HomeMy WebLinkAboutBuilding 01-0789
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1. White File
2 Pink City
3. Yellow Applicant
PERMIT NO.
.:]
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name) =-K fAIT
(Address) ~
Lc.vz..S"'-.
AJDIl.. h.., LA' (Jot{ Dl1 It)
fJ1'
llM.I "'tdCl PID J..S: -J~O -DD I(J
(Phone) ~5J-- ~ q). . 2 ~ ~ 1
BUILDER
(Name) \}Cd\OAI ptJ(J/\
(Contact Name) 5u l '\::::A. v \ ~ ~.n fLc..
(Address) 3D l t.. \ f {f Rd
(Phone) '1SJ..- a-c; (../- JI....J fo
(Phone) '152-~<;V- f4fia-
5" S-1 J ")
"-..1- , 3 )
~J I~~
~U'l.1i S "'; I~ , M IV
ODeck
o Porch
OAddition
ORe-Roofing
ORe-Siding
TYPE OF WORK
o New Construction
o Fireplace
o Alteration
OUtility Connection
DLower Level Finish
PROJECT COST IV ALUE (excluding land) $
IQ 06iJ .
e mish information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or
me tioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
needed inspectio
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Contractor's License No.
Date
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$
$
$ It;' .
I ~;~ ANt5
6,00
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
mes Your Building Permit When Approved
I Paid /~~2~
Date .. 7- /
;
7-~-~o(
Date
This is to certify that the request in th(: 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 Planner con titutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
-, '. ""2'''" 0 \
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
Thr Cf'nttr of the Lake Countr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
')
NAME OF APPLlCANn 0~ p ~
APPLICATION RECEIVED 7- / (i-{) /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
&6;;\1 (0nO/~ 0v
Accepted
Accepted With Corrections
Date: 7- 2tJ - 2tzk:;{
S ..Cl "(}- \::'~ 1JA!.6!- la-'!.. t \A.t;. ~.(>"'" C<A-cl G\.1>-f ~
~~ r~.I(~~ +k. rek)( Wl\~ 4.J~
(\
"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."
/
Tht ('rntrr of 1hr I..k,. Counrry
White - Building
Canary - Engineering
Pink - Planning
-
,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT U~ .p 0'0&
APPLICATION RECEIVED 7- IV-G)
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
g {) J.1 1~1011jzdfr D V
=
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
-. M9-t3
Date:
7-.J.o -CJ/
(
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"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
Pink - Planning
The C("nler of Ihe Lakf ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,
NAME OF APPLICANT
I
APPLICATION RECEIVED ! - i /' /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
{
Accepted
[,/
Accepted With Corrections
Denied
944~~
Date:
7(~7/P(
Reviewed By:
Comments:
~
.~ '~e./';MhO~ ~~ W~ 2-q~7%
"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 PRlOR LAKE
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 in 30 Percent.
Property Address 30.2 i kA)~U ~.tC)c.~ D r(u e...
Lot Area IY. .3/3 Sq. Feet x 30% =.............. 4,,~,Lj Fr'^
f
************************************************************************
LENGTH
WIDTH
SQ. FEET
HOUSE
x
x
x
=
=
ATIACHED GARAGE
=
TOTAL PRINCIPLE STRUCTURE...................... A ~ 77 Pr ~
DETACHED BLDGS
(Garage/Shed)
x
x
TOT AL DETACHED BUILDINGS.......................
D~EWAY~AYEDAREAS
(Driveway-paved or not)
(Sidewalk/Parking Areas)
x
".
X
X
=
=
=
(Open Decks W' min. opening between
boards. with a pervious surface below,
are not considered to be impervious)
TOT AL PAVED AREAS.........................................
poeL-
IS
705 P(].
P A TIOS~ORCHESIDECKS
x
~(.
=
<04e
x
=
x
=
TOT.U DECKS........................................................ &, '18 Pr)..
OTHER
x
X
=
=
TOT AL OTIIER.......................................................
UNDER/OYER
Prepared By ~ . c l~ l\!ll~
I
I
Date 7/ 17f2()l1 (
I
Phone # (j 5)) gCJ 9 - 19 II
~.:z. 30 F1" f
L ~t./ Pi).)' I
TOTAL IMPERVIOUS SURFACE
Company ?YRA/V\\[j ~(I'l.LlJ SeRJ;c.4.~ CORP
~
.
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS SC>;;t'1 K lAr-Jl (t"l'~
TYPE OF WORK ~ c:yoo Vt.O.9... ~~{
USE OF BUILDING 8 F [)
O 7- 20 -2a:;I
PERMIT NO. -- DATE ISSUED v. 6in. _ efil/-ll/& tOe .t~~
BUILDER K'utt- PHONE # k.h-2.92-29~S
NOTE: THIS IS N TAP IT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING ~
PLACE NO CONCRETE UNTIL ABOW
~ S~~~ ~~ ~ I
,!:'tJ "'<"""'- ""us.~ he .. "'.. p.4d...cl. -...P-.- "'-1 f' '011...01. ~ t4 pC'O
I FINAL ~ , rP ... I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850