HomeMy WebLinkAboutBldg Permit 04-0085
(Please ~e or print and siM at bottom)
A:I)l)RBSS
388d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/. Z'!. 04--
~. ~i~~e ~:;y I PERMIT NO. 0 A_. 008 C-
3. Yellow Applicant ""'.;;J
~L-
~f .rw
LEGAL DESCRIPTION (office use only)
LOT Z BLOCK 5 ADDITION W€'::>II.SV~ ;OoND,s
OWNER ,- J J
(Name) / LeI V -+ vii (/
(Address)
(~iC/vs E
BUILDER
~) /2 Y r7 A./ /I.?'/n bS.. / ~(,
(C..ctName) % ,12~ /'J/V
"
(~s) Z~j / r'/1'j! (./[ L (' L'~/ L
TYPE OF WORK
ZONING (office use)
~/
PID 2.S7 2- 't5'. 0:/5: ()
(Phone)
~) 95Z- 36'~-S;Y/-5~
(PhOne). b /L - s;.~o - ./get:
?~ Ac-~c" r" ./1/~/c.-L ,;'C-7~S-53/5>
,
DMisc.
OLower Level Finish
ODeck OPorch ORe-Roofing
o Fireplace ~dditiOn OAlteration
PROJECTCOST/VALUE (excluding land) $ ~?~
o New Construction
ORe-Siding
OUtility Connection
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 aU construction will conform to aU 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
~~-
-~ ~e
-#- ?C)S~<) / 5~O
Contractor's License No.
/h9A 4
~,
,.
116{)) (J()O. O?J I
757.50'\
~q Z. :31.
30, (JO .
I
I
I
I lather $
~O.OO €-~1TOTALDUE ~ z,,'t-o,o+-I $ ~/359.gtf;
11
This Application Becomes Your Building Permit When Approved I Paid /,J5'?, (10 ReceipJNo. ~ Z6lP
~ ~ dI~/o'f jDate 'Z.7-4.o4--' By /1~,
Building Offici~ I I;'~ ()
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
4~, (JO
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
City SAC and WAC
Water Tower Fee
#
#
#
#
$
$
$
$
$
$
$
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
~ ~ ~6Id,/
Planning' Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (95i) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
I Builder's Deposit
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R.2 Distrlcts
Reviewed by: ~ ~ Date: ~~ r
Building Permit # PID:
Address: 3~! ~ ~ ,It, ~ W,
L"9al: L d , B S- Subdivision: ;)~ ~
Existing Structure? @I NO Existing Nonconforming Structure? YE~
CONFORMS TO ZONING
ORDINANCE
, Yard Setbacks: NA {FAI451(OMP~
I. Front Yard (can be 20' if avg. wiin 150')
· Side Yard
. Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' long
I. Rear Yard
. Patio Door: make certain that a future deck meets
minimum required setback
. From 100 year fiood elevation of wetland/NURP
pond
. From OHW (Prior or Spring Lake)
.,
I Floor Area Ratio: NA { FAILSI'tt.1MPlIE~
. Yard Encroachments:~A.PFAILS {COMPLIES
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 Preservation:(~ft) FAILS I COMPLIES
I. Total caliper inches
I. Can remove 25% of total
I. Caliper Inches Removed
!. Calioer Inches Preser.fed
I
I. Reolacement
L:\TEMPLA TE\BLDGLlST.DOC
Zoning:
YES
NO
Standard Proposed
25' r-JA.
10'1 I
25' if abutting a street IS
10' setback +
2"/1' over 50' l'JA.
25' Zlt,.t:,'
10' sidel
25' rear rJ~
30'
NA
75' or setback average of
adjacent structures, but no NA.
less than 50"
.30 Maximum to,?"
Standard Proposed
NA
~A-
Standard
Proposed
Y::1
Thr ('rn'rr or Ihr I..k. ('ounlry
White - ~uil~in9 '
< ".marv - t:.naineerma )
...mK - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;eLl/) IV f/OIIES I / "IC-.
/ '
I. 2 '1. 04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3 ~)80 .K-ES772-E L- ~ I .
("- (;' '
~v
. .
Accepted
.<
Accepted With Corrections
Denied
Reviewed By:
/1I&-z::!,
Date:
2-/5-o~-
f
Comments:
See Reverse Side for Additional Informationl
See Attachments: 1) Grading Plan. 2) Erosion rontrol Me3~mn~~
"
liThe 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."
~
6hite - B~
--COal. 'C>. )' :::..gmeering
Pink - Planning
The ("t>nler nr the I..kf ('ounlrl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
JewAtJ HOil65 ~ / Ne.
I i
/. Z 9. 04-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3~80
j:::&"!::::> /1U3' L
:::::, ( .
SoW
#
Accepted
Accepted With Corrections
~
Comments:
Denied
Reviewed By: ~~ ~f-- Date:~h '/
tf'~ aL/ .~~~
/ ~
.~ dJL/L ~. ~ 4er~o-CJ
-=t~~. ~~
uo-Jl <LEti~ ~ ~ ~
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~
"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."
::,.;),>;
. .~ ';''' ",
The Center or the L.k~ Counlry
White - Building
Canary - Enqineering
~I"~,_ - .~nninQ:::::>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Ic"( 1)-1 !\! II C /'- IE'::' , / 11/ C .
I '
I. 2 1. {4-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
./" ;' " /" I',
,.,.... ./ L.' k" / I j,;..t.> L {". ~ oj.
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
~~
~ .d~ ,,~
Date: ~/9 ~ ~
~~
,
Comments:
r
~
V
"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."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/~lKEPLACE PERMIT
Date Rec'd
2~J).o4-
L Pink File PERMIT NO ~
2. Green City . 0 A. _ /)/'l
3. Yellow Applicant q- _ (/(/,
(Please type or print and siM at bottom)
ADDRESS 0
3'2;8 /aJ)/~
~'I .
LEGAL DESCRl.t' nON (office use only)
. LOT OLOCK 5'""ADDITION
IA)A_r7I$(jr~ POAJoS
/
OWNER
(Name) \Y'c 1
(Address) 3 ~ 8 0
c '(~ov ~~__
KCS~{'c \
(Phone)
s.\-
ZONING (office use)
/Z/
PID ZS". 295'.035',0
qsz-l./l.{O -823 Q
~;;~~~~c V\ ~'('1" ~ol " ~ }-f C ~ t ~V\ 1I . A ~ J (0\'\ ~ -r1~one) q 5'2 -- q 7 S - e; 02 \
-'\)
(Address) J~ (:)SJ B,ci\t{cC Vv 'E~~V\ ~r~~-tll.~ S5'3 L/]
(~ess) (City) (Zip Code)
(Contact Person) ......l ~ ~ .5 f.c.. ~ C ~\a (;. ( ~ (Phone) q ,!;{,"2 -2 \ 0 -l23 9
APPLICANT SIGNATURE :;{'"--~ J ~ DATE 2-}1- D'-/
,
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION ~PLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL Ay' Y\ C. P A b' tJ l../ B leD FUEL tv Cl\-+ \I ,-t ~ \
FLUE SIZE 3/1 PVc... RETURN-OPENINGS Jf) INPUT /P~ (/()() OUTPUT 513;.0 PC>
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
o Gravity
o Mechanical
S'\,ir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEA rING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$ ~O
~
".
(Office Use Only)
This Application Becomes Your Building Permit When Approved
.~
DaZ, II. 0 4-
Building Official
Date
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
O 6{o
fA J 0 t:/ IL--
{;U1V
----
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245 /'
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS $880 K'G5 rR.~4. sr, 3.~'
NATURE OF WORK Af)OiT/~~ r A(..TDLATlCNS'
USE OF BUILDING ~,~C>, ·
PERMIT NO. O~, OO~::::> DATE ISSUED 2..(., 10'-1
CONTRACTOR ,Yt.VAtJ HD~a :14<:.. PHONEj"It ~ C/'O. "p,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I FOOTING ';i? 1-:J:4~aLI
FOUNDATION (Prior to Backfill) I 'I V7/ 1),.- J.-7-o/-1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
y11P
./YrP
~ I
~/~jpt(
t:I flY c>tf
l-\--\ ).lJl ()t &. t'v () / /'
HEATING (if required) !IlfJ. 3/J~/~
FIREPLACE IJ1jJ 31/pl.?:!D
GAS LINE AIR TEST fi1 (J., j hP; /0 4-
I I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING d.. Ir61lS
ELECTRICAL
o
#1Js
1l'J1f-
r ;;
4-/21!jb1
~ I/~/~
/ .
i>"'~
HEATING
DO NOT
" (/
fJ./I. 4-/~h+
OCCUpy UNTIL ABOVE HAS SEEJ S{GNED
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~tro J~sPY! /
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RJ
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~ ;
t?/ /
/t 1"4'1
/
/.
Q/
Ufe
..~._-'-
-----_.,..
-----
-
DATE TIME
~fr~s
if
C)~ J"r
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
" .~
~)
./
/
/ - ,
\ /7/ //~/
f~ (6S~ /~~ /~_
'WORK SATISFACTORY, PROCEED
/ ~'~ORRECT ACTION AND PROC 0
o CORRECT WOR , F. EINSPECTION BEFORE COVERING
Inspector:
--
Owner/Contr:
.I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE PLUMBING PERMIt
Date Rec'd
:5 1,11-
.
APPLICANT - _ /:.
(Name) l/l.D Vf:---Ll~0y.{t.
(Address) 3 ~tu ~U.ff-b L ('i- ~(id
(Address)
(Contact Person)" \ ~ '1. {'~'\.....s ~ _
c---:- ~ ~
APPLICANT SIGNATURE,,: _ ~ ~:<>~. DATE
APPLICANT PLEASE COMPLETE BELOW
Quantity I Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
Bar Sink
Water Closet (Toilet)
(Please type or print and siM at bottom)
ADDRESS
38130 ~L- ~I .
LEGAL DESCRu' lION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
I
PtL.-B ~ () 4-'. () 18 ~
~. ~~ ~::y PERMIT NO.O L_ 01' "7 A~
3 Yellow Applicant -r. &.;~
ZONING (office use)
J::A
PID?f. z..9r.. 1J).r; 1)
(Phone)
a ~VfJ- P Z'6()
(Phone) 7 S; ~ - 8'~ ,f'"
P~I{J p_ Little.. t; ~3 7"L
(City) (Zip Code)
(Phone)
q Z; "L-i./L!fJ,'- X' Z '1 U
3'-~-() <I
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, Commercial & Multi-family 1 % of job cost with a $39.50 minimum
Estimated Cost $
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Permit # 0 ~. OJ z,;-'
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.:s q ~~(;)
.50
4-0.()~
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
pai~6. 0 0
Da~, 8. 04--
Recein Z, 19
BY~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E" Prior Lake, MN 55372-1714