HomeMy WebLinkAboutBuilding 06-0603
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Permit No. BP f{ b -" 0.3
f
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
c-,
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
/ (J ,fj
1. DATE
6
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
LOT
5"
"-
ZONING
t -/
BLOCK '3, PID olS -L.? l/ - () 2..J- '1J
'e "<""- r ~ /YPJ)
IAft:> Of) fZ. f" Db t:"' 7 /4:7-11:> 14"~ f}tJr T} .""J
(Address)
'7 C"'t;1
(Address)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
ADDITION
I. White
2. Pink
3. Y eIlow
File
City
Applicant
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
5. ARCHITECT
6. BUILDER
(Name)
(Address)
(Tel. No.)
Fireplace 0
Alterations 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
1ZROJECT COSTNALUE
U 00-0
17. COM LETION DATE
8, PROPERTY AREA OR ACRES 10. CULVERT SIZE
Sq. Ft. 0 ) Yes No
I hereby ce Ify that I have furnished information on this application which is to the best 01 my knowledge true and correct. I also certify that I am the owner or authorized agent lor
the above mentioned property and that all construction will conlorm to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building official can revoke thO permit I JUs use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
///-'t'~ j? h
l Date
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS rp" SETS
SURVEY ~ COPIES
PLOT PLAN 0
Water Tower Fee .....,..................... $
WaterTap ..,.............,..,...,.........., $
Builder's Deposit ..,......................... $
Other ....,................,................... $
Total Due ..,........................... $ If SI 'i. So
<f{. -j' .-'/' L7\ ... C. I,~
Paid I ':, '6. ) v Receipt No.:.:,.J I (" l.ZJ
Date J ()! ;J). /9 /.; By V (~ll L;;"(.' ()
,
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
sig7:J1(. cp'/Ser constitutes a temporary Ce;~e i 8~i~0mPliance and allows construction to commence. Before occupancy, a Certificate 01 Occupancy must be issued.
City Planner Dale Special Conditions iI any
7. TYPE OF WORK
New Construction)iil:.,
Chimney 0 Misc.
Septic 0
Addition 0
Deck 0
Finish Attic 0
x
License No.
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEIj'ARTMENT VALUATION P-
CSfn?({.. J::"-.f('f es.
USE OF BUILDING ~ '.;:.~ ~o."......:' l '1
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
.~
TYPE OF CONSTRUCTION: I II III IV
Amount Brought Forward '....,..,..,...... $
Park Support Fee ..,........,...........,.., $
SAC ,.......,..............................., $
Collector Street Fee ...,................... $
Sewer Tap ,....,.................,........... $
License Check Fee .............,........,.. $
Pressure Reducer ....,......,.............. $
Meter Horn ....,.......,........,............. $
Water Meter '.......................,........ $
Sewer & Water Connection Fee .....,'.... $
Occupancy Group A B E F HIM ~ S U
Division 1 6> 4
Permit Fee ...........,....,..........,....... $
City:
Plan Checking Fee ......,........,..,...... $
State Surcharge .....................,......, $
Penalty ..,..,....,..........,................, $
I, () t, ~. fir
b '1-3. Sf
~ 7. '17
?<-
.x:.
A
Septic System ............'............,..... $
Other,....,..............................,.... $
Subtotal..........,............,....,.. $
ng Permit When Approved.
Date 16-/8 - 7' C.
Issued
24 hour notice lor all inspections 447-4230
~ b1) 00
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r;t - h 63
',6
GREEII - FILE
YELLOW - APPlICAIIT
GOLD - ell\'
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S,w. No, 9t /~
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLI CANT: P J-\-
COl\S\(,? li <.. "~Ct
~~'",-
PHONE: ?-i-r ~S~.t;.?]
ADDRESS: 1'02 I P4n:' A
~ ~ 1"
SIGNATURE: ~. ._..~//:. .....~
SITE ADDRESS: J? 3 )-~
jlv,; ZDIV
~
DA TE: /; ....:1:L.. '7-'-
BLDG. PERMIT # ~t. -- C c3
PID# C:<,C:; -.)1LJ - 6;;.~ -/)
FILL IN THE BLANKS
1. Estimated length of water service
5-.,
.::"
feet.
2. Size of water service
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS pvc A Cast Iron
5. Estimated length of sewer 1 ine <I f----- feet.
6. Clean out (if required), located at
structure.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This application becomes your permit when approved.
BY t\'~'2}- DATE: llld4'n
================== ==============================================
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
DATE PAID \\~q~
RECEIPT # dCf1 '61
AMOUNT PAID 'lb~S-,W
RE C 'D BY \), 6^n:1,"\XA--
16200 Eagle Creek Av, S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
1. Blue File
2. Gold City
3. Yellow Applicant
#!P'",~7
Phone: y~ ~- ~ 7-:
) dr d1,......) c:..... . {", (,
Quantity Type of Fixture Quantity Type of Fixture
I Bath Tub with or without shower ~ Rough-ins
,.J
I Dishwasher I Water Heater
, Floor Drain Water Softner
~ Lavatory (bathroom sink) Stand Pipe (washing machine)
I Laundry Tray (1 or 2 compartment sink) Sewage Ejector
( Shower Stall Backflow Assembly (RPZ, Double Check, PVB)
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
d- Water Closet (toilet) Other
Signature:
Legal Descrip, n: Lot '-~ Block 3 Subl ~ddjrlr {-'c,j,'1.J..r r r~ IJ J
Site Address: I 7355 J-k (,. -h0 ,r
Building Permit # c;(p- 1(J~..f PID # ~ ~~ f(.'
NOTE: This permit will not be processed without complete information, Cj.S' ~ c; l( ,
FIXTURE UNITS ~)., 0
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$ qq. :10
$
$
$ .50
GRAND TOTAL
$ /00. 00
/1.qf
6 I
-..,,:-;l
16200 Eagle Creek Av. S,E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
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White - Building
Canary - Engineering
Pink - Planning
The Crnler of the Like Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/1 {,: ,',1'/-:
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, ,
;''''-
i
/",i'" ,." J
,
"-" ~ .'..,~ ~.- ..",,"
Accepted -L
Accepted With Corrections
'X
Denied
Reviewed By: -941/lA. A j-
Comments: 'Zi)f\QC( (2-( J nuS {) )
drdek)~ ntCl)( LAJi'c{ f'h :14' CLt
$A jh'",g (Culf- +r ec&
Date: JrJ -' '0 '9 ~
~J--h:<c.J~-,s 0 ~ J
~urb) y'\,()
"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 - Engineering
Pink - Planning
The Crnler or the L.kt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
{ II. ' '~
NAME OF APPLICANT ,,_ tn'r-../ ill/ " J.. J
APPLICATION RECEIVED lo/f/1fo
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1/ '1/.'
IUS'S'" MlDdn".../.....J/JAL,L/
.6
Accepted
Accepted With Corrections V
Denied 7d1 ~
Reviewed By: 02~ ~A .
Comments:
Date: !O-/B-crC
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"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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING ANDtNSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. 1(c ,'., J3 DATE ISSUED 10 27.." '1 If
CONTRACTOR t~ ~j..,,~ h. 'di
NOTE: THIS IS NOT A PERMIT F R ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
11355 N!]yljK'r> In,~
5.( t>
INSPECTOR
DATE
FOOTING
'v
",1./.'11;>
FOUNDATION (Prior to Backfill) V"'\\ ~() \I/').1/~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
) 1\
(1(' 0\""
'( v\\
1.
SEWER I WATER I SEPTIC ,~ )'1"\(..
I'
FRAMING y,~.\s,",'" .v '-{ 1'1'<17
v"
INSULATION ";y--J \,~1 iq... "17 5/).'Wf7
-y
ELECTRICAL
PLUMBING }~ ~l.) '1 'l-"i '17 51)..~/"I'
HEATING (if required) -.~ ".J..;J 3/).7/1'7 S I ~~/" '7
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
WALLBOARD \.'-v.:,~ "1 ,,\1 . ).1-J (.N G S/I1/" ""o/~"1
GRADING (Prior to Sodding)
BUILDING (..XJ v' 1\;>111)1
ELECTRICAL
PLUMBING
HEATING
J.
8/)"" /<1-'
'1' ;r5/1'
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-4230
.0. o.
_nH;:' NUVHK. Ht(LHI
01
certificate of HOUB8 Location For:
Tom r..hrenholz
Ii
182/55
DELMAR Ii. SCHWANZ
LAND .""we....,,,.,
.....- ~ L__ DI TIle Ift.f. ... Ml..-.
'4150 eOUTt'4 ROBERT TRAIL RoSe"'OUNT, MINNESOTA 880&8
8' iZ/U:\-, 7,"9 I
Pr.oposed garage floor elev. 10 /7. ~
Propoaed top of block ele9. /tJ/J,$3
Proposed lowest level elev. It)aB.8
~,
. . ,.
11'lIft
SURVEYOR'S CERTIFICATE
NOTE: Silt fence shall be-installed along lot boundaryl
I"'"
"':('~""
Scale: J inch - 30 feet
Lot Area - 10,013 'square feet
.
Found iron
Uouse Area
1,96~, equare feet
o Set wood hub
tq~, - Existing spot elevation
I (; ~ ~ ,- ~
.'1"
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o
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Proposed elevation
BM: TNH on vest B~de of
cul-de-sac (R1dqewood
Court) betveen Lot:B 9
and 10, BlOCk 3
- 1001.19
.....0
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":
\1\
L!).~7
~ Yo.
3, WOODRIDGE
Also shoving the location of II
proposed house staked thereon.
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d;Jfl/~)~Y
b.'",., H. 80""'."2 t:)
"Inn... ,....1~'.llan No. IMI2l'1i . . .
Da'''''
10-02-96