HomeMy WebLinkAboutBuilding Permit 07-0059
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LEGAL DESCRIPTION (office use only)
LOT 4lP BLOCK
Date Rec' d
(.[({07
I. White File
2. Pink City
) Yellow Applicant
I PERMIT NO. 07. OQs-g
,
ZONING (office use)
E.JSO
00
vi
PID dS /4/
ADDITION
OWNER
(Name)
121('~1 (J.y J
{W tLL (
(Address)
BUILDER f'. .
(Company Name)_~ rof l t1.JYI'~ i' (
(Contact Name) L7 t{ I/l (:---t V t f {.J
(Address) I;
o
(Phone)
~
( 0 t? )h '_Lch '0""
15)-
q.5 J-
758
d-10
28<f^
3~f3b
TYPE OF WORK 0 New Construction ,Q!(peck ~Porch ORe-Roofing ORe-Siding OLower Level Fimsh 0 Fireplace
. rJoAddition OAlteration ou(ility Connection 0 Misc. (
\,/"". ~ ~ .kk rQ,>,,<,,\ Q '- . ~
CODE: 'IlI.R.C. OI.B.C. ett~c~,-<<,o........., ':/Sbt::x",P"''-''''1 "\l PROJECTCOST/VALUE S / J0 Q'lO
Type of~o~truction: I IT ill IV V A B (excluding land)
Occupancy Group: A B E F HIM R S U
Division: 1 2 J 4 5
I ht...eby 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 authonzed agent for the
above-menl1oned property and that all construction will conform to all existing state and Iocaliaws and will proceed in accordance with submitted plans. I am aware that the building
officia can voke this permit for just cause. Furtherrno~, I h.....hy a~ the CIty official or a designee may enter upon the property to perform needed IDspccrions.
X -<1 c .-. ". . . I / I S Y I () / ').-()O 7-
Signature Contractor's License No. Dale
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
". t7b
This Application Becomes Your Building Pennit When Approved
~~
Buildin!! Ollicinl
I/ZZ.~7
I Dati
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1 "; $
Pressure Reducer $
SewerlWater Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE 11rtu.t:;v /. 3"1. <rJ $ Z" =S4 6. 2B
(
I Paid.l-~ ~ 4~ . ?;V
Date ' '2.../1/0
r
I Receipt No. ~2 ~S-I
By ~.
/-J~-"7
thIS IS to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinanee and may proceed as requl'$ted. This documcnt
when signed by the City Planner constitutcs a temporilI}' Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Dale Special Conditions, if any
24 hour notin for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
~...~ - ~ngineering
ink - Planninu
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
Denied
Reviewed By: ~ ~
/'
Date:
j- ;2.J-t?7
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."
-"" -_._--~-'--......_~----_.._--_.__._---_._---_._._'---'-_.-_..._--_.~,._-_._.._. -------------..-----.-'------
= _ BII:ItI:g ___
aN - En IneerlnQ.....)
Pink - Plann ng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
GcrzOL ()
1/
I
. "
g~s, ~S772VCT7 d,j
19 / () 7
!
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/(0 L/7/ tJOrZ-TliwdOO /&JA() (V', u.!
,
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
I11fJ1>
Date: 1-30 -07
Comments: See Reverse Sige for Additional Information!
~ee Attachments: 1) Grading Plan. 2) Erosion Control Measur~s
".
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. II
JHlj-1'3-2[1I]7 1=,; 32
JHr'lE~3 F~. HILL ItJC.
'j::I:::::=:I:H.:::.1b~44
t-'. I.:J~
CITY OF PRIOR LAKE.
Impervious Surface Calculations
(To be Submitted with Building Permit Application) J A ~ 1 9
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address: 16471 Northwood Rd NW. PRIOR LAKE
Lot Area Minus Riqht of Way Easement 27,150 Sq. Feet x 30% = 8,145
***********************************************************************.**.*.**..****.******
SQ. FEET
2.060
= 228
416
HOUSE
S1JNROOM
.'\ TT ACHED GARAGE
LENGTH
irregular
12
16
WIDTH
x
x 19
x 26
TOTAL PRINCIPLE STRUCTURE......
2,704
(Proposed Shed)
o
o
DETACHED BLDGS
x
X
=
TOTAL DETACHED BUILDINGS......
o
DRlVEWAYIPAVED AREAS
=
= 2,578
= 1.487
= 123
x
(Driveway-paved or not) irre~ular X
(r':wed Right-Of-Way) Northwood road not in easement irregular x
(Sicnv" lk) irre~ular x
TOTAL PAVED AREAS...... .. . . .. . .. . "
4.188
(Open Decks 1/4 min. opening helween
bO:lrds, with a pervious surface below,
:lre nut considered to be impervious)
Patio (1 1.9 x 17.3)
=
o
209
o
P ATI OSIPORCHES/DECKS
TOTAL DECKS.. .... .. .. ... ..... .. .. .. .... . . 209
Other
TOTAL OTHER.................... ....... ...
o
TOTAL lMPERVlOUS SURFACE
7.101
cr1NDERZOYER
-1 044
Prepared By Kevin Benson
Date
1/19/07
Company James R. Hill, Inc.
Phone #
(952)-890-6044
TDTRL F'. 02
PRIOR LAKE
INSPECTION RECORD
~
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR PH NE .. ,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
I FOOTING rJ~ H7 ;/4/ ;7
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if re
-)J-141
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Soddin )
BUILDING
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 shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850