HomeMy WebLinkAboutBuilding 05-0994
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
'1.30.0.s-
I White
Pink
Yellow
File
City
Applicant
[ PERMIT NO. OS.Oqq4- [
(Please e or rint and si n at bottom)
ADDRESS "
/& C((JJ- LV~. Lt~-~ 7)
ZONING (office use)
--- ~
{ l,-~
; e-.
1<./5D
LEGAL DESCRIPTION (office use only)
LOT 9' BLOCK ADDITION
(Address)
&t
\ lo a O't--
PID2S: 31
1.0
OWNER
(Name)
(Phone)
5' F.
'-I Lf 0 ~- :;J 7'2- >
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone) (t S-l- 4 ..., ~" s& \.f" q
(phonef*& ll- '-l(l2--~~"Z' ""Z-----
c '* ('(J--
TYPE OF WORK 0 l'Iew Construction ODeck OPorch ORe-Roofing
JJ{Addition OAlteration o Utility ConnectIon
CODE: ~I.R.C. OI.B.C. 0 Mise
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding OLower Level Finish 0 Fireplace
PROJECT COST IV ALUE $ ~ () 0 C) ()
I
(excluding land)
I hereby certity that I have hlrnlshed mformall In t ,pplicatlOn which is to the best of my knowledge true and correct. I also certifY that I am the owner or authorIzed agent tlll the
above-mentwned property and that all c uctl will ~~t~~ all eXIstmg state and local laws and w1l1 plOcccd m accOldance wIth submitted plans I am "wale that the blllldmg
X ause f.,.77{-?c-{ y agree that the City offiCial (U~ee\ m~ e3r;~ the plOperty to pel form needeCC T~ 0 S
Signature Contractor's Ltcense No Date
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
0,00
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit I $
Other $
TOTAL DUE tIIU8l:J lb. ".OS" $ /, ()/z" 0 S-
,
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
This Application Becomes Your Building Permit When Approved
~~
I Buildlllg Umcial
ItJ/o :J~S
, Date'
Paid
Date
1()11~ '~~~
i ~;"iJ
l500 '7 r
TIllS IS to certify th"t the request in the above applicallon and accompanymg documents is 111 accordance with the City Zoning Ordinance and may proceed as requested TIllS document
:~'M'~."'" Co,,""" " ;;/;;~'; "",.. CO"""""'" "",mm'"" Be'"" '<e',""". " CO,,'"'' "0"',""" me" "'
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
White - Building
Canary - Engineering
(""pjnk - Planniii'g)
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:
Comments:
~
r-
~
Date:
/o/&,~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."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ;VEl II c {; U Iv 77Ztj /~t:- /'7 (/ t.J E L / Ale!j
APPLICATION RECEIVED tJ, :; U, 6':::
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/&r?O 2 tl/ILJ.J i:-/c-/vE)j fILA I L--
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
/i11f;
Date:
/0' '-I..().~
Comments: See Reverse Side for Additional Informationl
See Attachrnent~. 1 ) "CYracline Plan ?) Rro~ion C:ontrol MeasllTp.~
" )
liThe 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
CWhite - Bui~
Canary - Engmeering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /Vew (J,OtJN'772-tj /Ze/'?()06~/Alej
APPLICATION RECEIVED 9.30. OS
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ft?CfOZ WI&O~6..>.r {72A-1L--
Accepted
Accepted With Corrections
/
Denied
Reviewed By: ~ ~
Comments: ~ a.L.f ~,
Date:
10/0 s;:'s-
I .
"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
/ I. 1&. oS-
1, Pink File
2. Green City
3 Yellow Applicant
I=] L-6 W tJ5, 0 9q 4-
PERMIT NO. Os: II4-tJ
ADDRESS
ZONING (office use)
/~ q t) Z tv/I L 0 ~ILrv E ..s.f "/Y'-L--.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID -z-s-: ~/t: OJ/. 0
I OWNER
(Name)
(Address)
(Phone)
APPLICAN..T
(Name) /flJfJE/ 5lJ;fJ ~rJtJt.//!/b ~ ;lEAT/#(;
(Address) 2()? IIL-c,/Z kS f LJ~
(Address)
(Contact Person) J 4 y t4/l/tJ/;'Jt vJt,J
APPLICANT SIGNATURE
(Phone) 16/z- 2,.,2-76'? l'
VONtA ~4Y ~S:5_:; I
, (City) (Zip Code)
(Phone) 6/2- -7 c./ ~-7 t5 '7 J>
DATE //I"-/~r- uS
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT ftAL TERA TIONS
FURNACE MAKE AND ODEL fYe2tR~ ~-9AI2-A.lO ~ FUEL ,A//f-I
f' RETURN OPENINGS r INPUT ~/&:b C OUTPUT ~~
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
DGravity
ZMechanical
DAir Conditioning
OVent. System
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
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Penn it #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
o 0/. 5'0
$
$
$
.50
flJ. VV
(Office llse Only)
This Application Becomes Your Building Permit When Approved
Date
Paid .L
TO -
Date
11.lv. &' r
Receipt No. 67J3~Z-
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink File
2. Green City
3 _ Yellow Applicant
PERMIT NO
ADDRESS
16902 WILDERNESS TRAIL SOUTH
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name NEW COUNTRY REMODELING
(Phone)
(Address)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone)
2561
651-633-
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
11/16/05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO 6000TR-OAK
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAID WITH
.8UILD'NG PERMtT
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Building Official
005 By
Date
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS lID'!' Z. ~/'DtJUJESS ~AiL ~E.
NATURE OF WORK ---A'DIJir/O~
USE OF BUILDING c:5':~' .
PERMIT NO. 65.0'194- DATE ISSUED l(Jft~ jtJS
CONTRACTORNEL.l ~~ PHo'NE~(2--~Z.-"ZJ~
NOTE: THIS IS NOT A PERMI-T~F6RANY--O~HE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR /
~
I FOUNDATION (Prior to Backfill) I /lfJf - I /~// /'/;S-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
0)\ TE
~~2/~Y
I FOOTING
FRAMING
INSULATION
E
HEATING (if required) / I A
FIREPLACE I 0
GAS LINE AIR TEST * ~ / .~ () ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
IIIOuf.t LVyqO I ~ I 1}171o~
I - I FIN A L S / . --<10
GRADING (Prior to Sodding)
BUILDING {,Je,
ELECTRICAL
..-/
HEATING / (~ "f
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
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
I b CjDZ W,'/ J fiVIIt eS!
{'fCl ; I
Lot Area {b5~8 (J.r; () !-I W) sq. f1. x 30% = .............. 5"57 b 5. F:
************************************************************************
LENGTH
WIDTH
SQ. FEET
HOUSE
x
x
ATTACHED GARAGE
x
TOTAL PRlNCIP AL STRUCTURE......................
/9Zb
DET ACHED BUILDlNGS
( Garage/Shed)
x
'X
TOTAL DETACHED BUILDINGS.......................
X
X
=
b94-
D~WAY~AVEDAREAS
paved or not)
arking Areas)
=
x
=
172..
TOT AL PAVED AREAS...................................~..... Bbb
P ATIOS~ORCHESIDECKS
X
(Open Decks ';." min. opening between
boards, with a pervious surface below,
are not considered to be impervious)
X
X
-
TOT AL DECKS ................... .............. .......................
OTHER p~o fo5EiJ
BOO (71010
(18
X IB)- z.o
/ .\
X ft'2..(r:'.P-..;=
3fb
TOTAL OTHER....................................................... 3/ b
TOTAL IMPERVIOUS SURFACE
~~VER
Prepared By
~J t.j]~
Company ;?rDbe ~;ne~n^j (1./ lit c.
I 3/08
\ 2~~
Date /,0- os--es-
Phone # 95'2- 4JZ. - 3000
L\HANDO UTS\IMP ERvious .doc
R 0 B E CONSUL llNG ENGINEERS,
PLANNERS and LAND SURVEYORS
eNGINEERING
COMPANY I INC.
l 1000 EAST 146th STREET, BURNSVlLLE,
GREGORY & CHRISTINE SWANSON
PROJECT NO. 13157.00
BOOK
PAGE
........ .', ..,....... .', .........
CERTIFICATE OF SURVEY
Legal Description:
LOT 9, BLOCK 2, WILDERNESS
SCOTT COUNTY, MINNESOTA.
PONDS,
DENOTES EXISTING ELEVATION
L~Sc), 0) DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF
SURFACE DRAINAGE
mfli7, Iq59.~ qS-Cj:'; = FINISHED GARAGE FLOOR ELEVATION
au. [ q51,~ sz, % = BASEMENT FLOOR ELEVATION
CAit, f 151,71 q . bb = TOP OF FOUNDATION ELEVATION
Q59. I = DENOTES VERIFIED AS-BUILT
ELEVATION
--
AS-BUILT SURVEY
SCALE : 1" = 30'
NOTE: ALL LOT IRON MONUMENTS IN PLACE AS OF 09/28/05
LOT AREA TO LAKE SHORE = 18,963 SO.FT. (16786 +0 OHW)
HOUSE AREA = 1,926 SO.FT. ()
DRIVEWAY AREA = 694 SO.FT. ~ 4.J
SIDEWALK & CONC. PAD AREA = 172 SO.FT.t;!g
ADDRESS: 16902 WILDERNESS TRAIL ~ 2
[q 53,8] i.J.J
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APPROVED
ENG\NEEB\NG DEPT
~~ ----=_Date ItJ--f-05
Signe~~-