HomeMy WebLinkAboutBuilding 02-0172, Deck 02-0532
Qrtrlificau of ~crnpanry
CITY OF PRIOR LAKE
mtpartmtnt of ~uilbing Jn~ptttion
pinal Permitted 0 Conditional C. O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various ordinances of the
City of Prior LoJce regulating building construction or use. For the following:
SI'i!GLE FAMIl."l
R3
V'.:
07 ^I' 7"
Bldg. Permit No.- -u i e.
N/A
Zoning District
Rl
Use Classification
Occupancy Type
Type Construction
Fire Zone
Legal Description
L42, HI, THE WILDS SOUTH ADDITION
Site Address 31 L1 BOBCAT CIRCLE
18170 RICE ROAD, PRIOR LAKE, MN 55372
Owner of Building
YORI-'AY HOMES,
Contractor's Name "Address
ROBERT D. HUTCHINS/~-)
Building Official \ ; t I
~. _. ~ /
Date: ,~- - \ I, r) 2S
City Planner
Date:
DON RYE.
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1iB~11I
~. 'i:i~~e ~::y I PERMIT NO. 02 - O/I'/? I
] Yellow Applicant . I?- .
ADDRESS ZONING (office use)
7/ / Z 'Roh
c-.tAl.
I r- t-- tNV L A- II- -.
/<-1
LEGAL DESCRIPTION (office use only)
LOT ~2- BLOCK I ADDITION
W.:t- v ttJ.5 .5, ,{:TIt
dO~.:f-;(lN
PID25-
-04-2- - 0
OWNER
(N ame)
~ r c.vPry
L v{ r..- ~...,~r
(Phone)
Cj[Z-~l-U-~JY
(Address)
BUILDER \/
(N ame) r J r "'""""'-
(Contact Name)
(Address)
C vST. -- /.;:~/
(Phone)
(Phone)
l' s- 2 - l 2.--, - S'f ./ Y
TYPE OF WORK
~ew Construction
Deck
, .>",;b,.,
~ireplace
o Porch
ORe-Roofing
ORe-Siding
~ower Level Finish
DAddition
o Alteration
DUtility Connection
o Misc.
3 "'I r\ ...-"'\ A 0 .c.:;:!
PROJECT COST IV ALUE (excluding land) $ 0<- L..I \-..J LI
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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspec~7
X ~~~L!/c.-o-- ZeJ/YZ;-.r'7-' 2-~-OL
Signature Contractor's License No. Date
Permit Valuation 3';;;2.<::) J Ooo.a:':) Park Support Fee # $
Permit Fee $ ::< :2.:<'S. 7S SAC # $
Plan Check Fee $ J l.{~, 7 Water Meter Size 5/8' . 1" $
State Surcharge $ I (PO. 00 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ 1 Do. 00 Water Tower Fee # $
Mechanical Permit Fee $ .00 Builder's Deposit $
Sewer & Water Permit Fee $ 35 . 00 Other $
Gas Fireplace Permit Fee $ O.c;)() TOTAL DUE M $ 82.
Paid ~ f!'f;-~L I ~~L~V
rA-7- O~ Date
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
iSS~.\A-it\__.~~ 1-/~'lp2- ~A:lC-fLLl CL~~~
~ Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
FEB-11-2003 08:42
CITY OF PRIOR LAKE
9524474245 P.01/01
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(P.... "'" "1........ "-~
I ADDRESS
.~l \ 2 ~r~t) he '"\ (
~: ~ S,--I PERMIT NO. O~ - 0 , 'i~ I
~oc \ C\~ )--1N ~f73l'Z-
[ ZONING '''''''-I I
LEGAL DESCRIPTION (office ucr only)
()/) PID
(Addte")
~ /nc.
UI1// c:
(City)
APPLICANT . '\
(Name) /) d S' S eN
(Add:cess) 11/ e lU () I U/lJw +
(Address)
(Phone)
(Contact Person)
(City) (Zip CQdr)
(Phone) q (? I - ~/ OU
~/
DATE
.)'s
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure 1D- feet.
Type of sewer pipe. D ABC WVC D Cast Iron
Estimated length of sewer line ~ feet.
Clean out (if required) located at ~ feet from strUcture.
FEE SCHEDULE
Residential $ewer 8l\d water line connection $35.50 Industrial, Com') & Multi-family 1% of job coSt with a $39.50 minimum
Sewer connection only S 17.50 Water connection only S 17,50
Estimated Cost S?;C"J' ~
Building Pennit # tl d-- - 0 II.).
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
s
$
$
.50
Dare
Paid
Receipt No.
(otlice Use ODIy)
This Applklltion Becolltl!l Your Building Permit When Approved
Blalldl.. Omcial
By
14 hOllr notia:@ [Dr :all inspec.tions (952) 447-9850. fax (952) 447-4145
TOTAL P.0!
CITY OF PRIOR LAKE PLUMBING PERMIT
O.tr Rec'd
(Pie.. Mlc (Jr Ildat __at ~)
~ ADDRESS .
L "3 \ \ ~ ~cbC.oJ-
I.... I'd.
Z Gald Cur
J Vdl..-. "..1""1
/ PERMIT NO. 02-- 0/7 zJ,
l ZONING (o"k~ UK)
JL
I LEGAL DESClUPTtON (oJI'ia:UIe gnJy)
~ LOT BLOCK ADDmON
r g.,=JR ~ OfWCl'l )-\O\tt ~
I (Address)
APPLICANT ~"l... ~rrd\r [) \ Um\...i
: (Nam.) I.'-l \1::.. "-' r lJ ~
I (Addre:ss) y~oo f\, driU(\ Q-l'fc.k S
(Addlcss)
(Contact Person) ::r e.. t r cl-'ere..l--
APPLICANT SIONAnJR.E
1
I
~
PID
(Phone)
Qllantity
1-
I
I
(Phone) q~:) -l.\lfl-lc- /3L1
-? r 1- 0,- ~ C:::') -:-) 3 7 ,~
(Ciry) (Zip Col1e)
(Phone:) f.D l L - 1y 1- 30~ ':)
DATE 5/7/D,~
ent sink
Rough-ins
Warer Heater
Water Softncr
tand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Back 0\11 Assem Iy Test
Lawn Sprinkler
Other
Type of Fixture
-==l
FEE SCHEDULE
Industrial. Commercial&: MUlti-f8mily 1% of job t;Ost with. $39,50 rninimum Re~jden' , ew One & r....o-Family S99..s0
Rci tial. Additions & A Iteralions 539 SO
estlnaa!ed COil S
(Omec lJ.t 0111)')
PLUMBING PERMIT
STATE SURe
TOTAL PI:
02-0/72-
,...... PAID WITH
.50 BUILDiNG PERMIT_
I.
This Application DeeD.. YOUI' BuUd11l1 PerlDlt W'en Approved
Bulldln. olllda,
)hie
By
24 ....r ..otIee fbr .U I.....dlo.. (952) "7-9150, rill: CJ5Z) "7-4Z45
H:l: 12AM METRO A~ITY OF PIUOR LAKE'
HEATING/AIR CONDITIONING/141REPLACE PERMIT
NO. 599
P.l
Dale Rec'd
APR - 3 2002
at bollom)
t ;~I~ Jl;,;.,", r'ERMrr NO.O d. - /'7 d-t
I ZONING (olllox ~)
~ a \0 Cl-\-\ ---v-- ,-\', \. .
LIiOAI. DESCRIPTION (office Use Ollly)
LPT'1'.)aLOCK \ ADDITION \,.{ \\
s()~-\-'"
pui/5- 3~;2.. - DId-
OWNER
(Nilme)
'i \)\rW~'1 ~C~>
,I
~ \1' 0 ~,\...~ ~~
p .~ l- \)~~
(Phone) \.r \ d. -l, "1\ s- - \ \.\ <::) \
]I~
(Phone) ~ S ~~.. '--\ \\ 1- ~ \~
~ ("\ (l- \.~ \~ \'\~
(City)
- - "\ ~ A U \ n \J
(Phone) 9 ~.,).- . "'" f- 0 ~\
(A\1c1ress)
APPLICANT ~ \ ~
(1'1 am c) ~~ ~ f\.) ,.~,,.... -\~ t"'l ~
(A~drcss) \~<\ ~\J \J ,\ l(J~ ~,\! "-
(Address)
(C,nlad PEl.on) N l.\'" ~ So ~h ~ '- \ "-
AflPLICANT SIGNATURE ~ 11..h,.h,
s.~ ~.'~
(Zip Code)
DA"tE
APPLICANT PLEASE COMPLETE BELOW
~ ~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FUf'NACE MAKE AND MODEL "X:~. \ ~ a FunL
FLVE SIZE ~ V c.... RE1.URN OJ'cNINGS \:2 INPUT \ ~~~ 0 ~ OUTPUT
TYPE ,?P SYSTEM HEATING OR POWER PLANT
N~-+
~"3 ~ ~\)
'. ~arl~1 Air Plants
(J't'irllvlly
~ Mechanical
tlilAir ConditionIng
DVent. System
o Slealll
o (-lot Wllter
o Radhllion
o Special Oevlc;cs
o Olher Deviccs
l'LEAS[~ NUTE:
Air Conditioner UniLs
Cannot Ent:l'uach into
Requ h'ed Side Yarcl
Setbacks
Fll\.EPLACE MAKE AND MODEL
Ind\lslrial, <":omrncrt:ial & MulLj~ralDily
Re~jdcl1tial, Bealing &. Ale (New Construction)
Rc~jdellHaJ. 'Jeating Only (New Ccmslruction)
FEE SCHEDULlt
1% of job cost Residential. Gus rilcplllce
JJ9.jO minianulll
$99.50 Residential, Additions & AlLcraliol1s
$6450 ResidchliBI, AC Only
$JIJ.SO
539.50
$39.50
Estimated Cost $
l3uilding Pel'mil fI
.50
r-
"1 t-,
fJO\ I',.., ' , . .
{(,e'Lr" ,..,."
~-'
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMI1' FEE
$
$
$
(Olli~~ Use Only)
"T
This Application Becomes Your Duildlng Permit Wben Ar1provcd
UulJ41nll omcllll
Dllto
...Vv-_ l3y
.a
I'ald
Receipt No.
Dale
2. hour nQlic:e fot nil hlSpCcliolls (95%) 447-9850, fu (952) 447-4245
h'.~'L~/..' _; };':~;t',,: i:.,' , t. .~'. .
,.. I..."" .
'I
.....
White - Building
Canary - Engineering
Pink - Planning
Thl:' (',nlu or .h, l..k, Counery
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
voeWA'I c..,lJSTDM Ho ME5
2-5-02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3LI2 BOBCAT ~lrC~~6
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
M'Jf3
Date: 2. -~-() Z-.
.
Comments:, See Reverse Side for Additional Information!
,
Driveway Must Have Con9rete ; Apron
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"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."
~
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:lB pssodoJd S! 40!4M Al!^!PB uo!pnJlSUOO JOl UO!lBO!lddB
l!WJsd 6u!PI!nq S4l PSMS!^SJ S^B4 SlUSWlJBdsO 6U!UUBld pUB '6upSSU!6U3 '6u!Pl!ns S4.L
-;7
!".-...~
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/
03^1303t:1 NOI.LVOlldd'v'
.LN'v'Olldd'v' ::10 3V\1'v'N
-':~;.1 .\ I
! l,'1
J ).-) I
.-,J .....l
i .
h j
. \ ..' f\ '. --/ r).. j,
f .' i \.! /'
.lSI1}1:l3H:l .lN311\1.l1:Hfd30 NOI.l":ll1dd" .llll\l1::l3d ~NI01In8
6UIUUBld - )jU!d
6UIJaaUI6u3 - AlBUB:)
6UIPI!"a - aJ!4M
,(uuno.) ~".'J .nll JO JdIU,}.) ,}~.l
i... A.__..._,...._ ..___..~_...._,._ __........_. .-_~___.___.__,___.~,____._____..... _._~_ ___---.~. ~..~
;';,1) .
12~~' $ '13tJ3tJ,1
. ftM
1-7-24t4~ ! -n~,~
fZeV.
crTY OF PRIOR LAKE
Impervious Surface Calculations" .. - "
_ .. .<ro. be ~ubmi~ ~ith B~iiding Pernxit Appiir::Jtian)'. .. . .
F or All Prop,:~es. Locate.~ in the Shoreiand District (SD).
The Maximum Impervious Surface Coverag~'Peniiitted. hi 30 Perce;t~
Property Address
511Z &/Jt'/rr 7iMtL ~ W
Lot Area It, 4'82" . . Sq. Feet x 30% -' ........~..... 37#, b.
I .
*****~****************************************~******~******************
LENG1E
\VIDTH . SQ. FEET
x: =
HOUSE
AITACHED GAR..A..GE
x:
x
,
,"' .
=
2/$/, ~ PeV.
. DETACHED BLDGS
(GarageLShed)
TOTAL PRlNCIPLE STRUCTURE._._._._.__... tl4)
'N<:~S ""Pr
1'&1WI
X:.
x
TOTAL D ET ACHED BUILD IN GS........__..._......
)(/,4
@iVEW A iJ.A VED 'AREAS
. (Drf\reway-paved or nat) , .'
~dew~arking Ar~as)'
CR ~ 2'.1J)~Z~ ='
'. . x. =
79/, Z,
8&
~z. X 4'
=
TOT.AL P A YED AREAS ..............................._........
!7?,l-
P ATIO S/P 0 RCHES/D ECKS
(Open DecXs' ~.. min. .opening. between
boards. willi a pervious surface below,
are not considc:cd 'to be. i~p=:i~us~.
x.
=
x
x
=
TOTAL D ECKS......__...;._._.__.__....___.__ 1Y;tJ
. .. ..
OTHER
X
=
x
=
TOT.AL OTHER......_.___.....____._..__.__...
. .
. .
TOTAL Il\tIPERVIOUS SURFACE
~O:ER_ .'
Prepared By . ~ ~
Company I~L Z;~M~ e..
~. .Z-/-il'L .~~ ~ !Hv.$C .>/k?:
Date
/-I..tJ2.-
Phone it
4" 7.. - :s OoD
',' ;
,
Tht' ('t'ntt'r of Iht' l..kt Counlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
y 0 e. V\J A Y c;uSTDM HD M 65
2-5-02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3112 BOBC-AT c"1R-~L6
Accepted
Accepted With Corrections X
Date:
g.-7-o~
~
"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."
Tht" ('t"nff'r or Ihe l..ke Counlry
6 2. - 172...
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
v 0 k- ~V 1-\ Y (~uSTOtvl ~iG 1\-1 E/:;
2-f:J-OZ-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
311 ~l 6ot)cl\T- ~llcQ.,Lb
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
M'7[3
Date: 2. -SJ-c z....
Comments: See Reverse Side for Additional Information!
Driveway Must Have Concrete Apron
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"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."
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
FI~e wi
02-0172-
Date Rec' d
/2-. t. 0 z.-
I. White File
2 Pink City
3 . Yellow Applicant
I PERMIT NO. OZ~ /532-1
ZONING (office use)
]>JJ 2 p()kH4r >~ L
LEGAL DESCRIPTION (office use only)
LOT '-12 BLOCK I
{,,J
ADDITION
v{lS
)' .' ~, ,'1
.IJ.? .'
7-' - .
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER \ /
(Name) 1 C,/: W.. '1
(Contact Name) ;5~ f I
(Address)
C '-":d...... li.~?,
T 1/.'1...,
tjr7_ -2 LL J 7-:! if
(Phone)
(Phone)
TYPE OF WORK
19Deck
ORe-Siding
o New Construction
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
o Misc.
OPorch
ORe-Roofing
DAddition
OAlteration
OUtility Connection
/.S'--,/()
~ Co ,J
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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspections.
<c~~~.
x
Signature
Permit Valuation ~S()O. 00
Permit Fee $ 5~. of)
Plan Check Fee $ .3s. I ()
State Surcharge $ .75
Penalty $ ,
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~MP
/:2p,AJz.-
Date
Building Official
.;7 () /7' ,::> ? 5- 7'
/ c" ~ 2 - ,\ L
Date
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ g9.es-
I ~;j!Jt!3-1'1'/
Paid
Date
e;~ Pf- O?
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
/~ftL- /t~ /)ad ?f?-,J-e-J-
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
-
The ("("nter of Ihe takt ('oun 1 1")'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
~WA'I
lZ - Z ~OZ-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3/1'2- SO$tYfT IJ2AI ~
Accepted Accepted With Corrections ;x:J
,
Denied
.
~ ~ Date: /~.0~
e&tD Tl16 D~ H?wDO~
Reviewed By:
Comments:
"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 - Building
Canary - Engineering
Pink - Planning
Th... ('tnfer of lht' Lab ('ounl"."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
!
I .. \. f-.\)
.' ' !
I
APPLICATION RECEIVED
I>
1/
, .....-
-,I 7
L_ ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
II I Z- -+-\1
,!.! t\lL--
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
; 1" ,,;
r ,ij.....
1/ Ie
1/ \- ,.'\. ~":.,.
Date:
I/\i\ 1.,,( A./j-
"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."
GUYER~ BUILDERS SUPPLY
I4J 001
12/06/02 00:29 FAX 7635530887
I. Plolt
~ Go...
J. ,.-
d-~/'"?~
Si<an& I PERMIT NO. ~ /!; ])"j
I ZONING,__> I
(P~ rype CII' print and sigII. at botIDm)
I ADDRESS . .
.3/ I ~ ~O~c..Q~
\ \"CL, \
LEGAL DESCRn'TION (ofOO: lase only)
LOT
BLOCK
ADDmON
PID
OWNER
(Name)
(Address)
V 0 'f" L.V Q..., 'i
I
tonsi.
(Phone)
APPUCANI' G t-"
(Name) . u '! e \' So r \ t' e~ l a.. c..'€'
==7~
(Address) I ~ t.JO S' /.5 Jt u ~
f\,. (,e"ddl1:ss)
\.)0<"..
(phone)
p [ '\ MC':> U i:b
(City) .
SS<'/V \
(Zip Code)
(Contact Person)
(phone)
DATE
APPLICANT SIGNAlURE
-
~ CONSTRUCTION [J R.EPLACE~ o ALTERATIONS
FURNACE MAKE AND MODEL .' FUEL
FLUE SIZE RETURN OPENINGS . INPUT OUTPUT
. , . .
. TYPE OF SYSTEM HEATlNqORPOWERPLANT . . , . .
OWarm Air Plants . 0 Su:am'.';;.::" :... PLEASE.:NOTE:. .
OGravity . 0 HOl ~1II~ Air ConditiQner Units
o Mechanical . 0 lWiiarlOD . . Camlot'Euc::ioach into
. DAir Conditioning .:0 sp.:ialDcvil:C$ "' .' (teq~cfSide Yard
DVent. SyStem . 0 Crher J?cvi_~ . Setbadcs . .
FIREPLACE MAKE AND MODEL DT~co S c.J pi" I 6' r :
APPLICANT PLEASE COMPLE.TE BELOW
Industrial. Commercial & Multi-Family
. .
FEE SCHEDULE'
I % of job cost: Rc:sldartial: Gas Fireplacc
S39.50 minimum
S99.:lO
$64.50
S39.50
Residential, Hating &. Ale (New Construction)
Residential. Heating Only (New Construction)
Residcntial, Additions & Alterations
R.esidential. AC Only
53950
$39.50
Estimated Cost $ I t)(!)O 0 0
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PER..~T FEE
S
$
.$
.50
(om"" Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Rcceipr No.
Date
By
OEe - q ('PC.'
Building Orocial
Dat,
24 hour notlee for all inspet:tions (!151) 441-9150, fu (952) 44'1-424S
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -3.LI ~ 1Sd~cA 'TF- I
NATURE OF WORK NeW
USE OF BUILDING S~~)
PERMIT NO. . " 0/ 2- ~ - 7 -~
CONTRACTOR 'r6u' PHONE o,S;;{-f:)d{p-:5~sf
NOTE: THIS IS NOT A PE MIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING
FOUNDATION (Prior to Backfill) t.
PLACE NO CONCRETE UNTIL ABOVE
ROUGH - INS
SEWER I WATER I SEPTIC 1:,
FRAMING t...1- 4 ~o ~
INSULATION ~ ~
ELECTRICAL
PLUMBING ~
HEATING (if required) '^ 0
FIREPLACE ~ 0"2/
GAS LINE AIR TEST \ 1. l \ 'P'r 30
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I StvCCD cRdk ~,~!d4!d~ I l
FINALS
GRADING (Prior to Sodding) lo - l 0- 0 -)-
BUILDING ,P v
ELECTRICAL
PLUMBING I Z -/0
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electri.~[.ll se.."ice 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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850