HomeMy WebLinkAboutBuilding Permit 05-0395
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT L/- dY oS
Main File
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 05. 03c; 5" I
ZONING (office use)
tL4-
;2..-5 -;f /
LEGAL DESCRIPTION (office use only)
LOT ..;2...BLOCK,j ADDITION WfNJ
TA
PID .:2.)-. Y/i' - /.2$- CJ
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
tJtNfh?r?/V/V
Gary
tf' 7'.5- /k 2. ~
;lJllm,- J
I)r
(Phone) t,S/ - 7' /)~ ,. ~ y () ()
(Phone) (,1.2. - J ~ f' - 76 / .:J.
S J /;;2 .2...
TYPE OF WORK ew Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition OAlteration OUtility Connection 0 Misc.
$ 1..3.;), ou () ..,-v
CODE: t.R.C. DI.B.C. PROJECT COST IV ALUE
Type of onstmction: I II III IV V A B (excluding land) ./
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
I hereby certifY that I have 111rnished Information 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 properry 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 rev lke this permIt for J st caus' Furthermore, I hereby agree that the Clry official or a designee may enter upon the property to perform needed InspectIOns
~ -.;l;;1.- 0':;-
x
IY,5- ,r
Contractor's License No.
Date
Permit Valuation
Permit Fee
Park Support Fee
SAC
#
#
$
$
$
$ .50.00
$ I S;(')O. OD
$ ()()O,OO
$ /Soa,f)o
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Water Meter
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
This Application Becomes Your Building Permit When Approved
~ -pr-
l3l1i1dll1~ Ofticial
E/S-~S
/ Ome
Gas Fireplace Permit Fee
TOTAL DUE
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 Certificate of Occupancy mllst be
ISSU~ -t~~ q"S/c.s ~aL( ,.
Planning Director ' Date spe~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Main File
White - Building
Canary - Enaineering
c:...-... Pink - PlannTii9:::::::>
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:
J --
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
~
~_ aL(
~~
Date: S-/S~~
{ .
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."
Main File
("White - Buil~
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~
WJJ~U/)V)U
LI- (::) S - ,~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
85'8')- W~ ~
Accepted Accepted With Corrections ~
Denied
Comments:
Reviewed By: ~,. ~~
?~ L1h J~~~~
Jc,~ ~./-~ ~ ~~'
Date: D'/s-.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."
Main File
White - BuildinQ
~arY-~~gineerino
Ink - anmng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,/ ,,: ." . ...- .
NAME OF APPLICANT L~~./,;;j;:';./);'/
,-
APPLICATION RECEIVED L-/_ -;< S--5
-~--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ,
.,--; z:.-- ( y ). /1" } ,-',~ I:, I, J j /) f//,.I./I,:'?1..L.'
./_~),/, I /.).- c>- ,.Z{/....-€d .l(/)_.t/\ '--' - . J- -
- ~ - ;'-l'''' .~
/
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X
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'-
Accepted
Accepted With Corrections
Denied
Reviewed By:
f)1j6
Date: ~3.~
Comments: . See Reverse Side for Additiont11 Infnrrm=ltiol1'
See Attachments: 1) Gradin~ Plan1 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."
Residential Building Permit Checklist
New Construction for Single or Two.family Dwellings in R.1 or R.2 Districts
Reviewed by: ~ 1~
Date: 5/5"(05
Building Permit # PID:
Address: d2S3' ( ;)'5"<;" 5 ~s i'S c?S '8"7
J J /
Legal: L '1) 10 , B 5 Subdivision:
11,/2..
Existing Structure? YES idf9Y
I CONFORMS TO ZONING
ORDINANCE
.
.
. 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)
Zoning:
~
tJ~ ~M'.#,
Existing Nonconforming Structure? YES~
YES
NO
Standard
25'
10'1
25' if abutting a street
Proposed
Z ~~"
1 0' setback +
2"/1' over 50'
25'
1 0' sidel
25' rear
30'
A-
I[/'If
75' or setback average of
adjacent structures, but no
less than 50'
AlA
.30 Maximum
Standard
Proposed
~o,.J E
NO C
1 Tree Presertation:((Jj} FAILS I COMPLIES
Standard
Proposed
. Total caliper inches I
. Permit 25% Removal I
. Caliper inches Removed I
I . Caliper Inches Preserled I
I · Replacement , 12:1
I
L: 'TEMPL-\ TE\BLDGLIST.DOC
07/01/2005 FRI 13:20 FAX 952 767 1900 GENZ-RYAN
~ 002/025
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~: ~w ~\~. I PERMIT NOS. 3~
3. Geld ApphCAJlI .
ZONING (office w;e)
r\~ UJ
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDmON
PID
OWNERlrC(\~\ ",,., . 'rj
(Name) ):k \, "r {AnV I
(Address) t 5 PI OlZO
\-mrv\cs
Dr, SkXO
Lo~j- q(J)- :5"700
551))
(Zip Code)
(Address)
APPLICANT (l 12.
(Name) ~OL - . {,1AfJ
(Address) 1-7-0 n VV. " n
! (Address)',
K. 'j .'i
. ' 'ilrj I. PI", . I
(Contact Person)lli I K I r'l i J I \ ,e
/'V'. .....,
"LICANT SIGNATURE ic.... //!/ i
f7t52 - 7 {pf- (000
"!0 f q:;33
(City) ". . . ~Zi? Code)
/' I./" j ..---") / <.., I' ,. .
(phone) l1'),?\ - ! lji /-- ()(){)
DATE It;/~/O~)
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure _ feet.
Type of sewer pipe. 0 ABC 0 PVC 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 cOIUlection $35.50 Industrial, Com'l & Multi-family I % of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50 PAID WITH
BU'LO'NG PERMIT
(Office Use Only)
I This Application Becomes Your Building Permit When Approve1i ;-, \---- ~d! .
,
'-
Building Official
Date
Receipt No.
By
\
24 bour notice for all inspections (9S2)~7-98S0, fax (952) 447-4245
07/01/2005 FRI 13:20 FAX 952 767 1900 GENZ-RYAN
III 003/025
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
i: :~~ ~i~ I PERMIT NO.~. .d~
3 Yellow Applicanl _ ~ ~
r-
.1 r ' (),r i . )
v'\ ! (leJr i. -fJvl\
ZONING (office use)
1'1 '"t'; i ,
\j\../U./v 1
, \
Ii. i
NUJ
,
)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDmON
Pro
OWNER I I ! 0 /'C \/V'\ n V,",f\ u.n. ;:>5
(Name) \ IVfA' l.) I I ([ /U il I \ \U("{)e--
(Address) . '/'0.0 PI Ot7..u... r)~r, '~+t
APPLICANT fl. 'j)
(Name) Cl-tJ12.- ~~JaV1
(Address) 21iJo VV. Htv fA 1..3
(Address) J
<'k/: ;,,^ r~ 1/ VI! /' I III p
(Contact Person) I "....[1 1') I "'....l ) [\ I I L./
,j.</ -}/./)/<.7 ///1/1/ 'I li;7 r,
APPLICANT SIGNATURE :"1- ))1(/ r'd../ 1,..iv(J( t/
, '-..
(phone) {c6i-CY.t5- 37CA
'1 ^, . 'J ful N Cf5. c
j
(Phone) qr;1-- 1&.1/ - {ODO
BUttJ1SVt'{Ie.- Mrv 55337
(City) (Zip Code)
(Ph ) (l!~P~ Q5J-^7//^]._I.'I/ 1 /
one . Uf". ~ . './ \ Il.v ! \...\ :1 '
DATE i ".il_?...1 \ L' \ .-~_.
ly~'J...../ . '-'
Quantity Type of Fixture Quantity Type of Fixture
,;2 Bath Tub with or without shower _3 Rough-ins
I Dishwasher i Water Heater
( Floor Drain ./)/ Water Softner
/<-n I
.4--I.G5 Lavatory (Bathroom Sink) i Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartment sink Sewage Ejector
j a. Shower Stall Backflow Assem bly
i Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
,<:) 4. 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 #
PAID WITH
.sl8UILDING PERMIT
(Offitt Use Only)
This Application Becomes Your Building Permit Wh.en Approved
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
Date
'1 Receipt No.
Building Official
By
24 hour notice for all inspections (952) 4~-~850, fax (952) 447-4245
07/01/2005 FRI 13:21 FAX 952 767 1900 GENZ-RYAN
14I 004/025
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
Nc-u
i ~~ ~!~. I PERMIT NO.~ ~
3. Vellow Apphwl _ ~. ~
ZONING (oliice
use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
~=R \Jjev"\s\.rYVLl'Ji'l Hon'LS
(phone) Lc51- CtO':). 37 DC,
(Address) \ gq5 jOIUICl- Dv, Stc?OC
APPLICANT r-
(Name) c;rCrrz.-
'~']:;..
---, J (''- .~
(Phone) q'ld, ~7 {fr. f 000
(Address)~:JUJ l)J-
Bwrnsvi I it =ff3~)-7
(City) (Zip Code)
CX~_I ---7f /;-; __ {i /'1"(;
.__ (phone) ._Aj t(.i' VVI../
;' ./') I:> /' I'C.' ")...
DATE ,-.!,-,{ ,Y... )__'.
APPLICANT PLEASE COMPLETE BELOW
. /.
j\ ; 1.'1/\
(Contact Person) ,!) I
APPLICANT SIGNATURE
~w CONSTRUCTION D REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL L(}"\i/"l(; 1\ I } l/,r" ,-:.(' j) (;',. .- /- I () ,) /.:
I -jF i i( .1..1- ,ll-'. )-L{\...- FUEL ( \.kT. .\ L{ ,:)
~ " \',1./ \, ..,. - .'
c::. /1(1 I .
FLUE SIZE RETURN OPENfNGS INPUT ref\ OUTPUT '7;(. uDu
.., ./ v, J ) IV
TYPE OF SYSTEM HEATING OR POWER PLANT
~ann Air Plants o Steam PLEASE NOTE:
Gravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
~ir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$54.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Penuit #
$
$
$
PAID WITH
'iiUILOING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
o (I ZOO~
Buildinl! Official
Date
24 hour notice for all inspections (952) 447-9 SO, fax (952) 447-4245
Bv
PRIOR LAKE
INSPECTION RECORD
~n
DEPARTMENT OF
BUILDING AND INSPECTION
Main File
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. (25~ 0.395
CONTRACTOR ~h\I(k'tJ 1I11ttc~ PHONE'tZ"~ -71.''''''
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING
INSPECTOR /
4~
.
D~TE /'
~/2J/e>5 I
I
iL-il/~'
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
pLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOV
NOTICE
tPC
II. It/-. II""
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