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PRIOR LAKE
INSPECTION
REC RD
SITE ADDRESS ~ C3?-
TYPE OF WORK r~.... S \4 \.0 ~~r\u'Wt Q.~ Mcl~ .
USE OF BUILDING SFD
PERMIT NO. {}Z...- ~ 7'1l- DATE ISSUED G. - 2 Co - c--t- .
BUILDER ~o'^"-.. bor-t-~ PHONE # ~(?... 7G;6~ ?Q~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
~ DATE
I FOOTING I _ I C1/L~[DZ_ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
~ I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
.
.
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Buildina Permit Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address / #l-3.3 -:5f/ADY J3EActl / RA I L
Lot Area /1, ZII Sq. Feet x 30% = .............. 616s
........................................................................
HOUSE
fko~EJ:J6r4I<,
ATTACHED GARAGE
LENGTII WlDTII SQ. FEET
x = JllIl
16 x 2.2- = 55Z.
Z4- x 24 ... 67h
TOTAL PRINCIPLE STRUCTURE......................
2ob9
,
DETACHED BLDGS
q~Z!IJ(3)
x
/68
x
lid
TOTAL DETACHED BUILDINGS........_........
DRIVEW A YIP A VED AREAS
((Dri~y. aved or non
. P/pS.e:D
(Sid wat 109 Areas)
Ib x
20
...
~74-
Ub
6'16
x
=
x
=
/8%
TOTAL PAVED AREAS....._......__..._.........._......
. P A TIOSIPORCHESIDECKS G x r = /4[;
(Open Oeclts ~.. min. opening between X =
boards. wilh . pervious surface below,
arc not considcml to be impervious)
X =
TOTAL D ECKS........................................................
15
OTHER
x
x
=
=
TOTAL OTHER.......................................................
I
CuNnEWoVER I
Prepared By ,lA-f1&5 b j3cJel</LAVE Date g / /fj (7/
rnmn~"'/{,,~PllAvt= MJ.Ln _<;JJ<V~Ynjb Z;c.Phone #qt::Z -~- 9/G4
86/8 I
/6!;'5 I
TOTAL IMPERVIOUS SURFACE
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
tP-/CI'02-
1 White File
2 Pink City
J. Y tllow Applicant
PERMIT NO. OZ,-011 1-
/ +/.33 9//JOY dc/7C!h .~/t- IV&'
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(N ame)
PID
ZONING (office use)
,e./50
(Phone)
t./z- - 750 - zo5S
.JOHN c; O.e.erl
$rJH6
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
ORe-Siding
ODeck
o Porch
ORe-Roofing
o New Construction
o Fireplace
DAddition
DAlteration
OLower Level Finish
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 aU construction will conform to aU existing state and local laws and will proceed in accordance with
submitted plans. I am aw at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a de ignee may
enter upon the prope 0 per rm needed inspections.
/'
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 $
$
$
$
$
$
$
$
$
.,O~ $ ,,4--
1~~_ff5'f4-
PROJECT COST IV ALUE (excluding land) $
Contractor's License No.
#
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
Your Building Permit When Approved
(p - 2lP--
I Paid ~ d If7
Date 6-- Z. -0.L--
Date
DUtility Connection
This is to certify that the request in the above application and accompanying documents is in accord'a ce with the City Zoning Ordinance and may proceed as requested. This document
when sIgned by the CIty Planner constItutes a temporary CertIficate of Zonmg compliance and allows nstruCl10n to commence Befot;t"occupancy, a CertIficate of Occupancy must be
"~~t+-----~-f-"-7 c,,( }-~/ t7L /', ~1 l t~P~
Planning Director 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
White - Building
Canary - Engineering
Pink - Planning
The C"rntrr or Ihe l..kt Counlrl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT r {j ~
APPLICATION RECEIVED f.c; -- {q -()~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/Lt/ "33 -sn13 &o.eV rk_/
Accepted Y-
Denied
Reviewed By:
Date: 6"'?f.o-c57
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."