HomeMy WebLinkAboutBuilding Permit 14. 1091 1Y:. :_ .:.1, 1,x,. Y,L,,.. .1,_.I,:1?':: _2r11. _.I i1.ill'E , .IL:',' : ,4i _ _. .i _.r.. _.
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CITY OF PRIOR LAKE
Prjaarfttirnf of Pitilbillg jittsprctiott
Final Permitted E ConditionalC.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 construction or use. For the following:
7/Use Classification 5/1\16/"6/ L if-7-4X11 I�---� 4- /0 Bldg.Permit No. ^1i
Occupancy Type Type Construction Zoning District / J Ix
Legal Description / &./ f, /1�L t1/ /i 6F-- .......'"7-11-4 / J 1(
/ /I 0 5/ t)V /36 pp ' "h ^X
Owner of Building Site Address �l� � ;�
Contractor's Name&Address ,, f t�/-)P �� C.,../e...&---.6le.-.. .r
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K /6�/%J:/L i) /-/o/�1L/A .> City Planner
Building Official ,' ..,
y� Date: i' i l L- Date:
POST IN CONSPICUOUS PLACE
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
tri
6:e. :sy
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /� [
U .J l �, r"
AND UTILITY CONNECTION PERMIT
1.White File PERMIT NO.
//�
3. Pink City / /
(Please type or print and sign at bottom) 3.Yellow Applicant ( (��
ADDRESS ZONING(office use)
14/to 5,4a4 6c1i 12-I've, /N/ .
LEGAL DESCRIPTION(office use only)
LOT CO BLOCK / ADDITION /4/74 rJ-
OWNER
(Name) (Phone)
(Address)
BUILDER C(Company Name) (c)) Ceeek— LC.— (Phone) 92.—�0��—ce5t
II
(Contact Name) War' 1.51e- (Phone)
(Address) /#y'53 Crgit C e A J /7;0' ,,-L&� J 537
TYPE OF WORK' New Construction ['Deck ['Porch ORe-Roofing ORe-Siding ['Lower Level Finish 0 Fireplace
OAddition ['Alteration ['Utility Connection
CODE: .R.C. QI.B.C. 0 Misc:
Type of C nstruction: I II III IV V AB
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 10G- v"
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished informatio• n 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 p."- d that all co. 1 'on will c. to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revok • •'two just caus/! ern. ereby agree that the city official or a desigts a may enter upon the property to perform needed insycations.
X �� 15 3 ./`s /gr
jr- Si 17ture Contractor's License No. Date
Permit Valuation C°`.)t ont. Park Support Fee # $
Permit Fee $
43?zA33-S--(:`)
—.-a SAC # $
Plan Check Fee $ p`�'�t •��'��CJ 6/L/(1/, 7, Water Meter Size 5/8', $
State Surcharge $ ``jY C-" C (>
�, CO Pressure Reducer $
Penalty $ _, /5-6,. f'(:,
Sewer/Water Connection Fee # $ /.Cit-P C yf/
Plumbing Permit Fee $ —� ALJ Water Tower Fee
l f # $ x)00 >l,?
, Mechanical Permit Fee $ / �..i- T O Builder's Deposit $ ,T,
Sewer&Water Permit Fee $ E� Other $
Gas Fireplace Permit Fee $ "7-11/ -
. F J TOTAL DUE tiellAi09 I 0•ti).1 ` $ ,•W`J/3' r ,T
This Appfi Q..Beco Y.. Building Permit When Approv d Paid /Z £7,� Zd" cei No. #6,/
I� ,� - Date ,. �c. i.,(
A'. • ,il't /a 2 /
Bui Ting Official s_ Dat
This is to certify the requ- t in the...ove application and accompanying d ents' m accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by i PI... con tes. tempoigry Certificate of Zoning co plia and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issuePlanning t r- tor 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 Constr ction for Single or Two-family Dwellings i R-1 r R-2 Districts
Reviewed by: 4,4-.1 / Date:
Building Permit# P : , Zoning: g ( , •�
Address:4 , S." 41)
4- ) , 61V-4A--
1�
Legal: L , B `Subdivision:
•
Existing Structure? YES/NO Existing Nonconforming Structure? YES I NO
CONFORMS TO ZONING Cif S NO
ORDINANCE
Yard Setbacks: NAI FAILS/CO 0 Standard Proposed
• Front Yard(can be 20'if avg. i in 1501 25' 2 S--,d
• Side Yards 10'!
25'if abutting a street C 5
( 5
• 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' 6'er‹Z
• 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
less than 50'
Floor Area Ratio: NA/FAILS/CO '. I .30 Maximum I - , /1'
Yard Encroachments: 'NA/FAILS IES 1 Standard Proposed I
Eaves and Gutters no more 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 NA/ AILS/COMPLIES Standard Proposed I
• Total caliper i;the
• Permit 35% '- oval
• Caliper Inch-s Removed
• Caliper Inches Preserved
• Replacement 1/:1
L:\TEMPLATE\BLDGLIST.DOC
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White - Building
Canary -Engineering
`f'^nxsso'o' Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT r �'/e de&�< L teL___
APPLICATION RECEIVED L. /3 b / V
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
o e2 N Be----xr 2,o e/6-
410g / -
Accepted ✓ Accepted With Corrections
Denied
B : Aii; Date: t I/, ( '
Reviewed y
Comments:
I - Gr-cx. 6)—qS tcf,--1 - $0114-o T ( -J
‹ri2t5 4F----- /9-6 -- 1 r."'Icf5"
(mss/oil-o7)Les(
s--; Ccj J/if7%
4144-,"u5 0 10_)-- X.5--4,,,,66 g, Cc7
/L,Ak..„-AfeL9_„,/, 4.),..5-707—.
/
"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."
— T
oya, , ,
tib" ll",
..,
White -Building
• W Canary -Engineering
•. Pink -Planning
BUILDING PERMIT APPLICATION QEPARTMENT CHE . LIST
c \
NAME OF APPLICANT �/� �� ` . L---
APPLICATION RECEIVED 1• /3 v4 \,,\ L / / '' 7 J
The Building, Engineering, and Planning Departments have\reviewed the bui di g s it
} application for construction activity which is proposed at: 01
(4 l 50 �j i9rX A/el `fir i.. 6,'�°
Accepted , ,f f t7 Accepted With Corrections P, 304. 3
T- ----not, 1 • , , kea 00
• Deriiied
•
Reviewed By: Date: ( A
2 1 gl t0
Comments: )b17 i
- , 7 yiiii .
.44 /75.66)• Des
2 2- --33°/6,,, ?fid
'
di - k) 4 '
( t-.0 ''
, i, i t ..c ,,� 7
, - th, r
( , )_J. I) r $'r
4{0o, ` ..
"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!authQrity to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
I
L ;
0. PR/04,
White -Building
Mw�B � Canary -Engineering
Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT L�
APPLICATION RECEIVED /3 / 7
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Qfib/ 29cX A / /E
Accepted X Accepted With Corrections
Denied
Reviewed By: AI* Date: D-3-1/
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Standards
"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."
I
INNEso
Date Rec'd
CITY OF PRIOR LAKE a Z( -SEWER AND WATER PERMIT
1. Cello Fite PERMIT NO. 14 • I I
2. Yellow City
3. Gold Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
1 (dL50 5t )' 3e Pig .
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
(Address) (City) (Zip Code)
APPLICANT
(Name) it)I CG /
� ,�^ �
A So- + (Phone) �/_S — N 1is- 2 'V
�-y� 1
(Address) \ 1 U a e c rL \---JQr-;u r to -e—/ i A AI �,K DA
(Address) (City) (Zip Code)
(Contact Person) �,r =�'te"^'SK. (Phone)
APPLICANT SIGNATURE s DATE /O 'c f
a
PPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. ❑ ABC ❑ PVC ❑ Cast Iron
Estimated length of sewer line 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 Minnesota Statutes§32611.141
STATE SURCHARGE $ "SURCHARGE"has been extended
TOTAL PERMIT FEE $ The minimum surcharge for a
"fixed fee"permit is$5.00
(Office Use Only) ,
This Application Becomes Your Building Permit When Approved Paid ,—Receipt No.
Date SWM By 1' jo 111
Buildinu Official Date v
24 hour notice for all inspections(952)447-9850,fax(: t'7-42'
4646 Dakota Street S.E.,Prior Lake,Minnesota 2
A,°1 V RI0 Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT /d. fr
2.1.BI�ed Filtye PERMIT NO. `4. /097
GotCi
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
/// o ,.0 .k leU ci cl(
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
APPLICANT
(Name) Lie -c 140 /4 b 1' ( — (Phone) 47 Z 2 7o — Cr?4_
(Address) PO, &7( 1257 e CX' te4P1.C_ 5"‹3 7
(Address) (City) (Zip Code)
(Contact Person) J2? — (Phone) lZ - Z 7.a — S ' Z
APPLICANT SIGNATURE 1-6"--(--- DATE ��/ e671/e7"
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Z.. Bath Tub with or without shower Rough-ins
1 Dishwasher j Water Heater
I Floor Drain Water Softener
Lavatory(Bathroom Sink) Stand Pipe(Washing Machine)
i' Laundry Tray(1 or 2 compartment sink Sewage Ejector
/ Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
—3 Water Closet(Toilet) Other
FEE SCHEDULE
Industrial,Commercial&Multi-family 1%of job cost with a$49.50 minimum Residential,New One&Two-Family $149.50
The Minnesota Statutes§32613.148 Residential,Additions&Alterations $49.50
"SURCHARGE"has been extended
$
The minimum surcharge for a Building Permit# A ID
"fixed fee"permit is$5.00 PLUMBING PERMIT FEE $
STATE SURCHARGE $ .50 -1-3 uu)
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid ' ceipt N.
Date
Buildinn Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
o.t VRJO�P
�+ Builders Deposit
izj
iNNESt�A 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: 6-13 pi
SITE ADDRESS: / 4/ 3o5-11/14 & '( Pr. //L PERMIT# /4- - /o% /
REFUND TO BE MAILED TO: COPPER CREEK,tic'
14198 COMMERCE AVE NE#500 AUTH S RIZATION TO RELEASE
Px1uRLAKE,MN5D3/2
j,l &'z,sac�_CO
Lynda :Allen Building Services Amount
f
10.•2 i.( Acct.801.20204
Date
PLEASE REMEMBER - _ _
AUTHORIZATION TO RELEASE
1. KEEP STREETS CLEAN DURING CONSTRUCTION
2. KEEP EROSION CONTROL IN PLACE
Larry Poppler, City Engineer
3. TEMPORARY OCC ' . CY PERMI 'ST NO EXPIRE OR $500.00 WILL BE FORFEITED
All
SIGNATURE: ,a/1----- / �,d ,
.4 PRIOR LAKE STATE BANK 020288
LAKESIDE TITLE, INC. Prior Lake,MN 55372
lI 1 CLOSING TRUST ACCOUNT 75-905/919
��r' _• 8160 W.COUNTY ROAD 42 SUITE#300-307 BRANCH 1
a ` SAVAGE,MN 55378 14180 SHADY BEACH
9
DATE AMOUNT
October 6, 2014 $ *****12,513.28
PAY —Twelve Thousand Five Hundred Thirteen and 28/100---- ------------------------------------ Dollars
TO THE City of Prior Lake 1 h
404111111111P
ORDER Er
OF:
AUTHORI'ED SIGNATURE
III D2028811' 1:09L9090551: L.110 5 3 L 3.11 LII'
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ( 4.\gav� 14,44by .-R ,v-(5- . (•
NATURE OF WORK „i. I p 1�&C,� Ore_h
USE OF BUILDING /e, � vetke. 14 LLJ/�� $ /A-�
PERMIT NO. �/4-. /pg / / DATE1ISSUED ,a /27( ,'
CONTRACTOR( 7J ,c9 eree.A' GL C7___ PHONE' 52 j „F., 69
INSTALL EROSIO CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
FOOTING Q3 w Y i
FOUNDATION /r
(Prior To Backfill) � /'�,�"/
RADON RETARDER 1"�
PLACE NO CONCRETE UNTIL ABOVE KAS BEEN SIGNED
ROUGH - INS
SEWER/WATER/SEPTIC ,e' /1409
FRAMING G,t, /J /5"(L)
INSULATION 10/1/
ELECTRICAL `
s
PLUMBING 1/s (� p V ls l0/3`! 4s'" eP (z (1-
HEATING
FIREPLACE Pt 1.3 bq
GAS LINE AIR TEST ,I y7466.
RADONp47,;,v6 k)6 / (s7,-/
COV R NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
HOUSEWRA 6 l,v
I
Amer
FINALS
GRADING ( PRIOR TOS DING)
BUILDING 616-
ELECTRICAL Luc_ et ,0,5--
`
PLUMBING., �11,4„v5 7b&,4„,, 46,,,_ 'r/� �xf' �.Cl: ..+�f,6i
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIG Di
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