Loading...
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~ ~ ~ ~ I I J 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." ::,.;),>; . .~ ';''' ", 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