HomeMy WebLinkAboutBldg Permit 05-0825
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
f/3~
File
City
Applicant
I PERMIT NO. OS, {I 825 I
I While
Pink
Yellow
J-iI5'8
~!Lk.l
~
LEGAL DESCRIPTION (office use only)
LOT fI BLOCK'i ADDITION .~'€-
Lv ''/OL5
JJor-l-h
PID
OWNER
(Name)
A J' ~ tv-...S Or-..
(Phone)
(Address)
ZONING (office use)
15lJ
--()h l/
(Phone) qS; 3--. @ d..~ f.cO;;"" ~
(Phone) tJ..- ~
~$:" 3 ')
BUILDER
(Company Name)
(Contact Name)
-~~ e 'S>
jo.., e_
TYPE OF WORK ~ew Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration o Utility ConnectIOn
CODE: ~.R.C. DI.B.c. o Mise
Type of onstTuction: I II III IV V A B PROJECT COST IV ALUE $ Q9D) 000
Occupancy Group: A B E F H I M R S U (excluding land) ~~I
Division: I 2 3 4 5 ---.- '\-
"
(P4-. 78
q'~tt6-7V--1 ~;":;":;>Oi? 3 5'
x
Permit Valuation
Park Support Fee
#
#
Permit Fee
SAC
Plan Check Fee
Water Meter
Size 5/8" I"
8
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
(Jd~(JO
I()O. do
. ~o
00
TOTAL DUE
Gas Fireplace Permit Fcc
tlfUt?J;J EJ. ZS. oS"
This Application Becomes Your Building Permit When Approved
~~
I Ilulidlllg Omcial
Paid
Date
~/~5
, ate
$
$ 'SO , 00
$ ~OO.Otl
$ 75,0
$/500,00
$ O()~, ()t!:J
$ OO~ 0 C)
$
$
ThiS lS to certify that the H.'quest in the above applIcatIon and accompanYlIlg documents is in accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the City Planner (Dl1stltlltes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
'~P1'""'"~ <if! {1u~"J fL.J .J-R s~
24 honr notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Reviewed by: ~
Building Permit #
Address: /1/ s J>'
Legal: L /'1 I B
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R.2 Districts',
r-
:r~ Date:~/J (/tJS
PID: Zoning:
bJo-czf~ r~
~ Subdivision: Tk tJ~ 74-t;::tL
Existing Structure? YES~
Existing Nonconforming Structure? YES@
I CONFORMS TO ZONING
ORDINANCE
YES
NO
-
Yard Setbacks: NA I FAILS.<Q..OMPLlE~ Standard Proposed
. Front Yard (canbe 20' if avq. w/in 150') 25' ZS-.2'
. Side Yards 10'1 /$ ,.5: I
25' if abutting a street
. Sidewall exceeding 50' requires additional side 2" 10' setback + I 5, S- r
setback for every l' over 50' in lenqth 2"/1' over 50'
. Rear Yard 25' ~ e.S'"
. 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 NA
less than 50'
I Floor Area Ratio: NA 1 FAILS 1 ~L1E-V
,30 Maximum
/ ~'7 0
Yard Encroachments: NA I FAIL 1 MPLlE
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 ards.
Standard
Proposed
tJojUG"" .
,Jof-le;-
Tree Preservatio. A FAILS 1 COMPLIES
. Total cali er i
. Permit 25% Removal
. Cali er Inches Removed
. Cali er Inches Preserved
. Re lacement
Standard
Proposed
Yz:1
L:\TEMPLA TE\BLDGLIST.DOC
.
Standard
24'
5' from side lot line or
30' from r-o-w on corner lots
10%
Proposed
2.0
.
.
/
/
. "5"0/"
~
.
.
.
I Building Height: COMPLIES I FAILS
35' Maximum
Proposed
.....
-
30% Maximum
2-D. 0
Bluff in Shorelan A AILS I COMPLIES
. Setback from top of bluff
Standard
By planning dept.
Proposed
.
roved
.
.
Floodplain(NM FAILS I COMPLIES Standard Proposed
. 100 year flood elevation 908.9' Prior lake
914.4' Sprinq 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
structure was constructed
9/19/90-11/22/97 then
additional foot is not required.
. Elevations 15 feet from structure Must be flood elevation or
hiqher
. Road access must be no more than 2 feet below 907.9' for Prior lake
Requlatorv Flood Protection Elevation 913.4' for Sprinq lake
..--..
Accessory Structure:~Ag FAILS / COMPLIES Standard Proposed
. Size 832 sQ.ft. or 25% rear yard
. Not located in front yard (Materials)
. Side yard and rear yard setbacks 10'
. Maximum heiqht 15'
. Materials compatible with principle structure
L\TEMPLA TE\BLDGLIST.DOC
, - ~
~ - BUildi~
Ca - Enqin ring~
ink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
}/ )./) ,:':i,/ ~<7 ;
I i.' 'i-A'_.~,,_l~'v'f--
..---~ ~{
/7' ~ i:. 'i
'4:. -- ~') -_) .J
U
. ,
, .
" ':;;"M~"'''~:!__'/''}-'--''--)
~~,-~,. . ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposeq at:
ii' /1" /,
// " .
,
,',,-<~ ._"i(_.~)Z(~,i
Ii
,u<>I--
''',\,>ltJ'-!..''-~~ ~~
Accepted
)(
Accepted With Corrections
Denied
Reviewed By: IYf9i3 Date: ~-/~ -6'"C;-
Comments: ~(( ReI/lISt C;,'c!G {J( A~I/P"Ic;! r'Jfultv1~f-/IJ~
~(,e IfHc,v4rt't1 15 : 1) 6,r.d,', I~" J ) Ems/ov" Co" !/r)! m~svrd
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."
~~ - BU~di;~
r'j a n' - En ineerin
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ ~
APPLICATION RECEIVED ~- '3- 51-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activ~ty which is propos. ad a,l:, . .:jt.
/L//,0-~? t!LJUid~ ~ ~
,
Accepted
Accepted With Corrections
/
Denied
,.
Reviewed By: ~
Comments: x2tet~ 6L-L( ~~. ~ ~ ~
~ ~/~ ~~~.
0z -<-t'L~
Date: f// / 1/ os-
.
"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."
~ - Building
rv - Enalneering)
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
. }-
_..j
)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
o I
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
~
R.tJ~ t:1-LI
~
~
Date:
P// (loS-
t
Comments:
1hf:r r~'~~(.:;cha.td~fL-.
c +,,"" 1'", '~o~~"""a.,j~
JJl~ ~'~UUUL"~
"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
L---._~__
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
t ~~~~;w J;~i'ant I PERMIT NO.S- ~c:7 51
(Please
ADDRESS
I L( 15'8 02tx>8 c.k\..dk~-\\-c~
ZONING (office use)
V r ~
r
LoJLL.
LEGAL DESCRIPTION (office use only)
LOT i q BLOCK
ADDITION YkL
,O,'/J5
I CJ ('-fi~
PID
I OWNER
(Name)
(Address)
(Phone)
APPLICANT -'-L
(Name) fV!fJ 0.11 ! /5 o~ T/()rYLf)'
(Address) 0 7 / 5 )- fJ o7/'\.AJ3 fu rZ. i) R-
(Address)
(Phone) 9S-,;1.- C);). C-: - (del .7-,~
:s(W(~ fYltJ 55-378
(City) (Zip Code)
(Contact Person)
(Phone)
DATE
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
OUTPUT
HEATING OR POWER PLANT
FIREPLACE MAKE AND MODEL
i I
,30
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
Receipt No.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Build!n!! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Oct 10 05 02:43p
Carol~n Feldman Madson
9524477848 p.l
J~c:."'&.f (...::....,J . .. U~, U.L.
D:lLte Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(PInK r'IOf' Dr ~riDr ami si.>>a at bolmm)
I ADDRESS , ~ \ 5~~
l a.- file I PERMIT NO 6. US
Z. YeI_ CiIy . .
1. QoN ..........
lk ) ()Od 0k\A~k +~ rNlNGt......, I
I LEGAL DESCRIPIION (---
LOT BLOCK ADDmON
PIn
j
~=R Met \~ c> esoV'-- -+\-O\Mv€S
(Phone)
(Addr~)
(Address)
(City)
(rap Calle)
(Contact Person)
(phone)
'-17- 7 ~
S~3 7.:2.
(Zip Codr)
(1/;),' 9/q - [)CJo S
Jt) ~/{)-O~
(Address)
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service J.{.. inches.
Location of any couplingS from structure'_ feet.
Type: of sewer pipe. 0 ABC f\}'PVC D Cast Iron
Estimated length of sewer line _ f~
Clean out (if required) located at feet from structure.
R.csidentiOlI sewer and water line cormectioD
Sewer conner;tion only
135.50
S17.50
FEE SCHEDULE
Industrial, Com'l &: Multi-family 1% of job cost with a $39.50 minimum
Watet"counecnon only $17.50
Building Permit ##
/
Estimated Cost S
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FE:t
S
$
$
""D WITH
BU\LO'NG PERMIT
(Ofttcc lip' Only)
Thi$l\pplicatiol1 Become, Your Bqilding Pumit When Approved
DuRdin; Odi~i.1
Dalt
rr~r.T.~ 0 ;805 1~'NC
24 hour Ilorice fur alllnspecti411S (951) u'7-!!850, rall (952) 1&47-4245
TOTAL P.01
2005 09/29 10:26 FAX 8905883
INSTANT TESTING/ALLIED
[4J 001
I J to
INSTANT TESTING COMPANY
7125 West 126111 Street Suite 500 Savage, MN 55378 · (952) 890-7366. Fax: (952) 890-5883
DYNAMIC CONE PENETROMETER TEST REPORT
MERL YN OLSON
MERL YN OLSON HOMES
6715 FEATHERSTONE DRIVE
SAVAGE MN 55378
Proiect: 14158 Woodchuck Tr. NW. Lot 19. Blk 4. Wilds N. Prior Lake
Date Tested: September 29, 2005 @ 9:00 am
Ordered By: Mertyn
Reported: September 29. 2005
Fleld Technician: Gary Standish, ITCO
Dynamic Cone Penetrometer Tests
Test Number: 1 2
Location: East/west rear garage North/south footing
footino between qaraqe & walkout
Deoth Below Grade: Footin!:l elevation
Soil Classification: SandI lean clay
DCP Depth Millimeters/Inches: 350/13.8" 852133.5" 343/13.5" 850/33.5"
Per Blow Averaae/Millimeters: Soft 27.9 Soft 29.8
N-Value: N-11.2 7 N-9.5
Estimated Load Pounds Per Sauare Foot: 3,800 3475
Spec Required: 2,000 PSF
Remarks:
The dynamIc cone penetrometer (DCP), uses a eight kilogram (17.6 pound) hammer to drive a 20 millimeter
diameter conical point into the soil, with penetration recorded in millimeters per blow. From the DCP readings, per
blow, penetration average was recorded and a N-value derived. This N-value, Is an empirical relatlonship we have
est3blished to equate the dynamic cone date to the more familiar blows per foot (BPF) standard penetration soil
boring test.
Test areas represent soft surface soils to a minimal depth in a isolated area with footings reinforced with three #5
rods. In our opinion soils are acceptable for construction.
Copies To: City of Prior Lake
Charge Codes: Mobilization
DCP Tests 1-2
Charge Per Test
Mileage
#701
#601
#306
#612
1
1
2
13
I/(i
,~ P/2.
Signed .I"
Gordon J. Kopacek, Professional Engineer. Registration No. 7254
PRIOR LAKE
INSPECTION RECORD
~.
SITE ADDRESS I e ~ ~"
NATURE OF WORK L~ P;~,,)
USE OF BUILDING &, P: 1>.
PERMIT NO. <)50825 DATE ISSUED ~
CONTRACTOR PHO · · _...
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILOING AND INSPECTION
INSPECTOR
OATE
FOOTING t'
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~
....-
I/.,.. ~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~,I- -/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DO NOT OCCUPY UNTIL ABOVE HAS
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
(tlcrfifirafc of @rrupaurl1
CITY OF PRIOR LAKE
~cparfm~uf of 2iuil~iug Jfusp~tfiou
~ Final Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section ii 0 of the r] 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:
51 -<lSt-....- ;::~~r/ILV ;' ,c-:. 08Z.~
Use Classification IV i ~ L- , I _ Bldg. Permit No. U _ ..j
I
Occupancy Type
K.3
Type Construction
Zoning District
klSD
Legal Description
L- /91 L59-'/
7H E I II / L- 1/.:::: I/O K-7f/
Site Address /4158 t(I((j{.) C!tut{:::.. TRi.-.
Owner of Building
Contractor's Name & Address /'it-.<:'L wv' C~6N
(- \ '\ I
: i I. ") lUll) \ .
i'~' \. ,.s Buil(nng Official
'-I' I
Date: I I' l' (?, ( /J
I ' -
i
//(/'IC-5 ,
,
(7/..5' J.1..I-tTlIE.t.::::::7u/vC Dk!. .,
S'I-J l/rI(je;. 55~
, / I '. City Planner
I !
Date:
-"----~~~.........~-r-~
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
~~J
/r'1 ~f U/,pcJc4~,clc- 7//
TIME
SCHEDULED
ADDRESS
OWNER
CONTR.
C'S-- ?.2J
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
,B'"'PlUMBING FINAL
~ECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASlINE AIR TST
o
c::; 'C--e
.e ~
c2cj (.;J~,Vjy AL/
o WORK SATISFACTORY, PROCEED
~T ACTION AND PROCEED
o CORRECT WORK, CALL R 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
/'1/sgwJo.VGl T/I
CONTR. /Y1~''r1'\ ~
(!)S"-B~
~~LLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
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
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
'j*/S-a,
If/I r9 L
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpector:,~~ --- Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS fl\ 58
OWNER
DATE
SCHEDULED ~
tJ~ tJdv.k Ci)--
TI~.
CONTR.
PHONE NO.
PERMIT NO.
c5 - ;g~
o FOOTING
o FOUNDATION
o FRAMING
[JI'INSULA TION
....-tJ FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
elc~ -+IN ~.~
~k he.
rORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CO , CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl