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of Pili CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE .
u 07 AND UTILITY CONNECTION PERMIT
�'' �Neso'er I white Fite - PERMIT NO 2 t3 °
2. Pink City / . 3
3 Yellow Applicant
Please or print and sign at bottom)
ADDRESS ZONING (office use)
! SM kfl'V-LC/N2— t Q q 5-' - se/SD
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID Z , 16 - , arty - 1
OWNER \ , r,,
(Name) _ `' sC_ (Phone) �d a ' •70ED
(Address) t '4c v � . A.--6 , 41.4\ Q C
B 11. 9 ER ._..__
41 _ Compan zV,3me) e° - -.1- v`C v c._i_Phot G(4 7 fO t e
is tact Na e Z-�''ke . C_G<. s.-.c9 ° --.-.., (Phone)
- 3c (. • -, ice it4-- - 1rI
TYPE OF WORK 1 lew Construction ❑Deck ❑Porch DRe- Roofing DRe- Siding ['Lower Level Finish ❑ Fireplace
PA'ddition ['Alteration ['Utility Connection
CODE: 1.R.C. DLB.C. 0 Misc.
Type of onstruction: I II III IV V AB PROJECT COST /VALUE $
Occupancy Group: A B E F HI MR S U (excluding land)
Division: 1 2 3 4 5
I hereby certify that I have punished 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 that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
offi 1 can r , I his pe 't for just cause ...,, Furthermore, I hereby agree that the city official or a designee • • ter upon the property to perform needed inspections
+rr c d �
X `�
ignature_, •.ntractor's License 1 t. ate
Permit Valuation r 9 ad ® r — Park Support Fee # $
Permit Fee $ g7 =z7 SAC # $
Plan Check Fee $ 2k O. --j fo Water Meter Size 5/8 "; 1 "; $
State Surcharge $ q sO Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee r$ Other $
Gas Fireplace Permit Fee l $ 5 TOTAL DUEL s_24y $ 599- 0/
This A , , lica ' t Becomes Your Building Permit Whe Ap oved Paid 5 / R ipt No. (, tj e1 V
ir Date 3, 7.7J
.uildine • - , Date
This is to certify that a request in the above application and accompanying doer is i n accordance with the City Zoning Ordinance and may proceed as requested. This document
when si yd th ty Planner constitutes a temporary Certificate of Zoning co , .lian and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director 'rate 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 in 30 Percent.
Property Address 1 S5 LL._ �/ /f2.
Lot Area H f cI ` Sq. Feet x .0 ---- 6"'7'�, -"
- LENGTH WIDTH SQ. FEET
HOUSE %z x _ '792
2 x '2.6 = d Z41
ATTACHED GARAGE z Z x Zi = 6"•ze
TOTAL PRINCIPLE STRUCTURE .................. .... / ,941,1.- DETACHED BLD / 2 x ,6
2 /
(Garag Shed), X
TOTAL DETACHED BUILDINGS......----. /9'2.
: DRIVEWAY/PAVED AREAS a x = 6-s
(Driveway -paved or not) X =
C (Sid arking Areas _,,_pp— x =
TOTAL PAVED AREAS. ............ ......w.. q
PATIOSfer ECKS /6, x /6 = 2145
(Open Decks IA." min. opening between X =
boards, with a pervious surface below,
are not considered to be impervious)
•
X =
TOTAL DECKS ................ ....................... »........ 2g<3
OTHER x =
x =
TOTAL R.............. ....................................
. • TOTAL IMPERVIOUS SURFACE 3, , 3
usiciDove Prepared B 0 6-1' ate / z / a z
B OERHAVE LAND SURVEYING
Company 14243 MITOKA CIRCLE N.E. Phone # f62-4' 6 91 %L
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PRIOR LAKE r3r PA RTM OF
ILDING AND ENT I NSPECTION
INSPECTION RECORD
SITE ADDRESS /554O ME a CI it.
NATURE OF WORK RD i
USE OF BUILDIN 'Jr
PERMIT NO. A ipcx,.i. BATE ISSUED IptP ,
CONTRACTOR s��r� � 1�1 PHONE' ' IDb
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
FOOTING ,fl.-
FOUNDATION (Prior To Backfill) G.4---13
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING 4,
INSULATION
ELECTRICAL
HEA % l�
FIREPLACE
GAS LINE AIR TEST
r�lv
illin WORK UNTIL THE ABOVE HAS BEEN SIGNED
11111111111, 4.4.4' - 1 fi-
FINALS
BUILDING
�,/
ELECTRICAL �
NNW
HEA ING / '4 1 /
DO NOT OCCUPY UNTIL A = • i HAS BEEN SIG D
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