HomeMy WebLinkAboutBuilding 05-0161
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
/ +r 87
nI'lNITt/t./ ~
LEGAL DESCRIPTION (office use only)
LOT Z BLOCK
jc()PP-s
ADDITION
OWNER
(Name) p/e:- ~ C.v...//c bt:A.r/
(Address) /~/ '7.F7
, ffFTo.v
;i?~
Date Rec' d
,-
.-> /1. 0"-'
~. Ii? . . '-"
I White
Pink
3 Yellow
I PERMIT NO.
File
City
Applicanl
OS".o{CtlI
IV6
ZONING (office use)
/G / SO
8A
PID z.5". 05.3. ()O~. 0
(Phone)
?~-2-. '/~7. ?~, 7
~/.-
/7 t:..
r,L-S86 -5/~ I
/P'
BUILDER c::'L (:. ,N~K/'. "S c'f'~ ".--C.
(Company Name) "'/J/-t h ,fs'rc,i:.'<# 0,,2 K 5 ~..,~,-,r2 c./.~ ;;"-c,/
(Contact Name) ('c [ ,-/ ~ Lz ~hJ"" r
(Phone) 9~- z. V<./!? }'3c/
(Phone) (J2. .2/5' 2- _ ~ / /8
(Address) ~~>
;- /.,r
TYPE OF WORK 0 New Constr~ DDeck DPorch Re-Roofing
l(Addition ~Alteration OUtility Connection 0 Mise.
CODE: )6I.R.C. OI.B.C.
Type of Fo}.struction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
DLower Level Finish 0 Fireplace
PROJECTCOST/VALUE $ ~ /C) r>{"'>o, N'
.;). I
(excluding land)
I hereby certifY that I have furnished mformation on this application which IS to the best of my knowledge true and correel. I also certIfY that I am the owner or authorIzed agent for the
above-menlloned property and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
()tlicial can revoke thIS permit fQr Just cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the propelty to perform needed mspecl1()ns.
X ~~~ 2.02-7/.2/7 1- -/t -c~
7 Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
't1, # "
This Application Becomes Your Building Pennit When Approved
~lg~
d/~~s
Date
Park Support Fee # T
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE C~I1AA:::7) 3.I.OS" $~oS2. 26
f
1~~~~~iJ~.~ ~g4f3
ThIS IS to certifY that the request in the above applical10n 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 Zonmg complIance and allows construction to commence Before occupancy, a CertIficate of Occupancy must be
iSj.ued .
\"'~ ~~.~
Planning Director
3/'tO\"
ate
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
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~;':n ~:~y I PERMIT NO.Oh". 05751
3 Yellow Applicant , '-' ~
'If/ l Mi1/~u
ilJ
ZONING (office use)
LEGAL DESCRIPTION (office use only)
~OT
BLOCK
ADDITION
PID
OWNER
(Name)
& an
~rl~ hu /J
~AJl4a~-Ir
/~
(Phone)
~~/-'/"I?- ~kq
(Address)
~
(Contact Person)
~O-?s;;!'- r7,J
/Y/l/ Rv7/
(Zip Code)
APPLICANT SIGNATURE
(Phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION PLACEMENT L TERA TIONS
FURNACE MAKE AND MODELLl'l1AhY 6~/;t(/v -.,. c.,PC - t1 ft) FUEL A/ C,
FLUE SIZE /VII RETURN OPENINGS ...{/ ~ INPUT ?"~ '/~II OUTPUT ~..i; t1~O
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
[B1\ir Conditioning
DVent. System
HEATING OR POWER PLANT
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
$64.50
$39.50
Residential. Heating & AIC (New Construction)
Residential. Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
~~
~
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 19.)0
$ .50
$ 'if) " If)
(Oflice Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid 4-0 0
. . (j
Date tv, 20.05'
Receipt No. 4938"
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
.-
:~27C~
~. ~~~ ~!;y I PERMIT NO. tJ-J-. () It / I
1 Yellow Applicant . .
~;1lhu ;ed'
ZONING (office use)
LOT
LEGAL DESCRIPTION (office use only)
ADDITION
'ff~7
APPLICANT J J J. ./ Jf J
(:::,) h /7~;~ /5htr~~~~
(Address) / I
(Contact Person) t/~ f
APPLICANT SIGNATURE
OWNER
(Name)
(Address)
BLOCK
prD
b 4'1
~~lIf;tA
VIe!
(Phone) ?S-/-~'I7 -7d~ 1
L
/24
(Phone)
/t 4~flA..l
(City)
(Phone)
~~.)- 7rz-~ :>..).7
~A/' $4,p7/
(Zip Code)
~~)-7~~- ~?..J7
DATE
APPL CANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower -
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
-
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum Residential, New One & Two-famil
Residential, Additions & Altera .
(Office Use Only)
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave" S.E., Prior Lake, MN 55372-1714
AUG-31-2005 14:34
VIERECK FIREPLACE
861 0456 P.01/01
.l. ~2J~ P,:~ lI-tt-rJ L; tJ2:..o- CITY OF PRIOR LAKE l1Li -1, Y J. L( 5
::.(r ~ / 1'11;1\ \\. -; I-lEA.. TE....-CIAIR CONDITrONINGlFlREPLACE PE.HIYUT
'..I\~~r:,
, -'"
~.~I'~fNr.S.'O~~
)):lte Rec'd
'~,:(', l' PERl\lIT No. o-A~71
1....\1,1::3..' ~!.J ~
..,,., ...
, .
-.--'./
I
rZoN'NO,"CC" ;.~
J
(P):::s: r,'t~ t'r onr.C u.<l li:;:n at ~C("l('~
I~MflMA,U/~(ifiAO:; _
I P."
1. Gr~~r;
; 'l'~U':'l,t
riEG,~.L DE-SCRJPTroN (i;rTl~: '.;l: (111:])
...
I
.J
i
; LOT
BLOCK
ADDITIO~..J
PlD
.. ..~.. ,.:.,...
OWNER
(N un ~ )
i (}AY-~/ aAJ/J/e...E:u~AN '
/
(~r?'7 4(IAIAliZV-l_&>.40 /t/E:
(phoh'l _~_ ~71~~
: (.~..tcr~~s)
(Ph'Jn~) ~ L/~6 ~O
DATE ,~.~
O\l,J~1"\'T1 Air Plar:,s 0 St';:ln~
UCJr;;,',ity 0 Hot \'1'"-\':1
o :-"!cl:h.1nl~:!; 0 Radi<2~ior.
OA.;r Cor.dltlor.i!1g 0 Spe~iJ.1 De',ices
OVer.l, SYS(e:~l 0 Ocher Devj,c:s
I __
: FrREPL.~CE MAKE Al'.'O MODEL 6fl?eaU4~~Pa.eQ/.A./~:/.e %~.K (
r' ont\V CO;';STRUCYlON
I FUR.;'!ACE t,.U\KE AND /"lODEL
i fLUE SfZE R-ETl'R~\'! OPENftJG$
I
I
I
I
!
APPLICA1'."T PLEASE CQ;\-lPLETE BELOW
o R.EPLACEMEi<T
ThFUT
o AL TEP~~:rrO~s
FUEL
OU't'PUT
I
I
_._ I
I
TYPE OF SYSTEM
L-lEA TING OR POWER PLAl',n-
PLEASE NOTE:
Air Condition~r Unirs
Cannot ErcroJ!':h into
Require,j Side Yard
Sethack:;
lr.dlJ;;(rI~!, C');;1rr.~r~i:!.1 ':'~ (\:~lli.F;lmd:.
FEE $CHEDl'LE
1% Mj,)O Ci):;:, R:;ii.;~n":ol. G~J Flrcpl.~cc
SJ<;,SO mll-:ir,II.:r.l .! I'
S~J9.5i) RI:$ij;::~H;~!. A~"ldons l~~ ..\](.:i::::cns
S6~51) R~jC:ni:::1. AC Only
53950
R::;IJ~r\li:ll. "!':;~!;~:i:.:'.:. A. C (\':w CO;l:i"';':li,,r,)
R:m!C:lli:.i. I.[-:::Ju:g en::, r)':<:\li C'Jn;;:,:':iion)
$39.50
SJ9.5C
ESClm;;::.:! Cosr S
8uIiG::1~ P::r.i1it #
-- -"..."-,.,,
(OniC" he Oni:')
i This App"wioo a"om" Yo", B"ild;;g p,,,,;, """ APP;4
= euildin~ omci:tJ D~t~ - I
HEA TP<G Pt:R\lJT FEE
5T A TE SliRCH.';'ReJE J
TOT.-\L PER:\IIT FEEf
s
S__..--2.2
s
PAID WITH
BUILDING PERMIT
I P;:ld
.'~-;;ceI:;l, \0,
I .
i By
i 08,c
i
I
I
ro(([J,
~._------._-
~
lhr (rnlt>r of the I.lIkfo ('ountr~
(White - Buildii19::>
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
VrYL/I1;::JSTeIZ-WOet:S
I
2./(,,05
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4l~7 jlJ/J/II/TOU I&/I.LJ
Accepted
Accepted With Corrections /
Denied
Reviewed By: ~ ?~ Date: ~I los
comments~ ~' ~ ~ 4C~# J~ ..;,
~~_~ fK~. r~~
@ ~ ~IY'~~ Any ~ ~~
~~~~~~I~~~
~ /2-r, ~ ~ ~,~
U(~~ _ ~ ~y~' ;J~ 1'.. '~ _
1~4J.e~::fI~ - ~ ~ ~__f- ~t.A-J
Yn . *4-r~~'
"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 thts 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."
The ("enler flf Ihe Lake Count'1-'
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:
,
(
f
Accepted
v
Accepted With Corrections
Denied
Reviewed B~ rn. f"nllllY=:::
Comments: - "?~ ~ (~~u.~\I\~
- ~ t-h+ ~ ~
;;.......--- ~-
2/( 5/05
.
~o.l)~ ~ ~.
Uk6'6 r 1""(-
Date:
"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."
Thr ('("nlt"T of lhr I.akr Counlry
Whit~ - B~~dinCl
~nary - E ineer~
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
j /
!i ' ~,/ L-- /'.
j
,,/'li./-,J 3>-' /j"(:,=/';-_~..., { \...
('~i t i/- . .-
<..0>-0" I'''-'''f-- ......,,_,.,
APPLICATION RECEIVED
/
(f
/ ;.--
'_r-'"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.<i ,7 C'i -;--,
"f~"""""/ .f..."
! "J/ : ,,'
It i . 1, / -/ ../J <' _'
// !/ /t-} / i" t '.. ,.' ,...,.~,J
It~/( .l~!.!.~;
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
;nJ~
Date:
~-.2~ OS
Comments: See R~verse Side for Additional Information!
'-
See Attachments: 1) Grading Plan, 2) Erosion 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 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."
952-703-9632
10: CJ~+i 5 ~X LJl(~ ~ J<;'
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.
Feb 15 05 07:20a
-.
Property Address
David A. En~an D.D.S.
p. 1
\ L\ '\t51
,~ ("F
-M P",\ \ 'I"ll..) . \,-".r:J
Lot Area 1..JS, \15 ('\.\"lI'C:<P t.L". q(~ll:.QSq. Feet x 30% = """".",,, l~';.'~
*******************************************************~****************
q,'i..\~+lY\\--
HOUSE G
AND
. ..
ATTACHED GARAGE
'2-}L\~~~k--'
DETACHED B~9.~.
( Garag(fShedU
DRIVEWAY!P A VED AREAS
(Driveway.paved or not)
(Sidewalk!Parking Areas)
LENGTH WIDTH SQ. FEET
-:::/ c. X 3.::L- = \ "".))~. 2-
5 x..3.L = \SCS
7,...1..' X ~ = S-/lp
TOTAL PRINCIPLE STRUCTURE.."..................
""2.. C) \.p '3
\'1..~ X ~
X
\'1..0
TOT AL DETACHED .I3iUILDINGS.......................
, ?.. 0
'2...'5 X '2.~\ = \.c ()O
\ ~) X "l., , = "~~'~"J :~'.~'
\,\.p~, {~ll(V.. t; is X \," ~ = "3 w
t'l~ Pil+ ~ . 'C>/
TO'fAL P A ~ AREAS.............,...........................
\\()\
PATIOS/PORCHES/DECKS D~\\()6\ ,'H..\(.. -1 X 1-0
(Open Decks ,;.... min. opening between \'f'I V . ., \ X
boards, with a pervious surface below, -\'0\ \\'(h'UI
8re not considered to b~ impervious) -......,J
.9rUPlY;d?[) .
OTHER N ~j ~O~) t~ ~
=
\qt,
X . =
TOTAL DECKS....~:::(;......~:C.....Rr.1.'!l~.;iK'Q.~ \ q ~
".') ) ,I
(L t).5 x~~
(:~) el X ~
.. -, . C'J :3
TOTAL OTHER.~..l................,...... ....... .fr:? ~.....,......
= \32-
\ ,'~ i
\ D.e.:rt
TOTAL IMPERVIOUS SURFACE
@OVER. ..... .
. ~ (\ . \,"
Prepared By -.J)1\"e, \;', \ r\~ .
Company u,. 11 ~y C::11'l""..y1 ng r.n . P A
~ \I. \, I '4 { () 1..1 10. (\J'i.'j.o(
, , \1 ( -z.-a..../ a 0.4 It It
I ~31-:~
L 3H~.b
Date~
Phone #~q,?) 4.47-?5:1.fL-
ff'.';."()S..42':O t-\:!>l?' "'(~3) ~.R '
~, a' .';, D,t't..^
,-.., .
'::J ~ '.t.'r;
0'.('
< ~
"
~!{} r,,.,). \
CITY OF PRIOR LAKE
Impervious Surfa(~e Calculations
(To be Submitted with Building Permit Application)
For All Properties Located in the Shoreland District (SD .Y
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
rr=-.
~~[E@[E~m[E~
W MAR 0 1 Z005 W
Property Address
I,-/Cj87
mArJl+()~ RoA-f)
Lot Area l~ 118 ftboJc.. tie",. 90'-1 Sq. Feet x 30% = .............. I, 'S"S"..3 .
****************************************************************.*******
IS
WIDTH SQ. FEET
x = 'Z, 0 '3
--
x =
--
x ~ I" = 117
':.'
€ ",ST/tJ5.
HOUSEl ~^,ttA~
AND
MT.\CIIE~ 01:^OE
eo\ltrt~ tV" (~ fe'ttlltl.J
LENGTH
TOTAL PRINCIPLE S,TRUCTURE......................
Zl I~O
. .
If"'1lsnt'ls
DETACHE'D BLDGS
(Garag~
x
.
.
x
TOTAL DETACHED BUILDINGS....................... 1 ,,0
Dfm.iNiJ:t1~Eb..~S@,"'r) z S" x -3~i = (,,00
(Driveway-paved or not) (?~.) \ 0 x -.:L<.!.1' = 'Z. oS"
@id~w~Parking Areas) (Pro) 51!" X ___'/;;J = :3 "
..I l,i'!o hili ~ . TOTAL.P A VED AREilS......................................... g ~ I
IV{)'"t(;.. YI~ ~. ,1,1.(,,)- (A(l)v.t'I +u ~c. i""e"l'lloltttd :;.: z.~)e $S' (f.
PATIOS/PORCHES/DECKS x =
(Open DecksW' min. opening between
boards, with a pervious surface below,
are not considered tob.e impervious)
x
=
x
=
TOT AL DECKS.............,...........................................
~()~I>..$,f.O A-uJ~.s (EN+J lop ~..r - 39
OT ER ~ ~~.."!) 5.5 X Z'l = '3 Z.
t~\.\~ --
Ii. X l' = t~~
-)
t.. N"a:t~ TOTAL OTHER.....................f>..L~.......................... I , I Z f,
TOTAL IMPERVIOUS SURFACE
@n~OVER .
Prepared By c5~()#;. 5wfIl.nI.$o,J
I 41Z.~<1
I ~ 12 S'1
Date 3/1 J~S'"
.
Company \7",11 "'y ~lI"'TPy;ng. r.n 'PA
Phone # (Q"i?) 447-2"i70
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS II1AP/rou ~ N.c.
NATURE OF WORK , d 10 AL7Tte r;o,J
USE OF BUILDING .!.J": . t>. .
PERMIT NO. Os. 0/&/ DATE ISSUED ~~45
CONTRACTOP AMm~I.JtJA,4fr CAIld'f: PHONE_~ ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARA ;.fOCUMENT
. - INSP- CTOR
FOOTING> //t'r:f;. 7; ~ J J '-I - .-
FOUNDATION (Prior to Backfill) ""It '1- J5-&~) <;0: ~ as~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
GEPARTMENT OF
BUILDING AND INSPECTION
DATE
AMING
INSULATION
ELECTRICAL
PLUMBING lAlvt .t.....c- .~
HEATING (if required) t
FIREPLACE
GAS LINE AIR TEST f .. ""~
COVER 0 WORK UNTIL ABOVE HAS BEEN SIGNED
'(Jt)S~ ()./ta L_ ~ ()) hI- : 0C
FINALS
\.
GRADING (Prior to Sodding)
BUILiJlNG
ELECTRICAL
PLUMBING
HEATING reI)) U ~~ U1.CU
DO NOT OCCUPY UNTIL ABOVE
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.
I
HAS BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850