HomeMy WebLinkAboutBuilding Permit 15. 0449 A_ SAA 7 '� ��� `:? 7 ,. .A
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CITY OF PRIOR LAKE
!tinzrfmr'tf of Puittrini; nspi rfia
inal Permitted ❑ Conditional C.O. Expires
� . This Certificate issued pursuant to the requirements of Section 110 of the ❑Residential
/Ell
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:
S/AIr(,f-: Fri iii-
Use Classification y., /5: 44-9
Bldg.Permit No.
.: Occupancy Type Type Construction
�r2 Zoning Distri�ct-�-y--���/.Jr
Legal Description L.- Z /✓ 6 (.F. 17x1 i fl C .. //--) /&,.,_5
Owner of Building Site Address /6& /H/6eL
Contractor's Name&Address /j/l-.#'-)/t/(J� /g Air-) .k—5 6� /_Lr,I7�,
l��/ `67V?" /".J- HO/0-H/ y/ t
� � � --� City Planner
r Building Official DLA....."
Date: J'(t./
Date:
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aD:4 O? � RTE FICATE ZONI ILr O1 MPL II NC�e(1_,:1:, ',\-- -',-;),,.,
\ "� AND i TiLI T�ONN2 a T ION PERMI.T - Z-/ 1
�fRT B 50
I. Wine File PERMIT NO,
2. Pink City a Pm i=`�it 5 5
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS • ZONING(office use)
166 5 'fk/ey Lkke Dr ie-/
LEGAL DESCPI'TION(office use only)
LOT 2 BLOCK ADDITION Eiji, Creek Es /.f e �j PID ? , 500, 0 05 _ 0
l
OW �
(Name) 0(t A r-60(i Mitt c' (Phone) q2 -"(0 — 0i
(Address) Lip.-5-5 5 x-111 1,.. 1,--. h .A 55G I--,,
BUILDER
(Company Name)'► •f i421.6-1 t ('� $fr-�?Y1 e`- 4 (Phone) ci.s2- C' 0230
(Contact Name) AlikeUktta kitli t t c.r (Phone)Ci 52" i —0 23O
(Address) L-1- Fir,r, bcs:i`�'; i-2,D 14tet p1 ik_4_ s ( -- —
TYPE OF WORK SNew Construction ['Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace
Addition DAlteration ❑Utility Connection
CODE: gI.R.C. ❑I.B.C. ❑Misc:
Type of Construction: I II BI W V • A B
Occupancy Group: A B E F H I MR SU PROTECT COST/VALUE $ a'1Ico.
Division: 1 2 3 4 5 (excluding land)
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
h above-mentioned property and that all construction will 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 this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X 14.4,4& WA — 8C6693 - 00//6
Signature Contractor's License No. Date
Permit Valuation a G Q 000 Park Support Fee # $
Permit Fee (�Q/
$ zAjxt' so SAC # $ 2-4- 5, 0 v
Plan Check Fee $ /, 11 #7, Qs, Water Meter Size "/8'; 1"; $ 56 0. co
State Surcharge $ �-/q4. 00( l / 7Pressure Reducer $ / ` r U0
Penalty $ ,�_ Sewer/Water Connection Fee # $ J V
Plumbing Permit Fee $ /5 7 i C 50 Water Tower Fee # $ `0 Q 0 _ 00
Mechanical Permit Fee $ /5>/ 57) Builder's Deposit $ 5— V
00 ,rf 0
Sewer&Water Permit Fee $ 5z.. 5-0Other $
Gas Fireplace Permit Fee $ 52/, SO TOTAL D5 ` g -/`S' $ 0 av i kg
This Ap/:cati IF Becomes Your Building Permit Whe Ap •oved Paid /2, 2 4 f (t Re ipt No. (? 7 I
/� Date 5-,, ((, I(- By .
ate
I.
ding Official Date
This is to certify that the request in the above application. d accompanying documents in acco :ante with the City Zoning Ordinance and may proceed as requested. This document
when signed by tl ity er const tea a temporary Certificate of Zoning compli, ce and .i ows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued. .s.,
- Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
Residential Building Permit Checklist
New Const uc 'on for Single or Two-family Dwellings in R-1 R- istrictss
Reviewed by: I Date: 7
Building Permit# PID: Zoning:X'75,
Address:
Legal:g , B Subdivision: (.. /�.�- 4.. .
Existing Structure? YES/ 0 Existing Nonconforming Structure? YES/NO
CONFORMS TO ZONING NO
ORDINANCE4?g
Yard Setbacks: NA/FAILS/CO ES J Standard Proposed I
• Front Yard(can be 20'if av in 150') 25'
• Side Yards 10'/ `�'
25'if abutting a street b(
• Sidewall exceeding 60'requires additional side 2" 10'setback+ \ 7
setback for every 1'over 60'in length. Not required 271'over 60'
if building wall is 10'-0"or greater of being parallel to
a side lot line.
• Rear Yard 25'
• Patio Door: provide for minimum 10'deck or sign 10'side/ /
statement indicating no deck will be built in the future 25'rear
• From 100 year flood elevation of wetland/NURP 30'
pond.
• Refer in-ground pools to the Planning Department
• From OHW(Prior or Spring Lake) 75'or setback average of
adjacent structures,but no
7.( 1-7 + t less than 50' '-"—
1zc
I Floor Area Ratio: NA/FAILS/CO ES I .30 Maximum I ^;, /,j
Yard Encroachments/ FAIL /COMPLIES Standard Proposed
Eaves and Gutters no 1 . : than 2 feet in width and no
closer than 5 feet to a lo ne(Easements).
A/C and other equipment cannot encroach on interior
side yards.
Tree Preservation: r:.FAILS/COMPLIES Standard Proposed I
• Total caliper inch
• Permit 35%Removal
• Caliper Inches Removed
• Caliper Inches Preserved
• Replacement %:1
L:\TEMPLATE\BLDGLIST.DOC
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White -Building
411HfEso.0' Canary -Engineering
Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 16<rA49�- /A/.0 -0NO/IES
`/
APPLICATION RECEIVED 4-. zi' r5-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: _.-
/ - y4,1/6-6-
Accepted
/Accepted Accepted With Corrections
Denied ` ! n
Reviewed By: ��•
w l
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."
?Rio+
White -Building
Canary -Engineering
47/vmscio.
Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
. .
NAME OF APPLICANT Not-y6.-.5
,
APPLICATION RECEIVED 4
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ g4- y E276/v
Accepted Accepted With Corrections
Denied
t47,
Reviewed By: -•
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."
00* YR/
6 (4
White -Building
,ylNse* Canary -Engineering
Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT C'ef JUS / A/ O,L.7 / ' S
APPLICATION RECEIVED Z • /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ice g 4-- /l/f12-1/C.Z, , 7 (/e
Accepted l Accepted With Corrections
Denied
Reviewed By: ,4 Date: S 7"/5-
Comments:
'/SComments: See Reverse Slap for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Standards
"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."
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT -. ,— /, /S—
ZiH
ItirvilitH00%411111001!).7RI°
i-a a PERMIT NO. /5 0 7'41,7 i
3.Yellow Apdiiomt
Please type or pxint and sign at bottom)
ADDRESS ZONING(office use)
J( S4 mexel_ 1P. .so_ c- Ste- �/6 4
LEGAL DESCRIPTION(of>ice use only)
LOT 4N BLOCK ADDITION a •► It_ c . • : E4 -('--S PLO J J ��0 otos 6
OWNER. �, c so _ 14 Yr P S (Phone) 95; - �9 g - d�3O
(Name)_ r C,` 1` b(l d Q.. �}
I. O ` acct.-, Mr) J5�Q-A
(Address} 455 .c , n fit- e,i�-
APPLICANT, '
(Name) �0 s V \r-NC,�\A ? l tAr� LLC_ (Phone) Sol - S 5�,
i^ ' 11 c C-- k..to A • 7
(Address) ��d 1�2 1 t0.. � e
(Address) (City) (Zip Code)
(Contact Person) :a a `J -5 - (Phone) 50 ) " (0 LI s ` e S
Ilk
APPLICANT SIGNATURE = A
• DATE (C,/ 101 I S
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture
Quanti Type of Fixture Quantity
Bath Tub with or without shower Rough-ins
Dishwasher / Water Heater
Floor Drain y Water Softener
[) Lavatory(Bathroom Sink) r Stand Pipe(Washing Machine)
Laundry Tray(I or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
/ Sinks Backflow Assembly Test
Bal,Sink Lawn Sprinkler
Li Water Closet(Toilet) _T Other
The M'nnesota Statutes§3268.14$...` fi PEE SCin Dumir +'
oli cost with a$49.SQ minimum Residential,New One&Two-Family $149.50
"SURCHARGE"has been extended Residential,Additions&Alterations $49.50
• The minimum surcharge for aBuilding Permit#
"fixed fee"permit is$5.00
.PLUMBING PERMIT FEE $
STATE SURCHARGE $ _ X)6I 5.00
TOTAL PERMIT FEE $
(Office the Only) •
This Application Becomes Your Building Permit When Approved Paid ' Receipt No.
Date MI i _ � 7MIT
Building Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
#3394118 - 0001
rnro� CITY OF PRIOR LAKE Date Rec'd
° x HEATING/AIR CONDITIONING/FIREPLACE PERMIT (;, ZS (5"
cru ,
1.Pink File PERMIT NO.``
�ffNNes��� 2.Green City /. • O er//9
3.Yellow Applicant 7 �`�
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
16684 MARKLEY LAKE DRIVE SE 1515.
LEGAL DESCRIPTION(office use only) /
LOT Q BLOCK ADDITION GZ ( 7'' CS,41->=s
OWNER
(Name) BRAN DL ANDERSON (Phone) 952-898-0230
(Address)
APPLICANT #651-633-2561
(Name) Fireside Hearth & Home (Phone)
(Address) 2700 Faireview Ave N Roseville, MN 55113
(Contact Person) Leah Lodermeier (Phone) #651-638-3312
APPLICANT SIGNATURE Lear/ Lade-n P'te1' DATE 6/24/15
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner
❑Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑Hot Water into Required Side Yard Setbacks.
❑Mechanical ❑Radiation Fireplaces with Box Additions or
DAir Conditioning ❑Special Devices Cantilevers to the Outside of Buildings
❑Vent. System ❑Other Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL HEAT-N-GLO /SL750
FEE SCHEDULE
Industrial,Commercial&Multi Family 1%of joh cost Residential,Gas Fireplace $49.50
$49.50 minimum
Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50
Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50
Cost$ Building Permit#
HEATING PERMIT FEE $
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $
PAID WITH
This Application Becomes Your Building Permit When Approved Paid BUILOVYWnRIVOT
Date By
Building Official Date
24 hour notice for all inspections(952) 447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
O PRlp4. l5 ' \ Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
41jNNEsoo
1. Green FCiilety PERMIT NO.
2. Yellow
3. Gold Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
/66V/ /9611‘aki ) J'e
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(ONaWNER �rA-IJI._
/l' SCA 1 (Phone) 762:- VY-0...23.0
(Address) /5x'5— /1' fln J l /x) T,a11)
(Address) y) (Zip Code)
APPLI(Name)
CANT (Phone) 6)2._)2
(Address) —2 )470 02 .cX - �, J -- )EkY/
ddress) __ (City) (Zip Code)
(Contact Person) � ) °0114,241e) ,Z_ C ��l to-3
APPLICANT SIGNAT , : ___.._._..._.___ 1 DATE
APPLICANT ' ' • SE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. ❑ ABC ❑ PVC ❑ 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 $51.50 Industrial,Com'l&Multi-family 1%of job cost with a$51.50 minimum
Sewer connection only $25.50 Water connection only $25.50
Estimated Cost $ Building Permit#
SEWER AND WATER PERMIT FEE $ "Me Minnesota Statutes 36bt3.i4li
STATE SURCHARGE $ "SURCHARGE"has been extended
TOTAL PERMIT FEE $ The minimum surcharge for a
"fixed fee"permit is $5.00
(Office Use Only) ^,^ .^
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Building Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
01 "1°-+ CITY OF PRIOR LAKE Date Rec'd
1~ t
e HEATING/AIR CONDITIONING/FIREPLACE PERMIT
1.Fink File PERMIT NO.
41INNEsolP 2.Green City
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
CIAQ (-A 1(10YLLy LciVt t)v-- SE
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(Nam) r,ril I A 69A QVAi
VA9,,c) (Phone) OS- - Od 3O
(Address)(Sss EY\n 0?-.,. (,4c 12-0 Lt,(gJ(1 s \ z-2
APPLICANT
(Name) BURNSVILLE HEATING&A/C, INC. (Phone)
(Address) 3451 W.Burnsville Parkway
Suite 120
(Contact Person) Burnsville,MN 55337 (Phone)
(952) 94-0005
APPLICANT SIGNATURE\,_ 1/1 IA' Ai DATE (a/f Q //S'
APPLICANT PLEASE COMPLETE BELOW
igii•IEW CONSTRUCTION ['REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL D1\11612,. AD? D Q t_Av\ FUEL f Q l
FLUE SIZE RETURN OPENINGS —1 INPUT MI 0(0C) OUTPUT-73, (oOQ
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
0 Gravity 0 Hot Water into Required Side Yard Setbacks.
- Mechanical ❑Radiation Fireplaces with Box Additions or
EiAir Conditioning 0 Special Devices Cantilevers to the Outside of Buildings
❑Vent. System ❑Other Devices Require a Building Permit.
FIREPLACE E MAKE AND MODEL 4,\ n3(.0
FEE SCHEDULE
Industrial, Commercia : ulti Family 1%of job cost ' - -ntial,Gas F replace $49.50
$49.50 minim 1.
Residential,Heating&A/C(New . A ction) $149 ! Residential,Add' ions&Alterations $49.50
Residential,Heating Only(New Constructs. '.•,.50 Residential,A I my $49.50
Building Permit#
HEATING PERMIT FEE
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Building Official Date
24 hour notice for all inspections (952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
O PRIp
Builders Deposit
U iri
SO. City of Prior Lake
A $2,500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposit is issued as security to insure
compliance for a Final Occupancy Permit. (It is not an escrow account.) All exterior items including but not limited to
grading, sodding, landscaping, tree planting, driveways, siding and painting shall be completed 180 days after the date the
building permit is issued. If the work is not complete within the 180 day time period,the City shall notify the applicant of the
violation and the applicant shall have 10 days to comply or the $2,500.00 builders deposit will be forfeited and the applicant
will be billed for clean up or corrective work to rectify the situation.
A$500.00 Tree Deposit may also be required and will be refunded if specified trees are preserved for a period of one year. By
signing this I, the undersigned contractor, acknowledge that I am aware of the erosion control requirements of the City of
Prior Lake as outlined in the Erosion Control Measures for Building Contractors handout. �p�
DATE: 57 �S SITE ADDRESS: / ' 4 /��/u� YG « D� PERMIT# ��'
REFUND TO BE MAILED TO:
g/-2.4-
_NU�' �NiJG�Z-fOAl /1'ofr
4-5SS E2! ,/ O eW1 i E /Z C
Eii f-i'f, ,L(q .�5/Zz
PLEASE REMEMBER
1. KEEP STREETS CLEAN DURING CONSTRUCTION (For City Office Use Only)
g� i7 �� /275-0d _00
2. KEEP EROSION CONTROL IN PLACE Date Amount
3. TEMPORARY OCCUPANCY PERMIT NOT
'
EXPIRE OR O 1#
NE-THIRD MAY BE FORFEITEDMUST Lynda Allen _.......,,,kBuilding Sv s.
. ,, * i / i
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PRI0R DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS oigy
NATURE OF WOR w
USE OF BUILDIN �� �' x ° , ®�c4,
PERMIT NO. ,` �r w�LL.t'ii�
t DAT SSUED
CONTRACT°- ..*A"/ //, M' bf� PHONE q,�z a9 02 30
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR ATE
FOOTING -z_.__ 14
FOUNDATION (Prior To Backfill) �,,,,� � ((is--
RADON RETARDER 2Y/1-5-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGN D
ROUGH - INS
SEWER/WATER/SEPTICZr..--,.___, gi'24.7/<---
FRAMING %'Y
INSULATION - � , -i (c---(Is--
ELECTRICAL -.1k
PLUMBING U,(_„ (,(i 0 .5” L_ c 30 [,G----
HEATING
FIREPLACE N--,,,,_ � i i�
GAS LINE AIR TEST _
RADON
jet
COVER N O�RNTIL
THE ABOVE HAS BEEN SIGNED
HOUSEWRAP -1 ) , I i LATH I I
Pk---' FINALS I
GRADING (PRIOR TO SODDING) Lc.____. iil 11 (7,
BUILDING -t' t q , is- n�cq` 7
ELECTRICAL 4
PLUMBING
HEATING d ' (C
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