HomeMy WebLinkAboutBuilding 02-0393
Q[trfifira1e of (Jrcupanry
CITY OF PRIOR LAKE
1Department of Jiuilbing Jn~pection
S Final Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various ordinances of the
City of Prior Lake regulating building construction or use. For the following:
SINGLE Ff>.MILY
Use Classification
Bldg. Permit No.
02-0303
Occupancy Type R~. Type Construction VN Fire Zone N / A Zoning District R 1 S D
LegalDescription L33, 131, ~ORTH';'JOOD OAKS ESTATES 2'iD ADDITION
S. Add 16082 NORTHWOOD ROAD N .IV.
Owner of Building lte ress
KINGSROROUGH HOMES, 87S0 90TH ST. S., COTTAGE GROVE 55016
Contractor's Name &; Address .-
ROBERT D. HUTCHINS
Building Official
/0 -~J~(J1-
City Planner
Date:
DON RYE
Date:
PO$T IN A CONSPICU~PlACE
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4- +-- 02.
White File I PERMIT NO I
Pink City . O? _Q) 2' a '2
Yellow Applicant . c- ~ I ~ .
ZONING (office use)
E.. / S.f)
too 6 ~ iJO/~ fJ, IAJ
M. N.uJ. [J,-;or U4' e
LEGAL DESCRIPTION (office use only)
LOT3
ADDITION No.
ID
OWNER .
(Name) Kl ""~) tbr-('.U.3' t\owe.\ I L-LC-
(Address) SO 011 . rc.cl ~v..t'
(Phone) lo~~1 ,j-l90 '1$1
6~-ollc In #J s;SOlb
BUILDER
(Name) ~1~(6h>rtu~l-. \--\o~e~ LLC-
<-oJ, )
(Contact Name) Sf-e.u VV\orSe..
(Address)B'r~ qOf-h Str~ 5.",d-h
(Phone) bS"-{- 4l3(! - 188/
(Phont1051- 4-e-;c). 1~;61
(~""C"I<? In Ai S'Sbl b
TYPE OF WORK
ew Construction
ODeck
o Porch
ORe-Roofing
ORe-Siding
o Lower Level Finish
o Fireplace
OAddition
o Alteration
OUtility Connection
o Mise.
PROJECT COST IV ALUE (excluding land) $ .
.00
I hereby certifY that I have furnished information 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-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans I am aware that the bUlldmg offiCial can revoke thiS permit for Just cause. Furthermore, I hereby agree that the City official or deSignee may
;ter upon the prop to erform needed inspectJons Z c> C> J "%- S 3 C) ~/ 3 6 L
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Siz 5/8' , 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ 90DZ.4-
<f1'-OL ~d 0~-cYL-- ~
Date
Date
........... 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
:~-- ~ 't/lfh!e'2- ;; a "-- M-A<;R.a.J.. (;~~
Plan ing DIrector D~te 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. . - ;~I~:~~
C-;;~ry: n~ineeri~
Th. C.nlff 01 lh. I..k. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CttECKLIST
NAME OF APPLICANT
kIN 9 seD /2 0 ( ) 1 f=i
4 -. 4 ~n2-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I~OS2-
f\{ 0 I2-TH l;\! 00 D 12- D N V\!
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
;t}1Ji3
.
, .Date:
'I-lS'-oz-
&1
Comments: See Reverse Side for Additionallnform<=ltionl
Driveway Must Have Concrete Apron
Hovst IJ.,Dfmval f<> Io~ ~,'d< -/~jCt!)(J(-, 6rcdt';,) Alv5 l-
I- p'lo, Ie'" Svr/J"Y '15 Ctfprovtd.
See Attachments: 1) Grading Plan, 2) Erosion Control Measares
.N> 3) Erosion Control PI<=In .
"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."
FROM : BINDER HEATING
PHONE NO. :
Ma~. 20 2002 11:46AM Pi
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
#
l tt> 0 ~ ~ No ( t-h lAJ 00 d R d
~:~.., SI_I PERMIT NO. ~//}y Cr3
I ZONING,_...., l
LEGAL DESCRlPTION (olflce use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) K \ V"\.cr~' '00 r au. ~ ~ Hem e So.
\
(Address) ~l so q~ ~t- S. Co-+-
(Phone) f,SI- Y~O- l 'g<<tS \
e 6ro..;
r'Y\ IV S; SO 1
APPLICANT
(Name) B;'... d.'2.r \-\ ~ Q.- ~V\ ~
(Address) d--~ Ha..rdm..a.n. AV-'2.. AJ. ~. ~'i". P~l
(Address)
(Phone) loS/- '-I Sf - ~.., ~ I
Y'hAJ 'S;'~ ---, 5,-
(Ci\Y)
(Zip Code)
(Contact Person)
(Phone)
DATE
APPLICANT SIGNATURE
~NEW CONSTRUCTION o REPLACEMENT o AL TERA nONS
FURNACE: MAKE AND MODEL TfCLf\e. .~\OO FUEL <jQ.S.
FLUE SIZE RETURN OPENINGS - INPUT \ ("X) , DOD ~UTIJUT
TYPB OF SYSTEM HEATINGORPO~RPLANT
,. OWarrn Air Plants o Steam PLEASE NOTE:
o Gnviry o Hot Water Air Conditioner Unil$
18 Mechanical o Radiation Cannot Enc:roach into
IilAir Conditioning o Special Devices Required Side Yard
[)lVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commcrcial &. Multi.Family
FEE SCHEDULE
I % of job cOSt Residcmial, Gas Fireplace
$39.50 minimum
$99,50 Residential, Additions &: Alterations
$64.50 Residential, AC Only
$39.S0
Residential, Heating &. Ale (Nc\W Construction)
f{esidential, Heating Only (New CQnstnJction)
$39.50
$39.50
ESlimated Cost $
Buildingpennit # 0 ~ -0"393
.50
d
P
!l ;&V
bJ t5
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(oma: lIse Ollly)
This Application Becomes Your Building PermIt When Approved
Reeeipt No.
Building Omel.'
Oatt
Dat~ ,- do 0 (72-.
By C c <::.....--'
24 hour notice for .lIln$~eetlon$ (9S:Z) 447-9850. fax (952) 447-4145
AUG-22-2002 13:27
'1:.._}j"Jr:!'~w..' ""~
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L.\~; . i : ;
;;;.J,:r .~ . GAL DESCRJI1rrON (o1fi~ use cm1y)
}{t~. ;{ . i LOT BLOCK; ADDITION
'ij1ti} P\VNER .
;~:J. 4,(NiIJI]c)
;?t;:; .! ' i
;;,:[if(Addtess) 15 \:) . ~ Dt\c.. _
i;}'.:I!.. : , ~
..~ii:tiljJ~. ~~~~ v 8 r'_f)\ r. n ^. S-hV:~ (p. . hone) J.1 o?;---r6.j ol..g -". 1~H. J~.
N<.~'.'.,r.,. . ~
~1/)lr~) 'i-'Z"h-l ~!c:lli\ll,V Sty ~ SIXI"'5: u.-.~ ~rlc. .<1. LL
rt'h; . (Mo,u) .. UCchy) . . CZlpCocl<)
Ln (Co..... Penonrlu,Cl.. v-... (Phone) "1 'is \. - '1 ~L\: \ .
....:~:: t~ '~.i'!: ~ ! \
'.,'f,,~ .-t iAPPUCANT SIGNATIJRB ----' DATE L '-
~Hi';,. : EWCON~~~NTP~~~TEBEL3:TaAllONS
(i:l:FoRNACE MAKE MODEL FUEL
~\f~ :'j ! ! .!
'~? :1 !FLUE SIZE RETURN OPENINGS INPUT OUTPuT
'...~::;i .; :
'; . n'PE OF SYSTEM HEA.TING OR POWER PLANT
'~ .~. : ' OWann Air Plants 0 Sleart\
~::' i (]Gnlvity 0 HOl Water
~,:; ; (] Mcchmical . 0 Radiation
:j! ,. .' i O)Air Conditioning 0 Special Devices
';!;,': " . OVent. System 0 Other Devicc:s
':~i.. ,'.! . )
{: ;~~LACE MAKE ~ND MODEL
" ,
..~;);i i : . !
;l.::- ;rhdustrial. Commercial &. Multi-Family
~} ". . . - I
.9.- ;):~ i~cSidential. Heating &. ~C (New Con$tnJction)
~ ~:r :ijcSidential, Heating OnlY (New Construction)
~>1 i' .! ,
"j...;] !
~:.. .'i . Estimated Cost S
~. ,1 i:
~...} :..!
,\., :1
'1 ;' ,',
7637177207
CITY OF PRIOR L.AJ{)t' It ;- cL c..r J
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
P.01
Date Rec'd
I. ,iak
:z. en..
J, v.n.-
E_I PERMl'! NOB -'393 ,
[ ZONlNG_... r
'Ul Og-L
Nor~ODot 7!..0~
PID
(Phone)
-~
DosrrL~--
PLEASE NOTE:
Air Conditioqer Units
Cannot Encroach into
hquiredSide Yard
~acks
FEESCllEI>VLE
1 % of job CDst Residential, Ciai Fireplace
$39.50 minimum
~9.50
~64.50
$39.50
Rcsidc:ntial, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Building Pennit #
;. .j
i: ')' ~ .:
('; !(Qflicr; Vse Only)
ij H:f~b~ Applic.tiOIiB~omes Your Building Peniait When APPfO"ed
:.1.'" . I
'"M1:i .
~1t:i '
:1,1
HEATINGPE~FEE
ST A 'Ie SURCHARGE
TOTAL PERMIT FEE
i
BCliJdihC om~1
bat.
$ ~C;. 'SO
$ .50
540.DC"")
11
P8.1d I ~1
/J ')-/0'
Date
Receipt No.
24 hOQr notice for all in.pection, (951) ~47-9850. fax (9!2) 4474245
TOTRL P. 01
:/BI.
.;:,.~..t.~ ;
~iljlu . ~
, '!j<f '. '. 'A!DDRESS
..,\~ 11 ;
I ;:;"lfr ~.f '~
.i.\f.f ;,
-~.ir' .:.r.' GAL DESCRJ:PIrlON (olfia: use only)
':~~f.~ ;~ .: i
:.;;-~., : LOT BLOCK;
;kf::l~
:~','flFame) ;
.;;.\Jl:.f(Add.ress) 15 D . ;t Dt\c.. -
e:'~€.T:.. : . :
..~ ..~PLI~' ~ \ c:_ - .
f!01il\!Cl\latne) .. ~\'1 V ,,\ (W\ CA.U -> 0-1: blA ~
~l;i;~~) <61:61- ~J ~Y-U-+
.<1'. .,.. I . (Address)
.:.I:i . (Contact perso~ '-\ G.. V"-.
>:..~ t~ .~.~..,: :: r \
.;;t~ )"! !~PUCANT SIGNATIJRE
.;i'.1l.; . ,
~lil:: . .
[[~,~ .:1: FtJRNACE MAKE
~,t ''I' I .
<.f :1 .'FLUE SIZE
':E..: '.;: .
".. \ :
13:27
7637177207
CITYOFPRIORLAI{E'"' IT l--rL-~J
HEATING/AIR CONDmONlNGIFiREPLACE PERMIT
P.01
Date R~'d
I. Pi....
:I.~
J, y,,"-
~ I PERMIT NO."} - ~ Q?
"'.... i O. '-) -/~
[ ZONING_., I
,
, Lu OZ' L
f\Jor~oDot ~~
ADDITION
PID
(Phone)
---~
(phone) ].19<;- -rt,l J1 - 1 ~ )
~~\ a lJ.,-. \~ 70/K: ~ ~LL
(city) (Zip Code)
(Phone) "1 '1\ l~ -1 ~L\ \
-
LL...
DATE
EW CONSTRUCTION
MODEL
RETURN OPENINGS
nPB OF SYSTEM
dJWatm Air Plants
[]Gnvity
OJ Mc:chlll'lical .
OJAir Conditioning
;f..: ! OVent, System
:'~i. 'I . )
'J :$WLACE MAKE ~ND MODEL
.;....J.~ ,; , .
i! '
':',','1.; ',. i ,
} )~dustrlal. Commcn:ial It. Multi-Family
l . , . I
.::'''~ ,:r J;, ". ,
:'l n. !~c:Sidential, Heating &. I,JC (New ConSUUr;tion)
rl ;1 ;'~dei1tial, Heating On?, (New Construction)
v -,J : .
~~~ :!i: .., :. Estimated Cost S
~,W:, .:.1. f ;
lot:. ~;~':i~~~EE
::;1, : TOTAL PERMIT FEE
.~:) !(CJffia; Vie Only) : .
~i;f :~jbiB Applit:atiODB~omes Your Building Penidt When App.-oved
n r ' ...~ OffiL ..~
.1:: 1. I.
i! ;:.1 : !.
~.. .J.: :
.-~. -:'1': j'
APPLICJ\NT PLEASE COMPLETE BELOW
o REPLACEMENT
."c' ...: i
1'.1 i .
'. ~..' .
INPUT
l:tEA..TING OR POWER PLANT
o Steam
o Hot Water
o .Radiation
o Special Devices
o Other Devic:cs
o AL 1CRATIONS
FUEL
OutPUT
PLEASE NOTE:
Air Conditioner Units
Cannot EncrOach iDto
Requimf Side Yard
setbacks
D CXITrL -- "'
FEE SCHEDULE
1% of job cost Residential, Gu Fireplace
539.50 minimum
~9.S0
$64.50
$39.50
ReSidential, Additions &. Alterations
Residential, AC Only
$39.50
$39.50
Building Pennit #
$ '2'...0. 'So
$ .50
$40.&C')
Pald
'\,
~tNo.
Date
%4 hour notice f~r .11 jn.pectiolQ (951) -'47-9850, fu (9~2) 447-4245
TOTAL P.01
S..nr-LI>11 ~ts6fX.J 'OSS6-L"" (tS6) "uoH~:Jdsu! 1111 .loJ ;I;)!JOU .lDul{ "Z
};:8.
a2U<I
1IIl:lWO aU!Pl!nu___~__._
,-
'ON.ld!a;)~')J
p'iJI\.OJddV uaqM.llw,Jad ~u'Pung lnO ^ s.lWo:)ag uons:JuddV S!'I.L
('\1110 ~"ll ""UJol
$ 3,'J(.!l ~lWll'lld "IV 1.01.
OS' $ '3:O~VH::nmS '3.~ V 1.S
$ mid ,UW1Iad DNlSWO'ld
#- l!w.l~d ~U!Pl!ns: (JQf.Jf1/ $ 150:) Pdl1:lW!lSa
O~.6E$ SUO!lv:nIV 1fJ SUO!l!PPV 'lll!lU~P!SQ~
OS'66$ ,(uum!l-OA\.L 7lJ :1UO A\3N 'fII!1aOJp!S3~
wnw!U!W O~'6L$ 13 1.!1!A\ 150::1 qofJo %1 ;;l!unl}~!11nw 71llll!(ll:lWtUOJ 'l1!plSnpUI
:.I"ln.a:ilH::>S ':ii'll.!!
JQtp.O (lanO,L) 1QSot:::> JQlBJ\\ ),
Jap,u!ldS UM.tl' '(U!S J~g
lsa~ ^lqwassy h\.ol.P1:3tlS s'l.U!S
^lqWgSSv M.OlJ){~gs: Ue:l.S jQMoqS I
101,:)a['3 Q~tlMQS 'tU!S lU:llUJ1JlIdwo:) llO {) AtlJ!. tUpumq I
(aU!t{ollW ~t1P{SB!s.\) ad!cl PUtnS / ('{U!S WOO.l4l~g) ,uOll!All'1 17
l::!lUijOS JQltl In upua looH I
J:;):).'8aH J~:)''8 & I lQl(SllM.l{S fa /
sU!-t.Fino~ I J~M04.S lnotm^" .10 q1!M qnJ. qltlg L:'
.un~x!.!I JO ad,{,L ~9u8nl) :J.JnJX!.!I JO 3dq N!lu\':nO
A\O'1'J1H 'JIJ..a"dWO:J '3:SV'3:'Id: UlV:JI'1ddV
-cf} -/e..;.."J' 'EI.LVa
_____ ~ (duot{cI)
(UOSJ:;:Jd PtllUO:))
(SS<lIpPY)
(SSiU""'V )
(;;lUIUN)
1:I3NA\O
aId
NOllIClClV =mH .10'1 .1
(hIUO <1st> ;>~9:lo) NOliclTI!;:)SHO IvD3:'1
(wr1(f/oj/ra~9{( I
. SSffi!aaV
(_ N "."", ~,' '0" ""''''
(;>sn i~wol DNINOZ
l
f)/
l=!l<ldV _lIo""E
,u!;) PI''!).1:
"l~ ilnla OJ
r S'6~: - e .ON .L1MI3d 1
. .llWlI~d D.N18WO.~d :lXY~ HOllId JlO ALl::>
P,3i111 i1,'CQ
WOCl.::l
ld W~E0:11 G00G GG .6n~
891089L1S9
'ON X~.::l
I.U.!.
"; ,'~ "...
'u;~; ;1.;
.'-:"~' :.~: .~ ;
::;~,:.ii ~\ ( "
::i,.:~:; .'.; ~..; . .! .
;:Y~'jii .r. ;:~ortmlltmdl...atbcJUDm)
';('~1:rlI'IDDRESS ! .
l'}tit... I(.QD~1- NO(~oDot ~c-.d..
':;;;t: .. \ ~.; : :
(,'!.J. ~t.: GAL DESC1uPtION (office use cmly)
l'(jLi~ ;t . i LOT BLOCK;
1W~1 P\YNER
t;:;.;~~. iftName)
;it:',\~~J-iAddresS) 1~ D 9 1) ~ ~ , ~ D t\~ -
:: r.:.~;,:.U ; . I
."~'.'.' iAPFL1~' r
r~lit\~~ ~~Y ~~:1~;~~ ~ s::: ~~~~ 1~~.~\
\!:lj; ~Conmct Potsonrl'-\ G- v--- _l · ~~ 'T, l. -1:-<"'-\ \ C7lP """')
;:;::~~'.;l ::~PUCANT SlG~A~RE"""'- ~ DATE '- C
~?:i'i!;J ~. . : I
[~\r:.. . EWCON~~~P~~~~TEBEL3~lEAAnONS
J /:<, .. FuRNACE MAKE MODEL . FUEL
,!,;;'t. :'1' \ ,
;":':) .\ 'FuUE SIZE RETURN OPENINGS INPUT OutPUT
~:::~'.1 '.;, . 1YPB OF SYSTEM HEATING OR POWER pLANT
~':-' .. '1 i
,ilr!,' E;:~ ~a~i=
:' )..f.::.i ~ aVent. SyStCm o OthcrDcvic:cs
.-.,~: . : '. )
:/;;;~ .~. ;hWLACE MAKE AND MODEL
\~\;,',i,i(;\ ;.: . \
,,:<c.r :,. :.n-adu.strial. Commercial8L Multi-Family
}:;~,J.: ::, . . . \
;i.;;~~~' :1t !~c:SicSential, Heating IlL ~C (New Con$UUction)
;::~~\ ~:\: j~c#dentia1, Heating On?, (New ConstrUction)
;'0~'f,j ,; : .
~~~,~ "1', i: Esttmated Cost S
t~~t< i :
;;:'.,~I"~~ :{, '
:: V'Y~:'; ,(pm<< Use Only)
~W;.l; ':,l,. :'th~ Appli~.tionB\=co"'es Your Building Pemajt When Approved
Iv! ;\: .!
t &',f}1. . BclildihC 0fIi~1 Oata
t;;<!~ pl'
~~f~: :;l:
13:27
7637177207
CITY OF PRIOR LAKE'"" IT /-- r-L- r-r J
HEATING/AIR CONDmONINGIFIREPLACE pERMIT
DAte Rec'd
I. Pink
a. ex-.
).v_
s... r PDMI! N09 -3 Cl3 I
I I ZONING~... r
ADDITION
PID
(Phone)u..<) \ - 4~b --/~ L
PLEASE NOTE:
Air Conditio~er Units
Canot Jinc:roadl into
'bquired Side yard
setbacks
D (X)'\rl---' ~
FEE SCHEDULE
I % of job cost Residential, Ou Firep!lu;:e
$39.S0 minimum
$9.9.S0
$64.S0
$39.50
R.cSidc:ntial, Additions & Alterations
Residential, AC Only
$39.S0
$39.50
Building Pennit #
HEATING PERMIT FEE
STATE SUllCHARGE
TOTAL PERMIT FEE
$ z."t:; . 'SO
$ .50
S 2.( 0 ' at, ~
PlI1d
'f.
Reeetpt No.
Date
14 hour notice f~r .11 in.pedion, (951) "47-9850. fn (9!2) 4474245
TOTRL P.01
.. ..!
PAGE 131
. I; . .
,} (V
\ J ').~ -~I
\.liJ"\ t(;\r2 1\\. :Dllte Ret::1d
~ 1\ ..J
"v
'Xl ",(.
}J
a8/23/20B2 1B:48
65148E18348
DLO EXC. gp(Ui!ED WALL
. .' . ~:' ;.... - -_ .;:- .-i'..J.:'...... :.... .... :. .
. ..:
. CITY OF.:PRIOR. LAKE
SEWER AND.\WA~R PERMIT
'l ~
--~
___--.-1
LEGAL n:asCIUPTION (o81clE UIC Dnl~
LOT BLOCK
ADDITION
PIP
~ i~tb~~ \-t~~' . (P~,,) ~1-lj,{?019.Pl I
(^ddra9~) __~_ ~_ h-.eeA__~. ~j! GrtU-!- , .ItA N $"$72!12
~). ~;>elX~)
--
~~~L.D . (PboDC) ~C(- Lf&?O".~~7 .'
(AdtJlsg) lA.\S~-,~a ~ _Sk/~d- ~~~ .i11Db~~ A..!d.-~QB
~) , . (City} (2 P Cede)
(Contac:tPmClI1) -'~V\t't~;'... ~~~"j/:c.-h.' (Phone) {()S7,-~~flfG"'7
APPUCANr SIONAnrRE DATE S - (p -~
APPLICANT PLEASE COMPLETE BELOW
Size of water service inch.,s.
Locatlon of any couplings from stluctuIe _ feet.
Type of sewer pipe. 0 ABC ~PVC 0 Cast Iron
Estimated length of sewer' Jit:I.e . ~_ feet.
Clun out (if required) located at -::::- feet from strW:tur~.
R=lidcnllal !eWl!:f ancl water line coanec. .
Sewer cgone~tlon gnly
ulti-fBmUy 1 % of' Job Cost w1'\t a 51 J 9 ."1 mlnllDum
.. .,...... .. $t7.s0 ..
. '!
s
s
s
.50 ~...
I
C.,i'
(om\:1: Uu Only)
i'
This Applte.adon Bc:cames Your Jll&ll4iJlS P.rralt Wben Appraved
!~I~NO_ ~
v..
!:~d
. ... 1\111; 2 6 .'
llu1ldlll' omr.lal
2.4 110.... ..ocie. for Jill h1JpCcu6.l (952) 44,.,l!!O, fa.. (~) ~1"''t..S
XVd 61:11 IMd ZOOZ/CZ/80
1001100 ill
White - Bunding
Canary - Engineering
pink - Planning
The Building, Engineering, and Planning Departments have reviewed the building permit
application lor construction activity which is proposed at
/wO€,1- t'-jOrzQ:JWOOD NW
N QEPAR,.MEN"
The ('~n'tf of tht t,akt CounlO
NAME OF APPL\CANi
APPL\CAi\ON RECE\VED
-
Accepted With corrections L---
Accepted ---
Denied
Date: -<J ~
~~
--
"The issuance or granting 01 a permit or approval of plans, specilications and
computations shall not be construed to be a permit lor, or an approval of, any violation of
any 01 the provisions 01 this code or 01 any other ordinance 01 the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions 01 this code or other
ordinances 01 the jurisdiction shall not be valid."
,
.,
White - Building
Canary - Engineering
Pink - Planning
The Ct'nlrr of 1he l.akr Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.
~
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
~
Accepted With Corrections
Denied tA
Reviewed By: ~ - I(" ~~
Comments:
~~~c)~ q):j~~~ ~W~ ~;t-
. D. I ~ ~ ~ 1r":'Q.p
vgJ ~kY," J<, l
Date:
Lt (e&!CIZ-
"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
or,dinances of the jurisdiction shall not be valid."
~,
---_.._-~-_.- .-.----------
~'JU':' VU..;
lk/04/9a TBU L~:Z9 fAX 61Z441(Z~5
Cln' OF PRIOR LAIE
liD 0%0
1. ,.' 'J.) _ J IJ'J "'... t. l.i.. oJ' r .'\.,
..
CITY OF PRIOR LAKE
IlDperviou~ Surface CalcubtioDS
(To be: SubmicJad wida 9u\lcf1P6 ~~)
For All Properties Located in the ShOICland District (SD).
The MaxiJnUD1 ImpeM.OUS Surface Coverage Pe:tn1ittcd. i:D 30 Percent..
Property Address_ It. 0 8 Z j\.1. (.\,h.....,..d ~ (t..+ on I> 1 oJ<. I')
Lot Area 7- ~. 3 3'1 Sq. Feet x 30% = ~,,~'--'-' l3 z oC> :z.
............****........................................................
LEN01H
WIDlH
SQ. FEET
Q
ATIACHED OAllAGE
TOTAL PRINCIPLE gnuCTURE------ 2 '2. ~ \ , 0
x
x
x
-
HOUSE
...
TOTAL DETAClIED BUlLDINGS----... N /A
x
~
DETACHED SLOGS
(~h<d)
=
It
X
X
DP.JVEW A. YfPA VED A,llEi\S
~a)'.p&Ycd ot lSot)
(~A~)
m
-
-rOTA!. PA VE'D ~--.--..------.....
gJS
:III'
PATIOSIPORCHESIOECKS
(Opal PeeP '!:' aM. opcniDs ~
~ .4dlapcviuas~~'
..noc~lObei~)
\'
x.
x
-
=
x.
TOTAL DECKS
12\.'1
=
x
.~
x
o1'HER
Q
tJ/p.
[31(QT' 1
( s-03OZ.S- \
3-22-02
-
TOTAL oTBER------
TOTAL IMPERVIOUS SURFACE
~OVER fl \\
Ptcp2retl.By ~ .QJ",~
CompanY ?:oi\~( E'j"'''--R_d-~f''J Yo A.
Date
Phone ## (1(P3) Y89 - 22,8
2'd
E:881E:81.E:91.
~uJ~aauJ~U3 ~aauoJd
dS2:tJoO 20 82 ~e\ol
o;{" 6313
White - Building
Canary - Engineering
Pink - Planning
The ('tnltr of Ihe take ('ounln'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1::;' ! I'.. /: ,/ 1"-." -) (...:.. I
., . '~_I _./ ~ \.' K ..'; ( .1 r
I
'f 4 /. -)
L.- - (/-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I (; L (,2- ~I (. IcT7-i l ~ (.{ [J k I j ~J ~\J
Accepted
x
'-
Accepted With Corrections
Denied
Reviewed By:
AJIJB
.
Date: 1-/5'-62-
Comments: See Reverse Side for Additional Inform~tionl
Driveway Must Have ron~rete Apron
/1""5 L Ap pn'JI/(.e! k> 10 .. (, /d < -I Ulk", vi-. 6rtdlil) /HV s f-
,. '[fIor 1-('" Sc)rUc.y 'f~ Ctf,rovul.
ttachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion ~ontrn' p'~n
.Jh
"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."
PRIOR LAKE
INSPECTION RECORD
RJZ
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J~08a ~art~ u )0<:9&
NATURE OF WORK -1)€C~J
USE OF BUILDING S\=CJ '
PERMIT NO. 02- 03Q3 DATE ISSUED (/ -. q ....Dc
CONTRACTOR \< lM"loo,o,* .~~ PHONE (,/51- '180- 1e,'Q1
NOTE: THIS IS NOT ~ PERMI FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING
FOUNDATION (Prior to Backfill) 'g ~ 5' ~
PLACE NO CONCRETE UNTil ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE I2f tV ? -17-<'1
GAS LINE AIR TEST ~/f/;-/ rz/ ,. - I t;?'"L- ~~ 1) '&J ~
COVER NO WORK UNTil ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING .e.D,M It) 31ol-
ELECTRICAL
PLUMBING
HEATING
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 s,hall ~e placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850