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HomeMy WebLinkAboutBuilding Permit 13. 0084 ctr ifttafr orrupattr CITY OF PRIOR LAKE prpartittruf of utibtxt Itsptrflott K 12 Final Permitted ❑ Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110`of the Residential/❑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: / r AM I Bldg.Permit No. �PUD 'K Use Classification S I NULE F NVN � e R3 Type Construction Zoning District � ' Occupancy Type ► il Legal Description .1 1i 3 622_POINTE PASS N ,W Site Address Owner of Building KContractor's Name&Address ik { ROBERT D . HUTCHINS Of/ . 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White File 2 Pink City PERMIT NO. � ~�NN88��� 3 Yellow Applicant 1 (Please type or print and sign at bottom) ADDRESS ZING(office use) 36 Pol\? - pas S , w, Pup LEGAL DESCRIPTION(office use only) LOT cIBLOCK I ADDITIONC_ 1%' Y S I V,R S (YnPID Z5'4g3 06 z 0 OWNER (Name) (Phone) (Address) BUILDER ,1.q t a/YVS � — -c - 000 (Company Name) (Phone) �/� /-0(Contact Name) V< /�J �L/ (Address) r\51510t _A , 0, / - F C,I<v-) Pr&irie„, N S-53 3 TYPE OF WORK- ew Construction ODeck ['Porch ❑Re-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace ❑Addition DAlteration ❑Utility Connection CODE: .R.C. ❑I.B.C. 0 Misc. /r� Type of Construction: I II III IV V A B PROJECT COST/VALUE $ v 0 C) Occupancy Group: ABE F HI MR 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 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 ti . r it for ju ause- Fu hermore.I hereby agree that the city official or a designee may enter upon the prop rty to perform needed inspections. , _i,(,i IA _ 6 03•L- 3 1 --a ��� X Date Signature , Contractor's License No. Permit Valuation 2-4" WO - Park Support Fee # $ Permit Fee $ rI 77-3 •z) SAC # $ J Water Meter Size 5/8";� Plan Check Fee $ (2��v� $ 514 State Surcharge $ Pressure Reducer $ . Penalty $ Sewer/Water Connection Fee # $ ( cop .✓ Plumbing Permit Fee $ [ '9Fi SD Water Tower Fee # $ (022.. Mechanical Permit Fee S G� �c° Builder's Deposit $ (fat Sewer&Water Permit Fee $ lei �� Other $ l Gas Fireplace Permit Fee I $ c4s.V.) TOTAL DUE $i�� 96�, 2' This Appi' on .ec , es our Building Permit When ' ,pro 'd Paid /O !O f. z0 ?PtNoe1 v 1 i Date .. //, /3 Building Official late i This is to cc:4 that the r;q 'st in the above applistion and accompanying docum is is i' accordance with the City Zoning Ordinance and may proceed as requested. This document when sign. F the ty ' , ' Cr stitutes a temporary Certificate of Zoning coin'dance.nd allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. / i 5 r- Plana •�, , bate Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 White -Building -�► Canary -Engineering Pink -Planning "INIVeSe I DI _ PER IT 'PLI AT • DE-ARTMENT KU T NAME OF APPLICANT Hoicr- / . 2 , 13 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: -7 67 01 N' /214 AcceptedAccepted With Corrections Denied Reviewed By: Date: Comments: See Reverse Side for Additional Information! See Attachments: 1 Grading Plan 2 Erosion Control Standards of plans, specifications and "The issuance or granting of a permit or approvalroyal of, anyviolationns d of computations shall not be strued tocode or of any e a othertfor, or an o dinance of the jurisdictin. Permits any of the provisions of this presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." Oi 11R104,0H White -Building Canary -Engineering P Pink -Planning `�INNES�� _ " _iU • \ II _ • i l__1 ■ i NAME OF APPLICANT / . e% tell . ! % APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: r / Accepted Accepted With Corrections N Denied // j ,f� Reviewed By: ��, Date: 4: MINIIIIM Comments: "The issuance or granting of a permit or approvalarid of, any violation of plans, specifications aid computations shall not be construed to be a permit for, or an approval of any of the provisions of this code or of any other ordinance of the jurisdict Permits presuming to give authority to violate or cancelprovisions ojs code or ordinances of the jurisdiction shall not be valid." Eta PRIQ�t White -Building CanaEngineering MINNES��P 9� Pinkry -Planning lo • l2 + NAME OF APPLICANT / , , /„3 APPLICATION RECEIVED the building permit and Planning Departments have reviewed Engineering, which is proposed at: The Building, ��� application for construction activity � O1 Accepted With Corrections Accepted Denied ______--- Date: � � /&14,4./1774.--r — ReviewedBy: N 4 It -Comments: or approval of plans, specifications and of a permit p royal of, any "The issuance or granting permit for, or an approval anyviolation Permits other ordinance of the jurisdiction. of computations shall not f tconstruediode or of y l the provisions of this code or other anye of presuming provisionsogivea o to violate or cancel presuming to authority ordinances of the jurisdiction shall not be valid." Residential Building Permit Checklist Dwellings i R-1 or R-2 Districts New •nstr don for Single or Two-family i Date: Reviewed by: ,�� � Zoning: FL- Building L-Building Permit# Address: amt* �0 � Subd►vn: At Legal:L._____, B---- Existing Structure? YES(. i . Existing • Nonconforming Structure? YES 1 NO % ' NO CONFORMS TO ZO ING ORDINANCE proposed Standard Yard Setbacks; NA I FAILS!COMP, ZjIIIIIIIIIII Front Yard can be 20'if aye. /Or 0' 11111006111111 • '7-'�j • MIMI 25'if abutting a street Side Yards ON ' setback+ Sidewall exceeding 60'requires addi=nai side 2" 10's over 60' • 1'over 60'in length. Not required setback for every � to if building wall is 10'-0"or greater of being parallel a side lot line. p�side) Rear• atiYard rear • Patio Door; provide for minimum 10'deck or sign _ statementindicatinI no deck will be built in the future 25're • From 100 year flood elevation of wetland!NURP pond. • Refer in-•round pools to the Plannin' De Iartment• 75'or setback average of adjace rin Lake) nt structures,but no From ONW(Prior or Sp g less than 50' .30 Maximum Floor Area Ratio: NA!FAILS I CO ,i, NIINI proposed Yard Encroachments•.;,t' I FAILS[COMPLIES Standard Eaves and Gutters no 'ore than fe et a in width and no closer than 5 feet to a lot line AIC and other equipment cannot encroach on interior side ards. Standard Proposed A Tree Preservation: it I FAILS I COMPLIES • Total call ler Inc -s . • Permit 35%Removal • Cali er Inches Re oved ill IIII▪ Caliin ches P,r6served MIIINIIIIIIIIIIIII • Re linemen 111111111131111111111 L:\TIVIELATE\BLDGLIST.DOC / I 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. } - L0/ 2 � �3/�( Property Address 31ZZ ����,��T :5% '. �'�QFC>�S /),//5-5 Lot Area 62-n 27 Sq. F q. Feet x 30% 0% = Am. cee -tql T**T****T****T******yy**yy********y***T************T****T***y****T*** ***T * LENGTH WIDTH SQ, FEET HOUSE x = x = ATTACHED GARAGE x = TOTAL PRINCIPLE STRUCTURE 2'p( Si DETACHED BLDGS x (Garage/Shed) x TOTAL DETACHED BUILDINGS DRIVEWAY/PAVED AREAS x = (Driveway-paved or not) x 7 (Sidewalk/Parking Areas) X = q 3 sr= TOTAL PAVED AREAS PATIOS/PORCHES/DECKS x = (Open Decks VI"min. opening between x = boards,with a pervious surface below, are not considered to be impervious) X TOTAL DECKS Aa",c(,) 51-- OTHER FOTHER x = X TOTAL OTHER TOTAL IMPERVIOUS SURFACE z9 CO sr UNDER/OVER /l/A. SPPPb�P Prepared By /16 ,)/Z/4.5.&,/, Date /-�Z-/3 mpany �?,���j, �y,. '7/ ; Phone # (6 "l) ���'f 9/` Co 1itr 111111111 If 1111!! 11111111 {pp � a 11111111111111116111 I m I m 1111111111111111 Q' 1111111111111111 { y W � I 111111111111111111"1 i-t v oPitto CITYOF DSD A Re arc* sE �PRIOR P SER AWATERPEDate Rec' Sifts ,dor, I. (heti 116 -aotO 34 Q, e / - p . e, ,r, .61_44...d rzGALDEsciumobromiceineant tor ntoc R ADDITION � 1tC�( , ... :it? de, �1 A•PPX tC,q�,�, .......... ........ ,;,, _„ ,...... ..._... (phone) .p.m) . :thessalle)) e) ,op zw... .;.11 E ,_4/ atone) .• . I .Adr� " 1_ /�' '4 Ori ' . C°oafContactpcrso� (Phone) code) vA,rB �,,,_ 3 LotsSize ofn ter ice PLEASE'E C'Qi Type of of any coupleigs' frommc,�es. FETE$LI,O�V Type newerpipe. �7rcftn0 Ctea�oat 'ee of sewer 77.'"C.- C feet (if " be ills feet castiron $ 8e `find Withy 11 f from 8�lc connection only ne conn . $sl.so ture. FEE SCHEDULE S SO Water connection rom,l1� mated Cost $ = conne�;on only »/1Y gis o f Wil STASEWTg D WATER p BuildingPermit.t, sojob a �.5omh,i�num �'fUTAI,PESURRIM? BRMIT, Wiles Use Only) $ T Application Becomes Your $ �Al �" t I 1 --_. a� nr�11dt,�g p�R,��Approved ro lf�` 'fitpad Atte Dai Receipt No 24 boort for 1 464bDs�taet� °b°(9S2 By '�.Prior,�k�Mtnn,��4S��0M4145 1 CITY OF PRIOR LAKE °4Rro •� , '` lA HEATING/AIR CONDITION[N Date Rec'd .5'. k r = G�IREPLACE PERMIT 1 1.Pont pry F3case ty or print and riga at boftom} a Green City NO. ADDRESS New___"_— "°°"�"" �'--- �__ Poi le P I L ZONING(ince use) LEGAL DESCRIPTION(office use only) LOT BLOCK _ ADDITION OWNER .,,,,_ _ - y� /�,�(� PID (Name) r D. 1. i..I t 4' Iyt L (Address) -- (Phone) _________________ APPLICANT (Name) 4 .1 i... ' h (Address) il IA (Phone) / •r (Contact Penson) P.__ _ . ``1\ (Cary) (Zip Co• _ (Phone) �5 .�)�. IL APPLICANT SIGNATU• • �►� IL e��..��•�.�..( ��� DATE AD APPLICANT PLEASE COMPLETE BELOW NEW UCTI ON __ i':' ' FURNACE MAKE AND MODEL �. 0 REPLACEMENT 0 A LTERATIONS FLUE SIZE = �_ SG .► ,.,A..... RETURN OPENINGS >r FUEL TYPE OF SYSTEM v v OUTPUT jaij ( HEATING OR POWER PLANT OWarm Air Plants [(Gravity 0 Steam PLEASE NOTE: Air Conditioner Mechanical 0Radiation El Hot water Units and Fireplaces Cannot Encroach Air Conditioning into Required Side Yard Setbacks. Vent System ❑Other Devices ❑Special Devices Fireplaces with Box Additions or Cantilevers to the Outside of Buildings FIREPLACE MAKE AND MODEL Require a Building Permit. Industrial,Commercial&Mu)G-Family , FEE SCEEDIBLE �' Ila ofjah cost Residential,Gas Fireplace Residential,Fleeting&A/C(New Construction! 549.50 minimum �w'$49.50 5149.5 Residential,Heating Only(New Construction) 564.500 Residential,Additions&Alterations /'1 � �ITH Residential,AC Only U�L&J[� y Estimated Cost 5 ../ t J OQt ����'�• Building Permit # HEATING PERMIT FEE The Minnesota Statutes 12613.148 $ "St'R('I IAR(ir-:has keen changed for one STATE SURCHARGE year ei'iectise (Office Use Only) TOTAL PERMIT FEE $—� —= — Jul) I.2010.until June 3t1.2rft t. C'-iL 1 he minimmn anrrhn�c for n"final fee"permit This Application Becomes Your Building Permit When A r~+--- t`Vis•h' inuine.t„it t,znto Approved Paid Receipt No. allillin Butldlaa ofctat Date Dah 4: 24 hour notice for all Inspections(952)447-9850,fax(952)447-4245 _ _ _ — _4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 I L SII Date Rec'd of per'? CITY OF PRIOR LAKE PLUMBING PERMIT erA 1A. I gl°° P"° PERMIT NO. .32 pin fAzvi so�D z add car , 4, __, (zorm�vG �-use) ease a or tint and slgn at bottom 4 ADDRESS 5031.- LEGAL DESCRIPTION(office use only) PID LOT BLOC__K .r,ADDITION OWNER l "---:S r '(\ /t. ' t (Phone) (Name) (Address) AO__'_____11 �., ,�APPLICANT (Phone) ___ _ J___r__._._ (Name) t i -,4 A ' l ,n (Zip Code) (Address) .. (Addressi) (City) Cs Silt it d (Phone) (Contact Person) _ _' � 4. ''2 t -'1 ,Ith ,1 DATE _ —_--- APPLICANT SIGNAT ' ' -_ *��_ _ '- - '- APPLICANT PLEASE COMPLETE BELOW of Fixture� T 1 e of Fixture Row_ -ins Bath Tub with or without shower Water Heater Dishwasher Water Softener _ Floor Drain Stand Pi.e ashin 1 Machine r _ Lavato Bathroom Sink $ev,,a:e E'ector L.aund Tra h or 2 corn.artment sink Sewn iiiiii 1111111111111111 ew Assembl 3 Shower Stall Backflow Assembl Test Lawn S i rinkler Bar Sink _ Other _ Water Closet Toilet FEE SCHEDULE Industrial,Commercial&Milli-family I%of job cost with a$49.50 minimum Residential,New One&Two-Fsmily $149.50Residential,Additions&Alterations $49.50 �, J - . . 1st $ Building Permit# _.._........_- The Minnesota Statutes§32613.148 PAIy�D, WITH iT "SURC1lARGy"has been changed for one PLUMBING PERMIT FEE $r — U IL�i!V I� RI��1 yCaru tilJuYe .P .heli' 1,Z01 p.until June 30,201 i. STATE SURCHARGE The minimum surcharge fora"fixed fee"permit TOTAL PERMIT FEE $ is$5,beginning Jul}1,2010 Receipt No. This Application Becomes Your Building Permit When Approved Paid By -- Date Date Bnildt■a offidat 447-4246 24 hour 4646 Dakota Street S.E. Prior Lake,Minnesota(952)ax notice for all inspections(952)447-9650,so a55372 pO4 s Builders Deposit 4ttlAwEsolt- 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. DATE: J J SITE ADDRESS: %3(,)-- fJ.uJ PERMIT#_12.)"M' REFUND TO BE MAILED TO: / , £ ) a1ilAg .i ° ' • '4 LEASE PLEASE REMEMBER >14 ii� 000.0 A 1. KEEP STREETS CLEAN DURING CONSTRUCTION Lynda s/A en,Buildin servicAmout �� Acct.801.202004 2. KEEP EROSION CONTROL IN PLACE Date 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR $500.00 WILL BET FORFEITED w �_ SIGNATURE: d 2b ,l / is C Dt16" C, THE R1fLAND GROUP, INC. 413'41°11°A"CHASE BANFF,N.A. COLUMBUS,OHIO RYLAND HOMES TWIN CITIES CD 56-1544=441 2/8/2 0'I 3 7599 ANAGRAM DRIVE g PAY TO THE Ci .Of Prior Lake , ORDER TDF _ .DOLLARS � Ten Thousand Nine Hundred One and CHECKS NOT VALID OVER$501ST°° 4646 Dakota St SE Prior Lake,MN 55372 1 a®ite ' NA111R1E AUiHdR MEMO Bldg Permit for 3622 Pointe Pass NW,Bates 1110000 L7 271i' 1:044 L L54431: 936 L9455411' varubi l FORM.DOC U