HomeMy WebLinkAboutBuilding 02-0777
'<
~
c
::!
8
t:l
hl
::.,
hl
to
~
>:i
~
~
~
;l..
~
."
~
C5
~
~
~
~
~
~
~
Ro
~
~
"-l
~
o
)>
r
r
t:
......
cD
co
Ul
o
"
o
;0
-I
:x:
m
Z
m
><
-I
Z
en
-0
m
o
-I
(5
Z
N
""
:x:
o
C
;0
en
z
)>
c
~
Z
o
rn
::;)
(j)
"'0
(l)
U
o
:-1
~
o ~
o 0
;0 ;0
;0 ;,;:
m en
o >
-t -t
> (jj
~ "
(5 >
Z ~
o > 0
)> Z ;0
:=0:<
" " "
o ;0 ;0
;0 0 0
;0 0 0
m m m
z a a
en
"
m
o
-I
o
Z
CD
m
"
o
;0
m
o
o
<
m
;0
z
G'l
?
(") o~oooo
o en"Tlz"""Tl
s: ::jzen~oo
3: ~~piC~8
m Z >zOz
Z ~ :jG)~G)
-f m 0 -
en 0 Z 0
~z
'7'-
<y
~
)"J'
000000
iC"en:EiC"
mr~>mr
OC -Ioe:
:x:iC m:x:iC
,,~;o;o;o~
zZ:X::X:-Z
>G'loo G'l
r!!~~ ~
Zcc
~""
o
::E
::;)
(l)
~
o
~
'~
000000
G)""om
>;o;oO~
enr m m !l: G'l
_"'O"'O"'O~
~>>>o
>oOz:;;
_mm-l_
;o"Tl;o r
-1-_ r
enZ Z
-I~ G)
"
:x:
o
z
m
z
9
-0
m
;0
!l:
::j
Z
9
\J
\
~
~
~
o
~
z
m
;0
o
o
Z
-I
;:0
)>
o
o
~
m
en
en
-0
Z_
!{;:;!
mO
Q"Tl
--0
0;0
Z-
zO
0;0
::!>
0;,;:
mm
~
~
(\
"
t
~
~
en
o
:x:
m
o
c
r
m
o
1:::-
) g
'"' iil
~
\
0-
(~ ~
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
/(;. 1/23
~nJolJ
Date Rec' d
&-/9-tJZ-
I White File I PERMIT NO I
2. Pink City '02- 07,-') -'1
3 Yellow Applicant -I- f-.
UV~
ZONING (office use)
Kil KJ
LEGAL DESCRIPTION (office use only)
LOT 4- BLOCK / ADDITION
WI (... (/ c-/ut/ 6.5"J ~() /(/ oS
PID 2.6- 310 -004--1;
\ OWNER
(Name)
(Address)
(Phone)
BUILDER ~ .
(Name) I~ Ire", . . ( './)
(Contact Name) 1~./ L",~
(Address)
TYPE OF WORK
o New Construction
OLower Level Finish
(Phone) 4'~rl- 'f~()... i.t j'"() f'-
(Phone)
ORe-Roofing
PROJECT COST IV ALUE (excluding land) $
OAlteration
I hereby certilY 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 awa e that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the pr rty to erfor~eeded inspections.
f
o Misc.
x
Permit Valuation /3.otX).C)O
Permit Fee $ lA3 . 2.;- .
Plan Check Fee $ It../S .1/
State Surcharge $ ~.50 .
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
~ireplace Permit Fee $ '-10.00
mes Your Building Permit When Approved
(~- '2J-c -6c
Date
$
$
$
$
$
$
$
$
V $4 . ~
~;-~~t-~;7-1 ~~ceiqc-If)-?/i1
Contractor's License No.
Park Support Fee
#
ORe-Siding
OUtility Connection
c-/; 1/1} 'L
Date
SAC
#
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
'='d~p~_~'7/ C,!?rldL- ~ A;tv.~A CewlX\'-tht(
Planning 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
Water Meter
Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
t~aid
Date
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~e:n ~~:y I PERMIT NO. /J,_ /1/>?J~
). Yellow Applicant , Vc:::>f.~ - /'/ .LI
,
ZONING (office use)
S~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
V\ltnd~
(Phone) q 'j~2: 4~ 1 -1J \1-
tv\ N s.s 372-
(Address)
APPLICANT SIGNATURE
QS2.. B~+ 03ilo
MN SS3i
) (Zip Code)
(Pl~ ~O lo()lt
7 J.J-5 D'2-
(Address)
(Contact Person)
APPLICA
EW CONSTRUCTION
PLEASE COMPLETE BELOW
o REPLACEMENT 0 AL TERA nONS
FUEL
FURNACE MAKE AND MODEL
FLUE SIZE RETURN OPENINGS
FIREPLACE MAKE AND MODEL
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $
Building Permit #
~~o~
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 31. 50
$ .50
$ 4V.OV
Date
l'
Receipt No.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Date
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
Thf ('rnlN or Ihe t.kt ('ounll1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT //1\. [J::;{ lj' /J-;fll L l //(/1 ~
//
/ ,", - / z_.
I! c. ..--
APPLICATION RECEIVED
I
~ .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ,/ rI" )-~/ ..' I ;' /_. 0"" /, i I / . , j./ --I
/ /< ~I/ '~j 1;/,1 '-/,'" C I'J \.../ ',.' L' F--
I' i -.
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~-'1~
com~~n~s:_
IwmJl"~ ~
Date: ? I )-'-f Ilu L-
~~^-- +- (' Jec i< U/~D-~-~~~t~_
"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
Thf' ('(>n'l"r or thE' Lakt ('ounlr)"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /I/'IOOCSO/J fflt1 / '--V HoI16S
APPLICATION RECEIVED (p -/9 - {J 2-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/fpttz3 ~/?7$O;V ~OUe.~1
~
Accepted
Accepted With Corrections
Denied
V/~
Date: t - 2&~
Reviewed By:
Comments:
Jlp~_ S~ ~
"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 PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For Alll'ropertiesLocated inthe Shoreland Distrlct (SD).
TIle Maximum Impervious Surface Coverage Permitted in 30 Percent.
. -
Property Address~ cif"-\\ 'b\ocJL \, \& ;L.OI'R.\\eh (-i,,,os
Lot Area "L9,S\\(n . . .... ..' '. . Sq. Feet x 300/0 = .............. ~ 12.1 S
*~******************!******.*********.**********************************
. LENGTH
\VIDTH
SQ. FEET
HOUSE
\ ;~
Ii._
\ . .'
ATI ACHED GARAGE ·
'_ '..' .,t:t
x
=
x
=
x
=
TOT ALPRlNCIPLESTRUCTURE...................... z.. ?)'~'4
DETACHED BLDGS
(Garage/Shed)
x
X
TOTAL DET ACHED BUILDINGS..,.....................
. ....-....._-~....
xf---- '. V -
---"-~' ..,...... . .. . .'. '.' ..... '" . =
.~._..,_.,- .'
~-
~ x'~O
504
"..:"..", ",.:."'.:", ....::- ........'
DRlVEWA YfPAVEDAREAS
((D~i~~~~)'-p~~~'&or. not)
@~~Ik/P~k~~reas)
=
TOT AL PAVED AREAS.........................................
PATIOSfPORCHESfDECKS ..N~w
(Open DecksY'" min. opening between () ~
boards. with a pervious surface below. \Og,c
are.not considered to be: impervious) .
~ CO '=\.
\ <c> X2-()
= -~ \.c' ()
x
=
x
==
T OT ~ 'D E CKS ........................~.................................
'S~D
x
X
=
OTHER
...
=
TOT.ALIMPERYIOUS SURFAGE
.. '.' '.. ..,.,.":":,::.....
~vr;f!.\0>>/>__ .
PreparedBy ... .... ~C~ ~~
. .'. ....... . '\f'~\ u~ < ........ C; .
COmp<U1Y \I,," "0~'iG jV".J t.}
T OTAL- OTlillR.'...... .~.. ............... ... .... .......... ...............
PRIOR LAKE
INSPECTION RECORD
c.J-
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. (, - 2& - rJ'2.-
CONTRACTOR ~ J PHONE
NOTE: THIS IS NOT A PERMIT FOR NY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE D02~T
INSPECTe
~ I_f) ~J-)-~~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
\
FRAMING
INSULATION
ELECTRICAL
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
, ,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I l I
FINALS
1;;- 10- (Y
EATING ) D-3- Of-,
DO NOT OCCUpy UNTIL ABOVE HAS B.EEN 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