HomeMy WebLinkAboutBuilding Permit 13. 0628 0 Jf-
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OF PRlp44 CITY OF PRIOR LAKE BUILDING PERMIT,• Date Rec'd •
A s TEMPORARY CERTIFICATE OF ZONING COMPLIANCE `I`1/24ll Z3
AND UTILITY CONNECTION PERMIT
U Irj
+IXN88ollk. I. White File
2. Pink City `+ �
PERMIT NO. / ,al
3 Yellow Applicant •
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
P-1355 1---'n(Awe CM . PcI5 '
LEGAL DESCRIPTION(office use only)
LOT f BLOCK 5 ADDITION je fjvo 'Aust- RM. PID 25-1 4-37. 0.78. v
OWNER
(Name) PhVNIke4^":1D n�vAld C✓.G _ ci ��;YY .Uf V�-c (Phone)
60,-X0-6383
(Address) I)1 13. _..( I,JUd 6 1.1.t_ii,
BDERt E.
(Companyy Name) �)l"l -1.F.40 1 4 iKOCL( [V (Phone) 1 i a- / 14,-Dc�l _
(Contact Name) 3vV 4_ V (Phone) el-b t to 0 -3
&-, e___ _
(Address) ►3-]I x v�Ct ✓• .tj( Aj 8iV/ai6i 5-5-J3-7
TYPE OF WORKIew Construction ❑Deck ❑Porch ❑Re-Roofing ['Re-Siding ['Lower Level Finish 0 Fireplace
Addition ❑Alteration ['Utility Connection
CODE: LR.C. ❑I.B.C. 0 Misc.
Type of C,nstruction: I II III IV V A B PROJECT COST/VALUE S
Occupancy Group: A B E F H I M R SU (excluding land)
Division: 1 2 3 4 5
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
11 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 enter upon the property to perform neededlnspections.
X .411 l-moi „D'Y?,/Z‘..,-- (bC.
c3 &to `f - d.1--/3 .
rSignature Contractor's License No. Date .
Permit Valuation /8700 POO . 0 0 Park Support Fee # $ --
Permit Fee $ /5 33 5-6 SAC # $A 435'0
Plan Check Fee $ C 96 , 7, Water Meter Size"; 1"; $ <Mo. coState Surcharge $
C/OPressure Reducer Ery r
Penalty $ — Sewer/Water Connection Fee # $ /cro, no
Plumbing Permit Fee $ /5111* .-O Water Tower Fee # $ /000. 0O
Mechanical Permit Fee $ 45-1/. S-0 Builder's Deposit $ z--C1‘. 0 d
Sewer&Water Permit Fee $ C6. Q Other $ ,—I
Gas Fireplace Permit Fee $ '5171.- S TOTAL DUE �'ltGEY) G.,I*: ,� v 1��
This App/ca'. Be... s Your Building Permit en pproved It '. to I L p Receipt No. (eq3 L
rt/ A____ I I sate ( ct t (j By 'J5 -
,• Building Official Dat
This is to certify that the re est in the above application and accompanying documents is i accordance with the City Zoning Ordinance and may proceed as requested. Tais document
when signed b e Ci P nner constitutes a temporary Certificate of Zoning co •.Bane'.nd allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
Planning erector ' Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
o1 iw°�
Builders Deposit
4ftwasdo-. City of Prior Lake
A$2,500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposit is issued as security to
insure compliance for Final Occupancy Permit. (It is not an escrow account.) All exterior items including but
not limited to grading,sodding, landscaping,tree planting,driveways,siding and painting shall be completed 180
days after the date the building permit is issued. If the work is not complete within the.180 day time period, the
City shall notify the applicant of the violation and the applicant shall have.10 days to comply or the $2,500.00
builders deposit will be forfeited and the applicant will be billed for clean up or corrective work to rectify the
situation.
A$500.00 Tree Deposit may also be required and will be refunded if specified trees are preserved for a period of
one year. By signing this I, the undersigned contractor, acknowledge that I am aware of the erosion control
requirements of the City of Prior Lake as outlined in the Erosion Control Measures for Building Contractors
handout.
DATE: 6 . 19. /3 SITE ADDRESS: - `55 e�l/ . . 0 j
PERMIT# • 6 i
REFUND TO BE MAILED TO: /9/,/p6 72...-S-0/1/4/ 8t//4.-Dlici ` e6/ioO6LJ tI9
/37/3 Pi l`.-i AJOo 0 G-/q',A1�
/3(J/a,\ISVI&W 1i, I 53-337
PLEASE REMEMBER � a '
/ 12/5-66).0D
1. KEEP STREETS CLEAN DURING CONSTRUCTION Lynda S.,.(len ,Bui ding Services Amount
2. KEEP EROSION CONTROL IN,PLACE 2-1.
er f�` Acct.801.20204
3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR$501
SIGNATURE: \- G/(/
Larry oppler, City Engineer
1-49
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J:IFORMS\BUILDERS DEPOSIT FORM.DOC
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White -Building
Canary -Engineering
i., 4INNEs0cP Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT rr.'L 't I.:_s /,/ '<” -' ,//d �'
APPLICATION RECEIVED (/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted %./ Accepted With Corrections
3 Denied
Reviewed By: / Date: 5/ 5
Comments: , •
Units Cana Ibinsiktito1i ed
Side Y'va$eebecia
S 1;5-17( .C—.
"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."
c
PRIp�S
White -Building
�� Canary -Engineering
nNES° Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT f?"+il> �uc� Al /'C CS .e / love i.'"./Alqr
APPLICATION RECEIVED " - Z moi. /3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 4-2.3c A/ /ivie c177
Accepted Y Accepted With Corrections
Denied
Reviewed By: 4 Date: 3—'/3- /.3
Comments: See Reverse Side for Additional Information!
!TS �4"li 4 s ./(e 4/Ili+t1 Lel I I /,S 4,45 711u4A 9' /'-• 4T i M !-
Us(4 It rice /14si, dt// I 0\1 /w/" r/ 1,11G.
See Attachments: 1) Grading Plan, 2) Erosion Control Standards
"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."
04 PRi �
C
U tri'
White -Building
Canary -Engineering
4'INNES?. Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ,g-A/.0 2 Io") 6 � f —ops �iilr
APPLICATION RECEIVED 4-'- zq /3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 4-33.c -� ✓6649 tfe c .
Accepted `� Accepted With Corrections
Denied
Reviewed By: /0/174Date: 5 �3 ��
t
Comments: (. Cc)-t teras`fes' 4- ('(_ F1-( 'V
c---c-cleq--/`-' S—t72—.-Cr-C-rs 4—r— Ar.— 77,11<_-- - .
"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."
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 o R-2 Districts
Reviewed by: p Date: / 0 is
Building Permit# PID: Zoning: . �(f>
Address: =I 3 s cC,�!C.' LR-k--`` G—
Legal: L , B Subdivision:
•
Existing Structure? YES 1 di1 . Existing Nonconforming Structure? YES/NO
CONFORMS TO ZONING47 NO
•
ORDINANCE
Yard Setbacks: NA/FAILS/CAS Standard Proposed I
• Front Yard(can be 20'if avg.wlin 150')
25' 25. S'
• Side Yards 10'1
25'if abutting a street -\• 4
• Sidewall exceeding 60'requires additional side 2" 10'setback+
setback for every 1'over 60'in length. Not required 2"11'over 60'
if building wall is 10'-0"or greater of being parallel to _
a side lot line.
• Rear Yard 25'
• Patio Door: provide for minimum 10'deck or sign 10'side/
statement indicating no deck will be built in the future 25'rear •
• From 100 year flood elevation of wetland/NURP 30' ' -
pond. c\ • 2
• Refer in-ground pools to the Planning Department
• From 0HW(Prior or Spring Lake) 75'or setback average of
adjacent structures,but no _
less than 50'
I Floor Area Ratio: NA/FAILS/CO .IES I .30 Maximum I P'- D I
Yard Encroachments: NA/FAILS IC•p IES • Standard Proposed
Eaves and Gutters no more than 2 fee width and non- condidanar and Other Mechanic , S
closer than 5 feet to a lot line(Easements . .
NC and other equipment cannot encroach on interior Side Yard Setbacks
side yards. •
Tree Preservation: /FAILS 1 COMPLIES Standard Proposed I
• Total caliper inc es
• Permit 35%Removal
• Caliper Inches Removed
•• Calipelrnches Preserved
• R Iacem nthY2:1
L:\TEMELkTE\BLD GLIST.D 0 C
/
o1 PR Date Rec'd
( /[ <t, LAKEPLUMBING PERMIT
� CITY OF PRIOR UMB
NArg5o
t.Bive �i'` PERMIT NO. /3 6 28
z c,�m city
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
I " 35 eNcia.ve Covyi' -Prov Ickke IAA)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER A
SCJ<t('Sav-- lil1 c) q (Phone) C3 /02 C/ '- £ 283
(Address)
APPLIC(Name) KA\Ot trk- 'O t CO-- 19-80 t,
(Name) v Q 1/` (Phone)
(Address) 1 1 86 0020(X' 5f' )3 c, (ci(I e 5 630'9
(Address) (City) (Zip Code)
�; ay. 4 )eu�'s01". - )q- 80 '/
(Contact Person) �/' (Phone) �l
APPLICANT SIGNATURE A 44 DATE 8-e- ) ti
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
a Bath Tub with or without shower 0 Rough-ins
I Dishwasher 1 Water Heater
I Floor Drain 0 Water Softener
3 Lavatory(Bathroom Sink) I Stand Pipe(Washing Machine)
C) Laundry Tray(1 or 2 compartment sink 0 Sewage Ejector
) Shower Stall ) Backflow Assembly
I Sinks ) Backflow Assembly Test
0 Bar Sink f Lawn Sprinkler
3 Water Closet(Toilet) Other
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
f�
Estimated Cost $ to.V OC' Building Permit# 13 •CO28
PLUMBING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Building Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
YRI9
4� Date Rec'd
CITY OF PRIOR LAKE 7 Z 1$
`" 4 SEWER AND WATER PERMIT
V
4INNEso'cP
Gicen File PERMIT NO.
2. Yellow City /3 LP
3. Gold Applicant
(Please type or print and sign at bottom)
ADDRESS /�� g �.-- A/kV ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
(Address) (City) (Zip Code)
APPLICANT ce - ��
0 7C 'S 9 7
(Name) (Phone)
(Address) MO /S— C c"--t' SCS /6//l® 3 0€ !
(Address) (City) (Zip Code)
(Contact Person) 'Sc#-- (24 -- (Phone) c 3 — 2 8C — 95-9%
APPLICANT SIGNATURE DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. ❑ ABC El PVC ❑ Cast Iron
Estimated length of sewer line feet.
Clean out(if required) located at feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $51.50 Industrial,Com'l&Multi-family 1%of job cost with a$51.50 minimum
Sewer connection only $25.50 Water connection only $25.50
Estimated Cost $ Building Permit#
SEWER AND WATER PERMIT FEE $ PAID WITH
STATE SURCHARGE $ WILDING PERMIT
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Building Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
� YRIO
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
jhNESO�
I. Pink FilePERMIT NO.
z. Oven City (/�
3. Yellow Applicant \i�
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
I '-I 33ccto,vCvcm/ tate Mti
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(NmOWNER rl'iAd e tr.S o V\. Bid? (Phone) CL,212IC— 0v2 83
(Address)
APPLIName)AN�p pp `^ /n _Xi-809C
r Q_8 O 9 r
(Name) Ya Ih ' I�� tr- (Phone) <oL ` L Lv
(Address) oC 1 9 86 . i 'h\/\ S � (atke 5.33c\
(Address) (City) � (Zip Code)
(Contact Person) yCC.V` , 40-e S O t/� (Phone) (d r2-r p2('L C)
qc
APPLICANT SIGNATURE 1 , ;. .� !'_ DATE 8 --8- 1 �(
APPLICANT PLEASE COMPLETE BELOW
'ANEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL L UX CC•✓c 1 ,�L4TG9 S 0808)2 M P t I 8FUEL /V��-
FLUE SI7F d P V C RETURN OPENINGS 26 X JO INPUT 60 OdG OUTPUT O 0
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
:Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach
❑Gravity 0 Hot Water into Required Side Yard Setbacks.
k:1 Mechanical 0 Radiation Fireplaces with Box Additions or
gAir Conditioning 0 Special Devices
OVent.System 0 Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace $49.50
$49.50 minimum
Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50
Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50
Estimated Cost$ ?8O O.00 Building Permit # )3.628
HEATING PERMIT FEE $
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Building Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS / I35'. eWc(.Av4 •Cadie�NATURE OF WORK E' f 4I /Na. P7t,K,�FA l• e.
USE OF BUILDING : SrAIG� 1"G -�/ No ¢
PERMIT NO. (. . f4 ? DATE ISSUED
CONTRACTOR PHONEXIP 3
INSTALL EROSION CONRTOL AND MAIN CLEAN ST REEAT ALL TIM
144 E5
-Cc 73-` 3 L
INSPECTOR / /, DATE
FOOTING De - at'-(t 13 P.. :??? !3
FOUNDATION Prior'To Backfill)) -7-ter -- t3
RADON RETARDER
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER/WATER/SEPTIC 14, --1 -- ,(_ ;
FRAMING we.- , -,e-:•/ „,/&- 5
INSULATION f ejo-i
ELECTRICAL
PLUMBING k 04 ?/i�/)
HEATING ,�". 0%,3
FIREPLACE
GAS LINE AIR TEST eh/.
/�1aia
RADON RETARDER
COVER NO ORK UNTIL THE ABOVE HAS BEEN SIGNED
HOUSEWRAP �1. y r7 4c LATH
FINALS
GRADING ( PRIOR TO SODDING)
BUILDING 1. s( Wi
ELECTRICAL
PLUMBINGM4HL,a ,,, yes/ Ci ti /111 s/HEATING �®DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIG:17
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