HomeMy WebLinkAboutBuilding 02-0909
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/ ~ /3/
Date Rec' d
7-IS-o'd-
White File I PERMIT NO.
Pink City
Yellow Applicant
c
s~
ZONING (office use)
R/SD
LEGAL DESCRIPTION (office use only)
/,;).13 J)
LOT BLOCK ADDITION ~
PID
OWNER _
(Name) CVqel1 e ';j- 5ctW#Q
v
/c; ph C{ /1 e I/i
,
f Ave.. cSl:.
(Address) /
73/
(Phone)
BUILDER L? ......
(Name) CC'rreclr~ o1c4.5€/'l/rces ,JP'lc.
v
(Contact Name) ~CI/'''' 6P.f/40u
(Address) 5>~~.,) U/epf:h.va~ AY~ S. d/~d':J~
(Phone) 95~-8t?S - '/ t?O ~
(Phone) ~/.".>. 3cP~ - '::>0 <r 0
VUY1.J. S'SSI.:t D
TYPE OF WORK
o New Construction
ORe-Siding
o Deck
OPorch
ORe-Roofing
o Fireplace
DAddition
OAlteration
OUtility Connection
6ROJECT 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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to I! rfi eeded ipspections.
x
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
Building Official
Date
/) (') 0;).. I ~ S-c"
Contractor's License No.
7J)~02.-
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 $
Paid
Date
Receipt No.
By
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.
Planning Director
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
/
Tht Cf'n'f'r or fhf' I..kt Country
"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
APPLICATION RECEIVED
IiecfJ S Lc- ~
-;-(5""-~ (
,'t \ .., ..
The Building, Engineering, and Planning Departments have reviewed the building permit
~" application for construction activity which is proposed at:
/~/3/ WM1 ~
Accepted '><
Accepted With Corrections
Denied . ~ ... .. .
Reviewed By: Date: 71J~ (Dt..
Comments: See Reverse Side for Additional Information!
See Attachments: 1 )__, 2) Erosion Control Measures
3) Erosion Control Plan .
'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 Crnln of Ihe L.kr Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
. . ~~Lc-~
---;'-/~-~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~t~
Accepted With Corrections X
J
/~/31
Accepted
Denied ~
Reviewed BY:~ A
Comments:
Date: 7-\ Cj-()L
f1.o.tV\kiV\ rltDtOVt ~
~t ~ tl e. I"O:>IcM. c.crvt -\ ~~
~~\J~ out ColA~ tt'UC~\ 'Ch1
/D.Q.r"NL ~\-t-Uc~t~
liThe 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 Permit Application)
For All Properties Located in the Shoreland District (SD).
'The rvIaximum Imperv,ious S~rface Coverage Pennitted in 30 Percent.
Property Address L.,~ l.\ I 96 ~N \" ~ E "'-\.)T iF Vi
Lot Area lD., (q2. ' Sq. Feet X 30% = .............. \ C\ 0<\
*************~'**********************************************************
--.
'-
LENGTH vnDTH
'Z.t, x ?J'?
If x lLf
x
=
SQ. FEET
~B
~~
HOUSE
=
ATIACHED GARAGE
=
TOTAL PRINCIPLE STRUCTURE...................... q l'-\
DETACHEDBLDGS G-p.~-e '=
(Garage/Shed) 6'n~&::..
1...0 'x 1- "2--
q.X B
y~o
1'"2-
r&R~\
L,DRIVEWAY AVED AREAS
~'''-'---- ----'
, (Driveway-paved or not)
(SidewalkIParking Areas)
TOTAL DETACHED BUILDINGS....................... S \ 2-
\0 x 1-2-
L.\ X I'Z-
=
'"2..'2.0
L\e
=
X
TOTAL P A YED AREAS.........................................
L..c..:.~
P A TIOSfPORCHESIDECKS
x
=
(Open Decks W' min. opening bet\veen
boards, with i1 pervious surface below.
are not considered to be impervious)
x
=
X
=
TOTAL DECKS........................................................
OTHER
X
=
X
=
TOT AL OTlIER.............................. ........................
TOTAL IlVIPERVIOUS SURFACE
GD~VERQ
Pr:pared By'----~1 ,,~
Company ~k\~ -:;0<'<""1 'J CO. I ~~.
Phone # -9l\ I -"Z!;;'1 0
White - Building
Canary - Engineering
Pink - Planning
The Cfnlef or Ihe Like Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
...."__n..... \,
--'<:-......
APPLICATION RECEIVED
'\
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i ~ --I' "-, I
./ 'oj ~ J
Accepted
~
Accepted With Corrections
Denied
Reviewed By: q~I4-~---r-;h'
Date:
r-; /2,)--?C^ 2-
~
~t\II~<;~
rB /J c.... 1
"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 JS7~\ W~5\- A\te,
NATURE OF WORK ~Cke ~
USE OF BUILDING
PERMIT NO. () DATE ISSUED /-lj-07-
CONTRACTOR -e.c 've... \'C/G- PHONE ~(2-3(Jr(Y'}'itL
NOTE: THIS IS NOT A PERMIT FOR NY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOUNDATION (Prior to Backfill) CV'
PLACE NO CONCRET UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I e~\~ C~\.-ro\ I I
FINALS
GRADING (Prior to Sodding) #17 ;;: if 1- (/ (-
BUILDING (~H ~-~ ~~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electricifl 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