HomeMy WebLinkAboutBuilding 06-0792
QI~rfifitaf~ nf @ttupatttJ!
CITY OF PRIOR LAKE
~rparf1Urnf uf 1iuiI~ing Jlnsprrfiun
IDinal Permitted D Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the Ll Residential / C 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 ~ I IV G (C ;:rl/';I L ~/ Bldg. Permit No. (( c? '/ ::c::'-
Occupancy Type A:.' .:: Type Construction ~ IV Zoning District 1".../ (, L)
Legal Description
L 2.2.
c~ I / :) -E /,- /' ' E /-..._ ..:.::::
Owner of Building
Site Address
Contractor's Name & Address
/.I /v-///--I II/V j-/C/l/L
;-I, \ ~
,.
Date:
KJ eLl (i [) II ( , c H 1/\ -
I ! Building Official
i -- ...... (.,
, <-0 C ~,
I /
v r
City Planner
l-f /'0 (j 2J L
.~-.> f- ( C
/.j ~ rLtl' < II / I L r'C E
/
J;-i/~t
("/1/1./ -::1 E-k......,
Date:
w
~
i=
~-i
Ww
~o
=3i=
n::O
OZ
-Z
n::o
0..-
LL'"
ofrl
~l})
-Z
0_
c
W
..J
::)
C
W
J:
o
CI)
CI)
CI)
w
n::
c
c
<
0:
...
Z
o
o
n::
w
~
o
C) ..J...
3: <CI)
..J -~...
..J a::LLa::
-...ww-
!!::3:00<
5!~~~~
a::Q.Q.Q.-
C)::EWW~
~O~~<
WOu..u..CI
000000
d
Z
...
i
n::
w
Q.
Q.Q...J
:J:J<
~~:!::
a:: oou....J
C) OOCl<
Z_J:J:Z:!::
iiia::a::a::iiiu..
::EJ:w~::iJ:
:Jo'" :JO
..Jw~ ..JW
'J; ~ ;> CI) Q. ::E
~OOOO
d
Z
W
Z
o
J:
Q.
z
o
Z i=
0_ Z 0
o W
~!;(~~ l})
i=~i..J..J:!::
0:J<~~~
~~ff:!::U:ii)
000000
en
I-
Z
w
:E
:E
o
o
'"
c
W
W
o
o
a::
0..
>=
a::
o
I-
o
~
CI)
i=
<
I/)
~
a::
o
~
o
C)
Z
it:
W
>
o
o
W
a::
o
u..
W
CD
Z
o
i=
o
W
Q.
I/)
Z
jjj
a::
a::
o
u.
..J
..J
<(
o
L;
'E
o
o
~
c
~
W
a::
a::
o
o
~
L;
o
13
CIl
D-
III
E
ui
o
Z
<(
>
o
<
z
CI)
a::
::)
o
J:
..,
N
Z
o
i=
o
W
Q.
CI)
3:
...
><
W
Z
W
J:
...
n::
o
u.
o
I()
~
~
~
~
i::
~
~
C
~
~
~
~
l:II:
~
~
"l:
~
~
~
:s
Cl
~
l:II:
~
;::
~
~
w
~
i=
~~
~~
'-
c
W
..J
::)
o
w
J:
o
CI)
Ww
~O
=3i=
n::O
OZ
-Z
n::o
11.-
u....
ofrl
~l})
-Z
0_
CI)
CI)
w
n::
o
o
<
0:
...
Z
o
o
n::
w
~
o
\
~
C) ..J...
~ <I/)
..J -~I-
..J a::u.a::
-"'ww-
!!:::!::oo<
c:s~:s~
~Q.Q.Q.::::i
C)::EWWCI)
88~~~
000000
d
Z
...
i
a::
W
0..
Q.Q...J
:J:J<
~~:!::
a:: oou....J
CI OOCl<
Z_J:J:Z:!::
iiia::a::a::iiiU.
::iJ:w~::iJ:
:J01- :JO
..Jw~ ..JW
Q.::i;>I/)Q.::i
000000
d
Z
W
Z
o
J:
11.
Z
o
Z i=
0_ Z 0
o w
CI"'Clj:: 11.
:!::~:!:::s ~
15~~::)~W
00 a::1/):!:: !::
u..u..u.:!::u.1/)
000000
en
I-
Z
w
:E
:E
o
o
c
w
w
o
o
a::
11.
>=
a::
o
...
o
<
u..
I/)
i=
<
I/)
\ ~
{
C)
Z
it:
w
>
o
o
w
a::
o
u..
w
CD
Z
o
j::
o
W
11.
I/)
Z
jjj
a::
a::
o
u.
..J
..J
L;
'E
o
~
CIl
C
~
ui
o
Z
~
o
<
:!::
CI)
n::
::)
o
J:
..,
N
Z
o
i=
o
W
11.
CI)
~
...
><
W
Z
W
J:
...
n::
o
u.
o
~
~
~
~
~
i::
~
~
C
~
~
~
~
~
~
"l:
~
~
~
;::
'"
~
~
0...;
o
13
8-
III
E
w
::E
j:
1.~
... r"
-< ~
"
Ww
~O
=3i=
n::0
OZ
-Z
a:: 0
11.-
u.....
ofrl
~l})
-Z
0_
o
W
..J
::)
o
W
J:
o
CI)
~
~
~
CI)
CI)
w
n::
o
o
<
0:
...
Z
o
o
n::
w
Z
~
o
~
<I'....
C) ..J...
:!:: <(CI)
..J -:!::I-
..J a::u.a::
-...ww-
!!:::!::OO<
C~~~~
~Q.Q.Q.::::i
CI::iWWCI)
XO~~<(
WOu..u..CI
OOOOQ(O
~
d
Z
...
i
a::
w
11.
Q.Q...J
:J:J<
~~:!::
a:: oou....J
CI OOCl<(
Z_J:J:Z:!::
iiia::a::a::iiiU.
::EJ:w~::EJ:
:J01- :JO
..Jw~ ..JW
Q.::E;>I/)Q.::i
000000
d
Z
W
Z
o
J:
11.
z
o
z i=
0_ z 0
o W
~!;(~~ l})
_c-..J Z
15~~:J~w
ooa::CI):!::!::
u..u..u..:!::u..1/)
o 0 0 o~o
CI
Z
it:
w
>
o
o
W
a::
o
u..
W
CD
Z
o
i=
o
W
11.
I/)
C C Z
W W jjj
~ ~ a::
o 0 a::
a:: a:: 0
11. 11. u..
>= C ..J
a:: Z ..J
0<(<(
I- Z
o 0
<( i=
:;; 0
i= <
< l-
I/) 0
~ W
a:: a::
o a::
~ 8
o 0
...
'E
o
o
~
c
~
a:: 0
l<i
ui
o
Z
<(
>
C
<
:!::
~
~
~
~
~
~
~
~
c
~
~
~
~
l:II:
~
~
"l:
~
~
~
:s
Cl
~
l:II:
~
~
u
;::
~
~
w
~
i=
~
\;:)
-<Q~ ~
'.
~
Ww
~o
=3i=
a:: 0
OZ
-Z
n::O
11.-
u....
ofrl
~l})
-Z
0_
<:J
.;a
"1
o
W
..J
::)
o
W
J:
o
CI)
~
~
~
~
\.
'-,
~
~
Q
~
M
CI)
CI)
w
n::
o
o
<
Ii
...
Z
o
o
n::
w
Z
~
~
~
C) ...I...
Z <CI)
:; -3:...
...I a::u.n::
-"'ww-
!!:::!::oo<
c~~~~
~Q.Q.Q.::::i
C)::EWWI/)
88~~~
000000
':3
d
Z
...
i
n::
w
11.
11.11....1
:J;:)<
~~:!::
a:: oou...J
CI OOCl<
Z_J:J:Z:!::
iiin::a::a::iiiu..
::i:x:w~::iJ:
:Jo'" :JO
..Jw~ ..JW
11. ::i ;> ~~
OOOO~
d
Z
w
Z
o
J:
11.
Z
o
z i=
o Z 0
- 0 W
ClI-Clj:: 11.
:!::~:!::...: ~
"'Z::i..J..J-
O::)<~~l!!
~~ff~U:ii)
000000
~
~
I
C)
Z
it:
W
>
o
o
w
a::
o
u..
W
CD
Z
o
j::
o
W
11.
I/)
C C Z
W W jjj
~ ~ a::
o 0 a::
a:: a:: 0
0.. 11. U.
~ ~ ::l
o < ~
I- Z
o 0 li
< i= a::
:;; 0 0
i= <
< t;
I/) W W
~ a:: a::
a:: a:: a::
~ 0 0
;> ~ 0
o ~O
L;
'E
o
U
"l::
CII
c
~
13
8-
III
E
ui
o
Z
~
o
<
:!::
CI)
n::
::)
o
J:
..,
N
Z
o
i=
o
W
11.
I/)
~
...
><
W
Z
W
J:
...
a::
E
~
~
~
~
~
~
c
~
~
~
~
~
(.l;.
~
"l:
~
~
~
s
Cl
~
~
8
I
o
C) ...I...
w Z <I/)
::E ~~~~ E
j: ui
!ZwUJ;( 0 ~
c-oow z
~ ~ ~~z < ~
lhlh::::i >
~ C) 0 ~
w n::a::CI) <
... ~U:U:~ z ~
~ it: :!::
00000 w CI) ~
> a::
0
0 :J
0
W J: ~
a::
0 ..,
N
0 u.. C
W d 11.11....1 W L; Z ~
..J Z :J::::)< al 'E 0
::) ~~:!:: z 0 i=
0 a:: ... a:: OOu...J 0 0 0 ~
W ... i CI OOC)<( i= 1: W ~ ;::
CIl
J: Z a:: Z_J:J:Z:!:: 0 c 11. '"
0 0 W iiia::a::a::iiiu.. w ~ I/) ~ ~
CI) 0 11. ::iJ:W~::iJ: 11. ~ ~
:Jo'" :Jo 0 I/) ... l:II:
c Z ~
..Jw~ ..Jw W W jjj ><
Q.::i I/)Q.::i w w W
~ 0 0 a:: z ~
000000 0 0 a:: W
~ a:: a:: 0 J: ~
11. 11. u.. ... ~
~ C ...I n:: ~
Z ...I
<( <( 0
Ww 0 0 LL ~
~O ~ Z I- Z ':Ii. 0
:5i= 0 0 0 10
Qo <( i= a:: CO :s
a:: 0 f'I\ z i= en u.. 0 ~ en
OZ Q z 0 CI) <( ...:. Cl
0 W I- i= ~ ~
-z d ClI-Cli= 11. Z <( ... ... l:II:
n::O CI) Z<Z:s I/) w I/) 0 0 ...I ~
0..- Z _0- Z W W ...I
LL'" CI) ...z::i ...1- :E ~ a:: a:: L; 8
ofrl W n:: W O:J~:J<W a:: a:: a:: 0 <(
a:: W z 00 I/):!::!:: :E ~ 0 0 13 0
~l}) 0 ~ 0 u..U.u..:!::LLCI) 0 0 0 8-
c J: III
-z < 11. 000000 0 0 0 0 E
0_
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
B. 7. Orp
White
Pink
3 Yellow
~l~:I;can! I PERMIT NO. ()(;. 07r2-1
(Please
ADDRESS
38D~
eR,
N,bJ,
LEGAL DESCRIPTION (office use only)
/\tP{ ~~ <<'
PID z5. +55.o'l.Z..O
LOT~BLOCK
ADDITION 3:
ZONING (office use)
OWNER
(Name)
(Phone)
,.
(Address)
JJ4/n 1'-1'
(Phone) (,j"'/ - .y lJ b - 'I 'YO ()
(Phone)&I.2- J(,?- 7~/~
~~
ew Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level finish 0 fireplace
OAddition OAlteration OUtiIity ConnectIOn
CODE: OOI.R.C. DI.B.c.
Type of ~stnlction:
Occupancy Group: A B
Division:
o Mise
A
R
5
B
S U
qf)
PROJECT COST IV ALUE $ ;l;:{ 6 000
,/
(excluding land)
III
H
2
IV
I
3
V
M
4
I
E
II
F
I
I hereby eertity that I have tmOlshed mformation on this applicatIOn which is to the best of my knowledge true and correct. I also certIfy that I am the owner or authonzed agent for the
abnvc-mentlOncd property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans_ I am aware that the buildmg
offiCial can r oke tillS permit for !st cause urthcrmore, I hereby agree that the City official or a deslgnce may enter upon the propeny to perform needed mspectlOos
x
#
#
Irs?'
Contractor's License No.
J">- 'Y-D~
Date
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Plan Check Fee
Water Meter Size / "; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
JI( ~-Ar--
Bulldlllt! UrIlcial
~rftt.
Date
$
$
$
$
$
$
$
$
$
/ssa 00
rs-O, ~
sa~
/$00. .0
/~. #D
I S"tJO, ~
ThiS IS to certIfy that the request in the above applicatlOn and accompanying documents is 10 accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the Cay Planner constrtutes a temporary Certificate of Zonmg compliance and allows constructIon to commence Before occupancy, a Certificate llf Occupancy must be
I '~ ~ P/Z~Da'te ,.
Planning Director Uf
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: 8';"'1/01,
Building Permit # PID: Zoning:
Address: 3 8(:>1. ~ N~ IZJ. ~. w. ,.J)
Legal: L..;P- . B I ubdivision: ~ ~~ dJ=- ~ .
Existing Structure? YES ~ Existing Nonconfonning Structure? YES~
CONFORMS TO ZONING YES NO
ORDINANCE
Standard
25'
10'1
25' if abutting a street
-z
:3Z, S'.
. Sidewall exceeding 50' requires additional side 2"
setback for eve l' over 50' in ten 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
ond
. From OHW (Prior or Spring Lake)
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
30'
13t~.
rJ D~.f:""
tJ~,
75' or setback average of
adjacent structures, but no
less than 50'
tJ Po. '
Floor Area Ratio: NA I FAILS
.30 Maximum
2.I!J. S' ,?o
Standard
Pro osed
~
t-J'or--'e:
Tree Preservation(if~ FAILS I COMPLIES Standard Proposed
. Total caliper inches
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement %:1
L:\TEMPLA TE\BLDGLIST .DOC
ite - Buildi
anary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
}11 /3jJS fV)/J N /J
?J. I'O~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
38bb
{JAr~
.
~,SLJ
X
RL, JJ.bJ,
Accepted
Accepted With Corrections
Denied
A/~ Date:
Comments: ~ tLl..f ~..,.,.j/~
, " ~.. ." ~-"
c;2 - .;lYz. ('~ ~ ..uuo~ "; ~
~(~ :-. #>A- ~ ~'
~~
Reviewed By:
~
-
"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
~ - Engineering
In - Planni.Im>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
i ~
; ~
I 1'/////'/
:1'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
38b(r, f?~iCf>A <I {2d'- U ?J. N.i.U,
i / j
Accepted
Accepted With Corrections
\
r
~ Date: rgf z., ~ ~
-h.:!:r~~ .~... . ~A-1.4 L.-<',A ~
0.-<4_ ~(".., /.?~ ~
, / I
~ _(Jfl~ ~~ j~'
Denied
Reviewed By: ~
Ci:~:~
,)
"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
l V(/ Iv J//)I / IV;J
Z). ~l.(/(;;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
38 () in ~J~ J!d~ fa--g J.(<J.
Accepted
.X
Accepted With Corrections
Denied
Reviewed By:
fJIJ6
Date:
g-/5--0~
Comments: .see Reverse Side for Additional lnformatlon\
See Attachments: 1) Grading Plan, 2) Erosion Control M~asUres
.\
\
\
\,
"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."
"-
..
\..
AUG-28-2006 15:05 CITY OF PRIOR LAKE
rl~Ul'l "1.".I'~LJU II ...IJU,,""....Y\ "" ..-....... - .,.... ... - . - .
9524474245
t-' . <:).,)
Date Rec'd
. . H:.. s,.. I PERMIT NO. ~. -ntn
"" .. .... "bo_ J.3.Jj(
. ADv= 0~ ~b~~~IC~' ~~ J rONlNG,--, I
U:GAL DESCRIl'TlON ,_.,,,,1>\ ~ ~ ~J...
LOTd1:aLOCl< \. AbDmc eN':J~ .e"~~
C (TY OF PRIOR LAKE PLUMBING pERMIT
PID
OWN'BR
(N :une)
(?hb11e) (fQ\-LfDb--4lJO U
~ VVT\. 1
(Adclte!$)
~F~ ~ 0; (!'bone) ~6,~'i9-ISh
(~)~~ ~.I~\j, 55)..21. -
{~) ~ (Zip Code)
(eonuctP<=1>l~\\.OJ~ (ph.")' -tt5~-lS~
APPLlCANI'SIGNA1'liJlE ~ - DATE~.:3 ~ D
. 1. ?PLICANT PLEASE COMPLETE )3ELOW
, .
Q~tity Type t If Fixture ~tity Type of Fixture
~ Bath Tub with or wi :hout shower Rough-:in9
1 ' Dillbw.nshctt' ,\ Wakr Hea.te.r ,
, Floor: :Qrain Wo.te:r softne.r
,1.1- ~Yatory (Ba~oom SinlcT T SC1ild p~pe (Washing Maol1ine)
Lauo41Y 'l'r:ry (1 or ~ oo~p,,\t'lmrnt sinK Scwag~ EjedO:r'
r?' St).ower StaU Backflow Assembly
i Sink$ B~c~w AsiefP.bly Test ...-
BarS~ , . Lawn SpiiDkler
,~ Wate'r Closef(Toilet) . Other
. FEr. SCHEDULE
1ndustrial. CO;m!lClCial &, Multi-funily l % orjob east with ~ $39.50 ",inilTlUIJI
P.csidcntial, Nc:W OllC &. Two-FIItC.IIY $99.50
Rc.g)de:ntial. Additi cns & AltentiolU S3 9.S0
E.rt:irnated Cos $
Bui1dingPc:rnl~#
~ .
BUILD D Wfh. .
. lNG' I,.,
.50 PERMr,.
PLUMB~G PERMIT FEE $
STATE SURCHARGE $
TOTAL:rERMI'I FEE S
Bui1djtl~ Offldal .
natt
(Ot'll~ Use: Oal)')
TWs ApplicauQD Becomes YOlJ,T Build ng 'Permit:WbRl1 .A.pprO\'ed
---
2~ laour lotio! for JlI1~.l!put!QiaJ (m) 0447 8S0, fn(952) <<1-4245 .
16.1.'0 "Ellglt. CrtcK AVe:., S.E.. Priclr Ls tf!!~~~~7!-Pl~ ------
\ltlVl'J
I,J' ,"U \.IV
9524474245 ~.~~
. I ' V y, ~ .. . oJ ' # " ,- . , , . . . ., . bate Ree'd .
CITY OF PRIOR LAKE
SEWER AND WATER p)mMIT
. _ U~. :- ~ERMIT N06' 7G-
[~;;;;~~~~~~~-'V-e\- ~~ '
LEGAL DESCRIPTION toffa~ OI:I~") _1 ~' ol..
wAI..O<X \ I>DDmm -:s-~ ~ J'r-
oWNER \\. I"hJ\ (\ V't'\ ; ,
(Name) \)J\Jf~~(\ ~
~) ~ ~\~ ~\ &,'\.\.L:ftaro
~) -
1 I WNlNG_w4!
I
PJD
.~
(Oty)
~one) &D)-qob-~D
~(
(Zp Code) .
APPLICANT \ '\"h. ~ ~\\ Q-
(Name) '.' \N'<X\t.;. ~ \t)1 .. .
. (AJl~) ",'11D ~~~
c.'f~)
.(~'P"'DDl ~ \\.b,y>a
Al'fu<;:ANLSI~~ '
, ..u:;:;{Ehoiie)
G-...~ Mfl'\ ,ss:)::tl
(Cit,r) -1 (Zip Code)
(phone) ea5l-,l{S,~-1SbS- ,,--
...~ - . () , ,
. vA 1fB tc:::>
AP.PI.J:C~ p~E COMPLETE B~LOW
Size of water SE rvice inches.
I..ocaion of zm} '~up~ :from..~~. h'l\- feet
Type of seWe;{ }Iipe. 0 AIj~. PVC 0 cast Iron
Es1iroAt'Prt le.ngt i of sew~ line 3;' eet '
Clean o'a% (if tee ['lired) located at.. A- Wet frol;Il gtroctmc.
FEE SCHEDULE
~ ~et and'WGf,er tine eoone:ctiQll S3S.50'" ~ 'Com'! ~ MJ11ti:..tmriIy 1% ofjo'b cost wid1. a $39.50 xninimum
Sewer cOJm~on ocl.y t17.50 W2!f:r CODDection coly $11.50-
EstimlCd Cost ~;
Building permit #.
8UIL~/lJ WI7'H
.50 . 1\JG p~
. AMrr
SEWER}, ND W ATE:B.. pERMIT FEE S
STATE SllRCHARGE S
TOTALP ERMIT FEE S
Baj]tIi1It oaicial
I,
1..1
24 hour Il( tice for .U inJpe.ctioDs (951) 447"" 0, f:1x ~) 44741,45
B V __ --.--- -----
>!..-",:....--,_. -^'_...~-~-~ ._,-,_._-_._"~---'>~
Datt
(OfJi,= Use Ollly)
. This A.ppliC21iOD. Bec:o:mec Yoar Bnildm ~ Permit 'When Appro~ed.
TOTAL P.04
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
;: ~::n ~!~ I PERMIT NO /... ~
). YeJlow Apphcant , II- . ~
ZONING (office
use)
ADDRESS
'3~
(Ld K)v
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(phone) CoS-/- <-/00J.Jl/
Kl-, H-d-e>O
(Address)
APPLICANT
(Namefl 1 L:!:-.rrrnA"'i..hA-j ~ (h-A.J d--
(AddreSSk
Cfro /09~ (h re.- J..J -;J/a:;o
,
(Address)
(Contact Person) 1< C\ ~ ~(\erna"""'"
FIR
(phone) ~103- Sr'J 1-~SdS
cAa/]'11J].f1~ ,rnn 5S3/(p
~ (~ity) (Zip Code)
(phone) _!::J(.tJ3 - SfJ<..o-/~ llo
DATE
APPLICANT PLEASE COMPLETE BELOW
W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM REA TING OR POWER PLANf
DWarm Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
OVent. System 0 Other Devices
APPUCANTSIGNATURE
FIREPLACE MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
C-
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 $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No,
D uiJdiDI! Official
Date
~c 2 0 2006
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
66ZL 9L9 ~9L XVd 9~:91 90/LZIOl
~ooa a~v~V~ JI~VWO~rrv
'35244(<4<::'-1:1
SEP-05-2006 15:02
CITy' OF PRIOR LAKE
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
l. rl.k
1 GICt'!l
) VdIQ"
~~. [!'ERMIT NO._~
AP~<"II ·
ZONING (pllic"
u~n)
eel
~JLt)
LEGAL DESCRIPTION (office \\..~f ONY)
PID
APPJ.KANT SIGNA.TURE
'61-Qc& 3~~1YA
.,___ (Phone) (J /
S Ie.. c.dW fa? C{j~,) !vi N
~'5*7er;~1 {Jj 'j --
C3UL ;~//),.::; VI'! {f- _~337
(aty) (Zip Code)
_..__ (phone) C1~7.b7-(Cll)
i.' l DATE q/ 5J()lJ
APPLICANT p E COMPLETE BELOW
v EW CONsT)l,uCn~1i, r, q }lEP1,APi'6;J'T ",0 ALTERATlO~S ,',.
FURNACE MAKF. A.ND MODEL _Ltf2C!-~'LY..'7.I. jC(-" Lf l~_=-tq?::~=-. fUEL,1 "'t( ';:~i@...5-
FLUE SIZE RETURN OPENINGS ______LP _, lNPUT (1-g{))) - OUTPUT ~\..:l-
TYPE OF SYSTEM H.EA TING OR rOWER PLANT
~War(\) Air Plants 0 ~\eiUl\
OGra'\lity 0 Hol Water
~ccl1all\cal 0 R8di"'li()l\
~jr Conditioning 0 Special Devices --
~enl. Systcm 0 Other Devices ,---,
ADDlTION
LOT l3LOCK
(Address)
f)llStYU}lk\
~)( t{ tL, tv".
Ar:'LICANT r-/::fJ Ill/? -. CJ .f j 11, J/\
(Nal1ie)__J~ t UL P 'j-lA--J
(Address)d/lLD () ). dJ~U4-jjJ
(A<ld !CSS)
(Contact Person) ._~~jiJ
OWNER
(Name)
(pnone)
PLEhSE NOTE:
Air COI1ditioner Uni\s
Cal\not Encroach into
Rltq\\irecl Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
__--<0=...-.....-.-.------.----..--...- -~..,. r- -_.-~~-
FEE SCHEDULE
Inousullll, Conmlc:.reial &. Mu1\i-P)mily 1 % of job eoSl Rcsid~llLia\, Ga~ fiYll}>lace
$39.50 17111\imll\\1
Re~idcl\tih\, llealinz & NC (Ncw COllS\l'lcliol') S99.50 Resiclelllinl, Additions & A\tcralion~
Rl:.Side1\tial, Helllil1t Only (New Conslruclion) $6450 Residential, AC OI\ly
$39.50
5:3950
$39.50
E~timated Cosl $ ,
HEA TTN'G PERMIT FEE
ST ATE SURCHARGE
TOT AL PERMIT FEE
Building Pemlit #___--..---
$
$----:--50-
$
(Ornee \J~c On1)')
This APplication B~comts Your Building Permit Wllel1 Approved
Paid
Receipt No,
D~I~
By
Dlll!dlnll. ornel.1
24 hOIll' notice. fOl' all j\l~rection5 (951.) 447-'8$0, fax (?52) 441-4245
PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS .W ·
NATURE OF WORK a L.C.. eH ';/1.)
USE OF BUILDING S} fj.
PERMIT NO. Q~. o~ -' DATE ISSUED 8'/22/4~
CONTRACTOR ~_ _' JlHJM.6S PH6NE~-S1-""z..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BljlLDING AND INSPECTION
FOOTING
VL
ECTOR
ATE
FOUNDATION (prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
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
~.; IJ"IISGI!!~" I IN!! I
· FINALS
NO 117.~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
I
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.
J.
OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
FOR ALL INSPECTIONS (952) 447-9850
- HOLLO --
PERVIOUS AREA TABLE --
PATIOS
HOUSE WI DRIVEWAYS PORCHES PROPOSED ACTUAL
STOOP BIT. AREAS DECKS IMPERVIOUS IMPERVIOUS D1I'FERENCE DATE OF LOT
SLOCK LOT (SO.FT.l ISO.FT.1 (SOFTJ (SQ.fT.l_ ~QFT1-- (SQ,FT.l CERT TIER
1 1 1923 400 144 2467 0 5
-
1 2 1923 400 144 2467 0 5
1 3 2117 524 144 2785 0 5
1 4 21\7 528 144 2789 0 5
1 5 1923 476 144 2543 0 5
1 6 1923 425 144 2492 0 ---s--
2455 -. 0 5
1 7 1923 388 144
1 6 1923 547 144 2614 0 5
----
1 9 1923 401 144 2466 0 5
\..--.1.-. 10 1923 400 144 2467 0 5
1 11 1923 400 144 2467 0 5 --
1 12 1923 400 144 2467 0 5
1 13 1923 416 144 2463 0 5 .-
1 14 1923 544 144 2611 0 5
1 15 2117 669 144 2930 0 5 --
-
1 16 2117 669 144 2930 0 5 .-
1 17 2117 669 144 2930 0 1----- 5
, 18 2117 691 144 2952 0 5
1 19 2117 694 144 2955 0 - 5
1 20 2117 671 144 2932 0 5
1 21 2117 670 144 2931 0 5 --
1 22 2117 669 144 2930 2930 0 REV 813/2006 5
1 23 2117 669 144 2930 0 5
~S 46363.00 12320.00 3312.00 61995.00 000
38lJ fe,
~~~
iJ.Wol
'--".1...1. J.. '-....1.1. .J...L...-.--...........---
1m pervious Surface Calculations
(To be Submitted' with Building Permit Application)
For All Properties Located in tl:e Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address :Y30 to ~ pH (1. (L 'I ~1\lG< e.,,,,, N.W ,~ ~'" l-- Lw,(
Lot Area (N.A. - SEE TABLE) Sq. Feet x 30% = .....aa..... (N.A. - SEE TABLE)
************************************************************************
LENGTH
WIDTH
SQ. FEET
Z-C) ~()
HOUSE / ~~/UK1,6
x
x
=
x
TOT AL PR!N CIPLE STRUCTURE......................
'VJW
DETACHED BLDGS
(Garage/Shed)
x
x
o
TOT AL DETACHED BUlLDINGS.......................
~~~AVED AREAS
(DOveway-paved or not)
(SidewalkfParking Areas)
x
= 'tS b
=
x
X
==
TOT AL PAVED AREAS.........................................
h5_~
P A TIOSfPORCHESIDECKS S"fO(.)f X -:2..7
(Open Decks ';." min. opening berween X
boards, with a pervious surface below, () /'-ILf
are not considered to be impervious) r OILC~t-
l,~[J D'1. jJG X "Lj
TOT AI.. DE CKS .................... .............. .... ..................
J10
OTHER
X
X
()"
TOT AL 0 TlIER. ................ ...... ...................... .....n...
Prepared By
(N.A. - SEE TABLE)
Peler J ;J4N~/1) SOil
r 1-,130 J
I l
TOTAL IMPERVIOUS SURFACE
UNDER/OVER
Date 8/ J.. k
Compan.Y
Pioneer Engineering
Phone # 651-681-1914
Lot 2b-, Block~, JEFFERS POND ~6Co/V1J AJJ/J/l/olV
ReCft 5efJ f3/) J b