HomeMy WebLinkAboutBuilding 04-0872, A/C 04-1217
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
at bottom)
S3S-D
s/f G,te
.A/ l:i
LEGAL DESCRIPTION (office use only)
Date Rec' d
8-Lf~OY
I PERMIT NO. 0+. o~7zt
White
Pink
3 Yellow
File
City
Applicant
LOT / BLOCK
ADDITION
JZ-/1--
. --- ~
PID ~ s-:. 0& S - C05"-
ZONING (office use)
k? I sD
OWNER
(N ame)
u./J-
Kf;'!~ -4-.<11 f
/
(Address)
(Phone)
BUILDER
(Company Name) AIL boJ
(Contact Name) . / 0,/1
(Address) ,;;2/ b..5~ {..J.
s4v€. 5-
/
/::; //d'
.- /!.; .-
5,
.j-:: /Z.."-S /,1 J/ E
(Phone) 9..s.;l-
(Phone) 9~:.J-
.5-!J7- b
B G"
YB.- ,j-:3~' (~
8 f'y' ~ 7<. .',
TYPE OF WORK Q. New Construction ODeck OPorch ORe-Roofing
lQ.Addition OAlteration OUtility Connection 0 Mise.
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV V
HIM
234
ORe-Siding
OLower Level Finish
A
R
5
PROJECT COST IV ALUE
(excluding land)
o Fireplace
.?t
$ 0 ~l<-'.'
B
S U
I hereby certify that I have nlrnished mf"rmation 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-mentlllned property and that all constructlOn will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can revoke this permIt for Just cause Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the propelty to perform needed mspecl1ons.
-- c// /'...//
X / l't'}~ /" ~MIV / ..:J--f:r (, 8 q- <.' 7'
· Signarure Contractor's License No. ' Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee lM.
Sewer & Water Permit Fee
tJ,OD
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~, ~;'. ~ 8>'119 J, Y
Buildll1!! OtliClal , Date
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
(;3
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
ThIS IS to certify that the request m the above applieatlOn and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. TIllS document
when signed by the City Planner constItutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
ISS2eu- ' ~ r /1 ~
(.~;lanning ireetorl p ~ ,!I'~ D~Y
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE ~
Special Conditions, if any
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I z. .1. 04-
~. ~::n ~~;y I PERMIT NO. 04- . I Z-f 7
3. Yellow Applicant .
~~;M'uW~. ~_: .
15 j \,c re.., \{CL-LQ,
ZONING (office use)
"e/SLJ
NL
LEGAL DESCRIPTION (office use only)
LOT 5 BLOCK
ADDITION jl/tJtz;1rl Sf1O/C--G OrnC::f
PID 25: () (e S. 005, ()
OWNER
(Name)
~~~
~l f' n+
(Phone)C\~.) -~\ctlo- eX)d ~
(Address)
APPUC1t .~ ~ ~ ~ ~ 0r.t I 'c
(Name) . ~ I ._~~~ ... (Phone) ~'-:IY::CC(~ -: ?
(Address)t~ 1 /. " "L . S'll . ~31~
(Address) (City) (Zip Code)
(Contact Person)
(Phone)
DATE
/:2-'.3,6/
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION ~r REPLACEMENT 0 AL TERA TIONS .
rURNACEMAKEANDMODEL Lt...rJ11())( C-12{)U/fV.3/Jl(?y(j90 FUEL ~ c;aLJ
FLUE SIZE RETURN OPENINGS INPUT90,!J()() OUTPUT "7;), (XX)
,
TYPE OF SYSTEM
DWarm Air Plants
DGravity
~ Mechanical
Air Conditioning
Vent. 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
I % 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 Permit # (14. I 2-/7
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ .?q,x;
$ .50
$ Lf()) (){)
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
paid+o. 0 0
Date.. q' 0"-
/2-. . r-
Receipt NO'1fj3'i...3
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
White - Building
c jI~marv - Engm~erlng:)
Pink - Planning
ThE' C"rnlrr flf Iht t.kt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I( ; / . _,>
/ I: .~>.~ / J --., ,~ .
.." ",-_. co.....,.,"" >.:~__... '"
" ;t
)
..~:)._--'J
APPLICATION RECEIVED
r'
" II -" , I
\ I .-( i( /'
\', f _ j .',
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,,-_:.'> -..~~":.5' ()-
,.
\... - - ~ /- ? () - ?_.(:~
r"").
':'.12/u. t~
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
@6
Date:
1]-/0-- Or
Comments: See Rever~e Sidt3 for Additional Informationl
Spp Attachments: 1) Gradina 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."
?1~
c-'t
The ('t'nft'r flf lhe I,akt ('ounl'1'
C-:White - Bu~
Canary - Engmeering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ ~4e~
APPLICATION RECEIVED R....tj-QLJ
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
S3SD - Gho---uL ~.~
Accepted
Accepted With Corrections /"
Denied
Comments:
/? .,./ '/1~
Reviewed By: ~ ~
~ O-Lf ~
~ ~ ~~.y~;-:'tJ~
If} ~~ ~ ~ ~.I.D/
Date:
y/, rIoet
,
"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."
-
rhr ('enter flf lh.. Lab Counl..,.,
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
~.
ti&
Date:
?/;r~'I
I '
Reviewed By:
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."
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by:
~
~~
Date:
.9/19/0Lf
Building Permit #
Address: 5350
PID:
~T~
Zoning:
Legal: L
, B
Subdivision:
Existing Structure? ~ NO
Existing Nonconforming Structure? YE~
I CONFORMS TO ZONING
ORDINANCE
YES
NO
I
.
Standard
25'
10'/
25' if abutting a street
Proposed
/,D I
/,
IS-
.
. 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 will be built in the future
. From 100 year flood elevation of wetland/NURP
ond
. From OHW (Prior or Spring Lake)
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
30'
f0CJ
NCJ
75' or setback average of
adjacent structures, but no
less than 50'
.30 Maximum
NA-
r, 21 '76
I Floor Area Ratio: NAI FAIl@fcoMPuW
Yard Encroachments: NA I FAilS PLlE
Eaves and Gutters no more than 2 fee 'In width and' no
closer than 5 feet to a lot line Easements.
Ale and other equipment cannot encroach on interior
side ards.
Standard
Proposed' .
~crrJG=,
Tree Preservation.
. Total cali er inches
. Permit 25% Removal
. Cali er Inches Removed
. Cali er Inches Preserved
. Re lacement
Standard
%:1
L:\TEMPLA TE\BLDGLIST.DOC
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CITY OF PRIOR LAKE
REA TINGI AIR CONDITIONINGlFlREPLACE PERMIT
Date Rec'd
I, ~ink
2. Croon
3 Vellow
i'iic,
C;lY
AppliUAC
I PERMIT No. lj- ?/?~
(fieue lYtIC or print anli sian at b\)fiiuu)
l · ,...,...""'''''''
^.LIJ../AL.:J':>
I 535C) shoQ.Q..
tJE-
ZONING (olfic'r use) I
I
~~~J
,\10
I LEGAL DESCRIPTION (office use only)
I
I LOT BLOCK ADDITION
TU,",
ru.....
I &~~~eFF ~--p~fbt ~a0-
I (Address) t)~5E> Sho~ "t ~ N E-
i APpUcANT C ~ . 1-. ~ \
I (Name) l:2~ V\{ ~l ~ \~-t\. V' 1
II (Addies;;) \ S-C '0- \ t'Y\~ V\ \. ~ Po
I (Address)
I (Contact Person) \.~
I .. _......... y,.,..."",,,,,,,,,,, ""Y~"'T.. "T"'TTnT':'
Al'l'Lll..AJ'IIl ~!VI'<I"~ Ul\..c.
(Phone)
DATE
APA ~ICANT PLEASE COMPLETE BELOW
I U...-.... --....r.r-"'..--",. ,......... 'rto~n:.. .,...'t::'...y:o"".,.......
NI:'. W I..UN:) KUI..IIVI'I U I\Lr......t'\...~I"..cI~ .
I FURNACE MAKE AND MODEL ~41J t't-I D /JO'2> -xJ (
I fLUE SIZE Ctr, P\i L RETURN OPENINGS
I TYPE OF SYSTEM
I
I
I
I
I
I FIREPLACE MAKE AND MODEL A \ SO AJ&
I ~ ~~-~ -- - -
A' ""CD A TTnN4;l
~'~'~~:jJo~ ~
OUTPUT .2> ~ ~
nWann Air Plants
OGravity
o Mechanical
UAir Conditioning
OVei"it System
INPU"T 4o,l'(j()
HEATING OR POVlER PLANT
o Steam
o Hot Water
U Radiation
o Spetiil D~V;C6;
n ()/hpr n..v;"...
I.-J - ~--_. - - . ----
Required Side Yar4
S!!tbacks
...'" "" .. ""''P ~,.,..,.ryo....
rLrd~i:lE.. I'V. "'"
Aii Conditiontr Units
Ca..~"1ct Encr~2ch into
l-S- k
l\4\)"<h ~SOOA-
YotLtt-
FEE SCHEDULE
industriui, Commerciai &. tv1\iUj.fiUliify
1 0-' .,..,~:..,..'" "'~"'.n
I ,a U.I, J'-IL' __~.
Resi!kn!~gJ, G~ F!rcp!!~
53950
Residential. !-Ieating & Ale (New Construction)
Residential, Heatins Onl)' (New Construction)
$3950 minimum
$99.50
$64.50
Residential, Additions & Alterations
Residential. AC Only
$3950
$39.50
E5timat~d Cost S
Bui!din~ Pe!'!!!!t #
HEATn"~G PElL\-1IT fEE
STATE SURCHARGE
TOTAL f'ER."dIT FEE
co
,p
$
$
.~o
(Of!!te u=: O:dj)
I
This Application Becomes Your Buildiog Permit When Approved I
I
I
I
24 hour notice iut" ill iiiijiCfliuiiSi (9ZZ) 441..'150, r~: (952) .41-4245
,.c:1M );'...1.. I"'_1c 4....n.... PrII'lF' ..."..~ MN 55372
i Pili a
I not..
I --..
I Reccipt No.
I Bv
I -.
9uUd!;;g Offici:!
P~t!
I
I
I
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P.01
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CITY OF PRIOR LAIU..
REA TINC/ AIR CONDITIONINGfFlREPLACE PERMIT
Date Rec!d
(Pieue fYt)e or print allli ,ixn at bQiliItDi
I . ~Dft"O"''''
^V ~~.:)
! 535C) S~~
i. rin.
2 Or""
3 Vellow
~:,~ I tl:RMIT Nu. LI_ D.tJl\ -
Appli~"1 I L Q.... ~
,~
tJE-
I ~ONlNG <-='j
I LEGAL DESCRIPTION (office ~c only)
I LOT BLOCK ADDITION
pT....
ILl
I ~~e~~eFF ~ p~~ ~OJ-
I (Address) l~55 ~~ \~ AlE-
I APpLIcANT f' - . L \
I (Name) ~("V\.{ ~l \. \~~v-..l
" (Addiess) l S-C 0-. \ YY\C( .., \ W- f20
\ (Addte!!)
I (Contact Person) \.~
I A. ---- T,,-, "'.,.~ ,",V"",,,'T -It "'T'"U"''''
l'.I:'"Ll\...AI~ 1 ;:)!U1'<11'1 l"\.L
(Phone)
I ONEW CONSTRUCTION 0 REPLACEMENT "I TrD A TI(\NCOl
I FURNACE MAKE AND MODEL ~ 11 ttt-I () IJo '6 flJ ( ... I ....:u~:1Jo.l- ~
I fLUE SIzE dr, Pu C RETURN OPENINGS INPl,1T #q.rrK) OUTPUT 2> 1 ~ _ '"
I 1YPE OF SYSTEM HEA'ITNG OR POVlER PLANT
I
I
I
I
I
! FIREPLACE MAKE AND MODEL A \ so AJ&
DATE
APA .....ICANT PLEASE COMPLETE BELOW
o Steam
o Hot Waler
U Radiation
o Special DevicG;
o Other D~uis~s
PLEASE NOTEz
I
I
1 I
I I
II
/1
I
nWann Air Plants
OGravity
o Mechanical
OAir Condiiioning
OVent Sy;tcm
Aii Conditioiitr Unit;
C:""U1ct Enero2ch i.~tQ
Required Sido Yar4
S~!hRCks
l-S- A<-
l\ 4t)\-\<h CijSOe,A-
YotUt-
induslrlui, Coiniiietelll.l &. Multl-fii.jiiily
FEE SCHEDULE
!~1. nfjob CU~t Rcsident!9!. Gas Firc~!!~
$3950 minimum
$99.50
S6450
S3950
Residential. J.Je3ting & Ale (New Construction)
Residential, Heatins Only (New Construction)
Residential, Additions & Alterations
Residential. AC Only
S39,~O
$39.50
Estimat2d Cost S
Bui!ding Penn!! #
(Of!!tt U=e O:,:!,..)
HEATING PERJl.lIT fEE
STATE SURCH.A.RGE
TOTAL P:ER.~IT FEE
<t
olI'
$
S
,50
This Application Becomes Your Buildiog Permit When Approved
e~nd!::g Offici=t
I Faid
I I not..
I 1--'-
I '---
Z4 hour Douce iur ill liiijifcUui15 (9Z~) 447.'1150, f:l'C (952) tf41-424~
''''M 1;'...1.. ,.........It .t.""n,... Prlnr' .<11<.._ MN 55312
I Ra~ipt:'No
I Bv
I -,
J;ld,
TOTAL P.01
AUG-19-2004 11:18
CITY OF PIDC To
hnpervious SUrfaCl
(To be Submitted with l3uildin
Fax"
For All Properties Located in thr
The Maximum.lmpervious Surface Covt:li::l.gc; r~l11HLlt:iU U1.JU .1 ~!~~!H.
Property Address S3Z:; D
Sno~~~\i
Lot Area \5,"14?J Sq. Feet x 30% = .............. \'\,1..'3
************************************************************************
LENGTH
\VIDTH
SQ. FEET
HOUSE
AND
AIT ACHED GARAGE
x
=
x
=
x
"'"
TOTAL JlRlNCIPLE STRUCTURE......................
DETACHED BLDGS
(Garag e/Sl1 ed)
x
x
TOTAL DETACHED DUILDINGS.......................
DRlVEW A YIP A VED AREAS
(Driveway-paved or not)
(SidcwalkJParking Are:as)
x = ~UZ-1'
X =
X =
TOT .A..L PAVEl) t\lillAS.........................................
PATIOS/PORCHES/DECKS .Qf\.~\ i:) \ ~ x \6
(Open De.:k~ ';.." min. opening between r X
boards, with ll. pervious surface: below,
arc not considered to be impervious)
=
'-'0
x
~
TOT i.\.L D ECJ(S......._..,.............................................
I -J" ...\~,~ ~O~~~
OTHER ~.<.. ) I~ ~ '-'V ..,
[UJ~@\H\1J~~
1\Jll AUG 1 9 2004 W
TOT AL IMPE
By
l.o X '0 = loo
\1- X ~"2- = ~e~
TOTAL OTfIER.. .............. ............. ......... ....... ...... ....
I
I
Date-.:1( I ""I 0 y
IOUSSURFACE
E OVER \' n\
Prepared By J ') 'Ao""-.. 1< '-I A~
\
Company 1(",11..3' ~ll"\J"yiner.fl "P ^
\ 1'?"Z-
~ \\2..1
t.\ '"" L'
~~ '1'31,'Z3
'. ~ '-C>"' I \ l.\bo
Phone~~ (qED) 447-75.1..C1.r
.R~.~. 8/ \~ / o~ '0 <:c(T('>L.r D~\\,'('\J..)AV\
'. .. . ..... 0. oCl....t\ \'\ _ Q .
TOTAL P.01
Driveway: NA / FAilS / COMPLIES
· Maximum width at line
· Required setback
.
.
.
Ian
:;
5' from
30' from r-(
Jr
:r lots
f ~uilding Heighl<(COMPUEs>/ FAILS
Shore/and District: NA / FAilS / MPLlE
Minimum lot area s uare feet
Minimum lot width
Shore/and alterations
1m ervious surface
Bluff in Shore/an (N / FAilS / COMPLIES
· Setback from top of bluff
.
.
roved
.
A / FAilS / COMPLIES
· ood 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 Elevation
.
.
.
.
.
l:'TEMPLA TE\BLDGLIST.DOC
J- 3(7. ~. ~ ]
, 816u!S JOj U(
~8 le!luap!S~ Proposed
7.500 Ri,
50' Ri
30% Maximum
Standard Proposed
By planning dept.
Standard
908.9' Prior Lake
914.4' S rin lake
909.9' Prior Lake /
915.4' S rin Lake
Must be l' above flood
elevation for new and existing
structures. If existing
structure was constructed
9/19/90-11/22197 then
additional foot is not re uired:
Must be flood elevation or
niner
907.9' for Prior lake
913.4' for S rin laKe
Proposed
Standard
832 s .ft. or 25% rear
Proposed
10'
15'
PRIOR LAKE
INSPECTION -RECORD
SITE ADDRESS 53s:~ ~~~A/L. ~C.
NATURE OF WORK r/~ ~ E'1IJtnj,J.s
USE OF BUILDING . . :
PERMIT NO. 0"'.08,2- DATE ISSUED ,
CONTRACTOR~ ~ PHONE Z. . ~tj.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING ...-t1-cJ1;
FOUNDATION (Prior to Backfill) -1'1rC/l-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
ING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if re
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
r /,{ y Iv' ()cC e ) n (( O~/'/'Jltf I I
I FINALS
GRADING (Prior to Sodding) /J- I J
BUILDING If Ii rz / 2..7 ItJ '7'
ELECTRICAL / / /
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOT 1-(, E
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