HomeMy WebLinkAboutBuilding Permit 12. 0472 Oleriifitvih of Oxnpnuii
CITY OF PRIOR LAKE
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This Certificate issued pursuant to the requirements of Section 110 of the El Residential/El International _'' 7.
Building Code certifying that at the time of issuance this structure was in compliance with the various X
ordinances of the City of Prior Lake regulating building construction or use. For the following:
S/Af t( F /L� /2--4-7Z
Use Classification Bldg.Permit No.
4k.�Occupancy Type R.3 Type Construction �� Zoning District >
Legal Description L /, t- ��nn-6 ( 6/.J /..5T
K Owner of Building Site Address 336,Z. .5 e..../AJ/J6I .T. S.
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7� Contractor'sr' Name&Address J. E. GV C O 0F// 7 Gl0'-���
K ' /wgt)z r 12- t 1/C/-P NS city Planner
Building Official
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^ Date: 1 1 1 Z-(-- 1kA Date:
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/os :: CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
ti TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT " 2 ` /
rNN$so�
1. White File
2 `
Pink City / z , 4-7LC..
PERMIT NO. JJ �]
.
3.Yellow Applicant / r
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
r I 34p 2 S I�I ri N r-C .. S,GJ.
LEGAL DESCRIPTION(office use only)
LOT I BLOCK 1 ADDITION ' `4pk 4/t il 15� PID 26-132010o
(Name)
NaOWNER)) J ercolj d- Rot- I -77.4p/ (Phone) (,i7-3(23-.56,0t3
(Address) 8)-1 ii-h NC )-0rd5A4 MN Scow '
BUILDER
(Company Name) -IA WO ad -F-'4- (Phone) Q3-2.-941 -Offro
(Contact Name) * (Phone) &I Z-363 7.5Z,°°
(Address) w. 60,e /0 z& eriOr Lok AIN -
TYPE OF WORK IFFNew Construction ['Deck ❑Porch ORe-Roofing ORe-Siding OLower Level Finish Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: EI.R.C. DLB.C. 0 Misc:
Type of Construction: I II III IV V AB 20,' Qao
Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $
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 revo ' pe 't f ' cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X �� 2403210g 5=23-4e.
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
coo •00
Permit Fee $ $
i, e I . so SAC
# P36Sao
Plan Check Fee $ ' , '72 qg Water Meter Size 5/8"Go $ S clo . p O
State Surcharge $ 1 1 , .O O Pressure Reducer $ ' 10 0 , UG
Penalty $ Sewer/Water Connection Fee # $ (! 5D0 .o d
Plumbing Permit Fee $ / 5'q.. .5-6 Water Tower Fee # $ i D n C,l
cs
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ 56. 50 Other $
Gas Fireplace Permit Fee $ 5 cl • 5Z -TOTAL DUE ,4(,.fopy (4,01 2._ A $ I
fit
ThisAp ti.° t ecomes Your Building Permit en pproved Paid 7:5-ti. R elpt No. O
'67 fad Date Is-/Z-/L-
"7:7H
Bui ding Official to
This is to c- that e request in the apove application and accompanying docum is is accordance with the City Zoning Ordinance and may proceed as re ested. This document
when sign.1 /e Planner constitutes a temporary Certificate of Zoning co lian and allows construction to commence. Before occupancy,a Certificate o ccupancy must be
issued.
ng Director 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
OI "toy CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
0TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
'3 x
AND UTILITY CONNECTION PERMIT " G. ' (3
�' /2 , 4-72,-
44tvesot° I White File PERMIT NO. ) - ,-,-1
3 Pell City
3 Yellow Applicant
(Please ,x-.T. or print and sign at bottom)
5'.: ' -', ZONING(office use)
33(02_ 54t/IMP St
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER ,e �1 .
,j404 I 1/4h1 s /z_3(9 '5-6'.
(Address)
•BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
r TYPE OF WORK 0 New ConstructionDeck ❑Porch ORe-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace
❑Addition ❑Alter do ❑Utility Connection
CODE: SIER.C. ❑I.B.C. 0 Misc.
Type o ' onstruction: I II III IV V A B PROJECT COST/VALUE $
Occupancy Group: ABE F HI MR SU
(excluding land)
Division: 1 2 3 4 5 1
I hereby certify that I have furnished inf.(rmation 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 proper t all construct�n 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 t rmit f Just c se-PtPfher I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
rta.�
Contractor's License No. Cake
Permit Valuation z :),..
Park Support Fee # $
Permit Fee $ 7 ?).-1�J SAC # $
Plan Check Fee $ 41 . CV- Water Meter Size 5/8"; 1"; $
State Surcharge $ ( Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ ( Z z .(0 1
This A 'ca ,nBecomes YobrBuildingPermitWhe •ppr,ved f .,
Paid (ZZ Receipt /4,
Date By
i. r ate
This is to certify that t e redo 't in the above application and accompanying docume s is in ccordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the 7' P I r constitutes a temporary Certificate of Zoning comp ante a,d allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued. . '
t�� 5 k
Planning Direct D.e Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellin in -1 or R-2 Districts
Reviewed by: Date:
i(4) /2-
Building
2Building Permit# 1111110.' 1: Zoning: r__,
Address: 2,�v Z -,.t< e...rL �jr_
Legal: L , B Subdivision:
Existing Structure? YES/I& . Existing Nonconforming Structure? YES/NO
CONFORMS TO ZONING NO
ORDINANCE
Yard Setbacks: NA I FAILS/C IES I Standard Proposed
• Front Yard(can be 20'if avg.w/in 150') 25' aP- 5-
•
• Side Yards 10'/ ,,
25'if abutting a street (2 (7-6,7
7
. S-..53
• Sidewall exceeding 60'requires additional side 2" 10'setback+
setback for every 1'over 60'in length. Not required 7/1'over 60'
if building wall is 10'-0"or greater of being parallel to
a side lot line.
• Rear Yard 25' -70-(e`T
• 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
---
(-
4-7
less than 50'
1 Floor Ar�Ratio: NA/FAILS I C LIES I .30 Maximum I e(5 I .
Yard Encroachments:( FAILS/COMPLIES Standard Proposed
Eaves and Gutters no mo 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: �/FAILS/COMPLIES Standard Proposed
• Total caliper inc es
• Permit 35%Removal
• Caliper Inches Rer?oved
•• Calipilgches P,rrserved
• Replacem ntf '2:1
L:\TEMEIbi t\BLDGLIST.DOC
/
O� PRIp�
U ter
White -Building
Canary -Engineering
�INNESO Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT W 000 f✓lTIE g._
APPLICATION RECEIVED / Z
The Building, Engineering, and Planning Departments have reviewed the building permiit
application for construction activity which is proposed at:
/ 74-75 :S ti' s_ E.
Accepted Accepted With Corrections
Denied
Reviewed By: Date: "2--
Comments:Comments:
1 . r rogfa'Y1 Corjro1 Mti4 e- `ivnr—elrz.c.c. at a (( 1-( t
"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."
O� PRip�,
i
U i�f
White -Building
Canary -Engineering
4'INNESO Pink -Planning
-+.rr.«sw,.fn.. k«!.n«ri.a+..w.«w'ww'4.rMA+r+v.•fawR.d('.,� I.+k✓Y
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT - f ,G .t tJ r- L'
APPLICATION RECEIVED - J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
! 7 7;3) ..ow v.0 S. E
Accepted Accepted With Corrections
Denied
Reviewed By: 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 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."
, ,..nwf� .-.T.,M.;.m .... .r:-r,,-..mM., .._ .. ,. n .,:,�,....'+�wn�.. •_°v�+ ^m9r1^x.r*.-.m.s.<.�. ,r�ln. ........,+wrq.:
PR/0.4
U tri
White -Building
�� Canary -EngineeringNNEso Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT E. W000 FiTTE
APPLICATION RECEIVED ` - z3 ` l '
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/74-75 SUS 1,.-1°. SI
Accepted Accepted With Corrections
Denied
Reviewed By: TA-6- Date: z/e/fZ
Comments: See Attachments: 1) Grading Plan, 2) Erosion Control Standards
See Reverse Side for Additional Information!
"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."
pRio,,
Builders Deposit
sotP City of Prior Lake
A$1,500.00 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
$1,500.00 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.
DATE: 5-23-12 SITE ADDRESS: Ng 75 Sirlr,y 6l48, 5F PERMIT# 12-- 4'71—
c
REFUND TO BE MAILED TO: '' .)-oi►' y 6/vc• SL 12-0,-Ake
PLEASE REMEMBER ATION TO RELEASE,
�� �oc)_U 0
Lynda S. IleoA' mount
/2—_f. /i—
1. KEEP STREETS CLEAN DURING CONSTRUCTION Date Acct.801.20204
2. KEEP EROSION CONTROL IN PLACE
3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR$500.00 WILL BE FORFEITED J Jrb
(X'
1
SIGNATURE: k.k
(5 (V.
75-905/919
REMITTANCE ADVICE BRANCH t
J.B.WOODFITTER&ASSOCIATES,LLC 2406
ACCOUNT H2
16817 DULUTH AVENUE SE Hi1DES
PRIOR LAKE,MN 55372
-71
)UNT /' /�► 1� — w�rcft- ,
T I/if
oo I
t Indbeted[MAAS on beck
IATE1 TO THE ORDER OF DESCRIPTION - CHECK
jNUMBER
" ?(0.")— V-threA lAttS 2y04, $
PRIOR LAKE STATE BANK'
PRIOR LAKE,MN 55372 � M.
AUTHORIZED SIGNATURE
11'00 2 40 611' 1:0 9 L 90 90 5 Si: L11104 L7 L111411'
ACCOUNT NO. 801-20204
RETAINAGE FORFEITURE ACCOUNT NO. 32211 DATE:
Authorize to Release
P:11JB WOODFITTERIBLDG PERMITS-INSPECTIONS\CITY OF PRIOR LAKE BLDG. PERMIT PACK\BUILDERS DEPOSIT
FORM.DOC
oQ pRro"? Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
AY
FATES°
t. Green File /PERMIT NO. )
2. Yellow City s 7�
3. Gold Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(ofio:use)
3 v� 5k.i n ner Sf. S.W,
LEGAL DESCRIPTION(office use only)
LOT I BLOCK 2- ADDITION r"iap(e Glen PID
OWNER
(Name) JaK IZ.ftchEi 'Titri (Phone)
(Address) _
(Address) (City) (Zip Code)
APPLIC
(Name) y h n )Ve I I 'Dv 1 (l 1 n� CO,
(Name) � (Phone) q52. Li L15 S DC/ _
(Address) I'bt of 0 OGLIVy Lii, 5t(. 10 I oloriL4.v�
�t (Address) (City) (Zip Code)
(Contact Person) i at'l it !boll 11 n (Phone) (ii2- (12l• (54-2-
APPLICANT
54-2-APPLICANT SIGNATURE + -G frK DATE OP-4/12—
APPLICANT
I z-`/IlAPPLICANT PLEASE COMPLETE BELOW
Size of water service I inches.
Location of any couplings from structure — feet.
Type of sewer pipe. ❑ABC I PVC ❑ Cast Iron
Estimated length of sewer line 1,5 feet.
Clean out(if required)located at N. , feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $51.50 Industrial,Com'!&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 $
STATE SURCHARGE $ .50 PAID WITH
TOTAL PERMIT FEE \ $ 81 HIDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approv•d Paid Receipt No.
- 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 33(9 A. 3k t Invver
NATURE OF WORK Nem Cav+s4ruction
USE OF BUILDING Sp
PERMIT NO. I oZ— /1 �2 DATE ISSUED Co - G — /2_
CONTRACTOR Lioogitter PHONE i&kt (0l - 3Co3- SHOO
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
n THE PERMIT IS BY SEPARATE DOCUMENT
ErosioA Cc tLe I Mus+ be I N po(Gc.e of Q l( I r e s R DATE
INS
FOOTING (�
l �
I FOUNDATION (Prior to Backfill)
PLACy00ppINCRETE UNTIL ABOV HAS BEEN SIGNED
8446'^ is z re4 r- ?i2//2---
ROUGH - INS Rahov, pipe
SEWER/WAT7 SEPTIC /2.//,
/2i/,Z_
FRAMING 7 /2
INSULATION 7A,
ELECTRICAL
PLUMBING t s (JG 4212fr._OL RA. 1/74 Iz
HEATING (if required) (L-1t. -' 1z4 IZ _
FIREPLACE /
GAS LINE AIR TEST s � ,Q r/ ?An
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
INouse Or op 64- 9/i/ti
FINALS
GRADING (Prior to Sodding) () tTh g7ff r-
BUILDING {z, ( I -1 - ( 19 �-�/
ELECTRICAL
PLUMBING 4J C
HEATING
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