HomeMy WebLinkAboutBldg Permit 05-0987
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
While File PERMIT NO'05. 0987
Pink City
Yellow Applicant
e or rintandsi n at bottom
{}j .IJ e ZONING (office use)
,e ( ,!;:D
LEGAL DESCRIPTION (office use only)
LOT 4BLOCK / ADDITION f/j evJ PIDZ5./Zfj . 004.0
OWNER
(Name) (Phone)
(Address)
~~ (Phone) /P!r:l~ r~~-oo&
(Phone)
Date Rec' d
9.2&.05'
TYPE OF WORK ~ew Constr~,on DDeck DPorch ORe-ROOfing.
~dditlOn ~lteratlOn OUtility ConnectIOn
CODE: ~.R.C. DJ.B.c. 0 M>sc.
Type of &~stTuction: I II III IV V A B
Occupancy Gronp: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding DLower Level Finish
o Fireplace
PROJECT C~ST/VALUE,/(
(exclnding land)
bqoctJ 0
certifY that I have filrnishcd mformation on this application which is to the best of my knowledge true and correct. ] also certify that I am the owner or authorIzed agent fOf the
tJoned property and that all cons! lclion will conform to all existing stall' and local laws and will proceed in accordance with submitted plans. I a aware that the buildmg
revoke this permit for JllS e urthermore, J hereby agree that the Clty official or a designee may enter upon the propelty to perform needed mspe IOns
Ie <>?o,/S3/'rS""
Signa re Contractor's License No
I
Ix
I
Permit Valuation
Permit Fee
Plan Check Fee
5(<...00
32.. '5"'0
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
d.()4
---
-
I This Application Becomes Y o,ur Building Pennit When Approved
~ ~ I(J/l(~s
Bl1i]djn~ UlliciaJ ' Date
Park Support Fee # $
SAC # $
Water Meter Sizc 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE ~ 10.S.<1S $ /.383. 50
Paid
Date
';1_3 i:r?f-
I Receipt No. "5' ~ .c5
By :i.:...
ThiS l~ to certify that the request in the above applicatlon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested ThiS document
whrn cd by the Ci~ Plannrr constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
, " cd ~lanningDirect:' lo/'1fS Pv-.J. ~. stco=y ~ ~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~\
White - Building
Canarv - Engineering
~ink - Plan",~
rh..("..nln"flh..l..k..("ounlry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
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'7. U-. (:.
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4/[ 7 1.."/IVi/IEt,V C / /:.'C[E
/
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
~
t/L<~
Comments:
Date: I tJ /'/ ~'S
,
J,?~~~ ~ J~ Qhn
~,.d7 a.Lf' '..A/,~~,
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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,"
~~
lhr erntr. nr lhr l..kr Countr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
JI16r1DOW vvooO C-ONST"e.-.
9. Zb.OS
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4/ Or (J/JYV/6W riA K~~C
Accepted
Accepted With Corrections /
Denied
Reviewed By: ~..,~
Comments: ~c J2 a..LP ~ ~ ~,~ i ~
- ,
CUlo; ~ ~ AJ"~. ..A"a'l....~ Y.7".....~
v v
r ~_-9 ~~ ~ ...:--'f4~,.>.
Date:
/~,N ~s
"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 PLUMBING PERMIT
Date Rec'd
1tJ. .3'/. Or
L Blue File I PERMIT NO I
'Gold C;~ 'OS: o9;a-?
J. Yellow Applicant , V /
/41 () '7 8,.t::;y p'/f::;/,I\/' C/ ~
[ ZONING(officeus,) I
LEGAL DESCRIPTION (olliee use only)
LOT
BLOCK
ADDITION
PID
I OWN,.
(Name)
(Address)
(Phone)
APPLICANT /"
(Name) '::/d K
(Address) U/;J
(Contact Person)
pilJ~ 5,./14/dlt1(
(Address)
/?/IJ
J/U . (Phone) r 57 -L/tf') - 33'11
. h~ ;t#l E~.?
~ (City) (Zip Code)
(Phone) 4-1). -.2~;Z 4qV.]>
DATE /P ~~
APPLICANT SIGNATU
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum
Estimated Cost $
Building Penn it #
Residential. New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
/ f) /fI(
~ ..,/"" .50 Pl1<ff' {J f--
$ ..,/"" /.I
.?
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Residential Building Permit Checklist
New Construction for Single or Two.family Dwellings in R-1 or R.2 Districts
Reviewed by ~ ~ Date: /0/<//0 S-
Building Permit #
Address: /L/! 0 ,
Legal: L '-I , B
PID: /J ~ A
~~~
I Subdivision: ~~ tI/.eu:>
Zoning:
Existing Structure?@1 NO
Existing Nonconforming Structure? YES@
I CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NA 1 FAILSke'OMPLl5'" I YB
Standard Proposed ( 1-1 L. P-.L;
. Front Yard !can be 20' if ava, w/in 150') 25' 23' ( ....- 'oj Z8S'
. Side Yards 10'1 -.J
25' if abutting a street '1&,21
. Sidewall exceeding 50' requires additional side 2" 10' setback + ,
setback for everY l' over 50' in lenath 2"/1' over 50' ~5D
. Rear Yard 25' 49.s'
. Patio Door: provide for minimum 10' deck or sign 10' sidel
statement indicatinn no deck will be built in the future 25' rear tJA.
. From 100 year flood elevation of wetland/NURP 30'
oond t-JA
. From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no 1oJ^-
less than 50'
I Floor Area Ratio: NA 1 FAILS((OMPLl~
,30 Maximum
&-L
Yard Encroachments: NA I FAILg'/COMPLIE~ Standard Proposed
Eaves and Gutters no more than 2 feefln width and no
closer than 5 feet to a lot line (Easements), /Jo toJt?
AlC and other equipment cannot encroach on interior
side vards. fJor-J~
Tree Preservation:MA1 FAILS 1 COMPLIES I Standard Proposed
. Total calicer inches I
. Permit 25% Removal
. Calicer Inches Removed
. Calicer Inches Preserved
. Replacement I ;1,:1
UTEMPU. TE\BLDGLlST.DOC
Driveway: NA I FAILS C
. Maximum width at r
. Required setback
Ine
Standard
24'
5' from side lot line or
30' from r-o-w on corner lots
10%
Proposed
EXIS' l.I' '
.
&--L
5"' 0
.
d/...-
.
Ian
35' Maximum
~
Shoreland District: NA I FAI~
Minimum lot area s uare feet)
Minimum lot width
Shoreland alterations
1m ervious surface
Proposed
,.--
-
----
30% Maximum
Bluff in Shoreland NA FAILS I COMPLIES
. Setback from top of bluff
Standard
By planning dept.
Proposed
.
roved
.
.
Floodplain:!NAlI FAILS I COMPLIES
. 100 year tiood elevation
Standard .
908.9' Prior Lake
914.4' Sorino Lake
909.9' Prior Lake /
915.4' Sprino Lake
Must be l' above flood
elevation for new and existing
structures. If existing
structure was constructed
9/19/90-11/22197 then
additional foot is not reouired.
Must be flood elevation or
hioher
907.9' for Prior Lake
913.4' for Sorino Lake
Proposed
. Lowest floor elevation
. Proposed lowest floor elevation
. Elevations 15 feet from structure
. Road access must be no more than 2 feet below
Reoulatorv Flood Protection Elevation
Accessory Structure: ~AlI FAILS / COMPLIES Standard Proposed
. Size 832 so.ft. or 25% rear vard
. NOllccated in front vard (Materials)
. Side vard and rear vard setbacks 10'
. Maximum heioht 15' .
. Materials compatible with principle structure
L:TEMPLA TE' BLDGLIST.DOC
!YEPARTMENT OF
BUILBING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 11./ /~ ~ 3a.J JlJei~ 6~I.E
NATURE OF WORK -A/JPi1i~,J
USE OF BUILDING s.1=': O. "
PERMIT NO. 05.0787 DATE ISSUED I"/'f/~S-
CONTRACTOR MEAOd~ IVtJdO ~#$1", PHON~~ ..978 ..~'1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING J{) //, 6S~
FOUNDATION (Prior to Backfill) 10 IJ 4'?'"
PLACE NO CONCRETE UNTil ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if re
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
{()~YG
~ t {) ~o/.s a te.
GRADING (Prior to Sodding)
BUllDltm /'%'
ELECTRiCAL
PLUMBING
HEATING
'-.^, DO NOT OCCUpy uNTil ABOVE HAS BEEN
"'.
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
wh'ere..lo service cabinet is available, card shall be placed near main entrance.
1Ioty.-
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TlME
SCHEDULED ~~~~
&V't//e~ CJ-----
/
CONTR.
ADDRESS ./ f// ZJ?
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
COMMENTS: /
Ace/u~d
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
..A!f1:'(UMBING FINAL
~H FINAL
s- - 9~7
,
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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&(c-
S CEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F. R 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/
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