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HomeMy WebLinkAboutBuilding Permit 03-0110 .._--- --- 4 J DATE nME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED y-2Y-r/J. ADDRESS Irr7 4?o/lcJS CO).. L OWNER CONTR. PHONE NO. PERMIT NO. s.~((O COMMENTS: o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL G.J..- /1h--{y j o EXlGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST D. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION .- -- ............... /, ( / I (lG( \L.---Lv - ---- h7-t ) ----- ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING InspectOr. ;/IIf K" ~'1-cC>. Owner/Conlr CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSl<<Jn CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS /:(n PO/1,1s e)~r OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o I!jSULA TION e1'INAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ~H FINAL COMMENTS: f) Sod ~ <f r1'~ '5 p~r r I <IM{/ t./Vv+; ( ...-OYSu Ir ~l.l-<V~ J DATE nilE 7-ry <-I/o o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o d~ V'!rlfJ H<r"" 1- fI 4-(-0"'? ~RK SATISFACTORY, PROCEED ~ORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: y1;y.? 1- / t 1IJ. Owner/Conlr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! ,.-n DATE nilE CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED /-11 ADDRESS S7 (I O/JtI)sr,.!'il OWNER CONTR. PHONE NO. PERMIT NO. 7-1/1) o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP p,pLUMBING FINAL o MECH FINAL o EXIGRADlFILLlNG o COMPLAINT o FIREPLACE RI o FIRlEPLACE FINAL o GASLINE AIR TST o COMMENTS: (G) v"!.....G),., rbtk-urJ5 o y.tORK SATISFACTORY, PROCEED rzf CORRECT ACTION AND PROCEED o CORRlECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: Y\If "]./ I( -</j Owner/Conlr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE, CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! uwwn --_._~------- ,.--._----,-,_...,--_. CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE I~ nME ADDRESS h 1\'"1 P()1.){':6 f.o~ lkJ OWNER CONTR. PHONE NO. PERMIT NO. tlv I \0 o ~v~ILLING o ~~~T o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o o FOOTING o FOUNDATION o FRAMING o INSULATION ~INAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: (~a..,,(\ r.:.- riJ.\. C--ulJ...l', hi'N.. - h'" ..... k)() -rIVE~:" f)'f< <;01\ ~WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ lA. .J) ~ l . Owner/Conlr: CALL--::I:::: tHE NEXT INSPECTION 24 HOURS IN ADVANCE" CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOn CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date R. (Please tvPe or orint and sim at bottom) ADDRESS ; ~::" ~::y I PERMIT NO. 3-/10 J. Yellow Applicant 5117 PONDSEDGE LANE S.E. ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) DR HORTON (Phone) (Address) APPLICANT (Name) ALL TED "RTRH',STDF DBA FT'RP.STDF HEARTH & HOME (Phone) 651-633-2561 (Address) 2700 NORTH FAIRVIEW AVENUE (Address) ROSEVILLE (City) 'i5113 (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-256] APPLICANT SIGNATURE BRENDA HUSTON DATE 4/29/03 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS ]NPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT DWarm Air Plants OGravity o Mechanical DAir Conditioning OVen!. System o Steam o Hot Water o Radiation D Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL BEA-TN GLO SL-750TR-C Industrial, Commercial & Multi-Family FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99,50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimaled Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Peffilit # $ $ $ .50 ~~-il() Lt~ :.'t\1G '''/~ ,()~~ 11117' (Office Use Only) ~~ ~: ~ ~j 00 MAT - ~ ~..,,,,,,_._,..:...., \\), , This Application Becomes Your Building Permit When Approved Buildine: Official Date ,- . I! R<iceipt No. i,Jf"; 1'18 I. Y! fi- t) 24 hour notice for all inspections (952) 447-985 ~*,v ~05!\:'!t'1::U.~.,,,. CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please type or print and shoo at bottom) ADDRESS . ~J11 ?~~hf1i)G. LEGAL DESCRIPTION (olliee use only) LOT I 0 BLOCK Date Rec' d 1-'"/3- "3 Whl" ,II. ,PERMIT NO. ()i) "0110 I Pink City , Yellow Applicant ZONING (office use) .41 ADDITION Deu+idd. ~ I PI~- qqq-/'5/0-~ OWNER (Name) (Address) (Phone) BUILDER (\ 0 \ \ /I _ ...,....., _ (Name)--.l). "-., 1TIlY 11Y! ..l.J/L{. (Contact Name) ,q,V&. .r-Yi{~S{tn (Address) 2fJ3~ '~~~ ~~~ .\ DO TYPE OF WORK :sr New Construction DLower Level Finish o Fireplace DAddition DAlteration DUtility Connection PROJECTCOST/VALUE (excluding land) $ I ClI , (003 o Misc. Permit Valuation Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee Mechanical Permit Fee 100.00 IDO. Od 35. '50 ~". 0 () Sewer & Water Permit Fee Gas Fireplace Permit Fee I $ This Application Becomes Your Building Permit When Approved ~ (.~..:. ~ Building Official / 1~~.1 (Phone) (Phone) CfSZ--qq,S-7QOs:J Cff3l:. '12-(",- I ~?>4- 1 I I $ I 1$ f3 (PBJ __ z.71 () I Receip~o. ~J4-J'a I Bv lJ... () DDeek DPorch ORe-Roofing ORe-Siding $ $ $ $ $ I $ I $ 85(J,tJt!J IZ7S.aa .,;2S0. (/tJ '7"s " a / z..O(). () ., 7c10. <:10 /5l!o,OlJ I hereby certity 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 1 authorized agent for the above-mentioned property and that all construction will conform to all existing state and loca11aws and will proceed in accordance with SUb~ns, I am aware that the building official can revoke this permit for just cause, Furthermore, I hereby agree that the city official or a designee may =tl/je;;;:;~ ,!}QJ20 9,!> 7 /8/D3 U Signature Contractor's License No. . Date i'/9i'-,. ()()().OO . , $ 15'69". 9S $ ~F().f'Z $ <j~, DO $ $ $ $ Park Support Fee # 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 Zoning compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be issued, .. &~- ':[~ SAC # l~r;/,3 I&.-'l ~ "}t, ,p~ ; . Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Planning Director Water Meter 0J;ei)"; 1"; J Pressure Reducer I City SAC and WAC Water Tower Fee # # Builder's Deposit I Other I TOTAL DUE ~ I Paid I Date .(r.. r I. 2-7 '2-- (, '-0<: -"-----~_.~_._--_..._~----~-~.__..- " . Job Address 5117 flkJllJ. Healing Conlraclor .iJ#L~M#P A,HH g . 711d'~ /Ii, z /'0 t?/~~ '(f,O~ Ido'r ,. " Name of Tesler Dale Percent 02 Percent CO Percent C02 Slack Temp Combuslion air is adequaleiy supplied per UMC Sec. 606 ~ ,/ trJ IP input ~~ Whit_ ~ntl ~ Canary - neerin~ 1'1" .. t"lUk - annmg Th.. ('..nit< of lh..l..k.. COUnl1")' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr NAME OF APPLICANT f ,--- I \ i ,; /"i -t:' ~I -7....1', _..~ f../ '." APPLICATION RECEIVED i_. I .-, ..".,"', j '~_...- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: --;--'" ' f ;/ I /"1 1./ .in,! .-1 / ) lie':; i) /"/. ,I; /' V/', ;,.__,_/'_.-.l..,_,.. J"J'- I Accepted X Denied Accepted With Corrections Reviewed By: /YJ1~ Date: I-.;? I-Q ~ Comments: See Reverse Side for Additionallnform8tio"r See A.ttlli;.hmp.nts: ]) Gradin~ Phn..2,l RrosioTl 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." , White - Building Canary - Engineering ( Pink - t'lann,ny The ('rnlfr of the I..kr (.'ounlr)' aUILDlNG PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT '. }',--- APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity Which is proposed at: j/r7 I" i , ')', i i Accepted ~ Accepted With Corrections Denied Reviewed By: ~ '1~ Date: 1;/.:2-8,,03 ~~ a-U ~~ 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." '-"-. ._-..- -- ~~ C Whit" - Buildina') Canary - Engineering Pink - Planning lhf Cfntfr of lhf L.kf ('ountl) BIJILDING PI=RMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ,nf2~ j- 13-3 The Building, Engineering, and Planning Departments have reviewed the building permit application for c$//1 activitYpm;:;;r:/;e;;~ . U Accepted Accepted With Corrections ~ Denied Reviewed By: ~ ~ 7--. {) ~ Date: / /d-~/d3 , . R~.A2-d~ ~-~. 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." ~~ PRlO", "" .\ <\ ,.. . \ >'.1 - I ,:: u 1----..\ m ',"\';fJVNESO~" \i~~~~/S,~:;:j Mar. J. 2001 Ii :11AM GEN2 RVAN PLUMBING AND HEATING No.S622 P 2 13 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT :. ~~ ~:~ I PERiVllT NO. ._:.;'~ 110 J, Yell.- "~Ilc:ant -'" l'PIe.a.ee ~ OrOf,to.t ,md S~l.'J:I at bottom) ADDRESS 1]/) l' 'P!JY1/;(1 (Jd CIf. 11/1 Sf. V ~. ZONING (-""'J LEGAL DESCRIPTION (office us' only) LOT I 0 BLOCK ADDrnON t'Y.LR.Jl e(d ~ Pill OWNER O'ame) DR Horton Custom Homes (Address) APPLICA.1'lT (Phone) q<;z-q'X<=, '-i'6DO '?OSIoD K.b1P,~1 j)6E. CO Sre. /[;0 udu.v rI IG bIA ,'.J E a:-)..[ l.l (phone) ,;<, _~? 1_' 1 ~~ (Name) r-tH......-~~/an.. "P11.tmb~_"":: (., U""""i-.f.......... Rose:mount Ml'l 55068 (Zip Code) (Address) 14745 So Roben Trail (1/1 f111~A/d(~1~_:) ('. VI r (Contact PersOll) I' 'V J K n 171)1l.) APPLlCANT SrGN~T\"JRE . - . o.f {.,( f1Fl ~ J bl I I I I I ~ Quantity ,.;( I I 1-1 \ \ 1 ":2, (City) (Phone) 651-423-1.144 g- ?~() :5 DATE APPLICAi'lT PLEASE COMJ>LETE BELOW Type of Fb:ture I Quantity I Bath Tub with or without shower ":; Rough-ins Dishwasher I. I Water Heater Floor Drain I I Water Sofuler Lavatory (Bathroom Sink) f I Stand Pipe (Washing Machine) Lalilldry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall I Backflow Assembly I Sinks BacldJow Assembly Test Bar Sink I LaWn Sprinkler I Water Closet (Toilet) I Other I 1 I I I 1 1 Type of Fixture FEE SCRENJLE IndustrIal, Commcrcul.l & lvIl.llu-farruly 1 % of Job cost With l'l $39 50 minimum Res1dential, New One & Two-Family $9950 Re~1dentiaJ. Additions & Altc:r:;..tions $3950 (Offiee Us,. Ooly) EstImated CoSt S BUlldmg Penmt # PLUMBING PER1\.1IT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ .50 PAID WITH BUILDING PERMIT ~\I ReceIpt No I ( By ()!. I u Bullding Offid:ll D:ltI: I-t)j ~i't~ I~ ITL~ ~]DJ;\~R 07 2003 Tilis Application 8ecomes Your Building Permit When Approved 24 hour notIce for au inspecttons (951144~ .9850, fax (952) 447-4243 . By Mar. 7. :003 i 1:33AM GEN= RVAN PLUMBING AND HEATING No 56: 2 P3 i 9 ~~ PRIO<\, f"/"/f\ \ "L:~"' "",';-;;.:""" tt;;l~~1.;l~;<i~~\"H1r 9 0 ~ '" CITY ,OF PRIOR LAKE SEWER AND WATER PERMIT Date Rec'd C?k~~ type: OT nnur ~d si.lm ,t bottOm) ADDRESS 5'1/1 Pomsed~ lvt SE. ; ~;n:w ~~. I PERMIT NO. 3' - (I D ) Gold AppJ~~ ZONING (offi<, ",) LEGAL DESCRll'TION (ollice use only) LOT I D BLOCK ADDITION ~-hfld Rth PID OWNER (Name) _ 1"lP (Address) 2cflnn j(p'\!l6R_\~ Cr Sr<",/OO (Address) (phone) _ %2.Q'85-i6{\'/\ La~~ I lie... '"SC()L./U (City) (ZiP Co"") ~O"'+-9~ ('l1tt-....m u....":':'''''':' APPLICANT ~~e) Genz-Ryan Plumbing & Heating . (phone) 651-423-1144 (Address) J.4745 So Robert Trail (1111 ~,,~'~ k. (Conrace Person). ~l{f '.KANT STGNATURE _rA A J~ '--::fuV /"\ Rosemount. HN 55068 (City) (Zip Co,",) (Phone) 65J.-423-l.J.44 DATE ~- 7---0 :3..-.. APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from Structure Type of sewer pipe. 0 ABC 0 PVC Estimated length of sewer line feet. Clean out (if required) located at feet from strucnue. feet. o Cast Iron Residennal sewer and waler Ime connection Sewer connection only FEE SCHEDULE $3550 Industrial, Com'] & Mulll-family 1% of job cost WIth a $39.50 minimum $17.50 Water connection only $17.50 Estimated Cost $ Buildi'og felTl)jt # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERl'YnT FEE $ $ $ .50 (Office Ust Only) r .This Application Becomes Your Building Permit When Approved PAID WITH BUILDING PERMIT Building Official il~ W& ~ n \Vi r~ r~11 [~ll ~;t~ f"/ . < I 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 Ds'" I Receipt No. I By I ~I u _ ,._...c;:.t._..:. CITY OF PRIOR LAKE REA TING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd (Please Me or Print and siltn at bottom) I ADDRESS I. Pink 2,Green 3. Yellow ~:~,I PERMIT. NO. :? - I r r-.. ApphCllnt a '. ..l ) #-;&~7 I ~'57 /7 4/7/<~rk_ i/ ~ ."'~ .<'e-- I ZONlNG(offic<:u,o) LEGAL DESCRIPTION (ollice use only) LOrOBLOCK / ADDITION PID I 1 OWNER '"1-...'0) .\_ (Name) U"- 1\Dr+On 1.D8100 ~br\d~e..,U- ~:;~~ANT ~ \\\ o..nf Mtcha.n 1 coJ (AddressL3W5C Kenne.beG""Dr- Su.i-fe.1 E:IU\AA I\A.N (Address) -:; (City) (Zip Code) (Contact Person) JeJ.,f- LlMmUrv\A.Y\.. ,(Phone) (tf5 J. &..l?z- 2..77'5 APPLICANT SIGNATURE ~t 7j~DATE APPLICANT PLEASE COMPLETE BELOW . l8INEW CONS1RVCTION DREPLACEMENT [J ALTERATIONS FURNACE MAKE AND MODEL=:Bn.l11.Y\:f q2.: I. FUEL.:tJa::I-.~~S FLUE SIZE J..' 12.. "'Pv' e..... RETURN'OPENINGS INJ>UT ~lJM ..' OUTPUT .. ': OOf) TYPE OF SYsTEM HEATING OR POWER PLANT (phone) (Address) LA.kl,l/1 tie. t\\.Kl 5'S~1.fi./ (Phone) ffi t L/..52... 2..."176 ' 5S12..Z. DWarni Air Plants DGravity 8 Mechallical QJAir Conditioning I:llfVen\. System DStelUl1 o Hot Wale, o Radiation o Special Devices o Other Devices PLEASENOtE: Air Conditioner Vnits Cannot Encroach into Required Side YllI'd Setbacks FIREPLACE MAKE AND MODEL Industrial,'CommerCial & Multi-Faniily FEESCHEDVLE J% of job cost . Residential, Gas Fireplace $39.50 minimum $99JO $64.50 $39.50 Residential, Heiilitig & AlC <New ConstfuClioti) Residential, Healing Only (New Construction) Residential, Additions & Allerations Residential. AC Ollly $39.50 $39.50 Estimated Cost $ "7 DO o. OlL Building Penhit # (Ollice Us. Only) HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ /,50 /P ;; Buildidg O~fici81 S..PA/O 'N/iH v'/LO/~ .r- I Pllld I Receipt o. P.~"l"T' Ilrr~atl; ~ 0 W [E] I By Date I~J r- 24 hour notice for 1111 inspections (952) 4~7.~~5~F(9~2r4;.pJn5 p 1 This Application Becomes Your Building Permit When Approved PRIOR LAKE INSPECTION RECORD SITE ADDRESS 5//'7 PD~ed5~ NATURE OF WORK /tl.~ USE OF BUILDING ~ PERMIT NO. 0 a · DATE ISSUED CONTRACTOR -D~~~o~ PHON~.s"~ .,;J~-I-' ~4 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)IY? , FOUNDATION (Prior to Backfill) I ~ I 7 ~~Q3 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS VC-p I/1r!J /IVY; 2.-2~ --CP . SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING lJ \ lr (v{It.-\rJ...l.\.-{/'Il1/1;O HEATING (if required) M FIREPLACE iiJir GAS LINE AIR TEST ,11# COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS I P L --?, '7.8 q-HJ) I I I VVt'. I M OCCUpy UNTIL ABOVE HAS BEEN NOTICE -:]-, rJ -If'lJ S,h y, J.5=-<7""'l S / l-~{/) S-rl... S-II..- GRADING (Prior to Sodding) BUILDING 1-<""-0 u"") ELECTRICAL PLUMBING HEATING DO NOT '7~(L/U? 7-ly..-t/) SIGNED 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 l!..3/23/98 _liON 09: 2t FAX 6124474245 CITY OF PRIOR LAKE ~002 CITY OF PRIOR LAKE Impervious Surface Calculations (To be Submitted. wilh Building Permit Application) For All F .v}'.....~es Located in the Shoreland District (SD). The Maximum Impervious Surface Coverage Permitted in 30 Percent. , Property Address _--_- Pof\Os'{,c\~~, LI1'1\-Q. (~t to. &loc.l \ \ Dt~R~~LD EI6"~ Lot Area '2.'2..,0. oS Sq. Feet x 30% = .............. . <O,<t 11 *.*.....**.................*.*..**..~.....*.........*................... LENGlH WIDTII SQ, FEET HOUSE ATrA\..l1IW GARAGE It It It - = - TOTAL PRINCli'LE ~"'A""'I"'AE.. '2..\ 00 DETACHED BLDOS (OlU1lgelShod) x x .... TOTAL DETAI...a.ii.u BUlLDINGS.._ o DRIVEWA YIPA VED AREAS It '"' ,07 (IL . '''. jIIIVod or not) X' - ~nIAreas) X '"' \00 TOTAL PA -vED AREA.,1l -- PATIOS~ORCHE~ECKS X - \ q b (Oplll 0IckI Y."' mia. openiq bcavetn X = . boonIs,,,llh,, porriaus ...... below. ... na,."..;",.,..:.!II be bnporviOllll) X = TOTAL DECKS.. -..-.....-.-.. . OTHER X '"' X -= TOTAL U 1a.ii.R...._.... .-...-.-..---.... <:0 Ol \ 9~ TOTAL IMPERVIOUS SURFACE ~OVER " '/'7 ?r/~ PreparedBy"-/ /.r~/--"'~,----- o ~\03 I ~{~~ Date ~ Ja~. ZQJ 3 Company.J?1ZJ4.NDT b'N?\tlfa2lfU:r S"IJRV8rIN?'Phone #9~2 435" J 96t