HomeMy WebLinkAboutBuilding Permit 02-0007 (2)
5" 0 o~ 0 000000 "tJ 0 )> -0
'" :I: ~ 0 z_
'0 0 0 ~ 0 en"z""" 0 0 ~~
~ (b 0 0 3: ::jzen~OO z z ;lJ
g 0 n. :;0 :;0 :;0 m>c CO m m m mO
)> 0 ;lJ :;0 3: _r!;3:z-t :;0 en 0."
r :-! " Z ::i"tJ
t"'l m m m z -0- en
r 0 0 en en -I~)>~ 9 0:;0
~ -I -I )> Z "U - -I z-
t"'l ~ )> -I -i m 0 - zO
IC 0 (jj en o Z 0 0:;0
~ 0 -I " -t Z
~ :;0 0 )> 0 'J ::i!;
?' 0
~ Z -t Z ....... 0"
0 )> 0 ~ mm
~ )> Z :;0
r 0 :< \'i
~ r
:I: " "U "U
;:t... 0 :;0 :;0
~ m :;0 0 0 0 0000
z :;0 0 0 ~
~ m m m m 3:"Uen~3:"U
>< z m m mr~>mr ........
-I 0 0 OC -tOC
en ("
~ ~ z 0 "U :I:3: m:I:3: "tJ 0 en
en ~ m "E:;O:;O:;oE m 0 ~ 0
c ~ -c => 0 ZZ:I::I:-Z :xl Z :I:
::l m (l) -I )>ClOO Cl 3: -I ~ m
0 ::!. 0 r:!l~~ 2!:! ::j ?' 0
~ ()
-t 0 Z C
0 ?r zcc z r
~ Ol ~-c-c 9 m
z m 0
~ "
'" 0
.,..
~ :I: :;0
m ~
~ 0 0 <:::lI
C 0 ~ ~
:;0 < 000000
en m
::t! z :;0 Cl""om , c
z c. ~ ~
)> )>;;;;o~ ....
Ro Cl ~mm3:Cl 0 m
C
~ < _-c-c-c~ ()
)> ~!;!;!;o
~ z )>ooz~
0
"'-l !11 _mm-l_ N ....
~ :;0":;0 r
-1-- r ~ i:
enz z m
-t~ Cl
:J D~ 0 D~DDDD '"C 0 > -C)
en :x: =;: 0 z_
"0 0 0 =;: en"T1z"T1"T1"T1 0 0 ~~
g ro 0 0 0 =1ZUl~OO z z ;lJ
n. m me
0 ::tJ ::tJ ::tJ ~>C3:~~ m ::tJ m ~"T1
t:l :-! ::tJ ::tJ ;,;; zr!;zoz Z Ul
t'l m m Ul -"tl
0 0 Ul ~ ::!Gl:!jGl 9 O::tJ
>::t -I -I > z-
t'l =;: > -I m 0 - zO
~ 0 (jj ~~~ 0;:0
S 0 -I "T1
;:0 > ::!!;
~ ?' 0 0
~ Z -I 0;,;;
0 > 0 :-1 mm
~ > z ;:0
r 0 .-<
r
~ "T1 "tl "tl ~
:A- 0 ::tJ ::tJ , ~D 0 0 0 0
>;, ::tJ 0 0 a
t'l ::tJ 0 0
~ !!! m m 3:"tlen=;:3:"tl
m m ffl'JE~~l'JE
z 0 0
>::t 0 en :x:3: m:x:3: (')
,. ;:s "tl "tl Ul
~ ~ m "T1~;:O;:O;:o~ m e 0
~ :J 0 zz:x::x:-z ;lJ z :x:
::! ro -I .. >(;)00 Gl 3: -I m
~
~ () 0 r"T100 ::tJ =1 ;:u 0
0 z -;,;;;,;; - z c
zcc r
~ a OJ ~"tl"tl 9 m
:-! m ,0
~ "T1 ~
0
~ ::tJ <S'-
m
~ 0
0 f o D~D 0 0 ~
~ <
m "-
:t! z ~ 0
Gl"T1"T1om I ,.
> z >;a;ao~ ~ ....
Ro G) ~mm3:G) m
c
~ < _"tl"tl"tl~
~ > ~!;>>o
z >ooz:;; \) ~ ~
"'"l 0 _mm-l_
~ !T1 ::tJ"T1;:O r 0 ....
-1-- r i
UlZ Z C m
-I~ (;)
~ C
~ 0 o "lit:' 000000 "tl e > -0
V> :I: :E 0 z_
'0 0 0 :IE en"TIz"TI"TI"TI 0 0 ~~
CD z
8 0 !1 0 0 0 =iZ(Jl~OO z m ::0 me
> 0 ;;0 ;;0 ;;0 !:,:!>c~~~ m ::0 m ~"
t1 , :1 ;;0 ;;0 " z'!;zoz Z en
l'>l , m m en 9 en --0
0 0 ~ ::!G)~G) 0;0
>:l t -l -l > z-
tll :IE > -l m 0 - zO
IC:) -4 (jj o Z 0
cD 0 0 -l Z 0::0
S -l " ..........
CXI ;;0 > 0 ::!~
>.:i U1 ?' 0 0 -...i
~ 0 Z -l Z 0"
" 0 > 0 '- mm
~ 0 > Z ;;0 ~
::0 , 0 :<
,
~ -l -a -a
:I: "TI t'J
~ 0 ;;0 ;;0
>.:i m ;0 0 0 000000
tll z ;;0 0 0
~ m !!! m m ~-aen:IE~-a
>< m m
-l Z 0 0 mrm>m' ~
en OC~-lOC
! 6 Z 0 -a :I:~ m:I:~ "tl 0 - en
en ::!: m ,,~;;o;;o;;o~ m 0 \ 0
~ -0 ~ 0 -Z:I::I::-Z ::0 Z :I::
::! m ro -l ~G)oo G) 3: -f \) m
0 ::t 0 r:!!~~ ~ =i ~ 0
~ 0
-l 0 Z ~ C
0 ~ Zcc Z ,
~ tlI ~."." 0 m
z m 0
9 "
N 0
~ .,..
:I: ;;0
m
~ 0 0 ~
C 0 \t\ r~
~ ;0 < 000000 t'J
en m CJ\
~ Z ;;0 G)""om ,
> Z >;ii;ii0?::: () (J) \) n1
Ro G'l ~mm3:G)
~ 0 _-o"tl"tl~ 0 r'
< ~
> ~~!;~o ()
~ z
0 >OOz=n
"'l [TI _mm-l_ ~ -l
::s ;;0";;0 r
-l-- , . 3::
enZ z m
-l~ G) :i
::J 0 o~ 0 0)(0 0 0 0 -0 0 )> -0
z_
VI 0 :J: ~ C ~~
'0 () ~ en."z"''''''' 0 c
g CD 0 3: =iZ(ll~OO z Z ;0
() 0- m mO
)>- 0 ::0 ::0 3: ~)>-c:!CiS m ;0 m ~."
I :-1 ::0 " z'!;-c- z (Il
t'!l m m (Il --0
I () en (Il ~~>~ 9 0::0
:0:, ~ > Z "tl - ~ z-
t'!l > ~ -I m 0 - zO
lC) () en en o Z 0 0::0
S ~ ." ~ Z
> 0 ~!;
::Ili 0 0
~ Z ~ Z ()"
> 0 ~ mm
~ Z ::0 j
;0 c .:<
~ ~ "tl "tl
~ :I: ::0 ::0
:0:, m 0 0 1\ 000000
t'!l Z 0 0
~ m m m ';-. :!C"tlen:E:!C"tl
>< m m m'~>m'
~ C C \ ()c ~()c
" cs z ~ :I::!C m:I::!C -0 0 (Il
~ en ."Q!::O::O::oQ! m 0 ()
" ~ "tl ::J -Z:I::I:-Z ::0 Z :I:
::! m CD ~C)oo C) :!C ~ m
~
~ 0 0 ,.,,00 ::0 =i ?' c
~ 0 -"" - z c
0 Zcc ,
~ ?r ~"tl"tl 9 m
~ Z c
t..)
.,..
~ :J:
~ 0
C
~ ::0 0000 oK ~~
(Il
~ Z C)."." om
)>- >:'ii:'ii0~
~ c ~mm:!CID
~ < _"tl"tl"tl
)>- ~~~~
~ Z > ()() z."
""l 0 _mm~_
~ [Tl ::0"'::0 ' -t
~-- , i:
(IlZ Z m
~~ C)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
IZ-/d{-O/
Please
ADDRESS
/7/32 W,Ic{€uU!rS' T;--e:Ll I
LEGAL DESCRIPTION (office use only)
LOT q BLOCK Y ADDITION
~. ~i~i~e ~:;y I PERMIT NO. 07 -0007
3. Yellow Applicant "I-
ZONING (office use)
RI
PID 2.5-37 -04-5-0
I OWNER
(Name)
(Address)
(Phone)
~;;~)~. R. &1tm ~
(Contact Name) ~e... ~~
(Address) ot;3lJOJ<ec-Joy'" ~ e; . & .~()()
TYPE OF WORK
o Deck
o Lower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) S
o Misc.
(Phone)
(Phone)
Q52-Cf S5 -1'1) oS
I ~2. --Z:U,'" /~3L/
o Porch
ORe-Roofing
ORe-Siding
OUtility Connection
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-mentioned 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 tha building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon property to per or e ded inspections.
x
Permit Valuation
Permit Fee
Plan Check Fee
$
$
$
$
$
$
$
$
00.00
100.00
35,50
<to .c)o
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
ecomes Your Building Permit When Approved
I ~ -1'1- 0/
Date
OAddition
OAlteration
/~J'4/()1
, Date
$
$
$
$
$
$
$
$
$-
I Paid
Date
/3J!;8. (# J
, {} --() J
.
/
I ~;cerJJJ1 / tff/
) - ------
~ (JIJ ~ s-ze,S ~
Contractor's License No.
Park Support Fee
SAC
#
#
Water Meter
Size 5/
1 H.
, ,
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
issued/ \ ,_-,_ J _ ~ 1
~P~ -J7-/~~ ~ ~hons,~~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other PePl/c:r- $'* . 0 0
TOTAL DUE J, ,() ~
o 2., - (!;rXf7
White - Building
Canary - Engineering
Pink - Planning
The ('f'nIN or Ihe' l.ake' {'ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. I~. 1-1i21~mj\.l
r~- (A- -0 ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
III :32- V\J I L 0 E 12--"J 8-S' 5 -r7c::A ( L
Accepted
:x
"
Accepted With Corrections
Denied
Reviewed By:
t#[)
Date:
/2-27-01
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
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."
Tht" Ct"nft"r of thf L.kr Counlr)
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J2j2. ~
(~- lA- -0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/,132- W/LD512-N6S5 l72A(L,
Accepted
Accepted With Correctio~_
Denied
Reviewed BY:~7' ~
Comments:
~C1& a.OO Cl~~ ~ ~-
Date:
1'2... , '1 -0 l
"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."
II'P!lB^ aq lOU IIB4s UO!P!pspnf a4llo sa::>uBU!pJO
Ja4l0 JO apo::> S!4l lO SUO!s!^oJd a4l la::>uB::> JO aIBlo!^ Ol ^lP04lnB a^!6 Ol 6u!wnsaJd
Sl!wJad 'uO!P!pspnf a4llo a::>uBU!pJO Ja4l0 ^UB lO JO apo::> S!4ll0 SUO!s!^oJd a4llo ^UB
!O UO!lBIO!^ AUB '!O IB^OJddB UB JO 'JO! l!WJad B aq Ol panJlSuo::> aq lOU IIB4s SUO!lBlndwo::>
pUB SUOnB::>!lpads 'SUBld lO IB^OJddB JO l!WJad B lO 6U!lUBJ6 JO a::>uBnSS! a4.1..
~ Ovvyj
~~ cr/ ~ -H ()'\1 . VyyAt1 Y'~ ~
~V1 ~ 4;~ d~.J~ J~
:SluaUlwo8
) 6'/"71/--( 1 :alBa ~~^8 paMa!Aal:l
-. pa!uao
~
SUo!paJJOO 4l!M palda::>::>V'
palda::>::>V'
r---':l i'\, !H'-l (' ) t' i,' i - \ "7 '--:" I !
..-" "_' ( ( t !_.._"_
:lB pasodoJd S! 4::>!4M ^l!^!PB UO!pnJlSUO::> JOl UO!lB::>!lddB
l!WJad 6u!pl!nq a4l paMa!^aJ a^B4 SlUaWlJBdao 6U!UUBld pUB '6upaaU!6u3 '6u!PI!ns a4.l
---, ,\ I.f I
- ~ \, ,-_.J- --,
.' ':.~. ." i ;
I "-.. __d
, ,)- -t7 ,
--J I
- / I
C_._ i
03^1383Cl NOI.lV'8IlddV'
\,,\1 () \ /""') II_J . ;./ . 71
, \) ~~.:--;' , / J' {/ ~ ~. f .f
I
.lNV'OllddV' ,:jO 3V\JV'N
J.SI1}t03HO J.N3WJ.l::IVd30 NOIJ.VOl1ddV J.IWl::I3d ~NIO'ln8
6u!uueld - )jU!d
6u!Jaau!6u3 - AJeueo
6u!pl!"a - al!L1M
rUluno.) ~'1.'1 ;;UII JO J,)IU.J.) ')lt1
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FlREPLACE PERMIT ..wi 2 .. 2002
~. ~~~:w ~l~icanl I PERMIT NO. OZ"ooo7 I
ADDRESS
\113~
ZONING (office use)
'{\I'd ctuness "lY
').-
~
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK ADDITION
PID
OWNER", --;)
(Name) !..). h.
(Address)
(Phone)
~VLUe fED1.Jtj
(Phone) u5/ - -'./561- 6? 7~5
0.. 66/ ~
(CI (Zip Code)
(Address)
(Contact Person) ~ e., r ('
APPLICANT SIGNA TV
(Phone)
APPLICANT PLEASE COMPLETE BELO'V
IXlNEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL "Br'jG\.t'\-r 9~% FUEL ~ O,t. GqS
FLUE SIZE o? Y2- pVL RETURN OPENINGS INPUT /OO/{)OO OUTPUT 80, 0"1H>
TYPE OF SYSTEM HEATING OR POWER PLANT
DWanlJ Air Plants o Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
&Air Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39,50
Estimated Cost $ 1 () 00 . o-v
Building Penn it #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
-" 1
..-.\'....1
r'~"c-J .,.......,.('1'
D' ';NG pSi'",\\
.5~\J\'_ ·
~
(Office LIse Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
DjAN L 0 2002
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DRe.2R. 2UU1 11:47AM
GENZ RVAN PLUMBING AND HEATING
No.9125
p. 1 LJ 27
Date Rec'd
CITY ,OF PRIOR LAKE
~~WERAND WATER PERlVIIT
y(\ 1. ~ In Pr'L.
i ~1'''' E:ic.>Dt I PERMIT NOm -00011
I ZONING ,-"'"' I
~~~~;::;~
LEGAL DESCRIPTION (offk.:: usco only)
LOTCi BLOCK
PID
OWNER
(Name) 1>1\ H,.,....1",.,n Cll'iltn.lIl R.....'!Y8B
(Address) 3459 Washingt:on Dr Ste 204
(Address)
Eaga.n, MN
City)
(phone) ,; '5 1 lr. 5 4 4 ,;,; 3
55122
(Zip Code)
APPUCANT
(N~~ Genz-Ryan Plumbing & HeaLing
(phone) 651-423-1144
(Addtess) 14745 So Robert Trail
(A,ddrr:ss)
Rosemount, MN 55068
(City) (Zip Cede)
DATE
(Contact Person) Mar
(Phone)
ASE COM:PLETE BELOW
Size of water service inches.
Location of any couplings from, structure
Type of sewer pipe. D ABC 0 PVC
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
feet.
o Cast Iron
Estimated Cost $
FEESCBEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum.
$17.50 Watr:T connection only $17.50
Building Permit # 0 2. - 0007
[(.eSldential sewer and watq line COUD.ectlon
Sewer connection only
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$'
$
.50
J.
:)Uice Use Only)
This Application Bec1>m~s Your Building Pennit When Approve~
Pai
Receipt No.
BlJildiug Official
Date
Dat~ 2 4 2002
By
""
. "
24 hour n.otic:e for all in.spectlons (9S2) 441-98S0. fax (951) 447~4S
D8c.26. 2001 11:0AM
GENZ RVAN PLUMBING AND HEATING
No.9125 p. 1:1 27
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. BI~~ I'll.
2. Gold City
3. Yo.llo'" AppllCllllI
I PERMIT NO(JZ-0007 I
I
ZONING (offic~ U!E:)
~;;m4_:~~m:~f~ ~LL-0.
LOT
PID
LEGAL DESCRIPTION (office use oDly)
OWNER
~~e) DR Horton Custom Homes
(Admess) 3459 Washington Dr Ste 204 Eagan, MN 55122
(phone) 651-454-4663
APPLICANT
tName)....GQn~ }!YOlT> p111'mh11'1g & J:l" iltif'g
(Address) 14745 So Robert Trail
(Address)
(phonf::) f, 'i 1 L..? 1.-11 bl1
(Contact Person) Mary
(City)
55068
(Zip Code)
Rosemount MN
(phone)
APPLICANT SIGNATURE
DATE
Quantity Type of Fixture Quantity Type of Fixture
2- Bath Tub with or without shower ~~ Rough~ins :
\ Dishwasher , . Water Heater
, Floor Drain {J I J Water Sower
, . e::., Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
, Laundry Tray (1 or 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
~ Water Closet (Toilet) Other
EASE COMPLETE BELOW
FEE SCHEDULE
IndustnaJ, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $9950
Rcsidc:ntiaJ, Additions & Alh:rations $39.50
Estimated Cost $
Building Permit # 02 - 0007
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
J
Dffice: Use: Only)
This Application Becomes YOUr Bllilding Permit When Approved Paid
Da[~
Dat3AN 2. 4 '200')
Building Offic.i;d
24 hour J;lotlce for all inspections (952) 447-9850, fn (952) 447-4Z45
#3344 P.DD1/DD4
Date Rec:'d.
FIRESIDE CORNER
CITY OF PRIOR LAKE
HEA T1NGI AIR CONDITIONINGIFIREPLACE PERMIT
~:~ S...... I PERMlTNO.O~-OOO7I
ZONING (office "'e)
1?13~ ~ I
LEGAL DESCRIP7.l0N (olfice 115e on'Y)
L01'
BLOCK
ADDITION
PID625- 70.()L(5
OwNER
(Nam.e)
(Address)
~~ d<1~
(phone)
APPL CANT
~a~) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone) 651-6..33~56J,
(Add.ress) 2700 N. FAIRVIEW AVENUE
(Admr.n)
BRENDA HUSTON
(Con1'4ct Person)
ROSEVIT.J:.,~ MN
(City)
(phone) 65J.-633 -2 561
DATE
i:; r; 1 1 ':l
(Zip Code)
APPLICANT SJ.GNATU E
APPLICANT PLEASE COMPLETE BELOW
::.W CONSTRUCTION 0 REPLACEMENT 0 AL TSRATIONS
FURNACE MAKE AND MODEL FUEJ~
F'~IJE ~JZE RETURN OPENINGS INPUT OUTPUT
1YPE OF SYSTEM HEATING OR POWER PLANT
OWIlI1l1 Air Plants 0 Slllsm
OGrovrty 0 Hp[ W~ter
o M~hlllllc~J 0 Radilllilm
DAir Conditloninll 0 S):'flcial Devices
OVenr. SY9~er:n 0 .other Devices
PLEASE NOm;
Air Conditioner Units
Canoot Enc:roach into
Required. Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
IndlJstrial. Commerc:ial &. MlJrt.j-Flmfly
FEE SCHEDUJ...E
I % of job cost. Rcsilkntial, GIIS Fireplace
$39.50 minimum
$99,50 Residential. Addi.~It)l1s &. Altm-alions
$64.50 RcsjdEintial. AC Only
$39.50
$39.50
539.50
Rcsidenr-flll. Heuting &: AIC (New Cpnstructlon)
Rcsldentlal. H.eatlng Only (New Canstructlon)
Estimated Co,t $
BufJding Penn-it #
ABATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50 f PAID WITH
BUILDING PERMiT
I.:
(omCt: '^,c O"Iy,
Thill -i'pplic:stion Bec:omes Your Building P",nnit When Approved
aId
Receipt No.
, Building Omd,,1
Date:
Date ' - j-()(f
24 hour nDtlce lDr 1l1lln.pedit.JIu (951) 447-9$50, ral (!)52) 447-4&245
(~3/23/98 .1I_0N 09: 2~ FAX 6124474245
CITY OF PRIOR LAKE
~002
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Pmnit Application)
For All Properties Located in the Shore land District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address )'7) "3 '2-, ""''FJ ,,')) ,/
..... ,. ~/ ~/l
Lot Area 12 ,I D~ Sq. Feet x 30% = .............. "3 B ) I
********************************************************.*...*..*.******
LENGTH
WIDTH
SQ. FEET
x
x
x
==
HOUSE
==
AITACHEDGARAGE
=
TOTAL PRINCIPLE STRUCTURE......................
',' J ') I
( " If f
'-',
DETACHED BLDGS
(Garage/Shed)
x
x
TOTAL DETACHED BUILDINGS....................... ..'J
(1",9
I) )
DRlVEW A YIPA VED AREAS
(Driveway-paved or not)
(SidewalkIParking Areas)
DW''{
S\Jv
x
X
X
,.
==
==
TOTAL P A YED AREAS._._...................................
JDCJo
x
X
=
P A TIOSIPORCHESIDECKS
(Open Decks 'I,,' min. opening between
boards, with a. pervious surface below,
are not considered to be imperviollS)
=
X
=
TOT AL DECKS..._...................................._............. 0
X
X
==
OTHER
==
TOT AL OTHER-......... ....-........................................
o
TOTAL IMPERVIOUS SURFACE
0.-'....-"
500
.-) ,,), ')
i " \
C. c I
(UNoEIYOVER
';:;ed By ~~ ,4'- Date J I Dr;(
Company l? f2.~N DT bNt:"VI fa2iN,t S'l)}(VflrINt~Phone # 9-)2 435' J 96t
PRIOR LAKE
INSPECTION RIECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS fl.l3:t.. VJd~.Q.~~ ~o..\ \
NATURE OF WORK jJ.ol.I.)
USE OF BUILDING -SFD
PERMIT NO. 0 z- 0007 DATE ISSUED I~- tq - 0 (
CONTRACTOR ~ "ot-~ PHONE CfS:t - ~rl.Co - I 53 'f
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) 1 2-~ O"L
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SI N
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDINGt e.tJ I dJ ' ~ 1..-
ELECTRICAL
PLUMBING
HEATING
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 sha'~ll:ie"'Placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850 .