HomeMy WebLinkAboutBuilding Permit 05-0803
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CITY OF PRIOR LAKE
~tparfmtuf of ~uiI~iug J/uspttfiou
pt"Final Permitted 0 Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
Use Classification ,5/ AlC::; {. E Fr/ /"1 / L V Bldg. Pennit No. C 5. GBt'.(3
.
Occupancy Type
/:::' .;>
Type Construction
Zoning District
,A;:: IG D
Legal Description
L. /..~
jL /rj t C:::' /~ T /-J LA..! 1\./.
Owner of Building
Site Address
15.:::{)Z- ,cL//vT k:'.L)hU
Contract~~s Name ~. Addr.e s; '/: (;' 0 1,)1.) ri t-E 1:5'- u K.5, I 54;::.5 FELT ~
f..JG(/' li,-I'c..I"t.c,,~ j/Vl-?CitYPlanner .:]6.1("
r Btding Official
Date: LP <-( . U; Date:
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
"-IS' oS"
I. White File
2. Pink City
J Yellow Applitlnl
I PERMIT NO. 05'. 0 B 03 I
ZONING (office use)
~/J !J
;::::-/:4 e~
LEGAL DESCRIPTION (office use only)
LOT IS-BLOCK
ADDITION
Yh€:..v<',5 -1 <;+ Add ,:.r,~,..,
PID ';) 5D3 c; D I (p D
OWNER
(Name)
L..I""" L-, 7 le'...: S.f" P b-JT.s.
:>
;;)q 5'5" ~ ~ J-f.::> lIe> 'VI--' ,p,.. I' at"'
(Phone) q.5;)- 4 D 3 - 0 ::SOL(
L.. <:. I~c. . )/Y)n) 5'"' 5"' '3 7 ;;::>
(Address)
BUILDER
(Company Name) t,v~addc. Ie P,v.'ld("I"~, '1::n<!...
(Contact Name) L t..<-.K 8.. rYJb~cL..~
,-
(Address) -;>L1s'5:' re/-TJ f),A m"'1ncfo,,\ k'Co....
(phone) '9s;':::;>- 51../S"'- D543
(Phone) q $^"'?- ? 4 ~ - ('7 Q -:::> 5
yY)1\) .5' 5'.:s 'Y ?
TYPE OF WORK ew Construction t::iIDeck OPorch ORe-Roofing ORe-Siding
Addition OAlterauvn OUWlty Connection 0 Misc.
. CODE: b61.R,C. ~ 'Xf\.
Typeof~nstruction: ~ IT
Occupancy Group: A B E F
Division: 1
OLower Level Finish
o Fireplace
mIVV~AB
HIM S U
2 3 4
PROJECT COST /V ALUE $
(excluding land)
~_, ~ I.~ ~"P"
'1;)5, DOO
DO
-
I hl'feby 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 own. er llr authllrized agent for th"j-'
above-mentIoned propeny and that aU constru~ion will conform to aU existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildir,g
official can revoke this permit for just cause. Furthermore. I hereby agree that the city official or a designee may enter upon the propeny to perform needed Inspections.
X ~ A. ,;;JQ;;J0 ?//S/b~
Signature Contractor's License No. Date
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$ 1500.00
$ Soo. ~ 0
s /2 2 75:. 04-
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
,.--.
,00
DD,tJa
35;. So
0,'0 0
Water Meter Size 5/8" I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
~~
Buildilll! Officiol
1/1 La s
ale
Paid / L
Date
This Application Becomes Your Building Pmnit When Approved
ify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requl'$tcd. This document
the City Planner constitutes a temporary Certificate of Zoning compliance and aUows construction to commence. Before occupancy, a CtTtificate of Occupancy must be
s-
Ie S~ial Conditlons. if any
24 hour notice for alllnspeetlons (9!12) 447-98!1O, fax (9!12) 447-424!1
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
Canary - Engineering
~ink - Plan~
Tht> Cf'nft'r of rht' Lab COOnl'1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~_._~,.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whiph is proposed at:
If ."."
'-
,f ;'
/' /./
'/
}
/
~.~
Accepted
~
Accepted With Corrections
Denied
Reviewed BC i~i'\-t. ~
Comments: ~ Z ~ d?'v ~ ~ .
~~ ~ ~La.
- ~ ~ ~ J~...f<~ -c~
c~~tI .% ~ ~j:.b ~ ~ ~tY-~
Date:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
._-,-, ....~..._.~----...~..,.-_.-
White - Building
" ~~ -~Engineeriiig:)
I - ..-Jannlng
The Ct'nlt"r of fhr Lake' Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/
--~
,..".--"
r.f
Ii
{> (7 f'
~
r~'
-'..
,.,/
, .
,. ,<
-+:........
The Building, Engineering, and Planning Departments have reviewed the building-permit
application for construction activity which is proposed at: ,
/5'3 (~);~.1'~/,,~-, : I. f l;~\ cl
J
Accepted
x
Accepted With Corrections
Denied
Reviewed By: fVJ&f3
Comments: 5(~ !<vt,5t 5/04. ?;'"
~ oJ.-( Ii~
Date: e'-J/-C)5-
Adlt I,~V/~ ( (~,vr/"1MfS
o/;:t;;- r
5 <.r Afh,c 4~ f~ '.. I) 6,.,dt~ pie,.... , Z.) l/o5tv-... C&"'1Ivc'/ Mi'i,5oft.$,
"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,"
Tht> ("t>n't>r of lht> I.akfo ("ounl!")'
CWhite - ~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
fi){J{)d ~/ M~
7- /~-6cJ
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: I
/6 3()~ .1~;f- If (2
~
Accepted
Accepted With Corrections
Denied
~~
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I" &yr< I~ ~ r ~ ch ~ :;
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Reviewed By:
Comments: e~ ~
Date:
7/;'-9 ~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."
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
CI. 2 Z. OS
~.
1_ Green
2 Yellow
3. Gold
~~I~. I PERMIT NO. 015:: /'JoQj
Apphcant vUl
ZONING (office
use)
LEGAL DESCRIPTION (office use only) J
L0115BLOCK ADDITION~ ~~
PID
OWNER _ /JL:7
(Name) (Phone) '}0:2- 5~-<./~
(Add"",)n.$5~~Q ~~ ~
(Address) (City) (Zip Code)
(Address) /5:';7/
(Contact Person)
(Phone)
(City) (Zip Code)
(Phone) ~-7.ft:,-~a-;7
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Location of any couplings from structure ..&!'Bfeet.
Type of sewer pipe. D ABC. [2fPvc D Cast Iron
Estimated length of sewer line~ feet.
Clean out (if required) located at feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family
Sewer connection only $17.50 Water connection only
Estimated Cost $ tI'~4.1 Building Permit #
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildinl!' Official
Date
1% of job cost with a $39.50 minimum
$17.50
e~
f~\O , ~
11/ V
eJ\
.50
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
f 2 Z_cJ5"
at bottom)
~. ;~:L ~~~licant I PERMIT NO.OS 0 8Q3/
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT/~LOCK ADDITION ~
~r~PID
OWNER
(Name)
(Phone)' ~E$i $~7
~;Z--3fS:~
(Address)
APPLICANT
(Name)
(Phone) 2;~- U -Ytll)7
(Address)
APPLICANT SIGNATUR
(Address)
aGrJAs (h)~..>
~
(Phone) 7~:;- 3~ - t'&)7
(Contact Person)
DATE
LEASE COMPLETE BELOW
Quantit
e of Fixture
Machine)
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 ~'5f
Estimated Cost $ ~/ ~lC) Building Permit # t 0 1)'1 /l~
PLUMbING PERMIT FEE $ tJ'
STATE SURCHARGE $ .50 pfi'111 II ~))
TOTAL PERMIT FEE $ I)V
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildinl! Official
Date
Paid ..------'
Dat 2 r
. (.OJ'
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E" Prior Lake, MN 55372-1714
16200 Eagle Creek Avenue S.E.
Prior Lake, MN 55372-1714
August 11, 2005
Kristi and Craig Potts
2955 Fox Hollow
Prior Lake, MN 55372
RE: Kitchen in lower level of 15302 Flint Road
Dear Kristi and Craig:
This letter is to clarify that the above referenced property is zoned R-1, and the
only permitted use is a single family dwelling. A single family dwelling is defined
as a "fully detached dwelling located on an individual lot and intended for
occupancy by a single family." This does not include a building with two dwelling
units. A dwelling unit is defined as "one or more rooms physically arranged so as
to create an independent housekeeping establishment for occupancy by one
family with separate toilets and facilities for cooking and sleeping."
It appears that 15302 Flint Road has a kitchen in the lower level. Based upon
the zoning ordinance definitions, it appears as though the house has a second
dwelling unit. Please be advised, that in accordance with the City Code, the use
of the basement as a separate dwelling unit is not permitted.
If you have any questions, please do not hesitate to contact me at 952-447-9813.
Sincerely,
~(h.~
Danette M. Moore
Planning Coordinator
Cc: Bernie Feidt, Building Inspector
www.cityofpriorlake.com
Phone 952.447.4230 / Fax 952.447.4245
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For All Properties Locat~d in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted is 30 Percent.
Property Address . ,'5307- f\'\"'!", 1<0 ~.'() 5t
Lot Area ~~ ,'1 \~ ~b",,\~'" <LL.qr,,,\ sq. ft. x 30% = .............. \0, \\'-\ " ,
************************************************************************
~\St:H"'1_
HOUSE U
LENGTH
WIDTH
SQ: FEET
x
x
x
=
=
ATTACHED GARAGE
=
TOTAL PRINCIPAL STRUCTURE......................
~blc,-
DETACHED BUILDINGS
( Garage/Shed)
x
x
~ro"<>~tQ
DRIVEW A YIP A VED AREAS
TOTAL DETACHED BUILDINGS.......................
x
x
x
=
"'Z..~ \~
-
. (Dnveway-paved or not)
(Sidewalk/Parking Areas)
=
=
c ' TOTAL PAVED AREAlS......................".................
\L-~\5+i ~~ ~ 1.. \ ?>'D _
P .@OS/P CHESIDECKS ~ 2. x = q 9
(c5pen Decks I. min, opening between X =
boards, with a pervious surface below, ~ 3
are not considered to qe impervious)
)"~S
\.\2Q
?nO
x
=
P~t?c)'5eD' ~~\~,
OTFiER I \
TOTAL DECKS........................................................
.;f~
=
\q~
X
X
=
TO.T AL OTHER........................................................
TOTAL IMPERVIOUS SURFACE
(>uM;~OVE~
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Company \)(..:., . ~
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Phone #q C;""2_" L\ ,-rl,.. ""$-1D
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L:\HANDO UTS\IMPERvio us.doc
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Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 DistrIcts
Reviewed by: ~.-n:;: ~
Date:
1 (25 ( o~
Building Permit # PID:
Address: I <5'30-;). ~ H......k- e.....
Zoning:
R. \ - s~
Legal: L I S"" J B -
Subdivision: ~ 1.>1'" ';J.J... ~~ w lu..hf"T1.:~
ExistingStructure? YES/~(~ r..-c.J)
I CONFORMS TO ZONING
, ORDINANCE
Existing Nonconforming Structure? YES(lliV
YES
Yard Setbacks: NA I FAILSI COMPLIES
· F ront Yard can be 20' if av . w/in 150'
· Side Yards
Standard
25'
10'1
25' if abutting a street
· Sidewall exceedi~g 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 nood elevation of wetland/NURP
and
· From OHW (Prior or Spring Lake)
10' setback +
2"/1' over 50'
25'
1 0' sidel
25' rear
30'
Floor Area Ratio: NA I FAILS I COMPLIES
.30 Maximum
I NO
Proposed
0"-
0""-
~'"
tJ 1"-
(~)
I
141*-
r
S J ~ + 50J
oJc-~
.I!;S' c.t.. '"
Yard Encroachments: NA I FAILS ICOMPlIES Standard Proposed
Eaves and Gutters no more than 2 feet in width and no ,}'
closer than 5 feet to a lot line (Easements). ....J --
AlC and other equipment cannot encroach on interior '7 .
side yards. .
Tree Preservation: NA I FAILS I COMPLIES
· Total caliper inches
· Permit 25% Removal
· Caliper inches Removed
· Cali er Inches Preserved
· Replacemem
Standard
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FEM~A
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
AND
INSTRUCTIONS
U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CEI~TIFICA TE
OMS No, 1660-0008
Exoires February 28. 2009
Building Owner's Name (\
I...:> ... \
Building Street Address (Including
\ S ~()2. \" ....,
City (0 , \.. \ I State "^
.'\ r\ ~.,... _I:.. \(...(' . --C..l N.
E'r perty Description (Lot and Bfock Numbers, Tax Parcel Number, Legal Descri ~tion, etc.)
as It. .,- -\t>O r,'~" t,' )
Building Use (e.~on-Residential, Addition, Accessory, etc.)
Latitude/Longitude: Lat. Long.
Attach at least 2 photograp'ls of the building if the Certificate is being used to obtain flood insurance.
Building Diagram Number--1--
For a building with a crawl space or enclosure(s), provide: A9. For a building with an attached garage, provide:
a) Square footage of crawl space or enclosure(s) sq ft a) Square footage of attached garage sq ft
b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage
enclosure(s) walls within 1.0 foot above adjacent grade _ walls within 1.0 foot above adjacent grade
c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings In A9.b
Important: Read the instruGtions on pages 1-8.
SECTION A - PROPER'ry INFORMATION
\(~4~' t'O\\s
Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
D '0 S\::.
For Insurance Company Use:
Policy Number
A1.
A2.
Company NAIC Number
ZIP Code
A3.
z:;t;':l'')i"2-
~)~.o1t ~urJy' "'.
A4.
AS.
AB.
A7.
A8.
Horizontal Datum: 0 NAD 1927
o NAD 1983
sqin
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B2. County Name' 'Sc...o%--
I B3. State
" '('(\" '
B9. Base Flood Elevatlon(s) (Zone
AO, use base flood depth)
o
810. Indicate the source of the Base Flood Elevati n (BF ) data or base flood epth e tered In Item B9.
o FIS Profile 0 FIRM ~mmunity Determined 0 OthElr (Describe)
B11. Indicate elevation datum used for BFE in Item B9: ~D 1929 0 NAVD 1988 0 Other (Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?
Designation Date 0 CBRS DOPA
DYes
~
SECTION C . BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: 0 Construction Drawings" 0 Bu'lding Under Construction" inished Construction
"A new Elevation Certificate will be required when construction of the building is GOmplete.
C2. Elevations -Zones A1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AH. ARiA, ARiAE, ARiA1-A30, ARiAH, ARiAO. Complete Items C2.a-g
below according to the building diagram specified in Item A7.
Benchmark Utilized _Vertical Datum
Conversion/Comments
Top of bottom floor (including basement, crawl space, or enclosure floor)
Top of the next higher floor
Bottom of the lowest horizontal structural member (V Zones only)
Attached garage (t\>p of slab)
Lowest elevation of machinery or equipment servicing the building
(Describe fype of equipment in Comments)
f) Lowest adjacent (finished) grade (LAG) q t> Ie. '- [3'leet 0 meters (Puerto Rico only)
g) Highest adjacent (fin~hed) grade (HA~) \0 ~~~ .~U}rr[et 0 meters (Puerto Rico only)
~_-t('" \-t.u~\ t,,;A~ "5 Co':\. . a; V"""
S TION 0 - SURVEYOR, ENGINEER, C'R ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architeGt authorized by law to certify elevation
information. I certify that the information on this Certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
o Check here if comments are provided on back of form.
a)
b)
c)
d)
e)
q\\
Q.'l. "2..
Check the measurement used.
,7- ~~et 0 meters (Puerto Rico only)
.~L..!:rieet D meters (Puerto Rico only)
. 0 feet D meters (Puerto Rico only)
C\'Z.o. \ [31get 0 meters (Puerto Rico only)
D feet D meters (Puerto Rico only)
, .<' i .:1, i; :, r'~'
~ ~....., - ". .~.
St::P}.,
!"~[~'~.C:
FEMA Form 81-31, February 2006
See reverse side for continuation,
Replaces all previous editions
PRIOR LAKE
INSPECTION RECORD
~~~~~~FE~~Rt~~O~~S&.~.f) ~~
USE OF BUILDING F: .
PERMIT NO. 00. 08()3 DATE ISSUED 0
CONTRACTOR ~ 'PHONE 13
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUilDING AND INSPECTION
INSPECTOR DATE
! FOOTING ! VVl# _ I r' ?I-U; I
I FOUNDATION (Prior to Backfill) ~ ~ ;v(7 ~./ i .
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC I O~.4 '0'
FRAMING
INSULATION ' "" \-tr: lJY" i.Vt1lls
ELECTRICAL
PLUMBING :I;A ~ Ii" 2.1,0.> L- c-} (j
HEATING (if required) ') _ 1/
FIREPLACE
GAS LINE AIR TEST tV t-W 2-,. 7-') 0 .
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
/lAntE I ,",Of<< Wll.N' I I J
FINALS
GRADING (Prior to Sodding)
BYILDING (j (lfrlV.
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE 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.
/-lj"YlU
1)..-1:>-&
SIGNED
FOR ALL INSPECTIONS (952) 447-9850