HomeMy WebLinkAboutBuilding 04-0380
/
3" .er:ztV'0 0 000000 ." 0 )>> -0
'" :J: ~ C z_
-0 ~ 0 (I)"'z"''''''' 0 c ~~
(1) s: z
8 0 !l :::jZ(l)~oo z m ;z:J mo
)>> ~ ::0 s: m)>>c co m ::0 m 0."
l:::l , " _,>~Z-l Z (/l ::1."
l'!l m Z -0- (/l
, (I) ~ ::d5~~ 9
>::I t > Z 0::0
z-
l'!l -I -i m 0 - zO
Ie ~ (jj en o Z 0 0::0
S cD ." -I Z
co > 5 ::1>
>::I lJl 0
~ 0 -I Z 0"
." 0 mm
~ 0 ~
::0
~ -I "'0
~ :J: ::0
>::I m ::0 0 000000
l'!l Z ::0 0
~ m m m m ~"'O(/l~:C"'O
x Z m m m'~>m'
-I 0 0 OC -IOC
>::I (I)
~ ~ z ~ "'0 :I:~ m:I:~ ." 0 (/l
~ (/l m .,,!!!::O::O::o!!! m 0 0
"'0 :J 0 ZZ:I::I:-Z ::0 Z :J:
:! ~ m CD -I >(;)00 (;) ~ -I m
:::!.. i5
'" 0 () ,.,,00 ::0 :::j ~ c
~ -I 0 Z -"" - Z c
5 ~ Ol Zcc ,
~"'O"'O 9 m
Z m c
C ."
~ N 0
....
:J: ::0 ~
0 m
~ c 0 .t
0
::0 < 000000 \Ne
(I) m
5! z ::0 C)."."om ,
Z ' ~
)>> >;;;;o~ W ~iiI
~ (;) ~mm~(;)
~ 0 _"'O"'O"'O~
< ~
> ~>>>c
~ Z
0 >ooz;; ~
""i _mm-l-
~ !T1 ::0"'::0 ' ~
-1__ , i:
(l)z Z m
-I~ C)
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE '
AND UTILITY CONNECTION PERMIT LJ -- ~ -~O tf
White
Pink
Yellow
File
City
Applicant
PERMIT NO. Of- ~03fo
(Please type or print and sign at bottom)
ADDRESS
t.f"<6~ n1inf')esot~
ZONING (office use)
12:~
sf.
LEGAL DESCRIPTION (office use only)
LOTf-8BLOCK ~ ADDITION
.4dJ K.
PID
OWNER
(Name) :.:RIASS(.. \ \
LA~~
Kee.Kt\ \.oJ
(PhOne)@
@
9S"d-- t.t4,- ~G,~ 8'
ts> (;;t-~""l-()~;).d.
(Address)
BUILDER
(Company Name) Kl..\ss<<..11 LAeR.'1
(Contact Name)
(Address)
ktill<D~
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
~Addition )jfAlteration OUtility Connection 0 Misc.
CODE: &!ll.R.C. DI.B.c.
Type of&stmction: I II III
Occupancy Group: A B E F H
Division: I 2
ORe-Siding OLower Level Finish 0 Fireplace
IV Iff) A ~
~MCBJSU
W 4 5
PROJECT COST/VALUE $ 3D, 000
(excluding land)
o~
-
I hereby certify that I have hlrnished mformatlon on this application which is to the best of my knowledge true and cOlTect. I also certIfy that I am the owner or authOrIzed agent for the
Jbove-mentlOned property and that all construction will conform to all eXistIng state and local laws and will proceed in accordance with submllled plans. I am aware that the buildmg
official evoke this permit for Just ca se Furthe .more, I hereby agree that the CIty official or a designee may enter upon the propel1y to perform needed mspectmns.
~. tf- :;;'0- () t(
Date
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee ~
Sewer & Water Permit Fee
Signature
Contractor's License No.
x
Water Tower Fee
Builder's Deposit
Other
#
#
$
$
$
$
$
$
$
$
$
.-?,~
, _.JO
Permit Fee
Park Support Fee
SAC
#
#
Permit Valuation
0,00
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Plan Check Fee
TtJ/PPlk.ti"":tt_':;~';:l\.m' P,mm Wh= A"mn'
~ ~~ J1~r
Buildlll!! Ollielal
Gas Fireplace Permit Fee
TOTAL DUE
ThIS IS to certifY that the request In the above applicallon and accompany 109 documents is 10 accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
:~"""""~':"ry C,rt'""" of ;';/~";~' ",,,.. '""rtrurt'"M ~",~ry 7:"" "'o""'="~
PlanmngDlrector Date speCial_.
24 hour notice for all inspections (952)447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Building Permit #
Address: Lf9?f
legal: l ~ ~ , B 2-
Existing Structure?~1 NO
PID:
~
~,
Subdivision: ~ ~
Existing Nonconforming Structure? YES@
I CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NA! FAilS! COMPLIES Standard Proposed
. Front Yard (can be 20' if avq. w/in 150') 25' tJ7Ie1 ZS'"'
. Side Yards 10'1 I Z'
25' if abutting a street
. Sidewall exceeding 50' requires additional side 2" 10' setback + ~{D'
setback for every l' over 50' in lenqth 2"/1' over 50'
. Rear Yard 25' ~ Z-S" r
. Patio Door: provide for minimum 10' deck or sign 10' sidel
statement indicatinq no deck will be built in the future 25' rear NO ,...J E:'
. From 100 year flood elevation of wetland/NURP 30'
pond rJA
. From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no fJ~
less than 50'
.30 Maximum
Standard
Proposed
~o~ tE
)')O,.J e
Tree Preservation:J iNRJ FAILS! COMPLIES Standard Proposed
Total caliper inc -
. es
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement Y2:1
L\TEMPLA TE\BLDGLISTDOC
The ('rn.er of .he Lake ("ountr',..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
--, A
1/ U' /' .4 ",'1! f/
f-.r. ..' 1/// / .r ~
( ) I' .'\,;/ '.-X.--.. .~..........-
/ .f -, .r'-""'. I /
Y-f --.,. . )- ;" ) (-j
/ "'(.'. '-,,- .
~ / ! i .,
. / ., .. 1:' /0 /{ j
. t~' ,."" .' /' ;.' ., ,.-
l \. ...k.."~,." \.--, '..... . "..' ---'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,./ .//~;;. C.~ .)1"->-'- I
. ..1'./.... x_/~' ,,' -"7 ."1 .J'! '"J' ./.....
.>'/ '/ ,.J (_) rf /J..--t>-;Jt -}._?_}"Q i._ i fL, ~~--'
Accepted
. /'
X
""'"
Accepted With Corrections
Denied
Reviewed By:
;V&f3
Date:
Li -~ 5~6'1
Comments: See. Reverse Side for Additionallnformationl
See Att::lcnments' 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."
--
lhr (fnlrr of lht' I.akf COUnlr):
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
R /M24~j(~()W
/7.- cx{J --01(
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ijcJ?g ~;;ot?L- ..$r
Accepted
Accepted With Corrections
v
Denied
Reviewed By:
~~jp
~~ /1#/ ..A~,
l~-t~ ~ ~.
Date:
5h~(
I
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."
The ("{'nfef of the Lakt' ('ounl'1'
White - Building
C~n~ry - ~naineering
CPlnk - Plann~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
"it'
. .
L/
"
! ;
~ /' -
,
,/'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(
1-
/
.",-,,'"
Accepted
Accepted With Corrections ~
/
Denied
Reviewed By: 0~ ~ Date: d.?/lJ~
" ,
comments:--.d,f, ~ ~~ .~
~~ 4-LT~~. f~ <7LI *~
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."
__....,..~~_m__,.".--~_......,..~^.___.~_"_'__._________"_.___~__.___'_--_..__.~----
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
f. /g.-p4-
; ~e~n ~~~. I PERMIT NO.~A... O?IJO
3. Yellow Applicant V""-- ., ..;JCI
ZONING (office use)
~fY ~/"v1V6J()771 .rr
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2--1. () ()) ,d I z.,,,,0
I OWNER
(Name)
(Address)
(Phone)
APPLICANT--p . 1/
(Name)--f\USSe.ll "f~OI-'\J
(Address) 49~~ {f)~f\I'R..~A ~'.
(Address)
(Contact Person) ~~~.:;:\, \(~rkow
APPLICANT SIGNATURE ~~ ~'-~
(Phone) Co td. -~4)- O~~~
'lY-\or LA,e.
(City)
(Phone) Co 1~ - ay 1- (Y521-
9-ID'- oL\
t:;'; ~~1 L
(Zip Code)
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
AKE AND MODEL II/U FUEL
I
RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
REA TING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
~ir Conditioning
ent. System
FIREPLACE MA E AND MODEL
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
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
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ .-/
$ ~O
$ ~
/'
o4'~0.380 BY
ffllO () (}2-
~tJ ( V
Estimated Cost $
Building Permit #
(Office lise Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
P~
Dat . 10, ~4-
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
~'" l11,iJ~fiS". fA ~~~'
l' ,. 'E'n. 'oA ~~
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR 1'44J PHONE.vZ -%1/7- a~ z. ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~~
FOOTING
FOUNDATION (Prior to Backfill) v C 6. I.. 11'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
FRAMING .
INSULATION
ELECTRICAL
PLUMBING
GAS LINE AIR TEST q,)z
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
~. /u'(%
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