HomeMy WebLinkAboutBuilding 07-0110
~trfifitatt nf @ttupant\t
CITY OF PRIOR LAKE
~tpartmtnt of ~uil?ring Jlnspttfion
~ Final Permitted
o Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the [J Residential / [] 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 SI//6 {. E 17J 1'/ / L ~/ B1dg, Permit No. (i?, (; II C
,
Occupancy Type
I~~ :.~;'
Type Construction
v';
Zoning District
f'l/.u
Legal Description
L ....
15/
,/
) /
{.f.::. C//v'(~-5 Qui71
I
21---'-'
Site Address
2t:43
lVIL-Ur
I
L11 (1.)6 /"I,j
Owner of Building
Contractor's Name & Address r OJ ;-1"/;: I!O;V / r ;71"ir: '':'' /,-;.
~/ f7
)'(/I)(O}<-;' ,L---' IIf/i( tl//v'; ---T--t-CityPlanner
. . , , I! /, Builqing OffiCi~,.' / .' V. . .'
Date, -li I 2., 0 . , ." Date.
POST tN C.0~ptCUOUS PLACE
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
2.Z().07
I White
Pink
3 Yellow
File
City
Applicant
\ PERMIT NO. 01. 0 It 0 \
&U&.
.'J
2~.c/3
ZONING (office use)
pup
LEGAL DESCRIPTION (office use only)
LOT 5BLOCK / ADDITION s:.....,-~/d~
e/ti ~IDZS--43o"'C0S-0
OWNER
(N ame)
(Phone)
~
(Address)
(Phone)
(Phone)
QB5.4115'
'9~"'7'gS-L//77
ORe.Siding ~Lower Level Finish ~Fireplace (\ )
BUILDER
(Company Name)
(Contact Name)
(Address)
TYPE OF WORK New Construction MDeck ~Porch ORe,Roofing
/ OAddition OAlteraion Ou{il~ Connection
CODE: !2(J.R.C. OI.B.C. 0 Mise
Type of Constnlction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
PROJECT CQST IV ALUE
(excluding land)
$ dfO fJ1Jf)
I
I hereby certit", that I have tllfnished mformal1on 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
above.menl1oned 'rty and that all nstruction will conform to all exisl1ng state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
':""' '"' ," " "eom" 'co ,m "": E""""moo' , , ""b, ''''' "''' "" "" ,m",' ;;:';;:;;:'7" "" "m,," m ,,,'mm "'~kz21
Contractor's License No. ' "Date
Park Support Fee
#
#
Permit Valuation
Permit Fee
SAC
Water Meter Size 5/8',1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
TOT AL DUE
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~~
Build1l1\! Ofticial
.2/ 02. ?~t (J 7
$ --
$ 1lo75'",00
$
,00
$ 00. CO
$ \ 00, Do
$ I~OO' 00
$ lSoo .00
$
$
ThiS IS to certify that the request in the above applicatIOn and accompanymg documents 15 m accordance With the City Zoning Ordinance and may procecd as requested. ThiS document
when signcd by the City Planner constitutes a temporary Certificate of Zonmg compliance and allows cllfistrucl10n to commence. Before occupancy, a Certificate of Occupancy must be
'""~ ~ 3'll/O7 ~ a-L( ,
pC"""" D're,'" D'" S"d~
24 hour noticc for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
hite - Buildi
- Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~LI1FF Hof/~J
2-.2.0.07
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Z&4-3 W ( L.O S- L-AfJ6
Accepted With Corrections
/
Accepted
Denied
. r
Reviewed By: ~ ~
Comments: ~ a.Lf ~.
~ (J, '2, ~ l.&Jt7
Date: dl ~ ;d 7
.
&J-~ ~~.
~o,~ au. ~~'
"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
~iAk ..planni~
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: ~
Comments: ~.J {f 1-(
~ fA ~ ~'
Accepted With Corrections
/
~ Date: 02/dtb~ 7
.
~~,~
Air Conditioner :nd Other Mechanicali.
Units C'Annot Rnf!r08.Ch into Required
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."
;te~rdl~g
C'" a nglnee~
P nk - ann ng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L/.i\-i/LnI1 II('f~jC:
.~ .,' 1'. ( --'I
~" . ..... I
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'L.:: ( .4-_~~ ! '" I L I.). L../ \ I\.! c:-
Accepted · X
Accepted With Corrections
Denied
Reviewed By:
/111fS
Date:
3-f-07
Comments: See Reverse Side for AdditiQnallnformation!
See Attachments: 1) Grading Plan, 2) Erosion Control Measure;
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."
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by: ~
Building Permit #
Address: ;;; {:, 13
Legal: L S,B I
~
Date: 3/<1 /0 7
Existing Structure? YES @
PID:
,
W~ ~ /J,aJ, ~
Subdivision: ~ ~ ~ - fJ;.;."....
Existing Nonconf ming Structure? YES ~
I '.~--..)
Zoning:
CONFORMS TO ZONING
ORDINANCE
NO
.
Standard
25'
10'1
25' if abutting a street
Proposed
'2(, 7
I~' 6er~ c.,()6;>
I
c::>vG'L 10
. 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 oo\s to the Plannin De artment
. From OHW (Prior or Spring Lake)
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
30'
""3tP.c;-
-
3~. -)
75' or setback average of
adjacent structures, but no
less than 50'
---
Floor Area Ratio: N 1 FAIL I COMPLIES (fu Sf)
.30 Maximum
Yard Encroachments: NA I FAIL MPLI
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
Proposed
~~
;Uti
Tree Preservation~ N~"FAILS I COMPLIES Standard Proposed
. Total caliper inc ~
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement %:1
L:\TEMPLA TE\BLDGLIST,DOC
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
? ....+t 0
1
2
3,
ZONING (office use)
LEGA~ESCRIPTION (office use only) I'
LOTh BLOCK ADDITION ~4-~y 1 \At--)
7
5D
PID
OWNER
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT SIGNATURE
(thane)
g1 DDm~tllH ~ y1
. (City)
(Phone)
DATE
~~ n;l1f?
(Zip Code)
J/!/
I
APPLICAN~ ~
(Name) ~ ' 0
(Address) . _C ~ 12La ~
(Address)
(Contact Person)
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Location of any couplings from structure ~ feet.
Type of sewer pipe. 0 AB<2. [d1>VC 0 Cast Iron
Estimated length of sewer line .M- feet.
Clean out (if required) located at feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35,50 Industrial, Com'l & Multi-family 1% of job cost with a $39,50 minimum
$17,50 Water connection only $17,50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
ST ATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
.50
(Office Use Only)
a~
eC().lJles Your Building ermit When Approved
Paid
Receipt No,
Date
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
ClTY OF pRIOR LAKE
REA TINGI AlR COl'\TJ)ITIONINGfFlREPLACE PERMIT
Date Rec'd
:~. :;._ ~NOr:rtID
ZONING (office
~",)
(Plca!oc
ADDRESS
cJ(Pt/:J &///)5 t.,;tJ
LEGAL DEsCRIPTION (of&." use only)
PID
LOT BLOCK g ADDITION
OWNER
(Name) RA-h/A~r
CtJ /lS"f ~ u c. f/tJ,J
(phone)
(Address) cJ-.
APPLlCANl/7.1 d
(Name) c.O J1 '1-1'0 J f i
/flee
_ (phone)
(P~(- VcPO-- ~~;;a-
(Contact Per5on)
/!L
/J(/L
ptJ/2 /11/'-'? .j..J
(Ci~)
(Phone)
5$'0;).1/
(Zip Code)
APPUCANT SIGNATURE -
DATE
LEASE COMPLETE BELOW
[]NEW CONSTRUCTION 0 REPLACENfEl'-'T 0 AL TERA nONS
FtJIlNACE MAKE AND MODEL f'fZ/'f/'lL.-- -m <? FUEL ;A./. t:!
FLUESlLE 3"!'UC. RETURNOPE?J]NGS ___ INPeT _ OUTPUT %'~C!C0
TYPE OF SYSTHv1 HEATING OR POWER PL!\NT
~~/- yrc; 0 -C:;o d;2..
5 - 7-07
OW ann Air Plants
OGravity
lMMcchanical
[g(ir Conditioning
~t.. Sy~"\cm
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices -
, 'i~t-'j1/- (t) -- S / --7SV 'IJ~lL
FEE SClfEDUL'E
I % of job cost Residential, Gas Fireplace
$39,50 minimum
$99.50 RcsideJltiaL Additions & Alterations
$6450 Re~-jdeatia.l. AC Only
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
S(..'tbacks
FIREPLACE lV1AKE AND MODEL
S39.50
lndustrial, COmIDaclal & Multi-Famil)'
$39.50
S39.50
Residential. Ht:..l.ting & NC (New Construction)
Rcsidcntinl, Heating Only (N!........ Co~u'Uction)
Estimated Co~t:5
tlEA TrNG PERMIT fEE
STATE SURCHARGE
TOT AL PERMIT FEE
Building pennit #-
$
$
$
.50
PAID wrrn
BUILDING PERMIT
(Olfict li~~ OIl\Y)
This Application BecoIDes )' our Buildini Permit When Approved
Paid
Receipt 'No.
~~ 2 6 2007
By
Dllle
Buildilll! Officllll
14 hour notice tor ll\llmp~clioll~ (951) ~7-9S9). fax. (952) .1.17-4245
100 IB
an G3.110al:WJ
9'!';::9091'1S9 XY.:! OI':S1 G3..\\ LOO(;:LO:CO
Date Rec'd
CITY OF P lOR LAKE PLUMBING PERMIT
~i5~~~~ print,~d ,i at bottom
1.._.._ ;} la~...
,~_"'- E"
~
~. ~~ ~~\' [PERMIT NO.
1 V,lIv,", Appli'lIlIl _
~GAL DESCRrPnON (""'~;;;, "'y)
,!;-OT BLOCK AI?DITION
PlD
--~
-- \
j
OWNER (.\ _.1 ~ 1_ C.c
(Name) --1:S~~.
(Address) .~!il e...
(Phone)
---..-..-
~..__ (Phone) ..
11 v-<:' fi." r VV1 i ~ ~ tI\
(Ci
bS (-lj~~ '7 8~ 'f __._
S50~'t
(Zip Code)
,_ (Phone)
...1.,. ~ - DATE ~:,_,-O7.
PLEASE COMPLETE BELOW
__,' Qua~~~tY'
Type of Fixture
t sink
,-----,.,~-
Rough-ms
Water Heater
Water "Softner
stand Pipe (Washing Machine)
Sowage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
-~
--- ...._-~...
}<'EE SCHEDULE
Industrial. Commr:rdal IX MlJlti-family 1% of job cost wi h a $39.50 mimmum Residential, New One &. Two-Family $9950
Rr:;:;idcntial. Addition:'> & Alterations $39.50
PLUMBING PERMIT FEE
STATE S RCHARGE
TOTAL P 'RMIT FEE
Suil . g Permit # -"7\--'''--
PA\D \N'TH
8~lLDING PER~fl.IT
Receipt N~:,-~
By ~
Estimated Cost S
COnlee IJ~e 0111)')
This Application Becomes Your Building Permit hen Approved
IJuildlng Otlir.llll
11lI ~
24 bour noti(~ for 1l1l ilUpectloni (952) 447-9850, fax (952) 447-4245
161110 Elgie Cn k Ave., S.E., Prior Lake, MN S5372-1714
~,JOd.:l
1: d ~Jdc.~ : cO L00c L0 . das
. ON >(ti.:l
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS z.~ ~~~IJ.tJ. '"
NATUREOFWORK: _ _ ~-- t. :~c..8fJiswd-~1
USE OF BUILDING 5'."0. ·
PERMIT NO. ~O DATE ISSUED ..,
CONTRACTOR I.I>W" ~ PHONE Z':'Vs -~",
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BYILDING AND INSPECTION
INSPECTOR DATE
[FOOTING (<)V ~~ j'/~/~?
FOUNDATION (Prior to Backfill) Y '? -- - )
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~L fJ.1 ~~/ ROUGH - I S
SEWER I WATER I SEPTIC ~ eV.
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST f
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
Il.ArHe! f{tJdIE~ IV~ ~ ~rl\"'Q!> 'll~ I
FINALS
GRADING (Prior to Sodding) N.B 1.7.tJJ
or
BU~LDING ~c..() . ~ }O r~ 0
ELECTRICAL
PLUMBING f.c/(
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS 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