HomeMy WebLinkAboutBuilding 07-0038
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i
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
[ · 11.07
(Please
ADDRESS
1 White
Pink
Yellow
File
City
Applicant
[ PERMIT NO. 01 00 381
ZONING (office use)
Rl
5'19~
1/IA-;t-Jlj?h:J
/A11&
LEGAL DESCRIPTION (office use only)
LOT R BLOCK.? ADDITION
.
I~
PID
OWNER
(Name)
~J.rE-- )/P"'l-~
.
(Phone) ~/-/,I.sZ - S 2-00
(Address)
/z-/
BUILDER
(Company Name)
(Contact Name)
(Address)
';f?111i-
t Vp- $1AsCN-t0
(Phone)
(Phone) t./Z -~z.I-lI'fr.s'
TYPE OF WORK
New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility Connection
CODE: ~C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
ORe-Siding OLower Level Finish 0 Fireplace
o Mise.
A
B
I
E
II
F
I
III
H
2
IV&A
I M R
3 4 5
B
S
v
PROJECT COST/VALVE $ ';!'/9, /fv
(excluding land)
I hereby certIfy that I have furnIshed Inf()rmatlOn on this applicatIOn which IS to the best of my knowledge true and correct. I afso certlty that I am the owner m authollzcd agent for the
abllve-mcntlllned 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
~IICial can r' kc 11m permit for ust cause Fur ermore, I hereby agree that the CIty official or a d/;;~Y enter upon the property to perform ne;d~P"Z7
Contractor's License No. / ~ Date
Park Support Fee
SAC
#
#
$
$ (P7S",oa
$ "155, a ()
$ /oo,DO
$ / S~c!J, D'fJ
$ 000, 00
$ 00 . 0 {)
$
$ -
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ loa. aD
Mechanical Permit Fee $ Q{), 0 0
Sewer & Water Permit Fee $ .:3S".S-o
Gas Fireplace Permit Fee $ ~O, 00
Water Meter Size 5/8' I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
~
~
1/23/07
f Date
This Application Becomes Your Building Permit When Approved
B1111d1lH! Ufficial
ThIS lS to certify that the request in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested Tilts document
when signed by the City Planner constItutes a tcmporaJY Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
II'~ ~ !/Z3/o-7 ~ '
I Planning Director I crate
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
dnary ~~
Pink - Plannin
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
~ " GO, ~ Date: (/2- 3(o?
~ ~ ~ ~-oj-~U'
Reviewed By:
Comments:
d 6th MedJAnica1
PUr Conditioner ".<Al ~ . . · d
.lTnits Cannot Encroach Into B.eqtIi1"e
Side "f~.rd Setbacb
"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."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PLJG1S WS5
I.IQJi{
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
54-q4- Ti2.Pdl,HBAD l-.J.\t\.\5 s.E;
/
Accepted
Accepted With Corrections
Denied
~ ~ Date: 1/'?-3'/c'7
~~~I ~
Reviewed By:
Comments:
~ r--.~
--e ~ .
"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 #
Address: 5L/ 9 t.j
Legal: L t) , B 3
~
Date:
I!Z3/()7
PID: Zoning:
//Z/t( L- /te7i:o Uf1JC
Subdivision:
T/uL~@~~
Existing Structure? YES ~
Existing Nonconforming Structure? YES I~
((YES !J
I
I CONFORMS TO ZONING
ORDINANCE
NO
Yard Setbacks: NA I FAILSlCdMPLlES ) Standard Proposed
. Front Yard (can be 20' if aVQ. w/in 150') 25' 25'
. Side Yards 10'/ ,;/d),/S I
25' if abutting a street
. Sidewall exceeding 50' requires additional side 2" 10' setback + /
setback for every l' over 50' in lenqth 2"/1' over 50' /10, /5
. Rear Yard 25' CJ"t,ItA 2.. S" r
. Patio Door: provide for minimum 10' deck or sign 10' side!
statement indicatinQ no deck will be built in the future 25' rear N",Jo
. From 1 00 year flood elevation of wetland!NURP 30'
pond. Nil l/"ZJ(,t 3 0 (
. Refer in-ground pools to the Planning Department
. From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no ;r.JA
less than 50'
Floor Area Ratio: NA I FAILS I COMPLIES
.30 Maximum
Yard Encroachments: NA J FAILS MPLlES
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line Easements.
AlC and other equipment cannot encroach on interior
side ards.
Standard
o ttJ~
CJtJC
-
Tree Preservation:(NA dFAILS I COMPLIES Standard Proposed
. Total caliper inc'fies
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement %:1
L:\TEMPLA TE\BLDGLlST.DOC
Jan 31 07 01:07p
'.
l.
2.
3.
4 .
'------ 5.
6.
METRO GENERAL SERVICES
763-428-2968
p. 1
GREEN. nlE
YELLOW. APPLICANT
GOLD - CIT1
FA 'A.
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
'1'5l.r '1'/ 7- t.j -;., t/r
SW NofJlJ3B
NOTE;
Sewer and \<later
contractors must
be registered
with the city.
APPLICANT: (h EiKO (~E./1JERA/_ SEf(\//t.EMONE; 1'&:)3 '-ifd,8-~C/3g
:CiJ C .
ADDRESS; 57CJ 0 Arr1 t= DATE:
\ '\ .~ ST l'n 1c..1i /1 r; L I -j"lIJ. 5.53710
SIGNATURE: :?<~. BLDG. PERMIT #
SITE ADDRESS;- 17z:ci/.;Nad ~D#
FILL, IN THE BLANKS
Estimated length of water service
5tl
feet.
size of water service
I '/
inch (es) .
Location of any couplings from structure
o
feet.
Type of sewer pipe. ABS
PVC ~(/ Cast Iron
Estimated length of sewer line
s()
feet.
clean out (if required) I
structure.
located at
IV/A-
feet
from
----------------------------------------------------------------------
-----------------------------..--------------------------------------
This application becomes your permit when approved.
BY
DATE:
========f7~t~:c=~~=============================================
FEES: ~ ~~ ~_~=~.e~.MP7- Sewer and water line connection permit.
~:~. .., Surcharge
\. No Pe.e- TOTAL
,~~
* Fee for either sewer or water individually 1S $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building pe~rnit card at the time of issuance
to in~ure that no duplicate sewer and water permits are
issued.
DATE-.:,P,AID
RECEIPT' # .
FFR IJ II / (F)!
AMOUNT PAID
,.. ..... ..., '1-1 J
r'14,j U .. 'i. i i <
REC'O BY
,-
t
... :~ .~' '.,.: h T,!] ~ r
16200 Eagly,Creek Av. S.E., Prior Lake, Minne~ota 55372/ Ph. (95'2) 447-4230 I FAX (q52) 447-4245
~. f"":___l.........._
CITY OF PRIOR LAKE PLUMBING PERMIT
Date 1
I. Blue File
2. Gold City
3 Yellow Applicant
o</~"3 If)?
I PERMIT NO. 7_003 5.1
ZONING (office use)
ADDRESS
5 9L/
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I ~=R (J(.d)-ro ,
(Address)
(Phone)
APPLICANT L? ) / ~
~ame) :;:~/~ r IkM4~L-.--7/
(Address) C 4uL.r- .
(Address)
(Phone) 95:J:9~-;>/al
~Orc::l~ ~./1- Ss"S-SQ
(City) (Zip Code)
(Contact Person)
- J2ATE ;;2.. ,- ~ S ~7
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
ICANT 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
PAID 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
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
.
SITE ADDRESS $II!J
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR fj PHONE -,~ ,- ~r
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
r FOOTING ~ I
FOUNDATION (Prior to Backfill) },~
PLACE NO CONCRETE UNTil ABOVE HAS BEEN SI NED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST 3~u-C/)
CO ER NO WORK UNTIL ABOVE HAS BEEN SIGNED
r - Itrtr IAJItAI' ~~
I FINALS
2~-,t/)
,- Z-rn;f)
- ~Vtr1
"5-~
GRADING (Prior to Soddin
BUilDING v'o\
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