HomeMy WebLinkAboutBuilding 04-0335
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
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at bottom)
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White
Pink
Yellow
File
City
Applicant
PERMIT NO. 04-. 0335
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION SP/Z.-/NG, ~/G-6 7ZJW}./JITE:
PIDZ5". 1.3.3. O/~.1
OWNER .
(Name) It/}. l/I,...~,." \
'I
L .. /\ tk ~ i;l,e -
(Address)
(Phone) (.; I J..ll. S- I - 7 I () (;
I
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe.Siding OLower Level Finish 0 Fireplace
,2'SAddition ~lteration OUtility ConnectIon 0 Mise.
I hereby certify that I have hlrnished mformation 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 properry and that all construction will conform to all existrng state and local laws and will proceed in accordance with submitted plans. I am aware that the buildrng
official can revoke this permit for Just c Ise Furthermore, I hereby agree that the Clry official or a designee may enter upon the propelty to perform needed rnspectlOns.
Xd)1 ~ ~ -{/15-/t.'~f
CODE: ~I.R.C. DI.B.C.
Type ot"5;nstroction:
Occupancy Group: A B
Division:
I
E
Permit Valuation
Signature
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee ~.
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
II
F
I
III
H
2
IV ~~~U
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Buildlllg Oftlcial Oat<: 'I
PROJECT COST /V ALUE
(excluding land)
$
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE Unt,~ J, . 2--1,,, 4--- $4/0. ft15
.
o.
q
ThIS Isla certify that the request in the above application and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when slned by the City Planner constItutes a temporary Certificate of Zonmg comphance and allows constructIon to commence Before occupancy, a CertIficate "f Occupancy must be
issued l}~7.Df ./rernOt'~ ~
Date
our notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
-------
~~
~ - BUildi~~
C:I y - El,glne ring
Pink - Planning
Tht' ('("nfef of Ihe Llkt COUnl'1"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
L/ND50E:- I ~/cHI76L-
I
4--. /5. 04-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2-C/!53 re~ct6 eJIZ~ s.w.
Accepted With Corrections
~
Accepted
Denied
r---
~ ~ Date: ~t?to,;; </
~~ d--L( .
Reviewed By:
Comments:
"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
........-E~nary - Engineenng-:)
Pink - Planning
The ernlE'r or tht L.b Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
x
Accepted With Corrections
Denied
~-
Reviewed By:
~8
Date:
'-I-J.~~lf
Comments: See Reverse Side for Additional Information!
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un-I,' { +vrf i\ t"5k ll/~kJ.
See Attachments: 1) Grading Plan, 2) Erosion Control Me~Hmn~~
"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 P~rmit Application)
.' . For AU J,)roperties Located in the Shoreland District (SD).
The Maximllm Impervious Surface Coverage Permitted in 30 Percent.
..'~~~"f\'''~'''.. .~fC.l\.e, .... S~)
Lot Area ...... \"2-.\05e> ..'o..~~e., ~L'~b,", ' Sq. Feet x 30% = .............. 3, <..e, \ (
******.*****************************************************************
SQ. FEET
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PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 2.f:ls
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR PH Nr:UZ-ZSI- 'l/dd
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 ~ S'" /c..l-(}l, I
I FOUNDATION (Prior to Backfill) I ifI4I1 I ~ - ).-~--01
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
RAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if re
7
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
'3 -I ()/ d?/
J -tl Uk'
j" 3/IO-'~
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