HomeMy WebLinkAboutBuilding 06-0431
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
1l/6 ')6
l_/V deLle
/J~-
So.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID "Z--\-: IJ~ . (){J J. 0
OWNER
(Name)
~e--1 "f A~c,", C j(). USCJ.J
Date Rec' d
5. ~. db
White
Pink
Yellow
I PERMIT NO. 0&.;;. 04-3 i I
File
City
Applicant
ZONING (office use)
!'t/J 0
(Phone)
(Address)
BUILDER ~. i '..,- /
(Company Name) Din/d'1v9 /hl'l-/~~ +~/*1/,J:'L)~..:;:;x, (Phone)
(Contact Name) IYlAeJ:.. LA-~~E-P_ (Phone)
'/1 . /.:"L~OtJ /J/Jf./. ~ sr /9/C/~O
~63 56/ 3~Y'E/'
,
?6:3 Sh/ 3"/)~V
Il.J.
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
J(Addition j(tAlteration OUtility Connectlon
CODE: ~.R.C. DI.B.C. o Misc.
Type of Construction: 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
PROJECT COST IV ALUE $
(excluding land)
I?<;OOO
I I hereby certify that I have hrrmshed mformatlOn on thIs application which IS W the best of my knowledge true and correct. I also certify that I am the owner or authOrIzed agent fll! the
I ab"ve-mcntloncd property and that all constructIOn will confl)rm to all exisllng statc and locaf laws and will proceed in accordance with submitted plans. I am aware that thc buildmg
I "ttieral can revoke tl1lS pelmlt for Just cause FUllhclmOle, I hereby agree that the City offiCIal or a deSIgnee may enter upon the plOpelty to pel form needed mspectlons
I X ;O/~~~~ ~O ~!~tor~L~e~eNo Date
Permit Valuation
Permit Fee $
~~ChcrkFIT $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee t,nJ I $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~~-
Buildll1~ Official
s/f.r ~(.
Date
Park Support Fee # $
SAC # $
Water Meter Size5/S"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE t!Htt.t:V 5. '2-'5.0" $ 21 .5~(:. 8. zg
ThIS IS to certify that the request m the above applicallon and accompanymg documents IS in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the CIty Planner ClJnstttutes a temporaty Certificate of Zonmg complIance and allows construction to commence. Bcfore occupancy, a CertIficate of Occupancy must be
i~J~~' ~~
Planning Director Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~;:t.w. ';',iJ-S
nditions, if any
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
e VI LVi /\/(7 ,fl1"'lt6
5. e. ore
<
/ }.-/ ;//c 0 t/6 /16N I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14(c trc CjL.E;VOt4L.~ Rve. ~.
Accepted
Denied
,x
Accepted With Corrections
Reviewed By:
tVJ#!,
Date: ~-It .00
Comments: See Reverse Side for Additionallnfnrrn~tiQ,,1
, See ~t~~chments: 1) Grliding Plan, 2) Eroslon Control Measures
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."
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
,if
(...r' ( ;' f~
-"--.^"'-'
I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I
/ f
.
.' L. t. /
I
.
-.
{-.
- ;" L r:':.
Accepted
Accepted With Corrections
X
I
Denied
#~
Date:
~4 /
>~ ?~.. 'rk,/.
Reviewed By:
Comments:
./
. -, /
, ;'
/....(c "
r-
"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."
.-.-_.._--------~-_.._--------------_.,._-~..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,
BUIL-OINe? ~, f /M-f'?/G0 v'6 J-16NI
5. 6.0&
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4& 7(p CjLE;J0r1t.._4~ I'7Ve, s.
Accepted
Accepted With Corrections
)<
Denied
Reviewed By:
/#~
Date:
~~
/ t
/~~
"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."
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT ~. 2.3.0&
/qJt'iI" rf vi ') I
~.=w ~cant I PERMIT NO.O&.OS&0 I
lPleooe type - print ~d""''' .....om~
I ADDRESS
. l~lo 1~ Gl du.\ Q., AJ S
ZONING (office
use) Ie I SO
LEGAL DESCRIPTION (office use only)
Lor
BLOCK
ADDmON
PID 25'.1:](,. 003.0
OWNER
(Name)
(Phone)
(Address)
APPliCANT
(Name)
(Address)
paul stafford electric, inc.
5004 xerxes ave. so.
minneapolis, mn 55410
(Phone)
(City) ~
(Zip Code) -
.ilCZ'
'~ontact Person)
(Phone)
_ J>PliCANT SIGNA
OWa$ Air Plants
~"'ty
echanical
ir Conditioning
OVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side YanI
Setbacks
FIREPLACE MAKE AND MODEL
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99 .50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $~l. 50 nS?5!J
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ =len .{) cd +tJ,...-J
lftIce Use Only)
This Application Becomes Your Building Permit When Approved
Paid R',oo
Date ~ ,;)-7- (" (p
Receipt No. 57 5' f r
BuDdlne omcial
Date
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
l. Blue File
2. Gold City
3 Yellow Applicant
ADDRESS
1<(6';
ZONING (office use)
c;)e", do. J~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
(Phone)
APPLICANT /V1. ..-:::>
(Name) //b.t.5J-I-es.::5 //-""b0-~
(Address)..3/-=?/ /6/ st "AcJE AnJo~1
(Address)
(Contact Person) C~C-&~ ~J'\cs.S
APPLICANT SIGNATURE ~?~
(Phone) ?63
~A.J.
(City)
/,'53 0 70.3
-55 30 <-{
(Zip Code)
(Phone) 76.~ ...:);3 ..56.5~_
DATE 7-/7-06
-
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
/ Bath Tub with or without shower Rough-ins
I Dishwasher Water Heater
Floor Drain Water Softner
~ Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
i Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
I Bar Sink Lawn Sprinkler
Ot 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 $ ~~~
Building Permit # 06.0<'/31
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.31: f1j
.50
Hi _ (lV
(Office lJse Only)
Date
paid1-0. (; 0
Date
-7.,17.0(/
Receipt N0519 (p tJ
By
This Application Becomes Your Building Permit When Approved
Building Official
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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR PHON~.~~
NOTE: THIS IS NO 'A PERMIT FO ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) ~ G,\}tlJ
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
Ids e W,;~/{.L. /XI F I ~ A ~ I //J/l-rL
GRADING (Prior to Sodding) tv It /. 0 6
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
CITY OF PRIOR LAKE
. Impervious Surfacf~ Calculations
(To be Submitted with Buildinn Permit Application)
For All Properties Located in th(: Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
I L.I ~IVJ l\
Property Address. "~~'1 \D Gr~~ \.e.... ~,^\K,.l
~ <<~eQ~P
Lot Area "'2-, ~~S .. . Sq. Feet x 30%.= .............. "3 co CD t~
***************************************************************~**~*****
LENGTH
WIDTH
SQ. FEET
HOUSE
AN,l?
ATTACHED GARAGE
x
x
x
=
=
=
TOTAL PRINCIPLE STRUCTURE...................... ~
DETACHED B~
(Garag~
x
x
\ 0 c::;
,
TOTAL DETACHED BUILDINGS.......................
\oS
DRIVEWAY/PAVED AREAS ~\~"'V04.\nl.)u~ x.
(Driveway-paved or not) X
(Sidewalk/Parking Areas) X
; ~~...t"""' fc:...~'t~ .
=
\ ~ \.0 \.p
=
=
~ \ "'2-
\~\B
TOTAL PAVED AREA:~.........................................
PATIOS/PORCHES/DECKS
x
x
=
(Open Decks I;''' min. opening between
boards, with a pervious surface below,
are not considered to \:l:t:. impervious)
=
x
=
{\elMo\l(, \~\ 0 ~ e-{.34\~ct
OTHER ; -->
Ne.~ ~'(-.et.L c..ou..e.....e ~
b,\ c.t)~. ~Ja \\~.p ~
~;~AL~:~:~s..~.~....c.~.....~.~~~~.............. - \'2.n
x
x
=
=
TOTAL OTHER....................................................... --\- \ l ~
?...
I
I
TOTAL IMPERVIOUS SURFACE
aVE", n .
Prepared'ByV~ \<'-\~~
.. . \
Company ">"I11",y. Sm""''''yi''g.r.n . '? A
'3 e <et'-t
..~t(,
Date~ Db
Phone # (Q'i?) 447-2,.70