HomeMy WebLinkAboutBuilding 08-0172
<trerfifirafe lIf @rrupauru
CITY OF PRIOR LAKE
~tparfnttnf of ~uiI~ing c1fnSpttfion
itJ Pinal Permitted D Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section i 10 of the IJ Residential / 0 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 ~/l ''7LE Il-frllL-Y' Bldg.PennitNo. Of (.(];I-.
Occupancy Type )<::.;. Type Construction V' N Zoning District /) i. L.
Legal Description L / L / !...-- I 57 elL E. I'k.lrll<_
,
Owner of Building
Contractor's Name & Address
.J
Site Address
-/ J' 7C
:~ If.- 1\/ E e Ie I rjl..!..... C 11<'-.
L- u t.:>v
II { I C-I-II/v5
Building Official
< If"!! '
/ / 'I'
I i
City Planner
Date:
" ~ > -0
C') o~oooo z_
:I: C ~~
~D 0 en -."."." 0 C
5" --Z~Oo Z ;l'.J mO
III s: ....Zen CO m m m 0."
'1J o 0 ~ s: m>c3:z.... ;l'.J en ::!"
(II 000 -,...> C- z en
g 0 0- ::u ::u ::u m Z - Z 9 O;l'.J
> 0 ::u ::u " en ::!~~Cl z-
,... :-! m m en Z " 0 - zO
t'!l ,... 00> -f m z 0 o;l'.J
:ll! t .... .... .... (J) ~ z ::!>
t'!l ~ > -
~ ~ o 0 ~ (5 0"
I
S CD ::u ::! > z mm
co
~ (II " 0 0
0 - z....
." 0 > 0
~ 0 > z ::u
;l'.J ,... c :<
,...
~ -f ." " " ~ODDDD
:I: ::u ::u
. m 0 0 3I:"en:=E3I:;2
~ z 0 0 mE~>~c
m
~ m m m Q 3: fib: 3: " 0 en
>< z c .,,~::u::u::u~ m 0 0
-f en ;l'.J Z :I:
Z ~ " -Z:I::I:-Z 3: -f m
~ ~ m ~ClOO Cl c
~ en ::::j ;U
" :J 0 ,....,,00 ::u c
~ (II .... -"" - Z ,...
::! m :::t (5 zcc m
." 0 () ~"" 9 r c
-f 0 Z
~ 0 ~ lD
Z m
~ ."
N 0
,. ;:c o 0 ~\D 0
~ :I: m ~ ---Jo
~ 0 0
c 0 , >
::u < ~~:ii8~ Nnl
en m """
~ z ::u ....... en~m3:Cl '\'-'
z \ ,..."""~
Ro > Cl ~ ~>>>c ~
c
~ < ~ >ooz:;; N -4
> _mm...._
~ Z ::u.,,::u ,... i
0 ....z- !: m
~ [11 en> Z
....,... Cl
0 > -0
000000 "tl z_
(') ::t ~ C ~~
c
0 !!!:!!z~ClCl 0 ::u mo
Z m m 0."
~~ 3: ....zen CO m ;l'.J en ::!"
:;- i: m>c:3:z.... z en 0;l'.J
III o 0 z"">zcz 9
'1J m z-
(II 000 en ::!Cl~Cl zo
8 0 0- ::u ::u ;:c Z " 0 - o;l'.J
> 0 ;:c ;:c " -f m Z 0
~ ,... :-! m m en (J) o Z ::!>
,... 00> .... 0"
:ll! t .... .... .... (5 mm
t'!l ~ > Cii Z ~
~ ..... 00."
S cD ::u ::! > ...-S::\
co " 0 0
~ (II - z....
0 > 0
."
~ 0 Z ~ i~DDD ct\
;l'.J ,... c _
~ -f ." " " 31:;2 ~~;2
:I: 0 ::u ::u
. m ::u 0 0 ~C ....oi 0 en
~ 0 0 \J\ :I:3: m:I:m " 0
Z ::u m m m 0 :I:
m m m m ."m::u::u::u_ ;l'.J Z ~ m
~ >< z c C -Z:I::I:-Z 3: ?t c
-f en ~ClOO Cl ::::j C
):, Z ~ " ,....,,00 ::u ,...
~ ~ m -"" - Z m
~ en :J 0 ZCC 9 c
~ " (II .... ~""
::! m :::t (5
0 ()
~ -f 0 z
is ~ m
~ m
Z ."
~ N 0 .-Jo
,. ;:c 000000 \
~ ::t m , >
0 0 Cl"''''O~ :J Nnl
~ C 0 --0
;:c < ~~~3I:Cl '"
en m ,..."""~ r..J ~
::u
~ Z Z ~>>>c
> Cl >~~~:!i \J(\ -4
Ro c :ii~:!! 1= i
~ < m
> ....z Z
~ Z ~~ Cl
0
""l [11
~
:;- 0 ~ C') 000000 " 0 > -0
z_
III 0 ::t ~ C ~~
~ 0 en"z""" 0 C
8 0 0- 0 ::u 0 s: ::::jzen~oo Z m ;l'.J mo
> 0 ::u ::u ::u s: ~>c3:~S m ::u m 0."
tl ,... :-! ::u m " z"">zcz z en ::!"
t'!l m m en
,... 0 o en ~ ::!Cl~Cl 9 o;l'.J
:ll! t .... .... > ~ z z-
t'!l ~ > ::! -f m 0 - zO
~ ..... ,~ o Z 0
I o en .... Z o;l'.J
S CD .... " ~
co ::u - > (5 ::!>
~ (II ?' o 0
0 ~ z 0"
0 Z .... mm
." > 0
~ 0 > ~
::u ,... z
,... c ]}v
~ -f " " "
. :I: 0 ;:c ::u
~ m ::u 0 0 000000
z ;:c 0 0
~ m m m m 3I:"en:=EI:"
>< Z m m <::!l m""~>m""
-f c C ~ OC ....oc
:ll! Z ~ en ~ :I:3I: m:I:i: " 0 en
~ "
~ ~ en m ,,~;:c;:c;:c~ m 0 0
Q ~ " :J 0 ZZ:I::I:-Z ;l'.J Z :I:
::! m (II .... >ClOO Cl i: -f m
:::t
~ 0 () (5 ,...,,00 ::u ::::j ;U C
-f 0 Z -"" - z c:
is ~ Zcc ,...
~ lD ~"" 9 m
z m C
C N "
~ ,. 0
:I: ;:c
m
~ 0 0
c 0
;l'.J < o 0 0 0 Dl "
en m
~ Z ::u Cl""O ~ ~
> z >--0 "" -4
Ro Cl ~~he ("' m
C .'
~ ~ ~>>>c ...c:
~ Z >ooz
~ 0 _mm...._
[11 ::u,,::u ,... -4
....-- ,... i
enz z m
....~ Cl
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT R?c 13/0'0
; ~~~:~:w ~i~llCant I PERMIT NO. 08 ~ 0/7 2..1
(Please
ADDRESS
\ 'll3{1 S\-D ~ \C~-1{t/V'
ZONING (office use)
C{ lC(t:- ) b. Lc:,
/
PUD
LEGAL DESCRIPTION (otlice use only)
LOT I BLOCK :::J ADDITION~}'1t' bl\tt.~
PID 2-S.4-V5 02.,7. 0
~~e~R +< Y ([1 ~ -Jt ~~9 l t \.f J- (Phone) C1~~-. c+dCi '- (00 DO
(Address) '15'(t'1 At -~~ it ~ \. \ J)~rV't; td-t~ '\ tJ( l(.'~lic:_)))', i\J GLj?}y Y.
i BUILDER ,/\/ (/l . II 11 (1"" ) \ ,C'
I (Company Name) 1\., t- v\(,\ 1\c"j'Cd--
I i\.~ j-) i) '--v 1- \/
I (Contact Name) ....:Pr., , {J~ JtP7:"C 7 \
(Address)'/',5>i)l jfY\/JfC' (t10v",JJt-; ,? tr{efl Prt{~h e_
(Phone) l1~ ~.,).'f'-foooO
(Phone) C)~~ d,;:)L'l-~OJ'2::)
1\J 5~j~fl
TYPE OF WORK ~ New Construction ODeck OPorch ORe.Roofing ORe-Siding OLower Level Finish 0 Fireplace
EIAdditlOn OAlteratIon OUtility COnneCtIOn
CODE: RJI.R.C. OLB.C.
Type of ConstnIction: (j)
Occupancy Group: A B E
Division:
o Misc.
II
F
I
III IV
H I
2 3
V A
M(])
4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
~:)oc))ooo
I hereby ccrtify that I have hlrnishcd mfllrmatlOn on this applicatlOn which 15 to the best of my knowledge true and cnrn:oct. I also ct..Ttlfy that I am the owner or authorized agent for the
Jbllvc.mentlllned property and that all ClJl1structlon wtll cont()rm to all extstmg state and local laws and will proceed in accordance with submltled plans I am Jware that the blllldmg
()ftiClal can !~evoke thls"5erm~t fq.r J.ust cause Furthermore. I hereby agree that the Clty official or a deSignee may enter upon the propelty to perform needed Inspections
X L{))t.lJzJt//l,. .' ~ exJ35Lll[3 ~-I-08
Si~ture Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee SAC # $
Plan Check Fee Water Meter Size 5/8' . ". $
,
State Surcharge Pressure Reducer $
Penalty Sewer/Water Connection Fee #
Plumbing Permit Fee Water Tower Fee #
Mechalllcal Permit Fee Builder's Deposit
Sewer & Water Permit Fee Other
Gas Fireplace Permit Fee TOTAL DUE ~
~~Plication ~ec::; Y o~r ~U~ding Permit When Approved
~ ~ ~/t'/(J?
Buildmg UfticlaI Date
ThiS IS tll cerotl' that the request m the above applicatIOn and accompanymg documents IS 111 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 Certlfi.cate {)f Occupancy mllst be
ISSuC~ ~ '/;I./'? ~ ~~ (L~
Plannmg Director ~ Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
,.
Reviewed by: ~ ~
Building Permit # PID:
Address: /7/3'1 j)~
Legal: L / I B S
Existing Structure~
I CONFORMS TO ZONING
ORDINANCE
Date: if; / ~~
Zoning:
~
rlAO
Subdivision: ~~
Existing Nonconforming Structure? YE~
@)
Standard
25'
10'/
25' if abutting a street
. Sidewall exceeding 50' requires additional side 2-
setback for eve l' over 50' in len th
. Rear Yarel
. Patio Door. provide for minimum 10' deck or sign
statement indicatin no deck will be built in the future
. From 100 year flood elevation ofwetland/NURP
ond
. From OHW (Prior or Spring Lake)
10' setback +
2-/1' over 50'
25'
10' sidel
25' rear
30'
75' or setback average of
adjacent structures, but no
less than 50'
I Floor Area Ratio: NAI FAlLS@MPLlES}
.30 Maximum
Yard Encroachments: NA I FAIL MP
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line Easements .
AlC and other equipment cannot encroach on interior
side arels.
Standard
I
"PU 0
Pro osed
2-5'~ s;-
7,c:;'
NO
'0"'; €"
If
jJlI
2.7%
Pro osed
o,J~
,.J:J~C"
/7""V\
Tree Preservation NA)'FAlLS I COMPLIES Standard Proposed
. Total caliper in ~
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement %:1
L:\TEMPLATE\BLDGLIST.DOC
White - Building
Canary - Engineering
cPink - Planmn9.:)
B..UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/
.'
NAME OF APPLICANT
....i..... ,"
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ,/ /
/
Accepted With Corrections
/
Accepted
Denied
~~~
r-
Comments: 'e'~_ ~ ~-A~ t!I~~ # ~
~~~~
~~ /JU{)'
Reviewed By:
Date:
1'1 II~?
~
~
LJ.I-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."
~._,---------~~,.,,--~_.._~------,----
~hite - Building~
anary - t:ngineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~~~
4-.3. 08
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7/3; ~
Accepted With Corrections
/1.. /J
~
/
Accepted
Denied ,.
Reviewed By: ~ ~ Date: 7/'l1 ~ <f"
Comments: ~ ~ ~, ~~
~ ~ ~ ~ a1- CL/Lf .-2t~,
:-1P_ /1-...#_ / ' ~-
~~j/~~ ~..tJ~ ~~
~ ~~I-IJ.
"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."
White - Building
C"Canarv - lE...g_..._rlng)
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Ic?~u{- ~).b} LVL---"
4-.3.08
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
!7L3j /k7uL'1-~ ~-
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/VYdft
Date:
4-'1-o~
Comments~' See Reverse Sid~ for Additional Information!
~ee Attachhtents: 1) ~din~ Plan, 2) Erosion Control Measures
~
'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. II
Bluff in Shorelan FAILS I COMPLIES
. Setback from op of bluff
roved
AILS I COMPLIES
ood elevation
. Lowest floor elevation
. Proposed lowest floor elevation
. Elevations 15 f~t from structure
L:\TEMPLA TE\BLDGLlST.DOC
Standard
24'
5' from side lot line or
30' from r-o-w on comer lots
10%
Pro osed
ZO(
8'
(p, 0
trIr-
~
35' Maximum
30% Maximum
Standard
By planning dept.
standard
908.9' Prior Lake
914.4' S rin Lake
909.9' Prior Lake /
915.4' S rin Lake
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 uired.
Must be flood elevation or
hi her
907.9' for Prior Lake
913.4' for Sprin Lake
Standard
832 sq.ft. or 25% rear ard
10'
15'
Pro osed
Pro osed
Pro osed
JUN-22-2008 13:39 FRm1:
TO: 9524474245
P.l
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~ 5- 5.-1 PERMIT NO. QS. Or#-
(!bIc~~~-!!I!at~
/1 /3~ ~ ~ '30/ '~'" IlmMNGt_-l'j
L1lGAL D;:::1P'l1ON (alirJe1lle CIIIIy)
LOT
BLOCK
ADDmON
PJD
I
OWNBll
, (Ne.me)
(Phone)
.~,),..,...,
'. .' '._,'-.
'-.... ,- . ". ' .' ...
...._ ~ -.:,;_.:. ...,. ......... ..':-".:.:--:,. ." ~"'~, .~:~~.} ~~ .' ,.-..~ :;_ r.:.,..."r{~......;. > ,~~.;..'~.,. ~-- ::~.,.._-'-'.
~) (Oty)
.j'
(7Jp Code)'
d
(CoD~ Penon)
(PboDe)
DATE
APPUCANT PLEASE COMPLETE BELOW
Si7.e ofwata' savicc /" indvos..
Location of any couplings fiom structme feet. .'-. .
Type of sewer pipe. 0 ABC Di pve 0 Cast lIon
~ length of &CWa' IiDc t'J7) feet.
Clean out fd'required) locatEd at feet from stmctnre.
FEE SCHEDULE
;r~- m~'w.~~~fImi\y :~""'rriIII~~ "
E,sti......tP.d eo.t s
Building Permit #
"
SEWER AND WATHR. PERMIT FBI!
STATB SURCHARGB
TOTAL PERMIT I'D
s
s
s
.50
, PAID WITH
BU~lDING PERMIT
(0IIb Ole 0.11)
nil ApplkatlDa BecI- Yeu Bdd......w.. ~ I 'I' ~
,) IlrJ
......0fIIcW )We III fh:f 2'. 2008
Z4laoar Dodce (or aD IDIpdeal (952) 7-9150, fa (952) 447...245
"'" Ihbta Street s.&., PrIor ~~.!I~f>M.u$$371
hccipt No.
'By
OS/29/2008 THU 13:25 FAX 952 767 1900 GENZ-RYAN
III 001/001
Date Rcc'(}
CITY OF PRIOR LAKE PLUMBING PERMIT
I Blllr: File
2 Ciold City
) Yenl\W "'PIJlicM1
I PERMIT NO. ~
I
ZONING (office use)
17139 Stonebriar Circle SW
LEGAL DESCRIPTION (office use only)
LOT 1 BLOCK 5
ADDITION Stonebriar
PID
OWNER
(Name) Ryland Homes
(Address) 7599 Anagram Drive, Eden Prairie MN 55344
(Phone) 952-229-6000
APPLICANT
(Name)_ Genz Ryan PlumbinQ & HeatinQ (phone) 952-767-1000
(Address) 2200 West Highway 13 Burnsville 55337
(Address) (City) (Zip Code)
(Contact Person) Nicole Whirley (Phone) 952-767-1847
APPLlCANTSIGNATURE ~ rf)/IJh~gO DATE 5/28/2008
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
2 Bath Tub with or without shower Rough-ins
1 Dishwasher 1 Water Heater
1 floor Drain Water Softener
5 Lavatory (Bathroom Sink) 1 Stand Pioe (Washing Machine)
Laundry Trav (] or 2 compartment sink Sewage Ejector
2 Shower Stall Backflow Assembly
1 Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
4 Water Closet (Toilet) Other
FEE SCHEDULE
Jndusb'ial, Commcrcial & Multi-family 1% of job cost with a $49.50 minimum Residcntial, New One & Two-Family $1-19.50
Residential, Additions & Alterations $49.50
Estimated Cost $ 10 J GOO. () 0
Building Permit #
PAID WITH
OOILDING PERMIT
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(omcc Use Only)
Buildin1! Official
Date
Receipt No.
This Application Becomes Your Duilding Permit When Approvec
By
24 hour notice for all inspections (952) -9850, fax (952) 447-4245
4646 DalmtR Street S.!':.. Pdol' L c, i'l'Iinnesota 55372
y ---'::;::::::::::.===-
f1A'(-27-2008 23: 08 FRDf'l: AIR f'1ECHAtHCAL HIe 76343416'39
TO: '3524474245
P:1/1
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERl\fIT
Date Rec'd
IPlOW; m .rio' '"'" oi", "b""om~
I ADDRESS . '"'
I t '7 L3!l ~ bk.{ (}A 2. () he f..:.- f::::'-'J
1 >'ok
~. tr,,<<:
). Vcllnw
~,'~. 'PERMIT NO. t..J1"Zl.
J\DpI.~..\l I
J ;.~NrNG 'oH<,
I LEGAL DEsmwrroN ,,(j<,"~ mly'
LOT BLOCK ADDITION
PLD
I O\i\TNER
r (Name)
(Phone) 2'6;\. ~ aaQ -u 000
, (Address) '769Q AnaqJ..A-n( ~;IA.J...
I AI7PLTCA~.. (./\n. ~.
(Name) In. ~ 1.-L-1-P L~' ~/Y1 i en ..P
--t~,-- I.:
~~ ~ro1J> ,"; ),'~n, \5$ ~'-tc(
(phone) _
(AddreSS)! ( " (I (I f'), ( d
Ui...:....li.J-~ l] D J M Dl,
(Address)
,f{.rw, ~,t~/nll' ~~,,~~i
'_ (Phone) 7&~ -7(f{~ - ?S
-if-- DA IE .
LEA 'E COMPLETE BELOW
~V CONSTRUCTION U REPLACEMENT 0 AL TERA TI01-.iS
FURNACE MAKE AND MODEL .~2f 3c{OAA-IIO-~[lf 0 .._ FUEL A),fT
PLUESTZE dl' RET~~6~~NINGS ~.. i1'iPUT -fiC:rt}~() .OUTPVT /J+6,fCZ_
TYPE OF SYSTEM HEA TING OR POWER PLANT
~-V1C
(Cot'ltact Person)
DWarm Air Plant:,
OGrJ"'ity
~fccllaJJic;;u
D^ir COl\diLiullill~
OVellt. Sy~tr1)1
Pl.EASE NOTE:
Air Conditioner Units
CannOT Encroach into
Required Side Yard
Sc.{backs
OStclllJ1
o HOT Waler
o RaJi:ltion
o ~pCClaJ LJevlcc5 _
o OTher D~v;cc~
Jndl1~\t;nl, Commcrci.'ll & Multi-Family
FEE SC HEDULE
1% ofj.)!l COST Rcsidcnrjal, Gaol Fireplace
$39.50 minimum
$99,50 Re~id..r1t;aL Additions & Alter:llion,
$64.50 Re~;dcnrial, AC Only
$39.50
$39.50
$39,50
R~~idenTi(ll. Be~ning & NC (New ConsttueTioll)
Rc~idcJltlll.l, HCilling Only (New ConzrrocTion)
Estimated Cost $ . _
HJ:A TING PERMlT FEE
ST A IE SURCHARGE
TOTAL PERJ.'1IT FEE
Building Permit #
S;
$
$
.SQ
PAID WiTH
, NG PERMIT
eceipt No.
(on;(~ il~~ On\,,)
Thi~ Application 8ecomes Your Building Permit 'When Approved
R"lldil\c Offi~i2'
Ihle
24 hour notice for all in'l'ectiom (952) 44 9850, f'l:I: (952) 447A245
Bj _--:-.:=:=-:::-:':==::-::",:::':::,'::::'
1-, t5 (, 4 s .,;l
]
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building PennitApplication)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
ff<;Vlebr ,'C{r t,'rG It' )- w rio! I J8Ict:I<; 510IJGIJIZ /Iff(]
LENGTH
WIDTH
SQ. FEET
HOUSE
x
x
x
=
=
=
ATTACHED GARAGE
TOTAL PRINCIPLE STRUCTURE...................... I $tJ~ s.(
)
DETACHED BLDGS
(Garage/Sh cd)
x
x
TOTAL DETACHED BlliLDINGS.......................
DRlVEWAYIPAVED AREAS
(Driveway-paved or not)
(SidewalkIParking Areas)
=
x
X
X
=
=
TOTAL PAVED AREAS..............dr.~:~.1.~f!...........
6Z9 ~,h
P A TIOSIPORCHESIDECKS x =
(Open Decks I;''' min. opening between X =
boards, with a pervious surface below,
are not considered to be impervious)
X =
TOTAL DECKS..............................t.'?ff.6................
S~.5F
OTHER
x
=
=
x
-
TOTAL OTlIER........................... ................. ...........
TOTAL IMPERVIOUS SURFACE
5 f!' f tJ. fJ. {flIfJ tv 1//(,,) 5
// Cr WI(,'I/ 50ll
:5 Ur/t;.ce (w'(/f1tte
UNDER/OVER
IV. 11.
[{fer
Date 312r!O~
Phone # ( 6'71) &8{-/1 It
Prepared By
Compal.1Y f()I1N{ [Y1Jif/e~r/i/9
14-
-"",-=-~
\.../
0"
~)
)/
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. ~ DATE ISSUED
CONTRACTOR O~ PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE
f71N-tYt
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ("c;1i
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~~ I
FINALS
GRADING (Prior to Sodding) ;7..1'- d~
BUILDING -ro I J 0 ~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
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