HomeMy WebLinkAboutBldg Permit 05-0104
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
/ _ jL-!- O~
. tandsi
; ~;~:e ~:;y I PERMIT NO. 05, OlroA. I
3_ Yellow Applicant _ vr--
ADDITION
tfJ0()4
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name)
ZONING (office use)
tAl)
e..
(Phone) ~;l-P1~-n(Pi
(Phone)
lor Lr:, It.-- "I/,
ORe-Roofing
oDeck
oPorch
oRe.Siding
DLower Level Finish
o Fireplace DAddition DAlteration DUtiliry Connection
PROJECTCOST/VALUE (exc1udingland) $ ~ 17tJ:J. -
o Misc.
I hereby certify
authorized agent
submitted an
enteru n
~()~7i71;J.
Contractor's License No.
x
Permit Valuati n
Permit Fee
Park Support Fee
SAC
#
#
$
$
$
$
$ jOtJ,{)O
$.OIJ,(}O
$ 35: So
$ </O,dO
Plan Check Fe
Water Meter Size 5/8" 1";
Pressure Reducer
State Surcharge
Penalty
Plumbing PermOt Fee
Mechanical Pe it Fee
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
Sewer & Water Permit Fee
Gas Fireplace ermit Fee
This Applicatio Becomes Your Building Permit When Approved
-p~ :LJlp
Building pfficial
TOTAL DUE )#1. ,.....
lI"(wt:.\J z.,.
I Paid / ;:L LJj(; 7 ~
Date a:=./ iL- 0 s::
I ~;cei8:(j,5='O / cJ.,
, oS"
I/u!()s
,
Date
$ ,(JtJ
$( 50,(}fJ
$ 300, DO
$ .5.00
$ I Goo, (JO
$ D
$
$
$ /2 / t 8. 7.
This is to certify tha, the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
w~ Planner consti~' a temporary Ccrtificate of Zoning compliance and allow, "onstruction to commence. Before occupancy, a Certificate of Occupancy mu,! be
~., '7~ //Z//4S- ~J ~,~.~ ~
lanning Director I Date --- Special Conditions, if any
24 hnur notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
.m___"_'~'____'__~___._________""__"_ ....-... ,- ------.---. -..--...- ---_.._---~_._.__.--._-_.-
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R.1 or R.2 Districts
R viewed by: ;O~ 7~ Date: / /2- ( !cJ S"'
8 i1ding Permit # ~ PID: Zoning:
A dress: /'1ei~ ~r~ J.,J,t.U.
6~J~
l gal: l ZO , 8 I Subdivision: ~ ~
E, isting Structure? YES~ Existing Nonconforming Structure? YES ~
C DNFORMS TO ZONING YES NO
0 RDlNANCE
y, rd Setbacks: NA I FAllSfC"OMPLlEY Standard Proposed
. Front Yard (can be 20' if avo. w/in 1S0') 2S' ,.,27, </1
. Side Yards 10'1 I
2S' if abutting a street II,e
. Sidewall exceeding 50' requires additional side 2" 10' setback + (
setback for every l' over SO' in [enoth 2"/1' over SO' ro.'t
. Rear Yard 25' ~ z-s-'
. Patio Door: provide for minimum 10' deck or sign 10' sidel
statement indicatino no deck will be built in the future 2S'rear f'.lo,-)AoE:""
. From 100 year flood elevation of wetland/NURP 30'
pond tJA..
. From OHW (Prior or Spring Lake) 7S' or setback average of
adjacent structures, but no ,JJI..
less than 50'
I FI or Area Ratio: NA 1 FAilS t(COMPLIE~ I .30 Maximum I /'1% I
Y rd Encroachments: NA I FAILS~OMPLlES) Standard Proposed
E, ves and Gutters no more than 2 feet in width and no NO Ne::-
clc ser than 5 feet to a lot line (Easements).
Ai C and other equipment cannot encroach on interior ~6
sic evards.
Tr e Pressrtation:(l'l,tlI'l FAilS I COMPLIES Standard Proposed
. T alai calicer inches I
. Pennlt 25% Removal
. Calioer Inches Removed I
. ! Calioer Inches Preseried I I
. ! Reclacement , %:1 I
!
'I:ITC" ,','m.DGcm DOG
White - Building
c ..l,;anarv - ~nQlOeerma-:)
Pink - lanning
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NtME OF APPLICANT
A1PLlCATION RECEIVED
I
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
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T e Building, Engineering, and Planning Departments have reviewed the building permit
a plication for construction activity which is proposed at:
IL.-/'(
l 1__,
/
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,,-
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X Accepted With Corrections
viewed By:
~
Date:
/ - 1:5- oS-
See Reverse Side for Additional Information!
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I See Attachments: 1) Grading Plan. 2) Erosion Control Measures
,,) e issuance or granting of a permit or approval of plans, specifications and
co~putations shall not be construed to be a permit for, or an approval of, any violation of .
ant of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pr suming to give authority to violate or cancel the provisions of this code or other
or. inances of the jurisdiction shall not be valid."
-
Th~ ("~nl" nf Ih.. 1.glo.. ('oun1l-..,
White . Building
Canary - Engineering
C Pink - Plan",,,!!)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N ME OF APPLICANT
A PLICATION RECEIVED
"
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T e Building, Engineering, and Planning Departments have reviewed the building permit
a plication for construction activity which is proposed at:
A cepted
, Accepted With Corrections
\'
Ie.
/
D nied
4A~~~1' -f7 'nIl
R viewed By: ~ ~
C mments: A/~, ~~. ~ -f-
Date:
1/2-1 /o$'
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" he issuance or granting of a permit or approval of plans, specifications and
Clmputations shall not be construed to be a permit for, or an approval of, any violation of
a y of the provisions of this code or of any other ordinance of the jurisdiction. Permits
p esuming to give authority to violate or cancel the provisions of this code or other
o dinances of the jurisdiction shall not be valid."
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(h.-{...n... nllh..l..k..('ount~.
~" ~Bullding~
anary - Engineermg
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N ME OF APPLICANT
'--11~a ~ h,(J(1 /0
1- I ~ -0.5--"
&ct1A
A PLICATION RECEIVED
T e Building, Engineering, and Planning Departments have reviewed the building permit
a plication for construction activity which is proposed at:
LIS-
,
A cepted
Accepted With Corrections
/'
D nied
~~
y~ a.L( ~ fJ.......L;,
~~
Date:
l,b~s-
R viewed By:
C mments:
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"T e issuance or granting of a permit or approval of plans, specifications and
clmputations shall not be construed to be a permit for, or an approval of, any violation of
a y of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pr suming to give authority to violate or cancel the provisions of this code or other
or inances of the jurisdiction shall not be valid."
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CITY OF PRIOR LAKE PLUMBING PERMIT
I Dille F".IE
1.00\d (:11...
). Yell_ A,ol'CIlnJ.
I PERMJTN~M
I ZONrN~ (Dill"",,)
(Please nme or I lint ~(1 U'" ~t bottOm)
ADDRESS
/~ .?7'.?'
;7-;'".,.., t,....K/d/"c
-r-;::4.~"/
LOT , I.OCK
APPITlON
PIP
~
~
LEGAL DESCRIPTION (office \I,e only)
OWNER
(Name)
(Address)
,/1..,{"J~ 6'..-coK
ft. .......... L ~ ,e.,
~.
...
(Phone)
APPUCA ;T
(Name)
(Address)
( )?""....'~ /r7< c.h.. "'. ;." ---t:
2-IClO.5 c:::..""..",,,,C,..-o/...-9rA
(Address)
~C)/?",-cd
(Phone)
~,..d_
(City)
-7'7" d)- - d70/'VCl ".
(~ s.~:5.s;..z.
APPUCA NT SlGNATURE
/74/7~
(Phone)
Se-f.....C_,,P
(Zip Cude)
b-/Z -ZZ-/- ~9?:.L:;-
Z-7-c:l~
-::::
(Contact F rson)
DATE
APPLICANT nEASE COMnETE BELOW
Quanti y Type ofFlllture Quantity Type oU'ixture ..
B- Bath Tub with or without shower 3 Rough-ins '7L 6l:~' ~
Dishwasher j Water Heater
, Floor Drain Water Softner ..
.: Lavatory (Bathroom Sink) Stand Pipe (Washing MachinJ~)
/ Laundry Tray (lor 2 compartment sink Sewage Ejector
--- -
/ Shower Stall Backflow Assembly
. Sinks BaektJow Assembly Test ..
I Bar Sink Lawn Sprinkler .-,
,~ Water Closet (Toilet) Other ..
\ .."
FEE SCHEDULE
Indusu"l. Comme,ei.l &. Multi-f~mily 1% oflob eoS! with. $39.50 minimum
(om" u.' Only) .
Tbi. ppllcation Becomes Your Building Permit Wilt" Approvtd
Paid
Re.identi.l. New One &. Two-Family l:99.S0
Resldenliai, Additions &. AlwOl!O.' 1::19,50
~~{).g,~
~G~
~~)-
::cei~NO'=~
,50
Estimated Cost $
Building Pennit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
--I-
i e"ildlnIOffiCIAI
!
Dllite
. Oa~EB
,~ 'JOnc
l4 "cur noli.. fnr .II,n.pc.tlo", (9~1) 447-9850, fox f951) ~~7""245
_._-~----_.
>..~-~----_._,-"------~
- -- -- - ~---
APR-04-2005 11:35
CITY OF PRIOR LAKE
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
9524474245 P,03
Date Rec'd
cFs, L'J
or
ADDRE S
. ....4. at_
i ~::. ~i~ , PERMIT NO. 0.5: 0 I 0 4- I
J ~ "'''''icw
/4-f34-5
771'15 Duw (I ~
I ZONING (011I.....) I
LEGAL BSCRIPTION (olli"" "'0 only)
LOT BLOCK
ADDITION
PID 2r. J'J'J .02.0.0
OWNE
(Name)
(Address
(Phone)
(Ad4resl
(Ci)
( . Code
APPLl
(Name)
(Address
L ie.., (phone)
I' jor t..~
(Ci,y)
(ConlilCl Penon)
APPLl
(Phone)
DATE
. "?
')
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches,
Location of any couplings from structure _ feet.
Type of sewer pipe. 0 ABC !Yt PVC 0 Castlron
Estimated length of sewer line re&.
Clean out (ifrequired) located at _ feet from structure.
Residenl .1 sower and water line COMeclion
Sewer c nnecdon only
$35.50
$17.50
FEE SCHEDULE
Industrial, Com'l & Mulli-family 1% of job COil with a $39.50 minimum
Water connection only 517.50
Buildingpennit# O~-. OIt14-
Estimated Cost $
SEWER AND WATER PERMI1' FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~;(
/
,
()f110 j)?-
r d~
61
(om.. u Only)
This ppllution Beeomes Your Building Permit When "pprOVed
Buihlllll O,mcial
Date
Da~_r/c:1r
~4 hour aotie. rOt .llla.pocCiaa. (951) 447-9850. rax (95~) 447-4~4Il
TOTAL P.03
---.------..--.-
fV~ CITY OF PRIOR LAKE Date Rec'd
"'(/1\ <'
F-. .". HEATING/AIR CONDITIONING/FIREPLACE PERMIT
U I\I~
~ ",""
""'/VES p"
L Pink ~:~ I PERMIT NO, 5-1 {J If I
2. Green
3. Yellow
(Please type . ,print and si"" at bottlJlll) ApphclUlt
ADDRES5 ZONING (offi" use)
14845 TIMBERWOLF TRAIL
LEGAL D SCRIPTION (office use only)
LOT I LOCK ADDITION PID
OWNER
(Name M o ADOWBROOK BLDRS (Phone)
(Address)
APPLlCAl ~
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME (Phone) 651-633-2561
(Address) 2700 NORTH F AIRVIEW AVENUE ROSEVILLE 55113_
(Address) (City) (Zip Code)
(Contact Pe son) BRENDA HUSTON (Phone) _651-633-2561
APPLICAf- T SIGNATURE BRENDA HUSTON DATE 4/7/05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE JAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannol Encroach into
DAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLAC MAKE AND MODEL HEATN GLOST-HV AND HEATILATORDGST52441
FEE SCHEDULE
Industrial, Co mercial & Multi~Family 1 % of job cost Residential, Gas Fireplace $39.50
$39.50 minimum
Residential, H ating & NC (New Construction) $99.50 Residential, Additions & AlterationsPA $39.50
Residential, H ating Only (New Construction) $64.50 Residential, AC Only 10 WfTI.f39.50
BUILDING PER
ESlimated Cost $ Building Permit # MIT
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
:
Buildine: Official
I
r-'.--"~-'"'
f! \
\. 'paid .
,
I. .. '0
", 'i a I.. . ivY
Date \'I~
24 hour notice for all inspections (952) 447-~fax::f2Sj~.__..c1
(Office Use On )
This Appl" ation BecomeS Your Building Permit When Approved
P
I
lOR LAKE
SPECTION RECORD
SITE ADDRESS 1Jl':1 s {!-:glC.,JO~ "{{;f,t. 1t..
NAT RE OF WORK ec.vs ~ b~ I ~ L.t... "1(
USE OF BUILDING s: F: 1>,
PER IT NO. 05.0/0-1- DATE ISSUED III.~
CON RACTOR~~' PHON . so-BW
NOT : THIS IS NOT A PERMIT FOR AN OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEP ATE DOCUMENT "', 1..12.-7SI. ~.2..S"'t
DEPARTMENT OF
BUILDING AND INSPECTION
NDATION (Prior to Backfill) _ )"'I-tJ.s-"
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
8-1~-
WL
OCCUpy UNTIL ABO E HAS BEEN SIGNED
NOTICE
IThis card must be posted near an electrical service cabinet prior to rough-in inspections
land maintained until all inspections have been approved. On buildings and additions
!where no service cabinet is available, card shall be placed near main entrance.
l~___~OR ~~~:.:'~~~~~r_O~~_~9~.~)_~~7~9~50
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED a -{ f.o -c3J
/ ,'I...../""'. r r.1t'l U
,
ADDRESS } l./. 8 ~
OWNER
CONTR.
PHONE NO,
PERMIT NO.
1=;___ I 0<-(
o FOOTING
o FOUNDATION
o FRAMING
D)NSULATION
..-t:1 FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
/SSf-.-TR TST
COMMENTS:
---f1J~~,~-
6V~
C CC;;)J) Jit-R ~
rf WORK SATISFACTORY, PROCEED
^ CORRE ACTION AND PROCEED
o CO ECT RK, CALL FOR REINSPECTION BEFORE COVERING
Inope r:
Owner/Contr.
9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
vaNOTl
PATE TIME
CITY OF PRIOR LAKE 7 J-zoJo;;-
INSPECTION NOTICE SCHEDULED
,. r
ADDRESS 14~ qS- /, '/,4o\k..,,.. fA' J.J'
OWNER CONTR.
PHONE NO. PERMIT NO. S-tO,!
I
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~NAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
1.J=i~ (),rn-J. Q " ~p"-f,,,,,,,,
!~~~~t.::~ ~
-r~ -to
tt- [- as
o WORK SATISFACTORY, PROCEED
X
CORRECT ACTION AND PROCEED
CORRE K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owne,/Contr:
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CAL
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"""""
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
''IrJ'II
OWNER
7'/~k/r>f-f 1/1
CONTR. mt'~"" 13/l>>t
Oil..... I D1
~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
SCHEDULED
PHONE NO.
PERMIT NO.
o FOOTING
CJ FOUNDATION
CJ FRAMING
o INSULATION
~AL
CJ SITE INSPECTION
CJ PLUMBING RI
CJ MECH RI
o WATER HOOKUP
CJ SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
-':"(/10 ~,>( -61'
OA TE TIME
gSc)5
{-nt/h - (') t..
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto$~ ~ Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY/
INSNOTl