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CITY OF PRIOR LAKE
\ / i ~tparfmtnf of ~uil~ing Jrnspttfion
~inal Permitted D Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / D International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
Use Classification S I 'I/? I c ;:,1 /JJ j 'j~/ Bldg, Permit No, () h - 7 L/
Occupancy Type J3 Type Construction (J/ V Zoning District / ,,' (1.. D
Legal Description L() -f-' (0 1 8 L /) /) r e ':) e t ~. G L t tJ7 ( L L) I /d 5
/ ') :" C- L' I ,J
Owner of Building Site Address . l f' J J t' Ie 5 r:-' J uc.. L' LJq
,
Contractor's l'-!ame & Address I ('/C'rrJi1/i/A);' t;;1J.F '1'2-;;'-' Dr (j,"dr-/5!;;-iJ)"
1\ (J L.l CC' r f H!; f{ 1 / )/ 5 City Planner~J <J 1/ (c
Building Official ,
"L" ~,\ I L" Date.'
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
... P r e..s e V V ~
fbLv
LEGAL DESCRIPTION (office use only)
LOT fo BLOCK
ADDITION
OWNER
(Name)
Ho ~BS
(Address)
BUILDER
(Company Name)-LU i.: 'J15 fr1 II- n n
(Contact Name) f11 Ie k
(Address) I ({ S- - f1 L It 1. It
HOllies
Date Rec' d
/l, ZlJ, OS
I White File I PERMIT NO
Pmk City . /J /,,_ /7 L I
Yellow Applicanl , LL ~ L::::J-
trhew,Ld5
ZONING (office use)
PUD
PID 25 3/1. OO(P.O
(Phone) fD6/-l/t> h - 1f,-!oD
6-S-/A ;;Z
(Phone) b,51-lJo h-IfLfotJ
(Phone) "'~-3 b~-7b~q
n ::;S J 2. =1.
lJe E.
New Construction ODeck OPorch ORe-Roofing ORe-Siding #Lower Level FiOlSh
OAddition OAlteration OUtiIity Connection
CODE: ~.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
234
A
R
5
o Mise.
B
S U
PROJECT COST IV ALUE $
(excluding land)
Fireplace ~
4 ?o/ ()OD
.
x
I hereby certifY that I have hlrnished mformatlon on this applicatlOn 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 revo 'tillS l1'mt for Just cause urthermore, I hereby agree that the CIty official or a designee may enter upon the propelty to perform needed InSpectltlnS,
.) "~ /4,5"8 J;J,/J1 / Do
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
This Application Becomes Your Building Permit When Approved
~ -
BUildlJ1!!~
I/cJ/ /0 ~
/bate
$
$
$
$
$
$
$
$
$ I;'
I ~~ceiPt ~;aJ 30
Park Support Fee
SAC
#
Water Meter
I.
#
Pressure Reducer
Sewer/Water Connection Fee
#
ThIS IS to certIfY that the request In the above appIicatltln and accompanYIng documents is m accordance with the City Zoning Ordinance and may proceed as requested, ThIS document
when signed by the City Planner Cllnstltutes a temporary Certificate of Zontng compliance and allows construction to commence, Before occupancy, a Certlficate "fOccupancy must oe
lSS~~
Planning Director
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
Paid
Date
11..;~~ 1!!>
d'//h~~ ~
24 hour noticc for all inspections (952) 447-9850, fax (952) 447-4245
]6200 Eagle Creek Avenue Prior Lake, MN 55372
~-~-
Special Conditions, if any
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R.1 or R-2 Districts
Reviewed by: ~ ~
Date: ./ Ot/ d- c:; /0 S-
Building Permit #
Address:
Legal: L
PID:
cJ9 S""'1 jJ~ ~,
~ , s-L Subdivision: p~ a:t- ~ tJ~:j;- u, ,
Zoning:
Existing Structure? YES fg)
Existing Nonconforming Structure? YES €2on--~---
I CONFORMS TO ZONING
ORDINANCE
I
YES
NO I
'. - . __e. ':, '_'.' _',
- ...', . , ~. .<.: .
.." ",-----'.'
· Sidewall exceeding 50' requires additional side 2"
setback for eve l' over 50' in len th
· Rear Yard
· Patio Door: provide for minimum 10' deck or sign
statement indicatin no deck wilr be built in the future
· From 100 year flood elevation of W~tfand/NURP
ond' .,,'.'.' , ,
· From OHW (Prior or Spring Lake).
10' setback +
2"/1' over 50'
25' '
10' side/
25' rear
30'
'. -'~ ,~~ '.:~~.~\.:;:'":- ~j~-:
.
Standard
25'
10'/
25' if abutting a street
7.)
.
',~-1,-.;z;.:mJj7;di"
i'-J 0 ~c::: ,"".";~" "
{'ft4:JtfAf~:~>';
75' or setback average of
adjacent structures, but no
less than 50'
,30 Maximum
'free:Preser.'tatiorr:. N ' 1 FAILS f COMPLJES
.' Totafcali erfnc, es'
· Permit25%.Removal
e' Cali eclnches Removed "
· Cali' er rnches Preserved
-- Re lacement
Standard'
~:1
L: \TEJ\.'fPLA TE\BLDGLlST.DOC
C White - BUildinQJ
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WENS /'1r1N IV'
12.20. OS-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ZQS4- ,.o/Z6ScR-V6 BLVD.
Accepted
Accepted With Corrections
.X
Denied ~
Reviewed By: ~,
Comments:
Qm& nQQ (L~ hcuJ~-t~
Date: 12/2?/~
, I
,e;,,,~ r ~ ~.
'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
! -,"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:....- <"'-r-'-
Accepted
Denied
/
Reviewed By:
I Comment~,: +t, :'
, ~, I
J -', \( \ I \ ,L 0<.
;. ,
l~... I '
;
i .J
\ .I.,. .
","
Accepted With Corrections
"'- I "Ii /_'/'/' i .
" '-< I u',
Date:
I
I '
f 1(.(', (' c': \. c'.
Air l)vnditioner 9,11d Olli~ l\ieclu~~~c~]
Units Cannot Encroach moo Requn, cd
Q"::t '''{ d ~,pT1'i.",...~-.,
olue 'ar ,,,-,,, "h:,,-\L.r'h~
.-.
"The issuance or granting of a permit or approval of, plans, specifications and
c9mputations 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
~anarv - ~ngineerln.ID
Pink - lannlng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPtlCANT
APPLICATION RECEIVED
WE 1'/5 1~/tlIV'fV
12.26. ()5
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2954- PIZ6S~KV6 eLVD.
Accepted X
Denied
Accepted With Corrections
Reviewed By:
tn1I>
Date:
I:A- ;;9~05-
Comments: See Reverse Side for Additional Information I
~
See Attachments: 1) Gradin& Plan, 2) Erosion C;ontro] M~~~l1res
"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."
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
SCHEDULED
1 { ~ATE
'1~
TIME
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o WORK SA T1SFACTORY, PROCEED
X CORRECT ACT' AND PROCEED
o COR CT CAll FOR REINSPEcnON BEFORE COVERING
---
Owner/Contr: ~
9S50 FOR THE NEXT INSPECnON 2. HOURS IN AOVANCE,
CODE REQUIREMENTs ARE FOR YOUR PERsONAL HEALTH.. .<:4FETY!
INSNOTJ
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White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
1,/'\ /f.: t ,- ill "'--'1'/1\ if I /'
Y' v L_- '_' / I \./ '-
APPLICATION RECEIVED
IZ
2C.
r' ,c--
\ '
-'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Z C)5'4 /./>c::6St>;: (/C I.., L l/L).
Accepted
>(
Accepted With Corrections
Denied
Reviewed By:
tr$
Date:
r~- ;;7~05-
Comments: See Reverse Side (or Additionallnformationl
-
See Attachments: 1) Grading Plan, 2) Erosion Control Mp.;:\~mres
"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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 1JSt./ t?eserv-e 1$ \v~"
NATURE OF WORK }Jew (\oV\stnJc..\\'OV\. wI PArLTIf\L L,L-, Fl'UlsftetJ
I
USE OF BUILDIN~ .--SF~
PERMIT NO. ~.. ~,." DATE ISSUED JQ-~'7-0S-
CONTRACTOR WeVf.:,VV\o.'(\n BoM-eS C!"i<..\<.) PHONE '-~4- 3(/1'" 7"'2..1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING~;Lf C' f7>u..NDf\T10~
.
DATE
FOUNDATION (Prior to Backfill) ~
PLACE NO CONCRETE UNTIL ABOVE HAS B
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
. GAS LINE AIR TES
GRADING (Prior to Sodding)
BUILDING LJe-
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
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.
SIGNED
FOR ALL INSPECTIONS (952) 447-9850