HomeMy WebLinkAboutBuilding 06-0517
dlerfifitafe of <IDttupant\!
CITY OF PRIOR LAKE
~eparfmtnf of ~uil~ing Jl nSpttfilln
~Final Permitted
D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D International
Bu'ilding 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" /:.: 0 Bldg. Permit No. () L .- S / /7
Occupancy Type l~' 3 Type Construction lI)J Zoning District /() I '5 /)
Legal Description Lo f:s 15 1 1?, /l)(:, r t:h (~.J()O d . ,
Owner of Building Site Address /0 1-- "), f;)(J y-d WOL.<J /2c!
-J) ; "
contractonj~ & A~reFOLj( ~ I (~<<~ k" I .ie' ;,; V
t:(~ '( l- [( U i-C h 1 ~ C, j/f,/)/City Planner ".j () Aje 1; ,j I.f" I ( -' r
7- Building Official
Date: _ I q- 07 Date:
POST IN CONSPICUOUS PLACE
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ?, 9 0 {P
AND UTILITY CONNECTION PERM~;,..,e:;. lJM.c.. *'0'-- .
li~ ~ r ....."11 -O'Z.DS"
] ~~~:~ew ~~;]"anl I PERMIT NO. ()~.5 t 1
(Please
ADDRESS
/6~S
1'0 ~ Pit~""' L
LEGAL DESCRIPTION (ollice use only)
7S" 47&
LOT BLOCK ADDITION n It.A... h. 0~
OWNER L
(Name) SC,.C)++ (1.....- nc.-~ 0<."
(Address) / Co?- ~, ()t1..J.-'h WOQ l
)1 dE-
fl. 4. ru \.J
PID~ 5-
ZONING (office usc)
(lIS ()
(Phone)
9'5).....288-;;;tc, 5~ .
,~(\.. ~ k
/d.
BUILDER
(Company Name) l2..ot--k...
(Contact Name) ~
(Address)
~ CUL-k
~~W'\
Du ~ n~ cL.- '5u ~ IJ~
(Phone)
(Phone)
~ S "J-'/tf7- 095 fJ'
TYPE OF WORK RNew Construction ~Deck ~orch~::!~;~Ofing ORe-Siding ~ower Level finish ~ Fireplace 2
IOAddition OAlteration OUtility ConnectIOn ~ ~ PO"1el-
CODE: ~I.R.C. DI.B.c. 0 Mise.
Type of &ristmction: I II III IV V A B PROJECT COST IV ALUE $ 7 5 5' I ooD
Occupancy Group: A B E F HIM R S U (excluding land)
Division: I 2 3 4 5
I hereby certify that have h nished mformatlOn on this applicatllln which is to the best of my knowledge true and correct. I also certIfy that I am the owner or authollzed agent fllr the
above-men ed pr perty a th all co truction will conform to all exisltng state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
r' oke IS perml or st caus Furthermore. I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspectHlns.
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
$
$
$
$
$
$
$
$
~ B<7:i;;~'m' p::;; ;'P:'"
Buildll1!! Ollicial Date
J..Q) l,,?-30?-
Contractor's License No.
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
ThIS IS to certify that the request m the above applicatIOn and accompanymg documents is m accordance WIth thc City Zoning Ordinance and may proceed as requested Tim document
when signed by the City Planner constItutes a temporary Certificate of Zoning compliance and allows construcl1on to commence. Before occupancy, a CertIficate of Occupancy mllst be
issued
Water Meter
C-~-(}6 ~~ c;h1M~ 5A'.ed:-
Date Special Conditioirs, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
White - Building
~nary - ~~glneerlnSD
Pink - annlng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
If) O( Ie a. ve r'.~k:
s- 9 - ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l?d3/ A)orfd (.aJ()cL !2cl
X,
Accepted
Accepted With Corrections
Denied
Reviewed By:
111M
Date:
h- ?-ot
Comments: See Reverse Side for Additional Information!"
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."
White - Building
Canal:}' - Engineering
<::::15frlk - Plann.!!!jD
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
JPPLlCATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i
(
,
f..
......
.....,,,,.-
(
I
I,'
/' ~ e'"/'
/
,,"'.
\ ---::-
Accepte8
x
Accepted With Corrections
Denied
Reviewed By: ~ ~ Date: ~-/8'-OC
Comments: - /4V\5 .sCa-w {C<!jSple. ~&4r~ J_ru~ in .f;.~"'t- yt4.vJ
If/" """e_<f~7 .s4..dlqd.:v-e J~ i:y .-/e in do..
~n -t: \/~V. .
:- 7'~ ~/f- {;t:. 51V1Nt~ /",.j
"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
Roc L (l, V'~ r' J::
5- 9- b
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
A JIJy'-&; UX!J()d
Accepted
Accepted With Corrections
I2d
/'
It:}, 3/
Denied
Reviewed By: ~ ~ +~.~,...) Date: 5./I'S~" ,
Comments: ~-.od. .u.e .~' l>~~ ~
~ ~ ~ ~ -;i~"~ ~. "r .-"7'~
~..4~~~.
~ t.4 ~ ~ ~ ,~ ~~~--elJ~.
"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 PRlOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted is 30 Percent.
Property Address /623/ ;.!PIZ77IpYv'tJ!J /?11M #~
Lot Area SA- 30b (-TO O,/J,W.t0 sq. ft. x 30% = .............. It Z9/, g
************************************************************************
LENGTH
WIDTH
SQ. FEET
HOUSE
x
=
x
A TT ACHED GARAGE
x
DET ACHED BUILDINGS
( Garage/Shed)
TOTAL PRINCIPAL STRUCTURE...................... ~oq
,~W€'> poil.CHfj
/Wf.> f1JIUEU1V1I Y
x
x
TOTAL DETACHED BUILDINGS.......................
DRIVEW A YiP A VED AREAS
x
=
(Driveway-paved or not)
(Sidewalk/Parking Areas)
x
x
=
TOTAL PAVED AREAS...................................~.....
P A TIOS/PORCHESIDECKS
x
X
(Open Decks y." min. opening between
boards, with a pervious surface below,
are not considered to be impervious)
X
TOTAL DECKS ..... ...................................................
J N CU/()C5 DIZ I VEwtlV5;
rlfTlb Jl>1> :J
TOTAL OTHER....................................................... q 17b
I \ ~{gfJr;
I Z6tJ6, g
Date 4-J1-tJh
Phone # (jd) 4~Z.~3a::JtJ
X
OTHER
X
TOTAL IMPERVIOUS SURFACE
c0IDiWOVER
Prepared By ~ ~
Company ~~E 6P6/,vf392-IPb
a
;{t.
L\HANDO UTS\IMP ERvious.doc
05/12/2005 13:12 9524925101
W'f"' tOO< - -r, v- '-1~ 10
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
FINALGRADE
PAGE 01
Date Rec'd
[~f~7m.~u~
I ADDRESS
/ R3/ IV'eJ kJQ)cj J?r;a('1
~, ~~w ~~Ii"'nl I PERMIT NO~ · S/7 ]
ZONlNG<_=j
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
I,
OWNER
(Name)
IS. D.et\J3/Je/'\" B.u~ Icler.S (Phone) 95;;)-
(AddrcsN)
(AddreSS)
(City)
(Z' Code)
APPLICANT r- I /'
(Name) 1" ;ntA.- (-'7-c.C<.~j f> h.'1C
(Address) \ 5)...;4 I ,'fJJt) f f Do U-t
(Address)
~
r
(Phone) QS:J- LfCj;)-S/()O
~r,rla/) SS35c2
- (City) (Zip Code)
(Phone) 10/ J 309--,;( !?99
DATE ~ O~
(Contact Person)
APPLICANT SIGNATUR
APPLICANT PLEASE COMPLETE BELOW
Size of water service L- inches.
Location of any couplings from structure --==- feet.
Type of sewer pipe. 0 ABC ILrPVC 0 Cast Iron
Estimated length of sewer Hne :;.5 feet.
Clean out (if required) located at-=- feet from structure.
l
ResidC!lntiaJ sewer and water line connection
Sewer connection only
$35.50
$17.50
FEE SCHEDULE
Industrial, Com'] & Multi-family ]% of job cost with a $39.50 minimum
Water c~nection only 'lL Sp.sO . ~ ...,+ f.,,(,z../Ol
'fe-I" ~.(,"I"\;.e.. f\c Q'-" \.:.\..,...,~ p",.r""",+ '1~ l' "'"
Building Permit #
Estimated Cost $
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
\
\
\
~.\ 'oLj
.50 ~~tw\if
~,()~ ~
~~
(OlTic~ U~c Only)
This Application Becomes Your Building Permit When Approvcd
Date
Receipt No.
Duildinl Of'lidltl
DJi1N 2 8 2006
\: '
I ~._
24 bour notice for all inspectloM (952) 4~~;850, fax (952) 447-4245
t:._~=~-~=~:~,:.- ,~"". .-""~.'
By
u ; ,. J U III .\1lI;\ u:l: i) ~ r .....1 tJ lL...j 7.. ~.j ~
"-'-'" .~-.
ld j t u r r l\ j Ul\ l...;.!,L
August 16, 2006
CITY OF PRlOR LAKE
HEATING/AIR CONDITIONINGfFIREPLACE PERMIT
Date Re~J\~
"
I. ,.,t
:I. er-
I,Y~
6":1 I PERMIT NO., 5111
...,pl"",' · .J
I
I
I zoNING ,""'""" :
~ type or pM! II' lORD it ~l!Dm)
. ADDRESS
t "'~I No/th,-~u~~/fb 1? ~ I1/. td..
LEGAL DESCR .Yf10N (offi~ uu only)
I OWN1~R /}
I G'lLrce) . K O,(/k C/)p,e.l-t'_ J.JCM~~
I '
. (AdOress) /6%17 -Vt/hfAL. AL~ ~
rr
PID J
(Phone) 95-.) - ~'/7-0f.5S- :
~J#vAKJk~~
LOT BLOC: :
ADDITION
~
(?bone)
DATE
: (Contact Per.;on)
PLEASE COMPLETE BELOW
~ ..mEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
: f1..'R.~ACE MAil. ~ AND MODEL ~"'AJ".~~;(J"ttJV~/~ FUEL ---
: FLUE SIZE ,*"'j>.v. C/ RETURN OPENINGS /7 INPUT .Ic/~#~d"" OUTPUT ~S-c:i~
TYPE OF sYSTEM H.EA.TING OR POWER PLANT
3Warm Air Plants 0 StCiJ'fl LL. -) ~~ /.
ir'Vity ~HOI WGW~J4t1.if#~/7W(~'/
Me<:lwlic:al Ra..dWion ~~
r CoodJtionin~ Special D<:vlce3
onl. Syucm Other Devices
PLE....SE Non:
:A.ir Condltoner Units
Cwnot Encroacn into
Rcqui~ Side Yard
Setbacks
I
..J
,.
!
FiREPLACE M. KE AND MODEL
lOC.ltT;.:, Comml cia.! &. Multl.Family
FEE SCHEDULE
I % of job 00,1 Resl6entlll, GiJ Pirepla.ce
S39.50 minimum
$99.50 Residential, Additlol'\l & Altorations
$64.50 Resldtotlal, AC On '1
539 50
S 3 950
f<.UJdenllll, Helt" ~ &. NC (New COl'ls~ction)
F.el:d~'.I'1. Heall g OrJy (New COQstrUctlon)
HEA TING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE S
PAID WITH
UliDING
.50 PERMIT
E.1timated Cost S l3ui1din~ Perrnil /I
(ome, uu Only)
Thll AppUCll' ion &tomes Your .BlIUdln~ Permit Wb.en Approved
Bulldi ,O(!Jclal
Dale
IP~
Date
t:P1 No
24 nour colic. for all illlpeetiolll (952) 447.9830, (11 (952) 447....H5
13:44
9524474245
CITY OF PRIOR LAKE PLUMBING PERJ.'1fx1
\ Aqgust 16, 2006
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~'~:L ~~i=l [ PEro}UTNO'. G/ll
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CITY OF PRIOR LAkE
P.01/01
/~231 ::'-J..~).{J).~ quuJ-, NY!
J
I ZONn;G I,ma~l ]
I
LEpAL DESCRIPTION (office ur.c only) \
I I I
tbT BLOCK ADDITION PIP
I 1 I
O~ER~ I (I Ji J J.iJ tud.b:J I
(Phone) 9.s~ . ~4? -.. oqs:s-
(N!me)' /I~~ .
(A~reSS) J~~~'1. (lWi~f';) ~ -~. .Q;n,' I
1Ju.J~ ~."-1i ~ ~ .iJ5-d't::LJ
,
~
~
I ,
I .
AJ1PLI~ !
~me) Jthr~' :J}Ini~~.
: I'
(A~dless) ~2...r ~ .. yrtl useJ Way
l. (Addl'e~s)
i ' I
(C9ncact Person) Th "'1 e.1
A~PLICANT srJNA1'URE
, \
I
h"-I' 4~. ..!:!:lJ?n
I
!
.s5'~R
(Zip Code)
1 - i
"'ij" usn tit)' !. Type of Fi::cture QU2n~ity 1)Jle of Fixture
j-:a Bath Tub with or without shower i Rough-ins I
I J qishwasher I : . WaJ.er Heater I
.
10 liloor, Draip J L~ Water Softner :
1 .s- ljav~toC)' (Bathroom Sink) I : Stand Pipe (Wa$ing Machine)
I Il IJaundry Tray (1 or 2 compa.rtment sink Sewage Ejector ~
I
idA 5lhowtr Stall . ' Bacldlow Assembly
: I . ~inks Back-flow Asst:m.bly TeSt
i I I ~ar Sink I kI- La~l1 Sprinkler 1
l 4- 'o/ater Closet (Toilet) I ' Other k.l'.J";~ I
. ,
APPLICA.NT PLEASE COMPUETE BELOW
I .
FEE SCllEDULE ':
\ ' .
lpdustl'i!l. Commuci3.1 &. Multi~t'2mily \." of job cost with a !i39.50 minimum
: i
\ I
. : , I
Estimated Cos~ S
Rcgidential. New One & T\l/o-F!!l\ily
Re~itkntiaL Additions & ~lteralions
Building Permit #. I
~~
59950
S:39.50
I
(Of ace U~e. Only)
This APplic::a.(iO~ Becomes YOllr Building Permit When Approved
I
!
j
T
'.paid
\
'I
I
i
Tf"I'TOI O:l VI 1
TOTAL P.01
".
PLUMBING PERMIT FEE
I STATE SURCHARGE
TOTAL PERMIT FEE
$:
$
$
I
.
I \
: Date
,'8uildi". OUidlll
Dut
24 hOllr notict for all in'peetions (951) 44'7-9~50. f~x (95.l-) 44'7"-245
,
07/07/2005 12:30
9524925101
FINALGRADE
PAGE 02
IIco
INSTANT TESTING COMPANY
7125 West 12611I Street Suite 500 Savage, MN 55378 · (952) 890-73660 Fax: (952) 890-5883
DYNAMIC CONE PENETROMETER TEST REPORT
Final Grade
3441 Bluff Orive
Jordan, MN 55352
Prol8Qt: 18231 North.ood Road Northwest Prior L.ke
Date Tested: June 9, 2006 @ 10:40 am
Ordered By: Jeff
Reported: Juna 9, 2006
Field Technician: Gary Standish, ITCO
Dynamic Cone Penetrometer Tests
Tests conducted on Centerline of proposed retaining wall.
T est Number: 1 2 3
Location: East end of wall 20'-25' west of test 20'-25' west of test
section 1 2
Death Below Grade: 5" l' 8"
Soil Classification: Sliahtly plastic sandY loam
DCP Depth Millimeters/Inches: 996 ml'l1/39.2. 1.422 mm/56- 983 mm/3B.7"
Per Blow Averaae/Millimeters: 29.9 mm 33.5 mm 68.1 i'lli'll
N-Value: N.10 N-9 N-4.5
Estimated Load pounds Per SQuare Foot: 3,500 PSF 3,300 PSF 1 ,500 PSF
Spec Reaulred: To be determined by structural enaineer.
Remarks:
The dynamic cone penetrometer (DCP), USEl$ a eight kilogram (17.6 pound) hammer to drive a 20 millimeter
diameter conical point into the soli: with penetration recorded in millimeters per blow. From the DCP readings, per
blow, penetration average was recorded and a N-value derived. This N-value, is an Elmpirical relationship we have
established to equate the dynamic cone date to the more familiar blOws per foot (SPF) standard penetration soil
boring test.
~iL' o.Ai
@'f)'fe9tsI1~3 ~
Charge PerTest
Mileage
i4'101
#601
#304
#612
I
1.25
3
16
~ P,e-
i)' iJ
Copies To:
Charge Codes;
Signed
Gotdon J. J<opacslt, Professional Engineer - Registration No. 7254
~
CITY OF PRlOR LAKE
IInpervious Surface Calculations
(To be Submitted with Building Pennit Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted is 30 Percent.
Property Address ~3 / ,IItJlZ77/K$tJ!J ~1lt:J J/W
Lot Area SA- 3o!; (TO O./.I.W-l-0 sq. ft. x 30% = .............. /h 2-9/, L
************************************************************************
LENGTH
WIDTH
SQ. fEET
I-lOUSE
x
x
A TT ACHED GARAGE
x
DET ACHED BUILDINGS
(Garage/Shed)
TOTAL PRINCIPAL STRUCTURE...................... ~Oq
IJ.Cl..vt'€S pOll.C#€-j
AAJf) {l,IUEUj.l/A Y
x
x
TOTAL DETACHED BUILDINGS.......................
DRlVEW A YIP A VED AREAS
x
(Driveway-paved or not)
(Sidewalk/Parking Areas)
x
x
1'01' AL PAVED AREAS.........................................
P A TIOSIPORCHES/DECKS
x
(Open Decks 'I." min. opening between
boards. with a pervious surface below,
are not considered to be impervious)
x
x
TOTAL D ECI(S ........................................................
JNc..LvlJC5 DIZIVEtv1Ilf5;
FIr". A"" :J
TOTAL OTHER...................................................... q 17~
I \ t;{t)8C;
/Z{;tJ6,8
Date 4-lr-tlh
x
OTHER
x
TOTAL IMPERVIOUS SURFACE
~9>OVER
Prepared By
Company ;?wee
-;;;:~
&6/~/.4
c
~c.
Phone # ilsf) 4~Z.~3a::Jo
L:\HANDOUTS\! MP ERvious.doc
PEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING ~ I (J/ tt.
FOUNDATION (Prior to Backfill) /lV"."!
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
l/
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
~\
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~r~AJ4' I I
, FINALS
GRADING (Prior to Sodding)
BUILDING {~ I (jlA \-> l 1",,--n
ELECTRICAL
PLUMBING
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