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()Z7. 0 ~~'-- <~) / ''- ( (Phone) (; ,/."/ ;;2 :; ) S- (./'7"-._ J /1 ;1.../ ) C)' /~ ,-(' BUILDER c- (Name) '-.J A ~ ~ (Contact Name) (Address) (Phone) (Phone) TYPE OF WORK ORe-Siding New Construction ODeck o Misc. o Lower Level Finish o Fireplace PROJECT COST IV AL UE (excluding land) $ DAddition o Alteration DPorch ORe-Roofing OUtility Connection 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 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. x 1-. k. '--'" D ~--L Signature Permit Valuation Permit Fee $ Plan Check Fee $ State Surcharge $ Penalty $ Plumbing Permit Fee $ Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas Fireplace Permit Fee $ This Application Becomes Your Building Permit When Approved ~ ~ /tJ//3A s . Building Official Date ;;Z r:l (J }(, 3 '-/ I Contractor's License No. 9' /3~ /;; J Date # $ # $ -' $ $ # $ # $ $ $ $ ~ 4-,Z.. f;J Ir:::PdZ-O Park Support Fee SAC Water Meter Pressure Reducer City SAC and WAC Water Tower Fee Builder's Deposit Other TOTAL DUE I Paid ; t, "2. " / Date '/. 5. oJ This is to certify 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 ~ '1~ /!1f.?~? Planning Director Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 White - Building ~anaot-- Engineeri~ mk - Planning lht etnlt, of lh, t.kt Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ,........., . / } .... "..~ I i '/1.1.// r. "..' . l .' ,,' \...<t...~. t"r! . r-' \, J . ii?' J./ I ~. f' l APPLICATION RECEIVED /~~? /-~ ...... -."- {./'..::5 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity ~hich is' proposed at: 1/ '>'7-:2 1_ ./ <'7' ./ ___1, ~... ....- .- / ..~.... ,{'":"L,/l/:.,.:.7-,,. , ,! ,~ t,...-- Accepted X' '- Accepted With Corrections Denied Reviewed By: /YYf8 Date: I (J --36 --63 Comments: See Reverse Side for Additional Information! See Attachments: I) Grading 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." ~~ White - Building C ineering Pink - Plannm Tht' C'f"ntt'r or tht" Lakf Counlr)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT / .. if / ~.., 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' Reviewed By: ~ ~I-' Comments: -A-,(!, ~ ~ <J,jJgl~ ~~, Date: /~o/' ~.? ~~ Ih-- "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." ThE:- Cf'nlf'r of Ihf' l,.kt Counlr)' CVvhite - Buildirnr::, Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT VelA/Ie! \) c h e-/ / APPLICATION RECEIVED I ()--/- 03 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is' proposed at: L~/}31- 0/YJ1h.rA-/tfrCj /t- Accepted Accepted With Corrections ~ Denied Reviewed By: ~ 'f~ Date: /0/;3/0'3 ~~~ 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." CITY OF PRIOR L~KE [4) 001/001 9524474245 P.01/01 CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd /7/ / ~: ~ S...u I-YERMIT NO'~/~ II ZONmGC-<&1 f*-~~'~~~~ [~DRESS -N731 ;;;)_~/M!I- LEGAl. DESCRlPTION (office UJe oaly) LOT PID, OWNER (Nune) . (Phone) .?~//c:2 (phone) 2::? -0-7- ~lJ{) ~t/~/ :?5".:?CJ ~ .. (City) . (Zip Code) (Phone~A:~A~J''' //0 APPLICANT PLEASE COMPLETE BELOW W CONSTRUCTl?N ,. 0 REPLACEMENT 0 AL TERA nONS II ..J-- . // FURNACEMAKEA DMODEL il/x~ ~qT/:?O.?D uPD /1 FUEL ~ 3 II /1. /~ ()co FLUE SIZE RElURN OPENINGS , INPUT I~""< OUTPUT I~ 1YPE OF SYSTEM HBATING OR POWER PLANT Ilq'loo . OWa:m Air Plan~ 0 Steam PLEASE NOTEI OOravity 0 Hot Water Air Conditioner Units .,g-Mechaniclll 0 Radiation Cannot Enoroaoh into '1SJ'Air Conditioning 0 Special Devices Required SIde Yard ~mt. System 0 Other Devlw Setbacks fIREPLACE MAKE AND MODEL (Address) (Contact Penon) FEE SCIlEDULE Industrial, Commercial &. Multi.Family 1% of Job cost Residcndal, G1s Pireplll~ $39.50 minimum Residential, Heating &. AJC (New ConJtJ\lcuon) $99.'0 Residential, AdditionJI &. Alterations Residential. Heating Only (New ConrtrUction) S64JO Rosidenti3.l, AC Only .50 $39,50 $39.50 S39.$O '..'~ /",;,~~.b.. ,.~ ')~ "~~ ':"1i~~ " Estimated Cost S Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ S S (Ofnee.Uae Only) Thi~ Applicatioll B~m"s \'o\lr auildlDg Permit When Approved Paid Receipt No. Buildllll!: Of1icU.1 Dille Pate MAR 1 2004 U hour notice Tor .1/ 1_"';M'R (QC:1\ ,u"r_OQ cfl 1>~..1 (ft.I!.., .... .... ~ 02126/04 THU 12:58 FAX [4J 001/001 ~~~-~l-~~~~ ~~.~~ '- I I Y UI" r-'f'( 1 UK LHKI:. '::~':::''''.t..(.....c::.L4''') r-.~~ Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT I. BI"' file ',Cold ell)' J YOIICh" "~~IICl"1 I PERMITNO~ I ZONING (office \1St) ~~~~l"~bo: I.;; ~I bfiJ :r,LJ(J/1 ~/ LEGAL DESCRIPTION (office use oaly) LOT . BLOCK ADDITION [~::-~~~:f~L ~i2 , APPUCANT ~ :: ~ (Name) 1J.{:[~/:1. cZ2 4t? ~L_ (AdMesS) _., 9:5 . .II, .//.J j; ( ) Pro (phone) ~ / .hti.uJ:j ~ J7 5"7"/bl (Contact Person) (Phone) If -1/27 '7.0? 0 t~ vJ/ ~.?Ot/ (City) (Zip Code) (Phone) ~~-';/>7:'::b~D k/D DArn ~~~ V Type of Fixture FEE SCHEDULE Industrial. Cornmeroial &. Multi-family 1 % of job cost with. S39.50 minimum Residential, New One &. Two-hrolly $99.50 Residential. Additions &. Alll;l"atlons SJ9.50 Estimated Cost $ Building Pennit 1# PLUMBiNG PERMIT FEE $ STATESVRCHARGB S TOTAL PERMIT FEE .$ .50 (Office: lJJC ODly) This Application Becomes Your Building Pernlit When Approved Paid Bulldlllg Official p,fe 24 l:Iour notice (or all in'pcction. (952) 447-9850, fax (952) ~47..4245 16200 Ellglc Creel: Iwe., S.E., Prior La~. MN 55372-1714 v .-. \'o~"_.~_.'-""-_._''''~ TOTAL P.02 GUYERS BUILDERS SUPPLY .\....111'. UJ:l YKlUK LAKE HEATING/AIR CONDITIONINGIFIREPLACE PERMIT ~002 Date Rec'd L "nk 2.~... J. Yellow E~iconl I PERMITNO~_/~~~ I ZONING (office use) ~~~s~:tmd';~: I I 7 I un c ~ 42(') l f- - I r-a. c I LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID I OWNER ~ (Name) U (Address) ~s TAe. (phone) APPLICANT {l h ( (Name) _ L/\}'ie.\"~ IDUlldct ~vppli- (Address) / 3 c.; 05 / 5--r~ 19 U CYl U--e (Address) (Contact Person) h D V\... (phone) 7~ 3 -(Ptjy - 51(p6 3 j; fym()ufJ-, 55" "!/'Y/ (City) (Zip Code) APPLICANT SIGNATURE (Phone) DATE APPLICANT PLEASE COMPLETE BELOW INPUT o AL TERA nONS FUEL ~ CL. t 3 Cc..3 OUTPUT ~ I ~c.~ l ~ c -e ~EW CONSTRUCTION .. r MAKE AND MODEL FLUE SIZE 5:' ( I RETURN OPENINGS TYPE OF SYSTEM OWarm Air Plants DGravity o Mecnanical . OAir. Conditioning DVent. System - PLACE MAKE AND MODEL l-~(\ (\ 0 )( o REPLACEMENT HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Spccial Devices o Othcr Devices V LID?:, 5" 'C- PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks E b V 353>0 Estimated Cost $ FEE SCHEDULE I % of job cost Residential, Gas Fireplace 3139.50 minimum $99.50 $64.50 00/ ,;)..(X)() /dJ Building Permit # . Residential, Additions & Alterations Residential, AC Only $39.50 $39.50 $39.50 Industrial, Commercial & Multi-Family Residential, Heating & Ale (New Construction) Residential, Heating Only (New Construction) .50 ~". .~~~~ ~)(",/';' . F '1L~1.,;.1 n,.,~ ....",,". ,.,,711 Ilj 11i7Z.! ., h~ ". II t/ I.;I..,~ ~"7i~ , " ,Ii HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ (Office lIs~ Only) Dale ;, DateM I ; r AR 2 6 2004 This Application Becomes Your Building Permit When Approved Paid Building Official 24 hour notice for all inspections (952) 447-9~O, fax (952) 447-4245 ~~-~- -.~,---,.~ Westonka Mechanical Contr 612-472-4961 p.l ClTYOF PRIOR LAKE '3524474245 P. 01/01 Date Rec'd Rpr 15 04 09:47a APR~15-2004 09:48 CITY OF PRIOR LAKE SEWER AND WATER PERMIT ~: ~t!';'~ ~~. ... lPERMITNco:f- jq( 0 l, Geld A.pp(lu-., (j//I ( ..,. .vi I ZONING ''''''' -l I LEGAL DESCRIPTION (gfficc use only) LOT BLOCK ADDITION PID OWNER I { (Name) =--.pC; U ~ d (Address) ~c4 ~j / /~s J g LA; fiefS (Phone) (j;l::l)':?? 7 - 59'!? (Adlln=n) leiI)') (Zip Code) APPLICANT lJ J (Name:) Wl9st-Ol'f /(c;: yVIJ! CkI b5"ol t:o, ;2J. L~ (Acld{eU) let (Phone) 6S-J) (Address) (Contact Person) DATE APPLICANT PLEASE COMPLETE BELOW Size of water service :1 inches. - , Location of any couplings from structure -L feet. Type of sewer pipe. 0 ABC [II PVC 0 Cast Iron Estimated length of :sewer line ~ reet. Clean out (if required} located at feet from structure. Rl!sidl!nli!ll Sfwer and water line cOMection Sewer c;onnection only FEE SCHEDULE $35.50 Industrial, Com'l &: Multi-family 1% of job cost with a 539.50 minimum 117.50 Water connection only $11.50 Estimated Cost. $ Building permit f# SEWER AND WATER- PERMIT FEE STATE SURCHARGE TOT AL PERMIT FEE $ S $ .50 :J~n....... r..... "'JL~ pq~. - '''II Vl;!'!- ..,/",.' ."'!~,,^ ~!.Jv-1. ......O:.R-~'., v'~"". _ _"- I.:l R:r;?~!,~ ~ ;, $"~I,-,' I (OI1i.. tJ.. Ollly) This Appllcarioll Be~omes Your Building Permit When ~PP'oved Paid ltuiJdh.C omcia' Dan Dat~ A By 24 hour notice for Iii in$1lettions (!l52) 447-9850, fax (9S2) 447-424S TOTAL P.01 PRIOR LAKE INSPECTION RECORD SITE ADDRESS IJ./ ~ 31 Ti 1l'l8E7C ~OLF" . TIl.A It NATURE OF WORK NE,AJ t!AIJS'Ttlu.crio.J USE OF BUILDING S, F': O. . ~ PERMIT NO. 'J..Jl~ DATE ISSUED IM.1(f:l CONTRACTOR ELl- PH6NE tt,..Z37"'S"!l~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE FOOTING tL !ce{ It:'" FOUNDATION (Prior to Backfill) ./ e~ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN. SIGNED R 0 UGH - INS fr}.e,/(gl ~~ /i~ SEWER I WATER I SEPTIC Y'c C! FRAMING INSULATION J!l1' ~- ELECTRICAL PLUMBING t{'sv J c-~"?f, /1;1(.7 HEATING (if required) FIREPLACE ?-2 GAS LINE AIR TEST Jt1~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ~E / tat7l(Jt~ ~#JE" I vvr/ I U(~ /t/-tI'1 I , FINALS ~ ~,~ GRADING (Prior to Sodding) BUILDING 7.? ELECTRICAL PLUMBING HEATING DO NOT -< ~ IJ-"; 'C) 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 ----- - N , CERTIFICATE OF' SURVEY Air: Oovid Scllell FOR.. DEMARs-GABRIEL LAND SURVEYORS, INC. 3030 Harbor Lane No. PlJrmouth. JlN ~~<<1 Phone:(783) 659-0908 1 hereby cerUly that this survey plan or report ".a. prepared by me or under m.7 direct supeM'ision and that 1 am a dul.r Rell.t.red Land SUM'e.ror under the JaJrs ot thfl State ot Minne!lota. APPROVED ENGINEERING OEPT \00 t\ f' ~ {irOn~dC? / "'" ~ oS' 0'0. \orP / I " / 00, I"'" /-> ?? ~~ I ~ . S2;:> <~ (/(' r " ,~ '---C':o,,_ [ "" \'''" ) .'" ~ I \aip) .. 'B. \ \ I X~J "" ~iL \ \ I "," '" \ ~~'%~->,.\ \. ,,\ "'" '" ~ \ '\ '\ \ \ ~.. ~ \ \ all \ \ ~'(,~ "\ \.\ '\-----1 ... s <:.. \ ~ \\ / .A ~ ~ ~ 'bL.,. ~ \ r; \ \. "-_ \ 16 ~+-f'!r~> 7' u< \ o~ \ rc{ V \ ~ ~.. <a Q,~~.... _/ \%xo2w.\ <:> ~.o ~ ~ it" /3 ... \ \ a ~" '~ \~. 'l, '\. / ~.,. ~ ,>-.~ '\ "1"-. 'd".. l) ~. \\~... /. \ ~-(c- ~.1--1' ~ \,l: l / / . \ /000 ~.o .;:-~ 010.6\ \ 1f Nbr~: ~AAO&? SHow}j </ ~ ~ 14 Av..f. \N ACCO~Pf\~(E Wlf\\. . /' 15 . c\~" Affll.ov~O <':::ltADIN~ \'=' .46.6Z "W fOlD fLA).l. \ 5'24 0 .Denotes /ron 1'10nU/'7ent '61\4 · .Denotes orrset stake 5 \ X Mao .Denotes exlstli?g elev. \1- (()oap) .Denotes proposeo' elev. /,,/~ 10 "--- .Denotes surrace drali?age Proposed garage rloor elev.: 1020.0 Proposed top of' I'oundat/on elev.= r02D.3 Proposed IOll'est rtoor e/ev. = 1011. ~ .BEtVCh'NARki Top Or /ron l'1arkecl ~#:; elev.= ./0/9.2.7 /~ ..jt:>.CJ Date' ~ LEGAL .DESCRIPTION: Lot 27" illock /, Th'F J./OO.llS t4 T THE" )t"/L.IJS t;\ -"..V~(-'I'\ C;--'i7"'\'I ':".' '~:J ~ ,~':,>,J' 'J/ l. -,:: IJ~ ,----..,'-..:=1 F"i C J -J~U f;{'I~ t. '- , , ,,~ ~'.'\l ~~ ~ V") \ Fi e No. 122(j7 As SUM'e.red by me this 24th day of September. 2003. Book-Paze 413-72 ~€.l~ ... David E. Crook Minn. ReI. No. 22414 Scale 1"=30' Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts RevieWedbY~ 1~ Date: /o/31(J~ , PID: Zoning: T ~ (/ta-J tJ.vJ. . Subdivision: ~ @ & ;})LifL Building Permit # Address: /'f 7] / Legal: L ?-7 J B I Existing Structure? YES fa@) Existing Nonconforming Structure? YES t!i9!) I CONFORMS TO ZONING ORDINANCE YES NO Yard Setbacks: NA I FAIL3(C"OMPLIES~ Standard Proposed . Front Yard (can be 20' if avq. w/in 150') 25' 27,S . Side Yard 10'1 25' if abuttinq a street ~. ()J. -10' . Sidewall exceeding 50' requires additional side 2" 10' setback + setback for every l' over 50' lonq 2"/1' over 50' S.E. ID' . Rear Yard 25' ITtJ'fA z..~' . Patio Door: make certain that a future deck meets 10' sidel minimum required setback 25' rear ~D,...J6 . From 100 year flood elevation of wetland/N U RP 30' pond NA, . From OHW (Prior or Spring Lake) 75' or setback average of adjacent structures, but no NA, less than 50" I Floor Area Ratio: NA I FAILS ~PLI.s.S./. .30 Maximum LICo. Z~'76 Yard Encroachments: NA I FAIL.... LIE~~ Standard Proposed Eaves and Gutters no more than 2 feet in width and no closer than 5 feet to a lot line (Easements). ~f\. AlC and other equipment cannot encroach on interior side yards. f'J A-, Tree Preservation{"NA?! FAILS I COMPLIES Standard Proposed . Total caliper inches . Can remove 25% of total . Caliper Inches Removed . Caliper Inches Preserved . Replacement %:1 L:\TEMPLA TE\BLDGLIST.DOC Drivewa : NA / FAILS / . Maximum width at ro ert line . Required setback Standard 24' 5' from side lot line or 30' from r-o-w on corner lots 10% Proposed z,L(' 6 lo~o . 35' Maximum . . Shoreland District N FAILS / COMPLIES Minimum lot area s uare feet) Minimum lot width Shoreland ~Iterations 1m ervious surface Proposed 30% Maximum Bluff in Shorelan . N FAILS / COMPLIES . Setback from top of bluff Standard By planning dept. Proposed . . . Floodplain(N~b FAILS / COMPLIES Standard I Proposed I . 100 year flood elevation 908.9' Prior Lake 914.4' Spring Lake . Lowest floor elevation 909.9' Prior Lake / 915.4' Sprinq lake . Proposed lowest floor elevation 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. . 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 Requlatory Flood Protection Elevation 913.4' for Sprinq Lake Accessory Structure:(NA'y} FAILS / COMPLIES Standard Proposed . Size 832 sq.ft. or 25% rear yard . Not located in front yard (Materials) . Side yard and rear yard setbacks 10' I · Maximum height 15' . Materials compatible with principle structure L:\TEMPLA TE'\B LDGLISTDOC