HomeMy WebLinkAboutBuilding Permit #04-0632
:;- ~': (') o~ 000 0 "tI ~ ~ -(')
CII 0 :J: C Z_
-g 3: en."Z"''''''' 0 Z c ~:c!
8 (') n o 0 =izen~OO z m ::0 mo
::0 ::0 m>c: c:o m m
~ )Ii 0 ::0 " 3: _I""~:l:z", ::0 en (')."
I"" :1 Z ~"tI
I"" m Ul m Z zCz 9 en
>:l t (') > Z ~ ~(i)~(i) 0::0
... ... z-
hl -f m 0 - zO
lC .... > - (') z 0
S cD o Ul CJ) ... z ..t. 0::0
... ."
CIO - )Ii (5 =is:
~ 01 o 0
0 z ... Z (')"
." 0 > 0 mm
~ 0 > ~
::0 I"" Z
I"" C
t;! ... ." "tI "tI
. :J: 0 ::0 ::0
~ m ::0 0 0 000000
Z ::0 (') (')
~ m m m m i:"tIUl;Ei:"
>< z m m ml""~)liml""
... c 0 (')c: ...0C:
~ Ul
~ ~ z ~ " :J:i: m:J::l: "tI (') en
en m .,,~::o::o::o~ m 0 (')
C) ~ "tI ::J 0 zZ:J::Z:-z ::0 Z :J:
::l m (l) ... >(i)00 (i) ~ ... m
0 ::t <5 ~ c
~ () 1"".,,00 ::0 =i
... 0 z z~~ - Z c:
~ (5 ;a. OJ I""
~"tI" 9 [ m
Z :1 m C
~ ."
N 0
~
~ :J: ::0
m
~ 0 0 f~
c:
::0 0
< 000000
en m
:t! z ::0 (i)"''''o~ '"
)Ii z >5i5i0
R- 0 (i) ~mm:l:(i) V\I
~ ~ -"""~
~ z ~~~~o r
(') >ooz=T;
~ !'1 _mm..._ -4
::0"'::0 I""
...-_ I"" i
UlZ Z m
...~ (i)
:;- 0 ~~ o~ 0 0 0 0 " ~ )Ii -0
CII :J: C Z_
-g (') en Z"''''''' 0 Z c ~:c!
8 0 n 0 o 0 =i en~oo z m ::0 mo
)Ii 0 ::0 ::0 ::0 m>c: c:o m ::0 m n."
t;, I"" :1 ::0 ::0 " -I"" >:1: z... z en =i"
hl m m Ul Z -0- en
I"" Ul ...~>~ 9
>:l t 0 o > 0::0
... ... ... " - ... z-
hl ~ m 0 - zO
lC .... > - (') Z 0 _.
. o en 0::0
S CD ~ ~ ... Z ...J:::.
CIO ::0 <5 ~>
~ 01 7' o 0 '-./
0 Z ... Z n"
." 0 > 0 'J mm
~ 0 > Z .~
::0 I"" 0 ---
~ -f I""
." " " (".
. :J: 0 ::0 ::0 ~I
~ m ::0 0 0 000000
Z ::0 0 0
~ m m m m i:"Ul;E:I:"
>< Z m m ml""~)liml""
... 0 0 oC: ...0C: ~
>:l Ul
;;; ~ z ~ " :J::I: m:z::I: " n '\ en
~ en m .,,21::0::0::021 m 0 n
" ::J 0 zZ:J::Z:-Z ::0 Z ~ :J:
::l ~ m (l) ... >(i)00 (i) ~ ... m
::t
~ n () (5 1"".,,00 ::0 =i ~ C
-f 0 Z -"" - - c
~ (5 ~ OJ zc:c: Z \) I""
~"" 9 m
Z m c
~ ." f\
N 0
~
~ :J: ::0 "'
0 m ,-
~ c 0 -
::0 0 00001 <:l
<
en m ~
:t! z ::0 (i)"'''' 0 N c
Z ~
~ >--0 , -4
R- (i) en~~~ ~ m
C
~ ~ c"""
z~~~
~ Z moo- :"'
~ n ~mm~_ )-J
!'1 ::0"'::0 I"" -4
...-_ I"" ^ - i
UlZ Z ~\ m
...~ (i)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
Date Rec' d
5.~' .()4-
White File I PERMIT NO I
Pink City . 0 A, 0 ~32-
Yel\ow Applicant c.r-
ZONING (office use)
Pt/O
I t/ 77 / r//"71}e7l1-V()(,~ 01 /L
LEGAL DESCRIPTION (office use only)
LOT '2~LOCK I
ADDITION
k ""-'0<:::)
PID 2~. J€),g . c)24-. 0
OWNER
(N ame)
4:: Dv Pr{L~i))(~ uA-6tZ.d vUc~ILI
(Address)
(Phone)
BUILDER
(Company Name)
(Contact Name)
W-e?/ JAA- (~ P ,
C--eJJJ'b 10 A--b,fl0~~-;Jlcl
;> 0' C ;2.t~ L (Lt Q~cTr
(Phone)
(Phone)
I\JnL.A /Vl
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
CODE: ~I.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
III IV
H
2
~~ fJu
4 5
PROJECT COST /V ALUE $
(excluding land)
I hereby certify that I have htrmshed mformation on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner Dr authorIzed agent for the
above-mentIOned proper at all construction will conform to all exisl1ng state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
official can r~~:~~e.thts permit for JTt ./!tls~ermore, I hereby agree that the CIty official or a deSlgne~ may enter upon the property to perform needed mspectlOns.
X /l; 1/~ . 36->-7) <-c;.,. 'f-
. Signature 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
II
F
I
DOrc9o
!OtJ.OO
'3 c.;-, -S- Q
o ,,() ()
E::~Z;;:dm.:(:;z~"
Buildlllg Ollieial Date
Park Support Fee
SAC
$
$
$
$
$
$
$
$
$
#
#
a.c9~
S"D. 0 0
300, Do
Water Meter Size 5/8" I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
-"
TOTAL DUE
ThIS IS to certifY that the request In the above applical10n and accompany 109 documents is 10 accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
~'''; ,f,"" ,,' ", f'" ",""" ""''' .. , "m"",,,, C'"""" "r ~/;;'~ ; '''"W''""'''"'~ eomm,"" 'd"" "cr""",,. , c,,,,,,,,,, "ro""p,"" mm' "
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
C ~Canary - Erc9ineeriii9:::>
Pink - P anmng
The Cfnlef or the Lakr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
i
APPLICATION RECEIVED
..::~:(-,.....
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.I
"
..
.... .-' /
--- :,/. )
,. f
~/ // /' ./ /: / t~~'"
c,.~ /'- /(~
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
trYf13
Date: C, -/!-tP1
Comments: See Reverse Side for Additional Information!
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
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."
.
,.
-
rhe ('('nlef (If the tllkt' COUnlr)
White - Building
Canary - Enaineering
qink . Plann~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
i
, i
APPLICATION RECEIVED
~,-_.~' ..h'.'_
The Building, Engineering, and Planning Departments have reviewed the building permit
aJWt>lication for construction activity which is proposed at:
I
/ L (- /'--
Accepted
Accepted With Corrections ~
Denied
r
~~ -:J~/J-J Date: 0/1 {/a '-I
~~~~
~,~~ ,
~ v-^d~
Reviewed By:
Comments: A, e,
~~
c2~1 ~
"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 cod~ or other
ordinances of the jurisdiction shall not be valid."
(irhite - Buil~
Canary - Engmeerlng
Pink . Planning
lht' Cfnlt'r of the I.akr ('ounlr~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!/y~1Z- 0 CV.
5. '1. 04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 4-77 /
.
T/r78GIE?- WOt-~
G/IC-
Accepted With Corrections
/'
Accepted
Denied
Reviewed By:
~ ~ Dale:
aU~
?~~
~/ II Jov
f ,
;. ~.
,
~
Comments: J?~
~ ~ /./l.C.
,~~.
"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."
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
,.
Reviewed by: ~ t~
Date: wf I'I d '-/
Building Permit #
Address: /~? 7/
Legal: L 2-'( I B (
PID: Zoning:
T~ ~ /V.cU. .
Subdivision: ~ Q '14.. W~
Existing Structure? YES 1d;ID)
Existing Nonconforming Structure? YES I@
NO
I
I CONFORMS TO ZONING
ORDINANCE
YES
I
Yard Setbacks: NA 1 FAilS""", ... ) Standard Proposed .
. Front Yard (can be 20' if aVQ. W71n 150') 25' c::J~ I t> 'I
. Side Yards 10'1
25' if abutting a street /0 I
. Sidewall exceeding 50' requires additional side 2" 10' setback + I
It) '.
setback for every l' over 50' in length 2"11' over 50'
. Rear Yard 25' ~ z..S-I"
. Patio Door: provide for minimum 1 0' deck or sign 1 0' sidel
statement indicating no deck will be built in the future 25' rear "vA I
. From 100 year flood elevation ofwetland/NURP 30' \
pond ;J A-. -
. From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no tUA .
less than 50'
.30 Maximum
Yard Encroachments: NAI FAil C MP
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 ards.
Standard
Proposecf
- .
Tree Preservation Nil.) FAilS 1 COMPLIES Standard Proposed ,
. Total calicer in hes
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement %:1
L:\TENIPLA TE\BLDGLIST.DOC
09/14/04 TUE 07: 38 FAX
~ 001/003
08:54
CITY OF PRIOR LAKE
9524474245
P.01
Date ~eeld
CITY OF pRIOR LAKE
BEATING/AIR CONDITIONING/FIREPLACE PERMIT
(Pleue ~ or prine and ,j~ at bo=ml
[I>DD)4;il r[; VV\-bev- woLf'- C'"C~
i ~ ~ I PERMIT NO. 04-- 0 '3z.f
J. yen- "",1jcM( .
I ZONING (--~I
.
l LEGAL DESCRIPTION (....~ 0Dl~
LOT BLOCK ADDITION
PID
I
I
~w~<<a.r- \\,p~lofM/",-t
(phone)
(Contact PeISOn) Lu ~
APPLICANT SIGNATURE
(phone) !\6 ~ 4~ ~ - fJ b ~
Y-4 J () u .i'r- J hi v-J r;;r; ~ O<.{
(City) . (Zip Code)
(Phone) 'I b j 46 )- fJ 10 'ib
DATE - I - d
APPUCANT PLEASE COMPLETE BELOW
~ CONSTRUCTION 0 REPLACEMENT 0 AL lERAnONS
FURNACEMAKEANDMODEL hu'i ()(V'tJ lOo./'f"r.. 1rrL..(. n-+ ~"'...."",.... FUEL AJ / 'V(Q(
FLUE SIZE
RETURN OPENINGS
lYPB OF SYS'TElwl
C1Wann Air P latIts
DOravtty
o Mochanlal
(!J.4drCondlttoniDg
[QYent, SYMn
fIREPLACE MAKE ANIl MODEL
INPUT
HEATING OR POWER. PLANT
olJl1'UT
~ ~:;.~
o Radiation
[g. Special ~iecs a l"::' rfo l . e~
o OthcrO~lCH5 L -
B. cz:t1v... ...Hl.. ~ t........ .J"
~ ~~:,.. \j t4- U~-~ (\ Q.. '.,.) e
!'LEASE NOTE:
Air Conditioner UnilS
Calmot Encroach into
Required Side Yard
Setbacks
'I
FEE SCHEDULE
IndJJstrlaI. Commercii1 &; Multi-Flllrlily ]% of'job ooSl ~ciidentill1. Gas fireplace
$39.50 miQimum
ResidcntltJ, Heating &:. AlC (New Conswction) $99.50 Residential, Additions &. AltelUions
Rcaidcnti&l, Heating Only (Nsw Consuuction) S64S0 Residential, AC Onl
$19.50
539.50
$39.S0
HEATING PERMIT FEE $
STATESURCH:ARGB $
TOTAL PERMIT FEE S
P WITH
BUllDING
.50 PERMIT
"
Estimated COSC $ J ~ iI c.; a- t:3~ Building Permit t4
(Otllce Use Ollly)
This AppllcafioD Becomcs Your B~lIdJng Permit When Appfoved. I :~I.. :'cipl No,
BlIllcUag Ot'llcial o..te . .'
:u holJl' llOtJc:e tOr'.n lospecUOns (952) 441-98!lO, tAi (952) 44742.45
1 '1M F,p..l" C"...I'l!ltk A1IehUc. Prier Lake. MN 5531"
j
CrTY OF PRIOR LAKE
952447~24S
14I 003/003
t-'.ICl~
Date Roec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(pI"",!%P' or - ""'... "..:
I ADDRESS '
) 4 lj '1 \ rr ( b:e v w ~ L ~
I. 81.. F;le
2, Cold City
J. YoIlO'" A,clltJ."1
tPERMITNO'04. O~3z..]
I
Lt,^ctf
LEGAL DESCRIPTION (office USa only)
LOT . BLOCK
ADDITION
PIP
ZONING (offimue)
APPLICANT PLEASE COMPLETE BELOW
Type of Fixtun Quantity
Bath Tub with or with.out !lhower
ishwashor
Iocr ain
Lavatory (Bathroom Sink)
Laund ra (lor 2 compartment sink
ower tal
Sinks
Bar Sink
Wa.ter Closet (Toilet)
\ \)\j (lc ~<l.....l
\ l;.,)6.te.,.. ~t\~,. kN-f FEE SCHEDULE
IndustriJl, Commereial &. Mulll.famlly lYe of job oost with a $39.50 minimum
I ~~R W el'T CL \.-. De u ~l 0 C tyte ... ~
. (AddresS) _ _
APPLICANT
(Name)
(Address) rs C:l~~
(Contact Person)
~ (phone)
j
(phone) <11o ~ Lt~ I~ r') 10 ~
.A ~{)U ~ 'h1 ~ i:)~(Jy
(City) I (Zip Code)
(Phone) '1~3 lt~)~ r;b ~
DATE
q-,c(-o~
Type of FixtUJ'e
I
~
ResldClltiAl. N~ Ono &. TWo-Family $99.50
Residential. Additions &. Alteraliot1~ $:39.50
Estimated CoSt S
Building pennit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PE:RMlT FEE $
Date
WITH
DING
(Office lJ!It Oaly)
This Application Becomes Your Building Ptrml~ When Appro"ed paid
BulldlJlg OffiCial
>>.-te
24 bour noriCll for lllllnspcctions (952) 447-9850, Cu ('52) 447~424S
16200 E&gle Creek A\lt.. S.E., Prlor Lake, MN 55372-1714
TOTAL P.02
Dec 06 04 02:53p
UI::L-\:fu:-~<:l. :L4: W.
Westonka Mechanical
Lll. Y UI.- t'l<.lllbt L.HKt:.-
Contr
612-472-4961
p.2
':f:>,4<H4,Q:> I"' . ~na.ll
&Jane ACl; U
CITY OF PRIOR-LAKE
SEWER AND- WA:T-ERPERMJ~ \
I. G..... Pi.I.. \ pERMIT NO~z..
1. Vdlo. c:.~
} Ot/...."I..... ·
ZONING (otm me)
....
Tf'C}1 t. }J I W
PID
]
OWN-Ell
(Name)
\..J cst/"
~ P" ~ /$'\41' [def'<)
. (:rbene)
(Address)
(AddfeH~
(CitY.)
ZI"C*l
(Contact Person)
V-w c fe! (Pbotte) ( q.s-~ ') l/ 7,;) ~ L/'f6b
~OVVl J 0-10'1. 5<>361
(City) J . (21lfCo&)
<Phone} (lRf~ ') 7t/ 1- c;, 77 <7
DATE_ l ';? - ~- ~"t(
. APPLiCANT ~
(Name) W~'10~11c, <:;c~r
(AMt~) ~"SQ I t.o. L1. (S
.... (Addteu)
APPLlCANT.PLEASE.ffiMPLE'IE,BEbOW
Sia of Water service. ~~
Location of any couplings from suucture _feet.
Type: Gfsewer-pipe:.- OABC ~PVC 0 Cast Iron
Estimated .1entnlt of sewer line. 4 ~ feet.
elcmr~(iflcqtti.red}tf)nteftat: _-fee\fto.m.~
fEE. SCUDtft,E
ltnitkmi~hewcnmlwatCt" liftec:ennection- SJS.50- IndJ's-rrial. ~Qm~l&~.Mulri~funily. 1% of job \:OSt wlth a 539.50 minil1lum
SewOf' conn~tion onl)' St7.jo- . .w.er~~ ~.JO
Estimated-Con- S
BuildH\g-P-eFmit-#:
",-
i
~WEB..-ANaWA.ttlll!ER.MlT EEE
STATE SUlteltAlt6E-
TOTAL PERMIT FEE
S
..1-
S
.SO PAID WITH
BUilDING PERMrT
1Ot1tc:LUK.0A1J).
. 'fhi,,^,pp1~tioD.LeAlll~Your BulkliDIPermit Wben Appro"ett
I
~omeW
Oal.
r~
I' ~DatriFr
\ :'i~ No.
8 7nnt1
rc-lIlf1Irnutla: for lt4l..!nSpKt10'" (951) 441-91l50,fn. (~l) 4474145
TllffiL P. 31
05/19/05 08: 25 FAX 7635530887 9UYERS _BUILDERS SUPPLY
08:52 CITY OF PRIOR LAKE
I4J 001
9524474245 P.01/01
CITY OF PRIOR LAKE
HEATING/AIR CONDfflONlNGIFJREPLACE PER1\1IT
Da.te Rec:'d
1. '11'lL rUe
;, Gretll Cill'
3. Y.U&-I MDlltlI/II
~_~'~ed:M~=:
\ ADDRP.S~!?/ -~J11 -'2M)"I-L
'7R'AIL
LEGAL DESCRIPTION (oUice use only)
LOT
BLOCK
ADDmON
PlD
I OWNER
(Name)
(Address)
(Phone)
APPLICANV r %a G
(!'I~me) LJ V~/..fJLS v.t..O~,e r ~r'.?t;"
r
. 1/11
(Address) 13~ 5 IS - 11 V "A/,
~ (Acldtessl
(Contact Pe1>an) It/"", ~
APPLICANT SIGNATURE (!" ~
(Phone) -?t =3 ~9t/ 7'~w 3'
flClAl4()C/7'N- 144..11 ~~L/I(
(City) (Zip Code)
(phone) 7& '3 ~ ~ 5
DATE
APPLICANT PLEASE COMPLETE BELOW
W CONSTRUCTION 0 REPLACBMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL '&~/tJ,e./ 9(P 00 FUEL ;.IFf r
FLUE SIZE i' .' RE'I'tffiN OPENING' INPUT ;2&O()(!) OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Aiz Plants 0 Stcam
o Gravity 0 Hot Water
o Me.chanical 0 Radiation
DAir Conditioning 0 Special Dc:vic~9
DVcnt. System 0 Other DeviCe!: ,t::::),L,tEj7( A ~tJ'
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial 8t Multi-Family
FEE SClIEDULE
] % of .lob cost Residential. Gas Fireplace
$39.50 minimum
Residential. "Heating &. Ale (New Construction) S99.jO
Residential. Heating Only (New Con!truction) $64.50
. c?
Estimated Cost $ f,CJeJr:J
$39.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Building Pem:lit #
fjUIL~/O WI'"t .
'NG p'''''
'E:Altttr,.
REA TlNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office Use Ol1ly)
This Application Becomes Your Building Pcrmit When Approved Paid
Building Offlcilll
Date
DAle
2A hour notice tor all inspections (952) 447.9850, tax (952) 447-4245
'''''''NIl 'Ci"........1... 1""___'_ . it -... - -- - ,