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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
Date Rec' d
6.2. O~
File
City
Applicant
I PERMIT NO. Oft:;, 03y>4-1
I White
Pink
Yellow
ADDRESS
:Jc;~
.w.
LEGAL DESCRIPTION (office use only)
....
LOT j BLOCK
ADDITION
PID ..2S -
OWNER
(Name)
SA- fV1 t;;
(Phone)
(Address)
ZONING (office use)
!?U5jJ
BUILDER
(Company Name) (/t/LrItIS' (V(/fIVV j-!-otV/OS
/3u Z. 'Z- -r/fr.;.c. .Arp-r-
(Address) D.
(Phone)
(Phone)
G/I(;.
(; r7- f-dr:.- "4-00
61t./z-z/_ I~ zJ3
ol/
TYPE OF WORK ~w Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration o Utility Connection
CODE: ~R.C. DI.B.c. o Mise
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $ /7().I'JOO -
Occupancy Group: A B E F H I M R S U (excluding land) I
Division: 1 2 3 4 5
I hereby certifY that I have furmshed mformation on this application which IS to the best of my knowledge true and correct. I also certifY that I am the owner or authonzed agent for the
above-mentlOned property and that all constructlOn will conform to all eXIstmg state and local laws and will proceed in accordance with Sllbmllted plans. I am aware that the buildmg
official can rev~ permit for Just calise Furthermore, I hereby agree that the CIty official or a desIgnee may enter upon the propel1y to perform needed InspectIons
X ~ /9'S6 tf-Zf3-or;
ature Contractor's License No, Date
; I";
Permit Valuation
Park Support Fee
SAC
#
#
Permit Fee
$
$
$
$
$
$
I $
$
TOTAL DUE
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Water Meter
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
$ e 724-. C{'3
iC"~'~P~~;;"d
Buildlll~ Ofticlal ' Date
Paid
5/448
,
~
ThiS IS to certify that the request In the above applicatIon and accompanYIng documents is In accordance with the City Zonmg Ordinance and may oceed as requested TIllS document
when signcd by the City Planner Cllnstltutcs a temporary Certificate of Zonmg compliance and allows constructIon to commence. Befme occupancy, a Certificate of Occupancy mllst bc
J~ '~ S/llftt; ,.
Planning Director . Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
f
Reviewed by: ~ ~
Date: S (1116 ~
, Building Permit #
Address: 3 (p lD s J I..l.o 7
)
Legal:L3.L( , B 3
.
Existing Struct~re? YES ~
PID: Zoning:
J~~ P~Y. N,I.J..-',
Subdivision: 1 ~ _ 1i--tI.. I S,...
Existing Nonconforming Structure? YES@
I CONFORMS TO ZONING
ORDINANCE
YES
NO
Standard
25'
10'1
25' if abutting a street
. 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 will be built in the future
. From 100 year flood elevation of wetland/NURP
ond
. From OHW (Prior or Spring Lake)
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
3D'
21.
,JONeS
fA.,
75' or setback average of
adjacent structures, but no
less than 50'
NA
I Floor Area Ratio: NAI FAIL~~PLlW
f'6i2- PuSrJ
.30 Maximum
Yard Encroachments: NA I FAIL MPLI
Eaves and Gutters no more than 2 feet In width and no
closer than 5 feet to a lot line Easements.
Ale and other equipment cannot encroach on interior
side ards.
Standard
Pro osed
drJc:
0""6
Tree Preservation{HA'j/ FAILS I COMPLIES Standard Proposed
. Total caliper inches
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement %:1
L:\TEMPLA TE\BLDGLIST.DOC
.
.
.
.
.
Standard
24'
5' from side lot line or
30' from r-o-w on comer lots
10%
I Building Height: NA I FAilS ~OMPLlE~
COMPLIES
Bluff in Shorelan : N FAilS I COMPLIES
. Setback from top of bluff
.
.
roved
.
Flood lain FAilS I COMPLIES
. 1 00 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
Re ulato Flood Protection Elevation
FAilS I COMPLIES
.
.
.
.
.
L:\TEMPLA TE\BLDGLIST.DOC
35' Maximum
30% Maximum
I..(, LifT6:/) liel TiJ 7J'r'-S'
Standard
By planning dept.
20' From Top of Bluff
By City Engineer
No importing/exporting
Standard
908.9' Prior Lake
914.4' S rin Lake
909.9' Prior Lake /
915.4' S rin 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 re uired.
Must be flood elevation or
hi her
907.9' for Prior Lake
913.4' for Spring Lake
Standard
832 sq.ft. or 25% rear yard
10'
15'
Pro osed
,,:J - 1'- c
I
~7'
Pro osed
-
-
sz 'IJ
:5'a:;- C)Jf1't1e.r.
Pro osed
Pro osed
Pro osed
Maill J~ile
White - ~I':rli~
~Canarv - n Ineerin
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~i/EIVSlt1r9N;V /IO/1E.5
5. ~ r Ob
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-7 / - /? -rT:- ,,-- ~ --1.;;:.' C- I")}-/ J A IV
~ U7(~~ V c 1---- .6-;C:0 r f---"V l/
/
Accepted
t<
Accepted With Corrections
Denied
Reviewed By:
IWI5
Date: S "-13 ...t:JG
Comments: See Reverse Side for Additional Information!
IYl t:,,'11'\ FJ (
.Jl'-'
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."
Main, File
(
~ White - Buiidinv
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WENSM/l/1//f/ /10/165
6, ilJ, Ob
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3IP&3 v[;F~EKS PP1JV
I
Accepted Accepted With Corrections V
Denied
,..
~
~,
~~
,
Date: :;/1 { ;(, (p
q-. ~
Reviewed By: ~
Comments: ~ o-.U
~~Q ~~ ~
AI" ~~
..6<) ~, ~
~~
~
('
'i~ {;.( ~f- fo
~7~'
-/c.; f' --
~
~ CA ~.
"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."
MalIk File
White - Building
Canary - Engineering
C J"inK - Planning;>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,
;i/ :" "/"I'/I/~/'/:/0// C--
1.- ._-',/ .. of I
.-:;.~ .,..-n I /,
'---'. ~ , \,,/ ((
'The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-7/ / ~ -
,~~. ' ,:/,,- (-.r "v t r r ,,:- /~ "-
Accepted
i/(~. t i /
I , Y
/
Accepted With Corrections /'
Denied
~ _ _ -_ "'/ _ r n ~
Reviewed By: ~ ~
~~~'
~ ~ ~ Afo;- ~ ~ ~
~ - ~ ~ ~,,~ <>-'-<- ~
~~I
Date:
5/, ( (" ~
~-Io
Comments:
AJr Cvnditioner f'~ld Other l't:Iechanical
Units Cannot Encroach into Required
S'irlp Yarn Setbacks
"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 LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
L Pink
2. Green
3. YelLo.....
File
City
Appllcanl
I PERMIT NO. ~
at bottom)
ZONING (office
use)
ADDRESS
~3
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)~ ~
r cv--. ~~
(Address) ~ ,mY") SSI~d.
(Phone(J ';) --3 ~ct - -, CJ,3 I
APPLICANT
(NamefJ.l.1-.nYY\.tt'\.h;cJ ~~t)R fJn'-A, d-
(Address.1?
9ro /09./4-, a(J{'~ )J iJl(1)O
I
(Address)
(Contact Person) ~ ~ \ 5 \Jexw'e A'r\o,.....--l
r,P.
(Phone) ~l..D3- SIJ \ -dS'dS
r..An~;J~ ,frlrJ 5S3/~
(~ity) (Zip Code)
, (Phone) rJttl~ - Sflto-~ Id j lo
APPLICANT SIGNATURE DATE
APPLICANT PLEASE COMPLETE BELOW
W CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE A MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
OVent System
FIREPLACE MAKE AND MODEL CO
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
x
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39,50 minimum
$99,50
$64,50
$39,50
Industrial, Commercial & Multi-Family
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
$39,50
$39.50
\>,..\0 \jII~f\,,^\1
\\,-O\~G ~~
e\)-
Residential, Additions & Alterations
Residential, AC Only
,50
(Office- Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No-
I
Date
2 0 2006
By
Date
Buildinl! Official
24 hour notice for all inspections (952) 441-9850, fax (952) 447-4245
zoo [rJ
HaaG HDVHVD ~I~VWa~nv
66ZL 9L9 ~9L XVd RZ:91 90/Rl/60
08/04/2006 FRI 7:42 FAX 952 767 1900 GENZ-RYAN
f4J 008/033
CITY OF PRIOR LAKE
HEATING/AIR CONDITfONING/FIREPLACE PERJ\lIT
Date Rec'd
(Please l'ype or print and sign at bOllom)
ADDRESS
,r~ ;' n3
; ~i~:~1l ~!~ I PERMIT NO. L ~
:i Yelio\\. A~f'I~le)..'"l' : " · ~
Pk/
..- I
i ZONING (office
i use)
I
LEGAL DESCRIPTION (of lice use only)
LOT
BLOCK
ADDITION
PID
I OWNER CO () ff'\'S' OJ
(Name) __~ L- \'Y\ f\~0
I ~-:ddreSS) I gCfS' fOr LAm ~Dr #- 20)
(Phone~ LoSl -GrOS- 37cq
evgCU\ f\J) N 55/;)-:)
r;-p,^ ~! I),! (1 1 (ir: "\ "':((j)' ,;'-1- I il(\/\
~~;~1~~~NT l;, LA ft.,- "-;J) -.1' _ _ ..__ (Phone) ~ )()) / I ~'AJ
(AddreSS),:),,?LO.. UJ ,t--hX)L11 '~) _, 13u.Ynsvi i Ie r::_..f5?;'~)-7 I
(Cont"tPe"on) -KIn, (Add"$) ~ _ . (Phone~c;<Yq5d-=-7G?'~;PiCX;0 ~_I
APPLICANT SIGNATURE -Cf;J2X'",=-- OPLWJll DATE -L'ij3LG"JL.-L----::-~
APPLICANT~COMPLETE BELOW
~EW CONSTRUCTION"" /_, ,q REPl~A,CEMENT ", 0 ALTERATIONS . __ I
FURNACE MAKE AND MODEL l-€.hrt;x G-13u~- 3yC~ O~U _ ~;~-; ~UEL \"\{(-~eD S ,_ I
FLUE SIZE RETURN OPENINGS 5 INPUT 0<6 Cw OUTPUT - fCi2UJ I
--- _ T)P~~F SYSTEM HEATING OR POWER PLANT ,--- ,~-~~-I
~Warrn Air Plants 0 Steam PLEASE NOTE, I
't'raVit)' 0 HOl Watcr Air Conditioner Units I
Mechanical 0 RadiatIon Cannot Encroach into I
~ i, Conditlollll1g 0 SpcClaI Dcvices Required Side 'Yard I
lenl. System 0 Othcr Dcvices Setbacks I
I
FIJ3.EPLACE MAf(E AND MODEL _____-:-'__________ J
FEE SCHEDULE
Industrial, Commcrcial &. Multi-Family 1% of job cost Rcsidential, Gas Fireplacc S39,50
$39,50 minimum
Residcntial, Healing &. AIC (New COllstruction) $99,50 Residential, Additions &. Altcrations $39,50
Residcntial, Heating Only (New Construction) $64,50 Residcntial, AC Only 539,50
Estimated Cost $ Building Permit #-----------------ftAID WITH
HEA TING PER.\.1JT FEE s; rl'\
STATE SURCHARGE $------:SOBUILDING PERMIT
TOTAL PERMIT FEE $
(Orrice Use Only)
This Application Becomes Your Building Permit \Vhca Approved
R,"ip' No. ~ ~1
By
lluildina Orfjci~1
Date
I Paid
I Date
!
24 hour notice. for ~II inspections (1)52) 447-9850, fax (952) 447-4245
[4J 009/033
Date Rcc1d
08/04/2006 FRI 7:42 FAX 952 767 1900 GENZ-RYAN
CITY OF PRIOR LAKE PLU:MBING PERMIT
; ~~!~ ~:,~ II' PERMIT NO~ -342.
J. Yellow Applic.an. . II ~
.
! ZONING (office use) ,
~-L{, r{p If ,:'
'J - n't/ ,)
\-=) l-< UJ i
,
J
LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) ,
UJeJri Sn/\ Qn ('"'\
i ~Cl5 (~l Ow Dr. * 200
CPhOne)U5J- CfOS-- 3/ (]1
uJ, rvl N 6
(Address)
APPLICANT r'- ' , PI .
(Name) C1e"ltL. -___Dj (IYl
, J ,
I 'ie' -) . ^ I l-h
(Address) ._t- JC \; V. I I /v LA
(Address) )
, ./ .
(Contact Person) =1< \Ylf)
(DuO
k3
-..G.-c:::..--;2'?-n
.-:J _),~) v'
APPLICANT SIGNATURE
,=.J
Quantity Type of Fixture i Quantity I Type of Fixture
1
'~7 - Bath Tub with or without shower ,""") l Rough-ins
t
-, !
~ Dishwasher I I I Water Heater
i I Floor Drain I i ~ Water Softner
'5 LLavatory (Bathroom Sink) I ! I Stand Pipe (Washing Machine)
-' I
-, Laundry Tray (J or 2 compmtrnent sink I- I Sewage ~iector 1
I Shower Stal! 2,j Backflow Assembly
i Sinks I I Backflow Assembly Test ~
. I
I Bar Sink I I Lawn Sprinkler I
.-:; I Water Closet (Toilet) I ! Other I
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39,50 minimum
ResidentiaL New One & Two-Family $99,50
Residential, Additions & Alterations $39,50
Estimated Cost .$
Building Permit if
PAID WITH
BUILDING PERMIT
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
5)
(Oflicc Use Only)
Th" A pplk"'" "eo,,'" Yon, B nild'og '''mil W heo ^pp~;'-;1
Building Official Dale 1
t Receipt No,
I
I By
!
I P,'d
Date
24 hour notice for all inspections (952) 447-9850, fa): (952) 447.4245
~l'Rl~
~'~~ajd". ,,.,,,....:;...,"'.
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF Mail} File
eUILDING AND INSPECTION
SITE ADDRESS ~&r '3 ~ ~.
NATURE OF WORK k) ~. lie. · IfMtH
USE OF BUILDING 5'. f:.A.
PERMIT NO. OG. o3CJ4... DATE ISSUED 5fii]JJfIt
CONTRACTOR ~~ PHONE.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
s-0~~,.6'
I FOOTING
FOUNDATION (Prior to Backfill) 2 & f.5
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
z) [; f1
~
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
IlAn(" t ~'MI'IU/tI('" I V'.6 I ~..~7..6)
FINALS
GRADING (Prior to Sodding)
B~ILDING -- tD
EI::ECTRICAL
PLJJMBING
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.
FOR ALL INSPECTIONS (952) 447-9850