HomeMy WebLinkAboutBuilding 99-1251
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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
teco c. /S-o 711 s1' S
3. LEGAL DESCRIPTION
LOT
ADDITION
s-
6Je.6BJJOrlK.S
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qc;- /25 /
1. DATE
/6 -I s- 99
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) I (Width)
I I -'} I I
12. NO. OF STORIES
Ie /~.D
BLOCK
PID 25-/2.5... 005-0
13. TYPE OF CONSTRUCTION
4. OWNER (Name)
Un "<'_
"",-,v/,
5. ARCHITECT (Name)
(Address)
:>(:j~
(Address)
6. BUILDER
(Name)
(Address)
HEfff: ILAl'ld ~C;HEd
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK Deck 0
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
SEATS
16.jROJECT COSTNALUE
""SO
17. COMPLETION DATE
No
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 . lal can revoke this perrTJ.jt for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X / IcJ . / )-- 71
Signature
License No.
Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 5o::f).r'J 0
USE OF BUILDING
Je6.5 Ale
,
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee ................................... $
V
R S U
City:
9i. ?S
( ol.f PR
~ I s-cJ
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
9
Sewer & Water Permit ...................... $
. ur Building Permit When A~ove~ 9
Date /0 -() --
, ,
Issued
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SETS
COPIES
SURVEY 0
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due.............................. $
Paid
Date
est in the above application and accompanying documents is in accordance with the City Zoning Ordina ce and may proceed a equested. This document when
onstitutes a temporary Certificate of zon~ompliance and allows construction to commence. Bef.ore occu.pancy, a Certificate of Occupancy must be issued.
1O-d-l~
City Planner Date SpeCial Conditions IT any
24 hour notice for all inspections 447-9850
qq- /257
The Center or the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(J~R /6e rtNOeJesoA./
/~//S-/9q
/ ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections 7--->
Denied >,'>"_
Reviewed ByVj/~~
Comments:
\~ OV\e... ~c...{).or~\'cJY\ n:::"7t)it-e.~
~ 0 /
I )lA..loc~~ -rn'\: "t^~OC~I-rJ!...-\
Date: I C) -( g::;r?
00 ~ ~cIl,' V\~ lIV\. <.J S t \-e v-^- "'- ~ V\..
"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 Cenler of the Llkt Country
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
v
Accepted With Corrections
Denied
C}~.J~ Date
Comments: ~ f2-I SDj ~(jt(J 01< j M~v,(,n/J
~. -O~ J I 4 '/; tt I-iu (f>f - ()Jc I ~~
,~ DIG
Reviewed By:
10-;)/-7/
"
"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."
Thr Cfnfrr of 'hr t.kf Coun.ry
}(;- /25]
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATiON RECEIVED
(!./J AI 7E.7~ /; /\, (j c.:k'S- c ;\./
/C'//~/90
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1o{f)9 /5{) T1- 5~
Accepted
/
Accepted With Corrections
Denied
Reviewed By: t-. }"/..T'Ef{ [Ht1~I'I1A.vN
Date: lojz.Z.jH
Comments: Nn /SSIJE..S Wj"T-1o-\
? (l.o pO,S (.1) S H a .
"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
SITE ADDRESS ~ O()~ I ~() ~ S 1- '
TYPE OF WORK I\cr-e.<;fao- R (vl~
USE OF BUILDING S~~ Q
q---
PERMIT NO. 71/;! 7'7 - 17-5"1 DATE ISSUED /6 -/j}-'7
BUILDER ~rl-tt-O
NOTE: THIS ,IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
I ~:l----------- ~._______
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~~'~b ~~rc~~
I FINAL I ___
Cali between 8:00 and 9:00 A.M. for all inspections
DATE
r
l--
;
FOR ALL INSPECTIONS 447-9850
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
F or All Properties Located in the Shoreland District (SD).
The Ma,<imum Impervious Surface Coverage Permitted in 30 Percent.
9CJ-/2S/
Property Address
6009 1 50th street SE
Lot Area 30,594 Sq. Feet x 30% = .............. 9,178
************************************************************************
LENGTH
WIDTI-I
SQ. FEET
HOUSE
x
x
x
=
=
ATTACHED GARAGE
=
TOTAL PRlNCIPLE STRUCTURE...................... 2,089
DETACHED BLDGS
(Garage/Shed)
16
x
X
16
256
TOTAL DETACHED BUILDINGS....................... 256
DRlVEWAYfPAVED AREAS
20
X
X
X
(Driveway-paved or not)
(SidewalkIParking Areas)
30
=
600
=
=
135
TOTAL P A YED AREAS......................................... 735
P A TIOS/PORCHESIDECKS
x
=
(Open Decks W. min. opening between
boards. with a pervious surface be/ow,
are not considered to be impervious)
x
=
x
=
TOT AL DECKS........................................................
OTIIER
x
x
=
=
1" OT AL OTIIE R............ ...........................................
TOTAL IMPERVIOUS SURFACE
3,080
UNDER/OVER
Prepared By 1":l"\,J \<PA<-\l~
UNDER
6,098
Date lO - \ 1.-~9
Company J~OE"~
: As So c.\A-qJ I t"",...,<..
\
Phone #
~Sl- YS2.- 50S\