HomeMy WebLinkAboutBuilding Permit 03-1192
DATE TIME
CITY OF PRIOR LAKE I~O
INSPECTION NOTICE SCHEDULED
ADDRESS LI(),., )"\nK"L. j~
OWNER CONTR.
PHONE NO. PERMIT NO. ~ - 1\ '7
-
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
~OUNDATION o MECH RI o COMPLAINT
FRAMING o WATER HOOKUP o FIREPLACE RI
b INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION ~ECH FINAL 0
COMMENTS:
/l
, il;"fJ'nr~ 1J
(J.., (f) \k) ~
'I h/4.S
(1 ~
o WORK SATISFACTORY, PROCEED
.d CORRECT ACTION AND PROCEED
.ticORRECTfORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: I J ~ Owner/Contr:
CAL~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
Il'iSNOTl
DATE TIME
CITY OF PRIOR LAKE ~
INSPECTION NOTICE SCHEDULED
ADDRESS Llb?.t] f'I\(JJC:..W
.....
OWNER CONTR.
PHONE NO. PERMIT NO. '3 - fJ l'2...-
o FOOTING o PLUMBING RI o EXIGRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
"F: FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
. . ^
d~~/ ~
r-" .
+ .'"lD
......
IJ/
( tft)
y
~WORK SATISFACTORY, PROCEED
o COR~R ACTION AND PROCEED
o COR C~, CALL FOR REINSPECTION BEFORE COVERING
Inspecto .: ~ - / Owner/Contr:
CA~~;%850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
....
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Il'iSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
,':2. {Z? I/) "
ADDRESS
L/o3fl
M~~r.O~ QR ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
l-II~L
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
2"FINAL
o SITE INSPECTION
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 GASLlNE AIR TST
o
COMMENTS:
'-1'. F;nnl- s.f..co ~ k Co~
. . I
V"'2, FR t:,f........ ~V\. ~.~ t9t-' C't'YlJ...&f"
~/ -t:tW1r..lL v~ (/ I \IAI..'fJ 44rz -'1 ~ 3D
~l J.lIIAC 'E~~ Ja,,obr.\- ,,,e(,,"- ~~
Jf" '- 9c_...tt el"'> ,'IAC.tl. nVl ~c. g,~ ~
/Uv E\K\ ~~'O ~\ . J
A, l~ sC'~ ~- ~
.,- v
J'~1I~4C; ~ l. 1:.<;t-~ ~k J-'{~
\~ 2. 1J""utf2.p MA. "~"iA-l. 1;..aLJ~
~ - u
/Jl- /7'
\1 n;L., . f/ .~
v -. \' ~
o WORK SATISFACTORY, PROCEED
o CORREC!..A9")'ON AND PROCEED
)( CORRr.CTVtO~K. CALL FOR REINSPECTION BEFORE COVERING
Inspector: --Y / Owner/Contr:
CAL~L.7\.98~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
_~REMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
'10 ~"7 !tkr6hall II
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
INAL
o ITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
, I II
~"()/IC.f, "'1 ~
0-"
kO'tJ ~.'J<
DATE TIME
J). -J 8-(;6
6'-1-Lj3 ~
1)jf~~L1NG
V[]COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
u1
110rJJe
~"".r,... EED
CORRECT ACTION AND PRO D
RRECT wc>>U<.. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~~-.-:;- OWner/Contr:
~ALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
<is' - C2 ,'(:) 3
I. White File
2 Pink City
] Yellow Applicant
PERMIT NO. () 3 -1/ q z.-
~S-3.11
:__,'-"7'<-' 'b-11..
~'~ -~~"\ ~
ZONING (office use)
_11-1 ~D
(Please type or print and sign at bottom)
ADDRESS
q,os,
M~~{
eJ
SII\L\lop-ec
friDr [~J r MN
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
,Jbd
6~
......
PID ;) 5' {j 3 J. - 00 (V
r c) "., ...,./. - ...
l ()1)L-- (..,..y ~ >OD
(Phone) l6~~?>'7..-3- o'J.hb
OWNER
(Name)
~t\~ &l{,{\~ 1 J~ d.e+t- QiJl~V\..
5670 /461k Av-e. fJ vJ,
LPxA Qt~
LP:iA 6:{ttW\.
(4'6 fA ~. /.I W. !
f?~, Mr-J
~~O~
lC) 612- - 74'5, - g~()O
(Phone) ~ - :1-z.~ - Ol6h
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
,
\
(Phone)
!;67o
~.
M~
~t)3
TYPE OF WORK
"fJ. New Construction
DLower Level Finish
ODeck
DPorch
ORe-Roofing
ORe-Siding
o Fireplace
o Addition
DAlteration
DUtility 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-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 that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the prope to p rform~peCtions.
')
DMner / ~t-Y
Coriractor's License No.
7fr 6/0 '"!:.
D'ate
x
I Permit Valuation ~ 4S,oOO I Park Support Fee # $ ft5{J- I
I Permit Fee $ /~os-~5 I SAC # $ I
- I
I Plan Check Fee I $ 'J i '13 .'74 I Water Meter Size 5/8"; 1"; $ .- I
I State Surcharge I $ J :;l~ ' ,t:) tL I Pressure Reducer $ -- I
I Penalty I $ I City SAC and WAC # $ .--- I
I Plumbing Permit Fee I $ I DO~ .- I Water Tower Fee # $ '7et? .- I
I Mechanical Permit Fee I $ L bb / ......- I Builder's Deposit $ /500.- I
I Sewer & Water Permit Fee I $ I Other $ I
I Gas Fireplace Permit Fee I $ I TOTAL DUE CJ\tU?O 'l.!t. 03 $ tll.35/. qq I
; , .,
This Application Becomes Your Building Permit When Approved I Paid 'tiff/' ?'7 ~iYL 4-S-W:- I
~ ~ 17.;? S- /0..7 I Date ._;lIi]' I
,.
Building Official 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
issued.., ~. ~. r... I.. nC /')-41"''-6-( (lO-A:t .i'iU-c? LCli.l. ~,;)c rtrn(\.-{C
~.-/4\~1:..kr , . ell :7_> ' {/0 I~o"-- t't.~t.J.-L It dlJt. -C(..C'[L~ (j;.. n2D'--u.' h:_Ln
~,71 . Plannifg irector! Date Special Conditions. if an)'
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
.'. . i'.,'... ..'
~ " '..
White - Building
~ry - cii!jineerlnY:>
Pink - Planning
Th. C.nlor olllw I..... Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, /:....
/ /VIi/, li//;;. ~}
""- ~ ~ ... --=>( './;"" ("..-:. f'-'
C-' ~ C"/ -/o"j --:;:>
o 6 '...j)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J. -- '1
i i i).":' -
~._~ .' )
," -.., ---'
~. .~L-{_.< . -~. /.
.'1 /'
'\
I ,'-f
l '--- '"-"
Accepted
/(
Accepted With Corrections
Denied
Reviewed By:
flIJ'tC>
Date:
7Lg/())
Comments: See RevjliSe Side for Additional Information!
JtU-k1l Cul"tr!- ;'" t!~....t't.t'- ~w../,.
See Attachments: 1) Grading Plan, 2) Erosion Control Mttasures
"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 ca.ncel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Th... C...nt...r nr th... I.akf' ('ounl..,.,
~hite - Buil~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L Cl-t./ f9 LA- ~ (J
<6..-- 8',0 ..~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Ll03'/ -
m~cJ1aJL{ t2- d
Accepted
Accepted With Corrections v
Denied
Reviewed By:
,.
;p~ ?.R, f),..... Date: 8/.1-5"/0 f
f.u-d! dL-( ~ ~ ~ aL( ~
Comments:
~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."
'"
Tht' (""nln or Ihe takt Counlr."
White - Building
~,-a::~ing
,. Pink--- Plannin~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,',Ii ./
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
Q12r'12r?~
l- \ L---' '-./
Date: q 3'O~
Comments:
v nO (~~ ~t - \ ~ ~ u..rLtQ. 'bJLlL-fYI uvcd
v v
L~ thL ck.--u( 0 00 ^-fj Lr ~~
~~c:tLz.rv-
"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."
Rug 27 03 03:08p
InFormation Technolog~
952 496 8489
p.2
SCOTT COUNTY, MINNESOTA
APPLICATION FOR INDIVIDUAL SEW AGE TREATMENT SYSTEM (ISTS) PERMIT
(Note to AppJ.\cant: On~tfi~l out shaded section below)
~ g;not- L .
Project Addresh. Lf ,,,,- '7, 7 M e,.r\ o:.~ f r J<.&.
City/Zip \.\'N., ~,; ~ 5'" S-1 ? <i
Site Evaluator ~ r? r" !.. :T "'L Installer
Septic Tank Size as per d'lsign submitted and approved '1 2 Sl)
Pump Tank. Size as per design submitted and approved 1")..:)'0 J
Drainfield Size as per design submitted and approved (below)
').. C<::\-(.1<..rI-~1-
Date Received ~ ,. <z;. " 0 -:.\
Permit # -z,4-=- -Pr--z,S:-
Receipt # Z. (., 4 q L"
Fee J s-c , () e
Receipt Code JI>,)..
New ISTS -1L- Re.E.lacement X'
Percolation Rates '2. , :,,/iX. .:1.~ I sj
Number of Potential Bedroo'im' r
Depth to Restricting Layer /2 "
,
~3- ~ 10
,)0 I X :J7 . $ ",......j l,.,~ ~
Applicant
~
A-FPLICANTFILL'OlJl'.INFORMATION IN SHADED AREAQNLY
~~. 'i".~. Phone (H) 71JJ-:si:r..~O<?JtL(W)6JIl- 74-'J:- g3,OQ
Sb7'O~ .lLf6#\. ~'FJW _ City RA~ Ai srateMtJ. Zjp. CY'<tt11
/'_....... .....,t_..... '
~.~ _M. ~.f Phone(ll}
,(W)
Applicant Mail Addr'css
Owner (ifdifferent)
, '~,' . -- --.
'Subdivision Name (if applicable) .. .
Lot #
Zip
BlOCK #
Owner Mail Address
Partel Number 7A"'--tl2-300(- O';sect
,. City
',State'
Soil tcslSand a design of thelS"(S meetingMinn. Chapt.cr.7080 stmdmds must lIccompany this application.
',..,,":,-: ,~,: .' . ".-~:~~,;~--:: ',,', ,. .,',' . ',.', ",,~'.:- . - . - ,
Applidantherebyao-u.> thatjU~ri;Jssuimceoftlrl,sjlel1!"t!all.vro*shall be dOlle and aJlm,aterials used shall be in compliancewitb State Rules
and any: applicable toWnship, city, and co,im& ordi,nan~C$~' tp6 ~pplicanl mu.~t also ensUre that the Scott County Environmental Health Depl is
notified of;;iny ISTS inStalI8ti~n ~ltOO~f ~ins~tion is requested. .
Applicant Signature' . ~ (:~V.:...~ Date' 9.1p./~--r...
----- ~. ,..
..--------- TOWNSIDP OR CITY USE ONLY ----------
Recommend Approval
Recommend Disapproval
and Permit complies with the Wetland Conservation Act
Signature of Township or City Clerk (or representative)
. Date
________________________ COUNTY USE ONLY ----
ISTS Setbacks: Building: (tanks) /.6 < (drainfield) 07c . LakelCreeklWetland I So "Wells
+ 10' to Lot Line or ROWfEasement.
Approved
Denied
By Scott County Environmental Health, subject to existing regulations and the following conditions:
1. Verify and maintain all required setbacks and elevations.
2. Protect (fence off) the primary and alternate drainfield locations while any building construction activity is occurring
on the site and maintain fencing or some other approved barrier if the drainfield could be damaged after installation.
3. Install rock bed on contour and maintain at least 36 inches between the rock bed and the water table/mottling.
4. Protect sewer lines and system from freezing.
S. Divert surface water away from or around the drainfield area.
6. 'Sod or seed the area as soon as possible upon completion to prevent soil erosion and damage to the drainfield (for late
season installations, hay or straw can be substituted until sodding or seeding can be done in the spring).
7. This permit is valid for 12 months from the date issued.
8. The property owner (or applicant, if different from the property owner) is responsible for assuring that the Installer
receives a copy of the final Department approved design.
9. Nonresidential ISTS shall include a water meter and, if a dosing device is used, an electrical event counter.
Signature
.-1./:d"'~~
Date
1-2.)'-'0 "3
'.~
White - County Y cllow - Township Pink - Applicant Gold':' Township
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
L/o~~ 7 f'lkr5t,h4 If f)
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(})3 II~)
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
crv' "'~r'JfFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: ,
MJfS- oIL
..
:~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~~ Owner/Contr:
--
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
l4J 0 0 2 /0 0 .1
11/18/03 TUE 08:43 FAX
oc~-ll-~~~~ ~O.~~
L.) I r l.Ji il'<: )1)1'<: L.HKt:
~~G~~(~~~~ r.~~
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. 61.. ",. PERMIT NO. J- /10"
1. Gold CHy 7 of-'
J. y ~1l11" Ap.llu",
(Please ty,pc or print and sh:n It bollom)
ADDRESS
403'l /Y} av- cl Q i( Ko~
ZONING (office Ule)
I LOT . BLOCK
LEGAL DESCRJ.r 1 J.ON (office u~e only)
ADDITION
PID
OWNER'
(Name) t-Q U (] llO ~\
(Addrl:8s) Slo'l D ) lLfll-1i
APPUCAW ~
eN ame) h a..~S1l\ )..) -Y L...i''.." l \ ....., ~ ; --:t t\I C
/
(Address) ~(\q<;, I ~~ V\.(J i..N Ju~ h~^\ Ifv-. JV\ ~ ~5'3o l./.
(.Addre~) - (City) · (Zip Code)
(Contact Person) l JJo~ _. N Q~. V\ J . . (Phone) '\ b J LI ~ 1... ') h [to
APPLICANT SIGNATUR~-!:S.i)}~~,~~~_.:.-~ PATE
Quantity
~
I
t.
1
~
~
L+
I
, (phone)
~~ ~(,.)
(phone) lb \
LJ~ I~ ~ L.. ~
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture Quantity
Bath Tub with or without shower :>.
Dishwasher I
Floor DiaJn ~~ftl. '" \ ca."," ).0 ~ -
Lava.tory (Bathroom Sink)
.t--
Laundry Tray (lor 2 compartment SinK
Shower StAli "
Sinks Y,I\'~P..... ~ V C1..,~ 'of
Bar Sink
Water Closet (Toilet)
l~~et-
Tn>e of Fixture I
Rough-ins rl u.~ l~d:t.- ~~t-.\ L.~
Water Heater -.
Water Softner L/~,~ ~
~t.and Pipe (Washing Machine)
Sewa~e Ejector
Backflow Assembly
Backflow Asse.mbly Test
Lawn Sprinkler '
~(' \ \'f\ 0.. -CJ'-L~~ .1
~; coc""" ~ r.:..'l.tt4.)'~ (JQ~' (1"1\ llLtt
J
Lt
FEE S\...,ru,DULE
Industrial, Commereial &. Mulri-family 1% of job cost wltb II S3~.$O minimum Residential, New One: &. Two-Family $99.50
Residenlial, AddItions &. Alterations $39.50
~O'y
EstimaledCoSt $~
Building Permit #
PAID 'WITh
BuiLDING 'PERMI""
PLUMBING PERMIT FEE S
STATBSURCHARGE S
TOTAL PERMIT FEE S
.50
(Ollice: tJ~1! Only)
This Application Becomes Your Building Permit When Approved
I Paid
Date
Receipt No.
Building Official
Dllte
By _ q-...
i-J'OV 2 8 ZOQ:)
24 bour notice Cor lllIlnspcctions (952) 447.9850. Cn (952) 447.4145
1(;ZOO EAgle Creek A"e... S.B., Prior Lake, MN 55312-1714
TOTAL P.02
11/18/03 TUE 08:43 FAX
138:54
CrTY OF PRIOR LAKE
9524474245
[4]003/0rl<1
P.01
Date Rec'd
CITY OF PRIOR LAKE
.tl~A TING/AIR CONDITIONINGfFlREPLACE PERMIT
;: ~ ~~ PERMIT NO. ''<. -_It 1 d-
J. vdlllW f,pjIliCUll V
lPleuc ~. or Drint md ~jt:l1 at bottom~
. ADDRESS ZONING (oltia: Q3t:)
4 ()~ '1 Q'f\.Ov- r ~rlj\ ~ 0q ~
LEGAL DESCRJ.r .uON (o~ccweoD1y)
LOT
BLOCK
ADDITION
OWNER I Q ..
(Name) hrl..~\ u..o -... j
(Address) ~ry l' J u ~-tt A\) f ~L.J
APPLlCANif . ":"\a
(Name) hr, "'''" \. \ I-'Lu \-t\.l, NT } 'T .......lc:-
(Addresl) "-.nq 5' ) [" 'i... ~ L ~, LJ t...J
(Addres,)
(Contact pezson) ~ e. ~ Y\J ~l t{ r-..)
PID
, (Phone)
(phone) ~< ~J-IIo~
~i-J~~I~,.) fu.}J ~.:3() l(
(City) . (Zip Co~)
. (phone) ~ LJ;}.)-I} b~
.__ DATE
-' -
j' APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION U REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL 'hu""i 01';'" I 00, ~ ~1"u q~,," Su.",~o..e.p FUEL~" \
FLUE SIZE RETURN OPENINGS INPUT OlTTPur
TYPE OF SYSTEM HEATrnG OR POWER PLANT
OWorm Air plllJIts
OGmtity
o Mechanical
~t Conditioning
~ent. System ~ ~
fIREPLACE MAKE AND MODEL -
C'~,
3 Steam
Hot W. atl:l'
Radilrtion
o Special Dc:vices
Cl Other D~ice.s
PLEASE NOTE;
Air Condition~ Units
Cannot Encroach Into
Required Side Yard
Setbacks
FEE SCHEDULE
J";' of job cost Rc.sidentia1, au Fireplace
$39,50 minimum
$99.'0 Residential, Additions & Alterations
$64.$0 Residential. AC Only
Industrial, Commacial & Multi'Family
Residential. Heating & Ale (New ConstrUction)
Rc.sidcntial, Heating Only (New Consouction)
Estimated Cost $ \ \ J (J~ ~
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$39.50
S39.50
$39.50
Building Permit #
$
$
S
PA\O W\T}-
:.J 1l! ,.....1i!1,',r... .
"
.50
(omCt Use: Only)
Tbis APpllcatloD Becomes Your Building Permit Wben Approved
Paid
Receipt No,
Da~ov 2 6 2003
By
-
!
~r
Building oma.-I
DUe
24 hour notice for alIlnspettioll$ (?SZ) 441-98S0, f.a:l (951) 4474245
1 ~(\ F."",l@ C~<!k AVl!nW!. ~(nr Lake. M.N 55372
~{\l" WI, ~1 "--
CIT'{ OF PRlOR L,AKE
ImperYious Surface Calculations
(To be Subrnitted \vith Building Pew..lL ...l..Fpiic::ltcn)
F or ,,\.II Prouerues Located in the Shore land District (SD').
~ ,
Tne lYIa"Cimllill Imnervious Surface Covera2:e PCHHitted is 30 Percent.
j ~( \ ,. 1:/7 //< / )/ U '. '7( /vl~ ,,/? i ( rv(
Property Address ": . _ .J -:1" /z, '/' ;//// /" 5-:=f(' ~,c; /! /'~:-:':'i. c:::.'( I-{{) ..) (X. . V1 .
~ ~;< c...l \....~\e5 K....-sc\..r<-.~c_:..'-'-.
./ I ".. / C:::-. I.,i/''--'' .-
Lot .A..rea "Z . ~ cc) 0 ' sq. ft. x 30% = .............. 0~. (l../ V
************************************************************************
LThGTrl
vvlDTH
HOUSE
x
=
SQ. FEET
3,51~
ATTACHED GARAGE
X'
x
=
=
TOTAL PRINCIPAL STRUCTURE...................... 3,~ l-:J
DETACHED BUILDINGS
( Garage/Shed)
x
x
rp
TOTAL DETACHED BUILDINGS....................... tP
DRNEW A YIP A VED AREAS
(Driveway-paved or not)
(SidewalklParking Areas)
x
x
x
=
It>,1-1..4
=
=
TOTAL PAVED AREAS.........................................
/, 1,,4-
tJ! .--c,... I
P A TIOSIPORCHESIDECKS X =
(Open Decks y.," min. opening between X =
boards, with a pervious surface below,
are not considered to be impervious)
X =
- TOTAL DECKS........................................................
OTHER
X
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TOT~t\L Il\IPERVIOUS SlJRFACE
TOTAL 0' 1..tiJ!.R.......................................................
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Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by: C:.L
Building Permit #
Address:
PID:
Date:
0.1103
Zoning: A I Aqi1 I c_.LQJ2..i-L.LJC
J C1b
Legal: L
. B
Subdivision: LLnpu~d
Existing Structure? YE~
CONFORMS TO ZONING
ORDINANCE
Yard Setbacks: NA 1 FAllSI COMPLIES
. Front Yard (can be 20' if avg. w/in 150')
. Side Yard
. Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' long
I. Rear Yard
. Patio Door: make certain that a future deck meets
minimum required setback
. From 100 year flood elevation of wetland/NURP
pond
. From OHW (Prior or Spring Lake)
tfCH_"-(i2.A~ LQ9...-JcQ.
{) - ~7 'J '
1'J .0
J Floor Area Ratio: NA 1 FAilS 1 COMPLIES
~
I Yard Encroachments: NA 1 FAIL$/COMPLlES)
Eaves and Gutters no more than 2 Teet In Width and no
closer than 5 feet to a lot line (Easements).
AlC and other equipment cannot encroach on interior
side yards.
Tree Preservation: NA 1 FAilS 1 COMPLIES
. Total caliper inches
. Can remove 25% of total
. Caliper Inches Removed
I. Caliper Inches Preserved
I. Replacement
L\TEMPLA TE\BLDGLIST.DOC
Existing Nonconforming Structure? YES I€)
YES
NO
Standard
.~ h;.,nl
..wr 9,0 I
25' if abutting a street
10' setback +
2"/1' over 50'
~ Q,U
10' side/
25' rear
30'
Proposed
10i'." B '
l(c~.c('
75' or setback average of
adjacent structures, but no
less than 50"
I SC::'
.30 Maximum
Standard
Proposed
Standard
Proposed
'~
Y2:1
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS '-ID 3"') - v'YJ(J,r~1ta.JLR d
N P-f'
~~~u~; ~~~~~K ~ 'tf .
PERMIT NO. 12 '1'--1/92 DATE ISSUED -
CONTRACTOR j;.AJ-J G Ud2. J.J PHO~.J~- 7!1'3- B300
NOTE: THIS IS NOT A PERMit FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INS~qOR
/11~
---
FOUNDATION (Prior to Backfill) I ~ ~ ~ 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FOOTING
\.1)1
~~,.
~"
() '\
"
'\4
- .
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING. if reau.lred)
(J)U
DEPARTMENT OF
BUILDING AND INSPECTION
DATE
I~-/y
~
(V D 1"3V
t:JL
~4 /2,/
rh
VQ) r~i~~~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I l
I
(rJo T.~. C). Ut-JT1'L $'cPrie ~~AL AfflutJ~ I N A L S
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING ~~ I'l.~~ We.-
HEATING
Nt>
/ I
12/Z8! tr<(
I '
JlJ
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.
FOR ALL INSPECTIONS (952) 447-9850