HomeMy WebLinkAboutBuilding Permit 04-0147
DATE TIME
CITY OF PRIOR LAKE I J",,11
INSPECTION NOTICE SCHEDULED =) 2tJ #
ADDRESS 14(, lS" LJ~,"<:.. -6.d ~tct.c...t
. I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
c(~ ~ ~l~ dL,H" -k
~ Q)
'1- 0 (t.{7
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
I' II'\. a..cf,~ It-((.)
4
(i'1\.o.t;
80
f\\ L
I \jC'J \
I
r"'\ / .--.
tJ ~ . I \ ~._
1 lV I UTl7\~1 J
o WORK SATISFACTORY, PROCEED
o CORRErJAT ION AND PROCEED
o CORREC RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: . Owner/Contr:
C~ FOR THE NEXT INSPECTION ~4 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
~
toate
7671
Post-it" Fax Note From
~o Co.
Co/Oept. --#
. .. - _ I . l 2D Phone
Phone #1]/. \.7iPO-'~ )-c- #
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\Fax #
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pages
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QIttfifitttft nf @ttuptttttlJ
CITY OF PRIOR LAKE
~rparfmrnf of ~uil~inB JInsprrfion
o Final Permitted ~ Conditional e.O. Expires A~u.;~ l! 200 C,
\
This Certificate issued pursuant to the requirements of Section 110 oj the [] Residential / [llnternational
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:
SINGLE FAMILY 04-0147
Use Classification Bldg. Permit No.
Occupancy Type
R3
Type Construction
L9, B6, THE WILDS
VN
Zoning District
PUD
Legal Description
Owner of Building Site Address
Contractor's Name & AddressCHRIS AIMUAn'jSOC., 3604 BAILEY RIDGE CIR., WOODBURY 55125
ROBERT D. HUTCHINS (/ I ) City Planner DON RYE
14615 WHITE TAIL RIDGE
Building Official
Date: -.L <-l ..2 00 ( *
Date:
DATE TIME
CITY OF PRIOR LAKE f1/nkt
INSPECTION NOTICE SCHEDULED
ADDRESS It.{ (PIS" lJ~ir.e. +<<.i 1 R.~
u
OWNER CONTR.
PHONE NO. PERMIT NO. LI-a 147
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL t'i! PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
I. -6eJ (J,^,"L~t~ + l"eW\au.e LJ~ b~h.'...
InoJ.L. -kl (
'2.
Pr-Ol/tJ",
troo:.~ Ptotec\-iav\ f:r O\~
. v
olle.r 3~
.? ~s\a1l l"\C4...t lol~
1
rI.Q
~
o WORK SATISFACTORY, PROCEED
)(CORRECT ACtj' N AND PROCEED
o CORRE9fW9 CALL FOR REINSPECTION BEFORE COVERING
Inspector: . ...(, Owner/Contr:
V, )
CALL 447-9Ss.o-fOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~~REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
ADDRESS
14to\C)
DATE TIME
SCHEDULED IO/i7~~
W'^~~ \'a.,t ((ole /
I
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
('-/4/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.J3"'PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COJYjMENTS: .... .
!' I~~- ~-6 C4/?/
2. Qd!) J;r- ttlrf) lfq7-l8~
- _ A
:~, lfh.. ~I'-t.L-- ~' ~-,1___
C I _____ ---...
<./
,
~i<r ~ uJr K;t;.~ ('MC-'O:t-
o WORK SATISFACTORY. PROCEED
~RR~~ION AND PROCEED
o CORRE,CT VVX ~K. CALL FOR REINSPECTION BEFORE COVERING
Inspector: f ~-j Owner/Contr:
CALb.L~J~FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE "2/. n' ,...
INSPECTION NOTICE SCHEDULED ~!>>
ADDRESS It! ld~ uJk;~.l ~ l e 'AJl.
. .
OWNER CONTR.
PHONE NO.
PERMIT NO. 4 -,~ ( Cld>>lJ J:1.e..
o FOOTING 0 PLUMBING RI 0 EXIGRAD/FILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL 0 GAS LINE AIR TST
o SITE INSPECTION 0 MECH FINAL (\ 0
COMMENTS: We. -b ~ ~tl,Q
}. Y;l~ oW",,-,.... CL.,^...1 ~a.w-} Q1~ fa
. Knn of) ~ &",-. ~ ~ ~~T'iO r ~dW\ f}..(u~<r-
\o..llln:","",- ; II\. ~~ eu..c1 ~ J ~d<LJl
, .
2. 11M -Ir!J u<;.t.. k .j.;'N2.. .ll!44L ,'''' o~t.a k/:"V
~WA ~ c)CU' l L'\...JL b(ocW / .
u
~. ~ Cal~9 1(; N~i,.."J u.l';~
n(< ~A\i~ LUY\.1e.> ~~~ .
,I n .
l' ~ts Q.i~ ~.
. --t-~ U)~ lAi/
"
o WORK SATISFACTORY, PROCEED
o CORRE~T ON AND PROCEED
o CORRE W , CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1 Owner/Contr:
CAL~447.t~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
IO-Il--c) 1
ADDRESS
/ 'I~/S iN A/ 1(. 14,.( tfrrk
,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
.L;>l/-/'17
~~G
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(., /" t6/-<- - (f) r
Cu IS B6if'- f9 r-...
J'--WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
(Please type or Print and sign at bottom)
ADDRESS
If<O!5
WHII~
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
-(AiL.-
'(L 1..0 Ci~
LEGAL DESCRIPTION (office use only)
Date Rec' d
2. z~~ ~
~. ~i~i~e ~::y I PERMIT NO. 0 L. _ 0 IA ~7
3. Yellow Applicant .,- - .,..,.
LOT 4 BLOCK Co ADDITION -rife-. _ ~.L'_~_n s
OWNER
(Name) c,. H fl. IS
ZONING (office use)
PUD
PID 2S. z97. 059. 0
A I tv\,i/I.A ~ A<; c, DC , A ., c:::. 5 . t,.:;) '--'
(Phone) (PSI 5 7 ~ -- to b c; 1-
(Address) '3(004 'J3.A(L.CY f21{]C,6 GdL, 1~C>UJJ~ufL--i ) ~
BUILDER
(Name) C,.#1l-1 S A I iVvUA ~ A>~G f A -(e:>.
\ ,
(Contact Name) --.CMt2/ 'S> A ~ M vi A
(Address) 3 {PO'-t f3.A I L-e 'i ~ I.D C-( b C \ (Z '.
TYPE OF WORK
o Misc.
~NeW Construction
OLower Level Finish
Ii::> ~ -
'~>"" J J...~-
(Phone) 65\ S-qg -bb~1-
(Phone) cO c) \ - 5'1 ~ -- lO (pC-'(.t
~ DO .0 p.::,o 1'2- y lA.--J 5"$""1 2.. S
ODeck
o Porch
ORe-Roofing
ORe-Siding
o Fireplace OAddition o Alteration OUtility Connection
- ~
PROJECT COST IV ALUE (excluding land) $ .~ -::r5 . C5bV
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or
authorized agent for the above-mentioned property and that aU construction will conform to aU existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the b . ing official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to erform n d in~pections.
9---
x
Signature
I Permit Valuation
1 Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
I If' 375: tJt:J(J, 00 I
1$ 2..705,501
1 $ '757.281
I $ I ~ 7, So I
I $ 1
1$ I()l),{)(} I
I $ /()C), 0 a I
I $ 3 s-; 50 I
I $ ~(),()(J I
This Application Becomes Your Building Permit When Approved
~ffici~ 4-; Ir!.~ ~
20}t'75' I (
Contractor's License No.
I Park Support Fee
1 SAC
I Water Meter Size 5/8"@
I Pressure Reducer
I City SAC and WAC
I Water 'Tower Fee
I Builder's Deposit
lather
I TOTALDUE~ J.f(,.O+",
-c/
I Paid II) '1<(1?J~ / 0 i
I Date' ;; - liv . () 4
~ ,
#
#
#
#
2-:24-04
Date
$ f35ZJ,00
$ /-SSo,o 0
$3ot).oo
$ 70. 0 (;)
$ ''2..0c!). cO 0
$ '1tJtJ . (J 0
$ IS-aa. 00
$
$/0. ~~. 7fi
f
Receipt No. iiL~! 3'7
By C
(J"
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 signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
~ Je.dl~
Planning Director
~~teY
/?~ a-Lf ~.
Special Conditl'ons. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
['he ({"nfef of lh.. l.akt Counfr)-
("White . Buildi~
. Canar,,-. Englneerina "'
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Gt/i6fs A/MUA
Z. 2.,4-. 0 4-
I
~
AS50~ .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/40/5 WHITE "AIL 1<:ID65
I
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
~
~
......
~~ Date: Sltt lo~
. ,
Il-L-f ~
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."
--'
lh(' Centt'r nf (hI.' l..kr Counlr)
White - Building
Canary_ - ~!"gineering
~.-!1lK _ - .....Iannm~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/-\
i\
l....
APPLICATION RECEIVED
i..--.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,
, '--
\,il_
; ..~'
Accepted
Accepted With Corrections /
Denied
S,eviewed By:
~~
/f?~ A-U
Date:
3/ I' / () 'I
,
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."
~.. PRIOir
'~~ ~
...... '
~~_~?i
DL!-O}1.f7
White - Building
Canary - Engineering
Pink - Planning
The C'fnlt>r of the l.akE' COUnlr)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
;--1 f 1,',/ ,,---
, r ,~I~)
/1\ I i'--j LJA
/
"
A """C/,(l
, .,--, ,_, 1...../ \......-.
APPLICATION RECEIVED
L
::- / (4-'
t.- '-r. 'vi
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J .1 I .1' I J 11_ -.or"., I
('r .J" i ~.) l 'V n f I Z:: I /'\ ( '--
'/.... j 1;6' c-
,_... I~_j ( j
I
Accepted
,~
Accepted With Corrections
Denied
Reviewed By: /J24L'\ Date:
Comments: See Reverse Side for Additional Information!
S, / I ~O'1
See Attachments: 1) Grading11.aTL 2) Erosion Control Meas1Jrp.~
"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 - l:.n~ln~eri"9:>
~, - Planning
Thr ("t'nlrr of 'hI' t..kr Count,.,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/1 j I' I ./"
! r- I!j ) '.
'.../1 I'.~, ..;...,
/1. I/'--"'j' ! .' tf\
I ' ' / .
, , '\0.0'
(;
P ~.""
~- - " }
. \ .,.---' ~'-'
/1
'-.-..
4.,
/1
~..
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J. ~1- ~, Ii i.;;
. I \.C '-,
l \V I-I { IT:.
-T/'_ f I
.i I -1 L..
/, '/ ."-.,
I "I ) /".,. t'."
~<'-''''' r .L.!o" \..__1 -"",,'
I
Accepted
,~
Accepted With Corrections
Denied
Reviewed By: IJ14l~ Date:
Comments: SP.P. Reverse Side for Additional Information!
S..../I-OLf
See Attachments: 1) Gradin~ Plan, 2) Erosion C:ontrol Memmre~
"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 PLUMBING PERMIT
Date Rec'd
/I~/~~~
[Blue File PERMIT NO. ~'l /J_/'LP7/
2. Gold CIty {/ 7 -; /
J Yellow Applicant '"
(Please type or print and si~ at bottom)
ADDRESS
/'Ib'/S- !~j/I-e-- rw,'/
ZONING (office use)
RI'~.._
LOT
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name) .
(Address)
BLOCK
PID
(Phone)
APPLICANT
(Name) ~~~cl
(Address). 3/0-
(Contact Person)
~ Sr.")"'S P/VM b/rJq (Phone). 7~3-- ~7S--0296
JU/?~~ ~I"le. J Fly.n1ot.J~ ~~9'7
(Address) (City) (Zip Code)
(Phone) .
L~
APPLICANT SIGNATURE
--- un,. ...."
n. .......__D_A IE . ~CJ - 2- 9 - CJ .r/"
APPLICANT PLEASE COMPLETE BELOW
...-.-.-.. ~
I Type of Fixture
____ _________n _u.______.."'. ___
Bath Tub with or without shower
-... ---,.
Dishwasher
I Floor Drain
- . "-
J Lavatory (Bathroom Sink)
! Laundry Tray (I ,or 2 compartment sink
I Shower Stan---'--' -. ...--. - ....
I Sinks
I Bar Sink
I
l{ I Water Closet (Toilet)
~ se,.."e-r? ,I-- - 130 '-'3 h
~ ' 2.-
~L) / / b~Hi
FEE SCHEDULE
Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum
Quantity
,l
I I
S-
}
! -
(Office lJse Only)
- .
I Quantity I Type of Fixture .
~_ J ~ugh-ins Full lx.dI1
.... .... J ....... J Yi a!_er .!fe.~ter_
1_ "_ ___._. ,...,L~a~er _S~ftner
Stand Pipe (Washing Machine)
Sewage Ejector
-"'._- ,,_. .-..--.. .---"
! .Backtlow Assembly
!._I3~.c1~fl <>,W !>s~elT1 b I Y Test
_n I_La:.vn Spril1kler _ ..
I Other D. -sp{)St....( I, 'c..e.-1"'ktK"e-r-
~t1 !L. ~.
I
J.5N rI
I
I
'h:..r ~,..l'
I
I
I
I
J_.__. __
I"'"
Residential, New One & Two-Family
Residential, Additions & Alterations
$99.50
$39.50
Estimated Cost $ 11 ~ 96t?
Building Permit #
PLUMBING PERMIT FEE
SI A IE SURCHARGE
TOTAL PERMIT FEE
$
$
$
<j'9,S-O
.50
/c,o ,;o~~
JP, d;U
Paid lY-t VJ - I Receipt No.
Date 1/ - 9 ---{)If
This Application Becomes Your Building Permit When Approved
Building Official
BYOr
f/
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
8.1-7.04-
(Please type or print and SiW1 at bottom)
ADDRESS, J.------
I'-!b/~. H-11e' / ,qit..
~. ~::n ~!~ PERMIT NO'04, OIA-7
3. Yellow Applicant . ~
o:0;O{~ G
ZONING (office use)
ptl.p
LEGAL DESCRIPTION (office use only)
LOT q BLOCK to ADDITION 'fHfJ tAlt L{) S
PID Zr.. 2ft 7. 051. 0
~~e~R G H Ii d I} /'JJ1l1 A (/~ < OJ:) ~ (Phone) ~- )~? ~ /-;<;t;'L
(Address) J/,,{;'f ~dilp:.'i ~ 0 ;~eI.E t),j(YiIit11'(f ~s / :h,-
/ ~ ..
APPLICANT ~Ad ,J \ Ah' it / I c'/'/ c'" '7
(Name) "'~.' ~', 'rv\/ILZ-Ij(J. 1 .. .~ (? (Phone) 1,/). - !};J,~ ~~6 .~~.
(Address) l-Jk .~1 L J1J tl1dL) , _-,\: j1Jg'L jJJJJ ~SLjtpl
(Address) , (City) (Zip Code)
(Contact Person) ~)~,~._ /J~fJ,,"/(PhOne) ~4P._ g,:;<)~t/J~1
APPLICANT SIGNATUR~ ~ ~/v4:./ DATE Zfi;~ IJ'f
/ APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRucnc N 0 REPLACEMENT 0 AL TERA nONS I I. I /:
FURNACE MAKE AND MODEL;{ - 'rR..n.J.j~~.- -rith J t/:l ~_~_:n_l'l.. ~, FUEL -AJjJ/ ~~
/)11 {}(~'\ ' II 1~().I0~/c) C/e-)L'Z/'C./
FLUE SIZE ,~ r.' c..- RETURN OPENINGS INPUT x:": L> C)t..,) OUTPUT -=::z<: ,:;yt..-,
TYPE OF SYSTEM HEATING OR POWER PLANT
~arm Air Plants 0 Steam
~vity 0 Hot Water
echanical D,R'adiation ...1 /1 & J .
ir Conditioning 0' Special Devices /1 ('iL 11' ,Jfrr C.~{;;
DVent. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
HEA rING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$~
.&-
~
~50
()4-,o/4-7 6Y
~IO
gvl?~ .
Estimated Cost $
Building Permit #
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
~
Dat~ ..., A~
o,z.,.O.,
~ -
~
By r-
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~~ Of-
(Please type or print and sign at bottom)
ADDRESS
Green File I PERMIT NO
Yellow City. . (J 4- 0/4-1
Gold Apphcant ,
/4~ /r WI'17't/
-p11 t-
,e4 0 t?G""
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT r BLOCK " ADDITION
7/1!7 WI 14JS
PID -z..I'. 2.. r 7. IlS1,O
OWNER
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICA~ ,J
(Name) '.lJ(f.~ '1'')<J., ~_~~
(Address) 19--.50 i.V j()~J.1- .sf .
(Address)
(Phone)
.~--::::> \ ~
(/10, --
(City)
(/ ;;~~ ')
'----m rt'
9~/L/ - 1.f6h
,5SljJ}
(Zip Code)
(Contact Person) Un4<.Ji'" i ~T/h(r'~ /7 (Phone) /-Jl...)-- 1.0. 1"';- (') 10 Y
APPLICANT SIGNAT~RE I/d4...A- ~_- DAT~
APPLfAN2EASE COMPLETE BELOW
Size of water service inches,
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ./
$ ~
$ ~
/
lo~t_
J ft (,1-
6 dl I/O
Estimated Cost $
Building Permit # 0 f-, 0 /4'7
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
pai~
Daft,- , f ,,0 ~
, R"1Jg
By 1
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Residential Building Permit Checklist
New Construction for Single or Two.family Dwellings in R.1 or R.2 Districts
Reviewed by: ~ ."0, ~ Date: 3( I J /6t..{
Building Permit # PID: Zoning:
Address: Jt.{~,S; ~ I~ ~)
Legal: L q , B 4:> Subdivision: ~ 0 ~ ~
Existing Structure? YES~
CONFORMS TO ZONING
ORDINANCE
-- - ....
Yard Setbacks: NA 1 FAIL~VCOMPLlES )
. Front Yard (can be 20' if avq. Wttrl IOU')
. Side Yards
· Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in length
I. Rear Yard
· Patio Door: provide for minimum 10' deck or sign
statement indicating no deck will be built in the future
. From 100 year flood elevation of wetland/NURP
pond
. From OHW (Prior or Spring Lake)
, Floor Area Ratio: NA 1 FAILS(COMPLlES'I)
--.
, Yard Encroachments: NA 1 FAILS(c6MPLlES ')
Eaves and Gutters no more than 2 feetln wlcm and no
closer than 5 feet to a lot line (Easements).
Ale and other equipment cannot encroach on interior
side yards.
"P"'.
~ Tree Preservation (\.NAj)FAILS 1 COMPLIES
. Total caliper inches
I. Permit 25% Removal
I. Caliper Inches Removed
I. Caliper Inches Preserved
I. Replacement
L\TEMPLA TE\BLDGLIST.DOC
Existing Nonconforming Structure? YE~
YES
NO
Standard
25'
10'/
25' if abutting a street
Proposed
2..'S~/'
I
S.e:. - 2to.341
I
tJ. w. - l8. I S I
o-tJ-eJ\ '2- OS / I
10' setback +
2"/1' over 50'
25'
1 0' sidel
25' rear
30'
NO N';:-
NA.
75' or setback average of
adjacent structures, but no
less than 50'
tJA
.30 Maximum
'3,~%
Standard
Proposed
tJo,J E
,JON E
Standard
Proposed
1;2:1
I Driveway: NA / FAILS (COMPLIEs>'
· Maximum width at property line
. Required setback
· Maximum slope
. All parking areas to be paved including R-Vor
spaces adjacent to the Qarage
· Location to match subdivision QradinQ plan
I Building Height~o"MPLP/ FAILS
-,
Shoreland District:(~ FAILS / COMPLIES
Minimum lot area (square feet)
Minimum lot width
Shoreland alterations
Impervious surface
1 Bluff in ShorelandfNJ()' FAILS / COMPLIES
. Setback from top of bluff
. Bluff impact zone
. EnQineerinQ certification submitted/approved
. Grading in bluff or bluff impact zone
I FloodPlain~ FAILS / COMPLIES
. 100 year flood elevation
. Lowest floor elevation
. Proposed lowest floor elevation
. Elevations 15 feet from structure
. Road access must be no more than 2 feet below
ReQulatory Flood Protection Elevation
Accessory Structure:rNA>/ FAILS / COMPLIES
. Size
I. Not located in front yard (Materials)
I. Side yard and rear yard setbacks
I. Maximum heiQht
I. Materials compatible with principle structure
L:\TEMPLA TE\BLDGLIST.DOC
Standard
24'
5' from side lot line or
30' from r-o-w on comer lots
10%
35' Maximum
Standard
7,500 Rip, 7,999 Non-rip
50' Rip, 57.3' Non-rip
30% Maximum
Standard
By planning dept.
20' From Top of Bluff
By City Engineer
No importing/exporting
Standard
908.9' Prior Lake
914.4' Spring Lake
909.9' Prior Lake /
915.4' Spring Lake
Must be l' above flood
elevation for new and existing
structures. If existing
structure was constructed
9/19/90-11/22/97 then
additional foot is not required.
Must be flood elevation or
higher
907.9' for Prior Lake
913.4' for Spring Lake
Standard
832 sq.ft. or 25% rear yard
10'
15'
Proposed
",-0'
51
~~o
No tU E:
0-'- ftlA ~I ~h
r
"2..~ I ~ .j5"" ~
Proposed
Proposed
Proposed
Proposed
02/06/9~
&F5c~~O 70-
~/VSh'/"'ItA '
," !4J003'
~~~ ...
CITY OF PRIoR. LAKE
. Impervious Surface Calculations
" ..(Tobe Submitted with auUding PennitApplication)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface <::;overage.Petmitted in] o Percent.
Property Address hI/., IS; !I lX/I{ -jai/l2zjlf
Lot Area 21. S-{Z-. , ' Sq. Feet x 30% - .n..;......:..G-453 '
. ** If: *.* * **'" * ",!II*,. '" * ***"'*** ** * **** '" '" * * '" *** =Ie **ilc lit * *** *** * * **** * * *** ** ** '" *** * *.
. .
.... . TOTALIMPE;RV!OUSSURFACE .... .. .... .
~EJ-VER~ .' ..""..,"" '.'i'.".'."., ,'"
(,ur ~J~r< ',,', ~ .'..','..".'"'.'.,,,.,.. .
". . Prepared By :-.-t,.,',..Me.)" ,4-"",.. .,d~"j', '(x-.," ..""",:/'{)4",,,{li:lnate
.. ,,' ""'/" I, '.
, Company _/ledlct?lc! ~j l1eer)~. . " . Phone # t6'l1(Jq--61tJj
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4tJ5:e> f-
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P A TIOSIPORCHES/DECKS .'
(Open Dccks'A"rnln. opening between
boards,wlth a p~Nious surface below,. .
are not considered to be impervious) "
OTHER
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TOT~' ,OTHEa. .~..... ",-.. .:u,.~.'. '....i...~ ~.9..' ~".. ,...;......:. If...~. .
" olJ{7
/40(~
PRIOR LAKE
INSPECTION RECORD
. ..
SITE ADDRESS ~lo IS tA)flLu: TAl c... ~I.oq,~
NATURE OF WORK - tJe (".) ~N-S7RJJ.ttti~~ .
USE OF BUILDING " ~.~ c.
PERMIT NO. O+.Of""T DATE ISSUED .3111 I 6'1 .
CONTRACTOR · c'. PHONE~-~
NOTE: THIS IS NOT A PERMIT F R ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DPE
FOOTING I :J - 2 ~
, FOUNDATION (Prior to Backfill) V -9
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH '"/i~S
SEWER I WATER I SEPTIC". YI>
FRAMING~/. <1r;,l4~ ~/L R~/j7/cl't/ /
INSULATION ~ .
ELECTRICAL
PLUMBING ~
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
1/2r
1/ h,ei
? 11?/t6
, r
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
. A
I~C~(J/f!/Jgk,~~~ \/v1!/ I /O.J.Lt-J)
~u.J- u~C,,~ FINALS
GRADING (Prior to Sodding) '1W16
BUILDING T~ +0 8-\...ol.,. fb
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.
DEPARTMENT OF
BUILDING AND INSPECTION
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FOR ALL INSPECT!ONS (952) 4."'7-9850
Driveway: NA 1 FAILS (COMPLIEs;>'
· Maximum width at property line
· Required setback
· Maximum slope
· All parking areas to be paved including R.Vor
spaces adjacent to the garage
I. Location to match subdivision grading plan
I Building Height(tOMPLJWI FAILS
Shoreland District:(~~ FAILS 1 COMPLIES
Minimum lot area (square feet)
I Minimum lot width
I Shoreland alterations
I Impervious surface
I Bluff in Shoreland~JO FAILS 1 COMPLIES
· Setback from top of bluff
I. Bluff impact zone
I. Engineering certification submitted/approved
I. GradinQ in bluff or bluff impact zone
1 FloodPlain~ FAILS 1 COMPLIES
. 1 00 ye~r flood elevation
. Lowest floor elevation
. Proposed lowest floor elevation
. Elevations 15 feet from structure
· Road access must be no more than 2 feet below
Regulatory Flood Protection Elevation
! Accessory Structure:rNA>1 FAILS 1 COMPLIES
. Size
I. Not located in front yard (Materials)
I. Side yard and rear yard setbacks
I. Maximum heiQht
I. Materials compatible with principle structure
L:\TEMPLA TE\BLDGLIST.DOC
Standard
24'
5' from side lot line or
30' from r-o-w on corner lots
10%
35' Maximum
Standard
7,500 Rip, 7,999 Non-rip
50' Rip, 57.3' Non-rip
30% Maximum
Standard
By planning dept.
20' From Top of Bluff
By City Engineer
No importing/exporting
Standard
908.9' Prior Lake
914.4' SprinQ Lake
909.9' Prior Lake 1
915.4' Spring Lake
Must be l' above flood
elevation for new and existing
structures. If existing
structure was constructed
9/19/90-11/22/97 then
additional foot is not required.
Must be flood elevation or
hiQher
907.9' for Prior Lake
913.4' for Spring Lake
Standard
832 sq.ft. or 25% rear yard
10'
15'
Proposed
'Lo'
51
'2., '3~o
No tU E:
o-k.. p~ ~. ~I-,
I
"Z.61 ~I JS- ~
Proposed
Proposed
Proposed
Proposed