HomeMy WebLinkAboutBuilding Permit 04-0459
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
(Please
ADDRESS
Date Rec' d
Main File
4--:30/0;
I PERMIT NO. 0+ , 0+571
White
Pink
Yellow
File
City
Applicant
Jf9oz- $l.J.IFF- ;!1E1fd0'5 /,vtl '-
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
OWNER
(N ame)
Pucre:- ;/Otr/E-5
(Address) &-/5 M
BUILDER
(Company Name)
(Contact Name)
(Address)
ZONING (office use)
i?LLD
PI~5' ~;) ~oLlq-o
(Phone) U/- (lsZ- 52&0
,
-SAME--
6.ucr 6lASC#1iD
(Phone)
(Phone) ~/z-- U./- ~9J--5'
ORe-Siding OLower Level Finish 0 Fireplace
TYPE OZW RK New Construction ODeck OPorch ORe-Roofing
OAddition o Alteration OUtility Connection 0 Misc.
CODE: I.R.C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
A
B
I
E
III IV
H I
2 3
A
R
5
PROJECT COST IV ALUE $ 9'tt(:7L)
(excluding land)
B
S U
I hereby eertity that I have hlrnished mformation on this application which IS to the best of my knowledge true and correct. I also certity that I am the owner or authOrIzed agent for the
above-mentIOned .operty and that all constructIon will conform to all existmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
"mcial can rev this permit for Just ause Further ore, I hereby agree that the CIty official or a desIgnee may enter upon the property to perform needed mspe ons.
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
II
F
I
V
M
4
$
$
$
$
$
$
$
$
-
sS.so
'(),.--
This Application Becomes Your Building Pennit When Approved
~~
lluildll1~ Otlicial
s/;?~t/
, Dare '
&.-- /37/
Contractor's License No.
$
$
$
$
$
$
$
$
TOTAL DUE bfrvl,.eY)..(. /1 ,04- $ 0 b 3. ~
. , - ,,/
I ~~~ 7:: ~+--l:r I ~~'iPtNfF8?-'J
Park Support Fee
#
t8'::>O"CX)
dso. tJO
'is.Dei>
C
o
-
SAC
#
ThiS is to certity that the request m the above application and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
~"".~:'mpm"' C''''fi,"''''f;2';~';' ."e" 'e""'"7f:;':;""~ ro," ",
PlannIng DIrector I I Date Special C (jitions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Water Meter
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by: ~ ~~p....
Date: S/ll!D 'I
Building Permit #
Address: t..f9tJ2, o/9tJ '-I",
J../ II LIz
Legal: L l{3, yo/' B /
PID:
'19~~) o/9~&
Subdivision:
Zoning:
~ ~. r~,
T~ /J,.L,
Existing Structure? YES I NO
Existing Nonconforming Structure? YES I NO
I CONFORMS TO ZONING
ORDINANCE
YES
NO
Standard
25'
10'1
25' if abutting a street
Proposed
30.I~t
d 5 ,d.(p t (jfw,-.
. Sidewall exceeding 50' requires additional side 2"
setback for eve l' over 50' in len th
. Rear Yard
. Patio Door: provide for minimum 1 A' deck or sign
statement indicatin no deck will be built in the future
. From 100 year flood elevation of wetland/NURP
ond
. From OHW (Prior or Spring Lake)
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
30'
I
c!)6,. ~L{ d-~ +~
..:33 I Co f
f'-Jo ,u c
jJA.
,
.3 '3'" 7 t..
75' or setback average of
adjacent structures. but no
less than 50'
NA
I Floor Area Ratio: NA I FAIL~~L1E~
.30 Maximum
~ /:tI.D.
Standard
Proposed
~Q,Je
lJtJe
-
Tree Preservatior( NAVj=AILS I COMPLIES Standard Proposed
. Total caliper inches
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement ~:1
L\TEMPLA TE\BLDGLIST.DOC
~RIOIr'
~%
Main File
fhf ('fnlt>r of lhf l.akt ('ountr)
,.-white - Buildi~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
-', ~
f. ) .. -
\,)<~-rL ~
{/- 30 -0 (J
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
LjC/Od.- pllA-rf t-fts Tr
Accepted
Accepted With Corrections
~.
Denied
Reviewed By:
~~
~ a-R-f ~-~.
Date:
sit 7 lot{"
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."
Main Pile
White - Building
C~nary - ~nQineering
~'Rk - lanni~
---
rhe ('fn.t'r of lht' l.akt' C"ountr)
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
Accepted With Corrections ~
Denied
~ ~ Date: S!i7je,f
~aL/~
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,"
- - - Main File
White - Building
(.CaRarv - EnaineerinJD
Pink - Planning
Thr Crnfrr nr Ihr L_kr COunlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
. .1 i i (.,
'<./ II J ./ \ '-
.' -.-/"..._~....
". \ c:t"..-~~:> <k' ./ .-/
APPLICATION RECEIVED
. ,
L /- ,'J
(i
.~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I /./~ /' \ ~ _; r ,r .. I
.t..--J "-~.;/ I i.- O"r. " .' .~ I l' J~ .~f"-',t. 'r,' ~..~. .')
/ 7 \.-' ;--:; L.. _...:! ,,..tT'" I .
/ r^"
Accepted
K
Accepted With Corrections
Denied
Reviewed By:
rVJ4.-'
J I)
Date:
5""""- /3- Oij
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."
Jun 24 04 11:52a
METRO GENERAL SERVICES
763-428-2968
10.8
GREIEIl . fILE
YELLOW - APPLICANT
GOLD - ell.,
NOTE: Sewer and Water
contractors must
be registered
with the city.
APPLICANT: mdJt12 JlrflJMl Senf~BHONE:7ID3~lfIfOll'j~
ADDRESS : ~t::n.J.. Q / i <'. .. .. (J__ :./J .... DATE:
:~::A:~: :~s:_~t1 t.i:t~:~../~$l.A.. :~::. PERMIT ~
, . ~IN THE BLANK~ ..
1. Estiiated length of water service ~f.)()
2. size of water service I ai inch (es) .
3. Loca ion of any couplings from structure ~}
/ ~,
4. Type of sewer pipe. AES____ pve~ cast Iron____
5:-,/)
"'---~ "
located at
CITY OF PRIOR LAKE
SEWER' AND WATER PERMIT
FA ~ 95;1.:- if'l 7-'/'], Vr'
s.w.N~.t{~9
feet.
feet.
'-
5.
ated length of sewer line
feet.
6.
out (if required) I
~~::~______________--_____-_t~~-------------------------
---------------------------------------------------------
feet
from
--------
--------
This
becomes your permit when approved.
DATE:
BY
.1
============7=.====================================================
Pwh'ed lJ'rtr. .
FEES: (lId) P~t-M,,7- Sewer and water line connection permit.
.. . . Surcharge
AI ~ re. e- TOTAL
_.. f;....:..,..
*
individually is $20.00 plus
*
.,.....,..1.. "
AMOUNT PAID
"
H;.;:t,Y:",:~/" ..' .. '..D '^"T. E'~ p.~ .;0
"......'.".; .:' n . -., .(>-
;tJi~~';"':".REeE;'~ ;~
'~;:/;_.
By
---------
REe' DBY ,
q-
,I
'.:;..,;. J'-,
.L:;\i~' ~,,!~,I
.,' - -\ c...";~~.,
:..>J6200 Eagl~: eek Av. S.E.. Prior Lake. Minnesota 55372/ Ph. (~.2) 447-4230 / FAX ( 's2) 447-4245
An BaLlal Opportunity Employer
Driveway: NA / F AI
. Maximum width at
. Required setback
Standard
24'
5' from side lot line or
30' from r-o-w on corner lots
10%
.
Ian
.
.
/ FAILS
35' Maximum
Shoreland Distric((NA) FAILS / COMPLIES Standard Proposed
Minimum lot area (square feet) 7,500 Rip, 7,999 Non-rip
Minimum lot width 50' Rip, 57.3' Non-rip
Shoreland alterations
Impervious surface 30% Maximum
Bluff in Shorelan : A FAILS / COMPLIES
. Setback from t of bluff
Standard
By planning dept.
Proposed
.
.
.
Floodplain~) FAILS / COMPLIES Standard Proposed
. 100 year flood elevation 908.9' Prior Lake
914.4' Sprinq Lake
. Lowest floor elevation 909.9' Prior Lake /
915.4' Sprinq 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
Reaulatorv Flood Protection Elevation 913.4' for Spring Lake
FAILS I COMPLIES
Standard
832 s .ft. or 25% rear ard
Proposed
.
.
.
10'
15'
.
.
L:\TEMPLA TE\BLDGLIST.DOC
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT (J.V
~ V4 r{) '/ t;'7
1 Blue File I PERMIT NO.
2 Gold City
3 Yellow Applicant
L/fo' Lf904 t..; t>(o 0/90 tf .ell.<
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
fJLt II-e,
(Phone)
APPLICANT / /1J
(Name) J/C2I{~ rl~b f'.:J 4-Pl C,
(Address) ~bO Ou~,t.~ At.I~ 00rdCb,
(Address)
(Contact Person) C/; r- \ '..s /Ylor r I ',S
APPLICANT SIGNA TUR
(Phone) %~-o/9G1 -0;1 i"9 J
~lN bSSr~
(City) (Zip Code)
(Phone) A-h e.(.,~
DATE 7-/:S -OLj,
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
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 $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
~rbD V'mli
FJ~~ua-IDJ~r.~ ~~~~lT .
(Office Use Only)
pplicati~n B.o:' BUild;n:;;; f;; App,uved
Building Official Date
I Pa;d
Date
I ::ce;Pl No
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
;952 894 0925
# 8/ 9
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
4CO;;> 6\ui+'
"!'l
.~
:=. ~,LIPERMlTNO.~ I
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
I
OWNER
(Name)
(Address)
APPLICANT
(Name)
BUlII::ivillt:: H\::lClliIIY & AIC, LLC
12481 Rhode Island Ave. So.
Savage, MI\l (~~Jtm,-1122
(Address)
(Phone) lQS\ -L/S2 -52-cO
(phone) q5-J - t;q (j-OWS
(City)
(Zip Code)
(Contact Person)
DATE
q-;J?-OY
I
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & Multi-Family I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
W CONSTRUCTION
FURNACE MAKE AND MODEL ? 7/ltX
FLUE SIZE RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
8 Mechanical
Air Conditioning
Vent. System
FIREPLACE MAKE AND MODEL
Estimated Cost $
o AL TERA nONS
- FUEL t1(?( -}-CwJ
INPUT '-1:5, (715 OUTPUT LI /~ CI{;y)
,
I
HEATINGORPO~RPLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
~I
~:r~~
i
II
I
i\....~~
:,~
$39.50
$39.50
(Office Use Only)
This Application Becomes Your Buildingfe~RlitWh~I1Approved
Building Official
By
Date
PRIOR LAKE
INSPECTION RECORD
E1~H H-ts- ,-;,
OEPARTMENT OF Main File
BUILDING AND INSPECTION
SITE ADDRESS ~fb~ ·
NATURE OF WORK ..:H~ ~
USE OF BUILDING ~ fJ.. ~
PERMIT NO. t!:J.!J..- J,S,4J!t- DATE ISSUED ~~(J
CONTRACTOR ~,. PHO E · S ~06
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) ~9 //
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING t) {/4-
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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