HomeMy WebLinkAboutBuilding Permit 14. 0619 J
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CITY OF PRIOR LAKE
7,,,.. _ ptiaarfturtif of 381nItang cIttsjar,rfirm
K Final Permitted ❑ Conditional C.O. Expires
'K This Certificate issuedpursuant to the requirements ofSection 110 ofthe D Residential/❑International
4
Building Code certifying that at the time of issuance this structure was in compliance with the various
K ? ordinances of the City of Prior Lake regulating building construction or use. For the following:
Use Classification SI NG LF FAM I I Y Bldg.Permit No. 14-0619
•
K Occupancy Type Type Construction Zoning District
PUSD
K Legal Description 19, B3, HICKORY SHORES FOURTH ADDITION
; ,:mx
Owner of Building Site Address 3562 HICKORY CIRCLE SW
Contractor's Name&Address D, R R. HO RTON, I NC.
_ ROBERT D . HUTCHINS
City Planner
:uilding Official
K Date: t / Date: r.
POST IN CONSPICUOUS PLACE
I
I'K J
.. •CITY'OF PRIOR LAKE BUILDING PERMIT,, Date Rec'd
I~ � � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE c
AND UTILITY CONNECTION PERMIT (O. I
l�'N E S
N .
I.White File
z. rink city �/
PERMIT NO. 14_, /. 1c/
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
LEGAL DESCRIPTION(office use only)
i 3
LOT BLOCK X ADDITION C /2„c-5 1-iPID L `� �l
OWNER
(Name) b, r. I4t 7)'A)1 IA) C. (Phone)
(Address)
BUILDER D.R. Horton, Inc. 952-985-7272
(Company Name) (Phone)
(Contact Name) Brooke Hareid (Phone) 952-985-7806
(Address) 20860 Kenbridge Court #100 Lakeville, MN 55044
TYPE OF WORK N_New Construction ['Deck ❑Porch ORe-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace
['Addition ['Alteration ['Utility Connection
CODE: X f I.R.C. DLB.C. 0 Misc:
Type of Construction: I II III IV V A B ,rJ
Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ 370 4'R /
Division: 1 2 3 4 5 (excluding land)
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
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 jus use. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x BC605657 (�q�/
Signature Contractor's License No. D e
Permit Valuation -31 or 000 Park Support Fee # $
.�
Permit Fee $ Ua3.5-0 SAC # $ 2.4-g4—. — ,
Plan Check Fee $ Water Meter Size 5/8” $ C,,_
State Surcharge $ l K._ Pressure Reducer $ (5-6., '-
Penalty $ Sewer/Water Connection Fee # $ ( 5-Cc? -
Plumbing Permit Fee $ (5-4-. w Water Tower Fee # $ /oe-e'
Mechanical Permit Fee $ (54 ; Builder's Deposit $ Z-5-00Sewer&Water Permit Fee $ ,t-�,, 5-e, Other $
Gas Fireplace Permit Fee $ 5- .st) TOTAL DUE $ 13 A ,
y4l (Y
This do fa es Your Building Permit en Appr ed Paid ceipt No. J`� V
/r4 / . Date L.(x) '.
G
AL
Building Official .1""""•••••- Dat
6
This is to c:. ' that„. requ-st in the above application and accompanying..cuments'• accordance with the City Zoning Ordinance and may proceed as requested. This document
when sign• • e .., P ni
er constitutes a temporary Certificate of Zon• comp .. -and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued. // ..
illai ( r�
Planning Dili Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
° 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
Residential Building Permit Checklist
New Constructs for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by: Date: oh .
— ------:„...- ..- -1,.... ..-.... --- 2_ -7 / f
Building Permit# PID: Zoning:
Address: R f)-51—)-
35
( GC.Cc✓�y ��C645-
Legal: L , B /� Subdivision:
Existing Structure? YES 1 ( Existing Nonconfor g Structure? YES I NO
CONFORMS TO ZONING NO
ORDINANCE •
Yard Setbacks: NA/FAILS/CO PLI S .I Standard I Proposed
• Front Yard(can be 20'if av 150') ' 25' 2_,. .-,O
• Side Yards 10'/
25'if abutting a street Zlo -it
13 1
• 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 25' ( 0p +
• 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 De artment
• From OHW(Prior or Spring Lake) 75'or setback average of
adjacent structures,but no
less than 50'
24ex>77(AzI Floor Area Ratio: NA 1 FAILS/ICO .30 Maximum - , 1; I
Yard Encroachments' A FAILS/COMPLIES Standard Proposed
Eaves and Gutters no a than 2 feet in width and no
closer than 5 feet to a lot line(Easements). -
NC and other equipment cannot encroach on interior
side yards.
Tree Preservation: /FAILS 1 COMPLIES Standard Proposed
• Total caliper in es
• Permit 35%R oval
• Caliper Inches Removed
• Caliper Inches Preserved
• Replacement 1/:1
L:\TEMPLATE\BLDGLIST.DOC
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White -Building
Canary
'fvv,aea'`'' Pink -Planning ineg
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
D (740/61-e)A/
NAME OF APPLICANT
APPLICATION RECEIVED W t ( /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
�s LIZ CWS: /Z-666-
Accepted
`Accepted Accepted With Corrections
Denied
Reviewed By: /LI Date
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 violatior'li
any of the provisions of this code or of any other ordinance of the jurisdiction. Permit,
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
04 ?Rio
g
White -Building
Canary -Engineering
444,43soll* Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
1--(01( 7-0A/1
NAME OF APPLICANT D
APPLICATION RECEIVED l c2 . ('4-
The
Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
__sem Z m a --Cie--1/ it&( 6—.
c/
Accepted X Accepted With Corrections
Denied
Reviewed By: 4414 Date: 6 "3 d��Y
Comments: See Reverse Side fpr Adddjtiored In ormadatj
"The issuance or granting of a permit or approval 'of plans, specificati' = and.
computations shall not be construed to be a permit for, or an approval of, any via 01f4,
anyof the provisions of this code or of any other ordinance of the jurisdiction
presuming to give authority to violate or cancel the provisions of this code ot. .th i
ordinances of the jurisdiction shall not be valid." ;
- t
o PRlph,
c7 epi
White -Building
ss�� Canary -Engineering
Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
7-7401(_47-D/y°
NAME OF APPLICANT D"
APPLICATION RECEIVED `
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
25-e0 2_ e-Kaey
Accepted Accepted With Corrections
Denied
Reviewed By: Date:
Comments:
4.4_, 77;416-5
"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 oil
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."
ot rtti%
CITY OF PRIOR LAKE Date Rec'd
47 `. V. HEATING/AIR CONDITIONING/FIREPLACE PERMIT
i0 A to
hf..AQP
2,Green Cit}'
i.Pink File PERMIT NO. r
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office us
S(,oZ 140C45D CtraJk- -5114
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
IA
OWNER (Phone)
(Name)_
(Address)
APPLICANT
(Name) � �li ti 5 °t r __�_ —�--(Phone)' I1 - ,1
(Address) 11 t f 4., : "/4 I . 14 a,„AA S _Alla ,I
(Contact Person) 1 , (Phone) 1(f5 -J '
5 3• ii
APPLICANT SIGNATURE .,.a. i,,,l s. IAA AAA,.1A DATE 1_Ji•7-0,q
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS
FURNACE-MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
DWarm Air Plants ❑Steam Units and Fireplaces Cannot Encroach
UGravity ❑Hot Water into Required Side Yard Setbacks.
❑Mechanical 0 Radiation Fireplaces with Box Additions or
❑Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings
UVent, System ❑Other Devices 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 $49.50
Cost$ Building Permit#
HEATING PERMIT FEE $
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $
This Application Becomes Your Building Permit When Approved Paid 44 cies No.
Date tikuti',1 �
Building Official Datee ‘rop�
~ 24 hour notice for all inspections (952)447-9850 :Ar 7,
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
4 t'RIP Date Rec'd
o ° - CITY OF PRIOR LAKE PLUMBING PERMIT •.
,Jt
i
Or s I.Moe Fite
2.Cold City PERMIT NO. I4,,
3.Yellow Applicant
'tease j.e or tint and si. at bottom
ADDRESS ZONING(orrice use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
APPLICANT— i t
(Name), ( (�, P 4- L/t t (Phone) 1165"411b* lZ-(P1
(Address) .� .�w I i +_i..4, ,....,„so. 1
('ddress) IV ty) ,�+ (Zip Code)
(Contact Person) S(X/1l l (Phone) 16.'2-5' . I 1 IS
APPLICANT SIGNATURE c- J, DATE —t-j I'74 14
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softener
Lavatory(Bathroom Sink) Stand Pipe(Washing Machine)
Laundry Tray(I or 2 compartment sink Sewage L jector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet(Toilet) , Other
Tile kinesora Statutes - - ` FEE SCHEDULE
§3268,143 pot:cost with a$49.50 minimum Residential,New One&Two-Family $149.50
" "has ' Residential,Additions&Alterations $49.5 0
The miniSURCHARGEmum surcharbeen extended 'ge for a
"fixed fee"permit is$5.00 $ Building Permit#
PLUMBING PERMIT FEE $
STATE SURCHARGE $ XXX 5.00
TOTAL PERMIT FEE $
(Office Use Only) •
This Application Becomes Your Building Permit When Approved Paid II Receipt No.
Date By
Bulldine Official Date
24 hour notice for nil inspections(952)447-9850,fax(952)447 Sitf n VYl/H
4646 Dakota Street S.R.,Prior Lake,Minnesota 55372 """.11 LDIN
(::).4.-v
R1-0.4e
Date Rec'd
CITY OF PRIOR LAKE
hy SEWER AND WATER PERMIT 28• (Q4-
j,vNEsoo
Green File PERMIT NO.
l
. Gold ty (� �,
3. Gold Applicant ,I
(Please type or print and sign at bottom)
ADDRESS • ZONING(office use)
35--- a- e ce S0
LEGAL DESCRIPTION(office use only) 1--0
I�/ �j h l J�
LOT BLOCK ADDITION PID • `-- `L! •(JL l "v
OWNER A F^ 7��TD�
(Name) � (Phone)
(Address)
(Address) (City) (Zip Code)
APPLI(NameCANT /�V g' in . X1/4 (Phone) �f 7 66 • /1�—
U hone
(Address) 099/0 g s Ag ' Ihsr , *v. 3��
Address
(Address) I (City) / (Zip Code)
(Contact Person) ___21/4fi4 —i' • P (Phone) 6/a" 9/7*/
APPLICANT SIGNATURE iii / DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service //y inches.
Location of any couplings from structure feet.
Type of sewer pipe. ❑ ABC J"' PVC ❑ Cast Iron
Estimated length of sewer line YO' 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 $ The 1VTinnesota Statutes§326B.148
STATE SURCHARGE $ "SURCHARGE"has been extended
TOTAL PERMIT FEE $ The minimum surcharge for a
"fixed fee"permit is$15.00
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt-Tax
Date NA IF..,
Buildinc Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
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Order Of: CITY OF PRIOR LAKE(PERMITS) / /
4646 DAKOTA STREET SE -•i'' ' ' ' W\N:' ,, (
PRIOR LAKE MN 55372 A 3z ,/eft-t- ----- • ' .0
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PRIOR LAKE
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTIONdRECORD
SITE ADDRESS 35?Z 016 04 /eel-8 . 61),
NATURE OF WORK S,Cia /ve Ta—rte- < . Aillm
USE OF BUILDING s/nf&cam- F44 / Dw�-G1-'-/we
PERMIT NO. ,. DATE ISSUED 5 _
CONTRACTOR p. ,z, > 7-0/4- PHONE rc, •-p - 7806-p
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
FOOTING �--_ -1 1 L i l (y
FOUNDATION (Prior To Backfill) Via, ('2 c( i
RADON RETARDER b Lc._, ft
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIG ED
ROUGH - INS
SEWER/WATER/SEPTIC \ Lc 7 ' 211(4
FRAMING a ? e f.
INSULATION Qti.. 1 y( l1
ELECTRICAL
PLUMBING --Ni- Lk/01 , sort-- `j,3 1 if
HEATING Vi3 q54/(
FIREPLACE
GAS LINE AIR TEST �
it
RADON P/prA/ ;;P. Q I Y-
COVER NO WORK U IL THE ABOVE H S IP
SIGNED
HOUSEWRAP Q� ?/8 i y LATH WA--- 1 o u 1 (K
FINALS
's GRADING ( PRIOR TO SODDING) Oma. \`\slii
• BUILDING ' ‘‘Is- II.ELECTRICAL
PLUMBING ,D 2; I y ��,
HEATING \,1 (y „_
-
DO NOT OCCUPY UNTIL AB V 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