HomeMy WebLinkAboutBuilding Permit 04-0923
@rrfifitafr lIf @ttupant1!
CITY OF PRIOR LAKE
~tparfmtnf af ~uil~ing Jf nspttfian
Cfrinal Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D International
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 FMlILY 04-09 ~3
Use Classification
Bldg. Permit No.
Occupancy Type
R3
VN
Rl
Legal Description
Type Construction Zoning District
L2, B4, THE WILDS SIXTH ADDITION
3230 WILD HORSE PASS
Site Address
Owner of Building
PERFORMANCE COXSTRDCTION, 5524 HIGHPOTNTE COURT, P.L. 55372
Contractor's Name & Address
ROBERT D. HUTCHINS
City Planner
.JANE KANSIER
Date:
Building, Official
,/
\'
Date:
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
3J30 W;/J
Date Rec' d
~ 11-0L1
I PERMIT NO. 04-. 0 Cf13 I
White
Pink
Yellow
File
City
Applicant
LEGAL DESCRIPTION (office use only)
LOT Z BLOCK 4 ADDITION
I i. OS ~ Ixrl
OWNE~
(N ame) ~ o\""WU\-"b-
~~"~.&J
(Address) 5.5 2
I~ ~~O'.u"k. C~~ ~. t:
-'
PID ~ -5 --
ZONING (office use)
.n
IJ. Od-O~
(Phone) '52,. ~'IO"'/"{.:r
u
BUILDER ~ ^
(Company Name)~~W\"''''~L C.O~-4-f'uC!.4-\'e,.J
(Contact Name) -:r~1't\~ A. ~ \e..\'\--.
(Address) S'.sZ I "'~ r~ ~ro
(Phone) 'lS2~~~(j"/.(a
(Phone) q -S2- CJ "Z - ~ e; s 7
&J
TYPE OF WORK ~New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAdditlOn DAlteration o Utility Connection 0 Misc.
CODE: MI.R.C. DI.B.C.
Type of &nstmction:
Occupancy Group: A B
Division:
II
F
1
III IV V A
HIM R
2 3 4 5
I
E
B
S U
PROJECT COST IV ALUE $ '3 SO.. 000
(excluding land)
I hereby certify that I have furmshed mformatlOn 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
above-mentIOned property and that all constructIOn will conform to all existing state and local laws and will proceed in accordance with submitted plans. [am aware that the buildmg
Iltlicial can re lke this per 1t for Just cause Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the property to perform necded mspectlons.
Signature
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
IOb,ao
!6(),Df)
3s-. S:-O
'tJ,()O
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
,
~/Jloi
, date
13uildll1~ Ot1icial
$
$
$
$
$
$
$
$
If .14-~OV $ 9. 7 t33. 7.
i ~;ceiPtNo~~IIr)
~ 203'1.5"777
Contractor's License No.
Park Support Fee
SAC
#
#
lS-19-0Y
Date
3'5""0,0 e
~o,Oo
10.00
ZOo,oe
00, 00
fS""OO,Oo
Water Meter
~~~te
ThIS IS to certify that the request In the above applicatIOn and accompanymg 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 Zonmg compliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be
i~-l~
Planning Director
Pressure Reducer
Sewer/Water Connection Fee
#
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Water Tower Fee
Builder's Deposit
Other
#
TOTAL DUE
I ~~~ 'fl ?~5 ~
Special Conditions, if any
Thf Cfnlfr of thf Lake COUnlf)
White - Building
Canary - Engineering
(~Pi'IL - Plannm9:=>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.. l
JI1
j
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
....z,,' "
'----'
Accepted With Corrections
/
Accepted
Denied
Reviewed By: ~ ~ Date: 9/3 ft?l'
Comments: Jf~ aLf ~ · A. '<::. ~ - ~
~~ ~ p?~~~r
~ 01 ~.,--~,~,
"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."
'he ('enler of the I,akr Counlr)'
ite - Build"
- Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constru~;;~ WhiCh;;JdJ ~ /}~
Accepted With Corrections
/'
Accepted
Denied
,...
Reviewed By:
Comments:
~
Ki,-t! ~
~
~,
Date:
;74/00/'
,
"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
~ary - I!!!nQin~ermQ~
Ink - Planning
rhe C'tnltr uf Ihe t..kt Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
"
f -
A...../~) ( ,>)J
" //.l,7L{.'t;..~,
APPLICATION RECEIVED
/-\
,-/'<;'
.~ Cf" i~) L!
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: i
_~.,' ./i ,I"; , ./ " 1
.~) ") '3-' I') ;' I;' I !l//' l.l.lY. -,; < I I'~" {. .4/
,._.) <:.~ L i if, .(./\.{.,., t rr '" .~.,..."i '1"'''''''''''
t/
Accepted
X.
Accepted With Corrections
Denied
Reviewed By:
1;118
Date:
7 - / '(-t), <,
Comments: See 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,"
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
ADDRESS
3d~O
LEGAL DESCRIPTION (office use only)
LOT BLOCK Lj ADDITION
OWNER D ~
(Name) r ~X' \l ~l f\L-c::.-
(Address) S
'Se
PelS
',\ds
q, /1. 0 r
I Green File I PERMIT NO
2. Yellow City .0 A_ oq 2.3
3. Gold Apphcant &.f'..
ZONING (office use)
PID z..r.
Z.OZ--O.O
~STrLLC -\-\OV\
vt
l l { (Phone) Cfsd - t.W-b -/l D LD 3
PfiOr ke 5S37"J.
(City) (Zip Code)
APPLIC~T
(Name) r\ 'C\[l \
(Address) \"3 \ s
6V't\Jle.
N\ OS a. S
(Address)
(Contact Person) \l Dr\, V\ I. R
APPLICANT SIGNATURE
\ Y} r_
S \'f L€- -\- tt= \
M L u) \ \ \ \ ()"VY\-~
(Phone) q Sd. ~ d-""3"3 --I d-D 0
S'ho. ~~e 5s37~
(City) (Zip Code)
(Phone) q5~ -a33~1 dOl)
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service \ inches.
Location of any couplings from structure -=-- feet.
Type of sewer pipe. D ABC ~PVC D Cast Iron
Estimated length of sewer line 55 feet.
Clean out (if required) located at - feet from structure.
Residential sewer and water line connection
Sewer connection only
Estimated Cost $
FEE SCHEDULE
Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Water connection only $17.50
Building Permit # d ~- 09 Zoo :1
$35.50
$17.50
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
!~
o ()Y
fw1 ()~.
6v
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Building Official
Date
By
Date1, n.oV
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~. ~~ ~:~ I PERMIT NO?) t/_ o,~~
3. Yellow Applicant , ~ L L~::::J
g;230
r'
tu~'
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
~~
(Phone)
IOWNER ?~
(Name) . OZ/],/}f~
(Address)
APPLICANiT ~ \ P ,
(Name) 1...'(";., '- ,-(<....Co lv~b,^C) T 11\<.. ~
(Address) ""S66'O L.lJ,I\(),^,~c>C'("l -~+-
(Address)
(Contact Person)
(Phone) ~ I L - Y K :) -- ,) ).. 4 c1
? r :0 ( L.-,k '-- <;- S- ) -1 7-
(City) (Zip Code)
(Phone) h \ 'l ~ LIt} ) - c\;) q c<-)
APPLICANT SIGNATURE
DATE
I O-;A 7 - oei
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
:<. Bath Tub with or without shower y Rough-ins
I Dishwasher I Water Heater
1 Floor Drain Water Softner
y Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
() Bar Sink Lawn Sprinkler
~ Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
Building Official
Date
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Date
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 OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/1 Z-y 04-
~. :::e:n ~!:y I PERMIT NO. 04-.09231
3. Yellow Applicant .
ZONING (office use)
32-30
t/v I t-LJ J-ftJ K-J'6' /''/j.Lf
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIDc:~j. ,If z....(I 2-0. ()
I OWNER
(Name)
(Address)
(Phone)
PLICANT/ v
ame) (j;N..L"'1!.t
F"~ P It. L~ ~
~one) &/2- V/t./ - ~ "Z"-{ ~
(City)
(Zip Code)
tact Person)
s(-C)
(Phone)
ATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
e. stem
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
EL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ Building Permit #
6{
vJlflO Ot/"i'L-
r '[} tJ I V
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Official
Date
1.-) 0;'-
(Office lJse Only)
This Application Becomes Your Building Permit When Appro
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS 37 ~o w~ ~S
NATURE OF WORK ~E.w Cb~S'OtMc.:rION
USE OF BUILDING S.F: D_
PERMIT NO. () ~. 0 fZ-3 DATE ISSUED m~
CONTRACTOR ~~ (~ PHONE · l/'IlJ .,,--, ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
PI> 4> /0
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
100-116" /~^P I I
,
FINALS
GRADING (Prior to Sodding) lo- 3-.) 7
BUILDING
ELECTRICAL
PLUMBING We
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.
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
t
DEPARTMENT OF
BUILDING AND INSPECTION
\.We..
DATE
;, 2'~
FOR ALL INSPECTIONS (952) 447-9850
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by: ~ ~
Building Permit #
Address: 3230
Legal: L ;;;. l B
Date: JP(ot(
PID:
~~~
i
Zoning:
~~
Subdivision: ttJ:L:flo
,~
Existing Structure? YES ~
Existing Nonconforming Structure? YES @
I CONFORMS TO ZONING
ORDINANCE
YES
NO
I
.
Standard
25'
10'1
25' if abutting a street
Proposed
2-S'
.
/
W(l.f1- - ,~.
. Sidewall exceeding 50' requires additional side 2"
setback for eve l' over 50' in len th
. Rear Yard
. Patio Door: provide for minimum 10' deck or sign
statement indicatin no deck will be built in the future
. From 100 year flood elevation of wetland/NURP
ond
. From OHW (Prior or Spring Lake)
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
30'
f'JA
f'JA--
75' or setback average of
adjacent structures, but no
less than 50'
NA
I Floor Area Ratio: NA! FAILS@MPLlES./
.30 Maximum
I. 1'78Jo.
-::.
Standard
Proposed'"
o () U€';"" -:
I. ,\,,: \~ ':~- .~.
,....,v~~~~-,~,.,.,.~,?-
-
Tree Preservation(rN&.l! FAILS! COMPLIES Standard Proposed
. Total caliper inches ;.
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved ..
Replacement ~:1 . .: ....
.
L\TEMPLA TE\BLDGLIST.DOC
Driveway: NA I FAIL
. Maximum width at
. Required setback
.
.
.
Ian
I FAILS
Shoreland District'
Minimum lot area s uare feet
Minimum lot width
Shoreland alterations
1m ervious surface
Bluff in Shoreland N / FAILS / COMPLIES
. Setback from top of bluff
.
.
.
Floodplain: 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
Re ulato Flood Protection Elevation
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L:'TEMPLA TE\BLDGLlST.DOC
Standard
24'
5' from side lot line or
30' from r-o-w on comer lots
10%
35' Maximum
30% Maximum
Standard
By planning dept.
Standard
908.9' Prior Lake
914.4' S rin Lake
909.9' Prior Lake /
915.4' S rin 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 re I.Ifred.
Must be flood elevation-or
l'1i her
907.9' for Prior Lake
913.4' for Srln lake
Standard
832 s .ft. or 25% rear arc!
10'
15'
Proposed
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Proposed
Proposed
Proposed
Proposed