HomeMy WebLinkAboutBuilding 03-1169
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
s), D ,,\
LEGAL DESCRIPTION (office use only)
LOT \ BLOCK
I~
-iJ(~
ADDITION
Date Rec' d
B../lrQ]
1. White File
2. Pink City
3. Yellow Applicant
I PERMIT NO.03-llb7 I
.--
l"~ 0
ZONING (office use)
;e/so
-0
o~d,
PID C. '3""- Co 0 '7-' OU ~0
OWNER
(Name)
L - r:)(~ f ",j---"
Br-
~ \ r,
(Address)
(Phone)
BUILDER
IA.. ;} \.lv\
(Name) v-,
(Contact Name) M r-'r
( (~"\ S -1 (' '-1. ~ i ( t- n
~-. M ('I ',,, 8... -::>
(Address)
----
t::::. P L \
\,:(f>I'IIL/
<-\-.:)/0
(Phone) \co I C~~ S; ~ r( ~ 'J 2 S' I
S f-' f..) \(...,
(Phone)
{, i :,.. tf L
TYPE OF WORK
o New Construction
ODeck
ORe-Siding
o Lower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
o Alteration
DUtility Connection
OPorch
Ji(Addition
ORe-Roofing
1\.J.Ooo
T
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 upo.n th..e pr~~erty to perform needed inspections. r--.
X Fv,-, F,----, rt/l._,..--;;.-. 3, ::s. S '6 ~~,.\~.-' IY~3
I
Signature Contractor's License No. i/ Date
o Misc.
1/
Permit Valuation 'PIt). otJa, 0 lJ
Permit Fee $ I~I , ~5 .
Plan Check Fee $ I /7, ~I
State Surcharge $ f),dO .
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~ ~ t/?;&:?
Building Official Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE ~ '^ . I'n--. 1. +-- ,01 $gO~,O~
Paid :30~O~
Date 9~ _~l1:r
~;~~Sj3~
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.. ~ m, Ci~:;;;..nstitutes a tempor Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
iS~. - Cf4-'Ob
--=t;I ~ -' I' t;~nning Di ctor 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
( Canarv - EnaineerirlQ::)
Pink - Planning
The ('pnter of the l.akr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t 1 -
JI '-
("/1
0, ,. ~ r;~
() 7 U . t.l-,
Ii. ,!" N' ---, --,")
: I j! !', i /
L-' \./ '...; I \...--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I ~ '2, z~~) -5+1/I\.D V' [3Ef\(~,H 'jlcl\ I L
t
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
(fY}-B
Date:
7-)-e; S
-
Comments:
See Reverse Side for Adriitional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
'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 - ~~aineerin~
C Pink - anning
Tht' <'("nfef of Ihf' Llkf' Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/'- i
r- I
l I
c .
, i.i j' T7c .
, I";'
( ',....-J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l+- i t3~^fl i\LjY 1 )'~) \(i/-.t"-rk..l\ 1'-
Accepted K
Accepted With Corrections
Denied
Reviewed By: ~Q;--zrrn
Comments:
Date:
cr. +O~
"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."
\
The ("enler or the takt Counll1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
tjr.
M ~O tJSD2-
~. '0. 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I ~ z z3 ~+tAD~CU1 'l1GA I L
Accepted Accepted With Corrections /'
Denied
~ 1~~ Date: ?/5'~J
;(~ aJU ~ ~~ ~~
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."
..
CITYOFPRlOR LAI<E .
Impervious Surface Calculations
'. ... (To be Submitted with Building Pemlit Application)
For All PropettiesLocated in the Shoreland District (SD).
The MaximumlmperviousSurfaceCoverage Permitted in 30 Percent.
twp.ertyAddJiess\ L17::i:~ ..5\..~\fu" 0<- \" --r- ~ \
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. .. . ."", .
. ,. -,' .
. . .
. ' . . - .
LotArea'?-G,l...?jl,p. . .. Sq. Feef x 30% '= .............. .<0005
************~.***************~******************************************
. . - . ..
WIDTH
SQ. FEET
HOUSE
~'
ATTACHED GARAGE
=
=
x
=
TOTAL PRINCIPLE STRUCTURE...................... '."'2.,-\ lQro
.' . ,c, _ ,-,. '," ," .
DETACHED BLDGS
. ((]aiage/Shbd)
TOTAL DETACHED BUILDINGS.......................
DRIVEWAY/PAVEDAAEAS . . .....,....
'<@F~~l'not)=r-
(SidewaiklParking Areas); '. .. ."'1>-'
=
= .--!-9AL
=
.S'o~
;..'rO.TAL ~ Ay~D'ARE,AS.,.........................,...-,...........
· "2..4e,
PATIO~ECKS.'
(Open Decks ';.." min. opening between
boards,with a pervious surface below,
are not cOl1sidered to be impervious)
\t..lx lY
X
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=
=
:rOT.AL ,D ECI(S.. ........ tl.. ... .....,.. 't. .... ........ ... ..... ........ It
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=
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, - . .
'rQT AL- OTHE~....~~ ...... '," .,....... ,i. ... ,.. It .t. ..... ... ... It.. ..~ It
, .
.:" : .
" . ,
TOTAL Il\IPERVIOUS SURFACE
,,,. :' .0' ,-'.' ,',"., " . ,.." ," . ..
..cf~Y~~D)?..... ........
Prep"fedI3Y'<~>>€ ~"'~~ .. .
'.. ......... ..:'.. ......./......'........< \.. .;
. . . .. '.: ~-~. '. . .
. Company ,'. . . " .
\~O
I S3S{
I: "Z-~ S-2-
.Phone # . '-\. '-\"'1-'2..S1Q
PRIOR LAKE
.
INSP,ECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING ~! €(l~
I FOUNDATION (Prior to Backfill) I ~ I qjwM
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
, ,~'uC'>
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
. I?RW""I' /J4~ I ~ I 1;0/ ~ 0'2
FINALS
Pb
"
ATING
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