HomeMy WebLinkAboutBuilding Permit 03-0220
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED -g -J.. '!-t:13
ADDRESS SIOI yJO'" d:tJ~ C-
OWNER CONTR.
PHONE NO. PERMIT NO. -:I -)./)-0
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: Slrrl /rr--ed
(
--------- --
/' //! t1<;~
~ ~ I - _______
-~
jr , ) )
{f--
~
Jll"WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: f/}/(1 f.f. :2-1-i.D Owner/Contr:
CALL 447-9850 FOR THE N!:l(T INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH.l SAFETY!
'N9N0n
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
& dl rf?o;lfdr It{<-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o I!jSULA TION
Ja"'liINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o ~MBING FINA.I.
..a-'MECH FINAL If-
COMMENTS:
~
\.../
DATE TIME
t-1S
~ . ,l.,HJ
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
('f'Q ( ILO +INnOt.... t/~." +-
~-fra rl~
>;J;.J -T?r ~"'5 (!k- ~uc.&/J~T
-
7-<w-.p Ii"l+; I
d rSti +-
,
rY b-Url. J
!tJ-f-()~
o WORK SATISFACTORY, PROCEED
...e-ctlRRECT ACTION AND PROCEED
o CORRECT.~OR~LL FOR REINSPECTION BEFORE COVERING
Inspector: fl/f/ ~-(~.tf7Owner/Contr:
. ,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY!
'N9NOO
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
.
n""
ADDRESS
~ ItJ \ PO-.::lI'f, ~(?~ 1.",,1-)
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
":Ii FINAL
r D'SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
G(~()c. -O\l-.-
(' U~ {'--, STr>P - 01/....
n~L70
o "Y~"'ILLlNG
o CO~NT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
X WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORREC:~RK, Ct)L FOR REINSPECTION BEFORE COVERING
Inspector: ~";Vi}.A",, 11 Owner/Contr:
CALL 447'9~0 FOR ~~E~XT INSPECTION 24 HOURS IN ADVANCE,
msNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
..
SCHEDULED
f?;-'-L
"
ADDRESS
.{? () I n7 tn-tJ5 (' ,1-y _
OWNER
CONTR.
PHONE NO.
PERMIT NO.
s-2~6
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
....-r>LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
@ Y -e V'-UJ>.( r?t7J.f: ~ .>
-
(5db - (;,,0 - ZLlx-. lIlt(
o WORK SATISFACTORY, PROCEED
%'CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: --N ~ -l{~ner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETYI
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I, White
2, Pink
3, Yellow
File
City
Applicant
(Please.!VDe or mint and sign at bottom)
ADDRESS
510 I 'Vf)(\J<;p~e. L,'l1P C,6.
LEGAL DESCRIPTION (office use only)
LOT 15' BLOCK ADDITION ~+ipjL ~
OWNER
(Name)
(Address)
BUILDER\).-;-, I \ ~
(NameL .---1../ 'f\. t+i'Y .. c...
.--. . ,
(Contact Name) c.-f\~ Vf'. ....r--I <.J(,c"on
(Address) ~<a"'D ~I'"l' .;i'lCo~. ~.IOO
, L:l16.1\'; 11 ~ (Y\V\ r:=;c:;/'),N
TYPE OF WORK
o Misc.
,
I)(New Construction
OLower Level Finish
(Phone)
Date Rec' d
;Z-~-03
IPERMIT NO. 03 -022.D I
ZONING (officeu,,)
~I
PID25-.3l9- tJo8-0
(Phone) q52.-&t9C;-t~l'Ja
(Phone) 91Fi?-?2.Le..:.) '2,:3 {
DDeck
DPorch
ORe-Roofing
DRe.Siding
o Fireplace OAddition OAlteration OUtility Connection
PROJECTCOSTIVALUE (exc1udingland) sIn W
"'
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
sub plans I am ~t tidmg offiClal can revoke thiS permIt for Just cause Furthermore, I hereby agree that the City offiCial or a deSIgnee may
en r up e prope~ pe d mspectty,.
:_ _.t~ d(JOD 5bt;; 7 ';}-5-03
~gnatiire - - Lontractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
) Plumbing Permit Fee
1 Mechanical Permit Fee
1 Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
I $
I $
I $
I $
I $
I $
J 7 7.. 000,00
,
I Y 7tJ&JC::'
q 2,.(~. '}) .
~.5n,.
toO, 00
fOO.f)fJ
35,S"
'to, tJ (J
This Application Becomes Your Building Permit When Approved
~ ~ W..)-/o..:s
Building Official
Date
I Park Support Fee
I SAC
I WaterMete~; 1";
I Pressure Reducer
I Ci.y SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I Paid f(', ~J~, {?
I Date '.3 ..?' O:J
# $ gSCJ. 00
# $ tz...7!7. Olf)
$ 2..50, tJo
$ 4S .00
# $ l-z...oC!J. DO
# $ 700, (!) 0
$ 1St')('), 00
$
__ $ 8.535./7
( I I
I Receilitflo. 4-3'XfO ..
I By 1:----.
o
1
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
~SU~ning~P d/Rt3 k ~wc~~
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
--~"--'-'---~-~--"'--'._-'---'-'----'-----
-.t
'"
,
~.s~
Job Address .5"/O~ /J,~ ~~
Heating Contractor ~10'l9""~
Name of Tester
~h~
~/ "7"
~~~
R.i' o...-==-
Date
Percent 0,
Percent CO
Percent CO,
Stack Temp
Combustion air is adequat~l}l.supplied per
UMC See, 606 "\!l. ~
input /OfJJ)()f)
,
\
$~~
~hitA _ Build~
Canary - I:ngmeering
Pink - Planning
Th~ ("tnltr of lht' 1..1lf Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI!=>T
NAME OF APPLICANT
APPLICATION RECEIVED
_D. e. J-{OtCIDtJ
~ I
2-~ - 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5101 PCJNDS6D6-6 L-AN6 S.5.
Accepted
Denied
Accepted With Corrections
....---
Reviewed By:
Comments:
~ 7'~ Date: LI/2.-itJ 3
(
f~ t1..LI .;uJ~ Af1~~,
"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
<'1'lnK - torannln!f)
The ('enler of the Like ('ountry
f\U1LDING PERMIT APPLICATION DEPARTMENT CHECKJ.J.SI
NAME OF APPLICANT
APPLICATION RECEIVED,
I ,1/ I - f') -7 i'
.i--'. ~- . r \...k I \....J
--, " .--)
/ ' ,,,,",
, - 1.' - i
L- " \.--...-'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
[:- ' /" I / ' /-, '\ / .--:- I ,\.,,~ .- C'
:..J I l./ I' / \ Lj c.::rt/ LJ :,: 1:.---_ . L-, .
Accepted
,~
Accepted With Corrections
Denied
Reviewed By:
.
~ ~j.;
Date:M~~3
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."
~1
~le - Building
~ry - Enqineerin!i)
Pink - PlannIng
Thr C..nlrfofl~ 1.......Counl"..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
-, I'''.. e"
J,
H'/'-- !
(JC iOI\,)
I
2 i (",<7
.-. f (".' - ,.J' \
~., ---"
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
r=;< I' fJ' I! To' /i t J r') < c:::- /1 ~C'" I o!-'\ j\, \ c. c-,.- c--
-..' \.. _ rL.', L./__JL.---,_.../\~rv' L.-! j'..JV ,':"').G.
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/J71- 13
Date:
'2-.20-<93
Comments: See ReVf>n::p ~irl", for .Additicm,,' Inf.orm~tior"
See Att~chments' n nr~c1ing Pl~n, ?) Frnsi()n r()ntrnl Me~Sllrp~
..
"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."
An r 4 2001
~
~~E
,;,(,},;",L,,,'""\'i",:?: J\fE!o
'4;;~~~;~\,:fY:'"
1:50PM
GEN~ RVAN PLUMBING AND HEATiNG
fl0.8626
P 5 6
Date Rec'd
ClTY'bF PUlOR LAKE PLUl\'rnmG PERl\UT
I 81"" fU~ I PETH'l1T NO
"Co" o,? ,>""v,.. ,-:::;> _;;). -, ,.,J
3.Yo>Jl""";\,pDl,1dnl ~ ~
(Please me OTPnnr ~nd ~J.loW !itoottom)
I ADDRESS r1
' VJ/D(
PorviSPdQ8 (J1 Sf.
.J
ZONlNG (offic: ",)
LEGAL DESCRIPTION (oliic. u,. only)
LOT KBLOCK I ADDITION betel; tit! J'fh
Pill
r~=~RDR I:lorton Custom Homes
(Address) 2O"S(.-?D KenB~\ D&':. C, Sre.IDO
APPLICANT
O'bone) Cj/::','Z-q;;" -/2DO
u/uVIIIe.. HAI\J !5E:6/-J W
O'hone) ", _L.'11_ 11 L.L.
(Nanu:) r:A<n.,._~~."".... 'D,.._l-'7.-g,g r. Uo....f-..::.....::
Rosemount
MN
55068
(Zip Code)
(Address) 14745 So Robert Trail
(Address)
(Contact Person) CYl r0ls ti fa) l \
APPLICANT SIGNATURE __O<A~ ~
Quantity
Z-
I
I
e:::-
I
I
,
.1.
(Ciry)
(Phone)
651-423-114[.,
4/4 (03
DATE
APPLICAl'IT PLEASE COJ.Vf.PLETE BELOW
Type of ,Fixture I Quantity I
Bath Tub with or without shower .3 Rough- ins
Dishwasher I ' Water Heater
I Floor Drain Water Softner
Lavatory (llathroom Sink) ,I Stand Pipe (WaBbing Machine)
I Laundry Tray (lor 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
Sinks I Backtlow Assembly Test
I Bar Sink I LaW!! Sprinkler
Water Closet (Toilet) I Other
Type of future
FEE SCHEDULE
Industnal, Commercial & MuJtl~famlly l<!"o of Job CO:ltWtth a $3950 minimum
(Office: Use OnJy)
----Rcsiden.ti::!.l, New One & Two-Fromly $9950
Rc:"dontisJ, Additions & AIt,rations $39 50
Esl1mated Cost $
Btlildlllg POlmlt #
PL~~GPE~rrTFEE
STATE SURCHARGE
TOTAL PERl'lll' FEE
$
$
$
50
24 nC.IIlr notice for all inspections (952) 44i .
~-4J() ~
~ ii{1f
n ',' ,'h Receipt NO'~';
Artt U I LOO~ [I~r' r
_0, r.. (952) ,147424'S ')
rbi. Application Becomes Your Building Permit When Approved
BuildiDg omcial
D:l.tc:
By ____,
--
APr, 4, 2003 3:50PM
GENZ RVAN PLUMBING AND HEATING
1108m P G, G
~~L~ Pr~:O~ <;,
!:: I'"
'-' ~'"
.i:\h\,,/,"'I,
r.'i\,\'t~~ii~i~"N"'ES 0';'"
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
rPk.ase type: OJ" orint :md sj~ at bottom)
ADDRESS
Vf10 { Pawf.~(?dC( b 1J1 5t.
: ;:;i-:" ~\~ I PERi\1IT NO. 3 -ch>--C I
l Gold .A,J',;lif-lnt
ZONING (ollie"",,)
J
LEGAL DESCRIPTION (office u,. only)
LOT t BLOCK I ADDITION
/dee~!e/J g-fh.
PID
OWNER
(Nwne)~~~.~_ ~_~_ u~_~,
(phone) _ 0S2-Qs'5-i6N,
(Addre.ss)
2D7-LDO ~V'lp\<"'\l)(..-e Cr Sn;>j{';',
(Addre,,)
La~,AJllle...
(City)
"5'E:OWlj
(Zip Co,kJ
APPLICANT
O'~e) Genz-Ryan Plumbing & Heatin~
(phone)
65 J.-423-1144
(Addross) 14745 So Robert Trail
""lCANT SIGNAT1JRE
CIl1(Vit~ h bM
('AA J::i:j) ~
Rosemounc. rrn
(City)
55068
(Zip Code)
(Contact Pe.rson) ,
(Fhono)
DATE
651-423-1144
L//l/ /O~
APPLICANT PLEASE COl\1PLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewcr line feet
Clean out (if required) located at feet from structure.
feet.
o Cast Iron
RcsldenlJal sewer and water hne connection
Sewer connection only
FEE SCHEDULE
$35 50 Jndu~trial. Com'l & MuJh-fa~lJJy 1% of job cost WIth a $39 SO minimum
517.50 Water connection only $1750
Estimated Cost $
BUlldin g Permit #
SEWER AND WATER PER.MIYFEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,50
L-
Building Offiti:d
D!tte
't-f/c.i _
q,(,)""^-.
~ ~'frfil: ~-, -r~ ~ I RecoiptNo ~,
Date Jj I By 0----
50, fax (952) 447-4245 -U
IOffite Ulle Only)
I This Application Becomes Your Building Permit When Approved
24 hour notlc.e for slllnspecnon, (952) 44' ~
By
~6'~
-Y'irNES01.t'-
'I' ~~ lG ~ U W [E I~I
CITy OFPRIORLAKE , , ' APR 0 3 2003 ~~ Rec'd
HEATING/Am CONDITlONlNG/FIl<EPLACE PfBY~ 1'1' . ~::zz;, y'
L Pi" m'",.' PERMIT NO. -=> -,=>-" /",1
,,'2.0recn City,......'. ':::.J u-~
j. Yellow Appllc:lll'lt
(Please tvD~ or oririt atidsij:1J1 at bottom)
ADDRESS
,--5/,,01/ /!bfi~r" d-A/', c{~ , , 3d-
c7
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOJBLOCK I ADDITION
PID
OWNER '"t-.... -;') ,L.
(Name) U.... 11 D\"+Oh
~lDO ~ br\d3e.,tf
APPLICANT , .
(Name) t\ \ho..n-f Me.cha.x\lcoJ (Phone)~2..- 2.."1"16 '
(Address)3~'5D Klj'Ine.oecJ::>r Su..i-le-I f51lt\a.tl .1\kN 551z.z..
(Address) '-:J (City) (Zip Code)
(Contact Person) j-t+-.f- ':Z-lMmeyW\tV'\.., , ,,' '. (I'hone) Ld5Ja45Z-t'7"15,
APPLI~ANT $!GNATURE ~.~ 71~J)ATE_
,.AP't:LICANTPLEA$EqOf\n>r,E'l'};.Ict.ELQwi.
~NEW CONSTRUCTION ,'.,", ' ,[J,REI'LACEMENt., <CJJ\.~'1';E'R.A.TIONS '.' ,i., ',' " '
FURNACE MAKE ANDMODEL~rBo.rd.qt;j. ',' ,'FvEL)JaJ..,~," ~S
FLUE SIZE 1,'/2. 'Pv' e..- RETURNOPENINOS wpurdt!4lJDt).;OUTPUT ..,. ' :oof)
TYPE OF SYSTEM HEAT1NC7 ORPOWER.pLAN'r
OWafln Air Plants 0 ,StelU11
OGravity Oilot Water
8 Mechanical '0 Radiation
!g'Air Conditioning 0 Special Devices
~v en!. Systcm ',' 0 Oth~t Devices
. (phone)
(Address)
L..A..ktvi lie.
MKJ
55~"q
.PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Slde:'Yard
'Setbacks '
FIREPLACE MAkE AND MOpEL
,:"
Industrial, Cdmmercilil & Mi.1Iti';'Pamily
FEEsOObtitE'
,1,% OfjOb.'co~__ Residerithll/6asFirepJate
$39;50 minimum
$99,~0
$64:50
$39,50
ResidentialiHOlllifig& A/C (NeW Cfinstfuctiori)
Residential,HeaiingOrily (New ConstructiOn)
Residential, Additions 11< Alterations
Residential, AC Only
$39,50
$39.50
EstimatedCost$ .-JDb O. OCLIIuilding Perihi(#
(Office lIiOOilly>,
eU/!!;}/D WI
/. 50 .. ,"'G p. "Hi
;);.....' ,~~A1I?-
t, ,.,'.,'",.>, .'..,.. '.'...".,.',..,., ",/ '
This ApplicktltmBeclIlitesYdtirBiiildirigI'eriilit'WhehApprll>'ed "~@@GW.~jfl~~eiPt N);."
, . D.t~ ,,' ,,', ' ".,' LfiPeRn7.?~1 ' ( r
24 hour ,nollee for aU mspeetlons (952) 447 ~850ffliX(952) 447'-4245
By _,
HEATING PERMIT FEE
stAfEsURCHARGE
:TOTAl/PERM::trFEE
$
$
$
~liil~h'lg O~CiRI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'
i: ~~nw ~J~icant I PERMIT No.3/' ~t;}-O I
(Please tr'P<; or print and sip at bottom)
ADDRESS
ZONING (office use)
5101 PONDSEDGE LANE SE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) DR HORTON
(Phone)
(Address)
APPLICANT
(Name) ATJJRDFTRRSTnR DRA FTRESTDE HEARTH &. HOMF
(Phone)
65] -633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
(Contact Person)
BRENDA HUSTON
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
APPLICANT SIGNATURE
BRFNlM HUSTON
DATE
5/14/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEATN GLO SL750TRS-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99,50 Residential, Additions & Alterations
$64,50 Residential, AC Only
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39,50
$39,50
Estimated Cost $
HEA TlNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
,50
PAlO 1An-.
BUILDING,wI',.,
PERMIi
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildine- Official
Date
Receipt No,
/I/"
By If
24 hour notice for all inspections (952) 4~:L~O, fax (95.~~,::*24S
~3/23/96,~ON 09: 2'1., FAfl 6124474245
CITY OF PRIOR LAKE
IiII002
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submillell with Building Permit Applicalion)
For All Properties Located in the Shore land District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address S \0 \ P OrA<;t~ ~~ L(}J\~
Lot Area 1_1.-. '1 ~ ~ Sq. Feet x 30% = .............. _ h <6 ij
....*....**.***.........*.*....****.**..*.*...........****..............
LENGTH
WlDTII
SQ. FEET
- I to ~I
ATTACHED GARAGE
x
x
x
=
HOUSE
=,
TOTAL PRINCIPLE STRUCTURE--...-.....- ~?l'll
.....
DETACHED BLOGS
(OaraplShed)
x
x
TOTAL DETACHEDBUD..DINGS
o
DRlVEW A YIPA VED AREAS
(t: ,: ""'. ,,,:ocl or not)
(SldewaUc/Parking Areas)
x
x
X
-
= IOfJ
= aO
TOTAL PA YED AREAS
79(,
PA TIOSIPORCHESIDECKS
(Opon Docks 1'." min. oponin._
""lido. wltb a potvious ....- below.
arc nat coDSidlfed to be impervious)
x
X
,.
=
X
...
TOTAL DECKCI
-..-.--.
,...--
n
"
OTHER
X
X
,.
=
TOTAL u ..u.R..........
--...
()
I '2kJ~3
TOTAL IMPERVIOUS SURFACE
QOVER ~/~ 14'20({)
Prepared By ~~J:!IZl Date 2... 'I- -0.3
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PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 5101 ~Nl)S
NATURE OF WORK - ~IA.)~'" e.u.c..:no
USE OF BUILDING ~R {). _
PERMIT NO. ()3 - ()ZZO DATE ISSUED ~ /03
CONTRACTOR 1)1t. ~ (~. p~-~"-m..,
NOTE: THIS IS NOT A PERMIT Ff>R ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
S,E,
IN5PECTOl!.
DATE
I FOOTING rw / ~ _LI_ if')
I FOUNDATION (Prior to Backfill) I ~ I 3~ ('(-r/)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING Ut{,-, '{\;f '+H
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
P %.6.01
GRADING (Prior to Sodding)
BUILDING 1.(<1? +11 r(Yl-tf}
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN
NOTICE
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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