HomeMy WebLinkAboutBldg Permit 04-0339
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please'!ype or print and sign at bottom)
ADDRESS
~i'l't tf>>~ AA
\
l~tJ~ ~
,
LEGAL DESCRIPTION (office use only)
LOT f3 BLOCK '1' ADDITION
I. White File
2. Pink City
J. Yellow Applicant
Date Rec'd
(j'--/~'i
I PERMITNO'o4.033Q I
I
ZOm;2Glfficeu,eJ
,114
1v~C.i)f ~h"'7V
OWNER ')0.... .
(Name) 1..I&bl"irtl,,n/- Ih~
(Address) I~!-~ V;~t J~);(
ttc-
~"
IpI
BUILDER
(Name)
(Contact Name)
(Address)
~~
TYPE OF WORK
~w Construction
DLower Level Finish
(Phone)
L2eN ,r,,)U. /11'1
(Phone)
(Phone)
DDeck
Dporch
ORe-Roofing
o Misc.
PROJECT COST IV ALUE (excluding land) $
o Fireplace
DAddition
DAlteration
r;;;;~o/ D7JtJ. DO
$ /cP'93.S-ol
$ /~ 30. 78.1
$ /2.0.CJO
$
$
$
$
$
/40.(){)
IOc.Do
35.50
L/ d . ()-IJ
This Application Becomes Your Building Permit When Approved
.3'~~m;ic~ -4/ ~l/()t/
~ vn.z"
Contractor's License No.
Park Support Fee
SAC
I Water Meter Size 5/8"(1 "j
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
"([(", 75~j, 1'15'"
L/-.-:J.q-{II.-I
,
pm.:],?)'"- L/oL/ - ()b"Y'O
1Jl,. J?1. 77.vr-
.rJ7~
ORe-Siding
DUtility Connection
';2 't'O,OOQ.O'D
#
#
#
#
~ '/7'0""
Date
$
$ /:?'S't?oc
$ ~ 00,00
$ 70.00
$ !z..O(). [JO
$ 700.00
$ /560.00
$
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
"~Ianni~ d/z~'/ ~ ~ondit;ons.~anY .
24 hour notice fur all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
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 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.
X ~Signature
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
1 Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
!.bYIA.MlO f'vl,otV $ f1J. r,:r1. 7fJ
I
I Receipt No. l.f" q 'is
Bv c....
IT?
6~~
~-AIf,--:""~
C CanaN - Enqineertng
Pink - Planning
Thlf C..n'..r of lh..l..-kr Counlry
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APP~ICANTl) (:::.~e V t) V~f \ Jl::-{:)
. J . .... /
APPLICATION RECEIVED i.j-j-()L,-/
. I
,4..--1-/''\ J,r/I..-__c
i ~/ C) II', (.:_)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'""""1 ~! l
l /. 1/ V r " I I" ('j 1'-1
:;; .; /'J. ,//",JJe:;{/ ,/ . ."\...
,
Accepted
.)(
Accepted With Corrections
Denied
Reviewed By:
M.;3
Date:
Lj-2/-0/
Comments: See Reverse Side for Arlrlitinnallnfnrm;:.tinnl
J)O'VLJ"rC,'I MIJ3 f h"Vl
L../r b B~
<; F"rd Il i 69//u (91/(/
See Attachments: 1) Graciing Plan. 2) Erosion Control Measures
"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,"
~1
White - Building
Canary - Engineering
~lnK - t"'18nmll!-l )
Thr Crnlt'rnf Ih..I..h Counlf,'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
j
/
"
, ,.1 .! ...~- ^
/
APPLICATION RECEIVED
;-L/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/"; / / >,~./,
/' 1'/'/ 1\.
,.
Accepted
Accepted With Corrections
/'
?
Denied
Reviewed By:
~fu
~~
^
~
~
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."
~~
~\yhitP- _ RllilrI~~
Canary - Engineering
Pink - Planning
Th~ (-..nl". Ilf lh.. L.k.. ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT J) -eeV b v'YXJK.e ~ 141c:S
APPLICATION RECEIVED L/ -/-oL/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: r1.... j
;:) /} 'i'cf- () /JaC/ar P6f-f\._
I
Accepted
Accepted With Corrections
.......-
Denied
Reviewed By:
~
K~
('
~
a-d ~~.
Date:
Lj'? ? /0 <(
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."
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
6. 1-,0 4-
(Please ~ or orint and siJm at bottom)
I ADDRESS
Z 7 48 U;c.J (j111r::-
plffJ7.1"
\ Gco," F.\. I PERMIT NO -rl
2_ Yellow City 'nA-
3_ Gold Applicant U'- .-
I ZONING(otliceu,e)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID Z5 10'1. (Cf3. ()
OWNER
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT \
(Name) C. 0 Q Q \('J <; ~v CJ.-W <\. \f" (Phone)
(Address) S; 0 6'(1 S. ~ D ~. V'~ C\- rY1 0 \A vJ
(Address)
(Contact Person) ~ V't ~
APPLICANT SIGNATURF CS1~_
CfS)...\{)LJ.J I \)
fV1 \i\- ~ S"~ laY
(City) (Zip Code)
(Phone) \;0 \ ~d. ~ 0 b').. )..,0
DATE <; -<f-o .<f
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
feet.
o Cast Iron
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
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
ffY
ptrlD V1[/Z-
gu J!/!/
Estimated Cost $
Building Permit #
C tf-. ()3'fJ
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Paid .--/
I Da~.4 ,d~
I Rece~ I
IBYA~I
.,
24 hour notice for all inspectiuns (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITlONINGIFIREPLACE PERMIT
Date Ree'd
CPle:ue ty'pl: or print and sil'll at bottDm)
ADDRESS
'd'lY<? ~ ~
: ~ ~~. I PERMIT NO. J -"-.. J 7l.Q
J. vdIow ^pplic:allt ., '-1 '
ZONING (olli", lIS.)
LEGAL DESCRlPTION (ollice: we ooIy)
LOT BLOCK
ADDITION
PID
OWNER
(Name)..DO,,^~ C'~n.;..~ (Phone) 9sd--~---n I ,
(Address) /rf3(/t'3 I~ ./JA.#/OS'. F~~ .Inn Ss:3<1'4'
---------- t J' ".
APPLI~NT. .
(NameY.L..rrNro.,..-t~JjaAQ..o 0 D:;;c^...l---- FP (phone) ,v,3._5-:7.1___;;;~;J~
V
(Adkss)?1:co. /9._9.fh'~.iJ)T;o/av .~ ;_/?7.n. _S<$'3/(" .
'(A~) ~ Q (City) (Zip Code)
(ContactPenon) kr,~ ~\'\~.0 (Phone) JL,,3-:57~-7~/~
APPLICANT SIGNATURE :;k;;~ ~~ - ~ DATE ~/g~/O'y
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT
FURNACE MAKE AND MODEL
FLUE SIZE RETUXN OPENINGS INPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
oWann Air Plants 0 Steam
DO-it)' 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Spocial De';c"
OVent. SyStem 0 Orher o.-.ic..
FlREPLACEMAKE AND MODEL -/I1.a.t"'~ - PV3CoOR.I'J
o ALTERATIONS
FUEL
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Serbaclcs
.
Industrial, Commcrcial&. Multi-Family
FEESClIEDULE
1% of job cosl R..idonual. Gas Fireplacc
$39.50 minimum
$99.50 Rosidential. Additions &- Alteration:;
$64.50 R..idmUal. AC Only
$39.50
Residontial, Hoilling &- AlC (New Construction)
Residontial. Heating Only (NoW Cons1Itlction)
$39.50
$39.50
Estimated Cost S Building Pennit #
HEA UNO PERMIT FEE S
STATE SURCHARGE S
TOTAL PERMIT FEE S
'~rrf~~.
i ~.
'.'~~...'
'-i~1ti'''~
.SO .1':10
(omce Use Only)
Bnildiag OIIicial
[~r~ ~ ~ G ~ [jceiPINO.
DOk ~,lj11te JUN 2 6 2004 \ ~J (' y
14 hour noli.. for aU L., __~.-"" (l/52) ~7-98 ~~f" (952) 4474145 7J
16200 Eagle Crook Avenue, Prior Lal ...MN 55372
I"r::.:
This Application Becomes Your Building Permit When App",>,td
Goonoo Il'1
Hooa a~VHV~ ~I~V~OLnV
66GL 9LS C9L XVd SC:60 to/GG/90
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~'Jl/I CDIMfA.Y;>"'H,
NATURE OF WORK U~.I") .
USE OF BUILDING ....c::;.F b
PERMIT NO. ~'1- 0339 DATE I SUEQ -
CONTRACTOR [)t!.~y'1 ~PHONE~-7'7VIi
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
OATE
I FOOTING ~ d""~.un~ f$.19J- oy
I FOUNDATION (Prior to Backfill) I n ~/E:.
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
;AC k- .J:'5,;> ROUGH - JNS
SEWER I WATER I SEPTIC t7' """ S'r2J
FRAMING bJ(' f/j) _
INSULATION tftff cs,-.-?J
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST "^ -. fP
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
'\. -
~ArHl/~l.rll"~ ST/AIEl rxzJ I
(~ U\A \'\''''\~~ Jil N A L S . ^ .
GRADING (Prior to Sodding) ~ \ . (V l.S
BUILDING'T~ ks l\ ..l-ol..{ V() rI fJ
-..J
ELECTRICAL
PLUMBING Wl..- m ~
HEATING ( 11
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.
(f'f)
tIP;
(fti'
C--j/
(O-C{~y /
~J!))~
r ,
FOR ALL INSPECTIONS (952) 447-9850
I
.J
CllY OF PRIOR LAKE r lZ/
INSPECTION NOTICE SCHEDULED ~
ADDRESS 77 <{g (bur fZ.-1:J..
TIME
OWNER
CONTR.
PHONE NO.
PERMIT NO.
C,f-33/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
b4INAl
'0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFllllNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
)}~~fAIR TST
COMMENTS:
6l~ cl~~~"C~,o
VWORKSATISFACTORV, PROCEED
1660RRECT ACTION AND PROCEED
o CORR T R, CALL OR REINSPECTION BEFORE COVERING
lnspecte :
Owner/Centr:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS :21ll9.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
SCHEDULED e-?t., ~'1
~c?~
CONTR.
PERMIT NO.
({ - 3~1
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~PLUMBING FINAL
,.. MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
.1. &turv. z~!I ~~. ~r-.:I.,; J')jQ(;lc
'7 .l\Jl~... C--i Gr~ TlJ'.>l
3. ~JI d-l~
T~
IbJ -0 l/
,
o WORK SATISFACTORY, PROCEED
o CORRECT TIO D PROCEED
.x;:OR CT W LL FOR REINSPECTION BEFORE COVERING
Ins ctor: Owner/Contr:
LL ~D FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & S.4.FETY!
INSNon
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
~
Reviewed by: ~ ~ Date: ffi~ y
Building Permit # PID: Zoning:
Address: cJ-7<t? ~ ~~
Legal: L /3 . B ~Subdivision: ~ ~
Existing Structure? YES~
CONFORMS TO ZONING
ORDINANCE
..
, Yard Setbacks: NA I FAILsrcOMPLlE.$>1
I 0 Front Yard (can be 20' if avq, w/in 150')
o Side Yards
10 Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in lenqth
I 0 Rear Yard
10 Patio Door: provide for minimum 10' deck or sign
statement indicatinq no deck will be built in the future
10 From 100 year flood elevation ofwetland/NURP
eond
o From OHW (Prior or Spring Lake)
, Floor Area Ratio: NA I FAILS ~MPLlEID
Yard Encroachments: NA I FAIL~PLlI;SY'
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line (Easements),
AlC and other equipment cannot encroach on interior
side yards.
, Tree Preservationf1Q".;YFAILSI COMPLIES
loT otai caliper inches
I 0 Permit 25'/0 Removal
I 0 Caliper Inches Removed
I 0 Caliper Inches Preserved
I 0 Replacement
L:lTEMPLA TEIBLDGLlST.DOC
Existing Nonconforming Structure? YES'@
YES
NO
Standard Pr~~osed
25' z<;<
10'1 I
25' if abutting a street 35.01p
10' setback + I
2"/1' over 50' !O
25' 6'-,~'
10' sidel
25' rear NA-
30'
IJA
75' or setback average of
adjacent structures, but no NA
less than 50'
,30 Maximum /4'.? "7"
Standard Proposed
No ,.JE
tJOrJ6
Standard
Proposed
%:1
Driveway: NA / FAILS(COMPLI~
. Maximum width at property line
. Required setback
. Maximum slope
. All parking areas to be paved including R-Vor
spaces adjacent to the garage
. Location to match subdivision grading plan
~ Building Height: (COMPUES) FAILS
~ Shoreland District: (fJA~ FAILS / COMPLIES
I Minimum lot area (square feet)
I Minimum lot width
I Shoreland alterations
I Impervious surface
Bluff in Shoreland(N.D?f FAILS / COMPLIES
. Setback from top of bluff
I. Bluff impact zone
I. Engineering certification submitted/approved
I. Grading in bluff or bluff impact zone
l Floodplain:iEJA3lFAILS / COMPLIES
I' 1 00 year flood elevation
I' Lowest floor elevation
.
Proposed lowest floor elevation
I'
I'
Elevations 15 feet from structure
Road access must be no more than 2 feet below
Regulatory Flood Protection Elevation
Accessory Structure(NPl'{ FAILS / COMPLIES
. Size -
I. Not located in front yard (Materials)
I. Side yard and rear yard setbacks
I. Maximum height
I. Materials compatible with principle structure
L:lTEMPLA TEIBLDGLIST.DOC
Standard
24'
5' from side lot line or (
\
30' from r-o-w on comer lots
10%
35' Maximum
Standard
7,500 Rip, 7,999 Non-rip
50' Rip, 57.3' Non-rip
30% Maximum
Standard
By planning depl.
20' From Top of Bluff
By City Engineer
No importing/exporting
Standard
908.9' Prior Lake
914.4' Spring Lake
909.9' Prior Lake /
915.4' Spring 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.
I Must be flood elevation or
higher
I 907.9' for Prior Lake
913.4' for Spring Lake
Standard
832 sq.ft. or 25% rear yard
10'
15'
Proposed
/'iT(
O~Sc:l'~
lo7~ I
I
I
tJo,JC
.....t..-
I 2.1f' ~
Proposed
Proposed
Proposed
Proposed