HomeMy WebLinkAboutBuilding Permit 03-1102
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1. White File
2. Pink City
3, Yellow Applicant
7- /'-03
I PERMIT NO.03- / /02-1
ZONING (office use)
J
031- ~~.H-r1S -rAIL ~l.OL1E:-
U{J
LEGAL DESCRIPTION (office use only)
LOT 10 BLOCK (p ADDITION t"'>f Me ITI-e..J (0 'j.t{E v.) , LO S
PID - *5 -;).Jf1 0 ~ 0-
OWNER
(Name) ~~ Ctf1<:: I~ Alrv\"-'\A. ~ ~~('I~lc~.1j)L (Phone) b51 -S"l&-bbi-:t-
(Address)
~A( C~-( I?. ( t)
BUILDER
(Name) c.Hil1 ~ .A ( MU A
G-tH-IS
(cD
(Contact Name)
(Address)
~~
1- 53-
l.-S-l-S't&" -~,7-
bS,,-S \~ ~1't-
~~I~r
~ ^,S1 ()~-(+l reS
I
A. ( "'-I\. L1 A
)~L.
,
(Phone)
(Phone)
.........,,...)
,< .
-..-.:> c::rO
TYPE OF WORK
ORe-Siding
~ew Construction
OLower Level Finish
o Misc.
ODeck
o Porch
ORe-Roofing
o Fireplace OAddition o Alteration OUtility Connection
~
PROJECT COST IV ALUE (excluding land) $ "3>>'=1- r;; ceo
,
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also 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
submitted 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 upon the property to pe m ~eeded inspections,
..
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
2p)\''7I(
Contractor's License No.
'7 -l--D)
Date
Park Support Fee
.~
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
o. 6 $ II)
Ie; ~~' t,71 Re<oeiPtNoLf9dQ1
.- ~ By ~
--..
SAC
Water Meter
Size 5/8" "
Pressure Reducer
City SAC and WAC
#
Water Tower Fee
#~
t 00.---
06.-
3l5'. ~O
,-/0. --
Builder's Deposit
Other
TOTAL DUE
I Paid
Date
This Application Becomes Your Building Permit When Approved
~-9~
Building Oflkial
$11/03
Date
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'nl.ujll be
is~ ?~
Planning Director
7/ytJ/o3
Date Special Co
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4
16200 Eagle Creek Avenue Prior Lake, MN 55372
~
The C"nler nf I"~ 1...1c" Cou.ln
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
i.' .
_.~.,:,.t/;~.-/.L"(- <J
. !t
,A...l--) ;>l'..-{ ,< :.':1-_.
"-"-0'>.,':' _;": _~.
r7
; .-
I"} _'
/
--:;:...
,I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: '
/ l./(" ".::?" /7-
,/ /L-/(-I'/~'
"y-' .,.
"../ ./
',...: ,'; $,'.'
::.,_.....IIJ ;:..
/
(:~,<.--. .~2---
. t
Accepted
.'x
Accepted With Corrections
Denied
/tr~v Date:
See' 'verse Side for Additional Information!
Reviewed By:
Comments:
~p-p Att~r.hmp-nt~. 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"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 -'viI='> ~r r any other ordinance of the jurisdiction. Permits
presuming to give authorit} .v.~..:>r cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Thf ("fnlfr of .he t.ke ('ounlrl
~}Mhih~ - Blli~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~ ~ CJ-(i~
7- '/-3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: r
(Lit> ? 1- t/JddL JaJ A?
Accepted Accepted With Corrections /
Denied
Reviewed By:
,..
~?~
~~~~
Date: 7pO,~7
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."
White - Building
Canary - Engineering
C!ink - Plannln~
The ('("nlef of .hE' t.kt Country
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
Reviewed By: 0.~
Comments: A Ie. ~
~~.
,..
1~f--
(]~
Date: ?/.30~3
, 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."
Residential Building Permit Checklist
New Construction for Single or Two.family Dwellings in R.1 or R.2 Districts
Reviewed by: ~ 9~
Date: 8(20/0::1
Building Permit #
Address: / '1& '37
Legal: L 10 J B fa
PID: Zoning:
~ rJ ~~
Subdivision: Itfc W~
Existing Structure? YES @
Existing Nonconforming Structure? YES I<@)
I CONFORMS TO ZONING
ORDINANCE
YES
NO
.
Standard
25'
10'1
25' if abuttin a street
10' setback +
2"/1' over 50'
25'
1 0' side/
25' rear
30'
Proposed
2.5
. Sidewall exceeding 50' requires additional side 2"
setback for eve l' over 50' Ion
. Rear Yard
. Patio Door: make certain that a future deck meets
minimum re uired setback
. From 100 year fiood elevation of wetland/NURP
and
. From OHW (Prior or Spring Lake)
,
N.W, l'2. '3 S"
,qCj
Sl
tJp..
NA-
75' or setback average of
adjacent structures, but no
less than 50"
t--JA-
I Floor Area Ratio: NA 1 FAILSrtoMPLiEb .
10 ~"
.30 Maximum
Standard
Proposed
tJO'J E
NO (\JC'
Tree Preservation:(frA) FAILS I COMPLIES Standard Proposed
. Total caliper inches
. Can remove 25% of total
. Caliper Inches Removed I
. Caliper Inches Preserved
. Replacement 12: 1 !
L'TEMPLA TE\BLDGLIST.DOC
Sep 30 03 11:05a
SEP-12-2003 13: 10
TAMARA LYNN RUMPCA
C!TY DF PR lOR LAVE
651-459-2931
9524474245
p.
P.01/01
uate Kec' 0
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
i ~::. ~~ I PERMIT NO. n? -/102- J
,. Gold ApplK... VJ
ZONING CollX. w-ft)
/If'/-il ~ 7?f1 t- /C4 o~G
LEGAL DESCRIPTION (olficc IIlC only)
LOT BLOCK
ADDITION
OWNER
(Name)
...,AsSd= I (Phone)
.b (2)VL (Y7 (J
(Address)
(City)
(Zip Code)
APPLICANT
(Name)
mp~LL CllfecpfiSt2.. ~ j F;nL'&fo;:fD-- lLCl-tfY1-ZJj'"3j
ICb70 (C.{(}l ber\_Lj CJ- 5. Ctriiii(i;/lJvc. S5C)\)o
r::- ,(Adclren) /J . . (Clry) (zip Cock)
(Contact Person) I:::::-rlc..- Dr \QVY1f"''i (L-U..MfJtC1.... lo51-24~-'1Y'\{L\ or cJ,/6-~j
J(()uJ Vft. if/ DATE 4-/7-0 '2.?
;Y
(Addr~5')
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Size ofw8ter service ~ inche:s. '/
Location of any couplings from structure'~ feet.
Type of sewer pipe. 0 ABC Ell PVC 0 Cast Iron
Estimated length of sewer line ~ feet.
Clean out (if required) located at !:!i!l- feet from structure.
Estimated Cost $
FEE SCHEDULE
S35.50 Industrial, Com 'I &. Multi-family
S 17.50 Water connection only
fro [Cu
1% of job COSt with a $3l},50 minimum
i17.50
Residential sewer and wall:r line conneetion
Sewer connection only
Building Permit 1#
fRID (7i
rjVO
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(omrc Un OalYl
Tbi! Application Becume! Your Building Permit When Approved
Paid
Receipt No.
Bulklin~ OrroCilll
Dalr
14 hour lIoti~e for lIU III.pettio"! (952.) "'7-98~,fl'l (951) ...(~CJ1~
Date
By
l!
P. TOTAL P. 01
B 'AID WITH
UILDING PFRMtr
FROt1 P I PER I GHT PLUt'1B I ~~G
FAX ~~O.
612 782 9772
Nov. 24 2003 05: 55Pt'1 Pi
CITY OF PRIOR L~~E
9524474245
P.01101
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
1/2-
~::~ ~I~ I PERMIT NO. ~ - jJ O'd-J
J Vol14w AODi;to/Il V _ ~
I ZONINGc_",,) I
LEGAL DESCRlPTION (office use ocly)
LOT BLOCK
ADDITION
PID
OWN~R.
(Name)
C~ V\ ~
A-IYV\LJCA
(Phone)
Address)
APPLICANT'J) " n,' l I
(Name) ll~~~ *- '"? l)\MJ~)l~ :
(Address) \0 "TI () R.i~(&:)(1f(' Blvd. I[J VJ
(Add~)
(Contact Person) ~ To~ "
(phone) jQJ2- i-'r9-'~ 12~
i CCm\~ffd~( MN ~~~~e)
(Phone) ~ 12- SCtfr-Si Of>
DATE L.: 0
APPLICANT SIGNA TIlRE
,-
Type of Fixture
I
rtment sink,
.
Machine)
FEI; SCHEDULE
Industrial. Commercial &. Multi-family 1% ofjub C:OI[ wHh l) $35150 minimum
Rcslcleml:1l. New One & Two-FAmily $99,50
Rc.lidenria1. Additions &. Alterations .t:l9.50
Estimated Cost S ;;, ~ daD . l1t1
Building Permir 1# ~
(Ol1icc U!C O"I~)
This Application Becomes Your Building Permit Wlttn ,j,Cpp"". J
Date N" OV 2 6 2' 00'
8Uflcli"lI: Omti,,' Dllt~ '
:!4 hctur ""tiCIC (or ;oil 'IY..pectiDII$ (952) 447-9850, rax (952) 447-4
!6200 Eagle Cre",Jc Ave..S.E., 'rlor LIke; /I4N .<;.<;'171_1"f A 24:5
PLUMBING PEliMIT FEE
STATE SURCHii.RGE
TOTAL PERMJjT FEE
$
$
$
~~"J,..
.;) ~\O'.N ~ '
;,' ~. '1.~'
.so
.~.l
at
Receipt o.
TOTAL P. 01
FROf'1 : P I PER I GHT PLUf1B I t1G
FAX t~O. : 612 782 9772
t~ov. 24 2003 05: 56pr., P2
I
f~OU-24-2003 16:03 CITY OF PRIOR L~IKE 9524474245
,
,
CITY OJ" PRIOR LAKE
REA TINGI AIR CONDI1I0NINGIFlREPLACE PERMIT
P.01/01
D7)r
l. ,11lk
2. GNoII
l. v.c-
SUeul f'ERMlT NO.3 -/ / Dd'-'l
I ZONINO -... ]
WCut~ T cul i ~"Jsc-
I
LOT
BLOCK
ADDmON
PID
J
~
LEGAL DESCRIPTION (offiC!: we oDly)
c'h \AJ A1 VV\ U (A
I OWNER.
(N lime)
(Address) i
=F J~14M 'f/\lVvJoJl~ (1'hono) (2(2.- t1s'?-?;/G~
(Address) lCFrlb Nl~l~ipp/ Blvd: ~ RnffdJ,}uJ toJ-lf63
~). (City) . (Zip Code)
(ContactPenlOD) _tOl/VLQJ I (Phone) (a("2.-~S-q<t-c:H(l.6
APPUCANr SIGNATU~ ^ l DA~
r
APPLlCANr PI!EASE COMPLETE BELOW
W C()NSTRUCTION I 0 RBPLACBMENT 0 AL'rEM nONS
FURNACE MAKE AND MODEL i FUEL
. I
FLUE SIZE RE'IURN OPENINGS -j INPUT OUTPUT
TYPE OP SYSTEM ' HEATING OR. POWER PLANT
I
.
(phone)
OWarm Air Plant!:
(JOnvi1y
f'3.McchanicaJ
OAir Conditioning
OVoat. System
I
I
I
I
I
I
~EESCHEDULE
1% of job t ~t Residential., 0... Fireplace
139.50 mirl mum
$99.S0 IUQdelltial, Additions &. Alterations
$64.50 I Residential. AC Only
~Stc1ll'll
Hot Water
Radiation
o Special Device.i
aOther Oe\rice$ c..., As. SolD V r;;..
0-1\:') ~ ~ \{ E 1<..
PLEASE NOTE:
Air Conditioner Units
Cannot EncTOath into
Required Side Yard
Setbacks
fIREPLACE MAKE AND MOOEL
JndumriaJ. Commercial IJt. Multi-Family
Residential, Heating &. AlC (New Conswc:tlon)
Resillo.otiaJ, Heating Only (Ncw ConSl:nletion)
S39.50
Sl9.S0
S39.50
&tirna1edCQSt$
Building Permit # 6 3 - \ l6 'L
HEATING PB~ fIT FEE
STATE SURCW-l~.GB
TOTAL PERMlfr FEE
$
$
S
PA\O \N\-r~~, ". "
,so
,~) l\~ t
(Offitlt U. Only) .
- ........... _.... Yoanllllltl"'" ""ak W"),o Ap~ II ~ r~N.'
. : OAU< NUV 2 6 l6ftJ By 7ft
Builllilll OCIio.l nste
. "" h_ __" .....n ...i......... (951\ ..7...... "".,." "7-42A5
TOTAL P.Ol
Standard
. 24'
. 5' from side lot line or I.., I
30' from r-o-w on corner lots
. 10% .7'0
.
otJE:
. Ian ~
FAILS 35' Maximum ze' ~ ~ Sq' ~
Shoreland District:~FAILS / COMPLIES Standard Proposed
Minimum lot area (square feet) 7,500 Rip, 7,999 Non-rip I
Minimum lot width I 50' Rip, 57.3' Non-rip
Shoreland Sllterations
ImoerJious surface 30% Maximum
Bluff in Shoretand / FAILS / COMPLIES
· Setback from top of bluff
Standard
By planning dept.
Proposed
.
.
.
Floodplain: Ii.. FAILS / COMPLIES
· 100 year ood elevation
Standard
908.9' Prior Lake
914.4' S rin Lake
909.9' Prior Lake /
915.4' S rin Lake
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.
Must be flood elevation or
hi her
907,9' for Prior Lake
913.4' for S rin Lake
Proposed
· Lowest floor elevation
· Proposed lowest floor elevation
· Elevations 15 feet from structure
· Road access must be no more than 2 feet below
Re ulato Flood Protection Elevation
Accessory Structure( N~ / FAILS / COMPLIES Standard Proposed
. Size 832 sq.ft. or 25% rear yard
. Not located in front yard (Materials)
. Side yard and rear yard setbacks I 10'
. Maximum heiqht 15'
. Materials compatible with principle structure
L: \TEMPLA TE\BLDGLlST.DOC
PRIOR LAKE
.
INSP,ECTION RECORD
7<.ql9~
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I'" -3 ? · IJ!IJif e -rA j I
NATURE OF WORK ..:.J/e. w
USE OF BUILDING ~
PERMIT NO. a.~. /Jo4i. DATE ISSUED '"''
CONTRACTOR~ I%IWt ~Q. PHO T-'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I z.,.. e 3 INSPECTOR
FOOTING W/L ~v ~~ ~
I FOUNDATION (Prior to Backfill) I ~~ :9,V I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
~t 24?a3
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
, r;:ArJIe /&/LruSl) SriI.Jj=l I
FINALS
~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL A OVE HAS BEEN
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.
-cf~,{)7
t::')
. ----
we..
FOR ALL INSPECTIONS (952) 447-9850