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CI) ~ I-- >< W Z w J: I-- a: o ~ ~ ~ ~ olj ~ ~ ~ Cl ~ Q" ~ ~ ~ ~ ~ 'l: ~ ~ ~ :s Cll ~ ~ 8 ~ ~ ...J ...I c( o CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d at bottom) White Pink Yellow 5-' ~, . (j f - 3- 30-(JS I PERMIT NO. OS-. O:JjS I File City Applicant 3/78 71MLf~()~ ZONING (office use) PUO LEGAL DESCRlPTION (otTice use only) LOT37 BLOCK OWNER (N ame) ADDITION PID 25. 3 fl3. u 37. () ;{==::tpUA-(l(jO '7 ) (Address) BUILDER (Company Name) (Contact Name) (Address) /'.. l "L (Phone) '-'I .J (Phone) 7-- ~~ TCJ cf;;tj LA-. ~~~- TYPE OF WORK ~ New Construction ;:RlDeck OPorch ORe-Roofing DAddition OAlteration OUtility Connection 0 Misc. CODE~' I.R.C. DI.B.c. Type of onstmction: I II III IV V A B Occup cy Group: A B E F HIM R S V Division: 1 2 3 4 5 ORe-Siding OLower Level Finish o Fireplace PROJECT COST/VALVE $ (excluding land) . . fJo Fi tJt>Hf;1) L L . ;;? 7 tJ t/OO!!! I hereby cenity that I have filrnished mformatlon on this application which is to the best of my knowledge true and correct. I also certity that I am the owner or authortzed agent for the abovc-mentlOne ..ty and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg official c~.n..I6()ke thIS p rmi~al1'" Furthermore. I hereby agree that the CIty official or a deSIgnee may enter upon the property to perform needed mspectlons. X//~~ lf~ 33S-D 5- ~,i / Signature Contractor's License No. Date Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee Park Support Fee SAC # # Water Meter Size 5/8' ; I'" Pressure Reducer 00. C) 0 DC),OO 3S,,,>o tJ.OO Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other # # TOTAL DUE 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 constlt~s a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Cettlficate of Occupancy must be "~~ 1/;9~s- ~ ~c~ 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 White - Building ~v - En~ineering In - PlanninD The Ctn1("r of thr I.akf ("ounl'1' 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 propos~d at: / I I Accepted Accepted With Corrections / Denied r ~ ~'-' Date: -f;/2;h S ~~ tL(( ~ Reviewed By: 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." - Building gmeermg - Planning - Thr Cf'nlt'r fir Ihl' Lake CountF) BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT !I) .diiY~ .2'J-t'::<F APPLICATION RECEIVED 3 - -3tJ CJ.S" The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposEfd at: 3F7E?- ~~~ Accepted Accepted With Corrections V Denied r- ~ ?e-4Jr- Date: '1/z--Ios- K~~~~/ # Reviewed By: 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." The ("rnler of the L.b Counl')- NAME OF APPLICANT BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST j '\ (:.,/ j. j ~ APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposE(d at: ,/r/" , ,/i I /<':':_/,' /7,/ ,!;li>':/.t.:/,/9</i:'jl Accepted X I Accepted With Corrections Denied f ,JtJ- Date: 11ft /05 Reviewed By: Comments: See Reverse Side for Additional Information! See Attachments: 1) 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." Residential Building Permit Checklist New Construction for Single or Two.family Dwellings in R.1 or R.2 DistrIcts Reviewed by: ~ ~ Date: r ( ( ~ ((1 ~ Building Permit # Address: 3 ( 7 f? Legal: L 37 , B PID: Zoning: T~~ ~ lJ/uJ/ . ( Subdivision: ()Ja-zn9-0 <2 ~ W r.J.h Existing Structure? YES / NO Existing Nonconforming Structure? YES / NO I CONFORMS TO ZONING ORDINANCE YES NO Standard Proposed . 25' 5,2' . 10'1 25' if abutting a street 5- Is.S . Sidewall exceeding 50' requires additional side 2" 10' setback + setback for ever l' over 50' in len th 2"/1' over 50' N- . Rear Yard 25' 30' L. . Patio Door: provide for minimum 10' deck or sign 10' sidel statement indicatin no deck will be built in the future 25' rear A . From 100 year flood elevation of wetland/NURP 30' ond 30' . From OHW (Prior or Spring Lake) 75' or setback average of adjacent structures, but no Ni\ less than 50' Floor Area Ratio: NA / FAI .30 Maximum ~~ Yard Encroachments: NA/ FAILS lacrMPLlES)' Standard Proposed Eaves and Gutters no more than 2 feet in width and no closer than 5 feet to a lot line (Easements), f-So ,..Je; Ale and other equipment cannot encroach on interior NONE: side yards, ~ Tree Presertation( WFAILS / COMPLIES I Standard Proposed . Total caliper inches I . Permit 25% Removal I I . Caliper Inches Removed I I . Caliper Inches Preserved I I , . Replacement i Y2:1 L:'TE?vIPLA TE\BLDGLlST.DOC Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT ~. ~:~~w ~ii~~ I PERMIT NO. c - ~~. '1/' ~ 3 Gold Applicant. V - ZJ -:::? I -'7 \'. _~.c) I CJ - .-/ -. ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) ~$ to (' R'-~I /je / <:; (Phone) (Address) (Address) (City) (Zip Code) APPLICANT _......rt- (Name) L... )es. VOf1 <:' ~e"c (Address) /;;:;01 CO - ,/<..J, ("":; (Address) ), (Contact Person) -- ((0,0/1 clc;/ r( APPLICANT SIGNATURE (Phone) \,9 s ~ \if 7..J- '/9/b vVtOtAv! c-J ';'5 ')61 (City) (Zip Code) 1- 5 779 S- (PhOn~ DATE APPLICANT PLEASE COMPLETE BELOW Size of water service ~ inches. Location of any couplings from structure _ feet. Type of sewer pipe. D ABC ~ PVC D Cast Iron Estimated length of sewer line ~ feet. Clean out (if required) located at _ feet from structure. Residential sewer and water line connection Sewer connection only FEE SCHEDULE $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum $17.50 Water connection only $17.50 Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid ) Receipt No. i. , Building Official Date By I~' . \ \ Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 """'.'''''-~'~''''!''''''''.'''''''''''''~'..'''''~=~--....,.,.....,,~...,..,--c-,....,-..,..,....~__..,~.,...._.__,-"--.-,....,..,..~..,.........,."...~..,.~~.,,. CITY OF PRIOR LAkE 9524474245 P.02 Date RCIl.'d CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGIFIREPLACE PERMIT LEGAL DESCRIPTION (cdlIee \lie only) LOT BLOCK ADDITION PIn OWNER . (Name) '--\.\.e<f{(I....- Dr,) fl \ of'(V\~ ~1 ~ (Adc:iKss) (Phone) APPUCANT 1 (Name) /..., (J \L' S ~ ~ (Address) \3 t:'PI -s-- / f.J, ;). ') . , Ll~ h\b / l\: '? J 'r. 'N<- .I ~~ L. k.1 V\J tu- (A~) (ContaCt Petson) ')\J ~ t! ~ I\J APPLICANT SIGNATURE C,) ('y\'6...9"U..: t ~ (phone) ~q (n "\ LJ ,) t. ~ bg-, 'f-:) vJ I"tl (10"') m lJ 5'"')') 6'-( (Ci\y) . (1Jp Coli!) (Phone) 1.0 ~ L/ ~f) .. () ~ R'c.~ 'y l. (J). "I; ,J:.') p ATE APPLICANT PLEASE COMPLETE BELOW J gN!:W CONSTIUJC110N 0 REPLACEMENt 0 Al..TERA 0 S l FURNACE MAKE AND MODEL f'L.l.{~i.\('_'1 }l}C>.DC;x')\sfLA. '10-1- FUEL W 11as FLUE SiZE RETURN OPENINGS TNPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT DWarrnAirPlanu 0 Staam ~raVity 0 HOl Water Me<;nanical 0 Radilllion . Ir Conditioning lS}Opecla' Deviw A~.!!., ~~.;... &L \-~ [J)Yeht. System g.olner Devices ~ :'\,\" ~~, > ( I.',~,,,, '()",",k_ V ('ol""'f.ocJ) ,'/ PLEASE NOTE: Air CondItioner Units Cannot Encroach Into Required Side Yard Setbncl<s flREPLACE MAKE AND MODEL FEE SC!lEDULE InduSlrial, Commercllll &. Mulli.FlIIl\ily 1% of job CXlal Residential, Gu Fireplace $39..50 minimum Residential, Heating & Ale (New COI\StnlCMn) $99.50 Residential. Additions &. Al1erallons RCliden11al, Heating Only (New Construction) $64.50 Residential, AC only S39.$0 $39,50 SJ9.S0 1'1, 'l '';7' ol- Estimated COSl S _.. ~ r _ BuHdint pennit # ~ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ ,so (Office 'V11I Only) 1'his A.p~lieation Become! Your Bulldlne PermIt Wilen Approved Building OOlcI., Dale 24 bOClr MUte for lln hupectionR (9!i1) 447.9850, fa" (952) 447-42AS \: : \:~qnNO. j .....""'AA W'\ ,..... "" -" -. . ...... --.....- OCT-31-2005 08:36 ,'In\' e-.. --- CITY OF PRIOR LAKE 9524474245 P.03 CITY OF PRIOR LAKE PLUMBING PERMIT l 01.. r;" ;, GGId CI., 1 Y~Jo)\u "'''~WI PERMIT NO. ZON!NG (o/llce IUf) . LEGAL DESCRIPTION (office: use only) pm LOT BLOCK ADDITION ~~~R L1J e ~'T Q v-- \)(0 l\ t' ~ ("\ fVVl f VI.-:l-' (phone) (Address) APPLICANT 'I 'j) r (Name) V\ (.{ \"" S C, ",} I L t.( 'r"LL::. "v~N '- (Addtess) ~ c,- I f.r; '3- }\I\. L... ~ \\J lu (Address) l\J.t ls ~ V\.J !J " \ (Contact PeI5on) LD (' APPLICANT SIGNATURE'.) APPLICAN1' PLEt\SE COMPLETE BELOW Type ofFlxture Quantity Type or Fixture Bath u with or without shower Dishwasher F oor Drain uvato (Ba.throom Sink) Laundry Tray (lor 2 compal'lment smk I Shower Stan ( Sinks ar Sin ,'J Water Closet 01 et) l I WC;..)~ \: <>\ '\ \ L~..w.;'c-... (>(L- FEE SCHtDULE l Industrial. ComlTl~rciL\l &. Multi.family 1"1t of job cost with I 539.50 minimulll d- 0l.ttst.t ~\ \ c.:i~ \ Lu (0....... ~.e..Vr\,J~... Y",.;-t' 'EslIl\'\l'lteo ~ost S _: Buildlng P~nnll # - PLUMBING PERMIT FEE $ STATE SURCHARGE S TOTAL pERNDT Jtl $ .50 (Office tise: On,,.l Thi! Appllc:;atiOll Becoml$ Your Building Permit When Approved Paid Rtoeipt o. Ill!: By DlIU Huittlin; Ol'ltciol 14110'" oonte tor all h)Jp\!Cllal1~ 19S1) 44'-9850, rat (!I 52) ~47-$14S l~ZOO Engle Creek A""'.' S.l., Prior Lake.l\'fN SSJ.n.I714 TOTAL. P.02 TOTAL P. 03 I Driveway: NA / F AIL~o1V1PlIE~.-J Standard Proposed . Maximum width at property line 24' i Zo' . Required setback 5' from side lot line or I S' 30' from r-o-w on corner lots . Maximum slope 10% 1070 . All parking areas to be paved including R-V or spaces adjacent to the garaae tH--. . Location to match subdivision aradina alan crk-- I Building Height:<fG I FAILS 35' Maximum o-t0 Shoreland District: (fl.A)FAILS / COMPLIES Standard Proposed Minimum lot area (square feet) 7,500 Rip, 7,999 ~jon-rip Minimum lot width 50' Rip, 57.3' Non-rip Shoreland alterations Impervious surface 30% Maximum Bluff in Shoreland: FAILS I COMPLIES . Setback from top of bluff Standard By planning dept. Proposed . . . FloodplainWl FAILS / COMPLIES Standard Proposed . 100 year flood elevation 908.9' Prior Lake 914.4' Spring Lake . lowest floor elevation 909.9' Prior lake / 915.4' Spring Lake . Proposed lowest ftoor 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 ftood 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 Acc8ssory Structure:~M FAILS / COMPLIES Standard Proposed . Size 832 sa.ft. or 25% rear yard I I Not Iccated in front yard (Materials) I . . Side 'lard and rear yard setbacks I 10' I . Maximum heiaht 15' Materials compatible with principle structure i , . I I L: TEMPL-\. IE' BLDGLlSTDOC PRIOR LAKE INSPECTION RECORD SITE ADDRESS 317 ~ ~~L.t= NATURE OF WORK E~ c... ,a(';tt.r-) (~ L,Lt \-N~") USE OF BUILDING S . ~ ' PERMIT NO. oS-.oZ"15 DATE ISSUED ~S ?fI'I CONTRACTOR ~~e1AP~HON ..e".. NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION FOOTING FOUNDATION (Prior to Bac ill) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS INSPECTOR DATE SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST ~~ " COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED IMTN~ ~~ t.l( It#'i''r.~ I " FINALS GRADING (Prior to Soddi g) IYJI6 BUILDI~G - h 1 ELECTRICAL PLUMB~NG HEATING DO NOT lUG- )- -,s- I" If- 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