HomeMy WebLinkAboutBldg Permit 04-1023
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I, 7. ,f-
I. White File I PERMIT NO I
~. ~~71~w ;:;licant . 0 ~. /0 Z 3
~o ~E.
(Please type or print and sip at bottom)
ADDRESS ZONING (office use)
PIDZ5: ISS. 02,4-. ()
(Phone) 440-4eAq o~
S\q\
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LEGAL DESCRIPTION (office use only)
LOT 2.2BLOCK 2- ADDITION tlfl1Y16[.;/-..- P4/J..o
OWNER
(Name)
M~v. ~'->\~~
5\q\ ~OPE. ~\. ~E
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
Ie/SD
TYPE OF WORK 0 New Construction DDeck OPorch ORe-R~ng ORe-Siding OLower Level Fimsh 0 Fireplace
OAdditlon DAlteration o Utility ConnectIon l'Misc. f)/i.71'tUf&D IiA~ 4&
CODE: rii.R.C. DI.B.c. PROJECT COST/VALUE $ z.-O/ 000. 00
Type of a;~stnlction: I II III IV V A B (excluding land) . .
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
I hereby certify that I have 'lmished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authoT1zed agent for the
above-mentioned prope n,~;)cOnstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
;cial can revoke Ihis rJ'J.j:J, ause. Furthe~more. I hereby agree that the city official or a designee may enter upon the property to perform nec;hk~'
- '/ . ~ Signature Contractor's License No. I ':II:. D'te
I "
I Permit Valuati16n
I Permit Fee
I Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Izo I Q,CJ O. Qt)
$ 33Q.OO
$ Z:z:e. ~ r;
$ J o..Ll 0 I
$
$
$
$
$
TOTALDUE ~ lO.ft04-
..5h9..3S'
/0.8.04-
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
#
#
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
$
$
$
$
$
$
$
$
$ 5 (, 'f...35-
I
I
This Application Becomes Your Building Permit When Approved
I Paid
I Date
ReCeijN'7B.7Z
BY~ _
~~
Building Otlicial
~/~a~/l) '/-
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 constItutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Celtificate of Occupancy must be
1-/ J:e~
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
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by: <;;>. ~ .
Date: '. 7.,"1. o~
Building Permit # PID: ~. , SS. 02.,<<_ 0
Address: Sf'i I 1I-pc. Sit~c.t
Subdivision: 2.'2. 2 ..A~C; 1Ju1.R P ~
Existing Nonconforming Structure? YES l"ID_
Legal: L 2,1. . 8
Existing Structure? ~ NO
CONFORMS TO ZONING
ORDINANCE
Yard Setbacks: NAI FAILS/COMptjES~
· 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 1-0' deck or sign
statement indicating no deck will' be buITt in the future'
· From 100 year flood elevation ofwetrapd/NURP
pond 'L,' , .' .
· From OHW (Prior or Spring Lake).
I Floor Area Ratio: NA 1 FAILS 1 COMPLIES
. ,
; ~""==~::'~_";'::----';:"--~.'." .'--'
/'''~-- ... ._-,_._-,.:.---::.~
~::~.~. J ...... ..rre~prese~atf.O.ll::..cNA.,..LFAllst c. 0... M....PtJ..E$:~..~.:. ':.....~_
1... .ltotafeal1O~.--""""""-' .' "~"""""
I., P'ermit2.5o/a.Removal
I.. CaliperJtrches Removed.
I, .. CalioerJilchesl?'reserved
r. Replacement
L:\TEMPLA TE\BLDGLlST.DOC
Zoning: R.' S ()
~:V),
YES
NO
Standard
25'
10'L
25' if abutting a street
Proposedl-''':'''''~
10' setback +
2"/1' over 50'
25' f
10' side/
25' rear
30'
75' or setback average of
adjacent structures, but no
less than 50'
..J
J . S t 8 SQ''',t?,d~,L.,_ Ji
:;..._~,:;:~t:~~~jd~~;5~~;'?~'~'.
.30 Maximum
I ~,SQO)i!!
Stancfarct
Sfarroarcf:
~::1 -
.~
- t
~
I Driveway: NA I FAILt'/ COMPLI~
· Maximum width at prt)~erty ine
· Required setback
· Maximum slope
· All parking areas to be paved including R-Vor
spaces adjacent to the QaraQe
I. Location to match subdivision grading plan
, Building Heigh~OMPLlEiJ)AJLS
"-" --
"
I Shoreland District: NA I FAILG I COMPLIES",
Minimum lot area (square feet)
I Minimum lot width
I Shoreland alterations
I Impervious surface
I Bluff In Shoreland: NA I FAILrT'COMPLlES ...,..
-
· Setback from top of bluff
I. Bluff impact zone
I. Engineering certification sUbmitted/al?,proved
I. Grading in bluff or bluff impact zone
t'_L
I Floodplain: NA I FAILS~OMPLlE;' >
. 100 year flood elevation
· Lowest floor elevation
· Proposed lowest floor elevation
. Elevations 15 feet from structure
· Road access must be no more than 2 feet !Jelow
Regulatory Flood Protection ETevation
~ ..
Accessor't Structure: NAJ FAILS r ~OMPtlE$ l
.. Size- - ---
I. Notlocated in front yard (Materials)
.. Side yard and rear yard, setbacks
. Maximum height
I. Materials compatible with principle structure
~...~~,.
L;\TEJ\tIPLA TE\BLDGLlST.DOC
Standard
24'
5' from side lot line or
30' from r-o-w on comer 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
Bv City Enoiheer
No Imcort.illglexpocting
Proposed t
. ,'- '"
.~:
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!
:l
Proposed , ._, ~ _
~- . ,~...jrfr?I~'l
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~.
:'0 '~~,''''~'.'='?~1:::':t;:~'f>~
_,' ." ..... c,"_.,......~\....',.;\.
Proposed, . ": f
~-_ ," :}t!~~}~~.:;1~X:!=Z:,
'-Lt..~-';~~ ,.?['1~,ij1' ::;,::,:;::~
Standard
908.9' Prior Lake
914A' Sprinq Lake
909.9' Prior Lake I
915.4' SprinQ Lake
Must be l' above flood
elevation for new and existing
structures. It existing,
structure wascan~tructed
. 91t9J9El~iJ~219it.Gfiii;:;':'
,. additIonaffOoliS'I!ioTreqtUrear' "."
Must be tJoodelevatfol'tior.' ....
. '..';;",,:l:'''''!,''~~.~>'{:h''i!'i'~'#. if.,'!. ;'~-;
. '---'~'Wqner;:.::-.,--..;,.\:G':':':::,.
907.9' for Frfarlake '
913:~rf6rS-IlM!,ftaKe'
t,' Stanaard":
832 sq.ft.or 25% rearyardi '.
to'
15.
f' . ,. P'[()Po$e(f~~i:li';(';~j
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_~_,I':!!Itlll"I,,' f..:! 'I,' '~'!",'_"';l',;."::':':.,;'_~_.lltJLn~:'M'j!,':'i,:.,J1L,.Jt:..:!~ .~, ,\!~' ')!~ r\~ -.p i"1::'~"i1:"l;~~u...J~' 1111.~H!'IL,'';;jJ!'i ' it .~
~ - B!,i1dln~
~anarv . ~ineerin0
Pink - Planning
Thf ("..n'flr of .h. I..k. ("ountry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~) ,-/7-1 c
.......~- t./ , ~,
1"'1/\ fc K
APPLICATION RECEIVED
-7 7 A.
. C...
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
51 q I 1--10eE C-TIZEE-/ :-~. E
Accepted
)("
Accepted With Corrections
, "'
Denied
Reviewed By:
rn4~
, Date:
7-;2t).-o,/
,
Comments: ...Bee Reverse Side for Additional Information!
See Attachments: 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."
\"
~ite - Bui~
Canary - Engineering
Pink - Planning
Th. C.nl.. of lh. tok. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
<. UTH ~ I t1 AR.K..
7.1.04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
51q I I-tOP6 S~I <5.5
Accepted
Accepted With Corrections ~
Denied
Reviewed By: ~ ~ Date: 7./1 z..~t{
Comments: ~ a-d ~, ~4"-- ~: ~/7
I
~. ~. ,JD~ ~ ~";:::;:.:: _.~~
_ ~ (/ I , '(../~It
/'Ylad ~ ~~.,~
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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."
Tht ("tnltr of Iht L.kr ('ounlry
White - Building
Canary - Enaineering
(Pin,! ., Plannill9:::>
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
-~fl H C, ~1/\lcK
APPLICATION RECEIVED
-77.(4-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
S I q I {-,I c I~) E.. /" "j I f C I ~-,~ . t--
Accepted Y
,
Accepted With Corrections
Denied
~
Dale: y'}1o ~
~~4fA1-~
Reviewed B .
Comments: 11u.tI.ib
eu.~~... <r .
}'
"
,j. .
"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."
IJ C=O
INSTANT TESTING COMPANY
7125 West 126th Street Suite 500 Savage, MN 55378 - (952) 890-7366- Fax: (952) 890-5883
DENSITY TEST REPORT
MIKE RUTHS
5191 HOPE STREET SE
PRIOR LAKE MN 55372
Prolect: 5191 HODe Street SE. Prior Lake
Date Tested: April 28, 2005 @ 9:37 am
Ordered By: Customer
Reported: April 29, 2005
Field Technician: Ken Schaaf, ITCO
Inplace Density Results
Test Number:
2
Location:
12' N & l' E of
SW corner
13' N of center
Depth Below Grade:
Visual Soil Class:
Proctor Curve Number:
0'
1.5'
Required Minimum:
Clav loam
05-01
15.1 12.4
16.3 16.3
93 76
110.2 114.8
111.1 111.1
99 103
95 95
Percent Moisture:
Optimum Moisture:
Relative Moisture. Percent:
Field Densitv. PCF:
Standard Maximum Dry Densitv. PCF:
Relative Densitv. Percent:
Remarks:
Pads constructed of engineered fill could be subject to a loss of consolidation if left unbuilt upon over a
single winter. Penetrating frost combined with a season of freeze-thaw cycles might loosen soils to the
depth of the frost. This applies to fill composed of either granular or fine-grained cohesive material. All
pads left exposed for one winter should be inspected by a geotechnical engineer or technician.
Copies To:
Charge Codes: Mobilization
Density Tests 1-2
Charge Per Test
Mileage
#701
#601
#306
#612
1
1
2
12
Signed
Gordon J. Kopacek{Professional Engineer - Registration No. 7254
~~ p~e.
lIeD
INSTANT 1 ESTING COMPANY
7125 West 126th Street Suite 500- Savage, MN 55378 - (952) 890-7366- Fax: (952) 890-5883
Proctor Test Report
MIKE RUTHS
5191 HOPE STREET SE
PRIOR LAKE MN 55372
Prolect: 5191 Hooe Street SE. Prior Lake
Date Sampled: April 27, 2005
Reported: April 29, 2005
Submitted By: Ken Schaaf, ITCO
Performed By: Kevin Matteson, ITCO
Standard Moisture/Density Test
Curve Number:
2005-01
Visual Soil Class:
Standard Maximum Dry Density:
Loamy clay
Optimum Moisture:
16.3
11.1
Representative Of:
Density test 1
Remarks:
Copies To:
Charge Codes: Standard Proctor #303
Sample Prep #302
;~.. p,e.
Signed
Gordon J. Kopacek, Professional Engineer - Registration No. i254
~. ~
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 519 HtJl'E &'1: $'.&.
NATURE OF WORK ~ ..." ft77elccTlIICr
USE OF BUILDING . .1).
PERMIT NO. 04-, /023 DATE ISSUED 1/'&11I1i
CONTRACTOR ~ flJtI.LJJ$ PHONE." 'iIfI",.r"1'
N,OTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT '
DEPARTMENT OF
BUILDING AND INSPECTION
INSPEqTOR /DATJ.
~~7-- I 67'/ePf
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
OUGH - INS
FRAMING
INSULATION V\crr 4-r ~I~ '~~
ELECTRICAL
A
L11f
If.2.1::i, , 0<::;
..
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
oj
GRADING (Prior to Sodding)
BUILDING (Drti~ewAI{ MkSr ae: I~~. M '.,LQ) )
ELECTRICAL
/J
VVV/
L-41JJ
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
-.0.~~
!
ADDRESS
-9fl J.h,p~ ..s ~.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o ~ULATION
~INAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
L.(-IO-" 3
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
O-rv~
~
~
q'.j '\
t-/U )
~ ~
~
~
/' ,-
/ /. / ~ -
{ (AO~
\
"'-.
1 WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND P ED
o CORRECT WO, F REINSPECTION BEFORE COVERING
Inspector.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
IN6NOn