HomeMy WebLinkAboutBUILDING 08-0071
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}-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
5S4q
Date Rec' d
Z. -zz.08
~i~i~e ~:~y I PERMIT NO. tJS. 6011 I
Yellow Applicant ,
Oi-\.\
~V~E-
LOT L BLOCK J
LEGAL DESCRIPTION (office use only)
ZONING (office use)
r2-1~D
ADDITION I SLA~
J,.e..-\"j hFT~ AWL ION..PID 25.2.52-.001-.0
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name):=.J(E. y LAUD
(Contact Name) C:lFf="lL.E -
(Address) 4
t-bME-G
E:.i2.1 It- l..ke. Sot=>. T~y
ILDLLET AVE.. :5E.
TYPE OF WORK
~...
I~ ,C.
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
~construction
[]Lower Level Finish
(Phone) Q5Z -c::t-4o - 94co
(Phone) ~t:=-
Mg. ~63J'L.
1J~ "1. '/
Signature
I 5 () I 00
, So, 00
52..,00
Sa,oo
This Application Becomes Your Building Permit When Approved
Building Official
d/d}-s-/o&,
.
Date
ODeck
o Porch
#
#
#
#
ORe-Siding
J'f Fireplace
o Alteration
31~
OUtility Connection
PROJECT COST /V ALUE (excluding land) $
:1t \6S'?
Contractor's License No.
Park Support Fee
SAC
Water Meter
Pressure Reducer
Sewer/Water Connection Fee
n.
,
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 a a~ re that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter up e pro to erfor needed inspections.
=------
ORe-Roofing
OAddition
Water Tower Fee
Builder's Deposit
Other
2,-\9 -Op:--.
Date
$
$
$
$ 7 , DO
$ 1500, Ot:)
$IOOD,t!JO
$ /S-oo. lJD
$
$
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 constitLtes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
iS~~
Planning Director
~ /!?ef:ba- d67Z5~ T;C._8 i
Date Special Conditions. ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
New Construction for Single or Two.family Dwellings in R.1 or R.2 Districts
/J ,. .-7_ _"/j~.
Reviewed by: ~ ~
Date: dp(P/o?
Building Permit #
Address: / 55 7' 1
Legal: L' ~ , B /
Existing Structure? YE~
PID: Zoning:
F,eEMopT ~~
SrJ-L A 1111 ' ,
Subdivision: ~L) L4e-w -- ~/+'O~
Existing Nonconforming Structure? YE~
. Sidewall exceeding 50' requires additional side 2"
setback for eve l' over 50' in len th
. Rear Yard
. Patio Door: provide for minimum 10' deck or sign
statement indicatin no deck will be built in the future
. From 100 year flood elevation of wetland!NURP
pond.
. Refer in- round ools to the Plannin De artment
. From OHW (Prior or Spring Lake)
10' setback +
2" !1' over 50'
25'
10' side!
25' rear
30'
I NO I
Proposed
3z.,
/ ,F'~F:t?,
I
I CONFORt!lS TO ZONING
ORDINANCE
YES
Standard
25'
10'1
25' if abutting a street
No,.J';
rJA
75' or setback average of
adjacent structures, but no
less than 50'
75'
.30 Maximum
Yard Encroachments: NA I FAilS (cOMPLIEs.) Standard Proposed
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line (Easements), NatJE
AlC and other equipment cannot encroach on interior NONe
side yards.
----
Tree Preservation(~JFAILS I COMPLIES
. Total caliper incnes
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement
Standard
Proposed
%:1
L:\TEMPLA TE\BLDGLIST.DOC
~ J0 P /f 10/ rt Ai -=/r.:-
CJNhite - Builcfu19::::>
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
KeY&/ttJl) I-/t;ncs
2. 22..08
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/554j rI2-6JVlO/V/ A V6NtlC
/'
Accepted
Accepted With Corrections
Denied
Reviewed By: ~
Comments: ~ a..Lf
~
Date: ~/d).t.e,lo.?
~ ~~.-6W.
~~~~~
~ ~ 1i-?~~;), "::f~1 ~ i- ~
~ ~ ~ ~~, C&z7li=ici.A-t-e-
7~~~'~ >:I~@.~..~
~~ ~~~b~ ..te ~ ~~
~ ~ ~ ~ 9d~9~ SdD A.U-
~N2E <::;>PoTS', / II WFPrb~ Lit.Jtr S;>t:;-7U/!C&- M,;U( TlJ ~cr
,.
~
.Ai.!" Conditioner a -:-.d Otb.er U~l1!ll~~ca.'
Units Cannot Encroach Into Required
Side Yard Setbacks
"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."
.I
,
<fl'
White - Building
CanarY - Enaineering
(pink - Planninij)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ L~ y'.
,/ i /' (
.c'
,/
/ " (._.~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~. ;
Accepted
Accepted With Corrections
/'
Denied
Reviewed By:: ~
Comments: _ ~
Date: c:J~(p 10 g"
,
,"./#'~l ~_~
-- 7' -..
~ <J~6Z;:-~ ~ ~ ^
:.0 ~ 9j() -:J. <J' €3 ~~,
, , r-; ~' .~
~t2~ I rE:Wt.4 - '-0.- ,./l';J--<-~
~ ~ -/D 7:~.~, ~ ;-L1J-<~>4>
~.h-w ~ ~ ~ ~ 9ll9,C;' ~'~
~ ;?CJo,<J' t.VL~: j la' ~ ~~0 ~~~~
r
~
tLU
~ t!n- ~
f&nn ~
lur Uonditioner &ad other Mecha..-uca!
Units Cannot Encroach into Reuuired
Side Yard Setbacks
"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 ~ot be valid."
Ir ILl /);-j Ie / 11/ ,J c:/J::-
White - Building
~~ary - =nglneerlnD
Ink - lannlng
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/~e If Lr /lIJ j) I-/ol7 e,- 5
2. 2Z. C8
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
./ .5"!.:>11 ;:1!/t3/'-; 01'" / ~) v 6 N (/ C
Accepted)( Accepted With Corrections
Denied
Reviewed By:
~
Date:
~ -;) 7-0$
Comments: See Reverse Side for Additional Information!
liThe 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."
.
Standard
24'
5' from side lot line or
30' from r-o-w on comer lots
10%
Pro osed
2.. 'I '
/1'
.
.
~
.
I Building Height: NA I FAILS (COMPLIES)
35' Maximum
2-7'
Pro osed
--
30% Maximum
2~1 Z 0
Bluff in Shorelan. I FAILS I COMPLIES
. Setback from top of bluff
Standard
By planning dept.
Pro osed
.
roved
20' From Top of Bluff
By City Engineer
No importing/exporting
.
.
Floodplain :/tI 'JJ.) FAILS / COMPLIES Standard Proposed
. 1 00 ye~ (ood elevation 908.9' Prior lake
914.4' SprinQ lake
. lowest floor elevation 909.9' Prior lake /
915.4' Sorina lake
. Proposed lowest floor elevation Must be l' above flood
elevation for new and existing
structures. If existing
structure was constructed
9/19/90-11/22/97 then
additional foot is not required.
. Elevations 15 feet from structure Must be flood elevation or
hiQher
. Road access must be no more than 2 feet below 907.9' for Prior lake
ReQulatorv Flood Protection Elevation 913.4' for Spring lake
FAILS I COMPLIES
Standard
832 sq.ft. or 25% rear yard
Pro osed
.
.
.
10'
15'
.
.
L:\TEMPLA TE\BLDGLIST.DOC
10 40AM METRO A !~_ ~51-~4J-_8 ~~jOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE I)ERMIT
~O. 219
p, 1
Dnle Rcc'd
'. rl,,~
2 Clrtl[
,. V,IIQl\'
~:,~. IPEUMJT NO. ofJ:1Xi11
^rvil.... .
-,
+=' r~ M u~ t-' ft V'f{
~ I ZONINO(.ffi~""
.-,
LEqf.L DESCRIPTION (office use only)
LO'~" ~ BLOCK ~ITIONL.s l ~'l ~ \) 1\ t H
O~ER
CNilIW:!)
5~
PlD
'(~'J \v-~~ "'\\:) ~"-
D~\ ~\~~ e-t.
'( ) 0'-
\~\
(Phone) ~ S ~~ ~~ ~.... ~ \i ~<:)
~SS'31
--..
~;t~~ANT ~~-\:fD ~\,\,... T'Y) ~
(A~d;CSS) \ ~ <\ ~~) \j ~ \ lo,,-\. A V '-
, (Address)
(Cl.,ln\act P€ISon) N c.., V\ t- \/ S, L_"",, l( \... \ \..
A[l.p~frCANT SIGNATURE Jf\~.:1I.,1..~b.h.
(Phone) C, S :),. \.1 \..\ l - ~ \ ~, \.{
~r, ()- ll,\~ \"I\\J 'ss, '~'I~
(City) (Zip Cllde)
(Phone) ~.;' '),. 'vl'v\ (, ~ \ Q. \~L-
DATE ~ . C\... R _
APPLICANT PLEASE COMPLETE BELOW
r--- )6 _
' NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONSI\ ) ~
FU~~ACE MAKE AND MODEL b "'" ~+ ~ ~...ft11 V 0\.\ "8'... 1..P 0 rUEL -!.JL
FLV~ SIZE ~ \l (, RETUllN (lPENINGS ~ INPUT I ~ IJ L W\l OUTPUT 3.. ~
,
TYPE Of SYSTEM HEATING OR POWER PLANT
A:J Worm Air Plants
OOravhy
o Mechanlcnl
E^ir Conditioning
JSl::YClll. System
o Stenn.
o Hol Wiler
o Itadinlion
o Speci,,1 Devices
o Olher Devices
PLEASE NOTE:
Air Conditioner Units
Cilnnot Ellcrullch into
Required Side Yard
Setbacks
Fll\EllLACU MAKE AND MODEL
ESlimalcd Cost $
FEE SCHEDULE
1% orJoll cosl Residcllli:ll. Gas filephlce
$39.50 mlnimllJlI
$99.50
564.50
\ Q I ~ a\~
$J9,50
IndI'Sl~ial. Cllmmerclal &. Multi.Fallllly
Rc~ld~Jltial. I h~ating & NC (New Construcllon)
Re~idcrtial, l'lenling Only (NelV Conslruction)
Rc!IJcnlinl, Additiuns & Alterations
ltesidellliel, AC (Jnly
.~:l9.S0
.$)9.~O
3uildillg Permit It
(orllc~ USQ Only)
l""l ApplJ"tI,,, n",,,,,, y ".. D.II~i"g 1'''''''1 Wilt" App(~v,~ I n ~.II
II [
ILl l
Date
-'-'Uulhllng Omclnl bAle i:1 fil' APR 1 4 2008
" II
.. ,.." ",u" r" .11 '",."u,,,. 1"2)' ~y's., ,.. 1'52, "'4,,,
HEATING PERMIT FEE
STA TE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.scPAID WITH
8U:'LD'N!~"" pr=R"'''IT
., I _~ ,"_"' .".. hll ,
Receipt No.
~
. By
APR-14-2008 13:51 From:D&D MECHANICAL
9528904650
To: 9524474245
P.1-'1
Oote Rcc'eJ
CITY OF PRIOR LAKE PLUMBING PERMIT
j ~:;~I ~:~ [PERMIT NO'04 . OOi]' II
1 y.l1o", Appl...OI _ V -'
ZONJNG ("mCf uur)
.Jt
LOT 'Z. BLOCK I ADDITION :.LsL.flfJ,b Y IE w 5-i-h ~...bJtJ.
PID
.J
LEGAL DESCRJPTlON (omee ullt: only)
OWNER. ,
(Name) =-rl'-1 \.p...d .~ n r C:~
<Address) J-) ~ -t r Ie- ~ ,'(.. I) I k+- A-~.~. S, "E . 11-, 0 (
(Phone) CJ52-4YO- 946D.._
"3 "12-
APPLICANT I) C L
(N,tmc:)~ ['It,.(:..,.h.,., N I C. Po " . I) 6
(Address) 9QZ$ t-J )jLL.l.'d J ~ I Su ,- 4.~ .s . 5~ 1/p.9\~
(AddrJ.is) (ChY) (Zip Code)
(Contact Person) J':l ME: ,<, -rEf ~ (Phonel '352- -8'1.0 -$ zS&
APPllCAN.I_S.T9NATURE r' .... tf ~ DATE J-1-t)J
APPLlCANT PLEASE COMPLETE HELOW
Ouontltv ..r__- .- Qlluntlly
Type of Fixture TYP~ of Fixture
9.. Bath Tub with or without shower :3 ROLlj:th-ins
J -,'.-. ,--
Dishwasher Waler I-It~[\ter
I Ploor Droin WtlIer Softener
('"" Lavnlnry (Bathroom Sink) I Stnnd Pipe (Woshinj.LMnchlnc) .-
"'I Laundrv Trov (lor 2 comoortment sink Sewol:i~...qeclOI' r
J Shower Slnll Bncktlow Assembly
f Sinks Backflow Assembly TC!'ll ,-
I Bar Sink J:":'l..wn Sprinkler
~ WUlcr Closet ('Toilet) Other
-
FEESCHEOULE
Induslrinl, Commcri:iul &. Multl.fumlly l%of.1nh cost with n .$49.50 minimull1
Re~ILlolllilll, Nllw 0110 & Twu.Flllllil)
Hllsidcnlinl. ^.\dhl"lls &. ^ltcnllillllH srou
_ oc) \
E~limnlcd COSI $ ._.JL~ 7'/ Building Permit II _--08 - 06 7_' \v~eP
PLUMBING PERMIT FEE $ A~AIDWI~'^v 1 ~~ '\Y
STATE SURCHARGE $ 1'\ l':\'y - ,('
TOTAL PERMIT FElt $ 8UllD1NG p -.;~W ~ tft,('
IOmer lJu Only)
l\ale
..,--
I'aid Receipt No.
DOle l~y
Thill ^lll"lIcotlnn IJOCOIllClI Your Uuildlnll Pcrmlt When Approvod
Illllhtlnu omclMI
14 hour nollcCl for ullln5flccllona (1)~11447.9H~O, fu. (9~1) 447.424!l
4(j4Ci Uul..ulu Slrvlll S.E.. I>rlor I.llke, MlnnC&flllI ~SJ'2
04/28/2008 14:41
952492500';
GLOWING HEARTH:/HIGH
PAGE 02/03
CITY OF PRIOR LAKE
flEA TING/ AIR CONDITIONING/FIREPLACE PERM1T
Date H.cc'd
i 1';Il!: rill'
Z (;l'.:el\ I. II..
"{C~IlI\\\' ^rr1i':nJ11
I_'~~;~~~' print alJd ~igll nl botto'!!y__._....___...___.-.-.-
L. 16~ r(-emQvIT_~--
[PERM~T No.oe--:oQ7fJ
-I I ZONrNG("ITi.,~~~
_.I I_.-----.J
I LEGAl.. DESCRIPTION (orflcc liS'; only)
I
I LOT
.. . J
-- --~.
BLOCK
ADDJTI O:.r
PID
I ~,:,,~R-~~~;r-~~~ S' - ._-= (Phon,) qi0q~3.;;oOI
I (Address) ~~LLt~~lu (/Yltv 55 a 7:J-..J
,--'" . ..-..-.-----."...------......- --.--..-....-
! A.PPLICANT f I _ .. \ \ _ _ I () u.
I (Nam,) bl1l:W_~<LJ 'VY02- - (Phon,) CjS/l- Y:.'i. d - CZ;;>.2.1,a._-
· (Addre~s)__L90 €ld~Jo b /,- ..._3Q(cQo~'l F3535d-
.......; (Addrm) " (City) (lIp CC1dc) I
(Contact PcrSOll)...n.~-:J J.{l1. -e1L-__ (Phone) $2:29 d -_7:d-?-. L I
,APPL~CANTSIGN_ATURE ~_ :2 _ . ~---=- DATE ~WV -~ . I
PLICANT'PLEASE COMPLETE BELOW
11'- -~NEW.-CONSTi~ucTrON 0 RF.PLACE'MENT D ALTER'ATIONS
I FURNACE [\.1"KE AN!) l\10DEL FUEL
I --."'. -........ .-......--.'... . .-.--- .
i FLUE srZF. ......__ RETURN OPENINGS .___ "__ INPUT __._.._..___ OUTPUT _......--. .
I TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
I OWarm Air Plar:1t~ 0 Steam Units nnd Fireplaccs Cnnnot Encroach
I DGn:vilY 0 Hot Water
o MechanlCJI 0 RlIdil'.t1on i~to Requ'~d ~itJe Yl'rd S.cthack.<l. J
DAlrConchtioning OSpecialDeviCl'll.' 'c"'.'!.':" . .;fl.r~l~~l!j,:~~.B~~~d.ditiOnsor .
I OVen!. System 0 Oth~r Device~ '. .' .... .,' r I, ".~~. .:,: .CII.tJ~e~rs,'.t~ lltepOtlhde orBtlildm~!l
i .. - . ..... . .... ':jRcqijll'e;'li':,1Jijlldllt~~l!t'Jt1it.
i FIREPLL\CF. MAKE i~'\In MOl)F.l&~+_~~LQ..._ _.SL.-)5011/L.]!:'
..~.___..._....,...""__'__""""_'__' ,~_.."... .____~....... ....__-::.-_..._ ..__...."..___.. .,-..---.....,._0..___. ....___ -_.
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I
.---.. ..-. I
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InduSlrl!l1. COl1lmcrcl~1 & Mullj.Fllmily
~
RC~ld~l1tiJl. HC!ll.ing & Ale (New ConStruction)
R~,;idcntlJI. Heating Only (New COl1slrl)ction)
FEE SCH~J)lJ,bE- ~
1% of job cost (Residential~ GMPiltplac:e .. .
$49.50 minimum
$149.50 Residential, Addil.iol1!: &. AHeratitiM
$64 50 Rc.~jdent;al, AC Olily
$49.50
~l)50
!hte
BUild.jng Permit #__. _,P~J~~
~_ ~:9 . ~~oBU1L~W~:~t.m \
$._$.O-CL ~ ~~
~~:: . - j ::"iPt~~'H~
.~,_ _. _w"__
B!\timilted Cost $
I-lEA TING PEP.MlT FEr
STA TE SURCHARCiE
TOT At PERMIT FEE
(Olliec lI~c Ollly)
ThiJ; Application Becomes Your Building Permit When Approvcd
[\t1ihlllll! O!r;chl\
24 hour notice for :III i'I~I)Cclions (952) 447-9RSO. f:lx (952) 447.4245
4646 Dnkot:l SIn'''' S.E., Prior '-nlcc. 1\1innc.~obl 55372
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 15~),(C) FI<EAte;N7"-' ~\fe.
, ,. 0
NATURE OF WORK NFl" C" }jr. '() L.~ . Fi,.Jt,.i'" {'rl<. (JPrOP~~H
USE OF BUILDING ,,5: ~ l-~.
PERMIT NO. , 06 ,001 ( DATE ISSUED ZJ Zit, I t.;[j
CONTRACTOR ~( rU\r;O I (0 IHt") PHONE'S"'" '1~(().. 'j1{lJO
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
ClJ, ,-t I, ( ['2(S/t,...., C)fJt... t l(i 'rrJS 1/ {'I j( tJ~
FOOTING
DEPARTMENT OF
BUILDING AND INSPECTION
FOUNDATION (Prior to Backfill) A.,A" J')~&
PLACE NO CONCRETE UNTIL ABOVE
ROUGH - INS
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL AB(~BEEN SIGNED
lfiA;HiMi,l.ArHt' " lk'lJ5;(' t. 'k'Af[3[!OI";\~\Oor 171 ~~
FINALS
GRADING (Prior to Sodding) ?', ..$'.6-
BUILDIN
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTIC~
/15/(t
This card must be por ~d near an electrical sen ;ce cabinet prior to rough-in inspections
and maintained until; I inspections have been ~,pproved. On buildings and additions
where no service cabill \ is available, card sl'!alJ b' ' placed near main entrance.
FOt 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 in 30 Percent.
Property Address /5541 (;.tmoiIJf 1!v~<'7{je &1 J) ~/ocl< / fS/.1/fl/fJ f//6W 51!! ;(J(lITI(JJ)]
Lot Area 14) 8f5! 5F Sq. Feet x 30% = .............. 1445 SF
************************************************************************
LENGTH
W1DTH
SQ. FEET
HOUSE
x
x
x
=
=
A IT ACHED GARAGE
TOTAL PRINCIPLE STRUCTURE...................... I, g fill 5.~
,.
DETACHED BLDGS
(GarageiShed)
x
x
TOTAL DETACHED BUILDINGS.......................
DRlVEW A YIP A VED AREAS
(Driveway-paved or not)
(Sidewalk/Parking Areas)
X dflVeW9! =
X ~r'JrJwt:,/k 'Iu""~:
x
q 7..0 5. r.
g4. sF
TOTAL PAVED AREAS......................................... /)004 5-(
P A TIOS/PORCHES/DECKS x =
(Open Decks Yo" min. opening between X =
boards, with a pervious surface below,
are not considered to be impervious)
X =
TOTAL DECKS...................................eP.~.~..~.......... 1 { 5.(
OTHER
X
x
=
TOTAL OTIIER....... ...................... ..........................
.>:~I
S.f. I
TOTAL IMPERVIOUS SURFACE
~OVER
Prepared By Are r ;)4- r.#(!,',x 5tJr7
Compan,y .If c9YJl'ef' E~/'rl eer"~ ;? ;/.
I.../I-v} ~/~LJ/o9
I t.,~1 (,
I '453
. .
Date ;. II/g
Phone # (651) ~tl ~ /9/t