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CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For All Properties Located in the Shore land Distrlct (SD).
The Nla..ximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address ~ \:.., '1 ei o~ \ I ""~ft... ~J Le~
Lot Area 2.~, \0\ 'S. .\-0 ~~" C\()~.<::flq. Feet x 300/0 = ..............--=:3 D~C;
************************************************************************
LENGTH
WlDTH
SQ. FEET
x
x
x
=
HOUSE
,
~
ATTACHED GARAGE
=
=
TOTAL PRINCIPLE STRUCTURE......................
\S~Cf
DETACHED BLDGS
(Garage/Shed)
x
x
TOT AL DETACHED BUILDINGS.......................
.',
DRIVEWAYIPAVED AREAS x = \5~'-\
(Driveway-pa-Y,.ed or not) X =
~
(Sidewalk/Parking Areas) X = \ "2. '-\ ~
-
TOT AL PAVED .<\.REAS .........................................
-z.,C\,
P A TIOSIPORCHESfDECKS x = \C\ ~
-:=::a.
(Open Decks '/... min. opening between X =
boards, with a pervious surface below,
are not considered to be: impervious)
X =
TOT.<\.L DECKS........................................................
\ " '""
OTHER
~~ ~bO' ~
t>S"
x
X
=
=
TOT AL OTlIER....................................................... ~ '5"'2...
TOTAL IMPERVIOUS SURFACE 4q~
~VER
Prepared By IL-~..~
\
Company ~c.,\l..t ~,,~ CO'I :P- ~ .
"'2. \ <<D ~
Date , - "2. C\ -0,-"
Phone # l..\ ~1-"VS70
1# '1'1 ',- '1 Z 'i s:
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1,31--02-
I. White File
2. Pink City
3 . Yellow Applicant
I PERMIT NO. t))- q 7Lf I
::;2 :;2C)
ZONING (office use)
(LIS 0
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID 2,5 - Z.:tr-- DC f - d
BLOCK
OWNER
(Name)
,
Itu/J~~ J
(Phone)
'i if) - 'i 9Jt:
{< r c.A
(Address)
~~~~~R O-Jl~ (~
(Contact Name) .~<'"
(Address) //.2(;,
C~ li&rruc-T;cI"
F~p~....~
60 trC'-r;:7 uJ ,
.:r;;;_~M~
(Phone)
(Phone)
5S...?S- ~
au,i
~/~- ~9c:J -50/%
o New Construction
ORe-Siding
TYPE OF WORK
~Deck
o Fireplace
OLower Level Finish
~orch
OAddition
ORe-Roofing
o Alteration
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
o Misc.
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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
exnter upon the pro to perfOrm"needed. ~ ins. e; " s.
~~ ~oS~a255 /~I/~~
Signature Contractor's License No. Dlte
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
es Your Building Permit When Approved
8" 7 -0'2.-
Date
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 ~' , ~(}-,-O <0
~~~ !fJ-;;{!;FId-I~;reiPtNO ~22:9
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
::;:i~ri""' , "m",,,ry C~",," of Zo."" ,""",li~" ~d .n",", ~oo " ~'''''cr'' c'fia. o(()""'p.", mo. '"
. t,,-. . ,_~-f~'( ((t I~ ~ 1--.. L.~.. . / ,'~VVQ-lW-rtl<
,- . Plannmg Director ~ ,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
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3~t.) ;:!,,~ ~I' r
NATURE OF WORK Dec.\:. ~ ~\"'C~
USE OF BUILDING ~F~
PERMIT NO. () - V~ DATE ISSUED S -i-a?
CONTRACTOR D. - J....,~. PHONE M2-'-fib-'YJ1b
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR g t )D4"
~ FOOTING 12, I : I 3a /JL
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
--'Ge
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~---
BUILDING
ELECTRICAL
-?o
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.
FOR ALL INSPECTIONS (952) 447-9850
Tht" ("t"nft"r of tht" Lab Countl1'"
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST 1:i:? __ q 14-
DA N b5 uON6T72-.
/ ,- 3/-02---
APPLICATION RECEIVED
Accepted
Accepted With Corrections
Date: & -? -D?..-
M.o.i,^, ~ilA ~I~ (lovrJt-e> 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."