..c. h,W @ ~l.~....... . -oJ: ~ Proposed , I' 0 I'O(C~ ? Proposed I I I /tLJ" ~ II ' 1\.13" ~( ~ 8' ~J~ -~. U ~; I Driveway: NA / FAILS / COMPLIES I. Maximum width at property line · Required setback I. Maximum slope · All parking areas to be paved including R-Vor spaces adjacent to the ~ara~e I. location to match subdivision ~rading plan I Building Height: COMPLIES / FAILS I Shoreland District: NA / FAILS / COMPLIES Minimum lot area (square feet) I Minimum lot width I Shoreland alterations I Impervious surface I Bluff in Shoreland: NA / FAILS / COMPLIES · Setback from top of bluff I. Bluff impact zone I. Enqineerinq certification submitted/approved I. Grading in bluff or bluff impact zone I Floodplain: NA / FAILS / COMPLIES · 100 year flood elevation · lowest floor elevation · Proposed lowest floor elevation · Elevations 15 feet from structure · Road access must be no more than 2 feet below Regulatory Flood Protection Elevation I Accessory Structure: NA / F A.1LS / COMPLIES · Size I. Not located in front yard (Materials) I. Side yard and rear yard setbacks I. Maximum height I. Materials compatible with principle structure L:\TEMPLA TE' BLDGLIST.DOC Standard 24' 5' from side lot line or 30' from r-o-w on corner lots 10% 35' Maximum Standard 7,500 Rip, 7,999 Non-rip 50' Rip, 57.3' Non-rip 30% Maximum Standard By planning depI. 20' From Top of Bluff By City Engineer No importing/exporting Standard 908,9' Prior lake 914.4' Spring lake 909,9' Prior lake / 915.4' Spring lake Must be l' 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, Must be flood elevation or higher 907,9' for Prior lake 913.4' for Spring lake Standard I 832 sq.ft, or 25% rear yard 10' 15' Proposed 1 /3.S"" O~ v I ~ +s- o~~ n t ..,/ Q....... ole.. /' .AlI A . 1.,.- (1- I J Proposed , o t:. v"a- I o JC. V'<8.. I 7 .~' Proposed I J If ,0Lj-fr . : I I Proposed D/:.. 9/t>. 7~ Vb/c. 9/t). 7'1 ~- 9. ~/D en1 ~~ D~~~~ Proposed :\ ( 1 1\ J I I ).;" I I ( / White - BuildinL CCanan< - EAflineeririg) Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT :/'-r- -'- ~./\.--1 ,'<1.-....v1 /' t/' .A /1 . ",. . ."---,,,. <. ~j r ,-t...- y.........l....x--"V--/ "':,:///-- .~: /":1 ~ .,Y\ .,.. /1'/ /) /\ /.\.....::...k:..-(....>t:/ r..../Y<- APPLICATION RECEIVED "'_........... -. /" S- ..""J -. .-."i ~,_.( .I ~ "-""'-_...f "'-"'. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity whic~,:}s proposed at: ,/~ t./ ~... /\. /"/tIJ/ . ./"-r' -" \. ,:/' ! >::>I' lJ-/ 1/ /./l'-1,.".....<'~...;/ I l~., ... (...../ 'j/ C/i..-t._> , ,I Accepted X r Accepted With Corrections Denied Reviewed By: m!!J3 , Date: S -;<'-/-Os- Comments: See Reverse Side for Additional Information! ~ 1Nc"k/ / c,..,eI Se'-l/t./ Lf h~ f/,i:J/ Iv C;'/7)j t./Ch- t See Attachments: 1) Gradine Plan, 2) Erosion Control Measures "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." Site Restoration Proposal for Demolition Applicant: 3~~ (~6? Atlj'/L) 1/fS f'/5V C/J/JdtJV 5/ A/C Address: Check boxes below: o Fill Excavation to grade )1P Sod or seed all bare soils 'JlC Erosion control (see handout). Maintain erosion control until turf is established. 't Cap sewer below grade. * Mark location. Licensed contractor required. 'IJ Cap water below grade, * Mark location. Licensed contractor required. )13 Call City of Prior Lake Public Works Department for water meter removal. }tJ Cap gas line.* (By gas company) f$J Disconnect electric at meter. (By electric company) o Pump and fill cesspool/septic tank. Certified contractor required. o Abandon well. Certified contractor required. Existing well 'fD Remove existing structure foundation and footings, materials, and debris. * * (5Y Provide dust control by following means: ~ater mist from a water supply (i.e. neighbors, water tank) 2. Enclosure 3. Other ,. Comments: (provide surveyor draw site plan) &d h ...c.- \-';" '" r ~ ~~d~~~~"J (10f~, III~ ~~. ~ ~ -k I(~ *Capping ofuUities must be inspected. * * Final inspection and approval of restored site . qu' apProv~~ ,0 Signature eposit will be returned after y/z~s- Date .hBUILDI0iG\HANDOUTS\Demo Site Restor.doc r:-~hite - Buildins[) Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~~~ ~- -;;2. 3-0S- The Building, Engineering, and Planning Departments have reviewed the building permit application for const'2~/~i6- w~o;: at~ ( I Accepted Accepted With Corrections ~ Denied Reviewed By: ~ ~ Date: S-4-5~r co;m~nts: ~ ~ IJ~ ~ ~I. 7-. ~- tJ/ ~ ~ &-p A",.~J<(~ () " ~ ~.J)_ ~ (E ~~. +J,L //7r~ ~ -I~ ~ ~t?J ~ V)._"f', ~ , ~L-~~ ~~_ I t U u "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." ~hitJ - Buildin~ Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT k~J21.ffi<jT i:J6il/JA..-/ APPLICATION RECEIVED S- ;;; 3-0S- The Building, Engineering, and Planning Departments have reviewed the building permit application ~c:y;~: aca;;~c~;;;o&: Accepted Accepted With Corrections /' Denied Comments: Reviewed By: ~ ~ ~ ah ~l A ~~ /I'~~ ~~ ~~ I~~ ~ ~,~I'~ ~~ U~ &1, ~t- .llh7h/l ~ or- L~. Q~, i v ~ -0 '-'~ - ,r'" ~-..... J , ~ ~~~~9~'j., :f~ 0.-p".,;t- ~~ (aj,~ Tc.,(j, Lx> ~. ~~ a-Le /~ -<'-""~ Ui7(1~ Z- - , / Ix. ~--Z4J ~ ~ ~,~ o. Date: (P (3 /os . "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." White - Building ~rv - En ineering C Pink - Planmn BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ...-- '" .",,1 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1- Accepted Accepted With Corrections ~ Denied Reviewed By: ~ ~ Date: t./~Io $" Comments: 1~ ~ ~ 10 7~ ()4..l 77L ~ - ""t7 o:J ~~ ~ h ~"t9~~ -./J, -;~i-~ r.J ~. -".' J I ~ ~ w~. 10 ZH! ~ 9t1f?','? _0 ~ ~ 07 /5'I"~. 1. .,/~c!.' -1 ~ r~., d JP /.A-UZ- ~ ~~' A'~ ~. _~~.-J~ ~/~~ ~ ~ ~.~~." J-- -~"p-' V / Va j7~1 ~ ~/~' I--() ~~ ~ so% -~...-I- ~ ~ I I tjatnJ<A ~, Com:H.tl.oner M.d O~heI' I\tlechanic2.J L.iLLli-,s C;;:UcH';.n r.:.)aK;ITHH:l1 into Required "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." ", BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ,r ,.>-. / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ;;;. .1- 'f' I r-- Accepted / Accepted With Corrections Denied Reviewed ~ -if tn, rr.-.- Comments: Date: sf'&! {os- - p~ if'~ ~~ ~. D o.J)Q ~ tv ~. liThe 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@~o ~ c \ I ! II JAN 0 ~:i 2U06 I uJ L -.J IBy- FEMA FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSlJRANCE PROGRAM ELEVATION CICRTIFICA.l]~~ AND INSTRUCTIONS /10~ ...",~;: . "",_"",:,,';".' .~ '_'h";"u-.." FEDERAL EMERGENCY MANAGEMENT AGENCY ~. "'- (' ~ \ . r 0 \ \. _ NATIONAL FLOOD INSURANCE PROGRAM ~ f"Ol"'- \"'\'\,\ ~ \f"\br \A~ ELEVATION CEI~TIFICA TE \J.5e.... 0 ~ \1 . Important: Read the instructions on pages 1 -7. SECTION A . PROPERTY OWNER INFORMATION BUILDIN~WN~R'S NA~ L ~~ \\;:) "K~ U-et"o\"2..~~ BUILDING STREET ADDRESS (Including Apt., ~~t, Suite,\andl~r~B!Sll. No,) OR P.O. ROUTE AND BOX NO, lD~~f') r .o~~y ~l"~- ~ CITY U \ \, _ \ STAlE ZIP CODE '" f; ~ r ~ \fu~ SS~i"2.. P~OP~RTY DE~CRIPTION (Lot and BI~k Numbers, T~X Parce umber, Legalj?!;;~criliion, etc~ \ " , ~ '5 ~ ,54 I \.:.~t-\~4..:S . 1~h~\ ~'~~.l ""l....~~ BUILDING USE (e,g.rReSlrl~on.residential, Addtion, Accessory, t~. Use TComments area, if necestaty.) LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: ( ##0. ##'. ##,##' or ##.#####0) I_I NAD 1927 I_I NAD 1983 O.M.B. No. 3067-0077 Expires l?ecember 31,2005 :J:;~Wjh~~rj~~~:C9mpM9Q$';: . ... SOURCE: I_I GPS (Type): LI USGS Quad Map 1-1 Other SECTION B - FLOOD INSURANCE RAl'E MAP (FIRM) INFORMATION B1.ft'f COMMUNITtNAME & COMMUNITY NUMBER I B2. COUNTY NAMI:. \\ I 83, STATE 'tV\ \ -rR\~~ ~ ,-'1o'4."'n- SCot) \ \' \~ 84, MAP AND PANEL B5. SUFFIX B6, FIRM INDEX B7. FIRM PANEL BB. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER (\ DATE EFFECTIVElRE:VISED DATE ZON~(S) (Zone AO, use depth of flooding) ODC"'L.. U \ \ - \ C\ - ""1 \\ - \C1. -C\., ~ \::. q oC\ . q B10. Indicate the source of the Base Flood Elev~(BFE) data or base f10ed depth entered in B9, I_I FIS Profile I_I FIRM L.~(Community De~ined I_I Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: ~GVD 1929 I_I NAVD 1988 I_I Other (Describe): ./ B12. Is the building located in a Coastal Barrier Resources System (CBRS) urea or Otherwise Protected Area (OPA)? 1--1 Yes I_~o Designation Date: SECTION C . BUILDING ELEVATION INFCllj.MATION (SURVEY REQUIRED) C1, Building elevations are based on: LIConstruction Drawings" IM3uilding Under Construction" '_IFinished Construction , "A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number \ (Select the building diagram most similar to the building for which this certificate is being completed. see pages 6 and 7. If no diagram accurately represents the building, providEI a sketch or photograph.) C3. Elevations - Zones A1.A30, AE, AH, A (with BFE), VE, V1-V30, V (with 13FE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3,a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE, Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section Ci or Section G. as appropriate, to doc.ument the datum conversion. Datum Conversion/Comments / Elevation reference mark used Does the elevation reference mark used appear on the FIR~? LI Yes L~rNo o a) Top of bottom floor (including basement or enclosure) q \ \ ,1-. ft.(m) 16 - II> o b) Top of next higher floor . Cl.U . ..L ft.(m) ~ o c) Bottom oflowesthorizonlal structural member (V zones only) . _ ft.(m) ~ ~ a d) Attached garage (top of slab) CI*tb, 0.. ft,(m) ~ ~ a e) Lowest elevation of maChinery and/or equipment i ~ servicing the building (Describe in a Comments area.) , _ ft.(m) ~ ~ iJ f) Lowest adjacent (finished) grade (LAG) , _ ft,(m) ~ ~ U g) Highest adjacent (finished) grade (HAG) . _ ft.(m) :g CI h) No. of pennanent openings (flood vents) within 1 ft. above adjacent grade ~ o i) Total area of all permanent openings (flood vents) in C3.h sq, in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, CIR 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 the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available, I understand that any false state(17ent may be punishable by fine or imprisonment under 18 U. S, Code, Section 1001, CERTIFIER'S NAME Sc:.b-\\- ""'~ ~t.ll/'\. ~~~ LICENSE NUMBER Y.L:~oC\ :~:ESS~~~ ~~~~,\ ~ ~~;~::E~~\'t s~l\"'ti R c~ .~S~~ ~~ SIGNATUR~~~ ~ DATE l / q / Of., TELEPHON1C\$i.l ~Lt1 ". Z.'S1D FEMA For~1-31, January ~ See reverse side for contin'uation, Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding Information from Section A.:itQ.d"~~ra6~CQmpaiMU$"{: BUILDING STREET ADDRE~ (Including Apt., U~t" Suije, artf/or BI~~ No,) OR P ,0, ROUTE AND BOX NO, l.Pl.\"-.() l'.?r--\Rnl\ ~~~+- l'\{.: CITY /) . \ - \... _ . , - STATEL_ . ZIP CODE t' P.. ~.. ~ ~ ~ l't\N. z::...:::. -;n '? SECTION D . SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS I I Check here if attachments SECTION E. BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1. through E5. If the Elevation Certificate is intended for use as supporting information for. a LOMA or LOMR-F. Section C must be completed, E1, Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7, If no diagram accurately represents the building, provide! a sketch or photograph,) E2. The top of the bottom floor (Including basement or enclosure) of the building is LI_I ft. (m) I I I in. (em) LI above or LI below (check one) the highest adjacent grade, (Use natural grade, jf available.) E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor Clr elevated floor (elevation b) of the building is 1_1_1 ft. (m) 1_1_lin, (em) above the highest adjacent grade. Complete Items C3,h and C3,i on front ofform. E4. The top of the platform of machinery and/or equipment servicing the building is 1_1_1 ft. (m) 1_1_1 in, (em) I_I above or I_I below (check one) the highest adjacent grade, (Use natural grade, if available,) E5, For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's . f1oodolain manaoement ordinance? I I Yes I I No I I Unknown, The local official must certify this information in Section G. SECTION F . PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, C (Items C3,h and C3.i only), and E for Zone A (without a FEMA-issued or community-issued BFE) or Zone AO must sign here, The statements in Sections A, B, C, and E are correct to the best of my knowledae, PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS I I Check here if attachments SECTION G . COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain manag_ement ordinance can complete Sections A, B, C (or E),andG of this Elevation Certificate. Complete the applicable item(s) and sign below.. G1. LI The information in Section C was taken from other documentation that hllS been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information, (Indicate the source and date of the elevation data in the Comments area below,) G2. U A community official completed Section E for a building located in Zone A (without a FEMA-issuedor community-issued BFE) or Zone AO. G3. LI The following information (Items G4-G9) is provided for community floodplain management purposes. I G4. PERMIT NUMBER I G5. DATE PERMIT ISSUED I G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY . ISSUED G7. This permit has been issued for: I_I New Construction 1-' Substantial Improvement Ga. Elevation of as.built lowest floor (including basement) of the building is: G9, BFE or (in Zone AO) depth of flooding at the building site is: . _ ft. (m) Datum: , _ ft, (m) Datum: LOCAL OFFICIAL'S NAME COMMUNITY NAME TITLE TELEPHONE SIGNATURE DATE ;',~~, COMMENTS ''f'~{ FEMA Form 81-31, January 2003 I I Check here if attachments Replaces all previous editions 07/18/2005 10:35 5514808348 DLO EXCA\JATmG & POIJ . , '"..;' ~ ":'" . . . .".. PAGE 01 CITY OF PRIOR LAKE SEWER AND WATER PERl\tuJ r ' :[)ate Ree'd I- +l-e n+' 01"' ~ . 1-- \'ndCi _1l"lelue ~c; Qr prlnr Ul d rll!J1l( bottom) ADDRESS -- (oY50 WtI{lAl~(ce-+ ,rJor+h6{~+- I LEOAL DESCRlPTION (office use onlY) LOT53BLOCI< ADDITION ~(().(S ]~\.{ . . I OWNER t...l....n. . i:::h.. '\,\.L _ r .-,-. (Name) 1./\ U"e..(('F~t- .r ~ ' J-nC-, (phone) (Addre9~) .d6~25~~..-d ALeVW\e.." lQ \(1'.(1,' 11,P-'-.MAJ 55Dt-t.!:J (Addre.ss) (City) i ~=.. ~~ l PE~IT :~O O~ rc:.?'Z I 3, Ootid ~pll.caJu ~(.i\d.(~_ ...rV'J~ Z )Nl~G (oflit! u.se) I PID C{Sd 'l.-\8y-q~lcl ~~~m() f-'{(Q..\!Q-h't13 ~ -Pr)(JJY>d wgJb. Tr1c, (phone) GS)-4~(r 'JLjf;7 (Address) JdlEi.1..:J~:l;+ lJ I5-\- r ee- 1- j(N. t-h. +I Crt) 10 Cr ( L-M A.J S~ ~ (Address) . (Clty~ (2 p Code) (Contact Person) JeVVl,'-H>1 L. Ur'e,)/(t)v,'rn (phone) JQ.S 1- W~O.-- gLfS, ,APPLICA.1'lTS!GNATURE~ Y DATE !--I~rOS-_ APPLICANT PLEASE COMPLETE 13ELOW Size of water service I ~ _ inches. Location of any couplings from structure -:-- feet. Type of sewer pipe. 0 ABC R1 PVC 0 Cast Iron Estimated length of !!lewerline f2P_ fuet. Clean out (it'required) located at.:.. feet from structure. (Z'~e) FEE SCHEDULE Residentialsewel' and water line connectioTl $35.50 Industrial, Com'. & Multi-famlly 1% of Job cost witt as 19,5(1 minimum Sewerconnecriononly S17.~O Watel'connectiononly,.., $]7,.50 . J Estimated Cost $ _ . Building Permit # 4S; ()~ 6~ SEWER AND WATER PERMIT FEE $. L ~l61 0 I') STATE SURCHARGE $.'/.50 r' I. . TOTAL PIlRMIT FElt $ -"" ~V. V (Oni~t Uu Only) - j Thill AppHc:atlon Become. Your BuUding Permit Wben Approved Bulldlnll OlJichil I~d I D7-lUJ!5 24 hOllr notjc:~ for alllMpef;tion.l (952) 447-?850, fax (9!32) 447-4245 Date FR(:"1 : FARr'lHIGTotl PLG & HTG FAX ~n : 6514637835 Aug. 10 2005 09:32AM P2 08/10/05 WF.D 09:13 FAX 61244.74263 CITY OF PRIoR LAKE ~1,1111' CITY OF PRIOR LAKE PLUMBING PERMIT Date He(:'(f CPleue ~e or print and s~ at bottOm) I ADDRESS t 4-.50 I. 11111. PII, 2. ()ol~ 1:'11 ), 'Yttllow Applic..N PERMIT NO. OS '0 r...::-1':.) - _._~.__"::~~.:::_~ ~otJ;eo y' ...s. I. . ZONINa (olfi",- ",;" LEGAL DESCRIPnON (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Address) M/b)~/;VGp77JN f/L/I18€" (Phone) uS'l. 4-(,J3. 7g24.- LL1,OPeVlJ?{JJ..! € fiLA- MX &5/. 4-{;3, '-~.f::::;'~' (Address~ fu rj/V1IIj/~t (JIj" (City) ..s'SO.;J, L{ (Zip Code) ~_ DAN .. .' (Phone) QPPUCA}.'TSI~NATUl\ll~i) C4<;J). Lstzfu.P",- ~ s- LO-~___ APPLICANT PLEASE COMPLETE BELOW Quantity I Type of Fixture I \ Quantity J Type of Fixture ;I... Bath Tub with or without shower ' ~'-~l Rough-ins .........- . . 1, Dishwasher ' .. Water Heater -..---.... .;t.. I Floor Drain Water Sof'tner'.1 ~ I Lavatorv (Bathroom Sink) Stand Pipe (Washing Machine) ~l- r Laundry Tray (lor 2 compamllent ~ink -Sewage Ejector 1.' Shower Stall I Backflow Assembly 1 I Sinks _~kf1owAssembly Test I Bar Sink I T.Glwn Sprinkler "2.. I Water Clo~et (Toilet) I Other .. APPLICANT (Name) (Ad.dre!l:J)~/03 L( ~ t.I : \ &~rs +k...- (Phone) 11 (jf' -.. . L~I"e..v;' II e- 55_0 Y.Y c:. -\.e>1t1 ecres-t --.- . d,~~~'; BeQrA2. FEt SCHEDULE InduS1rilll. Commol'clal &. Mullj.famlly 1 % of job C(lSl with a $39.50 minimum Rcsidentilll, New One &. Two-Family $99.5(l RC::llidentil1.l. Addlliun" & Alterations ,~39,50 (Ofllu UIe Only) This Applicntion Becomes Your Building Permit When App."oved PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Pennit :# -f!..'::;'-' 0 533 PA'D~"@~ '~UlletYL~b'NG PERMrT $ $ $ Estimated Cost $ Ruildinlt Omelll D1l1e ..::---- Da~UG 2 4 2005 '~'Rec~~:';'--' "-----..,'. By _.,.. ,I 24 huur noUCt ror alllnspectlons (952) 447.9llS0, fill (952) 447-4245 16200 Eagle Creek Ave., S.&:.. Priur La"e., MN !5J7J~1714- FROM : FARi1 I ~jGTm~ PLG & HTG FAX NO, :6514637835 Aug. 09 2005 11:49AM P2 -"-'.',-..,,-.-, - "I CITY OF PRIOR LAKE,.~~ HEATING/AIR CONDITIONINGIFJREPLACE PERMIT Date Rec'd (Please ~e or print and ~Jm at bottom) ADDRESS ~ c'IAI\'"i'!)~ S*, LEGAL DESCRIPTION (office use only) ~.. ;:w ~J~iO'llf LPERMIT NO.OS 05331 ZONING (Clm<< ~tt) LOT BLOCK ADDITION PID OWNER (Name) ~\oIl\'!.('.&.e<;4 ~ u.i I ~er-:S (Address) J..38~S ~ eo..l"'& A vL (Phone) ~ ~(~ \,,: I I o..~ .... . APPLICA~ (Name) ftMi "'8-b ~,''''J J,;> ~ (Address) J, 103 <:..J C h "!ll2e.k:.1 d",tI e_ ~ (Ad\:lkss) - (Contact Person) (Phone) l,S 1- 4 Li3' '7Z)().~ ~rVYlI\v1~+O<'\ 550;;.1.. 4 (Clty)() (Zip code) APPLICANT SIGN A TURE . (Phone) 'D~ L ~.O.Ju,", DATE <x-q.-_QS' ~NEW CONSTRUCTION FURNACE MAKE AND MODEL Le li"l ", t') ....:: FLUE SIZE '".5t\ 9V"L- RETURN OPENINGS TYPE OF SYSTEM APPLICANT PLEASE COMPLETE BELOW o REPLACEMENT 0 At TERA TIONS CbS I mP V, 090 FUEL ()a.';' 8..0 INPUT 9 () I tXJ) OUTPUT ~ .9-.00 I t DWann Air Plant! OGravity IS Mechanical I{!IgAlr Conditioning OVent. System HEATING OR POWER PLANT o Steam o Hot Water o Radtatlon o SpeciAl Dl!Vice~ o Other Devices PLEASlC NOTIi;: Air Conditioner Units Cannot Encroach into Required Side Yud Setbacks FIREPLACE MAKE AND MODEL ...--"...~-,..'......... - ~~- .--.-. .......- Industrial, ~mcrcial &. Multi-Family Residential, Heating & Ale (New Cons Resldenlial, Hcating Only (New Conslnlction) FEE SCHEDULR I % of Job cost Residential. Gas Firepla.ce S39.50 minimum $99.50 $39.50 ~j9,50 $39.50 estimated Cost $ $ $ $ PAID WITH . .:aUILD ERMfT (Office Il.cc Only) nl. Application B"nm'7d1ng Permll When Approved Dulldlnll: omdlll ' Olllt Paid Receipt No. DatAur; 2 4 2005 By 24 hour l10llce (or 11I1I1spectlons (952) 447-9830, (u (952) 447-414S PRIOR LAKE INSPECTION RECORD DEPARTMEN'T OF BUILDING AND INSPECTION SITE ADDRESS '" C;S 0 CDN RoY ST'lt,t::.C r N.e-, NATUREOFWORK NcI~ QNJrr~lD~ (WJI,...~. Fi'tJjSH~ USE OF BUILDING'S. (.:. 0, · PERMIT NO. OS. 05.33 DATE ISSUED d: ~ /t:J S _ CONTRACTOR 'ST6}Jc ~ - 7/.d1LS, PHON~Z.-f'ar--721z.. NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSII\PECTO~ DATE / I FOOTING tI/, ! -' ll1P FOUNDATION (Prior to Backfill) I V'W I 7~ /q---4:J- PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - IN? ,-, j/ I/Y~ Y//J// SEWER I WATER I SEPTIC FRAMING I "iA!Iv(/ '{ ';,tJ-C'\ . INSULATION ~n~ f(tNf \M' ~ .~;a~ ELECTRICAL PLUMBING (),? H/ HEATING (if required) FIREPLACE GAS LINE AIR TEST VYfJ t{~)~ ~- e q~ l,al v ' r/4/ yvy7 8" "/ (rr)) &---:-1 d .O~ ~ - t/lr' /' 8'~/P-~ CO~ER NO WORK UNTIL ABOVE ~S BEEN SIGNED t..A'7.1:1G I HtJ"!' e ~1' I liVV I q ,C{ ,-oS / FINALS . GRAD~NG (Prior to Sodding) NB fl:OJ.J. ~ BUILDI~G ~~ lAb'1 '-{..o0 VlN/ 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. Cp/ lA/a, - /~ ~ i - t;'- tJ (, I~ s--o(, FOR ALL INSPECTIONS (952) 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED '-l/~ /:30 ADDRESS ''1~o (;;",rtJy I CONTR. sf. 6~.r,,~s ELl. r S. 533 OWNER PHONE NO. PERMIT NO. o FOOTING o FOUNDA nON o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL JI! ~L1NG o CO ..tAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: b/''lr.A<- /R (,(/ h }3~)<... d2~ . tv~ORK SATISFACTORY, PROCEED ~ ~ORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~...-- _Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSNOTI CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS GC{\O OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION Er1INAL o SITE INSPECTION COMMENTS: SCHEDULED ~~I I CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL >A2/ l ...------- /. /~ / r I (lox \ .----' ~ DATE TIME ~Lj,c.4 SI"/ c-~~3~ o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o f~? I --------------- -------- " ~J t-- ( f-c t ~WORK SATISFACTORY, PROCEED b CORRECT ACTI~OAND P OCEED o CORRECT W7K' C. OR REINSPECTION BEFORE COVERING Inspector: ( Owner/Contr: v CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE 0" TE TIME SCHEDULED ! ,..... 6.., ~ ....: ADDRESS ( {~.~r'/,"'I OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDA rlON o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ~ PLUMBING FINAL ~MECH FINAL o EXIGRAD/FILlING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASlINE AIR TST o COM!JIENTS: -- (t,,1 u~U jJ. tlv VV\ It- ... Q..,l,vVVN1 r mJ?CA// 5 ~~ f)tlt/tP(fftv OV'tM-~ +v bJ GI c-<2J.1' . I i \1\ I/l1uAtvI r U1 ! f/1;Tr I'V) D?ORK SATISFACTORY, PROCEED , CORRECT ACTION AND PROCEED o CORRECT ~~R~'J"97FOR REINSPECTION BEFORE COVERING Inspector: i V r ./ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY! INSNOTI {]) (~ (0 (]) DATE TIME CITY OF PRIOR LAKE / -t ,ex, INSPECTION NOTICE SCHEDULED ADDRESS G4CO Covr. ""'^J I OWNER CONTR. PHONE NO. PERMIT NO. Qs--S-33 [J FOOTING [J PLUMBING RI [J EXIGRADIFILLING [J FOUNDATION [J MECH RI [J COMPLAINT o FRAMING o WATER HOOKUP [J FIREPLACE RI [J INSULATION [J SEWER HOOKUP [J FIREPLACE FINAL ......FINAL [J PLUMBING FINAL [J GASLlNE AIR TST [J SITE INSPECTION [J MECH FINAL [J COMMENTS: 1\.1) ~ ,''''' p.vl/rtJ 1"-50 oS t/~G, r.u ..., 6~ ctdded ( 1\ tt: ~ C:-c -" rr.Ocn--+- . PI VMb,H.; .fZ-vJlf-tr.I'-I- d-1 (Yl iu +:i'1,S h b Ct S< #"'f e v1. J-, w=o hVlul &'/CA~ a O.t1rQtr()f / ) f:W"!o;;vrhw d..-N~':"7 Y [J WORK SATISFACTORY, PROCEED [J CORRECT ACTION AND PROCEED OIlRECT"~RK,..~R RElNSPECTlON BEFORE COVERING Inspector: ~ _ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! _T1