HomeMy WebLinkAboutBuilding Permit 05-0586
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT Permit No.
~
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (P ase Print or Type and sign at bottom
2. SITE ADORE
1. DATE 5
3. z.. 0
d(L
fl.4 /(~
LOT Sa;::r 3& BLOCK
U1#'ol/
,
PID 2.5. q 3(P. 01Z.. 0
r:J/I~ Ae/5D
ADDITION
v)r/(5
New Construction 0
Finish BasementD
(Tel. No.) lel1.- ~oIo-
~elfl f/L. 'S~
(Tel. No.)
q~L-
(Name). . lAddresn) ~ , / (.Tel.;NO.. - t. 4-8 (}
50 i (',G--; f-k (1...c.f b II M..J 5~ 3' -
FireplaceD SepticD HeatingD PlumbingD Reroofin 0
Alterations 0 Addition 0 Finish Attic 0 Residing 0
Porch D GarageD ChimneyD Misc.
9. PROPERTY DIMENSIONS 10. CULVERT SIZE
Width Depth Yes No
+/1o~1?i
(Name)
Sq. Ft.
1. White - City
2. Yellow - Assessor
3. Pink - Applicant
(J5. 0 Sf] h
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONST TION
, .IJ ""lOti fie; tJrL
14. FLOOR AREA APPORTIONMENT
USE
L
15. NUMBER OF OCCUPANTS OR
SEATS
OCCUPANTS
SEATS
16. ESTIMATED VALUE
/0 0 0 0 _ 00
17. COMPLETION DATE
I hereby certify tha v urnished 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 me on pr rty 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 0 i al ca reoke
tions.
x
Is permit for just cause. Furthermore, I hereby agree that the city 0~rl;lgi6~r upon the property to perform needed Inspec-
Date
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
Side
PILING LOGS 0 PERCOLATION
TEST 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
Amount Brought Forward. . . . . . . . . . . .. $
Park Ded . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $
Sac.................................. $
Plumbing . . . . . . . . . . . . . . . . . . . . . . . . . . .. $
Sewer Tap. . . . . . . . . . . . . . . . . . . . . . . . . .. $
Sewer Hook-up. . . . . . . . . . . . . . . . . . . . . .. $
Water Hook-up. . . . . . . . . . . . . . . . . . . . . .. $
Meter Horn. . . . . . . . . . . . . . . . . . . . . . . . . .. $
Water Meter. . . . . . . . . . . . . . . . . . . . . . . . . . $
Check if i-JSewer & Water Connection Fee....... $
Deferred $
This Application Becomes Your Building Permit When []Water Tower Fee.....................
APP'O~ . '7 '0/. f(l W..., T.p .. .. .. .. .. .. .. .. .. .. .. .. .. .. ·
~ ~'I' J II S-/a s ,\,ll;Ift" .oS City Fee.............................. $
By Date f' ~ . V t' Other.. . .. .. .. . .. .. .. .. .. .. .. . .. .. ... $
Certificate of Occupancy U' To::>)al,Rue"'- $ L(P7. ., c:-
'~ ~ In ~!t" ~ ::~: '1?~/~7'~~;;,~,;~"1{q1ib
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 reques d. This docu-
~."'"_ro",rn_ "7""j,",,,",..''''"'",ro2-..rn_."ro''~''"''7""'' ......--. ''1''''",.rnOo""","~
City Planner C, ~~teOr ~~ ~CO:dltiO~'i~
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE OF BUILDING
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
I?Gf P /Iz..
/
/0 ()OO.oO
,
TYPE OF CONSTRUCTION; III III IV V
Occupancy Group A BEl H R M
Division 1 2 3 4
/, I( r C!-,
$ 1~2. z5"
City:
Permit Fee. . . . . . . . . . . . . . . . . . . . . . . . . . .
Plan Checking Fee. . . . . . . . . . . . . . . . . . . . $~
State Surcharge. . . . . . . . . . . . . . . . . . . . .. $ 5. 00
Penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $
Septic System. . . . . . . . . . . . . . . . . . . . . . . . $
Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $
Subtotal....................... $/(,1. Z 5"
24 Hour notice for all Inspections
447-4230 9:00 a.m. - 10:00 a.m.
Thr Cenltr of tht t.kr ("ount,.,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
i ,'//''--! / ! F- 'I"~
v I., I. _"
,I
)-:( ( L .::.~;
APPLICATION RECEIVED
/
0--.
;;. t:..-"-
.... -~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~..".'::~::; 4- -/7
('.~~./--I /\/: L /) \" ,/
~
(! ( j /) !-.'-: --7--,<,/ ~-I'11
y ,_ .. /....1 <..-
/
Accepted
x.
Accepted With Corrections
Denied
Reviewed By:
/JI)j{5
Date:
c- 7 - 0.5'-
Comments: See Reverse Side for Additional Informationl
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
'"
fht' ('t'nlt'r of Iht' I.akr ('ounll1"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
VAt-v6V POOLS
I
3. Z. 05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
554-7
ClfNOY Ml/6 7l2A/L
Accepted With Corrections
v
Accepted
Denied '~;~1.//J II / - .
Reviewed By: /t?trJ/~
Comments: RE/ttJ P~G- I~/'-/.J~ ~
A:,A/ D S I l-flb;! 5/!,cc: 17 FE/\/C-6
BEFolZ-6 V-J/J-T&'2- 15 AI;> Df.30
3/? Is
t:: L c c.r/2 I c.~L.- RC)c...Jb IT - IN
N5;:->CC-,( oN
Date:
11&51 P/t$S.
To fi,oL ~
"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
C Pink - Plannln'iJ-?'
Thr ('{'nlff of thl' t..kt Count,."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
i
'.,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
--" ~.;..
/
,. /"'j /L_
Accepted
v/
Accepted With Corrections
Reviewed By:
;4J/J.
Date:
?'his
l l
];i:Ee5
Denied
Comments:
p~.S Nor
! ,/Y"I/ )~.:..::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."
.-".-___.__-------.,----.._._~_______...__~_._ .___._u.___.. _.,..___.__..._.________..._~__.__'_.._____.._ -_... --
'ilf (? C/ft-c. UoAL 62 S~t: c::5-rrr:frc GuILL--: /vor/~-Cj);;;-L-~:~7 /~t-~
ih:~ ~(::c:5; ~;p:;::::<<{S /=,
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted is 30 Percent.
//) /7
Property Address 5547 CAMJl C<>ve TMfC-
Lot Area 45, 2-~ 2. sq. ft. x 30% = .............. /3 575, ~ S. F-
.
************************************************************************
x
x
=
SQ. FEET
/3 (;2. .4
HOUSE
LENGTH
; L S" . 4 f 4- b + I-~
WIDTH
=
ATTACHED GARAGE 1>.~5.-z... + 44.(,;. x
=
3'7 i.8
TOT AL PRINCIPAL STRUCTURE......................
'2-232-,2-
DET ACHED BUILDINGS
( Garage/Shed)
x
x
TOTAL DETACHED BUILDINGS........................ .-
DRIVEWAY /PAVED AREAS
(Driveway-paved or not)
(SidewalklParking Areas)
i(pBDf3 4 XLo
=
L 3'-0
x
=
x
=
TOTAL PAVED AREAS.........................................
2300
P A TIOSIPORCHES/DECKS x =
(Open Decks 'I." min. opening between X =
boards, with a pervious surface below,
are not considered to be impervious)
X =
TOT AL DECKS ...................... ..... ...... .......................
OTHER 90t?> /,--- 2- C:, '/.-12--
+S'D8-\?
x
x
=
10 cr 'L.
=
TOT AL OTHER... ............. ......... ....... ......... ....... .......
---.,.
I
iJl
~ (;)G
Date
Phone #
T .\TTA XIT'\f\T T'T"C"\ T1l, Anr.n..;_.._ ,.,I~""
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
~i?btv OJ~ c)Jr6
~. ~::n ~!~y I PERMIT NO. t/5-'7J--:A I
J. Yellow Apphcant . .
Date Rec'd
ZONING (office use)
(R~
CO L' f 7if-l-, L S', fl
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
6~
% -()~~
PID
OWNER
(Name)
B rz. u C\:..
It-k)i.~A- S
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99,50 Residential, Additions & Alterations
$64.50 Residential, AC Only
(Address)
APPLICANT
(Name)
:f+ l~ c-,~~ S~IZ \! , (t--~
14J ~ Av- G-hlo Oa.,\-I .;
(Address) .
J~) k,", ---zu) It &. i
(Address)
(Contact Person)
APPLICANT SIGNATURE
A LICANT pt
DNEW CONSTRUCTION
FURNACE MAKE AND MODEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
, Pcx;;L
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential. Heating & AIC (New Construction)
Residential. Heating Only (New Construction)
Estimated Cost $
(Phone)
c;fJ - Ljt/O ,- t/cj3?
.-;:".f f
(Phone) tte g--)" J J - c.,9fY
GvCl)~'-\ J tlLLlij S"')<I J)-
(City) , (Zip Code)
(Phone) (P I) - fi)o- ClV ~ 9
-
'7 - r} 7 ~u j
DATE
ASE COMPLETE BELOW
o REPLACEMENT 0 AL TERA nONS
FUEL
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
I' JO.Otl]er Revices
7 C..v-- j-t>tr
(
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
? Setbacks
$39.50
$39.50
$39.50
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
3q CU
.50
LtO. ---
(Office llse Only)
/)0(;
Paid
This Application Becomes Your Building Permit When Approved
Date
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PRIOR LAKE DEPARTMENT OF
. .. BUILDING AND INSPECTION
INSPECTION
RECORD .
SITE ADDRESS 5"51.( 7 CIlNOY (!AyE TM'I.,
TYPE OF WORK -1JL1iW IJJ- 6~","'1I .40'-
USE OF BUILDING S' ~D II -
PERMIT NO. U) . OS ~ DATE ISSUED "/I'II,s
BUILDER ~.,r PHONE#15'Z.~'W-J+,?IJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~r C ~ - IO\. i,,.,. /Mlo'
FOOTING f Jj~
PLACE NO CONCRETE UNTIL ABOV HAS BEEN SIGNED
FRAMING W~1llL W<<Ic.I..
'eNII'-,- S R;J6c€ "'-'D ~. ILl. is .i-c,cdft)
FINAL
~&.I:CffL'C"c.. Fr~"c. /yJlfJ G~C' foD . s u...,t.:t-e
FOR ALL INSPECTIONS (952) 447-9850
([?cojJr.e ~ 7/.>>'/0)