HomeMy WebLinkAboutBuilding Permit 02-0008
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
12--4--0 I
I. White File I PERMIT NO ~
2 Pink City . 02--000
3. Yellow Applicant . _
ZONING (office use)
Jel
LEGAL DESCRIPTION (office use only)
~
LO
ADDITION
PID Z5 -37"- o~S-O
(Phone)
(Phone)
I TYPE OF WORK
ODeck
Oli'orch
OAddition
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAlteration
OUtiIity Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
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 the pr.operty to perform needed ins ections. ,
,
~19 ~
Contractor's Llcen e No.
J~-LJ"{)J
Date
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
8s() LJF)
I,ZOO...[jf)
I.
$
$
$
$
$
$
$
$
Water Mcfter Size 5/8 '; 1 ";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL OUE
#
#
s:
I ~;e~II'-Z-
I ~~~ ~r-~ :i--
/2-'1-tY{
Date
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
isSu~~ G ~' ,~
L( ~~~,- l'LJ~l k91 ~
ing Director ' Date . -<- peCi; Conditions, i anf -
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
!
~ ;"
~ .' t. .;.': "'::;;(~:;"~~'.-:,~"'7'~":'" ,:;",~';"~ .:'.,.
-:': -:, "'.-7"T'?"~-T""'.:-.:.-'7~:.:~"t .:..~O;"':.'< 'r,:''"''Y'''';>;''i~'7~'1'''''~''~~;-:ry0''',:"',,~,,,,{~, "'....~,~ ,-~"'o
. .
White - Building
Canary - Engineering
Pink - Planning
Tht ('rnlrr of Ihr takr ('ounlry
BUILDING PERMIT APPLICATION PEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I/V / /\If) wooD
/2-4- -0/
The Building, Engineering, and Planning Departments have reviewed the building permit.
application for construction activity which is proposed at:
/520&;:/7/12 W!-/ y ,HTS (! /
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
AJAf)
Date: /,2 -J ;-0 I
Comments: See Reverse Si"de for Additional ilnformation!
i If
See Attachments: 1) Grading Plan, 2) Erosion Control Measures'
3) Erosion Control Plan
d
"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."
The Cenfer of fhe t.kt Counfr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION QEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
l ~. / /\ iJ t~. Ci l, L.-/
/ Z -4 - { I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ~,2' ((.: (c l1' i I /-::.. I vi I l/ .fl 7~~.~:- c i--
I
Accepted
Accepted With Corrections 1________
Denied ~4
Reviewed By: -- / ~~~
Date: t?-/l~,/e1
..,
Comments:
~~.lAM ~~ &~tlAw.A~ ~~~k..,
-3D ~,~ ~ ~.r
~~;&~~zt~o
"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."
Tht> ("t>nlt>r of rht> t.kr ('ounlrl
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WIND wooD
12-- 4- -0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/52(0& rlt/R- Witt HTS (!;J
Accepted
Accepted With Corrections ~
Denied
Reviewed B@ f2~k
Comments:
Date: Jl-~--O {
J<Qo.& u.tLili-o.c~ lA~~
"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
SEWER AND WATER PERMIT
a23m
Green File I PERMIT NO
Yellow City 0;') 0
Gold Applicant (/ Z - 0 ~
ZONING (office use)
it (;~--(,; ,
r --
L I ~
. I_A.1 .
/<.-
LEGAL DESCRIPTION (office use only)
LOT' BLOCK 4 ADDITION
/~'
PID
OWNER
(Name) LV ':j.~Ai 0 (.v cOO J-J Cm6,~
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT
(Name) /);1.,ffilEd IS XC
(Address) I ~ i l ~ r 0 /' ( :L-rJ u/A <.-/
(Address)
(Contact Person)
(~
(Phone) [Cj Ll ) ii '1:2 - C 9 () (,
LIt: (/L . S- ~ 6 '-Itl
(City) (Zip Code)
APPLICANT SIGNATURE
(Phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Location of any couplings from structure -=- feet.
Type of sewer pipe. D ABC ~ PVC D Cast Iron
Estimated length of sewer line if..f feet.
Clean out (if required) located at - feet from structure.
Estimated Cost $
$35.50
$17.50
cO
800 '
FEE SCHEDULE
Industrial, Com') & Multi-family
Water connection only
I % of job cost with a $39.50 minimum
$17.50
Residential sewer and water line connection
Sewer connection only
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$ .50
$ I
"fA ( D v/ I r&fl-H' 1<1
I ::~: I ::"iP' No
,.0, ecomes Your BuilQing Pe mit ~en Approved
I ~.., '~ _ 5 /02-
Building Qfficial Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
MATTHEW DANIELS,INC.
423 3017 P.01
............. &,~\; \I
CITY OF PRIOR LAKE PLUMBING PERl'lIT
~Plc:a.5C type gr pri.Dt -nd si!:n a[ bolrOm)
r ADDRE~~~" --~
LEGAL DESCRP'TION (office use: only)
I LOT S BLOCK J ADDITION
,. glue File-
:. Ouhl Cil~
) "'I dtgw .-\gpl iQnt
I PERl"IIT NO.~ - Of.: J
~ &.JJd- ~-*
ZONING (oftl.c;: lOSl!)
I~
PID
OWNE~ . )
(Name) 1J.l. J .0J. ..... J..
(Address)
~
. \A.
~. 8f/S"- 8~4K
APPLICANT ,
(Name) ~(;).n) "])t1..nie.k. )rI,-.
(Address) A5~t) (JAT'rDIJ5e.J ;}-a.y
I (Address)
(Conract Person~ :::nn.nie./ E. ~"-.;~n .
(Phone)
t.G I. ...j:;.a. -.!1 '1t.B 0
..s5'"0' 'i
(Zip Code)
, ~~..IY]OU nt:. M rI
(City)
APPLICANT S~GNA TURf
(Phone) r ~/. -/.:13 - \S~~
DATE -:/ /.LJ. e!l't J./J(J1f!..,
APPLICANT PLEASE COMPLETE BELOW
Quantity , Type of Fi.'uure i Quantity Type of Fixture
I iBath Tub with Or without shower ! ......4 Rough-ins
I !Dishwasber i I Water Heater
I
I I iF loor Draip I /h Water Softner
J iLavatory (Bathroom Sink) T I Stand Pipe (Washing Machine)
, !Laundry Tray (lor 2 compartment sink I Sewage Ejector
I : Shower Stall I Backflow Assembly
I !Sinks I Back.flow Assembly Test
i Bar Sink I Lawn Sprinkler
c:2- i Water Closet (Toilet) I Other
FEE SCHEDULE
Industrial, Commercial & Multi~family 1% of job cost with a S39.S0 minimum
R~idential, Ne", One &. Two-Family S99.50
Residential, Additions &: Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
I STATE SURCHARGE $
TOTALPE~FEE $
'Jq ..5D
~
,.
.50 ,.Iff, .' .'~
I~'~~ .j)Jf~.-
(omee Use Only)
This AppJic.ruion Becomes Your Building Permit When Approved
Paid
Receipt No.
BulldhlC omc...
Dall:
Date H,} 5 2002
By
Z4 bour .otiee for all ilUpeetioftl (952) 447-9850. Fax (952) 4474245
. ~
TOTAL P.01
2: 10PMI
~9"':o121.?.a
~'h
Dnlla RCl:'d
METRO ~f:rY OF PIUOl{ LAKE
HEATING/AIR CONDITIONING/FIREPLACE ~Jr,RMIT
i:~ ~~_IPE~~ OYl
ZONINO C"flia!u,~)
LlfoAL DESCRIPTION (allice U$t! only)
L\J' '5 aLOCI~ ADDITION \..J \.~ .l. "'"" ~l-, ~
PH)
OW~E.R
(N~r:)
""- ~: '"
~
(PhallC:) C\ ~ ~- ~ {\ ~ -~ \.t\,\ ~
\t S c; ~() YI
(Phone) C; S ~ - y \.\ 1- ~ \:;1., l{
"c-\ ~,- l~\u... f\~ s~ '~'-'~
(Chy) (Zip Cadll)
CPhone) 9 ~ ~ - ,,~~ -,. ~ ~
~ \4 ....., ~
-
APPJ..ICAN r '^'~.
O'ia?1C) \'\~ ~~ ,~\,...... --'_ ~.., ~
CArldj'C:sS) \ ~ q \..J ~ \ l CJ f\- V "-
. N (IllCldrun)
(Cl"rll\ac:t Pl!!rSDn) S "".'" \: ..... \ \..
DATn
Af!P~!ICANT SIGNATURE
AI-PLICANT PLEASE COMPLtTE BELOW
EW CONSmUC110N 0 REPL^c.eME T 0 ALTERATIONS
FU~?j^CE MAKt AND MODEL ~ 'V ~ .. ~ ~ - ~:O . r-UEL. ~ ~..,....
FqJ~ Sl2E f V C RETURN OP~JNCiS q INPUT ~Q, ~~ OUTPUT' 1 S'
TYPe OF SYSTEM HEATJNG oR. POW.ER. PLAN"r
, , ~lII'tn Air IJf.nls 8 Slearn
,ravjly Hol WlIlt:l'
Mc::chanICIII , 0 ltadialjOl'
.Q~lr CDlldiUDnhl1 0 Spt;t;:ill' DCIIlci5
-C!It.':'ehL SYlilc::m 0 Ol.ltli!t D,=viees
l~
Fn~EI!LAC:E MAKE AND MODEL _
I'LEASE NOTE:
Air CDnlfltirmejO'Unlll
C~IInCll Enc:rulu,h JU(u
Rli!qufroc:f SirJe YlItd
SClhack.
FEE SCllEbULlt
Inelllsll ill. c.;ornnu:n:.iall: MIJILi-I:lUnily . 1" afjab call Ilesidenll.f. Gas FilapJIIICl!:
5".'0 minimum
Rc~'dI!!lLjal. H"l1ling &. Ale (New CCI~.!lnIcd0l1' "9.S0 ~uftIl:htil.. Acltlhlcms & "'lrmtli~lls
R.c~id~Jlli;jl. HQ\tift~ Only (Now COII.llruatloh) $64.50 Jt.csldclllfal~ AC Only
$J9..s0
&rlilllAtccf CDSC $
.'IiJII,50
$J9.50
BUilding Pcrimh fJ (J Z - 0 0 (p ~
"
HEA. TrNG PBRMrr FBE
STATE SURCHARGE
TOTAL PERMIT FEE
s
$
S
(Otl'ct tl.~ 0111"
-.-"
"hl~ ",J,HitHUull JJetODlell Your DullcUng FCI'nllt WJlI~" ^1'1~rf)"llcJ
oSO
...... PAID WITH
~~U)ING PEHMIl
- .-..,
DlllldlhJ.: OfflclllJ
lJ"C.
By
:14 1I0llr ..aile. ror .n In"l.clian, (!51) .~7-'"50, r".. (9g) .....,....'..5
PRIOR LAKE
INSPECTION RECORD
aEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 15-:J...tQ(P -mr'rw~ lit'13~ Gf:.
NATURE OF WORK fJ-€..t.j u
USE OF BUILDING SED
PERMIT NO. 6Z-0(}()~ DATE ISSUED I 'J.- ~-CJ I
CONTRACTOR Wt~~cl. ~ PHONE~95"-8Cf'l~ X 1()2-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) -~ J; 6 2- -g C. ~ fJ~
PLACE NO CONCRETE UNTIL ABOY'E HAS BEEN SI NED
ROUGH -INS
DATE
SEWER I WATER I SEPTIC
FRAMING LJ- ~~ S" I
INSULATION II
ELECTRICAL
PLUMBING '\ "\ ~ Z <71
HEATING (if required) "" 'b
FIREPLACE '$ ,
GAS LINE AIR TEST ~ r; 6
COYER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING {Prior to Soddin
BUILDING
ELECTRICAL
PLUMBING
HEATING
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 .l)laced near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
. . . ... ..... '. . ..-
CITY OF PRlOR L1\KE
" 'Impervious Surface Calculations ..-. ..
" (~o. be :Submitt~ ~ith 8~iiding ~ermit Appfic:xtion)'. .. . .
For All Prop,:~es.Locate.~ in the $horeiand District (3D).
The Maximum Impervious Surface Cov~rag~' P~rrIii.ttedm 30 Perceni
Property Address /Gut ,.cAl~ ~~ ; &~T
Lot Area 22.../ 7/;$ Sq. Feet X; 30% _.....u~.~.~... 6ggttJ.4-.
*****~****************************************~******~******************
LENG1E
WIDm
SQ. FEET
HOUSE
x
x
x
=
I
.". .
ATTACHED GARAGE
=
TOTAL PRINCIPLE STRUCTURE.._._..__.__...
2t!Z7
DETACHED BLDGS
(GarageiShed)
X;..
X
TOT.A.L D ET ACHED BUILD INGs........~._..._......
.LJH
u x ~ 33
'. . x.
=
~ 85'8
184-
,
'9;4.- I tJ4z-
7PA VED AREAS
=
4t,x..1
=
p(~;2~~;~
boards. with a pervious surface below,
arc not considered 'to be. i~pcr:vi~~~.
TOTAL P A YED AREAS....._..................................
x.
x
= I/lCt..v~6i:J 1)/ ~ ~
=
x
=
TOTAL DECKS.....__..~___..._...___.___.. b
.. ..
OTHER
x
=
x
=
TOTAL OTHER......_._... .
..........--..-.-.-..-.....
;)If
1?%1~P69.1
II~ liLt?) ~Z96~Al
(UtI-
. .
~~ IlVIPERVIOUS SURFACE .
~OVER .--J-
Prepared ~y ~ /L:,
. Company I/!fiJL Z;UvM~ t;.-
/2t!v. /1-2-$-11/. : /J1pV4;? 1M"- {C1flII/~" ttJ,V'~
Date
Phone iF 437.. - S OOD
A OBE CONSULTING ENGINEERS,
PLANNERS and lAND SURVEYORS
eNGINEERING
~ COMPANY. INC.
l 1000 EAST 146th STREET, BURNSVlLlE,
CERTIFICATE OF SURVEY
Legal Description: LOT 5, BLOCK 4, WEN5MANN1 5T ADDITION,
SCOTT COUNTY, MINNESOTA.
&l""i..l> DENOTtS EXISTING ELEVATION
('It, 7. 6) DENOTI. S PROPOSED ELEVATION
- INDICA ES DIRECTION OF SURFACE DRAINAGE
c;6&,f)o = FINISH D GARAGE FLOOR ELEVATION
CjbIJ,(}O = BASEM NT FLOOR ELEVATION
Q69,oo = TOP 0 FOUNDATION ELEVATION
WINDWOOD HOMES
PROJECT NO. 10769.00
BOOK
PAGE
SCALE : 1" = 30'
&)
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LOT AREA=22.768 S.F.
HOUSE AREA=2,827 S.F.
(INCLUDES CANTS.)
/