HomeMy WebLinkAboutBuilding 02-0461
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5-/~~()2
White File
Pink City
Yellow Applicant
PERMIT NO. 02~o ~ /
ADDRESS
&505 ~l371;:::' Jetj Sf. s. ~
ZONING (office use)
~/SD
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID?5 -II~ ~ (11/1 - 0
OWNER
(Name)
(Address)
HC;
(Phone) fR .fl ~ -.59 Z- - / () -; I
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
ORe-Siding
o Lower Level Finish
o Misc.
ODeck
ORe-Roofing
o Fireplace
OAddition
OAlteration
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
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 pi I am aware that th building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon pejtY. t9 per orm ne ded inspections.
li /_
x
Permit Valuation
9. 000. ()
$ /tp',. Z-r
$ I
$ .S 0
$
$
$
$
$
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
g Permit When Approved
(f-tJ-o
Date
Contractor's License No.
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 $ Z-80.1f-~
~80. -+~
-- / (j ,.. I)
~
I r;;efc /fUVj
Paid
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 C,ity anner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. ~ S I, / 4 "2-
Janning Director ' Dite Special Conditions, ifany
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
. Impervious Surface Calculations
(To be Submitted with Building Pennit Application)
For All Properties Located in the Shoreland Distrlct (3D).
ne Maximum Impervious Surface Coverage Permitted in 30 Percent.
L~t Area Sq. Feet x 300/0 - .............. . tJ'?- '2:3
*****~**~**~******~*****************************************************
-5~~f-
Property Address toEo 5
~
. LENGTH
\VIDTH
SQ. FEET
= _\L.L\~
HOUSE.
:t:
x
x
=
ATIACHEDGARAGE
,(~ -
x = l1>~o
TOT AL P RlN CIP LE STRUCTURE......................
\qo~
DETACHED B}JlG~
. (Garag~~~_:)
x
x
e,o
??
TOTAL DETACHED BUILDINGS....................... \ \c;
DmNEWAY~AVEDAREAS
(Driveway-paved or not)
(Sidewalk/Parking Areas)
x
q~.;
...
x =
c..OVXL w~llv.;/~~ = _\0 loll
TOT AL P A YED AREAS.........................................
'Zo-z-s
N~.. e~opo~e[). ,.
PATIOSi'PORCHESfDECKS .\
'-.
(Open Decks Y."min, opening between
boards. with a pervious surface below,
are not considered to bl: impervious)
co X~O
X
=
-z... Y 0
==
x
=
TOTAL DECKS........................................................ '2.'-\0
OTIIER
x
=
,,~,
x
=
TOT AL OTImR... ...... ......." ......" ....... ...." ..............!".""..
TOTAL IMPERVIOUS SURFACE
~OVER. . ...
Prepared Byl\.__~~ ~~
companY~ 4U~.~lG(1., f~..
I 41-f6PJ
I q~e
Date~l b2--
Phone # 1..\\\1-1--S10
White - Building
Canary - Engineering
Pink - Planning
Tht' C'fnlrr or Ihe take COUnll")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
I -1- "'- ~ -"'- l I
NAME OF APPLICANT f..-. \ 1<. c J I I
\.../
,
I -J... I /
APPLICATION RECEIVED . I I <:.--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
..._'
i ~ '
__J, ...../
.--
,-. :. ~_. j-'.,-, L.'--
,~~' t " \._ ' \; r
.".."-
J
.' . t
/ .
"./
.....
Accepted
v-
Accepted With Corrections
Denied
~~~<
Date:
LII~jzJ2-
Reviewed By:
qf)q,q~\{'f;-
"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
SITE ADDRESS (P505 I<Yl/la~ Sf.
TYPE OF WORK --.Rt-<..k
USE OF BUILDING St:D
PERMIT NO. rJ2 /0 ~I DATE ISSUED t:.f-:J'S -6'L..
BUILDER E:T C~J- PHONE # (Pt2-227-t,io7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
I FOOTING I ~, IS/d-.;r/o,J..
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING ~~ @-y- 5/31 {()~ I t5r. I tf>.I GO /0"2.-
I FINAL C~1~~Jp} I ~ cr/,11Z7_
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
GkS-e- ~~