HomeMy WebLinkAboutBldg Permit 05-0448
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 3 _ II_~
(Please type or print and siJtl1 at bottom)
ADDRESS
g.89Y C OVflO-fl
.1J fA ':r' 1...
LEGAL DESCRIPTION (office use only)
LOT I BLOCK ~ ADDITION 4J,' I J ~
!
~=R Ih I' 0 0 ~1 rJ Ce'? Jf..- ,( i
(Address!7/"O( I t;.S-l'x (_'---"'-~. (I
BUILDER /h h ,/ n
(Company Name)' . ~ V {) ,.... tV f/ l "(')_ .~ 7' ~
(Contact Name) .;j' -e ft.b. (J cLd lit) - -
(Address) I') (,.,n I I 1+ r- '"j-x. .r1-1f,l-S)-,
I. White
2. Pink
3 YeHow
File
City
Applicant
PERMIT NO. 05.04-#
/1LW ,
ZONING (office use)
/;f / SJ)
V
)Je,Q.i' '--
PID '10 <(-03,-/- 0
AQf)1 ~ ;L//~
, 0-
(Phone) 4S J . ./;/3:t . 7 h6 (
/h...., "S- r:J. L(
(Phone) <1S"";;2.- Lrf2 . 71:. 0'
(Phone ~ fj. ? t:J ( ..... R I... Lj L(
4;/11... .A~ (;;;. /h - S- ~ / ~ '-I
TYPE OF WORK ~ew Construction ODeck o Porch ORe-Roofing ORe-Siding
LJAddition OAlteration OUtiIity Connection 0 Misc.
CODE: ~.R.C.. OLB.C. I II III IV V A B
Type of Cu.......lctIon:
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
~;tg:.e};;n$~shJ~';;; 'N oJ
PROJECT COST/VALUE ,/ '7' rl.J (,.d
(excluding land)
I hereby certifY that I have furnished information on this application which is 10 the best of my knowledge true and correct. I also certifY that I am the owner or authorIzed agent for the I
ntlO ed roperty and that all construction will conform 10 all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
k th mit for J t cause Furthermore, I hereby agree that the city Offici:/J Z?: ma~n? 7~erty to perform neS~7(: DS
Signature Contractor's License No. Date
$
$ I. </50. ~
$ '300.00 I
$ ')6..CJO I
$ I. 5"00.C)1S I
$ i. 000 ..dO I
$ it ~-oo.~C) I
I $ . I
TOTALDUE 6f/U.a) 6"./4.us' 1$/0, 7+-9.7P1/
,
i)^lr.ti~~'BoU.m'~7:(:;pro... : ~:~ 1/jtKiR ~~ceiPtN;.IfX/l/,! :
- Jt...ll;r.~m' Om,i,] D.., ~ (J ------
Thts I t ertit). that the request m the above applical10n and accompanying documents is in accorda with the City Zoning Ordinance and may proceed as requested. ThIS document 1
w n s ,ne by the CIty Planner conslIlutes a temporary cerl1ficat~ef Z mg com]hance and all s construCl1on to commence Before occupancy, a Celtlficate of Occupancy must be
IS led
,1- j)'l
Planning Director I DateJ Special Conditions. if any
24 hour noticelor all ins~ections (952) 447-9850, fax (952) 447-4245
16200 E~gle Creek Avenue Prior Lake, MN 55372
I 3'75, oen . ct:)
I Permit Fee $ ":'ZDZ. SD
I Plan Check Fee $ ,~ 1S? 2,f:>
I State Surcharge I $ l A 7 . 50
Penalty I $
Plumbing Permit Fee I $ 100.00
I Mechanical Permit Fee I $ !1lfJ.(jD
I Sewer & Water Permit Fee I $ 3'=i" . ~-O
I Gas Fireplace Permit Fee I $ 'to.(!)D
I Park Support Fee
I SAC
I Water Meter Size 5/S"dj
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
Builder's Deposit
#
#
#
#
Other
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts.
Reviewed bA? I( Date: ~l<t{ as
Building Permit # PID: Zoning:
Address: 2&S' ~Ca~ ~
Legal: L !,-1 8 ~ Subdivision: \J~\~ ~\ ~
Existing Structure? YES I NO
Existing Nonconforming Structure? YES I NO
CONFORMS TO ZONING
ORDINANCE
~
Yard Setbacks: NA 1 FAILSI CqMP~
. Front Yard (can be 20' if avg. w/in 150')
. Side Yards
. Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in length
. Rear Yard
. Patio Door: provide for minimum 10' deck or sign
statement indicating no deck will be built in the future
. From 100 year flood elevation of wetland/NURP
pond
. From OHW (Prior or Spring Lake)
~
, Floor Area Ratio: NA 1 FAILSe~
. Yard EncroachmentsC~1 FAILS ICOMPLlES
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line (Easements).
Ale and other equipment cannot encroach on interior
side yards.
,..
I Tree Preservation( N~ 1 FAILS 1 COMPLIES
I. Total caliper inch~s
I. Permit 25% Removal
I. Caliper Inches Removed
I. Caliper Inches Preser/ed
. I. Replacement
L:\TE:lvLPLA TE\BLDGLlSTDOC
YES
Standard
25'
10'1
25' if abutting a street
10' setback +
2"11' over 50'
25'
10' side!
25' rear
3D'
75' or setback average of
adjacent structures, but no
less than 50'
.30 Maximum
Standard
Standard
Y2:1
NO
Proposed
2S' '
2s'
H.cj
~.~ .
lX-
NtJ
N~
I
'Zn ,l.f'7o
Proposed
Proposed
L:\TEMPLA TE\BLDGLIST.DOC
White . BulldinL
(' l,;iIIJiDl.. EnQinee~
Pink - Planning
BUilDING PERMIT APPLICATION DEPARTMENT CtlECKlIST
".//~
NAME OF APPLICANT '.;li')/1 I () /J-fi.~ ;/ ., r; />~.1(J2t~1.lL.-
y ./ ,',c. ,'-_)~, /f {>e-.' ( c:.k/ l../ j if r-
,J:::~ / I c: ".
APPLICATION RECEIVED ~/ /, - -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whiSbJ~ proposed atA-__'_'_.
"j 0Q?' // /..i /'1 /:. _ ~; ./, (~/
.- /' /:r , . //.'. :,;4'.(/..,'. ....l. J J /?././ .
'i...-","", I:, I-A /' .".,.- ~""'i!,., ./{,..oo" ;~..<-..,
.I
..,,'
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
~
Date: 6- /8 'O~
Comments: See Reverse Side for Additi'onallnformation!
-~
..
See Attachments= 1) Grading Plan, 2) Rrosion f:ontrol Measures
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."
White - Building
Canary - En~ring
~ - PlannMg::::.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
i ,
/
(, 'i
"-/ "..\..
....(
/ .. ,'-
1---
""
/
f-
ie- '
NAME OF APPLICANT
I
../
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: "_
,r? .> t..v !l..! /(_.-
'"'
Accepted
"Denied
Reviewed By:
Comments:
"''"'"
Accepted With Corrections ,/
c
~ .:;-~ Date:
~ a.Lf ~~ /~
5;;~S-
r
:Conditioner all'L Oth(r
Units Uannct Encroach into Req::rfi~ted
"'"i. '~r ..JlS'~ ~
:'"%~"R {i ,- D. i.' f~ 1"f.11'~P~-(i~.l!,1.v' ffer~~
~..............__... ~> ..:0:.. ~ ............ "-' ..,;U~.",,-,;L'~~
"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."
CJ..yhite - B~
Canary' - Engineering
Pink - Planning
BUll-DING PERMIT APPLICATION DEPARTMENT CHE;CKLlSI
NAME OF APPLICANT !1Y/(L ~t:tLcP ~,
l ~ .
APPLICATION RECEIVED 5-/1-$"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for cons~ct~1~ity w~;;::: fYtUL
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
~
~ a..U. ~.~;
.-;::; I. . -. . .A _ _ -+-----'
,~ ~~.~('
..
~
Date: -.5,/1 ~~ s:
Comments:
"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
IlEA J.uiG/AIR CONDITIONING/J:f1KEPLACE PERMIT
Date Rec'd
CP1ea8c: tVPe 01" print ;m4 sin:l ;o.t bottom)
ADDRESS
~~~ r~Od'
LEGAL DESCRIPTION (offico use ~
i:a ~~ IPERMlTNO.~~
J. YalIo", Appli_ ~.~
'li4rJ;
'AI- t~ t
ZONING (oHia
use)
LOT BLOCK
ADDmON
Pro
=~~.~)0^ 1()/~ )
(Address) ~ LI,q.//f' (\
APPUCANTC / ,/ (\ .. A(
(Name) C\JJr/li'\ / (t=:N ( AI r
fAddres~/;J 10 G ~I\ J Aue,
(^d~) I
(;F'!l J\ I)~ I-
(phone)
:l4t!J. -lGol
(phone)
~C:r) - C,()9d
m~
o (City)
fs:'crY/
(Zip Code)
(Contact Person) / / . (Phone)
APPUCANTSIGNATURE ?~~~_#~ DATE
/ APPLICANT PLEASE COMPLETE BELOW
)ZTNEw CONSTR~W 0 REPLACEMENT 0 ALTERATIONS
FURNACEMAKEANDMODEL Q h?h CqP:?PB/o(') FUEL i )AI-
FLUE SIZE ."'( If PIAL RETURNOPENTh"GS' INPUT /~ ~ . OUTPUT'~ Q~
TYPE OF SYSTEM HEATING OR POWER PLANT
Dwaxm Air Plants 0 Steam
DGravity 0 Hot Water
~hanica1 0 Radiation
~ Conditioning 0 Special Devices
Went. System. 0 Other Devices
C?, 'Pr- 011- c s"'
Pl.EASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
.FEE SCHEDULE
Industrial, Commereial & MuJti-Family 1% of job cost: Residential. Gas Fireplace
$39.50 minimum
Residential, Heating &: AlC (New Con:rtnJcrlon) $99.50 Residential, Additions &: Alrerations
Rl;;liidmtial Heating Only (New ConstrUction) $64.50 Residential, AC Only
$39.50
$39.50
$39.50
Estimated Cost S
HEA rING PERMIT FEE
STATE SURCHA.R.GE
TOTAL PERMIT FEE
BuiJd.iae Official
Dart
Building Permit #
$
$
$
! [)\ iuk'j ,~;-] j ;_~: /1'1 Receipt No.
c,.s ii i
: ii IWL 0 6 2005 I iJ~i By
I II I 'J I
LIL )
PAID WITH
.5~UILDING PERMIT
(Omee Use Only)
This Application Becomes Your Building Permit When Approved
14 hour notice for all inspections (952) 44~~~!a_x_(952) 447-1245
~,.__.._..}1
1001il
~IV U3110H.LNO:)
9L~909~lS9 XVd CO:Sl I~d SOO~/~~/90
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and siJtl1 at bottom)
ADDRESS ZONING (office use>
2898 COUGAR PATH NW
~. ~':.n ~::y I PERMIT NO.~ ~
3. Yellow Apphcant ~. ~
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name MCDONALD CONSTRUCTION
(Address)
(Phone)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone)
2561
651-633-
(Address)
2700NORTHFAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
_BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
6/27/05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVent. System
INPUT
HEATmGORPOWERPLANT
o Steam
D Hot Water
D Radiation
D Special Devices
o Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO 6000TR-OAK
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & AfC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
FAlD WITH
.5oBUILDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
BuiIdine Official
Date
r':'. r.."
'I Ii'\'aid !
Ilir
i ~
I 1
I i DatlUl
~ :1
. > - ~---"----~eceiPt No.
-- i:i
o 6 200S!BY
24 hour notice for all inspections (952) 447. ~!>.L~ax(952) 447-4245
. ~..,~
~\
s;.~"
Date Rec'd
CITY OF "PRIOR LAKE PLUMBING PERNJ., I.
~arDdmlUl't.. ai~mj
, IS
d898 CaL{QCAr
i':: ~~ I PICRMI'r NO.~ .AA.Jit
, YtIIow ~ ~
ZONINO (DlIIcIc_l
'V
PlD
,5
I
-"""
I
I
Ty," of Fix..n
llouab. ..ins
~ If"-
W.. SOItDel'
__Ape. ((~w.Ufttn' MadUne)
~~.
daadow Allembl)'
. ~ AllllUbfy Teat
~ SJWiftkJer
UIMt
QuUjit)'
'r:::J....
I
1
l
'i
FEE ~...~DULE
'ftdlaltrial. Comm~\\l &. M\lki-flmil)l 1% ofjob cost with a 539.50 minIMum Residential, New One A Two-pamil)' $990$0
RuideDd&&, Additions II. Alterat~OIl' $39.50
Eltlmated Cost sll ro Or ~ Buildinl Ptnnit" 0<-: ~~
PLUMBING PERMIT fEE $ 1:'\ J 'Or\. ~ITH
STATESUaCHAllOE $~ ~-.:..
AU.AL PERMIT PEE $ autUJfNG PERMIT
(OlIuu.o~)
TbiI A",tcatlon Become. Your Buiktlal ........ WINR A.pproved
'1uUdt", (tfft&1
~l".I~~;;: ;-'!I \i; I" I
')"L.... ! , \ I, I
J lMul 0 6 2005
24 boar no'" to.- a".'I1ut*tIOD' (to) .....,. ,., ... (H2) ...,....u..,
~-: ~ f _ ___ ~_ _______ __" ___
ReceiPt No.
B')'
Datt
PRIOR LAKE
INSPECTION RECORD
1J Ul
DEPARTMENT OF
BUILDING'AND INSPECTION
SEWER I WATER I SEPTIC
FRAMING ,
INSULATION 1;;1 ~tI I4rr ~ ?/;;/d"
ELECTRICAL I
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~ff
COV~O WORK UNTIL ABOVE HAS B~SI~...NED __
, l~ \- \... /' 14 oo$.<.. W r"'C4.p I&..______ ~ rp --?Au
" FINA'CS ~"-----
GRADING (Prior to SOdding?) I I' Alft t D. "Z-?.. oS" 1-
BUILDING~k~et1,~:f, 7/?6~A~/q/~- &'b l/cLI!t1
ELECTRI~'^ L / .) /
"'f'" 11 . j.
PLUMBING fJ;; f/~J/~.
HEATING I I
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
SITE ADDRESS --2B '1 'i3 (\ 0/" ~
NATURE OF WORK ~\
USE OF BUILDING SF D . I
PERMIT NO. Os: 04413 DATE ISSUED ~/12.I()S-
,
CONTRACTOR M~taw~.J..f"^- PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
_ _ INSPECTOo/ /'
I FOOTING ';'c 11"..4 tf;;~~ I
FOUNDATION (Prior to Backfill) I I G~ f-lO'"
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH:~NS
~~ ~~.As-
f11A
DATE
rJ6
~f}
7-J(-6~
") / J q.,/___
I / I Vi U'v
FOR ALL INSPECTIONS (952) 447-9850
~
~ '. " -i.. '':1
..
~
...
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
DATE /_
I. :...-fJ cp
NH__$NF
TIME
2898
UJ U~PA--'n4-
CONTR.
/
AI ti~
-/
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
S/~ J
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
/}. rj'--
(/V V C--'
--
, ,
{I
J ,-
l-/(::::/
./
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR~K. CALL FOR REINSPECTION BEFORE COVERING
Inspect'1/ ) Owner/Contr:
.~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSliOTl
/~-
2~;1jl ~9e;/ AIX
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
y
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
TIME
~s--L/</r
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
n
Tenc e
C ..-,/ J
c:.ros~#- /' ~frC;_(
dY(Ju~ d /(j /-
o C~/~. ~q'~ dd~' +2~
C:Yr~l7 ~##-t&i~. I'
/:;)/ . / f \:' / t::- A /'
0:j/ /'I't' ~ J l.-O:L r I j/VZ-~YI2' ~ ~A
~ /-:> ..... /r./ /" /'
.. /~P?/l c' D u~~ I 7// /o~
, / /.~
./
Lj-/C
~
/i ./
-I-/Jv./
I
o WORK SATISFACTORY, PROCEED
~RECT ACTION AND PROCEED
o CORRECT WORK, CALL OR REINSPECTION BEFORE COVERING
Inspector. ~ Owner/Contr:
CALL 447'985~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE rj;~ no,
INSPECTION NOTICE SCHEDULED
~
ADDRESS J~W
OWNER CONTR.
PHONE NO. PERMIT NO. S -</C[b
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
o FINAL R PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
~ MTu '-147
1- -tbr- '1#0 - c:raf~
1 ~. y2.e~~ fJcot ~~
.0 ~ATISFACTORY. PROCEED
~ORRECT ACTION AND PROCEED
o CORREjEORK' CALL FOR REINSPECTION BEFORE COVERING
Inspector:. Owner/Contr:
CAL. 7-885 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CO~~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
/NSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
1&-J2-tJj
ADDRESS
~~Jc::r
CONTR.
(Jqf~
/Y!~ Dc:;.,'1c,!/
.7 4t:feJ
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
Q INSULATION
ot:I'-RNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~LING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(?~-CJr.
~(~ BI);( - at...
X WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTION BEFORE COVERING
Inspector: ~V Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSlVOTI