HomeMy WebLinkAboutBuilding Permit 98-0087 DATE TIME
CITY OF PRIOR LAKE � �
INSPECTION NOTICE SCHEDULED �� 1�do � � �
ADDRESS � "7p2 � � d��J�2Pi�"- ✓�'Z �
OWNER CONTR.
PHONE NO. PERMIT NO. // _ � �
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE F(NAL
I� FINAL 0 PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: ��� J��.
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�l WORK SATISFACTORY, PROCEED
� ❑ / CORRECT ACTION AND PROCEED
� CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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I nspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Lvsnor�
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���F p q DATE RECEIVEQ � CIl`Y OF PRIOR LAKE �. wn« File
2. Pink Ciry
� , rn � 2 3� . BUILDING PERMlT 3. Yellow Applicant
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT Permit No. BP Qg '� 8 7
DIRECTIONS 1. DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) j� -� 3�� BUILDING INFORMATION
SITE ADDRESS ZONING� 11. SIZE OF STRUCTURE
� � 4 ��f'V rfr �~ � �''[ J 1J (Height) MI'�lh) (UePfh)
3. LEGAL DESCRIPTI N 12. NO.OF STORIES
LOT � t�0 BLOCK �'O PI D S• • O
— T � � 13. TYPE OF CONSTRUCTION
ADDITION
� WNE (N me) (Address) (Tel. No.) 14. FLOOR AREA APPORTfONMENT USE
!!iC •(/'d5,. � ' 7
5. ARCHITECT (Name) (Address) (Tel. No.)
6.�UILD R (N e) (Address) (Tel. No.) � 15. NUMBER OF OCCUPANTS OR SEATS
� �� � � OCCUPANTS
PE OF WORK Fireplace O Septic O Deck O Re-roofing O Porch e SEATS
Constructlon � Alterations O Addition O Finish Attic O Re-siding O Finish easement D ROJECT COSTNALUE
Chimney O Misc.
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CUIVERT SIZE 17. C MPLE ION DA
Sq. Ft. Width Depth Yes No
I hereby rtify ihat i ve fumished infortnation on this application which is to the best of my knowledge true and co►rect. I also certiy that I am the owner or authorized agent for
the ve merition property and , construcdon wilt conform to ail e�dsting state and local laws and will proceed in aa�rdance with submitted plans. I am aware tl�et tt►e
build official ca evoke this pe r j st cause. Furthermore, I hereby agree that the city offiaai or a desiynee may enter upon lhe property to perfortn needed inspecdon \
�uy/ A
S natu LicenseNo. ^"� ` Date
- FOR ADMINISTRATIVE USE '�
SETBACKS: Required MATERIAL FILED WITH APPLICATION
A��a� SOIL TESTS O ENERGY DATA O
Front Back Side Side
BUILDING DEPARTMENT VALUATION OFF STREET PARKING PILING LOGS O PERCOLATION TESTS O
SPACES REQ. PLANS 8 SPECS'�SETS
USE OF BUI�QING SURVEY '��COPIES
1� SPACES ON PLAN —�--
, PERMIT VALUATION PLOT PLAN O
TYPE OF CONSTRUCTION: 1 II 1!I IY Amount BrougM Forward .................. $
^ Ciry:
pccupency Group A B E F H I M`-Ri S U Park Support Fee ........................... $
Division 1 2� 4 SAC ......................................... $
PertnR Fee ................................... $ � Collector Street Fee ...................... $ �
Plan Chedcing Fee ......................... $ � C.� .• �J 1 Sewer Tap ................................... $ i
1 O License Check Fee ......................... $ �
StateSurcharge ............................. $ ` ' �j
Pressure Reducer .......................... $
Penafty ....................................... $ � Meter Hom ............ .. $
Septic System ............................... $ � I� Water Meter ................................. $
� I 7 � Sewer & Water ConnecGon Fee
Other......................................... $ .......... $
Water Tower Fee ........................... $
Subtotsl ............................... $
WaterTap ................................... $
This �ti B es Your uilding Pertnit When Approved. Builder's Deposft $
By Date �'� 7 —� Other ........................................ $
Certificate of Occupa Total Due .............................. $ .
Paid �}-l./_Q'y Receipt No. 3 3� I
Issued
�ate 7• 2q -� By V I'
This is req in the above applkation and accompanying documents is in accordance with the Ciry Zoning Ordinance and may proceed as requested. Th� docurt�ent x�n
by ner rary Cer� e,pf on liance an�allows cons ction % mmence re occupancy, a CerUficate of Ocxupency must be issued.
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City Planner Date Speciel Condflions 8 any
24 hour notice fw all inspections 447-4230
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White - Buildfng
Canary - Engineering
Pink - Planning
The Center ot�he Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT _r�i�.�„�_��t.-PJ
APPLICATION RECEIVED � ' �3 � 98�
The Building, Engir►eering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ y�> �1 ,�s�-.�-- �� �
Accepted Accepted With Corrections .X
Denied
Reviewed By: Date: � � � � � ��
Comments:
"The issuance or granting of a permit or approval of plans, specificatians 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 viofate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
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White - Building
Canary - Engineering
�;,;{,� �P,M
The Cen�er of the Lake Country �
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT , l� n.�� .�P�u.S� s
APPLICATION RECEIVED � ' �..� • �g '
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ �1� 1 �f a �,_�_ 9—�..�„ ��...� '
Accepted ✓ Accepted With Corrections
�-
- Denied � .
Reviewed By: . � ���� Date: �o'� ��1[��
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Comments: �'Z�-� t��'�j �..J . �� r q t� '� `f� �l �. �j � S'tc�
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"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 pravisions of this code or other
ordinances of the jurisdiction shall not be valid."
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�� I R LA K E BUPLDRNG ND�INSPECTlON
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� i N PE .TI N R E R D�:�� �����- .
F: t��, � ..
: SITE^ADDRESS ' iy2q`� � ��p_ � _ � , . ' � ,
. NATURE OF WORK � S«a�,,. �O,C.t•, ,� ���� ._ . �
. USE OF BUILDING �F� ' � � �
PERMIT, NO. qe o�? DATE ISSUED 7-28 -�� ' ���-' " �-, ;�� � � �
CONTRACTOR�, .50..,.�4 a-�� � ' � �
;,.� NOTE: THIS IS NOT A�PERMfT FOR ANY OF THE INSPECTIONS
. . �- 4 k "`�' ��THE PERMIT fS BY SEPARATE DOCUMENT ` �� �: u` �� �����°���= ' �$� �
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� . . . ' ' ` °' ' INSPECTOR " DA'� �� f ' ' '
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� ROUGH - INS, � �� �
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BUfLDING � ° µ � // � O�'. . . � .
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. . � �-� �r :. DO NOT � OCCUPY � UNTIL ABOVE HQS BEEN SfGNED :���, .�
l ���t � � ,. . .. � NOTICE . �. , �, - � : .
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.. ,' .. �;.�'`:This card must`be posted near'an�electricai service cabinet prior to rough-in inspections:"`:. ''. ��"
; �� .,,.:. and maintained until all inspections have been�approved.. �On buildings and additions;��,�� �,._ �-
. , . ;.,,.where no service cabinet is availabfe, card shall be'placed near ma#n entrance. . :',' . ,- , ' �:.'�;.' ,: . `
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:. .. Call between 8:00 and 9:00 A.M. for all inspections ,
� FOR ALL INSPECTIONS 447-4230
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' CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application) � 2 3�
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For All Properties Located in the Shoreland District �5. ). '' �' ':
The Maximum Impervious Surface Coverage Perm.itted in �� . �
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Property Address 1�-2-9`�' l�s�e,vl �u'�,.
Lot Area 8�-33.34 Sq. Feet x 30% _ .............. 2�ZA • cX�
*�**********�***�***************�***********************�*************x�x�
LENGTH WIDTH SQ. FEET
�IOUSE X =
� x =
ATTACHED GAR.AGE x =
TOTAI. PRINCIPLE STRUCTURE ...................... �$te(o.50
DETACHED BLDGS x
(Garage/Shed) x
TOTAL DETACHED BIJILDINGS ....................... -
DRIVEWAY/PAVED AREAS x = �0� • 32
rivewa paved or not) X =
(Sidewalk/Parking Areas) X =
TOTAL PAVED AREAS ......................................... (�0'�•3Z
PATIOS ORCHES ECKS � 2„ co :c i z. oo = ' ��{- . or�
(Opcn Decks'/:' min. opeaing 6etween X =
bostds� with a pervious surface below,
are not considered to b� impervious)
X =
TOTAI.. DECKS ........................................................ 14+4-�. vD
OTf�'ER x =
X —
TOTALOTHER ......................................................
TOTAL IMPERVIOUS SURFACE 2���. 82.
UNDE VER 2. �8
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Prepared By . Date �-) Z� f g
Company 13oC,�or► _� t'�'�en� �►'�L. Phone # S4� `05�