HomeMy WebLinkAboutBuilding 02-1289
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/~5~5
White File
Pink City
Yellow Applicant
/O-Z-02-
,.
I
I PERMIT NO.ot.,/Zgcl
,..y;,
Gt.e71/0/lL6 /l~6 S't5
LEGAL DESCRIPTION (office use only)
LOT I BLOCK
ADDITION tJ/tKt/1NO t?6)t}(W SIlt
PID
OWNER
(Name)
L?e/V/I' / J / r/-lrlA!?bA/' /7/9/1S
,/
(Address)
(Phone)
#7-i3fJ/z-
BUILDER
(Name)
(Contact Name)
(JR.J~/'9N(.? V H
::ilJlrV
Ct/ N...r77?-.
U1J4/VO''/rt
(Phone)
(Phone)
(y ( ~. c'l LJ C.) ~ -, I (~r~
4-#-0 - SI &;f:J
(Address)
4-215 G~//vrrJ(l(J.o e./I2-'I PL.,
T
TYPE OF WORK
o New Construction
OLower Level Finish
o Misc.
ODeck
ORe-Siding
Porch /tI~'1 Itiflr ORe-Roofing
OAddition OAlteration
o Fireplace
OUtility Connection
PROJECT COST IV AL UE (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 ~are that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enterupn tho ~ropertyi b perfo eeded inspections.
X I (' . Lit ',) I (ji~
\..:.I J-'" "..... ~_
Signature
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~a
Building Official
/4/7~ 'L
, Date
Contractor's License No.
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 C. ') IO.q.;oZ- $ e:2 3 3 ,,;;t(p
,
I Paid Gl107 ~ . a-f Re~ipl No 'fN'~t!
Date . 0 - U . By cr-
-?~
Planning Director
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /'$'~~S ~LaJtJA-'-S" Ave. .r. E.
NATURE OF WORK f'o~
USE OF BUILDING = J;r; I),
PERMIT NO. - tJ 2 -/Z8CZ DATE ISSUED /O/1"hz-
CONTRACTOR CIIJ',I4l11ovJII &>,urr~~tJ,.J. PHONE "'I'Y D _ s/l'r ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
~} :i1/,' }-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
=
DATE
]
FRAMING c:~
INSULATION (I
ELECTRICAL
1/-2-0-C/L
)/~~2-02
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
- -."---...--.-.-.....--
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
~
8
White - BUilding
Canary - Engineering
Pink - Planning
Thf' ("rn'f"r or fh,. 1."';1' ('oun,ry
NAME OF APPLICANT
C/-L(/-l /LI 0 V rt C()/I/ J 772_ .
/O-Z-oz-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4.545 GLGlVO/lL6 rt-VG SE
)(
Accepted With Corrections
Accepted
Denied
Reviewed By: /YJ9-13 Date: / (;) _ )_ 0 <..,
Comments: QE'1e ReverRe Sidp, fnr Arlrlitlnn'lllnform'ltionl
~
~.
~
:
See Attachments: 1) Gradmg Pian, 2) Erosion Control Measures
3) Erosion Control Plan
"The issuance or granting of a permit or approval of plans, specitications and
computations shail not be construed to be a permit tor, or an approval of, any violation of
any of the ProVisions of this code or of any other ordinance ot the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions ot this code or other
ordinances of the jurisdiction shall not be valid. II .
White - Building
Canary - Engineering
Pink - Planning
The Crnler of tht' tab Counll")'
8
ATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
MJ/1 AI cJ V /T (!.c; /V,_f 77Z.. .
/0 -2-- 0 Z-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4545 G~G:;VO/}L-& /t-'{/G SE:
/
Accepted
Accepted With Corrections
Denied
Reviewed By:
~~ -f~f-J Date: ZZ--'
<~ a.-t..f .1-f r_L fl ~
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
Canary - Engineering
Pink - Planning
Tht' Cf"nlt'r or Iht' Lab- Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
i ;// / ' ,/ ( / I
/, ';, . ,)/
, (.../ :..' -,' / / (-
APPLICATION RECEIVED
/
. !
)
t
"7
,-.-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/::.r' ''')/1' ,~ l /l i,'~.. /'" (/;/ / (~C::... /1 [.-,' C.
Accepted
Accepted With Corrections
/
Denied
? /)-1
~ ~ Date: /O/rj z-
J~ --f., ~ ~L- .; L..... ~
~oJ-( ~-4-d~,
~
Reviewed By:
Comments:
~r
"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 LAI<E
Impervious Surface Calculations
(To be Submitted with BUilding Permit Application)
For All Properties Located in the Shoreland District (SD).
The Maximum J;mpervious Surface Coverage Pennitted in 30 Percent.
Property Address \t.lt6L\r; b~cCtt-e..' ~'ML.
Lot Area l{q, ~qo Sq. Peet x 30% = .............. L.{ '1.11
................................................................~..*~*..
HOUSE
,
%'
,
ATTACHED GARAGE
LENGTH
WIDTH
.
SQ. FEET
x
=
x
=
x
-=
..
TOTAL PRINCIPLE StRuCTURE...................... -z.:2..83
DETACHED BLDGS
( Garage/Shed)
x
x
DRIVEWA YIP AVED AREAS
(Driveway-paved or not)
(Sidewalk/Parking Areas)
TOTAL DETACHED BUILDINGS.......................
x
=
=~
fi/
x
x
=
-z.. , -,
PAnOS/PORCHES/DECKS x =
(Open Decks !;." mill, opening between X =
boards, with a pervious surface below,
are not considered to be imperVious)
X =
TOTAL PAVED AREAS......................................... '\ S I
. * Ne"J ,OO~~.~ .
OTHER M~"r' ,. ,.
TOTAL DECKS.. ......... ......... ................. ........ ............
X
X
=
=
TOTAL OTHER....................................................... ~
TOTAL IMPEIWIQUS SURFACE r' 34th ]
=:;:3J~~~",,~.' . Date q_lq_~ lcj?~ J
Company \} 4~ ~U~\i~ t.'1 Ii Phone # 44,> 2.~, 0