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Les a a o aoIL ?LLCO O ❑❑ 5
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o PR/0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
0 0 ; TE CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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erl
4 / P'IVESO Ir
I. White City File
2 Pink City I PERMIT NO. r 37
3 Yellow Applicant
(Please type or print and sign at bottom) ZONING (office use)
ADDRESS `�
15 (pt' S i�.� ST . 5 !'oz rr /o° At. 5
LEGAL DESCRIPTION (office use only)
LO BLOCK ADDITION PID
OWNER / .f • G/f� l�J /IrCC /' "C L �E�� S (Phone) C n > 2 — X599 - l� 5/
(Name) /_( J -
(Address) 5 - Qr-Jyj /'.v 5 J 'Fit'
1. 5 4 s` v r (�'k-E �ti . 5 7 2,
BUILDER
(Company Name) Y" 6A I,^ �/ 1 (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK 0 New Construction ❑Deck OPorch ORe- Roofing ORe- Siding ❑Lower Level Finish ❑Fireplace
DAddition DAlteration DUtility Connection 1 Z� ['��%� J��
❑ Misc.
CODE: .R.C. ❑LB.C.
Type of Construction: I II [HIV V AB PROJECT COST /VALUE $ 7d Q d
Occupancy Group: A B E F HI MR S U (excluding land)
Division: 1 2 3 4 5
I hereby certify that I have furnished 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 - 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
II official n revoke this permit for Just cause urthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
R /3r"—
Signature _ Contractor's License No Date
Permit Valuation 5000 , r
Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ `" w_ -i 4 Water Meter Size 5/8 "; I ";
$ Pressure Reducer $
State Surcharge Z , v,
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $ q
Sewer & Water Permit Fee $
Other $ (, - 1
Gas Fireplace Permit Fee 1 $
TOTAL DUE $ (9/0,..14
p, f . t :ecomesYourBuildin Permit en roved Paid .my Recei.t No •
This A Building Date B G ��1��.`� i��
4 Jf M r 0 c 3
8 ' it ine Otticta Date
This is to certify t. it the , . test in the above application and accompanying docu , -nts is i accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by,t� it nner c nstttutes a temporary Certificate of Zoning co pliant • nd allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued /
• h i Planning Direc ■ r o• ..., A " :!�S C 0 c3 ' Lim- e 41 , e- .GL4 • •
� y�+� l_s�' ate Specia Conditions, if any 1 F(
Pl
ice 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 A v
Lot Area n-va - sq. ft. x 30% =
LENGTH WIDTH SQ. FEET
HOUSE x =
x =
ATTACHED GARAGE x =
TOTAL PRINCIPAL STRUCTURE
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 l -2 Dc
PATIOS /PORCHES /DECKS x =
(Open Decks ''A" min. opening between X =
boards, with a pervious surface below,
are not considered to be impervious)
X =
TOTAL DECKS
OTHER EiL-t-._ 54 (C) x (2 =
x - 1Z�
']� -2 _ 5 °
TOTAL OTHER
T 0 • L IMPERVIOUS SURFACE b
O R/OVER 2 4Z + Z( ..1 -
Prepared By Date (6 -
Company Phone #
C: \Docutnents and Settings\mtpeterson\Local Settings \Temporary Internet Files \OLK9A \IMPERVIOUS SURFACE CALCULATIONS.doc
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DEPARTMENT OF
PRIOR LAKE BUILDING AND INSPECTION
INSPECTION
RECORD
• i
ADDRESS -5 4 . .�'
SITE C Z r �' ..C 9
TYPE OF WORK
USE OF BUILDING MM.
PERMIT NO. DATE ISSUED 7 fe> r3
Al PHONE # -(
BUILDER f G-. .9
NOTE: • THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT DATE
INSPECTOR
FOOTING
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING
FINAL 111MagNINIOMP9211111
FOR ALL INSPECTIONS (952) 447 -9850