HomeMy WebLinkAboutBuilding 99-0858
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DATE RECEIVED
7 /q /C?q
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. qq -- 858
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
\ - '" \::'- ~ f\
uJ
- d l \ qc
"e/sD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(H~h, 1 (Width) .
12. NO. OF STORIES Q
13. TYPhF CONSTRUCTION
14. FLOOR AREA APPORTI9NMENT USE
3. LEGAL DESCRIPTION
LOT ( 0 BLOCK
ADDITION Ic;,~ \).:~
4. OWNER (Name)
-z.....
\'5~ ~
PID ""2 S- - 1l\. "3 - 0 ~ "i - d
-
6. BUILDER
(Name)
(Address) (Tel. No.)
801\ -tJ ~Q"(,~I.~ ~\.Y\ /~\\J:Y1~--j(.
15. NUMBER OF OCCUPANTS OR SEATS
~J\ \:\(o.~tjs\-Je:I.~
7. TYPE OF WORK <9c.Q Fireplace)ZJ Septic 0 Deck'pg. Re-roofing" Porch 0
New Construction 0 Alterations 0 Addition)l!l Finish Attic 0 Re-siding". Finish Basement 0 16. PROJ CTCOSTNALUE
Chimney 0 Misc. 1\ 0 0 00
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COM\POLE:;T\lq~ATE
Sq. Ft. ~ ') "1 Width (1'S' Depth \~~' Yes No ~_ \
I hereby certify that I have fumished 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
buildi official can evoke this rmit for just cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed ~~tions.
X I . ! I-i-C:.q
Signat re License No. Date
OCCUPANTS
5
SEATS
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
~66 rl/~
,
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT V ALUA TION C/o , OCO,t)O PLOT PLAN 0
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..1:-:!.e.1f.:$..'?t? $
TYPE OF CONSTRUCTION: I II III IV City: Amount Brought Forward .................. $
Occupancy Group A B E F . ~ I M 1S) S U
Division 1 2 (j 4 A 11. (J() N- ISlMa1 Park Support Fee ........................... $
Permit Fee ................................... $ Q6'-/..7S ItJ AC>i>IMJ ()II'l"5' SAC ......................................... $
PI C kF U~ -O~ $ ~.., :3t5.{"/'1-/'r1.A-()~_ 'h?")......... CollectiveStreetFee ....................... $
an hec ee ............................. ~ - \ v---
State Surcharge ............................. $ ?() .O() 1q.DV F~ ~ewerTap ................................... $
Ut&v~ ~ $
I(;5S Pressure Reducer .......................... $
, 0 fI\\,\~ MeterHorn................................... $
./ ,\\1-'1/ Water Meter ................................. $
Sewer & Water Connection Fee ........... $
VeAl" u~ ~1;;-.d1 WaterTowerFee ........................... $
'H-
. Water Tap ................................... $
V (, .tl1 Builder's Deposit ............................ $
~~t~lq f ~h",c.~~;:::i0::::::::::::::::: :
40 . ex::>
Penalty....................................... $
Sewer & Water Permit...................... $
Gas Fireplace Permit ..fr...r.r.:'-.~8. $
40.00
the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed a requested. This document when
tes a temporary Certificate 0 onin compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
Issued
Special Conditions ij any
24 hour notice for all inspections 447-9850
White - Building
Canary - Engineering
Pink - Planning
The Cf'nler or the L.ke Counlry
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 ]0 A
Reviewed By: . ~~ Date: j- (3 '-7/
,
~'
Comments: 12--1 5i) ~ckJ O/L._
./
.~u - O/L.
"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."
~ ,.~_.._. --'_...._-.-~.---_... -;._......-'-_..._...._,..,~~._'-_._----_._...~...,.-~,------~
(7 (7 - 9-58
Thf' Crntn or Ihf' lakr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLlCAT.ION RECEIVED
(~V/v 77///--1 HOlt/pC
.
--7/1 '1 / r; ?
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5Z.9Q
/L/ /6/-1 L /-I A/'O /-1 ~/ 6.
Accepted
,/
Accepted With Corrections
Denied
Reviewed By: WAL.,ER. EM~e::S~ANN
Date:
7/z.d99
I ,
Comments: Nt) 5-ntl.X.. rvr'tEs I3Re. "10
BE. EUII"'f II\J "'IV;; DaAIAlAC.E.
t:
, l.ynLrTI(
EASE. "'E'Ni"S .
SEE:
ItJFoa.MA"r/o,J
a,J
-r,.ft:.
R~cJEi..sE .s,~~
SF;f. An-At HMEtJ'TS ~ I fi ~I'\ L. GIl.AbE.. ItJSPEC.TIONINf'or?MAT' 01'-1 <. f A. OS ION
c..ONrA.oL MEAs...~ES 3. E"ItO.$IO,.J C",,..,,ftaL R."'AI
"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."
99-g58
Thr Cf'nler of .he' Like Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~V/ll7H117 j-fO,tJPb'
,
7/ q /99
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/sz,90 H/6HL/fND AV6,
Accepted
Accepted With Corrections '>I.
Denied
Reviewed By: (}jJ ~/I-
Comments:
Date: 7-1 (..-q~
\.~~
Drt?v:~ ~ loss
~~~~
i1-\c<;; a. Lfu ftz;.-c'O L IP>f '
"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."
PRIOR lAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS IS(pCfO I-/tffd~ AwL.
NATURE OF WORK A~..L'tnA-
USE OF BUILDING
PERMIT NO. ~f'"),5~ DATE ISSUED 7-1~-1q
CONTRACTOR 'f_\ n ~.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
INSPECTOR
DATE
FOUNDATION (Prior to Backfill) 207./"9
PLACE NO CONCRETE UNT ABOVE HAS BEEN SIGNED
ROUGH - INS
!.-~ /~~
R I WATER I SEPTIC
FRAMING ~ 12./Z/I~~
INSULATION 711) 1/11;00
ELECTRICAL V
~
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~~~H_~~ I I
FINALS
BUILDING
ELECTRICAL
fI
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.
-.... - ....-
- - ----.:;.-- ~~.....
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
CITY OF PRIOR LAKE
IInpervious Surface Calculations
(To be Submitted with Building Peml!t Application)
For All Properties Located in the Shoreland District (SD).
The NIaxhnum Impervious Surface Coverage Permitted in 30 Percent.,
Property. Address
\ r:s l.c~ 0
\~~\~ ~~~~' ~ .w. .
Lot Area 121 "2 ""~. . .. Sq. Feet x 300/0 = .............. "3 <"'"1 'j
************************************************************************
HOUSE
LENGTH ~DTH
3lq x "2."2-
x
=
SQ. FEET
.., C\ '2....
ATTACHED GARAGE
=
--z \ x '2...D = 42D
TOtAL PRINCIPLE STRUCTURE......................
DETACHED BLDGS
. (Garage/Shed)
'2,\ 2-.
x
x
r3 \.t- .
DRIVEWA YIP A VED AREAS
TOTAL DET ACHED DUILDINGS.......................
. .
(Driveway-paved or not)
(Sidewalk/Parking Areas) .
:,"; x 2-D = L,\.D 0
e,x "2- = \ ~
<:00"\(.... '4' .' xz.S' - \ 00
. c.o""'(....' q 0/.... --z.o " COO
1'O'f ...\L PAVED AREAS.........................................
PA TIOSIPORCHES/DECKS
(Open Decks I/," tnin. opcning between
boards, with a pervious surface beloiv.
are not considered to be impervious)
: e,~'lp
#}
x
x
=
x
=
.TOT AL DE Cl(S.......... .............................. .......... ......
OTHER
Ne.\.o..) . ~Q ~ \ "T"'" ION
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=
T01'AL OTHElt...,..... ........ ....... ................. .............
TOTAJ,IMPERVIOPS SURFACE [' '2"'20 ]
~;;R Dp,~ CW~ ~ Date "l.- ~-<j<1 UO?'l I
1 cS 2A fiq /6rJb
Company \ j:I,\\~~- UR~Et:JCo.).. Phone#-.:!41-Z'7'1D VI
SS~