HomeMy WebLinkAboutBuilding Permit 05-0692
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please at bottom)
ADDRESS
/1-723 WIt-OS
Vl6W
LEGAL DESCRIPTION (office use only)
LOT /.5' BLOCK (". ADDITION
k t:,.IJs
OWNER I
(Name) 70'" of
Date Rec' d
t. Zt). ()S
I While
Pink
Yellow
File
City
Applicant
I PERMIT NO. 0 S O~f21-
.
NN
ZONING (offIce use)
PtJD
~Co7f Co-J
(1 ".),
PID zS. 297. 0&5.
(Phone) crs 1.-- 'tf'f - 61Ak--
~ ,-~-".,
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
If It'(/- . eO^,5~1'",-c- J..'u ,J
-Ti' '^"' HIi-?Il
(Phone)
(Phone)
all...-)9'- ;)/~II (7-,1"')
6;,1/;-'3'-3- 3lfd'f C7t:.....)
TYPE OF WORK
o Fireplace
New Construction ODeck OPorch ORe-Roofing
Addition DAlteration DUtility ConnectIOn
CODE: ~.R.C. DI.B.c.
Type of t:~~truction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Finish
o Misc
PROJECT COST IV ALUE $
(excluding land)
?~ tnr"lJ
cd mlin ation on this applicatlon which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent fm the
>at all c struction will conform to all eXlstmg state and local laws and will proceed in accordance with submltted plans I am aware that the buildmg
r Just c e Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the propeJ1y to perform needed 1Ospectlons
~ !3c- doJlcf3)') -#~/()J-
Signature ..... Contractor's License No. Date
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ /a:? CI'
Mechanical Permit Fee $ /~O. --
Sewer & Water Permit Fee $ :.r; .,s-O
Gas Fireplace Permit Fee $ l:7. ~
TdPPlicatio~ B~es ~;: Building pe:t ';; Approved
~o~ 7/17'6a~S
Park Support Fee # $
SAC # $
Water Meter Size 5/8" 1" ; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit I $
Other $
TOTAL DUE &+t.-05D 7. ZOo oS $ /1: 00~.
CM
e.AJ
coA.I
-
ThIS IS to certity that the request in the above applicatlon and accompanymg documents is 10 accordance with the City Zonmg Ordinance and may pmeeed as requcsted TIllS document
when signed by the City Planner constltutes a temporary Certificate of Zomng compliance and allows construction to commence. Bef"re occupancy, a Certlficatc of Occupancy must bc
'''"'~ P.l;"~ l4p~ f!pL ~"'~s
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
White - Building
Canary - Engineering
alllk. - "'IAnning~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
,~ ! ~
. ~/ 'I . j'.o' ...~\. 7: /.:.-j.;...... /
. ../'l (' ;' (.,) (.../ ((.I (~ . t- ! ( l (~( , ( 7~-'
~ I
"
(~,2/ (::
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/,.
t>"./C- (. (. "
-,....'
A.;'\./
./ '
I cJ? 2...3
.
i / /. "
(., 1 , {"...L-"
",,-"'; ./.
Accepted
Accepted With Corrections
//
Denied
Reviewed By:
~
~ o-L(
~ Date:
~.
7~/a~
Comments:
^ ~- C ,," .
r:u.a.- onmtioner U. ue:lC l'.:,-dHullc'
Units CaJllot Eucrm;a:~h mt~-~eqUl1"ed'
~'..:Jl. "f'T . " r'..' . ~
t .;;-, {"\u'.J.I e ~l""ri .'~;':,,1"t1~.~,\'~!.....:r~
'-"'/.,......-l...- 4.;_~........ r'J""-,,~'AJ~\.....~.:;l.;;;';'
"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."
~hite - BuildinID
anary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,~~
~. ZO. 05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed a.t: . f.. /
/4723 ~~ ~ )IN
/
Accepted
Accepted With Corrections
Denied
~~
, I
a-U 4-[)~, ~,-7'd-~ ~
~ ~ra-~ ~ ~~.
~ ~ It/I ~ ~.t.J. ~
/ -. /. .
,'"tI ~~ ,,&2.~.~ ~.
~~ d-J..tl7 .('~ (1)tSdC.)
Reviewed By:
Comments: ~
Date:
7/ea /6~
"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
~- ~nglneerinQ~
Pin - tanning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/1/- tC . )
~'ytztUJ& ,t?/~~L.C!U~~'
::/
~. 2(J. 05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ -->2 -:; A /. /'7 ./ - . /"} / . A / IV
4- /.......J r::::/j:<f.!;(Jl<:L/ ~A':rC-t,(.~;---' / v . ..
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/WJ:8
Date:
?:2rY
Comments: .. See. Reverse Side for AddiUonallnformation!
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."
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts',
~
Reviewed by: ~ ~
Date: . 7/ Co(o S-
Building Permit #
Address: /Lj ~01.3
Legal: L 15 , B b
PID: Zoning:
tJ~ tI~ /J.W.
Subdivision: tk- ;,J~
Existing Structure? YES~
Existing Nonconforming Structure? YE~
I CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NA 1 FAllSI COMPLIES
. F ront Yard can be 20' if av . w/in 150'
. Side Yards
Standard
25'
10'1
25' if abutting a street
Proposed
.3'
. 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/N U RP
ond
. From OHW (Prior or Spring Lake)
10' setback +
2"/1' over 50'
25'
1 0' sidel
25' rear
30'
tJo ")e'
A
75' or setback average of
adjacent structures, but no
less than 50'
fr
Floor Area Ratio: NA 1 FAilS I COMPLIES
.30 Maximum
Yard Encroachments: NA I FAI MPLlE
Eaves and Gutters no more than 2 feet 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
ONE
(),vb
Tree Preservatiorf"NA) FAILS I COMPLIES Standard Proposed
. Total calicer inches
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement %:1
L:\TEMPLA TE\BLDGLIST.DOC
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
3. Yellow
File
City
Applicant
IPERMITN~ ~~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name HAUGE CONSTRUCTION
(Phone)
(Address)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone)
2561
651-633-
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
11/705
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants D Steam PLEASE NOTE:
DGravity D Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning D Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO 8000CF
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50 PAID WfTH
IUfLDING ~RMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Buildine Official
Date
By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
~ ~ t4J,
I4J.
DEPARTMENT OF
BUIL&>ING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. 05 or;, ~ DATE ISSUED
CONTRACTOR IlAII~G' ~r, C.. PHONE I ., I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
,
COVER NO WORK UNTIL ABOVE HAS BEEN S GNED
r=-~ ~)tf6
FINALS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
'"
we
5 la 6'"
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