HomeMy WebLinkAboutBuilding Permit 06-1021
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/0. 3/. O~
I. White File I PERMIT NO. (;,. (" "II
2. Pink City ~
3, Yellow Applicant
LEGAL DESCRIPTION (office use only)
LOT Z BLOCK I ADDITION /lIt::.- \A.kL.
~Kr;
PID 25. .fO+. 002..0
ZONING (office use)
~/5.o
OWNER
(Name)
(Phone)
(Address)
BUILDEIJJJE ?
(Name) n 0
-
(Contact Name) /?7::z::".J:::-E.
(Address) J 51 7 D
{! 1ArsS-ICL Ikm 6~
LIIJ lJt;/J~
-:riVe!-, (Phone) &'5/- l./23-3IJ~
(Phone) ~ /- L/2-J-313?
~J AI ~TOb
TYPE OF WORK
ODeck
OLower Level Finish (2) ~ Fireplace
~orch ORe-Roofing
"I-"S~o ,.J
OAddition OAlteration
PROJECT COST/VALUE (excluding land) S
201
ORe-Siding
OUtility Connection
00
ed information on this application which is to the best of my knowledge true and correct, I also certifY that I am the owner or
entionedproperty and that all construction will conform to all existing state and local laws and will proceed in accordance with
atJhd:lul1dingofli 'al can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
, <\ffil<' in<p<o , cy 2- 2- / tJ P 7 ;b It
Contractor's License No. Date
Park Support Fee
SAC
#
#
Permit Fee
Plan Check Fee
Water Meter Size 5/8' , 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
~Oo ,00
TOTAL DUE
0100
This Application Becomes Your Building Permit When Approved
~~
11//0/0(0
I f Date
Building Official
$ -
$ 5 O,OD
$ 32...5.00
$ IOO,DO
$ 5~o.oo
$ 000.00
$ SO l> . 0 D
$
$
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
is~~
Planning Director /tAr/a~' k~ a;!aJC~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
(-.Pink - Planmna:::::>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections
/
Denied
,
Reviewed By: ~ ~ Date: /1~~6
, f
Co~ments: fi~ aU "",/~. ~ ~
LA-' ~~_ ~.r- ~.."iZ ~ ~~ Z..>~
----......
~~ ~. ~ ~J?'" Q~ ~
~ ~ 0'0% ~~~_~~~
.~.
"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."
~hite - Buildinb
anary - t:nglneering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
116TJe 0 0L-ASSIe..., I-!ortES
/0. 3/. Oc:,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
29// ~ OUtq/tR- PATH
Accepted
Accepted With Corrections
/
Denied
.
Reviewed By: ~ ~
Comments: 7fo~ tUI ~
~ ~ ~4.~~
Date: I ;/t, ,it; G,
r'
~~.
Jd?~4~ .a-z A aa-~'
"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."
-.
White - Bundlng
c: C-Slln~ry - ~nglneeili'nb
Pink - lannlng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;/ETJ2 (J LLH5j/C- /-Io/'1E- S
/0.3/ (j(,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
29/1 L G'UGjlJ/<- /jrlTH
Accepted -P(
Denied
Reviewed By: /YJ#3 Date: 11- g> -O~
Comments: See Reverse Side for Additional Information!
Accepted With Corrections
"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 ot 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 hot be valid."
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by: ~ ~ Date: / ~;;, ~
Building Permit #
Address: C:?~ / /
Legal: L ~ ,B
PID: Zoning:
~/~
/ Subdivision: T~ vJ4 ~
Existing Structure? YES @
Existing Nonconforming Structure? YE~
r@ NO
I CONFORMS TO ZONING
ORDINANCE
Standard
25'
10'1
25' if abutting a street
Pro osed
2..533
IS'
. Sidewall exceeding 50' requires additional side 2"
setback for eve l' over 50' in len th
. Rear Yard
. Patio Door: provide for minimum 10' deck or sign
statement indicatin no deck will be built in the future
· From 100 year flood elevation of wetland/N U RP
ond
. From OHW (Prior or Spring Lake)
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
30'
;;2(, . Z 7
I
"Nti"
Nit
Floor Area Ratio: NAI FAILS
75' or setback average of
adjacent structures, but no
less than 50'
jl}A-
'l~1'l
.30 Maximum
Yard Encroachments: NA I FAIL PLlE
Eaves and Gutters no more than 2 fee In width and no
closer than 5 feet to a lot line Easements.
AlC and other equipment cannot encroach on interior
side ards.
Standard
Pro osed
JJ(),Jb
tJ ,J G"
.-
Tree Preservation( ~) FAILS I COMPLIES Standard Proposed
. Total caliper inches
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement %:1
L:\TEMPLA TE\BLDGLIST.DOC
NOU-28-2006 08:57
NDU-2?-2Be6 16:35
CITY OF PRIOR LAkE
CITY OF PRIOR LAKE HArNT
9524474245 P.05
P.Ell/ell
CITY OF laRIOR LAKE
SEWER AND WATER PERMIT
Date Re~'d
~t!.s.~ lype or prim an~ll'I lit bowotll) .-,
ADDRF;SS
29// C-O(/~~Ie
- -
, jECA ~ OESeRJ mO>l r..i<..." .,,) -. -
LOT .BI~OCR A DOmON
""---
~ ~::w ~;~ I PERMJT NO. ~ /OZ.1l
), ("eM ~~"n"'I' . :....Ll
ZONI>IG ''''';'-;J
.--..-.-
-l
p~TH
PlD 2~.~. ooz.. 0/
_.....,...,_....~....----..".,I.I.-
OWN[!R
(Nil me)
-..-..--....---
(^d Clress)
~~]kP C(I()e,
"-J
,..---
-..-..,...-----..., ',_____ (J?holle) _._
(ACld/OH) ___..._
..,._,.,.,,---~t..__
PP,r.rCANT a ~ ,.- k <;?, V /.1
(Name)..___---J-Lt) ^s.~,.c__ ~Y.:~_~ ~.h....--.~jJhorl~) ~~ ~_.- '-I L/::A.3 B~-7--
Address) r 16?;" _ U l/P~(. W6t~
(A'd.lrw) (/ -.. "...-.- , - . '''(ciiy) (lip Coile)
Contact Perlon) .._--21- sSL &~.:::'.k~ c/L. .._.. ....___.._ (Phone)
P~LJCAm:SIGNATURE._ ~_~._..____ __~AT~.._ Ll-- 2..7 -<> t.
APPLICANT ,'PLEASE COMPLlc-J'E .RELOW
Size of water servic:~'-"._'-- illche~"'" ,. .. -.--..
Location of any coupl~;gifrom lilruclure _ feel.
Type of sewer pIpe. 0 AI3C 0 PVC 0 Ca~llron
F.sti1l1l&!ed length of ~ewC'r line teet.
Ch:all _~.~.~ (if required) ~ocalc~..~,"~:"=-. feet [rorn ll~~~~lrc. __) .______.
r'
(r EE SCHEDULE:
llesldcn\illllclI\iel' 11lld w~ter line cunncc!iOIl SJ5,50 Irltlu~lrill. COITl'I & Multl.fillllll}' 10/. 1I fjclh cosl with ~ ~;9..s0 rn Inimurn
S.:wel"cl)nnecr'ononl)" :!i,i.50 Wl\~rcMmectlon')nl" 117.Srl
E$f;I1l"led Co~,. S
--.........~ --.-----
8,!ildh'g Pe/'mit # _.,_
SEWEkAND WArER Pf.:RMlTFEE::
ST^TE SUH(;HARGE
TOTAL P!;){MIT FEE
$
S
S
RI\ID Ymlt
tJUilD.NG ~AM'"
(ome. u~ O.ly)
Thill Appliclltll)J1 ~':Onlcs Yaur BulldiPR Perlnit Whll AI'I.to"~
8ull~llIt OlTiti,1
J')Mt
I'~
.'Olole
.... ...........-...-
1 ~~a. ~. ~-j
1. Ilo.r lIoUet rOt llllln"'~liol\l (951) 4n.98~. fu (\lS~) 447.U45
TOTRL p.0~
TOTAL P.05
12/18/2008 15 53 FAX
Ii) 0') 1 ,/(11) 1
~
~~\\
\''; LJG "'I
\" )
~
CITY OF PRIOR LAKE PLVlVIBING PERl\1IT
Date Rec'd
l?kJ;<.: tyPC or pri.nc J.nG Sl~ H bcccom)
FRESS Aq/I ~Qa:icD
lEG,':',L DESCRlPTION (<Jffice u,c only)
i OIL~
: Cvlu
J Y~',I,.,\"
Fdt'
:-1\':-
.-\;:I"linr'l1
f PERMIT NO.~
I ZONING (,:F,c~ Uj~
I I
LOT
BLOCK
ADDITION
PID
I O\\'1'TER
I ". )
, 1)'lame
I .
I (AddrE5S)
R () e..K..
Q~er5
(Phone) 952- L.J4'1- CCfS'S-
I
J
IIo'i:J1
:])lL~\l..tl Av(?. Q E. .
I
P r'1 () r- ~J:.e
1Y1N
5507~
APPLICANT
(Name) M().+'H'l~w :Do.n,e.le) , 11'1('.
(Addrt:5s) , 5?30 c...a.l"mll!?P J WClJ
(Address)
I (Comac( Person) -:Danie.l
I APPLICANT SIGNATURE
(Phone)
&,51 - ~2l:> - --3'130
R l"l'" P rYl Cl u..rrt
(Cicy)
.5'50 '" l?
(Zip COdl~)
, Quantity Type of Fixture i QU:lntjry I Type of Fi:(ture
;2.. B;nh Tub with or without shower I ..3 I Rough-lns
I I Oishw'asher I J I Water Heater
I I Floor Drain I J ,U' I Water Softner
1 Lavatory (Bathroom Sink) I -) I Stand Pipe (V/ashing Machine)
/ Laundry Tray (l or 2 compartment sink I I Sewage Ejector
I Shower Stal! I I BackJ10w Assembly
J I Sinks I I Backflow Assemblv Test
E. ~n~~n.
~~.~~
APPLICANT PLEASE COMPLETE BELO\\'
(Phone)" h51 - J-17.f3 - -..3~
DATE ~_. J9J ~
..3
I Bar 510k
I Wa.,er Closet (Toilet)
! Lawn SprInkler
I Other
FEE SCHEDULE
IniJusrri:J). Commercial &. /Ylulri-farnily IO/a OfJ0b co~r \~i[h:l S39.50 minimum
Rc.sidemial. N~w One & Two-Fmlily 599,50
Rcsidcntial, Additions & Alter:Hion., S39.50
Estimated Cost S
Building Permit #
PLUMBING PERJ\1IT FEE S
STATESVRCKARGE $
I TOTAL PER"lIT FEE $
qq. Sl)
.50 , '\
I~~-~o ~ ~
(omcc lIH Only)
This Applic~tion Becomes Your Buildine Permit When Approved
Paid
ReCelp[ No.
1)1Iildlnr: Offidlll
D~ft:
DatrJEC 2 0 2006
By
24 hour not,~c ~or all ins~~ctionJi (%1.) 447-9850, f:n (9~2) 447-4:H5
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
~J c'l (-(.
e.-
I Green File I PERMIT NO ~ /
2 Yellow City . G - I (: c-
3, Gold Applicaot, I
ZONING (office use)
2el/ /
( i (') r I (" r'"llC
elf'
I/) r1 III
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
/;( I/{ (
(/ / 1-" () / ("
l. L- ~--
/ It,/)' {:-~\
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT
(Name)
I).f
/7(
1/7',j 11(1 (<..- ~
;' Z J. '(I{)...' (
(Address)
,- I
l/l.jv ~/ c IL--/
(Phone)
// 1 ? ? f i4---
(Contact Person)
'-)
? I
-f' '- >._
.,
/, t.
(City)
(Phone)
DATE
(Zip Code)
G / / 7& (/. ~r/!? /
,
(Address)
lfi/l ~
,
APPLICANT SIGNATURE
) I ~ , _~
l.
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure _ feet.
Type of sewer pipe. 0 ABC 0 pvc 0 Cast Iron
Estimated length of sewer line _ feet.
Clean out (if required) located at feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family
$17.50 Water connection only
1% of job cost with a $39.50 minimum
$17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ -----/
$ /' .50 PAID W\TH
$ ./ ..'~ I" ,...... ;=n:::a,,~IT
,,,/"/ 8' HI u,~".~,..r,.- ,I U .!
,/ ;"._.-T ~....,,~
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
~--
Date Z Z I (.
Rec~
~ -
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Drivewa : NAI FAILS Standard Pro osed
. Maximum width at ro ert line 24' "20'
. Required setback 5' from side lot line or (
30' from r-o-w on comer lots z..s-
. 10% 5'%
4
.
Building Hei ht: NAI FAIL 35' Maximum '2.S-
Pro osed
-
-
30% Maximum -?-~6
Bluff in ShorelandfNA) FAILS I COMPLIES Standard Proposed
. Setback from top of bluff By planning dept.
. Bluff impact zone 20' From Top of Bluff
. Enoineerino certification submitted/approved By City Engineer
. Grading in bluff or bluff impact zone No importing/exporting
Floodplain:(NA) FAILS I COMPLIES Standard Proposed
. 1 00 year flood elevation 908.9' Prior Lake
. 914.4' Spring Lake
. Lowest floor elevation 909.9' Prior Lake /
915.4' Sprino Lake
. Proposed lowest floor elevation Must be l' above flood
elevation for new and existing
structures. If existing
structure was constructed
9/19/90-11/22/97 then
additional foot is not reauired.
. Elevations 15 feet from structure Must be flood elevation or
higher
. Road access must be no more than 2 feet below 907.9' for Prior Lake
Reoulatorv Flood Protection Elevation 913.4' for Spring Lake
.
Standard
832 sq.ft. or 25% rear yard
Pro osed
.
.
10'
15'
.
.
L:\TEMPLA TE\BLDGLIST.DOC
1 I, \, ..l...,' c..l;"..Ir.,...'_ 1t,.I1.J. _'c.,
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CITY OF PRIOR LAKE
HEATING/AIR CONDmONlNGIFIREPLACE PERMIT
Date Rcc'd
J. Pink
:.~
3. no....
~l~ ~ERMIT NO. (, (JJ'Z;/
MpIJ"""t .
I =~~~'7Mbat: 03 QI
ZONING (office u;;c)
P~i-~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
rne/~~B
CJ(ctS;3-/C
H Or'll! e ~
(phone)
APPLlCANy.-,
(Name)_l:LLL~ f l- ~
(Address) l' 3 Lf 0 s
b
(\ LJ ~ t JC0 3 LJ P P-> {-..\,
15''n N t./ C-f/J () <
(Addre~~J
(phone)
p II ft{QY-I-~
(City)
S- S'1Y ;'
(Zip Code)
(COnt2.L"t Person)
(phone;)
DATE
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
WNEW CONSTRUCTION 0 REPLACE:vrrnT 0 ALTERATIONS
.F:URNACE.h!AKE A~ MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATIN"G OR POWER PLANT
OWann Air Plants
o Gravity
o Mccno.nleaJ
OAir Conditioning
OVent. SYStem
o Stcam PLEASE NOTE:
o Hot Water Air Con.ditiooef Units
o Radiation Canoot Encto[\ch into
o Special Dcvicc9 Required. Side Yrud
o Olhilr Devi= Setbacks
{'Y'i 0-111 e, S3 t:.- n D ~ V 500 JJ~+
FIREPLACE MAY~ AND MODEL
rndusulal, Commercial & Multi-Family
FEE SCIlEDULE
1","" of job cost Rcsidential. Gas Fitcpla.ce
$39.50 minimum
$99.50 Residentllll. Additions & AheraLions
$64.50 Relildentlal, AC Only
$39.50
Residential, Beating &. AiC (Nl:VJ Comtruction)
RcsiderHial. Heating Only (New Con~1TUction)
S39.50
$39.50
Estimated Cost $ Buildlog Permit #
VOifJV
HEA TING PERl\1IT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT }~E $
(Offiee U~e ODIy)
Thiel Application llco;om~ Your JJuilding Permit Wbel1 Appro't'cd
Bl/ildiIl!;' OMclQI
Pald Racoipt NQ. I
Qatai b 2007 By
Dl~
24 hour notiGc for :ill inspeetiollS (952) 441-9850, faX (952) 447-4245
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2:35PM METRO ,~IR. 952-447-812(lORLi\J(]~ ']32
IIEATING/AIH.. CONDITIONING/FlllliPLACE PEHMIT
p, i .J)atc ltcc'd
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rl'l~~~ type O/' print NIt.! ~ll:1n <It \.l()ll~
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I-ZOI'Tfr~(;(,;IJiC"~I;)
L____.____.
LEOAL DESCRfPTlON (oUicc 1I1e only)
LDT
I ow"Nml
(NjIlT1C)
(^~dfCSS)
BLOCK
^DIJITlON
PIIJ
---...-.----------J'
_., (l'bolle) Si' J:.:. it \:'~. (~ (.\ -.sJ___.
f\~ r~ \l"'.\\\t. S' ~ \.?-"\ ____.__
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s ~'l $
l \ u...!. i ~ \.. . \\ QI'I\).\.
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AFl'pCANT ~ \ -i-' ~ C -. \..1 ~ -I '(: \ - U
(Name) ~~\:Q.)' ,,- - - h C (Phonc) ___.::.L').:_:1......__:._::L~.;..:.j___
,
(^~Id!,cs.~) \\~/~~\j \-j <.:..\ l<J""~ l~'V \.... t( (', (1- \.L,\~ {'\\0 __2j.~~\.~~')...:..._.__
(^,Idl w) (Cill) (7..ip l"lJC)
(C~Il\;\CI Pc/son) N t,\ V\ <:.... ~ S l.,~ '2. \- \ \.. (Phull~) _=\ ~. J, - ~\ 'VI {. \'~ \.~.l---
A[1PPCANT SIGNATURE ~c.:I'v'v<-~h~ DATU ____._._ ...,.___
-------._------------~-_.__._-------_._.,_._---
API'LICANT I)LEASE COMPLKn~ BELOW
J<tNEW CONSTRUCT[ON 0 REPLACE~1ENT 0 AL~r[lt^nONS----.--
r:UI~~^CE MAKE AND MODEL ~--'c"'y-l\~-\-- ..3-~ er ~V lo.s.J=-J (J~____._ FUEL .._& U\+ _._____
r:q)~ SIZE ~l, _ ItETURN OPENINGS _ S. INPUT \()(~_~.__ OUTJ>UT~~...~3:)~
TYPE or SYSTE'l'vI llEAT1NC OR POWER PLM./T _____"..__.__
.J8lWnl'lIl Air PlnlllS
DUrnvlly
o MechQllicnl
H^lr Comliliol11llB
~Vcnl SystclIl
o Sk~11I
o Ilul W31cr
o Itl\di~liOIl
o Spc.:i~l /)cvi~cs___._
o Olhel' Dcvi\:cs ______._
I'LEASE NOTE:
Air C;ulldiliollt:f UlliL~
C;IIlIlUl EIICI\li1CiJ iut\)
Requlrcd Sid\: Yilld
SClbitck,'i
FII~EI~L^(X MAKE AND MODEL
IIllJIISI( ial, COl11merclal & Multl-Falllily
Ji'EI1: SCWWULE
1% o/'juh cost IlcsiuClIlilll, Gas FilcpLlt'c
$39.50 llllnillllllll
j;Y<).50 l\c.,idCllli,t1, AdiJiliullS &. /\ltcn;liol's
1;6450 ltcsitlcnlinl, AC Oaly
$.I~.)I)
l~c,lucj1liol, llcalillg &. Ale (New CUIISlrllC\iol1)
RClicJeplinl, Ilcnlll1g Only (Ncw L'ullSlructiul1)
l.l'l.50
,tJ~UO
Eslilll<1lcd Cost.$ \ \ J at::::J~ ~ D\llIdill~ Pefllllt 11____...__.
.50 ~'?ovO~ ·
HEAlING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE ~
(Ol\ice tJ.\C 0111)')
l'~; A I' ,,110, tlu" "",,,,,,, Y un<. Jl "lid ,,,' I'.,. "''' Wi<<" AI'I"m"
Bulldlllg Olnclnl Unlc
--.
1-::
Q.-,,,
8 2007---- .-jjy"-'---"'-- "-"-'-'---
''j'{cEcD'itNu:'.'-- ..-----.-
-.. ----..-.---- '.--.'---'--
2>1 hour Ilullce ror nlllusl'cr.(ium (952) ,t.l7-985Q, rllX (957.) 01017-42.15
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Pennit Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted is 30 Percent.
.Property Address Z'1 / / c'()(/GAI2.. f?A7iI Jifr?
Lot Area 12, r; J Z- sq. ft. x 30% = .............. E75~. 6
************************************************************************
LENGTH
WIDTH
SQ. FEET
x
=
x
x
=
=
TOTAL PRlNCIP AL STRUCfURE......................
uz~
DETACHED BUILDINGS
(Garage/Shed)
X.
x
TOTAL DETACHED BUll-DINGS....................... JlA
~~IPAVED AREAS
(Driveway-paved or not)
E~8rking Areas)
x
,X
1~4-. b
=
. ~ fj X 4- = gL
TOTAL PAVED AREAS...................................~.....
85"6r6
.PATIO~R~IDECKS
(Open Decks ~" min. opening between
boards, with l pervious surface below,
are not considered to be impervious)
d t} X i4t -+ /'Z..-
X
=
"Zc3
=
X
=
TOTAL DECKS........................................................ z,og
X
X
=
OTIffiR
=
TO.T AL OTHER....................................................... )/11
I
1
TOTAL IMPERVIOUS SURFACE
@n~OVER
Prepared By ~ ~
Company flh~&- EJ/~/!-"~A/ft, C r ~?
I 'Jog'!, 6
.1 664-
Date /~ - Z.4~tJb
Phone # &fZ) #2'" ~(J(Jo
L:\HANOOl IT~\lMP~~";",,. ,lnr
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITEADDRESS 2~ ~ ~
NATURE OF WORK ~ ~r.tirJ~. iW/"---"_I~_ Q~,2.-r:.P.)
USE OF BUILDING tJo C>RflC.., ~ L..... ~".H
PERMIT NO. ~ . / oz / DATE ISSUED II. Cj,. cJ ro
CONTRACTOR /'? e:-f}UJ u-rtfJI C-- PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~
INSPECTOR DATE
l FOOTING I
[FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING ~
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required) We..
FIREPLACE ~UI1~ I 201p? RP
GAS LINE AIR TESTR:;r;r' ,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
ItA7?fE; IHM$E~ I~~~ Jlij7
FINALS
GRADING (Prior to Sodding)
BUILDING \:c... o. ~ 10 3~ 7
ELECTRICAL
PLUMBING
HEATING
DO NOT
;;H 07
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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