HomeMy WebLinkAboutBuilding 07-0294
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
3oC{{
Sfri',v} LA h(
Date Rec' d
I White
Pink
_1 Yellow
1- zo. () 7
RjfJ 11/2 I It /\I
I PERMIT NO. 07. OZ74-!
File
City
Applicant
ZONING (office use)
;2/SD
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
-t-d fVL t .p tl-p\
"
~u'1(
Ih~J
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address) "3 ( 2D
PID Z.7). I (p 8. 00 ro - 0
(Phone)
95" l. -4<'(0 .2..4 ~ 'L
(~{
(3e~A(r (CoW. ~~ (() { 6~, 4 . ~c..
K: M.. 13e.4lot(..f=".c'r r
GP( ~ -I, e J;;"v-'- (,r___ lb.,. G
(PhOne)" ~ 12 -(;; 17r-- ~rc;. 9
(Phone)
!IlN
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
)<t::ddition OAlteration OUtility Connection
~ 0 OM~
CODE: Ifl"'.R.C. I.B.C.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Fimsh 0 Fireplace
8')( z.3f_~ " vJ/~j~
PROJECT COST IV ALUE $ /", 2. sa
(excluding land)
I hereby certify that 1 have furnished mformatIon on this application which 1$ to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-menllOned property and Ihat all Cllnstruction Will confllfm 10 all eXlst10g state and local laws and will proceed in accordance wilh sub muted plans. I am aware that the build10g
~licial can revoke tlm perm ~ Furthermore, I hereby agree that the CIty OffiCial; ~l;n~ m:~n~' ;pon the property In perform ne~~d ;:e~(~;s
Signature Contractor's License No. Date
I
Permit Valuation tf/(,. /) 0 (). 0-0
Permit Fee $ 'ZeO.OD
Plan Check Fee $ 182.. DO
State Surcharge $ 8.00
I Penalty $
! Plumbing Permit Fee $ --
Mechanical Permit Fee $ -
Sewer & Water Permit Fee I $
Gas Fireplace Permtt Fee $ -
This Application Becomes Your Building Permit When Approved
~~
1hS"~7
, Date
BlIildlllg Ufficlal
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I", $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
ThIS IS to certIfy that Ihe request 10 the above appJrcatlOn and accompanyrng documents is rn accordance with Ihe City Zoning Ordinance and may proceed as requested TIllS document
when signed by Ihe City Planner conslltules a temporary Certificate of Zonrng CllmpJrance and allows constrllcl1on 10 commence Befme occupancv, a Certlfieale of Occupancy musl be
issued ~~
". Planning Director
S-3-07
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
~hite - BU=
anary - en eering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f3 13/1 U f)/7 / K.. w/\/S-1lL .
4-.2/0.07
The Building, Engineering, and Planning Departmer;!ts have reviewed the building permit
application for construction activity which is proposed at:
30 91 S (/ /C:( /(j Cj LA a ~rt:D
(
Accepted
Accepted With Corrections
/
:~ Denied ,.
Reviewed By: ~ ~1- Date: ~ ~ 7
Comments: ~ a.L-f ~-~ ~. ~/" a. ~
~~ ~~7~:-J ~~.
~J~ ~~ ~~Jzf*'''~
i.~
,'-
~I
,,,.
.
..
~'
"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
~ - Planning:)
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:
j
,.
Accepted )C
Denied
Reviewed By: ~~
/
Accepted With Corrections
Date:
.s-- .:5 - (77
Comments:
~
~~
?;r.:Oo v~ ft ire ~ ~ it> 3' "de-
~~t-o~~~~
L' ,
(3, d ~ ~ If v J/ d,~
"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 - BU~:
C~;;;~ary - En .. r~
- Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
UEI7UD/f/I< WN'S77L.
4.~O.o 7
~
~
Accepted
Accepted With Corrections
Denied
Reviewed By:
(VJ!J{j
Date:
LI-' jc)rQ 7
Comments: See ReVerse Side for Additional Information! :
\,
See Attachments: I) Grading Plan, 2) Erosion Corttrc,>l M~~~u\-es
"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 prbvisions of this code or other
. ordinances of the jurisdiction shall not be valid."
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Buildini: Pennit Application)
For All Properties Locat~d in.the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted is 30 Percent.
Property Address ~6 '\ \ Sf" \ "(3 ~\4>=l(., AN> S w , ,
Lot Area \4, ~t)~ ah,~~ tf'.1. .'\l'Z..B sq. ft. x 30% = .............. \..\~\'5 .
************************************************************************
LENGTH
WIDTH
SQ. FEET
r'.:> 2. ..,
HOUSE
x
x
x
=
=
ATTACHED GARAGE
=
TOTAL PRINCIPAL STRUCTURE......................
\ ?J -z.... ...,
DETACHED BUILDINGS
~hed)"
x
x
\'3\.90
TOTAL DETACHED BUILDINGS.......................
\3 \e D
DRIVEWAY /PAVED AREAS
~~(.. (Driveway-paved or not) 1.. \JJ A \ K~
(Sidewa1k/Parking Areas)
C~~~.{"~ 'rt\t,A\.ck..Jt-\,~~ ')
x
x
x
=
=
=
TOTAL PAVED AREA:~)........,..................,........,....
\23l,o
P A TIOS/PORCHESIDECKS x = 5" H.oD
-
(Open Decks W' min. opening between X =
boards, with a pervious surface below,
are not considered to qe impervious)
} ~ ~ X =
TOTAL DECKS........................................................
51\,
OTHER
K.f~,,<Q ~b";..l &x 'L ",.!O.
X
=
=
\~5
TOTAL OTHER........................................................ _\ ~~
TOTAL IMPERVIOUS SURFACE
UNDE~
Prepared By ""'_~. ~~
\
~ \.t '2.. LJ
I ~\~ I
Date
. Company
__ Phone # qS'-. '-\'-\""1-'-5-' D
1\~". ?>/z.. ro/l~l N\()(h~ c...ov.~. F-\~Ef16
.r
,
"
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 30, i tJ L ~E'
NATURE OF WORK
USE OF BUILDING
PERMIT NO. ~ZC;4- DATE ISSUED .0
CONTRACTOR IlL ~, , J~. P ON '/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING ~(rrVJ
FOUNDATION (Prior to Backfill) /Jt.J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
y)L{r7/"7
5-J.l.t~
COVER NO WORK UNTIL ABOVE HAS/BEEN SIGNED
lJDltc ; Hlfdtr ~ V1IV I
i
FINALS
1'1
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 insRections 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