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Home My WebLink AboutBuilding Permit 10-0607 :. z�, - __ _=�� _:,�, CnQ�� (��c�t��x�r CITY OF PRIOR LAKE ��x��zt� .�� ixi��z�� s��c��z� Final Pernutted ❑ Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of ti�e City of Prior Lake regulating building construction or use. For the following: Use Classification J� /1/ ��'i �f ��// L' Y Bldg. Permit No. � U� �� / �� ,( / Occupancy Type /L..-.� Type ConstrucGon V' `� Zoning District /�- � Legal Description ,�� , ,n v i v �� l � /�... l�/ � .� G Owner of Building Site Address Z � 7� �G l� �/ �/U � � V�, Contractor's Name & Address .J • � . � V G' G [../ i � � / � 1 �-...� �'� �� ity Planner Bui ing Official Date: � � Date: � POST 1N CONSPICUOUS PLACE DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ��. 9• �O ADDRESS Z� � C� ��/U'�U� � OINNER CONTR. PHONE NO. PERMIT NO. � � � � ! O FOOTINCy O PLUM8ING RI O EX/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPIACE RI ❑ INSULATION ❑ SEYVER HOOKUP ❑ FIREPLACE FINAL ❑ FINAL O PLUMBING FINAL ❑ GASLINE AIR TST ❑ SITE INSPEC ON O MECH FINAL ❑ C M ENT �/7�SS z Z- � '� �'r,��S i PL S� �P. G �� 4VORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED 0 CORREC , CALL FOR REINSPECTION BEFORE COVERING Inspector. eNContr. CALL 447-885 THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOtJR PERSONAL HEALTH & SAFETY! utiwon DATE TIME CITY OF PR(OR LAKE ` , c , r INSPECTION NOTICE SCHEDULED �� 1e� ADDRESS 21Z2 �'4��A� OWNER CONTR. PHONE NO. PERMIT NO, lo "" ��7 0 FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI 0 JNSULATION ❑ SEYVER HOOKUP ❑ FIREPLACE F(NAL Td�ffNAL O PLUMBiNG FINAL ❑ GASLINE AIR TST .�O SiTE INSPECTION ❑ MECH FINAL ❑ COMMENTS: � r � l ► ._� � �.,. , �Llu�1 i � - z : '� . (► ) i i lti. ` .i � i r {` ❑ WORK SAT(SFACTORY, PROCEED ❑ CORRECT N AND PROCEED �( CORRE , CALL FOR REINSPECTION BEFORE COVERING ✓ 1 Inspedor. Owner/Contr. CALL 44T-98 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. QUIREMENTSARE FOR YOUR PERSONAL H�EALTH & SAFETY! wsHOn DATE TIME NSP CT O MOTICE SCHEDULED � O. �3. �� ADDRESS � � � � � � � � � ' ' ` � `� � OWNER CON7R. PHONE NO. PERMIT NO. , CD � O FOOTING ❑ PLUMBING Rt ❑ EX/GRAD/F�LLING ❑ FOUNDATION ❑ MECH RI O COMPLAINT ❑ FRAMING ❑ WATER HOOKUP 0 FIREPLACE Rt ❑ INSULATION ❑ SEWER HOOKUP � FIREPLACE FINAL O FiNAL ❑ PLUMBING FINAL 0 GASLlNE AIR TST � StTE INSPECTION ❑ MECH FINAL Q COMMENTS: �� N �P'C � � �iyr r-�a✓�' Sl�.-�l.� /,e G� �l� K E Q f°� � ✓� o w � l`��. 4� I�IF GI�G Go �"vd �'`" r��-' �o'r � �l��C� YT'Gt /' c'r 7Z� �< <'-r � C ✓�[/' "CT �� . ��c5� r�, t r�- Li ►� c Q!t 7� �j C T�7 j�rt��lll/r�n rs4�� _ ❑ WORK SATISFACTORY, PROCEED �CORRECT ACTION AND PROCEED ❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector. ��- OwneNCoMc CALL 447-8850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL NEALTH & SAFETY! msnron DATE TIME CITY OF PRIOR WKE �� INSPECTION NOTICE SCHEDULED j 6► b I.tO .��.—_ ADDRESS '� t��,f'Y1�1� OWNER CONTR. PHONE NO. PERMIT NO. I15 -�Q� ❑ FOOTiNG � PLUMBING Ri ❑ EX/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL �-�FtNAL ❑ PLUMBING FiNAL ❑ GASLINE AIR TST ❑ SITE INSPECTION O MECH F{NAL ❑ COMMENTS: . �� r�� . ❑ WORK SATISFACTORY, PROCEED ry'7� CORREGT ACTION AND PROCEED ♦� O CORR RK, CALL FOR REINSPECTION BEFORE COVERING Inspect : OwneNContr. CAL - 850 FOR THE NEXT INSPECTION 24 HOURS IN AOVANCE. CODE REQUIREMENTSARP FOR YOUR PERSONAL HEALTH 6� SAFETY! nvs�ror, 0 � r x 1�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd � �s'y.s� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE -' Z �� d AND UTILITY CONNECTION PERMIT �2 �� 'NES� 1 White Fde pERMIT NO . /� �� 2 Rnk City /U� 3 Yellow Apphcant � Please or rint and si at bottom) ADDRESS � \ � �, . \ ZONING (oflice use) � �►�.+� �'�'�- - �� . / LEGAL DESCRIPTION (ofl['ice use only) LOT�`pBLOCK ADDITION �N�ly��lV �,i �l1. PID �'�� OWNER � )OI�a I •(�� a _��D (Name) Phone (Address) BUII.,DER (Company Name) � ��h��f� �5�� L_ (Phone) �� u�.l� D��S� �� - (Contact Name) ��-�� s�� C� �1.� `�Phone) n� � t'�3 ��i� (Address) � � � � — �,,t TYPE OF WO w Construction e Porch ❑Re-Roofing QRe-Siding wer Level Finish Fireplace �� —� Addition ❑Alter tion ❑Utility Connection CODE: �R.C. �I.B.C. ❑ Misc: Type of Construction: I II III IV V A B + Occupancy Group: A B E F H I M R S U PROJECT COSTIVALUE S Division: 1 2 3 4 5 (excluding land) I hereby certify that I have fumished information on this application which is to the best of my lrnowledge true and coaect. I also cerdfy that I am the ownez or authorized agent for the above-mendoned property and that all constru ' ' conform to all existing state and local laws and will proceed in accardance with submitted plans. I am awaze that the buIIding cial can revoke ' permit for j cause. e, I hereby a that the city official or a designee may enter upon the property to perform needed ' ecflons. ��a"��\C� `, -� gnatu Contractor's License No. Date Permit Valuaxion �5 0 r�c �. Park Support Fee # $ Permit Fee $ SAC # $ , L � � Plan Check Fee $ Water Meter Size 5/8" 1"; $ -� J C� - State Surcharge $ � � yp Pressure Reducer $ + Penalty $ Sewer/Water Connection Fee # $ l �� Plumbing Permit Fee $ � �� Water Tower Fee # $ p� . Mechanical Permit Fee $ Builder's Deposit $ �� Sewer & Water Permit Fee $ �� Other $ Gas Fireplace Permit Fee $ TOTAL DUE � . � � / ?� $ /�J Z . This Appli c es Yonr Bnild�►g Permit When Ap ved Paid � Rec NO. Date D B 7 / Z- o Buildin O ic Date 'I7�is is to certify that the re est in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed e Ci P er constitutes a te�iporary Certificate of Zoning compli ce d allows consuvction to commence. Before occupancy, a Certificate of Occupancy must be . issued. IZ �O Planning � Date Special Condirions, if any 24 6our notice for all inspections (952) 447-9850, faa (952) 447-4245 4646 Dakota Street SE., Prior Lake, Minnesota 55372 Residential Building Permit Checklist New Constru ion for Single or Two-family Dwellings in -1 or -2 Districts Reviewed by: Date: -] (Z � d Building Permit# Zoning: �, � Address: 2�.-�-L i3��o,�_ Legal: L , B Subdivision: � � � Existing Structure? YES 1� Existing Nonconforming Structure? YES / NO CONFORMS TO ZONING NO ORDINANCE Yard Setbacks: NA / FAILSI COM Standard Pro osed • Front Yard can be 20' if av . w/in 150' 25' Z,' • Side Yards 10'/ , 25' if abutting a street to ��. • Sidewall exceeding 60' requires additional side 2" 10' setback + setback for every 1' over 60' in length. Not required 2"/1' over 60' if building wall is 10'-0" or greater of being parallel to �. a side fot line. • Rear Yard 25' �7 • Patio Door: provide for minimum 10' deck or sign 10' side/ statement indicatin no deck will be built in the future 25' rear --� • From 100 year flood elevation of wetland/NURP 30' pond. • Refer in- round ools to the Plannin De artment �o�'.�'� • From OHW (Prior or Spring Lake) 75' or setback average of adjacent structures, but no � less than 50' Floor Area atio: NA / FAILS / CO S .30 Maximum . 2 l Yard Encroachments: NA / FAILS /CO S Standard Proposed Eaves and Gutters no more than 2 feet in width and r• an �� gnd e ��A � closer than 5 feet to a lot line Easements . . IIl�e�'- AIC and other equipment cannot encroach on interior �1�� g set �r� side ards, Tree Preservation: 1 FAILS 1 GOMPLIES Standard Pro osed • Total caliper inches • Permit 35% Removal • Cali er Inches Removed • Cali er Inches Preserved • Re lacement '/z:1 L:\TEMPLATE\BLDGLIST.DOC Driveway: NA / FAILS 1 CO S Standard Proposed • Maximum width at ro ert line 24' � • Required setback 5' from side lot line or � 30' from r-o-w on corner lots t0 • Maximum slo e 10°/a '1, o • All parking areas to be paved including R-V or s aces ad'acent to the ara e " • Location to match subdivision radin lan � Building Height: NA 1 FAILS 1 PLIES 35' Maximum 2 Shoreland District: 1 FAILS 1 COMPLIES Standard Proposed Minimum lot area s uare feet 7,500 Ri , 7,999 Non-ri Minimum lot width 50' Ri , 57.3' Non-ri Shoreland alterations Im ervious�surface 30% Maximum Bluff in Shoreland: I FA1LS / COMPLIES Standard Pro osed • Setback from top of bluff By planning dept. • Bluff impact zone 20' From Top of Bluff • En ineerin �ertification submitted/ap roved By City Engineer re • Gradin in bluff or bluff im act zone No importing/exporting Flood lain: 1 FAILS / COMPLIES Standard Proposed • 100 yea lood elevation 908.9' Prior Lake 914.4' S rin Lake • Lowest floor elevation 909.9' Prior Lake / 915.4' S rin Lake • Proposed lowest floor elevation Must be 1' above flood ' elevation for new and existing structures. If existing , • • structure was constructed - � ° 9/19/90-11/22/97 then additiona! foot is not re uired. • Elevations 15 feet from structure Must be flood elevation or hi her • Road access must be no more than 2 feet below 907.9' for Prior Lake Re u(ato Flood Protection Elevation 913.4' for Spring Lake Accesso Structure: A FAILS / COMPLIES Standard Proposed • Size 1000 sq.ft. or 30% rear yard � • Not located in front ard Materials • Side ard and rear ard setbacks 10' " • Maximum hei ht 15' `� • Materials com atible with rinciple structure � L:\TEMPLATE�BLDGLIST.DOC � _ , ;� _ _ . " . . __Y.. O � PRIp� � � �� U tr� White - Building ,� ,� Canary - Engineering ^'NES° Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST � �,;.;;' ; � � �' I.� r � � i NAME OF APPLICANT �--�� I�- I� APPLICATION RECEIVED � `= . ( ��% The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: �:: / � �.,, l„�,', �';. �.., �� ! � /' %� ,� � i- ��.. /'��. r: , ' �-'� Accepted � Accepted With Corrections Denied ' Reviewed By: Date: � �` Z �° � Comments: . .�'"��1�" �iLl?7L�7fiCA7Tat�.�.sa A�,.a.L--- xir. �TII1tS �'i8IIT10� �'iIIt� c', �� , 08,Ch 1II�0 �.rg�, �' �` _ � _ �,C . � � ,�.� "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 � PRip�, � x u r� White - Building ,� ,��, Canary - Engineering NNES° Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT J � � �D � � �T � � APPLICATION RECEIVED � • Z • � � The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 2 r � Z (3�ELMo� � ��f�v� Accepted � Accepted With Corrections Denied ' Reviewed By: Date: / Z �° � Comments: C�c- �Zc� � � �l�aT�t^J �� P�??.�cfT'J' •9�� -Z�— �•�-rL�S "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 cancef the provisions of this code or other ordinances of the jurisdiction shall not be valid." . 4 r R � o CZTY �F PRIOR LAKE Date Rec'd , ° � HEATING/AIR C4NDITIONiNG/FIREPLACE P�RMXT � � ,. ,� �� ivrtaso�� z . c ,�,�, ca PERMIT N0. . 3. Yciiae AppikaN leasc c or dnt and ai n at battom ADDRESS ZONING (ot4x uu) .�� -� �� '� L84AL DESCRII'TION (oirice use onty) LOT BLOCK ADUITION PID �� R � �� `��'��.1� {Yltane) - 1� � �� ,".�� c�a�ess� �r� 1�� oY ��i.e, N� � 5 {Name) cJ L� � I�.� V 1S � 1 Y�'�.� � � � (Fl�one) .�! � S{ '_---�—{'�'��..r ) . j� � C �Aaaz�S� �1�� C'___A�_t��s� U� � 4`��'Y1t��G�1 �J� X jAaar�} . (a�r) (zi� coa�) (Contact Person} c (Phone) � 5 � � ��3 ' ' � • APPLICANT SIGNATURE � � DATE � � I APPLICA�+TT PLEASE COMPLETE BELOW ��W CONSTRUCT'ION ❑ RLPLACEMfiNT ❑ ALTERATIONS F[7RNACE MAKE AND MODBL �`��U �'"'G?C� �'' ��'i� �$'1 t1(� FUEL �� " FLUE SIZE �� RE`I°URN OPBNINGS �� f� INPUT I� OUTPUT ��! C�JG TYPE QF SYSTEiVI . • HEATING OR POWER P�ANT pLEASE NOTE: Air Conditloner �1Yarm Air Piants ❑ Steam Unfts and r+Yreplaces Cannot Eucraach []araviry '• ❑ Hot Water inta Required Sfds Yard BetBacks. �"� Mechanical ❑ Radiatian 1?fircplaces witli Box Additians or �Air Conditionii�g ❑ Specia! 37cvicee Cantllevera to the Outside of Bulldings � pVenG System �� D �`�� Requlre a B��ildtng Permit. FIREPLAC� MAKB ANU MODEL FEE SCHEDULE ' Industriai, Coinu�ercia[ � Multi-Family 1% of job cost Residential, Gas Fireplace $49.SQ S49.54 minimuin Ttesidential, Iieating 8t A/C (New Constcuction} 5144.50 Residendal, AdditIons & Alterations S49.50 Residential, Heating C)n}y (New Constcucrian) $64.Sd Residentiat, r1C On1y $49.50 Estimated Cost $ Building Pexinit # HEATiNG PERMIT FEE $ � � STATE SURCHARC#E $ •Sd �� PE�T TOTAL PERMIT FEE $ (Oftiee [�se OniY) Tl�is Applicafion Becomes Your Buiiding Permit Wlien Approved Paid Receipt No. Dats BY Buildlne pttlrlal Date Z4 hour nottca for all inspections j952) 447-4854, fax (952) 447-4245 4646 Dakota Street S.E., Frjor Lake, Minnesota 35372 ------ .., _ _ ____- _ -__—_ --- -- �- ---- - --- - - ---- - - - - - - - - - -1 � pltip Date Rec'd � �� CITY OF PRIOR LAKE PLUMBING PERMIT /� Gj �� x 6 � r� � l. Blue File pERMIT NO � 2. Gold City 3 Yellow Apphcant ' lease e or ' t and si at bottom ADDRESS ZONING �ot��,�� 2 � ? Z ��Z/'� � 1 LEGAL DESCRIPTION (ofl['ice use only} LOT BLOCK ADDITIOI�T PID OWNER (Name) (Phone) (Address) APPLICANT /� � � L , � � �_ 3Ud (Name) �� aZ �— / � �i� Q �r7 (Phone) (Address) �� /� / _ v �-' (Address) (City) (Zip Code) � (Contact Person (Phone LICANT SIGNAT DATE ,'� / r I� APPLICANT PLEASE COMPLETE BELOW uanti T e of Fixture uanti T e of Figture Bath Tub with or without shower Rou h-ins Dishwasher Water Heater Floor Drain Water Softener Lavato Bathroom Sink Stand Pi e Washin Machine Laund Tra 1 or 2 com artment sink Sewa e E'ector Shower Stall Backflow Assembl Sinks Backflow Assembl Test Bar Sink Lawn S rinkler Water Closet Toilet Other FEESCHEDULE Industrial, Commercial & Multi-family 1% of job cost with a$49.50 minimum Residential, New One & Two-Family $149.50 Residential, Additions & Alterations $49.50 Estimated Cost $ Building Permit # � PLUMBING PERMIT FEE $ �� y STATE SURCHARGE $ .50 � I � � TOTAL PERMIT FEE $ �—�J (Offlce Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Dat � , Building Ofticial Date 24 hour notice for all inspections (952) 447-9850, faz 952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minneso 55372 F PRI Date Rec'd .�° ;�` � '�,� CITY OF PRIOR LAKE �' � SEWER AND WATER PERMIT � � V i t' t?y ' �lr -- � `�'NES� '. �'°"' F'k pERMIT NO. 2. Yellow CitY 3. (3old Applicant ease or rint and ai at bottom ,�nnxESS 2112,, bC.�►mvn� �Ye . !JU(. zo�m�rG c o�ce�� LEGAL DESCRZPTION (otFice use on]y) LOT 1�' BLOCK ,3 A.DDITION �FW�'!�'Nt� jd G pID OWNER {Name} A��.qA.rkhGr (Phone) (Address) (Address) (City) (Zip Code) arPLZCArrT . r (Name)_ D3b'�I,Y1 WC � � �1� 1 � I � �p � (Phone) t gSZ� �� 5 • � � Oq (Address) _ � � I q 0 UR.1 Y W � . S}"e . �.0 � �pYd.lt,i'1 �5.� r J� (A s) (Ciry) (Zip Code) (ContactPerson) �L8 �Ohn (Phane) �IJI��R• 15�'1- APPLICANT SIGNATURE � DATE � �� fl APPLICANT PLEASE COMPLETE BELOW Size of water service �_ inches. Location of any couplings from structure feet. Type of sewer pipe. ❑ ABC Q'PVC ❑ Cast Iran Estimated length of sewer line ,�� feet. Clean out (if required) located at feet from sriucture. FEE SCHEDULE Residential sewer and water line connection $51.50 Industrial, Com'1 & Multi-family 1% of job cost with a$51.50 minimum Sewer connection only $25.50 Water connection only $25.50 Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (Oftice Uae Only) This Application Becomes Your Building Permit When Approved Paid Receipt No, � Date ,By Buildiu� Ofticial Date 24 6our aodce for ail inspections (952) 447-9850, fax (952) 447-4245 464b Aakota Street S.E., Prior Lake,ll�nqesota 55372 4�� pRjO CITY OF PRIOR LAKE Date Rec'd � � HEATING/AIR CONDITIONING/FIREPLACE PERMIT i( �, ( O � l �'N E S�� 1 Pink File pERMIT NO. �� 2 Green Qty 3 Yellow Apphcant lease or ' t and si at bottom ADDRESS ZONING (ottice use) 2172 Belmont Ave. LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) Baumgartner (Phone) (Address) APPLICANT (Name) Lakeville Fireplaces (Phone) (Address) 21601 Vernon Ave. (Address} (City) (Zip Code) (Contact Person) Scott Sletten (Phone) 612-414 4242 APPLICANT SIGNATURE DATE 11-8- 10 APPLICANT PLEASE COMPLETE BELOW �NEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ❑ Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑ Hot Water into Required Side Yard Setbacks. ❑ Mechanical ❑ Radiation �Air Conditioning ❑ Special Devices Fireplaces with Boz Additions or ❑Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings Require a•Building Permit. FIREPLACE MAKE AND MODEL Heatnglo 9117 UptOCI aV@ Bloomington 55431 6000cL FEE SCHEDULE Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating & A/C (New Construction) $149.50 Residential, Additions 8c Alterations $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $44.50 Estimated Cost $ Building Permit # � HEATING PERMIT FEE $ � p �RIIAn' STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (Office Use Only) ' CITY OF PRIOR LAKE Impervious Surface Calculations � (To be Submitted with Building Permit Application) For All Propei Located in the Shoreland District (SD). The Maximum Impervious Surface Coverage Permitted in 30 Percent. Property Address 2� 7 Z ��e�ww�.� �-v�e.��e 1�.1 �tl, Lot Area � � �� . � Sq. Feet x 30% _ .............. � � � � s E *�*�x**�*�*�**�**�*��*�***�=��*��*:�*:�*�x*�****�x�*��*�*******��*�**�*�*** LENGTH WIDTH SQ. FEET HOUSE x = :C = f1T i ACi iEi� GAr.'�taGE x = . TOTAIa PRINCIPLE STRUCTUItE ...................... Z7�P � S� � DETACHED BLDGS x (GarageJShed) X TOTAL DETACHED Bi3ILDINGS ....................... `°""' DRIVEWAY/PAVED AREAS x = (Driveway-paved or not) X = (Sidewalk/Parking Areas) x = TOTAL PAVED AREAS ......................................... 7 Q�- 5, � PATIOS/PORCHES/DECKS x – (Open Decks'/," min. opening between 7{ _ boards, witn a pervious surface below, • are not considered to be impervious) � = y33 TOTAI., DECKS ........................................................ ,,�'�S� OTHER x = x = TOTALOTHER ....................................................... �—' 3 �O'TAI, IMPERVYOUS SUR.IFA.CE =��. UNDER/ ER S, � Prepared By l�'�o--- Date � �-- / D Z � y Company ( �a �e � c v� e �v-, ►�.d, � a, Phone # qSL � �f 3 Z- 3oob ✓'., . . . .. n .� _ � t"_ t fl � P� I Q R LA DEP�►RTMENT OF K E BIiILDING AND INSPECTION IN PE TI N RE ORD SITE ADDRESS 21�Z. ��v- �v� IV,�. NATURE OF WORK �s�� F�t�w PwE�w.ir�c� lN�. �Ec.►��c..�.. F�,�s �b �9uc„t� USE OF BUILDING S PERMIT NO. O, D DATE ISSUED z�� CONTRACTOR -J � PHONE S�(2• 3�3�75SS NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DO�CU NT � ��s��-�4 �� r�� -�'�'�� '" A�. TM�s FOOTING , � �j FOUNDATION (Prior to Backfill) d � PLACE NO CONC��RE�TE UNTIL BOVE HAS ��EN/LI �� s�t c�,�+o�- R� -�i �'� � SEWER / WATER / SEPTIC Y � FRAMING � � ,� INSULATION ° � � ELECTRICAL PLUMBING (/• ( f�' z� , a � 3 � HEATING (if required) � FIREPLACE � 0 5" a CAS LINE AIR TEST ri,�,�, �, d ,, �� , �°''` I ��COVER O W RK UNTIL A OVE HAS B� N GNED (,�.n.}� 9 2 / �a FINALS GRADING (Prior to Sodding) .�e ID � 10 BUII.DiNG ,� /j. �o . i o LLECTRICAL Pk.UMBING Mo�,o+�•�.,• t S � HEATING ,, +i � lo DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTiCE 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