HomeMy WebLinkAboutBuilding 02-1019
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
oeM /1 eo
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
-SE(!.,./ 3d
OWNER t6 '
(Name) rl an.t
~
i{()h/A
(Address)
S-2-0~
~i~~e ~!~y I PERMIT Na..l-/t2V {J
Yellow Applicant _ {/ I / ~ ,
C!.- / IcJ!, t.-E
ZONING (office use)
N€
12/5D
PID 25-
').li.t:J11 Ullll
(Phone) tj z;- ~ -If Lf 5 - .3 /~ ~
5'- _
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
OLower Level Finish
o Misc.
ODeck OPorch ORe-Roofing
o Fireplace ~ddition OAlteration
PROJECT COSTlV ALUE (excluding land) $
ORe-Siding
OUtility Connection
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
Xenter up the pr9perty t perform needed inspe ons l\, J ..-"'"_
~ ~/o;Llo~
Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
$
comes Your Building Permit When Approved
8-B-~<-
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE ~ 0-v(-, 2.- $ /00.01
i Paid /00. 0 /
. Date ~ - "Z (, -0 'Z-
I ~;Cei~
//
,/
4Z779
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
"'"~-4-4~ 9?!jU~7- s:e<~~~ ~~~
PI ning irector 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
Thr ('rnln or Ihr I..kr Counlr)"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
.
NAME OF APPLICANT &~ 9- Ro ~ tf)--tlZ1n~
)'
APPLICATION RECEIVED ?.,. :A - 0 J--I
The Building, Engineering, and Planning Departments have reviewed the building permit
. application for construction activity which is proposed at:
/ '-1/3 e- (- (hchL--cd. (fJ ~ 'Y1 C
X
Accepted
Accepted With Corrections
Denied
Reviewed By:
/J1Jf3
Date:
cg-/2-0L
Comments:. See Reverse Side for Additional Information!
Ie
See Attachments: 1) Grading Plan, 2) Erosion Control Mea"sures
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." .
,
,
White - Building
Canary - Engineering
Pink - Planning
fhl? ('t>nlt>r nf Ih(' Lab ('ounlrJ
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
..
NAME OF APPLICANT ~::t" 1- RIJ ~ tJ)~~
APPLICATION RECEIVED ~> ~ -0 J--/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'I/3~- (f}1fkLA r{ (O~ 7J C
Accepted
Accepted With Corrections '<
Denied T77r f1 ~
Reviewed By: ~~~, Date: B -e,-OZ--
Comments:
11f>~ ~~~ ~~ Qut ~~
"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
The ("('nfer of rht' tab Counlr)"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
.
NAME OF APPLICANT
APPLICATION RECEIVED
;'
r
.'f-
I~..
X,._/
. !
I · .
, I
"'--''''
The Building, Engineering, and Planning Departments have reviewed the building pennit
application for construction activity which is proposed at:
///; ,,"-
Accepted
t./'
Accepted With Corrections
Date:
Cl~le1kKf/2-
.~
"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."
1\o1"~: ~~~\o,," I\~~",-_ CITY OF PRIOR LAKE
U.1 \ \ \ ~''1-\.. 'c~~1I'I c.~~~ I . S ~ C I 1 ti
Ar-t1A ~\\\ '('~ \~ IIV.: : mpervlous . urlaee a eu a ODS
(To be Submitted with Building Permit Application)
For AU Properties Located in the Shoreland Distri"ct (SD).
The !vIaximum Impervious Surface Coverage Permitted in 30 Percent.
..
II r\ '\
Property Address_\"\ \3CO 01f'c.\u),~N' \...:nr<.J.p ~
Lot Area t.1 ~"\ "'\""'\H? el, ~ Sq. Feet X 30% = ..............-.J ~~'l
************************************************************************
HOUSE
LENGTH vnDTH
30 x ~
=
SQ. FEET
I'dC
A IT ACHED GARAGE
x
=
x
=
TOT A.L PRINCIPLE STRUCTURE......................
DETACHED BLDGS
"'''''1"
ta:~/Shed)
leo
....t.~ 1..\ x .'4.,."..c...."
x
S '2....<0
n TOTAL DETACHED BUILDINGS.......................
tbr\.c.. ~ \f.\l\o P\~"~II".
DRIVEWAYfPAVED AREAS
---..-
5z.e
II.
(Driveway-paved or not)
(SidewalkIParking Areas)
x
=
x
=
x
=
TOTA.L P A YED A.R.EAS.........................................
Cj\S
P A TIOSfPORCHESIDECKS
(Open Decks W' min. opening between
boards. with a pervious surface below,
are not considered to be impervious)
x
=
x
=
x
=
N ~\U ~ r~\.\.
OTHER t:::' ,_/,
t..,c.:l~ .:J
T OT.~ DECKS........................................................
o uoe IL
c.~~..
'S xU
=
(.~; ",,';1''"''
t.)t....;
x
=
TOT A.L OTHER........ ......... ............ ...... .......... .........
8. r....::
,;:!oo
TOTAL IMPERVIOUS SURFACE
UNDE~ ')
Prepared By ~Ofltlle. ~ A.J
f'!:
[~~J I
[ LU:l2 - I
Company
Date '1 - 31- 02.
":1ft
)t" I;fiii r\ 1
Phone # 4 y..1 - 2.. "'S1.o
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -.11J.~ OlC~~ 0.."
NATURE OF WORK ':$~ ~;)(I'
USE OF BUILDING 5t=Q ~
PERMIT NO. -&.::!f. /~ DATE ISS~ED 8 -s- <n
CONTRACTOR ~ oJ" -"" .D.-\............. PHONE 95"2- <./6)-~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
~ ; ~~ 5- 0 /2.3(&1- j
~L ABOVE HAS BEEN SIGNED
ROUGH - INS
t L I ~
6"""7
L.-.-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~
~--..,..
b
. ()-2-
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