HomeMy WebLinkAboutBuilding Permit 04-1218
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/2.2.04-
File
City
Applicant
I PERMIT NO. 0 4- , I Z Ie
I White
Pink
3 Yellow
at bottom)
ADDRESS
6 5""'1 L
K&
~t
~~~-tlL
ZONING (office use)
,e /.so
LEGAL DESCRIPTION (office use only)
LOT 2- BLOCK / ADDITION O~IGc//1/VO de7KY# & 1M
PIDZ.s: /4-0 002-. 6
.::r-c;;.;# I r-e;e.
(Phone)
cy 5""l. - 410 - 3~,
OWNER
(Name)
&ill
$~lUe.r
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
CODE: 'ilJI.R,C. DI.B.c.
Type of ~oltstruction:
Occupancy Group: A B
Division:
B
S U
PROJECT COST IV ALUE $
(excluding land)
I
E
II
F
I
III IV V A
HIM R
2 3 4 5
40(00'0
I hereby certify that I have hlrmshed mformation 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 eXlslIng state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
offiCIal can revoke thIS pelmlt for Just cause FlIlthermore, I hereby agree that the CIty offtClal or a destgnee may enter upon the property to perlaI'm needed mspeetlOns
X .5:f-e ~ '- I,/so/ay
Stgnature Contractor's License No Date
Permit Valuation
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
#
#
l1. Odd, 00
5? I {)O
375"..Os-
2tJ,()8
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee #
'(). 0 ()
Water Tower Fee #
Builder's Deposit
Other
'tJ,(JO
TOTAL DUE
11. ,'t,04---'
$
$
$
$
$
$
$
$
$ / 0 5 z... . 0.:::>
This Application Becomes Your Building Pennit When Approved
~~
I Building Official
, ()S2. OS-
/l-.9. C!+-
/~/6~f
Date
ThIS IS to certifY that the request 10 the above application and accompany 109 documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
whe ned by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows construction to commence Before occupancy, a CertIficate of Occupancy must be
ssued
~
~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed bY:~ "'rn .~
Building Permit # PID:
Address: '5'~ ~~ r<J SG-
Date: l:r'~" 0 c.(
Legal: L
I 8
Subdivision:
Zoning:
Existing Structure? ~NO
Existing Nonconforming Structure? YE~
~
I CONFORMS TO ZONING
ORDINANCE
Yard Setbacks: NA I FAILSI COMPLIES
. Front Yard can be 20' if av . w/in 150'
. Side Yards
Standard
25'
10'1
25' if abutting a street
. Sidewall exceeding 50' requires additional side 2"
setback for eve l' over 50' in len th
. Rear Yard
. Patio Door: provide for minimum 10' deck or sign
statement indicatin no deck wilf be built in the future
. From 100 year flood elevation of wetfand/NURP
and
. From OH (PriO[ or Spring Lake)
10' setback +
2"/1' over 50'
25'
1 0' sidel
25' rear
30'
75' or setback average of
adjacent structures, but no
less than 50'
I Floor Area Ratio: NA I FAILS I COMPLIES
.30 Maximum
Yard Encroachments: NA I FAILS ICOMPLIES
Eaves and Gutters no more than. 2 feet ih width and no
eraser than 5 feetto a lot ITne Easements.
ALG.ami' other:: equipment cannot encroach on interior
. side ards.
Standard
Tree PreservatioIT: NA I FAILS f COMPUES
. Totakcaliperfnches
. Permit25~!o Removal
. Cali er~ Inches Removed
. Cali' er Inches Preserved
. Replacement
Standard.
%:1
L: '.TErvIP LA TE"BLDGLlST.DOC
NO
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-01<.
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""..'~ ~"c-,..' , ...-';.... ......,...-,- _
;....: . " t :';r-- .... :Sj~~j~.p'5y"_:~~
PRIOR LAKE
INSPECTION RECORD
.
SITEADDRESS ~Sqz. 'R.lA.ST/~~'E..
NATURE OF WORK A.~~ , nW
USE OF BUILDING $; D.
PERMIT NO. ~04-12/t. DATE ISSUED IZ/~
CONTRACTOR St.HI E~ PHON - rJ-"""
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERI}nIT IS BY SEPARATE DOCUMENT .
~:Y'..ft.. I ~ A ,/i dl. INSPECTOR
FOOTING W'~ t# ~~,.~
i FOUNDATION (pri~r to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
Di::PARTMENT OF
BUILDING AND INSPECTION
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
~AS LINE AIR TEST Z,/l /V t
~ ~. ti/"
w
l.{ -~'ovc6
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
f5- -~
IO'b~ 1/1
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
CITY OF PRIOR LAI<E Ii !1\\ I.
Impervious Surfacl~ Calculations II ~J-:
(To be Submitted with Building Permit Application) !: !i I DEe 3 2004
For All Properties Located in the Shoreland District (S~j~ I
The Maximum Impervious Surface Coverage Permitted in 30 ~r~~!1t,_"_ ____ ,.~:'
Property Address lD~'\-z.. ~\)J., (..~op. !;i
;~;~r::*****~~.2~~**,;~~~~~~.*~:e;**~!*o*~*:*.~.~.~.~'~'~~**~~~:L* *** * *
LENGTH
WIDTH
SQ. FEET
HOUSE
AND
ATTACHED GARAGE
x
x
x
=
=
=
· TOTAL PRINCIPLE STRUCTURE...................... '"2-440
(Garage/Shed) .
x
x
TOTAL DETACHED BUILDINGS.......................
~.\.\.~""'\ V\au,'S
DRIVEW AY/PA VED AREAS
(Driveway-paved or not)
(Sidewalk/Parking Areas)
x
x
x
=
\~~O
=
=
TOT AL.PA VED AREAS......................................... ~
PATIOS/PORCHES/DECKS j~~~ 0
(Open Decks I;""min. opening between
boards, with a pervious surface below,
are riot considered to be impervious)
1..1~
x
x
=
=
x
OTHER
. f tofO""~W ~E~t,:;""";'G":Z'\~i"''' .:;:.......\~;:;........
.f~fc...$. ~~J..}f..... e~2"l-- : . n~
.~~. ~ x "'2..~ "U). - YO
. ....:rOT Atr.. OTHE],t....;.~...t~~~...J),ff)~.t\e:1?~..~.
'7...1 ~
3<00
TOTAL IMPERVIOUS SURFACE
~VE1J/.)i
Prepared By i"";'}~"'X
. cO~~:lY\\li~y;,:n"v:f:g~;. p 9 r-opC6<l)
~51
I -z.. '1,z. I
Date~ 'Lf () q
Phone # (q'i?) 447-?'i70
\'\~e, ~f) 0\ f\ \ 1.\ O~r\ ,.c~ D, '1<. .
./
JfK
White - Building
Canary - Enqineering
cl'ink . Planrliiig::)
-
rhf Ct>nlt>r of the Lake ('ounl..,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
",~... " t~
/llt {c.
,
J___
(
I (
'-J
(;" \..._ r'
APPLICATION RECEIVED
! ;~,_. _. .c,....,..._
'-1--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ .::.---...
,1 \..._...,..'
/,
/1' / ~'.
Accepted
/
Accepted With Corrections
Denied
ReVieWedBYC~~ ""'.~
Comments:
Date:
l2-J 8)1J'{
"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."
/0' I'HI(jIi~
~)
~_/
CWhite - Buildili"Cl::::>
Canary - Engineering
Pink - Planning
lhr ('fnlrr of lhr I.akr Counlr~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ..5~H/LLEK. /5/&L ~ JENA.-JIFEJ2_
f
APPLICATION RECEIVED I Z. 2-. 04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
fc 59 z
K!.Us '77 6 1Gb /fD s t:
Accepted With Corrections
/
Accepted
Denied
Reviewed By:
15
~ ~ Date: /o}/tp f'
~R_ ~ ~7-~',
~~b<-~~
Comments:
~
"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
CCanaF"L - Engineer,"!!)
Pink - Planning
The ('rnlf'r of Ih l.akr Counl~'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~'-.:...- .
~,.......' / / /..-/ / / t:.- ,[:" /.~'''r'
_....,:;--"'.
NAME OF APPLICANT
APPLICATION RECEIVED
/ . / {
-...J 4_.._ f
'7
/{ '".-,.
.",,-;.'
t::,/_""-
(
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'. , . ~/
._,....r) ,/' .::.._._"'"
.',.:,....... ,../' ..f'/ ,:./ I" /". r .'"
i \"""'....--1....-."... .........- ~ i ',*,--,,"
," /'--;~ i~~. '.
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/lJ4J5
Date:
I;}. - 8-0"/
Comments: See Reverse Side for Additionallnformationl
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
"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."