HomeMy WebLinkAboutBldg Permit 04-1004 & 04-1213
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
O~ PRIO",
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(Please type orivnnt and sign at bottom)
ADDRESS
1~5'6z R~
OAks
LEGAL DIlSCRlP1j9f'} (office u~
LOT 1..../ ~O~ 'jf AmTION
OWNER
(Name)
Si~Vt:
(Address)
l~?
BUILDER'
(Company Name)
(Contact Name)
ItD
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Date Rec' d
FJ~ 021o-() Lj
I PERMIT NO. 0 4-. 16 0 4- I
I. White
2 Pink
J Yellow
File
City
Applkant
7 VA, 6,
6A.} 5>
ZONING (office use)
If/ s.f)
PID,-1!j"-eJ'/;l,-OO;Z-/
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s: I\Jb 1,',J~ e. fZ
~Ir~ 1<0,",,""
(Phone)
'1;;.2- ffrn - B17~
ttON'\~.s (Phone) "lSa.-</L.p- ~-2.S7
l'J,,/>..c::,t / t"~(L Sf.q-/tl:JtI (Phone) '(t>rA. -L/Y7 ,~a.87
L-DNlM r'rLc.E"' 4;;- All!. <(u, 4.- 600
l$Ald::eN
RclAtJ
,LlD,{)
(Address)
TYPE OF WORK D)'Jew Construction DDeck DPorch ORe-Roofing
ISAddihon DAlteration DUtihty ConnectiOn 0 Misc.
CODE: ~IrR.C. OI.B.C.
Type of r.;n~ction: I II III IV V A B
Occupancy <liroup: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding DLower Level Finish
PROJECT COST IV ALUE $
(exdnding land)
o Fireplace
~OOIOOO
"
I hereby entiry dhat I have furnished information on this applieat which is to the best of my knowledge true and correct I also certify that I am the owner or author\2:cd agent for the
above-mentlOne~ property and that aU construction wilJ con allpisting state and local laws .and wiU proceed in accordance with submitted plans_ I am aware that the buildmg
:fi"" '"0 '"'0 '~"t~u" ne ~~t the nty offici" m, j':;;~7 eot" opoo the property to p"fmm O"d:;;Z:~sI
- Signatu~ - . Contract'or's License No. ' I7G"te
Permit Valuation
Permit Fee
Plan Check fee
State Surcharge
Penalty
Plumbing P~rmit Fee A _ orI.
, un"'" .
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplaqe Permit Fee
~/ZO,OOO.(JO I
$ II 73.50 I
$ 7~ Z. 78 I
$ -(00.00 I
$ I
$ 4J.tJ-o I
$ I
$ I
$ I
This Application Becomes Your Building Permit When Approved
~~
Buildin!!.Otlicial
9/~;'o/
. Date
$
$
$
$
$
$
$
$
IOS.04-- $,2., 030. 2.~
I ,:::"1" 7 fw , /
Park Support Fee
SAC
#
#
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
i~, ~.' ~~'o(L1lol../
.. Planning Director~' Special Conditions, if any
24 hour notice for ail inspections (952) 447-9850, fax (952) 447~4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
Builder's Deposit
Other
#
TOTAL DUE
tJ\'1.A.e 0
./
Paid 7(IJ~ _ M
Date /ll -; l/4--
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R.1 or R.2 Districts
REjviewed bCt;).
, ._~~
i
B~i1ding Permit #
A~dress :
L~gal: L 4/G . B
I
qisting Structure? ~I NO
~
PID:
Date: q/ J
. ,....., (('I-SO
.;>.S - 01"'2-00'2.-/ Zoning: ~l-S'O
Subdivision: fG.J a:.Je-.
,j,."-
Existing Nonconforming Structure? ~ _
dON FORMS TO ZONING
C RDINANCE
YES
! Yfrd Setbacks: NA ~AILS/)::OMPLIES
-; Front Yard (can b6"2O'if avq. w/in 150')
- Side Yards
Standard
25'
10'1
25' if abutting a street
I -. Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in lenqth
I -: Rear Yard
I- , Patio Door: provide for minimum 10' deck or sign
statement indicatinq no deck wilr be Dullt in the future
I- From 100 year flood elevation ofwetlandlNURP
pond
_: From OHW (Prior or Spring Lake)
10' setback +
2"11' over 50'
25'
10' sidel
25' rear
30'
75' or setback average of
adjacent structures, but no
[ess than 50'
'FloorAreaRatio: NA(FAILStI..~
JO Maximum
---
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Proposed - _'r' !
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f'ltA:;';'~'
NO" &~
4, ...,. :lop. l
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'I m! Encroachments: NA ( FAILS (COMPLIES
.E aves aod Guttel'SOQ\ mare than 2 feet ifT widlli and': no
C oser tfian 5' feet ta a rot line (Easemimts).
Nc:.andotlter:equipmeot cannpt eocroacfl'on ioterior
~ ide yards;, ".-; ;
Prnpo~~..v'~1~~'"
or- . I, I _ _ ',-
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Stand'ard:
f tree presel'VatiiJrT:NA~AILS ~OMPt..lES
t. Tptatcaliperinches .
I. Permit25% Removal
I ~ CallperJnches. Removed
. ~ Caliper inches Preserved
I. Reolacement
Sfandard:
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L:'TE?v!PLA TE\BLDGUST .DOC
,- P\'oposed?'(~'
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White - Building
Canary - Engineering
Gi.l"k - Plann~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N,lME OF APPLICANT
A~PLlCATION RECEIVED
,
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T~e Building, Engineering, and Planning Departments have reviewed the building permit
ariPlication for construction activity which is proposed at:
/ / r :~, _ /, / / i . j/;- I I
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AI :cepted
Accepted With Corrections
Dmied
i
RhiewedBy: ~"Y1.~
Date:
tf /1 fe-<{
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C )mments:
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'The issuance or granting of a permit or approval of plans, specifications and
~omputations shall not be construed to be a permit for, or an approval of, any violation of
$ny 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
l>rdinances of the jurisdiction shall not be valid."
~~
w~~ . Building
C r::l Irv.. ~ngineertmz::,.
Pink . Planning
Th C"rnl"""f 111", t..'" Cuuntry
BUILDING PERMIT APPLICATION DEPARTMENT CHEC~
NAME OF APPLICANT
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
[application for construction activity which is prgposed at:
/ /-)C; ;) ,I - /" -~~l '<.c. Ii /,' 1/,-" {"( K:, ,_I
../ .J () ,-.'" c.- '-.J. ,_/';....,t._ _..-"" i \.\ 1....
)Accepted
i Denied
x
Accepted With Corrections
, Reviewed By:
IYfl-R
Date:
o/~ lilY)'1
! Comments: ~pp RpVprf;f! Sirle for Additional Information!
U2.luevJAV
('A.. tJNtJ. C'f.-c ~-()E;
2.4' o.:l- e,ot.0, +o~-g-
See Attachments: n Grading 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."
~.~
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'--:/
Thf (rnln 'if Ih"I.IIt.. COUIlI!")
~il" - Buildino-:,
tanary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N~ME OF APPLICANT
ARPLlCATION RECEIVED
6dYP~ ~ft7e.S
>?~ ;)J,;-o(j
Th~ Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, /55 t,}.- Red OcL~ RcL ,
,
Ac cepted
DFlnied
Accepted With Corrections
~
R ~viewed By:
~~
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Date:
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C Jmments:
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'!The issuance or granting of a permit or approval of plans, specifications and
~omputations shall not be construed to be a permit for, or an approval of, any violation of
lJ,ny 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
brdinances of the jurisdiction shall not be valid."
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
;~: ~:~ rPERMIT NO. t-l-,. - 0tJ,/ / I
J. Yellow Applicant / ( ~
q'lease ~ tr print and sign at bottom)
ADDRESS
JSS<r~ lieu QA-LS ~\._
ZONING (office use)
LOT
LEGAL r: ESCRIPTION (office use only)
PID
BLOCK
ADDITION
OWNER
(Name) (Phone)
(Address) V<; 5 <6~ -y.e ,\ Ci ft-t:. l2'c\
I
APPLICA~'I'Q.. _. -,.., /,. I"
(Name) , "1'Y-'S~:UU(:vl_...-r Utl'-t\?lcA.:J.
(Address) I 'd If <it! ~ 0 r1' -A-t Je_ J
. (Address)
(Contact Pdrson) _ CJ,H'':<:''~ II
APPLICA1j'T SIGNATURE _.lft~A ~l
. v
Quantit)[
:2
I
4
I
I
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)....
:[i,C- (Phone) %~) - <7S~-Oio:>W
.1,.) t0cu-'1 pL(y' Jb <;.>55)
(City) (Zip Code)
(Phone) 9:5d . ;)<1:::> '. >i's4'
DATE /,;;) / tL / c~l
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture I Quantity
Bath Tub with or without shower
Dishwasher
I Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compartment sink
Shower Stall
I Sinks
I Bar Sink
Water Closet (Toilet)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, qommercial & Multi-family 1 % of job cost with a $39.50 minimum
Residential. New Ooe & Two-Family $99.50
Residential. Additions & Alterations $39.50
Estimated Cost $
Building Penn it #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$ .50
$ . voW
I Paid b~ f) Receipt No.
(Office Use Onlri
This Appli~ation Becomes Your Building Permit When Approved
Building Official
I Date I'd- -(; - OlJ..
~---
Date
24 hour notiee for aUln,peelinns (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONING/FIREPLACE PERMIT
Date Rec'd
12f01-
h(..~ /~ 04-jLI(l4-
i~" ~::y fPERMIT NO. 0+ / 2 /~3 I
3_ Yellow A.ppllcant .
(Please !"Ee or ,riot and sign at bottom)
ADDRESS'
/ ~ ,,-c- 2 12--'-:;0 c'/tl<'-d
5-~-o' - -~
jC--O
LEGAL DE~CRIPTION (office use only)
LOT
BloCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
ZONING (office use)
,X:. IJ 0
PID Z)~ () 4-2. {'C 2 I
APPLICANT 11
(Name)--LJ-I-l R +- ~ 1-kA-i'n _ (Phone) ~ I "L - C41 <t..-lf:1L.. '7
(Address) _I p, IT\ "2::n-.,\~ 7~ cj- L Ail",? Ile ~'f<J
(Address) (City) (Zip Code)
(ContactPefson) CtJ..r-r (Phone) (..,''2 -t:!,)O,-U3b7
APPLlCAlfTSIGNATURE _(?,~,,_Jc_lA-- DATE / .+--7-6'-1
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE. RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
DWarm Air Plants
DGravity
o Mechanical
OAir Conditioning
DVent. System
I F\REPLACp ~E AND MODEL Z~
Industrial, C~mmercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential. AC Only
Building Permit # 04. /2 / J
Residential, t-Ieating & Ale (New Construction)
Residential, l-Ieating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
3 tJ 5D
.50
4--O.DO
(Office Use dnly)
This Application Becomes Your Boilding Permit Wben Approved
.Paid 1_ .
'{'L' . ~ '(..I
Building Official
Date
.Date iz .7- .' 1-
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
I Receipt NO>1 t".7!3 (0 I
I By jUP____ j
INSPECTION RECORD
, -~
~~EU~tD;FE~~RK - ~.J;p
USE Oft BUILDING .sJ.L:1). ~.
PERMit NO. ~~:,OO 4-: DATE ISSUED .fKZOfot' .
CONT~ACTOR ~'EK II'wt&S PHONE~""'7~'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPE~ )R /l DATE
I FOOTlNG )( nf/ ICY lAo'll\'\ I
I FOUNDATION (Prior to Backfill) I 'V'V)/ I It V )..1\JU\ 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UGH - INS
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Y$ /-Y'V
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lid
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
'UlrtfL/II'l".nF~ I m? I !.I-IS.:' DJ'
. FINALS
.....
v/W
&-" J.-05"
M / /1 fr....t--ca
vvY .; $("/;..-&15
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This carel 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 nCl service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
- -~--~-----~----
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS _I Ss ~2
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..a1'INAL
o SITE INSPECTION
-----
DATE TIME
If-2-<:.o-
/l.,J rJa!t', 1Lc'
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOK~P
.c-O" PLUMBING FINA
)i'MECH FINAL
~
I
-...........
~
J
~
L..( ~ (ct:L1
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI (!);;')
.a- FIREPLACE FINA 'T
o GASLINE AIR TS
o
.JtWoRK SATISFACTORY, PROCEED
'r~ CORRECT ACTION AND PROCEED
o CORRECT ~/rif.&OR REINSPECTION BEFORE COVERING
Inspector: -ILLLf/ Owner/Cont~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COMMENTS:
.--/..---_._-------------....
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--
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nilE
SCHEDULED
'i-/(!)-o(,
ADDRESS -.lGS"~2- U ~ fJ.
OWNER CONTR. &. f.t~,.. H01ffU
PHONE NO. PERMIT NO. () 'I-I ()() t'
o FOOTING
o FOUNDATION
o FRAMING
~~SULATION
HAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
ji'..exl9I!RFILLING
o COiiPLAlNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
A/I t0L
, -
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o 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!
INS1<<JTl