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ITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
T E MPORARY CERTIFICATE OF ZONING COMPLIANCE
x AND UTILITY CONNECTION PERMIT / / 2/o 7
44NESO,P I. White File PERMIT NO . Pink City C� / 7 ' O/ 8
2.
3
3 Yellow Applicant C/
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
5 S'3 c p- -. -. ie LCD
LEGAL DESCRIPTION (office use only)
LOT2 OBLOCK Z ADDITION ivii . pa/tic PID Z-r. /S5 (ZZO
OWNER 14 4 -7 - s(, 11),
(Nae) - (r_4_,\ 1( BO Vte_ (Phone) r
(Address) ( 5 - 1 ,'
BUILDER
(Company Name) c.Y c-N, ILG (Phone) 44'0 S1 Be,
(Contact Name) •3 - 0Kr■ 0___06S QV`eti - e.-■ a ) Co D- ^ ci 4CO- '71046
(Address) 3c3'7 q C,rec ,, Uazqkis 17'1' s w
TYPE OF WORK ❑ New Construction !Wed( [Porch ERe-Roofing ❑Re- Siding ['Lower Level Finish fialFireplace
'gAddition ❑Alteration ['Utility Connection
CODE: I.R.C. ❑I.B.C. El Misc. _
Type of Instruction: I II III IV V A B r
Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $! .
Division: 1 2 3 4 5 (excluding land)
i
I hereby certify that 1 have furnished information 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 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 yoke i s per or just c se Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X �' oc - � SOS 1 3 3"°7
I Signature Contractor's License No. Date
Permit Valuation I Do O. O . Park Support Fee # $
Permit Fee $ —43 SAC # $
Plan Check Fee $ 220, 1 S Water Meter Size 5/8 "; 1 "; $
State Surcharge $ /0. O o Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ pj TOTAL DUE .1 0 r'
This Application Becomes Your Building Permit When Approved Paid t C)' . 3 5 Receipt No. 53 Z 3 7
ZfA'` Y-� / G 7 Date
By
Building Official ate
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
iSSll ,,
/s /6 7
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372
7oF PRarO� CITY OF PRIOR LAKE Date Rec'd
F HEATING /AIR CONDITIONING /FIREPLACE PERMIT , / /
x 4- 72 1
c... A'NESO 1. Pink File PERMIT NO .
2. Green City O 7 , r 8
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS (office use)
A
51 3 4 LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER �
(Name) F /l� 1� (Phone)
(Address)
APPLICANTG ,, qq r ,!
(Name) O M t� S (S *at t (Phone) ' ( (1 '7 J 2
7
(Address) t CO a l tifiga tit v t V ` P 10 g
(Address) (City) (Zip Code)
(Contact Person) i (Phone) ( t a- ;366 -(S
APPLICANT SIGNATURE DATE s` a-" 07
APPLICANT PLEASE COMPLETE BELOW
ENEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT 7)/000 OUTPUT Z fet1 0
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑ Hot Water into Required Side Yard Setbacks.
❑ Mechanical ❑Radiation Fireplaces with Box Additions or
❑Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings
❑Vent. System ❑ Other Devices
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi - Family 1% of job cost Residential, Gas Fireplace $39.50
$39.50 minimum
Residential, Heating & A/C (New Construction) $99.50 Residential, Additions & Alterations $39.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $39.50
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ /4r4
(Office Use Only)
Thi Application Become' Building Permit When Approved Paid Receipt No.
— " -- 4- 4 -t4 7 4' (3.P.--/Z70 7 Date By
Buildine Official D to
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
o� rRro�,
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White - Building
'��NESO�P a - En • ineerin •
Pink • arming
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:
Accepted Accepted With Corrections
Denied
Reviewed By: �� 7
� Date:
Comments:
"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."
c PRI3
1
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ite - Buiid ii
Canary - Engineering
�P NES° Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANTS /q/j/0 (//q &O/V---C Re—
APPLICATION RECEIVED `7- G 07
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ~ j NO f6.- - r /66. / .
Accepted Accepted With Corrections
Denied
Reviewed By:
Date: ,
?`���° 7
Comments: Ct-t -P • Lit he` ---4 v
• bi d-Le.J . �-T a� . e.aQ c,D . _6...4 ,..„.6_,.._e..z..-L.., a„. g.. 4,4.,....f , , ,
"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
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted is 30 Percent.
Property Address t- e:; ` .> t ,.., r .
Lot Area U (p 1 ) sq. ft. x 30% = L \ c ‘
**************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
LENGTH WIDTH SQ. FEET
HOUSE x =
x
ATTACHED GARAGE x =
TOTAL PRINCIPAL STRUCTURE i!," ; k ?-
DETACHED BUILDINGS x
(Garage (Shed) , x
TOTAL DETACHED BUILDINGS
DRIVEWAY/PAVED AREAS x =
(Driveway -paved or not) X = r-
(Sidewalk/Parking Areas) x = i
TOTAL PAVED AREAS Loll,0
PATIOS/PORCHES/DECKS x =
(Open Decks'/" min. opening between X =
boards, with a pervious surface below,
are not considered to be impervious)
x
TOTAL DECKS
}
OTHER f. ev ()Dc, t k)tYtt.A.N, \! X 1L1 =
x =
TOTAL OTHER
•
•
TOTAL IMPERVIOUS SURFACE 2.42-
UN DEROVER . 1.4 I 1
Prepared By . }��1 Date 2- /
'
Company
,)t. . # Phone # r.� r 4 . w�.. F �a `.,7 D
�� {'� ri. �,. .�� *���� ���� � �,�rtt � ° : �....r �
L: \HANDOUTS \IMPERvious,doc
PRIOR LAKE BUI DIII G AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 5/53 Nov sweerir
NATURE OF WORK - C* to N s -
USE OF BUILDING .S' #f:0•
PERMIT NO. 6 7.0/g8 DATE ISSUED 4 /‘6 1 /6 ?
CONTRACTOR GAso#oVA 1 e74") PHO E(f2. 0.1' ?MP
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
IFOOTING 1 ( I
1111111.11111111111111. I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
R OUGH - INS
FRAMING
INSULATION $//e9
ELECTRICAL
ATI (if required)
FIREPLACE
GAS LINE AIR TEST y ( - 3 0-1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1 Hoar=- (.00170 1 mac. 1 5- 1 1 ) i 1 1
FINALS
BUILDING g 7 2 7 0
ELEC rR C
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
Residential Building Permit Checklist
New Construction for Single or Two - family Dwellings in R -1 or R -2 Districts
Reviewed by: e;? `., , Date: 4/54 7 Ask,,, . 2P-„..
Building Permit # PID: Zoning: m..ave,k q-s S-:09-Q_
Address: ..---/ 53 1. 0 g tz- 7 n
Legal: L , B_ _ Subdivision: dC
Existing Structure 0 NO Existing Nonconforming Structure? YES 0
CONFORMS TO ZONING (--r---.
S NO
ORDINANCE
I Yard Setbacks: NA / FAILSKMPLIE0 Standard I Proposed
• Front Yard (can be 20' if avg. w/in 150') 25' 23' ((fus7.) 3g' – Pi∎ i'' AAA
• Side Yards 107 25' if abutting a street , e t ,w - •t q 1 ' 7
• Sidewall exceeding 50' requires additional side 2" 10' setback + ! b
setback for every 1' over 50' in length 271' over 50' '
• Rear Yard 25' Doti Z s"
• Patio Door: provide for minimum 10' deck or sign 10' side/
statement indicating no deck will be built in the future 25' rear Pio
• From 100 year flood elevation of wetland /NURP 30'
pond.
• Refer in- ground pools to the Planning Department 1/1
• From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no
less than 50' /VA"
I Floor Area Ratio: NA / FAILS (COMPLIES> I .30 Maximum 1 / e '7a I
Yard Encroachments: NA / FA OMPLIE Standard Proposed
Eaves and Gutters no more than 2 feet in width and no . F C
closer than 5 feet to a lot line (Easements). N
A/C and other equipment cannot encroach on interior N , N n
side yards.
Tree Preservation: A■/ AILS 1 COMPLIES Standard Proposed
• Total caliper inches
• Permit 25% Removal
• Caliper Inches Removed
• Caliper Inches Preserved
• Replacement '/2 :1
L:\TEMPLATE\BLDGLIST.DOC
Driveway: NA / FAILS / COMPLIES Standard Proposed
• Maximum width at property line 24' ` \\�
• Required setback 5' from side lot line or �IJ
30' from r -o -w on corner lots ■
• Maximum slope 10% 1
• All parking areas to be paved including R -V or
spaces adjacent to the garage
• Location to match subdivision grading plan
Building Height: NA / FAILS 44 PLI 35' Maximum
Shoreland District: NA / FAIL COMPLIES Standard I Proposed I
Minimum lot area (square feet) 7,500 Rip, 7,999 Non -rip --
Minimum lot width 50' Rip, 57.3' Non -rip
Shoreland alterations --
Impervious surface 30% Maximum .=-D. /' ,
Bluff in Shoreland / FAILS 1 COMPLI I Standard Proposed
• Setback from t of bluff By planning dept.
• Bluff impact zone 20' From Top of Bluff
• Engineering certification submitted /approved By City Engineer
i ll
• Grading in bluff or bluff impact zone No importing /exporting
Floodplain :AILS / COMPLIES Standard 1 Proposed I
• 100 year flood elevation 908.9' Prior Lake
914.4' Spring Lake
• Lowest floor elevation 909.9' Prior Lake /
915.4' Spring Lake
• Proposed lowest floor elevation Must be 1' 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
Regulatory Flood Protection Elevation 913.4' for Spring Lake
Accessory Structure: FAILS / COMPLIES Standard 1 Proposed
• Size 832 sq.ft. or 25% rear yard
• Not located in front yard (Materials)
• Side yard and rear yard setbacks 10' EX(
• Maximum height 15'
• Materials compatible with principle structure
s T
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