HomeMy WebLinkAboutZoning Compliance 12.0054 Imp. Service Added � F PRI 3 .P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT /Z1 /-102 2 Pink City
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4, 4r I. White File PERMIT NO. /2 _ l
ANESO
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
/—) IS o A.12 L. • ie 1- sp
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID 25 73s --e,Y7 --0
OWNER k
(Name) ( , Li r , r toj ik n , -e.... (Phone) 9 52 -1 1 2 d 7 g`�
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(Address) '`I2 06 LCY 3 S
BUILDER - Z 2-.1 / 0 St (Company Name) T Y -1 L Q-n d s C ei',� I n G (Phone)
.JJ
(Contact Name) 1) - � l C a_ CI ✓ LA... VI d e t°. in (Phone)
(Address) 1- 1 7 J t{ 9 P o t 1 ct., S
TYPE OF WORK ❑ New Construction ODeck ❑Porch ORe- Roofing ❑Re- Siding DLower Level Finish ❑ Fireplace ppJJ �f/ //
❑Addition ❑Alteration 0 Utility Connection � �� %J.._ (Leyte, S flEte /KfL Mist. 1' t rt4. ►1'11
CODE: ❑LR.C. DI.B.C.
Type of Construction: I II III IV V A B PROJECT COST /VALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certify that 1 ha 'hed information on this application which is to the best of my knowledge true and correct. I also certify that 1 am the owner or authorized agent for the
above - mentioned property and th all co struction will .nform . all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke this permit f us cans Furthermore, I hereby a: ee that the city official or a designee may enter upon the property to perform needed inspections -
1711 ti/ /.
X ' C License No. D to
• .lure �/
Permit Valuation Park Support Fee # $ �' ,� vc.
Permit Fee
$ /7 SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
1 Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee I $ TOTAL DUE $
This Application Becomes Your Building Permit When Approved Paid /17 Receipt No.
Date jU -1 - /,2 By
4.." — /' 7Z
Building , � cial Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the 'ty Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
i i 74 zaf /_ /oz
Plana' : D irector Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372
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 is 30 Percent.
Property Address 0 L4' Eras Si
Lot Area 37 L/C1 sq. ft. x 30% =
*********** * * * * * * * * * * * * * * * * * * * * * *** * * ** *** * * * ** * * * *** * *** * ** ** * * *** * * **
LENGTH WIDTH SQ. FEET
HOUSE ,hc( C a.le, 1 25 '7L
ATTACHED GARAGE x =
TOTAL PRINCIPAL STRUCTURE 2 S 7 2
DETACHED BUILDINGS x
(Garage /Shed) X
TOTAL DETACHED BUILDINGS Qf
DRIVEWAY /PAVED AREAS x = g/ 7 /
(Driveway - paved or not) x =
(Sidewalk/Parking Areas) X =
TOTAL PAVED AREAS S 1 7
PATIOS/PORCHES /DECKS r to x = 9no
(Open Decks ;:' min. opening between X =
boards, with a pervious surface below, C/^
t p
are not considered to be impervious) rkib f l
X =
TOTAL DECKS (49
OTHER x —
x =
TOTAL OTHER
TOTAL IMPERVIOUS SURFACE 3% 5
UNDER/OVER 20
Prepared By qa- -O C1 Va_fizi.e s — Date '2/
Company 1r er) jv Phone # (,'(2 7?L Ci(
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