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"tl "tl ~ ::t 0 ;u ;u ~ m ;:0 0 0 000000 z ;:0 0 0 ~ m m m m i:"tlen~!I:"tl >< Z m m mr~)imr -I C C 0C: -IOC :lll Z ~ en :x:3l: m:x:3l: "tl (") (I) ~ "tl ~ ~ en m .,,!!!;:O;U;:o!!! m 0 0 ~ "ll ::J 0 zZ:X:X:-Z ;:0 Z :x ::! m (1) -I >(;)00 (;) 3: -I m 0 ::t (5 ':!J~~ ~ =i ?' 0 ~ () C -I 0 Z Z (5 Zc:c: , ~ ;a. !Xl ~"ll"ll 9 m z :"1 m 0 ~ N ." ". 0 ~ J: ;:0 0-. m ~ 0 0 (' f'J c: ;:0 ~ ,f 00000)( I ~ (I) m ..... ~ Z ;:0 QUI ~ ~ ~ Z 'v-.J >-- \'- 6 -4 Ro > C) en;u;:o m 0 '" cqJqJ ~ ~ ~s:s:~ '-l ~ z C >OOZ ~ 0 _mm-l !'" " ;:0"';:0 , -4 -1-- i enZ z m -I~ C) Date Rec' d CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ADDRESS c~ 1\/ 77:::7C- ~ 263& LEGAL PESCRIPTION (office use only) 2~ LOT.3 BLOCK 2 Z, ADDITION S ;?/CI;V/Q t-K-. 10 ,/cf ~tJZ_ ~i~i~e ~:~y I PERMIT NO.O 7 _I; /7 I 3 Yellow Applicant . V ,-!",t,.- + svJ ZONING (office use) ,e/SD PID2 OWNER (N ame) I~ L..., , '-. /) . '" ~ Le- 1"-- (." -- - - (Phone) ('J -..).... Lf 'i U -- J:).. J- J .~, ) . ( rtt-: t, i. J ,t (^-.J "SC>-L(Cl- ? ODeck o Porch ORe-Roofing ORe-Siding o Fireplace OAddition o Alteration OUtility Connection (Address) BUILDER (N ame) /" ~ '::>~A-l Ll ~jE- . /. ,>CC-( ..t'l{.-'S ." . i'v\ \ 1.....-2. 1/~'!-IC: .:..~ /, (Contact Name) (Address) c- .? ~ ~ r L\..'>'~"./~t TYPE OF WORK o New Construction OLower Leyel Finish (Phone) qs~ -1"),(1 - '-( ~ '/1' (Phone) 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,.Uilding~.Ci can re, vo ke, this permit for just cause. Furthermore, I hereby agree that the city official o. r, a designee may enter upon the property to perform ne d~d inspe ,. s_ , " c: / t/,/ X,.-/ A._ ./__C l,' 1/'-fi..Z- Permit Valuation ?~(J,tJo Permit Fee $ I 3 9 , ".l.S Plan Check Fee $ "7 (J, z::;- / State Surcharge $ 55a Penalty $ Plumbing Permit Fee $ Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas Fireplace Permit Fee $ This Application Becomes Your Building Permit When Approved Q~~ Building Official /oJ.; ~~ I Date Contractor's License No. 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 $ ~3 ~ r-~ 2.33. 2& o. :z.,s.o 2- 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. Ie. J4. c:)-.. Date Special Conditions, if any 4 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 -.~.:- The ("{'nfer of the Lake ('ounll)' White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted \/ Accepted With Corrections Denied Reviewed By: C.(c?~ Date: J[J. ~,OQ- 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." rhf ('t"ntff of Iht" Lakf Counlr)' White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT Prkl- SO~ V- /0 - ILl' ~ APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~ g ,~(() (l~~ IzJ- ~ Accepted Accepted With Corrections Denied Reviewed By: ~ ::t~1- Date: R ~ t::J-R ~ tr..k \ /0 ll!o l.-- f 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 ('"nltr or th,. 1..11.,. {'ounlry NAME OF APPLICANT BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST Perl .sOl(~ v- [/0- .lLI.- dl APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: d g €>(D (le1AEA ~ Rei- Accepted K Accepted With Corrections Denied Reviewed Sy: #15 Date: It?.- rJ).. -Odl.... Comments: See Reverse Side for Additional Information! See AttachmAnt~. 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." - PRIOR LAKE INSPECTION RECORD SITE ADDRESS ~J~~tJ NATURE OF WORK _~~.__ USE OF BUILDING s. r::; f) r PERMIT NO. DATE ISSUED lo/~...; j(j L-- CONTRACTOR I;';~ (Jc,,1t- PHONE'9S-,-i~9-9. NOTE: THIS IS N A PERMIT FOR ANY OF THE INSPECTIONS BEll THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE I FOOTING tlHP I {o- 1- Y I FOUNDATION (Prior to Backfill) I [Il;f/ I [ 0 ),-0- {jI~ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS I!~ 15 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 CITY OF PRIOR LAKE Impervious Surface Calculations (To be Submitted with Building Permit Application) ForAH Properties Located in the Shoreland District (SD). The Maximum Impervious Surface Coverage Permitted in 30 Percent. Property Add;ress 'Z..tl~1.,.. c.e,~.~o~. 5w Lot Area _, "2., "?J(X) , Sq. Feet x 30% = .............. '"3 ~'io ************************************************************************ LENGTH WIDTH HOUSE \- 'I' ~l - ATTACHED GARAGE x x = SQ. FEET \~'"\'-\ " = x = TOTAL PRINCIPLE STRUCTURE...................... \ ~ "\'\. DETACHED BLDGS ( Garage/Shed) x x TOTAL DETACHED BUILDINGS....................... DRIVEW A YIP AVED AREAS x = 't1>~~ (~riveway-paved or not) X = I (Sidewalk/Parking Areas) - tOt\c... X = '2~ TOTAL' PAVED AREAS.......................................... .., f~ P ATlaS/PORCHES/DECKS X = (Open Decks '/.," min. opening between boards, witha pervious surface below, are not considered to be impervious) x X = TOTAL DECI{S................................,....................... OTHER Nfu)GAA. ~\)~ '" X ,N-e.~ Cf(,...~ X = ~~'2- 1.-\ '2.. t? = TOT AL OTHER....................................................... ~ TOTAL IMPERVIOUS SURFACE I -z..e~~- ~VER('\.. . I ~Sl.o Prepared By U CI.~ ~~~ Date \ D ~I O"Z.. cornpanN<( \\e.t ~~~\\'\l\ Co") ~. Phone # '-\'\, - "2.<;'1(:1 <<E:\J' \0- "Z.~ CY2.... ~ To ~~ ,~p "'.....~"-.. o-+: OR\\J<:W4J.../