HomeMy WebLinkAboutBuilding Permit 08-0101
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3/710Y
\ PERMIT NO. OB. 0 10 / \
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I While
Pink
\'el1ow
File
City
Applleanl
LEGAL DESCRIPTION (office use only)
Date Rec' d
~NING (office tlse)
l1()
LOT
BLOCK :J-. ADDITION
PID 2)1 'f~~-; Of 0 . 0
OWNER */" t t'1 AA/[1 II 0c:1~ /A - ~
(Name)~^ 1,()vY'\e4---- (Phone) ,)2-- ~ \--(00 V'j
(Add,"ss) VJ~ 0 Av\(:\ ~tLkh --O-Y\ W ~) t~f,V\ Pmi v\c)rY\~( 7-=54l(
(Phone) 0CS::-:::} -c.~d0- 6000
(Phone) ot~- dc~- booS
m t:f-h <-I .
TYPE OF WORK ~ew Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration o Utility Connection
I hereby certlfv that I have hmllShed mformat\Iln lll1 this application which IS to the best of my knowledge true and correct I also certify that I am the owner or authonzed agent filr the
above-mentlO~ed property and that all CllnstrUCtIon Will conf(,rm to all eXlStll1g state and local laws and will proceed in accordance with submItted plans I am aware that the buildmg
official can' 'vnkc tillS perm or JlIst C.lUSC FUlthclmOlC 1 helcby agler that the Cltv offiCial 01 a desIgnee m,lY entel upon the ptOpcl1y to pcIfOlm needed mspcctlnns C
X '~~/\--v,. ~~-DD?FS4112_ 3--1-0 '6
Signature' 0 Contractor's LICense No IJate
CODE: )8lLR.C. OLB.C. {~
Type of Constmction: ~ II III IV
Occupancy Group: A B E F H I
Division: If:) 2 3
o Mise.
V A B
M~S U
4 5
PROJECT COST /V ALUE
(excluding land)
Pressure Reducer
Sewer/Water Connection Fee
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee
3,_5"0
/ tJ 7 '-{r 1 g"
$ / tJtJ 1 t'J cJ
#
Water Meter Size 5/
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
$
$
$
I
1$ 5z-oo
1$ SO/Oo
Water Tower Fee
Builder's Deposit
Other
#
50,00
/ SOr 00
J
i
Sewer & Water Permit Fee
TOTAL DUE
Gas Fireplace PermIt Fee
This Application B. ecomes Your Building Permit When APPTOved-1
/J . ~ f
~I/~ ~-{~~J}I-- Y//O!ocfY
Bulld11l!! Urtlclal ' l1.ne J
$ :;)--()O/:)O 0
$ ----_.-~
$
$
$ (JO,CleO
$/Sc/U- c7 0
$ I U[1<."-. d {j
I $ I 5001 () d
$
$
ThiS IS to certify that the request 111 the abuye application and ,1ecompanYll1g documents IS 111 accordance wIth the City Zoning Ordinance and may proceed as requested TIllS document
when signed by the CIty PI,mnel Clll1StItutes a temporaty Cntitlcate of Zonll1g compliance and allows constructIon to Cllmmence. Before llCeupancy. a CertIficate of Occupancy must be
iSm{,4~ y~~
Planning Director
~// c~f([l
, ! Date
24 hour notice for all inspections ('):;2) 447-')8:;0. fax ('):;2) 447-424:;
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: l5e1A~ w;}2/J Date: ,), 10 6 ~
Building Permit # PID: r ,. Zoning:
Address: 171Y!; S7;!}7l)E6~/~. C/I~E/g'-v.J,
Legal: L1_1 B;J- Subdivision: j%-)A-l2- I~"'(....)
Existing Structure? YES @ Existing Nonconforming Structure? YE~
CONFORMS TO ZONING
ORDINANCE
YES
" <:- ; /1 /'Ii 0
NO
./ .....
Yard Setbacks: NA 1 F AiLSI COMPLIES \. ) Standard Proposed
. Front Yard (can be 20' if avg-. W/tnIOU" 25' 25'
. Side Yards 10'1 (
25' if abutting a street 7,5 5:',
. Sidewall exceeding 50' requires additional side 2" 1 0' setback + ~EJ ,0,
setback for every l' over 50' in lenQth 2"/1' over 50'
. Rear Yard 25' 40,.1'
. Patio Door: provide for minimum 10' deck or sign 10' sidel
statement indicating no deck will be built in the future 25' rear pO
. From 100 year flood elevation of wetland/NURP 30'
pond. I
. Refer in-ground pools to the Planning Department ~.. _fO
. From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no /JA
less than 50'
.30 Maximum
Standard
Pro osed
'J}j/F
/""i:\
Tree Preservation:fNAlFAILS 1 COMPLIES I Standard I Proposed
. Total caliper inches
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement 1f2:1
L:\TEMPLATE\BLDGLIST.DOC
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;f~1;/ ~~~~~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ,
I/} I t.f7 ~ ~A J: tJ,
Accepted
Accepted With Corrections t..---"/
Denied
Date:
~5/;tJ/oJ/
, r
c~~d ~A.C~2~~
Reviewed By: ~/vJ~ c;z:~~
Comments: Kcz-&d ~-f~;t;; ,
~ ~ ,d-<-eL~ de~ OL ~ j;rJ;'v~
t<~e;I !K ~,7t;~J'- 'J~ ^:' ~,
tu-ur ~/-r~ '22.-<< ~:t~-
"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
~n~: _ Fngin~g
Qink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
f
~'> ;',. (""~
,,~ ..' 1
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 With Corrections
v
Accepted
Denied
r
~~~
~
Date: 3~ 0 /0 ~
,... .
~~~,
Reviewed By:
Comments: &~
I
h iF Ctmditicmer &;ld OtlIeT Mecha:licaJ
YJnits Cannot Encroach into Required
Siae Yard Setbacks
"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 - ~ullding
~n~1Y. - Engineering J
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
4/LtJ--r-rY ~
. 3/7 lor
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
/1 / ';L5 ~y~ ~ J tz}
X
Accepted
Accepted With Corrections
Denied
Reviewed By: M&f/; Date: 3-1] ~ 0 i
Comments~'.~ee Reverse Side for Aririitinn~llnformationl
r.d" c... 4,,/ Dq (,~ /I e;J,'r, ,(.
See Attac~ents: 1) Grading Plan, 2) Erosion COl.\trol Measur,e~.
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."
.
Standard
24'
5' from side lot line or
30' from r-o-w on corner lots
10%
.
.
.
35' Maximum ?i"
Shoreland Distric FAILS I COMPLIES Pro osed
Minimum lot area s uare feet
Minimum lot width
Shore/and alterations
1m ervious surface 30% Maximum
Bluff in Shorelan N 1 FAILS I COMPLIES Standard Pro osed
. Setback from top of bluff By planning dept.
. 20' From Top of Bluff
. roved By City Engineer
. No importing/exporting
Floodplain' A AILS I COMPLIES Standard Pro osed
. 100 year ood elevation 908.9' Prior Lake
914.4' S rin Lake
. Lowest floor elevation 909.9' Prior Lake /
915.4' S rin Lake
. Proposed lowest floor elevation 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 re uired.
. Elevations 15 feet from structure Must be flood elevation or
hi her
. 907.9' for Prior Lake
913.4' for Spring Lake
Standard Pro osed
. 832 sq.ft. or 25% rear yard
.
. 10'
. 15'
.
L\TEMPLA TE\BLDGLIST.DOC
03/28/2008 FRI 8:49 FAX 952 767 1900 GENZ-RYAN
14l 0011001
Date Rcc'c!
CITY OF VRIOR LAKE PLUMBING PERMIT
1 Bllle File
2. Gold Cily
j _ Y dlow ApplicilTll
I PERMIT NOo~
\
ZONING (office use)
(Please tvpc or print and Si~l at bOIlClI11)
ADDRESS
17143 Stonebriar Circle
LEGAL DESCRIPTION (office lIse only)
LOT 1 BLOCK 2
ADDITION Stonebriar
PID
OViTNER
(Name) ~nd Home$_____.
(Address) 7599 Anag ram Drive
(phonc) 952-229-6000
Eden Prairie
55344
API'L!CANT
(Name) Genz RY.flllP1Ul}lbinQ & HeatinQ
(Address) 2200 W High,^,_~'L11-___
(/\ddrcss)
(Phone) 952-767-1000
Burnsville
(City)
55337
(Zip Code)
(Contact Person) Nicole__YY.'!Ji!~Y_-_ 0"
/. U - /') M /1
APPLICANT SIGNATURE ()lL&~ (/ h/ft1Ltj:c/Vl DATE 3/28/2008
....---.- APPLICANT PLEASEI~MPLETE BELOW
Quantity Tvpe of Fixture Quantity
2 Bath Tub with or without shower 3
1 Dishwasher 1
1 ~;Ioor J)r(lin I
4 Lavat~rv (Bathroom Sink) 1
Laul1clr}~r~;;' (1 -;;;. 2 compartment sink
1 Showcr Stall
1 Sinks
Bar Sink
3 Water Closet (Toilet)
(phone) 952-767-1847
Type of Fixture
Rough-ins
Water Heater
Water Softener
Stand Pipe (Washing Machine)
Sewage Eiector
Backflow Assembly
Backflow Assemblv Test
Lawn Sprinkler
3 Other
FEE SCHEDULE
Indllstrial, ComJllcrcial 8.: lvlull;- ramily 1% orjoh cost with a $49.50 minimum
Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $4950
ESlimated Cost $
Building Permit # ___
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.sPAID V"lTH
E~\J;U')H\K3 PERMn
13uihlin2 Official
Ii
\
L'
2~ hOllr notice fnr all inspections (952) 447 9850, fa~ (952) 447-4245
464li D.II.ota Street S.E., Prior Lake ~J~~.:::311-----
Dale
eccipt No.
(Omec Use Onl\')
This Application Becollll'S Your Building Permit \Vhcn Approved
APR-26-2008 15:15 FROM:
TO: 9524474245
P.l
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(PICHe type or pdat aDd lip at boItuI)
IADDI1IY~ 5~iv3vJ
t t;. S- [PERMIT NO. ~
1 (ZONlNG_~-1
J
\ LEGAL DIlSCIIlPl10N <__...,l
LOT BLOCK ADDmON
PID
O'WNER
(Name)
(Phone)
.:~;..;..,~' -;-.
~(~~) .
(AddftsI)
(Ciry)
(Zip Code)
d
(Address)
(Contact Person)
APPLICANT SIGNA:
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Location of any couplings from structure _ feet.
Type of sewer pipe. 0 ABC ~ PVC 0 Cast Iron
BstimAted leng1h of sewer line 6GJ feet.
Clean out (if ") located at ~ feet from structure.
FEESCBEDULE
. --ltCJidential !IC'K<<lWdi\mllr-Jiilc:coupcctiOD - SS 1.50 ,'_ ~ Co.m~l Ie. ~ulti-&mily 1 %-ofjob~.w~O;ninPnllQ1.. - 'j
. SeWtr coimeetioD only S2S.S0 . Water connection orily $25.50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
P~lD VvlTH
it .v.... -'I'~n" 1I"r
EU:d"),i\i>'" 1--';:T~i'.J,
B8DdIu 0flIdaI
Dam
z.4 'our Dotlce for aU lnlpeetloDI (951) 7-9850, rax (952) 447-4245 \
"~6 Dakota Street S.E., Prior L. !l ~n~~7Z---.- j
Receipt No.
By
(Qftke Uae 0aIJ)
ThII AppHc.tIoD Becomel Your BuIldIDI Permit WIleD Approved
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ...,3 STONe s.t"J.
NATURE OF WORK ~ c.c~s~W! ~ ",.c.. ~k~ Dec#c..
USE OF BUILDING F. o. Dre.. t2.c...
PERMIT NO. e~ .~~ DATE ISSUED -.3/ ' 0 I" e
CONTRACTOR ~ A tloIKcS PHONE1Sa-ZZ9-~a8'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE .PERMIT IS BY SEPARATE DOCUMENT
C/J/Uf'12..It,; ~tON o/!.. tJO It.)S;PEtTl t) INSPECTOR
I FOOTING
I FOUNDATION (Prior to Backfill) J - >1
PLACE NO CONCRETE UN-oIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DEPARTMENT OF
B~ILDING AND INSPECTION
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~. I. I
lI:Ulll:I..al'~ I ~ r ~use-IJJi!'~
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
r; ~ 0.. 6
OCCUpy UNTIL ABOVE HAS
NOTtGE
This card must be posted near an electrical service cabin"t prior to rough-in inspections
and maintained until all inspections have been approvecl On buildings and additions
where no service cabinet is available, card shall be placed n/~ar main entrance.
FOR ALL INSPECTIONS (952) 447-9850
il
\J,",,,\
C:/,_
CITY OF PRIOR LAKE
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.
Property Address 1'1143 31ollebr,'etr t,'rclt s.CJ. [Ltl1 1,/!;/'C1t 2 rS10PGS~/IJ~L
Lot Area 7, 165 5.f. Sq. Feet x 30% = .............. AlA. (s~ (J.J.f),)
************************************************************************
./
LENGTH
WIDTH
SQ. FEET
HOUSE
x
x
x
=
=
ATTACHED GARAGE
=
TOTAL PRINCIPLE STRUCTURE...................... 1,952 .s~
DETACHED BLDGS
(Garage/Shed)
x
x
TOTAL DETACHED BUILDINGS.......................
DRlVEWAYfPAVED AREAS
(Driveway-paved or not)
(SidewalkIParking Areas)
x
x
x
=
=
=
TOT AL PAVED AREAS.........................................
5%" ~.r:
P A TIOS/PORCHES/DECKS x =
(Open Decks ';." min. opening between X =
boards, with a pervious surface below,
are not considered to be impervious)
X =
TOTAL DE CKS..................................f.p..~.6...........
83 SF.
OTHER
x
x
=
=
TOTAL OTIIER.... ......... .......... ........... ........... ..........
J.,A?O ,.f, I
1
TOTAL IMPERVIOUS SURFACE
A I" ~ "".Art' H f. t/.f). 1'.rnI)fr-(/1~(/.s
UNDERJOVERfV.(f" r7~'l VV~..,
I/twl(I~$'V1
$c/r~t c,lIe~ge
Compan,y f()tle~f
{,'J q:/I ff/,; A,
-
/.A.
Date 1>-1 SiR
Phone # (6,f) ~ a 1-1'114
Prepared By _
feltr