HomeMy WebLinkAboutBuilding 06-0116, 06-0267
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
Z . 8. ob
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 0&.0 II &1 I
ZONING (office use)
2547
S/;~/Al9
t-../"IK6 ~.
I2/SD
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID z.s: 16/. 0 OS. ()
OWNER
(Name)
G,,(..J ~"
A: I ~V~ I\j,~J
I
/ul-t\pr
r"'.....
-
~. ( +-
e(Phone) ,;/2 -z 31 -[ CK'~
(Address)
I
i BUILDER
I (Company Name)
I (Contact Name)
\. (Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Const~~n ODeck OPorch ORe-Roofing
OAdditlon r .Iteration OUtility ConnectIOn
CODE: OOLR.C. OLB.C. 0 Misc.
Type of Co'ustnlction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
D~~~~ 1 2 3 4 5
ORe-Siding OLower Level Finish
o Fireplace
PROJECT COST IV ALUE $
(excluding land)
above-mentIOned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submltted plans I am aware that
offiCial can rev'f'ke this permit for Just cause Furthermore, I hereby agree thatlhe City official or a deSignee may enter upon t 'form
X __ j f J-~gr~tur: /":. <~...I k...-\~.\.~- Contractor's License No
:J / <; /06
. Date
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
tJ,(}O
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 3~,().-q6
,
Permit Valuation
Permit Fee
This Application Becomes Your Building Permit When Approved
~~
I Buildlllg Ofticial
~I Ie fa
Date
ThiS IS to certify that the request m the above applicatlOn and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested TIllS document
when signed by the CIt Planner comtltutes a temporary Certificate of Zonmg compliance and allows construction to commence Before occupancy, a Certltkate of Occupancy must be
issued
;)-/7- rg-
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
\TTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to
,rovide elevation information necessary to ensure compliance with applicable community floodplain management ordinances. to
determine the proper insurancl3 premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR).
Instructions for completing this form can be found on the following pages.
a.M.8. No J067.0077
Expires MayJ7, 7993
SECTION A PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
POLICY NUMBER
BUILDING OWNER'S NAME /' f\\ .
(:" () (-<. t) D r-J "i:... -t-.:f\1'3 d~
,
STRE"T ADDRESS (IncludIng Apt. Unit. SUIte andlor Bldg. Number) OR P.O. ROUTE
L.. 'S 4, 5 f2B-i VI( LA- '"
OTHER DESCRIPTION (Lot and Block Numbers. etc.)
COMPANY NAIC NUMBER
n \ STATE
r(-\ \ 0 r<- ~ ke t"I t-l
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
ZIP CODE
S~~72-
CITY
Provide the following from the proper FIRM (See Instructions):
. 1 COMMUNITY NUMBER 2. ?ANEL NUMBER J. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. SASE FLCOD ELEVATION
~-eb ';< (in AO Zones. use deplh)
L-ioL\LJ:? 00-2-0 t- \~ I \q~1 ,,\\.\..~
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): L: NGVD '29 VDther (describe on back)
8. For Zones A or V, where no 8FE is provided on the FIRM, and the community has established a BFE for this building site, indicate
the community's 8FE: ..-.: feet NGVD (or other FIRM datum-see Section B, Item 71.
SECTION C BUILDING ELEVATION INFORMATION
1. USing the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference levell .
~(a). FIRM Zones A 1-A30, Ai::. AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of q'~ It . S. feet NGVD (or other FIRM datum-see Section 8, Item 7).
(b). FIRM Zones V1.V30, V!:;. and V (with BFE). The bottom of the lowest horizontal structural member of the refere~ce level from
the selected diagram, is at an elevation of' ; i i i I.:--.-! feet NGVD (or other FIRM datum-see. Section B, Item 7).
(c). FIRM Zone A (without EIFEl. The floor used as the reference level from the selected diagram is ~.U feet above' or
below __ (check one) lhe highest grade adjacent to the building.
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is ~ .~--.-! feet above 0 or below!' (check
one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference
level) elevated in acconjance with the community's floodplain management ordinance? . Yes ' No [] Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: k NGVD '29 : Other (describe
under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on
.the FIRM [see Section 8, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion
equation under Comments on Page 2.)
4. Elevation reference mark used appears on FIRM: [J Yes ~ No (See Instructions on Page 4)
5. The reference level elevation is based on: Rf actual construction 0 construction drawings
(NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which
case this certificate will only be valid for the building during the course of construction. A post-construction Elevation Certificate
will be required once construction is complete.)
. 6. The elevation of the lowe!;t grade immediately adjacent to the building is: ~ \(11 Z.I'~: .'.!1J teet NGVD (or other FIRM datum-see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
If the community official rl3sponsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1
is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest
floor" as defined by the ordinance is: i i : i i I.U feet NGVD (or other FIRM datum-see Section B. Item 7).
2. Date of the start of construction or substantial improvement
FEMA Form 81-31, MAY 90
REPLACES ALL PREVIOUS EDITIONS
SEE REVERSE SIDE FOR CONTINUATION
..
SECTION E CERTIFICATION
This certification is to be SignEld by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation
information when the elevation information for Zones A l-A30, AE. AH, A (with BFE),Vl-V30,VE, and V (with BFE) is required.
.Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the
certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official. a property owner. or an
owner's representative may also sign the certification.
Reference level diagrams 6, 7 and 8 - Distinguishing Features-If the certifier is unable to certify to breakaway/non-breakaway wall,
enclosure size, location of servicing equipment. area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not
included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered.
I certify that the information in Sections Band C on this certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
LICENSE NUMBER (or Affix Seal)
\O\ei3
C?'1'ANY NAME
\-p..NO 5\)(.(~ '\l~..,\O(L VV\ \\-E'~ S \.)R '\J~
ADDRESS \ CITY
\ ~lo"1 0 f"B.~N \<( \; rl S E ~'O'(' ~ \(-e I
SIGNATURE t:~..n~ '- DATE - 00 '-\ ,--\,- 2! .
Copies should be made of this Certificate for: 1) community official, 2) Insurance agenUcompany, and 3) building owner.
~s v...K\\I\'SOll
4
. (\ .
COMMENTS: ~ Ole. I. ~k
00\-s'\~-e +'^~~ So
.q
'~\"\-e 'A (p..R{'~ c9-e~M\V\<?(Q ~ be...
~ L.n~-\- -C\~. -e~v(ck~V'-..
~t=c. 0+ S
ON
SLAB
-"
WITH
B.lSEMEXT
ON PILES.
PIERS, OR COLUMNS
V
ZONES
a.o.s\!
1'1.000
~
.l
ZONES
A
ZONES
(~i';;tl!~';;'l!i~;i(;I,';~i;m.fX:;;J~j
The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones.
Elevations for all A Zones should be measured at the top of the reference level floor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
Page 2
THE NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
PURPOSE OF THE ELEVATION CERTIFICATE
The Elevation Certificate is an important administrative tool of the National Flood Insurance Program (NFIP).
As part of the agreement for making flood ,insurance available in a community, the NFIP requires the community to adopt a floodplain
management ordinance containing certain minimum requirements intended to reduce future flood losses. One such requirement is that
the community "obtain the el19vation of the lowest floor (including basement) of all new and substantially improved structures. and maintain
a record of all such information." The Elevation Certificate is one way for a community to comply with this requirement.
The Elevation Certificate is also required to properly rate post-FIRM structures, which are buildings constructed after publication of the
Flood Insurance Rate Map (FIRM), for flood insurance in FIRM Zones A 1-A30, AE, AO, AH, A (with Base Flood Elevations [BFE's]),
V1.V30, VE. and V (with BFE's). In addition, the Elevation Certificate is also needed for pre-FIRM structures being rated under post-FIRM
flood insurance rules.
Use of this certificate does not in any way alter the flood insurance purchase requirement. The Elevation Certificate is only used to provide
information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper flood
insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LaMA or LOMR). Only a LaMA or
LOMR from the Federal Emergency Management Agency (FEMA) can amend the FIRM and remove the Federal requirement for a
lending institution to require 'the purchase of flood insurance. Note that the lending institution may still require flood insurance.
This certificate is only used to certify the elevation of the reference level of a building. If a non-residential building is being floodproofed,
then a Floodproofing Certificate must be completed in addition to certifying the building'S elevation. Floodproofing of a residential building
does not alter a community's floodplain management elevation requirements or affect the insurance rating unless the community has been
issued an exception by FEMA to allow flood proofed residential basements.
INSTRUCTIONS FOR COMPLETING THE ELEVATION CERTIFICATE
The Elevation Certificate is to be completed by a land surveyor, engineer, or architect who is authorized by state or local law to certify
elevation information when the elevation information for Zones A 1-A30, AE, AH, A (with BFE's), V1-V30, VE. and V (with BFE's) is
required. Community officials who are authorized by local law or ordinance to provide floodplain management information may also
complete this form. For Zones AO and A (without BFE's), a building official, a property owner, or an owner's representaiive may also
provide the information on this certification.
SECTION A Property Information
The Elevation Certificate identifies the building, its owner and its location. Provide the building owner's name(s), the building's complete
street address, and lot and block number. If the property address is a rural route or PO box number. provide a legal description or an
abbreviated location description based on distance from a reference point.
SECTION B Flood Insurance Rate Map Information
In order to properly completl3 the Elevation Certificate, it is necessary 10 locate the building on the appropriate FIRM, and record the
appropriate information, To obtain a FIRM, contact the community or call 1-800-333-1363.
T~e Elevation Certificate may be completed based on either the FIRM in effect at the time of the certification or the FIRM in effect when
construction of the building was started.
Items 1 - 6. Using the FIRM Index and the appropriate FIRM panel for the community, record the community number. panel (or page)
number, suffix, and Index date. From the appropriate FIRM panel, locate the property and record the zone and the BFE (or flood depth
number) at the building site. BFE's are shown on a FIRM for Zones A 1.A30, AE, AH, V1-V30, and VE; flood depth numbers are shown
for Zone AO.
Item 7. Record the vertical datum system to which the elevations on the applicable FIRM are referenced. The datum is specified in the
upper right corner of the title' block of the FIRM.
Item 8. In A or V Zones WhE!re BFE's are not provided on the FIRM. the community may have established BFE's based on data from other
iources. For subdivisions and other development greater than 50 lots or 5 acres. establishment of BFE's is required by community
doodplain management ordinance. When this is the case, complete this item.
Page 3
SECTION C Building Elevation Information
Item 1. The Elevation Certificate uses a building's reference level as the point for measuring its elevation. Pages 5 and 6 of this Elevation
Certificate package contain a series of eight diagrams of various building types that are to be used to help determine the reference level.
Choose the diagram that best represents this building, record the diagram number, and use the indicated reference level to measure the
elevation as requested in Items 2a-d.
Item 2. Depending on the pr::Jperty location's FIRM Zone, complete Item 2a, 2b, 2c, or 2d. Use the reference level shown in the
appropriate building diagram as the point of measurement. As shown in the diagram on the back of the Certificate. for all A Zones. the
elevation should be measurE!d at the top of the reference level floor. For all V Zones, the elevation should be measured at the bottom of
the lowest horizontal structural member of ,the reference level floor. Reporting of elevations in Items 2a and 2b should be to the nearest
tenth of a foot, or alternatively, unless prohibited by state or local ordinance, the reference level elevation may be "rounded down" to the
nearest whole foot ("rounding up" is prohibited).
Item 2(a). For structures located in FIRM Zones A 1-A30, AE, AH, and A (with BFE's), record the elevation (to the nearest tenth of a foot)
of the top of the 11001' identifil~d as the reference level in the applicable diagram.
Item 2(b). For structures located in FIRM Zones V1-V30, VE, and V (with BFE's), record the elevation (to the nearest tenth of a foot) of the
bottom of the lowest horizontal structural member of the floor identified as the reference level in the applicable diagram.
Item 2(c). For structures located in FIRM Zone A (without BFE's). record the height (to the nearest tenth of a foot) of the top of the floor
indicated as the reference level (from the applicable diagram) above or below the highest adjacent grade immediately next to the building.
Item 2(d). For structures located in FIRM Zone AO, the FIRM will show the base nood depth. For locations in FIRM Zone AO record the
height (to the nearest tenth of a foot) of the top of the floor identified as the reference level (from the applicable diagram) above or below
the highest adjacent grade immediately next to the building. For post-FIRM buildings, the community's floodplain management ordinance
requires that this value equal or exceed the base nood depth provided on the FIRM. For those few communities where this base flood
depth is not available, the community will need to determine if the lowest floor is elevated in accordance with their floodplain management
ordinance.
Item 3. Record the vertical datum system used in identifying the reference level elevations for all buildings. If the datum used in measuring
the elevations is different than that used on the FIRM, then convert the elevations in Items 2a-d to the datum used on the FIRM, and show
the conversion equation under the Comments section on Page 2.
Item 4. Indicate if the elevation reference mark used appears on the FIRM. Reference marks other than those shown on the FIRM may be
used for elevation determinations. In areas experiencing ground subsidence, the most recently adjusted reference mark elevations must
be used for reference level elevation determinations.
Item 5. Indicate if the reference level used in making the elevation measurement is based on actual construction or construction drawings.
Construction drawings should only be used if the building does not yet have the reference level floor in place. in which ca\;e the Elevation
Certificate will only be valid for the building during the course of construction. A post-construction Elevatiqn Certificate will be needed once
construction is complete.
Item 6. Aecord the elevation measurement of the lowest grade adjacent to the building (to the nearest tenth of a foot). Adjacent grade is
defined as the elevation of the ground, sidewalk, patio. deck support. or basement entryway immediately next to the structure. This
measurement should be to the nearest tenth of a foot if this Certificate is being used to support a request for a LOMA/LOMA.
SECTION 0 Community Information
Completion of this section may be required by the community in order to meet the minimum floodplain management requirements of the
NF1P. Otherwise, completion of this section is not required.
Item 1. The community's floodplain management ordinance requires elevation of the building's "lowest floor" above the BFE. For the vast
majority of building types, the reference level and the lowest floor will be the same. If the community determines that there is a
discrepancy, record the elevation of the lowest floor.
Item 2. Enter date. These terms are defined by local ordinance.
SECTION E Certification
Complete as indicated. Thl3 Elevation Certificate may only be signed by a land surveyor, engineer, or architect who is authorized by state
or local law to certify elevation information when the elevation information for Zones A 1-A30, AE, AH, A (with BFFs), V1-V30, VE. and V
(with BFE's) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information
may also sign this certification. In the case of Zones AO and A (without BFE's), a building official, a property owner, or an owner's
r~presentative may sign this certification.
Certification is normally to the information provided in Sections Band C. If the certifier is unable to certify to the selection of reference level
diagram 6, 7 or 8 (Section C, Item 1), e.g.. because of difficulty in obtaining construction or building use information needed to determine
the Distinguishing Feature(sl. the certifier must list the Feature(s) excluded from the certification under Comments on Page 2. The
diagram number used for ttle Reference level must still be entered in Section C, Item 1.
Page 4
INSTRUCTIONS
The following 8 diagrams contain descriptions of various types of buildings, Compare the features of your building with those shown in
the diagrams and select the diagram most applicable. Indicate the diagram number on the Elevation Certificate (Section C. Item 1) and
complete the Certificate. The reference level floor is that level of the building used for underwriting purposes.
NOTE: In all A Zones, the reference level Is the top of the lowest floor; In V Zones the reference level Is the bottom of the lowest horizontal
structural member (see dIagram on page 2). Agents should refer to the Flood Insurance Manual for Instruction on lowest floor definition.
DIAGRAM NUMBER, 1
ALL SINGLE AND MULTIPLE FLOOR BUILDINGS (OTHER
THAN SPLIT LEVEL), INCLUDING MANUFACTURED (MOBILE)
HOUSING AND HIGH RISE BUILDINGS, EITHER DETACHED OR
ROW TYPE (E.G., TOWNHOUSE, ETC.); WITH OR WITHOUT
ATTACHED GARAGE.
DistinguIshing Featura . The first floor is not below ground level (grade) on
all Sides.. This includes "wall<out" b,lsements. where at least one side is at or
above grade. (Not illustrated)
HIGHER FLOORS
(IF 'NY)
FIRST FLOOR
GRAOE
~
DIAGRAM NUMBER 3
ALL SPLIT LEVEL BUILDINGS, EITHER DETACHED OR ROW
TYPE (E.G., TOWNHOUSES, ETC.); WITH OR WITHOUT
ATTACHED GARAGE.
Distinguishing Feature. The lowel' level is nOI below ground level (grade) on
all sides'. This Includes .walkout" basements. where at least one Side is at or
above grade.
HIGHER FLOORS
(IF ANY)
HIGHER FLOORS
,IF ANY)
UPPER LEVEL
GRADE
GRADE
~ LOWER LEVEL
INTERMEJIATE
LEVEL
DIAGRAM NUMBER 2
ALL SINGLE AND MULTIPLE FLOOR BUILDINGS (OTHER THAN
SPLIT LEVEL). INCLUDING MANUFACTURED (MOBILE)
HOUSING AND HIGH RISE BUILDINGS, EITHER DETACHED OR
ROW TYPE (E.G., TOWNHOUSES, ETC.); WITH OR WITHOUT
ATTACHED GARAGE.
Distinguishing Featuro . The first floor or basement (including an
underground garage') is below ground level (grade) on all sides'.
HIGHE? ~LCCAS
llF ANY'
FIRS T FLOOR
GR>OE
8~SEMENT ;INCLUDING
U/'CERGrlOUND G~R>GEI
DIAGRAM NUMBER 4
ALL SPLIT LEVEL BUILDINGS, EITHER DETACHED OR ROW
TYPE (E.G.. TOWNHOUSES, ETC.); WITH OR WITHOUT
ATTACHED GARAGE.
Distinguishing Feature. The lower level (or inlermediale level) is below
ground level (gradel on all Sides.
HIGHER FLOORS
(IF ANY)
HIGHER FLOORS
(IF ANY)
UPPER LEVEL
GRAOE
GRAOE
INTERMEDIATE
LEVEL
LOWER LEVEL
. Under tfJe National Flood Insurance Program's risk classification and insurance coverage, a IIoor that is below ground level
(grade) on all sides is considered a basement even though the IIoor is used for living purposes, or as an office, garage.
workshop. etc.
Page 5
Note: In all A Zones, the relerence level is the top of the lowest floor; In V Zones the reference level Is the bottom of the lowest
horizontal structural member (see diagram on page 2). Agents should reler to the Flood Insurance Manual lor Instruction on lowest
floor definition.
DIAGRAM NUMBER 5
ALL BUILDINGS, INCLUDING MANUFACTURED (MOBILE)
HOMES ELEVATED ON PIERS, POSTS, COLUMNS, SHEAR
WALLS, WITH OR WITHOUT PARKING AREA BELOW
ELEVATED FLOOR.
DIAGRAM NUMBER 6
ALL BUILDINGS, INCLUDING MANUFACTURED (MOBILE)
HOMES ELEVATED ON PIERS, POSTS, COLUMNS, SHEAR
WALLS, WITH OR WITHOUT PARKING AREA BELOW
ELEVATED FLOOR.
Distinguishing Feature. For all zones. the area below the elevatad 1I00r
is open, with no obslruchon to the flow of flood waters (open woad latTice
work or reaoily removable insect screening is permissible).
Distinguishing Feature. For V Zones only. the area below the elevated
noor is enclosed. either partfally or fully, by solid breakaway walls." When
enclosed area is greater than 300 square feet or contains ~uipment
servicing the building, use Diagram Number 7; this will result in a higher
insurance rate. The enclosed area can be used far parking, building access
or limited storage.
HIGHEi1 FLOORS
(IF ANY)
HIGHE" FLOORS
(IF ANY)
"
DIAGRAM NUMBER 7
ALL BUILDINGS, INCLUDING MANUFACTURED (MOBILE)
HOMES ELEVATED ON PIERS, POSTS, COLUMNS, SHEAR
WALLS, SOLID NON.BREAKAWAY WALLS, WITH OR
WITHOUT PARKING AREA BELOW ELEVATED FLOOR.
DIAGRAM NUMBER a
ALL BUILDINGS CONSTRUCTED ABOVE AN UNFINISHED
SPACE, INCLUDING CRAWL SPACE.
Distinguishing Feature . F'~r all zones. the area below the elevated 1I00r is
enclosed. either panially or fully. by solid llilO-breakaway walls, Q( contains
equipment servicing the building. For V Zones only, the area is enclosed.
either panially or Tully. by solid breakaway walls'. having an enclosed area
greater than 300 square leet Far A Zones only. with an area enclosed by
solid walls having proper openings.... and used only far parking, building
access, or limited storage. use Diagram Number 8 to determine the
reference level.
DistinguIshing Feature. For A Zones only. the area bl'Iow the first 1I00r is
enclOSed by solid or panial pen meter walls. is unfinished. and conlains no
~uipmenl servicing the structure. The area can be used for parking,
building access. or limited storage. '
HIGHER ;:lCCRS
(IF ANY)
,
HIGHER FLCORS
IIF ANY)
FIRST FLOOR
CRAWL S~ACE
Under the National Flood Insurance Program's risk classification and insurance coverage. a /1001' that is below ground levet (grade) on
a/l sides is considered a basement even though the Itoor is used for tiving purposes, or as an office, garage, workshop, etc.
Solid breakaway walls are walls that are not an integral part of the structural support of a building and are intended through their design
and construction to collapse under speCific lateral loading forces, without causing damage to the elevated portion of the building or
supporting foundation. An area so enclosed is not secure against forceable entry.
... If the area below the lowest 11001' is fully enclosed, then a minimum of two openings are required with a total net area of at least one
square inch for every square foot of area enclosed with the bottom of the openings no more than one foot above grade. Alternatively,
certification may be provided by a registered professional engineer or architect that the design will allow equalitation of hydrostatic
flood forces on exts'rior walls. If neither of these criteria are met, then lhe reference level is the lowest grade adjacent to the structure.
Page 6
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C:::-Whita, - Buil~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
G()~{>l/ fit.,6X/ltJoc?<-/(~'1tJC; //;vCi'/6K-
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2~54-7 5PK--/NCf /-fiK,& ~/f.o
Accepted
Accepted With Corrections ",..--
Denied
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Date: c::;./ ~ I ~ <.co
,
Comments: _ ~ / ~ rrn A~ ~ ,<)?;;~.:o en-
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Reviewed By::
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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."
- ~
White - Building
CanAry - ~~~~eering
':'Pink i~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
....
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
#~
Date:
~-/?-QS
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."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink File
2. Green City
3. Yellow Applicant
+. /3.00
r/~e:-W- tJIP. O//(P
PERMIT NO. Or.;, ()21...
ZONING (office use)
d- S -1-'7 S jJ /U AI 9 LA- /c:.6,eo,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
APPLICANT j
(Name) &lS ~ to> '\
A I z:..)( t:\ 1l>~ I
(Phone)
<5 I?. -:z. ), 7-j-o
(Address)
(Address)
(City)
(Zip Code)
(Contact Person)
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(Phone)
APPLICANT SIGNATURE
DATE
1--/1 J/06
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
OUTPUT
REA TING OR POWER PLANT
OWarm Air Plants
DGravity
o Mechanical
OAir Conditioning
OVent. System 61f)-{.,./Ne;
1V'fODEL
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
f) & It., " S77J t/ E
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & A/C (1\:ew Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
...3l/ 5D
.50
9-0.00
(Office Use Only)
Buildinl! Official
Date
Paid I-tJ. ti 0
Dat~, if {Il?
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS Z. fj;' 'It. ~1~ ~~E ~,
NATURE OF WORK ., IJ "
USE OF BUILDING . D.
PERMIT NO. 0 t;J , 0 II (7 DATE ISSUED .
. .
CONTRACTOR CArKI!1tJ~f!; ~'4!!1 PHONE' -Z:S - . "
NOTE: THIS IS NOT A PERMIT FOR NY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
I FOOTING (ft4;..~ J)~;,.,..) I
. I I
~-UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if re
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v,;y1' /-1-/4 -U b-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
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