HomeMy WebLinkAboutBldg Permit 06-0014
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/2-;/~.05
Main File
). White File I PERMIT NO I
; ~~~I~w ~~t;licant . 00 . 00 /4-
(Please type or print and si2Jl at bottom)
ADDRESS
n~lI lXcrfl</td Dril/~
ZONING (office use)
~2-
LEGAL DESCRIPTION (office use only)
LOT 5 BLOCK I
ADDITION ktCffl ad 12.:Jh
PID.z~ +Z+. ooS.D
OWNER
(Name)
(Phone)
(Address)
~~~~~ Name) OR- )WrtlYl1 \ n (",
(Contact Name) M'~f/ yvOhrollft\({A
(Address) IJ.))BlJ()~.tY1\'7nctq-c, U . if \0'0
(Phone) ~5~' qlb5 -1~13
(Phone) j51 -7:2Jp- 413)-
La~A/lIk/1 MN ~~D#
. -
..,.
TYPE OF WORK lil'New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: ~I.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III IV V
HIM
234
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$ !ll-1 / ~ID
I hereby certifY that I have filmished mformation on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authonzed agent for the
above-mentIOned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
;Cial can revoke t~rmit for Just cause. F1Il1hermore, I hereby agree that the City Official1BDD:fj"~ 51-upon the property to perform nr! .mspectlons.S
, ~ ~ C'""""""'Li~"reNO..~
AI'
I Permit Valuation ../If /711. dO (7, f:) ~ Park Support Fee # $
I PermitFee $ 14-' ~. 50 SAC ~ # $ / 050.00
I Plan Check Fee $ elf 5:7. 7 Y Water Meter (Size 5~1"; $ z..~t:J, ~'O
I State Surcharge $ 11~. oD Pressure Reducer $ 50. c:> D
I Penalty $ I Sewer/Water Connection Fee # $ J SCJO. 00
I Plumbing Permit Fee $ Ib 0.00 I Water Tower Fee # $ 16tJo. tJ c:)
I Mechanical Permit Fee $ /00,. I:) 0 I Builder's Deposit $.1 s~ 0 r D 0
I Sewer & Water Permit Fee $ "3 s , ~o I Other $
I Gas Fireplace Permit Fee $ #0, 00 l TOTAL DUE $ f'& 4- /. I b
~
~
12/ z. 7/0 'S"
Date
Paid
Date
"
f&4-/ 70
[, fJr. ()U
( ) -
Re@tNo. &jJJ /
Brt.-,
o
This Application Becomes Your Building Permit When Approved
Building Ollicinl
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 Cerl1ficate of Occupancy must be
i~ ~ tz./2.7/0S f~ d1jJ _ ~
Planning Director 'Date - s~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R.2 DistrIcts
Reviewed by: ~ ~
Date: : / ria-- 7 tf s
Building Permit #
Address: /75ctc
Legal: L S. ", 8 I
7?
I
Existing Structure? YES@
PID:
])E7:;72- F"I€:LO
Zoning:
w,J€
Subdivision: ])ec..7e.Ha.t:J I z..,"t:f.
Existing Nonconforming Structure? YES@_..__..__~...._
CONFORMS TO ZONING
ORDINANCE
YES
N.O
. -0
- ,:..".:,~ '..i.:,' ,
I Yard Setbacks: NAI FAILS~OMPL1E?
· Front Yard (can be 20' if avg. w/in 150')
. Side Yards
Standard
25'
10'1
25' if abutting a street
Proposed!. .c,~,}... !
2(P,5'
. Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in length
I. Rear Yard
· Patio Door: provide for minimum 10' deck or sign
statement indicating no deck will be ouilt in the future
· From 100 year flood elevation ofw~t!~l1cj/NURP
pond-";'
· From OHW (Prior or Spring Lake).. -
10' setback +
2"/1' over 50'
25'
10' sider
25' rear
30'
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75' or setback average of
adjacent structures, but no
less than 50'
rJ A" ..._. . . -"'.'i/;0 .. ,.'.
--.,.... ,
J Floor Area Ratio: NA I FAILS (COMPUES~
..-=--
: Yard Eneroachments~ NA I FAIL(T"C6MPLfES"c
. "c..Eave~ a~tt-GuttersnO;mare thall~feetTlT widtft e:cidlna:
croser tfTatt. 5' feetto a fot tine: (EaseITu3ntsY~--~;'Ci:; .li: ;
: AJc.alJdiOtnet.eq~ipment cannot encroacl\:Of.lint.edm .
; sideyards;:'-'c; "_;;i'C.;
,30 Maximum
f PGn,.. Pt..l~di;:~";:;:. .I(
.~
~. T.ree.nPteser.v~atio..~. tf..NA~..:. FAltsf COMPUE$::___.
I.. Totatcahperln~5 . 0'
r.. P'ermit25?Id:. Removal.
I .,.. CairperJlJcnes: Removed_
I, · . CaliperJhches: P'reserved.
I., Replacernent.
Stan.card' ..>: -".. ~:;
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L:\TENIPLA TE\BLDGLlST,DOC
Driveway: NA I FAILS I~PLlE~
· Maximum width at property line
· Required setback
I. Maximum slope
· All parking areas to be paved including R-Vor
spaces adjacent to the garage
I. Location to match subdivision grading plan
, Building Height: COMPLIES / FAILS
Shoreland District:~FAILS / COMPLIES
Minimum lot area (square feet)
Minimum lot width
I Shoreland alterations
I Impervious surface
Bluff in Shoreland:~1 FAILS / COMPLIES
· Setback from top of bluff
I. Bluff impact zone
I. Engineering certification submitted/approved
I. Grading in bluff or bluff impact zone
Floodplain~A>/}AILS/ COMPLIES
. 100 year flood elevation
. Lowest floor elevation
. Proposed lowest floor elevation
. Elevations 15 feet from structure
.' Road access must be no more than 2 feet below
Regulatory Flood Protection Elevation
Accessory. Structure~J FAILSrCOMPLlES,
., Size-
I. Notlocated in front yard (Materials)
I., Side yard and rear yard setbacks
I. Maximum height
I. Materials compatible with principle structure
L: ..TENfPLA TE'BLDGUST.DOC
Standard
24'
5' from side lot line or
30' from r-o-w on comer lots
10%
35' Maximum
Standard
7,500 Rip, 7,999 Non-rip
50' Rip, 57.3' Non-rip
30% Maximum
Standard
By planning dept.
20' From Top of Bluff
By City Enqiheer
No importing/exporting
Proposed ~,
'(P' ('-1"6
~
I '1,7. s: 7. ~.~ g%
. , ,. 'J.. .:;. l
t:rh-
~ ..~"
20' .,.. 2-1' ~
Proposed.
Proposed
~. ;
Standard
908.9' Prior Lake
914.4' Spring Lake
909.9' Prior Lake /
915.4' Spring Lake
Must be l' above flood
elevation for new and existing
structures. If existing,
structure wa~ cgnstructed
. 9/19/9.0-ft/221Sitfieri:t>:, , .
.. additiori"clr.(6otiS'nof:reql.llrecr: ~'.'~'~~..... .'.
Must be f1ood,~t~V,?tfqrt;;9~., '.C
'.'.".Jligfier~::~~7t:',.-:": :
907.91 for Frior; Lake.
913:4' for S"jJifriqTtaRe;
Standard;" ~..'..
832 sq.ft. or 25% rear yard:
10'
15"
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Main File
C\Y.bite - Building)
Canary - Engineering
Pink - Planning
BUl1.DING PERMIT APPLICATION DEPARTMENT C.l:lE..CKLISI
NAME OF APPLICANT
APPLICATION RECEIVED
D ICr Hoe/uN
/2, / (, . os-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/750 ro DCE/2.F/6 LL) f) 12- .
Accepted Accepted With Corrections V--
Denied
,....
Reviewed By:
Comments: ~
~=f~
a..V ~~.
Date:
/Z/2 7 IDS
/ '
"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."
Main File
White - Building
~ary Engi~
-.:.. - Planning
,.,.
8UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1/. .' / Ie i
" ; ; ( l
I I /
(
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ / ._,'
,
/ .
/ /ce/>
/ , .
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Accepted
Accepted With Corrections
~
Denied
Reviewed By: ~... t::.' ,f)t
Comments: ~ ~ ~~.
Date:
/"/d-l~S
/ '
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.Air. t.:vnditioner ?nd Other }lecllanicf:lf
Umts Cannot Rneroach into ReqffiTcd
Side Yard Setbacks
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."
Main File
.-YlhiI- - Building
C_Can.,ry - Engineering)
PinK - Planning
flUlLDlNG PERMIT APPLICATION DEPARTMENT CH~IST
NAME OF APPLIcANT
APPLICATION RECEIVED
D. Ie!. He Ie.. I U/\/
/2. / Cr . OS-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 750 (c D~E-/~I E- LO L) IL .
Accepted
)(
Accepted With Corrections
. '\.
Denied
Reviewed By: ~
. Date:
/,l-7t-()5'
Comments: See Reverse Side for Additional Informatinn'
/J1c,;", F," (....
"" ..
Main File
See Attach~ents: 1) Grading Plan, 2) Eroslon rnntrol Measurp.~
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."
Il.!.. . k. ThJERIC ';
lint AN
. 1 ENGINEERING
TESTING, INC.
/i$IMlIU.~J~~
CONSULTANTS
GEOTECHNICAL
MATERIALS
ENVIRONMENTAL
E ""'. ....'.'J. -. ......
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January 17, 2006
JAN 1 8 2006
D. R. Horton
20860 Kenbridge Court, Suite 100
Lakeville, Minnesota 55044
Attn: Mike Suel
RE: Townhome
17506-17512 Deerfield Drive
Prior Lake, Minnesota
AET Job No. 20-05758
Dear"Mr. Suel:
On January 10, 2006, we visited the referenced site as you requested. The scope of our work was
to judge whether the soils exposed in the completed portion of the basement excavation were
suitable for support of the residential construction. We were also requested to perform
cqmpaction tests in fill placed to re-establish basement grades.
We have previously performed soil observations and testing during the preliminary site grading
at the Deerfield Addition. The results of our previous observations and testing were included in
our October 29,2001, report (AET Job No. 20-01459). Refer to our previous report for pertinent
background information.
At the time of our January 10 site visit, mass excavation of the basement area had been completed.
Due to the existing surface grades and the black dirt topsoil which had been placed during the site
grading, the excavation bottom in the rear portion of the basement area was extended to a depth
about 2' to 21/2' below foundation grade. The remainder of the observed excavation bottom was
at about foundation grade. Several shallow hand auger borings and hand cone penetrometer
probes were performed to aid in evaluating subsurface conditions. The soils were visually and
manually classified in general accordance with ASTM:D2488 and estimates of the soil strength
properties were made based on the results of the hand cone penetrometer probes.
The soils exposed in the bottom of the observed portion of the excavation, and those retrieved by
the hand auger borings, consisted of previously placed and compacted silty sand, sandy lean clay
and clayey sand fill. Based on the hand cone penetrometer probes, the fill soils were judged to
be in a well compacted condition as indicated by the results of the previous soil compaction tests.
This document shall not be reproduced, except in full, without written approval of American Engineering Testing Inc
550 Cleveland Avenue North. 51. Paul, MN 55114 . 651-659-9001 . Fax 651-659-1379.
Duluth. Mankato . Marshall. Rochester. Wausau . Rapid City. Pierre. Sioux Falls
ib A"".C'I\,,".T'V= .".07101.1 ^.~D =:)Uf..L 0?"D"1TU'"ITY =M?WY=;;
D R Horton
AET Job No. 20-05758
January 17, 2006
Page 2 of 2 .
The observed soils were judged suitable for support of structural loadings and placement of fill
needed to re-establish foundation grades.
On January 11, 2006, we performed 4 in-place soil density tests in the fill placed and compacted
to re-establish foundation grades in the rear part of the basement. The field density tests were
evaluated against the laboratory Standard Proctor maximum dry density (ASTM:D 698) to arrive
at a percent compaction level for the tests. The results of the tests, which are attached, indicate
that the recommended minimum compaction level of 95 % was exceeded at the locations and
elevations of these tests.
Our services for this project have been conducted to those standards considered normal for
services of this type at this time and location. Other than this, no warranty, either express or
implied, is intended.
If we can be of further service or you have additional questions, please contact us.
Sincerely,
American Engineering Testing, Inc.
~~
~~
Senior Engineering Assistant
)t(~1? ///r;a
Michael P. McCarthy, PE
Principal Engineer
MN License No. 16688
GAL/MPM/gl
Attachments:
Report of Density Tests
Earthwork Quality Control Information
Freezing Weather Effects on Building Construction
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ENGINEERI~G
TESTING, INC.
CONSULTANTS
GEOTECHNICAL
MATERIALS
, ENVIRONMENTAL
~~
REPORT OF DENSITY TESTS
PROJECT:
REPORTED TO:
TOWNHOME
17506-17512 D EERFIELD DRIVE
PRIOR LAKE, MINNESOTA
D R HORTON, INC. (2)
20860 KENBRIDGE COURT
LAKEVILLE, MN 55044
A TTN: MIKE SUEL
AET JOB NO: 20-05758
DATE: JANUARY 17, 2006
FIELD DENSITY TEST DATA
Test
Depth
Below Dry Moist.
Test Test Existing Density Content Proctor Percent
No. Date Test Location Elevation Grade (pcf) (%) No. Comnaction Soecs.
1/11/06 20'N & 20'W of SE building 947 lh' 114lh 10.1 961h 95
comer
2 1/11106 32'N & 26'W of SE building 948 Ih' 1151h 7.0 2 95 95
comer
... 1/11106 25'S & 15'W of NE building 948 lh' 1151h 7.7 2 95 95
.)
comer
4 1/11/06 20'S & 20'W of NE building 947 Ih' 115 lOA 97 95
comer
Method: Sand Cone (ASTM D1556, AET #20-SOI-1)_ Nuclear (ASTM D2922, AET #20-501-2) X
This document shall not be reproduced, except in full, without written approval of American Engineering Testing, Inc.
550 Cleveland Avenue North. St. Paul, MN 55114.651-659-9001 . Fax 651-659-1379
Duluth. Mankato . Marshall. Rochester. Wausau . Rapid City. Pierre. Sioux Falls
AN AFFIRMATIVE ACTION AND EQUAL OPPORTUNITY EMPLOYER
AET Job No, 20-05758 - Page 2 of 2
LABORATORY MOISTURE-DENSITY RELATIONS OF SOILS (PROCTOR)
No.
Soil Descriotion
Max. Dry
Gravel Test Opt. Moisture Density
Content (%) Method Content (%) illft2
12 B 13.1 118.8
22 C 10,6 121.5
Modified (ASTM D1557, AET #20-SOI-4)_
Silty sand with a little gravel, fine to medium grained, brown
(SM)
2 Sand with gravel, fine to medium grained, brown (SP)
Procedure & Method: Standard (ASTM D698, AET #20-SOI-3) X
To protect the addressee, the public, and ourselves, this report (and all supporting information) is provided for the addressee's
own use. No representations are made to parties other than the addressee.
Reviewed By:
American Engineering Testing, Inc.
~~
G~Larson
Senior Engineering Assistant
EARTHWORK QUALITY CONTROL INFORMATION
EXCAVATION BASE EV ALVATION
Judgments of supporting soils are based on soils exposed, and on local samples of soils retrieved by hand augering and
probing. Because conditions in the subsurface are hidden, it is not possible to fully characterize the subsurface conditions.
Therefore, the client must accept that our judgments are limited to those soils which are directly observable to us.
As soil conditions may be variable at depth, it is best that excavation base observation be aided by deeper exploratory test
borings (usually done prior to construction). Although these deeper borings may not totally reveal what is in the subsurface,
they greatly reduce the risk of deeper poor soils going undetected.
The presence of ground water within the excavation can also limit the supporting soil evaluation process. Also, if standing
ground water is present, there is a risk to the client that compressible soils may not be observed and remain beneath the
water during excavation. The compressible materials can become trapped beneath or within the subsequently placed fill.
FILLING
Structural fill placement is commonly monitored by performing local compaction tests, which entails comparing a field
density test to a laboratory Proctor test to arrive at a percent compaction. Density tests of fill only provide the compaction
level of the fill at the location and elevation of the test. As many factors control compaction, such as fill lift thickness,
moisture content, material type and compactive effort, compaction variation within fill can exist which may not be
represented by the tests. Density (compaction) tests are considered representative when used in a conscientious program of
controlled fill placement, where the factors influencing compaction are closely monitored. Conclusions about fill suitability
to support structural loadings from the results of a limited number of compaction tests includes increased risk, unless the
individual drawing the conclusions has complete knowledge of the aforementioned variables during placement. For this
reason, part-time testing on a "will-call or trip" basis includes more risk to the client than "full-time" monitoring/testing.
OVERSIZING
Structural elements also exert loadings laterally; and because of this, the excavation and subsequent fill system needs to be
oversized to accommodate these loadings. The extent of lateral oversizing is normally associated with the movement
sensitivity of the structure and the strength/compressibility properties of the soils remaining along the excavation sidewalls.
Oversizing on the order of I (horizontal): 1 (vertical) is typically provided for foundations in "normal" conditions.
However, oversizing on the order of 1 Y:z: 1 or more is usually needed in highly compressible situations such as swamp
deposits.
AET does not practice in the field of surveying and must rely on location and elevation staking of proposed construction by
the client or their representative. Our measurements in the field are made in relation to those stakes or other location and
elevation information provided to us. The reliability of AETs opinions, conclusions and recommendations based on those
measurements is dependent on the accuracy of the staking or information provided by the client or their representative.
FREEZING WEA 1 tu.R
Soils which are allowed to freeze will heave and lose density. Upon thawing, these soils will not regain their full original
strength and density. The extent of heave and density/strength loss depends on the soil type and moisture condition; and is
usually more pronounced in finer grained soils, and particularly silty soils. Foundations, slabs, and other improvements
affected by such frost movements should be protected from frost intrusion during freezing weather. If filling takes place
during freezing weather, all frozen soils, snow and ice should be stripped from all areas to be filled prior to new fill
placement; and the new fill should not be allowed to freeze during or after placement. For this reason, it is usually more
beneficial to perform excavate/refill operations during freezing weather in smaller plan areas where grade can be attained
quickly rather than working larger areas where a large amount of frost stripping may be needed.
STRUCTURAL SUPPORT ON UNCONTROLLED FILL
Risks are associated with supporting structures on fill which has not been placed in a controlled and well documented
manner. Even where existing fill appears to be well compacted (including when soil borings have been performed), hidden
poorer or looser soils can potentially exist below or within the fill; or previous excavation and extension of the compacted
fill may not have been provided with sufficient oversize in all directions to accommodate the new lateral loadings. Risks
can be reduced by means of increasing the amount of testing and observations.
20-E.FLD013(2/01)
AMERICAN ENGINEERING TESTING, INC.
FREEZING WEATHER EFFECTS ON BuiLDING CONSTRUCTION
GENERAL
Because water expands upon freezing and soils contain water, soils which are allowed to freeze will heave and lose
density. Upon thawing, these soils will not regain their original strength and density. The extent of heave and density /
strength loss depends on the soil type and moisture condition. Heave is greater in soils with higher percentages of fmes
(silts/clays). High silt content soils are most susceptible, due to their high capillary rise potential which can create ice
lenses. Fine grained soils generally heave about 1/4" to 3/8" for each foot of frost penetration. This can translate to
l" to 3" of total frost heave. This total amount can be significantly greater if ice lensing occurs.
DESIGN CONSIDERATIONS
Clayey and silty soils can be used as perimeter backf'J1I, although the effect of their poor drainage and frost properties
should be considered. Basement areas will have special drainage and lateral load requirements which are not discussed
here, Frost heave may be critical in doorway areas. Stoops or sidewalks adjacent to doorways could be designed as
structural slabs supported on frost footings with void spaces below. With this design, movements may then occur
between the structural slab and the adjacent on-grade slabs. Non-frost susceptible sands (with less than 12 % passing
a #200 sieve) can be used below such areas. Depending on the function of surrounding areas, the sand layer may need
a thickness transition away from the area where movement is critical. With sand placement over slower draining soils,
subsurface drainage would be needed for the sand layer. High density extruded insulation could be used within the
sand to reduce frost penetration, thereby reducing the sand thickness needed. We caution that insulation placed near
the surface can increase the potential for ice glazing of the surface.
The possible effects of adfreezing should be considered if clayey or silty soils are used as backfill. Adfreezing occurs
when backfIll adheres to rough surfaced foundation walls and lifts the wall as it freezes and heaves. This occurrence
is most common with masonry block walls, unheated or poorly heated building situations and clay backf'J1l. The
potential is also increased where backf'J11 soils are poorly compacted and become saturated. The risk of adfreezing can
be decreased by placing a low friction separating layer between the wall and backf'J1l.
Adfreezing can occur on exterior piers (such as deck, fence or other similar pier footings), even if a smooth surface
is provided. This is more likely in poor drainage situations where soils become saturated. Additional footing
embedment and/or widened footings below the frost zones (which includes tensile reinforcement) can be used to resist
uplift forces. Specific designs would require individual analysis.
CONSTRUCTION CONSIDERATIONS
Foundations, slabs and other improvements which may be affected by frost movements should be insulated from frost
penetration during freezing weather. If filling takes place during freezing weather, all frozen soils, snow and ice
should be stripped from areas to be fllled prior to new fill placement. The new fIll should not be allowed to freeze
during transit, placement or compaction. This should be considered in the project scheduling, budgeting and quantity
estimating. It is usually beneficial to perform cold weather earthwork operations in small areas where grade can be
attained quickly rather than working larger areas where a greater amount of frost stripping may be needed. If slab
subgrade areas freeze, we recommend the subgrade be thawed prior to floor slab placement. The frost action may also
require reworking and recompaction of the thawed subgrade.
OlREPOI5(2/01)
Ai'\tIERICAN ENGINEERING TESTING, INC.
" .
. HEATING PERMiT FEE
STATE SURCHARGE
. . TOTAL PERMIT FEE
(Office l!se Only)
. TliisAppUcation Bec~.ities.Y~n"r BUilding Permit When Approved.
Building Official
Date
Buildmg ~erniit # .
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$. . ... '. 1iA' ~~ PEflMIT
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Paid
. . ;'F-eceipt No. .
Date
MAR II 1 liin;;
-y
By
.. 24 hour notice for all inspections (952) 447f9850, fax (952) 447-4245
. . :', ".. .
. -J., .
".J' .
01/05/2006 THU 10:28 FAX 952 767 1900 GENZ-RYAN
raJ 003/009
Date Rec'd
LITY OF PRIOR LAKE
SEWER AND WATER PEAAu 1.
(Please me or oriDt and silll1 at b_~_)
ADDRESS
i It)()G ,[)P~A' f'p !rif)(/ 'VI?,
LEGAL DESCRIPTION (office use only)
LOT0 BLOCK i ADDITION UPbVf'p / Ii i-;)ht
~=R Dl< \+fJV.-\-OY)
(AddrESS) d()~l of') krilll \';V\(lClC Cd-. stc i())
(Address) ~
~: ~w ~~ I PERMIT NO.N'_ ^~
3. Gold Applicant IN · ~
ZONING (ollice use)
PID
(phone) q5~- YKf5 -tfJ)'J
r .'{jJ(lV/f (C/' 55{Jq L)
(City)
(Zip Code)
APPLICANT (l. n I
(Name) tl(l.n1:.- Ii/LA a Vl
'N I
.-') "'0'" \ 111 . I. ,r"J.
(Address) L-t- LJ . 1 ! \1''/1;, , )
(Address)
(Contact Person) f\h'cole.. INv,,'rLu1. .
'"JLICANT SIGNATURE .iJ1u{./-r{e ~;'4//1
---- (j
APPLICANT PLEASE COMPLETE BELOW
(Phone) F;VJ1- 7 1.P1- (UD{)
BJA tVI \" Vi { I-L- (V\N r:r;33 ~7
. (CitY) (Zip Code)
(Phone) Q6,} -7h 7- i ~'-17
DATE........! J SiD. ~
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 pvc 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
This Application Becomes Your Building Permit When Approved ._~_.-
\ .'. It:
~: \, \ !
; ',I i '-Bate
Building Official Date .'r JAN 0 q ?nnf1
24 hour notice for all inspections (952) 44 t~50, fax (952) 447-4245
PAID WITH
BUILDING PERMIT
~. !
I Rece ft No.
~
(Office Use Only)
01/05/2006 THU 10:27 FAX 952 767 1900 GENZ-RYAN
l4J 002/009
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and sig;n at bottom)
ADDRESS
! '15o~) D-ilPAr J',-P fA Drl'ff.-
V' I
LEGAL DESCRIPTION (office use only)
c:::. 0 "'. ( h~_
LOT :.J BLOCK ADDITION e.l/V~\'e d I ;)~V'
I. Blue File
2. Gold City
3. Yello", Applicanl
I PERMITNO~
ZONING (office use)
PID
~~e~R f) R -H-ovtO() (phone) C)5,) - q (j'C)-{ fry')
(Address) ~o8(YD KCV\bt-l ct0L.: (0*. $,1-e.ln[') LCU<tllt/l-e.- :=l5()/"/L!
APPLICANT (\. 'f) /A
(Name) Cl~1J_- ~&J~V) (Phone) L1CJ1--,(f1 - (ODe)
(Address) 21/)0 VV. f-h'1JLA 1,3 hL{t2-~1C,V /' fie., M N S':J~-537
(Address) ) (City) (Zip Code)
(Contact Person) ~\ iIO!).. IAJ\n IV IMp.-.. (Phone) t.1tJJ - 70/'-/ ?,1.-/1
APPLICANT SIGNATURE /n<.,(Ifr6j ~/'JfiU_h>>./A DATE / / tC)/ 06
(I (
APPLICANT PLEASE-COMPLETE BELOW
Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower 3 Rough-ins
I Dishwasher I Water Heater
I Floor Drain R..?'~1i'1- (10 I Water Softner
I Lavatory (Bathroom Sink) "I I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall ')- I Backflow Assembly
I Sinks I Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
I Water Closet (Toilet) I Other
Quantity
,
(
I
'1-
-I
I
a.
liEESCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99,50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
PAID WITH
.5cBU'LDING PERMIT
(Office Use Only)
~'~), '1
ptNo.
This Application Becomes Your Building Permit When Approved 7 ~\ ~::..p 1I1~
! ..'.J \,-! .
! I." .
,', I', Date
Building Official Date ','1.\ \ JAN 0 9 2006
24 hour notice for all inspections (952) ~-~850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 11..S0 (0 K.Fi El-C -:I>2.t VE
NATURE OF WORK NEW O~ w/.fAT c..&.. ElN'..tt
USE OF BUILDING S' ,I=: A... .
PERMIT NO. Of.OCi/4- DATE ISSUED J1{z,,{gs
CONTRACTOR IAi. t\02~ INC.. PHONEfU._-_~
NOTE: THIS IS NOT A PERMIT FhR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
Main File
INSPECTOR
DATE
I'
I FOOTING I ~ I ///2~6
FOUNDATION {Prior to BaCkfill),IP///-tkl w~t/J J/tf /P1ft-t I ~# ~f/~
PLACE NO CONCRETt UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS I I
SEWER I WATER I SEPTIC ;ffl/t //ulo1::.
FRAMING V/4f1/ Jl11d6
INSULATION lIr "")""(}-rh
ELECTRICAL , .?/7?.6
PLUMBING VI ri: /U1- J/~{, fI,tJf j / 'I/O ':
HEATING (if required) ~ I I J/~/:J b
FIREPLACE , f I ") / I
GAS LINE AIR TEST j4t#tk f(~ 9. ~ 3ft/dO
COVER NO WORK UNTIL ABOVE HAS ~EEN SIG~E9
LA,HI=" I t+au..SetAJ{lAP I ~I- I y/? /Db
-~ FINALS
/l/~ .s, d- J: l/--b
~
GRADING (Prior to Sodding)
BUIl:.DING
ELECTRICAL
PLUMBING
HEATING
DO NOT
,I
OCCUpy UNTIL ABOVE HAS
NOTICE
vw
~
~ I
b~/"o/
- ~/I##~
1.1 '~r7'1/(,
6"00~~
L .
BEEN SIGNED
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
(tt~rtifitat~ of Q1} tmp ant\!
CITY OF PRIOR LAKE
~tpatfttttnf nf ~uil~ing JInsptrfinn
rinal Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D Iflternational
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
Occupancy Type _
S//VtqLE. F,rJrJ/ LV
L.").~ V.I
f'. - Type Construction_ IV
Bldg. Permit No.
C&;. ()OI4-
,<:"2-
Use Classification .
Zoning District
Legal Description _
L,5,13/
i) t: C ILT-- I F... I...,.L) /2. 77i
Site Address /7500 D6Elif/f:L D /Je..
Owner of Building
Contractor's Name & Address J) /c. . r/WL77J1';j
/Co 15 EJ2.T D. !itJ7(;;t-f I fJS ..dMty Planner
./ ~ Blji{'liing Official /' ~
Date: ~ P./'bC Date:
;' POST IN CONSPICUOUS PLACE
~flf\lE j:;FiNS" /6K
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
~
PHONE NO.
J]S~ /ku(MJ. i)r4
CONTR. --.ltJ. ~rh,."
PERMIT NO. (J6,-o/~
.
~L1NG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
COMMENTS:
6a:ufC, ri t(
u/6 Ro/-"IL,
~WORK SATISFACTORY, PROCEED
- &-cORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR 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!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/ 7~7)c. f>y#.-_ ~/ )
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
...Ij!rPLUMBING FINAL
o MECH FINAL
COMMENTS:
(j) It /M.{/W
-
rtllJtL-~ 5
,
DATE TIME
L.{,-I7rt7Z
;:. -/4
,
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
J! CORRECT ACTION AND PROCEED
o CORRECT WOR~~ FOR REINSPECTlON BEFORE COVERING
Inspector: V}! r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS .~~~~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o If9iULA TION
...er"ANAL
o SITE INSPECTION
C~~NTJ: /
~~c..-rr;U? I
DATE TIME
SCHEDULED ~
Aer- ;J~ // LJ
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
/: .-
/;' h, ,f
/'4c 4~ ~r;;., /~
~,/'er " ~ d cJ ,;<St;. r-
-- . c!Y~
l
---- / /
/7h~ /
/'
e:/ ('C
6-/~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
. / /
70 P--k,~
,. ,
. - /
7~Jr-
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: " ~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
_011
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to reg~/ator
Heating Contractor .....L/11v7 ~~
~U
- $///Atp
Name of Tester
Date
Job Address /75"'<2P ~/
Heating Contractor ,~~ ~,
Name of Tester ~
Date fft~
. I
Percent 02 / 2 ~ '2:t
Percent co ~.JV
, - -
Percent C02 .s; /2d
3. "2...A Dr-
Stack Temp --- r
Combustion air is adequately supplied per
UMC Sec. 606 (/f!!"f"
I
input 79'~ ~ 141