HomeMy WebLinkAboutBuilding Permit 05-0137
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
/'n /::'.-/C.
.d~' -
rT C,
Date Rec' d
/ Z '1 c4-
White
Pink
] Yellow
I PERMIT NO. 05. 0/371
File
City
Applicant
ZONING (office use)
t<:' rS C)
LOT 'CZ BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION LA ~E.'SI Of :PAle. ~
PID Z :~) (Ilk
(1 c4- (
OWNER
(Name) K.€:.l.i I rJ A-">J D LO-c2...1
(Address) Z '-17
BUILDER
(Company Name)
(Contact Name)
Dp...N ~S
MAe..K-
\en) D
(Address)
(Phone) (~<;t ') G,<z(
'l~~'~
S".
J ~'r.-D~
(PhOne){l)Sl.) 4'1 '2 -. <;;;0 CJ
(Phone[~ fZ- ') ....{Cfo - <;0 b 'z..
S"S ~~S Z-
TYPE OF WORK ~ew Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition o Alteration OUtility Connection 0 Mise.
CODE: llII.R.C. DI.B.c.
Type of c&;nstmction:
Occupancy Group: A B
Division:
I
E
II
F
1
B
S U
PROJECT COST IV ALUE $ S 10 ) D\JO
(excluding land)
III IV V A
HIM R
2 3 4 5
I hereby certily that I have lurnished mformation on this application which IS to the best of my knowledge true and correct. I also certifY that I am the owner Dr authonzed agent for the
above-mentIOned property 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
official can revok thiS permIt ~ Just c 'Furthermore, I hereby agree that the City official or a deSignee may enter upon the property to perform needed mspecllons
-~ '2D(S 2-~YS S" C; {Z- (" --c--l
Contractor's License No. 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
00,00
00 .<00
35'. 50
a,OO
This Application Becomes Your Building Pennit When Approved
~~~
l3uildllll! Ofticial
/2../1 &/0 'I
( Date .
Park Support Fee # $ - ?
SAC # $ -
-
Water Meter Size5/8"~ $ ,3e a , O"()
Pressure Reducer $ 70,0 0
Sewer/Water Connection Fee # $ ...----..
Water Tower Fee # $ -
Builder's Deposit $ /5 cJO, cJf)
Other \~ ])GPOS/l $ 600. {J 0
TOTAL DUE {Wu(_?;;-V Z, 2'3 c5 $ ~, & I 7. If!
~or-
ThiS IS to certifY that the request m the above application and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested ThiS document
'n signed by the City Planner constltutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must bc
ISSUC
l!lP!{)L(
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
c-~.
JI~
'11Xf
./1.\ V r I
\Ul
The Cr-nler of the L.kr Counl~'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/
NAME OF APPLICANT
APPLICATION RECEIVED
j ,.::'"
t ,.- :,- ..
I....
,/ ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:,.. ,./ _'~ "':7 -~?
;' ," " o-,.~...._"., "'.....-......
Accepted
><
Accepted With Corrections
Denied
Reviewed By:
tlff8
Date:
~. --2,2 ~05
Comments: See Reverse Side for Arlditlon;1\ Inform;1tionl
Conk"'/- . trl't'( Pappl!F pr,'or 10 h'/I'0 5e,vl{ U
C/!t lJov/d. {,'Jt<.. ,''''51(&-1,;;11 etnel Iv k f)ft5e~.J- /vl'~
,
/nJ/\ II~ I/o"" cY s.,1Il1 '/rf"Y fHW(F /,~ <- 111 uS' I GA:-<-L
C(2-A(J ELDR..c7J A-()'d Its L/fJE IS !3E7~.J D"'-J ~
952 - L(l/ 7 - 9,1>1; - 'i3~~0 ;])eph @ 9~z - <I'f7-'1f'~o
S~e.~ f ~ ~f7- ~ Cv.Jrsnr, ~ ~.
,77sz - J/o/? - 9J>3'0
{;re-
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@->
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."
~(l) Ri()Ir~
./~c)~l /
--.... '
~~;
I he ('('nln (If Ihf' I ,akf ('ountr~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
f)f1N6S (!LJIV.JT/2AJW ON
/Z. 7. 0 4-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/&330 PII~ AV6;VUb
.
Accepted
Accepted With Corrections ~
Denied
Reviewed By: -;J)~ ~ Date: lels-Ioi
Comments: f~ ~ ~ ~ ~ ~
~ ~-~ ~tv ~ 'eJl->
~ aL( ~,!,,7ifu- "!'-" ~ u2-
./~ ~ fow-- ~ <h ~ .i
~ ~. JIIl,..J ~ ~ t?~(jJ~ 'T:>2-W7-?-Nd
r ~ f ~ bJJ -1-0 ~~J~ ~ f~ <3
!t52. - crt( 7 - 9?tj/ / ~1.7 ~, e 9C;;-z -Ycf?- 9?S"tJ ~
~~~~~~ie~W:U
III~~ ~ if' pt/c, M ad ~ ~ I
"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."
~
p,rV'
(ZAP
White - Building
Canary - Engineering
qink - Planmn~
[hI;' ('{"nfer of the l.akE' ('ounl,.,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I.I! , (~
/
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i ...>11
/ I
/
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I,
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;' "./,) ( :
I (.' '-. -- j / i ;'. l._. / i ~. C
-".-
I.--
I. (./.~.
Accepted
Accepted With Corrections
~. rh.~
Comments: - TAA.JI,.I ~n.{A...." f ~
- ~#6~ ~ ..! 0.... t.J :- +t..... - h ~ -"...:t) 6. it.- .-:- '-
~. ,.~ ~ ~8;,~ ;,... ......J-~
- A. c... !J-.tJ~~ (lkt--J~o'"r ~Cft..o~ l'~ro ~u.:, it-ED '8.~o~
Denied
Reviewed Bye
Date:
\"' II t:) /0"
~
~~ 'S~J\eI<-S'.
"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:
Date:
Building Permit # PID: 2.S. O'~.Oo<<.{. 0
Address: I (, ?3 0 t>0.t'''- ~
Legal: L ~ I B.JZ)
Zoning: ~, - SO
Subdivision: ~ ~~ . bJ-
,.-1e
Existing Nonconforming Structure~ NO ~
Existing Structure? ~ NO
CONFORMS TO ZONING .1 )
ORDINANCE New ()-.,...,
Yard Setbacks: NA I FAllSI COMPLIES
. Front Yard can be 20' if av . w/in 150'
. Side Yards
. 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
ond
. From OHW (Prior or Spring Lake)
75' or setback average of
adjacent structures, but no
less than 50'
, Floor Area Ratio: NA I FAilS I COMPLIES
.30 Maximum
Yard Encroachments: NAI FAilS ICOMPLlES
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
Standard
Tree Preservation: NA I
. Total cali er inches
. Permit 25% Removal
. Cali er Inches Removed
. Cali er Inches Preserved
. Re lacement
%:1
L: \TE:N1PLA TE\BLDGLlST .DOC
NO
Proposed
tJA'
O~ I .
tJlk
OK'
~
~~ @ ~ D.lO ~.~1.
CITY OF PRIOR LAKE
Impervious Surfa(~e Calculations JAN 0 4 2001 JI
(To be Submitted with Building Permit Application) , .
For All Properties Located in the Shore land District (S .
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address . (L. \< ~"'<M~ I \...J.- ~ I \.J>. \<;e",\"" Q ..\c...
Lot Area \ OJ ~~D Cl.~~ e.\. qo~ Sq. Feet x 30% =.............. "3259
************************************************************************
LENGTH
WIDTH
SQ. FEET
HOUSE
AND
ATTACHED GARAGE
l'\nt..\I.)~t~a <&\-I>D{>)
x
x
x
=
=
=
TOTAL PRINCIPLE STRUCTURE......................
\q "2. '3
DETACHED BLDGS
( Garage/Shed)
...
x
x
TOTAL DETACHED BUILDINGS.......................
*DRlVEW A YIP A VED AREAS x = \ \ -LS
(Driveway-paved or not) X =
(Sidewalk/Parking Areas) X =
TOTAL PAVED AREJlS.........................................
, \ L_S
~PATIOS/PORCHES/DECKS
(Open Decks'l'." min. opening between
boards, with a pervious surface below,
are not considered to bee impervious)
\t) X~
X
=
L.-r:>O
=
X
=
TOTAL DECKS........... ............~................................
-z..o (')
OTHER
X
X
=
TOTAL OTHER.......................................................
2.9-'1/(5 -I ~7-,-\8
I \0
Date-11:.f -z.. ~ I 0'\
TOTAL IMPERVIOUS SURFACE
~~VER .
~ \) X)
Prepared By ~ ",,,e.. ~l\~
Company V"",,,), ~lI,..u"yi"g. r.n P A Phone # (Q'1?) 447-2'170
\(.e\,\ . \ I i'1/ D~ \(;) C h!J,~'i:'. hf..~ ~ Jt:..i IJeu,.\-tf ~ ','4 e . ""\)R-
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I Green File I PERMIT NO ~
2 Yellow City. .O~- /3
] Gold Applicant ..J'
ZONING (office use)
1/Jt<K fJ VEIlJLIE Sk
LEGAL DESCRIPTION (office use only)
LOT J' BLOCK
ADDITION
PID
OWNER
(Name)
f)/}/JES CDAJ~T~L/G T/O'u
.
//00 8t1TTE,(FLY LI}AJc
(Address) /
(Phone)
(pj:? - i9!J-5lJ0;L
/Jl;tJ 5!J3-5:J-
(Zip Code)
(Address)
;ro~ IJJr'u
. (City)
APPLICANT..... /I ~ /1 ill) "'-'--J JF
(N ame) r / AJ IT J.. [;;t!La E -1-{V \.../
(Address) /:3/ -fJ /JJ1Jt!j)s 5/RE5J
(Address)
(Phone) 952- d33 -/~OD
Sff/JJ(D/EE /J;V 55379
(City) (Zip Code)
(Contact Person)
(Phone)
DATE
APPLICANT SIGNATURE
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 ~ feet.
Clean out (if required) located at _ feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Date
Paid
Receipt No.
(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
85/22/2885 15:38
9524925885
GLOIiJmG HEARTH ~i HOM
PAGE 81
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....,'.'
ZON.l:NGCoffice use)
LEGAL DESClUPTtCNCd'fficetise only)
LOT BLOCK
A:rDDITIO;N
PUJi)
OWNER
(Name)
(Address)
'DaNe~ c.O~~~(u.C1'~ ".
\ \ (JO lbv--t*~y~\~ lnNi -Ja'(\Q~"fb<N
I".. '..
(phone)
." ...
APPLICANT Co \ H e AR.1 H- + Home.
(Name) . QWlf\ca- .....,...,.., '.. . .......,,:.
(Addre~g) _I a 0 t:. \ A t:\'I nAnl)'(,. \J O((~ a,J
{A"d&C3S) .I
CC. ontacrt pers. on) -=C. I.m. 5. D '.f.'(\..e!(,.. '. .1.:".. '...... '.. .., .
APPL;1C~Nr.SIGNATIJ,RB ..0 e,~
(Phbn~)95& - y q d. .9"6l b
rn N :5695~
. (city)
. . ':,~l.:i,t. ' ,:..';~~~~~S$1~,~~~t~~:lJ\~i$~~~
~w;COrgSTR:,.." ";rI~N' ,[J~':roEE::r;;~eE~N;r . IDhi\L TERA,TIQNS:
FtJRNACEMA:KEANDMO:I;YE>L Se~,J\Jc\()W FtJBL 6Q5
FLUE SIZE . RETURNGPE~PNn$' . ': . :FNPUT QU1'PUT
~,g"~,f'SYS:t::eM l:t~~,(i;y~R.~:P()WER PLANT
O,W,1iQ:fi,A,ir~;RIttt1tsCJSt~\t1:N
o.~-.J.j,ty OiHotW,ht~t
~MetfjMrj~lit ((cltr~.lJtli~ti.on
[JAirC/;jl'ftt~i"l1ing .....'[;D. ;::S.' .'. p~.' .'j~.'!nJ. ". il. ~,i~~.'
OVcnt.. S~~tI:i,lliIi!dihef,ti'C:Viees.
hOaol ROAk. ,- Heat
rt.EASE NOTE:
Air Conditioner Units
Cann~tEncroachinto
Required,Slde Yard
Setbacks
FIREPLACE MAKE AND^M~[lBt
G\o
:.F$E;iSCHJi1rrtrJ.iE
Industrilil,Comm-etcil1l & MoJti.i.Farn'ily }%of;jdH,c6.st' Rcs'idc.ntial, Gl3SFireplo:oe
$,S9.~{bnjwmilm.
Residel1tja~.Hcatfng,& Ale (NewCpl1stnictIOl'l) $9!MIJ 'R;esidel'ltial. Additions & Alterations
Residential, Hi:litingOl'ily(NewCoristructicrtli) $'64,S'0 Residential, AC0nly
$39,50
$39.50
$39.50
Estimatedeost$
BUilding Permit '#
.HEA~:6'FERMtt,1l,EE
'STATE';SUItCHAR(~E
TotALP;FiRMIT'fEJE
$
$
$
~D WITH
au .' 'NG PERMIT
(omcl!!'UJeOilly)
ThisAppli'catitin~ccomes ~O'WBlindingF.c:rfuil;\V:heu Al>p.tovcd I Fa:i(r - '1 :eceiPt No.
DCftD.~UN a 4 l06~ .. ~. y
Duildlllg:Ol1ii:lal . _ ..._
24,ho.t)rl'l9'tice'Jor':l'iIHb$pectionli(9~:2)4:47 .9SS>;,fl\X (952)'447-4245
tiJ'20QElgl~'. Cre.~lc"'veriul!. Prior Lake; MN 55372
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~I, z/ (IJ-
~. ~e~n ~:;y I PERMIT NO. Os. 0/5--11
] Yellow Apphcant . / .
ZONING (office use)
/&330
fJ /(/&1(- /f1/ ~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
pm eJ~ Cl9~. 0 (!4-, 0
I OWNER
(Name)
(Address)
(Phone)
APPLICANT I /-I f'
(Name) A... ...e l t 1 -<i!.CI I Jl~
(Address) ~ s:Z
(Contact Person)
DATE
APPLICANT PLEASE COMPLETE BELOW
NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWann Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential. Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Pennit # Os, 0 IS] J1 t
$ ~ //Jtr1eOJ' f' ~r
$ ----- ,50 r j v
$..............
bY,fir
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
DEPJ\RTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J '~j 0 PI\rl.K~_ ~~. .
NATURE OF WORK NE~ r~~ ~GrTlO~
USE OF BUILDING S~ ~'D ·
PERMIT NO. S. () /3-7 DATE ISSUED SL/J '
CONTRACTOR _ ~tJST~/o'" PHON~~~ - 5"l-oct
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS 3ELOW
, THE PERMIT IS BY SEPARATE DOCUMENT
DATE
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INSPECTO';?
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I FOUNDATION (Prior to Backfill) (J~'d[ VZ1/7 I L--(-Ig-~oS
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
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SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ,\1 -
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
GRADING (Prior to Sodding)
BUrLDING -e iIY\~l &+0(;
ELECTRICAL
PLUMBING
HEATING
DO NOT
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OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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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