HomeMy WebLinkAboutBldg Permit 05-0874
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT tf- (t;, - S-
White File I PERMIT NO I
~~~I~w Z~t:licanl . 05_ 0674-
[7f:;;~:~rJ-
LEGAL DESCRIPTION (office use only)
LOT I BLOCK
ADDITION
(Addre:;5)
BUILDER
(Company Name)
(Contact Name)
(Address)
(;rtKi'dwll
ZONING (office use)
~1
PID
(Phone) ~a ~,. :J..~
~
TYPE OF WORK ~ew Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition o Alteration DUtility Connection
CODE: 'MI.R.C. DI.B.c.
Type of c,lahstnlction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV
H I
2 3
V
M
4
A
R
5
o Misc.
B
S U
PROJECT COST /V ALUE
(excluding land)
80
$ ..34/, ~~"
,
ation on thi 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
1 onform to all existing state and local laws and will proceed in accordance with submittcd plans. I am aware that the buildmg
e, I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspections.
#-/7/~ ~,./S~
Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
omes Your Building Pennit When Approved
~~
Date
$
$
$
$
$
$
$
$
TOTAL DUE ~ '1./Z,. as $ /0 395. /8
f~ ~:/~ ~~ceiEt j!cXY09
Park Support Fee
#
~
#
ThiS IS to certify thallhe 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 constllUtcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
i~ r- ~
~
Planning Director
fit:? (~a:
SAC
Water Meter
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
I Paid
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-t or R72 Districts'
Reviewed .by: (h{ k.. (Z./.c ~ """ Date: 7j-.t.. ')- Or .
Building Permit #
Address: '. I ('It) C. J'TJtf4<(.
Legal: L~ B '3
PIC: 4/). . 0/")
Co~
Zoning: IZ I
Subdivision: r~ w; (dJ
Cfl' Ifcl~~
Existing Structure? YES I @)
Existing Nonconforming Structure? YES I~
@) NO I
I CONFORMS TO ZONING
ORDINANCE
....,.- -- ...... ','
Yard Setbacks: NA 1 FAIL~I COMPLIES ~ Standard Proposed
. Front Yard (can be 20' if ava. "WlTn 150') 25' J.S-'
. Side Yards 10'1 /0' .
25' if abutting a street
Z-J..8
. Sidewall exceeding 50' requires additional side 2" 10' setback + nA
setback for every l' over 50' in leneth 2"/1' over 50'
. Rear Yard 25' 40
. Patio Door: provide for minimum 10' deck or sign 10' sidel Ci(.
statement indicatinq no deck will be built in the future 25' rear
. From 1 00 year flood elevation of wetland/N U RP 30' 3tJ'
pond -
. From OHW (Prior or Spring Lake) 75' or setback average of ,
adjacent structures, but no f1A
less than 50'
-.......
Floor Area Ratio: NA 1 FAILS 1
.30 Maximum
Yard Encroachments: A 1 AILS ICOMPLlES
Eaves and Gutters no m an 2 feet in width and no
closer than 5 feet to a lot line Easements.
Ale and other equipment cannot encroach on interior
sideards,
Standard
Pro osed
Standard
Proposed
. Total cali er in
· Permit 25% Removal
. Cali er Inches Removed
· Cali er Inches Preserved
· Re lacement %: 1
)' --lffA! f-; f SUl~ t/ey 8RJ~c T>c. () r
L:\TEMPLA \BLDGLIST.DOC J1/tJ1ff 5'lf1J-W .3:1 ( /Zl /fw L /
.
.
.
.
.
Ian
Shoreland District NA / FILS / COMPLIES
Minimum lot area s feet
Minimum lot width
Shoreland alterations
1m ervious surface
Bluff in Shoreland' NA / AILS / COMPLIES
· Setback, from to luff
.
.
roved
.
Floodplain NA FAILS / COMPLIES
. 100 yea ood'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:\TENIPLA TE\BLDGLIST.DOC
Standard
24'
5' from side lot line or
30' from r-o-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
I '
Pro osed
Pro osed
Proposed:
lW
{,
White . Building
Canary . En:neering
c-Pink . Pia nl~
NAME OF APPLICANT
BUILDING PERMITAPPL~TION DEPARTMENT CHECKLIST
.
>'- . / /,
, " , f' I .'
f 'I" ,.t"
_ 'l.,--',..."'..' t. "'....,- '-..._-
.' -r
" r;
(
APPLICATION RECEIVED
C). /'/ C-
~-'I._- ,
~ ......,.,
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction ~rilivity which i~^ proposed at:
/5/11. 0 - I"/~j(/. )" ,,'- .....'..,+
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
~~
Aj--~ ~.
Date: 9/9/6
~ fa
r:....
!t' ~ () ,
"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."
I
~I" - Buil~
anary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ ~
APPLICATION RECEIVED ~-I ~ - S;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5l/U - ~~/ (}J7!-
/
Accepted
Accepted With Corrections
Denied ,-.....,
ReViewed~ ~ ~ Dale: ~9;1o.:J ,
Comments: Jitl.d ~ ~, As -/J~
~ ~ ~ 7:C!.i!J, 7<3
~r ~ H~L 73 ~ ~
/2 i<L ~,
~
;;S,+s/~
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
~~~erv : :;:;;~~
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
{:}tZ!A- #07/-401 f
APPLICATION RECEIVED 2?- -( '=' - S-
NAME OF APPLICANT
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 5 L/~~ - &eu;Cf./ (Z~T
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
IJ'ri-6
Date:
i- ?-OS-
,"
Commentsz~' See Reverse Side for Additional Information!
- ,
AS"- et(/~r- S't:-U2Uey De~ /;C~F.L
See Attach~ents' 1) Grading Plan, 2) Erosion C01\trol Measur.e~.
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."
18/03/2885 89:35
.
9528959394
ALLIED EXCAVATING
-r
PAGE 02
CITY OF ~RIOR LAKE i
SEWER AND WATERPERMtT
~ !f'S-.! P~1!!t;
I ZONING ,..... -'J
Date Rec'd
I (Conta.et Penon)
I APPLICANT SI
or
ADDRESS
154d(Q c.V'
I LEfAL DrIO
LOT BLOCK
pm
(Addreu)
APPLI
(Name)
- eq'l ~ olL()
(Address)
PLICANf' PLEASE COMPLETE BlELOW
oflwatcr service ...1.- inches.
ticin of any couplings from strUCture' ~ feet.
of sewer pipe, 0 ABC ~ 0 C"t Iron
aled length of sewer line ~ ~et.
ut (if required) located at feet from stnlc~e.
Ea ma_ed Cost S
FEE SCHEDULE
$35,50 tndustrial, Com'l &. Multi.fami1t 1% ot'job cost with. $39.50 minimum
S 17,50 Water connection only S) 7.'0
Buildinl Permit II ~
R.esidc:nciai sewer and WI_ ine iconnectioD
Sewer connection only I
$EW'ER AND WATER PERMIT FEE
$T A tE SURCHARGE
'tOTAL PERMIT n~
S
$
S
.50 PAID WITH
BUlLDING PERMIT
(omu u.. OIly)
Thi. Application .Beeom Your BuUdina Permit When Approved
11IIIdllll O(llci.1 O.te
14 hour nottce for .,. InlpKtioftl ("1) 44 -!J8!O. fill (952) ~1"'2"S
By
-------
~_. --.
..NOy'=:q~,:.?OQ?,.~.oB..ll : 47 AM RAY WELTER HEATING & A. C FAX NO. 6128252303 P. 03
.' ~.~?"l--'-"~-'__" .....--.---..-....-- --......... ....... ~ ... _ .._._. _......._.."':'.._... .._--:_~._........_._.._ _._
Date Ret'd
~()u tt+
~ ~ !:-I PERMIT NO. l~ ~l/
I [WNlNG.-_, I
w.-.". ....... "'ol8\"-
I ADDRESS . /l .
I '54~/P 'L,((,r.n)a
LEGAL DESCRIPTION (omce ute only)
LOT BLOCK
ADDITION
PID
OWNER
(Niune)
(Address)
(Phone)~...LI~ 1- j.;J ~
APPUCANT
~.;. (Name)
, (phone) tJA...f(;{,v~.f't7
..
(Address)
(Contact Person)
APPLICANT SIGNATURE
(City) (Zip Code)
(phone) t/,p~ ~~8./~r~1
~1?5"
DATE
APPLICANT PLEAS COMPLETE BELOW
. W CONSTRUCTION 0 REPLACEMENT 0 AL TBRATIONS ,
FURNACE MAKE AND MODEL YttrJIJJI! - ~, I At; FUEL IJrf: &t L
FLUE SIZE J II ~, ~ RETURN OPENINGS ~ INPUT 1,g~D'P'P OUTPUT J/J~bIJ1)
TYP.J-OF SYSTEM HEATING OR POWER PLANT
EfWarm Air Plants' 0 Steam PLEASE NOTE:
~ity' 0 Hot Water Air Conditioner Units
hanical ".. ,; ./ 0 Radiation Cannot Encroach into
EfAjJloCondilioning, \,'1''-))-' 0 Special Devices Roquired Side Yard
li:P'cnt. Systerri 0 Other Devices ' Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial. Commercial &, Multi-Pamily 1% of job cost, Rcsiclential, Gas Pireplace
$39,50 minimum
Residential, Heating & Ale (New Constnlctian) 599,50 R.csidcntial. Additions &. AlleratiolU
Residential. Heating Only (New Construction) $64.S0 ltesidential. AC Only
$39.S0
$39.50
$39.50
Estimated Cost,$ Building Penn!t #
10,:'0 WITH
,50 NG PERMIT
,HE,ATING PERMIT FEE $
"'STATESURCHAROE $
TOTAL PERMIT FEE S
(Office lIse Only)
BuildiAJ OMelal
jPud
Dat~ },.. { L/, 5'
24 hour notice for ~llnspectiOll.* (952) 447-98S0, fax (951) 441-4245
16200 Elate Creek Aveaue"Prlor Lake,).IN 5$3'72 .
I~N..
Tltls Application Becomes Your Building Permit When Approved
D.~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
3, Yellow
~::y I PERMIT NO.57f1iI+
Applicant .
(Please type or print and sign at bottom)
I ADDRESS
15426 CRANE COURT
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name BUTLER HOUSING
(Phone)
(Address)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone)
2561
651-633-
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
11/28/05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
, OWann Air Plants o Steam PLEASE NOTE:
o Gravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL REA TN GLO PIER-HV
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
BUil~ing Permit # ------F'AfD WJn.I
$ .BUILDING PERMIT
$
Buildine Offieial
Date
(Office Use Only)
This Application Becomes Your Building Permit When Approved
\ ~
24 hour notice for all inspections (952) 447~~..~~~~::~i~:::-:-.:J
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
,
BUILDING AND INSPECTION
~i
SITE ADDRESS IS" l.i)'~ ~,.... "< ~
NATURE OF WORK n7w IJIlfS'f,w".-t-1 ~ l.I,. Fi~'W
USE OF BUILDING S. ,:: r:J.
PERMIT NO. ~.0f374- DATE ISSUED tl. /Z. os
CONTRACTOR JJ .",..,. HiluS ;:., PHONE-'.U- '3l-1'- 1./~"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~S-d~ .
FOOTING ~<L.
FOUNDATION (Prior to Backfill) /(5
PLACE NO CONCRETE UNTIL ABOV
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING If,. 1....2 f I J ). , I ~
HEATING (if required)
FIREPLACE
GAS LINE AIR TESTy.. vA
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~rNe-ICMLr:I/ftI"clW~~!h: ;Itf /1;J)-6I#td-~J;j
FINALS
GRADING Prior to Soddin )
BUIL.DING ...-:
ELEGTRICAL
PLUMBING
HEATING
DO NOT
p~
'2.
6' ~(
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an ele~,trical service cabinet prior to rough-in inspections
and maintained until all inspectiQns 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
.-.~.,~"
.~- ~b.'/:.~
QIerfifitafe of @ttupantl!
CITY OF PRIOR LAKE
~epatftttenf of ~uil~ing Jlnsperfion
,,Q 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 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:
Use Classification SINGt..-e r~/"'ln_y Bldg,PerrnitNo, 05. 0874-
Occupancy Type ~ Type Construction V AI Zoning District Ie. I
L. /) ".3 J me W/t...-OS (L; m /lOON.
,
Site Address IS4Zfe, e.I€A/I./€
P. o. /JOJ( z+0597 J
Legal Description
Owner of Building
e..T;
/fP,oU; V,q/.,~V .55124-
.
contr~~S*'s ame & ~d,m:ess 8VTl../~
, ~,t!r{, .,
'.~ I' Building Official
Date: ,If I) (
f {
City Planner
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~
OWNER
DATE TIllE
SCHEDULED
~
~ c.,\-
CONTR.
PERMIT NO. S'" - ~ 7 f
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
~ ~eCJ
T
X WORK SATISFACTORY, PROCEED
o CORREC TI AND PROCEED
o COR CT WO LL FOR REINSPECTION BEFORE COVERING
/
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS IS'IJ ~ CtM ~ C T
OWNER CONTR.
PHONE NO. PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
ftFlNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
C. l/Jb ~., -t.
(;I'~" #/l
DATE TillE
'./2-fJb
'BJik, 1Iot,.s/':I
6S .g ''I
~~ILLlNG
"'iJ'tdlftlLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ WORK SATISFACTORY, PROCEED
Io\cORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
InSpector~ ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS r 5<-/ G ~
OWNER
DATE nilE
SCHEDULED ~~
0, tc-... ~\- .
CONTR.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
.....P JNSULA TION
~INAL
o SITE INSPECTION
PERMIT NO.
'5 - 07 cr
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~UMBING FINAL
~ECH FINAL
~,
,~
~: \,'~cc.~ .~t- Th~ ,,,,- ZwJ. {,l ~
.7~
~' .' ~~
T~ ~fO
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
X CORREC RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
UlREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
---