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""'l rn _mm...._ "0 -i ~ :;U,,:;U r ....-_ r ~ i enz Z m ....~ Ci) 0 DATE RECEIVED -; / zq /CJCj CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant Permit No. qq-tJz4- 1. DATE 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 '1)- c .z,..~ !<v )LJ o. V r.o/' '7~;;'1- q7 L #t /<..e Ie/S.D BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 3. LEGAL DESCRIPTION LOT BLOCK PID 25-/"23~O()lo- I 13. TYPE OF CONSTRUCTION ADDITION 4. OWNER J o~'\ 5. ARCHITECT ~~F"S .//..1 BOUNDS (Na~ I. J (Address) .,.. L tL. +-~ (..r;'\.-( W,"" ~o' 0 (Name) (Addr (. ) (Tel. No.) ~. (J.At\t (p I :;l - 'I'h -\.170 "2- (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE 6. BUILDER (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS Chimney a Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. Fireplace a Alterations a S-t Septic a Addition a Deck a Finish Attic a S ~ (,1 Re-roofing a Porch a Re-siding a Finish Basement a SEATS 16. PROJECT COSTNALUE 7. TYPE OF WORK New Construction a 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE 17. COMPLETION DATE Yes No x FOR ADMINISTRATIVE USE MATERIAL FILED WITH APPLICATION SOIL TESTS a ENERGY DATA a SETBACKS: Required Actual Front Back OFF STREET PARKING PILING LOGS a PERCOLATION TESTS a SPACES REO. PLANS & SPECS a SETS SPACES ON PLAN SURVEY a COPIES PERMIT VALUATION 500 . CJC) PLOT PLAN a Side Side BUILDING DEPARTMENT VALUATION USE OF BUILDING ..e.eS.A ~ TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Permit Fee ................................... $ 74.t S- Plan Check Fee ............................. $ State Surcharge ............................. $ \ ,'Z ~- . .......... $ ~ -f Pressure Reducer .......................... $ Meter Horn................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Penalty....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ This By Building ~::it we-~~'i Paid Issued Date that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proce s requested. This document when Plan er constitutes a temporary Certif. i'?lt~f Zoni!)g compliance and allowqs construction to commence. Before occupancy, a Certificate of Occupancy must be issued. . <g 71 IY}"st ~ _tild~ .to ~P31'rFf1"VL l.n..c.A.t~ ~ CI Planner ' ate I Special Conditions ~ any U 24 hour notice for all inspections 447-9850 White - Building Canary - Engineering Pink - Planning The Ctnter of the Like 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 ~ Accepted With Corrections Denied 1 A " Reviewed By: -0. t)). ~ Date: 'i?~5-'f1 Comments: of (}1 U.,t ~ l!..lJoJ. ~ tv Ff 3 or F P'i. - ~ (ftU1c1AJn~ ~~ /yJ>/f1tp<<t/t.UN~ ... ~ oj/.... / ~-uJU./J ~aQ --0/<- hu~ -oiL. "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." 99~ c;24- White - Building Canary - Engineering Pink - Planning The Crnler of the 1.lke Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED CJVHN /c"q7Nc5,e/ /\/6 I -;1/2q hq , , IV/tV t!!i/fIe.Q The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 2-692- e6/VT5e ~o S W Accepted Accepted With Corrections Denied Reviewed By: Date: Comments: "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." ~4-- White - Building Canary - Engineering Pink - Planning Tht' ("("nler or tht" Like Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT . _'_.-;(~ /",/ i,o't "//('/~{<,,/ ./'(~ ,,{ //i_" (--- I' ~ j./ ,.,' 4/-/ I<.!-.,,-r' APPLICATION RECEIVED / _~,/I .-.;//;; /i<~;,~'-''';:' , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~ /' E. .,/t / l:~/~-.~ ;. - ~._ / ~-.:.~,~ t/~V --, .-^'.-- ",...-", "'-:1 .::<. Y~-.:/ L- Accepted 0/ Accepted With Corrections Denied Reviewed By: tJAL -gA ENIUrSM14A1Al Date: KIIL/''! Comments: ru~ Ct-J&I/'JE:U.ftJC, DEplltlrr'tE.AJ'T" I-lt'ts NO 13$vES {Nlrl-/ 7H~ Pl\oPos.ED 1.t. I c..D.,JG. . "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." It' PRIOR LAKE INSPECTION RECORD u DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS Q8<12 CbN\,~ TYPE OF WORK ~ct USE OF BUILDING PERMIT NO. cr g -L12- Y DATE ISSUED ~- S-t{ BUILDER :::r-~ iJ.'~~ . NOTE: THIS IS NOT A RMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT FOOTING PLACE NO CONCRETE UNTIL ABO FRAMING I FINAL <i".. \:-(.".i \W''D ~o,~ I Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 \ \ CITY OF PRIOR LAKE Impervious Surface Calculations (To be Submitted with Building Permit Application) For All Properties Located in the Shoreland Distrlct (SD). The Maximum Impervious Surface Coverage Permitted in 30 Percent. Property Address J-.. 9 ~ 2.. ( . C V\ ~ e {' p- CC\ d, Lot Area 24 . '3 7 c;- Sq. Feet x 30% = .............. 73 I '3 SF I ************************************************************************ 99, PZ4 &.17rI1J& HOUSE ~AH~fffiD GARAGE LENGTH -30'" WIDTH ( x ~O = SQ. FEET \2CO x = DETACHED BLDGS (Garage/Shed) -'0 ,. x '2 0 r = 'oj 2 (' TOT AL PRINCIPLE STRUCTURE...................... \ ( (S+o(dOe ~fOroSect /0 x 12 sv"et -::: 12.() <3 r X 11)20 SF TOT AL DETACHED BUILJ)INGS....................... '20..:; F t: · I. C 1.1 Ik ))eh,i'l\d hOkSre 19' ~ '3 ,_ 2. '34 <;~ 1;)( \c;"t\v'9 01",0 VJ~.~ Cov-.C f ,'pH Io.\<e . I~'~ 2~ ~ ~ '3 '2.. .,( DRlVEW A YIPA V"'ED AREAS ?')( Cot'\~ r:.r?1. X 1.(0 t = S 7'2 s r: (Driveway-paved or not) E~ e;~ Dwy IbX '0' = -,\.eo 'iF (SidewalkIParkingAreas) f~ S;JewolJ.; 4" X 1:;-. = 5""0 'iF Ell c;.Cle\HtI!;' .,. ~ \ =- ~z Sr:' TOT AL P A YED AREAS......................................... I 8 I C.... .t:; F P A TIOSIPORCHESfDECKS (Open Decks W' min. opening between boards. with a pervious surface below, are not considered to be: impervious) !/ONex X = = X = I f1i 0 t' e. TOT.U DECKS ........................................................ OTHER f('of~~ed (t>y\t,.. Wo.\l( bIt ~JQw? ,,~. d I ,..... ';l X ( )0 = 50 ~r X = ~o SF TOTAL OTlIER....................................................... TOTAL IMPERVIOUS SURFACE ,5-00 UNDER/OVER V. y\ d E' ( -:'<e07 Company ~ ~ ~ \JJ ~ ~ ~ ~ f J ) p, E . 5 ~ ~ r f.\ C (V\ c()~ ~ 'J lj : \~ ) fV'~;'" eC' <.5 Date 7- ?- C't; . (1(1 Prepared By Phone # fr'') ""'',I f) c , 2.. .., ") o' ;.: 60(1