HomeMy WebLinkAboutBuilding Permit #04-0982
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
White File
Pink City
3 Yellow Applicant
8; 50 0,-/
I PERMITNO.a+~d/8LI
G~aQQ..
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT%BLOCK ADDITION ~ WOOOSa: Htt W, lds
PI . 5-383-
OWNER
(Name)
(Phone((d?) ~zS -. 2 , 55
J11N, SS(2-,+
(PhOne)( CoIZ) ?2&.-ZI 8~
(Phone) ((p{~)~?6- 2/8~
(Address)
BUILDER
(Name)
(Address)
TYPE OF WORK
OLower Level Finish
~DeckjsrA~ OPorch ORe-Roofing ORe-Siding
o Fireplace DAddition DAlteration OUtility Connection
PROJECT COST IV ALUE (excluding land) $ 67 LO &c:t)
o Misc.
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
sub Itted plans. I am aware that e Ulldmg 0 clal can revoke thiS permit for Just cause Furthermore, I hereby agree that the City offiCial or a designee may
re, " """ pmp'rty , , d "'p' rn -il c:::- f? /20 /c ( /
~ ,t ,/:t1.., ~ 171 ? 0, 0 f
Contractor's License No. Dale
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
#
#
$
$
$
$
$
$
$
$
Water Meter
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
Q Appli~tion .~.:;~Y O~m1<fing Pmni' Wlim Appn"'"
~ ~ 9/Z0/0C-(
Building Official ' Dlte
TOTAL DUE
~
q.7..,11.04-
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
~"i"g~ ~20~-r- Sp,d.Condi""",,"'"'
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
Canarv - Engineering
~ink ~ - Planninu
Thl' Ct'nlt"r fir Ihl' Lake ('ounlr~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ '
/' .I
/
I
"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I
/ .I"
I ./.;
" .I!.' .,.
:i,,'
I' 1
Accepted
Accepted With Corrections
/
Denied
~ ~ Date: 9/w~~/
~ ~~~."
Reviewed By:
Comments:
"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."
lhe ('t'ntt'f or the Lllkt ('()Unlr~
c: - BUi~
nary - engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT r/3~-<--' ~~V -., ~.
APPLICATION RECEIVED -0- 3()-Ot..j ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for cons~ction activity whi~h is proposed at: . /J}l /1
c::5/{jtj d--t/lJ,1-I:u2::1P-~ ~
~
Accepted
Accepted With Corrections
Denied '"'
ReViewed~ ~ Date: o/2L?~Y
Comments: ~ ~ ~
"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: ~ 911, & Date: :9 /~ /<:l i'
Building Permit # ... PID: r- Zoning:
Address: 3(90/ T ~ ~ ~ r
Legal: L & I B I Subdivision: T-JI.e- ~ ~ ~ 0~
Existing Structure? YES 1Qifj)
Existing Nonconforming Structure? YES I~
I CONFORMS TO ZONING
ORDINANCE
YES
I NO I
Proposed
2 ,
(
c..b z '
----
.
Standard
25'
10'/
25' if abutting a street
.
· Sidewall exceeding 50' requires additional side 2"
setback for eve l' over 50' in len th
· Rear Yard
· Patio Door: provide for minimum 10' deck or sign
statement indicatin no deck will be built in the future
· From 100 year flood elevation of wetland/NURP
and
· From OHW (Prior or Spring Lake)
10' setback +
2"/1' over 50'
25'
1 0' side/
25' rear
30'
NA.
~"
75' or setback average of
adjacent structures, but no
less than 50'
NA
Yard Encroachments: I FAILS PL
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
.30 Maximum
Proposed." .
..
tJ L);J~~;~:::
~ ',: TZ::-:',~"-"
CJ- ~'Ciii,;.;.,,-\,; ,-~; ".
-
Tree Preservation~ NAl FAILS I COMPLIES Standard Proposecf ..
. Total caliper inc rtes . ,
. Permit 25% Removal .'.
. Caliper Inches Removed . '.
. Caliper Inches Preserved ..... ....
. Replacement 12:1 . ,:'0,,: r
L\TEMPLA TE\BLDGLIST.DOC
.......;~ ..
,..~Bct/frc11;2-6/;2
02/06/9~
" ~.
.,
.' .......CITYOF PRIOR LAKE
. 1m perviolls Surface, Calculations
'., . ..;(Tobe Submitted with BuUding PennltApplication) . . ..'
ForAn PropertiesLocatedJntheShoreland District (SD). .
The Maximum Impervious Surface 90verage Pertni tted in3 O'Percent.
. .
i . " ". .
Property Address .3JCJ-1." 7T/Y\b~;(0)6/.{>
Lot Area . CJ hf?J/9 .... . Sq,Feet x 30%== ,no,;........;~S--4s-
***..***.. * * ** lie lie * ** .** ** ******If<.* '" ** * **** **itcllllll ll<***** ** * ** lie ***** ***** *****
HOUSE
n:K.IVEW A Y!P A VED AREAS
(Driveway-paved or not)
(Sldewa1klParking Areas)
'.. . '. .
~~;~~~~~Pi$.(o1
boards, with 8 pervious surface below, ......~.... .\>. .'.
are not considered to be ImpcrvioUS)>4or(,,,,, .
X
. ,,' - .,
TOT ~,P.A VED:ARE'AS..,.,.,.'~.,u..~:~..~,..t ~'~~'-~~.~~'.,y...... ,; i
>1 ~4.g- .
: TOT~' DE-CKS ~:.. u ..u. ,. h.,"u;~'n... UI"~ .~~:." I..n ~,..........". .'.
OTHER
"
TOTAL IMPERVIOUS SURFACE
~OVE~. 60>
. l'repareclBy ]amt'5 }~~ ..
Company '/it'~14c1 "E~l/lpe/{j'.
TOTALOTHE:R........."'............................................ .~. ~~.~
1S-4tdLJ
I /60(. .\
..' ..' Date B;;21-0"l
G~'
--_..-.//
The ('enter Hf the l.ake COUnlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
;/,/:).Il'1 ,'.,:i.l.A.' -') ''''_'/''
'il / l' ~ /,( ,. .' L.,,'. l' .' . l, .{ ,~'. .' ""'1'
I ,.,".~..../Y >,1~--"" ..,....'L.... ~~.-'y~,.>v' ! '",<, 'd" I..""" ,f ,. -
APPLICATION RECEIVED <,/5' .:3(J .--()I./ ' (/7 "
NAME OF APPLICANT
<(~}( ../)
j.i-'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for cons1r~ction activity ~hich is proposed at: ,.
~. / j /<>)/1' H/j" / ) I'; . I,
,....... ) I Lf L.. h ,. . J,-"}1/' j-',';:}1 {, ,.,'. !\/ / (/. , ., ..l:.._....
....,."-,,. .. j ,\~~,~~"..v;_.,-\" J.' L!\,...~.>,,' !._-' .,.-<'._-',1 '~L t.",~..,~" ''f,,'(::'! _.
f
Accepted
X
J -
Accepted With Corrections
Denied
Reviewed By:
#.I !1A1-6
Date:
1- 2CJ -CHi
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."
10/12/2004 12:25
9528959394
ALLIED EXCAVATIl'lG
I
\
!
I
CITY OF PRIOR LAKE I
SEWER AND WATERPERM~T
PAGE Ell
Date Rec'd
i t;..\~~ !~E~5\rQ.Oq8~ I
I~ONING(__' I
Pro
(Address)
I
l (Contact Penon)
APPLICANT SIGNA T
FEE SCHEDULE ;
Residential sewer and w....r iine ~onnoc;tion $3~.SO Industrial, Com 'I & Multi-fami11 1 % of job cost with a 139.50 minimum
Sewer connection only S 17 .50 Water connection only S 17 .50
Eatima d Cost $
Building Permit 11 i
(omu U.. Oaly)
This Appllelltion Bccomeil Y ur sundial PUlIllt Who" Approved
EweR AND W A 'fER PERMIT FEE
TATESuaCHARGE
OT AL PERMIT J'E~
s
S
$
.50
PAID WITH
auilciinl OMcial
Dati!
;
24 hour nonee for all h"pec:tiolU <9~1) 4At.98!O, Cu <'!I1) ~7~245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/2-.7.04-
; :;e:n ~:~ I PERMIT NO.:J 1- 0 C; 82-1
3. Yellow Appltcanl . .
ZONING (office use)
ADDRESS
3194 TI~IBERWOLF CIRCLE N. W.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
pm
OWNER
(Name)
BUTIJER HOUSING
(Phone) 952-431-4132
(Address)
P. O. BOX 24597
APPLICANT
(Name) RAY N. WELTER HEATING CO.
(Address) 4637 Chicago Ave. So.
(Address)
(Contact Person) Ray N. Welter,
(Phone)
612-825-6867
(Zip Code)
APPLICANT SIGNATURE
DATE
[XJNEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL 2 Trane furnaces 'rux: 100 FUEL NAT GAS
FLUE SIZE 3" PVC RETURN OPENINGS 10 INPUT 100,000ee.ch OUTPUT 90,000 Each
TYPE OF SYSTEM HEATING OR POWER PLANT
ggWarm Air Plants o Steam PLEASE NOTE:
~Gravity o Hot Water Air Conditioner Units
Mechanical o Radiation Cannot Encroach into
~Air Conditioning lid Special Devices Air to Air Exchg Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
APPLICANT PLEA E COMPLETE BELOW
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Industrial, Commercial & Multi-Family
Residential, Additions & Alterations
Residential, AC Only
$39.50
Date
~
Date 1 4-
/2-. .0
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ /
$ ~.50
$ /
./
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
01/09/2005 17:18
9527585942
WEL TER BLA\/LOCK.
PAGE 01
...",.......,\...",."........."....,...
.............,....,."." .",," .......~...~...,_____---v-...-. '.
........."........,...",.-''''.......- .
Date R~'d
CITY OF PRIOR LAKE PLUMBING PERMIT
,!.'li..,,,
: :'.~_lt.~~~: >
;
I. l\6lJO fU..
1 ~ Co,
l"'''- ..""'i"""
rPE:RMlT NO~. 7J~
. ] ZONING ,"-_1
-~~....:;:~
A~~~ _ b. uJof;
(1~
LEGAL DESCRlPTION (office Wl' ooiy)
PID
LOT
BLOCK
ADDITION
~~:R ~ v.+(-e.r ~ ?lA-g1~% c.,o<J!
(Address
(phone) 15";), -- t./ 3/ -1/13 :J...._
Welter &. ~locki"Inc
G~9 ~ ~lf w~ 3
s\'llle, 4N 5337
(Address)
'Cke,VG- . ~
(Phone)
9SJ 75~ _~'I
APPUCANT
eN ame)
Quantity
.2
I
.:l
5
(city)
(phone)
(Zip Code)
&> (d.- J.;:)-/ -, 75/
DATE 1- 4-0S
(Address)
(Contact Pmoa)
APPLICANT SIGNATURE
of' Fixture
Rou h.jns
Wat.cr Heater
ater Softner
Stand Pipe (Washing Machine)
Sewage EjectOr
Back ow Assembly
Backflow Assembly Test
Lawn S rinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job COllt with a S39.50 minimum
Residential. New One & Two-Family SqqSO
Rc:sidential. Additions & Alterations S39,50
Estimated Cost $
Building Permit #
PLUMBiNG PERMIT FEE S
STATE SURCHARGE S
TOT AL PERMIT FEE $
.~
~-.--,
--.-....1
\
(Office Use Only)
This Application Becomes Your Bulld'n~ Permit W"en Approyed
Pili~r
Re<<ipt No.
'.\
\
D~A N 1 1 2005--<-,,0-< 8 y
~UildT~~--- O.te
........... .,- .. ..
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
3. Yellow
~~~. I PERMIT NO. AL t1!Cl.
Applicant \IT" .
ZONING (office use)
3194 TIMBERWOLF CIRCLE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name BUTLER HOUSING
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633.2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
12/15/04
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants D Steam PLEASE NOTE:
DGravity D Hot Water Air Conditioner Units
D Mechanical D Radiation Cannot Encroach into
DAir Conditioning D Special Devices Required Side Yard
DVent. System D Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO 6000TRXI & TIARA I
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAlD wm-' MlT
~'LO'NG ~R
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildinl! Official
Date
I Pa;d
DattJl:C 2 0 LUU4
I ::oe;P'NO
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
D~J'AnTM~NT O~
BUILDING AND INSPECTION
SITEADDRESS glq"'~_~iIlC.LE
NATURE OF WOR~ _~..!)~
USE OF BUILDING . . 1),
PERMIT NO. o4-~o9E3Z- DATE ISSUED ~
CONTRACTOR ~ ~ PHONEfiacl- 3.11- '2\88
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SoiLS Tesl1'~ e.t;'blA...~TS J5>EJ1;f2-~ Ass,' NSPECTOR oFF B~ . P.a..D DATE
FOOTING lA.X:..
FOUNDATION (Prior to Backfill) ...... C ~~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC 2J ? o_~
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
(LAtHE. / MotlSCfW(tAp ~ ))/(~ ~~ ~~
.
FINALS
8 q:~. pt,
GRADING (Prior to Sodding)
BUILDING t( 1M ' L/Yl h ,- ( -u)
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
~t'J..~'o~
_._ ,--, J.S:- J 'j
BEEN SIGNED
..:::
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