HomeMy WebLinkAboutBuilding 04-1014
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(Please
ADDRESS
3/
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
rYJ66fL
LOT 36BLOCK I
LEGAL DESCRIPTION (office use only)
Date Rec' d
5.( ,1)1-
tJ. 3C .04-
Jt!!.E. StJ6n/T
White
Pink
Yellow
File
City
Applicant
I PERMIT NO'Of- . /0/4-/
, / /2-C Lt:::.
ADDITION
77:f€ IN OZl 0 c~ /t7 7Jh;:--W/ J.-
PID 25" 3
ZONING (office use)
puo
OWNER
(Name)
'C:-DvIJ1L1:) () Dfr6/2eJwc;/!t-1
(Address)
(Phone)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
'LA-
q5~- ~ 39- 7C;g(j
I I
TYPE OF WORK
New Construction ODeck OPorch ORe-Roofing
OAdditlOn OAlteration OUtility Connection 0 Misc.
ORe-Siding OLower Level Finish
CODE~.R.C. OLD.C.
Type of onstruction: I II III IV V A B
Occup cy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
s-S
</j
o Fireplace
c9 5' tJ/ tJvzft--
I hereby certifY that I have filrmshed mfmmation on this application which IS to the best of my knowledge true and correct. I also certIfY that I am the owner m authonzed agent for the
above-mentlOned property 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 revo Kpermlt Just cause Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the property to perform needed mspect!()ns.
~ 3ff5?J -5~& ,- L/
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
00
This Application Becomes Your Building Permit When Approved
~A4~ Mi-
8uildlll!! Oftlcial
9' /2z(c; t/
Date
Park Support Fee
SAC
Water Meter Size 5/8
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
#
#
$
$
$
$
$
$
$
$
$
TOTAL DUE
ThIS IS to certifY that the request 10 the above applicatIon and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested. Tim document
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
~ 9Jr- ~zA~ ,ezudZ a€( ~
Planning Director Date Special Londl ns, if any
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Tht' ('t'nlt'f or .ht' t.kr ('oun.,.,.'
c::)ihitP- - BU~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT V\I S 5T A /2.. DSV, { I N ~.
APPLICATION RECEIVED 6. .3 o. 04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
317 L TI M C36R-V'JOL-F {!.;I fLUE:
Accepted
Accepted With Corrections
v
Denied
Reviewed By: ~ :;-~~ Date: 'l /c?d- ~ 'V
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."
.....
-
Tht' Crnlrr flf the Lakt Countf)
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:
i L_
.......
-
Lc
'\- !
',,-' (
Accepted
Accepted With Corrections
/'
Denied
Reviewed By:
~
&~
r
~ Date: ~c~4
ad~~.
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."
White - Buildinq
I(J~aDaf-3f - Enqineer~
Pink - Planning
Th~ Ct"nlrr or rhr l.akr Count'")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
:, · (t'-: "----.1 r\ :,<.---.
-1 \ /' ..../ . ,
,
r.' .V
\.,/ t. . I
I
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. I 'J '--'" .
(~. ...-''/
r .----
/ 4-
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.~.~) i --1 ---. --;~- j 1''-' I {--;:> r~ !;) i_ \ . (-, i i'~- ,/"', 17 i C'
~:/ I / .:.:~ I!, L) C, I '-- If ,; '" L_, re.I Ie C LA.:::,
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
IJ1t) [5
?
Date:
IO-/~-6'1
Comments: See Reverse Side for Additional Information!
See Attachments: 1) 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, oran 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 ~ l~ Date: fp 3 /or
Zoning:
/~*J ~ ,..
Subdivision: 71f~tJ"trt}S' Q ~ tJt.l~
Building Permit #
Address: 31701
Legal: L 3? , B I
PID:
Existing Structure? YES ~i
Existing Nonconforming Structure? YES @5>
I CONFORMS TO ZONING
ORDINANCE
YES
I NO I
Proposed
s-.s'
I
/ I L{ c;;- ,
.
Standard
25'
10'1
25' if abutting a street
· 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 ofwetland/NURP
and
· From OHW (Prior or Spring Lake)
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
30'
75' or setback average of
adjacent structures, but no
less than 50'
NA
Floor Area Ratio: NA I FAI I COMPLIES
.30 Maximum
Yard Encroachments~ NA I FAIL IC MPLlES'
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line Easements.
A/Cand other equipment cannot encroach on interior
side ards.
Standard
Tree Preservation N FAILS I COMPLIES
· Total cali er inches
· Permit 25% Removal
· Cali er Inches Removed
· Cali er Inches Preserved
· Re lacement
Standard
~:1
L: \THvIPLA TE\BLDGLIST .DOC
D@c 06 04 02:53p
DEC-05-2004 14:01
W@stonka M@chanical
CITY OF PRIOR LAKE
Contr
612-472-4961
9524474245 P.01/01
lJlnC Al:l: U
p. 1
CITY OF PRIOR LAKE
SEWER AND-WATER PERMIT,
i, e:,,, ~~~ I PERMIT NO.&fJlJlf-
1 Otlf Appl....' ·
Tl'""b~oW C:;/'C1e V, w.
I ZOND<G ....~l I
tf.GAL DE.SCRlPTroN (ol&e III~ only)
LOT Err.OCK
ADDITION
PID
OWNER L
(Nam~) WesiJC.1'
Tlv<~le.(s
(phone)
(Address)
(1..ddl'US~
(City)
(Zi~ Cock)
APFLlCANT .1. 1/ J.L r
(Nunc) WeS".KQ ~.er rr uJ~r-e.r (PhoO<) 1fIS-~) If 7.:J-I/<;/'/'
(Address) ~ 5"c) { CQ R J. f~ M{M,ll j " 0'1(1 5~?b c.(
(Addte..) (City) . (ZipCodt)
(Contact Person) l? (I'o.t> (Phonc) (bJ::J. ) ?Lil- 977?
"- 5--0
APPLICANT SIGNATURE DATE. ""<'
APPLICANT PLEASE COMPLETE BELOW
Size of water $crvice ~ inches.
Location of any couplings from strUcture ~ feet.
Type of sewer-pipe:. 0 ABC ~ pvc 0 Cast lron
Estimated length of sewer line 'is feet.
Clean out (ifrcquired-) loeated at _ feet from structure.
Residemial JeWcr andwiltcr lincCOMc<llton
Sewer connection only
FEE SCHEDULE
$35.50 Industrial. Com'l&. Multi-fllmily
SI7.5() WarerclJlllKCtiononly-
1"/. of job coSt with a S39.50 minimum
!-17..JO
Estimated Cost $
Building Pennit #-
SEWERANU WATER PERMIT FEE
STA.U SURCHARGE
TOTAL PERMIT FEE
S
!
$
,Slwo WITH
elfltD.NG PERMIT
\01Un tin 0011)
Tbi$- Appl&ution Bcc:Amcs Your Building Permit When Apprond
n.lt
I hid
D~tl
8 Lu04 f :'0>1 N,
8wl~omcial
2itllourll1ltitt-for1tR,inspeuion8 (~Sl) ~1-9850, r"lI. (952) 447A245
TOT'AL P.Bl
03/21/2005 MON 9:03 FAX 7634279448 Larsons Plumbing & Heati
[g) 001/004
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. !true rile
2 Gold (11)'
) VeJlMY ,\pplicam
I PERMIT NOOJ...lO.8-
I
ZONING (office use)
ADDRESS .
~\\o. \\fY\'\Qe.,C\-.:>o\ t'~ c{~L.1 (
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
(Phone)
APPLICANT
(Name) Lc\'\"S:)(1
(Address) ,.~O O()
'J
\ \\l..fnY.A {\~
\ lo~~ L""
(Address)
(Contact Person)
APPLICANT SIGNATURE
Quantity Type of Fixture Quantity Type of Fixture
d- Bath Tub with or without shower I Rough-ins
\ Dishwasher ';l Water Heater
I Floor Drain i f Water Softner
& Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
1..\ Sinks Backflow Assembly Test
Bar Sink I 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 $ ~~cro Q'iJ _
Building Permit # .
PAID WITH
tAJlLDING PERMIT
PLUMBfNG PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
~XR t 2 2005
By
24 hour notice for all illspedioRs (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372.1714
03/21/2005 MON 9:03 FAX 7634279448 Larsons Plumbing & Heati
~ 002/004
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
J, Yellow
F;!. I PERMITNO~
City
A.ppliCAnt .
ZONING (office use)
('{(,.d-c
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
(phone)
APPUCANT
(Name) U.>_~'x::.{\ ~\\'\"'Y\ \)I~V~ O-.,^d. {{E'f1:krs
(Address) '?kC\'.) l~,~tg. LV\. NW
(Address)
(Phone) '1~?FL{d\-l0&)
A Nlwer
(City)
6:)!x:~~
(lip Code)
(Contact Person)
(Phone)
DATE
APPLICANT SIGNATURE
~NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL LV\)(Cll r e.,. FUEL ~(\~\J {'w..s
FLUE SIZE RETURN OPENINGS \() INPUT l;)o pOD OUTPUT
-
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
OGravilY o Hot Water Air Conditioner Units
[]tMechanical o Radiation Cannot Encroach into
!!lAir Conditioning o Special Devices Required Side Yard
DVc:nt. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ ,\0 \U::.f~
Building Pennil #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAID WITH
'~UILD'NG PERMIT
(Office Use Only)
This Appllcation Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Offitial
2005 By
Dale
24 hour notice for 1111 Inspections (952) 447,9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior take, MN 55372
. .. " - - --__ ~'-'. _c-
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':l:::>..::44rdC:4:::,
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CITY OF PRIOR LAKE
HEATlNG/AIRCONDnaONING~PLACEPE~~T
Date Rec'd
_(pIe."", ~ on'''' "bo"'''''~
I ADDRESS _ / ) -d .-r; i'!1. b r:: f' We ([,_
~ I~
;~~ ~~~ I PERMITNo/J_,
), 'r",Uli'o' ArDIJClln, I --'. _~
I I ZONlNG_=l I
LEGAL DESCRIPTION (office: USe only)
LOT
BLOCK
ADDmON
pm
I OWNER
eN a."ne)
(Address)
o L- S I-Cz. I'
(Phone)
l
APPLICANT 1'1- J (>
(Name) C-=' U ~ e {' S (C)U L f -e. (' <-~ LJ PP ) '\.j
(Address) L3 Lj D S- I ..5-(-0, t9- u e VI () e
(Address)
(Phone) '7 ~
P J7wtocJ1-h.
(CIty)
3- ~ ~</ - 'I to C;; ~
5S<;Yf
(Zip Code)
(Contact Person)
(Phone)
DATE
:3
APPLICA.."\JT SIGNATURE
~w CONSTRUCTION o REPLACE?v!BNT o ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETIIRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATIN'G OR POWER PLANT
OWarm Air Plants o Stearn PLEASE NOTE;
o Gravh:y o HOl Water Air Conditioner Units
o Mechanll:ill o RadiaLion Cannot EIlC'roachinlO
OAir Conditioning o Special DcvjcQS Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL Qc.J~e.r-~O f' ()K(beJD
APPLICANT PLEASE COMPLETE BELOW
JndUWial, CnmmerciaJ & Multi-Family
FEE SCHEDULE
J% of job rost RCllidem:ial, OIlS Fireplace
S39.50 minimum
S99.jO Residential. AdditJons & Allr:rauons
$64,50 Residential. AC Only
$3 ~ ,SO
Residential, Heating & AlC (New Construction)
Residential. Heating Ollly (N~ Construction)
S39.50
$39.50
Elitirnated Cost $
Buildl.og Permit #
(OfficI: U3C Oaly)
TI1i:l Application Become::! Your Building Permit When Appl"Oved Pa
REA TING PERMIT FEE
STA TE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
fJullding O1'I1d.lI
Dat!!
Dafr
24 hour notice Cor IlIJ iDspe,:tiOIlS (952) .;47-9350, tax C9SZ) 447.4245
''''''''~ '1:"'__1... ......__,.. _.. .... ~ _. _ __ _,
T,..., T T"r' r''\TI'"'TI'TI'"'TT ,.,rr ("\.f"T ,it'\
loonrccrOI YV~ ~r:on cn/Dr/ln
Driveway: NA I FAILS
· Maximum width at ro ert
· Required setback
.
.
.
Ian
Building Height:
FAILS
Shoreland District
Minimum lot area s uare feet
Minimum lot width
Shoreland alterations
1m ervious surface
Bluff in Shorelan N FAILS I COMPLJES
· Setback from top of bluff
.
.
.
Floodplai N I AILS I COMPLJES
· 100 year ood elevation
· Lowest floor elevation
· Proposed lowest floor elevation
· Elevations 15 feet from structure
· Road access must be no more than 2 feet below
Re ulato Flood Protection Elevation
A FAILS I COMPLJES
.
.
.
.
.
L:\TEMPLA TE\BLDGLlST.DOC
Standard
24'
5' from side lot line or
30' from r-o-w on comer lots
10%
35' Maximum
30% Maximum
Standard
By planning dept.
Standard
908.9' Prior Lake
914.4' S rin Lake
909.9' Prior Lake I
915.4' S rin Lake
Must be l' above flood
elevation for new and existing
structures. If existing
structure was constructed
9/19/90~ 11/22/97 then
additional foot is not fe uired.
Must be flood elevation or
fJiher
907.9' for Prior Lake
913.4' for S rin Lake
Standard
832 s .ft. or 25% rear ard
10'
15'
Proposed
d'
~~r
()
fJ/L.
1.....)
6fL"
Proposed
Proposed
Proposed
Proposed
PRIOR LAKE D~PARTMENTOF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~17c:.. ~iJl/\~"F . _ClftC(.f"
NATURE OF WORK ~ ~I__
USE OF BUILDING s:: .
PERMIT NO. 0 +, 10/4- DATE ISSUED t..
CONTRACTOR t&JBi~tl. bEVarU~ PHONE - Z "
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
, THE PERMIT IS BY SEPARATE DOCUMENT
tlee! rl1f : INSPECTOR"
I FOOTING - I /fJ
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUG - INS
< .
DATE
/o,bz~f'
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING f 5
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~
HAS BEEN SIGNED
GRADING (Prior to Sodding)
BUILDING ~ "0
ELECTRICAL
PLUMBING L.> (
HEATING
DO NOT 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