HomeMy WebLinkAboutBuilding Permit 07-0206
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT '1/2../0 7
~ =- ~~ I PERMIT NO. 07. 0 Z.O' ~I
3 Yellow AppIica.. 'P' .
I
(P1cuc tYPe or print lUllI sip at bottom)
I ADDRESS
~5300 WClwK KjdW-
LEGAL DESCRIPTION {office use OnlY)'-rhc- VI \ t
LOT 5' BLOCK J ADDITION t +h
Date Rec' d
ZONING (OfficeUR)
PtJD
PID2~. 4/;/. DOS'. 0
&=j)()nnQ~~()yY\es
(Address) q~()S loJrdAvc tJ M
(phone) lb3-S3 \'01 \ Y
\~ Ll rove M,J 553lo0
,.
(Phone) ~~-031- Ol~O
(phone) d. - ~qo -5'3
La
TYPE OF WORK !tit New Construction DDeck OPorch ORe.Roofing ORe-Siding
UAddition OAlteration OUtility Connection 0 Misc.
. CODE: ~C. OI.B.C.
Type of CoaStruction: I
Occupancy Group: A B E
Dilision:
n
F
1
m IV V A B
HIM R S U
2 3 4 5
OLower Level Finish
PROJECT COST IV ALUE S
( exdudinlland)
o Fireplace
J..>C' (Joil
~ v (
I hereby certify that I have rurnished 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 apt for the
above-menUoned propeny and that aU c~ conform to aU exisUnC state and local laws and will proceed in accorcIance with submitted plans. I am aware that the building
official can revoIce this~it for just.flll!se. ~ermo.k, I hereby a the city ofllcial or a designee may enter upon the property to perform needed Inspections.
X . . ~D~~13L1~ 5-do 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
s
s
s
s
s
s
s
s
s Your Buildinl Permit When Approved
- 4!ot1
{ Dale
Park Support Fee
SAC
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S 1075. -
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nus is to certify that the request in the above application and accompanying documents is in accordance with the City Zooin, Ordinance and may proceed as reqUL'SU:d. This document
when signed by the City Planner constitutcs a temporary Certificate or Zenina compliance and allows constrUClion to commence. Before QCCllpancy. a Cl.'I1ilicatc of Occupancy must be
issued
Water Meter Size 5/8"; I";
Pressure Reducer
SewerlWater Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
'f -I;J..-I? 7
Dale
24 hour notice for all Inspections (9!i2) 447-9850. fax (9!i2) 447-4145
16200 Eagle Creek Avenue Prior Lake. MN 55372
~I.;~ BunG-no ~
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT j) 0 /IJ IV A L/ /-10 /16S
/
APPLICATION RECEIVED 4- .~, 07
d- /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Z.800
Hit !tV Ie /84 0 q 6 !e:O
Accepted With Corrections V
Accepted
Denied
l/);A-
Date: 4 !rc. L 1
, I
Reviewed By:
Comments:
~P~5
"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
~n~ . _~n9i.l1eering
CPJnk-:.:_~.PI~~~!"V.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
"NAME OF APPLICANT
/' / t.
!; c"'7
I
C;;~:,.J 4ft 107
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
APPLICATION RECEIVED
-,
/
c. .._ i' '.
,_I I (~_
0'
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.,...
. Accepted ~
Accepted With Corrections
Denied
Reviewed By: g~
Comments: -- 5~ ""'4-1.1.: areas .;;.",,"^
3 f'z:-. In w/d&-I drku.
2 ~,.-t- VD-r~ &ets
,.
Date: f/- /oc- /:/7
f;.",,,1: }fJ.re.~ ~o dr,'v..wt1ov 1IIl1.A..St:- be
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reqv-/re,l AS ,/J~ r t(1is 01 ~rt/~.J /1J~~
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"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."
\
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White - Building
Canag( - ~n~g
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/-)(,/: It /,1 t./ / /{j/ l'r: ....J
7
..-1.;;"'.. (. _
<;;~-::..s :A (O? .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
APPLICATION RECEIVED
Z-B(',(j
1!/i('/(~
, .
leu'
/. ,') (/ L
Accepted X
Accepted With Corrections
Denied
Reviewed By:
~~
- 5cie If>/..a are.eu (;Q"",
.,
f;.",,,t::- }tJore.1. rl-o dr,'vf."""'v 1'II1/o<.$i- t.e
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Date: f/- /;;c- 07
.
.-
Comments:
3 f"c-. In vV,rdt-1 dr ku.
2 ~,.-t- \I~"/ ~
,
"-~&(;#-KJI'n4 pi..".
/ CT,
,....eq"','r~/ ~J ./J~~
{,. .
r;1k of' ~rt/~.J /JJ~1tt5
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"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."
it.
MR. 2 4. 2 0 0 7 1 2 : 5 6 P M--
NO. 450
P. 2 2
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
1. G:r..n f'~,
2. y.u,,~ c,ty
3. Gel:! APDlic~nt
PERMIT N .
at bottom)
00 J-fI\W
ZONING (,~Hice
we)
LEGAL DESCRiPTION (office use only)
LOT BLOCK
ADDITION
PID
OWNER
'(1j%i}~f::f) ~\\4 ~
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t<d~ress)
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/-10 JYLL ~
(Phone)
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(Address)
(Cif:}')
(Zip Code)
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APPLIC~
;~~~me)~~ ~{)..*\ ( ~.J-. ~UJ-e.r
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: iA'ddress) ~)60 6. o {[,...,.. \rf'. o-.V--\.~ ~. LOlA ~ OS
'. (Address)
'''"(/;ontactPerson) ~', \ \ {; e---t-.e fA.. blJ-- t ~5" -3339_
-"" .,\(
. j~ ~.P.LICANT SIGNATURE8~ ~
. .
(Phone) q~;-C()q.- b 7~ 7
p~" k Inn, .,5 '-12 ~
(City) (Zip C,de)
(Phone)
DATE
it ' ,;J t.; -0 7'
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APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Location of any couplings from structure _ feet.
Type of sewer pipe. D ABC [!;) PVC D Cast Iron
Estimated length of sewer line If ~ feet.
Clean out (if required) located at feet from structure.
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: Residential sewer and water line connection
: Sewer connection only
$35',50
$17.50
FEE SCHEDULE
Industrial, Com'l & Multi.family
Water connection only
1% of job cost with a $39.50 minimum
$17.50
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Estimated Cost $ I), () 6. tV
Building Permit #
PAID WITH
eUn..OtNG PERMIT
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:: \}>fficc Use Only)
j (I,1;is.Application Becomes Your Building Permit When Approved
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SEWER AND WATER PERMIT FEE $
STATESURCP~GE $
, TOTAL PERMIT FEE $
.50
, .. '~'.", .
, , ."
Date
, Receipt No.
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:Suildinl! Official
By
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PRIOR LAKE
INSPECTION RECORD
~ u/z- cur.. C{6"(
DEPARTMENT OF
BUILDING AND INSPECTION
.'
SITE ADDRESS 7Boo t~ll:::. 12,'->eG-
,
NATURE OF WORK 5 F D
USE OF BUILDING ~\^-C:>~- F~l'-''--1 D~""""..v...
PERMIT NO. . ~ OZO& DATE ISSUED '4-.12--'1
CONTRACTOR ,~ ~~ PHONE -"7b3 - Si 1-6\ \4
NOTE: THIS IS NOT A PE~MIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) We Y::z~
PLACE NO CONCRETE UNTIL A o'
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HA~~EEN SIGNE
I LoA~~. I
FINALS
GRADING (Prior to Sodding)
BUILD~NG ~ -01
ELECTRICAL
PLUMBtNG
HEATING
DO NOT OCCUpy
-,;
W(
e>' ~ 0
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 (95~) 447-9350
CITY OF PRIOR 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 is 30 Percent.
Property Address WI ~-f/j.i?~ I 71If VIllA) A7 }.ItJ/VIIN/JtJO 1It;:J?,/tI/ (Pt/. p.)
'I -
<<%
Lot Area 8~ 70 sq. ft. x ~%= .............. 405/:', S-
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LENGTH
WIDTH
SQ. FEET
HOUSE
x
=
x
=
ATTACHED GARAGE
x
=
TOTAL PRIN CIP AL STRUCTURE...................... Z /69
I,I(CtP'~ ;'PLc~>
DETACHED BUILDINGS
(Garage/Shed)
x
X
TOTAL DETACHED BUILDINGS....................... JV'II
@'RIVE~/P A VED AREAS X = QIL4-.z,
(Drivewa -paved or not) X =
(Sidewa ?,O X Zo = }III
TOT AL PAVED AREAS...................................~..... qj,4, Z-
P A TIOS/PORCHES/DECKS X =
(Open Decks y." min, opening between X =
boards, with a pervious surface below,
are not considered to be impervious)
X =
TOTAL DECKS........................................................ / ,NCtpt/l1!t;J ,1)4~
OTHER
X
X
=
=
TOT AL OTHER..... .................... ............... ........ .......
v~
I.~/~~. z... I
,I 1 () ~ I 1, I
TOTAL IMPERVIOUS SURFACE
~VER
Prepared By -;;:= - ~
Company fh;~c ~)I~/~Pb c. ;{e,.
Date J -zt -117
Phone # (1)2) 132 -3t!Jt:JZ)
L:\HANDOUTS\IMP ERvioU5,doc