HomeMy WebLinkAboutBuilding 03-1217
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
, ~+
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LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
Date Rec' d
I White File
2. Pink City
], Yellow Applicant
q.~{)- ~
I PERMIT NO'03-/2-/7I
ZONING (office use)
.~
PIDi?S-
OWNERf) + . _ ,
(Name) t A ,..j-- J; It
(Address) 5 1 GJ..
n\ .\1" U("''-. / I
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I S CJ ~, --' (l r- \ b (
(Phone) ((~J.. - :}:).(,- J t) '7
Lc/-<r2-
9 5)..~)~b-)5'G 7
~~~~~)ER H~+~K
(Contact Name)
(Address) S C," vv\. F /
W\. )v\ "'X w~1 )
(Phone)
(Phone)
TYPE OF WORK
ORe-Siding
o Mise,
o New Construction
o Lower Level Finish
ODeck
o Porch
~ddition
DUtility Connection
ORe-Roofing
o Fireplace
DAlteration
PROJECT COST IV ALUE (excluding land) $
fo,()~
(J,OO
This Application Becomes Your Building Permit When Approved
~ ':f~
~~3
Date
Building Official
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 cial can revoke this permit for just cause, Furthermore, I hereby agree that the city official or a designee may
enter 0 the p perty to perform ne ed ins ons,
1>1 ' f!t, Wit::. 0 'v-J V\ e (- g - -S I - 03;
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 # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE ~) q./Z.03 $ /~ 4-3Z. zq
, '7 7
I Paid
Date
/~7-~.~6~
'~71 K~)
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 Planne constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued, ...,
('1 .0, D?:J
Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
10. /1. IJJ
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Rio ( LrA k
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
Af(\Q.)(
b~
VV'\ l\'X lV~ \ \
J 0 .st- ;;),
If'r I (j (
(Address)
APPLICANT f.) f . \
(Name) V"'A r I c. k YV\ qX iN e. J I
(Address) 5 7 6 d-. /50.5/- p( i" Y'
(Address)
~t'(\
1- 4 ) ( -e.....
(Contact Person)
APPLICANT SIGNATURE
~. ~~~~ ~:;y I PERMIT NO. ():1 - /2-/71
3_ Yellow Applicant
ZONING (office use)
PID
L o..}( "€-
(Phone) q5J.-d<}'b~ J-Sbl
b5i -qg3 -3'-/Sc, - cell
'15'c?- ' I
(Phone) '=61 - ~ 8' ~- 3 4 ~ '1
(City) "'\ iZip Code)
crs d-- - ;>~ G:, - o<S(, 7
(Phone) C51- <1;Vs -3'157'
DATE /0 - Ill- 05
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with . ~hower Rough-ins
Dishwasher I Water Heater
I Floor Drain Water Softner
ri..,", A ~ Lavatory (Bathroom Sink) \ Stand Pipe (Washing Machine)
,-- Laundry Tray l!Jor 2 compartment sink Sewage Ejector
:.l.. Shower Stall ~O Backflow Assembly
~ Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
-3 Water Closet (Toilet) Other
Residential, New One & Two-Family $99,50
Residential, Additions & Alterations $39.50 . ~.
Bu;Jd;ngP,nnit# 0--12-1 ;0 vJ~. f11'pvl
611D
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office llse Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave" S,E., Prior Lake, MN 55372-1714
By
.., ..
White - Buildin.,Q
<Ciftilrv - cnalneerlno
Pink - Planning
Tb. Cftll.r or 'b. I..... COUIII"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT}' L/+'
C';- -)
M
J.'1.i - .' /'
,,'I"" Y .",
,,' I /' 1 ' ; i r'" .'
I j', (.,". ....<..' ",- ,. :'
APPLICATION ,RECEIVED
-~
--,'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which ,is proposed at:
',r-- 7r;.. C J
/ :-j /). -, ;--
/C"',/(/ ~
z:; /' /. }_
r~' t (:::"X
'-
Accepted
e><.
"
Accepted With Corrections
Denied
#~~
Reviewed By:
Date:
?;72/0J
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
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,"
White - Building
~ary - ~n~g
Ink - Plannln
ThE' ("f'nttr nf Ihe I,.ke Counlfl
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 'f. Accepted With Corrections
Denied
Reviewed By: ~ Date:
Comments:
Oi &00
"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,"
l'ht' Ct'nlt'r nr the Lah Countr)
.rWFiite, - Buildinp
Canary - Engmeering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT rY<<.+- fJ1 a..){ujC/ /
APPLICATION RECEIVED q - ~ -3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~7&[:)- /ba7AS-;-
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~ 7~,c-
;@~ dLf ~
Date:
~~3
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,"
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For All Properties Located in the Shoreland Distrlct (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address ~1 \,;,""2-
\~o-r\~ C:;\"R.'L~\ S~
Lot Area ".3l')\'L?:-' R/~ \~Y\-e .\.n t!!l. '104,..Q.Sq. Feet x 300/0 = .............. q D-~I
**********t*************************************************************
LENGTH
WIDTH
SQ, FEET
HOUSE
,
~
A IT ACHED GARAGE
x
=
x
=
x
=
TOT AL P RIN CIP LE STRUCTURE ...................... "2... '" 4> 3
DETACHED BLDGS
(Gara~~~
to xi ""2-
x
\ '2..0
TOTAL DETACHED BUILDINGS....................... \-z-c
€:>~..\-.~"""""'\v\'O(j.
DmvEWAY~AVEDAREAS
- - -----
-(tmv-;way-pavedornot)
(SidewalkJParking Areas)
-=. ~-
x
x
=
,-\'-\ ~ <6
=
x
=
32-8>
TOTAL P A YED AREAS.........................................
L\.., '-'- 4>
P A TIOS~ORCHESID ECKS
x
=
(Open Decks y." min. opening between
boards. with a pervious surface below, .
are not considered to be impervious)
x
=
x
=
TOT.o\1- DECKS........................................................
OTHER f~of06eb
~oo' ~
x
x
=
\3'-\
=
TOT AL OTlIER. ........... ................. ...... ...................
,"'3'-\
TOTAL IMPERVIOUS SURFACE
~:t
rrepared B "-'"'" D ~'\ ",l
CompanyJ,,"\~ ':::;",...,g,t:l'",.) ~~ '.
\
<o"Z.e>~
1 tS,--\
Date ',- ~ \- 0"3>
Phone # \..\ 41- 2.<;.. 0
~
PRIOR LAKE
INSP,ECTION RECORD
SITE ADDRESS ~ sr $':[,
NATURE OF WORK "
USE OF BUILDING · C,
PERMIT NO. DATE ISSUED
CONTRACTOR '- PHO E .,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
FOOTING qt~/{:)G
FOUNDATION (Prior to Backfill) t~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
'/
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
/1/#
/ /1 rtJ1
~/I!~-Y
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