HomeMy WebLinkAboutBuilding 05-0539
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
White
Pink
Yellow
:5 ~d-/; -,5'
I PERMIT NO. 00- 0539
File
City
Applicant
?3~~
ZONING (officc usc)
/C/~j)
:ed (h.. ks
cL
LEGAL DESCRIPTION (office use only)
d 0 rI-- r> I--- t:?X 9-- 'i
LOT B'(OCK OADDITION
PID oil J- -1/)/ b
OWNER
(N ame)
(Phone)
er~ - '('10-7/ 'ffp
t\L LLrrJ\_ t ~
(Address)
(Phone) -'Sj - ). L( 7 - L{ 0 7l.
II
t...
t.
Qt,
TYPE OF WORK 0 New Construction ODeck ~porch ORe-Roofing
OAddition o Alteration OUtihty :;onnection. J
~ ,5c. reel'"" 0 M
CODE: I.R.C. OI.B.C. . Rorc h ISC.
Type of onstmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding OLower Level Finish 0 Fireplace
N~S' ~L,LU r;cT1~JS
LA "-.) 0 €Y2- Po f2Ltt-
PROJECT COST /V ALUE $
(excluding land)
I hcrcby ccrtify that I have hlrnlshed 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-mentlOne roperry and that onstructIon 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 IS permit for J t c, se u h 0, I hereby agree that the Clry official or a deSIgnee may enter upon the propel1y to perform needed inspectIons.
1Do/02StfO
Contractor's License No.
x
Permit Valuation
Permit Fee
Plan Check Fee
. State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
S-'z/'-os
Date
Park Support Fee
SAC
$
$
$
$
$
$
$
#
#
Water Meter Size 5/8"; }";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
$
t!A~7J G!JO,o5' $ Z 7 .30
I Receipt N o. V~ IcY 6
.By i~
This Application Becomes Your Building Permit When Approved
~~
~OttiCi'll
~/9 /Os
I Date
Paid
Date
ThiS IS to certify that the request in the above apphcatlOn and accompanying documents is In accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner constlllltes a temporary Certificate of ZOning compliance and allows construCtlon to commence. Before occupancy, a Certlticate of Occupancy must be
I(~ ~, iY) I ~.. 0 5 R.~o ~LL i}.J ~R.Jv.A'; ~
~ 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
C-:-White - ~uildliib
Canary - nglneerlng
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ,q ex (/11 )( CA P6S (AL ~ U iPttV
APPLICATION RECEIVED ~. (p . Os
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
153~"~
I2eV tJrl,CS ;ed~
Accepted
Denied
Reviewed By: ~ ~~ Date: e:,!7A,s:-
Comments: ~ #~ ~ ~ r ~
.4...0, '/-41- ~ ~ #-<? J~ ~ ~
~/L ~~ 4~/~ ~ r~~
~ ~ ,Z6 ~ /,e,c:~ ~,-~
~ ~, ~ #OZ-OG{( ~
~ ~ ~ ~ I?"~ - ~ ~-Ai
~~ ~ - /1a~.::J -/b Ix ~,
Accepted With Corrections ~
"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
C Fm.k - Plannl"9:;>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
"
, !
I, -; 'r:Ji
NAME OF APPLICANT
/ / /' ~. /-';!
.\'
:' /1 L _.... /'/: t~
APPLICATION RECEIVED
.:--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ i (,. ;' ;" I ,l .I, / ..1..__
Accepted /
Accepted With Corrections
Denied
Reviewed BY:~ hi 1~
Comments:
Date:
bjq/1JJ
- CAo .....,:t _Q..l(Cml) ~ ~ ~-.:.
~
"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 PRlOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application) .
F or All Properties Located in the Shoreland Distric~SD).
The Maximum Impervious Surface Coverage Permitted is 30 Percent.
MAY 2 7 2005
Property Address /5 3 C (;
xeD ()j}/6
KD sE
Lot Area 2 '2- S2JJ S j f1 sq. ft. x 30% = ....(15:. %',1 :31' -fl:.
.
************************************************************************
LENGTH WIDTH } SQ. FEET
HOUSE 0U' x ,:)9,68 = /77:;-
x =
ATTACHED GARAGE x = 17 7S
DETACHED BUILDlNGS
( Garage/Shed)
TOTAL PRINCIPAL STRUCTURE......................
SOL-
-57:::0
- c;g
/77S-
J I I
} 2, if X 22d.?
(;,1 X f'
4f)j2A~~
~H{/>
5S-0
TOT AL DETACHED BUILDINGS.......................
DRIVEWAY fP A VED AREAS
(Driveway-paved or not)
(SidewalkJParking Areas)
= I~ ~D I
= 1-(;,0'
x
x
x
=
TOTAL PAVED AREAS.........................~...............
26)"(0
Po~CH ~(J 7/tw (lrtJfiseJC. .'
?eyeJ. IV
P A TIOSfPORCHES/DECKS X = '-Itc/
(Open Decks \4" min. opening between X =
boards, with a pervious surface below, Lf Sr;.
are not considered to be impervious)
X = j~
O!3-Cjot
fA 710
10 91.
TOTAL DECKS.... .............. ......................... .............
OTHER
X
X
=
=
TOT AL OTHER................... ............. .......................
Prepared By
~~otQ~
Date
SS()L-
- I~SG,
q-27-v~
~ /
TOTAL IMPERVIOUS SURFACE
UNDERlOVER
Company ;::::v('frJ-?k,1( ~f~?u-f-fi
Phone # :;~ 2~ Y'/:;7-2!/t: )
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS~" ~ ~A~
NATURE OF WORK fa 'M!I& -NIII L
USE OF BUILDING -:;1:>. -
PERMIT NO. ~ DATE ISSUED t.1'{,V.
CONTRACTOR ~ PHONE ..tlO -fI"?2
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
QEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
IIiiiiii : I
. PLACE NO CONCRET~ UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
(- 1--6
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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