HomeMy WebLinkAboutBuilding Permit 10-0384 , _ � - - - : ;�' «t;9�'�' i - ' -_ � -
� � `�� r� rI i
Y�
tib
��
C������rx��� �� (�xxix��x�x�r
CITY OF PRIOR LAKE
����r����t� �� �ix������ ��ts�r������ '
� Final Permitted ❑ Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the ❑ Residential /❑ Interrcational
Building Cade certifying that at the time of issuance this structure was in compliance with the various
ordinarcces of the City of Prior Lake regulating building construction or use. For the following:
Use Classification , /fV�;/ L� J�f�j � L Y Bldg. Pernut No. IO. U�.�J Li�
Occupancy Type ��+� Type Construction V N Zoning District �� �-✓�
Legal Description � �, L.J `t' . 'J G �, � /V � �� � � G�-� w
Owner of Building Site Address �� Z� �.J�Lf y �� N� � v 1..� •
:
Contractor's Name & Address L�Lf"� /� UC.- �1 N�..� �/�- =�v/E-� / /C/�'' � � �
����(`_ ��.- / /y�� l �U� !f �';" City Planner
Building Official
Date: �t��((1 Date:
POST IN CONSPICUOUS PLACE
` "'�
DATE TIME
CITY OF PRIOR LAKE ��� ,
INSPECTION NOTICE SCHEDULED J l��f��
ADdRESS � �°(. � � t,.,,�
OWNER CONTR.
PHONE NO. PERMIT NO. J$-►��
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAIN7
� FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FiREPLACE FINAL
� FINAL ❑ PLUMSING FINAL O G SLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ��j _
COMMENTS:
����-�ceQ,� ��
��_�t�'
a
�( WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
0 CORR RK, CALL FOR REINSPECTION BEFORE COVERING
Inspect r. OwnedContr:
C 7 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
uvs,ron
DATE TIME
CITY OF PRIOR LAKE ���c /
INSPEC710N NOTICE SCHEDULED ��_
ADDRESS ��V� _ _
OWNER CONTR.
PHONE NO. PERMIT NO. /D — 3�'(
❑ FOOTING D PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECN RI ❑ COMPLAINT
0 FRAMING 0 WATER HOOKUP O FlREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
� FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SlTE INSPECTION O MHCH FINAL ❑
COMMENTS:
I . Pt . � '� �..�-
2• ' ` 0.� t/l
�� j�_� rri.� ! 1��
�-(, �'� �- l�tl
.. �
❑ WORK SATISFACTORY, PROCEED
CORRECT A N AND PROCEED
CORRECT OR ALL FOR RElNSPECTION BEFORE COVERING
Inspedor. OwnedContr:
CALL -8 0 FOR THE NEXT INSPECTtON 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
!NS/V071 � '
DATE TIME
CITY OF PRIOR LAKE ����
tNSPECTION NOTICE SCHEDULED
ADORESS � g p�����p VV1�
OWNER CONTR.
PHONE NO. PERMIT NO. I(� —���j�
lJ FOOTING O PLUMBING RI ❑ EX/GRAD/FiLLiNG
O FOUNDATION ❑ MECH RI ❑ COMPLAINT
� FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
0 INSUl.ATlON ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FtNAL � PLUMBING FINAL ❑ GASLINE AIR TST
❑ SiTE INSPECTION ❑ MECH FINAL �
COMMENTS:
�
�(R..�,.-,� �Z - Z�fb- �D ��
❑ WORK SATISFACTORY, PROCEED
� ORRECT ACTION AND PROCEED
CORRECT CALL FOR REINSPECTION BEFORE COVERING
Inspector. OwnedConV:
CA 7-88 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODEREQUIREMENTSARE FOR YOUR PERSONAL HEALTN & SAFETY!
- nvsHOr,
oF ex� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� � TEMPORARY CERTIFI�'ATE O� ZONING COMPLIANCE �` j �
�a �
AND UTILITY CONNECTION PERMIT
�
���'NES��P l Wh�tc Fi� pERMIT NO �O - O,�
7 Rnk 6ty
) Ydlow A liant
lease or tint and si at bottom
ADDRESS 1829 BelmontAvenue Z ��s
LEGAL DESCRIP'TION (oflice use oniy)
LOT 3 BLOCK 4 ADDITION Betmont Estates PID 25�4 0
� BRANDL ANDERSON HOMES (Phone) � (952} 898-0230
(Address) 4555 ERIN DRIVE STE 120 EAGAN MN 55122
BiJILDER
(Company Name) BRANDL ANDERSON HOMES (Phone) (952) 898-0230
(Contact Name) PEG COWART (Phone) (952) 898-0230
(Address) 4555 ERIN DRIVE STE 120 EAGAN MN 55122
TYPE OF WORK � I�[ew Construcdon ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding []Lower Levet Finish ❑ Fireplace
�Addinon (]Alteraaon �Utility Connection
CODE: �I.R.C. �I.B.C. D Misc.
Type of Cunshnction: I II III rv v A B PROJECT COST/VALUE S 170,000
Occupancy Group: A B E F H I M R S U (exclud'wg laad)
Division: 1 2 3 4 5
1 hcn�eby cettify that t have tum�shed u�formation on this appGcation wh�ch u to the ba� of my knowtedge we and correct. I also crrtffy that [ am the aw�r ar authonzed agent for thc
atxrve-men ed properry and [hat aU consm�chon will conform ro alI existing state and focat taws and will proceed in accardancr with submiucd plans, t am awsre that the bwWmg
nf'ficial ca re ke this tt for �ust cause Furthermom, I hueby agree tha[ the ary official or a designee may enrer upon the propetty ro perform needed �acpectums.
X 2Q004388 05/05/2010
Signature Contcactor's License No. Date
' Permii Valuation 1 •� S s o O. — Park Support Fee # S
Permit Fee $ � 5o SAC # S � � � �
Plan Check Fee $ Z � Za Water Meter Size 5/8" , $ �
State Surcharge $ ZZ • SO Pressure Reducer a ( Z ��.
Penalty $ Sewer/Water Connection Fee # �! ��►
.
PlumbingPermitFee $ �Sp,,. WaterSowerFee # S ���
Mechanicaf Permit Fee $ � 0 � „ Builder's Deposit E �
Sewer & Water Permit Fee $ Z�. Other S
Gas Fireplace Pecmit Fee S 5 p� � TOTAL DiTE E
This 'c mes You�Buildiag Permir A roved Paid Recei [ o.
Date B
//
BuiWm � Ui �ci Da
,. Tha �s to c that t rcqucst in the aba�re applicanon and accumpanymg docu ms 'u accordance wi[h the City Zuning Ordinanm and may proceed as requcucd. 1'A�s Muvmient
when sig tlu ' Planner conaututcs a trmporary Certificate uf Zonmg co phan and alluws constn�etion ro commence. Before accupancy, a Cerufipm of Occup�ncy must be
issucd
� !
ing Directar Date Speciffi CoAditions, if an
24 hoar noticc for ail inspecNons (9S2) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
�' *` + fff ��� �� . �
! �.�"T �
• ' + .,
� q
i i
��
� � ��� (
a �
O ' t � c
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by: ���`�� Date; � 1 � �,
Building Permit # �` ID� Zoning:
Address: ! � G �-� � �
' („ 4 Mt? /ti`� � `1
1 �
Legal: L , B Subdivision: �
Existing Structure? YES !� Existing Nonconforming Structure? YES / NO
CONFORMS TO ZONING Y� N4
aRDINANCE
Yard Setbacks: NA / FAILS! G IES Standard Pro osed
• Front Yard can be 20' if a. wlin 150' 25' "�S"...,�-�"�'
• Side Yards 10'!
25' if abutting a street �p•
• Sidewa(I exceeding 64' requires additional side 2" 10' setback +
setback for every 1' aver 64' in length. Not required 2"/1' over 60'
if building wall is 1Q'-Q" or greater of being parallel to
a side lot line. ''—
• Rear Yard 2�'
� Patio Door: provide far minimum 10' deck or sign 10' side/
statement indicatin no deck will be built in the future 25' rear .—
� From 100 year flood e(evation of wetland/NURP 30'
pond. ..-�—
Refer in- round ools to the Plannin Qe artmant
From OHW (Prior or Spring Lake) 75' or setback average of
adjacen# structures, but no ,,,.-
less than 50'
t q t� 9'
Area Ratio: NA / FAILS / CO S .30 Maximum . f
�croachments: FA1LS /GoMPLIE5 Standard Pro ased
�d Gutters no m e than 2 feet in width and no
�n 5 feet to a lot line Easements .
`her equipment cannot encroach on interior
�ation: / FAILS / C4MPLIES Standard Pro osed
�er i s
'�o Removal
�es Removed
ss Preserved
� 'I2:1
',DGLIST.DOC
Drivewa : NA / FAILS / C S Standard Proposed
• Maximum width at ert line 24'
• Required setback 5' from side lot line or ,.� �. q�
30' from r-o-w on corner lots �
• Maximum slo e 10% ��
• All parking areas to be paved including R-V or
s aces ad'acent to the ara e "`"`�
• Location ta match subdivision radin lan ��' .
Buildin Hei ht: NA / FAILS I CO S 35' Maximum '2-
Shoreland District: NA / FAILS / C S Standard Pro osed
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 /v-r": S o
Bluff in Shoreland• / FA{LS / COMP�IES Standard Pro osed
• Setback from p of bluff By planning dept.
• Bluff im act zone 20' From Top of Bluff
• En ineerin certification submitted/a roved By City Engineer
• Gradin in bluff or bluff im act zone No importing/exporting
Floadplain: t FAILS / COMPLIES Standard Pro osed
• 100 ye r flood elevation 908.9' Prior Lake
914.4' S rin Lake
• Lowest floor elevation 909.9' Prior Lake /
915.4' S rin Lake
• Praposed lowest floor elevation Must be 1' above flood
elevation for new and existing
structures. {f existing �
structure was constructed
9/19/90-11122197 then
additional 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 P►�or Lake
Re ulato Flood Protection Elevation 913.4' for Sprin Lake
Accesso Structure: I FAILS / COMPLIES Standard Pro �
• 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 rinci le structure
L:\TEMPLATEIBLDGLIST.DOC
O � PRip�
�
N x
U rr�
White - Building
�INNESO�P Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT � � � � � � � � �' �'� 0 �
APPLICATION RECEIVED � � � •� �
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
� 01�1 I � � •
Accepted ^' Ac epted With Corrections
. ,
Denied
Reviewed By: D te: � � �°
�
Comments: �' �*�� �-- �
�
� �7�-c_'�i'� C.L r �'? 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 vaiid."
.*.
O � PRip�
C
� �x
U t�1
White - Building
,� ,� Canary - Engineering
NNES� Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT �-- � r � � . �� �--�° ���' `- � ` �"' �� � ��' �
APPLICATION RECEIVED `-....� a t =�= � � �_ `-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-� -, . --� d
� c�.. � ��#� � � �� ' t...� � �' � � : :` � �
t t �,� ti ,
Accepted '� Ac epted With Corrections
�" Denied
Reviewed By: Date: �/ � � �"
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."
�
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by: Date: � �� �,
Building Permit # I • Zoning:
Address: `�,� c / w � (�� ' ,
� L �.., r� �' /�'C Y'
� �
Legal: L , B Subdivision: �
Existing Structure? YES /� Existing Nonconforming Structure? YES / NO
CONFORMS TO ZONING Y� NO
ORDINANCE
Yard Setbacks: NA / FAILS/ C IES Standard Pro osed
• Front Yard can be 20' if a. w/in 150' 25' 2,.,5.�'
• Side Yards 10'I
25' if abutting a street �
• 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 lot line. '�—
• Rear Yard 25'
• Patio Door: provide for minimum 10' deck or sign 10' side/
statement indicatin no deck will be built in the future 25' rear r—
• From 100 year flood elevation of wetland/NURP 30'
pond. ,�
• Refer in- round ools to the Plannin De artment
• From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no ,/
less than 50'
1 °P � ! 9
Floor Area Ratio: NA / FAILS / CO S .30 Maximum .�
Yard Encroachments: FAILS /COMPLIES Standard Pro osed
Eaves and Gutters no m e than 2 feet in width and no
closer than 5 feet to a lot line Easements .
A/C and other equipment cannot encroach on interior
side ards.
Tree Preservation: I FAILS / COMPLIES Standard Proposed
• Total cali er i s
• Permit 35°10 Removal
• Cali er Inches Removed
• Cali er Inches Preserved
• Re lacement '�2:�
L:\TEMPLATE�BLDGLIST.DOC
Drivewa : NA 1 FAILS / C S Standard Proposed
• Maximum width at p ert line 24'
• Required setback 5' from side lot line or ��� 1
30' from r-o-w on corner lots •
• Maximum slo e 10°/a �'v•
• 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 CO S 35' Maximum 2
Shoreland District: NA 1 FAILS 1 C S Standard Pro osed
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 /J : S p
.
� Bluff in Shoreland• / FAiLS / COMPLIES Standard Proposed
• Setback from t p of bluff By planning dept.
• Bluff im act zone 20' From Top of Bluff
• En ineerin certification submitted/a roved By City Engineer
• Gradin in bluff or bluff im act zone No importing/exporting
Floodplain: 1 FAILS 1 COMPLIES Standard Pro osed
• 100 ye r flood 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
additional 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 ulato Flood Protection Elevation 913.4' for Spring Lake
Accesso Structure: / FAILS 1 COMPLIES Standard Pro osed
• 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'
• Maferials com atible with rinci le structure
L:\TEMPLATE�BLDGLIST.DOC
o � rRto�
� �
� '�
u �
White - Building
n,, .�P Canary - Engineering
N"ESO Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 1``� �-� �� ��`� ES
APPUCATION RECEIVED � � / • ( C�
The Buiiding, Engineering, and Pianning Departments have reviewed the building permit
application for construction activity which is proposed at:
�. U � '� �--
Accepted DC Accepted With Corrections
Denied
Reviewed By: .�� C Date: Sf/?/io
Comments: See Attachments: 1) Crrading Plan, 2) Erosion Control Measures
:,?::�
'L:'� See Reverse Side for Additional Information! ��
"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."
ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS:
■ Surface storm water drainage flowing to the perimeter of this lot to and
from adjoining properties must be conveyed to the roadway and/or to
the rear of the lot in drainage swales within the drainage _easement.
■ All bare soil areas must be protected from eroding into neighboring
properties through the properly instatled and maintained silt fence or
bales.
■ The silt fence required by the erosion control plan must be installed
prior to any earthwork being started.
■ The buitder is responsible for maintaining the erosion control measures
until the turf is established.
■ The rock construction entrance must be installed at the time of footing
� inspection.
G:\Admin\dept info\ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS.doc
952 555 5555 Line 1 BURNSVILLE HEA 10 52 42 a m 06-21-2010 1/1
04 eRlp� CITY OF PRI4R LAKE Date Rec'd
,� � HEATXNG/AIR CONDITI4NING/FIREPLACE PERNIIT
U t�►t
��NNES�� J. Pink File PERMIT NO . /
2. Gran Ciry i
3. Yellow Appliraot
22&C F 0[ tlAt SIId Sl St �)OttOlri
ADDRESS ZONING (office nse)
� �a� �, � .
�GAx, n�orr co��,� �>
L�T BLOCK ADDTi'ION PID
�� �r �n�( �►-, �� c ��� �� 8 �ba3o
cA�s> ~ � �2C9
APPLICANT g��NSVILLE HEAI7NG & A/C INC,
(Name) � (Phone) "I _��-���-t ��S
. . wnsv e a way . �
(Address) Suite 120 �
urnsvi I�ddt�!$55�37 . . . .'.. - � (��r) (��► ��) ;
(Contact Pexson} ��� Y1��1 � �fCe) �--� 1 S�Q ��( 3
APPLICANT SIGNATURE llATE "' I
APPLICANT PLEASE COMPLETE BELOW
corrsTxucTTOrr ❑ x��r�,�,cErv�rnrr p �.��TTONs
FURNACE MAKE AND MODEL ' FUEL �_,
FLUB SIZE RE OPENiNGS IIVPU'F OUTPUT
TYPE OF SYSTEM . HEATING UR POWER PLANT
� Warm Air Plants � g��, P�%�E NOTE: Air Conditioner
Graviry [J Hot Wa�er Units and �'ireplaces Csnnot Encroach
Mechanical .[j Itadisdon ltnto Requ3red Sfde Yard Setbacks.
ir Conditioning ❑ Special Devices ' F�p�aces with Box Add�k[ons or
❑Venx System ❑ Uther Devices Canfilevers to the Outslde of BwDdings
Require s Building Permit.
FIREPLACE MAKE AND MODEL '
�'EE SCSEDULE
Indnsirial, Commercial & Multi-Family 1% of job cost Resiaential, Gas FirepIace �
$39.50 minimum
Residenrial, Heating & A/C (N'ew Construction) $99.50 Residentfal, Additions & Alberations �39�'^ ��
Residential, Fieating Only (New Constructiou} $64.50 Residential, AC Only pq �D W� �9�69-
Estimated Cost $ Bu�a� pe�t �BUILDING PERMIT
HEATING PERMIT FEE $
STATE SURCHARGE $ .5
TOTAL PERMIT FEE S
(Oftfee Use Onty)
This AppUcatkon Becomes Your Bu�ding Permit-When Approved Paid Receipt No.
Date By
BaAdine Offlcial' Date
'fd hm�r nnfi� fwr ali inannrfinna fR52\ d47AR5{I. fi�x (9521447-424.5
� .�r
�� ��
�� P R tp�
CITY OF �'RI012 LAKC Date Rec'd
� D x �-IEATING/AIR CONDITIONING/�'IREPLACE PERMI'I' �. Z 3, ��
�-
f �'NES��
1 Pink file pERMIT NO .
2 Green C�ry
3 Vellow Appl�cant
Please e or rint and si n at bottom)
ADDRESS � ZONING (ottice
� (� � ��� � � use)
u �-
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER �J1`�N"�C� /��(J�.��� ��'C:✓ Phone
(Name) � )
(Address)
APPLICANT � � _` �, • 3 � J 7
(Name) (Phone} �/
.f
(Address)
(City) (Zip Code)
(Contact Person) � u � � • (I'hone)
APPLICANT SIGNATURE ` DATE � � G�
AP LICANT PLEA OMPLETE BELOW
�NEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
❑Warm Air Plants ❑ Steam PLEASE NOTE:
❑Gravity ❑ Hot Water Air Conditioner Units
❑ Mechanical (] Radiation Cannot Encroach into
�Air Conditioning ❑ Special Devices Required Side Yard
❑Vent. System ❑ Other Devices Setbacks
FIREPLACE MAKE AND MODEL ' � � U'� t- _ � � � � � � Z
FEE SCHEDULE
Industrial, Commercial & MuIU-Family 1%ofjob cost Residential, Gas Fireplace $ 50
$39.50 minimum
Residendal, Heating & A/C (New Construction) $99.50 Residential, Additions & Alterations $39.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $39.50
Estimated Cost $ Building Permit # p ��
HEATING PERMIT FEE $ ?? ° �771V V��
STATE SURCHARGE $ `������t�G P�`��`
TOTAL PERMIT FEE $ y�i-�
(O�ce Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Buildin¢ Official Date
24 hour notice for ali inspections (952) 447-9850, fax (952) 447-4245
��K
. � �
,�,�, «I�O�+�
�ofi a
' .
-
CITY OF PRIOR LAKE
Iffipe�ious Surface Calculations
(To be Submitted with Building Permit Applicarion)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address � �2 � ��ln�►o q � �•/t�ad�' jL�� 3 �ST�t��
Lot Area l�', y�1� Sq. Feet x 30% _ .............. ��D44 S,�
*�**�**�***��**�****��****�*�***��******�*�***��****��***���*���***�**�*
LENGTH Vi�IDTH SQ. FEET
HOUSE x =
x =
ATTACHED Gf1RAGE x =
TOT�iL PRINCIPLE STRUCTURE ...................... I� 9�f S• �.
DETACHED BLDGS x
�Gara�eiShed) X
TOT.4L DETACHED BUILDINGS ....................... ��
DRIVEWAY/PAVED AREAS x =
'(Driveway-paved or not) x r;���_ = 9�g S •F.
(SidewalklPazkin� Areas) X �; = G/ � ��..'';
TOTAL PAVED AREAS ......................................... �D /� S F
-- T
PATIOS/PORCHES/DECKS x =
(Open Decks'/." min. opening between a{ _ '
boards„with a pervious surface below,
are not considered to be impervious)
X =
TOTAL DECKS ....................................� �c �i......... /lt� �F.
OTHER x =
X —
TOTAL OTHER ......................................................
TOTAL IMPERVIOUS SURTACE ' a �
UNDE OVER '$Q'j S
, Q � r/
Prepared By / t' ��► r • �t wI�/�1 � Date
�� �Com an � ..l ;'v r � ' p�►� ' Phone # � �J I �'/9�
. r .y
P R I O R LA K E BU DRtJG AND INSPECTION
INSPECTI N RE RD
O C
O
SITE ADDRESS I Sz� l'�E�-. �•-� A�`
NATURE OF WORK 5�� - `t��. oEc. P�os� rr�.c..�.
USE OF BUILDING SFa
PERMIT NO. DATE ISSUED 5�� ��
CONTRACTOR g�aN�c Arafl�.sa�r PHONE �� z- s�e. oz3o
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCU NT
( as ST���. �z �� C��-sc. �/►1��� c� �.,t G��1 ��`-� T�^''FS
IN OR DATE
FOOTING 5' �i
FOUNDATION (Prior to Backfill) S � ✓�3
PLACE NO CONCRET�UNTI BOVE HAS BEEN� ��GN�D
T��� � S �^► �'°� O U G - ��` ��� ��
SEWER / WATER / SEPTIC � 28 �p
FRAMING ,��
INSULATION � � � "
ELECTRICAL '
PLUMBING �`j
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST µ"'"� �
� �,
��" ` G�� � ORK NTIL ABOVE HAS B� � N SIGNED
o�S�" t�iP �..�4zt�tt� � G. .
FINALS
GR�IDING (Prior to Soddin ) �e m �
BUILDING ` � � 6 ,
ELECTRICAL
PLUMBING �' � �
HEATING ��
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 untii 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