HomeMy WebLinkAboutBuilding Permit 07-0752
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CITY OF PRIOR LAKE
~tparfttttnf of ~uil~ing Jf nspttfian
~ Final Permitted
D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D 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 -S/ltyUS" />'II'/IL,';/ Bldg.PennitNo..' (752-
Occupancy Type Ie'::: Type Construction l fj Zoning District /c I
Legal Description
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Buildill$.pfficial I
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Date:
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Trc.. : I k ec... d Lo 'Ae
Date Rec' d
727. 07
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. O~ -15J.-.
<::" ~
<..:) L/
ZONING (office use)
K/
LEGAL DESCRIPTION (office use only)
LOT5 BLOCK 4 ADDITION ZMC la VC
C{ + C l-ec<-V\/
L-cdte.
PID 25- 4-~4: 04-.30
OWNER
(Name)
? u ! i e. ~CJvv-.Jvl-
<6 15 Alo ytl- LV e's1-
p (Y1..fL v-)o-y
(Address)
(Phone) b S I - Lf5' 2. - '5.2.00
Ec.. '3- c ~ tv\ t\j S- ,) I 2 t.j
BUILDER
(Company Name)
(Contact Name)
(Address)
S'J4- ,ME-
{\A; r. -e. AfFe (c!t
(Phone)
(Phone)
6(2- 56'9-3919
TYPE OF WORK ,gJ New Construction DDeck DPorch DRe,Roofing DRe.Siding DLower Level Finish ~Fireplace / I)
DAddition DAlteration DUtility ConnectIon L
III IV
H I
2 3
GJA
M R
4 5
I
E
II
F
I
A
B
DMisc
B
S V
PROJECT COST/VALVE $
(excluding land)
/Q7, 300
I hereby certify that I have hlrmshed mfllrmatlOn on this application which IS to the best of my knowledge true and mITec!. I also certify that J am the owner or authOrIzed agent I()J' the
ab,)ve-mentwned property and that all constructIOn Will confllrm to all eXlstmg state and local laws and Will proceed m accordance with submitted plans I am aware that the buildmg
~f1Cial ca/r{~/::Jlt l't;/Cao;;:;;;;zebY agree that the Cl~ ofjjcia~~6g~ mJn,Z u7n t3opel1Y to perform need7~nsI2t7s_ 6 7
Signature Contractor's License No Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
$
L 00. 0 0
Gas Fireplace PermIt Fee
This Application Becomes Your Building Permit When Approved
I~~
I Ilurldlllg Urtlclal
f/~/o7
Date
Park Support Fee
SAC
#
#
$
$
$ 5: .00
$/00,00
$/5'oo,DO
$IDOQ. De)
$ SOQ,OO
$
$
k
Water Meter Size 5/8'; ",
Pressure Reducer
Sewer/Water ConnectIon Fee
Water Tower Fee
Builder's Deposit
Other
#
#
pll%?
, , Date
ThiS IS to certify that the request m the abuve applIcation and accompanymg documents 1$ m accordance with the City Zoning Ordinance and may proceed as requested 1'1115 document
when signed by the City Planner constitutes J temporary Certificate of Zonmg compliance and allows constructIOn to commence. Before occupancy, i1 Certificate ()f Occupancy must be
ISS~ ~
Planning Direetor
~~
Special Conditions. if any
24 hOllr notice for all inspectiolls (952) 447,9850, fax (952) 447,4245
4646 Dakota Street Prior Lake, MN 55372
Pink
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(2~~
1 Z 7. 07
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: "
5tPSc; ~-<:UrL ~~
Accepted
Accepted With Corrections
/
Denied
Reviewed By: ~
Comments: ~ oJ2J ---A~
~1k~ ~ ~ ~ ~,
()~ r .I ' _
.../'~P-JL Y ~~ ~~...~
~
Date: 'fii ~ (CJ 7
~~~
~J'
~/~,
"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
cgiPk - PI~
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
Denied
Reviewed By: ~ ~ Date: g,/ G:, ,I 07
Comments: ~ ~ ~. N6 ~ac.J-; f-a
~ ~ ..:. ~. f~ ~'"
~~~~~~
Accepted With Corrections /'
\it" ec-A....,-- a.,.d 0tIIer MecbR,!icai
1 . ~ .-.~IatoBeq1Ul'ed
UmtB ~Side Yard Setbacks
"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."
,f
White - Building
~ - ~~gln~ering:)
In - annlng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,/ J f;-;f:v JIz
0:kL / " - tJ}/U<::L-/
I Z 7.07
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5&3-9 J~Cl;"'{/U.jU)C \~'/u.~
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
/VJt1i;
Date:
g ~8~a7J~<jr'
Comments: See" Revers~ Side for Additionallnformationl
See Attachments: 1) Grading Plap, 2) Erosion Control Me(lsnres
"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: ~ ~ Date: 'ill ft; (0 7
Building Permit #
Address: 5&; sc;
Legal: L 5 , B L..j
PID:
,--- .
I fZA IL I1c~
Subdivision:
Existing Structure? YES @
I CONFORMS TO ZONING
ORDINANCE
. 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
pond.
. Refer in- round ools to the Plannin De artment
. From OHW (Prior or Spring Lake)
Zoning:
LANG 5':6.
~@~~
Existing Nonconforming Structure? YES@
~
NO
Standard
25'
10'1
25' if abutting a street
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
3D'
,
,85
Co7'
~o rJG
NA
75' or setback average of
adjacent structures, but no
less than 50'
NA
,30 Maximum
c:::; (). 5 iJ
Standard
Pro osed
~l) ,..J €
tJo~ e:
~
Tree Preservation: NA1'FAILS I COMPLIES Standard Proposed
Total caliper inc ~
. les
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement %:1
L:\TEMPLA TE\BLDGLIST.DOC
Aug 31 07 09:17a
1.
2.
3 .
4 .
'--- 5.
6.
METRO GENERAL SERVICES
763-428-2968
p. 1
GREEII. flU:
YELl.O'" ~ .A.PPLlC4NT
GOLD - CIT~
CITX OF PRIOR LAKE
SEWER AND WATER PERMIT
FA~ q5~ 'I'I7-tf'J, t/~
S.W.NO.~Z. ·
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: (h tiRo GEII)ERAL SER..V/t.EOOONE: (f>3-4~d8 ,-a'L3g
--7 T/"J C '
ADDRESS: 5~*f ~ DATE:
S-r. 1')1) I C!../i f-\ G L . '->-''1 tJ. S.5.3 '7 io
SIGNATURE: ,- - _ ('~~ BLDG. PERMIT #
SITE ADDRESS:_Vu5Q "Tm\ hia.d I~D#
FILL, IN THE BLANKS
Estimated length of water service
5()
feet.
Size of water service
I 'i
inch(es) .
Location of any couplings from structure () feet.
Type of sewer pipe. ABS pvc ~!j Cast Iron
Es'timated length of sewer 1 ine 5" () feet.
Clean out (if required),
structure.
located at
IVIA-
feet
from
===========;=====~=========~~====;=~=====~========;==~~===========
This app i ation becomes your permit when approved.
BY I!.' ~. (/lL DATE: O'~.1J .-07
===~====fJ;7~:r=~~~=============================================
FEES: f) /d$:=.,Eee..fl't 1-1- Bewer and water line connection permit.
C!ii~~" ~,~ i~~~~arge
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
*
Sewer and water permits issued for new construction must be
recorded on the buildi~g permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
DA:TE-.:~~A I'D
'RECE IPT : #
PAiD \V1TI4
~~J h~ !"", "\'11";-" P'-R' ,
~.,.,-;1H"Jjp ~'~,' ,c_ ,lJIII r
. "- ;''-'.,,' .' ~- ~ H .,~I'l
AMOUNT PAI.:'D 1.1 202'/
,. I,"~
REC/D BY
. ~(
'16200 Eagle. Creek Av. S.E., Prior Lake, Minnesota 553721 Ph. (152) 447-42301 FAX (Qs2) 447-4245
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
t1 vl~7
i ~~~ ~:~ I PERMIT NO.O ?.- 0 7571
3_ Yellow Applicant , ~
SIPS9 ~I L- ffEM-O
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
(Phone)
APPLICANT
(Name)
(Address) 8'(;.0
~e- A vF
(Address)
'~~Phone) _(0~Z ') tf)2-2IZ I
~O ~~~tJ S-S-3~2...
(City) (Zip Code)
5~M.tr (9'5;') i/9Z-zIZ(
9,.2/..-07
(Phone)
(Contact Person)
ou4
DATE
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 Backtlow Assembly
Sinks Backtlow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
Building Official
Date
oatPf. 'Z '-- ()
.50
FEE SCHEDULE
Industrial. Commercial & Multi-family I % of job cost with a $39.50 minimum Residential, New One & Two-F Ily
Residential, Additions & AI
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Sep 12 07 12: 16p
p.2
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
D,ltc Rcc'd
I. "11110:
i.. i;t"l'll
..I. Yell..w
r:flc
i..'il'/
^rr.Ji.:nnl
. "
I "PERMIT NO~
J':ll"'~"~(lr ,,,ii'll ~~.J2:i,,;r:"d-,-b_l>.tl~!'"L___
ADDRESS \
C"irF.JCi l\r(~ \ \ V\{O.(, \~( \V-C_
ZONING (1'11",'
llao)
LEGAL DESCRIPTION (,)Ifi.-,- u", only)
LOT
I3LOCK
^DDIllON
1'10
OWNER .~-> i '1 \ (~
;J - 1" 1 'I . -.., , I
(N,1IW') \ . \ \ -{ ( 'j \ t'( .,
.f- .lt~; \ - y...c-)"2-
(l)h()nc,..~ Sl,C,()
llrl."l I'':)K ,!.-,>-
/.:.-',. C. t' ,,-\
I -"-.,..../. l' ~.,
-...-.-....-.-.---.....--.-. _.__._.-
APPLICANT<' '. \ \-t/:. j ,\, '\ (
(Nnmc) )Lt -)./f..'" i.U.\"\~l t f -::'r II
. -, ,; ~--r2 .J'") l "1
(Phone) If ''y' -\ ',;) L. - C
(j\ddrL'!i~) ", . ')
l.t>' ,,) N \ ~ '~ ( . ,/") \ '....... ,\. l ,. \
v\ddr~:.;~) -
(\"'Y r\'_\~ I
(CC1I1t::1ct PeTson) I .\.., \ . v' \~ I
( t,. '" (
APl'LJCANTSIG:--JATUIW ~ L~. .~uJ,':".L'J l' \,:V/' \ DJ\'I1;
/ ^PPLTCA~T PI EASE CO!\< LETE BELOW
. NEW CONSTRUCTION--O IlFI'LAO::MfNT 0 J\l.Tl~RA TJONS
FURN^CE MAKE ^ND MODEL Lr~ 'h' \ (\ Y.., _ FUEt J.D. \ - G?:i..3>--
I'U..!' $IZI-, IU~rUI<N OI'I:l"lNGS INPUT OUTPUT
\-:Jk t'i~1.I'\ ('1 L'\
(City)
(Phun!!) "-lv ~ i::l:;).-?- 2.. ') l.- '1
\
r-~'J4=f I
(Zip C('ld~)
TIPE OF SYSTEM
HEATING or{ ,JOWE!, I'I.ANT
0511;;lIfI
LJ Hut W~l~r
o IC,diariol1
o Spec",1 Dl:vl"'~s
[J 0111 cr J).., v,,:;~,
PLEASE !\'OTE:
All' Conditioller Unw;
CJI1110t t::l1croach 11110
Requircd Side Y~HJ
Sctb;lcb
DW:lm1 Air Plants
OGr;lViT)I
~lcch;:ullcal
'DAII COl1dirinninc
OVCllf. Sy~rcm
I'IIU-:I'I.A(I-: f\.MKf: AND MODAL
Il1dllllri,JI, Cllmm~n;'al &. Multi-I"amily
FEE SCHEDULE
I '}I', ofJ,,1J ..:0:,1 Rc."u'::J1I"". G.~, ru'cplucc
$39,50 mInimum
$99.50 I\c:>idcmial, Additiol1s & J\lrcratlOll~
~M.SO 1{"",u"n\l:JI, AC Only
$30.50
Re,,"enlllll. IlcUlill~ & A.lC (New C(>I1'lnlcti(",~
ItCSlctCi1TL\I, Ilc;\flng Only (New (:oll~tnlcrion)
539,50
$3'1,50
. ' . ,[: ",' , (. ",
1'~tm';Jled C()~t;; {, 'L ( 'Cl, f....
Ht:^ TIN(j PERM1T F1::E
ST^TF. SURCH^RGF.
TOTAL l)ER.'\-IIT FEE
BuilulI1g Pennll /I
$
:t;
$
PAID WITH
.;~~1 BU1LDfNG PERMIT
l.lulldjn~ Oflldlll
I hill'
o.:'~lrl No,
(Orri~~ lJ.., Olll.~')
Tim ^pplicntioll Hecomes Your Huilding J'crmit When Approved
! ..,'., """
24 1"liIr nuticc (ur nil i"'l'cclilln~ (952) 44 .')1l50, )'", (952) 447.4245
By _-.;;_
.--.--
PRIOR LAKE
INSPECTION RECORD
~ ~. M ft~
."..
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. o1.-1~l.-
CONTRACTOR &J:cE ~ PHONE ~ -
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
NO · tJ () v\i't~'\ Cb~Ti6sICEcTOR
FOOTING
FOUNDATION (Prior to Backfill) ~ ...t;-zt7
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
Il.sr".s;R~' "'"~' I
FINALS
C{-j"L(-(]
(0 --( {
(0-- (~
DO NOT
l. ~ S'''1J7
Ik-f''t/)
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
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
wher~ no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
Orivewa : NA I FAILS Standard Pro osed
. Maximum width at 24' 2-.0 I
. Required setback 5' from side lot line or
30' from r-o-w on comer lots
. 10% , ~D?o
trfu
.
35' Maximum 2.9 I
-
Shoreland Oistrict:(NA') FAILS I COMPLIES Standard Proposed
Minimum lot area (square feet) 7,500 Rip, 7,999 Non-rip
Minimum lot width 50' Rip, 57.3' Non-rip
Shoreland alterations
Impervious surface 30% Maximum
Bluff in Shoreland I FAILS I COMPLIES
. Setback from top of bluff
Standard
By planning dept.
Pro osed
.
roved
20' From Top of Bluff
By City Engineer
No importing/exporting
.
.
Floodplain{NA~ FAILS I COMPLIES Standard Proposed
. 100 year flood elevation 908.9' Prior Lake
914.4' Spring Lake
. Lowest floor elevation 909.9' Prior Lake /
915.4' Spring Lake
. Proposed lowest floor elevation 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 required.
. Elevations 15 feet from structure Must be flood elevation or
higher
. Road access must be no more than 2 feet below 907.9' for Prior Lake
Reaulatorv Flood Protection Elevation 913.4' for Spring Lake
.
Standard
832 sq.ft. or 25% rear yard
Pro osed
.
.
10'
15'
.
.
L:\TEMPLA TE\BLDGLIST.DOC