HomeMy WebLinkAboutBuilding 02-0572
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
,$-7-0)
--
1. White File I PERMIT NO ?J
2 Pink City . 0 7, - 0 67 .
3. Yellow Applicant . _ ",. _
LEGAL DESCRIPTION (office use only)
LOT bBLOCK:3 ADDITION
'I{;J;JkvnJ
OWNER
(Name)
L \...J' Ci U \ "-
\.
GI "-,~",..
~.-..
---.:. Q, 'f'\...
\ Ll ~L[
(Address)
BUILDEL, I) #' A
(Name) ,jO~ ~ C o-",,~c...\'~I..J~
(Contact Name) ".::r-o\.v-.....
(Address) Ll ~'i. c;- c-=-' ~'-~~ \..Jca:Q
ZONING (office use)
t</5D
v<==-
i3~- 6//J-O
(Phone)
q4-1 '" ~~i.3
. ,...,
",. t-.,..
613..
C-E~~ -l ,
(Phone) Lf.LI c"' -; c.-'6~
(Phone) <ctJ..... ") . ll~
~: t-
TYPE OF WORK
o New Construction
ODeck
DPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace ~dditiOn OAlteration OUtility Connection
PROJECTCOST/VALUE (excluding land) $ !taG 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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter uPo1f, e f~operty to. p.erform needed inspections.
X oVvk c' -- ~~~\ 'S " J~O)~
o Misc.
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Sr( Co-OC-
Date
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE .. "'A j;y) .5- 1';]. , () z- $ 54-0. Ob
I ~;~LfUlH-
Paid
Date
oif'() .00
.5- Z- 1.- - (J '7--
is 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
n 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
~~~-Z--1 <$/2-1/&1-- ~~l ~tB\,1
nning Director 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
Pink - Planning
The Cenler of the Lake Counlry
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:
..,
,
,
.,,_.........4
Accepted
L-/
Accepted With Corrections
Denied ~
Reviewed By: ~""I ~-l
Date:
~ /2-Cl/81-
Comments:
Awl71)-eJ. ~ Va91/v\ tvMAru.-1.
"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 - Engineering
Pink - Planning
Thr ('tnler of tht Lakr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT *t4<--' ~c:vn~
APPLICATION RECEIVED $ 7 -~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ij&L/C) q It?/n(-I~ Cu;~
Accepted Accepted With Corrections ><(
Denied /l J
Reviewed B~ (lp.~
Comments:
-Ur~ SMO\<.o_ d.dRCto!S.
Date: ~- I. 0 -o~
t-L-o~ ~ 1-kU3R
"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."
Th. <'ml.r of lh. Lib Counlry
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
(~~ (}~(//J1~--)~
/ ~- 7-CA. .
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/"
~ /e/nd~ ~~
/~/&1;19
Accepted
Denied
Reviewed By: /}//l13
x
Accepted With Corrections
Date: S-20-~
Comments: See Reverse Side for Addition~1 Infnrmationl
~ee Attachments: 1) Grading 'Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"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.1I
CITY OF PRIOR LAKE
Impervious Surface Calculations
. '. .... (To be Submitted with Building Permit Application)
. .... ForA11I>rop~rties Locatedinthe Shoreland Distrl'ct (SD).
T11eMaxinitimImpervious Surface Coverage Permitted in30 Percent.
PropertyA.ddress~ 'l,'.1f ot ..
G- t~V\ cP~~< ~\.J e.
,
Lot Area . ...."~(t"l'Y) . . .... . Sq. Feet x 300/0 = .............. 31 ~"')
************************************************************************
HOUSE
,
oJ.
, ,
ATI.. AC. HE, D G.AR.AG.E
... . . R:' .
. LENOTH
21.
'Ze..
WIDTH
x ~fLP
. x ":b .\"
=
SQ. FEET
H'l14
q"Jlp
=
x
=
TOTAL PRlNCIPLE STRUCTURE...................... 2.\02-
.PETACHEDBLDGS
.. (Gilfilge/Shed)
x
x
TOT AL D ET ACHED BUILD IN GS.......................
.'~~'{IPA~ASi
(Driveway-paved or !'lot) .
(SidewalkJParking' Areas)
----..
-
x .- \\ \a'2-
X =
X = ~G:.
T OTAL'P A YED AREAS.........................................
\'2..\~
PA TIOSfPORCHESIDECKS
(Openbecks.Y....min.opening be,r....een
boards,wJth a pervious surface below,
" are nptconsideredto bl: impervious)
X
X
=
=
X
=
T-OT ~ -D E CKS..........................................................
OTHER
~f00>~6)_:~14\, \0 X. \ 0 = \00
<fJO(JO~l2.~'(\\~ t~ Xl\. -:> = " ,'-'
. 'TOT ~ OTImR........................................................
'3--'~
..... . !OTt\L Il\1PERYIOUS SURFACE
'~DVER .....
.prepared.~Y~~~~~...........................
compan.y.....i~~\'t~~\~~. (\')
..' ........ . \.
.. ..',' .
- . -. . -' . ' .. .. . .
I.~,~
I -OiLs I
Date 6, ~
r~ Phone #' ~41..~ 'Z..r;."7~
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS Jt./(o<.{i Gl.ev.~ ~,
NATURE OF WORK Mol.t\'(M
USE OF BUILDING SFD,
PERMIT NO. {)2-0S77_ DATE ISSUED 6-fla -OL.
CONTRACTOR ~c~,^, Co.<;~CJV"- PHONE l.Jl2.- 't<{o- 7/00
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 6r, I S/361(j~
I FOUNDATION (Prior to Backfill) I ~ I ~ t3/61,.-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
[~-=-----
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
EATING
DO NOT
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections h?\ie been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850