HomeMy WebLinkAboutBldg Permit 07-0172
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CITY OF PRIOR LAKE
;!Eltptttfmtnf nf ~uiI~ing . Jf nspttfinn
g'Pinal Permitted
o Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential! D International
Building Code certifying that at the time of issuance this .structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
Use Classification .s I/IIG; [6 F;-lllllt--Y Bldg. Permit No. ()i. 0/72...-
1;/3 ,/tJ ///5D
Occupancy Type I'- Type Construction V Zoning District
Legal Description L I f; I G' /,' C. K Y r i):) '- Bri Y .
Owner of Building Site Address $(,,(j7 C'A4/-r7A1-- tJ/fJI LAN€:
Contractor's Name & Address /!..s riO/tiP:.. <:,..., ; /'7if 20 I k6L/1/VLJ (.:7[.. L /ifC6; 1/ IL-l C
/ I" '
/2>'Otff-j(,,/ o. IIt/TCHIN.1i/' City Planner JI-I/JC ~/vSl6K-
Date: t l .::; /) (. Building Official V I. Date:
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LIMITED WARRANTY DEED Form No. 23-M
Corporation, Pal.tnership OJ' Limited Liability
Company to CorpOJ'ntion, Partnership or
Limited Liability Company (Top 3 Inches Reserved for Recording Dnln)
Minnesota Uniform
Conveyancing Blanl(S (1115/97)
DEED TAX DUE: $
Date: 05/02/08
FOR VALUABLE CONSIDERATION,
o Total consideration is less than $500.00
Source Construction CaDital. LLC
a ~ liability company under the laws of Minnesota
Grantor, hereby conveys and quitclaims to Norton Homes, Inc.
corporation under the laws of Minnesota
real property in Scott CotUlty, Minnesota, described as follows:
Lot 18, Block 1, Common Interest Community No. 1114, Crystal Bay Townhomes, Scott County, Minnesota
, Grantee, a
together with all hereditaments and apPulienances.
This Deed conveys after-acquired title. Grantor W8lTauts that Grantor has not done or suffered anything to encumber the
property, EXCEPT:
Covenants, Restrictions and Easements of record
Check box if applicable:
IXI TIle Seller certifies that the Seller does not know of any wells on the described real property.
o A well disclosure certificate accompanies this document.
o I am familiar with the property described in this instrument and I certify that the status and number of wells on
the described real property have not changed since the last previously filed well disclosure certificate.
:0<<. CO"'truCIi;~'C
Affix Deed Tax Stamp Here ~
Patrick R. iJ
Its CFO
STATE OF MINNESOTA
COUNTY 0:(<" HENNEPIN
} ss
By
Its
This instrument was aclmowledged before me on May 2, 2008
by Patrick R. Hiller and
the CFO and
of Source Construction Capital. LLC
a limited Uabilitv company under the laws of Minnesota
on behalf of the limited Iiabili
NOTARIAL STAMP OR SEAL (OR OTHER TITLE OR RANK)
~ IICHAElpnElZ
IIJrARY PI8JC-1ItflESlm
: .' IlrCXlllSllOCEXMES '-11411I1
Check here irall or pnrl of the land is Registered (TOI1'ens)
THIS INSTRUMENT WAS DRAFTED BY (NAME & ADDRESS):
Tax statements for the real propelty described in (his il1slrumellt should
be sent to (include name and address of Grantee):
North A11l1~rican Title Company
5001 American Blvd., Suite 255
Bloomington, MN 55437
952-943-1620
NOIion Homes, Inc.
File No: 40852-08-01601
S24MNOTD.3S3S Re\'.312/06
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5. 4-. 08
~. J~:~w ~~;licant I PERMIT NO. 07. 0 /1 ~
r;./i/'1 J77l t.- 8 ~y L- /I /vI E3
LEGAL DESCRIPTION (office use only)
LOTiL
BLOCK I
PID '2:5* 41
ZONING (office use)
/2.(~
.0
OWNER 4.
(Name) !lit, t-' ^
(Phone)
t I ). ~ ).)} .. l-/5/ L (
;-h ~" s.)j.c.
(Address) II/lit T ,,'t/,'......., cn2. S
;f'1eJ;~ ~ /UP! ..5J,-'3L.)t)
BUILDER .II 1
(Company Name) /f/CIf. 0 ^- II> n, ~ ?
(Contact Name) (? /.//'.5,' /k')CA-
(Address) t-/t.;/ t 7/'1";) / > 1"'- {) t€ $'
.-/ ').. C-
(Phone)
(Phone)
II). _:;J)/.t-/~11f
,(>).~ ~'i'~-7~~1
ft1e..:~t ';,\h-
ttI
'>>-:5 .i-,h
TYPE OF WORK ew Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition o Alteration OUtility Connection
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
III IV V
HIM
234
A
R
5
B
S U
II
F
1
I
E
PROJECT COST IV ALUE
(excluding land)
$
I hereby certifY that I have hlrnished mformation on this applicalton 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-menltoned propelty 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 buildmg
:ficial can revoker-for Jl7:Lhermore, I hereby agree that the Cl~ i:i~~~Sig~~3~ ~::: ;:tty to perform neede;~;;~
Signature Contractor's License No. Date
Permit Valuation
Park Support Fee
SAC
Permit Fee
$
$
$
$
$
$
I $
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Builder's Deposit
Other
Paid
Date
#
#
#
#
$
$
$
$
$
$
$
$
$
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
when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Special Conditions, if any
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Main File
White - Building
Canary - Engineering
~u'k - t'18nnlng~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/
(,.---
i /
;r-'/( ! ,I (... .
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. /. (" / i' c." ;' (",.' ,/ /j .
./
Accepted
x
.
Accepted With Corrections
Denied
#~
...41'\. A -t!3",;k 5ur..y-ev is rezu.;r,/ ~o ver"t)r
/
5/A.~ce Iri~ ~C/ ~e.~--r
Date:
.5 - :2?-tJ 7
Reviewed By:
Comments:
c~n$-b-(,<d=r'v~ (Jo.,.,J /f".,f}erll"i'c,li\S
I
(! er b;f;~.z# &>-1 '~&ty;Ay?e'l
fUr CllnditinnP.r 'tnd Other MeebA.~ical
Units Cannot Eneroach into Required
Side Yard Setb~("'k~
"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."
Main File
~hitA - Build~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
RS HO/'1&5 I /;V~.
.
s,,/q.,o7
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:.. ; /
.3&07 ~UfJ77rL gRY L/V.
Accepted
Accepted With Corrections /'
Denied
Reviewed By: ~ ~ Date: 3/'Z.-flD7
Comments: ~ ~ ~ A-? L.c..~ ~ herO, ~
I '
UJd-~..-<&:fl. ~ o-fl-(. ~ ~ ~ /.) L ~~..."tJ,/
fA-/..( 4~ ~ rr-'J-.r- ~ r 4-U" ;<.-l,.f{ ~ yz~";;--
/) 7Z~ ~~- ~Q./4, ~ v-. ~ J.r- ~
~.k -6--U ~ ~...~ -h ~ ~ ~ ;r/~
~ .Ll-~ ~~, A<-( ~1/-f~-1Io-) ~
~io ..~.Jf'~OC-L ~~~-
JL/(J '?~*~C"\ ~ ~~~.
"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."
-'~..'" ' -
".. '-:3. '* }..'
. . . rf ,-
Malll, .f! i. e
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I?S HOI16S / /;V~.
,
...~5' ~ ler 07
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: J
3&07 (!4~.J77tL8~ Lf .
I '
Accepted ><- Accepted With Corrections
~/
-~
/
_/
Denied
Reviewed By: /lIIJf; Date:
Comments: Se~ Reverse Side for Additi6nallnformationl
/fit; ,.~ f,'lt
$- 27-01
. .. .... 'It
See Attachments: 1) Grading Plan, 2) Erosion Control Medsvres
"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."
(YYfYl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
L~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
~L\o~
~tt\r: --'
I OWNER
(Name)
(Address)
APPLICANT
(Name)
HEATJN(.; R. COOLING TWO INC.
18550 County Rd. 81
Maple Grove. MN 55369-9231
(76:ij1.42B,13677
www.heatcoo12.com
(Address)
(Contact Person)
APPLICANT SIGNATURE
Date Rec'd
~~;. ...1 PERMIT NO'.-7 ('1 '7
Applicant . . .. .......... . I _ L.-
. ,>'"
1~~~(O~ct)
(phone)
I
(phone)
(City)
(Zip Code)
(Phone)
DATE
APPLICANT PLEA OMPLETE BELOW
19NEW CONSTRUCTION 0 REPLACEMENT 0 AL TE TION~.
FURNACEMA~ANDMODEL~~-\- .3I..fO J./3"Dro FUEL -----AG~
FLUE SIZE 3 RE~ OPENINGS 7 INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50
Residential, Heating Only (New Construction) $64.50
Estimated Cost $ -3 ~ ~
DWarm Air Plants
DGravity
..--EtMechanical
,....EtAir Conditioning
DVent. System
FIREPLACE MAKE AND MODEL
..
Industrial, Commercial & Multi-Family
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Building Permit #
$
$
$
.50
Paid 60., 6U
Dat~. . otJ
. .
NO'557--v:>
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
l/;;;,on J;.Qnl,p rro,olr A,vAnn.o l>..in.. T ,o:Jolro UN C:C't"'7,)-
l. Blue File
2. Gold City
3. Yellow Applicant
CITY OF PRIOR LAKE PLUMBING PERMI
f.,!~;;"'h~~M- ~ L~
I ZONING,__> I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
Pill
I OWNER
(Name)
(Address)
(phone)
~rtlPtd -7)lJ ~O~7 ~
;!!!;; ?-
(City) (Zip Code)
(phone)
e of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49.50 minimum
EstimatedCost $ t 760
Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
Building Permit #
(1'1IJ
~ ~i tt,A),0 -
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
Duildine Official
Date
~
Dates:. 8, Ot,)
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
Main File
FU p",
f;v,..
SITE ADDRESS 3G:tO~ CA.VSTA~ "8 A. V LAtJl "'W.
~~~U~i ~~L~~~ PlGJCMJr~~ ~~)
PERMIT NO. 07~ 0/72- DATE ISSYJ=D _ ~
CONTRACTOR-L~ ~~C1: , .'JJc." lIVJ.fOII/~ PHON~t -?.JG~/S4p..,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
PERMIT IS BY SEPARAT OCUMENT tdz "'2-z-/ -1s/~
C ~ DATE
FOOTI G I 0
ATION (Prior to Backfill) f--- f
ACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~7?fc r HdU$E t,J1f!AIJ fRW I
FINALS
GRADING (Prior to Sodding) Wi?
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
S/Il
5~(~
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
,
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.
MAR 2 0 2007
Property Address LOT /7
:5 b /1 CI!Y[77J! IdIJ Y Ltj)/E JVW
Lot Area 4-~ ;Cf sq. ft. x 30% = .............. / ~O I . 7
************************************************************************
LENGTH
WIDTH
SQ. FEET
HOUSE
x
x
x
=
ATTACHED GARAGE
=
TOTAL PRINCIPAL STRUCTURE......................
'Z(,ol. )"
DET ACHED BUILDINGS
(Garage!Shed)
x
x
TOTAL DETACHED BUILDINGS....................... N(}
DRIVEW A YIP A VED AREAS
x
x
(Driveway-paved or not)
(SidewalklParking Areas)
=
x
= 5,()' - NA
TOTAL P A YED AREAS...................................~..... :; 0
.PATIOS~Cl~I)ECKS
(Open Decks Y. min, opening between
boards, with a pervious surface below,
are not considered to be impervious)
x
x
71-
=
x
=
TOTAL DECKS........................................................ / '2..--
OTHER
x
x
=
=
TO.T AL OTHER....................................................... j(/ Il
TOTAL IMPERVIOUS SURFACE 1..709,)
UNDER/<LVERI/4-o7, 8
Prepared By ~ ~
Company iZL Z;~ t:. ~,
Date J- ~ -tJ7
Phone # (15'2) 4~7 ~ 3 tKIt'
L:\HANDOIIT.<:\TMPI"'?";",,. n"~
..
CITY OF PRlOR 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 U / /!
J6tJ7 C;eyS7i1t ~IJY U#E 1/1(/
Lot Area 4<;99 sq. ft. x 30% = .............. /379, 7
************************************************************************
LENGTH
WIDTH
SQ. FEET
HOUSE
x
=
x
=
A TT ACHED GARAGE
x
TOTAL PRINCIPAL STRUCTURE...................... 2~tJ;')
DETACHED BUILDll\rGS
(Garage/Shed)
x
X
TOTAL DETACHED BUILDINGS....................... All!
DRlVEW A YIP A VED AREAS
(Driveway-paved or not)
(Sidewa1klParking Areas)
X
,X
=
= 1, () / III)
X
TOTAL P A YED AREAS...................................~..... ; b
.PATIO~CHg$/DECKS
(Open Decks v.." min. opening between
boards, with a pervious surface below,
are not considered to be impervious)
X
X
=
12--
=
X
=
TOTAL DECKS........................................................ 12--
OTHER
X
X
=
TOTAL OTHER....................................................... }/' /J
TOTAL IMPERVIOUS SURFACE
12709, )'
1;32? &
UNDER/OVER
-
Prepared By ~-L
Company LL ~4.:y ?2..4-<..
Date 3 - 'k-tf7
Phone # &'>2) 4JZ-3tW
.....................,.......,....."...".............................................................,..
ROBE
eNGINEERING
COMPANY I INC.
CONSULTING ENGINEERS,
PLANNERS and LAND SURVEYORS
l 1000 EAST 146th STREET, BURNSVlLLE, MINNESOTA 55337 PH 952-432-3000
CERTIFICATE OF SURVEY
Legal Description: LOTS 17 & 18, BLOCK 1, CRYSTAL BAY TOWNHOMES,
SCOTT COUNTY, MINNESOTA
, /
APPROVED 'v
ENGINEERING DE
~. :) -z7~1)7
s. Date .....-:
SCALE : 1" = 30'
LOT 17
ADDRESS: 3611 CRYSTAL BAY
LANE NW
LOT AREA=4,339 SF
TIER 1
DRIVEWAY AREA=142 SF
BUILDING AREA=2,601.5 SF
PORCH AREA= 72 SF
TIER 2
DRIVEWAY AREA=713 SF
LOT 18
ADDRESS: 3607 CRYSTAL BAY
LANE NW
LOT AREA=4,599 SF
TIER 1
DRIVEWAY AREA=86 SF
BUILDING AREA=2,601.5 SF
PORCH AREA= 72 SF
TIER 2
DRIVEWAY AREA=385 SF
929.0
(929.3)
DENOTES EXISTING ELEVATION
DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
- FINISHED GARAGE FLOOR ELEVATION
- BASEMENT FLOOR ELEVATION
- TOP OF FOUNDATION ELEVATION APPROVED
PLANNING DEPT
--"II
(929.67)
(921.33)
(930.00)
Signed~~ Date ~-.29-"7
200' OFFSET LINE FROM 904 CONTOUR
INFORMATION PROVIDE BY OlTO ASSOCIATES
-Q-L.P.
.. HYD.
~
Qj
~c,~
ct~
;f
-1
,
.-.<t-/ a
",,~~
/-<.~
;;;
c,<V
G~~
~
POND
NWL=908.75
HWL==909.6
~
......
......
~
"
"
/
~
/" ,//
" " /" 0-----.--------:-:::----1
/ / ,/" ,/" MAR '7, CJ 2007;
/ 1/" 904.0 COpNRTEOURREPERBYTOPO~/ / [1.'\/ ~_L_J)j
I / ~~~ B~~ IN~. ; SURF~~ROH ~~4/~'::-:- -
I / / OHWL=904.00 FEET
~" /
"
./
I hereby certify that this is a true and correct representation of a tract as shown and described hereon.
As prepared by me this 5TH day of March, 2007.
03/19/07 REV. SIDEWALK WIDTH & ADDED DISTANCES BETWEEN BUILDINGS ;/
~t2f ;: f)b!.c/V&- Minn. Reg. No \QC)8fo
ROBE
eNGINEERING
COMPANY.
CONSULTING ENGINEERS,
PLANNERS and LAND SURVEYORS
BOOK
.......................'..................................................................................................................................................;..
.'::::
INC.
PAGE
L 1000 EAST 146th STREET, BURNSVlLLE, MINNESOTA 55337 PH 952-432-3000
CERTIFICATE OF SURVEY
Legal Description: LOTS 17 & 18, BLOCK 1, CRYSTAL BAY TOWNHOMES,
SCOTT COUNTY, MINNESOTA
929.0
(929,3)
DENOTES EXISTING ELEVATION
DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
- FINISHED GARAGE FLOOR ELEVATION
- BASEMENT FLOOR ELEVATION
- TOP OF FOUNDATION ELEVATION.
--41
(929.67)
(921 .33)
(930.00)
SCALE : 1" = 30'
LOT 18
ADDRESS: 3607 CRYSTAL BAY
LANE NW
LOT AREA=4,599 SF
TIER 1
DRIVEWAY AREA=86 SF
BUILDING AREA=2,601.5 SF
PORCH AREA= 72 SF
TIER 2
DRIVEWAY AREA=385 SF
200' OFFSET LINE FROM 904 CONTOUR
INFORMATION PROVIDE BY OTTO ASSOCIATES
LOT 17
ADDRESS: 3611 CRYSTAL BAY
LANE NW
LOT AREA=4,339 SF
TIER 1
DRIVEWAY AREA=142 SF
BUILDING AREA=2,601.5 SF
PORCH AREA= 72 SF
TIER 2
DRIVEWAY AREA=713 SF
-<<>L.P.
.. HYD.
~
Qj
~
POND
NWL=908.75
HWL=909.6
~
",
",
~
.",
.",
/
~
~
,,/
,,/
,,/
/ / //
/.", /
/ 904.0 CONTOUR PER TOPO
/ SURVEY PREPARED BY ----......1 PRIOR LAKE
I McGHIE BETTS, INC. /
SURFACE ElEV ON 02/14/07-900.5 FEET
I / / OHWL-904.00 FEET
~.", /
/'
.",
.",
/
.",
.",
I hereby certify that this is a true and correct representation of a tract as shown and described hereon.
As prepared by me this 5TH day of March, 2007.
03/19/07 REV. SIDEWALK WIDTH & ADDED DISTANCES BETWEEN BUILDINGS ;/
/~.tZf1 ~ [)&1NV~ Minn. RAn. No. \Q08Co
CITY OF PRlOR LAKE
Impervious Surface Calculations
(To be Submit1ed with Building Permit Application)
For An Properties Located in the Shoreland District (SD).
The M:aximum Impervious Surface Coverage Permitted is 30 Percent.
Property Address U 7 /!
Jb() 7 c;tY(T;;t (JAY C/))/C /vw
Lot Area ~~19 sq, ft. x 30% = .............. / ; 79, 7
************************************************************************
LENGTH
WIDTH
SQ. FEET
HOUSE
x
=
x
ATTACHED GARACE
x
2bOj,) v
TOTAL PRINCIPAL STRUCTURE.........------.,.,...
DETACHED BUILDINGS
(Garage/Shed)
x
x
TOTAL DETACHED BUILDINGS..................---.. JJ II
DRlVEW A YIp A VED AREAS
J, /) / 114
TOT AL PAVED AREAS....................................---..
x
X
X
=
(Driveway-paved or not)
(SidewalkJParking Pueas)
5bV
p ATloS(fORc~n)ECKS
(Open Decks ';.." min. opening between
boards, with a pervious surface below,
are not considered to be impervious)
x
X
1Z--
x
TOTAL DECKS ....... ...... ........ ............ .......................
12--- ./
OTHER
x
x
TO.T AL OTHER....................................................... }/;?
-r-
Prepared By ---1-1'4--...
Company~L ~A7
8-06-08
A~eL-r.127{J9,)" Iv
It$BL1.! / 3l?, f3 ~v
Date 3 - 'h-tJ?
TOTAL IMPE:RVIOUS SURFACE
AS BUILT
~
UNDERlaYER
-
?2 4~
-
Phone # (c;Sz.) 4.?z-3av