HomeMy WebLinkAboutBuilding Permit 05--0628
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
. ~~;lfsf ,rin< ~d ';gn" 'ottom)
LtL3o,/ wC'Sr Ave. ~E
Date Rec' d
(p ./0.06
White
Pink
3 Yellow
File
City
Applicant
I PERMIT NO. 05.o(pz01
ZONING (office use)
~z-5D
LEGAL DESCRJPTION(cJffice use only)
$ou~ ~,,{-+' 0+ t..,;, 1St If. ( f +
LOT BLOCK I ADDITION V-' e..s T S l de. A-ddl. l 0'''\
PID 2.5: OoS. 009 /
OWNER
(Name)
Su 'e R., €_rl~' al\S r~t( ~V\ ~\C.
d-~31 I-/,LLs/;je, fJ /L<,je- 6'4", k-o
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone) 95~ - l./<!S- ~~d.c{
e...e.
~.
5~31
:r (..{e.R.-, eh5 (!JO"tSf~H.C-{. o#''\ r'uL
6e4/~ JL{e~e&IS
H llts lJ e ru Ve.
(Phone) qS;J--~ fl'5- i/" ;)-Lf"
(Phone) ~/;)- 3G,~ ~~()9'.f
u,L..-t ~ 6 S3 7 .
~~"~
siR t6 kc
o Fireplace
TYPE OF WORK 18 New Construction ODeck OPorch ORe-Roofing
DAddition OAlteration o Utility ConnectIOn 0 Mise.
ORe-Siding
OLower Level Finish
CODE: ~I.R.C. OI.B.C. PROJECT COST/VALUE $ / ~, OOb. co
,
Type of onstnIction: I II III IV V A B (excluding land)
Occupancy Group: A B E F H I M R S u I t-JO F:",HSH / tJO
Division: 1 2 3 4 5 No F. P, L..L. 'D6GK-
,
I hereby certify that I have furnished mformatlOn 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.menl1oned property and that truction will conform to all eXIstmg state and local laws and will proceed in accordance with submittcd plans I am aware that thc buildmg
official can revoke this permit f Just caus FllIthermore, I hereby agree that the CIty official or a deSignee may enter upon the property to perform needed mspectlOns.
x
~
Permit Valuation
eo
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
e.u
This Application Becomes Your Building Pennit When Approved
~?~
Buildlll!! Oflicial
'150 /Os;-
Dat{
~O/3!>~5B
Contractor's License No.
Park Support Fee #
SAC #
Water Meter
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other TRF€
TOTAL DUE
I Paid 1l:,~.3 q, r?
Date ' 1/1"S I"~
~~ U'
ThIS IS to cemfy that the request m the above applical10n and accompanymg documents is in accordance with the City Zoning Or ce
Wh~'n Signed b the Cay Planner constitutes a temporary CeIl1ficate of Zonmg complIance and allows constlUC110n to commence Befme oc
Issued
M.~ '/3o/0s.
Planmng Director ' Date '
24 hour notice for all inspections (952) 447-9850. fa 52) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
5" - 3 i . ~o~S-
Date
$ ~O, ~t)
$ I $.1, at)
$ l..SC>, () 0
$ 50t ~o
$ IS" 00,0'8
$ 0010.00
$/~OOtDO
$ StN) t c9 ()
$9,53
tfCJraJ
White - Building
Canary - Engineering
(Pink - t"'lannlll!:f .J
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\..
, ;::" I. ".
\..- / '.... -/ 1..../ /, - .
/ , /0, ./ .~~,-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;' / .) / .r-':/. , . .....~._~ /_.
/./ _.._/ (, ,\ i- l ". " .. I,,,.,.......
L::~
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
Date:
n.....J ~ ~ 'D1$D.
~~~~~ 19c~
b ~ D ~ ~. (~ ~~ I 9.n(.~1 ~ ~,. ) .
J t:-.-- l ..e:.fu~t .~ .
--..
1
+
~('.n.1 h"J A-~ "'/ ~J..J,. .~ ~
~ ~. '-A/v "0 o.crllAV ~ ~ D.A)cu Q~
lot. 0 ..... · D ....iloe.4 , II.' 0-. .
- J ~~~'.;f-
3 - ~ JI A)p~_~ ~ ~()A.~ lb"l 1f""\On.
- , ~~
,'.-
to: ~-
"The issuance or granting of a permit or approval of plans, specifications and
comput~tions shall not b~ cOD~ued to be a permit for, or an approval of, any violation of
any of th~provfsions of tHi~~e or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions .of 1:his code or other
ordinances of the jurisdiction shall not be valid." t'
..'1 ....,.'
-----------_----!._-.
(white - BuildiV
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
JUG;e 9611I..5
C;. /0. oS
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~309
tllesr AVCAle/&:"
se
Accepted
Denied
Reviewed By: ~/ ~ Date:
Comme~: . See C;;--- "-.,, 6: OC"
~u,cIe hoP r ay ~sS'
(;iJ ~//f~;'? -'z:s~
& /[";:;::-..J ~ / ds~ U-1-~/Q
,
Accepted With Corrections
)(
hb~~
,
r;~.rl ,
:; <:cJ-
~p
"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."
~~@~DW~m
W JUN 3 0 2005 ~
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be SubI11.itted with Building Pennit Application) By
For All Properties Located inthe Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted is 30 Percent.
tUEST ~-{)fit0UE S;E I R.tOl2.LA\"\f.,' m IUj~)f$oTA-
Ar 7509 22.5"2-,_ If. .-" "
Lot ea . sq. ft. x 30% =..............
*******************************************************************.*~**
Property Address
~ Co 309
LENGTH
WIDTH
SQ. FEET
HOUSE
x
=
x
ATTACHED GARAGE
x
=
TOTAL PRINCIPAL STRUCTURE...................... (.fb (,:; A1r~'
DET ACHED BUILDINGS
( Garage/Shed)
x
x
TOTAL DETACHED BUILDINGS.......................
DRlVEW A YIP A VED AREAS X =
(Driveway-paved or not) 7-7 X 2.D = L=) Cy)
.........- ..
(SidewalklParking Areas) '2.1 X 4 = 6t.:\~
5B4~',
TOTAL PAVED AREAS.........................................
P A TIOSIPORCHESIDECKS
(Open Decks '/4" min. opening between
boards, with a pervious surface below,
are not considered to be impervious)
X
X
=
=
X
=
TOTAL DECKS....... ...................;...... .......................
OTHER
X
=
X
=
TOT AL OTHER.................. .............. ........ ...............
TOTALIMPERVIOUSSURFACE
/~VER
~red By ALL (\'10 Rl l~,.\ f\-~1- ~ ~C~$
f\ ,\ \"',. .
Company litl,f\;~)6 l_A1J.D ..::.') UR,\J E;}'( ~ 1\)6>
I
I
DateJuNt2I,2OO5
'2 Z 4C1
L\_
qt;"." 'I/\.C- /I,)") "7
Phone # 'ljC, L~~r 7.' t-l;-l (....
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R.2 Districts',
Reviewe~
Building Permit #
Address: I ~ :JO ~
Date:
~ (;J.Jjos
~
PID:
cJut Ave. Se.
Zoning:
1<-1
Legal: L
, B
Subdivision: S 'II)- ~ Lbt IS -: 'lp ,~c.k. \ )
~+- ~ ~ .
Existing Nonconforming Structure? YES I~
Existing Structure? YES ~
II CONFORMS TO ZONING
~ ORDINANCE
"'/>.
~ ~ Yard Setbacks: NA 1 FAllSI COMPLIES
; ~'. Front Yard can be 20' if av . w/in 150'
~1'JJ. Side Yards
~. Sidewall exceeding 50' requires additional side 2'
:.s setback for eve l' over 50' in len th
YES
NO
Standard
25'
10'/
25' if abutting a street
Proposed
25 I . Q k.
{D (,.;'~
10' setback +
2"11' over 50'
~I
Standard
crl- ~ (,!o(oS
t< .
rJ\~
10' side/
25' rear
30'
.
75' or setback average of
adjacent structures, but no
less than 50'
Floor Area Ratio: NA 1 FAilS 1 COMPLIES
.30 Maximum
Yard Encroachments: NA 1 FAilS ICOMPLlES
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.
Proposed
Tree Preservation: NA 1 FAILS 1 COMPLIES
. Total cali er inches
. Permit 25% Removal
. Cali er Inches Removed
. Cali er Inches Preserved
. Re lacement
Standard
"= /8/1
~
~ I I y.".. .~ + ~~.Vr" ~.
=Ii ~ .... ::.00 _ 9 IJ. I ..
~ ""- . --. ~ ~. -- ~ bit.. ~.... .9..., ~ ~
L:\TEvIPLA TE\BLDGLIST.DOC ""'-\ ,\..u.- ~ ..... L ~ .. ~ ~.:
p~ ~~\ ~ ~~- ~.'-
~ I .J,.~ '-~ o~ b ~'l~".
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~~~w ~l~ic.nt I PERMIT NO. /j - t, <)-~
ZONING (office use)
/ ~ g()e}
t{!e/JI-
re
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
(Phone)
APPLICANT 4 ' . ;::?
(N ame) r/'l d (J (..!So ifll / 'e;s'
~'
(Address) 7'l/ C'h./~ J"?'
(Address)
, ,
(Phone) 9JZ- ~~;' >>~
~.I;,~e.e ~53Y:9
~) (Zip Code)
(Phone) ~.52 "'1' f':5'"~ 2 c: ~
DATE/:& --e7Z- 0_<-
(Contact Person)
APPLICANT SIGNATURE
APPLIC NT PLEASE COMPLETE BELOW
NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AN FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
OVent. 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
FIREPLACE MAKE AND MODEL
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 $
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
Paid
IJrv!
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Receipt No.
Building Official
Date
By
Date
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
9. f". cl5'
T~;~:;:d:bo"":
1110 () +- l1e. S. E.
1. Green File I PERMIT NO ~ / ? 0,
i: 6~~~w ~i;~licant . ~ . lP L-G/
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
.....,--
(Name),";(1 PX'5{"': n ~
(Address)
c ~")(k~+.
(Phone) 4'-\5 -'-'La V-\
S~~ee 5S3,Q
(City) (Zip Code)
(Address)
APPLICANT
(Name) () 'SON (' ..DN:rl. CD ", I(\C'...
(Address) {Dq lD I()j 1 -vv~. en \ OC\ ne.
(Address) ""0
(Contact Person) .RbnaJc-::l
APPLICANT SIGNATURE '
(Phone) Y5 d -4t..f <6.' f.t,to 1~
,--553~~
(City)
(Zip Code)
lo\2-.3lDQ -4<9.LtO
APPLICANT PLEASE COMPLETE BELOW
Size of water service -L- inches.
Location of any couplings from structure i:i!2 feet.
Type of sewer pipe. D ABC ~ PVC D Cast Iron
Estimated length of sewer line ~ feet.
Clean out (if required) located at l::!J..EL feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family
$17.50 Water connection only
Building Permit #
1% of job cost with a $39.50 minimum
$17.50
(Jf".()&~Y
~ {(Ie-
tD D~
ft1~UII/
Estimated Cost $
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
/ /. 2. 0..5*
~. ~~ ~!~ I PERMIT NO. CJ. c--, 6/281
3. Yellow Applicant , '..-J_ l.t?
ZONING (office use)
/~309 W6ST AVE.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2.5', 005. 009,/
OWNER
(Name)
C?r
~i...{.e~3'~ S
(Phone)
(Address)
APPLIC1\NJ' .) .0 . .
(Name) Vq/rcU T~6/~Ct .~; L_
(Address) <6"(/;0 @ l<.C4/~" r~
(Address)
(Contact Person) CJ-. j/' I .
(Phone) 9 S;;)- ~9 g- C9 / Ci' I
.
SG/&~"-7, ~.I1/?, (S3;"~~
(City) (Zip Code)
(Phone) .#-6~.~.
DATE / /:.- d--~.
c
LICANT PLEASE COMPLETE BELOW
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) Other
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
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$/
/'
.50
AID rpf (!fL
r (3{)IVO
Estimated Cost $
Building Permit #
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
P~--_/
Datel!. z- . 0 s;-
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
Driveway: NA / FAILS / COMPLIES
· 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%
.
.
.
Ian
Building Height: COMPLIES / FAILS
35' Maximum
Shore an IS n
Minimum lot area
Minimum lot width
Shoreland alterations
1m ervious surface
30% Maximum
Standard
By planning dept.
.
.
.
.
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 foot is not re uired.
Must be flood elevation or
hi her
907.9' for Prior Lake
913.4' for S rin Lake
.
· Lowest floor elevation
· Proposed lowest floor elevation
· Elevations 15 feet from structure
· Road access must be no more than 2 feet below
Re ulato Flood Protection Elevation
.
Standard
832 s .ft. or 25% rear ard
.
.
10'
15'
.
.
L.TEMPLA TPBLDGLISTDOC
ot. . ,cu.-
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Proposed
Proposed
Proposed
Proposed
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
~~TEU~~D~FE~~R~ ~ '!-! ::""'~~~6 lo.t... F.,,;*J
USE OF BUILDING $', fII': 0 ~
PERMIT NO. OS Oft:; Z8 DATE ISSUED ~, /. S
CONTRACTOR ~ ~. "". PHON · ae~&(
NOTE: THIS IS NOT A ERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECT~ DATE
I FOOTING ;41 _ r~Z /~
FOUNDATION (Prior to Backfill) /If' ~o e1 r-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
LUMBING
GAS LINE AIR TEST
~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~'iItG7 JjfJ"rE~ I;o/~ )f/~ /~pJt _I
),.';"N hlU f -,r a J1;" ;rA,,{ FIN A L S fi;(;, ,d.r /.5: <f ,4;/a!
GRADING (Prior to Sodding) ,/V./J 7: /0. o(p
BUILDII~G 't.~
ELECTR~CAL
PLUMBING
HEATING ~~
DO NOT OC UPY UNTIL ABOVE HAS BEEN
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