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Home My WebLink About97-035 Building Permit ~ DY~ ~ [r~~!' C~~~:~I~:R~~E .~. FEB I I 199-1 PEMPORARY CERTIFICATE OF '\ ~. \ ZONING COMPLIANCE ~ . ~'1 ~ UTILITY CONNECTION PERMIT 1. White 2. Pink 3. YeUow File City Applicant Permit No. 17 -(}3,~ 1. DATE DIREcnONS - SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDRESS 11 . ;(!.)~ S,D(<,\ t:f LA b~_- !V,.II.) Sl.C 3. LEGAL DESCRIPTION ~ LOT .3' ~ r 5' BLOCK.. <Ii ADDITION ____yn,..,. . -~.Y:. J, / A 1r-u.-..J 4. OWNER q rame) ,,(AddreSS) (Tel. No.) _ Jo,",^ A.V{ ~NX- CI'I\('Cf S;\.~ 4c.f7-S~/S-c 5. ARCHITECT /J (Nam~\ _ (Adaress) (Tel. No.) . ()rl'j\,,, H~l\qu.(.$+ ~Of tuSo#-St ~{e>nMJ~A~~ ]'31- (81S 6. BUILDER (Name) L.i (Address). I (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS RiU'<:' -1J....lT~ Ct:VVJ'T: 7#c, '"'J~, /h/~Jl/NP',4.tlJ(;J/lTM;;'v.N o/41(-/~7Z- OCCUPANTS ~ 7. TYPE OF WORK Fireplace CJ Septic CJ Deck CJ Re-rooflng CJ Porch CJ SEATS New Construction CJ Alterations CJ Addition~ Finish Allie CJ Re-siding CJ Finish Basement CJ 1YROJECT COSTNALUE Chimney CJ Misc. -If / G '5-: ? g-C1, ,.-cJ 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS \10, CULVERT SIZE 17. COMPLETION DATE Sq. Ft. ~ t. & ~ ...z Width Depth Yes No 7 / / b- / 7"/ I hereby certify that I have fumished 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 Offij!!S# r..vnJ<A ~it for just cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections. X ~7-<;Y-4,l<., /.r/~. --2//(/97 Signature LicenS8 No. ' Date (1'1'''/ LA ~ m N PID-t1) -1..13- 01/- / lLJ/J BUILDING INFORMAnON 11. SIZE OF STRUCTURE (Height) (Width) (Oeptll) 12. NO. OF STORIES f . Wo 13. TYPE OF s;..ONSTRUCTION -+- r A .1'\.C:- 14. FLOOR AREA APPORTIONMENT USE FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Sida Side MATERIAL FILED WITH APPUCAnON SOIL TESTS CJ ENERGY DATA CJ PILING LOGS CJ PERCOLATION TESTS CJ PLANS & SPECS CJ SETS USE OF BUILDING OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION SURVEY PLOT PLAN CJ COPIES CJ BUILDING DEPARTMENT VALUATION TYPE OF CONSTRUCTION: I II III IV V City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ Ucense Check Fee ......................... $ Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ... ............. ....... .................. $ Total Due .............................. $ Paid Receipt No. Occupancy Group A B E F H IRS U DivisiOn , 2 3 4 Permit Fee ................................... $ Plan Checking Fee ......................... $ State Surcharge ............................. $ Penalty.............. ......................... $ Septic System ............................... $ Other ... ........ ......... ............. ........ $ Subtotal ............................... $ This Application Becomes Your Building Permit When Approved. By Certificate of Occupancy Issued Date Date By This is to certify that tile 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. City Planner Date Special ConditIons H any 24 hour notice for all inspeclions 447-4230 f7 -t3~ '''''~'''' ",' ""': ~,;9':'1:_,~.__:'~...,,:;..,_0:;;:'~_~~~',':"'in.~T"''''''1: .."",>;"l."'-'r:..;'L"..... .--. ~", ''I;>'',C'' .:..,~.:..?';<'o~:-..-...-<::--"'... "'_ '-,-'~-,,~<,""';'.'-~ ~'.'_': ".s,'!'r'-.:=-,_.,~".~.!.,,-. ,_.~.,-,,"<,-.:-.-.~y-~- --:-"-', -c._, ..,' White - Building Canary - Engineering Pink - Planning Th~ Cenler of Ihe L.ke Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT J 0 h Ii (' ( 0 , <3 APPLICATION RECEIVED , 0 I z ~ I q { n I ,- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 2 <g 55 Spn (\:; L.Cd<eRd. Accepted X Accepted With Corrections ~-'-""-:.-.~ Denied J Reviewed By: n~. Date: ~../J 1-1'1 C-;'mments: ~ci (2.-11 So ~f; -DJ~ , -0 Qt.atvno- f ,Dr) ill ~ "i c:;;t;t;o.cNd /J1:t ~ ct c-v 3-,.St~ .~~ uJ/.jifcNL1 rOaf, ,~;I\ljk); SfvecO, ...fJ;t f11/ds n~. ~~rdS. lA.iJ(2tJ?Ld ~ - rODyn ,J.;tw fJof .IfJ('flfteh an~ f\i4Ser fhtt/J VMl~aVl-U ~ _~ ;;riJirtil{0 IfrVlnktL1D.- (hOilSe) ~ffMtJirIJ. l'Y.rtdvr! &'0 ~ArxI\tJ tAfffll~ vt fr/)fOUd ~ foudion r.~iYl~ WiI,} , *,/11-~- 01'1, SIJ/ q{rfd-.~ Prw'J- ~ _Wur+- -W (V ~/Jt1ci I ~ Cl}'rhn vecf I wifhdrp,w /J b j Of(h-lb-/1/f. ...,~,~,. "'.r;J' '. "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 . . Impervious Surface 'Calculations (To be Submitted with Building Pennit Application) For All Properties Located in the Shoreland District (SD). The Maxirnumlmpervious Surface Coverage Permitted in 30 Percent. Property Address 'L6<;S 'Sf!>.):) l",\<.e:.~"..{) 'S.~. Lot Area 'Z.-lQ I to ~.-z- .., '. . Sq. Feet x 300/0 = ..............~ ..................................~..................................... LENGTH WIDTH SQ, FEET HOUSE L\5' . x "'2-<0 = \?;> '-\~ \Lt x \ ~l = \C\ lP ATTACHED GARAGE '2-4- x ze = lD'1 "'2- DETACHED BLDGS (Garage/Shed) TOT AL PRINCIPLE STR U CTURE......................"'2, '2.. \ 'Z...- So x?:>O \?OO C\ x \ "-\ \ 2lP TOTAL DETACHED BUILDINGS.....~................. \ It,ZlP I = "'L q " 44 , \~ Bt';) '-\ \v DRlVEWAYIPAVED AREAS . ':!\ x \ \ (Driveway-paved or not) :-z.' xz. , 2.~ '3ln (SideWalklPark~~:~~ rt \O-i.. '2."2-: 1..7..0 X )'-\1. \ '-\ ~ \CH,p = TOT AL PAVED AREAS......................................... "'Z-~ ~ q . P A TIOSIPORCHESIDECKS X = . (Open Decks '14" min, opening between X = boards, with a pervious surface below, are not considered to be impervious) X = . rRof~:."pO ~'PC\~~t~S (c; J OTHER TOTAL DECKS........ ..................... ........................... . \l", -/.. \ 5 - ,-e,~ '2..~ . Z. '"2- La \ \.0 \0 X \S = \'So \ "2- x: "2. S ='0 c.6 \ L,'~ \ '-\ I C;; '1- c; I ,..;.. \'1>>'J:. "3 <..0 TOT AL OTHER................. .................. .................... TOT AL IMPERVIOUS SURF ACE ~~VE~ . . Prepared By P-.'->~ .p...h . '. \ Company~ S"",.",,{~~ to, "2.~ " {o C> /0 \'"] \ ~ . . LJee, LP I \0\ ~\\. Date \- l-? - q., Phone # L\ '-\1- 'Z- ~(O -- ---...,.,.-..,.._~ '.. t White - Building Canary - Engineering Pink - Planning Th. C.nl.. of lh. Lak. Counlr)' BUILDING PEflMIT APPLICATION DEPARTMENT CHECKLIST I _,. -' , t rl NAME OF APPLlCANTl...., ~/ -I,f-! I APPLICATION RECEIVED ,~ /f l./'r 7 I, /f " It -I ,/0- , I ;,f. .'/. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ;?..,- /, -./ J . j ;" ; i/< " ,) J -'/L /1/ ,~d-' J( ,1U/.:?{ .-,. A '-C ~ ..,:' I Accepted 1 X . Denied A R!lvi!lw!ld By: q;JYrtA..J - Oat!>: :D. -C) <-[--97 Comm!>nts: ~ (2r-/ 'S J')) ~ck-s- ~f-., _ . ~NrJIJS -oX, fhOft)sd qd~~ 'IL ..... l' .-ff __ _ / ~ _I rl /YrYIr~ J<)tO 57' If. ~ ~ ~ ~~ ~ ~/7YJ ~ ~.- ~ a~ :tiq& - /;)3, Accepted With Corrections "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."