HomeMy WebLinkAboutBuilding Permit 14. 0207 errflftrafr of { nizpattry
CITY OF PRIOR LAKE
prparfittrtlf of th1Mrng jittsprtfiatt
Final Permitted ❑ Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the El Residential l D International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
S1N6k-141"1/1/ /4. Z or7
Use ClassificationBldg.Permit No.
Occupancy Type Type Construction Zoning District Al 9 ,5 �N cCr1 V6 • ic6`�-s pd
Legal Description. Z.- i � /
g /X4-13 t�i/1/C.r �/4 ",�
KOwner of Building Site Address
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Contractor's Name&Address
/`-!/dl'q— BuildingOfficial City Planner
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Date: 1 1 11`tki'� Date:;
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11
YRIp CITY 01?PRIOR LAKE BUILDING PERMIT, Date Reed
is,.-s,
� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
F '�i AND UTILITY CONNECTION PERMIT `� ° 2 ‘ 1,4
y4MNEscA t t White File
2 Pink City PERMIT NO. /4 i o
3 Yellow Applicant /
(Please type or print and sign at bottom)
ADDRESS ZONING(office useq
1 1' I 15 1 N Z.Livi, L-- A/tA-/ P-'SD
LEGAL DESCRIPTION(office use only)
LOT f BLOCKS--
LOCK ADDITION5 kC(Adz-- Q Je 44(f S am c,;)J .3-7-L '=0
OWNER /f /f�
(Name) - t ( -�O,. Q� p--,,v,„ t` ,f G 4,(,'( e 5 (Phone) 7 d- �y, 1ii _
(Address)
BUILDER SO
CI Name) £( 5. • �'►�t r u (Phone) sc2 _
(Contact Name) 1 AA. ' 1 • I (Phone) ccd ` 1/4 at.'° —
(Address) VO/ Z1 -i AD _IA44. 0itrr►S6/tr/4 i WI& 5-,37
TYPE OF WORK ew Construction DDeck ❑Porch DRe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration ['Utility Connection
CODE: EjliC. DLB.C. 0 Misc. �/
Type of Construction: I II RI IV V A B PROJECT COST/VALUE $ //6/ /07.2
Occupancy Group: ABE F HI MR SU (excluding land)
Division: / 1 2 3 4 5
II hereby certify that I have furnished informal', 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 tonal lion 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 tli • , nhern e city o tna or a designee may enter upon the roperty to perform needed inspections.
ei ii3e
Signatu, Contractor's License No. Date
Permit Valuation (9GI o
w-- Park Support Fee # $ ,
Permit Fee $ t(0,' 1 CO SAC # $ 2-4/C0'.5—]t T
Plan Check Fee $ I D-1®‘p,5 Water Meter Size';1"; $ A2340‘•
State Surcharge $ (16 . 5-0 Pressure Reducer $ t'(t
Penalty $ Sewer/Water Connection Fee # $ 1 6
Plumbing Permit Fee $ l 5-14-_ c=:' Water Tower Fee # $ O�
Mechanical Permit Fee $ (S c;=;) Builder's Deposit $ 7.-5—$00�
Sewer&Water Permit Fee $ S Other $
Gas Fireplace Permit Fee $ 54 c TOTAL DUE $``,3'7 .a1I
This Appt'd t once n t . our Building Permit N en pproved Paid k t t L' ,�' y Rec ' t N o. ///Z I
/ /I A 1 Date (�- . (`S .I 4- —. [ By
Building Official Da e
This a to cen' that the ;nest in . a ve application and accompanying docume s i in accordance with the City Zoning Ordinance and may proceed as requested. This document
when sign/"y th Ci '1, tie c n itu a tempprary Certificate of Zoning comp an and allows construction to commence. Before occupancy,a Certificate of Occupancy mist be
issued i I
arr.A, • 4,Mai._ Alo (ipAc To E_PT"
Planning Director ba a Special Conditions,if any
24 horn notice for all inspections(952)447-9850.fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
ID0E
Builders Deposit
\&41+ftessols..))
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 a 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. s� �.( /r r_,-,,,dA/e,
DATE: I ' 9 l "t 1 SITE ADDRESS: /11� q3
/ '4t/J- / PERMIT# 14.07
REFUND TO BE MAILED TO: 't 0! L 1 t'-1"( /-L5 F e �.5(4/1 / anJ(
337
,"elci,34- rvvi1Cifcme.
y
PLEASE REMEMBER
e
t\°'�
1. KEEP STREETS CLEAN DURIN CONSTRUCTION
c,,,
1I jE
2. KEEP EROSION CONTROL IN LACE .,
3. TEMPORARY OCCUPANCY RMIT MUST NOT EXPIRE OR$500.00 WILL BE FORFEITED
C ..
SIGNATURE:
ORIZATION TO RELEASE
Lynda S. lien Amount
Date Acct.801.20204
FIELDSTONE FAMILY HOMES, INC 5554
ii 801 EAST CLIFF RD / 5-13141919
q
BURNSVILLE, MN 55337 S G ' 20
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Isti 1 /.. . ,c1-pATHE , /// /
c'o RDER OF
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111E I! r, ,-- CASTLE ROCK BANK
ti .! « ,f) CASTLE ROCK,MN FARMINGTON,MN
la rj 55010 55024
i" (507)645-7751 (651)463-4014
li
FOR
A/A:.WA 1 if if l3 6nito t.
11 116005S5411' 1:09L9130481: 23 L 2 L960 Lii'
,I BUS-100'
of ?Rib*
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White -Building
Canary -Engineering
sots Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT F/62-49-577)/1-le /-77/14114--4/ f S
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit '
application for construction activity which is proposed at: /
/41--/3 &/v /rv� C / r
Accepted X Accepted With Corrections
Denied
Reviewed By: 0115
Date: y
Comments: See Reefing) tit Iticgraitiont
See AtteehrivintE'1)Ombra Pmt. 2)Emei0r't GCNtrolailindlinia
"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."
Ontl°414
White -Building
Canary -Engineering
M,vNBse* Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT !"/eZ O A/e, / /:71'174.-(/
APPLICATION RECEIVED /4-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4 13 6 /t/A/ .
Accepted 17 Accepted With Corrections
Denied
Reviewed By: / r, Date:
Comments: /. G'o c-- 512-0;7-0 A A--)774(-4-/
c c ��ir=c���� !c-L t-iri 65
"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."
o46
tiAf
c7
White -Building
' Canary -Engineering
Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT E C�--ter - J?'L / N6/1e,s
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-/.3 6-A e. /h/ c --- A/c's
Accepted IV Accepted With Corrections
Denied
Reviewed By: .1?1r�1.- Date: •
l / "
Comments: (. o i p-c -.14040.4
`-
"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 Construct'•n for Single or Two-family Dwellings i R-1 r R-2 Districts
Reviewed by: #4 a' Date: 4 ct J
►r ►\11M
Building Permit# PID: Zoning: 11 €4._))- 0..}D
Address: -
Address:
l44 3 L%nt C-LA 6" e�.N--,
Legal: L , B Subdivision:
Existing Structure? YES/0 Existing Nonconforming Structure? YES/NO
CONFORMS TO ZONING 6
NO
ORDINANCE
Yard Setbacks: NA/FAILS/COLI Standard IProposed
• Front Yard(can be 20'if avg. /in 150') 25' -2.—s•
• Side Yards 156r-
25'if abutting a street 1 5. 1 b _
1-7 .to
• Sidewall exceeding 60'requires additional side 2" 10'setback+
setback for every 1'over 60'in length. Not required 2"/1'over 60'
if building wall is 10'-0"or greater of being parallel to
a side lot line.
• Rear Yard . 25r.---o' Z Z. ±
• 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.
• Refer in-ground pools to the Planning Department ✓
• From OHW(Prior or Spring Lake) 75'or setback average of
adjacent structures, but no
less than 50'
I Floor Area Ratio: NA/FAILS/COMP .30 Maximum I F`-)4 I
Yard Encroachments: 'NA/FAILS/CIES ( Standard I Proposed
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line(Easements).
A/C and other equipment cannot encroach on interior
side yards.
Tree Preservation:1AILS/COMPLIES Standard Proposed
• Total caliper i A.
• Permit 35% Removal
• Caliper Inches Removed
• Caliper Inches Preserved
• Replacement %:1
L:\TEMPLATE\BLDGLIST.DOC
4 rasp CITY OF PRIOR LAKE Date Rec'd
° -' HEATING/AIR CONDITIONING/FIREPLACE PERMIT ,J. =Z. r
I.Pink File PERMIT NO.
'r/NatEse 2.Green City 4020 1
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS . 1 ZONING(office use)
/1/f/3 /-4 d4k / w 6 D
LEGAL DESCRIPTION(office use only)
LOT-( BLOCK 5-- ADDITION ./ e T S iOYI j 1 11,4L /i) PID5. in- 0 Z -a
OWNER
(Name) (Phone)
(Address)
APP
(Name)LIC A
rle)CA /71.-h 1-0 II;9 417 'V—A `' . (Phone) A----Z—g3s.-: i7 7
_ 5 T ,` / ) �,�Jest/V
(Address) � � / �� � � ' [� ,/ . P _ �,. ✓"�i yr t �l ti
(Contact Person) ` c UFO (Phone) 7$ 2—41,°/.0- V?j
APPLICANT SIGNATU • � DATE rIC-y
APPLICANT PLEASE COMPLETE BELOW
KNEW CONSTRUCTION ❑REPLACEMEM0 ALTERATIONS,i /
4 J &) S /9 FUEL `(/e; /- 6
FURNACE�MAKEAND MODEL C ,�� �%� /
FLUE SIZE i-" v c _RETURN,OPENINGS`" °Sty ix pfe T c:G`V OUTPUT „d0
TYPE OF SYS'l +'M HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
IWarm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
❑Gravity ['Hot Water into Required Side Yard Setbacks.
■Mechanical 0 Radiation Fireplaces with Box Additions or
E it Conditioning 0 Special Devices AL. Cantilevers to the Outside of Buildings
.Vent. System filOther Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL ju
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) .4.50 Residential,AC Only $49.50
Cost$ / _i Building Permit# ,IWLI
HEATING P... IT FEE $ %2/p. s 1 BUILDING PERMIT
STATE SURCHARGE $ 5.1:
TOTAL PERMIT FEE $ !MI CI
-'
This Application Becomes Your Building Permit When Approved Paid EYWN
Date F31/ILDING PERMIT
Building Official Date
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
Date Rec'd
o�r Rr°� CITY OF PRIOR LAKE PLUMBING PERMIT
livx$se' '•a"'° mue l PERMIT NO.
:.oow •
140.2001
3.Yellow Applicant
(Please type or print and sign at bottom) ZONING(officeuse)
ADDRESS
144i 3 FJCJJ VV CoU
LEGAL DESCRIPTION(office use only) �^
LOT 1 BLOCK 5 ADDITION V e F f e Rs ro I) PrD
•
OWNER
Fl EL0,570 N�(NaFI9 M I LI -}OM es (Phone) q52-401 -B Ob
(Address) 80) CUFF W A-D 8AS T
ANTC�L 6 'O?e z F7L-$(r'1" WTG-
(Name) (Phone) b5 —3 IC)`��O
)c,$5 7 tt ft-t- 0 i.I tie 02-Do 646 Ni 55 Z
(Address)
(Address)/ (City) (Zip Code) .
,
(Contact Person) 17 AV a M S (Phone) (05) -3/9-
4124
j3/ /!�
— 4z02._
APPLICANT SIGNATURE , DATE , YI Zz)1 4-
9
APPLICANT PLEASE COMPLETE BELOW —
Quantity - Type of Fixture Quantity Type of Fixture _
1 Bath Tub with or without shower Rough-ins —
/ Dishwasher / Water Heater _...
•. Floor Drain Water Softener —
.Lavatory(Bathroom Sink) / Stand Pipe(Washing Machine) —
Laundry Tray(1 or 2 compartment sink Sewage Ejector
IShower Stall Backflow Assembly
I Sinks Backflow Assembly Test —
Bar Sink Lawn Sprinkler —
3 Water Closet(Toilet) Other —
FEE SCHEDULE
Industrial,Commercial&Multi-family 1%of job cost with a$49.50 minimum Residential,New Residential,AddIttiio s&Alterations ne& y $49.50
Estimated Cost $ Building Permit 0
PLUMBING PERMIT FEE $ PAID WITH
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ DU I LD I N G PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Buildine Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
Date Reed
R/04,
CITY OF PRIOR LAKE
6, 7.
SEWER AND WATER PERMIT
Es°
I PERMIT NO./4- it
<old Apphcana I
jf,lCaSe qpe or print and Ogn at bottont)
ADDRESS ZONING(office use)
‘11(---tL3
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION \ ti e,F5 F'ID
OWNER
(Name) t2/ -MTV --'411YV
(Phone)CIC) iftpt1 C'C/OD
(Address) C6(3 t UI f-c Raid. eoLr PuriSvitic-
(Address) (City) (Zip Code)
APPLICANT '
r
(Name) c--)k*i C N'at.acirit r3xtak,ttohone)
(Address) ,6,, (..) 1 Cittri 1 W*1-16—I t LeCt/ti:k. 5 4).;.".'"
iZ
(Adcire,$) ) (Cay) (zip Code)
(Contact Person) I al (Phone) ( ct t
APPLICANT SIGNATURE DATEIkI/z 4'
Jr
APPLICANT PLEASE COMPLETE BELOW
Size of water service I inches.
Location of any couplings from structure feet
Ty pe of sewer pipe. flABC / PVC ri Cast Iron
Estimated length of sewer line e,-) feet.
Clean out of required) located at feet from structure.
FEE SCHEDULE
Residential sewer and water line connection 551.50 Industrial,Com'i&Multi-family 1%of job cost with a$51.50 minimum
Sewer connection only $25.50 Water connection oni> $25.50
Estimated Cost $ Building Permit#
SEWER AND WATER PERMIT FEE PAID WITH
STATE SURCHARGE $ BUILI5ING PERMIT
TOTAL PERMIT FEE
(Office It se Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Building Official Datt
24 hour notice for all inspections(952)447-9850.fax(952)447-4245
4646 Dakota Street S.F..,Prior Lake,Minnesota 55372
11
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address 14-41 •; L- G -/)VE G% #W
/7,E(27" p//yp J //114.5-44&/;
Lot Area 242.`5�
************************************************************************
LENGTH WIDTH SQ. FEET
HOUSE x =
x =
ATTACHED GARAGE x =
TOTAL PRINCIPLE STRUCTURE sp i
DETACHED BLDGS x
(Garage/Shed) x
TOTAL DETACHED BUILDINGS )J4
DRIVEWAY/PAVED AREAS x = Q
(Driveway-paved or not) x =
(Sidewalk/Parking Areas) x = I
2% 6I '-
TOTAL PAVED AREAS 4-SD
PATIOS/PORCHES/DECKS x = I ce0 OE-06 1/¢Ri/' /N6
(Open Decks'/,"min.opening between X _ 'j4) L f aag
boards,with a pervious surface below,
are not considered to be impervious) 'Z Cap-G., t/Alh P"tet# /(/4
TOTAL DECKS ( U
OTHER x =
x =
TOTAL OTHER
TOTAL IMPERVIOUS SURFACE 2.(0 )`�
UNDER/ VER 1
Prepared By ���-� l Date
Company f/1 D/ 6 ei/W(i44. /46, Phone # �4 Ste-) 2- 0190
PRIOR LAKE.DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS I 4 �i.,6c-v - lam._
NATURE OF WORK do, -, A- . IN. t_• t- . _
USE OF BUILD! O 11,..3c -E-- Folwt tc,1 ,e--c-L.> _
PERMIT NO. . DATE ISSUED Et- 1 _
CONTRACTOR F- c, c.►- 6.0;-, , Q., PHONE SZ- -8
INSTALL EROSION CONRTOL AND MA NTAIN CLEAN STREETS AT ALL TIMES
INSPECTORATE
FOOTING �& cJ /ATE
_
FOUNDATION (Prior To Backfill)
RADON RETARDER ,.5` `4io6(___) mac" ;.'
PLACE NO CONCRETE UNTIL ABO E AS BEEN SIGNED
ROUGH - INS _
SEWER/WATER/SEPTIC _
FRAMING9
L� ) j I 14 —
INSULATION .� —
ELECTRICAL
PLUMBING 11x'5 Cla IP6 4/1e:// `r te S 2z\ ILI —
HEATING L- - f
—
FIREPLACE Uu--N�J %l2T 1 14 —
WyGAS LINE AIR TEST oa«.� "19,./1 —
RADON-1511511114,6R- ( & —
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
HOUSEWRAP D-c-- SJ Z-) ) I LATH --F` ..-- d‘3Lki t
z--FINALS
GRADING ( PRIOR TO SO ING) tom-- 17//a/c� —
BILDING �i' _ cr 1 i i 0 -' 1111016 —
ELECTRICAL I _
PLUMBING _
HEATING 0./a —
DO NOT 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 shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850