HomeMy WebLinkAboutBuilding Permit 05-1202
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/1. 28.tJ,s-
1. White File I PERMIT NO I
2 Pink City . 05. /20 Z-
J. YeJlow Applicant .
ZONING (office use)
33 8~ Grr
s 5+,
12../
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK
ADDITION
PIDZ5. 4~Z. 001.0
OWNER I \:\
(Name) l Se.e..- be.- () w )
(Address)
(Phone)
BUILDER j} 1 I f-<
(Name) I P o.-dow by 00 1<.. l ) '^ II de. rs
(Contact Nam~) VI'V\Ce..- B il"dsI e....\/
I
(Address) 213 I oka.+ T;" ( N W P, "0" Lc;lk~
TYPE OF WORK
o Misc.
~((, C,
(Phone)
(Phone)
95~ - ;?So- 5Sfo't
j})N E63
New Construction
~eck
o Fireplace
ORe-Siding
OPorch
ORe-Roofing
OAddition
OAlteration
OUtility Connection
~ower Level Finish
()O OeC).
t:>o
PROJECT COST IV AL UE (excluding land) $
I hereby certify that I have furnished 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 property 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 revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee y
enter upon pr I erty to perform nee ~ections.,
I ! :;D.~7'f7L:::< (-Z~,;
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
Contractor's License No.
Park Support Fee
SAC
#
#
"{),O~
Water Meter Size 5/8' , 1";
Pressure Reducer
()O,tJo
of),oe
35.5"0
,()t)
City SAC and WAC
Water Tower Fee
#
#
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
~~
/~7fts
r
Date
Building Official
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 must be
:L~Q' ~ /e:z/U&S- ~1lMf2 ~ ~
Planning Director Special Condi' os, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White . Building
C" (:anarv . Engineerln~
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I107DON 8/ZAJ()K.- L?t-.tJRS.
/ I 26.05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3385 G/?/qqS' ~17z-6{;;'1
Accepted K Accepted With Corrections
Denied
Reviewed By: /19113 Date: t2-'-aj
Comments: "See Reverse'.Side for Additional .Information!
See Attachments: 1) Grading Plan, 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 provision~ 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."
CYihite - Building)
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;t1EJ1Vo~/8/Z4r2)K.-
/1 26,05
L? (..,f) RS
"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3385 G/Uqqs ~'~~'I
/
Accepted
Accepted With Corrections
Denied
~
Reviewed By: ~
Comments: t~ c;.L.( ~ I
· {.Iv # #~. ~tk., y'
~ ~.u.~~ ~n ~
~
Date: / 02/7 /0 S-
o
f/~~
ti(~~ ~_AI4.PC~
"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
/~ /,::,'. i t:::'~ L ( L.. /<... ._
NAME OF APPLICANT
APPLICATION RECEIVED
. ,-
,.I r
1_.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'-=, _T''--
/
./
L
J
/ '
)
C
j, / / {
Accepted
Denied
Accepted With Corrections
/
~~
aLt' ~
Date: /;;/ ?),.s-
-I-~ "I
6 M,...OJ"\../,
Reviewed By:
Comments: ~~
Air Conditioner p.nd Other Medtanieal
Units Cannot Enaoach into Recroired
Side Yard Setbacks
"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: ~
r
~
Date: 1~7 ft r"'
Building Permit # PID: Zoning:
Address: 338 5 ~ ~~,
Legal: L 7 I B /. Subdivision: . ~ ~
Existing Structure? YES@) Existing Nonconforming Structure? YES@__
I CONFORMS TO ZONING
ORDINANCE
YES
I
NO I
'- - . ,-., -, ",._,
- '. . ~: -;-,. "
? ...-------
;.;.'~__.,'_ :~H...'_.....,._
..- -c ,-~_...., oM",
"''''':''"''.-,,''-., "
.
Standard
25'
10'1
25' if abutting a street
Proposed --,p ,
2,S I
-/0,4,'" <, :
.
.
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 wet!anq/NURP
ond '
From OHW (Prior or Spring Lake),
10' setback +
2"/1' over 50'
25' '
1 0' side!
25' rear
3D'
.?:~,; ;:g!;~fJ,
J./6f -,-' ,..,
~ ?~;~::,t~f;i~~{~"J '
.
.
.
.
75' or setback average of
adjacent structures, but no
less than 50'
I Floor Area Ratio: NA/ FAilS CCOM~
,30 Maximum
lree:Preser.:tatf(m~- A I FAILS f COMPtJES
.. Totakcali erfncnes
.' P'ermit25%. Removal
8' Cali ec Inches Removed
.. Cali ef'Jnches Preserved
.. Re laceme.nt
Standard'
it1
'..-
L\TENfPLA TE"BLDGLlST.DOC
DE'C 28 05 09:09<'1
C<'lrol~n M<'Idson
9524475785
p. 1
Dale Kec'Q
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
PID
OWNER
(Name)
(Pba1lC:)
(~)
(Addtesr)
(Cily)
(2:ip Code)
(Al1dress)
: 4
(Contact Person)
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Size of water service U- inches. L J
Loc;ation of any coupliUgs from stIUCt1Ire. 7'0 feet.
Type of sewer pipe- 0 ABiI (~PVC 0 Cast Iron
EstimMPd length of sewer line
Qean out (if required) located at feet from structure.
FEESCBEDULE
~identi;ll sewa an.d water line connection S3S.S0 JlldustriaJ. Com'I &: Multi-family I % of job coSt with a S39.50 minimuPt
Sewer connection only S 11.50 Wafer connection oub $17,50
Estimated Cost S
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL nRMlTFEE
s
s
$
50 PAID WITH
BUllDING PERMIT
(omce US&! Only)
This I\pplicllioa Buo...a Yo.r Bllilcliog Permit Whea A.pproved Paid
RldIdi~ OI!i~1
Dare
~N 0 2006
By
24 hour llome r9r all in'1lcaion.l (951) 44'7-9150. fllK (~) 44'7~4S
TOTAL P. 01
/~~~~"
(~ /\1\ )(~
~.//II\ ~
u LJL.'-::' ~
\ -- J~
. ., ---::",.. /
~~
ern OF PRIOR LAKE PLUMBING PER.t\1IT
1 nl,16 r-,I"
1. Ct~ld Cioy
J. .......110'\.'0' AI';"III':."1
I ZONIl:b IOmtt"~l
(Ptw~~rintand~~) -
I ADDR::SS
\., 33$9 b;r-;'99S--/
s'fr--eL I-
jllEG AL DESeR1PTJ ON (office u~e only)
I L.OT BLOCK ADD1TION
--'
pm
-~
---'_.~.
-.- -,~
AM kdcpw !5;/tftJK. Au (~/ ck-l/.5
~/'j/~ 1~0'
iOWNER
\ rr.!ame)
I (Addr~ss)
...-. (Phone:)
IAPPT.Jc,:::::iH
(1'.Jamc)
(Contact Person) _
( 50' J{ ~ l"ULL--LzLWC p--f! (Phone)
2-!{)tJ5 ia~y~~o/~ .~~-
(Address) (City) (Zip Code)
~6/7 (Phone) #/Z-zzl-5'9.~_
~e;:k~_.~~~L _ DATE
APPLICANT PLEASE COMPLETE BELO\'\'
q~2-~~2--2f/Yd
\X~~
(Addre~s)
APPUCA:'-JT SIGNATURE
/-j%;-6(p_,
i Qllllntlty ~ Type of Fixture QU9.J\tity , Type of Fixtur
I 3 Rough-ins
l- i Bath Tub with or with"Oii't$ilOwer
I ( \ Dishwasher - Water Heater"
1---)
/ I Floor Drain . --
I~ \Vater Softner
I -'
i &- I Lavatory (Bathroom Sink) Stand Pipe (Washing Machin
I I I Laundry Tray (lor 2 comp3rtment sink -
, Sewage Ejector
'f ':;=If we, St>lC ~=" - - 3ackflow Assembly
r-~-- SInk;. Backflow Assembly Test
I .. Bar Sink Lawn Sprinkler
e
~)
L
if I WfJter Closet (Toilet)
\.
~ Other
FEE SCHEDULE
(ndustr;31. (0mmcrcial & Multi-family 1% of job cost wito f) $39.50 mlnimllm
Rcsid~nti~l. New One & Two-Family 1;99,50
Rc~idcnti:ll. Additions & Altcri\tions 1;:19.50
Estimated Cost S
T-,luilding Permit # ..
PUJ1viBING PERMlT FEE $
ST ATE SURCHARGE $
TOTAL PERM1T FEE $
50 PAID WITH
--st1tLDING PERMIT
(Offi('c U~C Onl)')
Thi~PPI;"(iOn B".mos Y.." Building PHmit When Approvotl 1
flulloJille ()md~1 I)~l'-
Paid
Da~}AN
-'-I
_.~
l~ h(\ur noliCt for nil in~pcctions {952) 44,7.9850, fu (952) 4474145
JUL -29-2004 H: ]4
CITY OF PRIOR LRKE
'352447'-'1245
P.0t
ml3W RK' d
CITY OF PRIOR LAKE
HEA TING/AlR CONDITION1NG/F'IREPLACE PERl\'nT
~. =.. ~~~ IPERMlT NO.~ I'~~
). Vl!l'ow ^F~ll'II",' .;;;i1. __
.J?f~r
~ L~rN"~('--J
(}'[<<'UJ)e rypc or print :md ~\)pl "! bottom) , .-
r- ADDRESS
\ 333'5 ~"/~7yf
Address)
/U/ c. d~ tfv~ &- ('-/01 v-....$
/f--/d ~ LA/L(
...~
..~
LEGAL DE,sCRIPTIQN (offi.ct; I]~e only)
LOT
BLOCK
ADDmON
PID
OWNER
(N :Jll1e)
_ (phone)
APPLlCA.t'\fT S M ( Cly I/::;? L
(N<\mc)___.. (- u--r-L- _ ~'c.-1~~;c:.a- . ____ (Phone) /.. - ~ -.30{.i)_
:?I ()05 L.a'2fi.~ /~ .::r;-rJd-VL ItM\.. 5.5:~5-:7
<~C> ); (P;,ooe) (0.,; u!2 - zzj ~";;~05
,~7 ~~~\TE
APPLICANT PLEASE COMPLETE BELOW
1" ~w CONSTRUC~N 0 REPLACEMENT ~O ALTERATIONS .._-,
FURNACE MAKE MID MODf.L _.f ~7 /t,...(, '? I) '7'z:, FUEL /1 .~ .
FLUE SIZE R..1;,TURN OPENINGS ___.,_ NPUT OUTPUT ~-,--
(Addre~$)
(Contact Person)
AP'PUCA~'T SIGNATURE
/-( %-()(c..
----<1-.
TYPE OF SYSTEM
OW.:mn /lir P lan.lS
OGrsviry
~1r.'chalJi~1l1
~r Condit,inning
OVr:nt. Sy~tcm
HEATING OR .POWER. PLANT
o Steam
o Hot W~tr:r
o fl"dintion
o $pedRj Device$ .
o Othr.r Dc\'icr:'s ____,_
PLEASE NOfE:
Ail' Conditlonr;lf UnlL.~
Cannot El1Crc'i!iC~h into
Required Si.d,~ Yard
9c1back.~
FIREPLACE MAKE AND MODEL
Indugtri~l. Commcrcini & MulTi-F:un!ly
FEE SCHEDULE
1% otJob r.C1~t Rt'~idr.TlIl~,l, QII!: Fi,clll:lce
$39.50 minimum
5.99.:iO Rcsideotial, Addltio'l19 &. Alt.tr:lt;Oll!;
S64,'O Re~jdenliAl, AC Only
$.1',},.~O
Residential, Heating &. Ale (}kw COtlSUllClion)
Rt:sickntial. He!lting Only (NC\'( Con~nruc.tlon)
$, I~. 50
~,:~I.I. ;J(}
Estimated Cost $
BHi\dinli Permit #
HEAm~G PERMIT FEE
ST.^. TE SURCHARGE
TOT AL PER.MIT FEE
$ 39.50 PAID WITH
$ alJlLDING PERMIT
$_-t:O-"-(lO_
(O()j~ l'~ Only)
-.----RultdJnl!:-~
DR~AN 1 9 '2006
_____._~J
24 !\OUI' I'\Ofjce f()r ~J1 h'lspecUQn9 (952) 4t\.',Y!l50, fa:c. (9SZ} 447-4245
162()(1 Eagle Crttk AvenPll\~ Pr~(/r r...l\ke, MN 55372
Dlltr:
:~
T!li<; ApplicDtion Herornes Your Buildjng Prt'mit Wheh AppPl:vr.d Pain
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
2, Z ~ (J (
~. ~i;~:n ~:~y I PERMIT NO. 0'5-. 120?1
3. YellO\\' Applicant , ~
ZONING (office use)
3::/85
61 rt'-!' qC; S
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
(Phone)
~;;~~ANt~\( 6J~\le, -S r~~~
(Address) on ~ (') \ J 2J A-.J-". R:JvE.--
(Address) .
(Contact Person)
s C-~++
(Phone) C/ 5'2 -<1" J- '-. ~ a
U\ \Le;.i j- ~ \?~ ff;<;"cJ LtC(
(City) (Zip Code)
(Phone) (;,Jd - Lf I Lf--4;;'f~
DATE ~-dl-() .~
APPLICANT SIGNATURE
.
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA nONS
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: Air Conditioner
Units and Fireplaces Cannot Encroach
DGravity D Hot Water into Required Side Yard Setbacks.
o Mechanical o Radiation
DAir Conditioning D Special Devices Fireplaces with Box Additions or
DVen!. System D Other Devices Cantilevers to the Outside of Buildings
~ Require a Building Permit.
./ )FIREPLACE MAKE AND MODEL
(
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39,50
$39.50
Estimated Cost $
Building Permit #
~i
tJfrlO f}eY-
r}~)IV
HEA TING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$ ./
$ ~.50
$~
./
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildinl! Official
Date
Date 2-. "[; /, () to
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
.
.
.
.
.
Standard
24'
5' from si-de lot line or
30' from r-o-IN on corner lots
10%
Proposed
If'
I
5
7, D'J'o
I Building Height: (COMPU@)f FAILS
Shoreland Distric . FAILS I COMPLIES
Minimum lot area s uare feet)
Minimum lot width
Shoreland alterations
Impervious surface
Bluff in Shorelan. l FAILS I COMPLIES
. Setback from top of bluff
.
.
.
Floodplai: FAILS I COMPLIES
. 100 year fiood elevation
. Lowest fioor elevation
. Proposed lowest fioor elevation
. Elevations 15 feet from structure
. Road access must be no more than 2 feet below
Re urato Flood Protection Elevation
.
e.
.
.
L: 'TENIP L\ TE' BLDGL~ST.DOC
35' Maximum
~~'
t
30% Maximum
Standard
By planning dept.
Proposed
StandardC'
832 s ,ft. or 25%- rear
10'
15'
PRIOR LA~~E
~NSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITEADDRESS 3~~ ~e~S' ~
NATURE OF WORK IJ ^~ ~ G...t . ~,JN"') )
USEOFBUILDING :s.~. ('tJ/~ ~"f._
PERMIT NO. 05, /20Z. DATE ISSUED .,
CONTRACTOR ~/JeJ1tJ /lIUJOII. ~ PHON~-ZS4) -se.,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INS~ DATE
I FOOTING /....2 )J7~-..r=.J
I FOUNDATION (Prior to Backfill) I \~;J I ,~- ~q-t1' I
... 'OW
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
1f',:SULATION
ELECTRICAL
P-._UMBING
HEATING (if required
FIREPLACE 1t 'IT. '1'6
/I .1 J-'iHoi} e ~
GAS LINE AIR TEST V~~h I#/Ij,n c )1'i
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED v~;~
~,r /JftJU~~t"JfINt' IPi ,f ;q ~?~~ I~#/ #P1 ~y'A
, ~
FINALS
OCCUPY UNTIL ABOVE HAS
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