HomeMy WebLinkAboutBuilding 02-1109
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LEGAL DESCRIPTION (office use only)
Date Rec' d
8-2(,-02-
1_ White File I PERMIT NO
2 Pink City .0" - / /,00
3. Yellnw Applicant . ~ L
ZONING (office use)
R/Sf;)
LOT
ADDITION
PID 2.5-/4/- ooq - 7
BLOCK
OWNER /J J
(Name) 0~i./ ,-J C?~_,j7N'';
(Address)
(Phone)
44-7- B~+3
BUILDER
(Name)
(Contact Name)
(Address)
W~L-tY $/2///1/0-;'
(Phone)
(Phone)
TYPE OF WORK
o New Construction
ODeck
ORe-Siding
OLower Level Finish
Misc.
G~ e"1 G
OPorch
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 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 upon ;pe pr~~rfo~eeded inspections.
X t#' <--/4.'----L- ~ '3 (, t. D ,; <i'-l c.f 9'7 9 -/ V - c Z-
Signature Contractor's License No. Date
Permit Valuation c:r
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
mes Your Building Permit When Approved
q-LI-o~
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 CI\UEl') q... (, -oz... $ Zf1/J. ~Z
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
issued.
Ci~lo.C9--
Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (95i) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
Canary - Engineering
Pink - Planning
-
Tht' ("enlrr of the I.lIkt ('ounll1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
()iVLu1.r~
g.. d b- Od--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: _
\.~ ~~:L- 13~~ ~A-/
Accepted L
Denied ?fit
Reviewed By ,
Comments:
Accepted With Corrections
Date:
c;~ ~-. 02-
"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."
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pUB SUO!lB~!!!~ads 'SUBld !O IB^OJddB JO l!WJad B !O 6U!lUBJ6 JO a~UBnSS! a4.in
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CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
F or All Properties Located in the Shore land Distri"ct (SD).
The 1'laximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address 32"'2.:'2... ~u~"<<.I'\o..\...l-\- {' ..\rr--l~
Lot Area \ lq, -o'i ~ o..~6u'- u. ~ Sq. Feet x 300/0 = .............. 4'\01
************************************************************************
LENGTH
WlDTH
SQ. FEET
x
x
=
HOUSE
\
ATI1CHED GARAGE
=
x
=
TOT AL PRlN CIPLE STRUCTURE......................
\1~4
DETACHED BLDGS
(Garage/Shed)
x
x
TOTAL DETACHED BUILDINGS.......................
(.~ ~~.
DRrV{~/!lfPAVED AREAS x
~way.paved or not' '" t\..\ ~ ~
.J-ff \,........ ~ ..d =
(Si~walk!Parking Ar~ \.tl X '-f
....... .
TOT .>\L PAVED .~AS.........................................
=
=
\ "1.. (.C\
...~ loSe
"3("
=
~ \,\,,-~
P A TIOSfPORCHESIDECKS x =
(Open Decks 'I;' min. opening bet\veen X =
boards, with a pervious surface below,
are not considered to be impervious)
X =
TOT.<\.L DECKS........................................................
OTHER
~ \'\~ c..p.~: "?JO
=
4W
=
TOT AL OTlIE R........... ....................... ............ .........
TOTAL IMPERVIOUS SURFAC~~. "'("/02... -(0 I
~ VER Co.."""\- If ""~ .......,.... G'\ I
L!;::r ~ <'1""7 Ne-.> OfUo&""""'1
Prepared By _ _ ~ ~~ Date 61-z.~1 0"7
Company ~~\I.e... 5"t\>-,""i \(\- Co.) ~ Phone # '-\ 47- e~os
\
l.\~
~ J4\S1
~ J1?o
C"f'ntf'r of thf' takf' Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
, '-:
NAME OF APPLICANT 0y~ (tJjVY,tL1;Od1'v
APPLICATION RECEIVED >< - d b - 0 d-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: _
,-=3 dd-~- jj~~ ~.
~ccepted
><
Accepted With Corrections
)enied
~eviewed By:
4?fJ3
Date:
1-/I-o~
~omments: See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
he issuance or granting of a permit or approval of plans, specifications and
mputations shall not be construed to be a permit for, or an approval of, any violation of
IY of the provisions of this code or of any other ordinance of the jurisdiction. Permits
3suming to give authority to violate or cancel the provisions of this code or other
jinances of the jurisdiction shall not be valid."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3~~~ ~-€rVlu\- C!..rc:lg
NATURE OF WORK ~ -}oO ~p ~.
USE OF BUILDING SfD
PERMIT NO. (}Z ~ /107 DATE ISSUED ']- 4-02.-
CONTRACTOR C~r<i.1-(.~-f\. PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
-
I .... -- -
- ,
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850