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HomeMy WebLinkAboutUntitled � —„-- -��-v, . ---.�_ - • �:3;: 1� , � •' - 1 , , 1� �M 1 tl � 1� �F' , , 1� � �1' � � J 1 � 1 � � , �w "� � '1�. 'Y ( �i R fN H - 1 � , ' 'i ,, „�!"� q .J '�"A J�!�' 4 h �! " 1 � 4 J. � '� 4 2� �• ,+�""� "Z iM • . �. r � � � � _ � _ Y �V r � �! � r :. � . � f��rt�fictt�e IIf (�tcu�nr� }'� �. � CITY OF PRIOR LAKE � ` ., i` _�� �� � , �e�artrrter�t of �uiibir�g �r�g�ectfon ,� � � �;, inal Permitted Cl Conditional C.O. Expires . � T7tis Certiftcate issued pursuant to the requirements of Section 307 of the Uniform Building Code � ' certifying that at the time of issuance this structure was in compliance with the various ordinances of the �. .. , � Ciry of Prior Lake regulating building construction or use. For the following: � -� � fi - UseClassification Sint�le Familv Bldg. PermitNo. 9$ � � — �, � Occupancy Type R3 Type Construccion V Fire Zone N/A Zoning District R �. w ; u$al p�scri�uon L9, B1, WOODVIEW 2ND ADDITION � ' '�.. � Owner of Building Site Address 1745� SUNRAY CIRCLE UNIT A �' « ' Contractor's Name & Address JOHN MAHONEY CQNSTR. 17276 MIIRPHY LAKE BLYD PRIOR LA 55 �' �' � �� Robert D. Hutchins�� y Don Rye .+• =�'�- Ciry Planner '�. � � Building Official } ' ; ` //-/ 7 - 9g n$�: . � . �= � ��: � v ` POST IN A CONSPICUOUS PLACE �� �= � . " � Y - 1 ' • + '� , 1� .f � r1r. �{'IY. + Jr� �? ' r i✓ .'►. ` .iM :1 + .M.� �k , , •! + A� :1 , F �. .T + �' � � , � • e .�Y' i • • ` R � 4 � : 7¢ :b ' .�1' � 'f ' 4' i + K: . . � F - t. � . T �i` �M�`.M/�� ��'�.i �J�� vi v DATE TIME CITY OF PRIOR IAKE c�o-iN �— INSPECTION NOTICE SCHEDULED � � � � ' � PERMIT NO. ��� COMPLETED ADDRESS 1'1�58 ��l�.r � /�3 OWNER CONT . � TELEPHONE NO. W❑ FOOTING OPLUMBING RI ❑SITE INSPECTION � � FRAMING ❑ MECHANICAL-RI ❑ EXCAV./GRADING/FILIING � C7 INSUU►TION O WATER HOUKUP ❑ LAKESHOREIWETLANDS 0❑ WALL BD. O METER SET/TURN ON ❑ COMPLAINT 2 O FINAL O SEWER HOOKUP ❑ GAS LINE AIR TEST Q 0 FouNOaTroN ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL _❑ DEMOL. A❑ SEPTIC MAINT. ❑ FIREPLACE J❑ FIRE PREV. �GMBINt3 FINAL ❑ MECHANICAL FINAL � TS• Q Cc- O � � W a � 0 0 � � Q � W � � � y� ❑ K SATISFACTORY:PROCEED ❑ PHOTO TAKEN O RECT WORK AND PfiOCEED � � CORRECT WORK. CALL FOR P.EINSPECTION BEFORE COVERING V ❑ CORRECT U CONDITION WITHIN HOURS. INSPECTOR WILL FiETURN. ❑ STOP OR . CALL INSPECTOR. D INSPECTI� iiE�l11R . CALL TO ARRANGE ACCESS. call for the next in t 24 hours in advance. Owner/Contr. o site Inspector 447-4230 wr�»�cqoy�.naao. wnx.coprn�,p.c�«�sF�s DATE TIME CITY OF PRIOR LAKE c���aiN �/ �-- INSPECTION NOT CE SCNEDULED ` � , �ERMIT NO. � �G ca,���Eo ADDRESS �� � � � OWNER CONTR. � TELEPHONE NO. W O FOOTING OPLUMBIN(i RI ❑SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL-R! � EXCAV./GRADINGIFILLING � O 1NSULATION ❑ WATEFi HOOKUP ❑ LAKESHORE/WETLANDS 0❑ WALL BD. O METER SET/TURN ON ❑ COMPLAINT 2 � FINAL O SEWER HOOKUP � GAS LINE AIR TEST Q p FOUNOATION O S PTIC INSTALL. ❑ SEPTIC FINAL = O �EMOL. J� � IC MAINT. ❑ FIREPLACE v D FIRE PREV. 1 MBIN(3 FINAL p MECHANICAL FINAI � CO MENTS: J Z � � W � a ¢ � � C� 0 � ¢ a � W � � � y� a K_SATISFACTORY:PROCEED ❑ Ph10T0 TAKEN O RECT WORK AND PROCEED �❑ CORRECT WORK. GILL FOA RElNSPECTlON BEFORE COYERING V O CORRECT UNSAFE CO DITION WITHIN FiOURS. INSPECTOR WILL RETURN. ❑ STOP OROER 0 ALL INSPECTOR. L7 INSPECTION EQ D. CALL TO ARRANGiE ACCESS. call for the next i ion hours in advance. Owne�/Contr. sit Inspectar 447-4230 rwaw coio�/SMr,vonw NmPo. coPyrHqo.cro.�e FiN DATE TIME CITY OF PRIOR LAKE // INSPECTION NOTICE SCHEDULED `< � � J � � ADDRESS _ I7 yS F3 Sun �. y C r,i� OWNER CONTR. PHONE NO. PERMIT NO. / c� "" � 0 7 ���� ❑ FOOTING ❑ PLUMBING RI ❑ EXC/GRAD/FILLING ❑ FRAMING O MECHANICAL ❑ LKSHOREJWETLAND ❑ INSULATION ❑ WATER HOOKUP ❑ COMPLAINT FINAL ❑ SEWER HOOKUP ❑ SEPTIC FINAL ❑ FOUNDATION ❑ SEPTIC INSTALL ❑ FIREPLACE ❑ DEMOLITION ❑ PLUMBING FINAt ❑ ❑ FIRE PREV. ❑ SITE INSPECTION COMMENTS: S V� / / r �tc� �O F t �- ?-34�3 C.��JI�� �-s.��..� Y aH v►�."v �l �7 l � ��-�„� � � vu� Ga� r�� �SS v £� �. v Q2�ti✓N �7�5 �� . WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT WORK LL F R REINSPECTION BEFORE COVERING Inspector: OwnedContr: CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.� ,� .� , .. ;. , � �-�� - :,.�� . . - ' ... ; �� � �.-- ^ , ..,�- DATE TIME CITY OF PRIOR LAKE CA��D-��t INSPECTlON NOTlCE SCHEDULED PERMIT NO. �$= � � CoM��� a 2 � �� ADDRESS / 7y5L Sv�2 A ��,�t . / /7�Sg ,�����t �i ;' C'. 2 OWNER CONTR rN�/ IMAt/o.uE� � TELEPHONE NO. t� D FOOTING ❑PLUMBINCi RI �ITE IN�����pQ,�N �❑ FRAMING ❑ MECHANICAL-RI EXCAV RADIN iLUNG �❑ INSULATION O WATER HOOKUP � LAKES LANDS � O WALL BD. � METER SETlfUfiN ON ❑ COMPLAINT Z�FINAL p SEWER HOOKUP ❑ GAS LINE AIR TEST Q p FOUNDATION O SEPTIC INSTALt. ❑ SEPTlC FlNAL I❑ �EMOL. ❑ SEPTIC MAINT. O FIfiEPLACE r❑ FIRE PREV. O PLUMBIN(3 FINAL ❑ AqECHANICAL FINAL � COMMENTS: flA� Su,eF�E �n ��,a�r9� /nl • P�,��E '� �Rt�aax �r�C-RFlT/�11AL Z y W .C�2Atn1A<F O� SrnF l_�'t" Lin3ES Q��Sr\3'T' �"�t����l � On1 TfIE t ��r� nlEF►2 T�JE l�AC� ��F 7"N� �3v�����; � � 7��s�S 15 fIGCEPTABt E i3C Tt.t�^ `�a21� A,ZE �• � 5.�� A1 o PR �PER�i �E'S A(! F A� v E/15 � Y LrF"�E�E l ,^.� � W � Q � . � Q � � W Q � �WORK SATlSFACTORY:PROCEED � PHOTO TAKEN ❑ CORRECT WORK ANO PitOCEED O CORRECT WORK. CALL FOR REtNSPECTiOW BEFORE COVERING ❑(�RRECT UNSAFE CONDITlON WITHIN HOURS. INSPECTOR WILL RETURN. ❑ STOP OHDER POSTED. CALL INSPECTOR. ❑ INSPECTION REC�UIREO. CALL TO IIRRAW6E A(�CESS. call for the next inspection 24 hours in advance. Owner/Conir. on site Inspector 447-4230 r.�awco�y�.nronc. ►vnm.�o,o,.n�„�r�o�.�aFx. �pF pR ��R ` , DATERECEIVED CITY OF PRIOR LAKE �. w��e File v 9 rn BUILDING PERMIT 2. P'�` c" � 3. Yellow Applicant TEMPORARY CERTIFICATE OF � �,; �... � � "' � � ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Permit No. `��' � I U� DIRECTIONS 1. DATE SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN �� �� � BEFORE PERMlT IS lSSUED (Please Print or Type and sign at bottom) BUILDING INFORMATION 2. � I � A y R �� V ✓1 Y � \ � �l C � n ��( `S -I� �Hei5gl�iZE O; �T ��TU�� ( � P �� � �.1� \./ 3. LEGAL DESCRIPTION 12. NO.OF STORIES � LOT BLOCK 1 PID �S aa'7" d� �I � 13. TYPE OF'�ONSTRUCTION ADDITION O t v-� � Ti,J i r� �`M�' 4. OWNER (Name) ddress) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE � G " I �e.r 5. ARCHITECT (Name) (Address) (Tel. No.) i 6. BUILpER (Name) (Address) (T91: No.) 15. NUMBER OF OCCUPANTS OR SEATS J��n.*� Ij Y�A��� I7a7C> /'7��I�k'1 �'`'�' �Id� y�'7,3� OCCUPANTS J Cr,�s��c.�o.. r�^c• P�tor L�.h.� ✓►��'tJ sears " 7. TYPE OF W K Fireplace O Septic O Deck O Re-roofing O Poroh O New Constructi Alterations O Addition O Finish Att(c D Re-siding O Finish Basement O 16. P CT COST � � Chimney O Misc. �� 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZ 17. COMPLETION DATE Sq. Ft , � � ( Width � � Depth a �� Yes No _ ! _ I hereby certify that I have iumished infortnation on this application which is to the best of my knowledge true and coRed. I also certify that I am ihe owner or authorized ageM for the above oned perty and t t all cti will conform to all e�asting state and local laws and will proceed in accordance with submitted plans. I am aware tliat the buildi iciai oke th' or' . Furthermore. I hereby agree that the ci� icial o� desjgnee may enter upon the properly to perf� ed insp 'ons. X � I �1 signat license No. Date FOR ADMINISTRATIVE USE SETBACKS: Required MATERIAL FlLED WITH APPLICATION Actual SOII TESTS O ENERGY DATA �ront Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING PILING LOGS O PERCOLATION TESTS O SPACES REQ. PLANS & SPECS.�" SETS USE OF BUILDING SURVEY �COPIES cS� [�. SPACES ON PLAN r� �/ PERMIT VALUATION � �7 � C� '� PLOT PLAN O TYPE OF CONSTRUCTWN: I II III IV Amount Brought Forvvard .................. $ Occupancy Group A B E F H I M�` S U ���� � SO X 2 avts�on � z� a Park SuppoR Fee ..... .................... $ � 7 �0 . OO + —7 �r Permit Fee ................................... $ 1�� � 1• �lJ SAC ..�5?�.x�...................... $ �.O Q O.O7J' Plan Chedc Fee g ��� ��, q ��� � Cotlective St�eet Fee $ ............................. 2 ' S ' �� � n " ('� " Sewer Tap .......................... ........ $ State Surcharge ............................. $ • � ll y � I � Penalry ....................................... $ I � Pressure ReilGcer ..�.��.`.. X.Z......... $ � �. � I> Plumbing Pertnit Fee 1�1. qV... ��. �.. $ /�C , C� U � Meter Hom ............... .................... $ Mechanical Permit Fee ld: .P..g.R„).L�.� /�: t�G water Meter �....l.O.�..Y.� .......... g Z/0 ,.O O Sewer & Water Connection Fee ........... $ 4 0 � • 0 v saWe�&wate�Pem,it ...�.U.�$ 3�S• S� 7�k�............ $ 4 0. 6 0 �`w`��'�• � �( waterrowerFee ... . . J 0 Gas Freplace Pertnit ....................... $ � I t YO Water Tap ................................... $ � f Builders Deposit ... ...... $��, 0 0 • d 0 1'hi di Becomes our Building Permit When Approved. �� S'� .......... ..... 8y Date � ""r'" 7� Other ....�.b�iQ�....���... $ �C� Certfficate o( Occupancy Tofal Due .............................. $ �a ,�=�( 7 Paid ��- S Receipt No. ,,t Issued Date �j � By This is to certHy that tlie request in the above applicatlon and accompanying documents is in accordance with the City Zoning Orclinence and may proceed as req This documeM when sign the ' Planq r constftutes a temporary Certificat oi Zoning compliance and allows construcbon to commence. Before occupancy, a CerMlcate of Occupency must be issued. / City Planner Dat Special Condkions'rf any 24 hour notice for all inspections 447-4230 /� �, I��'] �� � / 2. Greee • C��Y o � oF PR� 9 CITY OF PRIOR LAKE l. Yello�. • Coeaxwr o � m 16200 Eagle Creek Av S.E permit No. - O? NPE OF TRU T RE � , Prior Lake, MN 5537Z /� Single Famity Two-Family v ��•F�Y ` - HEATING APPUCATION / PERMIT 9 Commencial lndusbiaf Public Omer Dale C� J `� PID � �� -LL� —o a�—o Site Address � 7'[ 5� S� n� �� LJI �LT /`t" Fee Schedule Lot �@bck �„_ Add'Aion � -� ��� � G^"`�"_ � Induslrial, Commercial b Mulli-Family 190 ot job cost (539.50 minimum) � i Residen6al, Heating 6 AC �•� Ownet's Name _/++104 �b�/� �.��,�� Residential, Neaiing Only 564.50 Address �� �- � Resider�ial, Gas Freplace $39.50 � ResiderdiaJ, Add�ions B ANeralions $39.50 Heading Contractor ���� ��- �� h' �- Residential, AC Only �39.50 � Address .� d 3 11 �!lw �fc ,�. /?� �►��,w5u i �� ,� pemember Io add the State Surcharge on the bot�om of Ihis application. � 7elephone �i � y' 7 � S � � � Furnace Make fl Model �14rL7 TYPE OF SYSTEM The price ol your heating permit includes one rough-in and one final inspection. �� , O 3 � , l Wa�m A'v Plants a v � Additional inspections will be biAed at 535.00 each. w Model Size z Mechanicai House Heating Test Aecord must be submitled with buil 'n �gLm� er belo►e buid- � Conn. Load �� �� — Air Condilioni� ing cerlilicate ol accupancy wip be issued. Fue� �'�/.d�Fiue Size ~ J `� Vent. System �A7 CALCULATIONS R IRED wilh number ol supply and ►elum openings Gsted per Supply Openings r� HEATING OR POWER PLANT room with CFM's per opening. New struciures or additions send 11oor plan with supply Sleam and return localions shown. HEAT LOSS CALCULATIONS, PAYMENT AND Retum Openings _�„ Hot Water APPUCATIONS MAY BE MAtLED TO TFfE CITY OF PHIOR LAKE, 16200 EAGLE Radialion CREEK AVE. S.E. PRIOR LAKE, MN 55372. �nput ���,-OutPut � Speciat Devices Ciry NaG business hours are 8 a.m. - 4:3Q p.m. o Edr. plher Detiices ALL WOHK MUST BE INSPECTEO (ROUGH-IN AND FINAL) - CALL GTY HALL � Clm. M7-4230 ,� 1YPE OF WORK I bereby apply for a mechanical systems permit and I acknowledge that the w information above is complete 3nd accurate; that the work witl be in conformance Atterations R�placemenl New Gonsiruction with ihe ordinances and codes of the city and with the slale building/mechanical �; codes; that this form does not become a permit un1i1 signed by the BUILDtNG �; Repair Est. Comp. Dale OFFICIAL; that the work will be in accordance with the approved plan in the � Est, Cost b Buiiding Permit � 7 Jf - �Q � _ case of all work which re ires review and approval of ptans. � � '�� � HEATING PERMIT FEE a � � Dale ° STA7E SURCHARGE ; .50 PAID WITH `� 5 � T07AL PERMIT FEES S R� � BUILDING PERMIT Buildir►y ONical's Signal�ue Dale ���pR`°q CI�`Y O� I�F�IOR L�AKE � �� �� � ______ 3. x�now ,+�u�� � PLUMB/NG PERM/T # �� 1 d -�=== "� xl���r Plumbi � t APPlicant: Phone: d `'#� 7 *i1� . ,or�� .'�."�,� �:� , )Address: �CS`1 �1 Cl e 5� 1Qt' `� M� I � , �ignature: ,'' -� Legal Descnptlon: Lot � Block � c� �b LUaS c�� �� �� (�°'�� C� ��� � Site Address l� y� Sts� @�a Ccr��1� A C,C��� bVL Building Permit #� _9�d� PID #_ c�S •��-a• a6°� � C7 �/ NOTE: This pemnit will not be proceased without complete information. �=ixruRE uNiTs t]uantity Type of Fi�ure �uantiiy Type ot (�ixturo Bath Tub with or without showe� (p Rough-ins � Dishwasher � Water Heater � Floor Drain Water Softner � Lavatory (bathroom sink) � Stand Pipe (washing machine) �„ Laundry Trey (1 or 2 oompanme�t eink) Sewege EJector Shower Stall 9ad�ow Assembly (RPZ, Double Chedc, PVB) Sinks Backfbw Assembly Test 8ar Sink Lawn Sprinlder � Water Closet (toilet) Other FEE SCNEDU�E lndust�ial, Comme�iai � Multi-Famlly �, . �.•..: - : (1°k of job coat. s39.50 minimum) , $ Re�ide�tlal� New One b Two Famlly 99.50 $ ��'Jb ResideMial, AddiHone $ AlteratlonB $39,gp $ Stete Surchar�e g .50 GRAND TOTAt $ / � 6 � � 7'his permic is grsntad uPon tbe expraa cond�tion �hat:aid �nnaccor, 6ha11 comply 1n alt reapeets with the ardinanas ot the S Plumbing Code aed the amendment; rcof. PAID WIT� RecAprNO. ���Da� BUILDING FER�1` A.rr�sT Ca.�l for all ins�ections ?h boura in adVance. 162Q0 Eagle Creek Av. S.E.. Prior Lake, Minneso�a 55372 / ph, (612) 447 / FAX (612) 447 Ae Squal Opportuuity Employer � � � � • . . , - . ; , � � � � � ��� ., �., Apr.22 '98 13:42 FAX P. 1 �F PR I ' _ — - - . - � �' � �.y . .wE � � . r���ow . �rruCwMT � �' oo�o - c�Tr ;� j � CITY OF PRIOR LAKE S.W. No. a��� � �y�,� � y ���t�' SEWER AND WATER PERMiT . � NOTE: Sewer and Water � contractors must be registered with the City. APPLICANT: e��/`p • �� �D . Se �/. . PHONE : '7� Z�' Z-�J 3� AD��SS : CQLL1(7K '� �Q C:�Q,� /Y�/V DATE • 'S�/za SIGNATURE: BLDG. PERMIT ��lp� SITE ADDRESS: �? yS"�7 �,� � �i�2 pID# � .Z.� FILL IN THE BLANKS 1. Estimated length of water service feet. 2. Size of water service inct�(es). 3. Location of any couplings from structure d feet. 4. Type of sewer pipe. ABS PVC� Cast Iron 5. Estimated length of sewer line �. 6. Clean out (if required), locatied at �feet from structure. � S7C=a��,y��3�e���asa�cC�xa=�=�a==�COCx�� ����=5� az��s:sms�a�cxa�3sz��=�c This application beco es your permit when approved.�p � BY � DATE : BVILDINQ PERMIT � a � scc � ax �������� cosa �� oc ���� s C���===i�=��sZ:�o�����:=�������x�ass��S FEES: $ 35.00 Sewer and water line connection permit. $ .50 Surcharge $ 35.50 TOTAL * Fee for either sewer or water individually is $20.00 plus S .50 surcharge. * Sewer and water permits issued for new construction must be recorded on the buildinc� permit card at the time of issuance to insure th�t no duplicate sewer and water permits are issued. DATE PAID �� IlL� ��r ��."`�" ,�iMOUNT PAID � 1.� l �CiLA"�"� RECEIPT � PA�D W� REC�D BY � 16200 Eagle Creek Av, S.E., Prior L�kc, Minnesota 55372 / Ph. (612) 447-42 0/ FAX (612) 447-4245 � An Equal Opportunity Employer �— . , . � ...�.. - -�� -- � � _ ����� � �F PR/p �� � U , C�n • White - Building Canary - Engineeriny Pink - P�nning The Cemer ot Ihe Lake Country BUlLDING PERMIT APPLtCATION DEPARTMENT CHECKLIST NAME OF APPLICANT 1�-�..-..- .��� ./� APPLICATION RECEIVED 3 `> The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: �-� y 5� �,�- G ��e„�.,, �� Accepted � , Accep�ed With Corrections Denied Reviewed By: // • �.��,'��,,�'/� Date: �� , Comments: � r � ` - , .., � y c e ` � v � � _� _ ` � • • � i • � � � � . "The issuance or granting of a permit or approval of plans, specifications and computations shaA not be construed to be a permit for, or an approva{ of, any viofation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to vioiate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." • � ti i BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST �CON'T) � ' ENGINEERING COMMENTS Surface stormwater drainage flowing to the perimeter of this lot to and from adjoining properties must be conveyed to the roadway and/or to the rear of the lot in d.rainage swales within the drainage easements. All baze soil areas must be protected from eroding into neighboring properties through the installation of properly installed silt fence or bales. The silt fence required by the erosion control plan must be installed prior to any earthwork being started. The rock . construction entrance must be installed at the time of backfilling of the foundation. . ' '�' � I � - , � � • � . � � ; ; 7 . � � ; EROSION.DOC . v ` ��F PR/p � �` U m . , , � White - Building Canary - Engineering The Cenler of Ihe Lalce Country � •� � BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT �-�'�-� �_. -'� � �-��-&� �-�---�. .�''� APPLICATION RECEIVED � `f The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ( � 4 ! ✓ t� {�J .i"� t`' /'l .. i�• t � �1....-fr,..r� t; �. ; �.fi Accepted , Accepted With Corrections Denied � Reviewed By: � Date: �- )I �oZ��}� Comments: ' G4�f '� ` c�-e�Y �Q� ` CG'�.�-�� �.�� . n � � _ � (J � � / ���i � "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 apprcaval 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." �F PR/p �� � U , rn Whits - Building Canary - Engineering Pink - Planning The Cenler of the L�Ice Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT �� � APPLICATION RECEIVED 3 `1 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1� y 5� c�'v � GG ���c.J �� Accepted , Accepted With Corrections � Denied Reviewed By: Date: 3-5 z� Comments: �• so� �ccrv�.� a...�_ 3�cSLt2_ c�-cQ. Z �ai v�,�i V� P 1-t�'.�� 6Y� �rS'Yl� lY� � 3. P,�.�. �.Cl a Et�.-�� �— y . S.� `�p -� �� - co s � . �ro�-e.c.� �� „�c, 2�.s�D �r-� C�,.��v �� ��i, �c�-�-+�_ "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 � � . � . �mpervious Surface Calculations � � � � . � � . (To bo Submitted with 9uilding Permit Application) � . For All Properties Located in the Shoreland District (SD). � The Maximum Itnpervious Surface Coverage Parmitte¢ in 30 Percent. � Property A;ddress �: i �'�� �Q � v,�, R • . � „� � � `!" � . . � . .; . : ._ . . : . Lot Area _ . � Iq ..��1� � Sq. Feet x 30% = ............:. �Q�23 �********�**���*********************�*.*****�************�*************** � � � � � LENGTH WIDTH SQ. FEET H�USE x ,� � � � . � � . �: X �� � � � = 22&f�s � . . ATTACHEI7 C}ARAC3E � X_22 33 a �� . � ... .� Z� 8�t�` �" . � � TOTAL PRINCIPLE STRUCTU�2.E ..:................... . � • . • �'1S2 � � DETACHED BLDGS . X � , . . � (Garage/Shed) . x - " . . • • �..r 7 . ' ' � . � . � . TOTA,L�DETACHED BUILDTNGS ....................... � �� � DRIVEWAY/PAVED AftEAS, `1 .� x � � ��� ��,ZO - . � (Drivewaypaved or not) � . � � , a � (Sidewa)k/Parking Areas) � x � � � : • � � ' . TOTAL PAVED AREAS ......................................... �„�120 � PATIOS/PORCHE�/DECKS ' x � . a �� � . . (Opcn Decks'h" mfn. opening behvccn . X a boards, with e perv(ous surface belo�v, , . . • aro not constdered to be Imperv(ous) . �, ' � 'x . _ � � . . . .___�..._., . . . . . TOTAL DECY{5...,.� .....................................�..........�. OTHER � �. X � , Q �. � . � . . X ; � _ . . . . � . . . . TOTAL OTHER ....................................................... - � T07CAL IMPE�tV�OUS SURFACE � � � 20Z� � . . DE OVER . . . � � ' . . . , . . �_ .--- ; ---� : . . �-J I Prepared By � Date__ �.-Zlo. GQ, � . � . . Company A � �� J � . • ' Phone # � -� �j� p . . . � . , . nfB,t 'Mir�,> .�yrrm .�, • . . " . � . . , r.�c.at� 4y } ♦ ^U ���, �;�°`' f 4 � ° ' � , DEPARtMENT OF . � ��"��;�.' ' `"�.� � � , .;,, :# � ; I '�`�� .�� �+. LA KE BUtLDING AND INSPECTION � y . : `. w � • �� .• •• ;b 4 • � � • • ' � . `M " , . . ' , � . � ^ ' . � r N RE s..b: � . : ;r,.SITE �� � � S'u� � C�� • 4 . . :�:�, , _` �� ` NATURE OF WORK � � � � � � -:: USE; BUILDING _S��ti�t �-�-: 4.i �f�c�e.,r� � � , �, .� , � : �PER tT� ��� .i: .,� .>..��,:�_: - A;� �: �. ;��_' :��.° 1111 wY �l,O �7 DATE ISSUED 3 —S—'t$:.�" �.�� _�.:. -� _. • „a,^. , .:. ,. _ i,.. _� �:,. . �� , ������..co��vi-�ACtoR. . � . M.� ,���.-� .. .. . =�3� , . ,.,: �` NOTE: THIS IS NOT A PERMIT OR ANY OF THE INSPECTIONS BELOW �� . THE PERMIT fS BY SEPARATE DOCUMENT 1 , .� , INSPECTOR • DATE ' .*.+�.�.. F001'ING' t� ... � . . 2.�=-�.. � �: �� , .,k,= . ,���.i..�� . � ��,.; -. h ` ? �? �FOUNDATiON'(Prior to Backfiil) . _ � -�� : `;�`_''' ` � � � . . � ''t✓ 1 .�. C F,�, . _ . . ' '���j'� '�`�`''�`��;PL'ACE CONCRETE UNTIL ABOVE HAS�BEEN SIGNED� :�`:''�� •� - � - �::. . , _ .. ROUGH - fNS � �- `� � � : �. SEWER / WATER / SEPTIC � � y�•� - . � : FRAMING : . � � � �/ ' � . _ � � `INSULA�'ION '� �� 2 � � _:�-�9Y :;� ELECTRICAL . � � � � . :.� �PLUMBING , . � � .. � � ,,; . .�ia. ����"`� '` HEATfNG � if re uired) . . . ..t � . �- � FIREPLACE ` .° ° ` ' ` - 'd .�,. Y .�P.' GA$":LINE-�AI�i �7EST 1� �'�?"` .` ' .. � .��-;.. . . . . ��"°°� '�~ ��.COVER NO WORK UNTIL ABOVE HAS �EEN SIGNEd�� � � _Y � �ti'1P^� ' �,� , � �-��' WALLB�ARD 'n .. . � , - . . �. : . . � _ . � � µ- � �� �� FINALS ��� - �YA , � °�'�:�;� ��$ • GRADtNG� Prior to Soddin c�._�:¢� � � . .. a , �:,��.� ��=3.� . . ,�a�:.-�< °� � �` � - � BUILDING . , . - . . . ; .. . � � ` ��..,,� w�� � ELE�TR�CAL - � ' . � � , . ��R�'� -;:���� PLUN��INC��:����rx`�=� �,.. . .. �. , � , z _ _ .. . . � i��r , . � � � `:t � ~ �,�;: H�ATINC , . . ... - . .. . . . � � ..:. �.., . . v., .. . .. �;,.� .:; : > � ^ ; c •:;'>':€'s ��;,;�,, ' *{, : tip�.'��. �... m � , � - . . . '��;�;i: ��7s ''���x_�����►�-�'��� O�CUPY�:. �UNTIL ABOVE HAS BEEN. SIGNE �"k��'"`�-� - , � *. ..� . - D. :.�-:' � �`: J � ` � � � � � . � ` NOTICE . � . �'„,- '~�This card'tnust be posted near an electrical service cabinet prior to rough-in inspectiohs, , . - ��- � ``� and maintained until all in�pections have been approved. On buildings and �dditions `.� � � ,�� �.. ,. °.. ,` where no service cabinet is avaflable, card shall be placed near main entrance. '� ; �. �. . �✓ i-� � � � �� � � � . � Cali between 5:00 and 9:00 A.M. for all jnspections . �. . _ FOR ALL INSPECTIONS 447-4230 ,'