HomeMy WebLinkAboutBldg Permit 05-0853
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
8. I B~OS
(Please type or print and sign at bottom)
ADDRESS
Z'{Pq / lJ/t..dr /A7tIe- : AI 0.
LEGAL DESCRJ..t'TlON (office use only)
LOT I BLOCK / ADDITION s~t:L~/\I-'r ~ <:;'TlJrH
OWNER / ~
(Name) t::rKUJV
I. White File I PERMIT NO
2. Pink City . 05 () Q5.3
3. Yellow Applicant V
ZONING (office use)
PUt)
z ~ A1t?d
PIDZS;-G/&::> -001-0
. (Phone)
(Address) /(/ !/oj
Lf)O.lA.ff"./U kL S. , 5.wAhf:..
.
BUILDER . I
(Name) 11',47ZCA:FF /-k)h1LS
(Contact Name) z;bv/:r ~
(Address)
(Phone) e.,~~-q~- ~s-c;
(Phone) q,~z..-q~- ~ /79
TYPE OF WORK
o Misc. }. ~C-.
laNew Construction
ODeck
ORe-Roofing
ORe-Siding
OUtility Connection
OPorch
OAddition
OAlteration
OLower Level Finish
o Fireplace
PROJECTCOST/VALUE (excluding land) $ Z Z~ c.cr')
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 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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon prvy.:..~j to p orm needed inspections.
x
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
L Gas Fireplace Permit Fee
( 2-3'i/}OO, 00. I
$ 18,t,3,?O -
$ .(P 05, to 'f-
$ 1/2" S-tJ
$ ,.
$ {fJO ' ~1fI
$ I(){)'~ 1
$ 3f .5 lJ
$ l./O,(lf
This Application Becomes Your Building Permit When Approved
Building Official
B-21-0~
Date
Zo/9!#Scn
Contractor's License No.
g J IS-to::-
' ate
I Park Support Fee
I SAC
I Water Meter Size 5/8,g
Pressure Reducer
#
'#
'$ ---,
$ ,l,.!j.St). 00- .
$ 3'00.01#
$ 7~_ 6rL
$ I, S"an. a~
$l CJ~.OO I
$}, $'00. od 1
$'"
$ y; ~ "1. /4-
City SAC and WAC
I Water Tower Fee
I Builder's Deposit
Other
#
#
TOTAL DUE ~ " Z"oS-
I Paid 8"(0 g',/ ,IL.l
I Date 1-1r - ~I
Receil't N~c;,o~
By .C;'
cT'
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 k...yv.ury Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ ~JJ+-J 9/;n/or M aL( ~~
Planning Director ' Uate Special"t'onditions, if any
24 hour notice (or all inspections (952) 447-9850, tax (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'.
RevieWedbY:~ ~ Date: -9/I/oS-
Building Permit # PIC: Zoning:
Address: d{, 9 / W~ ~ IJ. 0 '
Legal: L I , B I Subdivision: S~ ~ d~~'
Existing Structure? YES @
Existing Nonconforming Structure? YES~
CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NAI FAILsraoMPLI'es')
. Front Yard (can be 20' ifavq. wliri150')
. Side Yards
. Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in lenqth
I. Rear Yard
. Patio Door: provide for minimum 1 A' deck or sign
statement indicatinq 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 I FAILS I~MPLlEsJ
, Yard Encroachments: NAI FAILSqe-~L1E~
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.
Tree Preservation:(N'M' FAILS I COMPLIES
. Total caliper inches
I. Permit 25% Removal
I. Caliper Inches Removed
I. Caliper Inches Preserved
I. Replacement
Standard
Proposed
%:1
L:\TEMPLA TE\BLDGLIST.DOC
Driveway: NA / FAILS (CCYMpl.,~ Standard I' Proposed
. Maximum width at property line ,24' Ie'
. Required setback 5' from side lot line or 1,'
30' from r-o-w on comer lots
I · Maximum slope 10% t-'J. s:-~o
. All parking areas to be paved including R-Vor
spaces adjacent to the qaraqe ~
. Location to match subdivision qradinq plan ~
~
J Building Height(CdMPLIE~1 FAILS 35' Maximum trl-- 1
I Shoreland District{QJt FAILS I COMPLIES Standard Proposed
Minimum lot area (square feet) 7,500 Rip, 7,999 Non-rip
I Minimum lot width 50' Rip, 57.3' Non-rip
I Shoreland alterations
I Impervious surface 30% Maximum
Bluff in ShOrE!lanct(I~~FAILS / COMPLIES Standard Proposed
. Setback from top of bluff By planning dept.
. Bluff impact zone 20' From Top of Bluff
. Engineering certification submitted/approved By City Engineer
. . Grading in bluff or bluff impact zone No importing/exporting
I FloodPlai~,A)) FAILS I COMPLIES Standard Proposed
. 1 00 ye cod elevation 908.9' Prior Lake
914.4' Spring Lake
. Lowest floor elevation 909.9' Prior Lake /
915.4' Spring Lake
. Proposed lowest floor elevation Must be l' above flood
elevation for new and existing
structures. If existing
structu~e was constructed
9/19/90-1 1/22197 then
additional foot is not required.
. Elevations 15 feet from structure Must be flood elevation, or
. higher
. Road access must be no more than 2 feet below 907.9' for Prior Lake
Regulatory Flood Protection Elevation 913.4' for Spring Lake
-
Accessory Structure( NM FAILS / COMPLIES I Standard Proposed
Size - 832 sq.ft. or 25% rear yard
.
I · Not located in front yard (Materials)
I · Side yard and rear yard setbacks 10'
I · Maximum height 15'
I · Materials compatible with principle structure
L:\TEMPLA TE\BLDGLIST.DOC
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BUILDING PERM{f APPUCAnON DEPARTMENT CHECKUST
NAME OF APPLICANT ;f at.l..a.M ~ p ~ ./
APPLICATION RECEIVED . ~ /f..;;{,-? .
The Building, Engineering, and Planning Departments have reviewed the building permit
appl~1kx1 for const~6a~ wh; ;;;;L?~ .
Accepted With Corrections
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
~hite . BuUdmb
anary . !!nglneerlng
Pink . Planning
BUILDING PERMIT APPLlC.ATION DEfARTMENT CHECKLIST
NAME OF APPLICANT % ~ ~ ~ '" A ../
APPLICATION RECEIVED . ~ !f........6,~ -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constru~6ar/~ Wh/ __ 2~
-
Accepted
Denied
Accepted With Corrections
~
Reviewed By:
~~,; ~ Date: '?///tJS-
r / '
.~~~C~.~.~ :~
~
/&;.
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."
,-
"'/-
White - Building
Canary - epalneering
( Pink_- PlannlnQ:::>
,.
'"
BUILDING PERMIT APPLICATION DefARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
II'"
,,' )
.-...-/'
?\'r
I( /'
/
f:::-
;
.}fhe Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
--) ~ (;//_ /,/ J ~1;/' / / )
,,_.~ C I {. A'./..,,(.-( {A v-,A./
~
;~ccepted
Denied
Accepted With Corrections
V'"
,..
~~eviewed By: ~ ~, J2Jl..;
Comments: fr, /,...dl a1.-(J
Date:
9/; /cJs
, I
,.
"
~ir. Conditioner and O,-her }\!!eclmnical
tiiiLit CW:'I~O{; Encroach into Required
S~1e YR-rd Setbaeks
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."
\";11 iOFPRIORLAKE
HEATING/AIR CONDITIONING'....u<EPLACE PERMIT
Date Rec'd
i =.. ~~ I PERMIT N~- ~
1 YoIIow Apsfi...., 0:::;) ~
(1'leaee ~ m print and 5i~ at bottoDl)
ADDRESS
O?~q I ~ 11/[)S;
410e A),u) I
ZONING (oltiI:c
U&l')
LEGAL DESCRu liON (office use only)
LOT BLOCK
AoomON
PID
~:~ ~f;z~ P. g
#Ql'Y7e~
(Phone)
,?~s' - sq 5'9 ,~
(Address)
~~~~,Cc^Jh,o /~D
a;1'
(Phone)
40 .- ((;~;>~
(Address)
. ~/~ /0
t::A ~r\1 a~,e r
(Addresll)
~i
J?'/A' '"
(City)
~.sO ;J ~
. (Zip Code)
(Contact Person) / (Phone)
APPUCANTSIGNATIJRE ~d, _Z~,(.rrrLfl DATE
APPLICANT PLEASE COMPLETE BELOW
.-eIREw CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AliP MODEL ~A,~ PIU y (j~O c 9..L/~ FUEL ,#,r;f-
FLUE SIZE _'?" ~ LIe.- RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air P18I1ts 0 SWam
OGravity 0 Hot Water
~cc:hanit:al 0 Radiation
~ CoDditiolliDg 0 Special Devices
pent. System 0 Other Devices
PlREPLACEMAKE AND MODEL #co I- AJ G/O b L -7~O
FEE SCHEDULE
1 % (If job co$!: Re$identiaI. Gas Fireplace
$3950 minimum
Residential. Heating & Ale (New ConstnlCtion) S99.50
Residential, Heating Only (New Construction) $6450
9' - 6>- (1 s'"
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacb
Industrial. Commercial &. Multi-Family
$39.50
R~sidmtial, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE S
(Office Vile Oaly)
This Applicatioa Becomes Your Building Permit When App., , .J.
Paid
PAID WfTJ.I
tJU'lD'~~MIT
By ~
Date
BlIildiu Official
Date
24 bour Dotice for all impectioal (952) 447-9850, fax (951) 447-4245
tOOIiJ
HIV <I3110H1NO::>
9L6909ttS9 IVd te:tt IHd S006/60/60
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUilDING' AND INSPECTION
j.
SITE ADDRESS ~(p if I lJ,'l.rOc ~
NATURE OF WORK~) n.Qucf-
USE OF BUILDING
PERMIT NO. 050853. DATE ISSUED ~ - :>e; -oCS-
CONTRACTOR lkk1u tt 1-J.~""oJ.. PHONE .~.. ~8<; -l{U~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
r-- INiPECTOR /DA1J
, FOOTING ""we.. I f;J 17 . I 91/~/ oq--
r FOUNDATION (Prior to Backfill) ltJGI j/tl ,?/-<,Gr I ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
t/b
(;6
SEWER I WATER I SEPTIC
FRAMIfi"G- Ct... V'r1,Hw5 ,AI c...
INSULATION V rp.v-
ELECTRICAL
PLUMBING vv(l t,,~1
HEATING (if required) tNf) L-.L,
FIREPLACE
GAS LINE AIR TEST M~ ~
J
'l"~ .s '
In /2(,
I
VLIV
~
( ()~l~'O(
i6 '2& JtJ'~
I / 1 t J
61
COy.ER NO WORK UNTIL ~BaVE HAS BEEN SlqNED
'L~~/ f7WS1JI~novfJ I~ rtf L~ 111~ J(J~
. r FINALS ~ I
GRADING (Prior to Sodding) 14 _ ..1'(. ~
BUIL~ING ~~ da. 1-1,oc, II t it. I ~
ELECTRICAL / /
PLUMBING We.. 'ftJS /1 if' /6 'J ."
HEATING . tit> / j I / IZ~
, 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.
FOR ALL INSPECTIONS (952) 447-9850
~~tfifitaf~ of @ttupant\t
CITY OF PRIOR LAKE
~eparfmtnf nf ~uilbing Jlnspttfinn
'{Zj' Final Permitted D Conditio1.1a1 C.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 var!ous
ordinances of the City of Prior Lake regulating building construction or use. For the following: .
Use Classification .51 N6l C; PriNt LY . Bldg. Permit No., () 5. 08'$3
Occupancy Type K3 Type Construction VAl, Zoning District P () j;) \, .
Legal Description
L /.
8 I. STC~I..,,/ No SOU77-! 2 NO
, -
2h9/ WIl.-05 ~Ne Ni1/
Owner of Building tf!,rI72V1 F; Site Address
con~actQi'~ Namj& Ajr ~7.~/) rest Z/4-f:J.3
_ ! ! /1, I, " '! LI, , ! , City Planner_
\I ' r: / J.. Building Official <- '
Date: _ y) flO /1 {A Date:
G.eeAlALJH ;4Vc_, Sf/Ire /2.0
?IT.J::.6 VI (A",~ ~~.
~
CITY OF PRIOR LAKE
INSPECT/ON NOTICE
SCHEDULED
ADDRESS
7.'';1 ~..11s LI1,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
67rtW" 0 /(
c"., (10 &1, () K-
DATE TIllE
'8 -'I/tfJ
~/z.W rhl'ldL,
I'C-In
~ING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
()'{.. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpectOr:~~- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECT/ON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY/
INSNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 2reJJ
OWNER
PHONE NO.
[J FOOTING
[J FOUNDATION
o FRAMING
[J INSULATION
..a'FINAL
[J SITE INSPECTION
COMMENTS:
t.J ), "'I fJ~
,,-
- DATE
~I~
(--"fA
TIME
SCHEDULED
CONTR.
PERMIT NO.
[J PLUMBING RI
[J MECH RI
o WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
o MECH FINAL
[J EXIGRADIFILLING
[J COMPLAINT
o FIREPLACE RI
[J FIREPLACE FINAL
[J GASLlNE AIR TST
o
t. ~(~ c;,-L.- j ~
o WORK SATISFACTORY, PROCEED
(9(CORRECT AC ION AND PROCEED
o CORRE~ L FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL '709 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 2CR'i/ ~<; LVI
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
)e-15'"LUMBING FINAL
o MECH FINAL
COMMENTS: ^
).f~ ~i?
2.. G~.>'t. (' U (I ~ ~
fiJ~
nile
s- -8<1)
./
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
tB"'CORRECT ACTION AND PROCEED -
o COR~ CALL FOR REINSPECTION BEFORE COVERING
'-Vi ~
CAL~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!