HomeMy WebLinkAboutBuilding Permit 03-0754
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS {to 2 ~2
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
INAL
o SITE INSPECTION
COMMENTS:
(\
n \O'iQ_ ~ t! L"
DATE
SCHEDULED 1;' If/O 7
WA<;,~
TIME
CONTR.
PERMIT NO.
~ - 75""'1-
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~RK SATISFACTORY. PROCEED
o CORRECT Ayn6N)AND PROCEED
o CORRECyWORtY,'.Q,\LL FOR REINSPECTION BEFORE COVERING
Inspector'
7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
PHONE NO.
16l.sL- L.. K's/rt f)'/{-.A I 1j 8 MrJ
IVrtH'IO "Vc,{,
/, 3 . 75-'(
CONTR.
ADDRESS
OWNER
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:4~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH de SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 5- .s -~
PERMIT NO'()3' 0754-
ZO~15 Office use)
t. White File
2. Pink City
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS
/ ~ ~-5.;t L a..Ke sid eAve.... J fJ r','o r- L c-k:e
LEGAL DESCRIPTION (office use only)
PID:;'~ D(i'fpO/J-Q
ADDITION La../<'e..s ld e Pa..r-I<
LOT ~3 BLOCK
v
OWNER I
(Name) L a"d lee. LJ i J,So n
(Address) I (.. a.5 do L-4. Jee:.s ~ d e.
'95 ~- '147. d' '-?'?
(Phone)
-P r ; 0 r- La.I<.e
4tle.
.I
ClS".J.- ~t/J - ~ 7ig
t" / ~ - ...3 , 'j' - &:3 '1-/
BUILDER 11/1 a . -J
(Name)--'..!J~~/d UullJer.s J fie..,
(Contact Name) 13 e. r t1 ~ e...1V1..~ A.o IN;' J cI
(Address)
(Phone)
(Phone)
IVItJ
. . ,
/5D~ S-f. UJ,
7177
SG) II ~ et' f!?'
'~ .J
/
ORe-Siding
ORe-Roofing
OPorch
ODeck
o New Construction
TYPE OF WORK
OUtility Connection
OAlteration
OAddition
o Fireplace
OLower Level Finish
..3 OJ Ot:JO,
e~r~e.
PROJECT COST/VALUE (excluding land) $
!aMisc.
I hereby ce' that I have furnished i formation on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or
authorized g t f.rtfi.O.. ,<1 a ve.m enti ed property and all construction will conform to all existing state and local laws and will proceed in accordance with
submitted ~ s. ~~~.. that uil~ng 0 . c' can re oke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter up . e pro~~ " rf~ n ded mspe ns.
X // /(#
V / , Signature __.... Contractor's License No. . Date
Ii 30,000, ()t) .
$ Lftf , . 7~
$ d-Y7.' tf
$ /s,oo
$
$
$
$
$
$
$
$
$
$
$
$
$
$ 143,fiQ
t./if.0f
V
r
I Park Support Fee #
I SAC #
I WaterMeter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee #
I Water Tower Fee #
Builder's Deposit
Other
Permit Valuation
Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
-
I TOTAL DUE ~ Co _IO.Q1
-;/ 7i1 j ,~''7
't, ~ /9- .3
Receipt No.
By
I Paid
I Date
This Application Becomes Your Building Permit When Approved
~~fl
Building Official
S/;t.? A:?
/ 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 Plann constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
iss~ed~, . '\
~ I
,\ . Plann..,g i&cto
Lc .J OrO~
Date Special Conditions, if any
. - 2'4 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~itf! - Building
nary - En~; I:"'" . ~
Pink . ~ Planning
The Ct'nt~r of Ihe l..k" ("ounCry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.,
....oI.,~__
........;...-
~.... '-~
,i
..-.,
-:
-..-.--.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ f"
" .4
..I'.~~-"
/,. t
Accepted
.>(
Accepted With Corrections
Denied
Reviewed By:
//)t)~
Date:
t;- 9-03
Comments: See Reverse Side for Additional Information!
"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 - Engineering
("'I"InK' - iJiannlflY:)
The ('enler of .he L.kt Countl")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections
\['
I -
Denied
Reviewed By: ~r'" v?~
\-~V'
Comments:
.; E:6tve on eas-t e{ero..-DDI) ShtU\ f10t .v.f-(f3e()..
fwf-) Vi)u.s.r ~ C? f~et -fuyn prvper-ty (,(\e,.
"/6nA-re\ dYJ'/ewa.y snOl'lY> m !?e, r-ertl~d tV)
SUf'VO..{ Shttll be, dbl'€ prtOV- tb ISSt.(aYlC.e of
ee.rnnM tc.. of 0 CLM.panOJf .
Date: lO'? 03
"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."
r ~te - euilc;iin~
Canary - Engineering
Pink - Planning
Th... ('f'nfer or the I.ab Counll1'"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
rY/ a./tffU/ddJ &~i( (1 --
S- -:;- -03
'-.-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ~ ~ 5 ~u1JLes"ll e/ }1-tJ-L/
Accepted
Accepted With Corrections ~
Denied
r--....
~ ~t? Q p:j Date: 5/5 ~ 3:
r
~~ ~.~1-~
~A/7 .... ,....../. . . J - +- /1V I
rV'~~,.._ ~ ~. M~ cJ-~
, /
GJ ,R://~~_ ~~. ~
~ ,. C/ ,- .----/
~ /~ ~ ~ r~.t7,
Reviewed By:
Comments: ;[l ~
~~
t!~
,ruutL ~ h
.r
.~~
,
"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."
cf"-'~'\\\.d CITY OF PRlOR LAKE
o Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For All Properties Located in the Shoreland Distri'ct (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address \ l. "2. S'2.. '-.a.. ~c;. 'i~ \\.~~
Lot Area C\,~e, a..~. C\oCo\.OSq. Feet x 30% - .............. 'L..C\ \"2-
************************************************************************
LENGTH
WIDTH
SQ. FEET
HOUSE
x
=
x
=
A IT ACHED GARAGE
x
=
TOT AL PRlN CIPLE STRUCTURE......................
\ It'U;
DETACHED BLDGS
(Garage/Shed)
x
X
TOTAL DETACHED BUILDINGS.......................
Ga~' ,
D~EWAY~AVEDAREAS
~eway-paved or not)
(Sidewalk/Parking Areas)
X
=
C\oS
X
=
X
=
\
~b,",C.. ~~\~ =t
p A TIOS~ORCHESfDECKS
-
(upen Decks 'I,' min. opening between
boards, with a pervious surface below.
are not considered to be impervious)
TOT AL P A YED AREAS.........................................
C\oS
X
=
-z.q2.
X
=
X
=
T OT.~ DECKS........................................................
-z.~'2-
.
OTHER
X
X
=
=
TOT AL OTlIER........ .... ...................... .....................
TOTAL IMPERVIOUS SURFACE
I 2{o2.2-
I ~qO
Date 1 ('2..<1 { b-z-
Phone # ~'''1-1..S7'O
eVE~
Prepared By ~...,.,.~
company~ ~ f:4>'} .p.~.
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-l or R-2 Districts
Reviewed by: C! R~
Building Permit #
Site Address:
PID:
Date: 'J' w .(!)?:)
Zoning: 1< -l Sl~
Legal: L ~''b . B
Subdivision: U-LI<"f>~ Po....rlC,-
Existing Structure? ~/ NO
Existing Nonconforming Structure'? ~)O
CONFORMS TO ZONING
ORDINANCE
V (Lru-:e....n C-C..- C(fYLLn+cP..-. l;cr-
'Yard Setbacks: NA / FAILS/ COMPLIES
. Pront Yard (setback average if in-fill lot)
. Side Yard R5' if-abtttt~;:;.e; a--sffeet)
. Side Yard (Easements)
. Sidewall exceeding 50 feet required additional
side setback of 2" for every foot over 50' long
I. Rear Yard (Easements)
I. Prom 100 year flood elevation of wetland
. From OHW (Prior or Spring Lake)
~ Floor Area Ratio: NA / FAILS / COMPLIES
Yard Encroachments: NA(/ ;AiLS)COMPLIES I
Eaves and Gutters no more thall71eet in width and
no closer than 5 feet to a lot line (Easements).
NC and other equipment cannot encroach on
interior side yards.
~'""'\
'Tree Preservatiop: NA / FjILS / COMPLIES
. Total caliper i~
I. Can remove 25% of total
I. Caliper Inches Removed
I. Caliper Inches Preserved
I. Replacement
UTEMPLA TE\BLDGLIST.DOC
YES
/) {; I bun 1-
Standard
_$ ,{}.-o I
yY'IO'ISI
/10'
Wall over 50")
25'
30'
75' or setback average of
adjacent structures no less
than 50"
.30 Maximum
Standard
Standard
1/2: I
e
~~ ~O-Slc_
Proposed
!)-()
16' /4'(
tJi/\
tJ/Pt
tJ/A
f\J/A
tJIA
Proposed
41
Proposed
. ..' CITY.OEPRIOR LAI(E .
Imper.vious8urface Calculations.. .'
'. . (To be Submitted with Building Permit Application)
,For AIIPropertiesL'ocated in the Shoreland District (SD).
T11e Maximum Impervious Surface Coverage. Pem1itted in 30 Percent.
'. '.. Pr()pertyAddtess'\\0 7-c:,"'i- \....Cl~~'\J)p ..~.
. . .
. . .
. .
. .
~ot AreaC\1DB~b~~.qb,,".OSq. Fe'ef x 30% '= .............. -z.q,z.,
~*******************~**~*****~******************************************
~b~
HOPSE
LENGTH
WIDTH
SQ. FEET'
x
=
::::
=
'.. TQl'ALDETACH.EDBUILDINGS.i........"""."....
N<<oe/,~~\,,<,~ .
DRIVEW AY/P A VED.AREAS .
x.
::::
(Drivew!l y~pa ved,orllot)'
;, (Sidewalk/Parking Areas)' .
=
4~1
::::
-Z'l "'L-
~.>..
,.-, -' . -., '" .
. . .
(Open Decks W' min. opening between
..... boards, with a pervious surface below, .
. are not cOl1sideredto be impervioiJs)
=
'2..'1'2..
:::: '51lb
=
TOTAL IMPERVIOUS SURFACE
~YE~
· . Prepared' By'
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS --/0 Z5Z LAJl-e,~IDe AJlE.
NATURE OF WORK ~~ ~ ~~~
USE OF BUILDING -S. F=: P. - _ - \J
PERMIT NO.. ()3/0/~--r-- DATE ISSUED Slr2.'3~~
CONTRACTOR .... ,PH NEG>(Z.-~ql
NOTE: THIS IS NOT A PERMIT FOR ANY F THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING INSPECTOR ..0J1l
DEPARTMENT OF
BUILDING AND INSPECTION
/ DATE/
7 ;:.~ 1103
FOUNDATION (Prior to BaCkfill)~.r~ W~ <~ I ~ (t:, L'c;.~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
~ \
,J,"I<n
I t
I
I
1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
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 shall be placed near main entrance.
(41f." J
/
(
\
I ,
$/17/~7
1'/
FOR ALL INSPECTIONS (952) 447-9850