HomeMy WebLinkAboutBldg Permit 05-0471
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 5- J 3 -05
(Please tvlJe or vrint and sicn at bottom)
. ADDRESS
j40s-~
L JL ~ C.-a ,.1 ~v ~ ·
:;;D::~ON:::I:::) tJ:I J4iE-'~ ~,
CCTl- bT r
/+~A.-S
~=R /U ff)n ~ck)
(Address)
I. White File
2. Pink City
3 Yellow Applicant
I PERMIT NO'(J5- L{JJJ
ZONING (office use)
~/$.{)
PID z.::>. +-04-. 007. ()
\
(Pholl~) ill -~ s :L'" 7 &lL
~g;;~~~Name)~ ~""fA/(/) Ce,-<,.. ( (Ph~~) $'c;"-;J..-L{.?).... '? b:..>'
(Contact Name) :J<.t:.p (! ~ r~'''':~hone) ";:2.- 7f>1 ,-,p&, q Ct
(Address) ? roo I , t...{ ~ rL-.. S It.vI4 ~J ~((' 1M., ~""'I ~ 'i
-. \,/-
TYPE OF WORK ~ew Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition OAlteration OUtility Connection 0 Misc.
CODE: rn:.R.C. OJ.B.C.
Type of <f<;'~struction: J II III IV V A B
Occupancy Group: A B E F H J M R S U
Division: I 2 3 4 5
OLower Level Finish ~ Fireplace
~r/ A
PROJECT COST/VALUE 'rev-... U~ .'T'
(excluding land) ~~ (p rf)~ (?il
/ .
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
d 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
kerr;:;;c;ause Furt~herebY agree that the city off80ee:gn~int7( ;he property to perform :e:r-7;jn/o s
Signature Contractor's License No. ' D~e
x
I Permit Valuation
I Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
tit
~ 3loCs"lJ 0 0 I 0'0
$ ,;J.~ ~'1. $'"0
$ /7 2Z./g
$ /<63,ot:J
$
$
$
$
$
100, tJ ~
loa. () 0
35". ro
L/o,oo
This Application Becomes Your Building Permit When A. . _, "ed
~~
Building Otlicial
s/~s-~ 5
,
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8'Q'I";)
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
~
$
$ jt/S"a, dO
$ 300, 0 0
$ 75,.00
$ 1500, Dc
$ /OCJt!), 00
$ /5ao. 0 C)
$
#
#
...
#
#
I
I
I
$!flb~~ J <J I
Paid
Date
1(/. hs5,; y
PI: ~~-06
-- ,,~
. .
Receipt N a.Ltc;? It:, 0
By ~
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 si ned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issu 9~~ S-AS-/05
Planning Director .Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (9,52) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~.
i "~"
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R~2 Districts',
r-
Reviewed by: ~ ~ Date: .-S-P-S-~5"
Building Permit #
Address: It( tJ S 7'
Legal: L 7 ,B /
PIC: ,... Zoning:
~ ~k. ~
Subdivision: vJ~ '11.~
Existing Structure? YES ~
Existing Nonconforming Structure? YES ~
CONFORMS TO ZONING
ORDINANCE
YES
'Yard Setbacks: NA I FAI~MPLlES'}
. Front Yard (can be 20' if avg, w/ln 150')
. Side Yards
. 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 built in the future
. From 100 year flood elevation of wetland/NURP
pond
. From OHW (Prior or Spring Lake)
-
, Floor Area Ratio: NAI FAILS(C~PLIEs;J
Yard Encroachments: NAI FAIl.$1C'OMPLI~
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: ~;}J FAILS I COMPLIES
. Total caliper inches
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement
%:1
L:\TErvlPLA TE\BLDGLIST.DOC
NO
L:\TENIPLA TE'BLDGLISTDOC
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White - Building
Canary - En~rlng
(""Piii'k - Plannl!Bl>
BUILDING PERMIT APPLICATION DEPARTMeNT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/'/c LJO/V1it-oD
(!,.. () /\/..(772- .
~ I -;. 0""'-
~ " .'-". "---'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction . activity which is proposed at:
/ cf-{.>':;; 13/ II/-l)-l:;- c:.-r/IC-C G/ Ie ~~
Accepted Accepted With Corrections
.~ Denied./' /'
Reviewed By: ~
~~
/
Comments:
,.
~ Date: S/~S-.k>5:"
I '
r-
.~~~
/
:i,.t..~i
IldeYad 8et~..
"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."
tWhite - BulldiiUi>
~nary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
?l (!, Of) AI/lL-.D tAJ/'/I772-,
6//3. oS:-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-05" 8 Jm7::; S- LA-1C-6 e/ K-ue-
Accepted
Accepted With Corrections ~
Denied
-u .; ... .. - ,.;1 0"
~~
~ a.-U~,
,~ A...- ~'.:>-4l
Date:
s/C}.-r~s-
, .
L~
I
~
Reviewed By:
Comments:
,.
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. II
White . Building
<:: ~ry . -;JIg.hII"nlny;>
PinK . PlulII'ung
BUILDING PERMIT APPLICATION OEPARTI\dJ:NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/1-; (!,. 0 () IV rl L, 0 c.,o /vI7?2- .~
6,/3. oS:-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 4-05' f) j-fHH S" vi K.6' (;11t... d~~
Accepted
X'
Accepted With Corrections
Denied
Reviewed By:
tn1f3
Date:
q-.Ji-o~
Comments: ~pe R~\!.eLC::p Side for Additional Informationl
Keep Eo., F c,-f 9'13:&J
See Attachment~~ 1) t;rading Plan, 2) Erosion Control Measures
"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."
~lltOFPRIORLAKE
HEATING/AIR CONDl110NlNGIFlREPLACE PERMIT
Date Rec'd
~:=..:, I PERMIT NO. Ar' ^A~'
). Ydlow App__ U i;;J. ~ f
~ tvpe or 9dDt aDd 5il::n i1t boItoall
ADDRESS I /
/~O~ 1?'(J,O~
~
(;/fl.
LEGAL DESCRIPTION (office use only)
LOT BLOO<
AoomON
OWNER 1(\
(Name) .f7?r,rQ.,,^ Yl ( AJ
.. ~
C.oP' ~~ I-.
(Phone)
(Address)
APPLICANT ~ reo
(Name) ~N oil
nif
(Phone)
(Address) "
~/:;; K'\
~Q.~ ~J
(Address)
Sue,
I
;~ 1;;:..... )?21 ,
cJ I (CitY)
. ZONING lof&e
use)
PID
~3~ - 7(60 I
-r'G(1') - ~O;:) ~
~~.SA ;;)J.../
(Zip Code)
(Contact Person) / J /1 (Phone) -
APPLICANTSIGNATIJRE /:,,~ ....L::'~...,~ DAlE
I -
APPLICANT PLEASE COMPLETE BELOW
-eJ&Ew CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACEMAKEANDMODEL~f~~r . CQM~WCf:) FUEL AJIfI-
FLUESIZE .~ If PIle.- RETURNOPENINGS INPUT /00 QCO OUTPUT 9..9mo
. ' , ,
TYPE OF SYSTEM HEATING OR. POWER PLANT
OWann Air Plants 0 Steam
DGravity 0 Hot W81J:;r
~c:chanioal 0 RadiatiOtl
~ Condirloning , 0 Special DeviCiOi
~. System 0 Otha Dc:vices
PAID WITH
BUILDING PERMIT
~ W [e.~ 0 ~J \] ~ Receipt No.
DJffL 1 2 2005 j J By
,
FIREPLACE MAKE AND MODEL
FEE S\..I1J!.DULE
IDdu.strial, Commercial &. Multi-Family 1% of job cost Residential, Gas Fueplare
$39.50 1J'Iinimum
Residential, Heating &. Ale (New c......y olCtion) $99.50 R.esidential. Additions & Alterations
Residential, Healing 0nJy (New CoDStIW;rion) 564.50 Rmd.cntial, AC Only
Estimated Cost S . _ Building Pennit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE S
.50
(Offic~ UN Oaly)
This ApplicatloD Becomes Your Building Permit When Approved
BlIi1dlq Official
DI11I
24 hoar lIotiee lor all jotpee:tlODS (952) 4< 'j3-98SO, fax <'52) 447-4245
Y ._
7 - 7 - ()C::(
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yani .
Setbacks
539.S0
S39.50
$39.50
100 IP1
HIV aa:110H.LNO:>
9LG909t1S9 !Vd GO:60 nRl SOOGILO/LO
. fOPI!~
~\)
~
~,....~
I /1jO~8 Hao.:;, Lake C;/"c,Je ~
1IOAL ~ON (oftJaI Ute Oft\)') I AI
unf/7 BLOCIl 0 ) ADOmON U;; /d:s / Jorfh PID J
OWND ... - . . \. ..
(IloJlolO 11 r, b. rJ; (AUJ.. t N\I 1J.gYl :Ch0. . m.-l ~, y-] .) - 76Q.L
1~;:.;--7Go _.lysfA sfl/ks.t/ Itp,Jp !/oJ/p;tfh'l ;S-S-/ d Y. '.
~&Lfl dr Ulrt/J,(h J-hL'J (Phone) ,6"J/'- ,Y\\9. -- ~ I ~()
~ .frY SLI 0 ,"/ rf, ){/t?D.. .burv ~ ' ,S--S"'" Lri9
I I') (~) 'f. I ) (city) . (ZiP Code)
~r-J 1u.i1L.=~/th j - (_m~vJii-~/J'O_
AlfUCA/iTSlGNAT'UlUl ~ ~~:.-.~ DATE.. ?~ //-(}J
~
I
I
'1.
o J
,
I
.........1-
Date aiel d
CL" i O'i' PRIOR LAKE PLVMBING PERM. ..
!I!.; I P&IIMI' ~ ~I
ZONDIO CIlIIlII_1
, APPLICANT PL&ASE COMPLETe BELOW
i~~ . ~ I .A.,...or.........
~ fU"e with ~ - ,( .-tnl
~.~ . / ~
-r DndIi' ' . w_llliIiiK-
iB~"i1k)~ : ! ~--)
_.. on_-,",,' -:. :-:....... .--
.. . -~-~
..1_ ii:'i JI.ftW Mnftl'e!Y "I~-
...... ,~ .:.w. .......
~ ~ ~i' t.{~ ('follet) ~ --....
-
-
Fa ICIRDVLE
~ CQ~ cII. Mdt.family l~ of jOb cost with a S)~.SC Ift\n~ 1leaidlftdal, New One A Two-PtmUy
~ .Mdidana" A1ttriUOft.
li"ltnated eo. $ }.J ,~O (j. O\j BuUcUn. PenDI" t)~.... Y'/ L
PL~~INO PBllM1T fEE S -+-~ ~ ~
-...- ~~~ ~ f) \:\ ~
r 1\11 A"'...... 'Ieoo." You.. Build'" P__ WMIl APPro"" J . PliO \\ ,j \ a.eceapt NO.
..... j .~
$9UO
..SO
_1I,*-,~.'
DItW
M"ilHU ~. ~...~ (9.) ....,..,... ...(Iet) ...,......,
1.... ".,
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CITY OF PRIOR LAKE
REA TING/ AIR CONDITIONING/FIREPLACE PERMIl
Date Rec'd
(Please type or print and sicn at bottom)
ADDRESS
14058 HAAS LAKE CIRCLE
L Pink File L-. I
i: ~:'w ;~:'icant PERMIT NO.S: ~ f-IJ
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name MCDONALD CONSTRUCTION
(Phone)
. (Address)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOQIES DBA FIRESIDE HEARTB & HOME (Phone)
2561
651-633-
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
~ontact Person)
BRENDA HUSTON
(Phone)
651-633-2561
I APPLICANT SIGNATURE
BRENDA HUSTON
DATE
10120/ 05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
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
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
$39.50
$39.50
("
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
. tIice Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
BuildinlZ Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DEPARTtft'ENT OF
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS I!1~SS ~ C,J,,(!iF
NATURE OF WORK . . ~)
USE OF BUILDING J JA..J . 0,
PERMIT NO. ~.... "1 -'I DATE ISSUED ~
CONTRACTOR ~ ~~,.. PHON~. "~'1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I
INSPECTOR
DATE
l.<..t:" I P II) ~ ~ ')
. . ,
FOUNDATION (Prior to Backfill) I ~ I &/U/<!JS'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
~IREPLACE
G~S LINE AIR TEST ~p
.. COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
Mrll6 ~c ~W 1'/1# f/+ I
~ ()'-,~~~ FINALs(
GRADING (Prior to Soddingt ftJ t-JlS <t. , ,41.
BUILDING'-'1 b 8..t-os-.~ ' rb
ELECTRICAL
PLUMBING
HEATING
DO NOT
FOOTING
( -t4rcJ\
7h,>
.7/29/0S-
/
(/h /#8
P ,o~
J / -;',- /
II ,//
(pltCZ I~v
I
(/h IPZ~
~
OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
Id/ }IJ~6'
I
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
... "f"-""
dl~rfifitaf~ lIf @ttUflantlJ
CITY OF PRIOR LAKE
;!El~}latfm~nf of ~uil~ing Jfns}l~tfion
" .~ . d
~. t<mal Pefffiltte
o Conditional e.O. Expires_
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D International
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:
SINGLE FAMILY 05-0471
Use Classification . Bldg. Permit No.
Occupancy Type .
Type Construction
L7, Bl, WILDS NORTH
R3
VN
Zoning District
RISD
Legal Description
Owner of Building
MCDONALD~R. ,
Contractor's Name & Address _ :t\..
ROBERT D. HUTCHINS!) 71 )
Building Official v ~/
Date: ( / v (; (,
14058 HAAS LAKE CIRCLE NE
Site Address
7601 145TH ST. W., APPLE VALLEY 55124
JANE KANSIER
City Planner
Date:
I " I I (, " i i' '~,...,<~~<:L.",,;~' . ~ir;,:";;"~";;.",,'~' ,;';';'~';;';'~"f5'jY,~" '
""~~:';"""W.""'\"J..j,t,J.;.' .... ;'('''','Aiilliil'; ';""',,-..........,-. ;",'~
...........
...
.~
C'TY OF PRIOR LAKE
'NSPECTION NOT'CE
DATE nME
SCHEDULED
1'-2-"
ADDRESS
Itttb~ Hus LK C//
MC/h"f f/
PERMIT NO. ~"LJ"/
O(ExJ..aMILLlNG
1J CO~T
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
CONTR.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
OI-EJNAL
o SITE INSPECTION
o PLUMB'NG RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
C () (6 4,x til
.
b~ - 0 tL
)(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector~ -."'Owner/Contr.
CALL 447.S850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN$NOT1
ADDRESS
IL.\O~
qj~7J(<" .-
SCHEDULED J, ~ 0..)
~~ L (.c Tr- .
CITY OF PR'OR LAKE
'NSPECTION NonCE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1;;-1./7 ,
C FOOTING
C FOUNDATION
C FRAMING
C INSULATION
C FINAL
C SITE INSPECTION
C PLUMBING RI
C MECH RI
C WATER HOOKUP
C ~R HOOKUP
...Ja'1'LUMBING FINAL
C MECH FINAL
C EXlGRADIFILUNG
o COMPLAINT
C FIREPLACE RI
C FIREPLACE FINAL
o GASUNE AIR TST
C
COMMENTS:
1""-0...
"-
"
J. ~ {1~.J
e.. (bPJ. ..{~ Y\/l -r l)
/\ r~
~~ ~.,.-U 0P-f1'"
t./C/7 -~r8
~ORK SATISFACTORY, PROCEED
ORRECT AC ON AND PROCEED
o CORRECT. OR ALL FOR REINSPECTION BEFORE COVERING
Inspector: '.. Owner/Contr:
CAL l J-985~ok THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE~QUlREMJNTS ARE FOR YOUR PERSONAL HEALTH .I SAFETYI
'- /' INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I '-l () s...e
OWNER
PHONE NO.
D FOOTING
D FOUNDATION
D FRAMING
Q...IHSULA TION
-""l5 FINAL
o SITE INSPECTION
COMMENTS:
(, F.~
.2.
~oj) +-
DATE TIME
SCHEDULED (~
l-l c..A,.~ Lt:- OAt,
CONTR.
PERMIT NO. -5"- 47(
D PLUMBING RI
o MECH RI
o WATER HOOKUP
D SEWER HOOKUP
D pLUMBING FINAL
...2" MECH FINAL
D EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE R1
D FIREPLACE FINAL
o GASLlNE AIR TST
o
G,...:_~
\
'\I\~f'\
.
I f).J " .b
f
3 M 't.t~ "t \-cSt-- O~
!~
-l
~-I-o(('
o WORK SATISFACTORY, PROCEED
D CORRECT ACT~AND PROCEED .
~-7J · ALL FOR REINSPECTION BEFORE COVERING
Inspector: I . { Owner/Contr:
CALI ,J47-~~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUlREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn