HomeMy WebLinkAboutBuilding Permit 05-0573
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I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
33.30
W/L-OfVCJOD
Date Rec' d
h J.. (:S
I White
Pink
Yellov.'
File
CIty
Applicant
I PERMIT NO. 05. 0573/
P2fil L-
frl/V
ZONING (office use)
?t/L)
LEGAL DESCRIPTION (office use only)
LOT /'B BLOCK I ADDITION IrtJOOs /T--r '17IG /1// (..-O...f
PID 25: ~&.3. diEt. ()
OWNER
(Name)
s;.et ~ e~ ..1'
{5,<., Id~/L
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
/C. /:/. ~I /flJ/"?e;.J
,R.,t e/e:... IC.-CFI
7~ 9 +- /Zt),~
~/. tV,
(Phone) &S? ~23. ():JZ 0
(Phone)
frl? P{ /:;': id
s.r~ 2 +-
TYPE OF WORK New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtiIity ConnectIOn
CODE: ~I.R.C. DI.B.c. o Mise. ____
Type of onstmction: I II III IV V A B PROJECT COST IV ALUE $ :5" CI 0/ 00 ()
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby ccrtlty that [ have hlll1JShed Information on this applIcation which IS to the best of my knowledge true and COITect I also certIfy that I am the owner or authorIzed agent I"r the
Jb()ve-mentlLl~ed prope a t all CllnstructJOn will conform to all exIStIng state and local laws and will proceed in accordance with submitted plans I am aware that the buildIng
~ljClal can rcvoke tillS 'rm for a~ Fu crmore, I hereby agree that the City official or a de;g; ~bter upon the propeny to pert(Jrm needed 1~'2I~ )
Contractor's License No. . [fate
II
Permit Valuation "SOO,O~O,()O
Permit Fee $ 3'-1S:S .50
Plan Check Fee $ 2 2l(4, 71'
State Surcharge $ Z$o.oo
i Penalty $
i Plumbing Permit Fee $ !oa,ao
Mechamcal Permit Fee $ I {)C). 00
Sewer & Water Permit Fee I $ g S, ,>"0
Gas Fireplace Permit Fee $ Ljo,oc I
This Application Becomes Your Building Permit When Approved
I ~n;,C~ (glt~/o>
Park Support Fee # $
SAC # $
Water Meter Size 5/8 ; 1"; $
Pressure Reducer $
Sewer/Water ConnectIOn Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE ~ (p. ZD _OS $
ThiS IS to certity that the requl'st 111 the abuve application and accompanYlIlg documents is 111 accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when SIgned by the CIty PlJnI1eI (nI1stItutL'S a tL'mpOl<UY CCltlficatL' ot Zoning complJancL' and illlo\\s constIllctron to commence BefOlL' occllpilncy, a CCltlficatc ot OCCUPdl1CY must be
'''~ ~ ~;/O~S- ~~ /'
Plannmg DIrector f I Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
,....----- ~--..--...
White . BUildi~
~nary - En~neering~
Ink - Plannmg
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
"J Li J/ ,". _.' 1)....'1 .j>' ?:" ,-'
/c.... , .17. ,c__.{. / Fr.... ;>:1' .I t-.._,~
APPLICATION RECEIVED '
".. I 1-
(~;' , . :j.:
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-::=:-?2: () /~V" c t.j 1'1.'u LJ () 77;:"/1/ 1_ ;i//l,,/
Accepted X
Accepted With Corrections
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 -->>~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/2.4. ~/T /-ftJ/'1 eS
~, /. oS-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3330 W/~OfVtJtJD '~/L- ;1/1/\/
Accepted
Accepted With Corrections
/
Denied
~ ~ Date: ?/(O/tI>
~a..Lf~\ ~ ~t~
~-2J {)..-u vU,~,
v
Reviewed By:
Comments:
0~
liThe 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
CPink - Planni~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
...." APPLICATION RECEIVED
.. ,.'-; /:.. //./ L-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
--:-> ~. .... ...-'
L-- I~/ t \,' Jr.' (,
{':,-,/' i L..J
/' ..,/
Accepted
Denied
Accepted With Corrections
~
~
7(~ aP
,.
;Z~
~r~~'
Date:
~ //0 /r;.s-
,
Reviewed By:
Comments:
'if' ~~. .~' " .
AJl" Go:miitioner alAi O~11er .tct'..;1.ecJtwu.ull.;a...
r .~t C ' .~t' E. nnro':'\.r>h m"ta:\., R'equ:r:red
JID..s ax TI.u J.L:.I . ~~. ;.L..... .>'.."u
S~ r! p Yf.~T'd S; et b3J':~:[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: 1J~ ~ Date:. ~ / 10 /oS
Building Permit #
Address: 3.3 3 t)
Legal: L /g J B
PID: Zoning:
uJ iL lJ l-tJ t1 tJ.l> ~ I 10. u..) .
J Subdivision: ~ WoODS @ w4
Existing Structure? YES c:€J
Existing Nonconforming Structure? YES~
I CONFORMS TO ZONING
ORDINANCE
YES
NO
.
Standard
25'
10'1
25' if abutting a street
Proposed
S'
.
I
W,-- 37.2-
. 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)
10' setback +
2"/1' over 50'
25'
1 0' sidel
25' rear
30'
fJof1c
A
75' or setback average of
adjacent structures, but no
less than 50'
riA.
I Floor Area Ratio: NA 1 FAIL~ COMPLIES ~
.30 Maximum
10/ '10
Standard
Proposed
tJc17Uc
/JOtJe;-
Tree Preservation:(N(.(} FAILS 1 COMPLIES Standard Proposed
. Total caliper inches
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement Y2:1
L'TENIPLA TE\BLDGLIST.DOC
07/08/2005 12:01 9524512155
MI=lY-26-2ae4 16: E'fj CITY OF PRIOR LAKE
DA5Et.J COtHRACTIt.JG
PA(3E 01
9S2..4~'424S F. 01/01
AtI_~.... ,L"~ '\.a
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
i ~ E~u I PERMlTNO.~ 673\
I~~~;~",~d~~) --
ADDRESS ZOND{G (;fficl!l&X)
.8])JQ; fJWDtd 1i'(I;j RJLO. _:=J [__:J
oJ- ~~~_~_==~
~.- . .' -
O~.~ D ~ \~')
(Na.mC)~-11. oi .,et;) (Ptcae)~--//c?3 -[)s.VIL
(AMn~!1!d~'(OJ' ~~&1~~0 ~~~-#-
~~~r~ ~im-roch1J. & !:JIr. (Phone) yj;LLI/fL;;(ii)=
e".ddo"J a~OL+:::s.,JJo:+e.berz., . YvL- U)[Q,U,'Jlf (mJ ~L/i/__
n ;MlfrW) . (Olf) (Zip C ulc)
(contl.,ap,uonJ t:[(){~ (Phoo<J/.Q&.:3aY- aCilQ--
AP!'lICANrSIO;,ATURl- . . J-1 . DATI!~L!(~~==
LEGAL DESCUP'.:10N (Offlfll,* oc1y)
LOi \ BBLOCK } ArDmON ~S
APPLICANT PLEASE COl\1PLETE BEl,OW
Size of water service inches.
Loca:~ion of my couplings from strUCture'_ k~
Type of sewer pipe. 0 ABC 0 PVC 0 ~::ron
Estimated length of ~ line _ fect.
Clean out (if required) locate,! at _ feet from strUcturr.:.
._-----
FEE SCHEDULE
RMid.mnlll sIMer and \vf1Ult Ii 1" CClmoaiOD S35~O TnduJ'CI:illl, Com'l & Mult1-t'amily 1% ofj,')b cost wi::b a S~9..s0 c".inimllm
Scwc: connc ctlon only J 17.50 Water c:ounectioa only $17.$0
E&tlnBted Cost S
Building penn.it# ____-
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTALnm.rrrnn
s
S
$
=::MD WITH
BUilDING PERMIT
(om.,: UJoe Only) ,~._._~------_._--,
[ ~;IAPpa_cn_tior, .8ecGDl'; Yout BI1Ild1Di Penult Wk'~n APProv_~ !, ~~ ' =ar~ - ~
.~""' D.h - \,~ 2005 ! '.I} _==~
24 hur nDdtt for aU ~pwctlOll' (m) 447~~. r'~n(9!1) 417 -42~~
1.."...._,.. ~.",. ____...,..'_.._....'. ..~
TOTR P.01
U T, JU Lll .\lU;\ U~; iJ~ r.U bl ,.... 7..;;..:J
---... ..--
l-j J 1 ur rl\1Ul\ LitLeL
/I
CITY OF PRIOR LAKE
REA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Ret'l:
~ ~ ~~\CM11 I PERMIT NO.OS. 0573']
~ rype or prill! 'I' I ugo ~t t>eltOm)
i ADDRESS
I 3 330 UJ' Ice i^JOOdU ijo. 1/ J1I./A./
I zoNING ,~" ." "
I LEGAL DESCR >r10N (offiCI! U.lt only)
PID
! LOT
BLOC: ~
ADDITION
I
i
(Phone) ~S/-4;;J3'6Sc)cJ
~ ~~~8,~cI+ IIc;1/J~S
I \ 1/
. (AdO""') 7G.'JY ",-es-t /~~;1" ,d,ed
APP Ll CA;'-.1T . ....-
~3.m(;)~!?{,,~il ,A, ~J~ _ (Phone) '2$'.,;)- /'vt'-S-;?c7?7
,:,ACd!ess) 1;?.:2S3 /t/,'i<///t:/Avr'.-- <;CAA~ -;;;;;.IA'5J///~ s"Ss.'57
(Ad.dIc$~) (ctty) (ZIp Coc.e)
t:!' // (Phone) .5)<J#~/
~ I Q~---
LICA PLEASE COMPLETE BELOW
;- gNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
I F\..'R.'lACE MAli S AND MODEL '6/1JAhI+ gS~""J<Jvo(;I::JI;JO 9dAJ FUEL ~XJ T
I ' ,
i FLUE SrZE 3~ 8 v. u RETURN OPENINGS ..::lJ INPUT /Jq IN)C) OUTPUT /()'!- {!~c;)_
TYPE OF sYSTBlvi REA. TING OR POWER PLANT
, . ~WllITl1 Air Plant:! 0 Steam
i~::~i~1 ~~~~:R~;JF)op~
. AIr Cooditionin~ ~ Specia.l Devices El~t.lt.,I)G' it,,}'''/'
Vont. SyCIem 0 Other Devices
^)CV'/~UJo<1IJ~v
/
! (Ccntact Person)
i APPLICANT 51 }NATURE
I
DATE
-
,
.- ,
PLV.5t NOH;
Air Conditioner Units
Cwnot EDcroacn into
Roqui~ Side Yard
Setbacks
J
I FIREPLACE M, KE AND MODEL
foc'.sO':!!, Comml cieJ &, Multi-Family
FEE SCHEDULE
I % of job co,t ResldentlaJ, Gil3 Fireplace
S39.50 rnirumlJrn
S99.50 Residential. AddilionJ c1 Altoratio111
S64.50 ResldtntlaJ, AC Only
Rt!Uden1Iil, Heal:, ~ &. NC (New Coostruction)
!\es:dcn:lal, Hell.! I S Only (New ConstrUction)
8timated Cost S Buildln~ Permil #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOT AL PEro.m' FEE S
orne. uu Only)
Thli AppUCII' ~on Becomes Your BuUdini Permit Wben Approved P
Datc{.? l ,~
I" ,O?
Build i ~ Oroclll
Dale
24 no~r DDlic. for 011 illlpectiolll (952) 447.9850, (11 (952) 447.-4145
S39 5:1
S 3 95C
SJ 950
Ey
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~:w ~l~icant I PERMIT NOS: 5~
Please
ADDRESS
3330 WILDWOOD TRAIL
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name R.A. KaT
lPhone)
(Address)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone)
2561
651-633-
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
9/7 /05
xD NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
o Gravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVenl. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO ST-HV X 2
APPLICANT PLEASE COMPLETE BELOW
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Industrial, Commercial & Multi-Family
Residential, Additions & Alterations
Residential, AC Only )
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ PAID WITH
~---BYflDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
Date
Buildinl! Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
MATTHEW DANIELS, INC.
. .
or lint and ~i at bottom 1
RESS : . ~
i ~ol-*~~
i I
LEqAL OESCRI$10N (office U$t only)
-'_' I
LqfBLOCIcQ ADDITION
i I
OwNER
(Na~e)
I
(Addlress) .
423 3017 P.fl1
I Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMI-r,
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ZONING (office use)
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(Phone) t:,~.~~. 6d~
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APRLICANT I ~
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(Co*taa Person)
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APl1LICANT SIGt'lATURE
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(phone) &:.51.
qJQ) /Y. AJJ 1 r. YJ.;)'
(City)
(phone); b5"J.
DATE
.rid. ...51~()
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-S$068
(Zip Code)
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APPLICANT PLEASE COMPLETE BELOW
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Quan ti9' I Type of Fixture Quan tity Type of Fixture
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I~! B,-th Tub with or without shower S- Rough-ins
I I D~shwasher I Water Heater ' .
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II Flbor Draip I~ Water $oftner I
1$ Lavatory (Bathroom Sink) I Stand Pipe (W~hing Machine)
I I 4undry Tray (lor 2 companment sink Sewage Ejector:
! I S~ower Stall Backflow Asse~bly
I I S ilnks Backflow Assen>.bly Test
I I B~r Sink 14 Lawn Sprinkler i
U \\fater Closet (Toilet) I Other !
i! FEE SCHEDULE
IfusO'ial~ Comm4=ial & Multi-family 1% of job cost with a. $39.50 minimum
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(O~CC U3C Only)
T~ls Applicatio~ Becomes Your Building Permit When Approved
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Residential, New One & l"wo-Family $99.50
Residential. Additions &: \6.1tetations $39.50
Estimated Cost $
Building Penn it #
PLUMBING PERMIT FEE
I ST ATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
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,
9C/.-5?J i
.50 PAID WITH
Ib~.t>tBUIlQING PERMIT
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Building Official
Date
i Receipt No.
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lBy
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1~ hour notice for an inspections (951) 44 ~~.~ax (95~)447-414S
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TOTAL P. fl1
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~:'n ~::y I PERMIT NOr. c. Ij:l
3. Yellow Applicant , ~ ~ lJ
ZONING (office use)
ADDRESS
3330 WILDWOOD TRAIL
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name R.A. KOT HOMES
lPhone)
(Address)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone)
2561
651-633-
(Address)
2700NORTHFAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
9/30/05
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants D Steam PLEASE NOTE:
DGravity D Hot Water Air Conditioner Units
D Mechanical D Radiation Cannot Encroach into
DAir Conditioning D Special Devices Required Side Yard
DVent. System D Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO 6000TR-OAK
APPLICANT PLEASE COMPLETE BELOW
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
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
.50
OCT 0 6 2005
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Receipt No.
(Office Use Only)
Buildine Official
Date
By
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 3~ 0
NATURE OF WORK ~ ST'Il~C: , 0 0"'''' a... ,
USE OF BUILDING S'. · t>~
PERMIT NO. 05. 0573 DATE ISSUED ?:i'D/.S
CONTRACTOR j?.A. }<..oT H' ,,^EJ PHO EfDS(-"'2.!~3~o
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILD~NG AND INSPECTION
FOOTING
FOUNDATION (Prior to Backfill) ~ e
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH- S
0t.,
v1tf'
OCCUpy UNTIL ABOVE HAS
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
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