HomeMy WebLinkAboutBuilding Permit 03-0381
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMI.
J ./2 ..OJ
(Please type or print and sign at baLliUm)
ADDRESS
1. White File
2. Pink City
3 . Yellow Applicant
Date Rec' d
PERMIT NO. G5-03BI
50/8
d(;;riart ~'I /Z6c; f
(Vb
LEGAL DESCRIPTION ~offi~ use only)
PI- Or S- 1- b I //1 _/~ '
LOT BLOCK ADDITION _' ea (]LJ W !..aJ~;-rt.-J
OWNER
(Name)
. (Address)
ZONING (office use)
J!!.,J5'..f)
PIDZS-/.3S- 007-0
(Phone)
~~~R ()~r!::X.f) l)lJ,cs atHi- '&vtc
(Contact Name) 'DI//JE' GERat..J?
(Address) I,trt E MAItJ, PO /l;1.J1- I Z-Z
(Phone) 9S-;f 15J - 7&~ 2-
(Phone) 35).. -l5S('-ARa
1J~t..J ()v~f'U 't lULl ~o 7/
DLower Level Finish
o Deck OPorch ORe-Roofing
o Fireplace ~ddilion OAlteralion
PROJECT COST IV ALUE (excluding land) $
TYPE OF WORK
o New Construction
o Misc.
ORe-Siding
DUtility Connection
I hereby certify that I have furnished information 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-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 b . . g official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon ~roperty to pe~ nee inspection ::/I=- -- 3/; /
X t{/~:J III:;; '2-/6 3
\./ Sign Contractor's License No. ~ate '
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
~\.DOO.OO
$ '335,25
$ 21 7 . " ,
$ lO.C;:o
$
$ 1./0.00
$
$
$ LfO,OO
Gas Fireplace P".lUlit Fee
This Application Becomes Your Building Permit When At't'&.i led
~ :fl.ffJ
Building Official
~1J-,/o'J
,
Date
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$/~3.&t;
Receipt No. jjL{mo
By g-.
This is to certify that the request in the above application 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 Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ning!~ 3~'t3 ~ ~i~~
24 hour notice for all inspections (952) 447-985(), tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE "A1A~ 4-"'z.'Q~
J_ _ r'--'" ~
Paid ~ (.pC-(;:f .(pJO
Date tel -t..~'-,~
Thr C'rntrr of thr tab Country
~ v.mIII - ..B.u.iJ.djna-;:,
Canary - Engineering
Pink - Planning
BUilDING PERMIT APPLICATION DEPARTMENT CHeCKLIST
NAME OF APPLICANT q~
APPLICATION RECEIVED 3, /d - '3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction ac? ~~c9' p~ ft
Accepted
Accepted With Corrections
~
Denied
r-
~ /tukP Date: 3/;913
~od aJ,( ~v~:~.
II
Reviewed By:
Comments:
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
(1-'lnk - Planni~
Thr ("rntrr of thr take Country
BUILDING PERMIT APPLlICATION DEPARTMENT CHECKLIST
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APPLICATION RECEIVED
NAME OF APPLICANT
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proP-9sed at:
- // / -r-
~ 0 /bt.2t/'1~ r __) ~{l.
Accepted
Accepted With Corrections
/'"
Denied
Reviewed By:
~ -7~ Date: 3t;.91o~
J f
~ ~ ~ ~~- 4Yl4--: "tb~
~~,~d-d~.
Comments:
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
~ L.anSlJV - t:nglneerlog'>
Pink . Planning
Th. ("III.r of III' 1..11, Coulllry'
BUIl,J)ING peRMI~~PPl..LCATION DEPARTMENT CHECKLIST
.~./,.. 0\1 ,J .,'
,/ II ~'"
:;:~:;::~~:::ED{ I,~;< .~~ ~;~.(_hJA~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activi~ whic~ i~ proPfsed at: Ii _
~ C) l Y &tL~I!...L.) /~'" ~
Accepted
x
Accepted With Corrections,
Denied
Reviewed By:
NfJi3
Date:
S-2{.-ro
Comments: See Reverse Side for Additinn~llnfQrmation'
~ee Attachments: 1) Grading Plan~ 2) Erosion Control Mea~llre~
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed tOI 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."
.
.
, .
.
.
.
.
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-l or R-2 Districts
Reviewed by: ~ ~~~ Date: 3(d--7;a3
Building Permit #
Site Address:
Legal: L :5 ~ t." B '
P .Lli:
Zoning:
Subdivision:
1J1~ ~,..J
Existing StrudUre?~NO
Existing Nonconforming Structu~
CONFORMS TO ZO~lNG
ORDINANCE
YES
NO
Yard Setbacks: N/A I FAILSZ:COMPLIE~>
Standard
25'
10'
10'
Wall over 50'?
Proposed
St. 7D
IOlD , ~g
.
(\O,uo
Front Yard (setback average if in-fill lot)
Side Yard (25' if abutting a street)
Side Yard (Easements)
Sidewall exceeding 50 feet required additional
side setback of 2" for every foot over 50' 10111g
Rear Yard (Easements)
From 100 year flood elevation of wetland
From OHW (Prior or Spring Lake)
f'\t\.
6L{, z l
f'JA
25'
30'
75' or setback average of
adjacent structures no less
than 50"
f\.JA
Floor Area Ratio: N/A I FAILS~O~E'\
Yard Encroachments: NA I FAILS<(COMPLIE~
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 inierior
side yards.
.30 Maximum
~
Standard
Proposed
~
NONb
-
1 TreePreservation:tNAJI FAILS I COMPLIBS
. Total caliper inches
. Can remove 25% of total
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement
Standard
Proposed
~:I
L:\l~l~LATE\BLDGLIST.DOC
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PRIOR LAKE
.
INSPECTION RECORD
SITE ADDRESS .5:)' e ~ ~~ ~.E: ,
NATURE OF WORK tJEw .., ~~ ~1fcsH
USE OF BUILDING s,F:O# -
PERMIT NO. 123 -039 I DATE ISSUED ~
CONTRACTOR ~ 1!lItD$.~' PHO:'JE~-~..c(2
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
FOOTING
IW/
5" /~-"o;, -
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
,
.
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~1A ,
~
~
~
~
'-"'"
?(fI~
7/ l ~tJV
?19J~
/! f;;>L03
FINALS
UILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
IfIN'J
lM!
~
OCCUpy UNTIL ABOVE HAS BEEN
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.
S/7-o",
5,./ 1...- Ot-t
~ ./ 7-0\.-(
SIGNED
"
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPEcnON NonCE
SCHEDULED
ADDRESS
, ~O'.fr
~fth 5"f
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
[J FOUNDATION
o FRAMING
[J INSULA TIOty) d _ 1_
~INAL f "/OYV' \
[J SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
[) SEWER HOOKUP
[) P~UMBING FINAL
[J MECH FINAL
COMMENTS:
will tJ.as, F;~
P...fiA.d Ih"'J -e( reI rl~
.-
DATE nME
5~.-d(/
~- ~~(
o EXlGRADIFILUNG
[J COMPLAINT
o FIREPLACE RI
[J FIREPLACE FINAL
[J GASUNE AIR TST
o
OYl
U
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II-vr ~ I AIir
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~ORK SATISFACTORY. PROCEED
Ai' CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR RBINSPECTION BEFORE COVERING
Inspector. ~ OwnerfContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOT1
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
~