HomeMy WebLinkAboutBuilding Permit 04-0267
Date Rec' d
/.1>. OJ
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
\j 1\', ~
Fi LE I. Whi~ FH,
2. Pink City
3_ Yellow AppliclUIt
q>>lease ~ or orint and siJUl at bottom)
I ADDRESS ~3~ Z- fl/IU;J O/'tl:.S IEX~t!-e:
LEGAL DESCRIPTION (office use only)
LOT J9JLOCK / ADDITION f)J Pi '" 0 a,kc
I PERMIT NO. OI-.OU7 I
I Z~~G(Offi"use) I
PIDl,S- -:?f04- -012..--0
~=e~R<R(l ~~ ~ta~~ 1_ L C (Phone) f?\5)..r-;:<:J{}{o -iIdBY.
(AddressrPiO .~a~ ~~l.f _tJCU~.iV.(~~t?-Y'
.~~~~~ ~~, Llt (Phone)~I0..."7'2.,d~39(j
(Contact Na~e) ~~ ~ t'-'Ter- (Phonel,
(Address)'P, O,~O\O f)...cdm-A'7'J 3 ~k t/tPuJll~ ,M,f1.. (~ (') f).j/
r- .L~-k ~ Iv
TYPE OF WORK &New Construction ODeck OPorch ORe-Roofing ORe-Siding
DMisc.
DLower Level Finish
o Pireplace
"
OAddition
OAlteration
Dutility Connection
PROJECfCOST/YALUE (excluding land) $ ..QjL~-
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 aw t the building offiCial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon '~y';'nJ to .
x
I Permit Valuation
I Permit Fee , 1'74350 $
I Plan Check Pee it I I 3~,Z! $
I State Surcharge "If 107. 50 $
I Penalty $
I Plumbing Permit Fee $
I Mechanical Permit Pee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
--....
&/5 bOO.OiII
/tJ()dJO
{00,110
3$ S-CI
'I6,dO
fJ.../)"'.2., It'J.. qj 0
Contractor's License No.
I Park Support Fee
I SAC
-- ~
I Water Meter (SiZe5/~1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE
Date
# $ t!!50.81)
#_1I15Sj,~
"'-ZS-O'l~~ 1Ih-
.. L/ S. 0tJ oft
# $' lzoo.DO
# $ 700.00
$ ISoo,c>o
$
$tf./54-. 7~
J "
ThisAPPlicationBecomesYOl~BuildingPerntitWhenAPproved. I Paid ti'_S.f-.7f I Receiptb4o. 4h'l/;7
_~ 9Mt:..,~I/"tfIDate "'>:'Jr-9- . Bv /1/
Building Official Date r Main FIleV'
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
~d:e~~p_?;:;.:empmMYc~careUf~nmgcom ii~~~:;;;;-~o=pan~must~
Planning Director a Special Cq~chtions. if any
24 hour notice for aU L.r ,_; . ...J (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
"~,
Thf <"fnlfr nf Ihf L.kf <."Ounlry
Main File
White - Building
Canary - Enllineerlng
( Pink _ - PllJIl!'Ilnlt::>
aUILDING PERMIT APPLICATION DEPARTMI;NT CIjf:CKLlSI
The Building, Engineering, and Planning Departments have reviewed the building permit
application ~r construction activity which is proposed at:
((; ~ (( 2 \ V Il U (J\. K- ')' ( t.JG/cr\ tf.-
/
NAME OF APPLICANT
APPLICATION RECEIVED
Accepted
Denied
I /1\ k)-r-; l--f--C,I, I C \-
il.us
...
..
,.':'
"
Accepted With Corrections
.;.. ~, ' "
~
7.LJd}"", Date: 7PS~5
,
.'- '/,J2L." ~,_,...._d 1~
~ tJ.,~ /()'x/~/-fnIdUd-.
~~ .:1,".tt. ~
~ ~ 1~ "N"t-~.-
Reviewed By:
~
trI.iJ ~ l.-. ;
,
Ja' JC IJ I
Comments:
.k
A,e. ~
..-1".:1- ~,
"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."
r/\Ai N
hLE
TIt~ ('rnlu or lht Lake ('OIolOU)'
White . Building
(' CanaN - Enflmeerlng,..)
Pink . l-'lIinnlng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
FjAi2:TS l-r{J~/1 Cs
7.7.0~
The Building, Engineering, and Planning Departments have reviewed the building permit.
application !,9r ~~struction acti~ity which is propose~ ~!: ~ ... .,
(() :;:, (p Z WI CL) ()A r:-) (E1Giq1 ~/f;, .
Accepted
)<,
Accepted With Corrections
Denied
~,~l Date: ,IIDlo')
See ~everse Side for Additional Information!
Reviewed By:
Comments:
Main FIle
See Attachments: 1) GradinQ Plan, 2) Erosion Control MeasurA!':
3) Erosion Control Plan
"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."
~~
MA {rJ P('l~
Th~ ("i!'nlp. of U,,.I..I<i!' Counlry
C~hite . a~liiCiiiiQ::::>
anary - Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
FSAi2.A ~ !-WfVlw
7.7.0~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application ~ 3tuZn WV/'L!3h iS~P;~S: . {brGrZA t6
Accepted
Accepted With Corrections
y----
Denied
~
o-v.Q
r
. 0_ /J L ,
.It? 7~r-
~~~ ~ ~
---
.:;J - dJ;.,/r ~
,
Date:
74s-At3
~' ~-~
. r
~~W".Q
U
Reviewed By:
~.
Comments:
Main File
"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."
05/13/04 THU 08:33 PAX 6128902753
STOCKER EXCAVATING
IaJ 004
- '--'''-'~~-'-'
., ',..'.-..,'.." . "-..
'....."..,_.
...:. - ,.~,_.. ._. ~.".
Date Rec'd
CITY OF PlUOR LAKE
SEWER AND WATER PERMIT
;, ~d'::"~;' I PERMIT NO.04-0267
1. ec.rd ^P9iiCllll
04"'~' 'J
I
lpIe.ue ~ Dr orint and.:R,,:" ~t brmom 1
ADDRESS ZONING (olli<:c...)
6362 Wild Oaks Terrace
LEGAL DESCRIPTION (offiec use only)
1
LOT
BLOCK
ADDITION
Wild Oaks
PID
OWNER
(Name)
Barts R01Iles
(phone) 612/306-4384
A~ple Valley, MN 55124
(Ci"') (Zip Code)
(Address)
P.O. Box 240593
(Add,...)
APPLICANT
(Name) STOCKER EXCAVATING COMPANY, INC.
(phone) 952/890-4241
(Addres.) 12336 Boone Avenue
(Address)
Curt
(Contact Person) _ _
Sava~e. MN 55378
(City)
(Phone)
(Zip COde)
same
APPLICANT SIGNATURE
f'
APPLICANT PLEASE COMPLETE BELOW
DATE
~
5-11-04
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe, 0 ABC 0 PVC
Estimated length of sewer line _.._ feel
Clean out (if required) located at ___ feet from structure.
feet.
o Cast Iron
FEE SCHEDULE
Residential sower and water line connection $35.10 Industrial. Com'l & Multi-family I % of job cOSt with a $39.50 minimum
Sewer .onllection only $ 17,50 Water connection only $17,50
Estimated Cost $
Building Permit #
SEWER AND WATeR PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
,SQ
~~
~4t",
(ornu lIse. Only)
-- '-. l-'
This Application Becomes Your Building Permit When Approved .~ u: G I!J U; \,~ ,.tipl No.
8.~4ingOn;cial Dal. ~y 1 9 2004 1\ >\ f'1 ..
14 hour noti.. fo, .11 lo.pection. ('51) "7-9 SO. fax (951) 447-4145
~BY I
67/14/2664 68:36
9528947972
LAKE SIDE PLUMBING
PAGE Ell
~ ~ @ lfoUt~~, ~
CITY OF PRIOR LAKE PLUMBING PERMIT ] JUL 1 5 2004 ~
IPI~uc type or orint &l:Id. liian at bottom)
ADDRESS
~ ~(,,~ 1,,.\:I~
r"\~.:r'-'!.rt"'~
I J ,EOAL DESCRIP'rtON curr.., Uot only)
: LOT BLOCK ADDlTION
OWNER'. ..:.i;.."i"'rr.....,;.'l.:io..
(Name) &.A-<.
\-I.Otl'\4!:s.
(Addro,,") ~I. l/..,\I~
i APPLICANT ~
(Name) .. . .;;,,\,,_ Plum L ..,
_.L' )
(Address) __ 1<)l/~"1 Z:",r,,^ a,,~
(Address)
(Cuntact Person) _l\Cl 1)"_
; APPLICANT SIGNATURE __~
Quuntity
r--' \
I.., '_."
I I
I l
I ":l.
I
,
[.
\
,:;,
l,a!\IC File
1 ("mId C'it~
\ V~!I(lw "'~Jlliu"l
By
I PF.Ri\.ITNO'~DZ~7!
I
I ZONING Co""" ",,' I
--
PID
(Phone) (, Id-30 h .. 43?i__...,
(Phone) 3s~ .. .J?q,,/ - 7 boe.
.,.;";.10"...,, !J'1:1'1~ ..__,_
(City).... (Zip Code)
(Phone) 'IS,;. if '1'1.. 11.c.",
DATE 'J.;?.:_y'~ ___J
?,
Type ofl."\xture
.!;sth Tllb with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
I Sinks
I Bar Sink
I Water CI"SCI (Toilet)
Quantity
APPLICANT PLEASE COMPLETE BELOW
F'EE SCHF.DULE
Ind\l::itril1l. COIl'1lnercli"l! &. Multl-f'l\mI1y 1% orJ('lb I,;O!H witb II $39.50 minimurn
(CHliN:t:"t Ilnl)')
Resld,"".I, New Ono Ii Twu.Famlly $99.50
Rcsidct"ilial. Addition!> & Al!cnltiorlli ~)~,50
1311ildingl'ermitn_~4:"_c2Z~ 1
/FArO vmk
OOlDWBPmMI1
",.timoted CU,! $ i1.~:.~
PLUM13INO PeRMIT Fl'.E
STATE SURCHARGE
'fOTAL PERMIT FEE
$
5>
$
I Type 01' Fixture
I Rough-ili';
Water Heater
I Waler So finer
I Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Baekflow Assembly Test
I Lawn Sprinkler
I Other
i
,
q'lS"O
,50
i~___
f@ rn'~ ~ U ill lE ! ~l Rocelpt ~ .
~I lJYfJll 6 2004 W By .
Thi~ ^pplic~ti()n Become,! Your R"ildin~ I'ermil When Appro..d
Ullildinl1 Ortitifll
Dlle
.~
14 hour ."li.e lor.1I inspectio", (952) 44 ~50. fax (952) 447.4245
162UO Enal. Cro.k Ave.. S.J,:., Prior /;, ........,1..
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Ree'd
l. Pink
,.""""
3. Ydlow
~::,. I PERMIT NO.~ ^~AI
Applicant ~
ZONING (0_ use)
CPI....lYDe or Drlnt aDd slcn at
ADDRESS
......,..
6362 WILD OAKS TERRACE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name BART'S HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HE"llTH k H.QMR
(phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
(Contact Person)
BRENDA HUSTON
ROSEVILLE
(City)
(phone) _651-633-2561
"5113_
(Zip Code)
APPLICANT SIGNATURE
BRENDA I-IUSTON
DATE
7/21/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants 0 Steam
DGravity 0 Hot Water
o Mechanical 0 Radiation
DAir Condilioning 0 Special Devices
OVen!. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
REA TN GLD 6000TR-OAK & SL-750TR-D
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$3950 minimum
$99,50 Residenlial, Additions & Alterations
$6450 Residential, AC Only
$3950
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39,50
'Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
$
PAlDwrTH
BUILDING PSlM1T
_50
(ome< u.. Only)
This Application Becomes Your Building Permit When Approved ~ I\l\ 'I ~ ~~
11\~ DulIn. 'b ~ ~n. By
BuildiDI!: Offidal Date U~ ~AUb .
\
24 hour notice for all inspections (952) 44\;:0, fax (952) 44:-4245 l
Receipt No.
iOl/lT/OI WED ll;Oa FAX ~l~~~7~~~$
!
CITY Ur r~LU~ ~
CIn or PRIOR LAKE
HEATl1\lG/Alll CONDlTlONlNGfFIREPLACE PERMIT
Date a.c'6
..j~l
". ... &;~Wi\d~~\..p.xro.C.e
t =. t!):. I nUtMl'l' l'lIUOi u.. '\ 1_'" I
3.~"" ..1- ~I(LLJ
r
.... ..' JUGAL tmSCRn'TtON \oIIIct.... oaIy)
, ! LOT llLOCk ADDIT.lO}'l..._.___._,__
~G~?..":"...
. Ie.."
_ ,1;;'(
... ...,Hi,".
- . I . ';'TI:}~f~}'
I ...'rJI,'
. .'i.i,).
,::;:,..)(?:;
PID
, .
,
il~~It-~
... i (Adlitaa)
i
I
'..'1 =~w'\c:. U...~:t...Lv- (Ph0llC1~1'-.~1n"'7
,,~')~V-OU.~~\ \t.JrJ.L\ ~~r ~~2
J. ~tlwldnll) (CllJ) (ZIP
..1 (~Pmoo) )'Q-~ (Ph0llt) ~?'-"1!:I.a3-
'I A.t>PtlCAmSlONA'roU ~_ ' A 't~..k.. - DATE I()~f/i;rt'._-
. ~ APPUCANT PLEASE COMPLETE BELOW (
. ~EW CONSTllUcnON (J 1U!PLACEMEm CI AI. TEIlA TlONS
I'lllNACIlMAKBA~OD!L L-eJJ\VU')'{ r;sl.MP-?:ipQj-07~ FLU 'ili-;-g.,tH
FLUSS1ZE Jl' Q i~ RIlt1JJt.'lOm/lNOS -'5("- INPUT ..!l!2...aOb ._ OVTPur --u---
'!'YP! OF SYSTBld HEA1lNO 01l.l'own I'~
,'.cl'WIl1IIAilPllnll ~B_
. 5bntYIb' lloI W..
~Mocl\enlllll RaillIIIoo
.. Ir Colld1tlo.in& 8 :5pnillDcvl...
.t ')'SIlIlI 0111.. !)Moo
.'
'0'
(PbIme)
".
,
.'
, i:
, ~:_:;~ - .~:. '
'. ".
,~ ',.
,
, .
Pl.I.U.Il'fOTE,
AJr CoIIcIlIklDar t1DIta
C_2ac:ro6all1llto
JUcuIM Side YII'll
SIIbIckI
PIRSPLACS MAKE AND MODEL
FBE SCRI,J)1l1..t
InMtrlll, C"""".rclll It M.I~.FIlIIIIY ''1\ o!Job IIlIt Rooidtnllll, 01& 1'&rql11Ct
S3UOllllllitll_ ...
lIcaIoIari'tal. H6Ill.... Ale (lie.. Corol1r\lCOiOl1) m.so Rt.idcllllll, AcldhIw & ^llor&li~nI
~llIi. KOIIl,. Ottly tNlW c:c..1U\IClI0Il) S64.:lll 1I.nldanlll. AC 0.\7
S39.,c)
$3'.SO
139."
ilEAnNO l'ER..Wf FEB
STAT! SU1lCHA1l.GB
'rOl'AI. P'J:~:I
IClli<. U.. 0u1J) ,
'nil Applkllilon 810011I.. Your BulWl.. Pcrait Wh~.J'G'1lI
$
S
J
&1t\lft&\04 CIlIl i
lltIildln. Penoll #
.50
,
I
"j
, ,
, i
,
, .1
, i
..U'-OIl....
11011
I~ lb ~ U ill l ~1mrNIl.
t NDV 0 5 2004~! ( 4f
.. (1S3)~T~"'I(JC)~.cu' U
.,:
J' hour a.lIi. AI. .~IIII I' ... '
'. .:
.
<:0'01
68't'P:E~""lS9
SHI~anr Wd Le::E0 'Pe-8~-~OO'
DEPARTMENT OF M.~10 R l.E
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS kJ~L.2. tc.~ ~
NATURE OF WORK ~IW ~ ItA' .
USE OF BUILDING ~. .
PERMIT NO. 04-. 0 Z(P7 DATE ISSUED ."'llJ&ld
CONTRACTOR u..c. p~.~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING ~ti#1 C;.- D,A;iJL I
I FOUNDATION (Prior to Backfill) '-: I 4 1;11' I d~~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~
~
#0/
.
.
SEWER I WATER I SEPTIC
FRAMING g,yW(('/ p/ ~,1;y
INSULATION
ELECTRICAL
PLUMBING
~
,
flPt,.-
f .1 (. uS-,., ;'
,~..r~~
/j!J..,ht:/
!tJ/}g'n
, ///f/~
- .
BEEN SIGNED
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
Oltrfifttaft of @ttUpantlJ
CITY OF PRIOR LAKE
~qntrf1ttlmf of ~uilMug JIuspediou
~inal Permitted 0 Conditional C.O. Expire~
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential! 0 International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lulu? regulating building construction or use_ For the following:
SINGLE FAMILY 04-0267
Bldg. Permit No.
RISD
Use Classification
Occupancy Type
Legal Description
Owner of Buildimr
R3
VN
Type Constructior
L12, Bl, WILDS OAKS
Zoning District
. Site Address
6362 WILD OAKS TERRACE
593, APPLE VALLEY, MN 55126
DON RYE
C . N &Addre BARTS HOME#' POS OFFICE BOX
ontractor s ame S8
ROBERT D, HUTCHINS C' PI
_ tty anner
W- ~ui~g Official . Dare:
,- -
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
6 J6.2
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
...ef-FlRAL
o SITE INSPECTION
COMMENTS:
./
.~ /
r>rz"'#-/
-------===-
llA TE
S~"'J -
;-
tL-h'/d OcL" */r
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
[] MECH Rl
o WATER HOOKUP
[] SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
nilE
~~-.2b7
o EXlGRADIFILUNG
[] COMPLAINT
o FIREPLACE Rl
o FIREPLACE ANAL
o GASLlNE AIR TST
o
DeL
-.
..~
rY '.~
\ f f(Js-e... /7't'~ /
~RK~eTll,", DD""""" ------
[] CORRECT ACTION AN~ PROCEED
::o:ECT~REIN=:/::~:FORE COVERING
CALL 447.9850 FOR. THE NEXT INSPECTION 2. HOURS IN ADVANCE.
/"
( --&>4
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
l1<8NOTJ
"--'~ CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~s,~
OWNER
PHONE NO.
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
~~NSPECTION
DATE nME
SCHEDULED t(~~~
W,'/d ~k ~;r
CONTR.
PERMIT NO.
[J PLUMBING RI
[J MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
~ECH FINAL
CQJllNlfNTS; ./ . /
67~)cti-1 1'7'4/ d",~.
~~-..zb7
[J EXIGRADlFILLING
[J COMPLAINT
~REPLACE RI
:AH'lREPLACE FINAL
[J GASLINE AIR TST
[J
fi' /2~</
- -." ~
~/'~ ):jk / ~!<. .
A". "v,'d ~GC.r ~ /'.....d" ~
Libk-e. h1 ~~L k~1'
~6f'4 t!!Jtf _ / 4
~J-:,.../4u h.l-.-k~/J /
-~ /A~H Q ~,";i,;'/d
/ / / ,. r
,)/Ye".d/Pt'TV /~fk/t;. e!
/ -L,J,y ~ ~~,,/~-h .
PW--9?Ja .,g,." Ah...'7~~_ 1"</10.1
- ;,
""
[J .WORKSATISFACTORV' PROCEED ~.;;,
~ORRECT ACTION AND PROCEED .
[J CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: /ItflI.- Owner/Contr.
CALL 0&47-9850 FOR THE NEXT INSPEcnON 2. HOURS IN ADVANCE_
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETYI
IN$1OOTJ
#,y
~62 uJ.'Ij ~k 7t"'~/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
2"!'NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
TIllE
OL/ -..2 ~ 7
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
..61iREPLACE FINAL
o GASUNE AIR TST
o
~MMENT$l/' J ,,/} / /'
'. ~ P~t ;4. d-/l:K-T- ~/CI
~ ~'C { a..r- ~ - ~C.c:W
~~ j... T~~ f ~R6 "'..ecf
~G/--~^
-~~ cU:
,;
/d
drl *' /
J /
;r/'/~~
o WORK SATISFACTORY, PROCEED ~k
~ORRECT ACTION AND PROCEED
o CORRECT ~,~~ FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr.
CALL .&47.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
I1GIfOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nME
SCHEDULED
1/-/5~r- 1I30
ADDRESS -"3~J. 'Wdt! Oct fJ 7lm.n
OWNER CONTR. &,I.J HDWtlJ
PHONE NO. PERMIT NO. (')t.J -;;,~ r"
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION
,CIUAL
D SITE INSPECTION
COMMENTS:
Cui'
'f~~,
-,
D PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ILUNG
'0 COiilLj(fNT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
IS", -wI.
()!-.
t'J1L
sJ.-r
I~RK SATISFACTORY, PROCEED
~ 0 cl.RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
In.pector:~ Owner/Conte:
CALL oU7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
"""'"'
DATE TIllE
/dPJj/'~
6Sb.2 W,I! C4h frry
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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
o SEWER HOOKUP
~UMBING FlNAL
o MECH FINAL
~- ...tc. 7
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
.d~ /' / /- /
/r I' ~Q ,AH,(:.,i'T-':r T't'V'r- CIte
(;j A/~~,/ /HYL/ /h,t ~/krl;o
$) .~~d ~u ~~ ~h- ~k
, ~
/.-'~ tP
/?t{,N '/ d;;. 9
-l
,
hk~ /
o WORK SATISFACTORY. PROCEED ~ft->
1l(CORRECT ACTION AND PROCEED
/' 0 ~RRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ OwnerlContr.
,
CALL 447-9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE_
CODE REQUJREMENTSA.aE FOR YOUR PERSONAL HEALTH & SA.FETYI
IIaI<<ITl
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-t or R-2 Districts
Reviewed by: ~ ~
Date 7(";'.>;d"3
Building Permit # PID: Zoning:
Site Address: 03(.,;;./6J&,'f t,J;fJ IJ~. J~
Legal: L-1.lJb B I Subdivision: LJd./) ~~
Existing Structure? YES @J
Existing Nonconforming Structure? YE~
CONFORMS TO ZONING
ORDINANCE
YES
'Yard Setbacks: N/A/FAlLsrt'OMPLI~
I. Front Yard (setback averap;e if in-fill lot)
I. Side Yard (25'ifabuttin!l; a street)
I. Side Yard (Easements)
I. Sidewall exceeding 50 feet required additional
side setback of2" for every foot over 50' long
I. Rear Yard (Easements)
I. From 100 year flood elevation of wetland
. From OHW (Prior or Spring Lake)
Standard
25'
10'
10'
Wall over 50'?
25'
30'
75' or setback average of
adjacent structures no less
than 50"
, Floor Area Ratio: N/A I FAILSqCOMPLi:Iis))
,30 Maximum
Yard Encroachments: NA I FAIL~LIE~'
Eaves and Gutters no more than 2. feet in width and
no closer than 5 feet to a lot line (Easements).
lAIC and other equipment cannot encroach on interior
side vards, .
Standard
! Tree Preservation:~ FAILS I COMPLIES
. T ota1 caliper inches
I. Can remove 25 % of total
I. Caliper Inches Removed
I. Caliper Inches Preserved
I. Replacement
Standard
I'd
L:\TEMPLATEIBLDGLIST,DOC
NO
Pro~osed
z..S
PtiA~~.
,,'"^ s...t,& ~.
.,
Nfl,..!€'
y)u.o
N~
N~.
I P.aA ~~~
Proposed
~cnJc.
~N~
Proposed
, .
, .
.s=--
Driveway: NA 1 FAILS ~COMPLIE;S>-
. Maximum width at property line
. Required setback
. Maximum slope
. All parking areas to be paved including R-V or
spaces adjacent to the garage
I. Location to match Subdivision grading plan
_ r---...
I Building Height:...cOMPLIES'1 FAILS
I Shoreland District:~FAILS 1 COMPLIES
Millimum lot area (square feet)
I Minimum lot width
I Shoreland alterations
I hnpervious surface
Bluff in Shoreland: ~I FAILS 1 COMPLIES
. Setback from top of bluff
I. Bluff impact zone
I. Enl!;ineerinl!; certification submitted/approved
I. Gradinl!; in bluff or bluff impact zone
Floodplain(~A)1 FAILS 1 COMPLIES
. 100 y~ood elevation
.
Lowest floor elevation
.
Proposed lowest floor elevation
I'
I .
Elevations 15 feet from structure
Road access must be no more than 2 feet below
Rej!;Ulatorv Flood Protection Elevation
, Accessory Structure:~1 )' FAILS 1 COMPLIES
I. Size U
I. Not located in front yard (Materials)
I. Side vard and rear yard setbacks
I. ~'::IV~1"UJJ.Tr1 J."'''ln-h-t
I Comoatible Materials
L:\TEMPLA TEIBLDGLIST.DOC
Standard
24'
5' from side lot line
30' from R-O-W on corner
lots
10%
35' Maximum
Standard
7,500 Rip, 7,999 Non-rip
50' Rip, 57.3' Non-rip
30% Maximum
Standard
30' setback from slope less
than 18%
20' From Top of Bluff
By City Engineer
No importing/exporting
Standard
908_9 Prior Lake
914.4 Sprinl!; Lake
909,9 Prior Lake 1
915.4 Sprinl!; Lake
Must be I foot 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
higher
907.9 for Prior Lake
913.4 for Spring Lake
Standard
832 sq,ft, 1 25% rear yard
10'
1,'
ProJ.losed
20'~
~
'-/.~ '10
j\JO~e
trh.-
?'-f I
Proposed
Proposed
Proposed
Proposed
I
I
I
"
.,...... --. .
, ,
*Perrnitll
'JobAddl.-' 3"'~WLI.n O~.\( <
........ IL. ~ ~tJ lJ A.c.,
.,... ,; IIII I I.
fIlll!lncII
IIaIl .....
"000 uno
,
r , ""
....- .i."-.-.......
-obt.#'~ ........CiO ..e-
-0, f'D ....... ,~
,... -I ,I", .
..