HomeMy WebLinkAboutBldg Permit 05-0377
m~ PIl/O<l'.
'" .,.
,.. .,
- :>:
u '"
""NJVESO~""
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4--J4-. oS-
I While
2 Pink
3 Yellow
File
City
Applicant
I PERMIT NO. 05'. 63771
at bottom)
ADDRESS
/.5300 nJI7 PtJ//V'T ;&0,
ZONING (office use)
/r::;p'O
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID Z S- 0$9. () 22 . 0
OWNER
(Name)
Q",,' \../CL f
+-
R
F r<:~ l.c
(Phone)
LJL/7 - 3/q:3
(Address)
~D
BUILDER
(CompanyN~me) C kC,(.lV'.CLX~ ('0..-,,<,,-1-,
(Contact Name) 3oL-"'...... C '<S:;...-'-.C9 ~_
(Address) 3D'll! L='/'.4-j,- ~,:/h~5.'
(Phone) Cot d-..~ q l..f. cr (/ o'b
(Phone)
'-mi.,
ORe-Siding DLower Level Finish
~.'--
( hereby certil)' thllt 1 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 authoflzed agent for the
above-mentIOned property and thaI all construction will conform to aB existing state and loca11aws and will proceed in accordance with submitted plans. I am aware that the building
otlicial can revoke this per for Just callSI' Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections
'-{g S-/
TOTAL DUE t!I1uGO c f'. dS' $ / t;. 17. 38
I ~~~ / ~/r~~~7r I ~;ceiPt~tltfl ~Y1
TYPE OF WORK lJJJNew Construction Deck o Porch ORe-Roofing
iAdditlOn OAlteratlon DUtility Connection 0 MISC.
CODE: ~.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
PROJECT COST IV ALUE
(excluding land)
I
E
II
F
I
B
S U
III IV
H I
2 3
V
M
4
A
R
5
x
#
#
.-.....
Contractor's License No.
Signature
Permit Valuati.on
Permit Fee
Plan Check Fee
State Surcharge $
Penalty $
Plumbing Permit Fee ~. $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee ~. $
Park Support Fee
SAC
#
#
()
Water Meter Size 5/8"; 1 ";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
'(J, t!J 0
Builder's Deposit
Other
.()O
This Application Becomes Your Building Pennit When Approved
~OftiC~i7~ #;,,:/0>
o Fireplace f')[1J~
..~'Ol
L{ -/4 -o~
Date
$
$
$
$
$
$
$
$
ThIS IS to certify that the request in the above applicatIOn and accompanying documenlS is in accordance with the City Zoning Ordinance and may proceed as requested This document
when signed by 1he City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence_ Before occupancy, a Certificate of Occupancy must be
i"~ r 1/z. 'J ,/05' ~ a.t( Ch., .. 1- &Zu:t; ~"J " .
-e.o, . Date Special Comlitions. if any V
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle C,eekAvenue Prior Lake. MN 55372
cWhite . BuildiiiQ:)
Canary . EngIneering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
cnSn ;VOVr9 e-OIVSn:?-.
4-. /4--. OS-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5300 FisH ~o /11./1 ,.e()/tD
Accepted
Accepted With Corrections /'
Denied
Reviewed By:
~~
I;~ t2ftf ~ ~
Date:
f'/~9ftS
Comments:
---,.)
.. J _
...._. ,(; .c......r ..,.. -t:-6- r
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 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 . Enaineering
c1>ink - Planni~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N~ME OF APPLICANT
APPLICATION RECEIVED
>-/ ~rl /v (' ~- /1
C. (Ii f k.-
q . /4. c::;-
THe Building, Engineering, and Planning Departments have reviewed the building permit
aJ:lplication for construction activity which is proposed at:
/~:,:.._; c ( ;- /~ 1/ P ( 11\//7- /, /7 L)
Aqcepted
Dtlnied
R~viewed By: ~ ~ Date: 1f2 ~~ S-
c~mment~: No E)C /~ of ~ ~)~ ~ ~
k7 ~ ~~. J:I-~ ~~~
~ "..(UJ~/ ~ ~ ~ ~/
(p';( /(, f ~ -In 0ld!..iZ:J r:J~~. ~ 0...4
~
Accepted With Corrections
/
"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
SITE ADDRESS "$(jO Fi}H lii~r
NATURE OF WORK ,~
USE OF BUILDING ,
PERMIT NO. &:;j DATE ISSUED .
CONTRACTOR 'I. C4\}$7. PH NE ~ ..?,
NOTE: THIS 'S NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
DATE
(- )ArtJ)
LACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRA ING Mn~~'''' I~f' ~"
INSULATION
ELEqTR'CAL
PLUMBING
HEAriNG (if re uired)
F'REPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN S'GNED
I I
FINALS
ING
ELECTRICAL
PLUMBING
HEATING
DO NOT
/1- t.-I.f')
j
OCCUpy UNTIL ABOVE HAS BEEN S'GNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
~-- - -~- - ---- ------- -- --- --~-~--- -----~~-
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Penn it Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address /5300 ~H fi/rIr t<b/Jp
Lot Area /7, /26 Sq. Feet x 30% =.............. 573B
........................................................................
x
tf'l
=
SQ. FEET
/ /#4-
HOUSE
LENGTH
26
WIDTH
x
x
=
ATIACHED GARAGE
=
TOTAL PRINCIPLE STRUCTURE......................
/I 1'1-
3'2-
f;37-
DETACHED BLDGS
(Garage/Shed)
Z6
x
x
TOTAL DETACHED BUILDINGS.......................
832
D~VEWAY~AVEDAREAS
(Driveway-paved or not)
dSidewawParking Areas)
2-9. '2.5 x
x
32
Iz5
=
9.!3b
~ (:J tfJ
/~
=
f
x
=
TOTAL PAVED AREAS.........................................
P A TIOS/PORCHESfDECKS /4 x It{ = 1'16
(Open Decks ~.. min. opening between X =
board$., wilh a pervious surface below, rz... 3&0
arc n~t considered to be impervious) 30
X =
6'61,
TOT AL DECKS........................................................
OTHER
X
X
=
=
TOTAL OTHER.......................................................
TOTAL IMPERVIOUS SURFACE I 89'13
@OVER I 1110
prepar~d~(% 13~~__Date BII~/&I-
Compan~EJ2J..IAVc Lt1f1.P...:::5;.;~V&Y/J/1Phone # 95z - J./~-f/b.tf
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
lSjot)
FIS4 /lr (lc
OWNER
CONTR.
S"-J?7
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Ji!{ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
...;a1'LUMBING FINAL
~ECH FINAL
COMMENTS:
DATE TIME
11-)- -cI!. -
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
jI
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROC ED
o CORRECT WO K, C LL REINSPECTION BEFORE COVERING
Inspector:
OwnerlContr:
CALL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
naND"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
,