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of PR�o�P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ti
-9
AND UTILITY CONNECTION PERMIT
/4-
I.
a�NNES��P white File PERMIT NO. /4-, �`
2. Pink City Q
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
C3 S gOrQ.k/k1(90)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER/ I
(Name) °E. J O V'tM'h Li (Phone)
(Address) N F O a5c0„," J lXO 3k. . ewe- (
BUILDER !
(Company Nam 'I't Cad l " Qt�CL �V)�j V CNA') vl((Phone) v/" 0 - 361 0
�f
(Contact Nari Vw35 (Phone)
(Address) V 6c, CCs 'PCR Olr �/�'c&. '310)
TYPE OF WORK ❑New Construction )Deck A'orch ❑Re-Roofing ❑Re-Siding ElLower Level Finish ❑Fireplace
DAlteration 0 gi Connection
CODE: ❑I.R.C. ❑I.B.C. ❑Misc.
Type of Construction: I II III IV V A B �
PROJECT COST/VALUE $ 1��•
Occupancy Group: ABE F HI MR SU (excluding land)
Division: 1 2 3 4 5
I hereby ce tify sat I have thin hed information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-me tone, 'op -ty n hat all construction will conform to all existing state and local law3 d will proceed in accordance with submitted plans. I am aw \t the building
official ca rev. hi I.er i r just cause. Furthermore,I hereby agree that the city official es ee enter upon the property to perform needed inspections.
Signature Contractor's License No. Date
Permit Valuation /
0 Park Support Fee # $
Permit Fee $ �q /7(/el 5
SAC # $
Plan Check Fee $ / e i. Water Meter Size 5/8"; 1"; $
State Surcharge $ s p Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE/del '7_6 y f4, $ l - N
This Application Becomes Your Building Permit When Approved Paid Re., .t No. T/b/C
1111
Date 7_ -/ / : 9 -
Ca4, 04.14, 7 11 3(
Building Official 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 City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
Planning Director 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 /14 CDQ /24
Lot Area ! 20 F -7 sq. ft. x 30% = 3 6.o?iP
LENGTH WIDTH SQ.FEET
HOUSE x =
x =
ATTACHED GARAGE x =
TOTAL PRINCIPAL STRUCTURE / 951
DETACHED BUILDINGS x
(Garage/Shed) x
TOTAL DETACHED BUILDINGS
DRIVEWAY/PAVED AREAS x =
(Driveway-paved or not) x =
(Sidewalk/Parking Areas) x = �[
TOTAL PAVED AREAS 7 ›
PATIOS/PORCHES/DECKS ` 1--3 x `' =
(Open Decks''A"mim opening between X =
boards,with a pervious surface below,
are not considered to be impervious)
X =
TOTAL DECKS 9 k
OTHER x =
X =
TOTAL OTHER
TOTAL IMPERVIOUS SURFACE 3
D:R/OVER a= ) 053
Prepared By Date \ \•\
Company Phone#
C:\Documents and Settings\mtpeterson\Local Settings\Temporary Internet Files\OLK9A\IMPERVIOUS SURFACE CALCULATIONS.doc
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PRIOR LAKE BUILDEPADINGTMENT AND INSPECTION
INSPECTION
SITE ADDRESS 144% ass to ' I ft4
TYPE OF WORK 1:64111M ark At t IC. _
USE OF BUILDING SF b _
PERMIT NO. 140... 42,, DATE ISSUED 7. '5,14"" _
BUILDER Pre•CI S 101n ,iiiNNa. PHONE # ( t -3L°t.- 31,10
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING 1-L{ I I I S /
PLACE NO CONCRETE UNTIL AB • VE HAS BEEN SIGNED
I ittatfitia FRAM 414 I ,111
ef)_, efioi
I FINAL I �0� /./7/y
FOR ALL INSPECTIONS (952) 447-9850
• •