HomeMy WebLinkAboutBuilding Permit 07-0371
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i
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
n at bottom)
/?i"i7
-r;e./ f
Date Rec' d
.s: 8. 0 7
I White
Pink
Yellow
I PERMIT NO.
07.037l
File
llty
Applicant
ZONING (office use)
RI
LEGAL DESCRIPTION (office use only)
LOT <j' BLOCK Z
ADDITION E'h~/av( ~ ~/~",,,/ r;,.t'Jo.:1
PID z.. 5. +64-. 015. n
OWNER P
(Name) (J I t<.
t\o~eS"
(Address) ~ I S- NCf....~ W~5t
Ptwtl'vJ P,y
(Phone)
6 S-I- '1)'2 - S-ZCJO
~5 a,J
"'^~
BUILDER
(Company Name)
(Contact Name)
(Address)
5 A- "^' G-
~\ c. \"'0.. ~I A-Ff'~( d"
(Phone)
(Phone) 6(1.- 367 - ZCfc"
TYPE OF WORK ~ew Construction ODeck OPorch ORe-Roofmg
OAddition OAlteration OUtility ConnectlOn
CODE: [J?(R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
II
F
1
III I1V <SZ> A
HIM R
2 3 4 5
I
E
ORe-Siding ~ ~FirePlace(l)
-Nf'f r:.w..rS~~t
;z.ICf J I<?O
PROJECT COST/1VALUE $ d-1i~, ~,1 F
(excluding land)
o Misc
B
S U
I hereby certify that I have hllOIshed Information on this application which IS to the best of my knowledge tllle and correct I also certify that I am the owner or authorIzed agent for the
Jb<1ve-mentlllned property and that all omstlllction Will conform to all eXistIng state and local laws and will proceed in accordance with submItted plans I am aware that the buildmg
~fICI~ ~lJ)e~r Just cause Furthermore, 1 hereby agree that the City ~f;~~ d:\;e~; enter upon the propelty to perform neS/7?; 7
~ Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Scwer & Water Permit Fee
fGas Fireplace Permtt Fee
This Application Becomes Your Building Permit When Approved
BurldlllC' Ol1icial
5/1 7/07
, Date
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
5,00
00,00
IS"~ tI,O"
D 00, 00
/ saO ,00
Pressure Reducer
Planning Director
S/i7/o 7
, Date
~~
~tJ~
Special nditions, if any
Water Meter Size 5/8'
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
ThiS IS to certify that the request In the above application and accompanYIng documents is 111 accordance wIth the City Zoning Ordinance and may proceed as requested ThiS document
when si ned by the CIty Planner constitutes a temporary Certificate of Zontng compliance and allows constructIon to commence. Before occupancy, a CertIficate ilf Occupancy must be
ISSll ,.
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by: 6~ ~ Date: S;7~7
Building Permit #
Address: / '} 1 ?' 7
Legal: L ~ ,B ~
PID:
-tA~
~diViSion: ~
Zoning:
~~~
Existing Structure? YES IfltfJ
Existing Nonconforming Structure? YES ~
. Sidewall exceeding 50' requires additional side 2"
setback for eve l' over 50' in len th
. Rear Yard
. Patio Door: provide for minim.um 10' deck or sign
statement indicatin no deck will be built in the future
. From 100 year flood elevation ofwetland/NURP
pond.
. Refer in- round ools to the Plannin De artment
. From OHW (Prior or Spring Lake)
I ~ I
Standard
25'
10'1
25' if abutting a street
10' setback +
2"11' over 50'
25'
10' sidel
25' rear
30'
I CONFORMS TO ZONING
ORDINANCE
NO
Proposed
'ZSI
/
/ '-I, 9 S-
jl/CJ ,.Jc
;VA-
75' or setback average of
adjacent structures, but no
less than 50'
IJIf
Floor Area Ratio: NAI FAIL
.30 Maximum
?6
Yard Encroachments: NA I FAI Ie MPLlE
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
Proposed
() ,we
;UO,JC
Tree PreservatiOO?N,4J1 FAILS 1 COMPLIES Standard Proposed
. Total caliper inches
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement Y2:1
L:\TEMPLA TE\BLDGLIST.DOC
White - Building
C .Can~ Engln~
Pink - Plann ng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
r~ u L~ f-iol" I E S
S f; 07
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
177 9J 7
Accepted X
~GA~lf 1/61IL-
Accepted With Corrections
Denied
Reviewed By:
M46
Date:
-.5,......2.. I .. () 7
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."
White - Building
Canary - Engin~
cPink --Plannin
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
\_~
APPLICATION RECEIVED
....1
I
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
t
I
I
~'~ \ j
\ . "..
'-\IL-
/
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
,
~
Date:
~/;?/O 7
, /
Comments:
.Llli Conditioner :md Other MechA.,!ical
Units CaDflot 'Rn~ into Required
Side Yard Setbacks
"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."
(;hite - ~Uild~
Canary - nglneerlng
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
P LJ L---r5' Hvn 6 S
5.8_07
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
177 9J 7
Accepted
Accepted With Corrections
Denied
Reviewed~ ~ Date: 5;/7/07
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."
.
Standard
24'
5' from side lot line or
30' from r-o-w on comer lots
10%
Proposed
0'
.
.
OlD
.
.
~
I Building Height: NA / FAILS / ~MPLlE~
3/ J
35' Maximum
Shoreland District:~ ~ FAILS / COMPLIES Standard Proposed
Minimum lot area (s uare 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 Shoreland: / AILS / COMPLIES Standard Proposed
. Setback from to luff By planning dept.
. 20' From Top of Bluff
. roved By City Engineer
. No importing/exporting
Floodplai NA AILS / COMPLIES Standard Pro osed
. 1 00 ye ood elevation 908.9' Prior Lake
914.4' S rin Lake
. Lowest floor elevation 909.9' Prior Lake /
915.4' S rin 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 re uired.
. Elevations 15 feet from structure Must be flood elevation or
hi her
. Road access must be no more than 2 feet below 907.9' for Prior Lake
Re ulato Flood Protection Elevation 913.4' for Spring Lake
Standard Proposed
. 832 sq.ft. or 25% rear yard
.
. 10'
. 15'
.
L\TEMPLA TE\BLDGLIST.DOC
Jun 05 07 09:01a
'-
1-
2.
3.
4.
"--- 5 .
6 .
'I
\ . ,
. ,--"".
METRO GENERAL SERVICES
763-428-2968
p. 1
GAUII . FII..E
YUlOW - APPLICANT
GOLD. elT1'
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
FA~ Q51,r 'It! 7-'/'2-- t/r
S.WNo. 07.031/
NOTE:
Sewer and Water
contractors must
be registered'
with the city.
APPLICANT: fh E:.TRo GEf\)ERAi SER.ViC-EmoNE: (&.,3 -L{-dfj'-d-,('/3,r
~;JC.
ADDRESS: 5~ ~ DATE:
.\ 'C '.. . s-r. j'n Ic..r-J f-\ r; L, -J/Y) 1\1, S5 37 to
SIGNATURE:__. _ ~Z!_~_ BLDG. PERMIT #
,----- '--' I
SITE ADDRESS: Il'75?1 u;'a,n/.. 'Aai1YID#
FILL,. IN THE BLANKS
Estimated length of water service
Sf)
feet.
size of water service
/'/
inch(es) .
Location of any couplings from structure
o feet.
Type of sewer pipe. ABS PVC ~(I Cast Iron____
Estimated length of sewer line ~n feet.
Clean out (if required),
structure.
located at
/'JIlT
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This application becomes your permit when approved.
BY
DATE:
========f7~J~~=~~~=============================================
FEES: ~E. l.J~.. .e~MY7- Sewer and water line connection permit.
;? .., Surcharge
..... NtJ {-ee- TOTAL
~"'i.r...~
* Fee for either sewer or water individually 1S $20.00 plus
$ .50 surcharge.
*
Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to ins4r~',that no duplicate sewer and water permits are
issued~
DATE, :!.P.AID
JUN.2 0 200>
PA;D 'vV1TIi
AMOUNT PAIeUJLDING PERMIT
REC'O BY
, .,
:.; ,
r
I.
-
.RECEIPT #
16200 Eagle: Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (9::2) 447-4230/ FAX (~) 447-4245
A" Pn""l {)nnnrllln;IV Fmnlnvp.T
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
6.. f I. 01
~.:~ ~~t~ I PERMIT NO. 07- () 31/1
3 Yellow Applicant . _
ZONING (office use)
/1187
U6m
'rn-rv V
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
H<-l} ~
(Phone)
I OWNER
(Name)
(Address)
APPLICAr ~ 'i
(Name) .~ . t'r.j ~C.
(Addre,,) '%::H _ _=-...~ ~ .
(Address)
(Phone) 9, C ';;;-7-'9 ~ -.;:2 / is> I
\Jo,~~ 5s 3"S'~
(City) (Zip Code)
(Phone)
(Contact Person)
DATE &--//t:?7
CANT PLEASE COMPLETE BELOW
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
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
Residential, New One & Two-Family $9950
Residential, Additions & Alterations $39.50
~0 /1/J ~
oftlO OG'(/
I e Vi V
Estimated Cost $
Building Permit #
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave" S.E., Prior Lake, MN 55372-1714
Jun 25 07 10:32a
p. 1
I CITV OF PRIOR LAKl .
I REA TINGJAlR CONDITIONlNGIFIREPLACE PERMIT
Date R.oc.'d
\:=. a.. ~RMlT NO. Q!;ffl11
J \ZON1NG(-~1
II
~
~ (Phone) Ja51-cp;:;7 41J11
FID
~I",;..\~
( . iLJ)J(;' \ :n-."A. \
\
I LEGAl. DESCRli: not" (o/llel: use (lU',y)
I LOT BLOCI! AODIDON
\ ~=~-4f \~\-()W-f~
I (Add.rcs~) f\\C;:~] ~\,~ \J~'"-~
, ,
I.~~~T f'-J\ \;u}1f ~ .l\\V\C\ 4. Pi \ ( (pho",,) j I ~,~ ....\--' ,,- V-I c-,
(Addrc~) ,L:I)~cL ~~\vt C\J\.~;"l" L":' \ ~L" 0\ '~\A L'1...f..+'--' S.:-:--}~
I (\~) ~ <CIty) (z:q, Cod./:)
(ContaCt p~n:on'; \~~)\ l v t.I./l"'<::'l \ (phOne) -.:JJ c:2, - --+ / S - 2_2Lc I
\ APPLICANT S'I' ~NATURE ~. ~ DATE
I APl'LlCANT PLEASE COMPLETE BELOW
: I' NEW CONSTRUCTION REP~O::MENT ALtERATIONS,
,FUf-.;."lACE:,.{AI EANDMODEL \___t V1.V\ Ox riI.J'SL\ \- fUEL ~ t- .l-.l::}'~.
I ~ ~ /'
l fLUE SIZE _. RETURN OPENlNQ3 INPUT vI ('> \ ceO OUTPuT 2':7 It.{"''(',
\ "I"YFB OF SYSTEM Hl!ATING OR roWER J>LANT
'i"WUlUAlfPIa.ntll ~SloGll PLEASE NOTE:
\ ravlt)' Hot Wiler Air CooditioDcr Units
i Mecl>M1iOll RAdIJlllOll Caunoll3ncro=cll f:nt:c
t . lr Condiuol\lnl lipKiIL tlev\r:elI RDquiTod Side Yve
I 0\1 om. Synrm 0 Other Dc...loas $otbac~s
II FIREPLACE "'! \KE AND MODEL'
n& SCHKDULE
I ~~\UIIlaJ. Comr:' ,re In.l &:. Mult.\.-PamllY 1 'Yo of Job ~ RcsldunlaJ, au PI~I~
S39.S0rolnllllW11
Rn\4~!lIitll. lleil "' ~ NC (N"'" Cowlftl.nJctiollJ $99.~ RfsidcatirJ. Mdluonl ~ A1UlrarJonl
R Cli1on/Jal. H~(,' og Only (New Coru;lr\lcl:icm) S~UO RaI4clrtal. AC Only
EstilUJ.,ed CMt S iII ('{) I ('("') Bulldln~ 'PmGlt j
S3'i.~D
S)~.~O
S39.50
flEA"flNG PERMIT FBE
ST A TB SURCHARGE
TOT Al., P'E'RMIT FEE
$
S
S
5 PAID WITH
. 'BUILDING PERMIT
(Oflktli,c Onl;i:
\ThiJ Appll;' Itl.Oll BtCOmllJ Your Balk1lllg Pcnait Wll.Il-'PProvc.d
bi'llll: Ol'lldal Dwlt;
Fl:: 8 zaB; 'nFPI NO
, . ;' .!
::.. hcur ~ee f"r .11 hupedloM (lIn) ~'h~950, tn. ~S1) 447-4..4.5 c__) ;
Hi
\
S___.....__.-=~--..-._-'_.._o-c.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERJ\lIlT
Date kec'd
I ~~'~;B~~'lha~;'~;;)
I fll,/w
~. Grecofl
) "dIe.....
OJea ~1 -I fR1 i I
ss
~~~I'"," I PERMIT NO. 07. 037 U'
I
ZONING (office u~.e)
LEGAL DESCRIPTION (oftke use onl)')
LOT
BLOCK
ADDI-nON
PID
OWNER
(Name)
DlJ\ l+-e. f
<g
(Phone)
(Address)
I APPLICANT
I (Name::) ALLIED FIRESIDE DBA FIRESIDE CORNE~
(Address) 2700 N_tAIRVIEW~VENUE
(Adc1te~:;)
D.RCNIYA HUSrOtol
(Comact Person)
(Phon~ 651-633-2561
APPLICANT SIGNATURE
ROSEVTr LF: J'.IN
(CJt'j)
651-633-2561
(Phone)
DATE
<;<;J11
(ZIp Coclc)
APP CANT PLEASE COMPLETE BELOW
EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL fUEL
FLUE SIZE RETURN OPENrNQS fNPUT OUTPUT
TYPE OF SYSTEM
HEATTNG OR POWER PLANT
OWarrtJ Air Plants
DGruviry
o MeehanlCOil
DAjr CondltionJng
~Vi;rl!. System
FIREPLACE MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacb
Jndustfl1d. Commercial & Multj-Family
FEE SCHEDULE
I % of Job CDst ReSidential. Gus Fireplace
$39.S0 minimum
$99.50 Rc::;idcntial. Additions IS: Alterations
$6450 ReSidential. AC Only
$3950
Resldcfltial. Healing & Ale (New COJ~.suuclion)
RcsldtfHlal. f-1cuting Only (New ConstructioTt)
S39 SO
S39S0
EstImated Cost $
Building PerrniI #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAID WITI1
.50 BUiLDING PERMIT
(Orfice lIse Only,
OUt
r--'-~
"
i
;,
f
t Pil:~UG,~ 1 2007
Receipt No.
This Applicatlon B<<oflles Your Buildillg Permit When Approved
Building Official
By
1001100'd 61'U#
~
24 nour notice (or all illsptctions (952) tU7-~8S0. (/IX (952) tU7-4245
3HOH atN HI tl'l3H 30 I S3~~"=-~":'_---~~~':""-~-BBBt gl 1 S 9 L 1 : 60 L 0 0 ~ . a . ~n'l
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS t~7t
NATURE OF WORK r: -.A
USE OF BUILDING $'. . D. ~
PERMIT NO. 07, d.3.7L DATE ISSUED
CONTRACTOR !hirE IIII1tE;$ PHONE-'lJ - ~,.. .YJ'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABO E HAS BEEN S GNED
ROUGH - INS
INSPECTJ
ytV
DATE
G-&cJ(
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required) ~ !
FIREPLACE ~ (f
GAS LINE AIR TEST - 3 (I': C)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
lATHe f' ~lAf~ ~~
\,) v... ~" ... FIN A L S
GRADING (Prior to Sodding)
BUILDING rJ-{ ~ I! \,1-11
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy p~TIL ABOVE HAS BEEN SIGNED
f,.J,~ ~r ,\~ 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