HomeMy WebLinkAboutBuilding 99-0228
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DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2, Pink
3, Yellow
File
City
Applicant
e2..
Permit No. qq -22g'
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
5
1. DATE
~/2
}c;:.:Cj
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(H'!i9ht) (Width)
. '- I 0.
(D;~thl.
{-.
'\ ~ '>.. .
KtSt)
.~
3. LEGAL DESCRIPTION
LOT" BLOCK
ADDITION [\.LJ.... to< r K f Ctqe_
4. OWNER ~a~e)
,'.) -"
" . '
12. NO. OF STORIES
3
Co Ll .,( +
~ PID;(S--(",x:3-0Y(o-O
\?/ Add-vI,
(Name)
(Address)
,5. c::'
(Address)
('Y:l {~,~.,.
(Tel. No.)
5. ARCHITECT
(Tel. No.)
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
\ ; r
':: i:-... ',-,'0, \:"-
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
-if-,
, .,.
,( J
(.... ;-~
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
17. C MPLETION DATE
Yes 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 m.entione~~~erty and t~all construction Wil,l q0l1form to all existing state and local laws and will proceed in accordance with submitted plans. I am aware t,hat the
bUlldl~.a. offl~~a,n r v1.e thiS permf9' JusVau~," Fu~more, I hereby agree that the city offiCial or a deSignee may enter upon the property to perfor~,7 ne, ed:d in,spec~~:
X ') )t" ,..' ~"-.;1' .71,~ ";.,1/\_.1 ;-~;
S' ature LicenSe No. , Date .f
FOR ADMINISTRATIVE USE
BUILDING DEPARTMENT VALUATION
USE OF BUILDING ~s Ar~
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
MATERIAL FILED WITH APPLICATION
Side SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
SETBACKS: Required
Actual
Front
Back
Side
Plan Check Fee ................."".."uo' $
I '),<.(.It<l
e l.c9
5.SV
A \1I ~ 1\\
Amount Brought Forward "...."".....". $
Park Support Fee ....""...".....""..... $
SAC "....""...."...................".... $
Collective Street Fee ...."....."....."... $
Sewer Tap ".........................."..... $
$
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM
Division 1 2 eY
Permit Fee "..........."..."..."....".." $
rS U
City:
State Surcharge ".""..."..."..."".,," $
Penalty....................................... $
Plumbing Permit Fee ......"........"..... $
c-vO
Pressure Reducer ..".....".....".....". $
Meter Horn... "...."....." .......... ...".. $
Water Meter "..........................uo.. $
Mechanical Permit Fee ............."...... $
Gas Fireplace Permit ...""""............ $
This ')fPJCW/fJJecomJliYour Building Permit When Apjl[~d.
By ~~ Date :?-?/-T I-
Certificate of Occupancy
Issued
Sewer & Water Connection Fee ........... $
WaterTowerFee ..."..""..""......".. $
Water Tap "................""..."..".... $
Builder's Deposit ......................".... $
Sewer & Water Permit .."".""........... $
Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance an may proceed as requested. This document when
Cf(r-CLY'
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Penn it Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address\~3o() Op.~ \<.~~-e c..\('c..\~ S.E.
Lot Area v:; \ <QSB, , Sq. Feet x 30% ~ .............. lo1_ Sl . '-\
************************************************************************
HOUSE
LENGTH WIDTH
L\lD x z.e
x
=
SQ. FEET
\2A~
=
A TT ACHED GARAGE
1..~ x 2'-\ = ~,<o
TOTAL PRINCIPLE STRUCTURE......................
l e, ~'-\
DETACHED BLDGS
(Garage/Shed)
x
X
TOT AL DETACHED BUILDINGS.......................
DRIVEWAY /p A VED AREAS
(Driveway-paved or not)
(Sidewalk/Parking Areas)
~~ x "2..0
=
~~o
x
=
x
=
TOTAL PAVED AREAS.........................................
~lcto
P A TIOS/PORCHES(DECKS x =
(Open Decks y," min. opening between X =
boards, with a pervious surface below,
are not considered to be impervious) '>,
C.b~L. S~~ ., 'X ~ = 5lo
TOTAL DECKS........................................................
"5~
OTHER N-ew j~T'~e \e, x z.o = 3<., 0
M& IN ~ X = \ 3S
~~~ ~ ~~~':~c&.J "TOT AL OTHER.......................................................
~. '--\9. .;;
,?01~ I
~\gi.'-\.I
TOT At IMPERVIOUS SURFACE
~VER. . ..... ...
Prepared B.('. s:k.~ 1< '\~
Compariy \)" \ \,,"\ '6 \> r<ll~ ~:J to. 1 e ~ .
Date B- \~ - q~
Phone # 4l\.1-"Z..~1 0
C1/.( '") id
u-(, Z
T'" c..,., or .11. u.... COBBlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
I I, " J" K
NAME OF APPLICANT V I C-t{}V hPCI ()("L
APPLICATION RECEIVED -3/'2. <I!qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
: coo :: I"'^- I~ (' .) . I .c (f.. ( .P'
: ,J ___1...,--: tl' t "" t<i I (l q '- I f ( '-
Accepted
/
Accepted With Corrections
Denied
Reviewed By: W f\ ..:rE/'? f H-R~SMA,v...J
Date: "I/5,/,.,
Comments: 'TiIf
ftAPO"JE^
AOO..,-,ol\,)
S HoUL..~
AC>v~SL"" Ar:f: Ce,
DAA,.JAwE
~Al ~\S Dtt
ABu"TT1A.1G. LO~
J(lIJl\JoC::F Mus.T 'BE
CaA.luE....E.t>
.,..~
I'tNO
,qc..oNb LoT' LINEs
J4S fUolJc..,.( !I~ ?lfk7IC:irL..
SE~ INf'oltt't~,fM.) 0,.,) RE.JEltsE: S-'bf:
{U ATTW~ ....EAn'S: I. ;:;.,111'- o.ttAOf: lI\JSf'ECTlo#J lAJFoa..Mltr,tMJ v
III . _. ,)(l
3. f'1l0s'I(lN C.A.l7l(OL ?U4N
tJ tROSIDN (!tlAJTROL l'1eA-SultES
"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."
C({( -22cj
White - Building
Canary - Engineering
Pink - Planning
The Center or the Like Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Vi cloY' Ked {)cLK
APPLICATION RECEIVED 3/z.Gt/0'Q
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i5?;a) {;(Lr\ ~(rlqC (!; rC le..
Accepted /
Accepted With Corrections
Denied :2 ~
Reviewed BY:C ~ A
(/
Date:
~-7/--7 1
Comments:
\. ((eCA.&- U-ttCAC-lv.cA-. \/L6tes
2. f'1:d",{.c..r'~ ~s,"crv\. ~
"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 Ihe Lake Counlry
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 With Corrections
/
Accepted
Denied
~'f-e~~
Date:
li - 2-- t;q
Reviewed By:
Comments:
2--t-f 9' VW-udWA,l1,I. cW'~ w--~ j (J~,
l
if-~~
"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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -'S:stx1 Oa..\:::. \:I&~,L (\-.
NATURE OF WORK
USE OF BUILDING
PERMIT NO. q7 - '22?1
CONTRACTOR \) ('cie" ~ {)olc
.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE ISSUED
s~5/-9!
I FOOTING
DATE
l3/rn~
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
-:J.~'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850