HomeMy WebLinkAboutBuilding 06-0803
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CITY OF PRIOR LAKE
~rparfmruf nf ~uil~iug c1fusprrfinu
r2(Final Permitted
o Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / [J 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 i< T Bldg. Permit No.--C -- {r'O ~
Occupancy Type S, F. Type Construction _ Zoning District, e. S f]
Legal Description Lo,t S? !~/or/~ U./! I/w/.,S. / Sf AcA:-Jf I({'/v\
/2 d,j(
r:- r,. r '(
Site Address
.? C.s-'!
WI () <4 .I
,/,?
I~ r~(.- -"7
Owner of Building,
Contracto~~ Na~e & Address
_ !{A,) 0; -/,' / (" Iz 11, ,.. ~\ \
r"'~!3uilding Official
d . ,C;- I --)/
'f?
/- L#" _ City Planner
-:J-~ ,1. ,-
K(/,!s;: ("I"
Date:
Date:
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1/-J()'()7
ADDRESS 3' 5-'1 lI,'l/o L{ {3u;~~ ~ f.
OWNER CONTR.~~! c.,'< C, JL
PHONE NO. PERMIT NO. /} {,. ~c:U
o FOOTING
o FOUNDA nON
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
~LLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
. Lu 16 Bc:J1C.' ~](
h,. q~ - tf) r:...
.
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: tJt~ - Owner/Contr:
- ,..
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
3Gsq
!h',/(ov OC4ci1 sr-
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
s;:~r
COMMENTS:
---
~/ f
/ L-) OSC
l
~
----
r----- / '\,
/I~
,
---
-
( \Ic~
"-
- - .
-- l' r-' d::\: fo - B U
DATE TIME
S(-~
(;,- K02
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-----
~
)
~/
(\ 1''-
~~lJ.J
,
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~O~K: C~ FOR REINSPECTION BEFORE COVERING
Inspector: //~ Owner/Contr:
'"
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
7-S- ~/
,/
/
ADDRESS
.sGS--4
iA/llOt.U h~v0
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'-FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
/ _~tr3
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
a) Let' 0 OJ d -h (J d.or> r W nd6c-1
o IJb <.& oF .f>?,. -I d_ r "'.." ; I
~ tA~~/kd
~ ~t,,( ( 6-~ck oIP,tJruva I
l" .
5;-J J -+- (/-re - S
:s:--) ~O'l {q/~ e,--os I~" LcJv1 fvo/
1 ~ Jv11-1
,
I tvz d/r<.
,
II-!-Irf
o WORK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
/I~
v
Inspector:
Owner/Contr:
,CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
8.J4-.0fe,
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. oee ,080.3\
(Please type or print and si~n at bottom)
ADDRESS
3Go54
vJ\l..U)~ ~ ~
~w_
ZONING (office lIse)
/</S.o
rVf Ph /C.( /I ",i
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK \
ADDITION ~ I u.oWS
I ~ k()t>I'Tl D"-1
PID Z.!:'. /08. 011. 0
OWNER
(Name)~~ ~~~
(Address) ~'-'54- LlJllNOuJ ~ ~ ~
(Phone)
~~ ~-'h~- '\.~7
BUILDER .
(Company Name) t2.~G4L ~ ~,~., ~ B\Jlt.....oel2-~
(Contact Name) DAt-.l C::t~
(Address) 1~~11 DUt,...VtH ~. 6G. I Pruo~ LAI'6 1 M~
(Phone) "f5t....44'. oer95'
(Phone)
t;;S'31"l....
~A--M.e -
PROJECT COST IV ALUE $
(excluding land)
9C FirePlac{ 3 )GkS
('-) l.U~
f3~, 000
TYPE OF WO~ ~Deck OPorch ORe-Roofing
~ddition pAlteratiO~ OUtility ConnectIOn
CODE: IEI,R.C. DI.B.c. 0 Mise
Type of Constmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding '?lLower Level Finish
I hereby certifY that! have hlrmshed Information on this applieallon which IS to the best of my knowledge true and correct. I also cerllfY that I am the owner or authOrIzed agent ftlr the
above-mentIOned property and that all construCllon Will conform to all existing state and local laws and will proceed in accordance with submitted plans I am aware that the building
:"b):: ,"" p"m" C" '"'' """ '"n""m"',' ",n>, 'g" ,"" ,", "" omd,' o~'Z~ ~.z:' pmpo,", "pHro<m "'g7::)";"~
~ Contractor's License No, ' Date
r'8IaA 000,00
$ 5 2~7. 7S""
$ 3424.0,-/
$ L/3!f, 00
Penalty $ Sewer/Water Connection Fee
I Plumbing Permit Fee $ 100,0 () 1 I Water Tower Fee
Mechamcal Permit Fee $ /0 () , 00 1 I Bt61der's Deposit
~, ~ater Permit Fee~ OJJ1:;.V- ;rSiwet-~~4
Gas Ftreplace Permtt Fee -. -,. *! Dol I TOTAL DUE
...K: .
#
$
$
$ 32.S-.0"O
$ 100,00
$
$
$
Permit Valuation
Park Support Fee
#
State Surcharge
SAC
Wat~r Meter Size 5/@
Pressure Reducer
#
Permit Fee
Plan Check Fee
#
f
~
~
f/Z-3 /0 ~
Dat~
Paid
Date
MU6f) ~/J()~ /7 $ t1!'~. 71
.1'7 ~O" 71' R1:yif5t No. ~?Z;pJ
9,JJI ~ B:f .
o
This Application Becomes Your Building Permit When Approved
Hlllldlll~ Ollieial
ThIS IS to certifY that the request 10 the above applicatIOn and accompanYlOg documents is 10 accordance With the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the City Planner constllutes a temporary Certificate of Zoning comphance and allows construction to commence, Befme occupancy. a Certlticate of Occupancy must be
Issued
,-/-~~
~~ Com~ 5J,ee~
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
.I
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed 'by: ~ fi1~~e Date: '!-/-Q~
Building'Permit# PID: J..i"/~~- OJI_C/ Zoning: R1.....sf)
Address: S~ yv:r/;'~ ~ ~~~
Legal: L ~, B / Subdivision: w:M'lJIw,5 kfi~d.
Existing Structure? @ I NO
L1 Existing Not\conforming Structure?~ NO
re,,.,,',*: ~r /I"Ji#1MS ~ ~$'4r1. .$~,uture
YES NO
CONFORMS TO ZONING
ORDINANCE
-. ,
'Yard Setbacks: NA I FAILS' COMPLIES
. Front Yard (can be 20' if avg. w/in 150')
. Side Yards
. Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in length
. Rear Yard
. Patio Door: provide for minimum 10' deck or sign
statement indicating no deck will be built in the future
. From 1 Do year flood elevation of wetland/N U RP
pond
. From.{)HW (Prior or Spring Lake)
, Floor Area Ratio: NA' FAILS' COMPLIES
I Yard Encroachments: NA' FAILS 'COMPLIES
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line (Easements).
AlC and other equipment cannot encroach on interior
side yards.
~ Tree Preservation: NA I FAILS I COMPLIES
. Total caliper inches
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement
L:\TEMPLA TE\BLDGLIST.DOC
Standard
25'
10'1
25' if abutting a street
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
30'
75' or setback average of
adjacent structures, but no
less than 50'
.30 Maximum
Standard
Standard
%:1
Proposed
J.s. #3 ·
III. .1_t.ew ...e...4...._)
tJ'ftc..,jt6iu) .s:.t,.~... J.Jc)
NI'r
NA
NA
/VII-
(A"J. .....A '- ".~ I)
".4" r,,.~J, ~1~
S''l.2/' ~ ,
~.....
AlA
Proposed
Proposed
"vA
White - Building
~anarv - En9ineering
r:Dink - PlannlnO
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
&vL ~ ~ /6'~
<711L(lo~ I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3bSL( W~
Accepted
Accepted With Corrections
~~
~
S:~ ·
Denied
Reviewed By: ~ ~ Date:' ? -/-/6
,;, ~
Comments: -r;,u~i~ "AO'",cse f;1II.~~1fI ~n' beer/or wJk ~..ut:
re~ eX~~I)t: lrJ a..rll!4~ ~rtlLJ4k/ j~lA.Se a"~ qp-r_H
, , , ~ ~
p...~cf,'b oDI1$ _
t:A1frtlJr ~ . I
- IJ,./u WAY eJ(ee~ ~ a.. Sl ft. ~,Je. 1M....k/~."II" At tile {,~-r.dr~tty J;t
- l11~in~~ ihfperv,'Gf,lS :5t4d'Nt! /;m,'t- Aas kh r~/ej tvl'M
,
-rh's /Je"./1IJC. ~ fr,tlitl /~cr"-.St!5 14 J;",per~1<< ~/.(,.I'N:P p.t~
, . -
- lulft/er leVel '1-Fc M'~ 1IV4./k.wr Je~k M~C /'. ". ...4fflr"" J..+- is
,.~t:" (A:t:b.4) to de J"t;-r"u'hr~ {lF1!(! - ~n,j~ .~l:H;r~J.
- ~Per- kve I rle~k >>Jurr ~e ~Nt- rt.n~~~",e"t I' e~t/~ Je~k.
" , '''''/
- At:P.M,~ Wu-/& P""f.~~J. WI~f:' J1c,t ~~~~ fit. i. ~~,~ ~id;tf JOti-.
$iPk y-rJ "e:tk.ck$ Dt- tTtkr
JtthINh.
"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,"
Air Conditioner I'.nd Other Mee'hpfatl
Units Cannot En,'-'I."ach Into Bequired.
Side Yard Setbacks
(White - Buildir:!9>
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
RO~ CAlE~~
6,14-. or;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3&51- WluGOvJ BVtCkf ~ I .
Accepted Accepted With Corrections ~
Denied
~~
Comments: ItuJ. 0..4 ~. ~ a.Lf ~ ~.
,
~~.~~~~,,'t~
/~ ~ ..-.: fa ~ '" 'I~"-/U...~~:r.
~~f-o~o-U ' r
t1-~~~ ~~
~ ~ ~ I'~"~
~ ~....j _~.k- ~
@ ~ dJ ~ ) -r- ""'.. If.
~ ~....u~; ~R,.. ~ ~~ ~
, -JI" ..J
o-u.... ....-- rt?/~ . ~..,. or ~ ~. ~
./~ ;; ~ ;t4 ~ ,If'~ --.P. t:'.... .I &e ~
'-~The isQance 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." --- ~
73 ~'j' po "<<I. I~ ~ .:... ~.....J
~r' ~\.
Reviewed By:
Date: p/24/a<-
,
White - Building
C--CanaQ' . ;..t\f;I.\c'\c'II,j~
Pink - - I".dlllllllg
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
Ro~ CAU--EV
6.14-. or;
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3 (0 5 4- vV I L" L (j vJ 13 E7-\ Cki ~ I .
X
Accepted
Accepted With Corrections
Denied
Reviewed By:
I/1fJ/
Date:
9-{-Ob.
Comments: ~PA RAverse Side for Additional Information!
G.",1I'f.V q II $'/",Y"" IN.. Iv if ~YI) ffopul,,;,J/"WJ ' ,
!. I "
"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."
08/29/2005 15:25
9524925101
F I r~ALGRADE
PAGE 02
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
9. s. olp
'------
~/{,6 wi 0(,.803
~: =w ~\~~, \ PERMIT NO;OI ot211
1. ('.old Applicant "" · ftI
(Please tvne or "riot and sllltl at bottom'
ADDRESS
:) L:, CS Y W ~ \ \ \.."'\ I.~ ~.o 0J ,h 'S&.,. -r'" --\- S C.
ZONlNG (offace use)
LEGAL DESCRlPTION (office use only)
LOT BLOCK
ADDITION
PID 2.5. 108. OIl. 0
OWNER--\) 0
(Name) \,",oc.X.. '-.x-e.e..t:- ~ ~ ~
(Address) \ ~ ~ II Du \ \ \ +- ~ Prv-e. ,Sf-
- (Acldress)
~\)~ \cle('~ (Phone) CIS;;) - 44,~ O~5 C;
t1 : or Lo-- ~
(City)
mn
S 5l~7:J
(Zip Code)
APPLICANT ~
(Name) ri rv.R.J G ('0 r.Le ....i-TI c.
,
(Address) ,~4!:11 13..1 LJ ff' Dc..uc{
(Addfm)
(Contact Person) f!,'m J~, ~':,'11 . .
APPLICANT SIGNATURE ~~ .--.- - -.-'
\ oC.' V -..' ... - - .. ..
(phone) q ~ d'- '-I q~ - 50 I no
,\Q.r'"'(/ /.11'1 ml1 f)53'S;;)_
(City) . (Zip Code)
(Phone) q. <) ;:) "U 4 J - SJ 00
DATE -Z);;;q jo~
. .
APPLICANT PLEASE COMPLETE BELOW
Size of water service J inches.
Location of any couplings from structure .- feet.
Type of sewer pipe. 0 ABC Q] PVC 0 Cast Iron
Estimated length of sewer line 5 5 feet.
Clean out (if required) located at ~ feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-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
ST A TE SURCHARGE
TOTAL PERMIT FEE
$ .3 9.50
$ .50
$ .tf"O.OO
(Office Use Only)
Dullding Ot'lldAI
DillIe
Paid I-f;. tJ 0
Date 9. C. . 0 (,
Rcccipt'No. 52-z..~.3
. By J/at(.
I
Thi~ ~pplicatlon Becomes Your Building Fflrmit When Approved
24 hour notice for:111 inspect.ion, (952) 44'7-98-';0, fn (952) 447-4245
Driveway: NA I FAILS I COMPLIES Standard Proposed
. Maximum width at property line 24' ~'I'
. Required setback 5' from side lot line or IS'
30' from r-crw on comer lots
I. Maximum slope 10% I"p~UI. ,,, Ch4.
All parking areas to be paved including R-Vor ;.; -
. ~
spaces adjacent to the qaraqe
. Location to match subdivision grading plan
~ BuildinQ HeiQht: NA I FAILS I COMPLIES 35' Maximum )
, Shoreland Distrlct~rFAIL~OMPLlES ,) Standard Proposed
Minimum lot area ( uare feet) 7,500 Rip, 7,999 Non-rip l'l U'J
Minimum lot width 50' Rip, 57.3' Non-rip 1U".8 :7
Shoreland alterations
Impervious surface 30% Maximum .;a.f.1~
"
, I ,1
I Bluff in Shorelam(. NA} FAILS I COMPLIES Standard Proposed
"it ". . Setbae1< from' to'p of bluff By planning dept. IV'"
, .. '. , ~. '" >I L ...... ,'~' ~
I
I. Bluff impact zone 20' From Top of Bluff t
. Engineering certification submitted/approved By City Engineer L
. Gradin.Q jn bluff or bluff impact zone No importing/exporting
I FloodPla~ FAILS I COMPLIES I
Standard Proposed ,j
. 1 00 year flood elevation 908.9' Prior Lake /IIA
914.4' Spring Lake
, , _ ,Lo~st ~qor eleyation 909.9' Prior Lake / /VA
915.4' Spring Lake
. Proposed lowest floor elevation Must be l' above flood 1
elevation for new and existing
structures. If existing
"" ". structure was constructed
9/19/90-11/22/97 then
additional foot is not required. /
. Elevations 15 feet from structure Must be flood elevation or
higher
. Road access must be no more than 2 feet below 907.9' for Prior Lake
Regulatory Flood Protection Elevation 913.4' for Spring Lake
, Accessory Structure:(NAAFAILS I COMPLIES Standard Proposed
. Size 832 sq.ft. or 25% rear yard
. Not located in front vard (Materials)
I. Side yard and rear yard setbacks 10'
. Maximum height 15'
. Materials compatible with principle structure
L:\TEMPLA TE\BLDGLlST.DOC
10-19-2006 02:55PM
~/'o~ r ""O~~
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!
1'1ATTHEld DHrl I ELS I I rlC .
4,23 301 7 P . 0:'
I I
CITY OF PRIOR LAKE PLUl\lBING PERJ'\1IT
I
Date Rec'd
F.. ~Y\~' ~~n. . I(Phone)" t....:iJ - ~ - -3'1-00
t~LL ~~~ DATE I)"j. ;Ct. ~~
, V '
I
APPLICANT PLEASE COMPLETE BELO\\'
Type of Fixture i Quantity I
Bluh Tub with Or without shower I I Rouah-ins
I ~
Dishwasher I I: I Water Heater
I Fl.oor Drain I Jf..i.,.. I Water Softner
Lavatory (Bathroom Sink) z.. ~ I Stand Pipe (Washing Machine)
U.undry Tray (l or 2 compartment sink I Sewage Ejector i,
Sl!ower Stall Backtlow Assembly
Sinks , Backflow Assembly Test I
Bar Sink I ! i Lawn Sprinkler I
I Water Closet (Toilet) -..3 ' I Orher
(Pk::>.X t';-pe cr Ptl!1rmd si~ ar boctDm)
I A0DRESS
i 'i -3~ !)(~
~~'-5.LJ,
LEGALDESCRIPTION (office use onJy)
I I
I '
rOT BLOc;K ADDITION
o Vv'"N"ER
I
(t..'h.me)
I
Prlll'- We. I rvW
\
I
1
(Aidrl~ss) 11..:z.'a.1.'J
I
AFlPLICA1'IT
~ameL~ :Da.nie.l.f'" , IVl,..
(Address) ~(') ~Y"()LlC"'...po~J
: ! (Address)
I
I 1
(C6ntact Person) I .1)onle.1
1
. (Phon~)
Ro~
: (City)
1
APPLICANT SIGNATURE
Quantity
I I
I
(.,
q
I
o
I
I i
to
..
FEE SCHEDULE
(n~US[ri;1l. Cornmer~ial & Multi-family I ('Va of job COot wirh a $39,50 minimum
I '
Estimated Cosr S
BuiLding ~ennit I:;.
PLUMBING PERMlT FEE
I STATE SCiRCHARGE
TOT AL PERl'tlIT FEE
$
$ I
$ I
I
1
I Paid
I
I
I
I
(OCli~~ Use Only)
T~is Application Becomes Your BuildinE Pc-rmit When Approved
: I
I
)
I 9Jr..1C f1il;
: 'jr)!.t (iw
i Y (11:,\,1, \~9ii~":'1
I
I ,
I PE~1\IIT NO. (,.~ ~
, ZONING (oll-ie: llSC)
PID
I
,
(Phon~) ~- '-I~J - O~
$872,..
i
~5"J- 42!5-~Q
~c..$l'
(Zip Code)
Typ,e of Fixture
Residcnri:il. New One & Two-Family $99.50
Residential, Additions & Alrerations $39.50
99..57J pAID WI~H .
.50 eUi~DIN\1 Pb.RMIT
/ txJ, ()() '-tut ~ .
I ,
~ceipt No.:
8\1ilding Ollicilll
D,II(
I ~3ffCT ~ 4 2006
H
r
I
I
24 hour notice for aJ inspections (952) 447-985~ f:lx (952) 447-4245
TiJTPL P. 01
U;' JU \,11 ,\1u~\ U~: iJ~ r:l...\. bn~>l7lj;;..~
\..,J J I ur (l\IUl\ ...."I\L
CITY OF PRIOR LAKE
REA TING/ AIR CONDITIONINGfFIREPLACE PERMIT
Date Re~'\:
/I
~ ~ 6~1 I PERl\fiT NO, ( - (//1.1
" Y__ "'HlIl""" I) !l U '-..J
zoN"D'lG (o/bc.! UJe) \
I
~ ~ or 'lr\olll' I UIlD It borma:U
i ADDRESS
I ~6S~tA/' /kw ,W~A/ 5. U/
LEGAL DESeR >110N (otnCt U,lt only)
LOT
BLOC: :
ADDITION
J
_ (l'hon,) 2s;.J-(/<//-c#~
PlD
()/~ /liC/m'c'S
;:;>t//'4;t/O~ S'"l~
- .. I
Al' PLI CA. 'IT . _..d'"
. (,,"m,) 4.116c// ~/(J .I,Q:c --;O.4?- . (Phon,) 9'S-d- - :7'/f: ~ <;:;?~i
", iACO"") /;?,;;z.~3' /y,;:'''///lL?" 5~-? ;6,,0,,?SM4 ~<'~:57
. '^""").,:Y (C"') (Zip c,,,)
iCcn,,"P=) ~~/6. -'24~/ - (Phon,). 5vt7~ .
9PLlCANTSI }NATURE~" /~ '. DATE /ct-QV-L?6 -c_1
" - ~~fLEASE COMPLETE BELOW
[ .! ..l"!l!'EW CONSTRUCTION 0 REPLACEIdBNT 0 A L TERA TIONS .
( ':?pF""- ~A CEMAII..ANDMODE<.(.....--......vdM..d..;<1r.....<"".....~v.::>o.6<..}FUEL./V)n r
. ../ ,~I) . l..~ ,~____ / . - ____.h../ /' _J
1 FLUE slz",lj?'-ll/", h'l''i'RdURN OPENINGS _ /.:> _ lNPUTOCd_J~vUTPUl Y~-!_l"'f~
TYPE OF Si;:, . ~.0.1 HEATING OR POWER PLANT
( ;;!I.gJW"", ^"I",. 0 Stel1li . ?LE.,Sf NOn
jOrLVit)' ~ HOI Wa.t<< ;?ACR/~~'r u... AlT Condl~oner Urll\.S
. Me<:hJ.nic:a1 gRLdWiOn (-"")bk..:..-~'~' Cwnot Encro&C1\ into
(~ A!<Co.."I'on',. 'p"'" Do,'l'" R'q"''''' Sido y,",
Vent. SyClcm Other Devices . ' ~cks
ro WNER ../'J ,) .
i ~L"'Ce) K ~?/~
,
(AdOress) /6.~) /'
! FIREPLACE M,' K.E AND MODEL
. '
FEE SCHEDULE
loC'~StT:I!, Comml cifJ &. Multi-Family 1% of job oost Resldenllll, Gi3 f'il'cpla.ce
539.50 minimum
K'5Jdenllll, Helot' ~ & AJC (New ConstNction) S99.S0 RC$ideotial, AdditionJ a. AlteraJ:iollJ
!'cl:drn'.lll. Heall g Only (New COllMlCllon) $64.5Q Resldtntlal, AC Only
SJ 9 SO
S3950
SJ 950
~timat.ed Cost S
Buildin~ Permit #
HEA TIN 0 PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
S
.so
(orne. u~ Only)
This Appl1Cll' ;on &comes Your B\1Udin~ Permit When Approved
I R.ecelpl No
I
I Date/ / - /- 0 \ BYO--
.' ' u ')
U nour Dotle. for all iDlp.etiolll (952) <<7-98:10, (11 (952) 447.-4H5
Pa.id
Bulldi ~ O(tlclal
Dale
CITY OF PRIOR LAKE
952447424:>
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": J~~~I~ . I " ,\ ';0 ~llI11i1~~, C!MqtE9crcoch.1r\tCl
" if:l!ltl ~1il1n.j.'b' '. ,:" ~... ~]/~..;rN.\ l!!>"",I.",,' , . "'bqa.:\rl.l(j,o. fde Yard
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Indu~lrlAJ. QGlnimrtci41~'~{iJti'LPM~UY" fl."o~W~~#',.' '~.Mtl~ltllil;- ~'Q'~'$tl'e))IIlOl:, $39.50
, ' , ~)'}:sar.mltil~y{'M,
Rc:sidtntial,JTtlltin~(k:l\!I(:: (1\1~'<r6rtS~6:'(1r.I~~: SgMO: ~:c~itlCl'l-fi'Ol. ~a'dj.&i()n'~'&;, P-olI!!'I1t,ion!
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Kcccipr No.
B.1;lIatiit:01Ii~n1
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lay
TOTAL P. 01
--""'- ...,,'''--.........
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink File
2. Green City
3. Yellow Applicant
PERMIT NO.
(Please type or print and si~n at bottom)
ADDRESS
\~s'-l u,'llo~v I3~L(,f ('0
ZONING (office use)
-:J" L l f'1 ,.-:>2.).
rAI;>.'2.- ..~. "..)~) C7T:
. . I
LEGAL DESCRIPTION (office use only)
I LOT
BLOCK
ADDITION
PID
OWNER L
(Natne) 34-FF c:i-. ~O- 5' -v:od~/l .
I (Address)_S 6 t" -:.,', ~.' it 0....... ! ~...
(Phone)
c-'~
~:;~~ANT ~. ctl~~-l lA!~ jn~,(..s d. ~ )<4 (Phone) 15). 'I~7"C1')!;
(Addressd l 8/7 D" I" U A,,,~ $."- ()~L.Jc'- , v'1n
~Addr s) (City) (Zip Code)
~. ~;f-<.j- ~ f-~ (phone) ((: (.::z. J '11 'i -/1,\7
DATE 772.7/07
/ MUCANT P:EASE COMPLETE BELOW ' /
[]NEW cO~:~CTlON 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL FUEL
(Contact Person) O~
APPLICANT SIGNATURE
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
OUTPUT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
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.
FIREPLACE MAKE AND MODEL
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi.Family
$39.50
$39.50
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
Buildinl! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
CITY OF PRlOR 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 Pc;uIDtted is 30 Percent.
Property Address
30~4 wlU/)~,6'~ S7 5'k/
Lot Area /4h(;J (7i; 'I/)4- MWL) sq. ft. x 30% == .............. t}3 q~ 9
************************************************************************
LENGTH
WIDTH
SQ. FEET
HOUSE
x
=
ATTACHED GARAGE
x
x
=
=
TOTAL PRlNCIP AL STRUCTURE......................
j382-
DET ACHED BUll..DINGS
(Garage/Shed)
x
X
~RIVEv!9fP A VED AREAS
{lJnvewa -paved or not)
(Sidewa ar1cing Areas)
TOTAL DETACHED BUILDINGS....................... J/j)
X = ~ 790 RfV, ..~~NR; ~~cP
. X = I re~tI"'I (l . AU(....
/ {,.'w- '3' $'II'~(~/TI-
J 0 X 4 = ~ 0 IHI-n --,qo f2Gv'
TOTAL PAVED AREAS...................................~..... ~ ~ (Jel/
/
(fATIgs/PORCHESfDECKS
(Open Decks Yo" min. opening between
boards, with a pervious surface below,
aTe not consideTed to be impervious)
x
X
=
z. '11- L 0) €)(/ST//./6 /!JIUCIL
flt7lt1 7'/1 #e ,ec/hllI/&1;/
~b -rClll/.4Cc
=
X
=
L:\HANOClIIT<:11MPI01h,;,,,,. rlnr
TOTAL DECKS........................................................ '76
I-/trr 71Jfb wlpeCJClII6 9'-411 X 8'-7" -= 8D
fif" SIhCIP{, ') X I 0 = '7 ~ ~A11*e / (t€V'
~ ? 0 U~. IIIMjJ. L ,.J
F'(2G.P~ce- ( ~
w /Z()"){~ /m,iWI 26.6 ..,.. 18 e,8.&.) = #. ~ (rttV) r;;4:4-
TOTAL OTHER.............................,.............".......... ~ G-f'"-117
(lEv,
14~82.4J
!UV.
I ~ 113.5 I
~' .
Date /J - 21 -&J6 ( ,Rev. 9-/~()6)
- /!Ell. ~-~o-07
Phone # /J(7J 4!J2.... JtJvtJ /!611, tJ~/~Y
, -- ,414 fj? 'f/ 8. e. '-
Ket. 6 ~~ ~7 : IJ~I tIor rvB I tev, S/~.WI/LI<
~
OTHER
TOTAL IMPERVIOUS SURFACE
~VER
Prepared By ~-L
Company /mi!J6 6vbf~~ t];. ~c.
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITEADDRESS ~S'-l wiu.o-..) ~ ~ -S.uJ.
NATURE OF WORK AOI);T/."'''' 1b R;~& (w!...,- ~"..,i"J tJlRJt., )
USE OF BUILDING ~~,. I.. w... f:f!
PERMIT NO, 0&.0 rO.3 DATE ISSUED &:r/lH.
CONTRACTOR TCoc:.&L <:4Si""- 1!t..tl..oCIU PHONE!J 1-'#'1" -&ttrs
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
# / - INSPEc;.;fi DAlE /
FOOTING ,/iM;e 14f/f C; /;11a/.. /Nr- 7/U-;;6
FOUNDATION (Prior to Ba~kfill) I 'Qwx Vl Afj I U1-!~~U, /
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SlliNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING \J~\'OJ ~~'( ~~ \\) ~\J"
HEATING (if required)
FIREPLACE(3::\Ar.s )(2... WOOD)
GAS LINE AIR TEST
COVER U I B S BEEN SIGNED
tArHE r{H~II.r~AJAA,:J P~. ~~/c1
~~' \
'/VI~/
/, /(/......,
f'!/I/
1---lt,(
/301/)
, - sO!
3,.(r'
/1
llW
.----,
/i /l/'/
" /'1
7/'/1/
i -
GRADING (Prior to Sodding)
BUILDING 1~ tJ"h1
ELECTRICAL
PLUMBfNG
HEATING
n+f11
~
I J -30-0 '/
5!c/o~ '
I l
DO NOT
7--Yo1
4~~
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