HomeMy WebLinkAboutBuilding Permit 05-0541
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/L{(~LI {l;~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~LATION
~ ~~~~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
h-tyr-t ~
COMMENTS:
DATE TIME
~/~
S~~(/
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
~IREPLACE FINAL
,/D GASLlNE AIR TSTClL
/WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOJr-. :A~ REINSPECTION BEFORE COVERING
Inspector: Jf v,y Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS /y/ ~~4~er-s
. V
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
I::I~
.,..,wsITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
-S~J~&
(S-~
s -SY/
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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~/IL
COMMENTS: /1
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~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~}'7~ FOR REINSPECTION BEFORE COVERING
Inspector: r / ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
o New Construction ~Deck OPorch ORe-Roofing
DAdditlOn DAlteration DUtility Connection
~MiSC
I hereby certify that l have hlrnished mformation 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-me 10 ed property and that all construction wlll conform to all eXIstmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
official an r oke thiS permity 1\lst. c~ll'se Furthermore, 1 hereby agree that the CIty official or a deSignee may enter upon the propelty to perform needed mspectHlI1s., ..__
X '/~ -al,d;t'?------ ~ - & .. O'~
Signature Contractor's License No. Date
f~
~~.l/. 000,0 C)
$ 3 '}?; (J ()
$ ;;'5'8', 70
$ I z. 6 a
$
$
$
$
$
(Please type or print and si?;n at bottom)
ADDRESS
/ +1 ~; ?
R- U I ~ e:1C.d
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER
(Name) 'T;)AIU
.Sf/-~LL. (..<..1""
I (Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
TYPE OF WORK
CODE: ~.R.C. OLB.C.
Type of &nstruction:
Occupancy Group: A B
Division:
III
H
2
IV
I
3
V
M
4
I
E
II
F
I
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~~
Bl1ildl11~ Oftici,il
~~/or
· D~tc
Date Rec' d
C .& .05-
1 \\'hite
Pink
Yellow
File
City
Applicant
PERMIT NO. O~.O~4-/
S7-,
ZONING (office use)
K/SJ:)
PID 25,93 O. () 70, 0
(Phone)
Cjs--). - </1.;,-- 4! J-/
~(;.I!;ll ~ CvI'J... 470 - '" ;W
(Phone)
(Phone)
ORe-Siding OLower Level Finish 0 Fireplace
A
R
5
~ RoJtri~q ~/l~ti6 ."'SL~
p~ I
PROJECT COST IV ALUE $
(excluding land)
B
S
U
Park Support Fee
$
$
$
$
$
$
$
#
SAC
#
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
$
TOTALDUE ~ fRJO. O,~
$
In (... QI, 70
Paid
Date
(p~ (1. 70
(,.10. os-
Receipt Nq. ?'93~t#
By ~/ ^---------
ThiS IS to certifY that the request m the above apphcatlOn and accompanymg documents is m 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 comphance and allows constructIOn to commence. Before occupancy, a Certificate of Occupancy must be
lSsued~ 1eJ..d--
Planning Director
0/9/oS-
( (Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
C Whit; - Bui~
Canary - t:.rigl. n:.:l:.I. II1g
Pink - Planning
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
SH6/-{,-V/'1
~, ~. OS
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
/4/04-
/
R.IJT~6IeS ~ /1866 I
Accepted With Corrections
Denied
~o~ ~
.~/~
A.-d-~ at S-~u -c. R
v
b-e ~;.~~ /~~
~ ~ ~ /;~'J~,
Date: ~(9Ior
, ..
i-o&-
Reviewed By:
Comments: _~
~~~~
~' ~
~
(' ~-k
"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
Canary - Enqineering
c::!~~_k . - Pla~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
; \....
(, / /
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i <.;l /;, "f--'
. -
I. v I / t_ I', "
Accepted
~
Accepted With Corrections
Denied
r-.-
Reviewed By:
~
~
Date: 6,/9 Ic?s:-
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."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/ L. 20. oc:,
p/ (/6 W / I!JI!I!I:ID$Ij./
~:;y PERMIT NC ,. " z,a
ApplIcant
I. Pink
2. Green
3. Yellow
~ase type~nt and sign at bottom)
tJ-4DDRE~
/'-IIf41j 1~.J~I:~ft 5' 5r
ZONING (office use)
,( 1 E
-.I"""', iii
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
~ .l-JA-JJ
(Address) ( .5lhtt':
r"'"
-:.-dl-J.eLL(..o(IV\.
'7-:r #-lk,,'J!)
~ ~/.'t. - 9"0 - /(:,U;
Y!:'hone) __) '/.5 -.~ - <9' Ys - - "/..4 ~/
APPLICANT
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
(Contact Person) m..
~CANT SIGNATU~ 1Ct~!I._ -~_
- .--
(Phone)
~ /;2'-i'~:C' -...)er
APPLICANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION. D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL /J'lcik.;.......... /;:fc;;JJA-t-.lL FUEL /i.,!K C:.if.r
, 'II AJ II B"
FLUE SIZE kt' I RETURN OPENINGS Iy r INPUT ~:. i; (}?"{.' OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
~KEANDMODEL
D Steam
o Hot Water
D Radiation
o Special Devices
D Other Devices
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
G~GG ~.
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99,50
$64.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39,50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ .:s '9. 5V
$ .50
$ 4-0. Or)
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildin!! Official
Date
Paid 4--(). () ()
Date /2. Zq ()~
Receiro'SZ1Z.1
BY1. .
C
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PRIOR LAKE
INSPECTION 'RECORD
SITE ADDRESS J'I I" "I ~Uf6 S'T:
NATURE OF WORK ~ ~ r/~"
USE OF BUILDING " .".
PERMIT NO. 05.0<;:4--/ DATE ISSUED LJe/1Jl ....~
CONTRACTOR .,.. ~ p~"~-M'.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
_ ~ I , INSPECTOf} ,DATE /
~ FOOTING ~/~~€ ; ;4t?- tp7~iJ V.k4 ~( ~/j ~/V//a5---
FOUNDATION (p~ior to Backfill) I ~.// ~ I ~. I-l--(}~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
~
~
JVtIf'
l4/z3/" It
I .
to -.--
~:>II~ ~ ~'ILI~~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
f" "- - - -
~
DO NOT
-
ffV II
( ,
~
WID/
I
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical ~enrlce cabinet prior to rough-in inspections
and maintained until all Inspections have"Deen approved. On buildings and additions
where no service cabinet Is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
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 is 30 Percent.
Property Address \4\\1'-\ ~Jj""'!:' S\,.~
Lot Area 1.,..t; \."S fbt,c sq. ft. x 30% = .............. ~llo-lln
************************************************************************
HOUSE
\
"1
ATTACHED GARAGE
LENGTH ~TH
"1..'1 x 1 'D
x
x
=
=
SQ. FEET
\ lo ~()
=
TOTAL PRINCIPAL STRUCTURE......................
DET ACHED BUILDINGS
( Garage/Shed)
x
x
TOT AL DETACHED BUILDINGS.......................
~it~~y~1>~~~
~ri~~ay-paved or not)
{.1 \S~~(Sidewa1klParking Areas) .
'~:::'~., . .( ~' K"'). .' . '\
. \.0 ,t-""\.'~'.lli::)!
. . ,
x
x
=
~
=
x = ~~3
TOTAL PAVED AREAS...................~.....................
P ATIOS/PORCHES/DECKS
x =
X =
X , =
(Open Decks W'min. opening between
boards, with a pervious surface below,
are not considered to be impervious)
TOT AL DE CKS......... ........................ .......................
OTHER ytOei>'~ ,(I,c(,t ~S "''\ ?;\D~. 'l<c~ -; 2- : f', ~7
_ e '("0 fO:~c(~ (cw'lf- ~et! l.~q~
J)'("c(Jt)~e[J -e \~" l)~~ .. . H \,.,\,e,
{ \ .'. . TOTAL OT ER.............................................J.........
TOTALIMPERVIOUSSURFACE
@;OVER
D K)-,
Prepared By,.,\ ","~_." \\~ \ 1i\ t'<}
~~~~~~~:~\\~~\HM'\"t\ C,.) ~.~.
Date
I
I
, \
\.\ \?, \ {)t;
Phone #
, ,
u\\"l,. <} c.'.!".....
i. \. ('."'.~ \ I.,,)
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