HomeMy WebLinkAboutBldg Permit 05-0276 Oversize Survey
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
Date Rec' d
"?y?;o-ot
I. White
2. Pink
3 Yellow
File
City
Applicant
I PERMIT NO. 0.5.0Z7b I
-r 1 r'\\ 3El2-I..AJ Ol,'F-- C.1\2.C (...e;" tv, W,. '?1~ I o~ (...~ ~
LEGAL DESCRIPTION (office use only)
LOT ~ 2. BLOCK
ADDITION
~
.t;{L i&-t~
ZONING (office use)
fJU[)
/
~3'" dL/~
OWNER
(Name) Co~C1OV) 'D~c~ew,....<t- {SUILOI'tJv Grle.P (Phone)
(Address) (Go '" \.( S" f'\.-uJ ,-p.. Cn...lZ.l
<-I~.
C:S'5"'~ 17
Oi S '2 - 4,1.1 - 5 '- '"'l.S"""
E..
c.~\+--'S<J:~
V"'-rV
BUILDER
(Company Name) r:.c~&c:"""ooD 1:>evC\...C)"PME'lI1\ +1S'vILD1~v- c..o"P'
(Contact Name) DP.V\l? ~-"lf\'\ l~\
(Address) ''is'" ~vL'B~'1
(Phone) C\r;- '2 -4-"71.f - S- '2.. '2...s-
(Phone) G, 1'-' Go e, c;- - <"00 3' S
~t+l-S S b~ V\'\..J"
(
TYPE OF WORK New Construction ~Deck Porch ORe-Roofing ORe-Siding JlLower Level Finish 0 Fireplace
o ddition DAlteration DUtility Connection 0 Misc.
CODE: ~.R.C. Dr.B.c.
Type of pnstruction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
:S, '2,(70(:)
Fi:,js
Be. "2.OZ'851ZS-
Contractor's License No.
Park Support Fee
SAC
#
#
I hereby cenify 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 authonzed agent for the
above-menlloned 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. Funhermore. I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
x ~ 0 A-A.-) ":) ~ \ tL--
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
'(JtJ,lJo
o d, dO
~S. S"d
tJ,cJO
This Application Becomes Your Building Permit When Approved
~Off~ ~/js
Water Meter SizeS/S', 1",
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
3- ';2q- 0 ;-
Date
$ 0 .00
$ t S'O, tJO
$ ~oo, 0 0
$
$00
$/5()C) Of)
$ /000, (')
$ /S:Ja. (JO
$
TOTALDUE ~ ~.13.0.s $115b5:Il!J
I ~~~ /t{~Iif' I ~;~ ~/d~
...--.-
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 Certificate of Occupancy must be
iS~ 9JL4J1- #/1 ft s-
Planning "Director ' / Date Special Conditions, if any
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: ~ ~
Building Permit # PID:
Address: 3 ~ '? '3 Ti:' I . A. .....J.J f}..r- 11_
c"..,) ~o-) ~ lJ.w, t'
Legal: L t:fz... I B I Subdivision: ~ @..;~ ~
Date: -1/(( (fJS'
Zoning:
Existing Structure? YES ~
Existing Nonconforming Structure? YEre
I YES I
NO
I
I CONFORMS TO ZONING
ORDINANCE
.-
Yard Setbacks: NA 1 FAIL~mMPLlES~ Standard Proposed
. Front Yard (can be 20' if aVQ. w/in 150') 25' 25. S-
. Side Yards . 10'1
t
25' if abutting a street 11-'- 12-
. Sidewall exceeding 50' requires additional side 2" 10' setback + ,
setback for every l' over 50' in lenqth 2"/1' over 50' 2S.S
. Rear Yard 25' 3S.2(
. Patio Door: provide for minimum 10' deck or sign 10' sidel
statement indicating no deck will be built in the future 25' rear tJA
. From 100 year flood elevation of wetland/NURP 30'
pond NA -
. From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no Nit
less than 50'
Floor Area Ratio: NA 1 FAIL
.30 Maximum
Standard
Proposed
Nd ,.J E::
~ONt;;
Tree Preservation: f(fjl FAILS 1 COMPLIES . Standard Proposed
. Total caliper inChes
. Permit 25% Removal
. Calicer Inches Removed
. Caliper Inches Preserved
. Replacement %:1
L:\TEvIPLA TE\BLDGLIST.DOC
· Maximum width at
· Required setback
.
.
Ian
/ FAILS
Shoreland District:
Minimum lot area s uare feet
Minimum lot width
Shoreland alterations
1m ervious surface
Bluff in Shoreland / FAILS / COMPLIES
· Setback from top of bluff
.
.
.
Flood lai FAILS / 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
Re ulato Flood Protection Elevation
.
.
.
.
L:\TEMPLA TE'BLDGLIST.DOC
ii,
Standard
24'
5' from side lot line or
30' from r-Q-W on comer lots
10%
35' Maximum
30% Maximum
Standard
By planning dept.
Standard
908.9' Prior Lake
914.4' S rin Lake
909.9' Prior Lake /
915.4' S rin 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 re uired.
Must be flood elevation or
hi her
907.9' for Prior Lake
913.4' for S rin Lake
Standard
832 s .ft. or 25% rear ard
10'
15'
Proposed
z..
o-h,
Propo$ed
Proposed
Proposed
Proposed
The- ('tnftr or fht I..kt Country
~ite - BU~
anary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~~~~' <1-/;%.
APPLICATION RECEIVED c9/ / 5
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proppsed at: A7 .
8~33- ~~ ~
/
Accepted
Accepted With Corrections
Denied
Reviewed By: ~ ~ Date: 1/1/ fa ~
Comments: ~ a-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."
L
Thr ('rnlrr of Ihr t..kr Counny
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,,,,'/ 7:;;;"
//-1'
NAME OF APPLICANT < [-2f(,( . {it (I (? />~/
.......--, -. l . ....---'
APPLICATION RECEIVED ..... ......,(/. ..'x 7) , (.
--L- .. ..._.-'C..., 1-')
( i
.../.....,~,....-._'..,~/ ." . ,/f 1
.... .( .>/~~<.. . >.,' ,
......'-~
'1- /1
;. 1--'
.......1--_
. I ~
;~._,/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whic~ is prop.osed at:
~;;). 5:3 - '-.." oj ,.)'7/ l->j/)/ I' ~/Q~/:1< . ,".2L.. '
".,__.,,~"'''r.~.,. " 3','-' '" >.:....:--..' , ~._....~'._.. .-...." -'. --r'#' (w~/. ;1.,--"
..;....'
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
~
Date:
1-s't9.r-
Comments: See Reverse Side for Additional Informationl
~
See Attachments: 1) Grading 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
a,ny 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 - Engineering
(!lnK - Planmn"9:)
The Cenl.. of the take Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/;;7 '" - I ! (,
NAME OF APPLICANT /L)/(le}' /;C . '.,LJ "C,/ L, /.,>1. I I
f ........
APPLICATION RECEIVED . ~ / ~.:''5!) / ~;-'
I I
/ J
" !
/ J/~
'j --
\"..1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is prop.osed at:
. /"
-,7~) ;2) .;), ,- '.., /' '. j/) , ,; , , " /,/0" 7)'" / I .I A ,
...../,:.'../j " ,.___,1.. ,.' i' I".".'.::J .' / ':, i"7 (1--<./''--'"
Accepted
Accepted With Corrections
v
Denied
~~
~/~~~
Date:
fill ~~
Reviewed By:
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 PLUMBING PERMIT
Date Rec'd
&. Z3. oS"
I. Blue File I PERMIT NO I
2. Gold City . os-: 0 Z:T7l?
3 . Yellow Applicant .., I
ZONING (office use)
~(/O
:::1Z3J
- ,..
I - WOt-r ell(.,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2 r. ?J'::J. ()4-'z,. 0
I OWNER
(Name)
(Address)
(Phone)
(Contact Person)
A fI-R I
.
(Phone) 5d7 -13~- ry-IO
~1-h~/4 ;1f,t/ n-tJ'l-1
(City) (ZIp Code)
(Phone) ~[i. -?--9~ - eO??
TE ~ Z-3 or
APPLIC~
(Name) C "^ ~
(Address) /)b ~ r.;-
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
/ Bath Tub with or without shower Rough-ins
I Dishwasher f Water Heater
I Floor Drain Water Softner
.h Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
J Sinks Backflow Assembly Test
I Bar Sink Lawn Sprinkler
'T Water Closet (Toilet) Other
FEE SCHEDULE
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
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$~
r
~
~.50
tiS-: ~ 21(, P,/
"'*' () . /l fJL
r' ivl (/V
Estimated Cost $
Building Permit #
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
p~
Dat~. 23. OS-
By
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
JUN-10-2005 16:10 FROM:
:N... '", ': ,.; .,.... "."+ !,'
:::".:';'. .."!.::
. .,'., . __.__ .. ___ _TO:95244742.':I5 _ P.l
"'~ ;" :......~~, '. 'l"lJ'. .';If.~ >;\:;::i,", .'. 'A -"'Y'l.:t;," ", .: _:~~~'.~~~~~:~~:.I' ~ h,:......-::;-:'l'..~~~......... h
-- . .....
flllOW . AJ9UCAII'r
GOLD . an
ADDRESS;
SIGNATURE:
SIT~ APQR~SS;.3.2. 33-r~~
FILL IN THE BLANKS
1. Esti~ateQ length of water service ~O
/ /I
2. Size of water service _ inch(es).
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
i/:L
PHONE: AJl. J - 3 tP 2 d
OA'rE f S--j j- 0.5
S.W.No. ~..27"
BLDG. PERMIT .
PIO,
feet.
3. Location of any couplings from structure feet.
4. Type of sewer pipe. ABS PVC~ cast Iron____
5. Estimated length of sewer line "'3-s--' feet.
6. Clean out (if required), located at
~trqct\rr;e .
feet
from
===============================================~==================
".' 'W"
~"V''''~::a.,..'wj:,.Jf'~
Thi~ applic9tiQn p.e9Qm~~ Y9~~ pe~~it'when approved.
BY
DATE:
~~~~~~~~~~~~=~==__~_~a_~~~~~~~~~~sa===========___=;~=~=~==;=;===-~
.,.
FEES:
$
$
$
35.00
.50
35.50
Sewer ana water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .SO surcharqe.
Sewer and water permits issued for new construction must be
recorded on the building permit c~rd at the time of :l.ssuance
to ineure that ....n. .0... <..'".'~~U'~\ .licate sewer and water permits are
issued. . /'.' C\ \1
J'< '\ \\\
DATE PAID ~ \2 \\ \: \\\'\
RECEIPT # ~ 1.. -. ' 'l!~~ )
\\~ ~
\.- ----=:;
-----;;
'J' rior Lake, Minnesota S5372/Ph:. (6t2) 447~4230 lFAX {612) 447-4245
*
AMOUNT PAID
REC.I 0 B?L PAID WITH
tiUILDING PERMIT
16200 Eagle Creek A
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
R. 22-.0;>
~_~;.mmW~_ml
I ADDRESS
~, \3 '~-{?fYJ bl!rlJ./olf
~. ~~ ~~~. I PERMIT NO. os:. 027 /J.
3. Yellow Applicant ~
~-/Y' p M 1//. I
ZONING (ofticeuse)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
APPLICANT
(N ame)
(Address)
(Contact Person)
APPLIC T PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
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
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
$39.50
$39.50
()r. 02.7(, d
p1\ID ()~
()I) I {;
.50
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
Building Pennit #
(Office lIse Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
p~
Dat~ "2 Z.LJS-
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
~
PRIOR LAKE
INSPECTION RECORD
3Z' ·
SITE ADDRESS , S~\.M...~...F ~~.lA1.
NATURE OF WORK 1& ~~~
USE OF BUILDING S.~' t
PERMIT NO. 6.027(,;, DATE ISSUED es
CONTRACTOR ~~ ~~ ':'IS-''''~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
.
INSPECTOR
DATE
FOOTING
FOUNDATION (Prior to Backfill) <S/ W -
PLACE NO CONCRETE UNTIL ABOV AS
(.jc.. D~ 1'.rlc. f1. 17 RO UGH - INS
SEWER I WATER
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (If re ulred)
FIREPLACE
GAS LINE AIR TEST l' ..~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~e I....~~~ IlaJ){f(Jar/1'1lo~
FINALS I
GRADING (Prior to Sodding) - IV
BUILDING
ELECTRltAL
PLUMBINQ
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
where no service cabinet Is available, card shall be placed near main entrance.
.i.;},a{
FOR ALL INSPECTIONS (952) 447-9850
QI~rtifitat~ lIf (0ttupantl!
CITY OF PRIOR LAKE
~tparfmtnf nf ~uil~ing Jfnspttfinn
~Final Permitted
o Conditional e.O. Expires
,(
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 International
Building Code certifying that at the,i(ime of issuance this structure was in compliance with the various
ordinances of the City of Prior Laki regulating building construction or use. For the following:
SINGLE FAMILY 05-0276
Use Classification Bldg. Permit No.
Occupancy Type
R3
Type Construction
VN
Zoning District
PUD
Legal Description
L42, Bl, WOODS AT THE WILDS
3323 TIMBERWbLF CIRCLE NW
Owner of Building Site Address
Contractor's Name & Address COTTAGEWOOD Dlnl~IDPMEN" l, BLDG. CORP., 6645 MULBERRY CIRCLE,
ROBERT D. HUTCHINS JANE KANSIER 5317
City Planner
Date:
I B~7~&t Official
q , I ~I
Date:
......);. ,........,~... ~,..'...>l"."'''''''.l".:;.,!M.;.j., ,,.i,;';":H,";;';..&f"~' "',.l..i~~.1.:;')l<'"'-''''' ""',",':',"~~,;.'", ;' ,:,it',',';'.,'.":" '" ,.,.;,.,;~." ;~",;:i,';'':o.';.i:i;..-:"~',~''~''~.i.;:/",,.c,_,,, ,......;. ,t...:. -j'",,"~,v ,"~' h ..;,~." ";'\'~''''"-i.&' ......,.k ,-'~.r,: " ".of
.Ii",,,"", ,.:"" ,0,:";',"
DATE nME
CITY OF PRIOR LAKE
INSPEcnON NOTICE
SCHEDULED
'-IS-tf.
PHONE NO.
3-733 TlMlwwoLr C,'/
CONTR. ~~
PERMIT NO. 65'.2](
o PLUMBINGRI ~EXI~ING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
COMMENTS:
(, nvk OK-
G~/6 p~ " J<..
Sr'f
1 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 INSPECnON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
_n
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
z- :1/OA
-
ADDRESS
?2, S 3 1,r tvolF c,~
OWNER
CONTR.
..s":..~7C
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
~LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(J) ~ ~J?r4-5
$,ORK SATISFACTORY, PROCEED
ORRECT ACTION AND PROCEED
o CORRECT WOR . C 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!
INSNOTI
--------
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 5::2 .3.:5
OWNER
Q{;X.,
SCHEDULED ~
rJ;~~~
CONTR.
?- 27?
TIME
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
_g. INSULATION
..,.o..EINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
).. MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
). F,.~ C~ \~~
o WORK SATISFACTORY, PROCEED
)f. CORRECT AC N AND PROCEED
o CORR T LL FOR REINSPECTION BEFORE COVERING
Inspector:
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl