HomeMy WebLinkAboutBldg Permit 04-1220
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT /I-d J- -OLJ
~ ~;~~e ~:~y I PERMIT NO. 0 L. 1"7 '7 ^
] Yellow Apphcant I vvv
(Please type or print and si~ at bottom)
ADDRESS
IJf7c>q
....
W I L./.)<:.
.....
V / C"i~1.)
LEGAL DESCRIPTION (office use only)
LOT / i./ BLOCK b ADDITION -r /IE
I
OWNER./; Ci:
(N ame) .::.JA y1f C 5
(Address) /tf67:2
,
AILv'
ZONING (office use)
f?tlf)
~ It/) <'
PID ~ '? 77cPbtf- (:>
~ CARNE? ,41;4I<I::ro (PAR~[f;) ~//--;t.7~'-S-7$S-
. ,
V'IE'1./ N~ P1<~o/<... I,d/(~ .5-S7./2-
/,)/'11 _
Y(; !J- - j!hone) h5'/- J, 'I8S-~~/
~qO-S'1~6 (Phone) ~5-I-lv~ .-s/6 I
/-I/f5T)K~.$ ~n/ GS-o_J 3
W It Il \
BUILDER <-
(Company Name) ~- (1 C//lJsr!l qC! ?"iO.t
(Contact Name) Nct//V r#c:;;ct,F
1187 4;1/~O# (P7
TYPE OF WORK ~ew Construction ODeck o Porch ORe-Roofing ORe-Siding
DAddition DAlteration DUtiJity Connection D Misc.
CODE: MI.R.C. DI.B.c.
Type of &~struction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
(Address)
OLower Level Finish
o Fireplace
. I
PROJECT COST/VALUE $3 3~~.cx>o.&>c!>
(excluding land)
I hcreby certify that I have htmished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authof1zcd agent for the
above- entlOned 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
OffiCl~;;;;; th~?c:(rthermore, I hereby agree that the cIK~; ~ az;;f;C;;~;;; ~p~e;;;;orm neCdedl/:c;n; _ 01'
Signature Contractor's License No. Date
/,.
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
II
~. OtJO.on
$ 2.4'3;3,50
$ I 7)~
$ \ c.oC; .00
$
$
$
$
$
100,00
100. DE)
35,$0
'fa L 0 0
This Application Becomes Your Building Permit When Approved
~~
Building Olllcial
12.41 oy
Date
I
I
I
I
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE CAU,€J)
Park Support Fee
SAC
#
~~o.oo
13S(? . 0 l)
300 , (!) t)
7lJ.. 0 n
IZOO.oo
7~(), ()o
ISOD,OO
$
$
$
$
$
$
$
I $
12.'1. tJ4-- I $Ib~ +Z5. 7fJ
I Receipt No.4kv as
I By /'_.
U"\
#
Water Meter Size 5/8'@
Pressure Reducer
#
#
Paid
Date
- -/
10 Lf~.'JJ "-/0
/2 - ! OrOlI
ThIS IS to certify that thc request in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcsted. This document
whcn signed by the City Planner constl\l,llcs a temporaty Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Ccrtificatc of Occupancy must be
~ ~ 12/;~f ~~~
Planning Director . Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
New Construction for Single or Two.family Dwellings in R.1 or R.2 Districts
Reviewed by: ~ =f~ I-- Date: leA! I / (J 1
Building Permit #
Address: / 'I? () 9
Legal: L l'f I B~
PID: Zoning:
. .
WILf)Y VIELJ
Subdivision: T/tF vJIL/J.f"
Existing Structure? YES(@
Existing Nonconforming Structure? YES @)
CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NA I FAll3(~OMPLIE~
. Front Yard (can be 20' if aVQ. w/in 150')
. Side Yards
Standard
25'
10'/
25' if abutting a street
Proposed
. ~S.~ I
I
J 7.7 '
I
. Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in lenqth
I. Rear Yard
· Patio Door: provide for minimum 10' deck or sign
statement indicatinQ no deck will be built in the future
. From 100 year flood elevation of wetland/N U RP
pond
. From OHW (Prior or Spring Lake)
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
30'
1l:J .()
9?. ~
Nit
/Vir
75' or setback average of
adjacent structures, but no
less than 50'
tJA-
~ Floor Area Ratio: NA I FAilS Kc.OM!.L1E~
.30 Maximum
(. /~~
t
,-::::~":'1~:~;,.,)'r: -
"::.
. Yard Encroachments: NA I FAllS"il.uIViPLlEs;)
Eaves and Gutters no more than 2 feet in width and no
closerthan5feetto a lot line (Ease-ments).
AJC and other equipment cannot encroach on interior
side yards.
Standard
Proposect.c;,~" .
. ~'-:_:-:.._',J'''''::~',~77~';';;:i- j...
. >rJt)~~~~}~~:~
I Tree PreservatfolT:~ FAILS I COMPLIES
· TotaL caliper inches
. Perrnit25% Removal
. Caliper~ Inches Removed
· Caliper Inches Preserved
. Replacement
Standard
Proposed.
'0',:."...,.;.,~. :,
-:" '~j.~:i_ ,.". 1
~:1
L:\TEMPLA TE\BLDGLIST.DOC
j;tbit~ - Rllilrli"g
~'1arv..=-EnaineeriDQ:)
Pink - Planning
Thr ('rntf'f of Ih. t.k. Coonery
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
.~""~'--._.
NAME OF APPLICANT
./ .
APPLICATION RECEIVED / /
./ ./
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,),"'\'j
"",.
.,
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
1lYi13
Date:
1;),- 7-t:JlI
.' . ",--"~""-"""",,,, ,~. ,- - ", ". .'~' ..; :;;':.
Comments: See Reverse Side for Aciciitinnal Informatjenl
See Attacbments: 1) Grading Plan. 2) Erosion Control Measures
"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."
C~ite - Bu~
Canary - Engineering
Pink - Planning
Th(' ("rnler of Ihe take Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I( 1!tnuJ~~
/ / - d d --0Lj
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is prpposed at:
)t!,?oq m~ I~~A/
Accepted
Accepted With Corrections
/'
Denied
Reviewed By:
,..
~~
~~__ <LLf
"
Comments:
Date: /.;;./; /0 'i
--/J~ 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."
~
White - Building
Canary _ - ~!l9.ineering
c.... 1""101< - I""lann~
Th(' ('rntt"r or the l.ab Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
:.
/ 1--
'" 1/ j
'- (_./<.....~--/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.,
1/.1 I
,!
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~
~ ~~. 1~
~~~~~~-
-~~,
-
~~
Date:
i-Z // /0 t:./
, r
Comments:
4,e.
F
"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 PERMI.
3.,.00
1. Blue File I PERMIT NO
2. Gold City '0+,12"'0
3. Yellow Applicant ~
(Please type or print and sign at bottom)
ADDRESS
/.4-707 tvl ,--o.r vI E:JA/
. ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID z.c_ z'17. Of&, +:, D
OWNER
(Name)
(Address)
(Phone)
APPLICANT M
(Name) !1Jhr-'p I U""1 h / 'J (Phone)
(Address) ;:J-'). 6;:}..C( L "Vr'\ Ok t..--y' Oak brov~
(Address) (City)
(Contact P=n) M-{'(/(. L W nil ~ --,ono)
APPLICANT SIGNATURE ~~.;.d.~ (........ _ DATE
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 Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
I Bar Sink Lawn Sprinkler
I Water Closet (Toilet) Other
6 fL 'd-f!IJ- '-I { s 'I
~slJaC::;
(Zip Code)
(1).- ).10- Y/.5"'I
""\... 7-05
FEE SCHEDULE
Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$ ~O
~
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
o 6~/l/J..
p~' vOtll
~Vl
~
Paid .-----_~
~ /"~
Dat~..., - By ~A/.P ~
cJ. (.O~ ~
/
ot/--. /2W
Estimated Cost $
Building Permit #
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
1-..
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave" S.E., Prior Lake, MN 55372-1714
._.~.~.-"..
CITY Olr IJRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE IJERMIT
J)"te Uec'd
I. t'ink
i. CftC(1l
). V.1tCl'W
~::t II)ERMI'l' NO.
^rpllUnl (~'" ... \"':1. ';;l 'C')
I
z~~
(Plta5~ ~Qe 01' D11I11 and Il~Jl at bOllom)
AQO~~~C '\ ~ ~ \ ~~ ~\ ~~ N W
LBGAL DESCRIPTION (office Ule only)
LOT DLoer<.
ADDITION
1'10
OWtllER '"
(Ntlnlc) ~ ~ 'Y\ c...~- ~.Q.. \
(A~ld,ess) \" \0 (\ ~ \,J.~ \ ~l \)~,\\..J A
-I --. .
Q Y' ,'.~ l c,\LA
(Phone) ~.. ~\.i ,,'d.. ~Cl:.s.E1!J
fr\N 'SS'-:)/~
AIlPpCANT ... \ -,--.
(l'la rllc) \<\~::\;:f\'\ ~~,,.... -\- n l.
(A~d..es&) \~C\ ~\'J \J 1:..\ llJ~ f\v '-...
(Addrc,,!
(Clj111ilCl Person) N '^ v\ c.... \/ S l...~ I,?, 'l... \ \..
AFPlICANT SIGNATURE 0f\ ~\ 1 ~.
c S ~', I I \ \ -1. '1\ -. t(
(Phone) \.,,::>'. " '1 "\ ~ ,),
'.l ,-, ~) _ \.l, \ ~ \\ \\.) ...S ,~. ~ -I-~
(elly) (Zip Codt)
(Phone) 9 ~ ')... "\ '-A -,. ~ \ \) '--\
DATE '~~~~"4'
APl)LICANT J)LEASE COMPLETE BELOW
'l8lNEW CONSTRUCTION
FU~l'iACE MAKE AND MODEL C<.4V'".r"'\' tl"'V
PLP14 SIZE \'\1 C RETURN OPENINGS
TYPE OF SYSTEM
, ~wurlll Air Plllnls
OGrllvily
o Mcch:mic:\1
~Ajr Conditioning
~Vellt. Syslem
o REPLACEMENT 0 AL'rERA TIONS
'" " '(J - \~ ",... ~b FUEJ~ tv ~ ;-.
\\. INPUT \ ~~. ~~ OUTPUT .l1LC".:!)
HEATING OR rOWER PLANT
OSleOIll
o Bol Waler
o Racliation
o Spccial Devices
o Olher Dev ice~
PLEASE NOTlJ::
Air Conditioner Unils
Cannol Encroach inlo
Required Side Yard
Selbacks
FIl\.E\'LACE MAKE AND MODEL
E8till\ated Cust $
FEE SCHEDULE
1% ofjuu cost ResirJenli.lI, GIlS Fireplace
$39,50 minimum
$99.50
$64.50
\ "\ ~~~ ~ Building Permit II
$J9..50
Imlll~llilll. Commcrcial &. Mulli-PlIlIlily
!tcSll.l(;jlliill.llcilling &. Ale (New ClllISlructiun)
Resldelllil1l,lIealins Only (New c..;onslcuclion)
l~esitlenlil1l, Audilions &: Alleroliolls
Residcnlial, AC Only
$JIUO
$J9.30
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
80~ ,o~/D
~/N('\ 117.,./y
~,o~
~411'"
(Oltice lI~c Only)
'I hi. Applicatloll Uecomts YI)UI' Dulh.llllg Permit When ApllI"Oved
Paid
OllIe
Date
JAN
-; ReceipL No.
j..-
Jl3y
-'..=~__J
-,- -jj-uii~llnG o~,
5..1JJ.D 5
24 hour noUce fur nil inspectiun, (952) 447.911S0, rnx (952) 447.4245
l 'd
vS9 'ON
9~l8-Lvt-~S6 ~I~ O~13~
~dO l : l tOO~ '8~ 'J30
PRIOR LAKE DEPAn..tlENTOF
BU~LDING AND INSPECTION
INSPECTION RECORD
. .
SITE ADDRESS /1./"'0' WI'DS r1EttJ N.I4J.
NATURE OF WORK WW ~1t.J~"'~/.N
USE OF BUILDING S. ~ J>.
PERMIT NO. Oti .1220 D~TE ISSUED 1t,J I I...,
CONTRACTOR .L- ~ PHONEMI- &g-Slt.I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
f1,,.ci .J. /J~c-' jC!,.s : INSPECTOR DATE
I FOOTING 0; I /?'a I /,z,ij~/~~
J FOUNDATION (Prior to Backfill) ~ ~J!.t ~;!,ts-;, // / ~!. ~
, ,
PLACE NO CONCRETE \L~~II~t~~~) H~~ !;.E,)~~~GNED
ROUGH - INS I ~
SEWER/WATER/SEPTIC m~}- /~/as-'
FRAMING
INSULATION
ELECTRICAL
PLUMBING V;suJ 0.(;. n :!>I'
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
~
,
9" /'/ f' ~
, ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~"'I Hefit.",IIAP I I
FINALS J 11
~V if)"
I~f~o.s y ~~
- /
We /P~kJ
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 beeR approved. On buildings and additions
where no service cabinet is available, card .shail be placed near main entrance.
GRADING (Prior to Sodding)
BUILDING tf w(J U.,h1
ELECTRICAL
PLUMBING
HEATING
DO NOT
~.-C\'l)~/
'.\<~\.Ot:;'
FOR ALL INSPECTIONS (952) 447-9850
~ertifitate llf @ttupautl!
CITY OF PRIOR LAKE
~tparfmtnf of ~uilbing Jl nsptrfion
%Final Permitted
D Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D 1ntemational
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:
SINGLE FAMILY 04-1220
Use Classification Bldg. Permit No._
Occupancy Type
R3
VN
Zoning District
PUD
Legal Description
Type Construction
L14, B6, THE WILDS
Owner of Building Site Address
K-CONSTR.,/:/7 UNION COURT,
Contractor's Name & Address
ROBERT D. HUTCHINS {'1J /
_ . I ,'fi City Planner_
Bui.1dmgt>fficial \ /
?. ""2.. 0 l.-) v
14709 WILDS VIEW N.W.
HASTINGS, MN 55033
.JANE KANSIER
Date:
Date:
~.""
...~,' 'T~
.-
i!:ii!iIIi ...~:~.,::,::..",,::-. ~..J",.",.;..", .....
_I.~L
.::-j -"'i.llli. .' '"
-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
J Lfl) IJf
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
2~NAL
lOSiTE INSPECTION
COMMENTS:
tJk
SCHEDULED
rJ(; . Ai
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
W
\J:e,)
LJ,. J ?2D
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
tt? ~\~ ~r~~
~ORK SATISFACTORY, PROCEED
I; ~~RRECT ACTI AND PROCEED
o dORREC ALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSlWTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
11/ 70' \N,"ls V ,'tt)
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
COMMENTS:
r""'9~ cpt<
(', ( ,116 B4~ ,. tlk.
DATE TIME
J-Zl<
04-/2.20
,(.EXI~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
VWORK SATISFACTORY, PROCEED
.....0 \cORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpector:~ .~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS IDo1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE
SCHEDULED "7/1~,~
tl);\~< \/,.eu)
TIME
CONTR.
\'l.vcJ
5~
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)(...PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
I. f.x:..~ ~)k"t;~
? I . p,."V,'t~..t ~/.\ ~("c.e..~~l..Qr-l ~ IMdar- .~
~ +-,...~
~. ~...J-A f")<tA\~~
~(,-,p (\~
~ ( -~ flr. -fo ~~
3 ~...c.., UOcl.-'
~ - ~~--~-~~
o WORK SATISFACTORY, PROCEED
)(CORRECT ACTION AND PROCEED
o CORREC K, CALL FOR REINSPECTION BEFORE COVERING
Inspector' Owner/Contr:
CALL ;.laso Fg{THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD;:J.Ia~EJY1SAJIE FOR YOUR PERSONAL HEALTH .. SAFEm
./ INSNOTl