HomeMy WebLinkAboutBldg Permit 05-0210 & 05-0379
(Please type or print and si~ at bottom)
ADDRESS
#J/
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
Date Rec' d
,5.9.05"
~;~i~e ~::y I PERMIT NO. O!::J. 0-7/0
Yellow Applicant p '-
tJQ J~r hl/
..AIw
tJt:ly
/
LEGAL DESCRIPTION (office use only)
LOT It BLOCK.s- ADDITION tv t' Nf h1 eiN.IV
OWNER
(N ame)
(Address)
yT)..
~~
PIDOl..r- ~ /1'-' -0
(Phone) ~.J'1- ~()? -. Y'ytl 0
(Phone) It 1;2 - f ~ f - '7 t I ;)...
~ .5- I .).... -:2-
(Phone)
~(Jmrf
ErA. '4: IV
..J
/J1 /V.
ZONING (office use)
R.4--
TYPE OF WORK ~ Construction ODeck OPorch o Re.Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition o Alteration OUtility Connection 0 Misc.
BUILDER
(Company NameLW( NJ h1iT./V'/\/
(Contact Name) a tA'/' .y
,
(Address) IF?>' / /1/ :2 ,... Or
$ J.35'/ Ov 0 erfJ
CODE:~.R.C. DI.B.c. PROJECT COST IV ALUE
Type of onstnlction: I II III IV V A B (excluding land)
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5 tJO L.\.... F;'....l~Mt-:~
I hereby certifY that I have fi.lrnished information on this application which is to the best of my knowledge true and correcl. I also certifY that I am the owner or authoflzed agent for the
above-mentIOned property and that aII construction wiII conform to aII existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
:ficial cA~mit for::;ause Fu ermo:. I hereby agree that the city official or a d/;;- en; upon the propelty to perform neJ ~/~Il:.O S-
/ f /Signature Contractor's License No. Date
V
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
#;11'. {)(NJ, 00
$ /Z-~/, S-~
$ 832.,9e-
$ "',DO
$
$
$
$
$
Park Support Fee
SAC
WaterMeter (SizeS/Wi";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
#
#
! () 0, 00
loo.DD
35:. So
7'0, &0
TOTAL DUE
This Application Becomes Your Building Permit When A, , ." . ed
~~
s.;t3/d ~
. Dat'e
Paid
Date
82-08.1e
1-.I_c~
Receipt No.
By fItl//
Buildlllg Otlicial
$
$ J'-( ~ 0 .00
$ Z. SO, 0 ~
$ $'0. DO
$ ISoa.a'"
$ 1000,00
$ t5E)C ,00
$
$
6,2-06.Q6
1-& 8(..5""
ThIS IS to certifY that the request in the above applical10n and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constItutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Cerl1ficate of Occupancy must be
iS~ 4-JkJ r5~9),S
. Planning Director I , Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~ o./liJ ~
"Special Con~rions, if any
~
Main File
~te - Buiktlng,,)
Canary - I:ngineering
Pink - Planning
Th~ Cfnlrr or the- l.ake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1/1' .fl",' (- /~,,/ .t;....-i ,', / /1 ",/
I-'l/ C- / Vi _.)! I' / / /-1 .. v
J
-,
-:-:> If {'J F} ,-::;-
,r. L ___.)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-// r:: 7 I ,"i/I'-I) 7 .'C=- //.;C,i...-J / /' {I / ri V
'--' -...f, . ,,_/1,_/; ,; I c. v' ,/ v I)
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
IYJf6
Date:
3-/7-~.\
Comments: See Rp.verse Side for Addition~l Information! ,
/Yle, " i... r; '1<-
"
See Attachments: 1) Grading Plan~ 2) Erosion Control Measures
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."
Main File
White - Building
Canary - Engineering
(Pink . - Plann,.,
The C'tnltr or the Lllk~ COUnlf)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/ Ii t /l J~/ j I /,/ /,j 1\,/
/ (., C'~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Z. S7 I /' I I /'1 i C.- I v /-/ Y
Accepted
Accepted With Corrections /
Denied
Reviewed By:
Comments: _~
1)~ '1~
/t-LR
Date:
3(';;3/05
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."
Main File
( wniie _ - ~tilicilmn
-t;anary - Engineering
Pink - Planning
Tht (',nler of Ihe I.akr {'ounlr}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W6/\/Sr1I7f'JIV
:3,10,05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"2 57/ /1/ I1lbl2~A0f- 1/1//1 V
.
Accepted
Accepted With Corrections
/'
Denied
Reviewed By~
Comments: iG..n-d
~M~
a-tf ~~
Date:
3( ~s /05
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."
l;ll Y OF PRIOR LAKE
HEATING/Am CONDITIONING/FIREPLACE PERMIT
Date Rec'd
br_ 0 vi I.)
~~:.. ~:~ ! PERMIT Nr>. ~
], Yellow Awli...l ~~'I -,
(P~ase type or print and si~ at bottom)
A:'bDRESS
Q$'71 ~~~ tvL0
,
ZONING (office
use)
LEGAL DESCRu- lION (office use only)
LOT BLOCK
ADDITION
PID
OWNER W
(Name) ~
Wv..UU)
~o~)&SI-~~-yqOO
(Address) /~S- p~ /JA..-,H~ ~I I"hn SS/~
APPLICANT
(Name0. '~A"\h:{:./~ ON-A ~ d- F, P (phone) '1lD3. SCl i -dS'dS
(AddressL '
X9CCL/Q9J-A ~~lJ -H/CX)O ('J.nA'rl/JP,;'" ,rnrJ SS3/l4
(Address) , ~ ~~ (6ty) (Zip Code)
(Contact Person) ~ (""\~ ~n~rnn""" (phone) .Q.(p~ - S'llo-./~ , l..P
I APPLICANT SIGNATURE kl\~~ 1Jo~ DATE
_ APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
OWarm Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
OVent. System 0 Other Devices
FIREPLACE MAKE AND MODEL ~~ <I9E~
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost Residential. Gas Fireplace
539.50 minimum
Residential, Heating & NC (New Conslr1lction) $99.50 Residential, Additions & ALterations
ResidentiaL, Heating Only (New Construction) $64.50 Residential, AC Only
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39,50
Estimated Cost $ Building Permit #
HEATfNGPE~TFEE $
ST ATE SURCHARGE $ .50
TOTAL PERMIT FEE $
(omce Use Only)
This Application Becomes Your Building Permit When Approved
Paid
I Receipt No.
I By
Date
Buildine Officill
Dde
24 hour notice for 1111 inspections (952) 447-9850, fax (952) 447-4245
tOOIZOO!2J
~ooa 3~VHV~ ~IJVROJilV-
66Gl 9lS ~9l XVd co:tr SO/CO/90
04/22/2005 FRI 15:50 FAX 6513226147 GENZ-RYAN
~002l0
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
APPLICANT ~ -..P>>\ ':7.: 1"..') ! ' (' ,,-,
(Name) C I LJ \ c - -<_ "-\ (/(/f \
(Address) \ Lll L.\ 5 c~, r~,Dli)Sl:+ -!='LJ.
(Address)
(Contact Pel~on) C II V I j+ i -~~Lt 11~:>
/",.r, ..'......,~' ".. ) 1'. n
APPLICANT SIGNATURE _ (,,/I',/lLJ{D i..~"ltlj-,.i..() DATE .Lllnlcb
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture I Quantity
Bath Tub with or without shower I '3
Dishwasher I I -r~
Floor Drain I 12/ J
Lavatory (Bathroom Sink) I'
Laundry Tray (I or 2 compartment sink I
Shower Stall I
I Sinks
I Bar Sink
..s I Water Closet (Toilet)
(Please type or print and. siltll at ballam)
ADDRESS "
/'It:..i l' '''1, l-r-,"'-/ 1,\' I \' I ' ~.f)
_ r7( ) I L, /VLCI L.I --'1 (.l \ \...A..IHj
, Ii' \
!""j l.)\../
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
~~~R Ld er",S 1"YYU'j (, \ \( XY',\(S
(Address) i gCl5 P IU{Lt" !)V/.
(- ,"'\ "''.
"') l.r '.-1.' I, ~l ;
" k,., /'i./\ ,
Quantity
.....
".,,(
}
I
)..1
I
I
FEE SCHEDULE
lllduslrial. Commcrcial & Multi-family l%ofjob cost with a $39,50 minimum
I. l!lue File
2 Gold CilY
) yell...., AJ>i,licMlI
IPERMIT~-~O
ZONING (oIlicc
use)
PID
1,,,\ ;1
i \ i ( I
(phone) C(f)I~(105 -. _3lCCJ
T::'LTl(/~ l) ,''''\ /'v:\ ~~ h~ i ~,~
\ _, // A. \, , I j ,...:1-.
(Phone) 05 j -l,I'~3-} i Ll U
F~(6CltGUrTt ,F-r(JlP5
(City) (Zip Code)
11)"\ l'i,"').j\lltl
(Ph ) I ' I - ,i c^. J ' -I
one \,J '
TVI>e of Fixture
Roug.h-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
I Lawn Sprinkler
i Other
Residenlial, New Olle & Two-Family $99.50
Residential, Additions & Alterations S39.50
Estimated Cost $ Building Pemlit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Onl)')
This Application Becomes Your Building Permit Wben Appl'oved
Bulldinl! Official
Dale
PAID wm.t
.50 eUllOING PERMIT
Ii, F,81d R~cdipt No,
~. ~;' i '
jtD8te APR 2 8 200~ By
~ 'U
24 hour notice fOl' all inspections (952) 447-98J;O, fu (952) 447-4245
16200 Eagle Creck Ave" S.E., Prior LaI{(l/.;~'\I"(~.5~n"1714_
,
04/22/2005 FRI 15:50 FAX 6513226147 GENZ-RYAN
~ 003/\
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(l>lease type or print and sil1;n at bottom)
ADDRESS
.-, ----.., ~
' j........)
C;.-I.....
UJ/l+Cu/fit\ ~ \J tL.Li ~JL~)
LEGAL DESCRIPTION (office llse only)
LOT BLOCK
ADDITION
~':;,R l,Uert.{'(Yl.,(\(1 +'+O('()(~5 \ tl C
(Address) i xQ5 PlaZd Dv. s+c. ~Xf)
(Address)
APPLICANt ..:',-r:"'t'\:7. _ 'I,") \ ,/'; ,,',
(Name) l ".\ LIt, lc .lulA I
(Address) \ L.-,r/ q G z~ I<C)rx".v+ 'lr L
,. (Address)
(Contact Person) (~"I"l vt?l'l ['''(L I )::S
APPLICANT SIGNATURE (Jl!vttJtJ) y!zt{jLJ
~. ~"' ~~~;', I PERMITN- ~ ~/6
], Cold "ppbaml l\.;;) - ~
- ZONING (office
us.)
PID
I c::- () 'F -3'/ ''\ ,-"
(Phone) (FJ 1- L~d)J -', ICY
C") '/',
1,Llr,Ll / ')
] (City)
~.55J ~~
(Zi-r Code)
(phone) Up)) -- (J (~t?)'- I \ LI W
}.<ffill'lG,\J Iry~ :J]J({) (3
(City) (Zip Code)
(Phone) 5'IJn\iL..,
i-.i /~.)~) ICtS
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches,
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PYC 0 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 $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 $
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Offict Use Onl~')
This Application Becomes Your Building Pel'mit When Approved
8uildinl! Official
Dllte
Building Pelmit #
$
$
$
-, PAID WITH
OWlOING PERMIT
P.aid
I
Receipt No.
iDati'R 2 8 2005 By
1 j
24 hour notice for all inspections (952) 44A,,\9850, fax (952) 447-4245
04/22/2005 FRI 15:50 FAX 6513226147 GENZ-RYAN
flI 004/013
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
1. Gt<en
, V.llo\\'
~:~, I PERMITN~. r. ~I ()
,lflIlIie.n1 ~.
(Please type or print and si~n at bottom)
ADDRESS
/'l?" '''''1 \
/-;A ,..) I
" l' I I'
I I ' , ~',';':) (' !, !
\.A )(Al fA -/ L-Lk
LUClCi 1\ I elJ
1
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
~':~R LU l?t 'Dry! {l JllLJ'O{\i^(~~ iJ~I~"
(Address) \ tq5 PICC?1) Dv, C;d(~?{r)
I f 1/Y:::' '3 7/' I~
(Phone) LO JI-l1U:J' - LY1
APPLICANT (-~lr~'L"(..7 J/; I /') ^'
(Name) I,.!.L: -Lt."'- c' l j! c,L/r' 1
-r=/lC1 ((YI r\/) N
.J'
(phone) L(5) ~ L/,~~- i i Lillo'
..',...,......
'~t:'{;'Y10U(Tt. 55C'iJJf)
/', , (Address); (Oty) (Zip Code)
I .Is,,!.. -,~'},- "t-.. II I 1,( -<' ''\ '1
(Contact Person) I. ,/ J r 1 ~?1 I !.... ~~L I ,:) " /l (Phone) _ JtJ/I/Lf ../
i II" I { /\' " ../111/1"/' / . f.J'l l.....,k
APPLICANT SIGNATURE l.> Vv V) CO C(f (/0:-. ' DATE ..--/ I ,-1 J( j )
APPLICANT PLEASE COMPLETE BELOW
J2jNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL Lt('f,()r. CTLiCuH '3u,r.) .(j() FUELi'\Cd . Cl(,t~
FLUE SIZE RETURN OPENINGS ,5 INPUT C}(It.u OUTPUT 7J.U.i)
TYPE OF SYSTEM HEATING OR POWER PLANT
.e9Warm AirPlan\s 0 Steam
OGI'8vitv 0 Hot Waler
[!..Mechanical 0 Radiation
Uir Conditionil\g 0 Special Dcvices
OVenl. System 0 Other Dcvices
55/~~
(Address) Il.)l iif')
(..~ r~(" IVY.' /,4 1\\/
~.. 1 ....A./\./ I, r
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Residential, Heating & Me (New Constl11ctiOIl)
Residential, Heating Onl)' (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39,50 minimum
$99,50 Residential, Additions & Alterations
S64,50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-family
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
ST A IE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PArD WJn.f
BtJrto'NG PERMIT
.50
(Office Use Only)
This Application Becomes Vour Building Permit When APproved/'
I
i
:t>Md
Receipt No,
Duildin!! Officinl
Date
ifJR 2 B 2f1D'i
By
24 hour notice rOl' all inspections (952)i447-9850, fax (952) 447-4245
ij-11- S
flv~J./ oS'. 02,,1 fJ
I PERMIT NO. 05', 0.3 71 I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White
Pink
Yellow
File
City
Applicant
(Please type or print and si~ at bottom)
ADDRESS
,)5? / tJ(:{ 7",-- ~~ /I
~~Y
/
/Yt-.'
LEGAL DESCRIPTION (office use only)
LOT/~ BLOCK,j- ADDITION W{'Nfm<;/VN
Date Rec' d
ZONING (office use)
~ rJ..
/d)1
PID e::11.r- "YIP ~ I#!!J ~ 0
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
IJ"" 11..1'
(,JeN.J'I"1I9/v/v
(Contact Name) Ge:rr7
(Address) Ii 75' / h- z. t:I'-
(Phone) t,~7- ~4t -~YVIl
(Phone) {, I ;J - J&, 9- 7 ~ /.:L-
/#/J 5.5/.,2:2-
I hereby certifY that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authoflzed agent for the
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;:;oke this permit for Jst ca; Furthermore, I hereby agree that the City official or a designee may enter upon the property to perform necded mspections,
X "'</~ J~ /.yfr "Y-/I-o~-
- / (;/ Signature Contractor's License No, Date
rill. dO(J. d ()
$ , l.br, . 25"
$ /3 tf,t) to
$ 5, S (')
$
$
$
$
$
TYPE OF WORK~,
DAddition
~"'R/J
-V
'... ODeck ~h ORe-Roofing ORe-Siding
OAlteration OUtility Connection D Mise,
OLower Level Finish
/)"
CODE: r'if,R,C. OLB.c.
Type of a;;stnlction:
Occupancy Group: A B
Division:
B
S U
PROJECT COST IV ALUE
(excluding land)
I
E
II
F
1
III IV
H I
2 3
V
M
4
A
R
5
Permit Valuation
Park Support Fee
#
Permit Fee
SAC
#
Plan Check Fee
Water Meter
Size 5/8"; 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
Gas Fireplace Permit Fee
TOTAL DUE
This Application Becomes Your Building Pennit When Approved
~.. '. !)~
~--'I
Butldmjl OttlCIa
Paid ~? .((-, e (
Date '" 14/ . ( j-J
I Receipt,No,
IBv fP
5/~~S-
,
Date
o Fireplace
t7fI
$ 75"(;J{)
$
$
$
$
$
$
$
$
$ 3'15',r1
4f/(,'1
/
ThiS IS to certifY that the request in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested, This document
when signed by the City Planner conslllutes a temporary Certificate of Zoning compliance and allllWS construction to commence, Before llccupancy, a Certificate of Occupancy must be
iS~ ~ 5i~J,.>
Planning Director . 0, Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
White . Building
Canary - Engil1eering
(Pink _ . Planniiig)
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:
'/
/
Accepted
Denied
Accepted With Corrections
~
Reviewed By: ~ ~p
Comments: ~ J,6"r ~ ~ t:rLA~~O
;tv I) c" J- I"Z I 0-4- ~ ~, r~ t:f'~., 1
Date:
s/~~s-
'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.1I
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 25 7( W~T~&.. wp...y ~.~.
NATURE OF WORK ~ CO~~","(,Ti.f-,.) No LL., Fi""'~Hq
USE OF BUILDING S.t=: ^.
PERMIT NO. ():;-. (> 2/0 DATE ISSUED '3('Z. ,/o~
CONTRACTOR ~AltJ ~~ PHONEiJ2-~,q -?i.I~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
, THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF Main, File
BUILDING AND INSPECTION
.
r I DATE
I ~/C;/th
, ". , ..
FOUNDATION (Prior to Backfill) I P // ~~~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
l-L. ,e T' ROUGH - INS
SEWER/WATER/SEPTIC q~ ~/; t/-l/-~
FRAMING t,) ( -=f{),/
INSULATION , d 2u.k ~ l
ELECTRICAL
PLUMBING Lt9 PI; ~;f
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
FOOTING
n I INSPECTOR
"-XJ I \1 )
Pi> ~
ft$
f/)} ;;)~
~ "'cP
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
liAri'll! / ~u.~WJeIrf' 1\ I I
,I '54$~ L)lt\\'tu~ FIN A L S
GRADING (Prior to Sodding) Ii Ifl. r~1 <1, (J.y
/lVW'
BUILDING We.. 1)
ELECTRICAL
PLUMBING ;;) AI.? II /0\"
HEATING , Wf"J ( ,~'..{t)
'-../
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.
,;,..(t)
FOR ALL INSPECT'ON~ rClS2) 447-9850
,-"","""
_!lIWi,~" ____"_._,~.~
~"~~A~ .
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS :2SlI
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
IJ~;TIIC'
SCHEDULED 'I <.. ~
Waiu -2QQ.-
TIME
CONTR.
PERMIT NO,
5-210
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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,0 'JPRK SATISFACTORY, PROCEED
~ORRECT7f; AON AND PROCEED
o CORt2EC K, CALL FOR REINSPECTION BEFORE COVERING
Inspecto : Owner/Contr:
C L5 44~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO~QUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNon
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS -;;zs 7J
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
1J:: FINAL
'0 SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED
8 -Lo-o-S-
\~~
CONTR.
PERMIT NO,
t;"-ZtD
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
.,Jt..MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~.~~~R TST
u~_.)~--~
~~1(zi4
~RK SATISFACTORY, PROCEED
i-CORRECT ACTION AND PROCEED
o CORR~I ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: OWner/Contr:
CAL _ 44. -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE 8'lo-oj
INSPECTION NOTICE SCHEDULED
ADDRESS )57/ 14~h/~11 V6tY
/
OWNER CONTR,
PHONE NO. PERMIT NO,
o FOOTING o PLUMBING RI ~~ILLlNG
o FOUNDATION o MECH RI o C INT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~NSPECTION o PLUMBING FINAL o GASLlNE AIR TST
o MECH FINAL 0
COMMENTS:
Gr~~~- rf!) /L
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MWORK SATISFACTORY, PROCEED
V O"cORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspect.or:~ Owner/Contr:
CALL 447..9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNon
Job Address ~ ~er/'..J/
Heating Contractor ~&tb+4
Name of Tester -r:{"
Date ~II'/.J
'gof,.
'tfq.~
'7'(,
Percent O2
Percent CO
Percent C02
Stack Temp 3'1'.
Combustion air is adequately supplied per
Input
UMC Sec. 606 V4L.J
( -
-
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R..2 Districts'
Reviewed by: ~ 7~f- Date: _S("z-3'/dS:-
Building Permit # PID:
Address: dS 71 ~5> 73 c;S7S' .;>~??
.I ~ ".
Legal: L /8;1 8 fl!)S Subdivision:
, ,
/5; I~
Existing Structure? YES@
CONFORMS TO ZONING
ORDINANCE
I Yard Setbacks: NA I FAILS/~M~
I. 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
I. Rear Yard
. Patio Door: provide for minimum 10' deck or sign
statement indicating 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)
I Floor Area Ratio: NA IFAIL~N1PL:E'
, Yard Encroachments: NA I FAIL~PLI~~
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 Preser/ation~FAILS I COMPLIES
. Total caliper indies
I. Permit 25% Removal
I. CaliDer Inches Removed
I. CaliDer Inches Preserved
I. Replacement
L: '.TEvIPLA TE\BLDGLlST.DOC
Zoning:
t.JMk.~~ ~ /V,W.
W0L4 A w--e. -.., 4~
Existing Nonconforming Structure? YES~
YES
NO
Standard
25'
10'1
25' if abutting a street
Proposed
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,
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1 0' setback +
2"/1' over 50'
25'
10' sidel
25' rear
30'
JJ A,
f'JA
75' or setback average of
adjacent structures, but no
less than 50'
}lit
,30 Maximum
I e,.4.-\ p u.. 0
Standard
Proposed
rJo,Jt;
fJorJE
Standard
Proposed
~:1
..
Driveway: NA / FAILS /~MPL~
· Maximum width at property line
· Required setback
I. Maximum slope
· All parking areas to be paved including R-V or
spaces adjacent to the garage
I. Location to match subdivision grading plan
-
I Building Height: (OOMP~/ FAILS
Shoreland District:~;j)FAILS / COMPLIES
Minimum lot area (square feet)
I Minimum lot width
I Shoreland alterations
I Impervious surface
Bluff in Shoreland:(tW/)FAILS / COMPLIES
~
. Setback from top of bluff
I. Bluff impact zone
I. Engineering certification submitted/approved
I. Grading in bluff or bluff impact zone
Floodplain:~A') FAILS / COMPLIES
. 100 year flood elevation
. Lowest floor elevation
· Proposed lowest floor elevation
. Elevations 15 feet from structure
. Road access must be no more than 2 feet below
Regulatory Flood Protection Elevation
Accessory Structure:~} FAILS / COMPLIES
. Size
I. Not located in front yard (Materials)
. Side yard and rear yard setbacks
. Maximum height
I. Materials compatible with principle structure
L',TEMPL\ TE\BLDGLIST ,DOC
Standard
24'
5' from side lot line or
30' from r-o-w on corner lots
10%
35' Maximum
Standard
7,500 Rip, 7,999 Non-rip
50' Rip, 57,3' Non-rip
30% Maximum
Standard
By planning dept.
20' From Top of Bluff
By City Engineer
No importing/exporting
Standard
908,9' Prior Lake
914.4' Spring Lake
909,9' Prior Lake /
915.4' Spring Lake
Must be l' above flood
elevation for new and existing
structures. If existing
structure was constructed
9/19/90-11/22/97 then
additional foot is not required.
Must be flood elevation or
higher
907.9' for Prior Lake
913.4' for Spring Lake
, Standard
I 832 sq,ft. or 25% rear yard
I
10'
15'
Proposed
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Proposed
Proposed
Proposed
Proposed