HomeMy WebLinkAboutBuilding Permit 09-0268
QIertifirate lIf Qf)rrupanr)!
CITY OF PRIOR LAKE
~tparfmtnf nf liuil~ing Jf nsptrfinn
~Final Permitted
o Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 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:
.5 /IVq Lt:; F/-J /',/ I '-y Bldg. Permit No. 0 r; 0 Zb 8
Ii:! 3 Type Construction V Ai Zoning District
L 10 I E I. (; (;VE~ c,;::: NO/! 71iwCOO /I.-IE /100 tv'::'
, ,
Owner of Building Site Address /&4iP2 !lrJlv'K. ~OqE ev.
Contractor's Name & Address .k': E V 1/-/ j"-J r/ Iv' L.o/ H 0/"/ e.:::
/ZU/:F)I"f l-Io77ft/N~ l)/\ CityPlanner
^ I d I "\ (. Building Official V V"
Date: ~ (. ( Date:
Use Classification
Occupancy Type
Legal Description
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CITY OF PRIOR LAKE BUILDING PERMITJ
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
5/9. ()J
I. While File I PERMIT NO I
~ ~~ ~::Ii<.nl ( .ot:;. oz~8
(p L/(p ;;
CT /V. v,
LEGAL DESCRIPTION (office use only)
LOT /~ BLOCK ADDITION +-
OWNER
(Name)
(Address)
Jh 1//2 T '--1'j25,,;/ Yl
/ t./ Ell ~ f"}"a- /( J ~
BUILDER
(Company Name)
(Contact Name)
(Address)
/Vp'/.t!.7Uc.v~&J Pi I-u.
ZONING (office use)
PU
(Phone) q.s-J. - ';;01 - 7 J, d (P
MiA sfll
f6.#~ 5 ..:lhc
,
(Phone) 95 J - 77)- 6/ Oc:J
(Phone) ,j;,;"? - .)6-} - & /5- cJ
~sd
New Construction ODeck OPorch ORe-Roofing
DAddition OAlteration OUtility Connection
DLower Level Finish
Fireplace C I )
CODE: ~C, OI.B.C. o Misc.
Type of Construction: I II III IV V A B PROJECT COST/V ALUE 11> /'8C. CJ .-'
$ , ~.
Occupancy Group: A B E F H I M R S U (excluding land) .
Division: 1 2 3 4 5
I hereby certify tbat I have furnished information on Ibis application wblch is to the best of my knowlcdge lrue and correCI. I also certify Ibatl am Ihe owncr ur aulhonzl'(! agent for Ihe
above-menlloned propcny and Ihal all conslruclion will ronform 10 all cxisling Slale and locat laws and will proceed in accordance with submilled plans. I am aware Ihat the buildlllg
official can re,'oke this pennit for just cause. Furthermore, I bereby agree thattbe dry official or a drsignee may enler upon Ihe propeny to perform needcd IPspcclillns.
~ :? LfJ~ '11 ;? t!Jg
Contractor's License No.
x v-f-=
Signature
Permit Valuation "2\
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $ o. .
Sewer & Water Permil Fee $ r; 1.. '
Gas Fireplace Permit Fcc $ r; 0. '
~ 'Y"'B.n~g-:-~~AZ;
ate
S- - 17 - :;)Oc) '7
Date
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
2000- -
"335. -
D.-
1500-'
t 000_'"
( S DO. -
Water Meter Size
Pressure Reducer
SewerlWater Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TIlls .s to certify thaI the cqUCSI in the above applicallon and acCtlmpanying documents is in accordance with the Ciry Zoning Ordinance and may proceed as reqllcsted_ This dncument
when signl- y the Cil lann conslllut~s a temporal)' Cerlificate of Zoning compliance a allows construction to commence. Before occupancy, a Ccrtificate of Occllpancy must be
i<slled
Dale Sial Conditions, if any
24 hour nolice for all inspeelions (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
New Construction for Single or Two.famlly Dwellings in R-1 or R-2 Districts
Reviewed"" KD b1- Date: S(zz /61
PlD: Zoning:
I-\A ~ \L. \2- ( \J ~ ~ Gr. pu D
Bu.i,lding fermit #
Address:,' l <0 4 ~ 2.
Legal: L . B
Existing StrUcture? YES I ~
I CONFORMS TO ZONING
. ORDINANCE
Subdivision:
Existing Nonconforming Structure? YES I NO
~
I
NO
I
I
. Sidewall exceeding 50' requires adcfrtional side 2"
setback for every l' over 50' in length. Not required
n building wall is 10'-0" or greater of being parallel to
a side lot line.
. 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 wetlandlNURP
pond.
. Refer in round ols to the Plannin rtment
. From OHW (Prior or Spring Lake)
Standard
25'
10'1
25' n abutting a street
4l.'\ - 15:
10' setback +
2"/1' over 50'
z.S.O'
1. 5.0'
4(P.~'
25'
10' side!
2.. \
-
----. .
-
75' or setback a erage of
adjacent structur ,but no
less than '
-
.30 Maximum
. I z..
Yard Encroachments: NA I FAILS liES Stand8rd -
Eaves and Gutters no more than 2 feetiR width and no
closer than 5 feet to a lot line (Easements). -
Ale and other equipment cannot encroach on interior
side yards. -
Tree PreIeMdIoft: I FAlLSI COMPUES
. Total
. Pennit 25% Removal
. r Inches Removed
. rlnchesPreserved
StIndIrd
.
lfl:1
L:\TBMPLATE\BLDGUST.DOC
White - Building
Canary - Engineering
Pink - Planning
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Ie 6/1/ IV /LlrJNL6 V 1-/01'-/60
,
.5. /9 09
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~t./0Z- I-!r)/V/C loiJL;6 [; rj/V
Accepted
x
Accepted With Correc~ions
Denied
Reviewed By:
JC
Date:
c$~7
,
Comments: [)ni/~w'V JllHf.f Ju.1/~ .t'd"t'r~-17 4P?roa~A.
See Reverse Side for Additfonal Information!.:
See Attachri1e~ts: 1) Grading Plan, 2) Erosion Contr;pl Measures
liThe 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. II
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
keV/N M/JNL-ey/ 1101/65
,
5. /9-09
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'tplj(p Z- H~W/C IeALJrq6 w- /VAl
Accepted
V'
Accepted With Corrections
A ,/i~ Date: 0Z/o7
t"N rTLof- Ef2- oS [aI\l A-No IJ1l4t /'\fY"n IN C c...6i-N c;:~~
4L.-t..- TrmcS
Denied
Reviewed By:
Comments:
A-r
liThe 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. II
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Iff r ,'i ./: i /, ./'rl. '/ /'(' ,,::- v'
L~ ::=:: l,i I I V l 1', (......,... ;'
"
/-/ ". /',. r~. ,'"
, ,. '. . I i t::;;." "_.'
/_. l C) /. 7
,_ . I j (.
/
',..
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
....
/ {Z_ /1>1/ ,,'Ie. / u(j C
I
I
I
/ i/J'
Accepted
v
Accepted With Corrections
a~
J::~
I
+; fteviewed By:
Date:
s-;fz ;;;
,Denied
'~
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."
.
ES
ine
Stand8rct
24'
5' from side lot line or
30' from r-o-w on comer lots
100k ·
P
2 z.1
'2...
.-
El\J(::,
~
35' Maximum
~
-z.8 I
~
, Buildln~tttJgbt;NA I.FAlLS I ~IJE$
Shoreland District: iii I FAILS I COMPLIES Standard P
Minimum lot area (s are feet) 7,500 Rip, 7,999 Non-rip
Minimum lot width 50' Rip, 57.3' Non-riD
Shoreland 1lIterations
ImDervious surface 300/0 Maximum
Bluff In Shoreland: I FAlLS I COM~LlES
. Setback from to of bluff
Standard
By planning dept.
P
. Roa.d access must be no more than 2 feet below
R ulato Flood Protection Elevation
ndard
.9' rior Lake
914 4' S rin Lake
909. riorLake /
915.4' rin Lake
Must be 'above flood
elevation for ew and existing
structur . If..existing
structure was .constnJcted
9/19190-11/22/97 then
additi()oa.l foot is not uired.
Must be flood elevation or
h'
907.9' for Prior Lake
918.4' for ri Lake
P
. Lowest floor elevation
. Proposed lowest floor elevation
.
. .
. 8e'11tions 15 feet from structure
II
.
I FAILS ICQMPUES
Standard
832 .ft.ot~5%rear
P
.
10'
15'
structure
L:\TEMPLATB\BLDGUST.DOC
07/29/2009 06:13
9528816976
BOB JECHE
PAGE 01
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
J. Gr... Fil.
~. V,IIQ'N (:ity
). Gold ApptiOlllt
PERMIT NO.
I ~~:;~;..;~<) " (Z~ J% ~, QA
Nu)
LEGAL DESCRIPTION (Qffic~ U~ only)
LOT BLOCK
ADDITION
PID
OWNE~ ~
(Name) ~\ '\r
r77lty W
'HomeS"
(Phone)
(Address)
(Address)
(City)
zi Code)
APPLICANT ...,.-: I ..,----
(Name) ~ ~~
(Address) JJ.l ~ Jb ~ ~ <; Pl Q~ (...
(AOdms)
(phone) /'/2 '7:2lJ '1'i5?
g 160m IYJ4+~ VI fU) \'J~-4 ?/
(Cit1l ) (Zip Cock)
(Phone) 57 J57
I
(Contact Person)
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service' inches_
Location of any couplings from structure --D- feet.
Type of sewer pipe. D ABC ~ PVC 0 Cast Iron
Estimated length of sewer line ~ feet.
Clean out (if required) located at feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com') & Muhj.family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50 PAID wrrn
BUILDING PERMIT
(om~r t,Jsr Only)
Thh; Application Decomp Your Building Permit When Approv~d
Bulldlq omeil'
nate
I:
~I :~j~N.
24 hour notice for all inspections ( 2) 447.~5U, fax t~~~, 44/-4-''+:l
Jun 02 09 09:40a
Scherer Plumbing
952-447-6735
p.1
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print ami lAp lit bottom)
I ADDRESS
\ td"-tlc'). \~03Jj-~t\ c\~Q. QJ- .
LEGAL DESCRIPTION (office II$C only)
~ 5... ~~ I PERMIT NOOf/. 048
I I ZONmG ,0000_J I
LOT BLOCK
ADDITION
PID
~=:- t'n\( \\l\'Uf\\J \~O()')) s
(Address)
'We ~ Q R ~;)l (P~~)
APPLICANT c.: . 'v-...- 0, .\ \""...,
(Name) _JC:-_\ )e...~ e\ " \...\\\1.\...-\\ ,C1
(Address) \S -sy '6 ~C\ Cc0!,-'~ ~,~. ~ ~
(Address)
(Contact Person) 1e....\ +' Sc\,e...\e_\
APPLICANT SIGNATURE
FEE SCHEDULE
Industrial. Commercial &: Multi-family 1% of job cost with a$49.50 minimwn Residential, New One &: Two-Family $149.50
Residential, Additions &: A1te.n1tions $49.50
, (phone) C\"':) 2..-Liyi- ia 7 3'-{
y. .l \ <:::.:.c- ? 7
n 0 ~ cu;(Q .....)...):::> 2-
(City) (Zip Code)
(phone) 0 \ L - ,y / - 3Q~"3
DATE I..L:, / 2..)C~1
ent sink
Estimated Cost $
PAID wrrn
"'WOO PERMIT
PLUMBING IT FEE $
CHARGE $
PERMIT FEE $
Date
eceipt No.
(Ollice Vse Only)
This Application Becomes Your BuildiDg Permit Wilen Approved
BIliJdIIll! Oflicial
y
24 hour notice for all iaspeetions (952) 44 -9850, (ax ('52) 447-4245
46-46 Dakot. Street S.E., Prior Lak 'DD_fa 55312
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlRE'PLACE PERMIT
Date Rcc'd
I. ,'j,,~
~. (jl\"l:1l
J. Yl~lll'W
~':i~r [PERMIT NO.O'/:7)Z1J3
AI)j,)lh:.ml ~..... :
(('lease type or prlUlllAa 51';11 at lIottom'
I ADDRESS l./ u :;:l
..-J1;
~
ZONING Mlicc Uk)
tkuktLdy. _~+_
LEGAL OESCRIPTION (office ll~e only)
-=
~=R(F~V" ~1u.t \1omt$ rcn~) - ~ (I'hon:)- q~:~-&o'i9l
(Add"ss) ~41.,~tVi&~:A+- t-P;;~I')::- , (hfll _5~ .
APPLICANl'~ ~~~ 11 I dJ 9
(Name)__ . ~(\.8r-' 'T (Phone) ~5J~-r-1;) - 'J1tp
(Address) .10 fLcQDrc<. ..0 3OV'(~Ct.Yl, f)J N SSR,C::;;t.
(Addre~s) (City) (Zip Colic)
Je (Phone) q 51-'19 J -].). 7G:,
~
LOT
B.LOCk
ADDITION
PID
(COlltact Person)
DATE
APPLICANT SIGNATURE
FURNACE MAKE AND MODEL
, CANT PLEASE COMl)LETE BEL W ____
lJeTION 0 REPLACEMENT ALTERATIONS ""'~"_.
FUEL
FLUE SIZE
TYPE Of' SYSTEM
RETURN OPENiNGS INPUT
f!:EATlNG OR PO'WER PLANT
OUTPUT
DW~nn Ah- Plants 0 Steam
DGnIVily 0 HOI Watlll'
o McchHnical 0 RlIdiation
OAir Conditioninll. 0 Special Devices .____._..." '__
OVent. Sysll:1l1 0 Olher Devices
F!.REPLACE MAKE A~P-.MODEL kV\t1Q't. ." SLtS'{:I::""Y.D
[ILEASE NOTE: Air Conditione!-
Units and Firepllu':lls Cannot Encrollch
into Requirl!d Side YlIrd Setbackll.
J"ireplaees with Box Additiunll OJ'
Cantilevers to the Oul.l;ide 01' BuildinGs
Require a Building Permit.
Industrial, Comml:rcilll &. Multi-Family
I~EE SCHEDULE
1% of job. ~Sl ~?tial, Cas ~~
$49.50 1l1lmmUm
$49.50
RI,:$idential, 1-leating & AlC (New Construction)
Rl:sidl;lnlial, Heating Only (New Corll.tructioll)
Estimated Cost $ _....
RllSiulllllilli. Additions & A. Ilerll.. t.iO"l!!l $49.50 ~ J)
Residential. AC Only . .. ,~A'D WJn..I $49.50 \ ~~v-
Buildins Per",it ._~ILDING ~\ 'I'"
$ l../Cf ' ~-o \ r ~ n (.N\(~Y( rt
$ .50 (L l~l\~ "..
S-50.oD \Y. -S \0
D I'@ ~ 0 ~ .. . ReCl;liPtNog
Date . IjBy
Dille .- JUN (\ 3 2009 LJ I -.
24 hour notice for 1I11 i,,~pection~ (952) 44 II, f:u: (952) 4414245 I
4646 Dakota Street S.E., Prior Lllke tWlllIllsota 55372 ,.~d
H9IH/:Hl~~3H 9NIMOl9 9009l6Pl96
$l49.50
$64.50
HEATING PERMIT FEE
STA TE SURCHARGE
TOTAL PERMIT FEE
(Ontee u~\! Only)
Builllilll! Officilll
Thi~ Applicatioll Becomes Your Building Permit When Approved
1:0/'[0 39~d
80:91: 600l/6l/90
PRIOR LAki:
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS \ It>4 ~z. NAwl<' 'R'P~G CT, N.W,
NATURE OF WORK SCNC.l..t FAMl~" t>wE~c,. 'NC. t>1!c.l( NO....~. FIN, Oil P~H
USE OF BUILDING cGf 0
PERMIT NO. ~,\. 1<,,9 DATE ISSUED S/2.1 (0'
CONTRACTOR Ktf"'N t1AtU.4't l~ot'\cfC. iNC.. PHONE "11.-1.'-""(,\0
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT ~
CN~A&.c.. etz~lo'" CooNliL6'-' f I"1A,NM'''' c...eAN s'tfal6~lpE~h ,6....c.. TIMa:$
FOOTING W <.. ~ ~
FOUNDATION (Prior to Backfill) :2S ~ e1 a:
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
&, 'C.J'
DATE
COVER NO WORK
LA-r/{e Hovsc-" t.<;eAl' "1
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING V/S'oQ. U ~ f!l .l.{s 0
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
GRADING (Prior to Sodding
BUILDING 7 ,C;. 0.10 II
~ ELECTRICAL
PLUMBING We fD
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIG ED
l(f'cuX~ 6k.. NOTICE
This card ~u~t 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
CITY OF PRIOR 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 in 30 Percent.
iJ R /J ~ r Lor 10 a/oele' I .
Property Address /1 tAw/( /OG7t /\(JAIJ L(1I6 {j;r/~~ Of Nod.71'/l,dMJ ~.9~
Lot Area Ib pl6 {f- Sq. Feet x 30% = .............. 4985>.F-
************************************************************************
LENGTH
WIDTH
SQ. FEET
HOUSE
x
x
x
=
=
ATTACHED GARAGE
=
TOTAL PRINCIPLE STRUCTURE......................
1,923 >,Y
DETACHED BLDGS
(GarageiShed)
x
x
TOTAL DETACHED BillLDINGS.......................
DIDVEWAY~AVEDAREAS
(Driveway-paved or not)
(Sidewalk/Parking Areas)
x dr;.J(.wq-/-:
X $iJ(l(,VCf{k
X
=
I ) 2 $ 7 5.~
Cft f.f
=
=
TOT AL PAVED AREAS.........................................
1\]35 )'.f.
P A TIOS~ORCHESfDECKS X =
(Open Decks Yo" min. opening between X =
boards, with a pervious surface below,
are not considered to be impervious)
X =
TOTAL DECKS.......................................e~:.~b.......
jg7 >.P.
OTHER
X
X
=
=
TOTAL OTIIER........ ...... ..... ..... .... ... ...... ... ...... ..........
-
TOTAL IMPERVIOUS SURFACE
~VER
Prepared By ~e.fer J !i~vJ(I"-1 SO'l
:~ompan,y PrJ/Jffr ["7;I/tf!.fil1~ jJ./J,
I
I
5/ If/or
Phone # (b,1) h 8 f- /9/d
3A13 )IF I
/,~42- 5-f.1
.
Date
.'
...