HomeMy WebLinkAboutBuilding Permit 04-1074
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'Q
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /1
AND UTILITY CONNECTION PERMIT I{l~ f-07
; 'ir~' ~::y I PERMIT NO'04-./o-?A-1
J Yellow Applicant I~
(Please tvDe or orint and sip at bottom)
ADDRESS
\.t. ,") ~S" ,(<:~"C:J-J
CoU 12-\
ZONING loflk, .so)
121
LEGAL DESCRIPTION (office use only)
LO'G.l(BLOCK
ADDITION
Kit>> b
fJfjQJ STF-
PIO;{5=-- 36 !?-{)J,.q-O
OWNER
(Name) "Dl:5 P, 'f'>\ E
(Address) I~' 55'<0
'VD~6
(Phone)
't$?' ~61-()1 'z{"3
\4,J
1ZA V tSJ-J
C'l.
'?~\O~
L-K.
BUILD~ ,J
(Company Name) LA.~fEWcc;~ c..okJ "''WVc.'''O 0 , ,tJC
(Contact Name) ..JtlC:.L ~,.sE. V \\J..-..
(Address) \ I., -z.. 'is ~\ v..e LoU ~" S l\6..."c 'b ~eE: .
I
TYPE OF WORK. 0 New Construction DDeck DPorch ORe-Roofing ORe-Siding liJLower Level Finish 0 Fireplace
~ddition DAlteration DUtility Connection D Misc.
(Phone) ~t}2- <q"\b' ~~ ~ <.(
(Phone). h \ '2..- - ~ \7 ~ " 7... <:, :>
\-\N
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
ill IV V
HIM
234
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$ ~,OOO
,
I hereby certify thai 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 constlllction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
OffiCialyzan r ~e t"rmit ~ust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
X 'txJ/ A,.,. - '4 'lOb~77S'" IO-'!S'-6,l\
. Signature Contractor's License No. Date
I Permit Valuation ~~<<x:>.~ I Park Support Fee # $ I
I Permit Fee $ '16'). ~o I I SAC # $ I
I Plan Check Fee $ q 'iZ..3g I I Water Meter Size 5/8"; I"; $ I
I State Surcharge $ 30.00 I I Pressure Reducer $ I
I Penalty $ I I Sewer/Water Connection Fee # $ I
I Plumbing Permit Fee I $ q()~..t'Jt"J I I Water Tower Fee # $ I
I Mechanical Permit Fee I $ I I Builder's Deposit $ I
I Sewer & Water Permit Fee $ I I Other $ I
I Gas Fireplac~ Permit Fee $ l{() . t:Y I I TOTAL DUE t.J\"lNtro IO,z,o,D4- $ I. 35Q. B.8.J
/' 1 ,
~m't~-----. Paid /'3.5"l. ~~ I ~~~ "'I31S
_ . _ If)-IF!; -Ai Date 'IJ. ~r. 04-
BUlldmJ!: i Hll ,,- Date-
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
issued
Planning Director
Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~1
White - 8uildina
C..panary :-Engineerin!f>
....'nK '" ~lanlUlIY
Th"C..n't'roflh,,'.ak,,("ounffY
BUILDING PI;RMIT APPLICATION DEPARTMENT CHECKLIST
.-NAME OF APPLICANT
APPLICATION RECEIVED
i
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/L;' ;;f' ;;--'~' C..I l,.
I '. .~_) Q ::.~~
r-/-..--
, .'
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
J'J/J'1-A
, ...:..;..-
Date:
//')-/7 -01./
Comments: See Reverse Side for Addition",1 Infnrm~tinnl
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
"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."
~1
White - Building
~. - "'n~ing
- Plannin!r::>
Thf Crnln of lhr L.kr ('ounl!'}
BUILDING PERMIT APPLICATION DEPARTMENT CI:ISCKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
'-</ - /: I
/)0.. /;. ~/f1),")('
10 - f -(:;LJ
, .-7-
!.&}i-t.LA-.--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
//./ 3 ~ P j;'c:::;.(/ '-:7--" );-"
Accepted
-----
Accepted With Corrections
Denied
Reviewed By:
Comments:
p. g.
Date: 10/,8/0'"
"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."
~t.. - Buildina~
nary - Engineering
Pink - Planning
Tht ('.,ottr of lhr I.."" ('ounlr)
.BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~
/0 - ~-o4
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(L/3S-P ~ (!;j
Accepted
Denied
~
Accepted With Corrections
Reviewed By:
--p, (S.
Date: 10/IV/ac.{
I
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."
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-l or R-2
BYPP Date:J6j,,;:,
Building Permit # PID:25"- ~~ - 0:1'1-0 Zoning: ~ I
Site Address:/'l3sa (1._ m.
Legal: L 21/
B I
Subdivision: 1<""'" lMI ~fl...
Existing Structure? @or NO
CONFORMS TO ZONING
ORDINANCE
Existing Nonconforming Structure? YES or~
~~-
~ NO
Yard Setbacks: NOT APPLICABLE I FAILS Requirement Proposed
MEETS CODE
" Front Yard 25'
(setback average if in-fill lot)
I" Side Yard 10' t I
(1j' lf1:lh"~g a rwnt)- 47.0"2-
I" Side Yard 10' t....c;l I
(Easements) ....,....
I" Rear Yard 25' I
(Easments) 0'1_.... 5/.'
I" Sidewall exceeding 50 feet required additional Wall over 50'? I
side setback of 2" for every foot over 50' long NI'r
," From 100 year flood elevation of Wetland 30' All'r I
I" From OHW (Prior or Spring Lake) I 75' or setback average of adjacent I
structures no less than 50"
. Yard Encroachments: NOT APPLICABLE I
FAILS I MEETS CODE
Eaves and Gutters no more than 2 feet in width and
no closer than 5 feet to a lot line (Easements).
I AlC and other equipment cannot encroach on
interior side yards.
I Lot Coverage (Structures Only)
30% Maximum
Significant Trees: NOT APPLICABLE I FAILS
MEETS CODE
" Total Caliper Inches
I" Can remove 25% ofT.C.!.
I" Caliper Inches Removed
I" Caliper Inches Preserved
I" Replacement
I
Requirement
Proposed
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I
I
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I
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L:\TEMPLA TEIBLDGLIST.DOC
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~.~';;, ~:~ IPERMITNO'O/J_j()hl1J.'
1 Yellow Applicant I ,. I J
(Please ~ or mint and shoo at bottom)
ADDRESS ZONING (ofticeuse)
J L..13 S-9;" tf2. A-U ~ V'\
~(..(J
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
APPLIC~T [),
(Name) ~Ou.~1-o(.J.)v\' r=-t Urh\b(V) T. .Lt1C....(Phone) &; (c<-~(g/.... - ~<:;?
(Address) (o(o3{o PP"1'1 Aue.... '50 I/? 1.<h.S;:,~....) .<>~,<.
~Address) (City) (Zip Code)
(Contact Person) .b!!t.tJ. (phone) bH:l-fl6Ia- ~~?
APPLICANT SIGNATURE . DATE
V ~PPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Quantity
Type of Fixture
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
I
I
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
~
Estimated Cost $ dtJtJt)
Building Permit #
\~
$ ~
~ ,~~ ~V
paidfl. IP',~.0 Receipt No.
D9._/_ t1
B~
o
~
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Offici..
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
q>J..!'ase ~ or Drint ond sim at . , ..""
ADDRESS
i ~ Si,,", I PERMIT NO. 11-/117('/
ZONING (office ose)
14358 RA YEN COURT
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDmON
PID
OWNER
(Name LAJ<FwnOD DF:VFTn~F.NT
(Phone)
. (Address)
APPLICANT
(Name) AI I mD FIRESIDE DBA FIIlESIDE HEARTH,. Hn~
(phone)
6S1-6~.~-?.561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
(Contact Person)
BRENDA HUSTON
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
APPLICANT SIGNATURE
BRFNDA HUSTON
DATE
1 t /26/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants D Steam
DGravity D Hot Water
D Mechanical D Radiation
DAir Conditioning D Special Devices
DVent. System D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
I FIREPLACE MAKE AND MODEL
HEATN alP SL,ISOTR-D
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1% orjob cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
,50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
BuUdinl Official
Date
~.... c (I" IS I' Iii ;, .,.,.
. C/ L::i J ~ .
_. celpt No.
. e E ~ Zfi6~. (}
(J
24 hour notice for aU inspections (952) 447-98IilYfu-i9Cf4'.i9~'~
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS J4~5A ~'^ c\...
NATURE OF WORK .Add..1..:lli>",
USE OF BUILDING S1="i'I
PERMIT NO. tJtf-. ((n tY DATE ISSUED /()- /'B~o<r
CONTRACTOR Lc.~e ~ ~cJ.. PHONE~ . B17... '< w"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
, THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE .
I FOOTING I /H4 I // // /d}/ I
I FOUNDATION (Prior to Backfill) . I ~ I .t'/P/4 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEENSlGNED
ROUGH - INS
. ,.l,.
.
/# _ .J~.J
A /7' / /~.&--
r, ,1R/:;P.
& IY:7
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I Uous~ uJro..O ~~ s;'~.,Q,w- n..~ I
v FTNALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (If required)
FIREPLACE
GAS LINE AIR TEST
~
P5
l,e./ <1r
/
WfUf
fit
/ .
'2//I)/~
;
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.
J
11
HAS
BEEN SIGNED
'"
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
.
nilE
ADDRESS )4358 ~ OJ..
OWNER
CONTR.
PHONE NO.
PERMIT NO.
lJ FOOTING
lJ FOUNDATION
lJ FRAMING
lJ INSULATION
~INAL L.L.
lJ SITE INSPECTION
lJ PLUMBING RI
lJ MECH RI
[] WATER HOOKUP
lJ SEWER HOOKUP
[] PLUMBING FINAL
lJ MECH FINAL
lJ EXlGRADlFILUNG
lJ COMPLAINT
lJ FIREPLACE RI
[] FIREPLACE FINAL
lJ GASLlNE AIR TST
lJ
COMMENTS:
I -) \\ \
~\~ i-^'-LT" \L
.r~~
WORK SATISFACTORY, PROCEED
lJ CORRECT TlON AND PROCEED
lJ COR , CALL FOR REINSPECTlON BEFORE COVERING
Owner/Contr:
CA 447 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~/REMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY/
IIGNOn