HomeMy WebLinkAboutBuilding Permit 04-0167
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/. /4--. 04-
~i~~e ~:~y I PERMIT NO. 04-. 0 11-7 I
Yellow Applicant . lIP .
f,'- 6 e L.-4. ke
JUt",
s+ s VV
LEGAL DESCRIPTION (office use only)
ZONING (officeusc)
~I
LOT
BLOCK
ADDITION
vZ !O
PID a !J-'~ c; I CJ - (}(f7-
(Phone) ~ 52.- L/ '1'(- I .,...., ?
(Phone) Cf~v +(7.- -~ "2-----
f>~'" c ~ I."t!- Icp IV.. ~ '5"s",?'2
~ChC('(
2.10'/8 () tle \e ~ 13 l vJ
'\
NQ,\,.j
~,q,
(Phone) '1";- ],
'^ t' ,Jt..\ '"
gek Jc~(.k
(Contact Name)
Ave
:Sf:
(Address)
\ b tHoD
w e~C.o ~ 'f
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe-Roofing
o Fireplace
00
000,
Connection
I hereby certify that I have furnished information on this application which is to the best of my knowledge a so 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
sU):lInitted 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 upo e pr perty to form ne deG1.inspections,
-- -,.--.... ""I
OAddition
PROJECT COST IV ALUE (exclu
Contractor's License No,
Permit Valuation
Permit Fee
-
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; I";
Pressure Reducer
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
City SAC and WAC
Water Tower Fee
#
#
Builder's Deposit
Other
Sewer & Water Permit Fee
m' 7<;~'
. - .,. //~\.""
,.. / l.f, ,_ G
5"" 6 "..., I
ORe-Siding
~'31o'-l
ate
$
$
$
$
$
$
$
$
$
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
issued .QLQ. UYlcU-.~ C,.., PL1'\::=- I~
~ lZJ+ 04--
TOTAL DUE
Gas Fireplace Permit Fee
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~. ;'1L ~~~Iicanl I PERMIT NO'OL/ - )L/ q I
ZONING (office use)
7t)r2. 5ffiaT 4pIl U:- jU,n/.
G/
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
D
PID26' - /{),. Ot)?-
OWNER J;<, . ;::7. C _ .
(Name) J~t: p~dh-~ r~ -~Vl'u:
(Address) 337 S- M /3 ~ 170ft, ,:;In.u;t-
(Phone) L/ 9'7- 777..3
jJ/Wpr t~ 1'4~.
APPLICANT C 1//
(Name) -/ot(l/J lI1elKo P/",,6j 1 jV~7 ::ene.
(Address) ~/:l .AJ~. D/'~4d'war
(Address)
(Contact Person) V,1)i7 1/~I-A1A#
APPLICANT SIGNATURE ~~t:::A-
(Phone)
.J,,"'&6#
(City)
q5.;:J -442- 33c;7
#/V S5.3S..z
(Zip Code)
(Phone) 95';?-4-L;d. -33~9
DATE .3/ Sip';
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher / Water Heater
I Floor Drain Water Softner
/ Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
/ Water Closet (Toilet) Other
FEE SCHEDULE
Industrial. Commercial & Multi-family I % of job cost with a $39,50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $ Z, 0 00 . 00
Building Pennit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
3 (. SO
,50
10.-
-
Paid rA _
L(c)
Date 3 "
Receipt No.
24 hour notice for all inspections (952) 447-9850, fax 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
CI,TY OF p~eE PLUMBING PERMIT
/' i} flV'A 6U/ t ~/l
d V {) JtY
I ,LO '~ 01> III U ; ~~~ ~,; I PERMIT NO'OIl - L/ C I
v (Y V J Yellow Applicant ) J
t otrt5iiD
Date Rec'd
ZONING (office use)
7tJt2. 5ftud- I!uPIl ~ jt1~
0/
LOT
BLOCK
ADDITION
o
PIu.:{.s- /{)--OO'7-
LEGAL DESCRIPTION (office use only)
OWNER / ;< . j,. Q C _ .
(Name) J~G"' p-b'Jdk-r r'iZ/J --Gf.Vlt//~
(Address) 337 S- M /3 L, /70/11 7!nL.c;r
(Phone) L/ 1/7- 777.3
jJ /W pr iA-l4;- ;v1"J .
APPLICANT C 1//
(Name) .-/o"ll/J #1elKo PJ"nbj 1 /JTI71 Inc. (Phone) q5,;?-4f;l.-33c;c;
(Address) &/2 p~. i5/~t:kIway JO"'c6~ M/V 55',3.5.2.
(Address) (City) (Zip Code)
(Contact Person) .DttJY1 JI~/-#1A# (Phone) 95.;7-L/-t1-d, -33f"9
APPLICANT SIGNATURE ~~~
DATE
3/510~
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher / Water Heater
I Floor Drain Water Softner ,
/ Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
/ Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
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 $ Z, 0 () O. () 0
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
3150
,50
10.-
-
24 hour notice for all inspections (952) 447-9850, fax 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Receipt No,
_n._
lhe;' Crntrr of thr Lake ('ounfr~
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
( :
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
,/
I
{
Accepted With Corrections
Denied
Reviewed By: ~~
Date:
I ( \ (p, C) tf-
Comments:
( eLL-() r~ L (L~1 j
/, Ln~+d6~Y- A-C~ 11 UO FtlYhUoL-+cC(
Q, c/~i' d C6~ ;J-JZ'i ~ l-<) r~u~LbLtLd ,
I) 6.b -r. cU.f\ ,0-L{jYl P .QfIYl L-1 F>l't cr f-o
U\,~ULQ cct-LeY) U() /)._LftfY' ~
'+, pr~oulck7-) \~cvi~ Al_tlLl.C.Q
'--: ' /~-u.~~mLf LcttQJ L{) QAt clQ5 lJ-.[~C~
eLf 1-)"SC)o a{j O-e3-oT (D uV::Lt-~ lL~~~U-.cJ
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T':YCLf r<-~il en l<:Df' / c\ r 0...(9 f, (9 {- -f SlLJ)L.t L LLr\ hJL
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Lo-i UJ)/2Jn C ,c. 2 - laC!- ' rn d (M '1) d-fI O\f
"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."
March 23, 2004
ITASCA ENGINEERING, Inc.
Lawrence Samstad, P. E
P.O, BOX 616
Shako pee, MN 55379-0616
952-445-7993
MLRobert Hutchins, Prior Lake Building Inspector
Prior Lake City Hall
16200 Eagle Creek Avenue SE
Prior Lake, MN 55372
Re: Joe Bendzick, PRO SERVICE BUILDING, 16860 Welcome Avenue SE,
Prior Lake, MN,
Dear Bob:
In response to your requests, the following items must be included in the plans for the above building, Since Mr.
David Darrell, Architect, is away from his office, I understand that Mr, Darrell's plans will be redlined by you
and that the following specifications will apply to the building and be a part of a revised set of plans to be
submitted to you when Mr. Darrell returns to his house and office which is undergoing remodeling,
I suggested the following:
. The header above the posts on the canopy to be added should be 2-2x8's,
. The headers should be attached to the posts and to the canopy rafters by hurricane clips,
. Although there may be a note calling for the same connection to the building rafters from the upper plates of
the building, hurricane clips should be used for each end of each rafter,
If necessary, I will be inspecting the progress on this building from time to time to assure you that the
modifications shown in Mr. Darrell's plans are properly installed,
I hereby certify that this letter report and specification has been prepared by me or under my direct
supervision and that I am a duly registered Professional Civil Engineer under the laws of the State of
Minnesota. If you have any further questions or if I can be of any further assistance, please do not hesitate to
phone or write.
Sincerely, "A'.~-"'~~~--2""\'
ITASCA ENGINEERThl,d:,Jiic/--.",',"'\
b~~liNO.6220
'~~/
FAX 952-445-2106
E-MAIL: Isamstad@mn.rr.com
. .'.' ...~.. .,~..._.... _.'... '.~.. ,_"~'.A~"_' .~..... ~_, . ....,. ..~__._.__,_..J ..___......,:._._.
16200 Eagle Creek Avenue S.E.
Prior Lake, MN 55372-1714
~@\ 1 ~o~ \ Oil,
January 21,2004
Mr. Joe Bendzick
16860 Welcome Avenue SE
Prior Lake, MN 55372
RE: Pro Service 3775 170th Street SW
Dear Joe,
Following are the results of the preliminary plan review for the Pro Service building. Our
review was based on the Minnesota State Building Code (MSBC) which adopted with
amendments the 2000 International Building Code (IBC) with handicap regulations of the
Minnesota Accessibility Code Chapter 1341. Also requirements of the 1998 Minnesota
State Fire Code (MSFC) which adopted with amendments the 1997 Uniform Fire Code
(UFC).
1. Submit two set of building plans signed by an Architect registered in the State of
Minnesota. Minnesota Statutes 1800.5200. Include lavatory details.
2. Architect must complete a Building Code analysis on the proposed use.
UBC Chapter 5. Include the following:
a. Occupancy Classification and occupancy separation requirements. A three-hour
occupancy separation is required between the S-l repair and the B showroom, IBC
Table 302.3.3.
b. Type of Construction
c. Location on Property
d. Allowable Floor Area
e. Height and number of stories
f. Exiting calculations
3. Submit a Certificate of Survey showing the addition of the front porch.
5. The front porch and new headers for the windows in the existing structure must be
designed by a Structural Engineer registered in the State of Minnesota. Minnesota
Statutes 1800.5200.
..
www.cityofpriorlake.com
Phone 952.447,4230 / Fax 952.447.4245
. .. .. -
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6, Provide types and quantities of flammable/combustible products. Provide MSDS
documentation.
7, Provide fire extinguishers minimum 2A 1 OBC rated, within 75 feet travel distance of all
areas. UFC 1002.
8. Submit signed HV AC and plumbing plans. May be submitted at a later date. Separate
mechanical and plumbing permits are required. An Electrical permit is required from
the Minnesota State Board of Electricity.
9. Ventilation for the building must meet UBC chapter 12. Provide 15 CFM of ventilation
per occupant in the showroom and 3/4 CFM per square foot of floor area of
ventilation air in the Repair Garage.
10, If a sales counter is provided, a HDCP accessible horizontal counter space of 36" and
a maximum height of36" above the finished floor is required, MSBC 1341.0720
Subpart 1
11. Provide an HDCP accessible route to a HDCP accessible toilet facility, MSBC 1341.
The following are the Planning Department comments as reviewed by Cynthia Kirchoff:
1. Outdoor sales and display is prohibited
2. Outdoor storage is prohibited.
3. A sign permit is required prior to installation of any signage.
4. Provide three parking stalls.
This is a preliminary review on concept plan only. Other code items may be addressed
when the preliminary plans are submitted. The Engineering Departments comments are
forthcoming. Ifthere are questions call at 952-447-9851.
ReS7J]~'
Robert D. Hutchins -~
Building Official
cc. Mr. Al Scharf
,;
SCOTT COUNTY COMMUNITY DEVELOPMENT DIVISION
ENVIRONMENTAL HEALTH DEPARTMENT
GOVERNMENT CENTER A 1 04 . 200 FOURTH AVENUE WEST . SHAKOPEE, MN 55379- 1220
(952) 49EM3177 . Fax: (952) 49EM3489. www.co.scott.mn.us
I hereby declare that my individual sewage treatment system (ISTS) is failing for the following
reason( s) that I have checked below:
My ISTS discharges:
To the ground surface or ponds at the surface
Into surface water
Into a drain tile
Sewage has backed up into my house or other establishment.
-L I have a cesspool, leaching pit, seepage pit, dry well, etc.
My ISTS was installed after April 1, 1996 or my ISTS is in a shoreland, wellhead
protection area or services a State licensed Food, Beverage or Lodging Facility and it
has less than three feet of vertical separation between the bottom of the soil treatment
area and saturated soil or bedrock,
My ISTS was installed before April 1, 1996 and there is less than two feet of vertical
separation between the bottom of the soil treatment area and saturated soil or bedrock.
I have been informed about what it means to have a failing ISTS and agree to replace my ISTS
in the time line outlined in Scott County's IndividuaVCommunity Sewage Treatment System
Ordinance and as a condition of obtaining the building permit for which I have applied. I also
understand that, in lieu of the above, if I decide to have a compliance inspection done within
thirty (30) days of my signature below, I will instead be required to replace my ISTS in
accordance with the results of the compliance inspection and Scott County's ISTS Ordinance.
.3 (I S- 'l 0 +~ 'S ~ ~ \.A...I ~( I ? { 0 y
Site Address of Property Date
~ 0 e g ~ '^- J ~ '.. cf<
(Pri~rty Qwne(s ~e
~VVl-J~
Signature of ISTS Inspector as Witness
County Use Only
- Write here why this form was completed (ex: bldg. permit for a pole barn, deck, bedroom, etc.)
- Applicant has enough land for Alternate site (or did you require an ISTS Evaluator to find one)?
- At counter, did you speak with owner, contractor or?
- You told the person at counter that ISTS had to be replaced by what date?
"
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. L-= COj'I'
scon COUNTY COMMUNITY DEVELOPMENT DIVISION
ENVIRONMENTAL HEALTH DEPARTMENT
GOVERNMENT CENTER A 104 .200 FOURTH AVENUE WEST' SHAKOPEE, MN 55379-1220
(952) 496-8177. Fax: (952) 496-8489 . www,co.scottmn,us
APPROVAL FORM FOR BUILDING PERMITS IN THE CITIES OF
SAVAGE AND PRIOR LAKE
The Scott County Environmental Health Dept. hereby approves the building permit request to
D Ii I
r. t'l \) lLex CC M JvJ ~' '- f ,~ II
,)Clv;A~"L -ho,,~,-
CJ
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/) C S l)
construct a
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in the City of (circle one ) SAVAGE I~R ~~_S~
Property Address ~ 7 7 ')' I 7 0 ) t S hJ
A I S L h f;\.{ f
Property Owner Name
Property Owner Phone Number (Home) 9S- 2- 7 5Y-Lf33o (Work)
Applicant Name (if different) '1 c-c f),12 ~ ciz. ( ~ k
Applicant Phone Number (Home) 9 ~ 2.- f..( Cf 7 r "77 7 .5 ~o~k)~
Parcel 10# (if available) ) ;-, c;IO C <J 7 - 0
The Scott County Environmental Health Department reviews building permit applications in all
cities and townships in order to determine if the Individual Sewage Treatment System (ISTS or
septic system) needs to be replaced. The Department may also request that a alternate septic
system location be identified and protected from damage in order to assure that a replacement
location is available to the property owner when the current septic needs to be replaced.
The Department's review of the building permit request is based on the policies and procedures
of the Department and the information available at the time of the approval. If the information
available to the Department was incorrect or misrepresented by the applicant/owner, the
Pj~rty owner maT?e 'LUired 10 upgra~~ or re~lac: Ihei~ septic s:em, it
Vi -l t.;, P 1 /JJ~ I (.... 1- ~> / 1, .) \.- Ji Ih, I! ) - I 3 v I
Env. Health Dept Staft Signature Printed Name of Staff Date
County Use Only
- A compliance inspection was performed in order to obtain Env Health approval Yes / No
- Does applicant have enough land for Alternate site (or did you require an Evaluator to find one)?
- At counter, did you speak with owner, contractor or?
- Make a copy of this form for file, along with survey/plot plan, City pmt applic. & other pertinent info.
..
- Add notes on yellow sheet, or below, as needed,
All Equal Opportunity/Safety Aware Employer
~ - B~i1ding
l rv - E gineeri~
Pink - Planning
-
Thf' (""nfn or Ihf' I.lh Countn
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
//)
NAME OF APPLICANT /" Jii;)(:, /0lY}{.,.(l'Z /;~. Ie'
,. ~-/
APPLICATION RECEIVED ,/-- /1/"" () {/
..
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-_-:"'> 7 -
~, ? r'!::J - ,/~7(Jtj! ,5+--
Accepted
)(
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Accepted With Corrections
Denied
Reviewed By:
rm- 13
Date:
, ~,-/7.-01
Comments: See Reverse Side for Additional Information!
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See Attachments: 1) Grading Plan, 2) Erm:ion Control Measnres
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
Canary - Engineering
Pink - Planning
lht' ("t>nl('r of the t.llkt' ('ounlr~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT q oe. &d -z /cjc
APPLICATION RECEIVED 1- I ~/- 0 Lf
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3 '7/75- /c7o-V15+-
Accepted Accepted With Corrections V'
Denied ;2dJ ~~3~ f
Reviewed By: Date:
I
Comments: I- O~ r'i-rAJ A (.fV4 L Pef2.AIT
"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,"
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS O~ Sr W,
NATURE OF WORK c::::- ~
USE OF BUILDING \ c::- \~
PERMIT NO. DATE ISSUED 3 ~b 0+
CONTRACTOR ~~ ~r--tz'c-r- PHONE~5""2"4("2."'3~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING \1r;, ~'\ Ydr I f/tT" I L1' I )--()ll
~or to Backfill) I I
0" CONCRETE UNTIL ABOVE HAS BEEN SiGNED
ROUGH - INS
INSULATION
ELECTRICAL
PLUMBING W I C-
HEATING if re~uired)
L-f ~2 -0'-1
:3 / "jeJ
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
t~
G
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
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