HomeMy WebLinkAboutBuilding Permit 03-1334
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(Please .!VD~ or Print and si2ll at bottom)
ADDRESS
Jt.//7/ IhacJ.v,p// ()yf'lp- AJu)
#
LEGAL DESCRIPTION (office use only)
LOT IS BLOCK t.J ADDITION 7h.e. (-' Jllrh A,~Jv..fr..
1. White File
2. Pink City
3. Yellow Applicant
P-02CJ-0'3
pE~nITNU'~]_/??~
ZONING (office use)
1<-/
PID;;S~ /.M4- 05o-D
OWNER '0 _
(Name) _J5,.l[,):~ .....
(Address)
illu
!J
IO~':~_
(Phone)
BUILDER
(Name' 'AVI..J.+- IlL{)J '
(Contact Name) fJ-..'/.J,#I7...w),t
(Address)U1CO\ ~'bf, 4 i nO &>.vtu}t, J...1rJ SCj~l'8
~
(Phone) bPi2)771./<),d3-t./
(Phone)
TYPE OF WORK
~ Construction
DLower Level Finish
ODeck
~Fireplace
OPorch
ORe-Roofing
ORe-Siding
~tility Connection
OAddition
DAlteration
o Misc.
PROJECfCOST/VALUE (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 .t"~Y""J 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 just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspections.
- :::-~
,~ s~~~re
Contractor's License No.
15/ 7!'1/ $'::)
bate
L()\421~
x
I Permit Valuation 204~OO{) ./ 1 Park Support Fee # $ - I
1 Permit Fee $ 1 SAC # $ 1;;1 ~5.- I
/..17 t.. /5 ~
I Plan Check Fee 1$ t() ~ t/ /, "'DJ I Water Meter Size 5/8"Q.)' $ 3ao.- 1
1 State Surcharge 1$ I()-;),- I Pressure Reducer $ ~--I
1 Penalty 1$ 1 City SAC and WAC # $ IriOO. - 1
I Plumbing Permit Fee 1$ /tJlJ*. - I Water Tower Fee # $ ""100'- 1
I Mechanical Permit Fee $ v I Builder's Deposit $ /StJO.-1
1/fJ1'I', -
1 Sewer & Water Permit Fee $ 3S'E1) lather $ 1
I Gas Fireplace Permit Fee $ t!/), rxJ 1 TOTAL DUE ~~.\)~ Il1S'OJ.~ .,~ I
This Application Becomes Your Building Permit When Approved I Paid ^ IJE;. /.J I ReceihrJ}o. ~c-It I
/2. (T. ?tpf,? I Date i .ttJ.V/ Bv~ I
()
Building Official 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
ism~,
It.
Planning Director
Special Conditions, if any
24 bour notiee for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~.r
Thr ('rnln of thr L.kr ('ounlry
~ -pn118 - gU"!I"!~-')
Canary - Engineering
Pink - Planning
BUILDING P~RMIT APPLlCATIOtUlfPARTMENT CHECKLIST
NAME OF APPLICANT ~Clj a LooM'YM- ~
APPLICATION RECEIVED tS'''' aQ-v3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
11/17/ {?~ (J/~
Accepted Accepted With Corrections v
Denied 111
Reviewed By: tIJ/J- Date:
Comments: S~ ft..A/VS
"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."
J~~
White - Building
Canary . Engineering
Lrlll&.- . !,,"~~,nu.nu..>
Thr C'tnltr of thr 1,pI('ounlr}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~} rnA..{JUj (? Ux~ 1 !~ \-. /J 0 nUJ
APPLICATION RECEIVED I g /' "...:: q - 03
'tIIr;-'lf!
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
It/17 / 1?1(4;?~ I./,U,_.C:....
, {
/ v'
Accepted
t/
Accepted With Corrections
Denied
Reviewed By: tD fJ-- . ;2014-
-comm~ -f~
~".
Date: 9 :4': 'tfJ?
"'"
"1
.---
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.-
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-
-
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I .-
11
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.-
"
.
"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."
Tnt ("tnl,. 0' tht I,." {'ount,.,.
Whit.. . Building
('"elln\,\", . Enlllneerliift::
Pink . I'lannlng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
i J
NAME OF APPLICANT !.J ,;l{{x.t \
-; .J
APPLICATION RECEIVED
j i
LL(iJ \Yh'L- fil1T:u//)
r>
~"'
\..,.") .
i.-";;'
- (,}'_J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is p~oposed at: /i '
" , 1
//7 I -,<;/, ,/" ,? ,I .' / ' /
j l I r)/:i ( t: 12,'/''-' ll,1~~ Cfl...
f' "/
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/J'#fS
Date:
9-23 -a3
Comments: See Reverse Side for Additional Information!
~(lV''r _L /" D,..,'tI~V4\, Mu5t h"i/( h.,rd A-i
en l/t ,r
See Attachments: 1) Gradini Plan. 2) Erosion rnntrnl M"'::I~ur"Q
"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."
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
lo./rO]
; ~w g~. lFii(l\,uT NO. A '? _/.' ,-:>A-I
3_ Gold Applicant I - ()..J ...J....rr-
(Please tvDe or orint and sie:n at bottom)
ADDRESS
FI/7J RI/t:lr:..~JZ.. CJ~CJ..E ;VIA)
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT 5 BLOCK 'I ADDITION -rflE LU/L.OS AJo/{TH
PID
OWNER J 1 ().
(Name) jOR wilY ('US77>yY} ntPJE Q.J/ILLJL3'<!s IIVr, (Phone)
(Address) ./dYJ 1 EIlr..fltJ YJA'1 \J c:# /70 ~<;,Avf}f9E
(Address) (City)
9!',/},;{ - 22t.-B-;B9'
5:~.37??
(Zip Code)
APPLICANT
(Name) FJ/JIIJ.. ~.eft.oE .:DVG (Phone) -.Z.-s,;?-':;83-/~{X)
(Address) )/416 J1J1f~.J%, SbfJ&"ET ~/ll/)(/J/Ff ."-::;.EJ.379'
(Address) (City) (Zip Code)
(Contact Person) 'VoJl}Ahe !Jl.c..u)/LLI/'97//$. .. (Phone) 7:-5,R-233-JdDO
APPLICANT SIGNATURE ;?/t:J;?$o?'U.I;;/ ~j'/~TE /O//5"//):?
/ '
APPLICANT PLEASE COMPLETE BELOW
Size of water service I inches.
Location of any couplings from structure - feet.
Type of sewer pipe. 0 ABC (gI PVC 0 Cast Iron
Estimated length of sewer line 50 feet.
Clean out (if required) located at - feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$ ~
/
""
~50
pD BVy:....
()vD
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
~
Da\eO.f~I()]
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 I
METRO AIR 952-44J-81260RLAKF.'
'-'....11. VA' .cl'\.l ~.
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
NO, 528
p, 1
illite llec'd
:: ~:" ~!~ I PEllMlTNO. 3 -/33/11
~,'Y~!Io'" 4",lIlIIInl ')1
\Ptaa$C 1':Pt or ntint Md !Iim at bottom)
Al;1DRESS ( 1 \
\'V.,\,\ ~"'~~.~- \....V~
ZONING (om", .Ie)
LIlGAL DESCRIPTION (om,. UlO o.ly)
LOT BLOCK
ADDITION
PID
OWNER
(N~mc)
(Mdress)
'i ty w C-tv ~ () V\-.k.>
\ '
\ ~ \I 0 ~\ "" ~~
P"l',\\~ l .,\\\-
(Phone) ~ \ ~ ' ~J) '" S' - \ \.i Cl '\
<;,(,}"1-;)"
. AIlPLICANT 01\. \ "\'""'"'"
(liame) ~Q.:~:("'\, "", r- -..l_ Y'I l,
(A~dlesS) \\}'<; ~C) \J ,,\ ).',.\1'>.> (\.,/ \....
t\ I (Addre's.
(CI/ntact Pellon) l \J C,\ V\ t-\/ c..."" I( '- \ \.
AP.PLICANTSIGNATURIl J{\~1l.1"~L
(Phone) ~ S ;~. \.r~ l- ~ \ ~ '..{
(l" ()- \.l.,\~ '\It\) S s ~'I do
. . - (City) (Zip Code)
(Phone) Cj ~').. ,,\ \.\...,. ~ II) \.\
DATB
APPLICANT PLEASE COMPLETE BELOW
.E'NBW CONSTRUCTION 0 REPLACEMENT 0 ALTERA'tlONS ..L
FURNACB MAKE AND MODEL c.lJ....". ,- (Y'IX A - ~ \;). lob fUEL 1\) ~ r .
FL1JE SIZE "V C RBTURN OPENINGS .r INPUT 'i t'\, u M OUTI'UT '\ I I U '6"\l
TYPE OF SYSTEM BRA 1'INO OR POWER PLANT
-?!:SWlrm Air l'IMIS 0 SI.o'lI
DGravily 0 HOI Waler
o Meeh.nical 0 n.diOllon
~ir Conditioning 0 Spe.111 Devices
~ant. Sy.tcln 0 Olhor Devi..s
!'LEASE NUTE:
Air Conditioner Ultits
Cannol Encruach into
Required Side Yard
Setbacks
, I'II\EPLACE MAKE AND MODIlL
IndllSlrial. r.;amm.rclal ok Multi-rolnily
FEE SCHEDULE
1% or job co.l Residentill, Oas 1'1'.1'11'.
S39.50 minimlllll
Rt,ldentinl. Bcaling &. AJC (N.", Cunslruclion) $99,50
R'lidenli,I, 11.lling Only (New Construction) SG4,SO
Estimated Cost $ ~ ~ ~ \) ~
$.19.50
Residential, Additions &. Allcrltion.
Residential, AC Only
~J9,SO
$39.50
Building pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL l'.EHMIT }l'EE
$
$
S
.50
- .a..1AI\1'\"'
r,.'ID'-"p5;~\i
'..f:"..l'..~~tf\\" \"11~..eceiPtNO'
':',', :,; ',2) l--=:J U \.~J G l!
" ,
!I.,!\late j Y
Hi DEe 8 2003 I i
~\
~
(;r
()
(O'lice U.. Only)
11l1s Application Beeomes Your Dulldine PerIn It WI'en Approved
Dulldlnlom,lol
DAre
t~U
24 hour noU.e rar nlllrllll..lIon. (951) 447.!\850. rR' (952) 447-4245
[:'1 -' ~----
Dec 08 03 02:30p
Jef'f' Scherer
952-447-6735
p.l
Date Rec'd
CITY OF PRIOR LAKE PLlJl\..LO.ulG PERMIT
""l c; \ UX>j
I.OI~ ,;r. I PERMlTNO~
2. Gord Ci1y
J. YcllD_ AppIiIaIIt
I!'lea5e ~ or orir1t and siI!D at_I
I ADDRESS
\ '--\ \ 1 \ ~C\C~X ~\ \" clrL...
I ZONING (o_""l I
LEGAL DESCRlPTION (ofli<<"",only)
LOT BLOCK
ADDITION
PID
OWNER
(Nam.)
(phone)
, (Address)
~~~~ ~)~'Id' 9\~ffi\;i~
(Address) ~~C0 '4.c:h'\Q\\ Qj{Lk ~
(Address)
(Contact Person) jQ..\~ ~OO'Q.(
APPLICANT SIGNATURE.."\.-I)A- ~ 1,..LhJtA
(phone)
<f,)~-l\41- bl3L-\
0"S3/~
(Zip Code)
~ "(old- -lYI-Xg- 3
DATE J ,).;/ '( Ju J,
(phone)
~ti()\ ~
(City)
,..v
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower . 'J,
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry 'fray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
'fyJIe of Fi:dure
'L.,~
Rough-ins
Water Heater
Water Sollner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
FEE SCHEDULE
InduSlriol, Commercial .!It Multi-family 1% of job cost with. $39.50 minimum Residential, New On Two-Family $99,50
. 10ns.!lt Alterations $39.50
Estimated Cost $
PLUMBING PERMI
STATE SURC E
TOTALP FEE
$
$
$
_ PAID WITH
I::I~DING PERMIT
(ornce Use Only)
This Application Becomes YoU~7ermit Wben Approved
Buildinc omci.1
, I' ""'d' .
, -, !'-Dl ''-.' I
f U) i,;J 'l/ .'-'
,ui~ Dfit:c 1 5 2003
14 hour notice for all inspections (951) "t,?850. fax (952) 447-4245
e...:.:.::.~-...:.:.:~
Receipt No.
,i;
, ,
By
Date
.....llX V.r r~VA ....../'\.~
HEA TING/AlR CONDITIONINGIFIREPLACE PERMIT
lIate Kec'd
q'leue ~ or'Drint and. sim i.t bctrotD)
I ADDRE7 t..J 17) W ~o-
v
LEGAL DESCRIPTION (O!fICo "'" 0tI1y)
i ~ ~~. I PERMIT NO,^' 1221A-
J..Ycllow AppllOll\l ~
C'~c.l e
J I ZONING (onx....) I
LOT BLOCK
ADDITION
PID
. OWNER }
(Name) \ 0 t wa.. y
(Addres.s)
. (phone)
~;;~~ANT bu'j€:.t'':> Jbo,[Jc~ ~,-,?p[o{ (Phone) 7h3 -(P'Yr -Y{'6 3
(Add:rCllS) /3~05 /5-rft 19C/c.Ylu-e j)jYY?1()(At., S5'}llf/
\. (ArIdre$.) . (City) (Zip Code)
(Contact Person) D ., '^- 0 Ilt .r- (phone)
.APPUCANTSIGNATURE ~ _ ~~/H.C?!,
- .;
DATE
I /,~. 7 /04
APPLICANT PLEASE COMPLETE BELOW
t== t ~c. p. lc... c. e ~EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
11 MAKE AND MODEL SIJP~t-'\"" \)"I/'JOC> FUEL f.JC<...1- ~Ct...3
-
FLUE SIZE S; ( I REnJRN OPENINGS
TYPE OF SYSTEM
~
INPUT
OUTI'UT
OWarm Air PlanlS
OGravity
o Mechanical
. OAk Conditioning
OVent. Syslan
FIREPLACE MAKE AND MODEL
HEATING OR POWER PLANT
OSroam
o Hot Water
o Radiation
o Special Devices
o Other Device
PLEASE NOTE:
Air Conditioner Units
Cannol Encroach into
Required Side Yard
Setbacks
Industrial. Commercial '" Multi-Family
FEE SCHEDULE
1 % of job cost Residential. Gas Fireplace
$39.50 minimum
599.50 Rc.idcntial, Additions '" Altenlions
564.50 Residential. AC Only
$39.50
ResidentiaL HeBIing &. NC (New COuSINolion)
R~idential. Heating Only (Now COPStru<tion)
$39.50
$39.50
Estimated Cost $
/ (;(;;(;/,o
Building Perm it #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$,
S
PAID WITH
~LOING PERMIT
(Om"ll.. Only)
This Application BecOlhes Your Building Permit When Approved '\ 0 )1'~ai~j ~
D... :,:j lj'A'N 2 6 2003 ,
~ hour notice for.1I insp...lo., (952) ~~9~0, fax (952) 447-4245
l~'~ -~--=-==~.:.:--- ~------"-,.._,'
Bunding Ollieial
Receipt No.
n
By ,
/'
G
too~
Xlddns Sij3a1lna S~~
L990CSSC9L XVd 6~:tt to/C~/to
PRIOR LAKE
INSPECTION RECORD
I\J. L<J.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 14111 ~A..x,,6YZ- C 1 (U!.,-l..<!:r
NATURE OF WORK ?..su.......r ~lL'1
USE OF BUILDING s y::: t:> J I
PERMIT NO. 03-/3?4- DATE ISSUED '1/14 (03
CONTRACTOR ~~,.-- -r;:.~'1 PHONE q~l.-:z..u..-~A-;-r
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.!IlSPECTOR
///)
'FOUNDATION (Prior to Backfill) I (ff) 1/(1'~8
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~b
/1)/
~ V //JO
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING m ,....... c:?--c:??
HEATING (If required) t?f!c
FIREPLACE( ~ ) M 7'lP
GAS LINE AIR TEST ~ t;'VA> f1J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I 5tu Co <-<> I t..A-r~ e I I I
FINALS _ ~~~
GRADING (PIjgr to Sodding) IV 15n I- .~. or
BUILDING r 1'-4<<0 ::7z; 8-I-oY - 'r'1h '1-71_-6<'"""
ELECTRICAL. ',' ' _
PLUMBING ~JL
HEATING ~ g- 42?-
DO NOT' OCCUPY UNTIL ABCsVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-In inspections
and maintelned until all Inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
I FOOTING
(JJ/~
,
FOR ALL INSPECTIONS (952) 447-9850
OATE
I /6./ L ,
/.~
r2 -J)
/'7'" 1 ~cn/
rz -~ /
;,10
.- ....
QIntineaf:e M (@ernpanelZ
CITY OF PRIOR LAKE
, ~tJlartmtuf of ~uilMng JfnsJltdion
~al Permitted D Conditional C.O, Expires _
This Certificate issued pursuant to the requirements of Section 307 of the Uniform 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:
Use Classification
SINGLE FAMILY
Bldg. Permit No.
03-1334
Occupancy Type
R3
Type Construction VN
Fire Zone N/A
_ Zoning District
R1
Legal Description
L5, B4, THE WILDS NORTH
Owner of Building
Site Address
14171 BADGER CIRCLE N.W.
SUITE 170. SAVAGE 55378
Contractor's Name & Address !lRETT TUP~ 6001 EGAN DRIVE.
ROBERT D. HUTCHINS ~/^ , City Planner
Date: ~ - 2 ~ _B~J Official /I · / Date:
POST IN CONSPICUOUS PLACE
DON RYE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS ~ I ~ I ~ (LI'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
. 0 ~R HOOKUP
,.)ErPLUMBING FINAL
o MECH FINAL
DATE T1IIE
~-IO -tit(
\.
7,-133'1
f
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
I. (lq~ rte..\?l~_ ~
z. P~Wl ~~'i\L...J1. ~~~
~,~ +,k\\.... Qo;:>
!:lJ.A--n) t.ftf1-98,?~
o WORK SATISFACTORY. PROCEED
)lI(cORRECT ACTION AND PROCEED
o CORREiT 'lCAL~OR REINSPECTION BEFORE COVERING
Inspector: OwnerlContr:
CAL '185Q FO E NEXT INSPECTION 2. HOURS IN ADVANCE.
V
CODE REQUl ENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY!
-
CITY OF PRIOR LAKE
INSPEcnON NonCE
ADDRESS
1L./111
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
}iI'1:INAL
o SITE INSPECTION
SCHEDULED
~T' (\:~
...............
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
,.a'"MECH FINAL
DATE TIME
3-/I-o~
v13~Y
") -Hl:~
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLIIIE AIR TST
~..wk
COMMENTS:
I. I"\...:~\...I.. 'f~... (l~
a. l='\ -.l t;.'r"r.J AJ D , ~""<;r' ~..t'''''''l. S", j)
~. Ei:\a,i...k s.\.\J~...... - {",.'W'o " Pl..c:>~
~. ~4J-d ~Ul"'i:'..r.-L r:O....u.ll~~ _2.'1..~ ~"Op. 1.-l\.A...
s.~
1I~ lJJ ~..l_._ ~ 'VL a~ #
Hf>u ~- ,/ 0 - 4
'''7''''<' . '" ~ -I2YJ...r-tL_
~~. 'i I K.. ~.JO *"'-"Y..S.l&.(~l~,.,-", ~
l:J.9flo. ~ l'~ I.,.......~, ,....,...... ..c....L-~
IL,-JhtD'~_-'~j'~r--\-' t:OM~\A:: .LI" t01r-uu;\~
t.. 'p~
r,.< /1
~ lJ\;L.{.\~......C" L....vl
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
rRRE LL FOR RElNSPECTION BEFORE COVERING
Inspector Owner/Contr:
CA~ U -9 soloR THE NEXT INSPECTION :u HOURS IN ADVANCE,
V
lREMENTS ARE FOR YOUR PERSONAL HE.4LTH 4 SAFETYI
1/<fJ<<>n
DATE nlQ!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~-:l(!)~
PHONE NO.
/'1/7/ &~.r {.,',
CONTR. -YU-IAI& r
PERMIT NO. (")7; - /3'3 'I
ADDRESS
OWNER
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
~NAL
[J SITE INSPECTION
[J PLUMBING RI
[J MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
[J MECH FINAL
~ EXIGRADlFILLING
[J COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
[J GASLlNE AIR TST
[J
COMMENTS:
/ rJ/!;) i5o!-- c9 r~
~ <I--r-
~K SATISFACTORY, PROCEED
[J CORRECT ACTION AND PROCEED
[J CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector:#~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
1N#//m
CITY OF PRIOR LAKE d l; L
INSPECTION NOTICE SCHEDULED ~~T1I1E
ADDRESS .tii..JJ ~~ (1-1i'"
OWNER CONTR.
PHONE NO.
PERMIT NO.
s- {~7Cf
a FOOTING
a FOUNDATION
a FRAMING
a ~SULATION
)E FINAL
a SITE INSPECTION
a PLUMBING RI
a MECH RI
a WATER HOOKUP
a SEWER HOOKUP
a PLUMBING FINAL
a MECH FINAL
a EXlGRADlFILLlNG
o COMPLAINT
a FIREPLACE Rl
a FIREPLACE FINAL
a GASLlNE AIR TST
a
COMMENTS:
(l~ -f1., po
~
,..-/
..6"'WORK SATISFACTORY, PROCEED
/ ~ ~ORRECT ON AND PROCEED
a CORRE WO ALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr.
CAL
OR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUlREMEN'lS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
JNVi/1T1
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed b~: ~ 0 Ii Date: 4/((3 /0 3
Building;Permit #
Address': 'l4\11
Legal: L .,
PID:
ew6.9- c.\i1.. N,W.
B Subdivision:
Existing SU1Jcture? YES t@
CONFORMS TO ZONING
ORDINANCE
, Yard Setbacks: NAI FAILSI COMPLIES
I. Front Yard (can be 20' if avq. wlin 150')
I. Side Yard
I.
I .
I .
I .
Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' lonq
Rear Yard
Patio Door: make certain that a future deck meets
minimum required setback
From 100 year flood elevation of wetland/N U RP
pond
. From OHW (Prior or Spring Lake)
, Floor Area Ratio: NA I FAILS { COMPLIES
Yard EncroachmentsiNN FAILS ICOMPLlES
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 vards,
Tree Preservation:r'NIYI FAILS {COMPLIES
. Total calioer ind'les
. Can remove 25% of total
I. Caliper Inches Removed
I. Caliper Inches Preserved
I. Replacement
L:\TEMPLA TE\BLDGLIST,DOC
Zoning:
Existing Nonconforming Structure? YES @
--
~
Standard
25'
10'{
25' if abuttinq a street
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
30'
75' or setback average of
adjacent structures, but no
less than 50'
.30 Maximum
Standard
Standard
Y,:1
NO
Proposed
ZS.~~'
t \".~
I
11.0
.
'.>~.s
I "~R~ t.YRI." ~
Proposed
Proposed
=
I Driveway: NA I FAILS I COMPLIES
I. Maximum width at property line
I. Required setback
I .
I .
I. location to match subdivision qradinq plan
, Building Height~~~ FAILS
~
, Shoreland District:((NA) FAILS / COMPLIES
I Minimum lot area (square feet)
I Minimum lot width
I Shore land alterations
I Impervious surface
Maximum slope
All parking areas to be paved including R.V or
spaces adlacent to the qaraqe
Bluff in Shoreland(-NA) FAILS / COMPLIES
. SetbacK from topofbluff
I .
I .
I. Gradinq in lI\.1ff or bluff impact zone
, FloodPlain~1 FAILS I COMPLIES
I. 1 00 ye~~~d elevation
. lowest floor elevation
Bluff impact zone
Enqineerinq certification submitted/approved
. Prop?sed lowest floor elevation
..
I.
I.
Elevations 15 feet from structure
Road access must be no more than 2 feet below
Requlatory Flood Protection Elevation
I Accessory Structuref/~AILS / COMPLIES
I. Size V.
I. Not located in front yard (Materials)
I. Side yard and rear yard setbacks
i. Maximum heiqht
!. Materials compatible With princiPle structure
UTEMPLA TE\BLDGLlSTDOC
Standard
24'
5' from side lot line or
30' from r-o-w on corner lots
10%
.' .
35' MaXimum
Standard
7,500 Rip, 7,999 Non-rip
50' Rip, 57.3' Non-np
30% Maximum
Standard
By planning dept.
20' From Top of Bluff
By City Enqineer
No importinq/exportinq
Standard
908,9' Prior lake
914.4' Sprinq lake
909.9' Prior lake /
915.4' Sprinq lake
Must be l' above flood
elevation for new and existing
structures, if existing
structure was constructed
9/19/90-11/22/97 then
additional foot is not required,
Must be flood elevation or
hiqher
907,9' for Prior lake
913.4' for Sprinq lake
Standard
832 SQ,ft, or 25% rear yard
10'
15'
Proposed
18'
(~/
'7. ~ Yo
E,vb.
2- [)'
Proposed
Proposed
Proposed
Proposed