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HomeMy WebLinkAboutBuilding Permit 14.1361 1 ari LLEL u w Z V V aZ �9 251.1. = c3 > ,, • 02wwN J Z <w �� \ LUVILLL0 re Z 0000 ❑ ❑ rr", 8 w = I wm - )Jh >� Uo ./ Nla L-7,124 P W IX h C g 0U) C00 UJc0 a z _1U ~ _jU W W Z x s d 0000 3 a W i W W w W44 a' a' O = `C �� O0a a u. f- p J Ceix Z W W 0 Z U u 0 o 1� < o II ~ 7Z ii i10dI W W W W Z 2 O 0 0 a C) , ,01___13! r6$ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ( vq TEMPORARY CERTIFICATE OF ZONING COMPLIANCE F'7 ✓� /a, (-)\ ''1 161 AND UTILIT o ' . ION PERMIT f `I" 4lN�o�r / I.White Pik . Pink Cay PERMIT NO. ' 3 3.Yellow Applicant 6 ' (Please type or print and sign at bottom) ADDRESS ] f l Z '^ office use) I �1 J Z IA-41-k, 1 rUZ_ jL LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID' 51. t( q . 6I, . OWNER Sv7- 4S-1— 9/32 (Name) .J.e `-- Jv,ii,e i Ho"n a ✓` (Phone) '5-07— ZO k: — 3;7i,'`l (Address) ' 4M - BUILDER L` �. (Company Name) "Tint ((3')- v� 4C v s (Cr,v-C II ri,4 ,r-'i) LL.I (Phone) 6/2- 7'6-6 - 3C2 5— (Contact Name) /14 I )Lc 'li V l f (Phone) b/Z - 7 SL - .SAO? 5 (Address) 25-y y 79h# 14e,f LI-f.S be- - l, 2.,4,dc.kI �1 dU li /4, 1i TYPE OF WORK 0 New Cons. ion ❑Deck [Porch ORe-Roofing :Me-Siding ❑Lower Level Finish 0 Fireplace ❑Addition . teration ❑Utility Connection CODE: 3I.R.C. DLB.C. 0 Misc: Type of Construction: I II III IV V A B Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 6.75-, 0 0C Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnished informa' 's 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 all�ed?struction conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke pe • cause. Fu rmore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. Signature Contractor's License No. ate Permit Valuation .ye -' Park Support Fee # $ Permit Fee $ 4"&q. 5...° -> SAC # $ Plan Check Fee $ 3o5- I Water Meter Size 5/8";1"; $ State Surcharge $ Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ cir.5-b Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ _.i TOTAL DUE $ 4. C/4Zt,�sYj /2.12.1 0 2 - . -& I This A/, w .on ;: .mJ `, Building Permit NM.. Ap. . ed Paid 99 Re pt No. ✓1---JIM= l �/ Date /2,, / By spat:,, , , ( , Building O' gal _ pate This is to certifyt the re. 'n the above application and accompanying.., eats in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed b e "., P.'.. c. stitutes a temporary Certificate of Zoning,.mplia e and allows construction to commence. Before occupancy,a Certificate of Cccupancy must be issued. 'i , f Pl: ,.,41;,WiliiiiiiM6. sate Special Conditions,if any --41111t;.ur notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 PR/o.it Date Rec'd A. - CITY OF PRIOR LAKE PLUMBING PERMIT 'tslNNES`" 7. J.y_. rl/ ta 1c„ia}lie r"c�> PERMIT NO al b R.Yellow Applicant A (Please type or print and sign at bottom) ADDRESS// ZONING (office /` (4(T4Cv�66J 9"?' use) !y LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) :TeX -}- scene I fir.-le,'- (Phone) Sb7 X23 .374 (Address) /L)L'/2 tn.)riii-ef.SPCIirlP ) (- APPLICANT C _ (Name) )t1e, i k-.(/ �PC 4 am, e� (Phone) �/a 751.6' P.; 5 S- (Address) 1-i133/ 0374 ikG. L.eCe e. AM--1 S7eV E 7 (Address) (City) (Zip Code) (Contact Person) DCMt✓t /Lk+r-tbeti..-p/ (Phone) 4 APPLICANT SIGNATURE DATE / /3` APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher Water Heater Floor Drain Water Softener Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) Laundry Tray(1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly / Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet(Toilet) Other FEE SCHEDULE Industrial,Commercial&Multi-family 1%of job cost with a$49.50 minimum Residential,New One&Two-Family $149.50 Residential,Additions&Alterations $49.50 Estimated Cast $ Building Permit# PLUMBING PERMIT FEE $ MD WM i STATE SURCHARGE $ $ t rt ek. . p=m iv�t TOTAL PERMIT FEE $ (Office Use Only) Paid Receipt No. This Application Becomes Your Building Permit When Approved Date By 60E White -Building Canary -Engineering gO'sPink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST 6 NAME OF APPLICANT „..,,..*4 i )4,,,,, ,,,,, ,e,„7„) ;2i--4,04-1-4.:72t7-14...." APPLICATION RECEIVED /2 . 3, 14-- The , 1The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /44 /Z -4".a/ x/recie,__. ____.. Accepted Accepted With Corrections r Denied ---.� 4 Reviewed By: . J - P f " Comments: 1_ L®o IZ LCL /®°ir'TZav I S ©I • 4 l /J7ia!_ P-L - 6-Lc-IV, A leilla c--- /' .?d (S Ve. % Ah �o , F� a/�0F, 6 c1, , /4y fi "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." ELEVATION CERTIFICATE ExpiiesMay 31,1993 • FEDERAL EMERGENCY MANAGEMENT AGENCY "AL FLOOD INSURANCE PROGRAM ATTENTION:Use of this certificate does not provide a waiver of the flood insurance purchase requirement. `I nis rorm is used only 10 provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances,to• determine the proper insurance 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. SECTION A PROPERTY INFORMATION FOR INSURANCE COMP4NY USE BUIk.4lNG,fdI+VNAME � � POLICY NUMBER oe� STREET ADD ES (Including Apt.,Unit,Suite and/or Bldg.Number)OR P.O.ROUTE AND BOX NUMBER COMPANY NAIL NUMBER 44‘114Q . 4101g, OTHER C PTlON(Lot and Block Numbers,etc.} . 'iceL/ 4 CiTY STATE ZIP CODE SECTION 8 FLOOD INSURANCE RATE MAP(FIRM)INFORMATION Provide the following from the proper FiRM(See instructions): jJ�1'.COMMUNITY NUMBER 2.PANEL' NUMBER 3.SUFFIX 4.DATE OF 'SEPFIRM INDEX s/}�r� 5.Fi(RRMM ZONE 6.BASE FLOODyELEVATION� V' �O i $Q. wS • t ., "`r'° `�--� Cm A LJ !3 depth) 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations(BFE): NGVD'29 ❑Other(describe.on back) 8.For Zones A or V,where no BFE is provided on the FIRM,and the community has established a BFE for this building site,indicate the community's BFE:I I I I I I.LI feet NGVD(or other FiRM datum—see Section B,Item 7). SECTION C BUILDING ELEVATION INFORMATION 1.Using the Elevation Certificate Instructions,indicatg the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference levet I • 2(a).FIRM Zones Al-A30,AE,AH,and A(with BFE). The top of the reference level floor from the selected diagram is at an elevation of I i° I' IC9I.4 feet NGVD(or other FiRM datum—see Section B,Item 7). (b). FiRM Zones V1-V30,VE,and V(with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram,is at an elevation of I I I I I I.0 feet NGVD(or other FiRM datum—see Section B,Item 7). (c). FIRM Zone A(without BFE). The floor used as the reference level from the selected diagram is I I II_)feet above❑ or below❑ (check one) the: :g'lest grade adjacent to the building. (d).FiRM Zone AO. Th:floor used as the reference level from the selected diagram is I i LU feet above❑ 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 accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown 3.indicate the elevation datum system used in determining the above reference level elevations:KNGVD'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 77, 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: ❑ Yes I No (See Instructions on Page 4) 5.The reference level elevation is based on: IX,actual construction ❑ construction drawings (NOTE: Use of construction drawings is only valid if the building does nor 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 lowest grade immediately adjacent to the building is:I ( 141418 XL feet NGVD(or other FiRM datum-see Section 8, Item 7). • SECTION D COMMUNITY INFORMATION 1. if the community official responsible for verifying building elevations specifies that the reference level indicated in Section D, 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.� ) 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 '• r SECTION E CERTIFICATION This certification is to 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 A1-A30.AE,AH,A(with BEE),V1—V30,VE,and V(with BEE)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 BEE),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 wail. enclosure size,location of servicing equipment area use.wall openings.or unfinished area Featurets).then list the Feature(s)rot 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 8 and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code. Section 1001. _ es. 4-1- .e.- F'r .,._.,ie.,_ tkLe cia . C'c9TIPIER'S NAME LICENSE Nu c P �o�r AAr�lx� Seal) I tsTi .., ot 3 L-.P J ' , L) V *4a 1 rP .s.mil t. F 7. TITLEIeCOMPANY DU 3 p—tS o l //+.. am1i �E i ad ) 6. ADDRESS CITY STATE VP 300 S — G.,3_"Alt.. ATU ,` Jo I Iv1 T PA .i S S z:3 4/.. lirR �� Tt P1T b'4 3 Pt'• ' T - 1�9Co 7 • Cop`-s should be made of this Certificate for: 1)community official,2)Insurance agent/company,and 3)building owner. COMMENTS: on WITH ON PILES. SLAB EASEMENT PIERS.OR COLUMNS A V A A V ZONES ZONES ZONES ZONES ZONES ? ....=ree.GE REF'RE^ E LEJEL .... m._ gASE lE':EL ' 1, i'■ FLCotell Ili' 1`I{t �!# ELE' ,_ .'7,..l';;,:-. 1==. ':•:V4 I--A '', ,,,,,,..,,, 7.0...A....."-,./ . r i SASE ti F ` l.SE f AOlA6ENr ' �—^ EFERETCE t.C.:3 y fl.00D .. ., GPsOE ,3 / LEVEL ELEvAnCti PEFERE!CE AOJACEnr // LEVEL GRADE 5`s: .t t !: 4O04Eta t1rSI: ". GtsOE 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 iiolia LG+r�YE' 1)6E 7 .M.E. • CERTIFICATE C' . 7 ' X036,,5 ..._y t.1 eit;uteP La 1 v.jiiihaz...3 ; Y - 'g 't' S7$°zot„ 4101 •r - • -I ria ''�- 4 177.9 `� ',' 2 `QNIIIIIINY I �Fa•.r sow . . ° ,� i B o`f " cf' y� t ! t4 D c,&e, 32 v`, `N 4 LI N.41 I ' .'";\Ns/ \''''\ 00 06 CD •stl / . / 0 ‘••)t(P10,1(-5 / Scale: 1" = 30' DESCRIPTION Lot 24, and that part of Lot 23, BOUDIN'S MANOR, Scott County, Minnesota, lying southerly of the following described line: Beginning at a point on the east line of said Lot 23, distant 30.00 feet northerly of the southeast corner; thence northwesterly to a point on the west line of said tot 23, distant 10.00 feet northerly of the southwest corner and there terminating I HEREBY CERTIFY THAT TM/s SLRVFY, R.AN ON REPORT o Denotes iron monument PAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION Plat bearings shown AND THAT 1 AM A DULY RECart-RED LAMD SURY£Yp1 Wept* THE LAw,S Of THE STATE Cr MINNESOTA. ,r19-40-,..- Ckle..Zr--Wet.---- e OAT( 1-1Q-.•.Q I969. 8140 06-'11 .i .....simm-wm.. ` :-. boandt anginacfing a tutuaying f4::. 2705 woods tool! i I n toto 55557 \ burntuliic, rain q r . PRIOR ' RNT O BUILDDEPAINGTMEAND INF SPECTION INSPECTION RECORD SITE ADDRESS (44 (2 X1 5 e NATURE OF WORK �- USE OF BUILDING ��or� PERMIT NO. -' /VA_ t \ DATE ISSUED (2./fzet CONTRACTOR C©NSi1Z. ra--‘d,4 e.t.k-AA- LLC_PHONE INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE ifirmoimmians PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING II i (qis- INSULATION ELECTRICAL PLUMBING fi C1 HEATING FIREPLACE COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED 1111111111110. MUM IFINALS BUILDING e 31 P2``s 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