HomeMy WebLinkAboutBldg 99-1366;FP 00-0999
f5' ~ ~i/-: "'-D '5' .
~ . ': ._~t~XI92_:-::" . CITY OF PRIOR LAKE
I BUILDING PERMIT,
' tIN J .... . . ~MPORARY CERTIFICATE OF
i ./ i ZONING COMPLIANCE
,~ if6 UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
F~.
City
A~li,~t
DIREcnONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
_,,"'~UED (Please Print or Type and sign at bottom)
2. SITE A9PRfSS 1\
I (/'"If.~ J r d ~ <.,4 oL-\,'itt 4 c.~ .
3. LEOO DEsCRIPTION
LOT l!>6 t..J BL~ij ..bf') t n l\
~ (> ~)J.t.....\ ~ ''OJ'' IS+- A,,1pJ...
4. OWNER (Nam.) I ~AddJass) f) (Tal. No.) {pll-Wo-
~~ L\... _ .'1-l- I~L;~ I ('eZ'J"!.S4~ C2. (..4'?"
(Nam~) (Addr.ss)' ~ tI'f" -'?2~al. No.) I
~ "if'1''''JAlNt.:\. '
~IJ!I~:!J.R L(Nama) II (A,d~r.SS) ~ ~;;;:)Z~;!7i 7 :~:~::~~:CCUPANTSORSEATS
. '. ..~ ~,,\.l~"'<l ~-so..~/3 SEAi's
'7...J K Fireplace CJ Septic 0 Dee Rs-roofing LJ PO~
NewConstructionCJ Alterations 0 Addition 0 Finish Attic Re-sldlngCJ Flntsh Basement CJ 16. PROjECTCOSTNALUE
ChimnayO Misc. "'Z~, (}O e.
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMiLETION DATE
Sq. Ft. Width Depth Yes No
I he certify that I have furnished Infonnatlon on this application which is to the best of my knowledge true and correct. I also certify that I 1m the owner or authorized agent for
.entioned~. rty a~t all construction will conform to all existing state and local laws and will proceed in accordance with ! ubmitted plans. I am aware tha. I tha
b I~i~~o _. af can _ this pe for just cause. Furthermore, I hereby agree that the city official or a deSigrl)8 rzJty enter upon the prope ty to ~ons.
.'-' 7~"14Z(p..5 ~..'
1/ Signature ~ LIcense No. i Dete
1. DATE
II/Iq /qCJ
per1it No.
qq- /300
PUD
t'~~':,-
'!tk:'
~UILDING INFORMA liON
11. SIZE pF STRUCTURE
(Heighl) I (WIdth) (Depth)
12. NO.~TORIES
13. TYPEjOF CONSTRUCTION
l:bJ~ - PM" L..
14. FLOOR AREA APPORTIONMENT USE
PID
25-ZQQ- 1il'J4.-0
., .-
5. ARCHITECT
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERJJ\L FILED WITH APPLICATION
SOIL TESTS Cl ENERGY DATA 0
PILING LOGS i ~ PERCOLATION TESTS CJ
PLANS & SPE~ 0 SETS
SURVEY 0 COPIES
SETBACKS: Raqulred
Actual
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
.e.e..S A /12.
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
'2.0,000.00
PLOT PLAN
o
lYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM A
OlYision 1 2 3 4
Permit Fee ................................... $
s U
City:
Amount Brought Forward ........l......... II'
Park Support Fee .................~......... or
SAC ...............................1......... $
'28'1 . ;;)~
I T', Ie> . c I Collectiv. Slr..t F.. ........................
'0 .Oei I J lI1dSewerTap .........................:,:.............or
State Surcharge ............................. $- 'J,.f'Jf1-' , _
Penalty ....................................... $ ~ Pressure Reducer ................~......... $
Plumbing Permit Fee ....................... $ Ilf'l MeterHom .........................~......... !t
Mechanical Permit Fee ..................... $ ~IJ Water Meter .......................f......... '*=
f(;:r fl'1 Sewer & Water Connection Fee .f......... 4:-
Sewer & Water Permit ...................... $- . v.....11 W te T F $
tJv-{~'.r a r ow.r.a .................1.........
G~..rmk ~.2~::.............. $ tJl~ Af1) "r1 WalarTap ................................... .
~~rs":zc: Buikling ~::ki("~Ar:2~~) Jt"~~:?'3 :~;:~.~~~~~.:::::::::::::::::::::::::::: :
Cartlflcat.of OCCutncy Totel Dua .............................. $~. 9t:.
P8ld 483. 9b ~acaiPINg, ~51 /
Issuad Data /~h1 ~y id2I-='-
This is to certify that the request in the above application and accompanying documents IS In accordance with the City Zoning rdl~nce and may Proc$8d'l!;:~. This document when
s~7~;;::'tesa temporatyCartlflf"~Zonlngco"1>'.nce JIl'I aliowsconstructlontocom'l"'nca.~~, aCe~t8of~mustbelssued.
--.....:J.L __ A -lA';-6e~ '4-t '^ ~ r J.~ .......~ I'JA~~'
U ner - Date - ~ - Spec18.1 onditlons jj any
Plan Check Fee ............................. $-
24 hour notice for all inspections 447-9850
'~.~~".....
'\
.
...
T'" C~nl~r of 1ft Latr.~ Cou.try
QQ"13 rc (c,
WI lite . Building
CB ~lIry ~ Engineering
PII ,k . Planning
BUILDING PERMIT APP~ARTMENT CHECKLiSt
,
t:
NAME OF APPLICANT
APPLICATION RECEIVED
K - t-U;:; I O/VJ I-/C(V;E~S
////C}/qq
l I
The Building, Engineering, and Planning Departments have reviewed the Ibuilding permit
application for construction activity which is proposed at:
/0/3 / CKO.S.S'>J/VDI:!rt C /1::::...
,
Accepted
Denied
~
Accepted With Corrections
Reviewed By:
~J IA_,".....
e;/-~
Date:
11- 2o'7ct
Comments:
^,
"
.'
.
r"'"
"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 jurisdi :tion. Permits
presuming to give authority to violate or cancel t~ provisions of this code ex other
ordinances of the jurisdiction shall not be valid," .
CJQ-/3(o0
T..... CellI'" of the Lak" Country
W~ite . Building
Callary . Engineering
Pirlk . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKL\SI
NAME OF APPLICANT K - ~Uo I uN HOM 6JS
APPLICATION RECEIVED ) / / / q // qq
The Building, Engineering, and Planning Departments have reviewed the Ibuilding permit
application for construction activity which is proposed at: :
I
/0/3/ CeOSSA/\/DR/1 cle
Accepted
Accepted With Corrections ~
Denied _
RevieWedBy\-?J)~~
~ .)"
Date: II -;;ll.{ ."
Comments:
~ ~ De.:-k ~~; o>>.h-
"The issuance or granting of a permit or approval of plans, spel :ifications and
computations shall not be construed to be a permit for, or an approval of, my violation of
any of the provisions of this code or of any other ordinance of the jurisd ction, Permits
presuming to give authority to violate or cancel the provisions of this. code or other
ordinances of the jurisdiction shall not be valid."
-
BY:
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-t or '-2
~ ~ Date: Lt-3b~q<1 I
!
PID:
Zoning:
Building Permit #
Site Address
Legal: L ti
B
I
Subdivision: {j(pv~ ~ ~ L ~
I
Existing Nonconforming Structure? I YES o~
Existing Structure:~NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
. Yard Setbacks:-NOT AP1>bl.CABLE
)BiTS COpE
. FrontYar~
(or setback average if in-fill lot)
. Side Yard
(25' ifabutting a street)
. Side Yard
Requirement
Proposed
25'
10'
;?D, 6 S
V0
'2-~
?-~ +-
10'
. Rear Yard
25'
. Sidewall exceeding 40 feet required additional
side setback of2" for every foot over 40' long
. From 1 00 year flood elevation of Wetland
Wall over 40'1
30'
7D+-
. FrDm OHW (priDr or Spring Lake)
I 75' or setback average of adjacent
structures nD less than 50"
Yard Encroachments: ...JIi6T'APPLICABLE
/' MEEtS CODk)
Eaves and Gutters no m~:. L~. : feet ill widfu and
no closer than 5 feet to a lot line.
NC and other equipment cannot encroach on
interior side yards.
LDt Coverage (Structures Only)
tt;[SD 1- V_~-..,J 7].. -
.. _... ._ I
Significant Tt,fes: NOT APPLICAB
-
30% Maximum
/1 'it" '+ t LI, <9t9O
-
Requirement
/,<,~
Proposed
. Total Caliper Inches
. Can remove 25% ofT.C.!.
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement
\1,:1
L:\TEMPLA TEIBLDGLIST,DOC
'1
CITY OF PFU~R LAKE MC
16200 Ea9le Creek Av. S.E. Permn No, 0,
Prior Lake, MN 55372
TYPE OF STRUCTURE
I. ~.
2. GRoa
3.Y_
Coottao..
Conn. Load
Fuel-fJi;:
Supply Openings
HEAl1NG APPUCA110N I PERMIT
Date 11- ;)/)-0 PID' ~S--d-...qq-'bt.f-O
SneAddress I(/;/?[ ~r-m.:;""'~ (!rr-. i, V Fee Schedule
Lot -iL Block t' Addnion _ (~ai ~ {Y/ Industrial, Commercial & Multi-Family 1% of jW coet ($39.50 minimum)
~ ~ L (J " f "'--"--(J - Residential, Heating & AC $99.50 I
Ownefs Name ..J 'JlL.... ',J jIJ1 J R identia' I Heati 0 Iy ...... PLEASE NOTE:
/l b, /Il es , ng n .......50, A' C d" .
Address /frll:~/ c.:::rf1SSan a.. L/ir~ R":,, jaJ,GasFi~ ..so: If on ItlOnerUmtsCannot
, .. , J. /J / 12. ' J. 6' '11 Residential, Additions & Alterations $39,50 En~roach Into ReqUIred
Heating Co....__, Flfe..rL _0 '''flY'lII'''', !J1erMr'1 f!J Resldential,ACOnly $39,501 Side Yard Set-Backs
Address 3'5<::5 0 IV ,f! (J/~:;f3~r,.. f'I1;(b; IJJJU "$37
Telephone. ...!12:1- ~ 9' /J -rl _ t2:S ~ Rememberto add the Stale Suroharge on the bolIolTI of this e,.. . ......
Furnace Make & t/oder'/Jt.a t-nJ-r -rI". AIR CONDITIONER' UNITS CANNOI'
/I -- ENCROACH INTO SlOEYARD SETBACKS.
t/odel Size fa (JiltlS IlWV 71_ TYPE OF SYSTEM
Warm Air Plants
q II Gravity
Flue Size &r:j..tt P/~MechanicaJ
/.en Air Condnioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Single Family
~ Two-Family
Industrial
Public
Multi-Family
Other
Commercial
The price of your heating permit incIudee one rough-in and one flnaI i. ". ' .,.. n.
Addilionall ., ',. , .,: OIlS win be billed aI $35,00 each.
House Heating Test Record must be subrnitled with buildlnQ IIIlIDlilIlWlllllJ: before buNd-
ing ce::' .. ..., of occupancy wiD be is8ued,
l:IEAI CALCULATIONS RFOIRRED with number of supply and ratum ." ,,: ',J Ii8llId per
room with CFM's per '." .. iJ. New slrucIunle or addilIons eenclllOor plan with auppIy
and retum locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPUCATIONS MAY BE MAILED TO THe CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372,
I.
Retum Openings
Input ~2"'OO
Output.
Edr.
F.,,","'::.::..~...Jl
City Hall business hours 818 8 a.m. - 4:30 p.m.
,\~: .:. - ....::.. . ....
. lV""Ql"oII;IIII IIID'I.'
.. -
nllD''II' VUII::tll"",",UUII
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
""-: (152) 447.... Fax: (152)447'"
: I hereby apply for a mechanical systems pllrmit and I acknowledge that the
, information above is comolal. and.accurate: that _ work lIIIlII be In MnfI\nnanll"
with the ordinances and codes of the city and with the state building/mechl(llcal
codes; that this form does not becoma a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance wi1h the approved plan In the
case of all work which requires review and approval of plans.
~~~ ()/dU.~~
, s ' 0 e
Cfm.
I'
Special Devices
Other Devices
TYPE OF WORK
Repair
Est Comp. Dale
:J(i)OrJ
~ ~p..r_/q-Ih
Est. Cost $
Building Permn. .
'~9.s0
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
L/OI(J(; RecePll3 ~b 17
Bulktng 0IIicaI's Signature
Date
PRIOR LAKE
INSPECTION RE'CORP
,
SITE ADDRESS 11.1 ~I O)oSS~ Q (\_; I
NATURE OF WORK ":1; ~on...n...._ ~ ~ Ckr(,,--
USE OF BUILDING S!=J)
PERMIT NO. q '\ - '-Sr"r"" DATE ISSUED 1\-2'1-1'(7
CONTRACTOR K (lAb. ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECtiONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT !
IN~CTOR III -4 DATE
, FOOTING I I ~. ;~fO
I I '
PLACE NO CONCRETE UNTIL ABO~E HAS BEEN SIGNED
ROUGH - INS
DEPARTMENT OF
BUILDING AND INSPEGTION
. \ ( )
[f 21,.(tl5
FRAMING
INSULATION
ELECTRICAL
----
.......
COVER NO WORK UNTIL ABOVE HAS BEEN SlpNED
I I
FINALS
BUILDING
ELECTRICAL
~
. ,
~<?o/ay
/1 V....z~1'
--
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-1m Inspections
and'malntained until all inspections have been approved. On buildings a~d additions
where no service cabinet Is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
DATE nilE
CITY OF PRIOR LAKE ~~r
INSPECTION NOTICE SCHEDULED
ADDRESS ~/.1 / C;"S"f~" ~... C;,
OWNER CONTR,
PHONE NO. PERMIT NO, 9?- /..i'A~
o FOOTING o PLUMBING RI o EXIGRADIF ILLING
o FOUNDATION o MECH RI o COMPLAIN r
o FRAMING o WATER HOOKUP o FIREPLACI. RI
A"ESULATION o SEWER HOOKUP ~IREPLACI: FINAL
FINAL o PLUMBING FINAL o GASUNE A IR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: ~ Lf -/.;
hr-c..#/.et'! . e",-_," e- ~- 9PP
he: $'"""- ,;'c ~~~...
/~k
/J~
~/c-t. 7-'
rld; / . &:!1h
~~r:;.(;~/ hi./ ~'C
~
/---~
lC/ese
---
/I /
~#-~
- / ,
CC:r. ~/'
;/)
/7/e
---
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:::ECTWO~ REINS::::~:FORE COVERING
-
CALL 447-9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANFE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SA.FltTY!
"""'"'