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Home My WebLink AboutBuilding Permit 05-0275 CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED ADDRESS 5922 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: (!KOSSI9NLJ~ ~ I. CONTR. PERMIT NO. 05.02.75 o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o CLOSE THE FILE DUE TO INACTIVITY 2/10/2009 o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. Owner/Contr: CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! /NSNOTl DATE , ~~~-- / e-- CC/S'J4'~k sf CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS se;;2.1- OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING ~OUNDATION FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL TIME o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o CQMMENT~ I" _,~ - (JJ /tY~ e d ;~c~r ~ c:. ( /Z: 2; r ~.rdJ <"'L-n;,~" I' /3 /' (' /' - .... (!J /f/.i!.t?~ H~P>c-rr d G~~r /L//'~Z /k ..-ZE/" &~ ~ door . / //":;51 GJ h:~ust:_ 4ure h4~~C/ ,/ ~;..P' / ~~,.- iY - ~ ~- /) - / & ~r' ~r c;!)tf *"y ~J; ~ it. $-- ~ .,......., '" / ) {' 9// --I--<:r .Y /: /U / rr.s;p;ec'fr e;"-- , o WORK SATISFACTORY. PROCEED ~ORRECT ACTION AND PROCEED ~ CORRECT WO}5 ~~FOR REINSPECTION BEFORE COVERING Inspector: ./I~ ./ Owner/Contr: - -- CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSNOTI CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS S-;;>,22 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING XINSULATION ./ 0 FINAL o SITE INSPECTION COMMENTS: DATE TIME SCHEDULED ~~~ ; ir O~..rS~~,.//,Q S/ CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ---/ - / / ?~r ~J(/~ 7S';',,"- ~ ~L o,\=- J7r o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ./1' /L- SO ...... ~WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ft'~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY! INSNOTI CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE -SP~- S~ TIME ADDRESS sr~2 c-''''-OSS?A ct4 OWNER CONTR. PHONE NO. ~OOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: "'. ~ - .?Qc:;;> ... r CJS- -- ../7) o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~ jl /l f-cy ~l'JY- ~ _/ /-;/.:; s / /J /J ~/JT"A /' /' @/:. ~~RK SATISFACTORY, PROCEED /' ci- ~ORRECT ACTION AND PROCEED o CORRECT WORK, CALL FO~EINSPECTlON BEFORE COVERING Inspector: Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED ~~~~~ / e CJ oS...$ ~__ /,f~ -S /7 ADDRESS 0/ ,22- OWNER PHONE NO. o FOOTING o FOUNDA nON ~MING R~~~LATION o FINAL o SITE INSPECTION CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~~ENJS: A _ 0t-t'! cpt C~ I /t:;; } ch~ ~s-- 2?~ o EXlGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o / J ~/%~ . - // - ~ LA-;/./<.;r / / ~ - . {jJ ~e~ /. ~ck;~ 5..- Ljq/~(Z' i/ #lr >S~~C//l:)""'- ~C)V /~.r0 .4h:';'-- ...., .:1 (3) &~// . . ~4A. /' IS r~- ~ c/// / I ~ j. 71''' re,' . /~C (t' Vet! L5"~~~ . (;2) 9~h // ;~t/L "" ~ / / ,--/,. --C'- -' Cp1 ~c5: / o WORK SATISFACTORY, PROCEED ~ORRECT ACTION AND PROCEED /0 CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI ADDRESS SV~ DATE TIME SCHEDULED , ~ ~tT/~ / ' CClS.s9'7~c<. '-\>/ CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. PERMIT NO. C!JS-,27 S- o FOOTING o FOUNDATION ~MING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXlGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o C~MENT~: (f/ ~.~.d ~)_ _~p'e -I-fq 14':;\.4!U: . / / '/ ~ / _ /l (1,) :;t;,sk// ~~/JS ~ rCQr:/ ~~s5 n ,,4 ,L~ CO~/7 .,..c- ,?6-t-.f / / . - ~ - ~ - ~) /'fC1{.// d e s/1~CJ" ../6r 4eq/~ VU ~ r 11 ttJ c,k.~ ~ doc y- ,;; f' ~ ~ ,,~<;' 5' ;z.. ~/O IS Qc/'-.Qc~_~ dr- . /'" ~4'';' c)- e ~ ,/ . -. / / CA ~L/C (;J A ./ ty F _ McJ5/c~ / __~.s/J ~ - ~ . / ~~~. (' y-- (0;" d CJ"<.-J ~ 7;/u~/c- '-- ./ /' ~ /#7 JU ~ }Z(;/"'-- ~A' ./ o WORK SATISFACTORY, PROCEED ~CT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ Owner'Contr: r .--- CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSNOTl \.-11 r OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERuI4J.CATE OF ZONING COMPLIANCE AND lJ IllIITY CONNECTION PERMIT Date Rec' d c;SJ-3/- ()S I. WIrite File I PERMIT NO I 2. PInk City . 0'5" (J~ 7S J y~ ~M . (PIeue tY1Ie 01' orint ....I sim at " ,'..". I) A..~ 1-~ ?UJ77Mf/PA 7r 7,6. '~Pl?-A~ / ~ 977li. ZONINGC--l I } , i . J ~f17IJAv ZDLj~f'?t6lDd.5'3/(" 6rJ-ii ~::.:.:,-;a~~ t[ V AfL---& ~~t1tDJ< .(Pbone) C1&77}.440-'7~ (AddIas) ~'Z-1- ~/A<JDfA t/r 7,f:. i 1-IOf..A~ i MN 77712- ~~;Name>4J.eJ~~~T ~J. . 1J? (Ph~~I2-)~~-6? ?S (Contact Narne) ~I~ ~~\~~ (Phone)~I~~-14U (Address) ~Oq- ~~,J !4VG. ?7, J ~f'EiD I ,~,,,r 7042-7 TYPE OF WORK ~ew ConslrUction DDedc DPorch DR.-Roofing DRe-Sidiag DLower Level FinIsh ~Addition DAlteration DUtility Connection 0 Misc. CODE: 'l'XfI.R.C. OX.B.C. PROJECfCOST/VALUE S Type of&sm.ctiOll: I n m IV V A B (exclwl.inJ land) Oc:cupancy Group: A B E F HIM R S U DiYisiOD: 1 2 3 4 5 LEGAL DESCllu .. ..ON (office use only) LOT l BLOCK 2- ADDITION o Fireplace tJO ???) C;OO - I Mreby a:niIY lhat I haw lUmislled information OIl Ibis ..JlPlic..1ion whicb is to tbe bat of my kn. , :. J.... ..... and COIftCl. 1..1$0 CfttiIY lhat I am 1M owner .... al1lllt:lnz.M .,.,m for 1M abo~. .... ."..: .,',... ": atld ,.!!!II.n COCI~C1i?" will conform 10 all exiltinastate and .Iocallawund will... ...J in accordance with su~milled PIans~1 a~wte that bvildinB :fficialCan r t~ca:-=..,.... Ih~ qreethat tbeaty o~ ~des~~~~08 (t needed~ ~n;;, vS . ~ Contractor'. License No. , Da L I Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer It Water Permit Fee I Gas Fireplace Permit Fee f..3()'()IJf) ,()O S4~9. 5'0 S '3d S', fg' S /S 00 s s s s s . This Appll "' . r . ,. B... ... Your BaildiDI Permit Whm A.I .,' .. ~00k~ ~dS- I Park Support Fee SAC # S # S S S # S # S S S LJ c::)' S -m I (pR I/~' ".--, R..~..:t't No. ~ 0/ I _J Bv Cj .1 ' Water Meter Size 5/8"; I"; Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit I Other I TOTALDUE {'rll~'-?J 4 I Paid . /('-1', ~g- I Date - ,v - I ~- z::;- ( . 11us is 10 certiIYrhar the request in the above application and a...,.....,. in, docIlments is in ac:conlance with Ibe City Zoning Ordillall<< and may,... ...1 as requt.'St\:d. This document ~ p~a .1.. ",''. Certilicate of ~ ;"'~;d allows constnKtion to commence. Before llCCUp&nC)', a CI.'ltirrcate ofOcxupancy must be 1'Iamlinat:....;. 0. Date S\lCCiaIC., "',i.,, .ihllY U bour Rotiee lor alllnspedloll' (952) 44'.98.... lu (952) "'-4U!I 16200 Eagle Creek Avenue Prior Lake, MN 55372 Date Rec' d CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY \,;fA\,u.JI1CATE OF ZONING COMPLIANCE . . AND L.: u..ITV CONNE~ liON PERMIT ~/t-e wi os. 027S I. WIlite File I I ~.::..~.. PERMIT NO. .05.0399 CPIeaIe tnIe or IIriIlt .... aia at IIottoml ~2- ;(F~A,Jf?F^ -7r: 1.e)~Df~~Jtvl\ 7'i~1Z- LEGAL DBSCR.u uON (office use only) I 0 wr 1.. BLOCK Z- ADDITION ,(AfPJrJAtf~fO Aoo. :::-"::')4~~IL-YJJ -'7t-tkuur, (Phone)~17i>41o-C;2E>"L (Addlas) 91 '2.-2- ~M1o 2A 4r: 7. e. J ltlbf l.A~{')vj rJ g;; ZJ7 2- ~N....>-Ldl;l.I~~rJ ~. ~\I. ) 1%. (Phone[&12)e>Cb-.e>t77B (ContactName) W ~ ?~I""7~~h) (Phone)(Vl2:)'?Uo- lOJ~ "7 (Address) ~.Dt:'( JU~ .A1i. ?), } 121.?Hflat) 1 tv\l\\ l7?4z,? . J:.: ~ OF WORK 0 New CmutrudiOll OD<<k ~ Ob-RooIia& ORe-SidinB OLower Level Finirh 0 Pireplace OAddition ClAllel'ation OUtiJity COIlnec:non 0 MIsc. t:'O . CODE: OUl.C. 'I2I1.B,C. PR.OJECTCOST/VALUE S 4c;;t:V- Type of~ I n m IV V A B (e~iftllland) Oc:cupaac:y Group: A B E F HIM R. S U DtrisioD: 1 2 3 4 5 ZONING (oIfice ute> PID ll.-bycertify~ J haW! IIInUsIaftl j,,;. ."" lion DO Ibis appllcarlon wbidJ it to ,he bnI of my llII. , : .1". IJW and correet. 1 also mtilY Ibaf 1 am 1M ownrr 01' lIIIlIdimt.." b Ibr above-men ", . '.' and lhaI aD will mdbnn to aD cxlIIiI\I statund Joa1laws and wiD",.. ...J in, "....." nee wiIb submitted plans, I am aware drat the buildin& -;-- . ...~~~..,::"-""....,-..~~~e;l.. ~..\ -5?~ ~ S- f I' Sipature CoDtractor'I Li...., . No. loaf (. v Permit Valuation Pennit Pee Plan Checlc Pee State Surctuuse Penalty Plumbing Permit Pee Mechanical Permit Pee Sewer & Water P ~...,'.t Pee au r,:,...lace Permit Pee '-Iro() 0.2 s 101 00 s (,(. qs S 1J.._ 0-0 S S S S S ~. y___......A_ . ~{,~os- Buildillll Official OllIe Park Support Pee ## $ SAC ## S Water Meter Size 5/8"; I"; S Pressure Reducer S SewerIWater Connection Pee ## S Water Tower Pee # S Builder's Deposit S Other S TOTAL:DUE CftvH/D 5.& .0 r;; S Iff ~ Paid /1 /. q~ Date <'" /o.CJ r I Receiot No. .,.q /,{ Y BvA{t(/ I TIus is to c:enll'y drat die request ill die above applil:ation aad a<<omp '... .. " doc:umenll is iIIlCXOIdatIc:t widJ lht City ZoaInI Ordinan~ and IllIY prOIftd IS nqut:Iled. Tbis document wbnullned by the CitY Planner COIIIUWtlU ,.,. "". Ccrtiflcate of ZoDiIIa compliancund a1Iows COIIS1I1Iction to ..', .'." JIeforc lX'eUJIIIICY. a Cc:rti/ic:ale ClfO .. '.' . :y -- lit illued ~D"..... Dart; Special COaditioIII. if IDY 24 Iaour Rolin lor .n Jr..ped.... (952) ....,........ lall (952) .u1-424!l 16200 Eagle Creek Avenue PriQr Lake. MN 55372 Thl' Ct"nlt"r or Ihe- l..kt" Country White - ~uildinq ~narv - En9ine~ Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED , }' .......',H. -' ...--"""""-- I .-,. ......., .----' The Building, Engineering, and Planning Departments have reviewed the building permit application for constrLlctio~ activity which is proposed at: '...... I ' . Accepted x Accepted With Corrections Denied Reviewed By: J7/JfJI2; Date: '-I-/2-0S- Comments: See Reverse Side for Addition~1 Inform~tj()nl See Attachments: 1) Grading 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." lhe ('en fer of thE- I.akf' Countr)' ('White - BuiJdiii9) Canary - Engineenng Pink - Planning NAME OF APPLICANT BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST ~ckuS-f 5 q ~d-- 3-3/-~ APPLICATION RECEIVED The Building, Engineering, and Planning . De.partm. ent~h ve reviewed the...b..uilding permit application for cOlJjtr~ctior; activity which is proposed a . . (J~~ ~ <---... " / Accepted Accepted With Corrections Denied Reviewed By: ~ ~ Date: ~'"7"/8;as: Comments: /~ a...-Lf ~ o r ~~~~~,~ ~ ~."..tJ~~ / ' ~r-eV ' 01 !:to tLa..., "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." \ The Cenler of the I.aln- Countr)o White - Building Canary - Engineering (~InK -:pjanm~ BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST / , " NAME OF APPLICANT APPLICATION RECEIVED -.."., "' "",<" I " -j The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Accepted With Corrections / 4. Denied ~ ~ Date: L/le,/C5"" ~ ~ ~ -1-0 ~.--t:J.... aP~~ ~ ,..~. , v ~kf) .J /.. ~ ~ .AJ-7~- T:~,()/ / ~_/;~~ Reviewed By: Comments: "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." 4646 Dakota Street S.E. Prior Lake, MN 55372-1714 FINAL NorffBrY January 27,2009 Homeowner 5922 CROSSANDRA ST SE Prior Lake, Minnesota 55372 Re: Building Permit Number 05-0275 Addition The Building Department is in the process of updating old files and it has come to our attention that the above referenced permit has not yet received a final inspection. Please call the Building Department at 952.447.9850, between 8:00 a.m. and 4:30 p.m., Monday through Friday on or before February 6, 2009 to schedule a final inspection. If there has been no inspection scheduled by February 9, 2009 the City will deem the permit abandoned and invalid per State Building Code RI05.3.2. This will be recorded in the property's permanent public record and any additional work will require new permits. If you should have any questions regarding this matter call my direct phone at 952.447.9850. The City appreciates your cooperation on this matter. Sincerely, Lynda S. Allen Building Inspection Department J:\be+RMEMO\fIN:\L [~lSP, J G::\;;;~U,,~ www.cityofpriorlake.com Phone 952.447.9800 / Fax 952.447.4245 ~ PRIOR LAKE INSPECTION RECORD SITE ADDRESS 5'1 ),.J.. ~~. ~.'" J,.. S r- TYPE OF WORK p~", USE OF BUILDING S . F.D PERMIT NO. OS ()399 DATE ISSUED r-~-~S" BUILDER CJt.,rs{ae~$.'" ~lMlr PHONE #6/A.-n& - I'rJI' NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR /DATE. I FOOTING I #7-- I -</70,/oS- PLACE ~O CqNC~E1E UNTIL ABOVE HAS BEEN SIGNED FRAMING ~ ,1/'1 s/2&'/t::J~ I I '" J FINAL FOR ALL INSPECTIONS (952) 447-9850 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION -RECORD SITEADDRESS ~.ez.. ~$SA~1lA ~(. $.6. NATURE OF WORK ADPlrt.ON USE OF BUILDING s;;:: p. . PERMIT NO. (:'~. {; Z 7 ,~~ DATE ISSUED ~S CONTRACTOR ('JJP.S'fE~ 0"". PHONEI1J.l,-aD -lU' NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT FOOTING I I I UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS INSPE,~9' .M/f . I DATF( If / 15'16~ . FRAMING ,.4/' I ~ ~:.lI ~ f- INSULATION r%r,,- 1//4 s/~k L ~ f}/tIf' I , S',// d /0.5-- S/I;Z!oS 5/Jo/~r r/~C/r~L"" / COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS HEATING 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, ~rd shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850 m~~ ~ ~ 2~O; !I l-~ ~I 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. By Property Address 59Z-l.- C'rO SSd.M.J.V-CA. &t~-ee-f S E Lot Area I~ s'S 3 sq. [1. x 30% .............. 40&:,0 S~f:. ************************************************************************ LENGTH WIDTH SQ. FEET HOUSE x x ATTACHED GARAGE x TOTAL PRINCIPAL STRUCTURE...................... '7 2. C'i L-- J v <-- DETACHED BUILDINGS (Garag~ \-------- (0 x (0 t.aD x TOTAL DETACHED BUILDINGS....................... \. 00 DRIVEWAY fP A VED AREAS x = (Driveway-paved or not) (Sidewalk/Parking Areas) x = x J 2...4-8 (efv'7f:D) \ ~ ,";::::" SIDEwf1 (1'- ,:/){LJ ra;DVCT! otJ /' . TOTAL PAVED AREAS......................................... P ATIOSfPORCHES/DECKS x (Open Decks y." min. opening between boards, with a pervious surface below, are not considered to be impervious) x x (ffiST 1,,)6 COIJC I)"'TIO \ TOTAL DECKS........................................................ ""\0 IJ r:: t1. G /VI otl( D .J OTHER: Pro ~ 0 sed A Ad ~ +1\01' l'l,'?' ~ x 2-1 ~ TOTAL IMPERVIOUS SURFACE w ~~; Of;'111./::'"""' . '/' /I t- \....UND E ' 0 // Prepared By Ko r;c:-eU -Il~ ILuWnate ( I I 2.02-.5 (P-NI7E;;j ~ 4P<10 ih 3Qbl,6 Rflf/$(V x TOTAL OTHER. ...................................................... Company ~(r /)~~ ~lN>P\n '^j Cb 2. - 7.. -:;- -o~ Ret/~t'b ~ -I B-o~: /2EDf.X.6 SIDGYJAt../(..)/1Vl7 MJPu;6:J Appr{io}J AUIlS. Phone # 952 - 4-32- - '?,()(Jo I CJ7.5_ RE \IISE"? L:\HANDO UTS\IMPERvious.doc