HomeMy WebLinkAboutBuilding Permit 10-0328 .i
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CITY OF PRIOR LAKE
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� Final Permitted ❑ Conditional C.O. Expires
Thas Certificate issued pursuant to the requirements of Section I10 of the 0 Residential J 0 International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
Use Classificauon Bldg. Permit No. �U '" �� r
Occupancy Type Type Construction Zoning District r` � ��
Legal Description �. � t r.� �� � �ru f i� m t �r 1�-, �-� ,_�� �.� t. fx .r _�
.�—
Owner of Building Site Address �� U�Z� � �� h� i.��--�
Cn ctqr's Name & Address
� � City Planner
Building Official
Date: � � � Date:
POST IN CONSPICUOUS PLACE
DATE TIIAE
CITY OF PRIOR LAKE �� "_'"'r—
INSPECTION NOTICE SCHEDULED �
ADDRESS I �OgjZ ��5�,�p�c,t
OWNER CONTR.
PHONE NO. PERMIT NO. I(y — 3Z8
❑ FOOTING � PLUMB{NG RI ❑ EXIGRADIF{LL{NG
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP � FIREPLACE RI
0 SULATION ❑ SEWER HOOKUP O FIREPLACE FINAL
FINAL ❑ PLUMBING FINAL O GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
� WORK SATISFACTORY, PROCEED
O CORRECT A N AND PROCEED
❑ CORRECT O ALL FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr:
CAL 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETYI
wsnori
DATE TIME
CITY OF PRIOR LAKE ��, ,`���
INSPECTION NOTICE SCHEDULED �
ADDRESS �pl`�� �a;l�A�� �
OWNER CONTR. '
PHONE NO. PERMIT NO. �'� � 3 �J
O FOOTING � PLUMBING RI ❑ EXIGRADIFILLING
❑ FOUNDATION 0 MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
� AL � PLUMBING FINAL O GASLINE AIR TST
SITE INSPECTION ❑ MECH FINAL 0
COMMENTS:
z.S
3. ` �t�, INI: DoT'
�`I. �-Cc� d— �'-rna �
, �
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—,—�
❑ WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
� CORRECT W FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr.
CAI.L 7- 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
uvsxon
DATE TIYE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED � o�Z� O
ADDRESS ��� aV�.��G�{ , �.
OWNER CONTR.
PHONE NO. PERMIT NO. � ''' �
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
� FOUNDATION ❑ MECH Rt ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL �LUMBING FINAL O GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
\
COMMENTS:
,� r '
, �o
z e ��
❑ WORK SATISFACTORY, PROCEED
�CORRECT ACTION AND PROCEED
❑ CORREC K, CA�L FOR REINSPECTION BEFORE COVERlNG
Inspector: Owner/Contr:
CALL 850 FOR TIiE NEXT INSPECTION 24 FIOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
wsnor�
i u�s
DATE ' TIME
NSP CT O NOTICE SCHEDULED g, Z.�. I D �`� •
ADDRESS /� D V Z / ��! ' v �� �`� .
OWNER CONTR.
PHONE NO. PERMIT NO. ,O. 6� ZCJ
O FOOTING � PLUMBING RI O EX/GRADIFILLING
❑ FOUNDAT{ON ❑ MECH ftl ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSUWTION ❑ SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASUNE AIR TST
❑ SITE INSPECTION O MECH FINAL ❑
COMMENTS: / V � � /��-�✓ D(�
a!� -� �
�WORK SATISFACTORY, PROCEEO
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
tnspector: �� OwnedContr.
CAI.L 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
nvsnor,
~�a�N ��,� ,
aF PR)0� CITY OF PRIOR LAKE BUILDING P�RMIT, Date Rec'd
� � TEMPOR.ARY CERTIFICATE OF ZONING COMPLTANCE 3. 23. ��
.. � AND UTILITY CONNECTION PERMIT
U ��
��NNESO�P �. ,�t� F,� P�RMIT N�
2 Aink (1'ty � � I� � ��`` f
7 Ydlow Apptiesm • t,/
Iease e or rtnt and si n at bottom
ADDRBSS _ Z �ce u��
i�� �- �- � �,,� l� ' 1
LEGAL DBSCRIPTION (office use on{y)
LOT o� BLOCK �' ADDITION � J�f'� o-� �( ��l /NIp�I1� S
OWrTER
(Name) 3c'�►.�/ � (Phone)
(Address) C�►t�e.c-�- 3 �s �t� .� -
BUILDER
(Company Name) �2��,.,4 '�� � l�� � � i-� t- (Phone) a' d� S'�
(Contact Name) �Gr.l �,Y'�-- (Phone) �Z � �z ���g'
(Address) / G � �' � � i I � C �l S v�J (o�� �Z 719 � y
TYPE OF WORK'� Canstruction []Deck ❑Porch [}Re-Rooi'ing []Re-Siding �Lo�verL,evel I�inish � F�ireptace
QAddition ❑Atteration L�Utility Connection
_�
CODB:�.R.C. �I.B.C. ❑ Misc.
Type of Consttuctton: I II III IV V A B �� �y�
Occaipancy Grottp: A B B F H I M R S U pROJECT COST/YALUE $
Divlston: 1 2 3 4 g (exchiding land)
I hcmby certify thai I have fumished �nformation on lhit application which is to the best of my knowicdge true and correct. I also ccrtity that ! am thc owcKx nr nuthar�zcd agrnt for d�c
abovc-mennaned pmpc d that alE consuuction will rnnform to alt cxisting statc and locat taws and will procced in urnrAance witi► submittcd plans. I am awarc that ihc bnilding
�> ' cao rcvoke this "t o use. Fu etmorc, l hereby agrec that the ciry oflidal or a daisnec rnay enter upoe t e property w perFerm necdcd m ccneMs
� �C� ��� � �/ 3 a 3 �
Signacu Contractor's License No. Date
Permit Valuation Z� ��. � Par& Support Fee # S
Perrnit Fee S � Z q yp SAC # � Z��, �.
Plan Check Fee $ � Z r� ��$ Water Meter Siz ";1"; S 6 � d. ,
State Surcharge S ( Z . !'ressare Reducer S �. .
Penalty • $ • Se�ver/Water Connection Fee # $ � S �� _
Flumbing Permit Fee $ � s , Water Tower Fee # $ � p � . �
Mechanical Permit Fee $ ( Buildcr's Deposit ���� �'j GO
Sewer & Water 1'ermit Pee S 5 . Other � 3/� Q v
Gas Rireplace Permit Fee � � , TOTAL DiJE � Q �
This Ap don me our Butldtng Permtt \ n A roved Paid O Re 1 i NO. �
; / �� � /� Date �
f
l3uilJin UtTicio{ Dntc
Tha u io certify that tde requcst in the above applicadon and atcumpanying docum ts is i ecordantt with the Ciry Zaning Ordinanu: and may procecd u reqaested. This M�cument
�vhrn sig�qd yy t iry Planner cunshmtes a temporary Certificate of Zoning ca iance d allows cunstruction to commence. SeCure accupancy, a Crrtificatr of Oaupancy mnst be
issucd /1
K% � �� �O
Dircctor Datc S' Conditiais, if an
24 hour noticc 1'or all inspcctions (4S2) d47 ry8S0� fax (9S2) 447-4245
4646 Dalcota Street Prior E.ake, MN 55372
� 1
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Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by: ���, Date: 3�3 � t o
Building Permit # PID: Zoning: 2 �� p
Address: ��of�2 - Ci4rt �� ��
Legal: L , B Subdivision: �
Existing Structure? YES� Existing Nonconforming Structure? YES 1 NO
CONFORMS TO ZONING NO
ORDINANCE
Yard Setbacks: NA / FAILS/ CO S Standard Pro osed
• Front Yard can be 20' if av . w/in 150' 25' 3�'
• Side Yards 10'I
� � � . ��
� 2
• 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 ~"
• 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 r ,
less than 50'
�, d+ c a� + t� c�. i
Floor Area Ratio: NA 1 FAILS 1 C ES ,30 Maximum ,(�4
Yard Encroachments• FAILS /COMPLIES Standard Proposed
Eaves and Gutters no re 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: / FAILS / COMPLIES Standard Pro osed
• Total cali er in es
• Permit 35% Removal
• Cali er Inches Removed
• Cali er Inches Preserved
• Re lacement '�2��
L:\T�MPLATE�BLDGLIST.DOC
Driveway: NA 1 FAILS 1 CO ES Standard Proposed
• Maximum width at ropert line 24' �
• Required setback 5' from side lot line or
30' from r-o-w on corner lots
• Maximum slo e 10% . 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 �N�"
Buildin Height: NA 1 FAILS 1 COMPLIES 35' Maximum
Shoreland District: NA 1 FAILS 1 COMPLIES 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 2- -
� � �
81uff in Shorelan : NA / FAILS / OMPLIES Standard Pro osed
• Setback from top 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: NA 1 FAILS / COMPLIES Standard Pro osed
• 100 year 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: NA 1 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'
• Materials com atible with rinci le structure
L:ITEMPLATEIBLD GLIST.DOC
O � PRlp�
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White - Building
, ,� Canary - Engineering
"'NES° Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
�i � �-t� i c� �� �
�� �.
APPLICATION RECEIVED --� • � � • �
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
� C� � b�. � H I N �� ��.-
Accepted � Accepted With Corrections
Denied `
Reviewed By: �� G Date: 3� ��/v
Comments: . See Attachrnents: 1) Grading'P,1an, 2) Erosion Control Mea sures
See Reverse Side for Additiona�l 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 installed and maintained silt fence or
bales.
■ The silt fence required by the erosion control plan must be installed
prior to any earthwork bein� started.
■ The builder is responsible for maintaining the erosion control measures
until the turf is established.
■ The rock construction entrance must be instalted at the time of footing
inspection.
G:�Admin\dept info\ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS.doc
O4 PRIp�
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White - Building
,� � Canary - Engineering
^'NES° Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT �� Ci �—� -� ( O N�
APPLICATION RECEIVED 3• Z 3• � V
The Building, Engineering, and Pianning Departments have reviewed the building permit
application for construction activity which is proposed at:
l C� o��. T,� �+ � N�, pc�
Accepted ✓ Accepted With Corrections
Denied �
Reviewed By: Date: 3 � �J
Comments: �o�r��-- �-ns��• ' /�'l•�-r�vT��..� e��
/�'_ /�-- f �•�n �.�5
"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�
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White - Building
,� ,� Canary - Engineering
NNES� Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
_, . �__-
NAME OF APPLICANT � i �.... �-- 1�,�.'� , �~ ( r ', ��
�� , �"�. .._ . � ��_�
�PPLICATION RECEIVED �� -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
� 1 r ? � �
'�..� ( l L.-�-- ? f �, �--� ( � .. ��- :�` ? �
Accepted �' Accepted With Corrections
��� Denied ' � � '
1 �'"�
` Reviewed By: �,- f � ' ' 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 jurisdictior� shall not be valid."
08/26I2010 16:13 952881b976 BOB JECHE PAGE 01 .
o g �'��o, Uate Rec'd
F � G�TY OF PRIOR LAKE
� � S�WER AND WATER PERMIT
�'�+�vNxs�'� '
� ' `"'x" "'° FERMIT NO.
a, vcuow cro
3. ciala avplic�m
ease e or ut and at bottom
ADDRESS �01VII�G ��« �)
�
�.EG,A�. DESC�IP�ON (atTice use o�1yl
�.O'Z' �I,OCK ,A,DDZ'Z'�0�1' PID
(�V a�� �" 1 � 1 � = 3�' � 1�l 1� � L! �/( j I��'� �� (Phone) - -
{,A,ddress)
(Addreas} (City) (Zip Cwfe)
APPLIC -� /' ��� � * � ��
(�Ta�me) C L���� �,�. ��, (Phone} (S� �}�
�aaa��s) ���� � .�D � C � [Q L.c� �����k rI`d N �S�`���
(Ad�) �t�'? (Zap Code)
{Cpntact PC�Spx,) '�.. (�kzOx►e} t
A���LIC.A,�v'Z' SZG�*T,A,'Z'Uk�E AA,'�
,A��'�L�C.A�N'� �'LEASE COMPLETE ���.UW
Size of water serviee _� ir�ches.
Locatian of any cou�lings frorn structu�e iFeet.
Type of sewer pipe_ [� ABC PVC �] Cast I�ron
Estimated length of sewer line {� feet.
C�eaz�, out (�f required} located at feet frorr� stzucture.
FEE SCHEDU�.�
1Zesidential sewer and water line conunectipn� $5 �.50 Industrial, Cor►a'I & Muiti•family 1% of job cost with a$5 t.50 minimum
Sewer cota.�n.ectioz� o�aly $25.50 Wate�- ccmnection only �25.50
Estimated Cost $ Buitdin� Permit #
SEWER AND WAT�R �'���� FEE $ P�ID WITH
S"�ATk SURCHARGE � �... � �ILDING PERMI�
TUTAL PERM�T �'�E $
(p��ce UAe Only)
This AppllcAtion Beconnes Vonr �aildivag �einonit Wl�ep Approved Pa;d Receipt Na.
Da�e �y
Suildin¢ Uf�cial Date
24 hour nqtice fvr all ipepeciipny (932) 447�4630, TAx (95Z) 447-42A5
�bdb 4whota T+t►aet F,F... Prl<rr Lalas, M:nnm..er SS�#72
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-� Aug, 2b. 201Q 3:43PM Wenzel—Plymouth � � � � � No. $500 �P, 2 ' ' ��� �
' � Rto �� ,. Date Re�'d
� f �� CITY OF P�TO� Y,,AKE PL�IMBYN'G �'�RMIT
� �
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f�Vx�so�" �. emc Fu� PERMIT 1�0. � l� ��
a. Go�d ciq
, 3. Ye11mv Applicam
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annx�ss za2vnv� ro�,►��
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X,�GAY, �ESCRIPTION (office use anly)
T.Ox B�,OCK AbDi'TXOl� pTb
01�TrTBR
(Narne) _,,,, (�k�one)
(Address)
AFPLYCAN� ,]�
(Name) "'� 1 � �hane)
(Address) �
(Address) (C� (Zip Code)
(Contact �e�sOn) �'hp��
APPLICANT SXGI�TATCJRE DATE /t!/
� P C NT PY�EASE COMPLETE 8EL0�'
uaiitS e oFT�x re uantf e of Fixture
Batl� �b r�vith or withaut shower Ytou -ins
bishwasher Water T�eater
Floor Drain Water Softener
Lavator athroom Sin[c Stand Pi e Washin Machine
T�aund Tra 1 or 2 com artment sinl� Sewa e E'ector
Shower Stall Backflow Assembl
Sinks Backflow Assembl Test
g� gi� � T.arx�n S rinkEer
'Wa�er Claset Toilek Other ,
FEE SCY��'C7Y.1�',
Industrial, CommerGia! & R3ulti-fanrify ]% of job Cost with a$49.50 minimum Itesidential, IV'ea� Onc dt Two-Familp S 149.50
Res"sdential, Additians & Alterations $d9.50
Estimattd Cost $ �uilding permit #
PLUMBING I'ERMIT FEE �
srAr� SvRCxAR�� $ so A4ID W�
To�rAL pE�m r�� s � � ��,��'
(Office Yl'se Only)
This A,pplic�tfon Becomes'Your Building Pet-�,�ft'�'�he�i Approved paid ReceiptNo. '
Date �3y
Bulldlne Ofllclal Dnte
24 hour nottce for ell inspeetions (952) 447-9850, fax (452) 447-4Z45 .
4d46 bakota Sh•eet S.E., Prfor L�ke, Minnesqts 5�372 •
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AUG.26'2010 14:01 651 633 8B64 FIRESIDE HEARTH AND HOME #6510 P.001/002
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j LO'I' BLOCK A1.71_7fT1ON � r , . P� _
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� OWIVER �� ` " � � ,
� (Name) --. _ Y�\ � - - �e �.�.. .._,... , .,..., ..�.
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(Address) � y � _ � ���_
i APP'LiCANT .—.�..��_.�..�. V. i
� (Name} _ ..�-.-- — - �.... �Phon.e) 1
Mearq� 8 Hvme T �
tlbe �ireeide Hee����' (nC. '
(Adci['�CSS) . . ��Bi.1J�t8�..�_.._ —._._.....�_..�-- �C'fty) fT.ip Code)
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Roaevllle, ArtPf 46T13
(�Lan�arc Ferson} . _ _ . . 5 B,� - (P[�one) ,,. .,.. ...._._,... .. __ �
j APPLICANT SIG�iATU .� _ � 1_7A�T� � � ----
AFPI QCANT P��TASE ��MPLE'�F �E1..UW
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, FURNACEMAKfANU �)(.)k;L ._ .. .__-•---�---�---� FUfL
� FLUE SIZE KE:1'1JRN c�PENIN�iS fN�'UT OUTAUT ,.._„
TY�E UF SX9TFM H�A'1"�+fG 08 POWER PLANT
P1,EA.S� �YUTF: A,ir Conditioner
i ❑IUartn Rir Plants ❑�«�� Units and Fir�placeg Canr�ot Fperoach
Q(jravltv � «ql �i31.C�
� �] Cta.diation i�t� Required Sid�e Yard Setba¢ks.
❑ Nt�chanicat Fireplaces with �ox Additi4as ar
QAir �Conditioning ❑ Special 17e�ices . .. _.. _ . ., _.._ ._ .
_ ❑vrnr. Sysr�m �{�cher I�e�ices , .... C'snkil,evers to the Onksic#c of �uild'm�
�tcqiRirc a Ruildin� �ermit.
�, FIRFPL:3C'E �1AKE ?�ND MtJf)1sf� �c. Q�. �_ �� ��, �`� .
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�-F9 ,5� minimum
Rc,ulrn��al, l�ea�ing 6t .�, r,' �, c+, 1.'�m.u�uc�i�,nl '�1�9 50 Ro,i�lenii�l, •'�dditrom &,�Itera.uun� 'Sa9.5�
It�,i�.lrn��.il, Ncaring l7ril} itie �'�w��ivuianl �h.t.Sr) Rrtiicicn�ial, A{' ()nl1 1�19.Sn
f••cin�ac�d t'�„� � �,`�!!� Liuildin;� P�rmit = . . . . .. ._....
i�i� :11'fN(� F'ERMiT ��:E �___._. ... PAID Wi1'H
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04/1712010 07:50 9524454367 HORIZOhJ CONTRACTORS PAGE 05/07
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' �6A6 bwi�uta Stre�t 5�., Px#Or' Ia�ioe� Ml�� xS372
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�
- CITY OF PRIOR LAKE
� Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address � (n � Q� 2. �Q � �.� " � �a �e —
31 `1%a 4600 s F
Lot Area lg` 41`'1 Sq. Feet x�!o =••••••• -••• '•
*****************�*********************�***************�****************
LENGTH WIDTH SQ. FEET�
HOUSE X _ . � � 3 -
x =
t1TTA�riED GARAGE x = "j 3? ✓
TOTAL PRINCIPLE STRUCTURE ...................... �°) � � 5 Ff
DETACHED BLDGS X _
(Garage/Shed) X
TOTAL DETACHED BUILDINGS ....................... ""-' �. ��'
DRIVEWAY/PAVED AREAS X -
(Driveway-paved or not) , x —
(Sidewalk/Parking Areas) X — /
TOTAL PAVED AREAS ......................................... 7�/� � � S F-f
�. . , �
PATIOS/PORCHES/DECKS x = w t O Z''` Pott-�tl ' ��
(Open Decks %." min. opening between X —
boards, with a pervious surface below, � o O P�,�.-� � p
are not considered to be impervious) _ _
� ' _ _ � . , . tf . T
TOTAL DECKS .............
........................................... � Z .5�.�'t
OTHER X - -
_ X =
TOTAL OTHER .................
...................................... �-- 54. f� ` �
7COTAL IMPERVIOUS SURFACE •�
� E VER ,� I 7 . F.
Pre ared By /" �/=��G� Date 3 — i O
P
Company �o �e �i1�a �i�ee �'��� o- J�� • Phone # �s'Z y3Z 3ooD
```�..
P R I O R LA K E BUP �RNG AND INSPECTION
4
INSPE TI N RE
O RD
O
SITE ADDRESS t� o�'Z T•4*� ��<<.4 ����G N_� •
NATURE OF WORK ��,s��..� FhM� �..� c�.���,.�� (tiiC. CE�-k _ FiN .u�. Nd ���,
USE OF BUILDIN �►_ �
PERMIT NO. DATE ISSUED 3 3� ��
CONTRACTOR F� �.�4r�tc.ti PHONE � � Z• 2.sa .?8�q
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DO�UMENT ^- �
�pi"-'�'�. E�z-.ss t a... .f� ,h.4�,..i�s�1-,.�.� C� �,J T7 /'�— /� �'�
INSPECTOR DATE
FOOTING � 5 �z �o
FOUNDATION (Prior to Backfiil) � $ �7 c,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
�`°m" �� s u�o� '�s�•R O U G H 8 I N S
SEWER / WATER / SEPTIC ,, 5 I� y
FRAMING
INSULATION �
ELECTRICAL '
PLUMBING U,S U� z4 �� ? �p
HEATING (if required) b ? ,�
FIREPLACE j�
GAS LINE AIR TEST(�„� i�, � ° r"�
�`�� P CO E �O ORK UNTIL ABO E HAS BEEN SIGNED
i��s �-.,.�h P � r�
� � FINALS
GRADING (Prior to Sodding) ,fG 2�/ /a
BUILDING `t' �y ,
EL�CTRICAL
PLUMBING � iQ �a
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electricai service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buiidings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850