HomeMy WebLinkAboutBUILDING 06-0391
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
,5-./7 of:>
1 White
Pink
Yellow
File
City
Applicant
\ PERMITNO.O~, 0:31/
ZONING (office use)
(Please
ADDRESS
304-/
JCNO~l- ~oq€-
OJelve
/'/11/
,€ I.S.O
LEGAL DESCRIPTION (office use only)
LOT Z BLOCK I ADDITION A!tJ.e>>!/1/00J:) oRKJ 6J71'Ii5,s 1St /!t:UW.
PID zs. ..:3(;,0, ooz-.o
OWNER
(Name)
(\.-( "
r)
M'Je~{ \ '1J
(Phone) ((:152) 4'-17- 304 I
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition DAlteration OUtility Connection
CODE: OI.R.C. OI.B.C. XMiSC.
Type of Constnlction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
p/ln 0
PROJECT COST IV ALUE $
(exduding land)
1 hereby certity that I have furnished informatIOn on this application which is to the best of my knowledge true and CO!Tect. I also certify that 1 am the owner Dr authoflzed agent'. the
above-menl1oned 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
olticlal pu'{evoke tlm pe~~11lt :()l Just cause ,FuI thel mOle, I hereby agree that the city offiCial or a deSIgnee may enter upon the plOperty to perform needed inspections
X \ ~\'.AJl V \\W~~ 5--17-0(;)
~ . Signature' Contractor's LIcense No Date
Permit Valuation Park Support Fee # $
Per~ $ SAC # $
Plan Check Fee $ Water Meter SizeS/S"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee I $ Other $
$ TOTAL DUE $
Paid Receipt No.
Date By
ThiS tS to cerl1fy that the reque. llYe applical10n and accompanymg documents is m accordance With the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner Cllnstltutes a temporary Certificate of Zoning Cllmpliancc and allows construction to commence Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For All Properties Located in the Shore1and District (SO).
The Maximum Impervious Surface Coverage Permitted is 30 Percent.
Property Address 301{ (
~ n b II V ) dJ C ID I'. IN \f\)
I '5S I
Lot Area ~/5. 110 sq. ft. x 30% = .............. l--(
************************************************************************
LENGTH
WIDTH
SQ. FEET
Z 111o
HOUSE
x
x
ATTACHED GARAGE
x
TOTAL PRINCIPAL STRUCTURE......................
21/Lo
DETACHED BUILDINGS
(Garage/Shed)
Ct
x
(0
I 10
x
C-)
TOT L D T (10'(\
A E ACHED BUILDINGS....................... \J
DRIVEWAY /p A VED AREAS
(Driveway-paved or not)
(Sidewalk/Parking Areas)
x
x
x
TOTAL PAVED AREAS......................................... tiStJ
{;A~
PATIOSIPORCHESfDECKS t2Cf'Jc... U X [i--, lUiL{
(Open Decks ';." min. opening between X =
boards, with a pervious surface below, I,{)(.')'l . ,
are not considered to be impervious) Co C)NcC.. l3 L 3 51..li
VNDELD:,-" CONe, Z 'J) X ~ = S5 L
TOTALlfftciS:::-.~..............~....... J'~ (3~g
OTHER
X
X
TOT AL OTHER.... '" .................... ............................
TOTAL IMPERVIOUS SURFACE
UNDERlOVER
Prepared By ~~" ,: A 9 \) \\\A~ L\-~
\'5 ~ ,
LllO \ t ~)}l
'301) I ~ l ^~ Jlu'"
Date 5... Q--0lo
Company
Phone #