HomeMy WebLinkAboutBuilding (SFD) 03-1339, Demo 03-1340
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CITY OF PRIOR LAKE
, ~eparfmeuf nf ~uil~iug cIDusperfinu
~ Final Permitted U Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform 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
SINGLE FAHEY
Bldg. Permit No.
03-L339
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
R1SD
Legal Description
L17, 20, & 1/2 OF 21, INGUADONA BEACH
Owner of Building
Site Address
16502 INGUADONA BEACH CIRCLE
Contractor's Name & Address
DENNIS PERRIER, 1650') INGUADONA BEACH CIRCLE, PRIOR LAKE
Date:
ROBERT D. HUTCHINS
Building.otpcial
~ ( / / /
. ,I y
City Planner
DON RYE
Date:
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4 -2--03
I. White File
2 Pink City
3 Yellow Applicant
PERMIT NO.
1&502-
/ f'./ (3 (/ /tVCJI./ 1'9 tJ t71t'41 ~I ~
ZONING (office use)
Ie /s1J
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNE~ 1
(Name) "€\f\ V\ \ S
,
e r l" \ 'Y'
(Address)
(Phone) ~ Y't7 60 I ~
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
ODeck
OPorch
ORe-Roofing
ORe-Siding
New Construction
OLower Level Finish
o Fireplace o Addition o Alteratiofc OUtility Connection
PROJECTCOST/VALUE (excluding land) $ ~ODd, {JO
o Misc.
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
~ter~:::t~:=ections 'I / ~ /0 S
Signature Contractor's License No. , , Date
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
(JOr 00
o,OD
.3~, $""0
,00
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~ ~ /O/I/a3
Building Official I Date
Park Support Fee
SAC
#
#
---
Water Meter Size 5/8"
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
-
Paid
Date
IZ ~{;j:3 :>
~ q 4-tr
I ~~ 4(; dS7
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 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
issued. \ '
0:Z"ij
TYee vYdt~tfhCv-l (t(7U I U' t
Date Special Conditions, if any t
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
I (J . '0 . 0')-
CITY OF PRIORLAlCE
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.
PropertyAddress~~2- . .~~~\S~&o~~,. 6~~,-\\- ~\~c..\~ (,\l"\c:..\~&\':J
I\~c,,- 0 N \ 0+-\"1 ,~lc Z. (:) ~'2...\ o...~~~ E.L. C\ol..\
Lot Area,s ,. \S'-\ Sq. Feet x 30% = .............. '--\ ~'-\ \p
************************************************************************
~(.\'PO~
HOUSE
.~
\
ATTACHED GARAGE
..
LENGTH
WIDTH
SQ,FEET
x
=
x
x
=
=
TOTAL PRINCIPLE STRUCTURE......................
2.!-\~ 0
~~<- o~ PIc
\ * 'Z... \ .. x --z.."2-. 2...
flo 'Bo~ ~o~x "2..\ \'::)
\~ \1
TOTAL DETACHED BUILDINGS.......................
?~,,~o~& ..
DRIVEWA Y/PA VED AREAS
DETACHED BLDGS
( Garage/Shed)
l\~
x
=
,,-\\
~Driveway-paved or not)
I (Sidewalk/Parking Areas)
x
t.o~c... ~~t.)t)r x
=
=
\ D'S
TOTAL PAVED AREAS...............................:..........
co'--\~
PATIOS/PORCHES/DECKS
x
=
(Open Decks ';.." min. opening between
boards, with a pervious surface below,
are not considered to be impervious)
x
x
TOTAL DECKS........................................................
OTHER
x
x
=
=
TOTAL OTHER........".............................................
TOTAL IMPERVIOUS SURFACE
~OVER/ ....... . ............. ....... .....
. Prepared By U~~..,x.. . . ....
company~~\\~5\1~~'~Cb:) ~t\.
~., D ~
I <ooCO
Date~~
Phone # ~~ 7... 1...\(\1..-t.S1t)
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-t or R-2 Districts
Reviewed by: (!J<-t--
Lj... '3.0 ~ / q . {}-'+-, C?J
R-ISD
Zoning:
~
Date:
Building Permit # PID:
Site Address: 1(0 e502- UiC(jU ~ GL. r~,"-LCLUJ
Legal: L
, B
Subdivision:
Existing Structure? YES / ~
CONFORMS TO ZONING
ORDINANCE
Yard Setbacks: NA / FAILS/ COMPLIES
. Front Yard (setback average if in-fill lot)
.
.
.
.
.
.
~ FIoUI Ald~ Raliu. NA,' FAILS,' COMPLIES
Existing Nonconforming Structure'?
YES
Standard
~
.30 HilXiml\'1l
Proposed
9- D ,0
I~(
,
? tllLr (cl .
V)~
Yard Encroachments: NA / FAILS /COMPLIES Standard Proposed
Eaves and Gutters no more than 2 feet in width and
no closer than 5 feet to a lot line (Easements).
AlC and other equipment cannot encroach on
interior side yards. !
~) r() plCU'l ~iYl<-...tl:QcL
Tree Preservation: NA f FAILS / COMPLIES Standard Propo'il'ct
. Total caliper inches '-----/
. Can remove 25% of total i
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement 1/2: ]
L\ TEMP LA TE\BLDGLIST.DOC
, .
",,"
CITY OF PRIOR LAKE
DEMOLITION PERMIT
cJ~ .30 -03
1. White . File
2. Blue . City
3. Yellow . Applicant
Permit No. 03 ~ 134-0
DIRECTIONS
1. DATE '1-J--tJ3
/2tSD
;}S/"Of5" 6/4"
each e/t--
,-- 0 'Lf-o
BUILDING INFORMATION
7. SIZE OF STRUCTURE
;:.;'I .sE/~
8. NO. OF STORIES/,
9. TYPE OF CONSTRUCTION
SPACES NUMBERED 1 THRU 10 MUST BE FILLED IN
BEFORE PERMIT ISSUED
(Please print or type and sign at bottom).
2. SITE ADDRESS
10. COMPLETION DATE
(Address)
) b 5{)~ :IAJ6l1l1tJl>IUl} JJaCJf
(Address)
(Tel.
C/~u..E ~~~~1j7-~{)/:2.
(Tel. No.)
5r 9.s-::;~33'l~O
(Tel. No.)
Furthermor
infor ati n hich is to the best of my knowledge true and correct. I also certify that I am the
ab e entioned property and that all construction will conform to all existing state and local laws
it s mitted plans. I am aware that the building official can revoke this permit for just cause.
t city official or a designee may enter upon the property to perform needed inspections.
'/-;P?-cJ5
Date
x
METRO SAC UNIT DETERMINATION
o Site Restoration Plan
o Utility Abandonment Plan
o Sewer Abandonment
USE OF BUILDING
.5, FO,
SITE RESTORATION PLAN
o Water Abandonment
E
Accepted by
Rejected by
II III IV @
H @ M
2 a 4
o Electrical Abandonment
o Other
Occupancy Group A
B
CREDITS
Park Oed. Credit ................................................ $
SAC Credit ......................................................... $
Sewer & Water Connec. Fee Credit .................. $
8<;;0.OD
/Z 75 ,Do
35'".50
TYPE OF CONSTRUCTION:
Division
This application becomes your
demolition permit when apprqved
By ~ ~ Date /~,.f~?
Water Tower Fee Credit .....................................$ 700, DO
Other ........... ............ ......., ................ ....... ............ $
TOTAL CREDITS ........................ $
Issued by
Date
This is to certify that the request in the above and accompanying documents is in accordance with the City Zoning Ordinance and
may proceed as r. q ted.
. - Ca 10.,3 .03
Date
Special Conditions if any
\
Tht" Cenlt"r or the t.kt Counll"}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
........
.J
~,)?-"
. ~.......'~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
j
Accepted 'f
Denied
Accepted With Corrections
K
Reviewed By:
Comments: ~ ~
V re If ~Ql ty €JL ~,) L~L--Tc--eYl
retc'cLA {~ rca1LLLfLP~ ex- 0 j ~ .5'1 (i c~~
trCQ/V
Date:
IO,~ .O?;J
7,5 i,
"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 ("enter or Iht tlkt Counu,"
C White - Buil~inV
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J)~fJ~
,
~- ~-O~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
IbS();}J ~~ ~
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~
;P~
~ Date: 017/?3
~ ~~~4J ~~,
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."
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lS!PIJaq=> l!lUJad ~U!Pl!ng ICnuapIsalI
Th. C.nt.r of Ih. l.all. Country
White - Building
C::C-anary - Enqineerlrl'g'-)
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!") / ' ; ,
/ ,/ t'/,,/w./'yz./..<::v/ A_/ ,,,PI" j'-;'/",-,/I
.," _/ JI..... /_f_ .... <~ "~~./fL."" t-o--1:,..;e-.
,
II ~ /,~ /
~f' ~.,,- ..~(,./ ~
". ,..
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
" J'-- /\,j) / , / \ > 'Y /'
/ (-:I.:; (,) 0--- (~-C; )~;.;Jt,'{e;(.f:J!'<.~:'r;l/}(]'--.J '=.0;:;) (~:::/_<:..4"._._<
,
.' I
I
Accepted
)('
Accepted With Corrections
Denied
Reviewed By:
/h4f3
Date:
Lj - ::2. ?? -03
Comments: See Reverse Side for ArJrHtionallnformationl
(r Cf II c,rrl//{.t.{ fJ(/OE +0
(9 . E;(, rSf,h) t1ouj(.
j) -t mo (, 'I,/;.....
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."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
g~ tf---~-1--
IN6v/l-/i)OWrf
~. ~::n ~:;y I PERMIT NO.Ol3'. {53C} I
3. Yellow Applicant . I~
If ~ (!.,IrL .
ZONING (office use)
Uf'tJ
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID zS-.
I OWNER
(Name)
(Address)
(Phone)
APPLICA
(Name)
(Address) / rl- ") 8
(Address)
1~P~hone) 9-52- g9i$-//'/y
,(3 tl~ V I LL CZ-. S;.jJ 3 7
(City) (Zip Code)
(Phone) 9S2 - f59~..... 1/7 y'
sA
DATE
(Contact Person)
APPLICANT SIGNATURE
APP CANT PLEASE COMPLETE BELOW
DNEW CONSTR cnON 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
REA TING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
Vent. System
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
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 $
Build;ng Penn;! # o...~, /351 If
$ ~ f(1 0 ~
: ~o f IJvj} .
/
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
Building Official
Date
By
This Application Becomes Your Building Permit When Approved Paid
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 PLUMBING PERMIT
Date Rec'd
7,.. 1.,1 ~o 4-
I. Blue File I PERMIT NO I
2. Gold City . 03 i /33Q
3 Yellow Applicant , /
.
ZONING (office use)
K../r 0
/(,502- IIJ'(iV/fOOAJr1 Q~ t!4/L.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID Z-S". 09S. 0/ .,
I OWNER
(Name)
(Address)
(Phone)
APPLICANT
(Name)
CD'~
(Phone) 'T 5-) - if~ c1 - I)..J 1-(
~ 4~ tVILLc .5S1>l{i{
(City) (Zip Code)
(Phone) ''''is.l - .2<7..1 - 3 j 0 ~1
DATE ::z. -.J...3'-D'j
(Address)
(Contact Person)
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher j Water Heater
Floor Drain { Water Softner
-j Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
l- Sinks Backflow Assembly Test
I Bar Sink Lawn Sprinkler
-3 Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
Building Permit # OJ./3 3 7 6 'I
/ YJA'O O~
r eViL!
$
$ ~o
$~
-
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
Building Official
Date
This Application Becomes Your Building Permit When Approved Paid
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
~,3o.04-
~. ~:~;-:w ~~~~. I PERMIT NO. 03 /3371
3, Gold Applicant -
ZONING (office use)
/2/50
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID ZS'
.0
OWNER
(Name)
f) E/IJ /J I'v jJ J.6~JE/G
/ /?5oc1 J:.IIt;I/I1IiJ/IJ/} BalDI CJRCLE
(Address)
(Phone) 7:.-ii - ~~7 - ~() J,;z
f IfJD,IL 1 fiXE
(City)
(Zip Code)
(Address)
APPLICA1f,
(Name) I AJ /I" G t< It 0 E J:lIJ {.
.
(Address) 1-3/5" rJ} !/J<.I}S Sr:1(.GE-r
(Address)
(Contact Person)
(Phone)
95~-~33-)(!Jm
65.379
(Zip Code)
9./)~- ~ i33 - / 6<, tJl)
,
(Phone)
SJlIJKO/EE
(City)
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Location of any couplings from structure _ feet.
Type of sewer pipe. D ABC [L9 PVC D Cast Iron
Estimated length of sewer line -.2!.1.L feet.
Clean out (if required) located at feet from structure,
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
!~
By
Estimated Cost $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Building Official
Date
Dat(p . .3 0 , 0 4-
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS '..t~O;2... =A d6AJt'J- i!t!'~ ~;",
NATURE OF WORK W C
USE OF BUILDING ~ ED .
PERMIT NO. ~- ~ ~ DATE ISSUED
CONTRACTOR ~ ~ r-, I ~". PHONE 6S/- .3",'" 1I11:1?
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
I FOOTING ~w5GJ...- No '5\~c9v""~ ll-/~ ~~ t2/2-Ct103
FOUNDATION (Prior to Backfill) L 2{JJ /0'1 ~ . I ~ 0
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNE
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMINGl.I't0 L--
INSULATION /()rJ J- (Io(}n l:tt J -j}1Jl-
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING wtl\
ELECTRICAL
PLUMBING
HEATING
DO NOT. OCCUpy UNTIL ABOVE HAS BEEN
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