HomeMy WebLinkAboutBuilding 01-0952
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
White File
Pink City
Y _lIow Applicant
(\ CY\l~ 0 V(
St
LEGAL DESCRIPTION (office use only)
Lorio BLOCK ADDITION fUJNN6NS I q
PID 2..5 - 0
- 001- I
OWNER ~ ,-
(Name) ~\fv('e. '.(2 c::v...:;:.
(Address)
5C)(9.4 C
"-
\/\..9
St C;~
(Phone)
.--:;,
r Y \ DV' \...a.:
'"::)5- ;1.--417 - ~419
NtV
BUILDER
(Name)
(Contact Name)
, (Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
ORe-Roofing
Re-Siding
OLower Level Finish
o Fireplace OAddition OAlteration
PROJECTCOST/VALUE (exc1udingland) s1i ~~
OUtility Connection
~
Misc. W ~
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 p. . rm needed inspections. I ~ t-l
X ~ - ~_~ ,
Signature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $ .00
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
~ r- t{ - (j (
Paid
Date
~~{r
# $
# $
$
$
# $
# $
$
/) . $
--30-01 $
I :;ceF !jpS-. dr
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
omes Your Building Permit When Approved
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
~::;/g./!~e~ by the ,City Planner constitutes a temporary Certifi:~ O{f. ~:g ~~~liance and allows construction t~A=ce. Before occupancy, a Certificate of Occupancy must be
/ ./ ~([) p~ /6r\ ~ ~~1- ~~\~~
Plann g ~~ ~ Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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--~---_.~- '.._.n___~..,.,_.__._._ _ . _ ,_._.._..__.._R_~__"-.'~_.__._~_.._... --.-____,.__....___.__._.._._.. _-,_______. ....-....._.......__ ____._ ....____.__"-__..._ _ _..__._ ~,_.. ~_...._,_.. ._.... _'h'_
White - Building
Canary - Engineering
Pink - Planning
Tht' Ct'n't'r of .1It' L..;t' Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 6tuc..e... ~
APPLICATION RECEIVED 8 - I - 2~(
The 8uildin~, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
SCX::II Cc:t)l1~ S'~.
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
ill 111~
Date:
51-I~-O I
Comments:
See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
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. II
White - Building
Canary - Engineering
Pink - Planning
Th~ Crnlrr of Ihr Lake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLlCANT6)-{ Jc...f' ~-e.J:S
APPLICATION RECEIVED 8 -9 - ~ /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5COf( C1nttO~ ~+-,
Accepted
Accepted With Corrections X-
Denied ~
Reviewed B('
Date~- Icf- ~ (
Comments:
I. New ~~\-r.v<:.~nll\ Sl""'l~d- t-~ 2000 ~~
2. t?ou~ <kM ~~I'~ Att- te t"tH1Aad
3' 4J1,L. S\MQkL A~ ~u~_ tho ~
-ld C('J~ C<,d2~
"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 LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
3. Yellow
~!~ I PERMIT NO. C)./' -- 954-
Applicant
dOll -S
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
~
PID~ 5-077- tX7/-
OWNER ~ p.,
(Name) r t1 tv e.-' (:)1-fJ f~ S
(Phone) l/ 1./ 7 '- LI tI"7 C(
(Address)
APPLICAl'fT \ LI _ I
(Name) b, -e I n I~ ~t:l"t- (' J'7.J
(Address) 3~52 ,tJ-ef-5hi n cP 5r-
J1 (Addre$
(Contact Person) QrO J A. -e } I
(Phone) q~2.. - L/L/7- (9!<;:; '/ ~
4/0)-' .L.ct kQ
(City) (Zip Code)
(Phone) GJd.~ -=? &.{,- :3 /../34
DATE L//~/02-
APPLICANT SIGNATURE
DNEW CONSTRUCTION ~ REPLACEMENT o AI.. TERA TIONS
FURNACE MAKE AND MODE(~ Ii e: ( t{me.- 7::; ) V /Uc.-. $"0 FUEL /Va -t- GOa- .s
FLUE SIZE Q IIp !/C2- RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
~Warm Air Plants o Steam PLEASE NOTE:
o Gravity o Hot Water Air Conditioner Units
8Mechanical 'T o Radiation Cannot Encroach into
~ir Conditioning 3 o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
APPLICANT PLEASE COMPLETE BELOW
Industrial. Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential. Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Pennit #
.50
byp1#L/
(Office Use Only)
This Application Becomes Your Building Permit When Approved
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
fd
Paid
Receipt No.
Building Official
Date
Dat~ _ :2. -0
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE DEFARTMENTOF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 5004 OCJYJ~{)V) ~ St.
NATURE OF WORK Add ,..J..,"rrv1
USE OF BUILDING ~
PERMIT NO. ~ tJl-OfSZ DATE ISSUED 8-!t{-~1
CONTRACTOR · e..f:e,.",. PHONE q</7- ~fl/"z,.'t
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
-
INSPECTOR
DATE
(; I t;J ~ S/tL/a-
0. q 01
PLACE NO CONCRETE UNTIL AB VE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
wv
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding) ? 2.. r-:qJ
BUILDING
ELECTRICAL
\
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OFPRlOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Penn it Application)
For All Properties Located in the Shoreland District (SD).
'The Maximum Impervious Stpi'ace Coverage Permitted in 30 Percent.
Property Address 60 () yQ.o.., it.)'? ~,,-i-
Lot Area '2.?> I -, '-\ 'Z.. ",\x,"""'tL "'\<::!:l Sq. Feet x 30% = ............. .-'1 \ z. 3
..........*.~,..***....****.******........................~.....*.......
LENGTH ~DTH
~,t> x~
tlX1.
1-2 'x -z.~
SQ. FEET
:: \l,11--
1..f?
::~
::
HOUSE
An ACHED GARAGE
DETACHED BLDGS
(Garage/Shed)
TOTAL PRINCIPLE STRUCTURE......................
1-\~i
x.
x.
. .
DRlVEW A YIP A VEDAREAS
(Driveway-paved or not)
(SidewalkIParking Areas) .
TOT ALDETACHED BUILDINGS.......................
x =
X -=
X -
~..Ne~
P A TIOSIPORCHESIDECKS
~
TOTAL PA YEn AREAS.........................................
(Open DeckS ~ man. bpening between
boards. with a pervious surface below,
are not considered to be impervious)
&x l~ :: "L"? "2.-
x. =
x ::
Z. 9., (,
OTHER
TOT AL DECKS...... ..................................................
1- ?2.
x
x
=
=
-
TOTAL IMPERVIOUS SURFACE L 1S'i3"2. I
~VER ... .. L 1'-'\1 I
Prepared By , ... ~c.,",- Date~2~:dD t ~
Company c..\\~ ~~,~CJ~I\.Phone# i.\~l--ZS,[)
. T aT AL OTlIER........... ....... ................... .............. ....