HomeMy WebLinkAboutBuilding Permit 15. 0755 CITY OF PRIOR LAKE
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',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:
t S/A. (,..•6' f ti'/L_- Bldg.Permit No. 75. 7" -";
Use Classification
Occupancy Type Type Construction Zoning District
4 .1.; Erb G,�.LC at e ^.s
Legal Description 7/,
Owner of Building Site Address
54673 SAJJL.L_ c`_!-s.E" :
Contractor's Name&Address � - ���� -
>1`
1�.eg'62 -T!/- / /(tel // J City Planner
Building Official _'
Date: ti` \1'' •'\1 Date:
F = POST IN CONSPICUOUS PLACE
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OF PR/Q� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
0TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
tv AND UTILITY CONNECTION PERMIT (0, // (S
f4]VESO�rI. White Fite
2. Pink City /5: 75S
PERMIT NO.
/n
lll(((��� 3 Yellow Applicant
(Please type or print3nQ si at boom)
ADDRESS / � � Smja
Z i�G(office use)
LCA/ Coo\,r
SE
LEGAL DESCRIPTION(office use only)
LOTq BLOCK ,C ADDITION fay(e C l\O 2 �cf PID Gr�"b-00Q 006510
OWNER
(Name) 1-Dr t,Z l// _� (Phone) 4.)�! ,0 --Cc2�
(�J V
(Address) 1�7 (faa- V iVe . cc too I �i tI A(v csiq
BUILDER "AP' stOKOS ( ) f 5d\ 1 Li-SS2.
(Company Name) Phone
(Contact Name)s� R4rer3, /r' (/� (C) (Phone)
c7 c(Address) ' �� .. (U3 (Y lrQ S?jy
TYPE OF WORK iI New Construction ❑Deck ❑Porch [Me-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace
i■ ddition ❑Alteration ❑Utility Connection
CODE: I.R.C. ❑I.B.C. 0 Misc.
Type of Construction: I II III IV V A B n ,fj�
Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ 2- 10, d(�'
(excluding land)
Division: 1 2 3 4 5
I 1 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 revok is permit for Just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X 7t0 6s5( 6-g-:JC
Signature Contractor's icense No. Date
Permit Valuation ,ogg/t) d®a• — Park Support Fee # $
Permit Fee $ �7!! /vv 73. CO SAC # $��/s 49 c
Plan Check Fee $ !/ Li
)"r 5; '7(c7 Water Meter Size /8 ; I"; $ y70D, L o
State Surcharge $ /q5--too/ Pressure Reducer $ /5-0. D6
Penalty
Penalty $ Sewer/Water Connection Fee # $ !/Soo-w
24
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ / Builder's Deposit $ � 504 0
Sewer&Water Permit Fee $ ¢., Other $
Gas Fireplace Permit Fee $ - TOTALD 7 2.../3-- $
This App i y do I ecomesYour Building Permit en ••pproved Paid /Z/3 U Rece' Zj�r
Atilf 1 . -� Date •7 760../s BY
oil rig I.-•••I , Dat
This is to certify hat the request in the above application a accompanying docu •nts.in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed' Ie C,Planner constitutes a temporary Certificate of Zoning co r.lia'ce and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
Planning Director •sat- Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake,MN 55372
. YRIO
6C)
White -Building
Canary -Engineering
' se' Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ,4 �
APPLICATION RECEIVED ` l/.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
S-2/6". SS . 69/,!//t - s
Accepted c/ Accepted With Corrections
Denied ,
Reviewed By: Ala& Date: C
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."
O� YR.Ip+i'
White -Building
Canary -Engineering
*A/N ee' Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT C1.864—
L�
APPLICATION RECEIVED 6 ` "/` /S
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted Accepted With Corrections
Denied
Reviewed By: Date: ;G
4_,5--
Comments: n I
(, �YnUi� n 2 ilk —p
WI 0 F t't CO-A5'140
2. ri 515
"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."
?Rio*
O
ti
c� White -Building
Canary -Engineering
aftiNgse Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/4/021L----
APPLICATION
APPLICATION RECEIVED //- /S"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted )\ Accepted With Corrections
Denied
Reviewed By: frA9 Date:
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."
Residential Building Permit Checklist
New Construction for Single.kr Two-family Dwellings in 1 or -2 Districts
Reviewed by: ' 1�., Qzte. -t i
Building Permit it PID:_._ _, Zoning:
Address:
5+ Cr,
Legal:L , B Subdivision:
Existing Structure? YES/ Existing Nonconforming Structure? YES/NO
CONFORMS TO ZONING ' NO
ORDINANCE
Yard Setbacks: NA1 FAILS/C•;g ES .I Standard I Proposed I
• Front Yard (can be 20'if avg.. ! in 150') 25' �-
• • Side Yards 10'/
25'if abutting a street ( .
• 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' '¢ ,SI
• 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'
'Zi fi I I 1 >/•z, z
Floor Area Ratio: NA/FAILS/CIES .30 Maximum I �-
Yard Encroachments:( FAILS/COMPLIES Standard I Proposed
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line(Easements). -
NC and other equipment cannot encroach on interior
side yards.
Tree Preservation: f FAILS/COMPLIES I Standard Proposed
• Total caliper inches
• Permit 35%Removal
• Caliper Inches Removed
• Caliper Inches Preserved
• Replacement 1/:1
L:\TEMPLATE\BLDGLIST.DOC
Date Rec'd
,R7-04---,,,,
CITY OF PRIOR LAKE
(,. SEWER AND WATER PERMIT 7 /7- f
h,�*NES� &maPERMIT NO.
7 rc„nw C.,Y
7. Gold Applicem
(Please type or print and siGn at bottom) ZONING(office use)
ADDRESS
614 1p) e-11 Ci
LEGAL DESCRIPTION(office use only)
LOT Li BLOCK 11 ADDITION eC).f}L. X- PID.1.75-•500-• 4955:-.0
OWNER (Phone) Sa ` rJ;Z)
(Name)
(Address) Lia ...)- 6-0- G `, 'Qoks,... sc ?)
(Address) (City)
(Zip Code)APPLICANT 952/890-4241
(Name) STOCKER EXCAVATING COMPANY, INC. (Phone)
(Address) 12336 Boone Avenue Savage, MN 55378
(Address)
(City) (Zip Code)
Curt same
(Contact Person) (Phone)
ifrirTAVIPP-
i - DATE 71/(0�1'�
APPLICANT SIGNATUR s /
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. [ 1 ABC I 1 PVC Cast Iron
Estimated length of sewer tine feet.
Clean out(if required) located at feet from structure.
tj
FEE SCHEDULE
Residential sewer and water line connection 535.50 Industrial,Com'l&Multi-family 1%of job cost with a$39.50 minimum
Sewer connection only S17.50 Water connection only $17-50
Estimated Cost $ Building Permit#
SEWER AND WATER PERMIT FEE $— -�
STATE SURCHARGE S
TOTAL PERMIT FEE $ "� �. `' r4 PFI `
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
•
Date : a- r,y-
Building Offcisl Date F-14rto_
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
I
5Fp
i
g
Aily,R/04p
Date Rec'd
\r\ \\,-. CITY OF PRIOR LAKE PLUMBING PERMIT
, ‘. "
I Blue FliC
PERMIT NO. 15.
1 (s .
2 Gold Oty
3 Yellow ApplIcant
(Please type or print and sign at bottom)
ADDRESS
ZONING(office use)
c. _ ---
.
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PTD I
OWNER
(Name) Co 1-2 o NNN-st-3 (Phone) 'A 5D--Llt-1 d -C c
(Address)
APPLICANT(-) r
(Name) r C e--\ .c-4-c <-.3 P) ,-.) v---.6 :/-\--,,, -T
/ r-%(.- (Phone) Ica.-
(Address) Cz,Li 0 0 H :\ '....\ 13 0 1.‘''',4."‘".. 1%,-----: \ P(--:0(-- L
(Addss) (City) (Zip Code)
(Contact Person) ) ,..--, C.......A 0,_,- 1--‘. (Phone) (,, ‘ )-.- L-te3
APPLICANT SIGNATURE .----- i DATE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
a Bath Tub with or without shower Rough-ins
i Dishwasher i Water Heater
1 Floor Drain Water Softener
(.2 Lavatory(Bathroom Sink) I Stand Pipe(Washing Machine)
,) Laundry Tray(1 or 2 compartment sink Sewage Ejector
a Shower Stall 1 Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink I Lawn Sprinkler
H Water Closet(Toilet) Other
FEE SCHEDULE
Industrial,Commercial&Multi-family I%ofjob cost with a$49.50 minimum Residential,New One&Two-Family $149.50
Residential,Additions&Alterations $49.50
Estimated Cost $ Building Permit#
e q., 8,
PLUMBING PERMIT FEE $
STATE SURCHARGE $ $1 ,,,,,,
.00
TOTAL PERMIT FEE $ iel,
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt Net/,
Date By
Buildine Official Date
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E,Prior Lake,Minnesota 55372
P
O1 RtO4'
Builders Deposit
U
sO City of Prior Lake
A $2,500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposit is issued as security'tinsure
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 oft -
Prior Lake as outlined in the Erosion Control Measures for Building Contractors handout. r
DATE: 1/�, 61 tiSITE ADDRESS: V S i` c _ J' PERM! # 15,7
REFUND TO BE MAILED TO: 1 f(7 L ..-
i 4 Ce ct-rr Vii . ./c)(,)
1-Z70YR U(,111) . AAILI — S. IAV
PLEASE REMEMBER
1. KEEP STREETS CLEAN DURING CONSTRUCTION (For City Office Use Only)
2. KEEP EROSION CONTROL IN PLACE Date i mount
3. TEMPORARY OCCUPANCY PERMIT MUST NOT
EXPIRE OR ONE-THIRD MAY BE FORFEITED
Lynda Allen
Building Svcs.
(‘ A . .(.../1.....Y
SIGNATURE:
THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER AND ORIGINAL DOCUMENT SECURITY SCWITH PADLOCK SECURITY ICON
REEN ON BACK .
Topaz,LLC —
Real Estate Lot Account KleinBank
14750 Cedar Ave.S Ste.100 rJ $
Apple Valley,MN 55124
.052=953-4000
7/16/2015
AY.
Tf#E
DER oK CITY OF PRIOR LAKE
012;303.28 o
*** * ******** ****�r
Twelve Thousand Three Hundred Three and 28/100 *� �** ** *�,�* * ** ,**#******* * **
CITY OF PRIOR LAKE _ p
CO
DOLLARS
4646 DAKOTA STREET SE.
8
11MTo PRIOR LAKE MN 55372 MOW
7Zt.T" D ,IGNATUR6
10015489v 1:0919 & 56541: 00032137540
J:IFORMSIBUILDERS DEPOSIT FORM.DOC
-c).1 ( 11-.3 6
PRIOR LAKE ,BD Eu O
BUILPADINGTMEAND INF
SPECTION
INSPECTION RECORD
SITE ADDRESS AP 4 Z ee
..rsi.
NATURE OF WORK P 4 ,, �,: __., i /4b 6r
Cil
USE OF BUILDING ! _ ,' ' �' /, 1' "/ 1---1-:Fir)
PERMIT NO. 4 DAT', SSUED
CONTRACTO' f . PHONE cI. 2- 4 F_63.2 D__
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
FOOTING
FOUNDATION (Prior To Backfill) , g 2-1 c
RADON RETARDER
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGN D
• ROUGH - INS
SEWER/WATER/SEPTIC
FRAMING _ ,k ' L-5--
INSULATION
_INSULATION
bLL__ ct NI ( in--
ELECTRICAL
PLUMBING Cl ( (,
HEATING
FIREPLACEq i,
GAS LINE AIR TEST
RADON MOM PaSt AIC 'z'`-c_ q \' 1
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
HOUSEWRAP LATH
/ACT-S0-1(og-. 6c1P5)'-r iS,4 FINALS
GRADING ( PRIOR TO SODDING) k ‘17,3(1c,
BUILDING _ so( ( - :t I
ELECTRICAL 1 (
PLUMBING
HEATING . ,\•(__, �
C-., k - 1 115---.
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