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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE rv_
AND UTILITY CONNECTION PERMIT {/" (j I...up
\"<'0 SG
LA"d
Cove..
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 0&.092.. I
7SsDofficeusel
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID ,;?t[- 06 t] 0/9 - b
OWNER ~
(Name) \ r- 0 f
(Address)
M: )J cr
(Phone)
BUILDER -r ()
(Company Name) . J 0 \:)
(Contact Name) T e. ?of
(Address) 30
~ "" ... :S..... ,1\' c....1'
('C\ J. )c...'1
~ :f-
(Phone)
(Phone)
bfJ - 7dO -Ill 30
TYPE OF WORK. D New Construction!JDeck DPorch ~Re-Roofing
~Addition DAlteratlOn DUtiJity ConneftlOn
CODE: 'fiI.R.C. DI.B.C. 0 Mise.
Type of l;'nstmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
ijZIRe-Siding DLower Level Finish 0 Fireplace
PROJECT COST IV ALUE
{excluding land}
I//S; ()OO, ()O
I hereby certify that I have hIrmshed mformation on this applicatlon which IS to the best of my knowledge true and correct. I also certlfy that I am the owner or authOrIzed agent for the
above-mentlOned property and that all cunstruction will conform to all eXlstmg state and local laws and Will proceed 111 accordance with submitted plans. I am aware that the buildmg
official can revuke thiS permit for e Fur ore, I hereby agree that the City official or a designee may enter upon the propeny to perform needed mspectHlns.
;>035 0355 9--'S-O~
Contractor's License No. Date
x
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
~~
Building Otllcial
'prft{,
, [)~llC
Park Support Fee
SAC
$
$
$
$
$
$
$
$
#
#
Water Meter Size5/S"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTALDUE ~ /d. /1,. tl~ $ 2. 06" (p
I PaId "9QKt2 ti: I ~B~e\i~ wip t No.518~
Date ItJ~'lg-0- ~
ThIS IS to certify that the request 10 the above applicatlun and accompany 109 documents IS 111 accordance with the City Zuning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner CllnStltutes a temporaty Certificate of Zonmg compliance and allows construction III commence. Before uceupaney, a Certificate uf Occupancy mllst be
~ ~ ?fty~~
Planning 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
C::;:White - Bui~
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~l
~~
(
J g fkrme
C; - c9-f-()h
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~-:)I~- ~dl G UG (~:JJL
/ ~
Accepted Accepted With Corrections /'
Denied
~ ~ Date: 9/a.B~(,
,
Comments: ~-~~ r.~ ~ -Ix- ~
.~ ~I~ ~ -g '1";....:::; · ~- d..'?;,.€...
~ ~/4~ ~~~ @ JI~~.~~ ~t?~.
~-..L A ( ,
~ ~ ~ V....~7'-~ d.A.fl. ~ '
Reviewed By:
"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
Canary - En~eering
c:::::"'Pink - Pia In~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT j "
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
Reviewed By:
Comments: ~ /'1...A1 .,
~,~~ 3~~ ~/ ~ ~ a;
~ ~./ ~ 0-0 ~~//~~/~/
w-d-I -t.e ~..
./~ ~ ~'ItJ7 .-I~. ")
~~~,
~
~
~
Date:
9/~?hl1
,
~.z-
,.
~
~.
~
~
"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."
..., r'TTT!
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
J fj (j--()71if kAf,/-,
9 - a-;-{)h (
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have rev!3wed the buildin9 permit
application for construction activity which is proposed at:
-6d-ir!- ~L4{c4 CJ iJC cU
>::
~ ...
Accepted
Accepted With Corrections
Denied
Reviewed By:
NIJf3.
Date:
IcJ~ (Or 06'
Comments: See Reverse Side for Addltionallnformrltinnl
.
See Attac111TIcnts: 1) GradingPlan,-21ErQs,1Ql1 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 ardinance 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: ~~~ G,
Building Permit #
Address: 5~/? ~
PID:
~
Zoning:
T/U... J. c,
Legal: L
, B
Subdivision:
Existing Structure~O
Existing Nonconforming Structure? YES@
YES
I
I CONFORMS TO ZONING
ORDINANCE
NO
Standard
25'
10'1
25' if abutting a street
Proposed
t..'i. 8 Z-
,
'{),z.
. 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'
I
~~~6'
'11
75' or setback average of
adjacent structures, but no
less than 50'
PA-
~ Floor Area Ratio: NAI FAILSK.e"OMP~
.30 Maximum
CLJ,5"'%
Yard Encroachments: NA I FAI IC MPLlE
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line Easements.
AlC and other equipment cannot encroach on interior
side ards.
Standard
Proposed
~o~E;
~ r--J6"
Tree Preservation("KA)I FAILS I COMPLIES Standard Pro Dosed
. Total caliper inches
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement %:1
L:\TEMPLA TE\BLDGLIST.DOC
PRIOR LAKE
INSPECTION RECORD
SITEADDRES(~ 5ZIB C~OVE TefA'c... ~e.
NATURE OF WORK ~~~.
USE OF BUILD!f\~G J.:: ,
PERMIT NO. ~/ DATE ISSUED
CONTRACTOR ~ES'--"/t!IS PHONE - 720 ~ ''fSe,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOC. UMt;,NT
1~'SJ;:tlJ> 1JI
FOOTING_~,~
FOUNDATION (Prior to Backfill) \ - t--u,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DEPARTMENT OF
BU!LDING AND INSPECTION
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
v L/111,
. ~-g/~
----~.. -
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I 1=' -~
FINALS
)
.1:L~~
BUILDING
.---
ELECTRICAL
PLUMBING
HEATING
DO NOT
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an efectrical 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
CITY OF PRIOR LAKE
. Impervious SUrfaCE! Calculations
(To be Submitted with Building Pennit Application)
For All Properties Located in th(: Shoreland District (SD).
'rhe Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address' '?'"2-. \ ~
f\ ~'
~~No..... \....o"t:: \ B,p.:\ \
\
~E.
~~
Lot Area \~l"2..l...\" Sq. Feet x 30%= .............. t\t;;1t?
************************************************************************
LENGTH
WIDTH
SQ. FEET
HOUSE
ANp
",', .
ATTACHED GARAGE
x
x
x
=
=
=
TOTAL PRINCIPLE STRUCTURE......................
\ <\3 v
DETACHED BLDGS
( Garage/Shed)
x
x
TOTAL DETACHED BUILDINGS.......................
DRIVEWAY/PAVED AREAS ~,\- Th:\~~ x.
(Driveway-paved or not) X
(Sidewalk/Parking Areas) c..o~ x
=
\3'3~
=
=~
TOTAL PAVED AREAls......................................... ~
PATIOS/PORCHES/DECKS
(Open Decks t/.t min. opening between
boards, with a pervious surface below,
.are not considered to P:e. impervious)
x
X
=
... .
X
=
TOTAL DECKS..........................................................
OTHER
,.
~o~c<,tD~~~
\6 X 1lt..~
X
=
\\'-\IQ
=
TOTAL OTHER.........~..,..........................................
__ Date~btp
\\4e>
4<0 \ \
~~~
I
f -.: L\S~S,
,.
TOTAL IMPERVIOUS SURFACE
eVER.. ..
Prepared By };~ve..-~\ l^N
Company us:!, , Py ~ll"'1Pyi ng . r.n 'P A.
~\'\O\~. f\l"I)t>.~t>c~' \,)~~\\\ t.t)I,\~~' "L'\4I 5~'~+'
'.~~i~'-',
Phone # (QS?) 447-25'70
~ .
~.Q- e.""'~-\\\\a ~oV\c..,<,e...\-.Q. AAe:A
Drivewa : NA I FAILS I COMPLIES
. Maximum width at
. Required setback
Standard
24'
5' from side lot line or
3D' from r-o-w on comer lots
10%
Pro osed
.
.
I Building Height: NA J FAIL~PLI~
~4f'
35' Maximum
Shoreland District: NA I FAILS J
Minimum lot area s uare feet
Minimum lot width
Shoreland alterations
1m ervious surface
30% Maximum
Bluff in Shoreland~A) FAILS I COMPLIES Standard Proposed
. Setback from top of bluff By planning dept.
. Bluff impact zone 20' From Top of Bluff
. EnQineerina certification submitted/approved By City Engineer
. Gradina in bluff or bluff impact zone No importing/exporting
FAILS / COMPLIES Standard Pro osed
. 908.9' Prior Lake
914.4' S rin Lake
. Lowest floor elevation 909.9' Prior Lake /
915.4' S rin 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 re uired.
. Elevations 15 feet from structure Must be flood elevation or
hi her
. Road access must be no more than 2 feet below 907.9' for Prior Lake
Re ulato Flood Protection Elevation 913.4' for Spring Lake
Standard Pro osed
. 832 sq.ft. or 25% rear yard
.
10'
. 15'
.
L:\TEMPLA TE\BLDGLIST.DOC