HomeMy WebLinkAboutBuilding Permit 10-0199
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CITY OF PRIOR LAKE
INSPECTION NOTICE
~ fTEI me
SCHEDULED ~O 10: Go
It:. 2-& t!> rJ8, flI:j;.J ~ 0r:
ADDRESS
OWNER
CONTR.
PHONE NO.
.....,. NO.
g ETION
o '--IG
o INIUl.ATION
o FIML
o lITE .....:=... ,....H
o ~lnG RI
o MICH RI
o WATER HOOKUP
o SEWER HOOKUP
./
/J.e....
~ V,
.
iSPE~'IUI'~ COVERING
1111111-'.
THE heA. INSPEC'DON III HDUR81N ADVANCE.
"-- _..~ .
CODE IlEQunEMENTS Ah ..lIA YOUR PEUONAL HEAL7JI & .u...u ~ I
CITY OF PRIOR LAKE
INSPECTION NOncE
ADDRESS
I {,21J8
OWNER
PHONE NO.
o FOOTING
C FOUNDATION
C FRAMING
C INIULATION
ca-INSPE"....,N
COMMENTS:
:~~"''t.
CONTR.
PERMIT NO.
C PWIIBING RI
o IIECH RI
C WATER HOOKUP
C SEWER HOOKUP
C PLUMBING FINAL
C MECH FINAL
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C WORK SATISFACTORY. ~D
C COtuu:cT ACTION AND PROCEED
~ ~LL FOR REINSPECTION BEFORE COVERING
Owner/ContI':
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~AllB FOil YOlJll PDSONAL HEAL7JI & .uFETYI
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,
~"'" 0I'1diat.. IIpItIlonom)
ADDItBSS
/(PP./38 T C{ h IJ ~
CITY OJ' PRIOR LAD BUILDING PBRMIT,
TEMPORARY CERJ...Ji:..CATE OI'ZOI'IIU4G COMPLIANCE
AND UTILITY CONNL....OM PDMrr
Date Rec'd
3. 2.3. to
c+
}!. s.-~ ,....-r NO., o. Ot crt I
--
LBGAL ....~ON (office use only)
LOTD BLOCK tf ADOmON '&I#.s. D~ ,J~~~LP1~ID
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OWNBll
(Nule)
(Addms)
I =NaJne} ~,j Jz<. ~ e...- -,:,,,,,, Iv
, / '
(Contac.1Name) "'2./".....i t\ta,..K-
(Adcha) J7lo 1/<' ( TlJ~ " p-v ?.... ~
(Phone)
ee,J..L. ~J-- l!.J~ll~,
IL't! t
(Phone) ?s")-. Ylf-IJ~
(Phone) (,11.,' ~ I. - 741>'
I.e..~ of: ~ 2:nWt'''t,.. l:.9"L- 781r
[]Lower LewI....... 0 Fireplace
. , TYPB OP WORK ~ CoIlItruccion ODeclc OPordl OJte.RooftDl ObSidina
OAcIditlon OAlleratlon OUdllty Conncaion
CODBa a'uu:., OI.B.C. 0 Misc.
""'of~' I II m IV V A B 'uno
o..,.q Gmu'l A B B F HIM I. S U PJl()"...... COIf'tIV#U4I'->!
DlYJIfoD: I 2 3 4 5 (......1ulI)
$ lJ~HQ~'"
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I..., CfttiIy ... llllve fanIished iIlfonIlIdon DlII1lis applIwioo wIlldI lito the bca ~1lIIF"""""" rarna. I.... ~ IItat 1.___.............. ..*
_u. _. '. .lfm. r" " '" and thlUdl~tonbm. eo dCJliltln&....... ~...... will "" .1 Ie.... rr" .llIlIlI............., I. ---1MIIIiIIIII
~:.:--":' .,__....."'-..~3,'irlt.'.. ._-~"(J
, - ~ ~ LicenIe!Qo. Dale'
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50....
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I ~,...BIIIWIna;1JPennIt Apfnwd
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.... 0III0iII '
PermIt Valuation
Pennit Pee
Plea Chedt Fee
State Surcbaqe
Penalty
PIarnWns Permit Pee
Milicbanbl Permit Fee
Sewer ct Water Permit Pee
Oat PiNplace Permit Pee
$
S
S
S
$
S
S
$
Park Support Pee # S
, SAC 6'. $"2,.., 0". -
WawMeter ~: I": S 1>.10.'-
Preaurcl!R..., .., $ 'fOe"
SewerlWaterC"" ...: .nPee. $ /';;0'),'"
Water Tower" # $ 1{JIIIp- ..,
Bullder'lDepoIit . ISQ(J _ 0 0
Other $.3100 00
TOTALDUB &ftA8) +*2.'0 /JlIIZ./~
Paid Iz.. ~2. ~Lgf' u.L ~o. S7W
Date ~ ~_
C
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"'iI,to(lCll~, t. ~.,.. Ie tMlIIIaw ....,........ ....,,~...,.. .....ce.nIIM...CIa)'z.-.., '. ~1Illl""., .1 "...,lIS . '''~r~~II.II~
W1n.......~ ~a......,CedIlbIt~ZOll... ........_taCtIlit\to". '" ,.'.. 1eIIxe, ..,......Cft\IIIl:ak'~, _be
bItd """'I ' ,i
) I (~ .
:lJIWI- . n.e a.cw Oa-mnt If.., .
24llour nollft..... '.......... (9$JJ"""-'ru (t$2) 441.a.tS
4646 DIkDta Snet Prior I.aIIe. MN m72
~
Residential Building PermitCheckU.t
Re~by:NrMliJ'i~:~T~;;r;; <<R.2~
Building Permit # "'--- aD: Zoning:
Ad.....: rG, 7-S~ p+r+rAJ~A- Cr-~ ;t.,r 5D
Legal: L ,B Subdlvi.ion:
I
/I08/'i1wrR '....,' fl
, Floor Area R'atIo: NA I FAlLSI ~IES I .30 Maximum I . ~ "
V r
I Yard Encroachments: NA I FAILS lCoIIues Standard ProIOlld
I II r , I
Eaves and Gutters no more than 2 feet In WkIb.al'lfHKL ~
closer than 5 feet to a lot line (Easements). ~- ~ trOller ~d Othe:rlftdtJUlv..Ja \i
~ :~o:er equipment cannot encroach 0 ide Yard Se~t ~d
existing Struct"re? YES I ~
CONFORMS TO ZONING
ORDINANCE
Yard Setbacks: NA I FAJLSI cAllES
· Front Yard tcan be 20' if aV#1In 150')
. Side Yards
· Sidewall exceeding 60' requires additional side 2-
setback for every l' over 60' in length. Not required
if building waR is 10'-0- or greater of being parallel to
a side lot Une.
. RearYard
· Patio Door. provide for minimum 10' deck or sign
st: G:: .~: It indicatiflQ no deck will be built in the future
· From 100 year flood elevation ofwetfandlNURP
pond.
· Refer In-Qround pools to the Plannl"9 Department
. From OHW (Prior or Spring Lake)
" Ifl
l Tree~~:"~~F~/'~,,
· Total cdoer IncI1is
· Pennit 35% Removal
· Caliper, 'nch~. Removed
· CaHoerlnches Preserved
. R8Dlacement
L:\TEMPLATE\BLDGLIST.DOC
existing Nonconforming Structure? YES I NO
.
~
NO
Standard
, ,
25'
10"
25' if abutting . street
,..~ .
2. ~ ~,
'7-5
;".....,
1 O' setback +
2"11' over 60'
25'
1{)' side!
25'rear
30'
(;JfO." t%:; r
I .
-
75' or setback average of
adjacent structures, but no
less than 50'
-
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.,11"'RJtUi.P8tIIT ~pP~'~~~ClWcrl.'T
NAME OF APPUCANT
APPLICATION RECEIVED
r- ,-' 'f'''- (' C-
t I L LI ) -....j ( J f\i \,......
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The fAIlIding.Engineering. and Planning Qepalbente have revietlia.,. ~ildinl permit //
_pplicalon for construction activity which is propoeedat:.
Il.ti 7 5;5 I f \ bll t\) /C~ ~ (
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,Date:
4ll
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,,--'Accepted
t/ Accepted WtthCorrections
Denied
,,~
'. Aeviewed'By:
'-
. !
---
;'
---
'-
~~~cmer and Other MeehAuir.,~~~
U1: heroad1 into2equired
Side Yard Se.tIJa.cJuz
1iI'
'-..
\
,-i~.:-" l ( ~ (. (.
I ,{f./e
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~ '"
.....~. .i$auance,....".'.,.'.'..." o,,:rgra.ntin, 9 of a pe","".o,..r. :~,..>.,..........af.O,( .P, la, os. . .~.'........i,......,...... .,.\'00
~." ',." .'. tOn.,...,..... oot,be co,. ns,ttued..., ".to, be. ..". .,......,.. .... ..,.. . b.", ". ',.' _. . ,.,. an. ""..' ". 1'CM,",...,Of...,......~ ......,"....~,...,..' of
any of .. pnM8iOns ,f this code' orot 'anv .,...., .........'of::.....~. .' h4nif$
p~ togiveaulhorityto viOlate Of' -.' .N proW$ions otitis, Qed. or either
ol"Cllhances of1hejurisdiction shalf not be valic:J;-
.
,,;
.... - BuI....
~ry . ............
PInk - ......nl
BUILDIt'Q PEIMT APPlJCAtllO'~NT ~lm
NAME OF APPLICANT
APPLICATION RECEIVED
'=(5~NE
~ ? 3J.O
The Building, Engineering, and Planning Departments have reviewed the buDding pennit
application for construction activity which iff pf'allDled at:
/JU.. aB 'AH I f\Jl<::.A. e ( ~
t/
Accepted
Accepted With Corrections
Denied
\.
Reviewed By:
Date:
tfJl
........... ./
Comments: ~ c)/-J1fJ.<:x- ~(dA/
C-u!14-,J 5' ~ ,4
,
, A? A-,/V J'?I9., N
Aee- Tr:n6
. ,
-The isauance or granting of a permit or approval .01 plans, ~ and'
computations shaN notbe construed to be. peGIIltfar, or an approval of, aayviolation of
any of tbe pIOvisions of this code or of any other. OI'CIin.w..,..,a of the jurtsdiqlon. ,.,..,its
preeumiftg to give authority to violate or' cancel 11'18 ... v ~ 'Iisions of this code or other
ordinances of the jurisdiction shall not be valid.-
,"1'" '...~,
_lit -....lcIrIg
c.njry . ~
PIn" - ""''*'g
BUILDING PERMIT APPUCAnotf.NRrIlBl'l'CHECKUIIT
NAME OF APPLICANT
APPLICATION RECEIVED
F'It:.L()~ tONE
-~ 2.3. (0
The Building, Engineering, and Planning Departments have reviewed the ~i~lng permit
application for construction activity which is proposed at:
! 1.oZ- BB (Af-( {NI~ C, ( .
"
Accepted
Denied
Reviewed By: J Ac.. , Date: 313///6
/
Comments: _See AttachmeT\ts: 1) Grading Plan, 2) Erosion Control Meas\n'es
'i
Accepted With Corrections
See Reverse Side for Additional Informationl
-The issUance or granting of a permit or ~al of plans. speciftcatio", Ind
computations ..... not be construed to be a, 1*1ftit. for; .or an approval of. ~ vlolalot1. of
any of the provfsions'of this code or of any other ofdlftance of the jurisdictibn. Pe""its
presuming to give authority to violate or cancel the provisions of this cQdeor other
ordinances of the jurisdiction shaH not be valid. -
, Drlvewav:NA I FAILS I co.t.).es
. Maximum width at Prope~ "~e
. Required setback
. Maximum slope
. All parking areas to be paved including R-Vor
spaces adjacent to the gal'8Qe
. Location to match subdivision grading plan
, BullcUnv..!:!!iht ,NA I FAILS I C~IES
, Shoreland District: NA I FAILS I ~LlES
Minimum lot area (square feet) V
Minimum lot width
Shoreland alterations r
Imperviou~SUrfP _ I
/PlI? ''-2-4U Irr4~
, Bluff In S · ~. I FAILS I CO.PL~
. Setback from ~Of bluff
. Bluff impact zone
. Engineerifl9 certification submitted/approved
. Gradina In bluff or bluff impact zone
I Floodplaln:N I FAilS I COMPLIES
. 100 y~ood elevation
. Lowest floor elevation
. Proposed lowest floor elevation
. Elevations 15 feet from structure
. Road access must be nornoAtthan 21'eet belOw
ReQu/atorv F!ood ProtediOnElevation ,.
1..Acotl.mv,....samcture;.~" L.. . .,/ rJWpllES
r -"'i ' " ( 1I'r"'''.-~
. Size
. Not located in front yard (Materials)
. Side yard and rear yard setbacks
· Maximum helfht
. Materials CDOlP8tibIe with principle structure
L:\TEMPLATE\BLDGLIST.DOC
Standard .
24'
5' from side lot line or
30' fromr-o-w on comer lots
10%
I 35. Maximum I
Standard
7.500 Rio. 7.999 Non-rip
50' RiO. 57.3' Non-riP
30% Maximum
Standard
By planning dept.
20' From Top of Bluff
By City Engineer
No importinWexporting
I aandard l
908:9' Prior Lake
914.4' Sprin9 Lake
909.9' Prior Lake I
915.4' SPrin9 Lake
Must be l' above flood
elevation for new and existing
structures. If existing
~..~
9J19JS1l..1112M71hen
additk'lM! t)otis not .uired.
MustW~.~ or
h!9f1er
" ",1U::W for Prior Lake
t1t.f'fOr Spring ,lake
Standard t
1000sla.t.._ "jaM,
10'
15'
~.,I
7~"
~
r
-:z.c J
I
fProPGStCf 1
,
2-';: ~. X;, , pt.,JtJ
,
Proposed
PropoMil
I
Proposed
,I
I
Apr 21 10 10:05a
Brent Johnson
763-428-0632
p.3
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Plc:uc type or lIriDt UICl8i1lJl _ bottom)
A....'.uAESS
I toa-OO -r ~~ Cum-
LOT BLOCK
LEGAL DESCRu uON (OtTlCe use OCIly)
ADDITION
OWNER
(Name) l=-\<.I~~ -r-: al\( ,,",o~.s:
(Address)
APPUCANT
(Name) ~b f:)\vI~i."\.J \...c:..
(Address) I \ be ~ Ave- ~~
(Address)
(Contact Person) 1...~ ...\~
/f..JL ,II-
~
(City)
APPLICANT SIGNATURE
Quntfty
I
r
(
"Z..
APPUCANT PLEASE COMPLETE BELOW
Type of Fixtare Quantity
Bath Tub' with or without shower :5
Dishwasher (
floor Drain
LavatOry (Bath....";... Sink)
Laundry Tray (1 or 2 compartment sink
Shower'Stall
Sinks
Bar Sink
Water Closet (Toilet)
(
I
"'l.
t a ;:.... I PERMIT NO. ~
ZOl'i"lNG Ce>lfJl:i: _,) ,
PID
(Phone)
(phone) ~ UR,,-'SO'I'
(phone)
:::.:) , \ '1
(Zip Code)
~fZ,- Z BZ. 'S"Q-II
DATE
4<JI-IO
Type of Fb:ture
Rouab-ins
Water Heater
Water Softener
Stand ~e (Washina Machine)
SewaJile Ejector
Backflow Assembly
Bacldlow Assembly Test
Lawn Sprinkler
Other
I .
I
I
.r r.1!. SCHEDULE
Industrial. COlllmercial & Multi-<liunily 1% of job cost with 8 $49.S0 minimum RcsideutiaJ. New One &: Two-Family $149.50
Residential. Additions &: AltcraliollS S49.SO
Estimated Cost $
Building Pcnnit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Oftke Use 011.I)')
Tlis AppRcatlea Beedle! Your B.ilding Permit When Approved
1IddJ_ OftIdal
I Paid
I Date
Date
MID WITH
.so IULbING PERMIT
Receipt No.
By
24 hour notice for all inspecti_ (952) 441-9850. fax (951) 447-4245
4646 Dakota Street s.E.. Prier Lake. MlMesota 55312
04/17/2010 07:50 9524454367
HCRlza..f c:cNTRAC I U'(::I
PAGE 06/07
CRY 01' PRIOR LAD
B&ATlNGlAIR CONDI...lOIOMG/.JlllUlAc& P8MIT
... ....
S~
....................
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QR ~ It~ tt~ 0-1-.
t=- L fIllIJelfC)j l..IIft
...........
-rL BJv(r2.LjJ~--Wl)cxYs. PIP
- =- bzJ. ( ~ f4.M.a;~YnIi--}' (PMM) ..!If,q- &~
~ nbtf5 ~,~r P,,~.
~;jp{IWn(k.-+~~t-~L- (PIMJDt) 6/)~~8-9;}db
~T r 1~"Z.-~di1II:-,(,,/,'I/' / ,<\~ - ,%3~l..
~'-l ~~ /1) "..~1l)-5bS-9~,
APfLICANTSIONA'lUBB ~ j , DAm if /;'1 fg; _';;=W
. (~ '.' , '
1i.!iiL_ APPLI, PLIA8B~ ~w
. .-a~~,t:;;;:t ~~~ .u~ /M;rJ.
PWB I1ZIS " UTUIM OPBH.l'H08 ~ MOT ~ C}{)tjO 0Ul'PU1' $txK.J
Tft'B ~ ft~'BM BMTJNO, OJ,.)t()WD. PIAMT
.~ 35:=_
. ...,.. ~ 0IIIIr.....
PJUPLACB MAIC.B AMDWODBL
L'IOA.L llGAIlillTJDN",_.ar)
LOT 13 1I1DClt 4 A,.......!u:.....~...f
lI.a.,-JIODl AI1t~ --rr
..,....lIrl[rnTQIIIMt. r ..
..... J. a~"'Y""'t:t --
Jhrpr....:~ nr_
CMdII......ni ..11_11'-'
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111111111. ~ 11' . a JiJU'" 1MI'\r
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1.1.'.' .'Ii.J,......Oa1r(lllillr~lJ. "I}
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nhfJabCll:lllt 11 JlITfr~GlIIft .' "'"
w.so ...10,.,-
Swt.5D I. If "~.li i~ n. ,~-----
I6Ut I ... ." jC 0IiIr
s..50
.....
....
~COIC$
. ~.~'".... "
PAl) wrTH
BU'LDtNG 't'cn"4ff
HBATlNO ~~.ABr PBS S
&TATB SURaIAROB S
.a u,..AL PDMIT" .
-4jQ
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ftIIlflnf1T1.JI1.fll-.V'Y.... .I'IIdr' J.....WIiHIIa AIP~.~
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84/19/2810 03:59
9528816976
BOB JECI-E
PAGE 04
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND W A nR PERMIT
rPI"iJH ~Drint and sip iJt bottom)
i ADDltESS
L~ Td.1t.. ~Q C-7
j 0...... Yil. ; '..,~,...rIT 'N^'ltl,. '''0' ,.fI' .
: )'",1;1.. (';'y ! r ...AlTI ,V. ,. '
1 (ft..., .-\.Nr<<nt L_ __' ,"..... .'
-........ .
ZONING ;,r!~,:~ 'I;'"
I LEGAL OESCRlt'TION ({)ftiee use only)
I
! LOT BLOCK ADDITION
PID
! OWNER c.," .'..
i (Name) L&4-U'"
(Addt'cS5)
~(c.f ~_~
(Phone)
(~cldres.)
(C~t)')
(Zip Cock)
(Address)
(.Addl'lln)
(Co.rae' Person) J3o.t ~ .
APPlICANT SIGNATURE .A t
'''- dKNI IXCAYATlNG
2810JQN,S PLAm:
DWUMfNlrON, UN 55431..2884
(Phone)
, APPLICANT
(Name)
(Clt:() (Zip 0*)
(PhOll<) ~ 'fI W 71./ ~~ - -
DATE - f1.:::1. ,D 'J.~~'-
APPLICANT PLEASE COMPLETE BELOW
Size of water service --1- inches.
Location of any couplings from structure . feet.
Type of sewer pipe. 0 AB"'- gpvc 0 Cast Iron
Estimated length of sewer line ~ feet.
Clean out (if required} located at __ feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial. Com'l &. Muld-famiiy 1% o(,job cost with a $39,50 minimum
$17.50 Water connection only SI7,'sO
Estimated Cost $
Building Permit #
SEWER AND WATER PER.MlT FEE
STA TE SURCHARGE
TOTAL PERMIT FEE
$
$
$
FWD WITH
'iJllDlNG PERMIT
(Office ,"'Ie Only)
This AppJicatinn Becomes Your Bulldioe Permit When Appro\'ed
lhlildillJ OffIcl'-'
I)elt'
1 Paid
I
! Date
I
Receipt No.
By
~ tlOQr notice for all inrpectillns (9!'i2) "'-9850. fn (951) 447.4:45
:er
LA.'.'"
:.' ,} 'y" "_':_ i\',."
i hi .......i:..
INSPECTION RECORD
.
SI' t: ADDRESS , ~ '"2-g3 '.~.....AI~. ~ .
NATUREOFWORK tb,......u- ~.\ D~b-I~ No~,~.ff;fN.'-.L.
USE OF BULDING S h , , _
PERMIT NO. lO.l!ft DN~ED ~,I\ !IU
COhIHACTOR F,~ ~~-' ~E ~'."2." Z.8Z.r1~tOCf
NOTE: THII IS NOT A PERMIT FOR Ac'VOF THE INSPEC"fIONIBELOW
'/'I~",...T~~;,R~Bl~~~~~~ A...- T~.....
IFOOTING I (/'.M,.I 4' l~ J P
w,\
I FOUNDATION (PrIor toBackflI) I I
P~ACE NO CONCRE~ !'.'1TI,L ~', ,0..,.." V..", EHA' ...~ SIGHED
(ZAoc),..l ~~ ()~~. if61f"..~ ( fYJf/#
. SIliItM' WAtER' SEPTIC . ;"VlI.. "'/ I{?,/t ~
FRNIINGq~"1
IttIULATlON . ",I'iT'.!fi7'.IIk f
ELECTRICAL ~ ",' ~ ,
PLUMBING 615 ' ~/~ p/;~
=:~~1IIqUInId) l' IW. ..' I I I
GAS UN! AIR TEST ' fJ,I!:>, 1/z'f/ltJ
~~ c8'nR,R.OSi()R'K UNTIL ABOV.E HAS BEEN SIGNED
I ~DV~~ ILAP Vb "''' LA-t-l4:~ r I
· FIN~"'J,'~
~ (PrIor to SocIcIInv) ,/fJ I.~L t . ..J 7 'J I,
8lJI,.DING ~~ +p 8-- J f/) f1 [1 q ,
ELECTRICAL
~
PLUIIBING
. HEAlING
DO NOT OCCUpy
1
,
~ ,
UNTIL ABOVE
NOTICE
ThIa en ....t be poated neer .. .I.e...... ...11............... to ..... In .....1Io~
end ....nWMcI until .. inspection. have ,'"-t........... Oft ........ ... ........
whent no .... CIIbInet Ie avaItIIbIe, en ..... lie ........... ....... .......... .
" J
C;tl~m,;o .
'HAS lIEN ==0
FOR ALL INSPECTIONI ,(112) 447-9850
'(j
.,'
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building P..it Applic$ion)
For All Properties Located in the$horeland District (SD).
The Maximum Impervious Surface CoverageP"uuitted in30 Percent.
Property Address I (P2.6E; -r ~ C-ourt-
}ti%'
Lot Area 9#66 Sq. Feet x~ = .............. '3 -z. 75 ~.-Cf
** * ** ***** ** ****** ** * * *** * * * * *. ** ** *.**.. *..**.'*************** ********.*
'"
LENGTH
WIDTII
SQ. I' J:.J:.l
=-'1.$3
HOUSE
ATTACHED GARAGE
x
x
x
=
=1SP
TOTAL PRINCIPLE lu<<tl",. tlu.___._...__... 1711-" st. R
utt.l ACHED SLOGS
(QaracelShed)
x
x
TOTAL DETA\Jm!;V BUUJJlNGS.._...._.........
~.F~
DRIVEW A YIPA VED AREAS
(Ilriveway-paved or not)
(SidewalkJParkiol Areas)
x
x
x
TOTAL PAVED AR.EAa~
PAnoS<f.ORcHES~CKS
(Open DcK:ks ~"mm. opcnin& between
bClIDds, .. a pervious surface below.
are naI c:oDSidenId to !Je' impervious)
x
X
x
TOTAL DECKS.
OTHER
tA -I:
x
X
TOTAL Oll1AR.............-....................................-.
z. 7 .,$4. Ff
z -+ t." S:1.nt
.'l<t .lA
TOTAL IMPERVIOUS SURFACE
~VER
PreparedBy ~A"'$~ a,e~
Date '3 - Z 'S-IO
Company 8t1-h L'd~"dif!.er'Re (1,.. )".jC. Phone #9s-z- V;Z-:l{/)tIf')O
Il
.;: