HomeMy WebLinkAboutBuilding 07-0037
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1 . t & . 07
White
Pink
Yellow
File
City
Applicant
PERMIT NO. 0
~t:,~
(Please type or print and sign at bottom)
ADDRESS
iAn~
r (lA-ILJ(C4-'J
ZONING (office use)
~l
LOT 3 BLOCK
LEGAL DESCRIPTION (office use only)
OWNER
(Name)
lvJ..:j&:
(Address)
Pro z5. 45+. 04-1.0
JIomP;s
(Phone) ~ -4'5~ -s-:u;a
BUILDER
(Company Name)
(Contact Name)
(Address)
~
t4ar- ~ ~IUI
(Phone)
(Phone) ~/Z- ZZ/- ~,~S
TYPE OF WORK ew Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAlteration DUtility COnnectIOn
CODE:~. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Mise.
I
E
IV@A
I M R
3 4 5
U
PROJECT COST IV ALUE
(excluding land)
II
F
I
III
H
2
B
S
$~~/yO
I hereby certify that I havc hlrmshed Int(Jrmation on this applIcatIOn which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
abl1Vc-mentwned property and that all construction will conform to all eXisting state and local laws and will proceed in accordance with submitted plans I am aware that the bUIlding
official can rev. '(' tlus permit forjust JUSt' Further re, I hereby agree that the City official or a deSignee may enter upon the propel1y to perform needed mspc tlOllS
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechamcal Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permll Fee
/J?I
Contractor's License No.
Park Support Fee
SAC
$
$
$
$
$
$
$
$
#
#
Water Meter Size 5/8 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
lOO,OO
00,00
$36". :;-D
$ 0,00
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I. This Application Becomes Your Building Pennit When Approved
I~)I~ /1~~(o7
ThlS IS to certity that the request in the above applicatlOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the CIty Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupaney, a CertIticate of Occupancy must be
n_ · r
I IS~ ~ J /z.'-}at~e 7 ~t1.R ~ ~
I Planning Direetor '"7 fJ ~Cial Condit~s, if any
24 hour notice for all inspeetions (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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:
5~2S
:, -
\ ,...."...-
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
MM
Date: 1-2J -ol'
Comments: See Reverse Side for Additional Information! .
'" ,
See Attacl\ments. 1) Gniding Plan, 2) Erosion Control Measures
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."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PUv-re fkjE,5
U B. 07
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5~25 Tl2A'~HBAD L-ANb
Accepted With Corrections /
Accepted
Denied
r
Reviewed By: ~
Comments: fw o...L(
,
~ Date: 1/z ~~ (; -
~.~~
"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."
..r.:
White - Building
CanarY - Engineering
d!ii1k - P1aniii'n9::>
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
.~
Accepted With Corrections
Denied
~
~~
Date:
I Ie. z.1o 7
/ {
Reviewed By:
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."
t1ar 01 07 05:21p
p.2
CITY OF PRIOR LAKE '
IIlSA TINGI AIR CONDITIONlNGfFIREPLACE PERl\11T
!hltc Roc'd
(Pj~;t~~ lYOC arp(i.nt ~I !1JlP. It ~ttO!pl
r ADDRESS' ,
, Sln 2~) ~Y-c::1\ )'n-eac\ {XI v:e.J
t ~ ;W." f~RMrT NO~
~ 1 ZONING (ertia "'Ie) I
I 1
i LEGAL DESCRri. nON (office UI e o1l1~
I
I lOT BLOC} ADDITION
PID
I O\VNERO -~ '\ \
\ CN~c) ~\ -^- \ ~ IJD\v\t' 'I,
, \
ii (Aadrm) 215 '~0 VKv0,,-\ \ r=::-C\,-ct' G-v~ ;
APPLlCA.."-lT ~ \ . i' \ \ ' \
C:-JJlDC) .;:y~\QV( \"T~\::,t\V\~ ~ i\ \( .? (phone) ~1l1)'7y y:-I=S- 22-vi
I (AddIo~) 3.Dlo 2-K.':.4 V, (':l \0\/'\ .e \...~ ''L)./', \~ \3~ (:.\...\"\-"'"^-,) ~L1L\C\.
\ I /' ~). liT) (ZbCudc)
I (Contlla pe1'1lcn:; i \""\.Jl- v.--e. (phone) 'll..~(')' L2l.c-)
I.APPUCAmSI';NATtJRE JlL. L ,'-4. DAn. ~?-:?jU? ~
, I APPLICANT PLE E com TR BELOW
i i [&fNEW CONSTRUCTION q REP,u..CEMENT . /) q~TERA.TIO};S --'1
,PUR-"'lACEMAFEANDMODEL \ UV\'vLr~ (~I,~.,t1::::'. L\'2:~- U:i.Q ruB].. '~'4r' .-
I fLUE srZE _, RETURN OPENINGS INPut CD" [)(){......., OUTPUT ~ 'Y--.47::r..l:L I
! ' 'I'YPE OF SYSTEM HJ!ATrnG OR POWER. PLA...'IT I
, 'i' l\r11l Air Plant< ~ S\tiInI PLEASE NOTE: I :.1
vlty Ho1 W&!.a- Air Cc~ditio1ler Unit'l
I ccl1anical ~I.arlon CarmOl Bncroach Lnta I I
Air Con.dhlon.lnK Sp6CiO\! Devlotl5 Rt:quirr4 Side YaId
OVorrt. System OOth.er DevIQ~ Scma\;ks
L\ I
(Ynone) \J~\- 5 2.: -~ \'--l-j i
I
FIREPLACE }.I \KE AND MODEL
FEE SCBlIDULE
Indu.nntJ, Comrt'~lfd &. MUlti.PamI\)' 1 % Of Job ~ RtllIldc:n1l11, 01U Fl~I/IClO
$39.50 minImum
Rnhlc-'illl\.l. l k~1 ~>: & NC ~= Omlll.l'IlcUonj $99.,c RcsidattiiJ.. MdltlonD 8l. Alr.enulcn!
F.e3L:k.."l!111L HOlli Uil Only (New COlUtJ\lct:iOl') 56-t:!O Rdldf:ltlllL AC On\)'
Estiml.ted C05t $ Lll11,S . () b Bulldlni Pcrrait -,:.
SJ 9.~O
$:\9.5-0
5:39.5()
HEATING PERMlT FEE
STATE SURCHARGE
TOTAL P1mMlT FEE
$
$
S
-.JQ
PAID WITH
BUI"LDING PERMIT
'8~111 ItIt OnJdll
Celo
J
(Office lilt OrJ:I,
..
Tbi, Applll ,t).on BcCilmel Y()Ur Bul~lni: Permit Wb.1l AppraV'Cd
I
H /HJur notlCll fOT .11 hUJ)ilctlQT'''' ('jI~1) oW7.,.l\5Q. {n; (951) 447-4201~
CITY OF PRIOR LAKE PLUMBING PERMIT
9Z/~"$ /a .
Date
I. Blu. Fil.
2 Gold City
3 Yellow Applicant
PERMIT NO.
.003
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
A~#c'
(Phone)
APPLICA~ ~ t~ 6
(Name). I ~ . -y'}" .l.....
(Address) ~ Qu .-'<r- ;,t
(Address)
(Phone) 9 S":;z -~902-;;2/;;;> /
(City)
(Zip Code)
(Contact Person)
(Phone)
ATE d d 3--e:"?:
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
LICANT PLEASE COMPLETE BELOW
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 #
(Office Use Only)
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
PArD WITH
BUiLDING PERMIT
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
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
Residential Building Permit Checklist
New Construction for Single or Two.family Dwellings in R.1 or R.2 Districts
Reviewed by: ~~ ~ Date: 1/ z. ,-fa 7
Building Permit #
Address: 5~ 2S
Legal: L 3 , B ~
Existing Structure? YE~
PID: Zoning:
/~~cs~ ~
Subdivision: T~ ~~ C~ ~
Existing Nonconforming Structure? YE~
I CONFORMS TO ZONING
ORDINANCE
YES
NO
Standard
25'
10'/
25' if abutting a street
Proposed
2..5'
. 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)
10' setback +
2"/1' over 50'
25'
10' side/
25' rear
3D'
'-I'
~ 2.$"'
"
fJA.
75' or setback average of
adjacent structures, but no
less than 50'
fUA-
Floor Area Ratio: NA I FAIL
.30 Maximum
~o
Standard
Proposed
rJ~tJ€
or-Je
Tree Preservation: ~~ FAILS I COMPLIES Standard Proposed
. Total caliper inches
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement 12:1
L:\TEMPLA TE\BLDGLIST.DOC
Jan 31 07 01:07p
METRO GENERRL SERVICES
763-428-2968
p.2
l.
2.
3.
4.
~ 5.
6.
GRUM - flU
YELLOW - APPLICANT
GOlO - elT'
FA '"
CITY OF PRIOR LAKE
SEWER-AND WATER PERMIT
Cfe;;;&- '1'1 7-Lf"J- t/~
sWNofJll~7
NOTE:
Sewer and Hater
contractors must
be registered
with the city.
APPLICANT: J1l EiRo (-5Fi\)ERAL SERv/C.-F-MONE: (f:) 3 -L/~d.g-d.cJ3g
--r7 c;; TiJ C.
ADDRESS, .':>~~m ~ DATE,
. \ . r'~ ST (V) lc...tif1~L,"'1/V, 5-537&.0
SIGNATURE' (C- [2_,;;:-- 0. <UC__, _ _ BLDG. PERMIT I
SITE ADDRESS:_::&8-'J Tt /vod ~D#
FILL: IN THE BLANKS
Estimated length of water service
5()
feet.
size of water service
i"
inch(es) .
Location of any couplings from structure~feet.
Type of sewer pipe. ABS PVC Lf1i Cast Iron
Estimated length of sewer line
s()
feet.
Clean out
structure.
(if required) I
feet
from
located at
!\J;A-
------------------------.-------------------------------------------
------------------------------.-.--------.---------------------------
This application becomes your permit when approved.
BY
DATE:
========f?~J~:r=~~;1~=============================================
FEES:~-1?e~ft~p)L Sewer and water line connection permit.
CM-/! --p;,~ Surcharge
~2~~ TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water per~its lssued for DLW construction must be
recorded on the building pe~mlt card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
FEB u 3 200/'
, -.
:D;:;TE:,!j.~Altl
RECE 1PT . ff
AMOUNT PAID
r
REC'D BY
: 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (752) 447-4230/ FAX (115'2) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS $'25 T~AliHcAD
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR t ~ Mer PHON
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR /
VVV
DEPARTMENT OF
BUilDING AND INSPECTION
I FOOTING
DATE
I
I FOUNDATION (Prior to Backfill) I j/!/yG I 2-J/,-10
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~, t~'U/
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING U,b.
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COV..ER NO WORK UNTIL ABOVE HAS ~EEN SIGNED
rzArHE f ~UJ'~I.dIt:AP I W I
FINALS
GR~DING (Prior to Soddin )
BUILDING U'" \--1 l
ELECTRICAL
PLUMBING
HEATING
DO NOT 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