HomeMy WebLinkAboutBuilding 07-0125
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3~/Z.()7
File
City
Applicant
I PERMIT NO. 07. 012.5/
] White
Pink
Yellow
527
5UAAME~ 51.
PRIO~ LAlq
f\I 5557Z
LEGAL DESCRlPTION (office use only)
LOT BLOCK ADDITION
OWNER WlLL/4M I< ~ lLL ~ r.rrLEr?:
(N ame) I
(Address) 527 5UN\M
ZONING (office use)
,e/
PID 23": (J/tJ. 0 IS. 0
(Phone) (qS Z) 4l/ 7 -(p I g I
5>57Z
BUILDER 1) ! ~A . Or I /r-C A.OAAr- irJe"
(Company Name)_V V()fYJ/<:' ~-Vt; 'VI /' "c;N L/
(Contact Name) E-,(l L D VOr'Z4K'
(Address) 3ql q EtR-IrJIN CT-- E()ftJ
(IVe,
(Phone)ic(152) Q?'I-S87>
(Phone)
~ 1r21~ - /VlN S5S 4 <.{
TYPE OF WORK 0 New Construction ~Deck ~Porch ORe-Roofing ORe-Siding oLower Level Fmish 0 Fireplace
oAddinon oAlteratlOn oUtility ConnectIon
CODE: ~.R.C. OLB.C. o Misc.
Type of onstruction: I II III IV V A B
Ocrupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
I hereby certity that I have hlrmshed InformaIlOn on this applicatIOn which IS to the best of my knowledge true and correct. I also certify that I am the owner III authOrIzed agent tell the
ab<lve-mentwned proper and tl constructIOn wi1l conform to a1l eXIstIng state and local laws and wi1l proceed in accllIdance with submitted plans I am aware that the buildIng
:"'''' CO" ''',,' . ., 'Z '"". '''''''''''''''.' ,,,">, ~" "" ", n""''''i'Z'Q(;Z Z '339" '''~'''' co '" ,,,'" "n',' ';"'/3 -0 7
Signature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $ 10 {J
State Surcharge $
Penalty $
Plumbing Permit Fee $
~echanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I",
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
$
$
$
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
I~~
I llulidll1g UrJiClal
TOTAL DUE
r)1(~7
, at~
,30
ThIS IS to certlty that the I('quest III the above applicatIOn and accompanYIng documents IS In accordance With the City Zoning Ordlllance and may p",ceed as requested TIm document
when sIgned by the City Planner constitutes a temporalY CertItlcate of Zcllllllg compliance and a1lows constructIOn to commence Befme occupancy. a CertIticate of Occupancy must be
isslIed
Planning Director
Date Special Conditions, if any
24 hOllr notil'r for all insprrtions (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by: ~ ~ Date: 3/1S-~ 7
Building Permit # PID: Zoning:
Address: 52- 73 ~~ ~)
Legal: L , B Subdivision:
Existing Structure?~ NO
Existing Nonconforming Structure? YE~
~ ~
YES NO
CONFORMS TO ZONING
ORDINANCE
.
Standard
25'
10'1
25' if abutting a street
Proposed
30'
'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 1 A' 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)
1 A' setback +
2"/1' over 50'
25'
10' sidel
25' rear
30'
~
/JA.
75' or setback average of
adjacent structures, but no
less than 50'
NA
.30 Maximum
Yard Encroachments: NA 1 FAIL~OMPLlES '/ Standard Proposed
Eaves and Gutters no more than 2 feet in width and no tJd1\l e
closer than 5 feet to a lot line (Easements).
AlC and other equipment cannot encroach on interior /lJoJJ6'
side yards.
--
Tree Preservation {(NM1FAILS 1 COMPLIES Standard Proposed
. Total caliper inches
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement ~:1
L:\TEMPLA TE\BLDGLIST.DOC
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
ADDRESS
5(.,3
~. ~~~ ~~~ I PERMIT NO'''1_ (~~I
3 Yellow Applicant . V ~ _ ~ '
!~ 4f? .
s.c,
ZONING (office use)
,z..
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID z.. -
I ~~~R pu/!-e
(Address)
#~-42S:
(Phone)
APPLICAN'.T
(Name) Val /~ f>/~.6i0 4-zc-,
(Address)SC,CJ Qk~k-e,- ~
(Address)
~r
(Phone) q~ ~ -Lfe;~ - ~/ ~ J
JO,~~ rh /1 5S~S".Q.
(City) (Zip Code)
(Contact Person)
(Phone)
DATE
L/ - t:9-~ --0'7
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 #
~D v//~r
..
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
Paid
Receipt No.
Date
By
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
SITEADDRESS 5~"'~ ~
NATURE OF WORK.- _ / _ '/JrAIJlr-
USE OF BUILDING. ,I":' I' ..
PERMIT NO. ~ I 2-5 DATE ISSUED I;, .,
CONTRACTOR DI0JtA,l::. ))EYElIJ'MR/lS PH NE .~ ~-~87S
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
IL ABOVE HAS BEEN SIGNED
H - INS
-
--' j
=--~ 1
FRAMING
INSULATION
ELECTRICAL
'1" w1l7
I
COVER NO WORK UNTIL AFOVE HAS BEEN SIGNED
I [
ALS
-/ VtT7
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
I
NOTICE
This card must be posted near all 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