HomeMy WebLinkAboutBuilding 07-0391
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CITY OF PRIOR LAKE
~epztrfm~nf of ~uil~ing Jfnsp~rfion
~ Pinal Permitted
D Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D 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 ,,5// 0l,E f- I'll'! I L >-,' Bldg. Permit No. C 7 62~; I
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Occupancy Type
Ie
Type Construction
Zoning District
/' - I
Legal Description
L 2 { D II /1//-1/-'/,,/[; crt [/\/ / :T-
Owner of Building
Contractor's Name & Address /( . /I. i Jill ..
f
IC.-.( I t- I I V h U Ie Ii /1/.":
r"f~uildi~_g Official
Date: I:... L))
Site Address
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
G\,' <' ~
S~~+-
LEGAL DESCRIPTION (office use only)
LOT 1- BLOCK \ ADDITION
OWNER
(Name)
Date Rec' d
~(f((Jr
I PERMIT NO. 01. b 3 q W
White
Pink
Yellow
File
City
Applicant
\i\A
k G\~,^
PID zs.
(oV\sbcbu~
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(Address)
l
BUILDER
(Company Name)
(Contact Name)
(Address)
"'-"
hvs+
ZONING (office use)
Rf
\\) QA.0 \)"
(Phone) '1:/2- 759..; - Z,(a?
~ Sl..p(Tl \
\" AWl tt- Lov\~tr~o V\ I LtC-
:r-QSO~ \.0\%
l-W~ ~0 \>r.
(Phone)
(Phone)
~IJ\
'15l... 7 5'6 ~LlO9J
(p l2 ~to4 ?:>?::><o Z
C1lRo \
\s-:>rr
TYPE OF WORK kfNew Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility ConnectIOn
ORe.Siding
OLower Level Fimsh
CODE: l:!..R.C. DI.B.C. o Mise.
Type of onstmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
~irePlac( ,
PROJECTCOST/VALUE $ 300tccJ:)-
(excluding land)
InfmmatlOn 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
Jbove.mentlOned property and t all con' ruction Will conform to all eXistIng state and local laws and will proceed in accordance with submitted plans I am aware that thc buildIng
pert f Just cau Furthermo. I hereby agree that the City official or a deSignee may enter upon the prope11y to perform needed Inspect ons
'2 'It( t:J ?
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
This Application Becomes Y OUT Building Permit When Approved
~~~
Buildl11>! Ol1icial
S" JlrfA, 7
f D.{te
Contractor's License No_
Park Support Fee
SAC
#
#
$
$1 7S,O~
$ 32..S'.oo
$ 70.00
$ t 500,00
$ 00 ,00
$ ISeo. Do
$
Water Meter
; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
ThIS IS to certify that the request in the above application and accompanymg documents IS In accordance with the City Zoning Ordinance and may proceed as requcstcd ThIS documcnt
when signed by the City Planner constitutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
"Sl~. .
~ ~ S,h3j;,7
Planning Director Date 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
Water Tower Fee
Builder's Deposit
Other
Sep 12 07 01 :02p
WelterBlaylock Inc Yetzer
9527585942
p.2
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S\vect
~. ~w ~i..n I PERMIT NO'07. O?/ll
I ;,~NING ,-
--~............. .._~
I ADDRESS
33~Z. GrY'B S
LEGAL DESCRIPTION (office use only)
LOT 2 BLOCK ADDmON (f1o, Ie (;te V\
I ~::~ K A- LJ~'++- C~f rue- iv&\
(Address) 15"30 2l?G'rh 5f U
(Adthess)
PID
(phone) q 52 - 766- 2' 08
;VPtv Ptarll#
(Oty)
5{;,07!
(Zip Code)
~~~ANT flW'
(Address) ~-ti'\ ~
(Address)
(Contact Person) ~.
C. (Phone) Q?2. 1S8 'ii"IDJ
~ # 3 ~Oty~ ~~~~~
lDI ,. 49' lir1~one)
APPUCANT SIGNATURE
DATE
q" Z-ftJ
APPLICANT PLEASE COMPLETE BELOW
Size of water service 1 inches.
Location of any couplings from structure S"tJ feet.
Type of sewer pipe. D ABC gpvc- D Cast Iron
Estimated length of sewer line S 2... feet.
Clean out (if required) located at --===- feet from structure.
----~
FEE SCHEDULE
Residential sewer and water line connection :$33.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $ 3~ f) 0
Building Permit #
SEWER AND \VATER PERMIT FEE
STATE SURCHARGE
TOTAL PElUm FEE
$
$
$
. . PAID wrrn
~tlb'NG PERMIT
(Olfiee: UR Only)
This Application Becomes Your B8itdiug Permit When Approved
BaiJdial!': OfIicilll
Oak
DateL? ZO 107
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
r~:-na[Y - Engineerlilg/
Ink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I~.
1-\. \j\) I I
-1. (17
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
33 0 2- 9 Ie,! ~I Cl := ~TcE CT
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
fV)fI5
Date:
~ - I p~().,
Comments: See Reverse Side for Additionallnformationl
See Attachments: I) Grading Plan, 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."
~ten - Buil~
anary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1<-. A. wel .,
5. 1.07
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
33B2- 9rU99s ~01
Accepted
Accepted With Corrections V-
Denied
Reviewed By: ~
Comments: ~ ~
Date: 5" //%~ 7
-Idr~. ~~
tn ~f7~~Ue ~~~,
~J ~~ ~- ~a .Jr/r~~
o-IL r I
;; ~ ~~, r4>~::::: :::: r
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Y""~~'
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."
White - Building
Canary - Enaineering
~k - PlannTilQ)
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
v'
Accepted With Corrections
''('
Denied
Reviewed By:
~~
Date: 5/2- 3~ 7
Comments:
"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: ~
,
~
Date: S /23/07
Building Permit # PID: Zoning:
Address: 3'3 P'Z- ~ ~
Legal:L.;1. , B I Subdivision: 1Ytr ~ /if
Existing Structure? YES ~ Existing Nonconforming Structure? YE~
I CONFORMS TO ZONING I ~E9 I NO I
ORDINANCE
Standard Proposed
25' S""
10'/
25' if abutting a street 0
. Sidewall exceeding 50' requires additional side 2" 1 0' setback + 26' -Ie ~
setback for eve l' over 50' in len th 2"11' over 50'
. Rear Yard 25' 3'
. Patio Door: provide for minimum 10' deck or sign 10' sidel
statement indicatin no deck will be built in the future 25' rear 0"1'\.L -
. From 100 year flood elevation of wetland/NURP 30'
pond, ~A.
. Refer in- round ools to the Plannin De artment
. From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no NA
less than 50'
Floor Area Ratio: NA 1 FAILS .30 Maximum / ~ '7.,
Yard Encroachments: NAJ FAIL", I~Dr Standard Proposed
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line (Easements), No rJE:
AlC and other equipment cannot encroach on interior
side yards, ~6rJ€
Tree Preservation(NAJ)FAILS 1 COMPLIES Standard Proposed
. Total caliper inches
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement ~:1
L:\TEMPLA TE\BLDGLIST.DOC
85/19/2887 89:49
9527585942
PAGE 81
V.lEL TER BLA"/LOCV
D~t~ Rec' d
CITY OF PRIOR LAKE PLUMBING PERMIT
; ~~ ~!~ \PERMIT NO."'., rzlJTl. .
) Voll.".. Appli<",,' C -1-' ~D
J ZONING (~fu1
U.~~) _J
I "'"'~ "'.. M - "'" ,;.. M "'_1
ADDRESS
333~ b~)
s-t.
=
lOT
LEGAL DESCRIPTION (office 119€ on.ly)
BLOCK
ADDITION
pro
<)~J., 75~ -.)Ic.:~
(Phone) I
.J
OWNER I' 1\ Ii- C ..L. ' \
(Name) -L.f1' vU.,~ 'iH"I 5r f IIvt~ j o.,~
,(Address)
~~~~~ANJJ L (~ ~ '31~1 (O( ~ .
(Address) _:) Dr J-If5 4v S UJ # 3 IV .!MJf;,c.. (J(.~
(Address)
(Contact Person) CS~C1JeYc -f U{
(Phone)
YY1 A,)
(ei ty)
() 5,) 7 S--?: S'€J. I
:5b07/
(Zip Code)
(Phone) ")J. .x}/ -t.. '}S /
APPLICANT STGNATURE
I
I
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavato athroom S.ink) _
Laund Tra' (1 or 2 compartment sink,.
Shower Stall
Sin\cs
Bar Sink
Water Closet Toilet)
-~.~ -
Type of Fixture ft..'"
Rou -ins . S rVl -f j!,...
Water Heater
Water Softner
Stand Pi e Wa..hing Machine)
Sewa e E'ector
Backflow A~~~mbl
Backflow Assembly T cst..
Lawn S rinkler
Other
{
FEE SCHEDULE
Jlldu~lrial. Commercial & Multi-fll!IliJy I % of job cost with a $39.50 minimum
Estimated Coc;t $ _M./-..()t'O Building Permit #
PLUMBING PERMIT FEE $. ~ID WITH
STATE SURCHARGE $ B ~
TOTAL PERMIT FEE $ ~'- .. Uh.:. ING PERMIT
~~~~~-;"-7-.~~-~_.- ,---
: :i ' I. I I
ThiQ Application Becoml!5 Your Buildine Permit When Approved i :;,;1 'PaM'
: ri i
'.it_\
(Olfjc~ \lle O",}y)
Re~idenbal, New One &: Two-Family $99.50
Residential, Addition~ & AlterlItions $39.50
Re<:eiptNo. ~
By :====J
BulldinP. omd.d
Dale
14 hour "ntiee for llll i"Jpcctiol1~ (952) 4~1850. fax (952) 447 -4245
16200 F..g'" ('l"Cck.\~'c,. S.F:., Pr"..r',bdit"MN&~';'?:1-J.1.14.
PRIOR LAKE
INSPECTION RECORD
3 > t'!J rJ C"') f) ,. .. '-' '<'.'''1 ') " r C 7. .
SITE ADDRESS => 0 c., ..", f". ("\"~ ,..) ,( C L
NATURE OF WORK ,NE: tA. J <*'1..., ))1 , (~) / I - 1-. i j~) tJCJ r.>~C K, '~f~c" (",~
USE OF BUILDING ~. :" j , ( l.'-. FlfJ /r",
PERMIT NO. 07 - 0 39 < DATE ISSUED ~... f ~11 { 7
CONTRACTOR J<-.1:,.... \,,-j 'IT C(t,". <;( . PHONE ((}'Z -::(,.<:1- 33'~:.Z
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT ,<
EI!. (J SIt I'-' t' Ii /-J 1/) (I 4. 0.1 1\, ( '.! {<fi 'j.(. rl~NSPECTOR At /1__ (,'/;
FOOTING - 3 -0
FOUNDATION (Prior to Backfill) ~ --oj
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
t
DEPARTMENT OF
BUILDING AND INSPECTION
.
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
4-1:-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
ILATf{t: i Ho "rntJIlAi\ I I/V I iJ f('~if7 I
FINALS
GRADING (Prior to Sodding)
BUILDING
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