HomeMy WebLinkAboutBldg Permit 00-0716 Addn
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1. White
2. Pink
3. Yellow
File
City
Applicant
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
7- ~lf - 00 TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Permit No.
00-01/ ~
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
'J7~3
3. LEGAL DESCRIPTION
LOT 7- BLOCK i_ PID ~5-/Sq-O()'7-0
ADDITION 1 ~~W VJ Q~ ~
(Address) (Tel. No.)
6.~ "
(Name)
Fireplace D
Alterations D
7. TYPE OF WORK
New Construction D
Chimney D Misc.
8. PROPERTY AREA OR ACRES
(Address)
BUILDING INFORMATION
11. SIZE TRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Address)
SQKI\t,AJ ~
(Tel. No.)
(, I? - 4q7-8 3f, ']
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Septic D
Addition)(
Deck D
Finish Attic D
Re-roofing D Porch D
Re-siding D Finish Basement D
SEATS
16. PROJECT COSTNALUE
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
x
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING ~s AI r-
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
........... $
17. COMPLETION DATE
my knowledge true and correct. I also certify that I am the owner or authorized agent for
d local laws and will proceed in accordance with submitted plans.
e city official or a designee may enter upon the property to perf~ n
License No.
FOR ADMINISTRATIVE USE
Back
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
S U
City:
55fp. '1C;-
3 t.,1.8<1
24 .~o
1./1) .(J'O
lIo . ~ f.)
4h. 0()
~
our Building ~:tr;;it 1Jn-if!-v~r7')
Issued
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS D ENERGY DATA D
PILING LOGS D PERCOLATION TESTS D
PLANS & SPECS D
SURVEY D
PLOT PLAN D
SETS
COPIES
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 ......................................... $
24 hour notice for all inspections (952) 447-9850
00 -61{l.J
White - Building
Canary - Engineering
Pink - Planning
The Cenler of lhe Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
:;;~:;::~~;;I:~ aooo
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~7~ \ ~\n..nclv\u.v (2oncl
Accepted
Accepted With Corrections ~
Denied
RevieWedBY:~~
Date: ~ -tiP,6(J
~
-tt;~j fW~tW\ WeL~ ~
~ ( . !b;.'t~ fL
"The issuanc~ranting 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 .caR,eel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
DC ~b11~
White .. Building
Canary .. Engineering
Pink .. Planning
The Center or the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~~h~
APPLICATION RECEIVED _ =- -- - - '=l ~ &an:o
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2'5"1 'l0 \ ~\ OJ\clv\ lAAJ ~1'1 ol
Accepted
Accepted With Corrections -/-
Reviewed By:
Date: 8 -lo/-;2boo
Denied
Comments:
I. ?tou~ Co"c.o.~\;c....c..,"- a.:r" ~o Q,\\ .\ucllau..u..h..e.. Affh~!>
cr
~Q\~~u.. ~~ W~;~ ~S~~\~~
"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."
- - - - -- - - - -- -- - -
iii DO!
cl'l'Y OF PRIOJt t.AU
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90S1PSP1S9 PS:P1 000l1l1/l1
S3SItI&13.lN3 H.lW
7.ra/l0 39\;;ld
The Cenler of Ihe Lake Counlry
CITY OF PRIOR LAKE ~: =w Eticant
PLUMBING PERMIT PPNo. 06 -,I (,
Applicant: ~~A)~ n~~ Phona: t/,t 3(.l..0f7)/
Address: I./q J tf"'(t"'- ~... W . p~ LA ~ ~,.,1..
Signature: ~ J?J.r- e:;;}
Legal Description: Lot 7 Block / Sub I ~ '- 1/ f
Site Address: ~3:J:' s~ V.'O-...,j CJ.rt,,/e
Building Permit # 0 'D - 7 / ~ PID # 7.e:;; -/5f'" 00 7 - 0
NOTE: This permit will not be processed without complete information. ~ \)o~.
~ J
FIXTURE UNITS ~ ~o.s
Q antity Type of Fixture Quantity Type of Fixture
~ Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
~ Floor Drain Water Softner
4 Lavatory (bathroom sink) / Stand Pipe (washing machine)
Laundry Tray (1 or 2 compartment sink) Sewage Ejector
} Shower Stall " Backflow Assembly (RPZ, Double Check, PVB)
>
~ Sinks Backflow Assembly Test
I Bar Sink Lawn Sprinkler
~ Water Closet (toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
GRAND TOTAL
$
$
$
$ .50
\ ,,~\O \]'J~~~\\
$ eU',\J)\~G
$99.50
$39.50
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing he amendments thereof.
J . 12..-/4nOODATE
ATIEST
Call for all ins ctions 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Pennit Application)
F or All Properties Located in the Shor~land District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
7 / ~ / J V~ '? n A /J / /, L'
Property Address II ..J-s (,'fYldl leVv' (., /7d c,A IT/OJ/]
Lot Area /4247 Sq.Feet x 30% =.............. 427t.f
************************************************************************
HOUSE
=
SQ. FEET
?/qOf
ATIACHED GARAGE
LENGTH
E,'l(/s h~<j x I,OIA.S~
I J /' \
t. <4'" ~r.'7J...",J! x
fFDP';$~J. x 3'" /~I/l../
.
TOT AL PRlN CIPLE STR U CTURE......_..............
WIDTH
=
= /7'13
/743
DETACHED BLDGS
(Garage/Shed)
x
x
TOT AL DETACHED BUlLDfN'GS....................... ....-
(Driveway-paved or not)
(SidewalkIParking Areas)
o /'j'V.lWllY X
I X
X
=
1'50
DRNEW A YfPA VED AREAS
=
=
TOT AL PAVED AREAS.........................................
I'So
(Open Dec\(S 'I." min. opening berw~n
boards, with II per-dous surf..lce b::low,
are not considered to be impervious)
S-fodf/ X
1+11 dtc.ItS hl&"~ 4.f
)<A.H -th't. M,'''/'''I.O, IP p~III;""I:f>
'4.}"""'" 6~o"'Cd~ . -' =
=
2-lf
P A TIOSfPORCHESfDECKS
=
TOT AL DECKS..................._..._._.............._......... 2 1
OrdER
x
x
=
=
TOT.~ OTliER.--.-.........._._-_._..--.......~......-......
TOTALI~ERVIOUSSURFACE
~OVER I ;//
Prepared By f d ~
Company ~ A1!..r t. f(; /0 / J/1 G,
r 3Ljl7
r 857.
Date Q/1201/60
I .
Phone # !TO; 0" G 0 'f 1
.
PRIOR LAKE
INSPECTION RECORD
R-rP..
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~ 3 'Isla.vJLvcel(,)
NATURE OF WORK ~~ .~~'d /ldd.",.
USE OF BUILDING . ~FD
PERMIT NO. 06 . CJ7/ ft; DATE ISSUED B -1'1 - 2ooC::l
CONTRACTOR Jl'l~V\~ PHON!- 447- B3kl7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
_ ~.~~\~.\,\.~ooC>
"SPE~ t. DA'l
(5LL."- I 'l67co
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBIN
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
/?-I..:?
I i
COVER NO WORK UNTIL ABOVE HAS BEEN SIG
- I I
FINALS
~.
iI';
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
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 s-i1a11 be~placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850