HomeMy WebLinkAboutBldg Permit 05-0631
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and siltJl at bottom)
. ADDRESS
Date Rec' d
6 --;n-~
I PERMIT NO. os. 0&3 / I
White File
Pink City
Yellow Applicant
34-01 /IY/&!/Ow' /f6/1t!r1 ~/L-
LEGAL DESCRIPTION (office use only)
LOT 41J-LOCK ~ ADDITION
W/~&ow.s. 3~
PID zs: 110. 032.0
OWNER/f/
(Name) ICII/lt:J-
T
~~MY-
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
ZONING (office use)
,leI
(Phone)
~p). -4.th-57'1?~
Y9~-~~~'l
(Phone)
(Phone)
ORe-Siding OLower Level Finish
PROJECT COST /V ALUE $
(excluding land)
o Fireplace
ation 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
11 onstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
1st use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed ~J';;/ ~
/ Contractor's License No. Date
,
TYPE OF WORK \!,New Construction ODeck o Porch ORe-Roofing
rAdditIOn OAlteratIon OUtIbty ConnectIon
CODE: ~I.R.C. DI.B.C. 0 MISC.
Type of ~stroction: I II III IV V A B
Occupancy~up: A B E F HIM R S U
Division:/, 1 2 3 4 5
/
Permit Valuation ~/J;;t",
Permit Fee $ . J6t: ..SO
Plan Check Fee $ .2J~ ~S
State Surcharge $ Ii .0
Penalty $
Plumbing Permit Fee $ ~. e.c
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~.~
'7/t/(j~
Building Ollicial
Dale
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$ 659. 03
Receipt))lt}! 4'97~
By;t'$t--
ThiS IS to certify that the request in the above applical10n and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requesled. ThiS document
~""~ <<m.."",,,: ' m", C,"""" 0' 7fmj~; "''". ,=~,,,"" '0 "m~." B,foc, oc""",,. , C,",'"" or 0<,""",, m',,' ~
Planning'l'>irector I ' Date Special Conditions, if any
24 hour noticc for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 5S372
----'-
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee #
I Water Tower Fee #
I Builder's Deposit
I Other
I TOTAL DUE ~ "7. I. pJ
Paid
Date
I ~SC? tJ.3
7.~
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R~2 Districts',
Reviewed bY:#!" ~~ Date: ~~7~J -
Building Permit # .' PID: ..J!.S: //CJ. CB.2. . 0 Zoning: ;e I
Address: .3~O/ U/t' /~'- 4'~...d 77-1f' /
Legal: L L/, 8 ~ Subdivision: u./,'/~'-'s. 3 rei
, ,
Existing Structure? GiS?NO
CONFORMS TO ZONING
ORDINANCE
Existing Nonconforming Structure? YES I~
~
(Y~ NO
. :...------
Yard Setbacks: NA 1 FAllSI COMPLIES
. Front Yard (can be 20' if avg. w/in 150')
. Side Yards
Standard
25'
10'1
25' if abutting a street
Proposed
~o.y
31 r'
1
. 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)
10' setback +
2"/1' over 50'
25'
10' side/
25' rear
30'
75' or setback average of
adjacent structures, but no
less than 50'
t Floor Area Ratio: NA 1 ~@ COMPLIES
, Yard Encroachments: NA 1 FAilS ICOMPLlES
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.
Standard
Propos~d
tfI/1f
'II/~
I,
I
.30 Maximum
I . t" t::J iYe.
. Tree Preservation: (~FAllS 1 COMPLIES
. Total caliper inches
. Permit 25% Removal
I. Caliper Inches Removed
I. Caliper Inches Preserved
I. Replacement
Standard
Proposed
Y2:1
L\TEMPLA TE\BLDGLIST.DOC
White - Building
Canary - Engineering
Pink - Planning
.BUILDING PERMIT APPUC,ATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ lt2ha el.. S tuee AJ e y
APPLICATION RECEIVED l - ~/"" 0 5'
r
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3L/{)/- w~l3~ Tr-
y
Accepted
Accepted With Corrections
,
Denied
Reviewed By:
-~~~
Date:
G~~-
r -
Comments:
~C11 pttP? /~/J~~'-.J r'~~~~h
G~' Ar ./~s-e <-<-'-YY f:"y:'__r-M....---
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
Can . eering
Pink - Planning
BUILDING peRMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 77? IcA a e L S tuce IJ e y
/ . .::1./# 0 r;-
,~ c/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~~ L/() / - /0 /c:ec)/v t:-~ i{J!--{!,il.-' / Y
""
Accepted
%
Accepted With Corrections
Denied
Reviewed By:
~J~
Date:
~h ?~-.5-
(
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
c- \"anarv _ - I:ngmeerm!J'":)
- Pink- - PlannIng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 71J ,Jz a e L S Luce ;..J 'E' Y
APPLICATION RECEIVED h - c?/ - U -S-
r
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\.3 L/ () / - /~/ ~~J-z.l) /?t!{~AJ ! y
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
Ii'J{J{)
Date:
~-J ~ ~s-
Comments: See Reverse Side for Additionallnformationl
See Attachments: I) Grading Phm, 2) Erosion C:ontroI 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."
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMI.
(Please type or print and sign at bottom)
ADDRESS
'-~ '-10 ( '1') " 1I Ow
~.:~ ~!~ I PERMIT NO." ~.:~ "=l V
3. Yellow Applicant J - (tP V ~
. ZONING (office use)
l3 ~ b.... C\", -f if'
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER ~ (
(Name) M. c.. "^-,,, e. \.. ,j OS we ~V\. < ~
(Address) '3,-/0 I W~ \\bw ISe~""L\...
(Phone) 'SOl - '-/1./' - S ?L/t
i-v-
APPLlCANTr, ::>
(Name) Ve~~\A~~; I (ulM\:.i'"Lr' 'I-. Ht;}
(Address) ~,~ <:\"<1< ;;"L/5~\''' vfv<.....
(Address)
(Contact Person) . tA "'~ v~. Jk;>J'-'" ~ It. (
APPLICANT SIGNATURE 4.d.J!v (,.tA-vA'
r \-1. <: (Phone) 'S"O 7 - 6 {. '" ~ ;;;.. '-/ <(6
L <- S v.. t. . .- 1\1I..<..'<)6 OS<"(;
(City) (Zip Code)
(Phone) t /, s-- ~ '-I ~ €
DATE '/'/6r
Quantity
,
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I 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
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50 ijJ
o~ . ~ ~ Roc,iptNo
~ 1'\ By
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Date
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
RIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTIO~
INSPECTION RECORD
SITE ADDRESS S?t7/ ~/~(.c../ g'~Q-c~ ?r~, y
NATURE OF WORK .#oI"~ '~~p-
USE OF BUILDING Sr-LJ
PERMIT NO. IJSO(P3/ DATE ISSUED """7 (~OJ/""
CONTRACTOR /?!~e,/ ~~~~V . PHONE 9"fI'~-S7~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IN..-.~..h~ DATE
, FOOTING VI#'/ I I -/'1%
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
;wi-
~
.~
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING If
" -
~/2$/oJ"
9/;!=-"kr
? I /Yl/~
?'//9' /o-.:}
~ /~?/G'\
, ~ .
COVER NO WORK UNTIL ABOVE HAS BJ:EN SIGNED
h6vr~ WI'IIfLJ I ,/VV/' I ~.U~-~ t
, J
FINALS
UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical HlVlce cabinet prior to rough-In Inspections
and maintained until all Inspections have been approved. On li>>ulldlngs and additions
where no service cabinet Is available, card shall be placed near main entrance.
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
~
1MtI
/
tlf//t;
!/1m-
FOR ALL INSPECTIONS (952) 447-9850
410/ JJr'rJ"
~//7 /~
W71d],
_ ~/,;l/6b
BEEN SIGNED
CERTIFICA 1 t. OF SURVEY
I hereby certify that this is a correct representation of a survey of:
Lot 4, Block 4, WILLOWS 3RD ADD'N, Scott County, Minnesota,
according to the recorded plat thereof.
And that this survey and certificate was prepared by me or under
my direct supervision, and that I am a duly licensed Land Surveyor
und..- th~ lows of .QZthe S ~Of Minnesota.
~ k-. .
,.' - /L~l ( ;-;; ~"")
Groot D. Jacobson, Mbl License No. 23189
Dated this 1 st Day o/.. June, 2005
~
en
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<(
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(/)
PREP ARED FOR:
\
o
I
SCAlE IN FEET
40
I
20 60
80
1
CURB WILLOW BEACH TRAIL SW
f N 89043'30- w
( _ 1"20.00 .
~ ,
I
t
w -
eo! GAR. t r~
NO -, ~ -. I
.q- 0 -29.9-V--' _-1
.q- . . EXISTING
o g HOUSE "y/
o .... CONC.--=r--'-~
WALK
Z
I..:
DECK
lOT ~
BlOCK 4-
SHEE
120.00
N 8604Y 30. W
COUNTY ROAD NO.
.~
APPROVED
PROPOSED' ENGINEERING DEPT
ADDITION
Slg~ DItI (,:-Jo
. -
0(0
O~
- o. V rr)
31.E' CO ;t" ~-
..... ,." 0
o _J
Z
APPROVED
PLANNING DEPT
Signed ~ ~atel!1 fa>
l;;
12
JACOBSON
ENGINEERS · SURVEYORS
21029 HERON WAY LAKEvtllE, MN 55044
TEL. (952) .469-4328 FAX (952) 469-4624
BEARINGS ARE ASSUMED DATUM PROJ: 205061.21
o - DENOTES IRON MONUMENT F.B.: A
Michael Sweeney
3401 WtUow Beach rr<Jil SW
Prior Lake, MN 55372
DRAWN: KDM
-DATE: 5-25-05
CHECKED: GDJ
SCALE: AS SHOWN
rvw"
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
-K ]rl},-(/(,
ADDRESS
< 401 wIll fIlA I tJ.,A-r' h IfYl
OWNER
CONTR.
PHONE NO.
PERMIT NO.
',s-c. 3> /
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.f!f'FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~ --~ -\
/ /" '()/ f-j)
( I "if >( I~( Le/
\ -- I~
"'-. ~
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION A:~EED
o CORRECT '~lC7,..y7 ;r.' REINSPECTION BEFORE COVERING
Inspector: II V f OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INS/iOTI
DATE TIME
CITY OF PRIOR LAKE '" A, 7~
INSPECTION NOTICE SCHEDULED ~?~
ADDRESS J.y'O/ ~,,744.J &~cL' 7;-/
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
...9"'FIRAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o ~R HOOKUP
~PhUMBING FINAL
~CH FINAL
CO~E;NTS: /J _ ~I ,-
~/'l9~?7,t4 ( I-?;Z~ I
<~-6'J>/
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/ /
.~h7~C.
, ., -
A ~Il .-
/ffY:r-?' h~ /
P~~b~~ ~/ ~;;:
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(& #~.,.,~ I~~C/"Y ~~~~J.
~ /U FI /.r~ r<' / L-. .... r ,",1- ~~
-~~~~S ~ ..l Y
",-, - I J?
G), 'lape ~/~.& ~ Cl'i/PJ'v;-
~drd /h ~f~~q? I Q'~.
'- "
r1?//~ ~? ~;~h~C-~~
/ .
...,
./'"
&K
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~RECT WO~K/ ~~.:? RE~SPECTION BEFORE COVERING
Inspector: ~ ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
INSIIOTl