HomeMy WebLinkAboutBuilding Permit 04-0739
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS / L/tJ'Z\
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~ ~NSULA TION
.e{INAL
. 0 SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED
~/01
~~~
CONTR.
PERMIT NO.
4 - 7 ,3)'
o PLUMBING RI 0 EXIGRAD/FILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
C0CAt~ ~~
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~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~OR REINSPECTlON BEFORE COVERING
Inspector: /1 1 Owner/Contr:
CALL J.-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I1<SNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERunCATE OF ZONING COMPLIANCE
AND l.J IILITY CONNECTION PERMIT
(Please tYPe or print and sip at bottom)
ADDRESS
I 'I5J ( ~~orC LAlv6 j/ E
LEGAL DESCRIPTION (office use only) ()
LOT I BLOCK 1 ADDITION c7'!fa-1l j
Date Rec' d
j- 8-OY
I. While File I PERMIT NO ~ a I
~. ~el~W ~~':Iica", . 0 ~ , 013 I
ft~~
--
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OWNER
(Name)
ffI/Jfl.y KiNlt Lfw (5 hw/-Aow..., J/~Y'f!,l'.A--+ ~,Ylr
/ '-.J
/'15;)1 5hore (~rle IV~
(Phone) ~;)
L19~ JJo. c;-
(Address)
ZONING (office use)
P l( -L; D
PID ,}5 -,d 15 -{)1t;!-(,J
, BUll.DER i' L '"
(Company Name) ....)c 'I/" ~ 1""1 F? Ct1I"')_fTrI./C 7/011
(Contact Name) /It',.ni~ .JC 4".~ ~_jt?)d
(Address) .S t, 1.;0 #w y 7-12 L It c4'L'L Ss- JIg-
-
(Phot(r-' )11 e clC;;) - y C;~, 3 5-0 ~
(Phone) Lf!f,( :- , ~I V5":;;J..
;J-(~ / -'3- 0 ~ ~"Y
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Fimsh 0 Fireplace
~~dditiOn OAlteratlon DUtility Connection 0 Misc.
q ~PiTierJ t2JN~ .
CODE: ~.R.C. 01. .C. PROJECTCOST/VALUE $ 12, (j 0 f)
Type of C;;-nstruction: I n ill IV V A B (excluding land)
Ocaapancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
I hl'feby cenitY thai I have furnished information on this application which is to the best of my knowledge true and correct. I also cenitY that J am the owner or authonzed agent for the
above-mentioned r'-r'''} and that all construction will conform to aU existing slate and local laws and will ,".___J in accordance with submilled plans. I am aware that rhe building
official can revoke this permit for just cause. Furthermore, I hereby agree that the city offICial or a designee may enler upon the ,_ -r on) to perform needed Inspections.
'T~ 0:2-----
),
x
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Signature
ff/2-. d()().{)CJ
S" , 22/.00
$ J '-l.3..& ~
$ h.oo
$
$
$
$
$
This Application Becomes Your Building Pmnit When Approved
~~
Buildinll Ollicinr
7hZ/ (J "
I Date
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
Other
Date
#
#
$
S
$
$
$
#
# IS
1$
1$
~ 1_ -z.o. 04-1 $ 370, IoS
~
Receiot.No.
Bv '-l
()
4-7J.'l(P
TOTAL DUE
I Paid ~77 O,r,S-
I Date ".- ,. "1-'1. C/ 4-'
ThIS IS 10 cenitY that the request in Ihe above application and accompanying documents is in accordance wilh the City Zoning Ordinance and may proceed as requL'Sted. This document
when signed by the City Planner constitures a lemporary Cenilicate of Zoning compliance and allows construction to commence. Before occupancy. a Cl'TtiflCare of Occupancy must be
~ ~ 7~~<I ~d,,~~~~
Planning Director . . Date Special C~lions, if any
24 hour notice for all inspections (9!12) 447-98!1O, fax (9!l2) 447424!1
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Builpinq
c--tanarv - Enqineerinb
Pink - Planning
Thr Crnter ot thr Lab Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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(5-::'>'; // \ (:-;' i
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'
c~:?z. /
J-.)
Accepted
'X/
# '-
Accepted With Corrections
Denied
Reviewed By:
~
Date:
7-20-0'-1
,
Comments: 'See Reverse Side for Additional Informationl
See Attachments': 1) Grading Plan~ 2) Erosion Control Measures
"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."
Tht' ('t'nln of tht' Lakt' Country
White - Building
Canary. - Enqineering
C Pink - Planni~
~
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:
"'''''- '
l /
Accepted
Accepted With Corrections
/
Denied
Reviewed By: ~ ~"'- Date: ,7 ~ Z;hY
Comments: ~9- ~ ~~. J ~, ~
~ . -~- d /,
~~~~~,~-
~ ~d"C.JL ~ ~ {p ~ ~J-<JU
,~~ jColI? ~. y
"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."
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CVVhite - Buildi"D
Canary - t:n~1l ,,,"ermg
Pink - Planning
The ('f'nlt"r or the l.lke Countr)'
APPLICATION RECEIVED
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
jJ~~{J~
- I
'7- ?- oL/
NAME OF APPLICANT
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity. which is proposr;Y~t:
/I/~~/ x:5I7u~ (~)
Accepted
Accepted With Corrections
~
Denied
~ ~~ Date: 7;'l2~~
Comments: /~ 04 ~~~-
/~ ~ ~ ca.- -d~P/l~
r-
Reviewed By:
~
~
"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 Permit Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address \ '-\ ~"'Z.. t 5~()r..e.... \.~,V\-e..
Lot Arla \ ~, \ \"\ Sq. Feet x 30% = ...........,.. 41-015
************************************************************************
LENGTH
. WIDTH
SQ. FEET
HOUSE
~ t
I
ATTACHED GARAGE
x
x
x
:::::
TOTAL PRINCIPLE STRUCTURE...................... \ L.\ q 0
DETACHED BLDGS
(Garage/Shed)
x
x
TOT AL DEl' ACHED BUILDINGS.......................
DRIVEWA YIP AVED AREAS x ::::: ~'-\o
(Driveway-paved or not) X :::::
I (Sidewalk/Parking Areas) X ::::: 'Z lD'1
~
TOTAL P f\ VED r\REAS.........................................
~D~
PATIOS/PORCHES/DECKS x
(Open Decks 1;"" min. opening between X
boards, with a pervious surface below,
.. are not considered to be impervious)
t"o\UI{<(' ~fO f()5~:)/:(/ f~ltl\) ',3 \~.:) x
l"OT AL DECI(S........................................,............... .l" t::)
OTHER ft1l (><>,>",p f"6~f M~ '., \2... X 3'h ~ t.\ ~ to
frof",,'s.ec"\" 1',\I'(lJ. (:{)l~:dof'l...~.)t~t., X ::::: \,\ e.!\n,
TOrr i'\.L OTIIER..............".. .....................................
q\l2-
TOTAL IMPERVIOUS SURFACE
~OVERC\.
Prepare(l By .UIW~~~."J
Company \ 4\ \, ~ \'R"'.Q\V ,,'" CO,)
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Date \ tJ /7...3 I 0 "L-
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r.~. Phone # '-\ '-\1-1. cS 10
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS fgSZJ ~lftJlt.E' i.A,IJE NeE.
TYPE OF WORK ~ ~~
USE OF BUILDING s,,:; tJ ,
PERMIT NO. tJ ~. 0 739 DATE ISSUED
BUILDER StJI/U.e PHONE~"lZ/"S'qr'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR o)l'fe / _
I FOOTING I ~ I rJ /6/uCj
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN "SIGNED
. . ".
FRAMING I)?J#-- I /tI // /o.y ,
( ~ ,U..a.FA<J:: J)tUU8'w^'-l ~t;) U'tIC^,C ~NAL. &f^PI..t.1 e {k;o12.
~ FINAL I 11J.J 1/f?t?/~1 ,
/ . /
FOR ALL INSPECTIONS (952) 447-9850