HomeMy WebLinkAboutBldg Permit 01-0831
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I. White FiI.
2. Pink City
3. Yenow Applicant
..27-c-.t
(Please type or print and siRIl at b";,"...)
ADDRESS
3s ex ~
lY.1A4 !~a-I ft~
ONING (office use) I
7? I S/ D
LEGAL DESCRIPTION (office use only) ..
LOTI;).. BLOCK 3 ADDITION W~ ~ rJ-
PID~- 110- tJJ..4-lJ
OWNER
(Name)
/J7/f r I:(
.Fa.i Ja y-
(phone) l/t../O-70ID . J
~/~- 74 '7- tjl{ Lf'-f
, (Address)
BUILDER -r'7. """-'VI
(Name) Lb ",
(Contact Name)
(Address)
P it-), e-otV
(Phone)
(Phone) -1" 12... - (?e> -- Lf1.11-
TYPE OF WORK
o New Construction
ODeck
/8forch
OLower Level Finish
~ireplace
OAddition
ORe-Roofing
OAlteration
ORe-Siding
OU~ty Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
I hereby certifY that I 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
authorized agent for the above tioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware at tti ilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;teruponth~.n dinspections. 1!Je, dO;).. / 3L{~tj 75-~-~
Signature Contractor's License No. I Date
I Permit Valuation 1I,600oQ:2 I Park Support Fee # $
I Permit Fee $ I ~~ . '2.C) I SAC # $
I Plan Check Fee $ 12(D.~ I I Water Meter Size 5/8"; I"; $
I State Surcharge $ $", -S-I) I Pressure Reducer $
I Penalty $ Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ Water Tower Fee # $
I Mechanical Permit Fee $ Builder's Deposit $
I Sewer & Water Permit Fee $ Other f.k :tiT",,;~ App $ I . f!)~
I Gas Fireplace Permit Fee $ 40..00 I TOTAL DUE t'/It1,eI) 6'-3- Of . $ ~f;. f/J~
......-J . /1 lj()3~i
'A I Paid d fC, 'is 't'c~ Receipt No.
8 "C' ~I I Date ~""R---O I By !f~
Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~
C!...r -- 'C.--
anning Director
16(( /0 f
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
i ,....,.
....,-....~.._'~~._..~~
.' '". ';,
t . "j' J
Tht etntt, of Iht t.kt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
IO/?I~t-h e01J
7-;)7-0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ,....
3 5,)' :L L;)c'~j~"/(//ood-- ~
Accepted ~
Accepted With Corrections
'..........
Denied ~.~"
ReVieWedBY:~~~
~weA
Date:
~/3~/~ I
_.
t\
'\~
QAv-/ ~4-jAN' ton Ct<I ~e,tW~.
liThe issuance or granting of a pe rrTl it or approval of plans, specifications and
computations shall not be construed to ber 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 - Buh
Canary - Engih.
Pink - Plannin~
The ("tnltr of the Lakr ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'/O/h ~~j<h eW
7-;)-7-0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ,...
8S;)~ ~~
AccePted~
Accepted With Corrections
Denied
Date: 8,2-~/'
Comments:
UpcQa:h ~ ~Ot-S ~uc/v ~ ~ ~'-{
liThe 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. II
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
F or All Properties Located in the Shoreland Distrlct (SD).
The Maximum Impervious Surface Coverage Pennitted in 30 Percent.
Property Address ::'~'2."'2- ~~'"56~~ C\RL.\~
Lot Area '"2."2... ~e'-\ Sq. Feet x 30% = ..............~e.<.~
***********~************************************************************
HOUSE
LENGTH WIDTH
~xe.o
'1r... X "2, 2-
x
=
SQ. FEET
"'Z.2. ~a
'-t\C.
=
ATIACHED GARAGE
=
TOTAL PRlNCIPLE STRUCTURE...................... '"2. -z.s4
DETACHED BLDGS
(Garage/Shed)
x
x
(
TOT AL DETACHED BUILDINGS.......................
~RIVEW A YfP AVEWAREAS
(Driveway-paved or not)
c.."c.. (SidewalkIParking Areas)
; f ~t. -&\0.'0
"'20 X \q
X
=
~&o
=
X
=
\a . .
TOTAL P A'VED AREAS..........................................
\4~'
I'
P A TIOSfPORCHESIDECKS
(Open Decks W' min. openingbccwccn
boards. with a pervious surface below,
are not considered to be impervious)
f>~\ "'-~..
X
X
=
=
"'t..", '-l q
X
\ \-r",
=
OTHERNev.> ~O~ f\ .
TOT.&\L D E CKS........................................................
. \\.,~
\ CcL X -z.o
X
=
~
=
TOT.AL OTlmR..................... ......... .... .....~... ............
~"'2..0
TOTAL IMPERVIOUS SURFACE
(UNn~OVE~
Prepared By ,:\ \".....:- ~~
Company \...\\\ ~ r....) e\X.
I ?"Z. ~1
I \ ~"Z.~
Date'... -zc..- 0'
Phone # 4ll, - "Z. S"1 Q
PRIOR LAKE DEPARTMENT OF
:" BUILDING AND INSPECTION
INSPECTION RECORD
(1. " , \:). ,1
'3~~
SITE ADDRESS ..3S;l..;;J- ~e...c::... ~
NATURE OF WORK A~.t,'trVl II" X ? I'J
USE OF BUILDING SF='D -
PERMIT NO. Ol-()~( DATEISSUED A-2... ?~(
CONTRACTOR ~~. ~ ~ PHONE (PL7 -~~ -f..[Jlj
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW .
THE PERMIT IS BY SEPARATE DOCUMENT
INjPECTOR DATE
I FOOTING t>f, I !Il fJ./()J
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
"67-
1//1/11/
1/..,l/ lor
FIREPLACE ~ {/~//~ r
GAS LINE AIR TEST kl~ tq:J -' 'j/;/ ~I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~\,~
t(~1
BUILDING
...,.
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 ahall bE!' placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 3&";<~ ~wv04/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~ INSULATION
11 ~INAL
o SITE INSPECTION
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: <+'19~
)A TE TIME
I' l ~l.Dl If) ~&:>
I
I-~I
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/"
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~:,R REINSPECTICN BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9860 FOR T E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
/NSNOTl