HomeMy WebLinkAboutBuilding Permit 09-0306
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CITY OF PRIOR LAKE
~eparfmenf nf ~uil~inB Jlnsperfinn
0' Final Permitted
D Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 1nternational
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 ..5//V(jL-6 ;::-H/tIILY Bldg. Permit No. 01.o30C::
K. '] V ~J /.:> /
Occupancy Type Type Construction Zoning District "-
L z... E 4- E/I/C("f! 1/ ~ AT C'-E rtl<::-.f../.j' L-j-J~
Legal Description . , ....... ,
Owner of Building
Site Address .51 c e 77c::.n I L f.I E- r7 L..J Ij-/IJE'
815' /l/OgIHIJ/E~"- ~/4VY.f #/4-0, t:::.H rq/-)A-l
, riAl 55/2-/
Contractor's Name & Address PlA- IE II (I rl c::...5/i'
/2.AJ If E leT /-I {/ /7;flll'-!S / ( ,
! /_' j / / Building Official II.;
I I
City Planner
Date:
Date:
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5..2...1.07
White File
Pink City
Yellow Applicant
PERMIT NO. 09. 030"
at bottom)
ADDRESS
5bl3
TRAIL-H E.AD
I-A tJ F:
ss.
ZONING (office use)
1<.1
LEGAL DESCRIPTION (office use only)
LOT;;) BLOCK l-f ADDITION f:jJCJ...AVE e Cl-Et:}R"f
LfJ k c;-
PID ZS. 4-54-. 04-0. ()
OWNER
(Name)
PVJ-TE HDM&S
(Phone)
b&1- "IS ~- S;;)CY:J
MrJ
(Address) cg IS A):)f(T1.-IWESJ 1'f)A tn,vAI.(
SU IrE ILfo
ss ~
BUILDER
(Company Name)
(Contact Name)
(Address)
SAM/; -
(1 'KIAI0 G-E,(.).GkN
(Phone)
(Phone) l:, 1 ';;) - ~ C) - J 7 ';)3
ORe-Siding OLower Level Finish
o Fireplace
TYPE OF WORK ~ew Construction ODeck OPorch ORe-Roofing
TIAddition o Alteration OUtility Connection
CODE: ']8(.R.C. DI.B.C. 0 Misc,
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
PROJECT COST/VALUE $
(excluding land)
,qt,3oo
I hcreby certiIY that I have fitrnished mformation on this application which is to thc bcst of my. knowledge true and correct. I also certiIY that I am thc owncr or authorIzcd agcnt for thc
abovc-mentlOned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submittcd plans. I am aware that the buildmg
official ca kc this p m' for Just a se Flllthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform necdcd mspcctions.
x ~o'~/d13
Contractor's License No.
Permit Valuation z.1 { 000 - Park Support Fee
Permit Fee $ Z. ()'1~. ';-0 SAC
Plan Check Fee $ ( 5 8 Water Meter Size 5/8"; ",
State Surcharge $ f '3 S . $0 Pressure Reducer
Penalty $ Sewer/Water Connection Fee
Plumbing Permit Fee $ , {).- Water Tower Fee
Mechanical Permit Fee $ t ~O.'" Builder's Deposit
Sewer & Water Permit Fee $ $1... - Other
Gas Fireplace Permit Fee $ SO....
#
#
#
#
5 -~ J-DCJ
Date
$
$
$
$
$
$
$
$
$
2- ODD. -
1-rS,'
, 1..~. '
$' Of). '
00. ...
qucst in the above"applicatlOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcstcd. ThIS documcnt
lanner conslttutcs a temporary Celtificate of Zonmg com liance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be
Special Conditions, if any
..
. ,
r
I Residential Building Permit Checklist
New Construction for Single or Two-femily Dwellings in R-1 or R-2 Districts
RevieMd ut: KD r+ Dale: 5 /z.1/ "'1
Bullding.Pel'l!llt II PID:
Add~~~' 5~ \ '3 T(tA\L.\(EAi> l,AN~
Legll: L ,B Subdivision:
Zoning: f2. I
Existing Stniciture? YES I ~
I. CONFORMS TO ZONING
. ORDINANCE
Existing Nonconforming Structure? YES I NO
Yard Setb8ck8: NA I FAILSI UES
. Front Yard can be 20' if av . wlin 150'
. Side Yards
I ~ 1 NO 1
Standard P
25' Z s. 0 .
10'/ .
25' if abutting a street IA
l4 .
10' setback +
2"/1' over 50'
. Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in length. Not required
if building wall is 1 0'-0" or greater of being parallel to
a side lot line.
. 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 of wetlandINURP
pond.
. Refer in round ols to the Plannin De artment
. From OHW (Prior or Spring Lake)
-
25'
10' side/
0'
....
-----
-
75' or setback a erage of
adjacent structur ,but no
less than '
ES
.30 Maximum
-.
Yard Encroachments: NA I FAILS ~dUEs Standard P
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line (Easements). -
Ale and other equipment cannot encroach on interior ~eA~
side yards.
Tree PrIIeivatloft: I FAILS I COMPUES
. Total Inches
. Pennit 25% Removal
. r Inches Reinoved
. Inches Preserved
St8nd8rd
.
lfl:1
L:\TEMPLATE\BLDGUST.DOC
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I~~)L' (~-/E I-i 0/'1 c- ~
5.2/.c0
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5 (c / 3 7--f~/" ) I L ;--/ E /j !..J ~- /-) A/ E
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
JC.-: Dale: ~~O '?
See Reverse Side for Additional Information!
Comments:
\
\
'"
'"
See Attachments: I) Grading Plan, 2) Erosion GfJritrol Measures
" J.
"... '\
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."
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Z'~." li,/
;'
,
/
,., /.',
(, . /
I
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/"""
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.....-.,
<' , _./
(/~ i
'......,....,. < "'"-.......
/f'- I I) ,/ r I /. ~
, I ..._,~ ,--... ; ~ ',,' L...-
Accepted
v'
Accepted With Corrections
Denied
~
Date:
<; /z e> lJ,
Reviewed By:
+-""-
....--..------,--
Comments:
4\. C di.
fi.U". on tioner 8.lld Other MedlftmC~li,
Umts Caw~~t Encroach into .Required
1f.;""r>'1c> IT.J>...nr '1:ai.,l't"'!f'"lI~
t.,.)1 .L ,,",-. \.,...... ~,:L.~:U !~_~,_ L~ ~c> ~ '..i" :1::h., "'... 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."
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PULT6 HOH6S
5. 2-/_0;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5&13 TIG/JILHE/1D Lr7AJe
Accepted
~
Accepted With Corrections
Denied
~ /z f/ /0,-
Reviewed By:
Comments:
C. e>/lJT.-2. Ol-
Cf'c:>SI O.,.J
i'
M.. 4- I ,u 7"1"\- r Al
c ~~~ S 7fZ.(.~ Ar
~ ~L- TI ""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."
~"4'
\1"
.~. 0
-
e I\Jc-.
I "1. ., . ~
P
: NA/FAlLSI
. Maximum width at
. Required setback
Standlrd
24'
5~ from side lot line or
30' from r-o-w on comer lots
OlTo ,'.., ,,'
ES
line
.
Ian
I Bulldlqg ~;NA/FAILS I ~~LIES
Shoreland District:
Minimum lot area
Minimum lot width
Shoreland alterations
1m rvious'surface
I
35' Maximum
30% Maximum
Bluff in ShoreIand: I FAILS I COMPLIES
. Setback from top of bluff
Standard
By planning dept.
roved
F 18in: I FAILS I COMPLIES
. 100 year ood elevation
. Lowest floor elevation
. Proposed lowest floor elevation
. EleY8tions 15 feet from structure
. Roa.d access must be no more than 2 feet below
R ula Bood Protection Elevation
I FAILS I COMPUES
Standard
832 .ft.or~5%rear
10'
15'
.
. with . . structure
L:\TEMPLATE\BLDGUST.DOC
,.
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.
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.
Jun 09 09 12:23p
METRO GENERAL SERVICES
763-428-2968
p. 1
_Ell. filE
YELLOW . A,.PLICAIIT
GOLD. efT'#'
CITY OF PRIOR LAKE
SEWER'AND WATER PERMIT
fAY... '152.r I/tf7-t.fj,t//i' NOTE:
S.w. No.JlYJ30h
Sewer and Water
contractors must
be registered
with the city.
APPLICAN'r: III ~U?.o G,i=I\,JE{\.fH SERVk!-.F-PHONE: -{f:=,3 '-4-dS-~13g
_ -;-f "I 'XiV C
ADDRESS: ~~/ I c. 0 (;(uf\JY) A1fr=- NF- DATE: r' '
/....-' _-. .. ..........(.V..\ ,~ S--r. 11') t c..1i ,'1'; t, -"}'''1 ~. ~5.3 '7 0
SIGNATURE: \ RO~(+-\ (;Li~~lX ' BLDG. PERMIT #
SITE AODRESS:-~/3 T~a.d ~~'rrD#
1-
2.
3.
4.
......., 5.
6.
,.
FILL. IN THE BLANKS
Estimated length of water service f)~
feet.
Size of water service
Location of any couplings from structure () feet.
Type of sewer pipe. ABS____ PVC I~(/ Cast Iron____
,-
Estimated length of sewer line :::>() feet.
"t
I
inch(es) .
Clean out (if required),
structure.
located at
J\'!lt
feet
from
===;================================;=============================
This apPll1f1'C ,ion becomes your permit when approQed.
BY l P; !jl{)/)fcya DATE: ti #0 {Ji?Uro!{J9
I '. '
========?7:,r~l=:;~;1i~============================================
FEES: /1.Js(1.",.P"':'C.-M ,.7- Sewer and water 1 ine connection permit.
~-N(:J Pe~_. ;~~~~arge
. ". ~-' -
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge. -
*
Sewer and water permits issued for new construction
reco . 'ng permit card at the time of
to i licate sewer and water e
issu
must be
issuance
its are
JUN 2 2 2009
AMOUNT PAID
REC'D BY
~
16200 Eagl~:Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph, ('152) 447-4230 / FAX (CJs2) 447-4245
An Equal Opportunity Employer
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(; . l Ci.f) J
~: ~~~ ~:~ I PERMIT NO'1J9. 030 fe, I
3. Yellow Applicant
ADDRESS ZONING (office use)
SG:,13 1"' CCA: \~~ l-n. 5E'
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I &=~-k- ~tvtiS
(Address)
(phone)
APPLICANT~~ l
(Name) f' ~~~
(Address) otNW ~
(Address)
(Contact Person) ~ Gevse....
APPLICANT SIGNATURE
(phone) -352-' 4C,2.-2/2J
(City) (Zip Code)
(Phone) qS2, - 'lCf2' 7~~
DATE
APPLICANT PLEASE COMPLETE BELOW
T e of Fixture Quanti
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavato Bathroom Sink
Laund Tra 1 or 2 com artment sink
Shower Stall
Sinks
Bar Sink
Water Closet
e of Fixture
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
Building Permit #
o Vlo~
'P ~UI
Estimated Cost $
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
Buildinl! Official
Date
By
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BOILDING AND INSPECTION
SITE ADDRESS ~(~ IfZA',-H~D LANe S. E .
NATURE OF WORK S.N&...I! FA"',..., t)~~c..'N'- !>..as f4esr INGo. ",,_. ~N, "'N. 1-(...
USE OF BUILDIN~~ Stc~
PERMIT NO. ~ DATE ISSUED r;/z../CIf.
CONTRACTOR PUc...TC= (-\Clt"\ES INc. PHONE G> 12.- ~~<f.17z.3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT or
''''&$r"...... f:a.o11~ Co~.... ! ""'W~W <!.~ S"-UPE~ A&-e..o ,'M-=S DATE
FOOTING t~_ 't\ ,.,,;{ 5 E ~ J
FOUNDATION (Prior to Backfill) ~ ,,~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - S
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING \l1~ ..
HEATING (If required)
FIREPLACE
GAS LINE AIR TEST ntA' N
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
Iltou se c..v~~ I II
/trf J:t~ \V\.. FINALS UlA~,.G, ~
GRAD,ING ( rlor to Soddln )
" BUILDING
ELECTRICAL
PLUMBING L.X.-
HEATING
DO NOT OCCUpy UNTIL ABOVE
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