HomeMy WebLinkAboutBUILDING 08-0554
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
,t<.A i L-
C.L-f:A~l{
Date Rec' d
1.18.08
I White
Pink
Yellow
I PERMIT NO. () 8 ,. 05541-
File
City
Applicant
$E
ZONING (office use)
K.I
LEGAL DESCRIPTION (office use only)
LOT b BLOCK 2. ADDITION
EN C. L..fr V IE:
(~ Cd-At<. 'r"
PID 2-~. 454- .0/3.0
OWNER
(Name)
HOMf'S
i-A K.&-
f U t-;T~
(Address)
E;5
/l.h)~rnw~~1
Pftf?KWft-.....(
(SUI7E
(Phone)
1'10 )
./
05/-15;;)' 5~(Jal
E.f1GA,J I t--1 rJ 551 d J I
BUILDER
(Company Name)
(Contact Name)
(Address)
/
( S"f\ME:
(3AIA,v
"S A (3e:.JJ2 )
G-E ~ G- EAJ
(Phone)
(Phone)
/P J d. -"3 b9 - J 7 ~ 3
TYPE OF WORK New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddltion OAlteration o Utility Connection
CODE: ~.R.C. OLB.C. o Mise.
Type of Constnlction: I II III IV V A B PROJECT COST IV ALUE $ ) qb\ 150
Ocrupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
x
I hereby certify that I have hlrnlshed InformatHln lln this application which IS to the best llf my knLlwlcdge true and correct. I alsll certIfy that I am the llwner or authllllzed agent I"r the
abllve-mentHlned prllperty and that all construction will conform to all eXISting state and Illcallaws and will proceed in accordance with submItted plans. I am aware that the buIlding
ofticial can rcvn . , thiS permit "o[ J 1St .::ausc l hcrmorc, I hereby agree that the City official or a designee may enter upon the propel1y to perform needed inSpectIOns
~DIo~7~13
Permit Valuation 2(,8. pp/)"f)4
Permit Fee $ z: t)(:J / ~---v
Plan Check Fee $ , 9[;
I DC;.
State Surcharge $ IJ1--.0 l)
I Penalty $
I Plumbing Permit Fee $ /50. (:0
Mechanical Permit Fee $ I .slJ .- (/?J
Scwer & Water Permit Fee I $ 5 l-- 00
Gas Fireplace Permit Fee $ ~")7J . u~ I
This Application Becomes Your Building Permit When Approved
~~
7/~1/" r
Date
I~uildlllg Urtielal
7- 1'8 - 0'8
Contractor's License No. Date
Park Support Fee # $
SAC # $ /825 . (.i 0
Water Meter Size 5/8"; I"; $ 4-7S~_ (/()
Pressure Reducer $ / 2.5' , Q()
Sewer/Water Connection Fee # $ ISO C _.0 0
Water Tower Fee # $ /00" ~ (] [)
Builder's Deposit $ /SO o ~6 C
Other $
$
ThiS IS to certify that the request 111 the abllve applIcallon and aCCLlmpanY1l1g dLlcuments is 111 accordance WIth the City Zon1l1g Ordinance and may proceed as requested ThiS document
when signed by the CIty Planner Cllmtltutes a temporary Certificate Llf Zon1l1g complIance and allows construcllon to commence. Before occupancy, a Certificate of Occupancy must be
ISsued ~ ~~
Planning Director
7/>~/t!)r
. Date
Special Conditions, if any
24 hour notice for all inspections (952) ""7.9850, fax (952) ....7-..2..5
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
~~w Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by:, ~ i~
Date: 7/z..? {ol
Building f:>>ermlt #
Address: . 17 7<J /
Legal: L I, . B 1-
PID: Zoning:
(]Le-A,e f /Rlt/~ .s: e.
Subdivision: ~1AtM!- @ ~ ~
Existing Structure? YES <!B'
Existing Nonconforming Structure? YES I~
I CONFORMS TO ZONING
ORDINANCE
. 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
ond
. From OHW (Prior or Spring Lake)
Yard Encroachments: NA I FAILS ES
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.
--
Tree Preservation: (NA' FAILS I COMPLIES
. Total caliDer inc~
. Permit 25% Removal
. CaliDer Inches Removed
. Calicer Inches Preserved
. Replacement
L:\TEMPLA TE\BLDGLlST.DOC
I
I
NO
I
~
Standard
25'
10'/
25' if abutting a street
'" '1 {
1 0' setback +
2"/1' over 50'
25'
1 0' side/
25' rear
30'
I
I
,vppe
}fA
75' or setback average of
adjacent structures, but no
less than 50'
N'A
.30 Maximum
Standard
1..
/V8W
Iv't1Nt?
;/~
Standard
Proposed
%:1
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~ ,. '. ~'~t:
j ,...i ..1 .
, ~
i}, ., . __ .".
Ii uf" I L> ~j
I i /, ./ c;
/IL..,./t/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ri -'-,/....{ Cl t r- - ,..,., --1(-'1 J-t (i .
, I, i L'c...r\i(,L.'1 ,.", I L.---'"
.
J
Accepted
Accepted With Corrections
/
Denied
Reviewed BY~
~tU{
.:/ .eJ21--
ry~'
Date:
7/Z,1 (tJ f
,
Comments:
j~h. (JoJr..u.ut- P<< IIIId Otlk:-c Medlanic::. 'q
Units c--.~,,~hdo Required'
SIde 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."
--------_..~_._---_.._--~_..__.~'--,.,_.._-"._.'----_...--_._---_.._-_.~....,--
~hite - BuildillCi")
anary - Engineering
Pink - Planning
.BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PuuW' /}oM6S
-1.1~.OB
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
OJEJ VEBrLq- I12AI L--
Accepted
Accepted With Corrections
/'
Denied
Reviewed By: ~ -=f~~ Date: 7Iz9/~~
Comments: ~~ ~. ~.~
~~ ~ (l~ aJ'- ~ ~~
'9gJ~ Vi ~ I ~ ~
~7f ~ ~
.A1~ j~'
"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 ot the jurisdiction shall not be valid."
-..,., - .' ~ '-7"','" -- -.- ,,, ~,. :
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Pu 0 re 1:fu.t185
1.le.DB
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
[Wil ~;.EAt2A4 --OW ( L-
Accepted [)( Accepted With Corrections
Denied
Reviewed By: ~
Date:
7- ~f-(}8
Comments: Se~' Reverse Side for Additional Informati<?n!:
See Attachments: l)-Gr~dini 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. II
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
g, Z~. OF'
I. Blue File I t/ ~
2. Gold City PERMIT NO.6 4 ' 0
3. Yellow Applicant _
ZONING (office use)
+- t<... S E
p re, 01( L I<~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
pm
OWNER
(Name)
(Phone)
(Address)
APPLICANT
(Name)---1I4' I ,-,-{--PI (? b
8-~ 0 (~v~/(,,... ,4t-1 ~
(Address)
~~j t.-. ~ C',q S" €-
~
(Phone) C})2 -41"2 L I L J
:JQ'OA.w' S-,S'1 $'~_
(City) (Zip Code)
(Phone) q ~'2 Y 1'2. I ;;)...o~
rs-/2-C, / Or
DATE
(Address)
(Contact Person)
APPLICANT SIGNATURE
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softener
Lavatorv (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49,50 minimum Residential, New One & Two-Family $149,50
Residential, Additions & Alterations $49,50
,50
po ~~
SUI
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
Buildin!! Official
Date
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Au~ 13 OB OB:03a
METRO GENERAL SERVICES
763-42B-296B
p. 1
GIlE!!- . n.!
YELLOW - ....."-ICA.,.,
GOLD - CIT.,
CITY OF PRIOR LAKE
SEWER'AND WATER PERMIT
FA~ q~.4r tit( 7-'/], '1r
NOTE:
S.W.NO~'.
Sewer and ~W
contractors must
be registered
with the city.
APPLICANT:
PID#
1-
2.
3.
4.
'----- 5.
6.
Estimated length of water service
Sf)
feet.
Size of water service
i "
inch(es).
Location of any couplings from structure () feet.
Type of sewer pipe. ABS pVC '-1-1/ Cast Iron
Estimated length of sewer line
s()
feet.
Clean out (if required),
structure.
located at
t-i; A-
feet
from
========:==========================================================
This application becomes your permit when approved.
DATE:
BY
========}?~tT~I=~~~~============================================
FEES: ilJJ.1-_,[J~e..M I' f- Sewer and water line connection perrni t.
,~___..._ _ surcharge
"_. Nt) (-ee- TOTAL
;...-,
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuan~e
l~s~~~~re that no duplica te sewer and ~ W rc; 1J1!i1"~,! 'IT: mte
DATE. PAID PAID WITHAM REOCU/NDTBPyAt~FP - 4 2nllh!!)!,!
RECEIPT ~ BUILDiNG P::RMfT - ..
By __..:.;:..;...:..~:.....:..=...:.-.._._._._.J
L
16200 Eagle:Creek Av, S.E., Prior Lake, Minnesota 55372/ Ph. ('1'52) 447-4230 / FAX (qsz) 447-4245
An Equal Opportunity Employer
PRIOR LAKE
INSPECTION. .RECORD
'1 9 ~ ·
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR PHON
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPEC IONS BELOW
. THE PERMIT IS BY S PARATE DOCUMENT
~",,,.,. ".
FOOTING
H
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
FOR ALL INSPECTIONS (952) 447-9850