HomeMy WebLinkAboutBuilding 04-0001
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/~. /903
ADDRESS
/59fR7
/SL/1NO
1_ White
2 Pink
] Yellow
File
City
Applicant
I PERMIT NO. 04-. 0 (;J 0 / I
~//Evv
ZONING (office use)
}e,/sD
(2-f)
Nt1./
LEGAL DESCRIPTION (office use only)
LOT II BLOCK
J ADDITION
/ S L-rt/V D Vi E:jv
PID 2-5. tJfj5. ()/ I~ ()
OWNER~
(Name) ~-
(Address) L S""'C( f-)
~ CW\. ~rdL ~
T ~ (CJc....
(Phone) q.c-- 2- - tf tl c) .- '1q Z-t{
UJ - L(J ,.
BUILDER ~- -.\ ,,[) /'. { i
(Name) b -qr-cAO ~ro~, LQlLC't-~eT(~
(Contact Name) .1\Q...v\.... 6' ~ ~
(Address) I Sl{ 6'/) :r..> ~ \ U- LA)
(Phone) 9S;Z-'It/D-tfC,;} ,-I
(Phone) 9 S'2- -;J.C?D-S6K b
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe-Roofing
):rRe-Siding H-v.l\. ~
O^ l~
OUtility Connection
o Lower Level Finish
o Fireplace f'iiAddition o Alteration
/'G/ff2AGG
PROJECT COST IV ALUE (excluding land) $ ~ C> 0 0>
o Misc.
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and cortect. 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\V1Irproceed 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 may
ente~ the property to perform needed inspections.
x~ ~(~~ GOO/ltS- g-t5f.{
Signature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~~
Building Official
I~O;{?
0ate
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ ;).. I /. 3D
Paid
Date
Z~I.3 0
1./ .!J.- d ~
I ~;1o 1'feUd
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
issued.
c
J d . W . ();;!)
Date - Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
ThE' CE'nlE'r of IhE' takE' Counl,,..
White - Building
~Canary - Engineerin::g;>
Pink - PTanmng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,,"',
"
/ 'I
; -.- ~!:. I
NAME OF APP~ICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l L~- .,/ ,,/]
./ r"'~~ f /~
, ~: ' 1
c..;:.;.'(;-,' CY'.. ,<.";1' {..,.~.<':~~A!.{.':.<...~ ,.}- /' \, :'~.....I...
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/YJ4 (3
Date: /;1. ,. ~o - 03
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 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
anary - rmg
Pink - Planning
The Cenltr of the I.akt Countr)"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT r1..Jl/J Jid! ~ ~~
APPLICATION RECEIVED /;;z _/9---.3
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5 9&/7 J;diMd U~ J?d
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~
~;;~
Date: /d--~o4 J
/ /
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."
White - Building
Canary - Enaineering
<:pink - Plannlf!g)
Tht' ('f'nfer of the Lake Countl")'
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: u~ Date: I'd- -I a, 0")
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."
CITY OF PRlOR LAKE
'. Impervious Surf3.ce Calculations' .- - '.
. _ .cr:o. be ~ubmitterl w:iili B.uilding Permit AppliCltion)'. .. . .
For All Prop~~esLocaterl in the ShoreiaJ?-dpist?~t_ (3D).
The Maximum Impervious Surface Coverage Permitted in 30 Percent
Property Address
/59fo 7 ISLAND \11M ROAD NW'
Lot Area 24-; 43c; Sq. Feet x 30% -'.n...:_~_~... 73?;o48
** ***:Ie ****** * * ****** *********************************'**** *** * ** * * ** ** ***
. .. .' . . . . ..
LENG1B WIDTH SQ. FEET
HOUSE x = 2382- .
x -
PRoP~GARAGE to x 'Z-1- = 13~
,+of) 171O)J
2-5/4-
(8Okr f}%"")
TOTAL P RIN CIP LE STRU CTURE.._____..._________
. DETACHED BLDGS
(Garage/Shed)
'1- '3~. 14-" -; . 1 ~ 3
x
TOTAL DETACHED BUILD IN GS..._..._____..___...._
/..]3
.'A VED AREAS
riveway-paverl or not). .'
(Sidewalk Parking Areas)'
=
/581
'{
x.
=
x
=
~TI~~RCHES/DE~KS .
(Open DCt:Xs \1.." mIn. .opening- betweo:t
beards. with a pervious surface below,
are net clJnsidcrcrl'lo be imPcr:vi~us~.
TOT Ai PAVED AREASu~._.__.._......._....._...u........... /.; 81
';8h3 [rA11o .f-~060
X.
x
=
x
. . ..
TOTAL DE CKS__...___u.:..___..u.....___...._.___..._.___
. ..
J, B 63
,
GillER
fo X 1-0.83
1Z-S-
x
TOTAL OTHER......_.___m__......_____._..___..........._ I Z c;-
TOTAL I1'rIJ?ERVIOUS SURFACE
~VER _ . ----d- .
Brepared By .~. -1~
Company ~~L Z;~Y1~ e
I b2-I"
L1 I 14-.8
Date /2 ~/t~tJ 3
Phone if: 4; L - :5 OoD
,
~
_I
I
1
PRIOR LAKE
INSPECTION RECORD
S~ NOVI~ 1),
I .
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. ()4,ooo/ DATE ISSUED ~ a 61
CONTRACTOR ~$. ~ PHON ..z O~~lJB~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING 1-16
FOUNDATION (Prior to Backfill) - ~ tf9
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
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 c~binet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850