HomeMy WebLinkAboutBuilding Permit 09-0137
QIerfifirafe of ODrrupaur\!
CITY OF PRIOR LAKE
~eparttUtnt llf ~uil~ing Jlnsptttilln
~ 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:
Use Classification ,'5' J f\/(j L E Fr} r// L II Bldg. Pennit No. C C/ (/3 7
0~ IV P'
Occupancy Type /'-~ Type Construction 10' Zoning District U D
Legal Description 1-3,' 8:::Jj VILLfJ'::: or:- !vu/...)TlIJI;{;U.J /1Eri.DUVV'::
Owner of Building Site Address 2 793 ;-Ir/JV/C k..JDq6 k:J..J.
Contractor's Name & Address D{,/vIVHt./ 1-I{)(1F...~, 170.5 ~31G/...; rJt/{;:;..., 1"/rJPL.& qt;.:..o vE
/ ,1 I '5C-:~(1
,L ..D. H {J ~/ IN"::: ,/ 1/ / City Planner . '-' -' 0 '
9-, '~~J~~ " \I ,,. Building Official
Date: ~ (" . i Date:
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---
White File I PERMITNO.O~, 0/37 J
Pink City
Yellow Applicant
at bottom)
ADDRESS R,'rh ZONING (office use)
J-.7 3 If4wK f(/ PuD
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK ? ADDITION 1//IICt
M~ I h """&II /11~ftlb"'7
OWNER
(Name)
(Phone)
7C: ~ -s- ~/-CJ~ I
(Address)
191/.
,4/
BUILDER
(Company Name)
(Contact Name)
(Address)
o,llllbY
S'kV(
NOMt'~ T" C- (Phone)
sfeJJe,b~ dO(l~ ~U. ~fV'{Phone)
;?;3-S-3/-C:;7/<j
0/).. - ;1.10 -.ss- 70
Date Rec' d
3. 2Co. 0/
TYPE OF WORK ew Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtiIity Connection
CODE: ~C. OI.B.C.
- Type of Construction:
Occupancy Group: A B
Division:
o Misc.
llIIV9AID
H Mtfi)'{U
2 3 4 '.(
I
E
II
F
I
PROJECT COST IV ALUE $
(excluding land)
/ 7S-:-t'.e:>a
,
I hereby certify that I have f\Jrnlshed lOfllJmation 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
above-mentJOned property and that all construction will conform to all existlOg state and local laws and will proceed in accordance with submItted plans. I am aware that the buildlOg
1<""" ", ,~,', ",', ",'m"a'~ F". "m ,., h'"h, '"0' ,"" ,", '" ,."" m, """'5 ;S:'3~Y~'" <0 ,OMm ''''oj V;'~/ )"" /0
Signature Contractor's License No. D~e
Permit Valuation Park Support Fee
Permit Fee $ SAC
Plan Check Fee $ Water Meter Siz 5/ '; I";
State Surcharge $ Pressure Reducer
Penalty $ Sewer/Water Connection Fee
Plumbing Permit Fee $ Water Tower Fee
Mechanical Permit Fee $ Builder's Deposit
Sewer & Water Permit Fee $ Other
$ TOTAL DUE
#
#
#
#
$
$
$
$
$
$
$
$
$
,."
,
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Pennlt Checklist
New ~n for Single or Two.family Dwellings in B-1 or R-2 Districts
Reviewed by: ~ \ riAV'(<. 12- '" 6~ (2.:> Dale: ? (~I r '" i
Building Permit , PlD: Zoning:
Address: - '2-" ,,~ r..tA....v l (. ~ (Co b~ RQ ,
Legal: L , B
Existing Structure? YES I~
I CONFORMS TO ZONING
. ORDINANCE
Subdivision:
Existing Nonconforming Structure? YES I~
~
I
"1. S'
25' if abutting a street
· Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in length. Not required
if 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 wetJandlNURP
pond.
· Refer in round Is to the PJannin rtment
· From OHW (Prior or Spring Lake)
10' setback +
2"/1' over 50'
25'
10' side!
, r
75' or setback a erage of
adjacent structu~ ,but no
less than '
~ "\50&
Floor Area R8ti0: NA I FAILS I
.30 Maximum
Yard Encroachments: NA/FAILS
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line EasBmimIs.
AIC and other equipment cannot encroach on interior
side rds.
Standard
StIndInI
.
.
.
.
li:1
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White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
DONN.4 ~ Hot16S
3. 2~. Or:;
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
27q3 HI1WK ~/D96 leD.
Accepted
./
Accepted With Corrections
f?-[J ~ Date:
,
~ 50 rCiN Ej. /YlA-IAI r~/^-,
,
A-~ T/~C5
Denied
Comments:
CON712-0c..
3J;h'l
Reviewed By:
C~A.J
$ 712.d..ers.
Ar
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
.. " '"
:)1 Ie .1--1
.1...-. t /. i'; I
":) (
_.~.... .. <-_ J
\ f., /--.f r /. i i":- .~~
v ! I 'i I L '___'
f(" c;
. _/ /
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2 ..~ //'; .., ! I fll 'i,; K_ /':~ I 0 6 E: I\::__L./.
! . .:..> L
Accepted
../
~~te:
Reviewed By:
Comments:
3Al (o{
Denied
"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
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(i ~" '," \ I ;_1 /, /vI'" f.:::' C"'"
.1J C) AI IV ;--j \/ C) I l_,......)
-:J -), / /. 9
---' . L_ & . LJ
/
The Building, Engineering, and Planning Departments have reviewed the building penn it
application for construction activity which is proposed at:
Z -7 q 3,) fI1111v'/<~ t< I L)Cj E: /C[).
Accepted
Accepted With Corrections
X'
Denied
Reviewed By:
~
Je... t""
Date:
'1-8 -07
Comments: See Reverse Side for Additional Information!
D,.,' VI. """'r tt1/J~ f he, Id CO" f.. A Ifr()ty,h _
~<'r V<r~ M"~ f- ~."( M,.' Z% b",q,q Q'<9r r.",,,., 4"'J;(
I '^fo /:... l /.../ ""'$ 41- ~. w ~ </,.. J.. ,'~ 4. /w ~/( 01.<- ~ ;""..... r-
fD ~c 4ft V{ !L){/ I, In dr&l, 'j., fje.
See Attac11ments: 1) Grading Plan~ 2) Erosion Control Mp.::I~llrp.~
"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."
: NA/FAlLS/CO P ES Standard
. Maximum width at line 24' {B'
. Required setback 5' from side lot line or t
30' from r-o-w on comer lots (0
lOOk e.(O 0
-
Ian ~"-i~ .
35' Maximum ~.
Shoreland District: P
Minimum lot area
Minimum lot width
Shoreland8fterations
1m rvious surface 30% Maximum
Bluff In Shoreland f FAllS I COMPLIES Standard Pro
. Setback from to of bluff By planning dept.
I FAILS I COMPLIES
ood elevation
ndard
.9' rior Lake
9144' S rin lake
909. rior Lake I
915.4' rin lake
Must be 'above flood
elevation for ew and existing
structures If existing
structure was constructed
9119190-11/22/97 then
ackIitiQnal foot is not uired.
Must be flood elevation or
P
roved
· lowest floor elevation
· Proposed lowest floor elevation
· EleVations 15 feet from structure
907.9' for Prior Lake
913.4' for ri Lake
I FAILS I COMPLIES
Standard
832 .8.0(25% fear
10'
15'
L:\TEMPLATE\BLDGUST.DOC
i
lip r. LV, LUU~ B: 24AM
Wenzel-Plymouth
No, 7885 P. 1
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec)d
~ s:. L l PERMIT NO~-'lJ
ZONING (olllceuse)
LBGAL DESCR.lP'rION (olllcc: U$C: only)'
LOT BLOCK
ADDITION
OWNBR
(Name)
Pro
YW\~'t
t)~t..S
(Address)
(Phone)
(Addrw)
(eI )
(Zip Code)
APPLlC
(Name)
(phone) $J- 5~--'S-~
~ 6S7~
~ 1M (zip Code)
(phone)
DATE
APPUCANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Size of water service jnches. II
Location of any couplings from structure 'tV, A- feet.
Type of sewer pipe. 0 AB~ ~ PVC 0 Cast Iron
Estimated length of sewer line ~() feet.
Clean out (if required) located ~ feet from structure.
FEE SCHEDULE
Residential sewer and water line cOMection $35.50 Industrial, Com'. & Multi-fllmJly 1 % of Job Cost witb a $39.50 minimwn
Sewer connection only $17.50 Water coMection only $17.50
Estimated Cost $ Building Permit ##
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL P:ERMIT FEE
$
$
$
PAID wrrn
BUILDING PERM'T
cOmet Vie Ollly)
This Applh:atioQ Becomes Your BuildIng Permit When Approved
BlIlldlng omer.1
Dlle
14 hour notice for III Inspections (951) 447-'850, tal (95:1) 441-4
IIIclY. L I. LUUY 8: 53AM
Ferguson Bath & Kitchen Gallery
No. 0784
p, 1
Date Rec'd
[ PERMIT NO.~ O/3r7
ZONlNG (o1Iioe we)
LOT
BLoC!(
LEGAL t>:ESClUPnON (offICe use only)
ADbITION
OWNER
(Name)
(Address)
BUILDER
(Company Name)_Dt);I\ ^ ~
(Contact Name) C h A:..J
(Address)
PID
Do I') ^ ~. J..o t^'\ e. 5
(Phone)
~":~
~"
(Phone)
(Phone)
6,1:1- '7/'1 - '107.~
TYPE OF WORK D N~ CmutructlOIl ODeck OPorch ORe-Rooting ORc-5iding OLowcr tcver Finish bt~
OAddition OAltenltion OUtility Connection ~ _~.-...
COD:B: or.R.C. or.B.C.
TYlJe of Construction: I
Occupancy Group: A B E
Division:
I hCleb)' certifY that I hllve ful1lishe4 infortnACi02l On lhi$ appliCA!icD which Is ro the best of my Imowledse true ami COllett, IlIso certify ll>ar I 41n!bot 0Wllt.t or tuthorited .,eDt!or the
-......, -.... - ""'......"................. .~..... """'. -- -..... ,~- ..,.. ~
"'oI__~.._ -.'-..........-..----..-.--;z-..
X [!vet """"... ~t,S"'7 s: ;;u /"'1
Signarure Go. - 3- .~ c c', License No. , Date
Permit Valuation
Permit Fee
Plan Check Fee
State SUrcharge
Penalty
Plumbing Permit Fee
Mechanical Pemut Fee
Sewer &: Water Pennit Fee
Gas Fireplace Pennit Fee
n IDIVVAB
F HI MR.SO
1 2 3 4 5
o Mise:
PIlomCT COST IV ALUE $.
(excl~ land)
b tfJOQ
$
$
$
$
$
$
$
$
Park Support Fee
SAC
Water Meter Size 518"; I";
Pressure Reducer
SewerlWater Connection Fee
Water Tower Fee
Builder's Deposit
Other
T
#
#
Date
'#
1#
1bJs Appliution Becomes YOIll'Dutl4fDg Pmnlt Whea APFoverl
Bllildill Officitl
ThiJ u to certity that the request iIllhe above IpplicaliOll n4 a~1 cIoClllllClllll is ill
when .liaaec! by die City PIaua.r CQa$/imces I can.porary CItlitlCAII! 01 ZonlDi compllua: and
lsllltd.
I'IIIlIIill8 Dinleror
Y proctrd U RQUCsted. Thi. cIocumeDl
0/.. Ce1liticile otO<<upancy II\lUC b.
Date =- spedtl CoadilillDl;. it lay
14 hour 1I0Uce tor an IllsPecUODs (952) 447-P850, fAll: (952) 447-4245
4,," Dakota Sn-ett S.E.. Prior Lake. MIUllOta 5$372
t~: ~~ \ PERMIT NO. /'tI!J ~7
), Y.lloW ,&,wIlWll , ~
\ \ZONlNG_~) \
Jun, 2, 2009 7:00AM
Ferguson Bath & Kitchen Gallery
CITY OF PRIOR LAKE BUILDING PElU\fiT,
TEMPORARY CERTIFICATE OF WNlNG COMPLIANCE
AND lJTlLlTY CONNECTION PERMIT
\ ~~~...g..:
cJ. 7'1 H i/.
~, ~Q.-
No, 0974
p,
Date Rec' d
LEGAL DESCRIPTION (o~ use only)
PlD
LOT
BLOCK.
ADDlnON
OWNE~
(Name) t) (\ (\ A-J
(Address)
&fV\es'
(phone)
BUIlDER r-.
(Company Name) UD 1\ /l A;)
(ContaetName)
(A.ddtess)
(phone)
(phone)
('\I\. tJ c;
-
TYPE OF WORK 0 New ConstnlCtion OOeck OPorch O~.Roofing
OAddilion OAlreration OUtility Connection
}.,C- 1~ l
ORe-S)ding OLower Level Flni$h ~ireplac:e
CODE: OI.R.C, Ol.B.C.
T~ofCON~~ I
Oceupa:acy Ckolql: A B E
Dhision:
o Mise:
c2 f) cL () A-I t
n mlVVAB
F HI MRSU
1 z 3 4 5
PROJECT COST/VALUE $
(e:rclwting lImd)
I batllY CMdfy mat 1 havt tamlibed intoml&tion on thi.I applic&lion which is to tile: ben of my \czl.O'l(Iledge tl:llt anA CQtttCl. I alto wtify that I am the QWIler or ll.\l~ed asant tor th(
above-mmtionc:d propcIty 8JI4 that all ooll&tl\lCliOll will coll1'<mn 10 all ell1Sl\l>a ~ aD4 Iocal1o.ws aD4 will proceed in accordance with IIIbmittell plw. I am UlIaft that the building
""'" -""!""',.zr:""'-' -, .--...<<..... ....-.._-~_........ ----7'1
X ~<'JI d.tMc-- ;1024bb~~ h ..l 1)1
. Signature ContractOr'S License N . ' Oalf
Permit Valua.tion
Permit Fee'
Park Support Fee #
SAC #
Water Metet Si2e5JS";1";
Pressure Reducer
ScwcrlWater Connection Fee #I-
Watcr Tower Fee ' #
Builder's Deposit
Other
Plan Check Fee
State Surcharge
Penalty
Plumbing Pencit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
S
$
$
$
$
$
$
This Application Buoll1ll8 Yom lIuildiDg Permit When Ap~j)ve4
Buildin Official
Date
Lo fA.') ~t-
~{)OO ~
$
$
$
$
$
S
S
$
S
This ia to cctlify lhll the ICqIlc:$t in llIC AbOvt .W~llOu and aC(:QClpan:tmS ~D ~ IIId mrj proceed u reque$lCll. nu <lOC\lllJtIlt
whell JISlItO by the Cl1;Y PwlIlcr amalloitCll tcmporuy Cetti/iCatC of ZoninJ oomplianec IIId ;Wlows OOIlIuucliOD 10 --, Jlt/l)re oceupll1tY, a Cet<ifl<:atz: ot O=pancy mllSt be
issIle4.
PllllllinlDirO':lO!
Ow Spoclal Condldolla. ihny
24 boW' nodu for aD Inlp6Cflonl (952) 447-9850, f~ (952) 447-4145
4646 'Dakota. Str..t S.E., Prior Lake, 'I\ol1Jmttota 55372
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 2-1-=:} ~ 8A...-J IL R, 00 &- t2..o
NATURE OF WORK 511..J0t...&- ~ \~1 Dv'oIciA- iAJu (N4-vf)...-7> P<.>;l\4..rl N.~ Cl.e.:...... FIN Ce.
USE OF BUILDING Sf r:> J .
PERMIT NO. 0.0/3 DATE ISSUED 418 101
CONTRACTOR NNI\ ~cs INc. PHONE ~I'l..--"{.'o.~ S~lO
NOTE: THIS IS NOT A P RMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY ~EPARATE DOC~EI~!es
:'~A t...\. Ecz.6$toN C~T~;:.. € IfIAIN7i INUtfAl\.Jt:;r~,4r INSPECT
FOOTING
DEPARTMENT OF
BUILDING AND INSPECTION
FOUNDATION (Prior to Backfill) 2 e 61
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~2.~ 'tJ
,.
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if requirE!d)
FIREPLACE L.ol,,\,MS'"
GAS LINE AIR TEST ,,^~v..
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I /'-J:;;uS6 WeAvD /~A-Tl+5 Il/lS ~/ IffW f1') ~'?
FINALS '
...Jc,
GRADING (Prior to Sodding)
BUILOING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY
Ivc..-
BEEN SIGNED
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
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 is 30 Percent.
Property Address -'2..19. ~ ~ ~\J..jP ~d.
4b'o f ev- P u D c&;.k P\A-to\.
Lot Area e 1\ , sq. ft. x ~ = .............. 4001
************************************************************************
LENGTH WIDTH SQ. FEET
HOUSE x = 151fo
x (CMV,.s) = ~2.
ATTACHED GARAGE 2."L x ~o "bO
TOTAL PRINCIPAL STRUCTURE......................
z:z. be,
DETACHED BUILDlNGS
( Garage!Shed)
x
x
TOTAL DETACHED BUD..DINGS.......................
DRIVEWAYfP A VED AREAS
(Driveway-paved or not)
(SidewalklParking Areas)
x
X
=
=
x =
TOTAL PAVED AREAS........LQ.!:J.!~~_~~l.. ~ 'Z.- '5t/B
P ATIOSIPORCHESIDECKS
(Open Decks Yo" min. opening between
boards, with a pervious surface below,
are not considered to be impervious)
~ Relv P"nk =
X =
~
X =
l'l.o
1'2...0
TOTAL DECKS............... ...... ...................................
2.40
OTHER
X
X
=
=
TOT AL OTHER... ............. ......... ....... ............. ..........
Company
R\Jss~(( .D~
P roloct ~\t\(>~..\", c,.
I 3\5 'Z.
.1 - e,SS
Date ~ - "l. !i - o~
TOTAL IMPERVIOUS SURFACE
~OVER
Prepared By
Phone # 95''2.... 4!>Z-'3000
L:\HANDOUTS\IMPERvioU5.doc