HomeMy WebLinkAboutBldg Permit 07-1158
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CITY OF PRIOR LAKE
~~patfttt~nf of ~uilbing Jfnsp~tfion
o Final Pennitted
o Conditional C.O. Expires
Contractor's Name & Address PUr., 7C. HOf'! e:::r;j
'i"
i ,'-('
If~/Je}CT 1). l/u7EIfItJ.5
/), . j,~~ilding Official
This Certificate issued pursuant to the requirements of Section 110 of the D Residential! D 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:
r' L C r. .....; ()7. I/_c;~.
Use Classification '-> I /V""'f' Lc.- . r// r/l L I Bldg. Permit No. - V
/G..5 VN
I' Type Construction Zoning District
L -2! 13 i I 6NU;-lvE liT (!',(ErlCV L/1/~
Site Address /771(P {~LE::rlKA/ /K:A IL
815 tVorCfH(IIe::;T PIC-NY" f1/+0, E/i~rlIV
, , 55/z4-
J Q City Planner :II-I IV E ~/\/J IEl!:...-
Ie /
Occupancy Type
Legal Description
Owner of Building
Date:
Date:
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
17796
at bottom)
C lec~V' T ve,; \
Sl
Date Rec' d
Il. 2-8.07
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 07, 1/58
ZONING (office use)
RI
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK ADDITION f'nc/~ve.. At- e le~{y L.uke.. PID 2S'. +6+. ()o.3. 0
OWNER Pul t( Ho \I\A.iA- 6)/- <fs2 -~ZoO
(N ame) (Phone)
(Address) <6"15 Ak~ 1h. l!J("S PC"l/e4J4 5:V1' ~ <- /40 & c;,..; MN 5'S-1 z.lJ-
BUILDER :SA- M 6
(Company Name) (Phone)
(Contact Name) t\A. i ( "^- u. -e ( ;t+{-('( dt (Phone) 6( ], - 3t 9 - 3~ '1 9
(Address)
TYPE OF WORK ~ New Construction ODeck OPorch ORe-Roofing ORe.Siding OLower Level Finish ~irePlace(\)
OAddition OAlteration OUtility Connection
CODE: ~i.c. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
III IV
H I
2 3
G>A
M R
4 5
I
E
II
o Misc.
B
S U
PROJECT COST /V ALUE $
(excluding land)
Ie.; ~ 3 ,/tJ
(TO
.-
I hereby certifY that I have llirnished mformation on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authonzed 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 buildmg
official can revoke this permit for Just cause Furthermore, h 'eby agree that the cay official or a designee may enter upon the property to perform needed mspections.
X _(\A.\cl~ W 0# . 206 Z 7 '273 ;/ -Z-'iI'~ 07
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
/tJl!J, (J 0
/OO,(){)
35,5"0
0, DO
This Application Becomes Your Building Permit When Approved
Building Otlicial
If/f~/D 7
I Da(e
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$ Ib
-
0(,/ 7
Water Meter Size 5/8' '1'"
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
Builder's Deposit
Other
ThIs IS to certifY that the request in the above applicatlOn 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 Cettificate of Zoning compliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be
'~~~~ 1tb'A'.? ~~~~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by: ~
r
~
Date:
Il/3D/O 7
Building .Permit # PID: Zoning:
Address: /77q~ ~ r~
Legal: L 3 I B--L- Subdivision: 1k. ~ td'- ~ ~
Existing Structure? YES ~ Existing Nonconforming Structure? YES~
I CONFORMS TO ZONING
ORDINANCE
I
YES
I NO , I
Pro osed
z.C:;' S.,.
1"3' .
Standard
25'
10'/
25' if abutting a street
. 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 ofwetland/NURP
pond.
. Refer in- round ools to the Plannin De artment
. From OHW (Prior or Spring Lake)
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
30'
t-lo~6"
f'JA
75' or setback average of
adjacent structures, but no
less than 50'
N~
.30 Maximum
2.\ ore
Yard Encroachments: NAI FAILS I PLI
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 ards.
Standard
Pro osed
rJorJ6
otJc
~
Tree Preservation{ NJ(j FAILS I COMPLIES Standard I Proposed
. Total caliper inches
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement Yz:1
L:\TEMPLA TE\BLDGLIST.DOC
.
Bluff in Shoreland I AILS I COMPLIES
. Setback from top of bluff
.
roved
.
FAILS I COMPLIES
od 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
Standard
24'
5' from side lot line or
30' from r-Q-w on comer lots
10%
35' Maximum
30% Maximum
Standard
By planning dept.
20' From Top of Bluff
By City Engineer
No importing/exporting
Standard
908.9' Prior Lake
914.4' S rin 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
9/19/90-11/22/97 then
additional foot is not uired.
Must be flood elevation or
hi her
907.9' for Prior Lake
913.4' for Spring Lake
Standard
832 sq.ft. or 25% rear yard
10'
15'
if
~
~
I
Pro osed
Pro osed
Pro osed
eUILDING PERMIT A.,PLlCATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~
{// ~J/m}~
/1 28. 07
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constl\Jcti~n ,activity which is propose~ at: (I,
· / 779 ~, (Y&CVI~<r- ,,;JuzJ' d Lf1i ' ,
(/ /
Accepted
K
Accepted With Corrections
Denied
Reviewed By: 41fI3
Date: /2.- 7-07
Comments: See ~evers~ Side for Additionallnformati~!ll.
P,~~.T-e.. """"O,lllL.C,1-/ At'!-e a" ;A-tnO
. S~e ~~hlnents: 1) Qrlding.Plan, 2) Erosion Control Measures
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."
ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS
. Surface storm water drainage flowing to the perimeter of this lot to
and from adjoining properties must be conveyed to the roadway
and/or to the rear of the lot in drainage swales within the drainage
easement.
. All bare soil areas must be protected from eroding into neighboring
properties through the properly installed and maintained silt fence or
bales.
. The silt fence required by the erosion control plan must be instaHed
prior to any earthwork being started.
J
iti
-?
. The builder is responsible for maintaining the erosion control
measures until the turf is established.
. The rock construction entrance must be installed at the time of
backfilling of the foundation.
G:\Admin\dept info\ADDITIONAL COMMENTS FOR BUILDING PERMIT APPUCATIONS.doc
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
ffJ~~
112&.07
I
---'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ~
/779& ~,~ y /~
Accepted Accepted With Corrections /'
Denied
r
Reviewed By: ~ ~.. {2J.w Date: /1 /z., h 7
(
Comments: /f1bJ.ll.. at.f ~ I ~ ~ -Z; ~
,
- ~ /1 ~ _ II- 7?-: 5.......- Y1' . ~
~ ~'-~~ J ?~ -r:'/~ ~ ~
I~)~~.~ ~t~ ~ ~ i ~ ~~..J-
.1H. ~~ r ~.:j ~~d;~, ~,
fI~ ,~ ~ ~ ~~~-)~ ~~
"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."
~,,,,-~.._~
. .. ;f'~" "'f:'(:'~
".!:'-o>i--'
White - Building
Canary - Fnaineering
(pink - Plann~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~<, i (.... //
'/
~~. ,if"')) ('---1--------
/1;( /-7
I. ~.... ('... \" /
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,J/~O
! /,/ It
/
( (
/ \
.. r'L
/ \ ,. i ./ -i /
"",/ ~ \".-~ '... --
(
/
J/
Accepted
v--
Accepted With Corrections
Denied
Reviewed By:
Comments:
~
,.
~
Date: ///Z-9,h 7
.. :>->iT~ if\t:,,'!n ~~~ ~
...... "...)""l{(ttl~one""~''''d Oth
,,: - .." II a .Il.. ...... ,. r-.. f!!:
JfC{.ds iliannn+ ~. cr lllte.. clmnjj"",,-
';-""'UL ...r:.!Icroach m" tn. L,,",'~.,
,.....:'.' <,;' .. "7'.. .,. 0 Het"lrT!l"JI"n,;"
.. ".." :-;-" \:'. '.<;_' -,'.'.....'1 r'-l ~ ~ '~,t ~.,j"~-J. \:";<'" OJ
".." ";/'~"~_;'-'",:'"?-:::,.'>';:~"::p~,~b<,:,,,! ..~
"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 PLUMBING PERMIT
Date Rec'd
1./OIOf;
~.:~ ~:~ I PERMIT NO. 07.. 1/ SIR I
3. Yellow Applicant . U
Please
ADDRESS
1779(P
77V'f1 L-
I ZONING,__, I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
(Phone)
WPLICANT e
fName) V A-t-I-Ef L.uM.6\tJ ~
~dress) S1.o ~. ;4-vf?-
(Address)
~hOne) ("'~l)
~ot-M;/
(City)
'fontact Person)
PLICANT SIGNATURE
(Phone)
VCfZ -7-I'Z..\
S~518
(Zip Code)
(q rz) tic:; z - z.., 'l...I
1--lo-oK'
TE
,
,
APPLICANT 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)
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other v N
Quantity
,
\
I
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ~
$ ~O
$ ./'
/'
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
61
P~l 0 {)rJL-
gulV
Estimated Cost $
Building Permit #
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
R
I
Building Official
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Jan 02 08 02:09p
METRO GENERAL SERVICES
763-428-2968
p. 1
1.
2.
3.
4.
"--- 5 .
6 .
L
GAU" . FN.r;
"ELLDW - APPLlCA..'
GOLD - CITY
CITY OF PRIOR LAKE
SEWER' AND WATER PERMIT
FAy.., Cf5.2.r J/'I7-'IZ.tf.b'
s.w.No.JLlJl58
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: rJ1 erR.o G5E."I')Ef<f-iL Sr=-R.V/C.F.PHONE: --If,3 -4-d.S'-~'13g
'---1 j 0. '_W\} c .
ADDRESS:..:;:J l 0 (' UAfYl Av~ N/~ DATE:
_..---:\-' -"':'\ [lQ,-L,C'\ 'dt= S-r (}1 'Q..,i ,~ r; L , -J"1"J. :;;'.5 3 7 b
SIGNATURE:... <<J ,_.,+, (x{)~.1 .....,.... BLDG. P:SRMIT #
SITE ADDRESS: I 77CfCl . C/r;;i/71 IJr)~D#
/
FILL. IN THE BLANKS
Estimated length of water service
5r)
feet.
Size of water service
I ,/
inch(es) .
Location of any couplings from structure () feet.
Type of sewer pipe. ABS PVC '-I- (/ Cast Iroll_
Estimated length of sewer line
5"' () feet.
Clean out (if required),
structure.
located at
!\J; A-
feet
from
=============~=========;==========================================
This apPliP1-7iO, becomes your permit when appr~)Ved. ..
BY I Ii ~,({i;)t~OIt DATE: /-l3-tJ~
========f7~,1~~=~~~=============================================
FEES: ,....P.Jc{1:.:!..0~e..M 1-7- ~~~~~a~~~ water line connection permit.
".,N" I-ee.- TOTAL
... -..........."....-
* Fee for either sewer or water individually is $20.00 plUS
$ .50 surcharge.
*
Sewer and
recorded
to insure
issued.
ued for new construction must be
rmit card at the time of issuance
e sewer and water permits are
AMOUNT PAID
REC/D BY
DATE. PAID
PAID WITH
'a~1~t_!)i"~'~ PEAM,..-t
RECEIPT #
16200 Eagle. Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (7'52) 447-4230/ FAX (<152) 447-4245
An Equal Opportunity Employer
Jan 31 08 11:25a
p. 1
ClTY OF PRIOR LAKE
H'EATING/AIR CONDITIONJNG/Fn~EPLAC€ PERM1T
I)at~ Rcc'u
\. r'!lk
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rile
Cit)"
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[PERMITNO.~
-I
ZONING (<1IIi...
l".~l
(1'1,..,... t I'''' or print OJ"" ~.IJ!!..~~~U!\'!.I.l'L. .....n____
ADDRESS
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.
----.-....-".........,-..-..--....---...-.-........ ....-............--..,'..". --.""'--." "",.,-'" ,..,....--. .--
LEGAL DESCRII'TION (cake u,;c .",Jy)
LOT
Bl.OCK
AD1)ITION
PID
O~VNER D t \-\
(N:lm,;:) \A. \ e. I "()U-e.S
(Phone)
IJ~~:~r:.~:LS~.SJ\~.~..Q~w~-=i:l.\L\,D e;D-q ~Cy ~~V\ &:::.~, .
I APPUCAN& . \ - --....-..-
(N:lm~) ~ ~ C~I. '(:)y"\:, r:re 0 :IJ.Y.:JCt-~.._A.\-c.. (f'hOM) ~u;d::/ L\'lk 2_.2- <..0 ,
(Addrl!~t;) Z 0."\ r. c\^ . . -C I \ , I L1
. ~L2)-_~. v "V\ .\-~ vh. \:)\qkl..~~\/) ~-T-\" il
(AddI'CR~) (City) (%:ip Cl~'h')
(Cont.\Ct l'l.:rt;(m) U~d 'f)~>:'~ (Phone) -llJ:'l~- 4-:-1~ _. 2.L-'..~=L~.__.
APPLlCANT5IGNATUR~ \e..L.L- v c; "',(' D^TF. Ll~~.W~ ..-..-.--
APPLICANl l'LE SE COMI'L 'TJ!. BELOW .._........._.._....
NI2W CON:S"rRucrrON 0 R~PLAcr;"...lr::NT 0 M.TFRATIONS
17UH.NACE )"l/\KE AND MODEL \ r'Y1V1C)~ Gi. L\ ~..tf'-=_~L~~.,)._........._.. FUI::I..WQ.,!~_:_~.Q~_
FUll: SIZE RHURN OPENINGS INJ'ur~lDlC:L:6.~ OUTI'U'J nt" ?~
TYPE 01' SYSTEM BEA'CING OR POWER PLAN-r
OWarlll Air 1"1:1Il1:;
LJyri\'JilY
~~~ch.\I1ical
n^~r COlldiliollillA
OVcn\. Sy:'lern
DSlcam
o flot Water
o R,ldinlioll
o $pCCl:d I)cvicc"
o (jlhcr DeVice,
PLf.^SE N(rn::
Air COlH.liliolll.:r Unit~
C;'Iono! Encro.lch into
Required Sid;; Yard
Sctb:\cks
FIREPLACE :V1AKE AND t\lODEL
._-----_..~- .
. .. ".- -_.
Illd\l~trlnl, CCl111111cn;lal ,~ I\.hilli-I'.\lTIily
1"1::1:: SCHEDULE
I 'Y" of Job ;;o:.l RC~IIJcl\\Ial, G.,~ Fircplncc
'\i:l\l.:iOmil1l11l11IU
$'.I9.5U RC:iIJClllwl, AdJlllon', & Allcr;lllcn:;
$64.50 RcsidcnliJl. AC Only
$19.50
RC~ld':1I1Ial. J k<lllllg "" AlC (N,:\<' COn~lr\l~lioll)
I\c-a.1':I1II:1I, l'k:1llr1e: Only (New Con,ll1Jdhln)
$3'),50
::139.50
I~...linl;~l..:d C05t $ ~C::t..:....d' (:) BUIlding !";m1i( 11......__
HEATING pEIWIT FEE $_.__..___
STATE SURCHARGf $ .50
TOTAL I)ERMIT FeE $
FAID l;V~TH
P;EE~,1jT
(Oflin' II'" lllll)')
UuilJilll': OIClcilll
Ii. r
II
~'lj IO'MAR 1 3 L008
U"I~
+---
__:4.~~O_~~~~"IIC: ~~"J~d:\J~~95~~. B~u. r.ll( (~}S2) 1j.17-t2.IS
cc.:ipt No.
_..__.~.
~
This /\pplic:Hio/l IIC~OHlC~ Your Building I'crmil When ^PI,rvv~'d
,.
PRI( . R LAKE D2PARTMENTOF
1) BUILDING AND INSPECTION
INSPECTION RECORD
.
C~i.. . IL. liE.
07.1158 5, ~~Dj\;~/L"
CONTRACTOR f(AL Le t\oft\E:~ PHONElLZ: 3(., - ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
c.~... ~"O 04.. 0 ' S iotl.r
FOOTING _')/1
FOUNDATION (Prior to Backfill) -q--o
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
,j 0'>\
ROUGH - INS ;
SEWER I WATER I SEPTIC
FRAMING
INSULATION tf.o
ELECTRICAL
PLUMBING
",,'.',
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
IRI&"/~ I LATH&-f t-b.sr~a~Wfp r;.j;Z/~ I
FINALS
GRADING (Prior to Sodding)
BUILDING '-<~ UV\~\ (,F\
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy 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