HomeMy WebLinkAboutBuilding Permit #05-0665
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
33Z1
6/&1 q(j5
LEGAL DESCRIPTION (office use only)
LOT 4- BLOCK~DDITION
6., I <r. tJS-
I White
Pink
Yellow
I PERMIT NO. {J~. 0 &&51
File
City
Applicant
5"1. StV
ZONING (office use)
el
/fPl6 6 L@-/
PID u-: if's 2-. (j Z- 3 > ()
OWNER
(Name)
(Address)
(Phone)
BUILDER
(Company Name)
(Contact Name)
/J1 e f Ir t- () 150~
J( e u ; '" ,f'l <::l- 6' 'r ;). '-<--'
Fe2'ik.~ys,C1 ......e
(Address)
10
IIOlMes. (Phone) r; 12 - 8' CI'3 t>72-G
(Phone)
8y~ l/~ >~ o-~ ' k? ,/JJAJ
ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OUtility Connection
CODE: ~.C. DI.B.c.
Type o~o~tmction:
Occupancy Group: A B
Division:
III
H
2
IV V
I M
3 4
I
E
II
F
I
o Misc.
A
R
5
$ :569/000
,
B
S U
PROJECT COST IV ALUE
(excluding land)
I hereby certify that I have furmshed Infl)rmation on this applieatlOn 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 construct n Will conform to all eXIstIng state and local laws and will proceed in accordance with submitted plans. I am aware that the bUIldIng
official revoke thl~ ermIl 1'0 t caus ermore, I hereby agree that the City official or a deSIgnee may enter upon the property to perform needed InspectIOns
x
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
~echanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permtt Fee
This Application Becomes Your Building Permit When Approved
~~
Buildllw Olrlcial
for 2.- ~ ttJ ~
Date
3/~ 2
Contractor's License No.
Date
Park Support Fee
SAC
$
$
$
$
$ -5 ()CJ . ./
$ 'OO().-"
$ /5 CJtJ f ./'
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
ThiS IS lD certify that the request In the above applicatIOn and accompanYIng documents is In accordance with the City loning Ordinance and may proceed as requested TIllS document
w oed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
sSllcd
~
Planning Director
Special Conditions, if any
,
Date
24 hour notice for all inspeetions (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
.,r-'--'-
White
Pink
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is Rroposed at:
--"--... .
>::.;- -;'? '! I ,/ ';, '- f-' /) ,.---; C
/" ,I~. -, 1 !.. /.--', \
-,,' _w....'" - .I "'~-""._.f '-.~ '; 1_.... ..J
J . ...../ _.,J',.,.j
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/lIJ4I;>
Date: -' /-I)-05~
Comments: See Reverse Side for Additional Information!
See Attachments: I) 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."
White - Building
cer:::.ry - J:naineering
~ - P1aniillib
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:
c' '/ /
, ::/' .;;>4.- /
/ '
./
Accepted
/
Accepted With Corrections
Denied
Reviewed By: ~ Vl1. ~
Comments:
Date:
u,. 30. 65
-43~~~~ '?~ ~'ot. ~..1...A
d.-~ l'--'~ Lb~
~
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AM ~: .. ~ ,M
~
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lJ jj~
~ c:?tJ*.:.- V-1~~
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OA.LA- .
.~'''......,
Air Conditioner ar~d 0 "her~;leeIw.nie)L
Vults Carnat EtlC;f'fi~dt into R.equi-ed
S! ,,It'' l"~'tt\~ \C-;:- F"~h'f1:':' ~.~
"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
NAME OF APPLICANT
~//J Ifl~
~- /4- S-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity Whic~oposed at:.
33;;Lj ~r-IJJ'S
Accepted With Corrections /'
Accepted
Denied
Reviewed By: ~
Comments: K~
?'t~
?~ Date: r;:,/z. z- j,S
, I (
Ll-U ~~. ~ ~
~~ ChJI.-) ~~.
"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: J\A0004.. ~, d-oo r-
Building Permit #
Address:
PID:
Zoning: ~ I
Legal: L-L, B 5
Subdivision: ~ ~
Existing Nonconforming Structure? YE~
Existing Structure? YES@
I. CONFORMS TO ZONING
. ORDINANCE
YES
NO
Yard Setbacks: NA 1 FAILSI COMPLIES Standard Proposed
. Front Yard (can be 20' if avg, w/in 150') 25' fc"lk......l. ~ .,"'-- -
. Side Yards 10'1 .) \oJ
25' if abutting a street v aJc... ~
. Sidewall exceeding 50' requires additional side 2" 10' setback +
setback for every l' over 50' in length 2"11' over 50' ~ J A-- v"~
. Rear Yard 25'
. Patio Door: provide for minimum 10' deck or sign 10' side/ ~~
statement indicatinq no deck will be built in the future 25' rear o~
. From 100 year flood elevation of wetland/NURP 3D'
pond 1l/~~
. From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no ~/Pr ~
less than 50'
I Floor Area Ratio: NA 1 FAILS 1 COMPLIES
JO Maximum
ole- e-
Yard Encroachments: NA 1 FAILS ICOMPLlES Standard Proposed
Eaves and Gutters no more than 2 feet in width and no p/A~
closer than 5 feet to a lot line (Easements),
AlC and other equipment cannot encroach on interior }tIc ~~
side yards,
Tree Preservation: NA 1 FAILS 1 COMPLIES Standard Proposed
. Total caliper inches
. Permit 25% Removal y
. Caliper Inches Removed ..\ · J
. Caliper Inches Preserved JV
. Replacement 12:1
L\TEMPLA TE\BLDGLlST,DOC
~
02/06i9~ .
"-,. '....... '. .CITYOP'PRioRLA$':,>
....~D1perYiOllSStlrface,Calc*l~tio'ns. .,
, ':(T<J' beSubrn itted with BuIlding Permit AppUcation) . '.' ". .
,ForAll PropertiesLocatedjnthe.Sh9~elW1dDi~trict(SD)j". ....
..' '" TheMaXiniUInJmlJerviou,sSurfa~epove~ag~:~~etn1itted in30'Percent. ..... ", '.'
Property. Address. ...............~3~d-1........ .........Ci~s.......f1f~><g.bi.......... .............>....... ... .... . ..........
;~~ t'::: ..... ~.l~~~~....~....;;. .~t .t;~ ..;}.O~.~..;,~.i:~1~.... ..~.. L.. ..
'..<WIDTH
HOUSE
Company
." . ":.
" ,',,"' .
. ..,.,. '.:,',
. ....< ::<';,(' '....... .
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~:w ~l~icant I PERMIT NO.t<- hUst
ADDRESS
-. ~~/
. r..-""" L./ )
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER rJ-.t ! (?I) 1<, .
(Name) /' J-{ It 17 /..) j f ____ e'.~)
f/ ():I!~ )J
,
(Phone)
(Address)
APPLICANYJ
(Name) {JI{ iJ l; s fITe:..r- /: J /"
J
/:/T LJ.
( r'lV D
:Lit.:. . (Phone) ((j .S- I ~ "I ).. 3. 3 g t L
G.S.-(, I~l C ...i;J\ - i~ ...^-" ,::"'--c ~J)
(City) (Zip Code)
(Phone) 9 S~ . A I ~ - &:(711)
, /
DATE / I /1. i J r) J
(Contact Person)
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCTION 0 REPLACEMENT
FURNACE MAKE AND MODEL !3l >'/'\".1 ;' '? ~. C IY}/r; \/ C1i I ;' ~ )
pl.! 1 JJ
FLUE SIZE - ( ..) RETURN OPENINGS I () INPUT
TYPE OF SYSTEM
/ c) ~1,J ~") ()
, -
./
HEATING OR POWER PLANT
o AL TERA nONS
FUEL /.; AT
OUTPUT ']:2 ~--lJ.?t!'
DWarm Air Plants
DGravity
~ Mechanical
l~]Air Conditioning
~Vent. 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
1% 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 #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
J
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Receipt No,
Building Official
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
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
332/
G ri'
<;.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ~ ADDITION ;f) ~, leG ( e",
OWNER
(Name)
M ev- f it.- Q I Sf> t-- !+-o h"-.... s:
h ~ c;: F e~-n-..~.v '$10 v..<e-
x ~'c.....
S'~u
(Address)
APPLICANT
(Name) <:;. ~. \.\--<--
(Phone)
(Address)
(Address)
(Contact Person)
(Phone)
DATE
APPLICANT SIGNATURE
APPLICANT
DNEW CONSTRUCTION
FURNACE MAKE AND MODEL
Date Rec'd
~. ~i~~nw ~l~icant I PERMIT NO., r;- (,0 -C; I
ZONING (office use)
PID
(Phone) 1b: 2 - z"Z to-GO'LZ-
:?Z-
(City)
(Zip Code)
LEASE COMPLETE BELOW
D REPLACEMENT D AL TERA TIONS
FUEL
-:;f~'"
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39,50 minimum
$99,50
$64,50
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent System
FIREPLACE MAKE AND MODEL
n:
e~ V~
IA.
l".....
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
OUTPUT
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
$39.50
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,50
$39.50
$39,(0 5
I~ O~b
fA vJ ..p. o~/
'P/
(Office Use Only)
This Application Becomes Your Building Permit When Approved
I Pffid
Date
Buildin!! Official
Date
~Pt No
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Dee 13 05 12:58p
Carol~n Madson
9524475785
p. 1
U&~ _~ ..
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~ =- 5-1 PERMIT N05. U.6
I~G"'~l
LEGAL DESCRIP'I10N (vJlCe &Be aaly)
LOT BLOCK
ADDmON
PIn
10WNn
(Name)
(Addr~)
(AAkIIcss)
(COy)
(Zip Code)
j
(PhOIJe)
DAlE
APPLICANT PLEASE COMPLETE BELOW
Size of water service --L inches. J hi
Location of any couplings from structure'~ feet.
Type of sewer pipe_ 0 ABC ~ PVC 0 Cast Iron
Estimated length of sewer line -.:YL fteL
Clean out (if required) located at feet from structure.
FEE SCHEDULE
R.:sidenti;u ~ewer and water line connection S35.50 IAdustria~ Com'1 &: Multi-family J % of job c.ost with a S39.50 minimum
Sewer connel;tion OBly S11.S0 Waterconnectiou onJy $J7.50
Estimated Cost S
Building Permit 1#
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
s
s
s
PAID WITH
BUILDING PERMIT
(0ftI1CI: U,e Only)
This j\,ppliarioa BecoDles yo.... Bllildiag Permit Wile. Approved
BuRdi "C OlrlC..'
DaK
IPaidI:-No
. OOFr. ~ 0 2005 .
14 hoar Goncl: for 011 in'Pec:riou (952) "'7-9&50. fn (95:1.) ""'4245
TOTAL P. 01
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%
Proposed
(c-
oJC.-
.
.
Ian
35' Maximum
Building Height: COMPLIES / FAILS
Shoreland District: NA / FAILS / COMPLIES
Minimum lot area s uare feet
Minimum lot width
Shoreland alterations
1m ervious surface
30% Maximum
Bluff in Shoreland: NA / FAILS / COMPLIES
· Setback from top of bluff
Standard
By planning dept
Proposed
.
roved
.
.
Floodplain: NA I FAILS I COMPLIES Standard Proposed
. 100 year flood elevation 908,9' Prior Lake
914.4' Sprinq Lake
. Lowest floor elevation 909,9' Prior Lake /
915.4' Spring Lake
. Proposed lowest floor elevation Must be l' above flood D~
elevation for new and existing
structures, If existing
structure was constructed
9/19/90-11/22/97 then
additional foot is not required.
. Elevations 15 feet from structure Must be flood elevation or
hiqher
. Road access must be no more than 2 feet below 907,9' for Prior Lake
Regulatory Flood Protection Elevation 913.4' for Spring Lake
.
Standard
832 s Jt or 25% rear ard
Proposed
.
10'
15'
.
.
.
L:TEMPL\ TE'BLDGLIST.DOC
Dat~ R<<'d
CITY OF PRIOR LAKE PLUMBING PERMIT
IIQ~
OISo-'"' P
j}1'l1 ''1 "
1 CDd~5
i ~'- S-. I PERMIT NO_~. '-'6
~ -\ Y" ~~ ~ J rNlNG ,.... -I
I
I
____..__..______.1
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tJ'loak ~ or pew _ __ 1\ ~IJI}
I ADDRESS 3 3 ~
I L~GAL DESCRlYnON lolflcr oz only)
I LOT BLOCX
ADDITJON
O\'lJNER yy\ __ . \)
(Na.mc)~'J Y\
I (Addn3s)
( APPUCANT 1\ _ ~)
I (Name) i--\-e..S 5.' i a Y\ r Tl-\ ~
I (Addras) P 0 - ;;J. ~ J '7 ;;l.
(Address)
(Contact Person) Yh ; ~
APPLlCANTSlGNATURE md
o)g.Q,""
/--fo ~J
(Phon~) 5' s ~.;J ,;2 _0-" Ci ~ L
(PIrone) [PS)~Co ~)- 8252
~ C' ~q 'h,. SS 1.2..J
(City) (Zip Code)
(Pbont) 4:>, ~ - Co J '7 -, a- i (J
~ ~
' DATE / ,--/S'-OY
APPLICANT PLEASE COMPLETE BELOW
Quantity __.0- Type or Jintwn ~.titJ Type of Fixture
:
i ~ Batb Tub wllh Of witham sho'M:T ~ Rough-Ins
i I Dishwasher I Water Heater
I Floor Drain W~ Softna"
,$ Lavatory (Bathroom Sink) ( Sbmd Pipe (Washin8 Machine)
I wndry Tray (1 or 2 eompanm.eot sink Sewage Ejector
j I Shower Stall Bllcldlaw Assem bJy
I Smks Bllcldlow Assembly Test
Bar Sink Lawn Spnnkler
-1 W8ll:I' Closet (Toilet) 0Iber I
FEE SCHEDULE
Jndtsslri~l. Commuc;i~I4. Multi-flll1lily 1% of jab \:Q:!t ...idla S;\9.50 mil\i"'lIft\ R.c:sidCl1tisJ. New One &. Two-FlUnily $W, so
Raidcntial. Additions &: AllcnltiOll~ 139.50
Estimaaed Cost S
Buildina Permit !II
PLUMBING PERMIT FEE S
STATE SURCHARGE S
TOTAL PERMIT FEE S
.5~AID WITH
BUILDING PERMIT
(om... Vie 001)')
Tlais Applka1lua lIKvme Voar Buildillg hrmit Whea "pplvnd
BRildillE Ofticial
DIIk
jhd
~C ~ 0 ZUU;
I ~"NO
L I h ~o
~ 1/\ -\-
241nruT.acEc flA" .a iupKIiDu (9.51) 441.'150. fa (JSl) C41~Z4S
IQM E8ck Cndc AW-, 5.E.. JOr1u.r L-. \'IIIN S5J7J-l714
fcbl 4 4 cJ - C, Co 7 8'
P)V\1'"\6i-'?~
Cj! ]0
I 2--- lb' () J
R G- " V)
~'d
9088- ~ gg- ~ 99
80!N8S 5u!qwnld U8!SS8H
808:80 SO S ~ 080
PRIOR LAKE
INSPECTION RECORD
tj!i~ {~SL~'- Fi~/fff)
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~
NATURE OF WORK
USE OF BUILDING
PERMIT NO. - O(;G5 DATE ISSUED
CONTRACTOR t' (J~ PHO~(d -B03.04'~j.
NOTE: THIS IS NOT A PE MIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) /1 7 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
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