HomeMy WebLinkAboutBuilding Permit 06-0574
:;- 0 (') 000000 "D 0 > -0
en ::I: == C z_
"'0 0 0 en"T1z"T1"T1"T1 0 c ~:;!
g ~ 0 s: =izen~OO z z ::0
0 Sl ;:0 m mO
> 0 s: ~>c3:i8 m ;:0 m 0"T1
, :'1 ;:0 z'S:zoz z en :j"D
t!l , m m en
:ll:l 0 Z ~ ::!G>~G> 9 0;:0
t ~ z-
~ > -t m 0 - zO
l<::l ~ CIJ o z 0
S cD 0 ~ z 0::0
~
co (5 (5 :jS:
~ 01
0 Z Z 0"
"T1 > mm
~ 0 Z
;:0 0 a
~ ~ "tl -C
~ ::I: ;:0
~ m 0 000000 V)
z 0
m ;:0 m
~ >< m m 3:"tlen~3:"tl
~ Z c m'~>m'
en OC ~OC
,. ~ z ~ "tl + ::1:3: m::l:3: "'0 0 en
~ en m "T1!!!;:O;:O;:o!!! m 0 0
~ "tl :J 0 ZZ::I:::I:-Z ;:0 Z ::I:
::! m ~ ~ >G>OO C) 3: ~ m
~ (5
." 0 () ,"T100 ;:0 =i ;:0 0
e ~ 0 Z -"" - C
(5 ~ OJ Zcc Z ,
~"tl"tl 9 m
z m C
~ "T1
t-,) 0
....
~ ::I: ;:0
m
~ 0 0
C 0
;:0 ~
en < 000000
m
:x! z 2 C)"T1"T1om ) 0
>
> Z >:ii:iio~ ~
R0- o C) ~mm3:C) lI) m
~ < _"tl"tl"tl~
> ~s:s:s:c ~
;;; z >ooz:;; F
0
""'l 1" _mm~_
~ ;:O"T1;:O , ~
~-- , i
enz z m
~~ C)
:;- 0 ~~ 000000 "'0 0 > -0
en X ~ C z_
"'0 (") en"z""" 0 C ~:;!
~
B 0 Sl 0 o 0 =izcn~OO z m ::0 mO
;:0 ;:0 ;:0 ~>c:iCi8 m m
l:::I )> 0 ;:0 ;:0 " ;:0 en 0"
, ""'! z'S:zoz Z :j"'O
~ , m m cn 9 cn
:ll:l (") (") )> ~ ::!G>~G> 0;:0
t ~ ~ ~ z-
~ ~ m 0 - zO
l<::l .... )> - (") z 0
S . (") cn ~ Z -- 0::0
CD ~ " ~
co ;:0 - )> (5 :jS:
~ 01 ?' o (") \)
0 Z ~ Z 0"
" (") )> 0 ...c:: mm
~ 0 > z ;:0
;:0 , .-< ~
, 0
~ ~ " "tl "tl
~ ::I: 0 ;:0 ;:0
~ m ;:0 0 0 000000
Z ;:0 (") (")
~ m m m m !!I:"tlen~:iC"tl
>< z m m m'~>m'
~ c c (")c ~(")c
:ll:l en
,. ~ Z ~ "tl xii: mxil: "tl 0 en
~ en m ,,!!!;:O;:O;:o!!! m 0 0
Q ~ "tl :J (") zZ::I:::I:-Z ::0 Z ::I:
::! m CIl ~ >C)oo C) 3: ~ m
0 ~ (5 ,,,00 ;:0 =i ;:0 c
~ ()
~ 0 z -"" - c
0 ~ Zcc z ,
~ OJ ~"tl"tl 9 m
z m C
~ "
t-,) 0
....
~ ::I: ::0
m
~ 0 (")
c 0
;:0 < 00000
en m
:x! z 2 c)",,(") r ~
)> z >--0 ~
R0- C) enRlRl!!l: m
0 ~
~ < C"tl"tl"tl
)> ~s:s:~ .
;;; z ~
0 >(")(")Z N
~ _mm~
1" ;:0";:0 ~
~-- , i
cnZ Z m
~~ C)
:;- o~o ~ 000000 "'0 0 > -0
lit ::I: ~ C z_
-g 0 0 ~ cn"z""" 0 C ~:;!
0 0 z
~ S =izen~OO z m ;:0 mO
;:0 ::0 ::0 ~>cl:~8 m m
::0 ::0 (ti ::0 0."
:'1 m m " ~'~~~~ z en :j"tl
en
:ll:l (") (") en 9 0;:0
~ ~ ~ > oJ z-
~ > ~ m 0 - zO
10 C;; o z 0
S 0 " ~ Z 0::0
;:0 ~ > (5 :jS:
~ " (5 0
. z ~ @ \) 0"
0 )> 0 mm
~ 0 > z ::0
::0 , o .:< ()
,
~ ~ " "tl "tl -t
~ ::I: 0 ::0 ::0
~ m ;:0 0 0 0');(0000 v,
z ;:0 0 0
~ m m m m !!I:"tlen~:iC"tl
>< m m
~ z 0 c m'~>m'
'iI ~ ~~ (")c ~(")c
,. ~ Z xii: mx:iC "'0 0 en
~ en ,,!!!;:O;:O;:o!!! m 0 0
~ "'0 :J g ~ zz:x::x:-z ::0 z ~ ::I:
::! ~
m ~ >(;)00 G> 3: ~ m
~ 0 () 0 ,,,00 ::0 =i ;:0 0
~ 0 ; .~ -"" - c
~ 0 ~ Zcc z ,
Z :1 ~"tl"tl 9 m
~ t-,) \) C
.... r
~ :x: ::0
m
~ 0 ~ ~~
c r -
::0 000000 f~
en
:x! z 2 (;)""(")~
)> ~ >:ii:iio
R0- C ~mml:(;) \S' m
~ < _"'O"'O"'O~
~ )> ~s:s:s:c
z
0 ~ > (")(")z:;; N
~ 1" _mm~_
i ::0"::0 ' -. ~
~-- , ~ i
enz z m
" ~~ (;) C
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADIRE~"l ~
Date Rec' d
6/ff-~
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 0& _ 057~
(go 4 S-
sr: PA-L ~t!,
/
SJ-
e..
LEGAL DESCRIPTION (office use only)
1~
LOT z.. 1 ~LOCK L ADDITION
OWNER
(Name)J lk-bb.rL
(Address)
:; /.c.- d (} 5
me.. 4( .. ~ Ie-v-
Z. 't" +'\ 'j I-
i BUILDER A
I (Company Name) d.W'io'\ f,a~'Ly
i (Contact Name) (tq'n"-A.~ ~u<J-v",
I (Address) (J) (&0
11c,~
ZONING (office use)
(L-?/
,n~"",
PID 25-/)0,/- O"il-I
(Phone)
t'/S-Z - 'f", - Lj~"L
,,., ~,..:...
lJ'C.-
(Phone)
(Phone)
q,Z-'tlftJ.. 'f)"IJS-
&;1 z - JG:fi" 1:1 l 2...
{Jet..
Ih
TYPE OF WORK ~New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Fimsh ~ Fireplace
[]'AdditIOn o Alteration OUtility ConnectIon
CODE: ~LR.C. OLB.C.
Type oftonstruction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
o Mise
$ /950Qo
B
S U
PROJECT COST IV ALUE
(excluding land)
rJ hen'by ccnity that 1 have furmshed mformation 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
I Jbilve-mentloned property and that all constrUCtlon wIll conform to all eXisting statc and local laws and will procecd in accordance with submitted plans I am aware that the buildrng
I ~liClal ca oke 115 pe for Just cause Furthermore, I hereby agree that the CIty Offga~r ~ d~:e~;~:~r ~n the propetty to perform neZe~7e~t~~
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
~echanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permtt Fee
$
$
$
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
~~
BuddIng 01liclal
c,1'rfi ~
I [), e
Contractor's License No.
Park Support Fee
SAC
Water Meter
".
,
#
#
#
#
Date
$ SO. 00
$ SSo, DO
$ z..CSo, E> 0
$ SO. DO
$ ()O.DQ
$ ,(;)0
$ 15"00. go
$
$
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
TI115 IS to certify that the requcst rn the above applicatlOn and aecompanyrng documents IS rn accordance WIth the City Zoning Ordinance and may proceed as requested Tim document
:~~~nd "d;lty Pla:;~emporary Certificate of Zonrng compllancc and allows construction to commence. Before llccupalley, a Certlficate of Occupancy must be
J?r ~%rect:;: 6-~t~06 ;1"d~'f~ecial~t;oll~}~~r-J
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
c:- Ganarv - Engineer!!!5D
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /Jd71[/<1
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: -
/ "- '-I n t1'
, 0 ,-/5 ,x~ lltLL-L- (}A!'-(J ,
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
IVJ9B
Date:
tb - Z 7-()b
Comments: Se~ Reverse Side for Additional Information!
~
.
"S~ J)(tltlt;,--W~S fa, Be
,r.J ~u:n
P fl.,i II t1J
10 i 'S$ t( I tj ~ I ~ D (LA fL '( CcYL -,,'Flc'Mt;;' 0 F OCOL.< p~~ 11 ,
"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 - BU~ding
c canary - En ineerina ~
Pink - Planning
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:
(' "t',
/d...J
(
Date:
I I / !
I,., ; C, \ 1,\ (
>....i;.:.' / t/ VV_j
I
Comments:
o - ,)-1 ,-.J~ .//~. i ~-,:l I ~~'.~ \, ,...(,,(
'. (., 1\...
(([\\{l\\
"'{ \C l t'
(" '
{ "'t~
) , , -' 1",
b If,' \,' " \' f,' <'
{,., Lt \ " \.," \"-", ,
.,-" ;,
\' ';
\ f' ."'" ~t' U
.,\ "C: ~ , (.! \),j, X {"
\
..J
I' Cl1; \'
\ r( C~ (.l d t J 1,.+" t;-. \\, ' \,:.'tJ \ C ,\J' ~,'+ l \ ,~/ (t \(
, , \
'~ t "t r
t v\ "'" \ ~i- {''''! I ,.j
-I \ ( 'I
( ;, \ I \,' \ ',\,l I '.
( "
6
'<..kI,J""i\. I{J,I.<f bC"v',QL'l,,\~(~ ,Ie) {Inl' Jc,{,~Cll(('{j-'
I '
:J - zYz.'" ~ ~ ~ <A ~ /~ &/-'
"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."
c::::-:WhitL - BuildinQ:)
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~cIe-iAtJ}j qtl1~ ~
APPLICATION RECEIVED (0 - g- 0 b
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I&OifS .y,+ p~~~\
Accepted With Corrections
/
Accepted
Denied
Reviewed By:
~
"
~L fb-.
Date: 4:,//'1 ~ to
/
Comments: ~ a..Lf ~-~. ~ f ~
· - p "9 ~" +
~4;P"'~ a.-L ~~, c:X -~-2 ~~
.A#~~ ::- ~~. ~..;.. ~
~. ~ /:~ ~ -Z; ~ ~,'~ fb-..
~ c9-- ~J,z.t/ ~ ~ ~ ~ ~ t!f3
.J!r:r- I
"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."
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~. ~~:w ~ij~: \ PERMIT NO'i\'_ 514J
3. Gold Applicant '-"""'....
I <;1";;.~riRE~S;~ ,,'"" ~d..., "bottom)
~ UO Dye- c:4- - ~~.L
ZONING (office use)
~-e
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID ~~/-J
(Address)
m",( !:J
-hi o-n.v~
(Phone) ':reo t- LJ-lf/J- 4J:;DS--
OWNER ~
(Name) ~C~\~~
(Address)
(City)
(Zip Code)
APPLlCAN..J....J..-- '~ .--;-.....
(Name) rT L Lc=.I ~ T ~
(Address) I~ 2L" D. V~l '\izLYr---.
(Address)
(Contact Person) ~ll ~~
<;1 a'1'0
(Phone) ct9~4- 4 () ~3n'1
I2-d f>r-lt5"--l<.3Ju ~--:s 7~
(City) (Zip Code)
(Phone) '1-
C/J\, DATE
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Size of water service L- inches. CO p~
Location of any couplings from structure _ feet.-
Type of sewer pipe. 0 ABC ~ 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 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
-?Q -0
J. ')
.50
-to......
(-lPr\Vv//
f(6Jft \-r
Estimated Cost $
Building Permit #
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Pa.
Receipt No.
-
JUL-26-2006 11:03
CITY OF PRIOR LAkE
9524474245 P.01/01
Date ..Yd
crrY OJ' PlUOll LAD l'L1JMBlNG PDlMIT
~=- S- ~~:b~'f
I r-""'\.
fjifoif;l=n\l.~ )
UGAL~~"'''''
'PIO
LOt BLoat.
ADD~
oWNER.
()Il aru:)
~)
(A.dtIrr3s)
. AftUCANT FaAD- coM.PLE1B JJD.D'9I
'Jy'pe
or
.,~
fI/lf4r
".
ra:." ~PJ(J1.E.
, (tu:Jvahal. ~ &~ l~ofJ.CIIIIt willi. Sl,-'O"""""
~......ur- ODe a. ~-" m.JO
~del,.MM'....a~ IJ9jO
q "7 IV /'l :33
E__ Cm.t S ::::tAV' _ BUUdinC Ptmit*. - ~
PLIJMIIINO)'ERMITFJ:E 5 #/;; gJ . 8lJllD/~D ~
STAlE stDCHAIGE . S 2a .50 G pJ::-o .
rorALpPJG1'J'D" s l ,0" 'AAtt,.,.
(Ofhcu.~
'l1ailI "",T ....... ( · v... ....'-1..... vn- Arr~1
DIIt:
...
~~
It..... ........., . ...I'SZ)~~ ~~
TOTAL P.01
16:27
'.~ I
';':"'.,,
: '. August 16,2006
p9, '~RMlt'
~~ .
D~t"d
I r I:',',
.'/~;:
'..:\ r...
.' .',\~~~',' .
....'ll...~';~'~':-. . .
. ):'~Ii~~~:~,"':~. .
.1, Pl.lt
~, D-q
):V~\8'oI
~T~7ft-
: ,-- .1':/"~~;'" : Z 1mN~:'(Omce:U1q
. . . ~.'; . ",') ; .
LBGbl" ~mp. :. :frtim~~'~ft:'6nlY)
B,Li{l}l;)K
, .........
'.
. ";:j: .. :' ,
I
. 1.1 .....11 '," ..
. (Addr:l!fS)
~Cont:l.ot:Pen:l!>ri)
AlP ,:$
.'
tgBJ;.. .
.~T.'''''
~~-l~rl.!Jf4.
1't:.~^,SE NO:!.E:
Ait Condltio~eJ' Units
, .cannQ~el;lcrm1l:lh,:lrttQ
. 'R~flQ.#C'a.~{do Yiu"d
, ,Sl:1tl:llf:ck$
rndu~trj~l. .<2Qmmttcll'J.,& 'lQ!fII,til~~p' .
Rc~rdcTTtiAl, ~'tjn'g:.&:MC (N~'Qilffli~~Ji~
Rcsidcnliz. Hdlil'l~.OillY '(Nt~lbiJ1'l~~~IJi.\~
. ','" . ~. f. ':
.,', .~E~~~ '
)~~~t)$l~t '..~mfll!rl,tib:I" '$U\Eil~e~~oe
~~~;S~JifIfrli~~'1
'S9Y.-5'O: 'RcfltH:nti-alj A'8'dLaOl . .& 1.l~
S~4.~~ ' ~.fI6ellt1.1; AC'C1itly
S39S0
m;~,ii_~):tt.
i$1:!l,' ~t$: : " '!!~uR~~~~t"
i;t't5tkL'{i!.~~~m.
. . . ,,'.' \ I ~
.~
$
S.
WITti
BPILDING
P
Bs.tlintt~dost-$
I .. .
~tl iJ dih'g''pettb;l#
so
(Offic.l:.tl~e Qllly)
, . .. . .., ~.. ' ...' IJ. " .. ,. . ,
T!;:I!lrAlWli~R,na!'f~ico11Ie),..~iiJlirr~~j~}~ffi'rti,l$~~'~ibYk~ 'j
'f.l;~'
Kecelpt NO,
. Jl.1l1l iI(irt~otriO/.I1
. "
. L .
.r. '.Kj[....:--'~. ,'v ' .,
,":'1.".:1'..., . .
~~IltCnt~~(i!f';~~W~~~~Y~IMs50,:,rk' E9S~) '447.~A4~
. i1:~Jl'\EJt'glt"'S~~~'t<,,:Pi'lbt"~~Jm;SS372
, D!1:~
..B)I
15:53
CITY OF PRIOR LAkE
CITY Vi\' l'J'(,.lV.l~ 1..l.t,.,,)....;.. 9524474245
llEA'l'I.NGfAlR CONOrl1<)NING/Ii'lREPLACE l)ERMIT
P.01/01
\-~\m-i&W'''.''''~ -----:r
----~~~~-~~-~~~~-
rCil(jACuTsCiiii;'i'Jrj;;~ ,,,1,)-------
L!:.8J_._l1lQ.S.K --~~~ --,-- ----.
~OWti~R7\---;:-~"" ~u,,^::~\ \J ---- --, q~;::~~~=-\.iSQf-J
(Ntlnlc) ..J:ttL...(}.}...r( 0 . .--.---J--'-'- --- (PhOll.) ---.-.-.-.-.---------
(~)~\"\'b~ {'\ ,::>'0J \-...:. _ Q Y" \~ l,,~'" N_- S :; __)-'l~----------..-
L r\1lI< ~l1a t p TIimiT ~07il-"-r"'!!i
~. (...,. ell' · '7
J. V.tlo.... I\Pf'1lllf.ll\ __.__------. .,-~----
--'~-.--.] [---.'-"---.-J
.------ _::~~~::
-----------l
_---.1'112...-..-...-.--....-,.-..-..
-- -. .......--------.-------.- -.---- ---.---....-....--......---.-'-
ADr:;~cAN.l. {'(\.. ,,~, h ~ r -I'", > S S :),. UI.\--l- ~ \'J,u
(NlI \ )_--~...-_:.........--_._--_'::l-._------. (1 hOlt!::) - ~L.._..__._~._..-.j---._....
(Md,,,,) _'I Vii\. \1 \J '- \ l u~ fl i '-- ~ ..' ~ \. <., \ 1J..._~__O'c2.,.).=-~..,._.-
(Mdr~;s). (Cll)') (1.ip Cot.lc)
(CO"I,e, 1""011) -.1':i. L\ ,,-~_~_3~ '" ~ '- \ '- _-- (l'holl') - '" ~. '),. "\ V, -,. ..~l;:L----
!'1'~j~^N.~.!:0-'rul\J!~u.k _ -- pA ~-=-.",=''''.,,,-~~=.=-
1\l'l'LICANT PLJCASE COMPLETE DILLOW
___ _ --.------1S([Nc.WCQNsTI\UCnON .EiT\Uf>G\cEMWi. iJAi:'i'EllA'(iO~ , -.--------
rUI"I^CU M ^"I; ^ND MDD~L ~_,' ....,.. s 'if'I~-l.,o.. \ "do _--- FUl',I" J~t-,------
H\HISIZl\ .1J>.:i. <... __ l\lil1JltN OI'BNINOS ~_ 'NPUT ~ I !l~.- oln'l' U'I' 5__~.....<l.Q.;)
TY1'U 01' SYSTEM HEATING OR I10WER PLANT ------
. ~W"l'IlIl\lr I'J""IS
1]Gl1wllY
o MCI;1131liul11
~^it CQlldlliullllIll
~VCIlI. SySltJ)\
o ~1i:~111
o Hot Wl\lcr
o l\ndil\lioll
o Sl)~eillll)evlt:c.s _.--~---~
lJ O\h~\' lJeviccJ _----
I'Ll!,^sn NUTI1:
Air Conditioner UlIhs
Call1lClt Ullcronc\\ inlu
Rcquilc~ SIde Y:.ml
Solhl\clu
---_..~--.-_.-
FIIW\'I.ACIr MA1<.l:i ^NI) MOIJUL
__.-.-h-----.-- -,.~.-.o-..:-.--=~.-. -~=.;;;--._~---=-...==.:-,--...--._. -.-.--.
lIIU\I~11 illl, CUlIllllCI'ci:ll &. M\llli,P<\111i1y
neE SCllEJHJ LE
l'lQ ~rjob cusl RllShlcl\\ial. Gns J:ilCI'I~cc
.~j9.50 millhll\lm
Ilcsidl:I1\I!\1, IlcMi\l~ 8t hie (Now C\\Il~II'l\Cllllll) $?IUO
Rr.~idcfllinl\ IIcallll/} ()\dy ,New l.:UllS11\ltl\Il11) $(,~,SO ·
I.\sLlll':ll~d Cost ~ ~_~ ~~ ~
~JY.JO
R!sldtll\i~1, ^~ultllll'S &. ^llcl~Li\)ll~
l\C:$i~tlllilll, AC Ollly
.~.Ir)JO
:\i.\~.sO
HEATING PERMll' HiE 3l
STAT!! SURCHAROU. 1;
TOTAL IJERMll' li'~:E $
{()I\'I~t \JH Only) ----
lli~;~'~;'ICl\ll~~:;Y';~;~ Dull~i~;r~~ Whcll ^p\'l'flVtll i..~.~...l~. ~;:.\.f.C.'-;f '..'f -=-,--: 'I...~i\. ',j...C~~~il'Ntl~-~' ...----
: t>J.l.~' ~......, r4-.---'---'~" ...... ......--.-.
_ __ ._.._..~..-_..__.~-_._'- ..._---..--. _ I 1.1},~t! !' IJy
I1L1Ihllll~ l)H1t\~1 Unl~ \ .", '.!
___ __._..._--..___--_._ " ...__nl"_T 1 12.. ')nnc "..,.~l--."-"'-----'_.""--"-"'-'
I' ,I t1"t7~11 etttftT"' I I "
:11'1 hOll\" ILtllitt rtl' llllllul'ecllunJ (~S~) <l1'7.~M\)\ fll.( (!JS:1.) 1\rl7."'-'1S i__: \
\ 'j
l3uilllillD Pellllit 1/
I; .----~.
____-'!lJILD'tDGVVrn.,
---"SO Pt:b
.....rJ~.jllr
~:J.\j __
TOTAL P.01
CITY OF PRIOR LAKE
Impervious Surface Calculations B
(To be Submitted with Building Pennit Application) Y
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
I~OL.{S /MyJJ. Ill. 14-r" '2.7 i p.,J. dF t.~,. "Z8)
Property Address 51. Palll Sf/et'f <.. Ct1$1"6tJ.,O'S 1l000lTlAAJ 10 fJ~,()~ (.,4t::5-
rl D) fE @ [~u_..._
UU JUN 2 3 LJUO
Lot Area I/J ()06 $or. Sq. Feet x 30% = .............. ~o '2.. s.p.
************************************************************************
LENGTH
WIDTH
SQ. FEET
HOUSE
x
=
x
x
=
ATTACHED GARAGE
=
TOTAL PRINCIPLE STRUCTURE...................... Ipj1 S,f.
DETACHED BLDGS
(Garage/Shed)
x
x
TOTAL DETACHED BUILDINGS.......................
8~Z s. r-
x
X
=
DRlVEW A YIP A VED AREAS
(Driveway-paved or not)
(Sidewalk/Parking Areas)
x Cv,.vc.I/JPAJ
=
4w ~f:
101 $.f:
=
TOTAL PAVED AREAS.........................................
sol} ~lf.
P A TIOSIPORCHESIDECKS
x
X
(Open Decks W' min. opening between
boards, with a pervious surface below.
are not considered to be impervious)
=
X
=
TOT AL DE CKS........ ..... ...... ........ ...... ..... ........... .......
2.60 ~.~.
X
X
=
OTHER
=
TOTAL OTHER.... ...................................................
~ 1.5/ S.r.
51 s.t:.
TOTAL IMPERVIOUS SURFACE
@D~VER
Prepared By jJ~J.~r ,;: II 4141/<,/1 ~c)""
Company jJ,~A e'~" ~4,i4l*"t/' iA9 f IJ .
Date 61bl6
Phone # (6~/J 6?A -I ~ 11
PRIOR LAKE
INSPECTION RECORD
~ot./S
DEPARTMENT OF
BUILD'NG AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR ~ HO
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
If)
FOOTING
FOUNDATION (Prior to Backfill)
SEWER I WATER I SEPTIC
FRAMING '2
INSULATION .~ "'''
ELECTRICAL '2'd6
PLUMBING ~.
HEATING (if required) 22. -'
FIREPLACE ' ~.a t"
GAS LINE AIR TESt ,It l.r? ~ ~ t iO - ~ U'&
COVER NO WORK UNTIL ABO~E HAS ~EN SIGNED
~6 ~ N~IISF/AJMp I WV I 10/) cA{
FINALS
GRADING (Prior to Sodding)
BUiLDING ~0{J ()V\'" I .J8
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
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.
(')- 2-/--67
FOR ALL INSPECTIONS (952) 447-9850