HomeMy WebLinkAboutBuilding 04-1159
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
II. t. ~~
(Please
ADDRESS
at bottom)
3.572- W/I.,f"OW
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 4-.//59
.J
ZONING (office use)
7lU."
sw
Ie ISD
o C/I- ~
LEGAL DESCRIPTION (office use only)
LOT / BLOCK ..3 ADDITION
I/..,;{,- 0 w's
OWNER 0 \
(Name) \ 6Llt\.,e
(Address)
Is,
PID 2.5.
08 0("".0
(Phone) (;,/ t? -71 i -oooz jL
(Phone)
TYPE OF WORK ~ew Construction ODeck OPorch ORe-Roofing
rAddition o Alteration OUtility Connection 0 Misc.
CODE: MI.R.C. DI.B.C.
Type of C';;struction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding OLower Level Finish 0 Fireplace
tX)
PROJECT COST /V ALUE
(excluding land)
$ 1-5:000
I
I hereby certity that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also cerllt)' that I am the owner or authorIzed agent for the
"bove-menll d properry and that all construction w1l1 conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can evo e thIS permit for JU cau Furthermore, I hereby agree that the Clry official or a designee may enter upon the propelty to perform needed mspectHms.
X . ~ Sign~ # ~~c!:s ~en~~7S- /~01-
II
Permit Valuation 'If e:9, s-. 000 , 00
Permit Fee $ q fZ. 7~
Plan Check Fee $ ~ hE', ;;-,
State Surcharge $ 12. So
Penalty $
Plumbing Permit Fee $
Mechanical Psrmit Fee $
-
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~o~ I~i
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
$
ThiS IS to certit)' that the request in the above application and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as reqHested. ThiS document
when signed by the City Planner constItutes a temporary Cerllficate of Zonmg comphance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
IS~~ ///7/ocf'
Planning Director I ' 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
White - Building
Canary - Engineering
<::::::t'lnk .-:: Plann~
Tht' ('('nler of the LakE' COunl'1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
, (---
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,.;/.1'
APPLICATION RECEIVED
,
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I ~,
Ii-
I
I
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l ~ L.-
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t1
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,
,
Accepted
/'
Accepted With Corrections
Denied
~~
~6
Date: II/f").t/
Reviewed By:
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."
6hite - ~~ildi;:;QJ
Canary - nglneermg
Pink - Planning
Tht" Cf'nff'r or thE' I,.kt COUnfl1"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST /
NAME OF APPLICANT M SA 00 W WOO 0 ~ 0 N 5TT<- .
II. 1.04- WANE: {.lTTLE
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
35?2 Wll\,.OW BEA~~ TRL- sW
/
Accepted
Accepted With Corrections
Denied
,..
~
Comments: ~ ~ dj
~ I::-- .~r'
~,
Reviewed By:
Date: II /?~ 'I
jCl~ .~~
~ dA~
"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."
The- C'e-nlf'r of Ihr t.ke- ('OURlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/4/"
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 proposed at:
"). ,;:') 7 7 " \ 1'1 \ L"i \,.\1 !)""":I I i .~':' i c. i.\\.!
. .'.- i........ . ': !. I . f\!) >' t-1'-\ c:./ t1 i F..... 1..---' \ .
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I
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Iw6
.
Date:
I /- I(J -0 V
Comments: See Reverse Side for Additional Information!
See Attachments: 1) 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."
'. ;'.
.' CITY'OFPRIORLAKE.
IInperviousSurface Calculations.
.' .... .....:. '.. ... (To be Suqmittedwhh BuildingPennit Application)
..........: For All Properties L"ocated in the Shoreland District (SD).
''T~e Maxi1l1u111.tffip~h.yi<)li's',Surface Coverage Permitted in 30Percel1t. . .
:'. '-,' .,.:.' . '-.,",:{ .:..,:: ,... -:.' ;/'.:..>....
~otAr~~':..J~',5'i-z.:""',.,. . ". :-Sq.Feefx30% .=..............---.Yb'5"1....
. . . .** * ** * ** * ** *~* ** ** lie * * * *** ** * * * * ** **** **** * * * * * **** * ** ** * * ** * * *** * * * * lie * * *
WIDTH
'TRA-l L
x
X
=
.'
..to'.+- . .... '. ......
.'DRIV;EWA.Y/PAVEDAREAS ",' x
. '(Pri~e:w~Y.P.a~ed()1"n()t)" . ..... . '. .... x .
: ;(Sidi\Valk(ParkingAreas) . Ct\nc..;.' Atpi. 4!.... IX .....~
. . ~, -.~ i ., '_, . .
. TO'TALP ~V:ED;;\REAS........;........~........~.u........... ~\ t;. 4~
TOTAL DETACHED BUILDINGS.......................
-.~................
' -, .'.'
'. . .. , .
=
.="~
. . .EAT~OS/P.ORCHES/DECKS
(Open pecks Y4;' min. opening between
bqards,with a pervious surface below, . .'
are notcoQsidered to be impervious},.".'... .
, ';:,.-<" -, .;' '. ;" ;', .:', ;.,' .
x
X'
=
x
. .
,..tOT AL'"D :E;CI{S...~.'~...........~....'~ ..-....i..,.~........ ......... ....... .'
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=
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:.T<J,TAL OrHER.......~...........;.....;..............................~~... , . 'C;> '3-2..
~~.~1...1
L130' '1.
. Date ,..'2.:'" 03 . ".
PRIOR LAKE
INSPECTION RECORD
. .
SITE ADDRESS .!S'l. ~/Lu)~ ~~ '77lA'",
NATURE OF WORK ~ /fI1tSW ~ ~ ~
USE OF BUILDING d'
PERMIT NO. . II S D :TE ISSUED
CONTRACTOR ":l--;;..o JJ,r. P~.OO'"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
Bl,J.ILOING AND INSPECTION
INSPECTOR
FOOTING
FOUNDATION (Prior to Backfill) /~ ~ (:?
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
OUGH - INS
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
;/t-"sc U/r"'tJ I ftPF- I //~/: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 cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850