HomeMy WebLinkAboutZoning Permit 06-0006
CITY OF PRIOR LAKE B
TEMPORARY CERTIFICAT
AND UTILITY CONN
Date Rec' d
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PERMIT NO. 06,. 0 ~
File
City
Applicant
(Please type or print and sign at bottom)
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ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID Z.S:/J3. 134. (J
OWNER
(Name)
K ~A":' ""'
t; ~ V- C> cc\.c.
r-
(Phone)
Ct ') ~ - Lj'1 7 - S' S v'L-
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck o Porch o Re.Roofing ORe,Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility ConnectIon
CODE: DI.R.c. DI.B.c. KMiSC SIltZJ /0 X 10
Type of Construction: I II III IV V A B PROJECT COST /V ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certily that I have hlrnlshed In!(lfmation on this application which IS to the best of my knowledge true and correct I also certlly that I am the owner or authonzed agent I(lr the
above-mentioned property and that all construction will conform to all eXIstIng state and local laws and will procccd in accordance with submitted plans. I am aware that the buildIng
offjcial can revoke this permlt for Jl st cause Further ore hereby agree that the CIty official or a deSignee may enter upon the propel1y to perform needed Inspections,
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Signature
x
/J
Contractor's License No,
Date
Permit Valuation Park Support Fee # $ I
Permit Fee $ SAC # $ I
Plan Check Fee $ Water Meter Size 5/8"; I"; $ 1
State Surcharge $ Pressure Reducer $ 1
Penalty $ Sewer/Water Connection Fee # $ I
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $ ~~,/!
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $
I
#1 / ..- '"
IPai~ Receiot W.K'
I Date 'I. 7 'fD By A
I , J -
Planning DTreeto'"!-
Date
24 honr notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Special Conditions, if any
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CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For All Properties Located in the Shoreland District (SD).
TIle Maximum Impervious Surface Coverage Permitted is 30 Percent.
Property Address '? 14'-1 SI"K'11tI ~Alt-t.; RoAlD SW. I'J~II/,e J..~~
AlN.
Lot Area / J"3 55: C> sq. ft. x 30% = .............. .5' 506.5
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LENGTH
WIDTH
SQ, FEET
= J3~..s
HOUSE
x
x
ATTACHED GARAGE
x
TOTAL PRlNCIP AL STRUCTURE......................
~36..5 ,
DETACHED BUILDINGS
( Garage/Shed)
x
r3d..O
x
TOTAL DETACHED BUILDINGS.......................
r3~. b
DRIVEW A YIP A VED AREAS
x
(Driveway-paved or not)
(SidewalklParking Areas)
x
.21 96.6
/'~ f ,
x
TOTAL PAVED AREAS.........................................
;lu36 Y.5
P A TIOSIPORCHESIDECKS
(Open Decks 'I." min, opening between
boards, with a pervious surface below,
are not considered to be impervious)
x
X
X
TOTAL DECKS ........................................................
OTHER
x
x
=
TOT AL OTHER. ...... ........ .......... ...... ...... ........... .......
)9~AL IlVIPERVIOUS SURFACE
~~
Prepared By .AlA N t::",,~e.r1
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Company ___,,5 '"'l.J:.fJ!c/ ~)~ "",,-J.Ll;AIl)
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Date
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