HomeMy WebLinkAboutBuilding Permit 04-0609
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
ADDRESS
.:3313 {AlIL.,OIVOOD 'puq/L
LEGAL DESCRIPTION (office use only)
Date Rec' d
5. .2,0.04-
White
Pink
Yellow
File
City
Applicant
I PERMITNO.~. O(g09
ZONING (office use)
PUt)
LOT 4- BLOCK / ADDITION
Of e! .~ W/t...LJS
PIDz-5".383.00 . 0
OWNER
(Name)
(Address)
(Phone)
BUILDER
(Company Name)
(Contact Name)
(Address)
\3 kd~ l., 13 Ln' t ! I'f' 5
Steve.. Le~Y1Dt"Id
'7> fC1vn 1((" GI'<l'l
l-JuJSot')
(Phone)
(Phone)
~vL
5tM
~"l \
TYPE OF WORK
New Construction ODeck OPorch ORe.Roofing ORe-Siding OLower Level Finish 0 Fireplace
~dditIon OAlteration OUtility ConnectIOn 0 Misc.
e best of my knowledge true and correct. I also certIfy that I am the owner or authorIzed agent for the
ate and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
CIty official or a designee may enter upon the propelty to perform needed mspectlOns.
;;l.CJ I y s B d q
Contractor's License No.
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V A
HIM R
2 3 4 5
x
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
too. 00
I ()o .t:) ~
3S. ~-O
().oO
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
ecomes Your Building Pennit When Approved
(,,-((-or
Date
B
S U
PROJECT COST /V ALUE $
(excluding land)
'5 ~ ;).0 -01
Date
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
~ #t{-o{
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
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
ThIS IS to certify that the request m the above applicatlOn and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constl!utes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certlticate of Occupancy must be
isstl >d
o
<.!)
(jl
0.9 t-J \.
cv '..,. \.
(/' 'cP
J
/' APPROVED
____ ......- '/ PLANNING DEPT
......-/ 962~ I? iJ.ro/
/90' ~ 1. Slgned~ Dare0!!LOt(
......- ~~ ,'<v
......- ......- x963.5 ~~y ~O" Benchmark: Top Nut
......- 96,..9>~. -SO Hydrant Northside of
~ 9636 / 2.9/ ,,<o-s" Wildwood Trail opposite
J? . fl61.8/ ~ Lot 4. Elevation = 976.51
\ II /
5 x9.62.8 I L --<, 960.0x Spot Elevation
Proposed Elevations: 96 ~ / A' I /roO' 0 (960.0 ) Proposed Elevation
:2 . I \ 4l "
Top of Block= (978.4) - :'-9 0 "':.9 'v Areas:
Garage Floor= (978.0) 1VS9::>'0' s 6'~ Lot = 24,995.8:i: Sq. Ft.
Basement Floor= (969.4) 0, ~ ~\.9~ Proposeed House = 3,018.7:1: Sq. Ft.
S, ~ J.ouo Proposed Drive = 784.9:i: Sq. Ft.
]Iv "-.... Area of Lot covered by proposed
PROPERTY DESCRIPTION house and drive = 15.2%
lot 4, Block 1, THE WOODS AT THE WilDS, Scott County, Minnesota.
I hereby certify that this survey, plan or report was prepared by me or under
my direct supervision and that I am a duly Registered Land Surveyor under the
laws of the State of Minnesota.
w. BROWN Li\ND
8030 Cedar Avenue South Suite 228
NORTH
Scale: 1"=40'
--r-
l+i
I~
Iron is 0.33
east from line
tD
/cD
rr)
f--
()
_...J
P"-oposed Contour______
Existing Contour /' ---
Denotes Wood
Hub Set
.
Denotes Iron
Monument Found
Denotes Iron
Monument Set
o
W. BROWN LAND SURVEYING, INC,
APPROVED
ENGINEERING OEPT
~~_J)
-Woodrow A. Brown, R,L.S NO. 15230
~/~~
Slgne' ~ Date __III...'/?
Dated: May 14, 2004
78-04
88/20
1 of 1
~~
White - Building
C Canary - Engmeering~
Pink - Planning
Tht' ernlef of Ihe l.ake Counl~'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ ;;Sit ,I....,' e..c:'.?',," , ,- .' ....'"".
vl,..-.. ! / ,-" l)t//f.......ijc:/(::..~
"r"- 7
...:......'. ~
(''\ ..4
..../~._~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
..:::~ /,.3 lVIL-I.) tVOOl~
-;r1,..-.L...J i/,.
#,.;T~!'I# ,~
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
mJ-8
Date:
~-J g-O<j
Comments: SAP. RAVp.r~p. 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."
,
, .
The ("enter of the I.akr ("ounlr~
White - Building
Canary - Engineering
c:::::::Pin~ - Plan~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1':/ !.' i~ /--' ..' " , ,.' 1/ '. Z .
1../'{.- /"1/'- r..::-. 1/( Ii - L' ie'- ,.',
.---- ~ .- _' I ......--r
)' '."1 //,.-" f1 __
..... .....,---
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,~-? 2> I":":' I vlL 1./ / l ( (~L-- /f~ll L...
Accepted
)<
Accepted With Corrections
Denied
W1~
Date:
t-'I'-oY
,
. 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."
-
rhr (.rnlrr of tht' I.akr ('ountr)'
~e - Buildillg:::>
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f3L-/1~ /3t//t-t:JE~5
6. 20. 04--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3~/3 W/L-DtilOOt) '~/L-
Accepted X
Accepted With Corrections
Denied ~ ;{ /
Reviewed By: W q'-= Date:
cf7me~ts: ~
~~ aUf kJ ~
t,- ft-o c/
"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."
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
S Je.JJ4-
231. e~~:w ~ii~~. I PERMIT NO. d'/-. 06, ()C I
Gold Applicant, / ,
ZONING (office use)
3~):3
/A); J)LJ<JO d
.--. ~
/,-.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID zs-.. 3f'J. (JO
OWNER
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT /I '/
(Name) gc. I 0 1!Y7 + fr p'-' ~ c', ~
(Address) :5 7,8.'3 I.. ~ c
~ (Address)
(Contact Person) JJ D. n
APPLICANT SIGNATURE c;j)4/7;lfY (~ ja,j~
----
inC-
,
(Phone)
4. 5 ,.
n
l/~g. 07'7Ic~
5'"~"o ~ I
(Zip Code)
r
(Phone)
DATE
~ - )~ - 0 <I
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure _ feet.
Type of sewer pipe. D ABC D PVC D Cast Iron
Estimated length of sewer line _ feet.
Clean out (if required) located at feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
Building Permit #
o~.(; l.,p9
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$ /' .50
$/
"
IJp, (;1
r ()JL'.
r)~
Estimated Cost $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
REA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
10. 7..t) I-
~. :~n ~~:y I PERMIT NO.O ~. be. f/ a
3 Yellow Apphcant . I
ADDRESS ZONING (office use)
::s Sf 7
t,./( Lv WcJV.o
'/Jt.-L
I -
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID2j-. "] YJ . Co+-" (.
I OWNER
(Name)
(Address)
(Phone)
(Address)
M fKftr-
} 1'7 ~ 0
(Phone)
(1)- ;)?O.' '--/GSc;
('00 ~ n I!-/;JJ
(City) ,
:;-.f)Lf)
(Zip Code)
APPLICANT
(Name)
APPLICANT SIGNATURE
DATE
0);r ;)..90- 'I6S~
IO~7-(71/
(Contact Person)
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL'rork 0 }'fJ. ......II....! .s (ro /t) I;; 0 I (NO FUEL
FLUE SIZE Q ,(' RETURN OPENINGS I ~ INPUT OUTPUT
OWarm Air Plants
OGravity
~chanical
~Air Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
~adiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
I Dry(r I
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $ Building Permit #
o tt'-'
(f1' otrL-
SUJV
Building Official
Date
Receipt
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
. cJ f-
By
(Office llse Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
/ t). ,_ tl f--
I, Blue File
2. Gold City
3 Yellow Applicant
I PERMIT NO. O,tf- - ()(p () 1
.
ZONING (office use)
ADDRESS
3SIJ
tv I '- U I-v tJ I) J:) 7J'vL-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2--(: .? Y../ . 0 ~ 1-_ U
I OWNER
(Name)
(Address)
(Phone)
(Address)
pI u'~b/~
/ 1750 rvl/p ~f- Il/i-J
(Address)
(Contact Person) S'I(V( ~/}Ar.t
APPLICANT SIGNATURE g 1._ ..~
fV1 pj-hr
(Phone)
(OC) n
(City)
6/).- d.-r;D. '1'5'1
R !fPIJJ ~S- ] LlJ
, (Zip Code)
&1,)- ;;"'0 r '-I6SY
IO..7~b7
APPLICANT
(Name)
(Phone)
DATE
Quantity Type of Fixture Quantity Type of Fixture
:~ Bath Tub with or without shower J Rough-ins
r Dishwasher I Water Heater
I Floor Drain 1 Water Softner
:5 Lavatory (Bathroom Sink) \ Stand Pipe (Washing Machine)
2 Laundry Tray (1 or 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
! Sinks Backflow Assembly Test
I Bar Sink \ Lawn Sprinkler
l( Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
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 #
1Y'1 () r> ~
p,. ~
P JI (,to
~
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ~
$ ~ .50
Y
(Office Use Only)
Date
Date/ (j _ 7,() tI--
By
This Application Becomes Your Building Permit When Approved
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 33J.~ WiktW~ r l f '
NATURE OF WORK ~.Qt u
-
USE OF BUILDING ~~ '
PERMIT NO. 04. OfdJ2 DATE ISSUED (p-lf- ~ f
CONTRACTOR ~\~\<..o.. }i;i\.,\)lll<. PHONE 7~12'- 2W)-1I.6'/g~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT ft?6"t 1.:tiJ. ole/f8 PI-.d
INSPECTOR DATE
I FOOTING ~ I G'b I ~ ..~
FOUNDATION (Prior to Backfill) ~~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIG
ROUGH - INS
&'../.5
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
"
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I l~/~fu-,ud S~ I I
FINALS
GRADING (Prior to Sodding)
BUILDING ~ 0' - -6
ELECTRICAL
PLUMBING
HEATING
DO NOT
~
p
f-
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
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by: e &.. Date: .ft:, - c./ -0 ~
Building Permit #
Address: 3213 WilA~ Tr-
PID: 25"- ~fJ:J- 00 I{.o
Zoning:
Legal: L
, B
Subdivision: w~,t. @J Hv-lJ~
Existing Structure? YES I NO
Existing Nonconforming Structure? YES I NO
I CONFORMS TO ZONING
ORDINANCE
YES
NO
-
Yard Setbacks: NA I FAILSj COMPLI;g' Standard Proposed
. Front Yard (can be 20' if ~n 150') 25' 3'J.7
. Side Yards 10'!
25' if abutting a street ~S.l
. Sidewall exceeding 50' requires additional side 2" 10' setback + NA 12. 1(,
setback for every l' over 50' in lenqth 2"!1' over 50'
. Rear Yard 25' ,1<
. Patio Door: provide for minimum 10' deck or sign 10' side! 0<<'
statement indicating no deck will be built in the future 25' rear
. From 100 year flood elevation of wetland!NURP 30' IJA
pond
. From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no Nfr
less than 50'
Floor Area Ratio: NA! FAilS'!
.30 Maximum
. 12..
Yard Encroachments: NA I FA
Eaves and Gutters no more than In width and no
closer than 5 feet to a lot line Easements.
AlC and other equipment cannot encroach on interior
side ards.
Standard
Proposed
;(/4-
.--...
Tree Preservation:/NM FAilS I COMPLIES Standard Proposed
. Total caliper inches
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement 1;2:1
L\TEMPLA TE\BLDGLIST.DOC
.
.
.
.
.
Building Heigh
/ FAILS
Shoreland Distric . AILS / COMPLIES
Minimum lot area s uare feet
Minimum lot width
Shoreland alterations
1m ervious surface
Bluff in Shoreland: N / FAILS / COMPLIES
· Setback from to of bluff
.
.
roved
.
Floodplain:
· 100 yea
FAILS / COMPLIES
d 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
.
.
.
.
.
L\ TEMP LA TE\BLDGLIST.DOC
Standard
24'
5' from side lot line or
30' from r-o-w on corner 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 uired.
Must be flood elevation or
hi her
907.9' for Prior Lake
913.4' for S rin Lake
Standard
8325 .ft. or 25% rear ard
10'
15'
Proposed
,
,
t>uen- S-
i 3"70
~
CJ1..-'
Proposed
Proposed
Proposed
Proposed