HomeMy WebLinkAboutBuilding 02-0916
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DATE RECEIVEQ CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
YO
3. LEGAL DESCRIPTION
LOT
ADDITION I vc:,,1 g q s
=
4. OWNER (Name)
New Construction 0
Chimney 0 Misc. Oe
8. PROPERTY AREA OR ACRES
Sq. Ft. d~ ax> v1
I. White File
2. Pink City
3. Yellow Applicant
j-/S-O'd
Permit No. BP tJ2- - oq Ie:,
1. DATE
5~ ')-0 L
ZONING
BLOCK PID -26 O?; J... (j()o ()
c<'.'l<'/I C; ~. 35-11.50 7 "~r 1;1 R-L- S t1 3t,
)'€'\.t<>J" ~1/5
/
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
=-
16. PROJECT COSTNALUE
/5 o~ .-
17. COMPLETION DATE
?-/-() L.
Re-rOofing 0 Porch 0
Re-siding 0 Finish Basement 0
9. PROPERTY DIMENSIONS
Width Ibo Depth 1.50
10. CULVERT SIZE
Yes No
I ",,,.by ~"" ""I I how fu"'""" "'~"", 00 .. ""'loa""" _ I, .. ., b~1 01 my __ tru, "" ro....,. r '.0 ""~ ""I I .m .. 'W""" ._ ..... ""
., """'" m,_ ,"."" '"' "'" .. _00 ... ""m" · '" ",,.,, ,." "" ,~, 0...", will '""'" I, "''',,'''~ "'h ,_ ,.~. I "'" ..." "'" ..
00'''1 . 0' ""'~.., . '" ,. ~,,.. F'""""",,,, I h,,,,,,,,~... ."" olffd"". "'.... m., '"", ""'"., ,_".. "'000 "'''''_.
X . "',.:1 ~ c5103/ b?; I L ,'i. '). tJ 2.
Signature License No. . Dale
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
FOR ADMINISTRATIVE USE
Front
Back
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION I ~~.OC>
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
City:
2s1 .2S--
l't.3. ~ (
7..,"0
Permit Fee ................................... $
Plan Checking Fee ......................... $
State Surcharge ............................. $
Penalty ....................................... $
Septic System ............................... $
Other ......................................... $
ISSued
^al~
~.O~
1/V
ilding Permit When Approved.
Date 7-lA ~C)?~
24 hour notice for all inspections 447-4230
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
o COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
COllector Street Fee ....................... $
Sewer Tap ................................... $
License Check Fee ......................... $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
WaterTap ................................... $
Builder's Deposit ............................ $
CITY OF PRlOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Pennit Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address
/7'9~ 4~~ tJ/~~LE VkV
,
Lot Area Z 7, 750 Sq. Feet x 30% = .............. f3~ 2.6""
.................*..................................*.*.............*...
[
[
llz~/b'z.
7'GZ -74f5" -9/6'1
HOUSE
LENGTH
JH5
=
SQ. FEET
/ CJ C!o
WIDTH
~
x
AITACHED GARAGE
x
x
=
=
TOTAL PRINCIPLE STRUCTURE......................
DET ACP~D BLDGS
(Garage/Shed)
x
x
TOTAL DETACHED BUILDINGS.......................
DRIVEW A YIP A VED AREAS
(Driveway-paved or not)
A6idewalkIParking Arw) , rt / Nt. J
f"f<CJPO.6EO .f:iIf(IVc:-wre-Y
TOTAL P A YED AREAS.........................................
~- X
~~
X
'2L?
=
/ lOt:?
=
V;x
/9
=
iGf
P A TIOSIPORCHES/DECKS 16.5 X &z.- = III
(Open Decks Yo" min. opening between .
X =
boards, with a pervious surface below, ~
are not considered to be impervious) ZO ZO
I Z, 2 X 10. Z. = ~
TOTAL DECKS........................................................
OTHER
Z9, 7 X
X
=
ZB
=
83?Z
T 0 TAL 0 THER..... ....... ....... .... ........ .... .............. ......
TOTAL IMPERVIOUS SURFACE
UNDER/OVER
Date
Compan
/ C1l3C7
/5'56
635
g3Z-
if/t:?.3 I
~Z22.1
,/
thf' C"n'eor of 'ht' L.kr ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
..
NAME OF APPLICANT /J7 ; )/(? Sh 0<:::' r)//4 k~ r
APPLICATION RECEIVED 7- /g---() J--'
~
The Building, Engineering, and Planning Departments have reviewed the building permit
~,. application' for construction activity which is p'rOposed at: .'
SMR ~,pl 'vcJ)A~d ,
v
Accepted
X.
."
Accepted With Corrections
Denied
Reviewed By: "/f::;l.ll Date: 7/ z-., /07-
Comments: ~e Side for Additjonallnformatjo~! '
See Attachments: 2 Erosion Control Measures
3) Erosion Control Plan
"The issuance or granting of a permit or approval of plans, specifications and
computations shail not be construed to be a pennit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Pennits
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
Thr Ct'nlrr nf 'he Lake Counl!"}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT iL) MZiA/xJ <2r~~
APPLICATION RECEIVED '7- / f~~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
IS9~cj ~ (fl ~
X
Denied W ~
Reviewed By: ~
Accepted
Accepted With Corrections
Date: 7- ~Ce ,-62--
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
The C"rnfrr of the- Llkt Counlr,"
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/;it:' ~-~---r-...- ___~
co~ts:
~V&VeeJ '-~ ck1~-"t CflLL<.&~- /Nf\[ll
A l~hM.{..ul.k\ C<,/e-eA... <-if f9~) L $5 A-:
kt~r(l ~y~ f'lv"l1-4>>Z-4 v7V~veA1
Vl\(}/_V~ I ~ '(\((;01..~'vIA 9S, t9-v y;tJ 1/,o.v:s I'
Date:
'/ /:2--~/tJ2-
"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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -1S140 Al'"ttc 0..,.....
TYPE OF WORK 0~
USE OF BUILDING
PERMIT NO. Dz - Oq/ h DATE ISSUED )-18 - ~C")
BUILDER W-es.t~ G~l" PHONE # 'is:;- 92a.aoo~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING [~. I {I~Z I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I _~~ I q L"J.-"3 (<92. I
b7//c:;/L, . /V:(.J~ 7.;)7J I-
I FINAL I I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850