HomeMy WebLinkAboutBuilding Permit 05-0404
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
White
Pink
Yellow
./
J/- ~~05
I PERMIT NO. 05, o40~1
File
City
Applicant
at bottom)
ZONING (office use)
fLr- (
ADDRESS
\1..\1 ,,~
T.'fI-lb rv.JO 1+ ~,..-..,,: \
LEGAL DESCRIPTION (office use only)
LOT 32- BLOCK
ADDITION
iN p~tJJ- at" -flu.. k/./ clJ
PID
5'- 3 ~3.- 03
6
OWNER
(N ame)
fVl,. 1'/6-.
H. - /A"-cI
(Phone)
'1~2.- Cf9ti- S 300
(Address)
/_..1/ toea
"'-,'Mb-l-,--vP/f- -P--a; I
?r.lr l.4k
BUILDER
(Company Name)
(Contact Name)
(Address)
S qA.l.-
ilt,l &#oJ
~,-tPOJ
~ ak~
(Phone)
(Phone)
~"';V--
4.5
4hcJt/t-
f'Vl",rl'-
/I1.,.r Ii-.,
TYPE OF WORK fRNew Construction ODeck OPorch ORe-Roofing
OAddition o Alteration OUtility connection, 0 Misc.
CODE: DI.R.C. DI.B.c. )
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding OLower Level Finish 0 Fireplace
PROJECT COST IV ALUE $ '2. 40 I OW
(excluding land)
I hereby certify that I have filTmshed mfmmatIon on this application which IS to the best of my knowledge true and correct. I also certlty that I am the owner or autho!1zed 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 submltted plans. I am aware that the buildmg
~fIeial~~' ~ ~ City official ~;~: maYr;~n ,~ro)erty to perform ne~e~ I;;:t~n;- \
Signature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ ( 00 .c>0
Mechanical Permit Fee $ 0 .<!)O
Sewer & Water Permit Fee I $ 3 S .SO
Gas Fireplace Permit Fee $ I..( D .
SAC #
Park Support Fee
#
8So .Cl:)
Water Meter Size 5/8"
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE
.:5:" . (,IS
n Becomes Your Building Pennit When Approved
5- '5-03'
Date
~/
ty that the request m the above applicatIon and accompanymg documents is m acco. ance with the City Zoning Ordinance and may proceed as requested. ThIS document
'y the Clty Planner constltutes a temporary Certificate of Zonmg comphance an lows construction to commence. Before occupancy, a Certificate of Occupancy must be
. P]~'I,g DI=I". .. . . (ll ~D're Sp"I,] C,""I~ If MY
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
w~~ - ~:dinQ
~ rv - ineerinb
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
i
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,/l/' /?(~:~(l::'
/:-;---'~/;hl'Z /:Jr?/L--t:-~(j(J-;.!j/",,-~:;~,?:.<c-,~.,'.,..,(~-
1\
f... "
Accepted
Denied
Reviewed By: I}"J(f6 Date: L/- ;),3-0 s=-
Comments: See Reverse Side for Additional Information!
m l'^ ;) % G yqdt. ~/ t; II ck&t, ~q'f-.
J(
Accepted With Oorrections
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."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/!Jarl( /l2eJla~
APPLICATION RECEIVED L/- ~ ()- ..s-
NAME OF APPLICANT
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/L/'7,{,? --U-1-nhe~4~.
Accepted Accepted With Corrections ^
Denied ~
Reviewed B~ {J~
Comments:
t. ~~ /Work~("U~& ttt.ls.
Date:
shts
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."
White - Building
~alY E~gin;)g
mk - P anmn
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have review~d the building permit
application for construction activity which is proposed at:
/'
,'.\"
" ;i_,
I
/
;'
/ .'
J
I
Accepte,d
, .
Accepted With Corrections ~
/ II, r \ I /
w44! .. ..
Date:
o/~5
Denied
Reviewed By:
Comments:
A.C. . ~i\- ~u~t V\ot- be.- 'oca.'~ I'\,\. sJ_k.J<
"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."
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
"/ Z-Z. OJ-
I. Blue File
2 Gold City
3_ Yellow Applicant
I PERMIT NO.~ MC4-1
ZONING (office use)
77 r7 Cf ~ t:J l-~ '7?-
LEGAL DESCRIPTION (office use only)
BLOCK
ADDITION
PID
(Phone)
APPLICANT
(Name) ""'otV)f\c.
(Address) \ S L\.to~
~. De.w ~ 1-2
~\\e.t'\ R\\Il:L
(Address)
~/'
YC"\bC
(Phone)
\....~'Le.
(City)
lo\~ - ~?Q..- \4 R3
SS.3'12-
(Zip Code)
(Contact Person)
~
(Phone) ~~
APPLICANT SIGNATURE
DATE
I-a~ -OS-
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
3 Bath Tub with or without shower - Rough-ins
:l Dishwasher \ l~} Water Heater
Z Floor Drain \ - Water Softner
8 Lavatory (Bathroom Sink) \ Stand Pipe (Washing Machine)
, Laundry Tray (lor 2 compartment sink - Sewage Ejector
2- Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
I Bar Sink \ Lawn Sprinkler
~ Water Closet (Toilet) Other
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 $3~, 0
Estimated Cost $ Building Permit # \ 0 ~ ~
PLUMBING PERMIT FEE $$$ ;0 ~ 6 II V)
STATE SURCHARGE .50 r V '/
TOTAL PERMIT FEE
(Office Use Only)
Building Official
Date
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave" S.E., Prior Lake, MN 55372-1714
Residential Building Permit Checklist
Ne\~Onstruction for Single or Two.family Dwellings in R.1 or R.2 Districts
Reviewed by: ~;) oale:0-/"...-
Building Permit # ~ PID: zS.. J93;o(;JZ-Q Zoning: ,(1
Address:L47'~ V~~ ~f r-
legal: l 3 '2.. 1 B l' Subdivision: l<)~~ ..J. tUe' lo#('"'
Existing Structure? YES / NO
Existing Nonconforming Structure? YES / NO
I CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NA / FAllSI COMPLIES Standard Proposed
. Front Yard (can be 20' if avq. w!in 150') 25' 2.5'
. Side Yards 10'/ 17,/~
25' if abutting a street
2 C:;. fY)
. Sidewall exceeding 50' requires additional side 2" 10' setback + tJA
setback for every l' over 50' in lenqth 2"/1' over 50'
. Rear Yard 25' SQ' ,..-
. Patio Door: provide for minimum 10' deck or sign 10' side!
statement indicatinq no deck will be built in the future 25' rear ol.::...
. From 100 year flood elevation ofwetland/NURP 30' tJA
pond
. From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no t) A
less than 50'
I Floor Area Ratio: NA I FAILS I COMPLIES
.30 Maximum
I nl>} ef}! s;tJNJ-/
Yard Encroachments: NA I FAILS ICOMPLlES Standard Proposed
Eaves and Gutters no more than 2 feet in width and no of.;;,
closer than 5 feet to a lot line (Easements).
AlC and other equipment cannot encroach on interior n"t-(
side vards.
~
Tree Presertation{ NM FAILS I COMPLIES Standard Proposed
. Total calicer inches I ;1jfr
. Permit 25% Removal
. Calicer Inches Removed I
. Caliper Inches Preserved ,
. Replacement I 12: 1
L: CEvIPL-I.. IE' BLDGLlST.DOC
TIMBERWOLF TRAIL
CERTIFICATE OF SURVEY.
For: Mark Reiland
PROPERTY DESCRIPTION: Lot 32, Block 1, THE WOODS AT THE
WILDS, Scott County, Minnesota.
We hereby certify that this is a true and correct survey of the above
described property and that it was performed by me or under my
direct supervision and that I am a duly Licensed Surveyor under the
laws of the State of Minnesota. That this survey does not purport to
show all improvements. easements or encroachments, to the property
except as shown thereon.
Signed this 4th day of May . 2005. James R. Hill, Inc.,
1. Building dimensions shown
horizontal & vertical placement of
only. See architectural plans for
& foundation dimensions.
2. No specific soils investigation has been
completed on this lot by James R. Hill, Inc.
The suitability of soils to support the specific
house proposed is not the responsibility of
James R. Hill, Inc. or the surveyor.
3. No specific title search for existence or non-
existence of recorded or un-recorded easements
has been conducted by the surveyor as a part
of this survey. Only easements per the recorded
plat are shown.
4. Proposed grades shown were taken from
the grading &/or development plan prepared by
PIONEER engineering
No
are for
stru cture
building
innesota L.S. No. 11529
es:
&
o
.
x927.6
(930.0)
Denotes set spike
Denotes set iron monument
Denotes found iron monument
Denotes existing ele\lOtion
Denotes proposed elevation
Denotes proposed drainage I~
tc Denotes top of curb /
--800-- Denotes eXisting contour1
-800- Denotes proposed!i con~rs
Bench Mark: 1002,08 TNH-Lots 23 and' 24, Block 1
J
1 012.8
1013.2
1013.2
1004.2
Proposed Garage Floor=
Proposed Garage Top of Block=
Proposed House Top of Block=
Proposed Lowest Floor=
Proposed Top of Block
at Lookout=
1007.4
----
Bearings are on assumed datum
Scale: 1'=30'
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James R. Hill, Inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 w. CTY. RD. 42. ~ 120. BuI&I!E. MN 55337
PHOI€: (952)8~6044 FAX: (952)890-6244
1943 941H l.AIE ME. Stm B. Bu.IE. MN 55449
PHM: (763}792-1136 FAX: (763}792-1743
TIMBERWOLF TRAIL
CERTIFICATE OF SURVEY
~
For:
~
Mark Reiland
~N
~
"
APPROVED
ENGINEERING DEPT
'- 1;) ~ Signed~~ . ~
,\t'~~ ff? tro~ ~ \~- Data ~(3
~f:'
APPROVED ~
p~LADEPT
VJ~
~Da
Signed "~
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--TP-- DENOTES TREE FENCE
AND GRADING LIMITS
James R. Hill, Inc.
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Scale: 1"=30'
Page 2 of 2
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit AppliC3.Cion)
For J.Jl Properties Located in the Shor~land District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
..-' .--.- 3Z.)I !"""IF 1,Jtf>o'P~
Property Address It Me :=:e.I,J 0'- ,,:::- / ,eM / ,t.. 4, 71i eo tJJ 1(", f.) ~
Lot Area /9'7 58 Sq. Feet X 30% = .............. $'9 z 7
************************************************************************
HOUSE
LENGTH
f I2IZ ~UI.J4e.x
x
x
MDTH
=
SQ. FEET
3 Zt75'"
=
ATIACHED GARAGE
=
TOTAL PRINCIPLE STRUCTURE......................
,3 2 OL?
DETACHED BLDGS
(Garage/Shed)
x
x
TOTAL DETACHED BUlLDINGS.......................
DRIVEW A YfPA VED AREAS
(Driveway~paved or not)
(Sidewalkf?arking Areas)
x
x
X
=
=
=
TOT :\.L PAVED AREAS..........................................
----
P A TIOSfPORCHES/DECKS X =
(~e:l Dec~ '/.- min. opening bc(W~n X =
boards, with a perviol.:s SUrUce below,
arc: not considered [0 be impervious)
X = /'
TOT.U DE CKS ..................._..._._........ ..................
OTtiER
x
X
=
=
TOT.>\.L OTHER................. ...._.._._...................._......
TOTALI~ERVIOUSSURFACE
~OVER
Prepared By f;.L.EHH hl!w&<"
,4 ~ //--V~,
Company .:\ e H :r# c::, ,
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r -z,7ZZ-
Date 5/1T'/05
,
Phone # 952 - 87CJ-t:::.o#'fL
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J!:J7to8 IiIM~r~dlF
NATURE OF WORK IJeill SF()
USE OF BUILDING SFD ~
PERMIT NO. 05,0404- DATE ISSUED S"~OS
CONTRACTOR ~k. R.~..~ PHo'N 95"2" j '1".. 5so0
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
w
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST I
FOUNDATION (Prior to Backfill) AJc f
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - IN
/U(
tPL
GRADING (Prior to Sodding)
BUILDING
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