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OI.B.C. Type of &;nstruction: Occupancy Group: A B Division: o Misc. I E II F 1 III H 2 IV V I M 3 4 A R 5 B S U PROJECT COST IV ALUE (excluding land) $ jg5;~~ - I hereby certify that I have hlrntshed mformatlon 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 that all construction will nform to all eXlstmg state and local laws and will proceed in accordance with submitted plans I am aware that the bluldmg officIal can revoke tlm for Just cause Fu' p,.e-; I hereby agree that the CIty official or a deSIgnee may enter upon the propelty to perform needed mspectlOns. /~n? %~3~dh Contractor's License No. Date Permit Valuation Park Support Fee # # I6"SOad 2.S-o .ct) S-O.C6' S'OO. ocr O,cJd" ..d Permit Fee $ $ $ $ $ $ $ $ SAC Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Water Meter Size / '; I"; Pressure Reducer Sewer/Water Connection Fee # # Sewer & Water Permit Fee 100,00 {)6..~O 3~.ro tto .00 Water Tower Fee Builder's Deposit Other TOTAL DUE This IS to certify that the request m the above applicatIon and accompanymg documents is m accordance With the City Zoning Ordmance and may proceed as I uested ThiS document ~S~~2d Sign~e CIty Plan;er,~onV:1 :m;:.a: ~ertificate of :;'~g c;m~ance and alluws cons~tructlon to commence Before occupancy. a Cer;'tlcate of Occupancy must be . .~~e.,.--~~_)~/:> Cf/b/~~ _ _ a.L( ~~~ Planntng DIrector Date 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 Main File White Pink BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT W6NSf1/1NN 8 .1-r 00 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3&/7 ~FF6es ~11~WAY . Accepted Accepted With Corrections X Reviewed By: Date: 9 - 9.... oCt, Denied Comments: L~~ aLLalt().(.W ~CM.N~ 00 ~~ "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 F'ile White - Building Canary - Fnaineering ('"15"in k - Plarlii'ii!!b 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: L r (-. ,_ ./ ..- ; ,,/ .I /1 \/ .I . I Accepted Accepted With Corrections /' Denied Reviewed By: Comments: x:~ ~ :trL~ Date: g>'/;6h" ~~,',J,~ /11 ~~ ~ .-~~ ~~~_ ~ ~...,..,~ ~ ~ }~~~--- "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." Mail} File White - Building ~ry . Fnglneeriiig:) Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT vV E /VS /LI rI N'I\) 8.1-.00 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: --3&/7 JEFFt-k!-5 1--'l7k.'KIV/IY . Accepted P<" " Accepted With Corrections Denied Reviewed By: tmI5 Date: ff .., ~""'O6 Comments: See Reverse Side for Additional Information! (JIJ Cf /~ p: 'Ie Maill File See A tt~chment~. 1) Grading Plan, 2) Rrmdon C;ontrol Me~~Htes "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: ;:>//(//0, Building Permit # Address: g ~ / 7 Legal: L ~~, B PID: Zoning: i ~~S .::r~ ~, z.. Subdivision: 9~ /~ Existing Structure? YE~ Existing Nonconforming Structure? YE~ I CONFORMS TO ZONING ORDINANCE YES 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 30' 75' or setback average of adjacent structures, but no less than 50' Floor Area Ratio: NA .30 Maximum - ..4-c.A- ~ . NO JI~,J~ ~ 30!.1 .2.' ;V/f ,s% Yard Encroachments: NAI FAILS~OMPLlES"\) Standard Proposed Eaves and Gutters no more than 2 feet in width and no ItIJNJc closer than 5 feet to a lot line (Easements). AlC and other equipment cannot encroach on interior ;Va JV"(;;;- side yards. .-.. Tree Preservation: IIA VFAILS I COMPLIES Standard Proposed . Total caliper inches . Permit 25% Removal . Caliper Inches Removed . Caliper Inches Preserved . Replacement %:1 L:\TEMPLA TE\BLDGLIST.DOC 09/18/2006 MON 7:35 FAX 952 767 1900 GENZ-RYAN l4J 005/005 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT 1. Dluc file I PERMIT NO CEmr 2. Gold City ~ .. I 1 Yellow Appliconl . _ ZONING (office use) eJ(.f'feJ/ S Pkwy LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID APPLICANT SIGNATURE (000 ~~~e~~( A Jm SmCUf')n (Address) I XqS P I ala D v ~ APPLICANT ~- Dill D t /,J'.r (Name) q c/ 12 - ~.... J [,'L~ \ /2 "/0''''-' . /\1 1....l.1 , 13 (Address) _I- (j \/ (. . I Vv LL '- .' (~dre") ) (Contact Person) :fS:lm rz:::"'?'/ 7 ::J -::>:Y_) DATE Quantity I Type of Fixture Quantity Type of Fixture j Bath Tub with or without shower 3 Rough-ins \ Dishwasher 1 Water Heater 1 Floor Drain , Water Softner 3 Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine) \ Laundry Tray (J or 2 compartment sink Sewage Ejector I Shower Stall I Backflow Assembly ) Sinks Backflow Assembly Test Bar Sink ____1_ Lawn Sprinkler '1- Water Closet (Toilet) , 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 # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ .50 PAID WITH Bt IIlD'NG PERMIT (Office Use Only) Iluilding Official I Paid , Date I SEP 2 0 2006 24 hour noticp. for ~,I1 inspections (952) 447-9850, fax (952) 447.4245 I Receipt No. I By This Application Becomes Your Building Permit When Approved Oa(~ 09/18/2006 MON 7:35 FAX 952 767 1900 GENZ-RYAN [4J 003/005 CITY dF PRfOR LAKE REA TING/AIR CONDITIONINGfFIREPLACE PERMIT Date Rec'c! ~. ~};~':" ~il~' I PERMITNO:~ ~ lYello\\' Appllt.11\1 , ~~ ~ ZONING~ llse) __~ ':JC vS PkULj I LEGAL DESCRIPTIO N (om"",, ""y) LOT BLOCK ADDITION PID GWNER \ 1ft') rrv""nnn in n (Name)_~~ II_I (Phone) t.JI5/- 4 ()5- 57cf1 ! f) laz~ Dv. ,# ZLO tvl N 65J2{~ ('r ') ':'-7 f ~"7" I /i/"\ ') I ...___ (Phone) ..!:fJ.rlJ LV __..!::::./l.A~___ I B\C1CC() .J (Address) I SQ6 B l/lnrY:::;vi ) Ie __ _~~D?)'~"n (City) (Zip Code) (Phone) .Q~ -707,. ~CO__ .; DATE ~L-<{ /L7&L__ _ APPLICA P -EASE COM LETE BKLOW EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS --I FURNACE MAKE AND MODEL LtllClDL G;.L13Uje' - 3C1 C. :iflO _ ". _ FUEL rv-t ~~ ;-- I FLUE SIZE ______ RETURN OPENINGS G ___ INPUT S'7!1.:tld._ OUTPUT _ w....- TYPE OF SYSTEM HEATING OR POvVER PLANT I ~ 0 PLEASE NOTE: I Warm Air Planls Slea;,1 , Gravily [J {-JolWatcr Air Conditioner Units I 1J;leCh311ical 0 R~djation Cannot Encroach into I . ir Conditioning 0 Special Dcviees Required Side Yard~ enl. System 0 Olher Devices _..__ Setbacks L!:!REPLACE MAI~E AND MOr;>EL APPLICANT r -' . ,....- 1'1 (Name) Cd C) I ~~~.lll ._ (Address) 'J ''1. )(""'1 I I \ IC~"I I II) !.? t/v7-:L--U LA':, . l \ \.A.A. J _?__ (Address) ...J (Contact Person) APPLICANT STGNATURE FEE SCHEDlJLE 1 % of job eosl Residential, Gas Fireplace $39.50 minilllum $99.50 Residenlial, Additions &. Alterations $64.50 Residential, AC Only 539.50 InduSlrial, Commercial &. Multi-Family Residenlial, Healing &. AIC (New ConstnlClioll) Residential, Heating Only (New ConstrlJelion) $39.50 539.50 Estimated Cost $ _. HEA TING PERM1T FEE STATE SURCHARGE TOTAL PERMIT FEE BuildingPermit #_______ $ .50 PAID WITH BUILDING PERMIT (Office {Jsc Only) This Application Becomes Your Building Permit When Approved .1; $ Paid Receipt No. -~ lJuilding Official Dale -- - ~\!p 2 0 2006 By 24 hour nOfice fOI' all inspections (952) 447-9850, ffiX (952) 447-4245 CITY OF PRIOR LAKE HEATING/Am CONDITIONINGIFIREPLACE PERMIT Date Rec'd ; ~;':n ~:~ I PERMIT NO. ~~ ~ 3. y,lIow Applle",' . ~. ~ ZONING (olfice \lBe) 2> LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (phone) (Address) APPLICANT (NameOl~/~ fKrA~ d- (AddressJ? 9(;(:) /09J--1, a, tf'_ J..J HICfJO / (Address) (Contact Person) j( c\::, ~r.e.rno r--'l F.P (Phone) ~lD3- Sr] 1-'dS"dS 1"), n/Yl-1l1~ ,/1'1" 5S3/~- ........ L4-LJ" . 7 J. (City) (Zip Code) (Phone) 'lltJ3 - S'1<.o-ld llo APPUCANTSIGNATURE DATE APPLICANT PLEASE COMPLETE BELOW NEW CONSTRUCTION n REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL _L_ FUEL FLUE SIZE RETURN OPENINGS- INPUT OUTPUT TYPE OF SYSTEM DWarm Air Plants DGravity o Mechanical OAir Conditioning DVcnt. System REA TING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Sidc Yard Setbacks FIREPLACE MAKE AND MODEL -\-\. e.lA.--\-\ ~ -\o~ (' ~ D L\ ~V ~ FEE SCHEDULE Industrial, Commercial & Multi-Family I % of job cost Residential, Gas Fireplace $39.50 minimum Residential, Heating & AlC (New Construction) $99.50 Residential, Additions & Alterations Residential, Heating Only (New Construction) $64.50 Residential, AC Only S39.50 $39.50 $39.50 Estimated Cost $ J.5 5D . 0 () HEA TrNG PERMIT FEE ST ATE SURCHARGE TOT AL IlERMIT FEE Building Permit # $ $ $ .50 (omce Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date ~ 2 0 2005 By Buildinlr Official 24 hour notice for all inspections (952) 447-9!f50, fax (952) 447-4245 ZOO~ HOOG 3.::JVHV:J JUVIW.L1W 66ZL 9LS ~9L XVd 10:91 90/61/Z1 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/F1REPLACE PERMIT Date Rcc'd 1, Pink 2. Green l Yellow ~~ I PERMIT NO. ~ AppliCllJlt . ZONING (office use) LEGAL DESCRIITION (office use only) LOT BLOCK ADDITION PID OWNER (Name) ~/Yl ,a.AYl.eun.lY'l ~ .1 g9 s /?,.PCt~ /JA-, #-deJO (Address) (Phone) ~ SI. VO~ 4 L/'-I 00 APPLICANT (Name~c....' ~ Dc-r-AJ d- (AddrcSSJ? 9co /09"u" Chte- J..J #/000 (Address) , F.P (Phone) ~lo3- Sfll-'dS'dS (Contact Pcrson) j( r\ ~ cA&rh.-rJ.i",~ . rhrJ 5S 3/ (p ------,- (City) (Zip Code) (phone) rJlt;3 - S'7<..o-ld llo APPLICANT SIGNATURE DATE APPLICANT PLEASE COMPLETE BELOW W CONSTRUCTION 0 REPLACEl'vlENT 0 AL TERA TrONS FURNACE MAKE AND MODEL . _J' FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM OWarm Air Plants OGravity o Mechanical DAir Conditioning OVen!. System HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL Residential, Heating & NC (New Construction) Residential, Heating Only (New Construction) FEE SCHEDULE 1 % of jo b cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 Industrial, Commercial & Multi-Family $39.50 $39.50 Estimated Cost $ HEA TING PERMIT FEE STATE SURCHARGE TOTAL PERlVllT FEE Building Permit # $ $ $ PA'D W1TH a~lLDING P~RMiT (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Buildilll!: Official Dale Dj~N 2 6 0 By 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 ZOO~ HOOG 3:)VHV~ J LL VIW.LllV 66ZL 9L9 ~9L XVd 01:91 LO/9?/1U Drivewa : NAI FAILS · Maximum width at ro ert line · Required setback Standard 24' 5' from side lot line or 30' from r-o-w on comer lots 10% . . ~ 35' Maximum COMPLIES Pro osed ~ Bluff in Shorelan FAILS I COMPLIES · Setback from top of bluff 5'f> {> ~, Pro osed Standard By planning dept. . roved 20' From Top of Bluff By City Engineer No importing/exporting . . - Floodplain (NA'P FAILS I COMPLIES Standard Proposed . 100 year flood elevation 908.9' Prior Lake 914.4' Sorino Lake . Lowest floor elevation 909.9' Prior Lake / 915.4' Sorino 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 Reaulatorv Flood Protection Elevation 913.4' for Spring Lake I'. FAILS / COMPLIES Standard 832 sq.ft. or 25% rear yard Pro osed . . . 10' 15' . . L:\TEMPLA TE\BLDGLIST.DOC CITY OF PRIOR LAKE Impervious Surface Calculations (To be Submitted'with Building Permit Application) For All Properties Located in the Shore land District (SD). The Maximum Impervious Surface Coverage Permitted in 30 Percent. Property Address .~&17 ~ J(, ~5 JeFPa<,S PItRtcvAC( Lot Area (N.A. - SEE TABLE) Sq. Feet x 30% = .............. (N.A. - SEE TABLE ************************************************************************ x x x = SQ. FEET 1,0 i5 LENGTH WIDTH HOUSE ~ c,M...fJc6e = ATTACHED GARAGE = TOT AL PRINCIPLE STRU CTURE...................... "flJI c: T}JJ . . () DETACHED BLDGS (Garage/Shed) x x TOTAL DETACHED BUILDINGS....................... 0 (DRTVEW A.YJp A VED AREAS (Driveway-paved or not) (SidewalkJParking Areas) x x X = 1,6h6 = = TOT AL PAVED AREAS......................................... 1 /j /. ,1O(';l'O (Open Decks I;''' min. opening between boards, with a pervious surface below, are not considered to be impervious) Sf()()P / ClMfl)f.fl}b X , X = q2. P A TIOS/PORCHESIDECKS = PA-'-:ro ..fORGI-l X ZA- 2J5 TOT AL DECKS........................................................ 33 ( x X = OTHER = TOT A.L OTlIER....................................................... (J TOTAL IMPERVIOUS SURFACE ~D{Z . J 1 UNDER/OVER (N.A. - SEE TABLE) Prepared By f.elv l II 4.w({,'/I 5<1;1 Date f' /2-/ to CompaJ;lY Pioneer Engineering Phone # 651-681-1914 /"01S 5~', Block~, JEFFERS POND FIRST ADDITION PRIOR LAKE DEPARTMENTOFJ Ma.JV'-. BUILDING AND INSPECTION INSPECTION RECOFWYn File SITE ADDRESS S(ql7 J.Jfu;; QJ;z~ NATURE OF WORK AJ.p~J / USE OF BUILDING 3Ft4 PERMIT NO. CJv, o~ DATE ISSUED 8-cr -007 CONTRACTOR ~~~ ~ PHONE70~ ~(2..~t/l~7'J{ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DATE FINALS GRADIN'G (Prior to Sodding) BUILDING .f.6 -I-t) ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE (06. l.. 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