HomeMy WebLinkAboutBuilding Permit 05-0599
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(v - Z.CJS
White
Pink
3 Yellow
File
City
Applicant
I PERMIT NO. () 5" .()5tiq I
ZONING (office use)
3:<~3
Tr)
NW
j?cJtJ
LEGAL DESCRIPTION (office use only)
LOT 2 BLOCK { ADDITION The... WODds
aT -)h~
I/~
PID '2. <:'~.:JYJ. 007.-_0
OWNER
(Name)
(~ee lx loi.oJ)
(Phone) _
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address) ~ 13
.
tri
bCA.J ritll'/ IV
(Phone)
(Phone)
?f" 2 - P7f(; ffg~ 1
(SA..~)
thy Lak-L-
TYPE OF WORK rslNew Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
I[JAddition OAlteration OUtility Connectlon
CODE: ~LR.C. OLB.C.
Type of ~ction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
1
III IV
H I
2 3
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
500" 000. 00
x
Permit Valuation a (JO(J.CO
Permit Fee $ 3'-1 ~3, > 0
Plan Check Fee $ 2 Z if l{,
State Surcharge $ zS-O rOO
Penalty $
Plumbing Permit Fee $ CJCJ, () 0
Mechanical Permit Fee $ o () tOO
Sewer & Water Permit Fee $ 3s-, s-a
Gas Fireplace Permit Fee $\ '0,00
f)tJ311112-
Contractor's License No.
Sewer/Water Connection Fee
#
#
$ K"Q. O()
$ I 5""0 , (:) 0
$ 30<:1. Do
$ 7'5;~ dO
$ 1$00.00
$ OO(), Ou
$ 'So 0, Q(J
$
$ 2 fj~.7J.
Park Support Fee
SAC
#
#
Water Meter
Size 5/8". ".
Pressure Reducer
Water Tower Fee
Builder's Deposit
Other
This Application Becomes Y OUT Building Permit When Approved
~oml.~ (,<<!(oS
Paid
Date
tffU.l;V (p, l:J. of
I ~~cc~{) <-
TOTAL DUE
This IS to certify that the request in the above applicatIOn and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested Tim document
~:~<'""" 2~"2 '" C""Om" .or ~r/;;I;'; ,"'"' ",""Hr'''''" W mmm"",, ",rw, ocr",'"~ < , e" "Or"" .or 0"""",, m"" ""
Planning DlTector Date SpeCial Conditions, If any
24 hour nolicc for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
Canary - Engineering
c Pink - Plannii!Q)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I
r { ,/
APPLICATION RECEIVED
c
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, I
,. / l_
Accepted
Accepted With Corrections
/
Denied
~ 1.e-ll,---, Date:" //3~S:-
I
~~~
Reviewed By:
Comments:
Air. CO:UGJtioner a:cd o ,-her ~'!echanical
t tub CaL~ot _Enc~oach into Required
,~~~.j~i;] Sf~tb2{:I{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."
~ ~Buil~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;176I9DOW/JI2,~()K 8LDK:.S.
6. 2 - 05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
32&3
J/VILDfVtJOO
TJrV7 / L
NIV
~
Accepted
"
Accepted With Corrections
Denied
Reviewed By:
~
,f~ aLf ~. ~
~~~.
.::k4lt-
Date:
t; (I? /CJ5
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
c: 1;anarv - Engineerin<L>
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
//? t.: /'--/ D ,,~/ e k: () '~)I<
rp J I" .&>' , c..-:
L. c_ (.,..//'-- .
7-
,-,
",-.,~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: I
, /". j i,,~ Ii
32 &:3 / L,L)f"'vO /cl-j / L IV J"V
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
AI'IJ-A
Date:
(; - 22.-0S-
Comments: See Reverse Side for Additional Informationl
Spp Attachments: 1) Gradini: Plan~ 2) Erosion Control Mp~Hmres
"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."
CITY OF PRIOR LAKE ~--'------~~---,
~SfJ) Impervious Surfac(~ Calculations I i)J i . i i'!
. (To be Submitted with Building Permit Application) I ~ i JUN 1 7 2005
For All Properties Located in the Shoreland District (SD ',:1,:
The Maximum Impervious Surface Coverage Permitted in 30 gf~_ent.
Property Address
3"'.3 Lv, I J Woo~ -r~(/r\\ NW
Lot Area ;: / ~ g ~~. Sq, Feet x 30% = .............. 6,5'...(",/
************************************************************************
'PkofoSk~U
HOUSE
AND
LENGTH
ATTACHED GARAGE
WIDTH
SQ. FEET
x
x
x
=
=
=
TOTAL PRINCIPLE STRUCTURE...................... "5,,'b "'I
,
DET ACHED BLDGS
(Garage/Shed)
-~
x
X
TOTAL DETACHED BUILDINGS.......................
~~~yPAVED AREAS
(Driveway-paved or not)
(Sidewa1k/Parking Areas)
X
X
=
=
x
=
TOT AL PAVED AREAS......................................... l) I q 8
P ATIOS/PORCHES/DECKS
(Open Decks I;''' min, opening between
boards, with a pervious surface below,
are not considered to p.e. impervious)
x
x
=
=
x
=
TOTAL DECKS..........."............................................
OTHER
X
X
=
=
TOTAL OTHER.......................................................
TOTAL IMPERVIOUS SURFACE
~i)OVER
. " C ,.JJ- S"
Prepared By --.Jt!(; If, t...iAtJJt),V
Company 'iT..." Py ~l1r'TPying. r.n l' A
Date
I of/, 8hZ
I 1/ ~~Z
t l
~ I I" /I,j:~-
Phone # (q,?) 447-2,70
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts',
Reviewed by: ~ ~ Date: .t.o((s(c~
Building Permit #
Address:3o?to3
Legal: L , B
PID:
tJ~ ~. j/.~
Zoning:
Subdivision:
Existing Structure? YES I NO
Existing Nonconforming Structure? YES I NO
I CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NA 1 FAILS/<COMPLlE~ Standard Proposed
. Front Yard (can be 20' if avg, w/in 150') 25' $Z. Q2.:
. Side Yards 10'1 ,
25' if abutting a street 6. , s,4S
. Sidewall exceeding 50' requires additional side 2" 10' setback + I
setback for every l' over 50' in length 2"/1' over 50' W, 15,/0
. Rear Yard 25' ~ '2.. S- '
. Patio Door: provide for minimum 10' deck or sign 10' side/
statement indicating no deck will be built in the future 25' rear ~A.
. From 100 year flood elevation of wetland/NURP 30'
pond tJ~
. From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no rJA-
less than 50'
.30 Maximum
Standard
Proposed
IV&]Jc
()rJ~
.........
Tree Preservation:~J FAILS / COMPLIES Standard Proposed
. Total caliper inches
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement Yz:1
L:\TEMPLA TE\BLDGLIST.DOC
Jul 11 05 02:23p
Carol~n Feldman Madson
9524477848
. .E.:.~_
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
7. If,05""
i =- ~ ! PERMIT NO. (j E;". d 6QCi I
1_ Doll "1If1..... ~ .
(PInK ~ M~rilJllllUisipa atbotllDlll) ]
I ADDRESS ~~. D 1 J I I ZONlNG ,......,
.~ ').. U s \.J; 10 IJJ t()d r- ~ F f'{C;V- /Ai&> L _
I U:GA1.DES~ON(___
LOT BLOCK ADDmON
pm
I
OWNER
(Name)
(A~s)
(Phone)
(A4IQtas)
(Cry)
(Zi'p Cndr)
(Ad~)
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure'_ feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line ~ feet.
Clean out (if required) located at feet from structure.
FEE SCHEDULE
~idential sewer aAd water line connectiolJ $35,50 Industrial, Co~'l & Multi-family 10/. of job c;osr with a S39.50 aUDimUPl
Sewer connection only S17.50 WaterconnectioD only $11,50
Estimated Cost S
Building Permit # 0 S. 0591
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
S
$ ~.~
s /
./
pf! (0 B!t-
B Uf 1./0
(Otl'it.C U,., Only)
This A.pplication Become.! Your Bllilding Permit When Approved
BuRdin; OlJicilol
D.re
p~
Da1.e1, 1/.05
By
14 buur "oti~e ror aU in:Jpecrions (952) 447-9850. rn (952) 0647--4245
TOTAL P. 01
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 3Z. ('0'3 W i L ~W 040 ~i L "".W.
NATURE OF WORK NEW CQHSTttt =rlorl ( '''T L,L. ~H)
~SE OF BUILDING . F: D ,
PERMIT NO. os. O~ DATE ISSUED OS'
~ONTRACTOR~O"" 0" -au.1..~ PHON .. 0- ,
NQI):: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE D UMENT
DEPARTMENT OF
,BUILDING AND INSPECTION
FOOTING
.tJc-
DATE
FOUNDATION (Prior to Backfill) / Z
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
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
IlR'HE J ~u~6W~P I~ I)}'/D IJ/,%t
'~ \j~~,~Vtl FINALS"
GRADING (Prior to Sodding)
BUILD~NG ~
ELECTHICAL
PLUMBING
HEATING
DO NOT
lUC
z..
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