HomeMy WebLinkAboutBuilding 07-0064
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
55/ {, r Nrl '-J.{ ChJ
Vf11E-
LOT
LEGAL DESCRIPTION (office use only)
ADDITION
~n
TYPE OF WORK New Construction OOeck OPorch ORe-Roofing
OAddition OAlteration o Utility Connection
CODE: ~c. DI.B.C.
Type of Construction:
Occupancy Group:
Division:
OWNER
(N ame)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
fv t:rE-
S.AnlG--
~~ $tAGallL(j
A
I
E
IV 6) A
I M R
3 4 5
Date Rec' d
I White
Pink
Yellow
/Z<f.()!
I PERMIT NO. 01 oow
II
F
1
III
H
2
File
City
Applicant
ZONING (office use)
/2/
PID 25'. +54- 03
B
J
(
Wk11,
(Phone) 651- J/S2- - Sz.oD
JIJ1I1
.
S-SIZ/
(Phone)
(Phone) &12- -ZZ-I- /lff-r
ORe-Siding OLower Level Finish 0 Fireplace
o Mise
B
S V
PROJECT COST/VALVE $ /?7, 3~D
(excluding land)
I hereby certify that I have liJfmshcd Information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authOrized agent for the
Jbovc-mentlOned propcrty and that all construction WIll conform to all eXlStmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can rev thiS permit for Just cause Further e, I hereby agree that the CIty official or a designee may enter upon the property to perform needed I spectlons
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
/O[),DlJ
IOD,OO
::SS.5c
0,00
This Application Becomes Your Building Permit When Approved
I~ '1e-~'~
Buildlllg omcial
2( fi I~,?e
/571
Contractor's License No.
Park Support Fee
SAC
#
#
, 7S'.00
45 ,fJD
tOD,OO
':)00.00
OODIOO
Water Meter Size 5/8' ; I"
Pressure Reducer
Sewer/Water ConnectIOn Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTALDUE tIIUaJ
I Paid 9,~J>. n
Date ;"/0 ?
I ~~ceiP~Z rSp
ThIS IS to certify that the request m the above applicatIon and accompanymg documents is in aecordance With the City Zoning Ordinance and may proceed as requested ThIS doeument
when signed by the City Planner constItutes;: temporary Certificate of Zonmg compliance and allows eonstructlOn to commence. Before oceupancy, a Certltieate of Oecupancy must be
I "~"Mi"g~ ~/s /",~,Z
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~ oJ.( (!p.. -4'f 'fJ- ~
Special Conditions, if any
White - Building
Canary - Engineering
,- PiRlt F'lan",~
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:
,.
t / ,/ /".-.: ..
,/ ;'
Accepted
/
Accepted With Corrections
Denied
r-
Reviewed By:
Comments:
~
y~J)..LJ
Date: ~/S /a 7
/ /
"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."
.....--whi... - Buildina--::::>
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PtJ t.,-;Z; /101'-165-
I 24 () 7
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
55/ &- 77Zrl / L-/I &/1"0 Lr7 A/ i;;-
Accepted
Accepted With Corrections ....---
Denied
~~
~ a.il ~,
Date:
~/s-/o 7
~
Reviewed By:
Comments:
..fA~
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
Pd~T& 11011&5
/, 24.07
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
55/ (p -;7Zrll L.- 1/ cffO L/7 /v e
Accepted
)(
Accepted With Corrections
Denied
Reviewed By: ---1JI'IJ6 Date: J- 30-tP 1
Comments: See f\eV'lfSJ!! ~idefor AQdjtionallnformationl
Cot'lL 1J!rI'(9Cll.A" R('pJ'Y~
'1' .
See^UJ~hments: 1) Qxtlding Pl~, 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 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. II
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed bY:~. ~ Date: 1-/5 /0 7
Building Permit # PID: Zoning:
Address: 5~((p T~~ ~
Legal: L " B 3 Subdivision: ~ ~ @.. ~ ~
Existing Structure? YES@
I CONFORMS TO ZONING
ORDINANCE
Existing Nonconforming Structure? YE@)
~
NO
Standard
25'
10'/
25' if abutting a street
Proposed
2..S~
t I
((" ~ 2..2,
,
. 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'
1 0' side/
25' rear
3D'
22.031
"';or-'€'
A
75' or setback average of
adjacent structures, but no
less than 50'
N4
.30 Maximum
Yard Encroachments: NA I FAIL Ie PLlE
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
Pro osed
tJt>~~
No,..J6"
"
I Tree Preservation:fNA'J FAILS I COMPLIES Standard Proposed
. Total caliper inches
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement Y;:1
L:\TEMPLA TE\BLDGLIST.DOC
Feb 12 07 07:47a
METRO GENERAL SERVICES
763-428-2968
p.2
/
Date Rcc'd
CITY OF PRIOR LAKE
SE\VER AND \V A TER PERMIT
), Grc:tn File
., '(cHow City
) Gold ApplicanL
PERMiT NO.
at bottom
ZONING (office use)
ADDRESS
rv/{;
,-))t~/U(lt'i {A_
LOT
BLOCK
ADDITION
PID
I
LEGAL DESCRIPTION (office usc only)
\ OWNER
(Name)
I (Address)
Ptcih .
"--'"
(Phone)
APPLICANT SIGNATURE
(Address)
(City)
(Zip Code)
(Contact Person)
':I (P7AJ:1:i':-tJj3f
Ii l /I (City) (Zip Code)
LtaA/(J(1~lOne) -SM~
'-J~ DATE c:2-..-:;-,
APPLICANT
(Name)
(Address)
APPLICANT PLEASE COMPLETE BELOW
Size ohvater service --'- inches.
Location of any couplings from structure / feet.
Type of sewer pipe. 0 ABC @PVC 0 Cast Iron
Estimated length of sewer line.~ feet.
Clean out (if required) located at / feet from structure.
Residential sewer and water line connection $35.50
Sewer connection only $17.50
FEE SCHEDULE
Industrial, Com' I & Multi-family I ~i~ of job cost with a S39.S0 minimum
Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
PAID VvlTH
BLULDING Pt-:RMi r
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Rect:ipt No.
Buildinl( OOidal
Dntt
~--- I
. ._-----~
i DftB 2 2 Z007
By
24 hour notice for all ;nspections (952) 447-9850, fax (952) 447-4245
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
;:~ ~:~ I PERMIT NO, 7 _<._ A I
J Yellow Applicant , _ lt7 ~
ZONING (office use)
{'--I
-r~ J I hr-c<
-e .
LEG~..fESCRIPTION (office use only)
LOT ....l BLOCK ADDITION (~. tiJ (..,L.t1 ~ At
//~~\
,
LAlte
PID l ~ - ':';-4 - 0:5 ( -
I OWNER
(Name)
(Address)
(Phone)
APPLIC~NY I 4/ I
(NameLV ~ //7 .r /~~ ~-7 <::. .
(Address) )5-bO (;;;}..Ll.~'-- ~ _
(Address)
(Contact Person) ~4 r, /2-;
(Phone) '1.> ..:;; ~4 ~ :;.L - ;2 / ~ J
\:lOr~c---, Ht ~l S's S.5~
(City) (Zip Code)
APPLICANT SIGNA TU
(Phone)
~
5 -c:; '-.ef7.
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 #
....
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$_( 00.
$
$
.50
-0 r:
\ J. ...~
\
Paid
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
11ar 0107 05:21p
p.3
CI1'Y OF PRIOR LAKE .
I REA TING/ AIR CONDmO~"lNGJFIREPLACE PERMIT
Daie Roc'd
I
~1l::P.s err pTUll 8J),t ~l bynDlll)
I ADDRESS
I G~~\ lCJ.T~~l \ Vlt'd\
I. PI,. fUo
::. a..... C.I<'!
1. 'Ydlcr- "';f",rlUO'\t
t~y -~ \1-< )
.
\ ~GAL DESCpii nON (Mllet Ult olJly)
i
\ LOT BLOC!: ADDmON
PID
i OVv1-rER ri.~ \..L,) IL.-G" ~ c:
I (Nanc) 1-\.-,\, \ ,--\~U~l '--- "
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(Ad,:1r~,) .s."ru~ L r--- ~ y \.V w \1 Vt \ . LV'\
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.
(Phon~) C\f;L' ~T.-2.. CI ,- Yl
(COntJ1CI P~r>OI1'i
i
i APPUCANTS'I'jNATUR.E
I
AFPLlCAN1' PLEASE COMPLETE BELOW
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\ I NEW CONSTRUCTiON F.EPI...ACk.MENT ,. ~ AL1ERA.TlONS
i ,URNAC' MAT' AND MOD1!L VI "\ ) ~ ' - '. '- L ) FUEL \. \.::> 1 ' I
: fLUE SIZE _ RE'l1J1\.'< 0"",-""'03 WPUT 9D .rr-{) OUTI'UI f' ,L I 'Q--:{)
I TYPE OF SYSTF.M mATING OR PO\\<'ER FLAm'
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I Air O:lOditionln&
I OVQm. $)'I\t:l'n
I FIREPLACE MIKE AND MODEL
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DOth.er ~viOM
rLLASP. NOTE~
AD- Couditiot:~r Unit;
OAilrlo I 1'..0 cro.ac.h In to
~ircd ::lido Y:ud
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B,t116ont!cJ, HC$I ntl:. NC (Ne'" ConGlnlctlOIl)
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n& SCIIADULE
1% o!Job COO ROIl!dr::lllla!, OlU PI~I.,oe
$39.50 mll1l1:n'.lr'.l
199,,0 Rc.sidClltinl. ivJditionR!:l. AltIlrallon~
$6-UO Rtli'~tW. he Only
SJ'i.50
[ndUS1.lie..l. Comri. ~lll.l U MulrJ,PMlily
S39.j()
S39.S0
EstirQl..-~d Cost 1 f IS ~. -- Bulltlini pcrroh 11
PAID WITH
BUILDING PERMIT
lffiA TING PERMlT FEE $
STATE SURCHARGE $
TOTAL P'E'RMlT FEE S
,S.Q
But)1 ms: oroci.l
D.I~
eColpt No,
(Orr.=< t:.. 0nJ)'
Tlli, ADpH: itklll Btcom~ Yout' Bulldtui 'Permit '\\'l1an ^ppl'Qnd
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'1-4 ty:lllt L.~t\~. fOT .Ii inl\)ecUon.o l~Sl)~7-93O). (u; (9S'-) 4.47..42d!i
PRIOR LAKE
INSPECTION RECORD
.
s E141J ~
.,.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING t. #
PERMIT NO. ~;.~ DATE ISSUED
CONTRACTOR. .s PHO E~S-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.,
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~
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABO E 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
rzATNE i H~<<F~ I
, FINALS
-- '~ !
S-S-V)
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