HomeMy WebLinkAboutBuilding 02-1516
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I PERMIT NO'OZ-/Slb I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White File
Pink City
Yellow Applicant
'/
b' (R( I,
/}.j i.:'
\" .
,~ _. ,,::-
LEGAL DESCRIPTION (office use only)
LOT
PID ;)
BLOCK
ADDITION
OWNER
(N ) r--_,,_
ame ., I I~ L ~
l'p lr/l: 11+
j'v} L :-( y
(Phone) :; ;.--:~..; '/Yl . (~.r,; II
(Address)
Date Rec' d
ZONING (office use)
BUILDER ...-":? ~
(Name)=-J:'-\{'~ - .~ L ~
(Contact Name)
(Address)
(Phone) 9j:l.., ;2312 r 2 b~ 2-.,
(Phone)
TYPE OF WORK
ORe-Roofing
ORe-Siding
o New Construction
ODeck
o Porch
OLower Level Finish
ftAddition
o Alteration
OUtility Connection
o Fireplace
o Misc.
PROJECT COST IV ALUE (excluding land) $
1 hereby certify that 1 have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that 1 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, 1 hereby agree that the city official or a designee may
:~ter uponle prf~ to pe rm needed inspections. /~ < .2
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Patk Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC'
Water Tower Fee
#
#
Builder's Deposit
Other
$
$
$
$
$
$
$
$
$
TOTAL DUE
This Application Becomes Your Building Permit When Approved
~~~~
Building Official
1()/;7/o z.-
, ,
Date
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. .,
~-
./ 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
Canary - Engineering
Pink - Planning
The Ctnlrr of the l.akr ('oun.r)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~~ 'I- ~(;L!l105t'--<.J--
APPLICATION RECEIVED /0";0 ,-() ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/qbd-<) ([)(Jd!~1c/ r3()~
/'
Accepted
Accepted With Corrections
Denied
Comments:
r
Reviewed By: ~~ :(JLJ}t-J Date: /~ 1/0 'L-
t<~. ~ ~#.,..dL-~. J?az{ cd-L
~ ~~
NO PI /J If '-' I ~ .s ;:;t:~.r/p ;oJ LA-1t ,Ii-
/ tJr771 ~ Let] tJtJ $"'" CA- r- H 5' /oC' A ItkJ
,
l' /Ur"",- r1 e I j Lb, a. /" 1lJ9 LJlu-tJe:lt.....I-;er.
J j/ /
DLlTTe7zs ~
,DlnreTELl /hJ,f-y,
"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."
>_._--"~>.
Th(> Ct'nlf'r or Ihe L.kt ('ounlr)'
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
Denied
Reviewed By: ~K-
Accepted With Corrections
Date:
II Ie,. ()~
Comments:
bT(}-eU.Q(~ 1}ILtM t}'~t 51 .-<LLcL.- tt~
O-LtP{UL{G.
"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."
,
.,';; .~ .".~~ ,~'~);;~'.:~':',~';:"-:..:i3i-">",:':;'(f:
~'. i~~~lt
. ' . ~ ~'.. ..'
"'''."; ..::i'~
fA?.,; ;'" '~.. - ,\~
White - Building
Canary - Engineering
Pink . - Planning
;-h. {..nl.r of Ih. take ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT d~1Je.- 7- p(iJ~ouO-!Vi O.5"'.~
APPLICATION RECEIVED /0 - 10 -0 d.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I LI ~ ;;-0 {[)u..ltJ? U-r!/1CI (jO O/LJL-/
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
tdlJ3
Date: 11-/~--oL
Comments: See Reverse Side for Additionallnformationl
.,:.'
L,S-kll bol4,u-J tin - ~+'" ~/'eft. d-P ~'.J.t',,'" eltlfd
D I 'r (.(,-/- Vt!fJt k I' tl" L/ q Lv'Dt Y p/() IY\ n e '9 4 b6('1:; fr~fW.J. Y .
See Attachments: 1) Grading Plan. 2) Erosion Control Measures
tThe 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 Distri"ct (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address \4.ldZ..O O~\(\~-Nn ~~Prc..~ f4-~~~ue.
Lot Area \.0, \..Q\.D~ C\.'o0"1:- LL.9DY.o Sq. Feet x 300/0 = .............. -z.OOD
**************~*********************************************************
HOUSE
LENGTH ~DTH
~ x 1...PJ.tp
=
SQ. FEET
\ -z..e ,
x
=
A IT ACHED GARAGE
x
=
TOT AL PRIN CIPLE STRUCTURE......................
l2...~ I
DETACHED BLDGS
(Garage/Shed)
x
x
TOTAL DETACHED BUILDINGS...............,.......
*' ~P.'o(.~-t~~ ~\\\ be. 0.-\ t'~~ -- -~
DRIVEWAYfPAVED AREAS x = ~
(Driveway-paved or not) X = ,//
(SidewalkIParking Areas) X = /
L
Co~c.. TOTAL PAVED AREAS......................................... ~ '"3 \
S\Ab . W
P A TIOSfPORCHES/DECKS
-
{Open Decks '/.' min. opening bet'oveen
boards, with a pervious surface below,
are not considered to be impervious)
?o . r:; x "2.\ = \;4\
X =
-"t.' \."3.- ~
X =
lD~o
T OT.~ DECKS........................................................
OTHER ~e~ \\.~~ ~~ 1_ x \ \ = '1, - e.N~\
'"2... \ X -1:l = ~ <=1 9 - j ~1\'j e..
TOT AL OTlIE R.... .............. ............ .........................
TOTAL IMPERVIOUS SURFACE
4"\'~
UNDE~r\
Prepared By U ",-".e... ~'1\ ~ Date~ "2.00"2-
~ompany ~ eo.. \\="'\ S '-""'>'\'~if G,'l ~ Phone # 441 - 1..$1 0
l\~co
PRIOR LAKE
INSPECTION RECORD
~El4<?.t1
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR ~ PHO E 952- '1'10-,'11
NOTE: THIS IS NOT A PERMIT FOR AN OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
;1cJ€r S {, I
INSPECTOR
DATE
I FOOTING ~ I!z, ! Slo2.-
I FOUNDATION (Prior to Backfill) I 5d4- I /; 1-/3 t Je~
PLACE NO CONCRETE UNTil ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
HEATING (if required)
f1
,
GAS LINe AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding) NfL.5 //. /, oG
BUILDING
ELECTRICAL
PLUMBING
HEATING
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