HomeMy WebLinkAboutBuilding Permit 04-0952
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g-lq~OV
I PERMIT NO. 04--, 0'152-1
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
3 Yellow
File
City
Applicant
at bottom)
~s
ADDRESS
3J.JL/ / Lu;\J tlOY'.sce.
LEGAL DESCRIPTION (office use only)
LOT I BLOCK 4
PID
ADDITION
It-
OWNE~
(Name) e lW"~~L
(Address) 5sz<{
Co~$~~l!W
H-,c:: '" ~ t.u k
(Phone) q!;Z- C/l/O,/66:Z
A-14..
~.}. S.E'.
BUILDER -......
(Company Name) ~~\-W\4.~'" D6.us+ru~
(Contact Name) :fA""t'<<\o&.$ A. M\~"~
(Address) 5s.z
Date Rec' d
ZONING (office use)
I~/
IJ. 'OILj-
(Phone) 0(52.-</ '10 ,,~'.:r
(Phone) 9.!:Z~ Z'1z~ 6'~?
Ie.
TYPE OF WORK ~w Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST/VALUE $ 250... 00 6
(excluding land)
CODE: ~I.R.C. DI.B.C.
Type of &nstruction:
Occupancy Group: A B
Division:
I
E
II
F
I
I hereby ccrtifY 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 authonzed agent for the
above-mentIOned propcrty and that all construction will conform to all existing state and local laws and will proceed in accordance with submittcd plans. I am aware that the buildmg
:'''"l-"'':'"';l ,,, '0" ao" '"''"''"'''".' ''''o, 'Woo ,"" ,", "'" "m;;; :;~;~::;;" ,", ""'"'' ,,, ,"""'"' ""~ :';;:::,}'
Signature Contractor's License No Date
Permit Valuation
TOTAL DUE
Park Support Fee
SAC
#
#
Permit Fee
Size 5/8
1" .
,
Plan Check Fee
Water Meter
Pressure Reducer
Sewer/Water Connection Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
#
#
Water Tower Fee
Builder's Deposit
Other
00,00
00 tOO
35. t;""o
() J) ()
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~. ~ ~~~
Builul11!! Ot1icial Date
$
$
$
$
$
$
$
$
ThIS IS to certifY that the request m the above applicatIon and accompanymg documents IS m accordance with the City Zoning Ordinance and may proceed as requested ThIS document
~~""" ~,ry C""'",, ,,' ~;; m' ,n".. '"""""'00 co '""'~"" !k'ill' """pm". , C""H,,,, "'0"",,,,, "'"" '"
Planning Director Date Special Conditions, if any
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Tht" Crnlrr of thr L.kr Counl".
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
.!
" /"'~. /}, ,.-
'./ r~.-G
. / ;<::-)l~i '.. .' t~.c__.
APPLICATION RECEIVED
..
r:)., /':.f //'
X,- / ~,/ -1'"
/} i l ',) "
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
..--, "'"" - ti
.5' ,-~--L. ..x 7 -
l:'i':../.~,-_:(2(:'~~:~'
..,>~~;'d'
f i
/j.,~ - .'(" )."'~-t;/- ^ <L--,.
Accepted
)(
Accepted With Corrections
Denied
(J11f5
Date:
9 -:2/-tJlj
.
Reviewed By:
Comments: See Reverse Side for Additionallnformationl
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 C-fnlt"r fir lhe l.akt Countr)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
fJ/~~ ~
APPLICATION RECEIVED F -/9-0<1
NAME OF APPLICANT
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed a. t: ~ / j _.
3;l~l.(- tt/~ ~ Pc~
/
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date: ~~ c/
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."
-"
The Ct'nlrr of 'he Like Countr)'
White - Building
Canary - Engineering
'--pink - Planmn1r'::>
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
Accepted With Corrections /'
Denied
Reviewed By: ~ ~ Date: ~p~y
r ~
Comments: ~ aLI~' A.~. ~
~-~<~ ~ ;..1.-L~ ~
~ 17
~
t!H
"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
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/2 Z <f'. () 1-
~. ~e~n ~!~ I PERMIT NO'04- OC;2-1
l Yellow Apphcant . . / J .
NfL/V ~/f../6- p/tJ]
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID zs- "Z ,0 1'1- 0
I OWNER
(Name)
(Address)
(Phone)
APPLICANT
(Name) LA ~-,-,.'/~
r,' re D J" y
~
(Phone) tbI L - t.!/'/ - c.f Z Y 2-
t:4~ cJ/lt"
(Contact Person)
S--('C;> 11
(City)
s~. 3 76
(Zip Code)
--
(Address)
.~
(Phone)
DATE /2-- 2.
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
Vent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
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 $
BUH:ngpennit # M ~6f~1 J) r>i
: ~.-:fci t5 L/ 0
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office l'se Only)
Building Official
Date
1(.0
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
e:~~:w ~ii;~. I PERMIT NO. I.j -4.~ ~
Gold Apphcant / .,
ZONING (office use)
3dd-4-
<<'
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNERB r-
(Name) €( "\(.>( \(Y,Q.,~
L [)(\ -:::;,(" \ ~ r \- ~ {} 1'-'"
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLI~T
(Name) 'C\..G. \
(Address) 13 l c::>
C' 'fC)..~€-
\V\L
Sh€p"\
S-\e
(Phone) QSd -d.-3 '3 ~ I ~ C
{ ShnJ::: opee 5"5 :37 '1
(City) (Zip Code)
(Phone) 9 ~J;~ - ,) 3 "3 ~ I J-oG
DATE"" ,- c/i; ~ Dl
N\CLY f1 <'"
(Address)
(Contact Person) \\J\.~ c1
APPLICANT SIGNATURE
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
$35.50
$17.50
FEE SCHEDULE
Industrial, Com'l & Multi-family
Water connection only
1% of job cost with a $39.50 minimum
$17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
Date
Recei~
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
f~ .:tf OL/~09 5"L.-.
; ~~ ~:~ I PERMIT NO.(J-f-. () 95""7 I
3 Yellow Applicant ~
ZONING (office use)
~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID Z ~ .112-, 0 ;'1. 0
OWNE~ "
(N ame) '- c ~ c (-.{V'V"- '^- L~
( o.,~ t'\ \,)C -\-~'() ,,"",-
(Phone)
(Address)
APPLICANT 0 (' I 0\ " -
(N ame )_\ -( L t- '- r (' '- dr, ~ vv, b, ^) I ).. Y\ <.. ,
(Address) '~!'i':'O VJ; "o...u~<:J('xl Sr r f :.:.i
(Address)
(Contact Person) [) c'~ '"
C
APPLICANT SIGNATURE
(Phone) c1t; 1. - q 1..17- 5' 7 Ie L/
l.." k<-.
(City)
~S-)7 )
(Zip Code)
(Phone) to I l - LIt 3 .' ",1..4 e1
DATE II -).-0'-1
Quantity Type of Fixture Quantity Type of Fixture
'} Bath Tub with or without shower '-I Rough-ins
\ Dishwasher I Water Heater
I Floor Drain Water Softner
~S~ Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
'I Laundry Tray (lor 2 compartment sink Sewage Ejector
j Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
0 Bar Sink Lawn Sprinkler
.~ Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Estimated Cost $
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Permit # () "1-. c? 152-
.50
~'i'f~-t~o\! :;.:'t._,.;.~OO(;:r,.~:>,~
~"'{'~' l..'" ~
. ,. "3" ~ ",. ~G ,":"",""W'~"'".:_~'1f, r
"'. t.i P'I't'I.~ . . f' i(....~""~l...
. _~,.......~ '&.~ ._ .;~.'l(
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
By
Building Official
Date
Date ? -9-
/ t!-. 1--- lJ
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
~zz ~ W lLI) t\Ofl.~ P"ss
~ .
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING .1=.
PERMIT NO. ~4-"Oq5Z- DATE ISSUED 0
CONTRACTOR~Of2.~~~ST. PHONE 2.. 0.'<''''
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
' THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BE
ROUGH - INS
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 LAme /~S"E"~" I I
,
FINALS
/O-,,?
GRADING (Prior to Sodding)
BUILDING ~
ELECTRICAL
PLUMBING ~-~..
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 a~ditions
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: ~ ~ Date:. 9/3/0'/
Building Permit #
Address: 32-2... L(
Legal: L I I B ~
PID: Zoning:
uJ~ ~ ~
Subdivision: tJdh ~
Existing Structure? YES@
Existing Nonconforming Structure? YE~
I CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NA I FAIL
. Front Yard can be 20' if av . w/in 150'
. Side Yards
Standard
25'
10'/
25' if abutting a street
Proposed
Z-S'
E,
. 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
and
. From OHW (Prior or Spring Lake)
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
30'
NQ"I0L.,
,
NA -
75' or setback average of
adjacent structures, but no
less than 50'
t-JA
~ Floor Area Ratio: NA I FAILS I cgMPDES?
.30 Maximum
Yard Encroachments: NAI FAIL IC PLIES
Eaves anet Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line Easements.
Ale and other equipment cannot encroach on interior
side ards.
Standard
Tree PreservatioIT:.~.A) FAILS I COMPLIES Standard Proposed
. Total caliper inches ....,.
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement Y2:1
L\TEMPLA TE\BLDGLIST.DOC
Driveway: NA / FAILS
. Maximum width at ro ert line
. Required setback
Standard
24'
5' from side lot line or
30' from r-o-w on corner lots
10%
Proposed
2'2-'
.
.
.
dc-
Ian
FAILS
35' Maximum
Shoreland District:{NK) FAILS / COMPLIES Standard Proposed
Minimum lot area (square feet) 7,500 Rio, 7,999 Non-rio
Minimum lot width 50' Rip, 57.3' Non-rip
Shoreland alterations
Impervious surface 30% Maximum
Bluff in Shoreland: FAILS / COMPLIES
. Setback from top of bluff
Standard
By planning dept.
Proposed
.
roved
.
.
. Road access must be no more than 2 feet below
Re ulato Flood Protection Elevation
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
9/19/90-11/22197 then
additional fooUs riot r uired.
Must be flood elevation or
ftiner
907.9' for Prior Lake
913.4' for Srin LaKe
Proposed
Floodplain FAILS / COMPLIES
. 100 year flood elevation
. Lowest floor elevation
. Proposed lowest floor elevation
. Elevations 15 feet from structure
FAILS / COMPLIES
Standard
832 s .ft. or 25% rear ard
Proposed.
.
.
.
10'
15'
.
.
L\TEl'vIPLA TPBLDGLlST.DOC