HomeMy WebLinkAboutBuilding Permit 15. 0164 0 J
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eY R j ) CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
\` Y CERTIFICATE OF ZONING COMPLIANCE ( 5
TEMPORAR Z, Z
v AND UTILITY CONNECTION PERMIT
IcY�'N E SO
1.white Pile
2Pink City 1 PERMIT NO./5
/64r,
.
3.Yellow Applicant
(Please type or print and sign at bottom) ZONING(office use)
ADDRESS
l G31 a° /7,,z BAE,A) TWooL Prtcc RAJ /z-/So
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION S ► 4 k^J N L CS t 1` RR PID 7-5. 4-44 - o 11- 0
1
(Name)OWNE
1O0 ii)e4 LIN� 0 (Phone) l 5 - 411957- 4 800
(Address) ( 6 6. 7 a B re.--1-1.0 00 e Pc,SS W II bI . L 11 KE 5S-.1 1
BUILDER I (Phone) 0644 /`3")a7 3 ' 707 O
(Company Name) De4 �
(Contact Name) RD 0 L A s4J 0 (Phone) L/4-18A-3g YU
(Address)
TYPE OF WORK NI New Construction ODeck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace
DAddition DAlteration ❑Utility Connection
CODE:. 4I.R.C. ❑LB.C. 0 Misc.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S. U PROJECT COST/VALUE $ SooOn- 7000^-
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished in. n tion 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-mentioned property and that.. co, . ion will conform to all
existing staand local laws and
will proceed inaccordance wio submitteditt neededplans.
. I am actions that the building
official can revoke this permit for' c. .e. /�• ore,I herebyagree that the cityofficial or a designee may enter upo property I
g 7 ".'-+ + Date
Signature Contractor's License No.
Permit Valuation t
5 OCa Park Support Fee # $
4-4)( Zp/-
$ SAC # $
Permit Fee (11 ,—1
$ Water Meter Size 5/8"; 1"; $
Plan Check Fee 1(�,.S
State Surcharge $ '
Pressure Reducer $
Z•. 9
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 A i- o 3, 3,15- $ Ioto-"70k
j Receipt N � I
This A' do, eco s Your Building Permit ' n App ed Paid 1 Ce,,,a J
AppDate 3- L1 By
11 tiff
Buil,` •lie _�\,t
that equest'. the above application and accompanying docum=..is in acco.. ce with the City Zoning Ordinance and may proceed as requested. This document
This is itcertifyba Certificate of Occupancy must be
when signed by the .� - �nstitu>s a temporaEy Certificate of Zoning comp•+ ce and• �ws construction to commence. Before occupancy,
issued. 41- �� �—
t4:4410111111
Date Special Conditions,if any
Pl.,�,g��
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 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 / j 72 igieq 41,001 4ss /4/‘,///sic r ST�,,,,,,h,2 806,7
Lot Area03,0 3,9'o'( Syy F Sq. Feet x 30% = 7/7/ Sy r
TTT'I•TTT'i`TTT TT�T TTT T�TTTTTT'I•TT TT TTTT•FT�TTTTTTTTTT TTTT TTTTT•FTTTTT TTTT TTT T
LENGTH WIDTH SQ. FEET
HOUSE x =
x =
ATTACHED GARAGE x =
. TOTAL PRINCIPLE STRUCTURE 3q.5-4 sr"
DETACHED BLDGS x
(Garage/Shed) x
TOTAL DETACHED BUILDINGS e----
iz-,c2-5 -34x7
DRIVEWAY/PAVED AREAS 2'' t '..1 i�`c444 7'c3
_ 1 L �L=�Z
(Driveway-paved or not) x
S/dew4111 6?5F
(Sidewalk/Parking Areas) X =
rrrivrc.ty,1 /132 51
TOTAL PAVED AREAS /2M1 - 5F
PATIOS/PORCHES/DECKS x =
(Open Decks''/"min.opening between x = .
boards,with a pervious surface below,
are not considered to be impervious)
X =
TOTAL DECKS Pa`e ti c/1/t c'
i .
OTHER ----)6a /4 2 �5(+o x = Zcjl
ate ppv6ua,, 3 ' X = Zj► '—�
TOTAL OTHER..
TOTAL IMPERVIOUS SURFACE
Ccs l 1. ,
CIINDVERic(rx„,. ..311.11 5 1 o V z
Prepared By /'P4, ,/ /I&w,t,4s04 Date ( 2-//-/Z
• 'Company - RP.4 etr C4g;.►e r'/4j /? a- Phone # 6c/ ‘v /y'i
DEPA
TMENT
F
PRIOR LAKE BUILDRNG A D�INSPECTION
INSPECTION
RECORD
SITE ADDRESS I&042- 1307,41oD 1:1165TYPE OF WORK AC�SIEETVI�F
USE OF BUILDINGt�.. ,wPERMIT NO. /�7 � IVT' DZ. 23 /5"
BUILDER RSD LA/SID PHONE # 642,. Z,12. 349
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT.
ci->ira
FOOTING �e7' A1a.�n I (T� `�?1Jl�
PLACE NO CONCRETE UNTIL ABOVE HAS BEESIGNED
( FRAMING 1 d'ti S I 2, i ‹-
( FlNAIFINAL
L I „
FOR ALL INSPECTIONS (952) 447-9850