HomeMy WebLinkAboutBuilding 05-0833, Demo 05-0834
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Driveway: NA / FAILS / COMPLIES
· Maximum width at:Jrooert line
· Required setbacK
.
.
.
Ian
I Building Height: COMPLIES I FAILS
Shoreland District: NA I FAILS / COMPLIES
Minimum lot area square feet)
Minimum lot width
Shoreland alterations
1m ervious surface
Bluff in Shoreland: NA / FAILS / COMPLIES
· SetbacK from top of bluff
.
roved
.
.
Floodplain: NA I FAILS I COMPLIES
· 100 year flood elevation
· Lowest floor elevation
· Proposed lowest floor elevation
· Elevations 15 feet from structure
· Road access must be no more than 2 feet below
Re ulato Flood Protection Efevation
Accessory Structure: NA I FAILS I COMPLIES
· Size
· Not located in front ard Materials)
· Side ard and rear ard setbaCKS
· Maximum hei ht
· Materials ccmoatible with princiDle structure
L: TEvIPL-\. TEBLDGLSTDOC
Standard
24'
5' from siDe lot line or
30' from r-o-w on corner lots
10%
35' Maximum
~'" ,/
~t.c.. ~
30% Maximum
Standard
By planning dept.
Proposed
Standard
908.9' Prior Lake
914.4' Sarin Lake
909.9' Prior Lake I
915.4' S rin Lake
Must be l' above flood
elevation for new and existing
structures. If existing
structure was constructed
9/19/90- t t/22197. then
additionaf faofisC[fot'feflifrecr.
Must be flood elevatfon.or
FIilier
907.9' for Prior Lake
913.4' for Sfrn taRe
Stancfard
832 Sq.ft. or 25% rear
10'
15'
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CITY OF PRIOR LAKE
DEMOLITION PERMIT
Date Rec' d
(Please tv e or
ADDRESS
at bottom)
g- :J -:;'
I PERMITNO'OS-.Df;3~ I
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT1.1 BLOCK
ADDITION
PID{JtlJ. -01 ~
OWNE\A
(Name) ~~
.v",c;yQ'~~\ l \L.oc\
-
h
~L~~ )
J
(Phone)~ 1.. -,~ - ~8r,~
(Address) \ -Co
CONTRACTOR ~
(Company Name) ~CA~
(Contact Name) \:Z:..J\\L
(Address) \'02...'
\~"
(Phone)C\c;~- 4AQ-94.Q:j
(Phone) ~g"_
Ql\OGl- ~ V\~
Use of Building:
r v ~~ c....
INTERNATIONAL BUILDING CODE
Type of Construction: I IT ill IV V A
Occupancy Group: A B E F HIM R
Division: 1 2 3 4 5
B
S U
o MPCA NOTIFICATION OF INTENT TO PERFORM A DEMOLITION
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 a thorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws
and will pr eed in c dance with submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore,
I hereb r e th c official or a designee may enter upon the property to perform needed inspections.
l-1-~-~
Date
This Application Becomes Your Demolition
Permit When Approved
~ 1~ ff/!f/o5
Building Official I Date
:METRO (MCE
DETERMlNA
,I t-
6GOO 'cJY)..- l)..I ~.A-
I:ff'
to certify that the request in the above application and accompanymg documents is in accordance wIth tbe City Zoning Ordinance and may proceed as requested.
~
g. :;}..'f- 0 S-
Date
Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, Minnesota 55372
Site Restoration Proposal for Demolition
Applicant: ~~...J. \\O.~
Address: \C:;i?:'Ab ~~ O~S> <2-0",& Se--
Check boxes below:
)( Fill Excavation to grade
o Sod or seed all bare soils
X; Erosion control (see handout). Maintain erosion control until turf is established.
}If-, Cap sewer below grade. * Mark location. Licensed contractor required.
}Z( Cap water below grade. * Mark location. Licensed contractor required.
~ Call City of Prior Lake Public Works Department for water meter removal.
~ Cap gas line. * (By gas company)
Y- Disconnect electric at meter. (By electric company)
o Pump and fill cesspool/septic tank. Certified contractor required. N\JV'l~
~ Abandon well. Certified contractor required. Existing well
}I.-. Remove existing structure foundation and footings, materials, and debris. * *
~ Provide dustcontrQ,l by following means:
<':---1~_ ~9-ler-mrst from a water supply (i.e. neighbors, water tank)
2. Enclosure
3. Other
. Comments: (provide surveyor draw site plan) .
fYLUSI ~!J ~ --10 uWf; ~
~ ~ ~ f~ ~"'" ~ ~ o.-L<
~~~
* Capping of utilities must be inspected.
* * Final inspection and approval of restored site required. Deposit will be returned after
approved final inspection.
-=y ~\NU-
S i nature
~O'LI DC,
Date
J:\BUILDING\HANDOUTS\Demo Site RestOLdoc
QItrfifir,tft nf @rtupanrl1
CITY OF PRIOR LAKE
~rparfmrnf of ~uilbing JI nsprrfion
~ Final Permitted D Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the Residential/ 0 International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
Use Classification .5 I /iI 6 L e ~I 1-//,- Y Bldg. Permit No. 0 .::..~. c. 833
Occupancy Type
Ie..]
Type Construction
I/N'
Zoning District
f;:' I'::: D
Legal Description
L 27, kc C Crlt:::S
Owner of Building
Site Address /53 +- (3 /;~c:.. u 0,1-/ K!:: /2D.
Contractor's Name & Address let.. v Lfl/'VV /-1(;/"/6.5:,;:1762/
,/(/ t C67,~'r D. /-Iv I (}r/ / tJ S /;1i.1~ity Planner
/) 13uilding Official
~ t.- C . JX
~/_~H PI: kL-!/ 1-:'-'1 55:;72-
.
J ;-t ft..,E: ;':;"1 /v'.Jt t3:K
Date:
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I~OIR )e;>>u (J~
PERMIT NO'05. 0833
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White File
Pink City
Yellow Applicant
ZONING (office use)
ADDRESS
Is :::A-<O
~.
LEGAL DESCRIPTION (office use only)
Date Rec' d
LOT 21 BLOCK
ADDITION J2J=p OA-I/-
PIDOLfJ--> 01 - 0
OWNER
(N ame)
(Phone)
(Address)
BUILDER 1\_
(Name) ~EY~ ~
(Contact Name) Et2.., 't-
(Address) 110"Z..( F-l'6H -PO\1'~\ i2D. SE. .
(Phone) Cf52-~D- 94~
(Phone) ~~~
Th.IO~ LA\.L...C-.
N.
"'55~1'2..
TYPE OF WORK 'S,.New Construction eck OPorch ORe-Roofing ORe-Siding
I, f2.., C. ~ower Level Finish MFireplace o Addition o Alteration OUtility Connection
o Misc. S;FIJ , PROJECT COST IV ALUE (excluding land) $ '2~ ...-
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 m 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 up e 0 to perform needed inspections.
lS5?
Contractor's License No.
X
Signature
Permit Valuation ~OOO.OO
Permit Fee $ 332/.~O
Plan Check Fee $ '2...1 5~, t:t8
State Surcharge $ '3 .00
Penalty $
Plumbing Permit Fee $ I (JO , " 0
Mechanical Permit Fee $ tJO,Oo
Sewer & Water Permit Fee $ 3' $".5"0
Gas Fireplace Permit Fee $ ,dO
Park Support Fee
SAC
#
#
Water Meter Size 5/8' . 1 '
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
This Application Becomes Your Building Permit When Approved
~~
Building Official
fIll t:~
ate
J - 2.0 - (95
Date
$
$
$
$
$
$
$ 5""'00 , 00
$ '$"00.00
$ e. 3 ~'1. 1~
-
3oo.eo
S-.oo
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 si the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Direct~ . ~ ~~/6 s"" Special Con' ions. if
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
09/19/05 MaN 12:40 FAX 952 890 2753
STOCKER EXCAVATING
[4J001
Date R.eed
CITY OF PRIOR LAKE
SEWER AND "VV A TER PERMIT
r (Plosc \'!PC or priM a.nd s.i~ at bott.~__
\ ADDRESS
L- 15348 Red Oaks Road SE
5-~3
I. c,~. F,." rkD1\.nt NO. .- -- "'J
2. Y ,Ilnw C.,y L'-I< . 05
1 Cold ^ppl,,,nt " ,-0833_
-w=~__--_J 16~G ",",,",,'
]
:::: ~:a::s;~~;<;;,~=~" Lak,~~?~/440_9(:::,:=J
C .-...-..... ..-'
L.EGAL DESCRIPTION (office usc only)
LOT 270LOCK ADDITION
-" '. ..,....-
.,.-,.,-..
pm 042-017
..,-..-."
APPLICANT
(Nan,c) STOCKER EXCAV~TING COMPANY,. INC.
(Phone) ~?I890-4?4.1
(Address) 12336 Boone Aventle . Sava~e, Ml'1 5~~__
(Address) (Cicy) (Zip Code)
Cure same
(Contact Person) __...__-" (phone).
APPLICAJ<TSIGNATURE ~ JJ..d SIo~?tJ DATI ---.2~/9-():J -
APPLICANT PLEASE %MPLETE BELOW
. .
Size of water service inches.
Location of any .couplings from strUcture __ feet.
Type of sewer pipe. 0 ABC 0 pvc [1 C1St [ron
Estimated length of sewer line __ feet.
Clean out (if required) located at _ feet from structure.
. ,",
Residential zewer and water line connection
SCVier connection only
FEE SCHEDULE
b35.50 Industrial, Com'! & Multi-family l % of job cost with a $39,50 minimum
~\7.50 Water connection only t17.50
Estimated Cost $
Building Permit #__
-PAID WITH
10m" ",,0.1,) . G BU:LDIN _, PERM/I-
fnl' APpl',,'I." B&om" Y.", BuHdl'. '"mi, Wh.. APP'."d] , n I. rl,! elpl N. o. ifl........
,,,,,I't om,I,1 0"< =:=J
24 hour notice For 81\ inspections (952.) 447_9g~'yr~'-X__~~2~4~~~J45
- -..I
SE.WER AND WATER PERMIT FE.E
STATE SURCHARGE
TOT AL PERiYl1T FEE
$
$
$
_50
The Center of 1he Llkf Counlr)'
White - Building
Canary - Engineering
( Pink - t-'Ianmnv
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
\ .jl!:
\. I
Ii
,/
_L--
".......
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is pr<;>posed at:
. ;- - J I!
Accepted
,"
/
Accepted With Corrections
Denied
Reviewed B~.I.L Y\o\.~ Date: 9'. '-Yo ()~
comme~ts: T~ ~,~ ':b ~
C!.vt-~ 0; {)'ayo-ru~ T~ ~/~~-..o..J-
~ ct$1 Co. i E:-. ..c..-<.~ ...-c- ~~ ~
0)..... ~ ./ t:J '
~ ~ (l" (1,
"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."
-
Tht' ('rnlff of fhr Lah ('ountl1
C Whitp- --BuildinQ::>
Canary - Engineering
Pink - Planning
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/,.3i(F- '1(d Occ~ ReV
/
Accepted
Accepted With Corrections
Denied
Reviewed By: ~ 9-~ Date: pl/ I / D $'
Comments: ~ a..L( ~, / II ~ ~ ~-:-4.-
.~ ~ {c ~...J- ~ ~ ~.~
~ r ~ ~ ~~ u-~~_ ~
~ ~~~~~~ ~t-~
Jk-d ~t~CL~~~.~
~ ~.~ 4<)~aJ.. ~ <jd'1.<jt
~r~~~~/1L~~
~.~a.Lf~~~~
~. 1.h--- ~ ~~ ~ .:t;-7;c.o.
~ ~. ~~ ~ ~ ~,
"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
....-eanary - Engineeririb
Pink - Planning
The Cenlt'r of Ihe I..kr Counlr)"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
. ,
'II-, _""; /i""~,,'1- ()l".>
. '.' " i ,."v ;1 ---
\ ,,':::'--<-;r... ,.., .'
.~ f ....>
.,;r' /)" ...-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
/ /~;..,- ~.+ i)' - " ,-);; // /-\", I ,....
...' _ "~y; ~_:',~. ..-'<,,~ i \.~... j' '"( ~~_::y
Accepted
X
I'
Acccepted With Corrections
Denied
Reviewed By: ~
Comments: ~~c R(J(J~i: S/{{ fe/' Iidtl,'Mt, I
Date: g -II-oS
.In bf~'11.0....
Sce> IJ~C~ptMv1I-S: j) f{'05>i~~l C)I'1J"vl /}1t"!:r.d1J
"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."
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R.1 or R.2 Districts
Reviewed by: ~, ~. ~
Date: 8'" ",. oS-
Building Permit #
Address: I S'3"1f(
Legal: L;1.1 I B
~~ o~"'2 - b 11,0 Zoning:
~O~ /l.l.
Subdivision: t<t.A D~
tt\, SO
Existing Structure? YES~
Existing Nonconforming Structure? YESSEQ)_
YES
NO
,-I
I CONFORMS TO ZONING
ORDINANCE
Yard Setbacks: NA 1 FAILSI COMPLIES
· Frontyard can be 20' if av . w/in 150'
· Side Yards
Standard
25'
10'/
25' if abutting a street
Proposed
... s:> ( ... oJc,
.....0 vo'k-c_;.
· 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 wifl be built in the future
· From 100 year flood elevation ofwetfand/NURP
and
· From OHW (Prior or Spring Lake)
10' setback +
2"/1' over 50'
25'
1 0' side/
25' rear
30'
V'\,~~?,:;~
p. L.. ........ _it:,. PI
Lrl tC,.'';J:
r J"C"_.
75' or setback average of
adjacent structures, but no
less than 50'
~ \,)~}.~-~
ok;,..
I Floor Area Ratio: NA 1 FAILS I COMPLIES
.30 Maximum
, .r-p. ~~ ",ceded. t
Yard Encroachments: NA 1 FAILS ICOMPLlES
Eaves and Gutters no. mare. than Z feet in width: and. no
closer than 5; feet to a lot line Easements .
ALCanaothet". equipment cannot encroach. Oil interior
. side ards.
Standard
%:1
Proposed>""" "
IJ.ii:~~~~~ .
tJ~'~:S:_~~--'-'
Tree Preservation;. NAI FAILS f COMPLJES
· Totakcalfoerfnches
· Permit25% Removal
.. Cali er Inches Removed
· Cali er Inches Preserved
.. Re lacement
Standard
L'TEwIPL\ TE\BLDGLIST.DOC
CITY OIi' PRIOR LAKE
HEATING/AIR CONDITIONING/IfIllliPLACE PERMIT
Date Rcc'(]
I, rink
2 Geterl
J. Yellow
~i:,'y rPERMn~NO. -1
Ap"Ii..nt C') ~ ... () ~ D _~
1 l~~N~N~ ';C;IT ";'J
~\':~~f~P~:;'tb(~'~~ CJ ~K~
r-J-:!JOM- DESCRIPTION (om" u"' 0"")
LO (d.-lBLOCK ADDITION
___J
\\~~ <S~~S
PID
er ) '0- \ (~ \ ~
(Phonc) ~~~~=-~~ \J_~~_~~_~\
c- '- "( -"'--1 ""
.) -J.J I ~
--~---~--~-
~
OWNER
(Nim,c) ~.') \c,.,~'s\ ~ '''-<\.
\ \'
(AVdrcss) \ -/ t) ~ \ -\-." t,. \.... f\.
APPpCANT r \ y
(NalllC)_ \'\'Z..~{-t"L \\ \, r- -=-\~--n l
(AVd\css) \\~,/\ ~\j \J ~\ u.J~' \! '--
(Addless)
(C~nlact Person) N C\ 1/\ c~ S, L.'-' ~ 'l..... \ \.
APPl.lCANT SIGNATURE V'{\ V\fVv\.1 L"~~
(Phone) ~\ S ~~ . ,--\ \\ 1-=-. ~~ \d:~\i__
r c \ ~I ~ "- L, \ ~ \' ~\J .s \, 'J__~2.~~
(City) (Zip Code)
(Phone) C)';- ~- \;\ \..'\ f-_-.2LL\l.~L__
DATE \ \ - \ - s--
AI)PLICANT PLEASE COMPLETE BELOW
- --- )4.NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS--------
FU~l'jACE MAKE AND MODEL \"") V'y c...V\--t-- S~ ()A A V " \J l-\ ~-I ():Q_ FUEL ~~;I_____
FLVE; SIZE 9 \J L RETURN OPENINGS -1/ INPUT \ Q"\') ,d ~ OUTPUT9 3 J ~ ~
TYPE OF SYSTEM HEATING OR POWER PLANT
..!a Warm Air Planls
DGravity
~,Mechal1icat
~ir Conditioning
OVen!. Systcll1
o Slealll
01101 Watcr
o Radiation
o Spccial Devices
o Othcr Dcviccs
----_._~--
I'LI~ASE NOTE:
Air Conditiollcr Units
Cannot Encroach into
Required Sidc Yard
Setbacks
FH~IWLACE MAKE AND MODEL
Resjdclltial, Ileating & Ale (New COllstruction)
Rcsidc/ltial, lIeating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$600
$39..50
Indllstlial, Commercial & Multi-Family
Estimated Cost $
Residential, Additions & Alterations $39.50
Residcntial, AC Only $39 50
""Hd;"gP"mH "______-- ()'~ IJIl'"
r'6~IVO
Paid
1-IEATING PERMIT FEE
STATE SURCIIARGE
TOTAL PERMIT Il'EE
(Oilier. Use Only)
L":; ^ pplka""" 0"""",, Y QUC O"H.Ii..g Pon..;' Wh... ^pp,-ovod
lIulldlng oendAI DAtc
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~1Ol) - 03 - 2005 12: 57 Fro m : D&D r'1ECHA~n CAL
9528'304650
To: 9524474245
P.1"1
DlItc Rcc'd
CITY OF }'RIOR LAKE PLUMBING PERMIT
I 01u. ra. I PERMIT NO.~.
1 Ocld Chy
l Vollo.. Appli."1
Pl~'l~c LXI2,':...:>r prim i\.nd si[ln at hallom)
AD DRESS
IS3L-\'B ~e.e\ O~~.'S- 'Pf"IOr \-~~E
ZON (N G (ullicc \I~C)
LOT 2 J BLOCK
ADDITION 'RM o~ks
PID
J
LEGAL DESCRIPTION (ollice use only)
OWNER
(Name)
-K~~d. t\ O~e.S
\ f D2.\ -b~:P-Oll\.\-"fd S E
(Phone)
C\ 57--44 O-<1Lfro .1
,JAddrcss)
-P riD ( Lof("\<'t:
APPLLCANT -
(Name)~. h~ ~ ~~An\CA\
(Address) ~ W \.Ji~e ~
(Addrcs ')
(Contact Person) j)~~t S\-~t~
APPLICANT SIGNATURE
~~," f't
(Phone)
(Phone) ~5L-CX1D ~ 82.83
(:h DATE ~~-05
I Quantity Type or....ixturc Quantity Type 01' l'hJurc
-'. ~ Bath Tub with or without shower D Rough-ins
._,_.'
Dishwasher L Water Heat.er
-.....
Floor Dr~ln 0 Water Soflner
If -- LOlvnlory (Bathroom Sink)
J Stllnd Pipe (Washing Machine)
/ Laundry Tray (lor 2 comp..rtmcnt sink () Sewage Ejector
-J Shower Stall -/ .E1ackflow Assembly
J Sinks Bnckflow Assembly Test ...-
~-. (J ,,--
.I Bar Sink / L:Jwn ~prinlder
~ Wnter Closet (Todet) ') Other
APPLICANT PLEASE COMPLETE B.ELO\V
b
FEE SCHEDULE
IndllSlrlnl, Commercial & Mull1-f:lmily 1% ofia\) cnsl wilh n $39 ~O minimum Residenti;)!, New One & Two-Fnml\Y $99 50
Resldenlinl, Additions & Alterotions $3950
Estimated Cost $
Building Pennit II
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
11~ SO
.50
(Oflicc IlAC Only)
ThiS Application Uccomes Your Dulldlng Permit When Approved
Paid
Receipt No.
Iluilllln~ Oftlclul
Date
13y
UHtc
14 hour noticll for ollln5pccOons (9~1) 447.9850. f:IX (952) 447.4245
~~OU-03-2005 13: 43
CITY OF PRIOR LAKE
9524474245 P.01/01
1J1IU~ l,CC u
CITY OF PRIOR LAKE PLUMBING PERM.IT
I lIJu. ,..1.
J Oal~ City
3 ValID- "'ppUQonl
[ PERMIT NO.j5 -- g "3 '~
I
ZON I NG (~J1ice y~c)
....ill!:~elXP.c or ptinL ;\n\l3illn lit bOllQml
I ADDRESS
I IS 3'-4.8 1<e.d 0 pr-~s- -:Pi" 10(" \-~\c..E
LOT 2J BLOCK
ADDIT10N 'Re.A O~ks
PID
J
LEGAL ))1!SCIUPT10N (ollict: IUC only)
[ OWNE.R
(Na.me)
L(AddreS!l)
.K~\1lI ~d. \.\ O""e.~
\ (D2..\ ~~:eOI,,~"fd S E
(phone)
~ 51--~ Lj 0 _..il'iCO 1
.p r I 0 ( \...~\(.'t:
.
APPLlCANT .
(N\lme) h( b fC)~AY1\CA\
(Addrccc') ~w , u~~e .~ ~f.''J rr
(Add res ) (City) (Zip Code)
I (ConracrPerson) ~~t. S\--~t~ (Phone) ~SL-~c:W~8~g
l A?Pl.lCANT SICNATURE '-1~ Jt~-},'h DATE ---1.L:1, -QS
APPLICANT PLEASE COMP.LETE BELOW
Quantity Typc ofll'ixtllfc Qunnliry Type 01' }l~lxturc
-'" r;;[ Bath Tub wltb or without showtr tJ ROllRh-Ins
I DishwJsher -.-'
L Wnter Henl,cr
Water Scillner -.....
J Floor Dr:lln 0
J:I - Lilvlllory (Bnthroom Sink) Sto.nd PlpO (Washing Mnchine)
J
I Lnundry Tray (lor 2 compartment sillk () Sewl1ge EJector
,) Shower Stall I I34cknow Assembly ..-
e--" J Sinks f) Bacld10w Assembly Te9t ..--
.1 Bar Sink / Ulwl1.Sprinlder
~ Wnrer Closet (Torlet) I Other
~
frEE SCHEDULE
InLlII~lr\nl. COIYll11CI'Clill &. Mulli-rllmily "v. orjob co~l wilh n SJ9 so minImum Residenti:!l. New Dna &. T.....o-Fumlly ,)9950
Rllside"lilll. Mdllions &. AllcrllUons S39.s0
C:stim:lttd Cost $
Building PermIt h
~}6Y
PLUMI31NG PER.MIT FEE $
STATESURCHARG8 $
TOTAL 'PERMIT FEE $
11# 5?J
.50
Ok Ie
Receipt No.
(orlir~ IJ.O 01'111')
'fhis Applic:lIil.ln Uccomcs Your Dul/dlng Permit When APllrovcll
lIuiltlln~ Ornel.1
'j
14 hour notice (or II111nsnCCUllllS (9:11) .c~7-!)8S0. f:u. (951) 447.4145
TOTAL P.01
81/85/2885 11:24
'3524'325085
r3UJI..JHH:, HEARTH ~.j Hm"
PA(3E 81
""";"'i""7'~~, ''',r'
~~,
+IJo;'lfl&
t:..,~,",.;'rq'.< 'Y'. 'A.'t(..~..'.. ",
~~~'~'.l", '~',J~l>\ r
HEA~tNr(iV~t.i~t~t(1)NDr:V~~
'''''''!b'KE'
-~,j ',.Ar .
'lfJ~iREPL~~~~:'lFEAAlff
",',"y_, '. ' "I. ,_,"
Dit~e:;~~c'(
,'.J ';:-,' '.~ ,1
I. Pin"
~, Gr""
J. Yt'1I,,"
~:~y..:i~~~W-WIIT N@64 "2 ~
^rpllt~~I~',:,~;'~""" .. ~,~~.;;;!
.""""l l ZONING;'ffi~"'"
--,_~J
,,~):::,/':'~
I (Pt'~.e.l"lPC. or..print m.d~ip,na~b.Ottb. '!O.'\.~. .. . .J"~" ,..............'-'-i. . .~................'.......'...'.;..........:..".r..'.1..".'..-.. ,.,:,
~ ~ . . ....... ." '. "1''''-
ADDR~SS3~l6. ~€ O'OAK~ .:P(\or LOkfi_':'.{:Wt\fj
...I._~'~~", oJ . , _-'-"~.J~-'--; , ,'- ,,~,,~J~~'~~~,
..___.I.m'~'~"~' ~
LEGAL DEStl(IP't'roiN;Cd'fficcu~~.only)
LOTBLOGK
~:tlDln9N
, .'~"'7-'!w\~'~~~~''''~'''
Pf.1D
, . '.~-_:'-
-...;.~~. ':':.:\>~,:.~ :
OWNER K \ ra A L
(Name)e\j Ol\j ~t()E'?~~~ "~';"i,~"",~,
(Add"") I -1 Cl (II r \4--fQl.\)~ ~ ci'Pf\ (){ LoJ;~<!,~
~,~",';'__~..:...U'''_' ,'.......'.,"-,'..'."~~,"".,.. ,," ' ,.;~~.~::.....~...,-
APPLTCo\NT (' L' 1\. . I"'rl__ """"< '.' ". II q:\ q '\ 1 Jo
(::':::,) I ~~ill~~~~P;;~~~t1WJJJf>>".~ .(Ph;~~_~~ 50~
(;AidtfrhsY (City) J (Zip Cll'dc)
(Contact Person) ---y \ f(\ :) D\f(\~.l::..".;.~.,,~, . ." . .. '(;e,hofle) ,-
APPL1~~MTSIGNATTJ.RE,~~\1L~~~=J*~:-~. ., ,,~DATE ~9-b-~
,APri;;lxD1~~i:}tt1E~\:S'E;i(J'(!j~;tpLJtr.~,~}}:l3[fttJ@\V .
__, ' .' _ . ":,......~...~~;J./,.'rr.:~l.~~.~'~:i:l:~~~~.~:~~'..:..~.::,~:~~,~l~~,~:.J:..::,~,...~:: ,.~-'""~...
~1V~CONSTRLTCnE1N; . .:E]:R:J:mtgGE~fENT.'[J;AL TERA,TrQNS
FURNACE M,AKEAND.NODEt . ." FtJEl ---~-_.--
FLUE SIZE RETURN'.tJB.:M1\I'tN.GB' . . INPUT OUTPut
TYm:g',E)!iSYSm-eM f.lE~Jn~~~'~R:POVlER PLANT
diV::er;it\,:i\i.t-:mlll11ts dStl!':lm'
o.t;'(Ti,yjtyQ ':Hoi'Y1Iftl'
Q:M~Wt\Ji'!ttt" ;r;;iV:~atli~i'i~,lJ
OAlrCirlti'olt.ltll1:lng .. i[J~Sp~6iID,\t.1ii~it,~ 'J
FIREPLkcKNwa;O}\:::~)bQO~lA~!fi:d'k;~~ _~ (,\0
(Phone) ~ a:. q-y OQ"
"-'
.PLEASE NOTE:
Air Condition'er Units
Cannot Encrollch into
RequiferFSide Yard
St!tbacks
Industrial. C(>mmcrcial&Mnlti.ipam'ily .
,:EEI1)j;,S'en,EtJl~J;,tj
}% 11Tjd:b'l c6$! Reside/Hiel; (J1l..<;Fil'tl'lan-c
$.39;50 rniMlrill'rll
$99,50 Resilkntial, Additions & Altenltions
SA4.50 Residential. AC Or1ly
$39,50
Residential, Heatinl;& 'Aie; (New Constng.fiO!i:)
Residential. Htating Orily (New Con~rnldi(,'in)
$3950
$39,~O
Estirnll.ted Co~t S
BiljldingPermit #
REi\CJ:rN'f3PER1v:UT]"EE.
'STA'rESIJRCHARGE'
TC)'rXL:PERMlt>f"ElJ
$
$
$
PAlO W\TH
50aU\LO\NG PERM"
(Omcdlse Only)
I Thb APpt;;'&;n;';;;;;;;V-=; llUII:in~F'~I'_Wh;rr Apptriy,d ,I ~
Bulldln(: Officllll D:\te ~
_.....~.o-.-..I___ .
24: hour .ri.(itJ c(i 'tilr'IlUIt'ispl!Ctlon!J ,~~:S2)4~7 .9850,,tl\x (95-2)447-4245
1'6200Ellgle' Crel!kA,:enue, Prior 'L:lke,'MN 55372
~
.....-) ,
t-'r<. l.l pa,S {[ {J
CITY OF PRIOR LAKE
Impervious SurfaCE~ Calculations
(To be Submitted with Buildinj: Permit Application)
For All Properties Located in tht: Shoreland District (SD. Y
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
m ~l~ ~ 0 ill ~ m
w AUG 2 4 2005 W
Property Address'
,~~'-\~
~E:.D ~~~~o~o S~
Lot Area '2(~ _\o-n o...~~~ U. ~o&+ Sq. Fe'et x 30% = .............. ct:>oo'
****************************************~*******************************
~ .
LENGTH
WIDTH
SQ. FEET
HOUS~
ANp
ATTACHED GARAGE
x
x
x
=
=
=
TOTAL PRINCIPLE STRUCTURE...................... "3 'Z:Z"L.I
DETACHED BLDGS
(Garage/Shed)
x
x
TOTAL DETACHED BUILDINGS.......................
DRIVEWAY/PAVEDAREA~ "~..e. = ~
(Dliveway-paved or not) . \~ -A.'~brz:\\" = \ b l.,,~
(Sidewalk/Parking Areas) ~'f x = \ D ~
TOTAL PAVED AREA:!;.........................................
~PORCHE~DECKS
(Open Decks W' min. opening between
boards, with a pervious surface below,
are not considered to tl-e,impervious)
'Z 2 c:'
;;>
IS'
x
x
I 5~
=
=
x
=
TOTAL DECKS............. ...........................,................
OTHER
x
x
=
=
(,;
TOTAL OTHER............,\..................................,...,...
\;,
'~~'~~>
./'
;
:TOTAL IMPERVIOUS SURFACE
~ER~
Prepared By b \>.."~:f'I~
\
Company V",1' Py, ~'lruPying, r.n l' A
,_ Date l!\'O I ~S
._ Phone # (Q'1?) 447-2170
I(<v .:j/ZZ.!C5
'\ ". ," ~
,~~7~~-' .
"
1\ z 'Zz. I
\\
\
_ -2006 10: 48
P.Ol
.... ~
~"p..Rl"Af...
Q~J(,
~~'3J~~O'
~.~ ;"
~~~"
~I '-'>
"'<.~ND S'tC
~~~
~\ 0
R f:\c- \
FEMA
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
AND
INSTRUCTIONS
_~-2006 10: 48
P.02
. OEPARTMENT OF HOMELAND SECURIr(
,-ederal Emergency Management Agency
National Flooclln$urance Program
ELEVATION CERTIFICATE
OMB No. 1660-0008
Exoires Februarv 28. 2009
1\3.
Important: Read the instructions on pages 1-8.
SECTION A - PROPERTY INFORMAnON
For In!:urance Company Use:
Policy Number
A1.
A2..
Company NA1C Number
ZlP Code
~-:'12....
M. Building Use (e.g" e6idenli ,Non-Residential, Addition. Acc&ssory, etc.)
AS. LatitudeiLongilUde: lat. Long. Horizontal DabJm: 0 NAD 1927 0 NAD 1983
AS Attach at least 2 photographs of the llYilding if the Certificate Is being used lo obtain flood insurance.
A7. Building Diagram Numb&r~
AS. For a bu~ding with a crawl space or enclosure(s), provide: A9. For a building with an at!3chl!Jd garage. provide:
a) Square footage of crawl space or enclosure(s) sq ft a) Square footage of attached garage sq ft
b) No. of permanent flood openings In the crawl space or b) No. of permanent flood openings In the attached garage
endosure(s) waUs within 1,0 foot above adjacent grade _ walls within 1.0 root abova adjacant grade
c) T0f31 net area of flood openings in Aa.b sq in c) Total I'1et area of flood openings in A9.b sq in
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B2. County Name
B9, Bass Flood Elevatlon(s) (Zone
AO. use base flood depth)
,\O~ . ~
811.
812.
87. FIRM Panel
Effectlve/Revised Date
000 e...... - \",- C\:
Indicate the source of the Base Flood Elevation (BFE) data IY base flood depth entared In Item B9.
o FIS Profile 0 FIRM [g6;mmUnily ~t~lned 0 Other (Describe)
Indicale elevation datum uced for BFE in Item 89: LY'NGVD 1929 0 NAVD 1988 0 Other (Describe)
Is the building located in a Coaml BarTief Resources System (C8RS) area or OtherMSB Protected Area (OPA)?
DesignalJon Date 0 CBRS DOPA
88. Flood
Zone(s)
y..
a10.
DYes
/'"
[g"'No
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C 1. Building elel/ations are based on: 0 Construction Drawings' 0 Building Under Construction-
wA new Elevation Certificate will be raquired when cons1ruction of the building is complete.
C2. Elevations _ Zones A1-AJO, AE. AH. A (with BFE), VE. V1-V30, V (with 8FE). AR, ARiA, ARIAE, ARiA1-A30, ARIAH, ARJAO. Complete Items C2.a-g
below according to the building diagram specified In Ilem A7.
Benchmar1< Utilized Vertical Datum
Conve~onIComments
Chad< the measurement used.
a)
b)
c)
d)
e)
Top of bottom floor (including basement crawl space, or endowre 1I00r)
Top of the next higher floor
Bottom of the lowest horizontal stnJctural member 01 Zones only)
Attacl'ted garage (top of slab)
Lowest elevation of machlnery or equipment sarvlcing the building
(Describe type of equipment In Comments)
Lowest adjacent (flnlshed) grade (LAG)
Highest adjacant (Tinished) 9rade (HAG)
q\'2--,a~
C\~\ . ~ ~et
. 0 feet
~:z..\. . \ 0 [91l;et
.-0 feet
~ \ \ ..5....(B1eet
~.~~
o meter'3 (Puerto Rico only)
o mat.,s (Puerto Rico only)
o meters (Puerto Rico only)
o metell> (Puerto Rico only)
o meters (Puerto Rioo only)
f)
g)
o meters (Puerto Rico only)
o meteI'!> (Puerto Rico only)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
ThiS cartification is to be s'igned and sealed by a land surveyor. engineer, or arct11t8Ct authorized by 13W to certify elevation
information I r:6f'tify that the informarJon on this Certificate represents my best efforts to interpret the data available.
I understand tMt any faf86 statemenr may ba punishablG by fine or imprisonmsnt under 18 U.S. Code. Section 1001.
o Check here if comments are provided on back offonn.
. ,:".l
Address
~ 0 "'''''
Slgnatu'L~~
License Number
>".'. .j.
Title
----
~.(~~
FEMA Form 81-31, February 2006
See reverse side for continuation.
Replaces all previous editions
TOTAL P.02
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS '53<<,(8 ~ ~~D ~.E .
NATURE OF WORK' ".1,.. t:i
USE OF BUILDING '.
PERMIT NO. ()~ . {J tU3 DATE ISSUED
CONTRACTOR ~ PHONE tJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUilDING AND INSPECTION
IN~p, DATE
I FOOTING V V , /O-(OvtlJ
FOUNDATION (Prior to Backfill) IU )/1- c?)
~ EM ELACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~c. ~11~ -.MIC.".",a ROUGH _ INS
SEWER I WATER I SEPTIC
FRAMING L. ,(.." 3 - ;Y-cJ'<.I
INSULATION ~.).. 7'l5\-
ELECTRICAL
PLUMBING ~k rf"'L/ {-/11J&
HEATING (if required) , , I L-- -(1f.-1.
FIREPLACE i ~/1-f).
GAS LINE AIR TEST Y'O fn0KI.\. H~'(f~ l-/~()&
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1I81fT/ ~EwaAP I ;~1 I l'3(-C'lJ
FINALS
/I~/-()l
GRADING (Prior to Sodding)
BUILDING ~ iI\t~, I (O.(v
ELECtRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
~ vY1J<6
_l/r-() G
-14- dft;
SIGNED
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