HomeMy WebLinkAboutBuilding 07-0213
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FZ-
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ~ /.
AND UTILITY CONNECTION PERMIT 4
~ 07
I While
Pink
\'ellow
File
City
Applicant
I PERMIT NO. 0-7. 0 Z-I3 I
(Please e or Tint and si n at bottom)
ADDRESS
> 3 g- 8' ~,' I )t!"~/ t&1t <-
ZONING (office use)
e
!LEGAL DESCRIPTION (office use only)
l_ LOT I BLOCK ~ ADDITION f"e/F. y<- /f-f ck:
I~i'-L
PID 2"";:. 4- S-.
OWNER ,? ,/;.
(Name) rt//)':(
II,~<'~
(Phone)
(Address)
15
;tI;, It.. w~S"r
fl1AJ
~s/z I
BUILDER
(Company Name) S~ &-
(Contact Name) JV\.;-G--~<- t ~ I/~
(Address)
(Phone)
(Phone) (; { l - 367 - jt7 'j 'i
TYPE OF WORK [31\iew Construction ODeck OPorch ORe-Roofing ORe-Siding iaLower Level Finish 0 Fireplace
OAddition o Alteration OUtility ConnectIon
CODE: [Bf.'R.c. DI.B.C. o Mise --~~----
Type of Construction: I II III IV ~ A B PROJECT COST IV ALUE $ 2 5'~(7 00
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certity that I have turnlshed Information on this applicatIOn which IS to the best of my knowledge true and COlTect I also certIfy that I am the owner or authOrized agent for the
abilvc-mentlLlned property and that all construction will conform to all eXIsting state and local laws and will proceed m accordance with submitted plans. I am aware that the buildmg
~IiCial can a~t1::J'lt for Just use FurthcrmOl~at the City official or a deslg/3y::;eiPon the propeny to perform_need~~;;'l: c? 7
Contractor's License No. Date
~ 11 /07
I Date
#
#
Permit Valuation Park Support Fee
Permit Fee $ SAC
Plan Check Fee $ Water Meter Size 5/8' . 1" .
State Surcharge $ Pressure Reducer
Penalty $ Sewer/Water Connection Fee
Plumbing Permit Fee $ Water Tower Fee
~echanical Permit Fee $
Sewer & Water Permit Fee $ Other
Gas Fireplace Permtt Fee $
#
#
This IS to certlly that the request m the above applicatlon and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested TIllS document
, :;~ ".~"'''~ ,,,,,,,,,,,,,, Lm''0m'"lli<e ,,,' '""w> "m'"'''''''' m~~o""""'~ m," C,
Planning Director ~ I z.tf 7 Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue 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: (//Z;;7
Building Permit # PID: Zoning:
Address: 53cY'? T~ ~
Legal: L I , B :!3
Existing Structure? YES~
Subdivision: ~ @ ~ ~
Existing Nonconforming Structure? YE~
I CONFORMS TO ZONING
ORDINANCE
YES
NO
Standard
25'
10'1
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' sidel
25' rear
30'
5',:5 I
~Z~
(j,J~
A
75' or setback average of
adjacent structures, but no
less than 50'
AlA
I Floor Area Ratio: NA 1 FAIL~PLlW
23~~
.30 Maximum
Yard Encroachments: NAJ FAILS 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
Pro osed
okJG"
(j,JE"
-
Tree Preservation: tNA'! FAILS 1 COMPLIES Standard Proposed
. Total caliper inches
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement ~:1
L:\TEMPLA TE\BLDGLIST.DOC
I
I,
Whhe - BUlldln~
~anary - EngineerTri!D
Pink - Plannln
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
j) {) [..TC
4-:,' (/. 07
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
th .5::;& e --7 Jut /' C- ffC/h? L.-,J ,
.1.'
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
rrW5
Date:
L{-/2....0h// .
Comments:, See Reverse Side for ;\dditionallnformation!
See Attac~nts: 1) Grading Plan, 2) F.ro~ion Control M~~~ll,!:~'
"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
r--PlnK - .....ann..!!J.Q7
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
i
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections
/
Denied
~
~ aL,(
~ Date: W?
J~
Reviewed By:
Comments:
.~~,ir C0nilifunel'" ,::::~;.d:_~.{::
Units Cannot ~.:>c.r~ ...
...,
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."
CWhit_ - Buildinu
Canary - Engmeering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;J () (.>IF
4-, ~. ()7
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5398 7lCA/t-ff&/-h?~,J ,
Accepted With Corrections
)(.
Accepted
Denied
t2f4A-
Date: "/,, I 0 7
Reviewed By:
Comments:
I.
Re~~
a.&c~ h~ oJ;s
"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."
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
s.,t.{07
I. Blue File I PERMIT NO I
2. Gold City . rr7. 0 Z-IJ 2
3 Yellow Applicant , ~ l2
ADDRESS ZONING (office use)
55$SS"
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I ~=R fLd / )~,
(Address)
(Phone)
APPLICANT P ~ _
(Name)Y~ / I-<'j fA",., b ''n~ U---l c.
(Address) <i?f&:?O ~'-< ~__ ~
(Address)
(Phone) C(s-d;J--'77 GI -~ IdJ
,
C\ordet-..-. P11Pl S""SSS:"
(City) (Zip Code)
(Contact Person)
-DATE
APPLICANT SIGNA TU
ANT 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 I % of job cost with a $39.50 minimum
Building Official
Date
Residential, New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
19 B~ 6JL--
pf' \1.10
~v
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Ma~ 02 07 06:50a
METRO GENERAL SERVICES
763-428-2968
p. 1
GIlEUI - FH.E
YELLow. APPLICANT
GOLD - ell 1
FA y...
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
q 5' 2.J.. 'I r 7- '/ J, '1-S"
S.W.NO'~
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICANT; (h t:1RO (; EM ERAi _ SER ijif2.EP'HONE: (~J 3 -4-d.S' ,-~ c) 3,~
---""7 rrJC-
ADDRESS, .5>~~m ~ DATE,
\ 'r.~ ST 11'1 I~/-j f1 r.; L -Y'iIJ. 55'37 i::.,
SIGNATURE: Q.._ ~~~.,' - , BLDG. PERMIT -# .
SITE ADDRESS; 53gg /r{lilluad~D#
FILL, IN THE BLANKS
Sf)
feet.
l.
2.
3.
4 .
"---- 5 .
6.
Estimated length of water service
size of water service
I .,
inch(es) .
Location of any couplings from structure
o feet.
Type of sewer pipe. ABS
PVC Lf-- 1/ Cast Iron .
Estimated length of sewer line
s()
feet.
Clean out (if required),
structure.
located at
IVIIt-
feet
from
------.------------------------------------------------------------
--------------------~~---------------------------------------------
This application becomes your permit when approved.
BY
DATE:
;=======fJ~j~:c=~~~=~;=;========;========~======================
FEES: ~.. .et.M J. 1- Sewer and water line connection permit.
~~~ ~~~~~arge
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* .sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to in~urethat no ~guplJ..cate sewer and water permits are
issued .
AMOUNT PAID
PAID "V1TIi
BUILDING PERMIT
:DATE-;~J;!A:ID
'RECEJ.prr -# Ii.'
L.~
\...
~L. .------
'16200 Eagly~Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (9~2) 447.4230 I FAX (q~1.) 447-4245
RECJD BY
Ma~ 21 07 11: 14a
p. 1
CITY OF PRIOR LAKE ..
IlEA TINGI AIR CONDITIONINGfFIRE'PLACE PERMIT
Dnu Roc'd
.I dgJlltbo~)
V'C,'ll/lft'iIi ny 1111 )
t;:. ;1_' rERMTfrio.1. ~
1
LEGAL DBSCRIi: nON (oma: tile (l1l1y)
LOT BLOC\. _ ADDrnON
Pro
I~::R p~: ~ ~D~1 ~ .
I (Ac1d.rn3) (~?---4 \ ~ -y;~
[ ~~~L~;{~ fu ~ VI '\ ~
(Add=") ~?{:'~ ,2_ -K.~~'Vl.('~ ,~ r' '---:-. '-- '-,- ~'-- .Yt-"~\..'-.~'~
,~) ( )
(ConteaPetSotl'l __/(~\..,.'O::t(.'-l, 'D--.\ (phone) --ll'"'lS-'
\ APPUCANT s:I' iNATURB (\ ( c.r .-.~-\-\ \.k" DATE ~?
I APPLlCAA"T PLEASE COMl'LETE BELOW
r I. ;:6;JEW CONSTRUcTION pREPLACeMENT 0 AL1BRATIONS -. -.,
I PURNACEMATEANDMODEL \. c Vlf\t'::.2.... (\L\~~)..J.:F FUEL 1J~,~-- C"y.7(:';' I
\ FLUE SlZE _; F.E1iJlU'IOPENWOS INPUT .80\ ("0'0 Ot.J"TIlUT c;,-~'I '2.6'(.,
I 'Ii'1'E OF S"{STEM ID!ATING OR PO\VEll pLANT
\ . 'i1Jll1lU Air PlaJItI ~Stecm I'U'..ASE NOTE.:
vl1;y Hal W.ur Aa CO\1ditiotJor Unim
I . ~ic&l bdltlflon CaonOl EllCTOIIcla Into
Air Corul.itionlnA Spttial. Ocv\c:Cl'l }U;quirul Sl~ YaI6
OVoflt. '3yJtrnl 0 Other ~vlce:.; SetMcI:!l
I FtREPLACB h! \J(E AND MODEL' .---
frf~C<h
1t\f )
(Phon.) L6 \ - L\ (';1- '1 n I i
Ul.-C
(phone) -:1\..0;" +'l~"LLLr-l \
R~.14enn..l. HCllj n~ &. NC (N".... ContltrucUOll)
RC3dorillnl. H~1.1 ~g On~' (New COJUWcrlon)
FEE scn:xDt.rLE
1% of Job CO!;! Rcllld<nllaJ, Ou Fi~ll1OO
S39.50 mll\\muro
S99.,o Rc.Sidcntill1. ;.ddltionJ b. Alwl'lltion&
SiS4.~O ~ldC!lllal. AC Only
S311,'0
lodllSll.al. comrl'f<:LJU &. Multl-PamllY
~39.~
S39,50
Estimlttc.d Co~t $1 ~ I c- 6C) . c::-C Bulldini Pctmlt ~
HBA TINO FERMI! FEE
STATE SURCHAROE
TOTAL~FEE
$~
$
S
.s~ PAID Wlni
BUtLD1NG PERf\4IT
lhlj, mg Orllcl.I
Dllt
(Office u.. 0nl:1,
Tbi, Applll' IUOlllkC'OIDU Your BlllW1IDfPermn When ApprOwd
I
. -
]. hour ~CJ1 for .\1 hupuuonal'll:sl) .w*,!i.sQ,fU:(9521447.4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING Ar\)D INSPECTION
SITE ADDRESS S- 388 /;d ke~-R().
NATURE OF WORK J\)e.w < I.A'J!L,l., r~) ~o f)~ No ~Jt
~ J
USE OF BUILDING SFD / ,
PERMIT NO. 07.02..('3 DATE ISSUED illl /07
CONTRACTOR ~6Me..5H__ PHONE ~,~ -3(o'-J7'1j
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
No i~c-\-.'ov\~ wit\,...Out-- "V-oseon M~
FOOTING
FOUNDATION (Prior to Backfill) - '/(jj
PLACE NO CONCRETE UN;TIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
- r (/7fJ
COVER NO WORK UNTIL '..BOVE HAS BEEN SIGNED
~e ~1O / ~fk ~ Ii, fp/!Ji//17 I
I FINALS
....-
! \.:.nADING (Prior to Sodding) ,tV/? '7 iff; u
i BUILDING
ELECTRICAL
, PLUMBING
! HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
1> ---l,- n
~ vDjUl
"7 - ~( -(f)
SIGNED
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