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HomeMy WebLinkAboutBuilding Permit 98-1469 � --��- --��---„-� --,�-,---� , . , • '`�t • • V � � ' / ry • � , I � �M' + U �F' r , � A' , Y 1 • .+/'' � Ih .N � + .✓ , V� i Y'� � '�J�[Y�1 1 , ✓ � IF �� � M� � / -c �r � . 4 f► / ii' � � - t _ / ✓ / T F ' \ �/ �� 1 � - E ;, -_' . ; ����fit�r� � {�ttu�n�c� } - � � : CITY OF PRIDR LAKE � ` _ �� � s � �e�artmet�t of �uiibit�g �lttg�ectiori ,� � ;� �Final Permitted ❑ Conditional C.O. Expires ` � �� � � This Certiftcate issued pursuant to the requirements of Section 307 of the Uniform Building Code �� �' certifying that at the time of issuance this strucrure was in compliance with the various ordinances of the ��, City of Prior Zoke regulating building construction or use. For the following: � � �. ' UseClassification Single Family Bldg. PermitNo. 98- � � � Occupancy Type �3 Type Conswction �7 Fire Zone N A Zoning District R � '�" �►- �;. I„� L15 B1 Woodview 2nd Add'n � - _ '�. � OwnerofBuilding� SiuAddress 17380 Sunray Circle �� �� ContracWr'sName&Address John B. Mahone Const. 17276 Mur h Lake Blvd. , Prior La �' � .�, Robert D. Hutchins ' Jenni Tovar MN 5537 �' �'' � Ciry Planner '�. � Building Official * � ���c� D�: �.�_-- ��: '. � POST IN A CONSPICUOUS PIACE � �" k �� M 1 + p Y '1 + 1I� .4 � � � + g/'_ I � �� _`' � iy . 1 � rM� s �4 / '� � Ir A i , F ` , f' � ` f , •: �4 � i. ' � , M' - 9 � .'� .ik' .IF' �:M' / F _ : � i:' / R � � 1 • ��/�_ ���./`/�.� %'�/\.� ��\� ��� DATE TIME CITY OF PRIOR LAKE ' INSPECTION NOTICE SCHEDULED 9 I �� ,4 _%, ADDRESS � /3d � c �(�( /� Jel�y � / 2 L',L �: OWNER CONTR. PHONE NO. PERMIT NO. __9� /�(, �} ❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION ❑ SEWER HQOKUP ❑ FIREPLACE FINAL � FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST ❑ SITE INSPECTION ❑ MECH FINAL ❑ COMMENTS: � � -�- o( � � — ��ta�c..� � c�r- ff,o-�r� uo SLrs�� _ ..G� GtJ'OEJ � •�Y'�-[ .��a.2 e-�- • o-�.a� t�-�-d� WORK SATISFACTORY, PROCEED � CORRECT ACTION AND PROCEED ❑ CORRECT WORK, CALL FOR REINSPECTiON BEFORE COVERING Inspector. Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONA,G HEALTN & SAFETY! r�vori DATE TIME CITY OF PRIOR LAKE /��� INSPECTION NOT{CE SCHEDULED ����i/Y`7 3� 7--r- ADDRESS 1 rJ� Q S(JN,�� G� �, OWNER CONTR. PHONE NO. PERMIT NO. �� � ��(p � ❑ fOOTING CI PLUMBING RI ❑ EXC/GRAD/FILLING ❑ FRAMING �MECHANICAL F/NN�� ❑ LKSHOREIWETLAND ❑ INSULATION ❑ WATER HOOKUP ❑ COMPLAINT �FINAL O SEWER HOOKUP ❑ SEPTIC FINAL O FOUNDATION ❑ SEPTIC INSTALL ❑ FIREPLACE ❑ DEMOLITION ❑ PLUMBING FINAL ❑ ❑ FIRE PREV. ❑ SITE IN PECTION MENTS: �p"�'.L p r/t�VY 6�" �.[r�t � C� r � Q�/\ �h j/'!1� � � S o �o S � — 1 V-c,,.. � n� b P.vos�b�,�, � 1(� C�. C�. -4-z, � - � -�� � WORK SATISFACTOR ED O�CORRECT ACT�ON A D D F a�ORRECT WORK, CA RE SPECTION BEF COVERING f/ Inspector: OwmerJContr: CALL 447-4230 THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY! DATE 71ME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED � � °lS ADDRESS ��,�j�� SUNI��I y Ci��- . OWNER CONTR. PHONE NO. PERMIT NO. �g ��� � ❑ FOOTING ❑ PLUMBING RI ❑ EXC/GRAD/FILLING ❑ FRAMINCa ❑ MECHANICAL O LKSHORENVETLAND Q INSULATION ❑ WATER HOOKUP ❑ COMPLAINT _ ❑ FINAI ❑ SEWER NOOKUP O SEPTIC FINAL ❑ FOUNDATION � SEPTIC INSTALL ❑ FIREPLACE ❑ DEMOLITION PLUMBING FINAL ❑ ❑ FIRE PREV. ❑ SITE INSPECTION CO MENTS: "1 4VQRK 3 TISF EED CORREC ON A R ED O CORRECT RK, CAL EINSPECTION BEFORE COYERING {nspector: OwneNContr. CAL 447-4230 F R THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE QUIRE ENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.� DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED � � � I ApDRESS ��� 8� sCJ/V JQ/� y�i //�- . OWNER CONTR. PHONE NO. PERMIT NO. �� r/��D � ❑ FOOTING ❑ PLUMBING RI ❑ EXC/GRAD/FILLING O FRAMING ❑ MECHANICAL ❑ LKSHORE/WETLAND ❑ INSULATION �BM►ATER HOOKUP ❑ COMPLAINT Q FlNAL /�EWER HOOKUP ❑ SEPTIC FINAL ❑ FOUNDATfON Q SEPTIC INSTALL ❑ FIREPLACE ❑ DEMOLITION ❑ PLUMBING FINAL ❑ ❑ FIRE PREY. ❑ SiTE INSPECTION COMMENTS: l�b UC. � ` 1�l_ C.r� � � Ok., ��t. v� � < < ❑ K SATISFACTORY, PROCEED RRECT CTION AND PROCEED ❑ CORRE W A FOR REINSPECTION BEF�RE COVERING Inspecto Owner/Contr. CA L 447 230 FOR THE NEXT iNSPECTION 24 HOURS IN ADVANCE. COD RE UIREMENTSARE FOR YO(IR PERSONAL HEALTH & SAFETY! . _� O F PR/p�, /O ��� ! � � �� — U CT� White - Building Canary - Engineering The Cen�er of ibe Lake Country Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLlCANT o �.�•o ��''� � , APPUCATION RECEIVED �`��/ 9 � _ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ! 7 3� a � n � a---� C� ��C-�—�' Accepted " ✓ Accepted With Corrections Denied Reviewed By: 1•�1�t�� E'uR�.sn��+Nnl Date: ��9.�98 � Comments: 1���� �t,�s�r t3e Co�rJ�� � R�� �tc.a�s� �2A�n�A�� A�uD S�r�.r-Y E.aSEr�E��s As via�c�l AS �tacr�c�� . - �EE 1�uFo2�rv1�4T�onl onl �EUE2SE S1DE. SEC K� I. �iNAL �RA�iN(� IrUs�C[:TiaN Ird�no2rNA�Tro� 2 F�ltos��N �Anrr2o� �u4�J 3 ►E,2osron-► (�oNTt2o�. Y�ER��.t2ES "The issuance or granting of a permit or approval of plans, specificatians 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." i�"" � ��pF p � DA7ERECEIVED ' CITY OF PRIOR LAKE �. w�� �;�e BUILDING PERMIT 2 � p ' ° '` �' '–� , � � 3. Yellow Applicant " �' c�l�}1J 3 p �J9$ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Permit No. BP g j��' DIRECTIONS 1. DATE SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN t G BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) � 1'�� 1� BUILDING INFORMATION 2. SITE ADDRESS ZONING 11. SIZE OF STRUCTURE (Height) (VYidth) (Depth) � n r� C��� �-�1.� 3. LEGAL DESCRIPTION 12. NO.OF STORIES LO7 I �" , BLOCK ' PID d1 � � � � 4 L � � ' 13. TYPE OF CONSTRUCTIO ADDITION � O��I � f.w` p� � � 2 V•� ' � I 4. OWNER (Name) (Address) (Tel. No.) 14. FLOO AREA A ORTIONMENT Iv� bJi� tfi" 5. ARCHITECT (Name) (Address) (Tel. No.) 6. BUILDER (Name) (Address)�7G M�,� ���'�I�lo.) 15. NUMBER OF OCCUPANTS OR SEATS �o� g i�n..1�.o�e <,on � ` � s � t� �-. Lf� occuPnn�s 7. TYPE OF WORK replace O Septic O Deck O Re-roofing O Porch O SEATS New Construction ARerations O Addition O Finish Attic O Re-siding O Finish Basement O i 6. OJECT COSTNALUE Chimney0 Mi . �/ ��O 8. PROPERTY AR64�Al14l9RC�. 9. PROPERN DIMENSIONS 10. CULVERT SIZE 17. C MP TION DAT $$� Width Depth Yes No ^� � 1 hereby ceRi(y ihat I have tumished information on this plication which is to the best of my knowledge true and rrect. I also certi(y that I am ihe owner or authorized ager►t tor the above mentioned pro rty and that all constn�ctio 'll conform to all existing state and bcal laws and will proceed in accordance with submitted plans. I am aware that the building al ca re e this pe ' t . urthertnore, I hereby agree that �cfty_o�al o� a designee may enter upon the property to perform needed inspecUons. X �I � 11 -3A�9� Si�ature License No. Dete FOR ADMINISTRATIVE USE SETBACKS: Required MATERIAL FILED WITM APPLICATION Actual SOIL TESTS O ENERGY DATA O Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING PILING LOGS O PERCOLATION TESTS O SPACES REQ. PLANS & SPECS O SETS USE OF BUILDING SURVEY O COPIES sFD SPACES ON PLAN PERMIT VALUATION O 000. 0 PLOT PLAN O TYPE OF CONSTRUCTION: I II III IV Amount Brou ht Forvvard $ City: 9 .................. Occupency Group A B E F H I M� S U Park Support Fee ........................... $ �S �• O O Di vision t� 4 SAC ........................................ $ �0�� • O� Pertnit Fee ................................... $ C.� ! L. Z� Collector Street Fee ....................... $ � � 6 ���� Sewer Tap ................................... $ Plan Chedcing Fee ......................... $ • �� � � • � � License Check Fee ... .�� ................. $ s��e s����e ....................... �,b /(� � Pressure Reducer ...PJ ..................... $ �.� ...... $ Penfllly...t.�.. ......l..Z�.�.... $ �� 3_�� ��'I MeterHom.. j � ....................... S Septic ....��.�...�.�.�.��..... $ � V � WaterMeter ....s�� ........................ $ � OS.DU _ _ Sewer & Water Connection Fee .......... , d. O� �� ... ...1�..�'�.�.�..y.�.�'..... $ r � ........................... $ Water Tower Fee $ � . O-� SubtoffiI ............................... $ WaterTap ................................... $ This i' mes Y ur Bu' Pertnit When Approved. Builder's Deposrt G $ � 1`� �� gy Date � � � � — �� Other ... �1�� .1:.1� ✓.�! $ S� -� Total Due � Certificate of Occu .............................. $ .� . Paid LL Rece t No issued Date � B This is to t�erGfy that ihe request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as uested. This document when signed by the City Planner constltutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CeA�icate of ncy nwwst be issued. Ciry Plenner Date Speciel Cond�ions 'rf arry 24 hour notice fa all inspecUons 447-4230 C.��. -�� � • � 9 � 8� .�,��`�' ,� p R f� .:.�ww - �Krc.�T Q � ao�o - e�.r i � , � � �. . "�' � --- ----- rro. �� CITY C�F FRZOR LAKE _.---- t� $EWER AND WATER PERMZT ��rNnr Bya� , • �pTg: $ewer and Water � • cdntractors must ��` / be reqia�t�red � l e <,,,���/� with tih� City. �, ; � � z�� � � APPLICANT • G1I �CR'�J �'� rH�NE : �I � ADDRE56 : •� � w�1� DATF _ ��� gg - S IGNATURE : HLDG . PERMZT # Q �� 'fO � SITE ADDRESS:_,7�� �ll/I�PiQY CjL �� d FILL IN THE HLANXS 7.. E�t3mated l+�nqth ot water 6srviea� feet. H Z. Siae of water servic� irtch(es). 3. Loca►tion ot any conplinqs from atructurs _!^ f�8t. 4. Type of sswe�r pip�. AHS PVC �� Caat Iron�_ s. E9timated l�ngth of`���er lin� � ���t- 6. Clean out (if r�.q�airea� located at �,femt from f �� � structur� . s�sfssir!!m=ni=a�sfi�=s=a�rssl This ap�li.cation bacome� your permit wheen �pprav�d• 8Y DATE : asw��asa��s=ssae me�aammsa�am.�a 53r���s���C��i���isi�#�ssi�lOSSlaiit!l�iia FEES: S • 0 Sewer and water line cer►nection pormi�- , g O Suraharge $ . TOTAL * Fee tor sither sewer or wa�ter individually is $20.00 plus .$ .50 �urc2�arge. . '* Sew�r and w�ter p�rmitffi iecsu4d !'or nsw constructicn atust be rseorded an the b�ilding p�rmit card at the time ot i.ssuance to in�ure th °t oata �awer and wnter permi:ta are iB�u�a. �� BUIL�DtNG� PER ��' �j � � � 2 PAID DATE PAID `�" � RECEIPT # , REC'D BY . 1G200 Eaglt Croek Av S.E.. Prior Lake. Minnesota 55372 / Ph. (612) �47-4230 FAX (612) 447�245 pn F.qud Oppertunity Employer , '�� ti 'd Xti� £Z�TZ 66� �z'.�eW ���F PRIp�,` CITY OF PRIOR LAKE 3: YroaW ADDllcam " � PL UAn'BiNG PFRM/T � C� � _L (� _� -_�__ �lpplfcant� C. Q,Y Q � Phonq: ���- ( T� fin�er o! �Ae �,�4e (:suni.r Address � �G � J Signature: �` C�'Q� R O � Legal Description: Lot _ l J Block f _Sub�CC���_ (�' �� Site Address: �� O C�� as D � ��� Bullding Permit � _ S (1 � J PID # ��_ V'' NOTE: This permi# will not be processed without complete information, FI)CT'URE UNITS Quantity Type of Fixture Ouantiry Type of Fixture 1 Bath Tub wkh or without shower � Rou9h-ins Dishwasher � W�ter Heater F7oor Drain Water Softner '� Lavatory (bathroom sink) t Stand Pipe (washing machine) 1 Leundry Trery (1 or 2 compartment sink) Sewage Ejector Shower Stall BacMlow Assembly (RPZ, Double Check, VvB) � Sinks BacMlow Assembly Test Ba� Sink Lawn Sprinkler � Water ClOSet (toilet) Other FE� $CHEDULE Industhai, Commercial 8 Multi-Family (196 of job cost, $39,50 minlmum) $ Resldential, New One 8 Two Famfly ggg gp $ Residentiaf, Additions 8 Aherstions �3g,5p � $ State Surchar9e $ .50 �.. GRAND TOTAL $ PAID WITN , BUILDING PERMIT Thas permic is granted upon che capltiess conditlon chat sa�d contractor, shall compay in all respccra with the ot�dinances of the 5ute Plumbing Code and the atnendpien t ereoP, CE[PT NO. � ��� q '� '1't'SST Csl� �'or s�il inspeccaons TA hours in ad�ance, 16200 Eagle Creek Av. S.E., Prior Lake, Min�nesota 5537Z / Ph. (612) 447.4230 / FAX (612) 4q.� An Fqual Opportu�ity Employer 1. Pink - �le �F PR��Rf CITY OF PRIOR LAKE 2. �- �i �-� -�� MC �—� TYpE OF STRUCTURE 3. Yellow - Conhactor � m '16200 Eagle Creek Av S.E. Permit No. ��� Prior Lake, MN 55372 EATING APPLICATION / PERMIT Single Famiy Two-Famity Multi-Family Date PID# ZJ'�'���"' C�i��'Q Commercial Industrial Public Other Site Address � � 3�5 � un V[= fJ'� ► � Fee Schedule Lat ��Black � Addition �1/�J GD f�l G�l✓ � N ����✓ 1 ' Industrial, Commercial & Multi-Family 1% of job cost ($39.50 minimum) Residential, Heating & AC $99.50 Owner's Name e? d� t��,� r.� 1 Residential, Heating Only $64.50 Address Residential, Gas Firepiace $39.50 /� Residential, Additions & Alterations $39.50 Heating Contractor �„�c rj. /72 rc► � r�,� A Residential, AC Only $39.50 Address � �5 � � ,� y� � 61.� n d' � � �/ /�_`~ /Q� � Remember to add the State Surcharge on the bottom of this application. Telephone # �i (� t7 _ Furnace Make & Model t�� �Q �S �" 1 �►PE OF SYSTEM The price of your heating permit includes one rough-in and one final inspection. /v Warm Air Plants Model Size (� .�U �� f�_ Gravity Additional inspections will be billed at $35.00 each. Conn. Load Mechanical House Heating Test Record must be submitted with b il i r i number before build- Air Conditioning ing certificate of occupancy will be issued. Fuel �_ a�S Flue Size �/( Vent. System HEAT CALCULATIONS RE�UIRED with number of supply and return openings listed per Supply Openings HEATING OR POWER PLANT room with CFM's per opening. New structures or additions send floor plan with supply Steam and retum locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND Return Openings / Hot Water APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE Radiation CREEK AVE. S.E. PRIOR LAKE, MN 55372. Input _���ZC��_Output , C���ePecial Devices City Hall business hours are 8 a.m. - 4:30 p.m. 7 Edr. ALL WORK MUST BE INSPECTED ROUGH-IN AND FINAL - CALL CITY HALL Other Devices � ) Cfm. � � C> � aa�-9aso TYPE OF WORK I hereby apply for a mechanical systems permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance Aiterations Replacement New Construction with the ordinances and codes of the city and with the state building/mechanical Repair Est. Comp. Date codes; that this form does not become a permit until signed by the BUILDING OFFICIAL; that the work will be in accordance with the approved plan in the Est. Cost $ Buil�qg��tr��. "'�`TCU ca of all hich requires review and approval of plans. r HEATING PERMIT FEE $ BUiiDING PERMIT ,� STATE SURCHARGE $ .50 pli Sig r � Date T � � TOTAL PERMIT FEES $ Receipt # '' ur Date ,' 98- �y� 9 F PR/OR � �� � � �� � m White - Building Canary - Engineering Pink - Planning Tht Cemrt o( �he Lalce Counlry ` BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 3 �.�l•.�o ,�.e. � j�. APPLICATION RECEIVED _ r`� 3�/ 9� The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I 7� P a n r o�--, �:�t� ' Accepted ✓ Accepted With Corrections Denied Reviewed By: 1�1 �t�� F r�snn�+N.�l Date: JZI9.�98 Comments: 1��a� rvl�s�r 3c CoN��E�o - ro AND r��a�G i�2A�Nr-�E A�vD tlr��rr�r E,RSENIE�1'r5 AS vt�t��l AS �1'LACTrcr� �EE Ia:FokM�Trdnf aJ i�E�1F-2SE St��. -�EE larrAC,NMEtit� 5 /. �i n3,qL � NC� ��uS. ���o2wr�Tron/ 2 �2asinr.) �,nnrrnot t�t-An1 3 �2vs�o�1 � i'�EA�:�LS "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. Perrnits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." �F PRIp � � U , t�T� White - Building Canary - Engineering Pink - Planning The Cen�er of�he Lake Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT � � ���� APPLICATION RECEIVED � � 3 � The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / 7 3 P a � n ��--, _ C��-� Accepted Accepted With Corrections �"� Denied Reviewed By: Date: � Z' 7'�� Comments: c . �- a,.`...Q_. �-►.�..► Q,t- �'.�,�.�,-„�.,�� �. � � �tJ �'l�„ �r,os•`ot (' .n�--,�( \, �,���.� ��P� "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." O F PRlp -� y U , m White - Building Canary - Engineering The fenter of Ihe Lske Counlry Pink - Planning . BUI�DING PERMIT APPLICATION DEPARTMENT CHECKLIST ' NAME OF APPLICANT � �:� ',. � -� �''"� f' ��.-< � = - � =�� �' � �� j��� APPLICATION RECEIVED "� � ?`�� � , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I -� ,� a � r., r � , �, _ , r r , , (..c._.�' �; Accepted 'V Accepted With Corrections Denied "� Reviewed By: �G��' Date: �c� 1 �,1 I l� Comments: ,�: "The issuance or granting of a permit or approval of plans, specificatians and computations shail 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." . � CITY OF PRIOR LAKE � � � . . , Impervious Surface Calculations . � � � � � (To be Submitted with Bu{Iding Permit Application) . � � . For All Properties Located in the Shoreland District (SD). � .The Maximum Impervious Surface Coverage Permitted in 30 Percent. � _ Property Address � � / 7 � � �� `�j v •.� r� �a.� � Rc,\ � � � . .. . .. . .. � q �v� . . . Lot Area. . � Sq. Feet x 30%. °�_ .............. Zy Lo �1 � ******.*******�******�*�***+�**�******************�*********************** . . � � LENGTH � WIDTH� SQ. FEET � . HOUSE . . . � . p �, t c , x Zg . 3 3 � 2 � � ' - 3 � . X � C� !„� (.� . Z ' • � ATTACHED GARAC�E � ' x � . _ . � �r� . , s . . . . � � ' . . . . .. : � TOTAL PRINCIPLE STRUCTURE ...................... �-] i-�- �,� � DETACHED BLDGS , � x . � . � � (Garage/Shed) X . � � � . . . . . . . TOTAL DETAC�ED BUILDINGS ....................... �� DRIVEWAY/PAVED AREAS � s x Z.� _ � o v" � . (Drivcway-paved or not) ' . X � (Sidewalk/I'arking Areas) X _ � . • . . . . . TOTAL PAVED AREAS ......................................... ,�c� C� . PATIOS/PORCHES/DECKS � x � � _ � � . � (Open becks'/" min. opening between ' X _ ' boards, with a pervious surface beiow; � . � , aro not considered to be lmpervious) . � � � �'x • ._ . . - � TOTAL DECKS...,.� ...............................:.................. . � . OTHER � X � � . � " • • . • . X • ffi • � TOTAL OTHER ....:........................:......................... � � � � TOTAL IMPERVIOUS SURFACE � , r . . . � ,? 1. �] . � �E OVER � � � � � . . 2 . 5. . Prepared�By ��� � Date_ / 0 •- (9 —9� � . . k: . . . ' CompanY � t ° � a . 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