HomeMy WebLinkAboutBuilding 05-0717
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
n at bottom)
Date Rec' d
7_ If. ()~
] White
Pink
Yellow
I PERMIT NO. 05. 07 17 I
File
City
Applicant
ADDRESS
38.51 f200SEVeLT sr S E PfCjOR LAkE MIJ 553'1 ~
LEGAL DESCRIPTION (office use only)
ZONING (office use)
RIJ/J
LOT ~BLOCK
ADDITION GrcmJ
161115
PID;'3 CJq4 CJ 2.2. C)
OWNER
(Name)
S1t1l6J {' /v1AIGll;J
Ib.X; .D1 ~ LANL MtJlljJ.
NN
(Address)
SA;4e-
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
IS(Addition OAlteration OUtility Connection
ORe-Siding OLower Level Finish 0 Fireplace
CODE: f.R.C. DI.B.C. JS'Misc.
Type of onstrnction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
~ c...elleR.e1> S(?JOr Drl-i tJew ~
,/ OCI
PROJECT COST IV ALUE $ -17 () --
(excluding land)
I hereby certify that I have furnished mformation 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
'rty and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the blllldmg
rmlt fo at urthcrmo - ree that the City official or a dO~;5;7 rl'7C11Y to pcrtl1rm needed ;.J'4 ~ S_
Contractor's License No. / Da;l
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE A... ~ '7. z~ .r,,':;- $ /2-Z, ,q
??'~r
Date
This Application Becomes Your Building Permit When Approved
ThiS 1$ to certify that the request in the above applicatIOn and accompanymg documents is in accordance with the City Zoning Ordinance and may procced as requested ThIS document
whcn signed by the City Planner CllnStltutes a temporary Certificate of Zonmg compliance and allows construction to commence Before occupancy. a Ccrtrficatc llf Occupancy must be
. M-~ I
~~: SPccial~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Planning Director
<WhIte - Buildlrib
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
dTt=,; G1J lV!/t1Z;r-;tJ
7! 2'$" (as:
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
S?57 I<o05;'E:Ve:L( sr: ~.t:=-r
Accepted
Accepted With Corrections
/
Denied
~,7~ Date: 7(;:;J-";0S
comments;::: ~ ~~ ~~) ~/~,
~tJ ~;
Reviewed By:
"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
cana: - Engineering
<pink - Plann~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
! /.
.. t.,.
/
t/"" I.. )
.. \.. -,
I;' t-.,
/ t,J
, i
/ /
I
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
? - ."--
'-_..;( ~)
-"- ,..1
{ ,,/ i ....
Accepted
Accepted With Corrections
/
Denied
~9~
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~k
Comments: ~
IJA
~
~
~
~~
~~~~,
v
Date: ;t2..4,~.s-
.
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Reviewed By:
"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."
CITY OF PRIOR LAKE
Impervious SurfacEl Calculations
(To be Submitted with Building Pennit Application)
For All Properties Located in the Shoreland District (
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
C,'.')
Property Address ?:/oSI \.<CCf~.eu~t!.- S1r
~~@~Dm~m
W JUL 2 5 2005 W
SE'
Lot Area \tc.Ot1~' Sq. Feet x 30% = .............. \ €>. ZJ)'.
************************************************************************
~ .
HOUS~
ANI;>
ATTACHED GARAGE
LENGTH
~'\l'f-~f'
WIDTH
x
x
=
SQ. FEET
LD\O
=
t,"~ ~\~e1- x '. '. = \0
TOTAL PRINCIPLE STRUCTURE......................
LP'1O
DETACHED BLDGS
(Gara~
E~)xJb
x
\L~
~00Q. \S\\...
bRIVEW A YIP A VED AREAS
(Dliveway-paved or not)
(Sidewalk/Parking Areas)
TOTAL DETACHED BUILDINGS.......................
\ u.-,
\C x ~ e---' = ~)C)
x =
X =
TOTAL PAVED AREA:~;.........................................
3CD
PATIOS/PORCHES/DECKS ~ o~~
(Open Decks W' min. opening between oC- Jew X
boards, with a pervious surface below, "
are not considered to l1e.impervious) f:.~'\~. l..i~ ~
X
=
=
--z-D
=
TOTAL DECKS............,.j,..........................,................ -:2.-0
OTHER
~MU~~ If) .
=
\lo
=
TOTAL OTHER..,......~.f...........................................
\lo
, O~'-\
1$
I
:TOTAL IMPERVIOUS SURFACE
eVE\
Prepared By. ;"'-L~"~
Date ~
Company u"'Jpy. <::"",,,pying.r.n : P A
Phone # (q,?) ""7-2570
PRIOR LAKE DEPARTMENT OF
... BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 3SS? f<a ~SerJe"T sr. S-.G".
TYPE OF WORK F'1UftJr ~"eR.. .frr1i? SfI~~
USE OF BUILDING ~F: /).
PERMIT NO. QS.O 7 r7 . DATE ISSUED ?/2.(,for
BUILDER ~f!3'J MA~rIAl PHONE #tf52- '11,1 /II '1'(, I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING/W"~/~"I'Z~L~. ~-'!:f~'fMr-
~r~
, FINAL ~ ~~ ~ rn I :J./P'f O~
I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850