HomeMy WebLinkAboutBuilding Permit 03-1139
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
5-13-02-
I. White File
2. Pink City
3. Yellow Applicant
I PERMIT NO. ()3 _ / /~
I ZONING(office\ISC) I
,Ie/SO
(j'lease ~ or orint and silUl at bottom)
ADDRESS
33 <60
IW/N Ji;/a/l/d e; y-
LEGAL DESCRIPTION (office ose only)
C)o<>l~
LOT BLOCK ADDITION
~~~
PIDJ;-.... /Ot?-oq- 0
OWNER
(Name)
J-e~H-V W,il
/bl./ S fuhr-t M
(Phone)
96:; -Lfq~ - dLI / I
(Address)
:r ol-dltv'
W\,.v
/;SJf;J.,
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(phone)
TYPE OF WORK
o New ConsbUction
DDeck
Dporch
ORe-Roofing
DRe-Sidiog
Dutility Connection
(rN.vd-rf1d,.l DLower Level Finish 0 Fireplace DAddition DAlteration
o Misc,-a,. L.I... '" - SfJrlAC-f-u~1 fl ;'}';"'~~~()'j;~.LUE (exc1udiogland) S .. 3A'X>
I hereby certify that I bave furnished information on this application which is to the best of my knowledge troe 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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;ter upon i7.o#;'W:;;;}fded inspections 5// J /0 ~
(1"'/;/17 Sipature Contractor's License No. Date
I Pennit Valuation 3<>ee .oc::> I Park Support Fee # $
I Permit Fee S 8'!.:z.S I SAC # $
I Plan Check Fee $ 5<1. t/ I Water Meter Size 5/g"; I"; $
I State Surcharge $ / . C;D I Pressure Reducer $
I Penalty S I Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ I Water Tower Fee # $
I Mechanical Pennit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ lather $
I Gas Fireplace Permit Fee $' \~~. ~~ I TOTAL DUE ~1. e $ / 3&. ~
I Paid /fe). fYl:?
I Date . 9?.IJ.J'
i'J",~on &OOj !our Buildiog Permit When Approved
lbJf:h, Jl ~20~0Z-
Buildiog O~cia1 '
Date
I Rece~~o.
By L_
o
45"; / I
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
~~ity P7 constitutes aI'""""",,, c;Z :~2~omplian" md allows construction to commence, B,fore occupancy. a Certificate of Occupmcy must be
Pran~tor " Date Sp,cial Conditions, ifany
. 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
May 10, 2002
City of Prior Lake
Attn: Paul
16200 Eagle Creek Ave SE
Prior Lake, MN 55372
Dear Paul:
As per our conversation on Monday, May 6th, 1 am enclosing the completed building
permit application for the foundation replacement on my cabin, located at Twin Island,
on Prior Lake. Enclosed you will find drawings and schedules from the Permanent Wood
Foundation Association, giving specs for specific jobs.
This project is specifically a foundation replacement and no changes in elevation or
exterior dimensions were added. This space also holds the utilities for the cabin (water
heater, etc.). The lowest level is above the required 909.8' sea level by 16', on GPS.
I placed a phone call to Scott County and spoke to Brent. He stated the existing gray
water and electric toilet are acceptable because I am not changing any of the exterior
dimensions. He will sign the permit when it's completed.
Please call me with any questions or concerns you may have. Thank you for your
consideration.
Respectfully,
Jeff Will
104 Stuart Dr.
Jordan,MN 55352
(952) 492-3022
~,
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FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTulCATE
AND
INSTRUCTIONS
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NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
PAPERWORK REDUCTION ACT NOTICE
Public reporting burden for the Elevation Certificate is estimated to average 2.25 hours per response. Burden means the
time, effort, or financial resources expended by persons to generate, maintain, retain, disclose, or provide information to
the Federal Emergency Management Agency (FEMA). You are not required to respond to the collection of information
unless a valid OMB control number is displayed in the upper right comer of each form. You may send comments
regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections
Management, Federal Emergency Management Agency, 500 C Street, SW, Washington, DC 20472, Paperwork Reduction
Project (3067-0077). Do not send completed formes) to the above address. To obtain or retain benefits under the National
Flood Insurance Prograjll (NFIP), you must respond to this collection of information.
.
PURPOSE OF THE ELEVATION CERTIFICATE
The Elevation Certificate is an important administrative tool of the National Flood Insurance Program (NFIP). It is to be
used to provide elevation information necessary to ensl!J'C compliance with community floodplain management
ordinances, to determine the proper insurance premium rate, and to support a request for a Letter of Map Amendment or
Revision (LOMA or LOMR-F). , '
The Elevation Certificate is required in order to properly rate post-FIRM buildings, which are buildings constructed after
publication o(the Flood Insurance Rate Map (FIRM), for flood insurance Zones AI-A30, AE, AH, A (with BFE), VE,
Vl.V30, V (with BFE), AR, ARIA, AR/AE, AR/AI-A30, ARlAH, and AR/AO. The Elevation Certificate is not required
for pre-FIRM buildings unless the building is being rated under the op.tional post.FIRM flood insurance rules.
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, As part of the agreement for making flood insurilnce available in a community, the NFIP requires the community to adopt
a floodplain management ordinance that specifies miltimum requirements for reducing flood losses. One such requirement
is that the community obtain the elevation of the lowest floor (including basement) of all new and substantially improved
buildings, and maintain a record of such information. The Elevation Certificate provides a way for a community to
comply with this requirement.
Use of this certificate does not provide a waiver of the flood insurance purchase requirement. Only a LOMA or LOMR.F
from the Federal Emergency Management Agency (FEMA) can amend the FIRM and remove the Federal mandate for a
lending institution to require the purchase of flood insurance. However, the lending institution has the option of requiring
flotld insurance even if a LOMA/LOMR-F has been issued by FEMA. The Elevation Certificate may be used to support a,
LOMA or LOMR-F request. Lowest floor and lowest adjacent ground elevations certified by a surveyor or engineer will
be required if the certificate is used to support a LOMA or LOMR.F request.
This certificate .is used only to certify building elevations. A separate certificate is required for floodproofing. Under the
NFJP, non-residential buildings can be floodproofed up to or above the Base Flood Elevation (BFE). A floodproofed
building is a building that has been designed and constructed to be watertight (substantially impermeable to floodwaters)
below the BFE. Floodproofing of residential buildings is not permitted under the NFIP unless FEMA has granted the
community an exception for residential floodproofed basements. The community must adopt standards for design and '
construction of flood proofed basements before FEMA will grant a basement exception. For both floodproofed non-
residential. buildings and' residentialfloodproofed basements in communities that have been granted an exception by
, FEt>'fA, afloodproofing certificate is required.
.
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I"Eol:RAL EMERGENCY MANAGEMENT AGENCY
'NATIONALFLOOO INSURANCE PROGRAM
ELEVATION CERTIFICATE
. '.:
"'-',.
. . . .
.. '. "
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Important: Read the Instructions on pa~es 1 - 7.
SECTION A - PROPERTY OWNER INFORMATION
BUILDING OWNER'S NAME j'E;:: ;:: \1,1,... \,
BUILDING STREET AD,DRESS (Including Apt, Unit, Suite, IndlSJ:.ildg, No.) OR P ,0, ROUTE AND BOX NO,
"3?'loO~?"O.-p~~ ........\. ::.~,~.' ";-.c:.L~ ~\.p
CITY IJ .', '. .'.', \ ,,', , " , ,,', STATE
r-Q ".,(.2: ,'.li.c...~e " J"!"I.J.
PROPERTY DESCRIPTION (Lot and Block Numbers, TexParcelNumber, Legll DIscrlption, etc.) '.
, ~,"iLL. \f;. J"! I 1,. LO'.\"""~ 0\ ~\r-~ ...:)"'r,.\.L. fC',...,.l" ,
BUILDING USe,(~.9~llld~ntill>Ncn-reSideritial, Addition. Accessory, ItC. Ud Comments section ,if nlcess,.y,)
;""
LA TiTUDE/LONGITUQE 10PTIONAL) ,
( 1/#. -1/#' -i/#,fIOr Dr 1/#,1J#IIiI/#'l '
HORIZONTAL DATUM:
LJ NAD 1927 LJ NAD 1ge3
SOURce: LJ GPS (7ype)'
LI USGS Quad Msp LI Other
....:.-
, a.M,B. No. 3067-0077
Expires July 31, 2002
I: For In.ui.iibe:COlllpany;,us':lI'l~I.1
"iPOIICW~UJ:1'lb'''''''''''Ij' "i~'." m "',",' ..
t;$ifti,;: _ '~':':~ ,"', \OlI'~;:~!; "--' ,!iHr.; . - . '._ :~f,r,H,'
I"-~._.,,,",.l'lt~t,,~.l,.._,,,,..."....... ......Ii .... .i!:!.....,...
....--..... '-""-""--" .,-- ,.....-...........".".....
li.'companY;NAIC,:N~ll1ber\!!.t!l:i~:;,i.J!i
1$f'~fr~~!~_JI:::';~~~=
ZIP CODe
SS-""1-
1-<)' ~-"~
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, " . ,~PORTANT: ,In theeupacea, copy the ?llrraspondlng Information from Section A,' L:~ol:1ilJ1!!!i'~'#.lc,<il):i~.~~.!fIl!i,:1;1
'.' ,~, UILDIN,G ST, FlEETro~~""..;; (lnclUdl,nQl\Pl" U"Il~, ui .., ,"dlOr Bldg, NO,), DR, p,o., ~o.UTE ANDBo.X NO., ~e!!i,~,' ',.,:~..yQ,!!l!l' ,~!~"mI'.', ',iI/t!i~~.:l:!.i>l'J1?~~li
~' ""'-;'--'o!t '5~ .-c) \.-..~ -\c:,\..-.... (" '....<-\... ..~a~~i!:,\~;{fflll'-
CITY', " . ~_' ,.,..',,', "..'- ,\. _ . ' , " " STATE I'V\' ZIP CODE (16.,i!',tlI!.'lI!.\~i!lW~lc~'~.1_ii"~il!~'il
' , l"'\ \^Q." flo..'-E'_ ' , "'e-A - <5"=:;~i2 ~~'lliR\il'!!1:~T<_.;,1ii;l~';"""'""':'1
" SECTioN 0 - SURVEVOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of t,hls ElevationCertlficata for (1) communlty'officlel, (2) Insurance agenVcompany, and (3) building owner.
COMMIENT~,~~ ,_-,j~,' ~ ":,,\<4-.-\.'~,...,._ 'Is \ N ;;,j~ll~ / .AA.-Q.. r~""...~Q
.4-, ',~~, . ~-\-~~ ~\!'''::'' _ ,500 ~'<?v\"r' r-
I I Check here If attachments
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SECTION E. BUILDING ELEVA.TION INFOR/IIATION (SURVEV NOT REQUIRED) FOR ZONE AO AIID ZONE A (WITHOUT SFE)
For Zone AO and Zone A (wlthout SFE), complete Items E1through E4. 'If the ElevaOon Cartmcste Is Intended for use 8S supporting
infozmaOon for 8 LOMA or LOMR.F, Section C must becompleled. "
E1. Building Diagram Number ~ (Select the building diagram most similar to the building for which this certificate Is being completed _
see page$ Sand 7. If no diagram accuratelnepresents the building, provide a sketch or photograph.)
E2..The top of the bottom floor (Including basement or enclosure) Of the building Is LI_I ft.(m) LLlln,(cm) LI above or I_I below
(check one) the,hlghest adjaCent grade.
: E3. For SulldingDlagrams 6-8 with' openings (see page 7), ,the next higher floor or elevaled floor (elevation b) of the building is
,~.ft(m)LLlln.(cm) above the highest adJacent grade. '
, E4.' For ZoneAOon,ly: If no flood depth number, Is 'available, Is the lop of th,e bottom floor elevated In eccordance with the community's
' floodolaln milnaQ,ement ofdlnance? I I Ve. 'I I No~.l.J Unknown" The local official must certl~ this Information In Section G.
' ,'SECTION F - PROPERTY OW,",CI\ (VK UWNlik"ll REPRESENTATIVE) CERTIFICATION
, The property owner or OWner's autho,r1zed representative who completes Sections A, B, and E for Zone A (without a FEMA-Issued or
community-Issued SFE)or Zone AC) must sign here. " , ,
I'ROI't:RTY OWNl:K'~ OK OWNER,'~ AU1HORloU:O Rt:f'RElll:NTATIV"'ll NAMI:
., ,,' ", '. . . ." . ',.' . ' . " , " . - . ~.
ADDREllll ,'"
.. ~",' . ,-,',-,..~.' . ...,
CITY
llTATE
ZIP Co.DE
lllGNATURE
,DATI:
TELEf'HON"
CqMMENTS
, " SECTION G . COMMUNITY INFORMATION (OPTIONAL)
The local officlal who I,s authorized by law or ordinance to admlnlstar the community's floodplain management ordinance can complete
Sacllons A, S,C(orE), and,Gofthls Elevation CertlflCate. Complete the applicable Item(s) and sign below.
G 1. LJ The information In SectlonC was taken from olher doCumentation that has been signed and embossed by a licensed surveyor,
engineer, or architect who is aLitho,r1zed by state or local law to certify elevation Information. (Indicate the source and dete of the
,elevation data in the Comments area be1oV(.) , , ,
G2. LI A community official completed SectJon E for a building located in Zone A (without a FEMA;lssued or community-Issued SFE) or
,'ZoneAO: .' ',' , ' .. , ' " " , ,
G3.:UTnei()1I0Wing Information (ltemsG4-G9) is provide~ for community floodplain management purposes.
1 G4, PE~MIT Nu~~e~ I G5',DATI; PERMIT ISSlJED , I ~~U~~TECERTIFICATE o.F Co.MPLJANCElOCC\iPANCY
G7, ,Thla permit haa been,lsaued for. LI New Construction LJ Substantlallmprovemenl
38. Elevation Of ai-built lowest floor (InclUding basement) Of the bUilding Is:
39., BFE or On Zone AO) depth of flolldlng et the building alte Is: '
LOCAL o.FFICIAL'S NAMe ' ,
.' 0--.1
1-' Check here If attachments ,
. _ ft.(m) Datum:
,_ft.(m) Datum:
'.,
" TITLE
t,;tJMMUNI1Y NAMI:,
TELt:I'Ho.NE
~IGNA TUtU,
UA1E
t,;OMMENTll
'EMA.Form, 81-31, AUG 99,'
,":':
I_I Check here If attachments
REPLA,,~~ iI~L ~REVIOUS EDITIONS,
,
White . Building
Canary . Engineering
Pink - Planning
Th~ ('rolr, of Ihr 1..1it ('ounlry
NAME OF APPLICANT
BUILDI~RMIT APPLICATION DEPARTftl\ENT CHI;CKLlST
JIEX f12.. 6( W w.,
IJ. L\~ ,,,/1:) ~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
v
Accepted With Corrections
4
Date:
~("t(k
,
Denied f'\
Reviewe~~aO
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."
~~
White - Building
Canary - Engineering
Pink - Planning
Tht ('fnlrr of lhf I..kf ('ountry
BUILDING I2ERMIT APPLlCAflON DEPARTMENT, CH~
NAME OF APPLICANT ~~ fJL G( Wtl.--L--
APPLICATION RECEIVED At.JJ., ~ ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
;/
Accepted With Corrections
Comments:
Denied J
Reviewed By: /<.fJ f:trJ~
/.. ~~
Fo-.uM-rtd'/ If/Woa.
Date: 84r-)3
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Au- tU~ ~~
"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
Tllf Cfnln or lilt Lak. Counlry I
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~J6~
5- /3-02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3360 /WIN /5t.--/lND
C!--/ R~
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/J?7~
Date: S-2C)~(!) ~
Comments:See Reverse Ride for Additionallof9rmationl
~I {,; H- FUIl~ o""v:'d 1..lb ClU"
~ee Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
,I
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"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."
PRIOR LAKE
.
INSP,ECTION RECORD
SITE ADDRESS ~~~O I '-<..i,^-' lSc..A<v{\ Q~1...6
NATURE OF WORK Al..- "'Te2.A"l"icA.I
USE OF BUILDING {ZES. A-/e / /
PERMIT NO. tJ.3 -1/.39 DATE ISSUED' e(:z sf 0 ~
CONTRACTOR ..l eFf-~,,(, WlJ...l- PHONE~~ -4JZ -2411
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
OAtE
I FOOTING N' ~ j
I FOUNDATION (Prior to Backfill) I N ~ I j
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH. INS
.='~'1I.- ..,Il........,jijii..~_
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (If required)
r ~_- -f
_..rIl!!! - .........I-.--~.......-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
,~Prior to Sodding}
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
1
ILN-
I ,
cr/3/D3
,
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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 shail be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
3~5o
SCHEDULED ~
I t.....J(4J h~,~
TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
-
ADDRESS
c~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
03~(j3i
o FOOTING 0 PLUMBING RJ
o FOUNDATION 0 MECH RJ
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~INAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: (!t.OSI'f' TI'I!!f 5"',.....,..,6 {~
~ ISsvt!O. ~W 'u,ru /
.J~ L<..I,t..c.. Sn:-v6- . f,>t!:::W" ~r,6
~K. ~ t..6-c:: ~ A1hSdi:.-.c.' a>,v
8/' /c>~ To {NSP6r:.r .'P~'6/C..,...,_
r/'H<IJ.-r t<.,~ A/c. Fi::>4>T7AJ~. s;,.,/.....
L>urSfM ~ ~ /A.JSA!C-nc..-J
pc#u t!'~ ~ _ ~~ J./SC-
~hIrP"S- 70 TOp -PF ST'l1t):nJ.--,;.,~.,
C. L O~c- 1-/ / -t:::-
~t:>Il-f~ '-A-o<Z>.::>iV"'&/C:;;~
(..<N'T'U-.e>____ A- g<-()o. p~ l.r.
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
.0 ~RKSATISFACTORY. PROCEED
)(CORRECT ACTIOiAND ROCEED
o CORRECT ~~ C FOR REINSPECTION BEFORE COVERING
Inspeclor: ~ OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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