HomeMy WebLinkAboutBuilding Permit 07-0719
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1.2.3; 0.7
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 0'1. () '7/ f
ZONING (office use)
'!v'".::.'-/ l'V.1tJ U, J'-L
RI
LEGAL DESCRIPTION (office use only)
LOT 12 BLOCK 3 ADDITION ~ [kt v-e
A?-- C/-r'CtY'7
/ aR-<-
PID z.:::- kr4- us:+.o
OWNER
(Name)
pvlle /I-~
<?/) !IIc(y~ /.AJRrf
;J-. riV r... ,
(Phone)
8" :ie. V\ Ii/I IV
/
>)/2
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
:y~ is
f'v\ i L ,^f~ -e (
A-Ft-c (elt
(Phone) 6.9 - l./.f? - 52. Oct
(Phone) b (2- - ,~~~ 7 - -<:'79' '7
TYPE OF WORK Q[ New Construction ODeck OPorch ORe-Roofing ORe-Siding )&fLower Level Finish 0 Fireplace
OAddinon OAlteration o Utility ConnectlOn
CODE: ~I.R.C. DI.B.C. o Mise '2- CjS~ o--o-c;
Type of Constmction: I II III IV @ A B PROJECT COST IV ALUE $ 2~L, l7dO
c Group: A B E F H I M R S U (excluding land)
Di Isio . I 2 3 4 5
I hereby certify that I have hlrnlshed mformatllJn on this applicatllJn which IS to the best of my knowledge true and correct. I also certify that I am the owner or autlwnzed agent f,)r the
abnve-mentllJned property and that all nlnstructllJn WIll conform to all eXIstmg state and local laws and will proceed m accordance with submitted plans I am ,Iware that the bUlldmg
~f1Clal can rev;~%:J t(ll J;!lSe Furthermore,~that the City OffiCi;~1 Zlg2e;y ~nt;~ the propeI1y to pert()rm ne;d~n;e~:o 7
Signature Contractor's License No. Date
r
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $ I
Plan Check Fee $ Water Meter Size 5/8"; , $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ 00. 0-0 Water Tower Fee # $
Mechal1lcal Permit Fee $ 100 .00 Builder's Deposit $
Sewer & Water Permit Fee I $ J~ .SO Other $
Gas Fireplace PermIt Fee $ 0 .()O TOTAL DUE $ I () 3Z'-.
/
Paid Receipt No.
Date By
ThIS IS to certify that the request m the above applicatllJn and accompanYll1g documents IS m aceord,lOee with the City Zoning Ordinance and may proceed as requested Tim document
when signed by the City Planner constitutes a temporalY Certificate of ZOl1lng compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
IS~ ~ 7/~S-jGate07
Planning Director ~ u
MlJ
,
J ~ItC;-'N
ecial Conditions, if an
~/'~
White - Building
~rv -~h,~erlng~
Pink - ann ng
NAME OF APPLICANT.
BUILDING PERMIT APPLICATION DEPART~ENT CHECKLIST
pUG11; H-ofVl ~5
7.2-3.01
\ \
,.. J
:APPLlCATION REG~IVED
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5570 l1'UlfLrf-e;AD LANE"
Accepted
><
Accepted With Corrections
Denied
Reviewed By:
M16
Date:
~~2'0 7
Comments: See Reverse Side for Additional Information!
ClJ/lL Apf/o..e- ~ f<e'tV,/,cc!
. 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 jurisdictioh. 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-Pmk - Plannlr19:>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
" > I,. \ t
. -.
\ ( 1 '" ; t
I '-... ....'"
APPLICATION RECEIVED
c1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-~
. .I (\ , )
_ ./ f .~' t. r..1.,/ <-I\ i ;t..
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
Comments: ~ CJ-Lf
~.
~ Date: 7/.,;2.5/07
, "
~~..~ ~
~~,
~ _~ltL~
..A.A--
..
"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."
~hite - Buildinu
anary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PU0Tt; ~-tvM s:s
7. 2-3.01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
557D 'm(Ltf5l~D LANe:
Accepted
Denied
Accepted With Corrections
Reviewed By:
Comments:
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."
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by: ~ ~
Building Permit # PID:
Address: 557d TRP-l.-f.A..e,-,R ~.
Legal: L I L. . B .3 Subdivision: '7Z~ (j) ~ ~
" .
Existing Strllcture? YES@) Existing Nonconforming Structure? YES ~
Date:
7/~-S/() 7
Zoning:
(YEW
I CONFORMS TO ZONING
ORDINANCE
I
NO
-
Yard Setbacks: NA I FAILS/,.,,,,..II)LlES) Standard Proposed
. Front Yard (can be 20' if avg. w/in 150') 25' 2-$'
. Side Yards 10'1 J () ,
25' if abutting a street
. Sidewall exceeding 50' requires additional side 2" 10' setback + ,
setback for every l' over 50' in lenath 2"/1' over 50' '2~, 7&
. Rear Yard 25' ~5'
. Patio Door: provide for minimum 10' deck or sign 10' sidel
statement indicatina no deck will be built in the future 25' rear f\JD~€"
. From 100 year flood elevation of wetland/NURP 3D'
pond. AlA.
. Refer in-ground pools to the Planning Department
. From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no AlA
less than 50'
.30 Maximum
Standard
Pro osed
01JC
JVO Nt!
.?\;. ,
Tree Preservation{{NA) FAILS 1 COMPLIES Standard Proposed
. Total caliper inches
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement %:1
L:\TEMPLA TE\BLDGLIST.DOC
Aug 17 07 10:04a
METRO GENERAL SERVICES
763-428-2968
p. 1
"
GIlUIt - FILE
YIELLOW - APPLICANT
GOLD - C1Tf
CITY OF PRIOR LAKE
SEWER' AND WATER PERMIT
FA'" 1'Slr t!,/7-tfj,t/r NOTE:
S.w. No.
Sewer and Water
contractors must
be registered
with the city.
SITE ADDRESS:
C~EtJERAL S6R.VIC-EPHONE: (f:)3 -4-dg.-~cl.3g
riVe.
DATE:
s-r. 1'Y1 I c..,., A r; L I --JrV) IV. 5.5 37 6 f\ -, . 07lQ
BLDG. PERMIT # U-f
PID#
APPLICANT: (h t:-TKO
ADDRESS: 57 Cl 0
SIGNATURE:
FILL:. IN THE BLANKS
L
2.
3 .
4 .
"---- 5.
6.
Estimated length of water service
s()
feet.
size of water service
Location of any couplings from structure (J feet.
Type of sewer pipe. ABS____ PVC ~(I Cast Iron____
Estimated length of sewer line ~n feet.
( 'I
inch(es) .
==================================================================
Clean out (if required),
structure.
located at
NIA-
feet
from
This application becomes your permit when approved.
BY ~ DATE:
;;==;;;~f'~lr~~~~~~=;;;;~~~~~====;~~~-====~;~~~-=-;==;======;==
FEES: ~ 1cJ.i,~i-';:." ~(>" 'f-
.....No I-e,e-
r...:1~~,*"
Fee for either sewer or water individuallY is $20.00 plus
$ .50 surcharge.
Sewer and water line connection permit.
surcharge
TOTAL
*
\.
, \
\-.
* Sewer and water permits issued for new construction must be
recC?rdW"..,.\....~.-...' ,"-__.me.\.ib,~il~.~i.~~, permit card at the time of ~ssuance
~o 1ns ~W.tiha\i Ho' dupli1cate sewer and water perm1ts are
~ssued " i'
. ..' .. ,Ii AUG 3 i 2007 PAJDwm-l
DATE-,jt>AID ~LLi AMOUNT PIBellDING PERMIT
'RECEIPT # ~~=-_.~.. REC I D BY
. ~ ,:
16200 Eagle Creek A v. S .E.. Prior Lake, Minnesota 55372 I Ph. ('/S2) 447-4230 I FAX ('1;'2) 447-4245
IJ. n p,.,,,,,1 ()n"nrt",,;tv P.mnlover
--'.---"
Sep 06 07 03:40p
p. 1
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~~...!o~
I
! CITY OF PRIOR LAKE .
I flEA TING/AIR CONDITIONlNGIFIREPLACE PERMIT
D1l1e ~'d
I. PI~lI
::. 0....
J. Yc:l__
~,_ [~E~'I NO. a
1 L (Offi<< J
\
:$'ll~:~'~;~bO~\-V4\\h~~J DY'IV~
LEGAL 1Jt:SClUl no~ (~m~ ~~e ClU\)')
PID
ADDITION
-- =-
O\VN'EK \) ~
1>r.:ne)~_\Al.k. \U.-e. ~
(Milim) ~-1~lJt.0 PI<W'i ~ l+D
i'.'\PPLleA}JT 0 Q'b ~ l-1:f~ ~V1q~ {
I (N.mlC)~_,~ V . ~~ J I .
\1 (J'.cLt~,)~lo'2. R~VlCVrv;ew LVI
: '''\ ~)
I rContact Person', buy
I ' '
L.OT
BLOC!,
~ l
(Phona) {ySl- 2. -S2.1J 0 I
E~q.;)V1 ' 1- .
.
(Phone) "I L, ~ - +l1> - 2~ I
ph{ LA f'J\k-W\ S~44)
( '(1) ('Zi:p C~)
(phone) -=rl,.Q~ - ~ t ~- V--~ l -
, \ 0
DATE
, _ _I APl'LICAN1' PLEASE CO. ETE BELOW
I I EW CONSTRUCTION REPLJ..CEMEN"I AL TERA110NS \
i PUR.."'JACE ~"":I E AND MODEL 1 e V\V\QX ==) ~'f-=- fUBL l..lA-r" q.k.:S..-
, FLUE "" _ RJmJ1Ul OPENlNO. INPUT EJl{= \,\c.. OUTI'UT rp;..~
I TYP~ OF SYSTEM HEATING OR pOWRR. I'LANT
I iUtll Air Plwta ~ St.oIltI
_ GnLvi~ Hot wrur
I ClCl-JtI1ioal RAd1lltlon
I ' r COllllition.ln" Special tlevlCO'!
I OVOl1'- S~S\C1\1 O~!100~locs
I F:RfPLACE ~.I \KE AND MODEL
I'Lt.ASE NOTE:
Air Cotlditiotl~r Unit!!
CaonOI Bncro.llA:h Into
'RJ:qU irtd SIde> "a:rd
Setbac\:& ~
IndlUulAI. comri ~cw &:. MulL1-Porolly
F]!.E SCHEDULE
I % of Job o:lBt RoI1dc:n1aJ. 01U Plrep Ill'XI
539.50 rolnlmwu
1~~s\~~I\\i~l, Hr.ill n~ &. NC to"'".... ~t\flU'I(tiOtl) S99,~ R.~dClltiA1. Addltlonl & ^l~raricne
Rmj~ntllll. H~II u~ Oni)' (N~w CQIU1J\lctiOn) S64.::l0 R.tt11~tW. AC On\)'
Estima.ted Con $ Cf'1 8 D ,M Bullclllli l'crroit 'II-
S3Y.~()
Sl9,jO
S39,SO
REA TING PERMIT FEE
STATE SURCHARGE.
TOTAl.. P'lt'RMXT FEE
$
S
s
.SJl
0/10 rr', '\1' TI j
I .M1t-t'Ul .'j
r:,\ .,. r,! ,'''' r>,-,' "Ill r
\",' ',J a ~ i.,) t ':":i p-f ,~'.': j' .-j,;\' ~ '.:
(om;' La.Oll.l-1
C;COlpt NO,
'I
T~i:J A\lplll IOOU Hccomu Your B'II.lldin( Permit Wl:t,n~ Approved
,
-oUII' rill: Ol1ldl'
~c,;;.y i I LUJ i Y
OMIt
1. I\<lur DOtICt fvr .\1 illap<<\lCOIIII \'ll:sJ.) .&.47"6!i~, fn.{O!l:l) 447-4)45
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
if)$" /07
ZONING (office use)
I. Blue File PERMIT NO
2~ ~ .'7-1/
3 Yellow Applicant
SS70'
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
~JI~
,
(Phone)
I OWNER
(Name)
(Address)
APPLICANT f)J
(Name) 1/ 0 II~ f!~ ~'...~ :;:;-L-, L
(Address)~60 Q)..4~_ ~
(Address)
(Phone) Q <;; ~ -lj yt9- d I (y I
~Or~,
/'h F7 .
(City)
ss-~s~
(Zip Code)
(Contact Person)
ICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
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 $39.50
Estimated Cost $
Building Permit #
.50
fB- ~I
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Building Official
Date
By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
PRIOR LAKE
,p.
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ,C:;S'7D ~;\ ~~ t~
NATURE OF WORK Hw
USE OF BUILDING B...F D
PERMIT NO. ~ DATE ISSUED ,.,1 a <, t D1
CONTRACTOR _W\ll..<; pHdN[tf ,/1. <f~1"111i
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
I ,THE PE. MIT IS BY ~EPAR~TE, DQCUMENT
)0 TV\s ctl lJ, 0 oS'dVl ~ttcJl INSPECTOR DATE
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER J'JO WORK UNTIL ABOVE HAS BEEN SIGNED
I ~oos~ ~~ /c..J.~ I I
I FINALS
~
t4y?
GRADING (Prior to Sodding)
BUILDING f/4/
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.
FOR ALL INSPECTIONS (952) 447-9850
.
.
.
.
Ian
Bluff in Shoreland: FAILS / COMPLIES
. Setback from top of bluff
.
.
roved
.
~
Floodplai((NAJ FAILS / COMPLIES
. 100 ye'ar11ood elevation
. Lowest floor elevation
. Proposed lowest floor elevation
. Elevations 15 feet from structure
. Road access must be no more than 2 feet below
Reaulatorv Flood Protection Elevation
FAILS / COMPLIES
.
.
.
.
.
L:\TEMPLA TE\BLDGLlST.DOC
Standard
24'
5' from side lot line or
3D' from r-o-won corner lots
10%
35' Maximum
30% Maximum
Standard
By planning dept.
20' From Top of Bluff
By City Engineer
No importing/exporting
Standard
908.9' Prior Lake
914.4' Spring Lake
909.9' Prior Lake /
915.4' Sorine Lake
Must bEL~' above flood
elevation for new and existing
structures. If existing
structure was constructed
9/19/90-11/22/97 then
additional foot is not required.
Must be flood elevation or
higher
907.9' for Prior Lake
913.4' for Spring Lake
Standard
832 sq.ft. or 25% rear yard
10'
15'
01-...-
Pro osed
Proposed
Pro osed