HomeMy WebLinkAboutBuilding Permit 05-0758
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~f Q;:-
Date Rec' d
If. .3V,t,C
1 White
Pink
Yellow
File
City
Applicant
PERMIT NO.(l.5. ()/~8
M U'/' L<
ZONING (office use)
LEGAL DESCRIPTION (office use only)
pl.JSO
LOT
BLOCK
ADDITION
OWNER r-r
(Name) J A
4 L'/.)",
J VI<,
E.k !,'Vw
(Address)
PID 2.5 3c.~2. C1Z~. /)
(Phone)
9S).. -ll1l7~ 7q?6
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK g,rew Construction ODeck OPorch ORe-Roofing
rAdditlOn OAlteration OUtility Connection
CODE: DI.R.C. DI.B.C. 0 Misc
Type of Constmction: 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 0 Fireplace
c::.;pJA/Ge- C~ /l ,P.PV('/J A.//
PROJECT COST IV ALUE $
(excluding land)
ation 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
truction Will eon form to all existing state and local laws and will proeeed In accordance with submItted plans. I am aware that the building
~l11;er1,;~y agree that the elty official or a deSignee may enter upon the property to perform nl"d;d ,iOetIOllS C:;-.
ignature Contractor's License No. ate
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Buildlllg Official
Date
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
paid~
Date 11,':16 ~r
1~~1~
Planning Direetor
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
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
issued
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
(Please
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
la, 5. oS'
1 White
Pink
3 Yellow
File
City
Applicant
I PERMIT NO. Os. 0758/
at bottom)
59&h
e-;e {JSS /1 NLJ,eA
::ST 56
ZONING (office use)
Pt/s.D
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK 4- ADDITION ~/NA t- R4 06;6 4- TH
PID "Z---?: ..3 2.2... 0 ZIo. 0
OWNER
(Name) L OR,' ~
...hv
,
P e-+ Lh" c....I
(Phone) gSJ.- '1\.\ l-lSq l:,
(Address)
BUILDER
(Company Name) Bf'<\'w,~t"\. ~ro:t>~r+I-eS.
(Contact Name) JO( ~N' d'a~
(Address) 84SL So p\
LL <....
(Phone) (aIL -~ I~ '.-'iY y 7
(Phone) I ,
A..J
SS3
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding DLower Level Finish ~ireplace
~Addition OAlteration o Utility ConnectIOn >If Fr'ArY\1! oniy , -' D
o Misc. d-~~J..~tJ~rofrs.
CODE: ~.R.C. DI.B.C.
Type of &nstmction: I
Occupancy Group: A B E
Division:
II
F
I
B
S U
PROJECT COST/VALUE $ 5,00 c.)
(excluding land)
III IV
H I
2 3
V
M
4
A
R
5
I hereby certify that I have hlrnished mformation on this application which IS to the best of my knowledge true and eorreCL I also certIfy that I am the owner Dr authorized agent telf the
above-mentIOned property and that all construction will contorm to all eXlstmg state and local laws and will procced in aceordance with submitted plans I am aware that the buildmg
official can revoke th!s calise Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the prOpCJ1y to perform needed inspectIons.
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
J,03?JtY Ii)
Contractor's License No.
(')00 tDO
.~O
3r .00
lCo.DO
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
SewerlWater Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
.L.jo, /) D
TOTALDUE ~ IO.L3oS
This Application Becomes Your Building Pennit When Approved
~ ~ /tJIt3/0~
Builultl!! Oflicial I D11tC
I Paid ~~~.~
Date ..' -5'
I
Recei~t No5oo91-j
By c::
(j
q--Z9.tJ~
Date
$
$
$
$
$
$
$
$
$
o
ThIS IS to certify that the request in the above applicatIOn and accompanYll1g documents IS m aceordance with the City Zoning Ordinance and may proceed as requested. ThiS doeument
when signed by the City Planner constItutes a temporalY Certifieate of ZonIng complrance and allows construcllOn to commenee Before oecupancy, a Certlticate of Oceupaney must be
i~~
Planning Director
-/(}~3'~~
, Date
Special Conditions, if any
24 hour noticc for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by: ~
r
~P--
Date: /0 !Iz-/ds
Zoning:
Building Permit # PID:
Address: 591;1::. ~oJ .J..1..
Legal: L 3 , 8 t..--I Subdivision:
,S;€I
(I~ ~pu
ifIlL
Existing Structure? @) NO
Existing Nonconforming Structure? YES ~
I CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NA I FAIL~CaMPlIE9 Standard Proposed
. Front Yard (can be 20' if avg. w/in 150') 25' _~:'J.
. Side Yards 10'/
25' if abutting a street trlfIbI {o I
. Sidewall exceeding 50' requires additional side 2" 10' setback +
,
setback for every l' over 50' in length 2"/1' over 50' ~ fa
. Rear Yard 25' ~ z..!; I
. Patio Door: provide for minimum 10' deck or sign 10' sidel
statement indicating no deck will be built in the future 25' rear NA
. From 100 year flood elevation of wetland/NURP 30'
pond NA
. From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no NA
less than 50'
Floor Area Ratio: NA I FAILS
,30 Maximum
Yard Encroachments: NA I FAILS I LIES
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 yards.
Standard
Proposed
0.,.) C
~rJC
Tree Presertation:(NA'} FAILS I COMPLIES I Standard Proposed
. Total caliper inches I I
. Permit 25% Removal I
. Calioer Inches Removed I I I
. Caliper Inches Preserled !
Replacement I 1/."
. I /2. I
L: .TE?v1PLA TE\BLDGLlST.DOC
White - Building
Canary - Enqineering
~~ - Planninv
The Ct'n't'r fir Iht" I..kt Count'1"
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:
/"'//~~r
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."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
= - Building
ry - Engineering)
Pink - Planning
16~
6.
Th(' ("("nltr or th(' l..kr Countf)'
NAME OF APPLICANT
APPLICATION RECEIVED
I
.I /
. (c
/ {
c./._,'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,"- (-; ( /
:=-T
.lC:-
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
IYJ9/3
Date: ItJ "I ?-CZ)
Comments: See ReVer!;A Side for Adrlitl0/181InforfTl~tionl
See Atta~hments: 1) Grading Plan, 2) Er&~i,pA(~ontrn.rMea~mres .
...:.-".. '.;" ~. '.'.#
"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- ("rntrf of Ihr (.8kt CountF")
~itP- - Rllilrlino
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/3/t6'A1l'iA'1\./ p /G{) r'6tt....77 65
/0. (P.oS-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
S-Ciro /p
~J,q-NLJ~ Si
Sf5
Accepted
Accepted With Corrections /
Denied
"
Reviewed By: ~ ~ Date: (f'!J,I.IZ/o.s-
Comments: ~ J.t ~. ~/~/d-\.
~a-r ~;ae~~ ~ ~J~/~.
"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 PLUMBING PERMIT
I. Blue File
2. Gold City
3_ Yellow Applicant
;/ 8/03
n?etJ/os. 07S-~
I PERMIT NO. 05// / 71
S-9t;&
ZONING (office use)
Cte-UJJ/lNO/~/1 ST
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID zs-: 322. () 20. 0
I OWNER
(Name)
(Address)
(Phone)
APPLICANT f
(Name)
(Phone)
t:/) ff/'-7'1/7
(Address)
(Contact Person)
c1 , (City) tiCl~ (Zip Code)
(Phone) t I)... C; 9 I ? Y I Y
APPLICANT SIGNATURE
DATE
I
,-
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink ./) Lawn Sprinkler
Water Closet (Toilet) I Other JVJ 0 V,z: ~vli.J 0/41 7?/1i
'-- /
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial. Commercial & Multi-family I % of job cost with a $39,50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
(Office Use Only)
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
3Q,50
-10 .50
.t/V
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid 40 _
Date / I~ y: OJ'--
Receipt No.! S07 7 J--
By
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
SITE ADDRESS 5'1, (;, CA2S:S~~ S~ S'C.
NATURE OF WORK l - ~EW ~hr lI!!ol_ ~."-----
USE OF BUILDING~_ S,F:"O. '_
PERMIT NO. ~cr . ~ DATE ISSUED ~ {o
CONTRACTOR ~ PIIt _Il<<IU (te PHONE (,Jr -",,.. ,,1I'f?
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
l FOOTING I I~ I Io-I'f-~
~IL ABOVE HAS BEEN SIGNED
ROUGH - INS
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST '.J',,!
COVER NO WORK UNTIL ABQVE HAS BEEN SIGNED
IUI"fG //Io~4'IJffM;e I#:- #7 //~.z.;J
, FINALS
.~
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.
FOR ALL INSPECTIONS (952) 447-9850
~t~ CI CUU~ l:CO~M ~lUntt~ tnblntt~lnb
I-b~.l-btllb-Ublt::
p.e:
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with BuiJdina PamJt Applicatiol1)
For All Properties Located in the ShoreJand District (SO).
The Maximum Impervious Surface Coverage Permitted in 30 Pet"Cent.
Property Address l'5""Q <.0" C ~ga nd rtt ~m4!.. 1-.
Lot Area (4-. 1..~ Sq. Feet x )0010 - .............. 4- -Z(o~
.....*.....................**.....*...*.....*...........................
HOUSE
~EP-O Art:>OIT\O~S
GARAGE
LENGlH WIDTH SQ. FEET
x - -' Z,S-\
x - 4l~
x =- ul/JO
TOTAL PRINCIPLE STRUCTURE.'H'_"'_" 'Z ~"Z.1
DETACHED BLOGS
(GarqelShed)
x
x
-
TOT AL DETACHED BlJILDINGS-.___._..__ 0
DRIVEWA YIPA VED AREAS
(Drivcwa)'.paved or not)
(SidewalklParking Ateu)
x
x
x
;:0;
~e'3
-
-
(Pl:J'S
TOT AL PAVED AREAS..._______..__....
PAnOSIPORCHESlDECKS
(Open J)Q;b ~.. min. openi,., between
boIrds. wi. . pervious swface below,
_ not COIIIidlnd to be impervious)
x
X
~wH~lk.,
...
-
,.., 'Z..
X
=
TOT.AL DECKS........_..............................................
I.., 'L
OTHER
x
X
-
-
TOTAL OTIIER..._.._..._..___......__.. 0
TOTAL IMPERVIOUS SURFACE
Gm>~
( ~\ e~
no-e3
Date qh1{D~
PAPhone# (6C-u8f- (ql4--
Com
DEC-30-2002 1'00 00: 45AM ID:
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