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I E II F I III IV V HIM 234 A R 5 B S U PROJECT COST IV ALUE (excluding land) $ I/O. I1lJ () / d"f) I hereby certify that I have htrnished 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-menuoned 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 buildmg official can r voke this permit for JUS cause urthermore, I hereby agree that the crty official or a designee may enter upon the propelty to perform needed mspections. State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee / Y.j-tf' Contractor's License No. Y.2-07 Date x DD,OD 00. 00 '3S,5D 0,00 Park Support Fee SAC # Permit Valuation Permit Fee Plan Check Fee Water Meter Pressure Reducer Water Tower Fee Builder's Deposit Other TOTALDUEec~ 5.t7.~7 This Application Becomes Your Building Permit When Approved ~~ Building Otlicial Sfzlo7 D, e ~ I.A--- ThiS IS to certify that the request in the above application and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner conSl1lutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be i~ "l~ Planning Director 5~7/a7 ~ ~ ~ ~"I.f.-.~~ . , Date Special conZons, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street Prior Lake, MN 55372 Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts Reviewed by: ~ ~ Date: sf; 7"";;' 7 Building Permit # PID: Zoning: Address: 1'1115 ft..w+ /'111S ~ ~ p.v::J, Legal: L~.f~1r B I Subdivision: ~ ~P7v::R ;3!: 3-f 'II/I! I {fr--- Existing Structure? YES~ Existing Nonconforming Structure? YE~ I CONFORMS TO ZONING ORDINANCE YES I NO I Proposed 2. $"". z. ' I I Z 5,'{ -fb d Standard 25' 10'/ 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 pond. . Refer in- round ools to the Plannin De artment . From OHW (Prior or Spring Lake) 10' setback + 2"/1' over 50' 25' 10' sidel 25' rear 30' IV (),.J €:" AlA 75' or setback average of adjacent structures, but no less than 50' ,vA OMPLlES If'S JJ .30 Maximum -(J{J.J'/) Standard Proposed ~orJ€ ro,Je Tree Preservation:INAY FAILS I COMPLIES Standard Proposed . Total caliper inches . Permit 25% Removal . Caliper Inches Removed . Caliper Inches Preserved . Replacement Y2:1 L:\TEMPLA TE\BLDGLIST.DOC Orivewa : NAJ FAILS . Maximum width at . Required setback Standard 24' 5' from side lot line or 30' from r-o-w on comer lots 10% . ~ ,0 '/I' 4/,1. (,,'S: .'t "" % . I Building Height: NA J FAILS(C6MPLI~~ 35' Maximum 30' COMPLIES Pro osed - - - 30% Maximum ~ Bluff in Shorelan 7 FAILS J COMPLIES . Setback from top of bluff Standard By planning dept. Proposed . 20' From Top of Bluff By City Engineer No importing/exporting . . - Floodplain( NIU FAILS J COMPLIES Standard Proposed . 1 00 year flood elevation 908.9' Prior Lake 914.4' Sorina Lake . Lowest floor elevation 909.9' Prior Lake / 915.4' Sorina 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 reauired. . 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 FAILS J COMPLIES Standard 832 sq.ft. or 25% rear yard Proposed . . . 10' 15' . . L\TEMPLA TE\BLDGLIST.DOC ~,..o_"...".__.~ & - ?e-ty: lVIalll }-'ile White - BUlldl~~ ~~nary - Engineerhi9) Pink - Plann ng BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED V~ENS/V1Af\JN HOfilEs 5.0.07 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1!1:J B 5 PA/~V ( E IN D ~( Vr;; Accepted x Accepted With Corrections Denied Reviewed By: ~. Date: S-Il./-O','): ;'_; . Comments: See Reverse Sidp. for Actrlitiot1allnformation/' tY/c, ,'11'). r:; '( (, .~ ( . .'. . .. . ..' _ It. See AttRcht#fnt~. 1) (trading Plan, 2) Erosion Control Measu~~s- - . ~ . "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. II Main File /'1ilIihitp. - Buildlna> Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED \tJENSMANN HOMES 5,Z~07 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1!H B 5 PA~ ( E V\1 .D ~( Vr;;. / Accepted Accepted With Corrections Denied ~ , Reviewed By: ~ ~ Date: .5/1 0/' ~ 7 Comments: ~ AJC-U ~~ . ~ r~ ~ ~ ~..../J~ ~.,{}~,~ I ~ ~ ~ l.u1~ ~d<~ ~ ~. ... "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." ... 'rfi Main File - Building - n ineering - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 1-.. "-'.. F\ I ' " " ',- i'. ~... I ; / \: "..' I ;./ . J . I', I I L__ - -7 '. .2." c.' / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: -- -, ::> I ,i \, " K,,/" I; Ii "1_,,. :> )' ',__., (' \ 11-- '-1" i i, -j ,_. '- \ '--- \ ' ," - \, \...,..; Accepted Denied Accepted With Corrections ~ , ~ ~C-- Date: Comments: ~ afJ V,.~" trJ~ ~~ ~~~. Reviewed By: S/./~ ~ 7 , 'X::Ir~ Lrl_ ~~ "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 LA.KE Impervious Surface Calculations (To be Submitted' with Building Permit Application) ~or All Properties Located in the Shore land District (SD). The Maximum Impervious Surface Coverage Permitted in 30 Percent. Property Address 14-1'73~ 14 (q,- P ~f-I( v^l ~I.J ~N€ tJ w Lot Area (N.A. - SEE TABLE) Sq. Feet x 30% = .............. eN.A. - SEE TABLE) ***************************************************~******************** LENGTH WIDTH SQ. FEET HOUSE x x x = = , ATTACHED GARAGE TOTAL PRINCll'LE STRUCTURE...................... ,?) 73 1- SJ~. DETACfffiD BLDGS (GarageiShed) x x TOT.A.L DETACHED BUILDINGS....................... x flr"rlelV<4IS = x ~'J'ttfJ4lks II.'tIldt~s = x 3/ /5'( ff. 1. 52.. ~ .F' DRIVEW A YIP A VED AREAS (Driveway-paved or not) (SidewalkJParking Areas) TOTAL PAVED AREAS......................................... J.?J e s 5.r:: I x to f; 0 > X 144 f .f P A TIOSIPORCHESIDECKS (Open Decks \1." min. opening between boards, with a pervious surface below, are not considered to be impervious) = X, = TOTAL DECKS ........................... ............ .... ......... .... / 44 ~f OTIIER x = x = TOT AL OTlIER..... ............ ..... .......................... ....... UNDER/OVER (N.A. - SEE TABLE) I (II f5q 5'~ I I ' j TOTAL IMPERVIOUS SURFACE Prepared By Date Comp8.n.Y Pioneer Engineering Phone # 651-681-1914 Lot 3b-tf(, Block~, JEFFERS POND FIRST ADDITION [4J 011/033 Date Rec'd 08/04/2006 FRI 7: 43 FAX 952 767 1900 GcNZ-RYA;' CITY OF PRIOR LAKE PLUlVll3L'fG PERJ.'V1IT I. B\ue File 2. Gold Ci'y 3. Yclltlw Applicanl I PERMITNO.~, I ZONING (office use) ADDRESS . \~\~~. H~Lr-k Vi{hJ I l( ~/' ) I LEGAL DESCRIPTION (office use onl)<} I LOT BLOCK ADDITION PID (Phone) OWNER (Name) UJfYl ~~(\(jQ .n 1"\ I fC19 f=>IOz' Dr-. =it 200 (Address) APPLICANT r.- " VI" . '. (Name) aenZ..- .....//\t{(\ 'I <'if)' ... \ '\)' jJ., (Address) /-1-- (j \{. n vV Lif (Address) ..I .L...) , (Contact Person) c..,-:\ 1 Y'Y) APPLICANT SIGNATURE 1.3 (Phone) Or 01:- --, 01 ' ~)iA.[2..l1SlUlI~. \vi N (City) DATE Quantity I Type of Fixture I Quantity \ Type of Fixture ''J.- I Bath Tub with or without shower I :3 I Rough-ins I I Dishwasher \ I Uj Water Heater , ; ! Floor Drain I i I Water Softner I :3 i Lavatory (Bathroom Sink) I I i Stand Pipe (Washing Machine) i I Laundry Tray (1 or 2 compartment sink I- I Sewage Ejector , APPLICANT PLEASE COMPLETE BELOW I Shower Stall Sinks Bar Sink - I Water Closet (Toilet) 2. ~ Backflow Assembly c--, I Backflow Assembly Test I Lawn Sprinkler I Other 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 Pemlit # PLUMBING PERMIT FEE STATESDRr:.I-i.Ai\.GE TOTAL PER.WI FEE 5: $ $ .50 PAID \-VITI-I BUILDING PERMIT Building Official DlIte Receipt No. ._~ (Office Use Only) This Application Becomes Your Building Permit When Approved By 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 - - ~.._.,..___, _.. .--<_ ........_,u.___. 08/04/2006 FRI 7:43 FAX 952 767 1900 GENZ-RYAN 14I 010/033 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd 1. Pin. 2. Green :;: Ycilo\l. File till; Apphc:nnl (Please type or prillt and Si!;ll at bottom) I ADDRESS . ) L~\ &6 PD.Ykvu~VJ Ln I LEGAL DESCRIPTION (offire ". o~yJ LOT BLOCK ADDITION PID OvVNER (Name) I,Q)')S \Y\OJf\\fl I gCO' pr aWl, ~Dr # 2CD ~QJ\ 1\./1 N C3j'l'd-d I (Address) APPLICANT r n /'f-.' 'J '7f ,,'-] '(j'"'''' 'I (Name) c:j-errC..- J<.l.1DY, (Phone) ~1'')(J)-_,_,.~;'p (- I !UU (Address) /") rJ..f' "-j I l '\ \~-\-" UlJ' I <j 11.},L),u'//'/\jCV',' j I',c. C:::p:.P,?)7 (.)"v;t,(....~ V'-J ' .~ I:~,_ - ...... I;,) _ ,-' - _) v I (/' (Address) (City) (Zip Code) I (Con",c,Pe,wn) 1\1~ (phone) <:15;)-701- I CW -- I APPLICANT SIGNA TURE =J:;~~{\.... f DATE '3 0 ~ ..__ ~ APPLICANT P' ~ E"COMPLETE BELOW - - EW C?N~TRUCTJON. . q REPLACEMENT '-::---0 ALTERATIONS . -I FURNACE MAKE AND MODELv::n(\Ox. G1-Il~(tt-7ffG-'~O(;j U ~ ,FUEL T\LGt0 ~~..~ . FLUE SIZE ________ RETURN OPENINGS INPUT ._8f!;CUJ OUTPUT ;~()t.llD TYPE OF SYSTEM HEATING OR PO\'\.7ER PLANT L1" War~ Ail' Planls 0 Steam ravlty 0 Hot Water Mecbanical 0 Radiation Air Conditioning 0 Special Devices II en!. System 0 Other Devices rIREPLACE MAKE AND MODEL l PLEASE NOTE: A ir Conditioner Units Cannot Encroach into Required Side Yard Set.backs Rcsiclential, Heating & AIC (New Construction) Residential, Heating Only (New Construction) FEE SCHEDULE 1 % of job eost Residential, Gas Fireplace S39.50 minimum $99.50 Residential, Additions & Alterations $64,50 Residential, AC Only 5;3950 Industrial, Commercial & Multi-Family $39.50 $39.50 Estimated Cost $ ____ HEA TING PERJvPT ~EE STATE S{)~I.CHIRGE TOT AL PERMIT FEE Building Permit fl. $-- $ ,50 $---- PAID \VJrn BUiLDING PERMJT (Office Use Only) This Application Becomes Your Building Permit When Approved Duildin!! Official rPai~ ,) TM}ry :1 lJ" i 2007 : ., I.. Receipt No, I iJ!BY I "1 j -'-I I Date 24 hour notice for all inspections (952) 4~7.9850, fax (952) 447-4245 r,--" ['::: '/ Ii.._",~"....__,......,____.c-.............,___,........_........_..".*__._ . PRIOR LAKE DEPARt~ENTOF Main File . BUILDING AND INSPECTION INSPECTION RECORD IS /JAIJ/t. /e&; I.A~ J1./IJ. NATURE OF WORK C. t. FifJI. /I. '-F:P. l/fJ r- USE OF BUILDING ~ A, --= tllUHO Ittultll1J PERMIT NO. (17. 035& DATE ISSUED .$'1''110'' CONTRACTOR ~N~ MAtq PHONE4Jl.3It.'-l'/z. NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT FOOTING u FOUNDATION (Prior to Backfill)wc. ~ ~~ 'q) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING \It HEATING (if required) FIREPLACE GAS LINE AIR TEST ~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1umI& f: H~"r6 tdftIItO ] I , FINALS /f, ~RADING (Prior to Sodding) Bl=JILDING ELECTRICAL PLUMBING 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