HomeMy WebLinkAboutBuilding 02-0326
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~ 2l''l lA-lit..
f,lc.J~
Pc
LEGAL DESCRIPTION (office use only)
LOT D BLOCK
N~.w W""O 0 4.1c.
(Phone) Cf'S'L-'II!1-77/f
ADDITION
OWNER
(Name) 'D42M/1:v~)Je.. Cot.).)t.t~)..v :t,,-L.
(Address) /0,40 V';~iu(..
Sv.rk.
PhIL
Date Rec' d
,3-29- 07_
I. White File I PERMIT NO I
2. Pink City . 0 Z- () 32.0
3. Yellow Applicant .
ZONING (office use)
R- /.5 D
PID 25 -371- 0..3 tJ - 0
to(*'
BUILDER
(Name) CSAtv..c..
(Contact Name) ~'lL /~
I
(Address)
(Phone)
(Phone)
~A__
~2..rnll L'in-)
ODeck
o Porch
ORe-Roofing
ORe-Siding
TYPE OF WORK
~ Construction
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
2..c:.C; 00,>,0 c.
o Misc.
OAddition
OAlteration
OUtility Connection
I hereby certifY that I 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 revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property t erform needed inspections.
x
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
t./- t/- c2-
Date
qtz.y
Contractor's License No.
'5'" 2.1-0 7-
Date
Park Support Fee
SAC
Water Meter Sie5/ ;1";
Pressure Reducer
Sewer/Water Connection Fee
# $
# $
$
$
# $
# $
$
$
..-()'l-- $ . .30. 25
I ~;ceiPt f!a-Ll/71Y'
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I Paid C( ~ 3~. ~S
Date L - I ~ - 0 a-
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
=" byfu c,~_cr,~omN'-'MYC-;;I;=;:'md_~"1;0J:r z~~~
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
Thr ("rnlrr of Ihr I.ak< Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D S f.,/2.f3e {j o~
-3 -~.7-q , u z-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity Which is proposed at:
32/2 L-fl/c/;,!3..Ll/'FP
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
AlfiE.
Date: '( - ~ -0.;2.
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"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 - Engineering
Pink - Planning
Thf' Cf'nlf'r or Ihe t.kt Counl,.,.,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
DSSf2. Be-oot:6
3 - z-q --0 2-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
32/2 L-AJGb E/-UPP
Accepted
Accepted With Corrections '<"
Denied
(2Q~
Reviewed By:
Date:
~ cf- (JfX.
--
Comments:
~ailQ atfQ~ ~~_~-
"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."
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n~.2~ 02 WED In:~9 FAX 012.~7.2J3
(In OF PRII)R L-\I:E
l4J 00.
CITY OF PRIOR LAKE
SEWER AND WATER PER1\1[IT
Date Rec~d
4- - 2-4 - () 2~
~. ~:ii.:. ~\; rPERMIT NO'07_ 03'Zi"~1
) Oald ,\ppll.... ~____... '::"_ '.
I LE~ DESC",pnoN (.",,, .... ..,,) -
LOT"3 0 BLOCK I ADDITION /VtJ8771IV{iOD (J/11::.S DIl'! n;:s 2 tv};)
--.--........-.--...'"'-..--....-.--....-.--....----.--.-.----------...-_.~ "--'''--,-- ,.....~---
1 [~~n;~~j
~tJ
,..~
PIO ~~. - .~.?I ::-_cJ~Q~.~J
:::~~~-c;~~--/~;=-~~~~~:: '1~L :~; .7::j
---.--- (Ad.dT!~L__._.__._..__. -.J~~ (Zir~, ~~ 'd4)
APPLICANT .-----.-.---.---,..-.-.-..-.....--.".-.-~^'-. --..---._m______ .. .
[N."'<)J~---->'--~~_________.__~ {Plu:>"., "t~2. 4<rfJ' SZ~':::__
(Address) 184~ U!.J!/~ D1~.,.~.._-...._____...._____~_*21L+ U.-v' ~ ->-~_::;?
(Addreu) (City) (Zi,.:: Ide)
(Con'act P<"on) -~':L---;L _ I" ~ s,____ (Phone). "t> Z "f <f 8 s 2"::"
APPLICANT SIGNATURE - DATE '1- Z 4 -l)"2-
.......
---.----------.......-
APPI,ICANT PLEASE COMPLETE UELOW
Size of water service ...!:t....- inches.~- ----.---.
Location of any couplings from strueture _;$.-2.":-feet.
TyPe of seWer pipe. _ 0 ABC ~ PVC 0 Cast Iron
Estimated length of sewer line ~ ~.
Clean ~ut (if required) loca~~_~.~~ ~!~~~rom Struclur~.
"'------_~_w ..
Rcsidcrnial sewer and Water line cOl\nection
Sewer conneCtiOn only
$35.50
$J7,50
FEE SCHEDULE
Industrial, Com'l & Multi-fami y J% of job c:o~t with a $3') :~) minimum
Water conn@Ction only $17 .50
Building Permjt N.::.~. .0 Z. - 0 'SZ-(C B \.(
pAID {P
6 VI vD .
$
$ ==== .'50
$
Estimated Cost $
SEWER AND WATER. PERMIT FeE
STATE SURCHARGE
TOTAL PERMIT FEE
(Orner UJf Only)
This APplic:.Ci~A'~om~ Yo,u' Building Permit When Approved .~. - I n~.it. f.J
IOI~ 4- :..Y ' ()?-Dat< -~-4- -02- j By - f..M
8\lilclinl: Offi,i.' Dace -=t Z ___.__.._' , . .. _____
)4 "<<:Iur "<<:Ill.:e for.1I inS1JertioRI (95%) 441-98$0. fu (952) 147-4::zes
Date Rec'd
CITY OF PRIOR LAKE PLUlVIBI~G PER'IIT
1. Bille File
:.. Gold CIV
J Yetlow -\polLcJ.nt
PER-yIlT NO. (~- -::3 o-b J
(?!~:lse ("ne or Dnnt md SIgn at bottom)
ADDRESS
3.J-/~ Ld-e 8~/1- Ii;
Z 0 L'-iI: j- G (l)tE~:: u~e)
A/a!
LEGAL DESCRiPTION (0rfiC~ us.: \mlv)
LOT
BLOCK
ADO[T:ON
PrD
, 0 \\:"i E ?
! C\j-J.:7:e::
(F~or~e)
j (.-\ Lid :e~s J
i -~. ~PUCA~iT! ~ / ~ fJ / JJr;
I (0i;H::C:) /1( If I.{
i (.-\dj;ess) 8'60 at) /(/ Y' f)tJcf
(.-\ddress)
(Phonc:)
v;; ria Jc
(C~r:r)
952-~~2-C/C/
.
5S.?5<?..--
(Zip Code)
('-,'~r.1" P~"'o~)'
I '-v." '-- v.~ " -
i APPLICA?,.iT SIG~i.-\TURE t!A. /~ M.J/!/:v,
(?;:cr:~)
1{tx1I;;~ rJ7___
DATE
APPLICANT PLEASE COMPLETE BELO\\/
QU:l!ltity I Type of Fixture
I Bath Tub with or without shower
I Dishwasher
I Floor Dr:lln
I Lavator/ (Bathroom Sink)
I Laundry Tray (lor:: comp:J.rtmc:nr Sink
I Shower Stall
Sinks
I Bar Sink
.3 I Water Closet (Toilet)
Quantity
I
I
I Type of Fixture
I Rough-ins
I W:Her Heater
I \Vater Sofmer
I Stand PiDe I\Vashin!! \-fachinel
I Sewage Ejector
Backt10w Assembly
Backt10w Assembly Test
I Lawn Sprinkler
i Other
.FEE SCHED(jLE
Industrial. Commercial & Multi-family 1 % of job cost with a $39.50 minimum
Residential. New One & Two-Family 599.50
Residential. Additions & Alterations 539.50
Estimated Cost :s
Building Permit ;f.
PLUMBlNG PERMIT FEE $
STATESURCK~RGE $
TOTAL PERlUIT FEE $
Paid
.50 .~
0-B
(Office t:se Only)
This Application Becomes Your Building Permit When Approved
Receipt No.
Building Official
Date
Dat:5_ () ?>-ocr
By
2~ hour notice for all inspectlOns ~95Z) ~7-9850. fax (951) ~47~1~5
.
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
.
I. Pink
2. an..
J. Vellow
~; I PERMIT NO. "'_'~ '\ r
Appll_. c:::;><. .~ O-loo
e or riDt and si
ADDRESS
'3d ld cRo..iu. ~ ~ I\JW
ZONING (oma use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNE~
(N arne)
(Address) 103 V
r.rrn~~
(phone) qS~-~~-771 J
p~
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
W CONSTRUCTION 0 REPLACEMENT 0 ALTERA nONS
FURNACE MAKE A D MODEL ~UEL
FLUE SIZE RETURN OPENINGS INPUT ! OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
.. OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cahnot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial. Commercial &: Multi-Family
FEE SCHEDULE
I % of job COSI Residential. Gas Fireplace
$39.50 minimum
$99.S0 Residential. Additions & Alterations
$64.50 Residential. AC Only
$39.50
Residential. Healing &: AlC (New Construction)
Residential, Heating Only (New Construction)
539.50
$39,50
Estimated Cost S
Building Pennit #
HEA TINO PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Recetpt No.
Building Offidal
Date
5 20!J2 By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
C::OO~
X310IHd 3~VHV~ JI~VWO~nv
C::OLOS1CC::19 XV~ 61:11 C::0/6C::/SO
o~~ THU 14: 14 FAX 612447424.5
CITY OF PRIOR LAKE
.\
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Pennit Application)
For All Properties Located in the Shore land District. /
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
~;: -
Property Address
:~.:J\~ Lo..\.L.e. R\\..I..ff {\rde
Lot Area rJD L\q.s, Sq. Feet x 30% ;::: .............. (0 \ 4<=\
I .
*********.*********************~~~*******+******************************
HOUSE
LENGTH
4\.\1
1.4S"
WIDTH
-35.34
SQ. FEET
x
x
=
'""
A TT ACHED GARAGE
d.~ x .3\.T2.. "" L:>o,'B
TOTAL PRINCIPLE STRUCTURE...................... ,.::),I~:\
DETACHED BLDGS
(Garage/Shed)
x
X
TOTAL DETACHED BUILDINGS.......................
N~\
D"KlVEW A YIp A VED AREAS .?,...Cil x .~R 0'2. I, OL:>4
(Driveway-paved or not) (~Op X (.;>.") p = ,'S C:l::>
(SidewalklParking Areas) d. S 3.~ x .~ "" 7I..D
........ ':"'\
TOTAL PAVED AREAS........."....................".......".
1,640
P A TIOSIPORCHES/DECKS x '""
(Open Decks W' mln, openln~ between X =
boards, with a pervious surface below,
are not considered to be Impervious)
X =
TOTAL DECKS................ ......... ............................. ,..
\~/A
OTHER
""
x:
X
:::::
TOT AJ.; OTHER........."....................".................,..... ~/A
TOTAL IMPERVIOUS SURFACE
{UNDE~OVER
Prepared By ~1 1"/ (3f...m:;;
Company tJptD lu.vl) ['Yd'
I ,3 ;lq3
[ da ~5l.t.?
Date _~. J &:;-o~
Phone # L7C\/ .4DS-loloCC [x (o;}3
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02/06/9'( THU 14:14 FAX 6124474245
CITY OF PRIOR LAKE
I4J l) 03
-..,~:. ..
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 in 30 Percent.
Property Address :1~1a. L~ f\\uPf C;('r\~
Lot Area dO,4q~ Sq. Feet x 30% = '....OI....... ~l \'1'\
************************************************************************
LENGTH WIDTH SQ. FEET
HOUSE 41.11 x 35\,~4 = 1.455
x ...
ATTACHED GARAGE ~d x ~\:12. = ( 0" 2,
TOTAL PRINCIPLE STRUCTURE......................
..JII""~
DETACHED BLDGS
(Garage/Shed)
x
X
TOTAL DETACHED BUILDINGS....................... KIA
D"'lUVEW A Y!P A VED AREAS X 0) ~.o'2.. = 1.0<.:>4
:2,"1..<11
(Driveway-paved or not) X =
(Sldewal.klParklng Areas) ,1S.~~~ X ~3 "" 71.D
TOTAL PAVED AREAS......................................... \ I \40
P A TIOS/PORCHES/DECKS x ...
(Open Deeks '11" rnln. opening between X =
boards, with a pervious surface below,
are not considered to be Impcrvio\.ls)
X =
TOTAL DECKS.....................,.................................... N/A
OTHER
x
X
=
=
TOTAL OTHER......... '" ............ II U ..",....., .... .....,.t... II
TOTAL IMPERVIOUS SURFACE
~~VER
Prepared By 1~ f((o/..J,tJ:)
Company ----bl ed I..U\r\) fY\S'
Date ..3-,;r'7-O-z.
Phone # 6.51 - 4 os . ~ G:> Ob
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3J.L2 Lak~ 7){VPr
-
NATURE OF WORK -f)~.)
USE OF BUILDING 3ff
PERMIT NO. 02-03Z(P DATE ISSUED c..f - if -OL-
CONTRACTOR ~ ~~ CkwJL PHONE 'is-2-821-=77LL
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) ~
PLACE NO CONCRETE UNTIL ABOVE
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BE
I
FINALS
V"
N SIGNED
I
GRADING (Prior to Sodding)
BUILDING T/~.a,~ to , tl'Z--
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
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.
$~?.
~ JcJ ()~
BEEN SIGNED
...
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850