HomeMy WebLinkAboutBuilding 02-0988
~ (') ~f~~~~ "tl e > -0
z_
0 :x: :E 0 ~~
0 0 Z 0
0 3: --z~oo z m ;;0 me
0 o :E -lZcn c:o m m O"T!
;;0 0 3: m>C:3:Z-l ;;0 cn
;;0 ;;0 m ~r~z~z Z cn :j"
m " 0 0;;0
z " :jG)-lG) z-
o cn zO
-l -l > -f m 0 -
t"l :E > :j CJ) o Z 0 0;;0
tC o cn -l Z :j~
S CD 0 -l "T! 0 0"
0> ;;0 - > Z
>::i en ?' o 0 mm
~ 0 Z -l
"T! 0 > 0 Yi
~ 0 > Z ;;0
;;0 r 0 :< U\
r
~ -I "T! " " W
:l.. :x: 0 ;;0 ;;0 ~ 000000
m ;;0 0 0 ,. ~.
>::i Z 0 0 3:" cn:'E 3:"
t" m ;;0 m m mrm>m~
~ >< !!! m m ~~~rri~3:
-l Z 0 0 "tl 0 en
0 cn "T!!!:!;;o;;o;;o!!:! m 0 0
~ z " ;;0 Z :x:
;s ::E m -Z:X::X:-Z
cn $;G)oo G) 3: -l m
~ " :J 0 =i ;;0 0
::! ~ m ell -l r"T!OO ;;0 c:
~ 0 -"" -
~ 0 0 Zcc Z r
-I 0 Z ~"" 9 m
0 ~ l%I 0
Z m
0 ~ -n
~ ~ 0
;;0
:x: m
~ 0 0 ~p
c 0 000000
~ ;;0 <
cn m G)-n-nom
:i! z ;;0 >;ij;ijo~
z cnmm3:G'>
Roo > G'> C:"tl""~
0
~ < ~~~~o
> >ooz=n V\ ~
~ Z _mm-l_ -4
0 ;;O-n;;o r liE
.., !11 -l-- r m
~ cnZ Z
-l~ G'>
~~ooo "tl 0 > -()
z_
0 :x: ::E 0 ~=<
::J en z-n-n-n 0 Z 0
t/l =1zen~OO z ::0 mo
"0 ::E m
ell 0 m>C:3:~~ m ;;0 m O"T!
8 0 cn :j"
~ ;;0 ~r>z~z Z cn
tl " 0 0;;0
t"l cn " :jG'>.....G'> z-
>::i > m 0 - zo
t" ..... o Z 0 Cil 0;;0
tC 0 en ..... Z :j>
s 0 ..... -n 0 ~ 0"
;;0 0 > Z
>::i ?' 0 mm
~ ( Z ..... 00
() > 0 ~
~ > z ;;0
r 0 :< ~
r
~ -n " " )(0 0 0 0 0
:l.. 0 ;;0 ;;0 (1
>::i ;;0 0 0
t" ;;0 () () 3: "'tlen:E 3:" ... .
m m mrm>mr
~ !!! m m oC:~.....oc:
z 0 0 :x:3: m:x:3: " () cn
0 cn -n!!:!;;o;;o;;o!!:! m 0 ~ 0
,. z " ;;0 z :x:
C5 ::E m -z:x::x:-z
~ cn \ $;G'>oo G'> 3: ..... m
" :J 0 ;U ~ 0
::! ~ m ell ..... r-nOO ;;0 =i c
~ 0 -"" -
~ 0 0 Zc:c: Z r
..... 0 z ~"" 9 m
~ 0 a l%I 0() 0
Z :-1 m R)
~ ~ -n t D
~ 0
~ ;;0 .....
:x: m rJ .....
0 ..p I
~ ()
c 0 000000 :a
~ ;;0 < \fJ ~ 0
cn m G'>-n-nom \) )>
-4
:i! z ::2 >;ij;ijo~ '" m
Z cnmm3:G'>
Roo > G'> c:"",,~ -0
0
fi:l < ~>>>o
~ > > ()()z=i; -
Z _mm....._ () -4
0 ;;O-n;;o r liE
.., !11 .....-- r o. m
~ cnZ Z
.....~ G'> \)
5'" 0 o~ (') 000000 "tl 0 > -0
t/l :x: :E 0 z_
"0 0 ~ 0 en-nz-n-n-n 0 0 ~~
ell 0 3: z
8 0 0 =iZ(/)~OO z m ;;0 mo
> 0" ;;0 ;;0 3: m>c: c:o m ;;0 m
tl r :-1 ;;0 " -r>3:Z..... z (/) ~"T1
t"l m m Z zOz (/) -"
r 0 (/) 9
>::i )> Z ~ :jG)~G) 0;;0
t -I z-
t"l > ..... -f m 0 - zO
tC ~ en CJ) o Z 0
cD 0 0;;0
S ..... -n ..... Z
0> 0 > 0 :j~
>::i en 0
~ 0 Z ..... Z ~ 0"
"T1 --- () )> 0 mm
~ 0 , > z ;;0
;;0 r 0 :<
~ ~ r
-I -n " "
:l.. :x: 0 ;;0 ;;0 ~
>::i m I ;;0 0 0 o~oooo
t" z t ;;0 0 ()
m m m
~ >< !!! m m 3:" (/):'E3:"
mrm)>mr
..... z 0 0 oC:~.....()C: Y\)
(/)
,. C5 Z 0 " :x:3: m:x:3: " 0 (/)
~ (/) ::E m -n!!:!;;o;;o;;o!!:! m 0 0
" :J () zz:x::x:-z ;;0 z :x:
::! ~ m ell ..... >G'>OO G'> 3: -I m
0 ~ 0 r:!!~~ ::2 =i ;U ~ 0
"1:l 0
~ -I 0 Z C
0 ~ l%I zc:c: Z r
~"" 9 m
z m 0
0 -n )'
~ ~ 0
~
:x: ;;0
m
~ 0 0 \.J
c
;;0 0 l\ ~
;..: < 000000
to< (/) m I ...,
:i! z ;;0 G'>-n-nom ~ V) 0
z )>
> >;ij;ij0~ -4
Roo G'> ~mm3:G'> OQ m
0
~ < _"""tl~ ~
> ~>>>o
~ z >OOz=i;
0 ~
.., !11 _mm....._ -4
~ ;;O-n;;o r
.....-_ r liE
(/)z Z m
.....~ G'>
5'" o~ 0 (") o~o 0 0 0 " 0 > -0
z_
C/l 0 :x: ~ 0 ~=.1
"0 0 0 ~ (/) z-n-n-n 0 0
m 0 0 3: ::jZ(/)~OO z Z ;;0
8 0 51 m mO
> 0 ;;0 ;;0 ;;0 3: m>c co m ;;0 m 0."
tl '"1 ;;0 ;;0 " ~ -r>3:Z-I Z (/) :j"
t"l r m m (', m z -Oz en
r 0 0 (/) <"\, (/) .....~>(;) 9 0;;0
>::i t ..... -I > "- Z " - ..... z-
t"l ..... -f m 0 - zO
tC ~ :E > en .., CJ) o z 0
S cD 0 0 -n () ..... z ......... 0;;0
0> ;;0 ..... > ""\ 0 Vl :j>
>::i en ?' 0 0 (\: Z 0"
~ 0 Z ..... ~ IN mm
"T1 () > 0
~ 0 > z ;;0 ~ ~
;;0 r :<
~ r 0 ... Q
-I -n " "
:l.. :x: 0 ;;0 ;;0 --- f'.
>::i m ;;0 0 0 "f-.. 000000
t"l z ;;0 0 ()
~ m m m m Jj 3:" (/):E 3:"
>< z m m mrm>mr
..... 0 0 oc:~.....()c:
(/) :x:3: m:x:3: 0 en
,. z 0 " ~ "
~ ;S (/) ::E m -n!!:!;;o;;o;;o!!:! m 0 0
c ~ " :J () D -z:x::x:-z ;;0 z :x:
::! m m ..... $;(;)00 (;) 3: ..... m
0 ~ 0 r-nOO ;;0 =i ;;0 0
0
~ -I 0 Z -"" - C
zc:c: Z r
0 ~ l%I ~"" 0 m
Z m 0
~ ~ -n
~ 0
~ :x: ;;0
m
~ 0 0
c 0
;..: ;;0 < OOOOO~ ~
to< (/) m
:i! z ::2 G'>-n-no 0
~ )>
Z ~$$N -4
Roo > G'> m
~ 0 c:~~ e.
< ~>>- ~
>
~ Z >OOz
0 _mm....._
.., !11 ;;O-n;;o r -4
~ .....-_ r liE
(/)z Z m
.....~ G'>
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
13ifT HONJ
.:.t.
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
OWNER~
(Name) h/()J/u.
tv (~17 )
d, Itl"i~ uJ-
~
(Address)
Date Rec' d
I. White File
2. Pink City
3. Yellow Applicant
7-- /;J- ;;....
PERMIT NO. 0 ",0
Sf;
ZONING (office use)
1(1
PID . S"" 375"" ~3-()
Q}1..
(Phone) g2'}-77I(
~v'"
BUILDER
(Name)
(Contact Name)
(Address)
~~
t\'\ \\~ LE-'S4t~;J
(Phone)
(Phone)
TYPE OF WORK
ORe-Siding
ODeck
OLower Level Finish
o Misc.
o Fireplace
PROJECT COST IV ALUE (excluding land) $
OPorch
DAddition
ORe-Roofing
OAlteration
OUtiIity Connection
00'0
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 aw e 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 prop t erform needed inspections.
x
Signature
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Z '3<'
Your Building Permit When Approved
)- 2 Y-o t _____
Date
contfro~ 'tcense No.
Park Support Fee
SAC
Water Meter
Size 5/8'" 1";
#
#
#
#
7-/z~o Z-
Date
$ 8'~O.C>O
$ I 2~o. ?r
$ '300 ..dO
$ 70 . C) 0
$
$
$
$
$q
TOTAL DUE
3
I~~~ tflt/;0_~ 1~~EtNopr I
'tify 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
'v the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~~~_/'4-t:--r 7/1L(/L<r-L- ~<c J!J5:G~ k~~ ('r-v~\~~~~
Plannmg Director Date /''' ~~'i~conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
The Crnlrr or the l..kt Countr)'
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
iJ~~~
APPLICATION RECEIVED
7- 7 J.--"J--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I~?l (" f' b j-, f.kv;J p~
A
Accepted Accepted With Corrections '\
Denied
Date: )- 2r~-l-
Reviewed By:
commWJ
"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."
Th. C.nl.. arlh. "ok. Coonlry
White - Building
Canary - Engineering
Pink - Planning
I
~
t
i
:~
,;
~
/
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
f) ~.uf~ r2<~
I.
7- I d-. - :J.-
APPLICATION RECEIVED
~
The Building, Engineering, and Planning Departments have reviewed the building permit
~'. application for construction activity which is proposed at:
I~:'J t"G,> bfj, 1J-OVxJ fJ~
Accepted
x
-
~
I
Accepted With Corrections
Denied
-Reviewed By: ~ Al Dale: ?j'l-CtJjo-z
Comments: ~e Reverse Side for Additional Information!
OR1-<M ~L- Su(ZvC '( 10 C:L V'^A-t-l-tj:J 1 ~ 01..
~
"
~
~
~
,
I
~
I
~
~
See Attachments: 1) GradinQ Plan. 2} Erosion Control Measures
3) Erosion Control Plan
I
I
liThe 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. II
I
;
"
I
White - Building
Canary - Engineering
Pink - Planning
Tht' Cfnlt"r of Ihe Lake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
'Ie'. .j
j
\ c.'. _.....
7-. I
,?--'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;r:
/ ..,/
/ ,./.,~
f,,':.'~' '. ~, .1
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~&~.-;;::r~ Date: '7/2--3 ;:V2-
Comments:
~d~~'~~ jft~~
C:;~ {A ~i
!v\VIIIA'llliL1.M1 /()F4 S1VUL\1UV~ ~~
\T(; ~u:O-( ~- ~ t~~t~( ~cJ1
{ko"t'L'tl'rwL. - . ~ ~e!Le--;:.,
"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."
~"
/""~ ~'Q..;.',
,/ ';:/~/I',. ,'..'
- .1 '.
I (/. '. .._
/:: ;., \;
crT"! Of PRiOR L-\KE Pl c:vrSL.";-(J PER\rIT
Dot, ~'\
O~'
\~~/';/
~..~/
~
~
Jr'le ;'10.=
:. GUlli c::.,
J '("Iln"'" \OOIJ":J.nf
P ER)[jT ,,," O.
---
;2-C;~
(?~:::-::.:c r-mt': n:- :'r'::1t LnJ d~lC 111ITnrn:
'5~3(/ r l71/lJ//G
~sJ
:'::':;~j'C\,I;;:~
"-..., I
i
~
l'-:G..l...L Oc~CF-":PTI(J~i (Ul~C: :.l~~ ;;1i:,)
-'..' .
2 c.:: (~:-:
-
I
I
,:'.D C c:-~(]~;
U<ff'j Ar1t/f~
,:;t...,..........,
\'- ..........--:
f~~
\: ',\-:,(::?'
, .-.-.....
\.1.......,,_:
'- :....:-.::-'~~~:
! -:' ::cr.~;
=:
I
i
6j'.j~ :
i
I
I
I
I
: .:...??c..[c.J....'~-T :5rc:'j..J.. TG-~?,-.E
- ~
('.'_.~:::.:.-..:: ~ :;:.;c:-:.)
Qu:rntiry
~
I
I
3
I
(
,f
9s:2~ t/y.J /J 1;/
;0
(.~_J~r~::.: )
IC::::
(:::: '':.:<.:-=i
~ J{ Jv{dA~
~~-,:c~~)
j/~,!
;2J de--
C' -~
'.-, ~ r:
APPUC.-\~'jT PLEASE CO,\[PU:::TE BELO"V
Type of Fi:tturll I QU:lnriry I Type of Fi:tturll
8;:lct1 Tub \.v!ch or wlchouc shc\'"e:- g I Rvu:;h-tn::i
i Dish\\i::lshc::r / W::lC~:- r-:C::::lte:-
i floor Dr:ll[, \VJ,te:- S\)~c:::-
i LJ.'i.Jrcr/ (S:lrhrv(1m Sink!
LJ.unliry Ir:l:- ( [ or: ~OmD:lr:m<:::l( ~in:(
Shower SC:lli
Sinks
Bar Sink
Water Closet (T oilc::t)
SCJ.mi P:r.~ (\V:l5hlr1~ ~/r~C!1Ir,<:: I
S<::'.V:l:;~ Ejt:::;:or
8ackr1ow A.ssembly
Backt10w A.ssembly T c::st
I Lawn Sprinkle:-
I Othe:-
I
I
j
I
,
J
FEE SCHEDliLE
!ndus_r.al. Comme~c::J.l &. Mufti-t~mily ! % of job C:Jst wict1 a :539.50 minimum
(OtTIce (;se Only)
R.:sidential. Nc::'.v One &. Two-F=ily :599;0
R::sid:::uiaJ. AJdic:ans &. .~l::::":ltion:; :539.50
E:;;:imate:.! Co:;t :s
BuijL!in~ Pe:-:nit:#
PLUMBfNG PER.vUT FEE :5
STA TE SURCH.<i.RGE .'S
TOTAL PER\flT FEE S
.50
Ji';" ..
, ~("_.,~',.!
~, ...' : .'\ .
. ")-. . ~
""
Paid
~,7: '. '.
"""'J .....,... .-/
This Applic:Jrion Bc::comes Your Building Permit When Approved
I Rec::ipt No.
ISy
~w~~~>~
Buildin~ Ollicial
oarAUG "- 3
Dace
:.. il,lur nuci<::: (or Jjf inspO:C:lons \'J:::) ....7<>::l5il. f:a('J:5:) ....7....:..i
~."
/. 0~/'t ~>
i-I /Ir, \
I;"" / : \ \ 7
_ J \,-;:::
CITY OF PRlOR LAKE PLl~yIBI~G PER.\IIT
D~te Rec'd
\.~/"1/
~
I ?~::1ot: "me 0r :Jr.:1t md il!!J1 ,It b0(tom)
.:."r,p~c:'~ I
/~56 r ,b'f/wr~
! 31u!! i=;i~
:. Gold Ctv
] '( ~lloUl \ OOl1C:Jnl
P ER.vIlT ;"10.
;2-q~
?a~j
,/--':'-~-C.,..r. ~
i ~ ~ . I.. I ,,:..:.:: .l~e; I
I
l2:GAL. DcSCF1FTION (ul:'ic: u:<:Jni'l)
~i_,.: ~
Sl::C:<:
,.l.D 0 [llO~,
P~D
l~ "V ~i;::;7,
Uttft ~r~~j~
(? ~c. r:~)
~ :;.:~e:~
( .,J._~'::-~~~':
{ :;J.r:-:~;
;l ? ? C. Ie .l.."T
(.\Jc:r~~:; i
95c2~ tlP.J /J /2/
5~.J~
(C:::r:
(Z~c C~:L!e)
- ~
v_~r::J..~: l'-~;:.;cr..)
~ j{ tvLdA~
\.- .:c r:~)
I .l DDr I'- \ ""T ":-l'-';\i \ -l T:P C"
I ..... .. ..... "'-.."""\.~ ...J I....J.. ."""'\ '-J'" ,-.J-,
O.ATE
;2 J rJ z...-,
QU:lnticy
:Y
I
I
.3
APPLICA~T PLEASE CO~[PLETE BELO\V
Type of Fixture I QtJ:lntity I
Bath Tub wIth or without showe:- ! I
Dishwasher
I floor Dr:J.1n
I L:1'i:1torl (Bathroom Sink)
Type of Fixture
I
Rou;h-ins
Water Heate:-
\VJte:- Sufmer
StJ.nd Plr.~ (\VJ.shin; \-fJ.chInt:)
/ I J.undry rJ,Y ( or _ comp:.ucment SIn;.,: ! I t:wJ.g:e t.Jec~or I
I I I Shower Scali I I Backt10w Assembly
I
I I I Sinks I I Backt10w Assembly Tt:st
I I Bar Sink I , Lawn Sprinkler
I ? I Water Closet l Toiler) I I Other
L
T
I
S
FEE SC HED L- LE
Industrial. Commercial & Multi-family I % of job cost with a 539.50 minimum
R<=sidential, New One & Two-Family 599.50
Residential, Additions & Alterations :539.50
EstimJ.tcu Cost :s
BuiiJing Pe::nit :;.
(Office Use Only)
PLUMBfNG PERlvlIT FEE $
STATESURCK~RGE $
TOTAL PERiHIT FEE $
.50
..... '1-.,
This Applicacion Becomes Your Building Permit When Approved
Buildin~ Official
Date
~. ~, .. /1
Paid Receipc No. , ,
~.t l:
DatAuG 2 8 By
:-4 hlJur notice for ail inspectlons ,95:) .+47-9~:50. fax (95:) ~7~:-4:i
FROM : SRBER Heating and R/C
PHONE NO. : 6124738565
Sep. 12 2002 12:30PM P2
Pate Ra'd
ZO:N'DlG (oI&a:-.c;l
r~~ltON---
LOT BLOCJ!': A:DDrnoN
Pm
DAn
APPUc;ANT !'(.IASE COMPLETE BELOW
i tweQN N
FURNACE MAf E A?MOI)!L
Fum SIZ2 _~ . J.E'l'tOOll' oPENINGS
I
. 'tYPE O~ n.31Dt
.-E;-
I '.
. ~
~..~O::~.
ALtDA:NJ -44
IJQfJT OUTPUT ~
JDA'nNO 0Jl J:IOWIIIl JI'LAM'I'
.8e-e
81peci1l ~
~~
PL&Aa !ltOTEs "
Ait~UDiII
c..t BIDoach lB. .
R.equhd Ills. Y_
W"ukr
,
~,C.J. mIIlr.~~Jlr
IU" .41t.~
... otjDb ~ ........... elM PJrap..
bUD _lain
HUG hsidcadal. AtIdl..... .. AllIlrMIau
S6I$ .....tm*" /ItC Qat,-
. DUO
$,Juo
SlUG
R~RW. a., Ill. AIC C)f- C--Ulllin)
Jl.aidt:nIiIL H. III Onb' (Nc\Ir C~
IltiarAd Cost S _
"'161'" *
SEATING PiRMlT FIE S
STAl'Ii suacKAllGB S -. .so
TOTAl.; PDJIft JI.E s",..
~:-~y--;--~~\ \:~~:1-3 l~?&. - 1
~ ....r ....1IIrr ... ......... CPSl) ...,--. fu (lID) ""..aM
I'
r-a- t>>/ l7u
i
i
!
1 0 I :!r : l);Z
f
~
.
,','"
l
.~
MO~ 11:2~ FAX a12~~i~2~5
CITY (IF PRIOR L.'\(E
~OOl
Date R~c'd
CITY OF PRIOR LAKE
SEWER AND WATER PERM:IT
~. ~:.~. ~;~. I PER.'\1JT~fo;2-9Rh.
J. "-HI "'-ppllca," ___ -J.....I ~
I I zrlNG t....~.,
J .~.
~J._,,~
pIt> l .___~
,
1
I ~~~ iFss priJlt 11I4 Jim a.t bOmllllJ
LL2:13"~ 13 (67 fic I~ PA-75
~.l
LEGJIIt. DESCRlP'I10N (ot!l.cc \lJe only)
I L01.l_ BLOCK ADDITION
~;~R -
I (Nalnl;-' 9~(4;or% C~~r
CAcld.iI~.U) j 0 ~ i..f{) u I '?i N l:a V/~ Je
,j, (1'\,4121'0:")
I ~~;~~ff,f-1 ::fAsf&":S
(Adtbl~s) I~~ ~ ()) If I~ l'A~
(A~n)
(ConflbPerson) -~1- fA?f&t7
I APPI,:kANT SIONATYRE . _
t
--~"".'
. (Phone)
~ f,Q.,A1l2Je
(elly)
<75""2.. lS' 2J:~t 77/ I
5.>~.!('1
~!,:I:I~)
...."_..
(phon<) -=t~L ,,~~ Szt_:~
c-ff~Wr l~yJ ~.s-3j~;r
(Clry) C~t:' Co\1&')
(Phone, 95'" 2- ,-/qC 52'1::,
DATE
-, ....-0.
~,...
r-"
L
APPLICANT PLEASE COMPLETIi: BELOW
Size of water service --L inches.
Location of any couplings from struc.:lure ~ feet.
Type of sewer pipe. 0 ABC [$'PVC 0 Cast Iron
Estimated length of sewer line ..!i.1..- feet.
Clean out (if required) Ioeated at _ feet from stmcture,
...,.....1
1".",..1
Resid (nilll sewer and water line COl\ncr::rtion
Sewt '~::onneetion ol'lly
FEE SCHEDULE
S35,50 Industrial, Com'! IS: Multi-fzmily 1% Qfjob cost with a ~:1950 minimum
$17.50 WlJterc:onnl!lction only 51750
EStimated COllt S
Building Permit /I
SEWER AND WATER PE~T FEE
STATE SURCHARGE
TOT At PERMIT FEE
$
$
S
,50
C(o",U,PICOnIY) ~~{~ . .
Thi~ Appliution B.cOfne, Your Building Permit When Approved . Paid ~. IV I Receipt ~;~:,~
_ I Date: 1/--1 'J~6o- I ~
Buildlne om~i.1 D.tt -.1 I .L!..-Lv/ _'..
. \
~4 "Oil,. "oMu for alll".pedlon. (952) ~'7.98!O, fn (~~2) ....7-414!5
09/09/02 11:08 FAX 6123150702
AUTOMATIC GARAGE FRIDLEY
I4l 002
.
CITY OF PRIOR LAKE
HEA TINGI Am CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
(p...., typ. '" ~riD':;::; bollDm)
I ADDRESS
I S~lD~ . ~ PcU:.Jv
i:=. EKanlI.PERMITNO..;?_9f'Y
I ZONlNG(.__,
LEGAL DESCRIPTION (office we only)
LOT
BLOCK
ADDITION
PID
I OWNER .
(Name) l)Oo~~ ('~ J J::::.-..c::..
(A.rhe..> ID~~:~ Ul.,.,.~ .-.
APPLIC T I r- .
(Name ~ 1':.4
(PbODC)qSd. -'8dQ -'111 J ,
(Contact Person) .:k'ri c::;.. W.
APPLICANT SIGNATURE ~ ~ft\..IUn'l~
(Phone) f"']~3-.315~7SJa
Fb..,Jt. m n. L/
(City)
(phone) r"JtD3-31 S-7S/(P
(Zip Code)
DATE
APPLICANT PLEASE COMPLETE BELOW
EW CONSTRUCfION 0 REPLACEMENT 0 ALTE~nONS
FURNACE MAKE AND MODEL IjUEL
FLUE SIZE RETIJRN OPENINGS INPUT . OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
,. OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
~
Industrial, Commercial &. Multi-Family
FEE SCHEDULE
t % of job cost Residential, Gu Fireplace
S39.50 minimum
$99.50 Residential. Additions I: Altemions
$64.50 Residential. AC Only
S39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New ConstnJl!ion)
539.50
$39.50
Estimated Cost S
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
'r,
~'-::~" l
(omc:r Ule Only)
This Application Becomes Your Building Permit When Approved
I
BuUdlnl omel..
D.te
I P.~
SEP , 6 ('
Date _l
I :;~N..
24 hour notice for all iupection. (952) .....7.9850. r.1: (952) 447....2..5
OS86-L~~ (~S6) SNOI103dSNlllV ~O.::f
.a:)uBJlua U!BW JBaU pa:)Bld aq IIB4s pJB:) 'alqBI!I!AI! S! 18U!ql!o 80!AJeS OU 8J84M
SUO!l!ppe pue s6u!PUnq uo .peAoJdde U88q 8AI!4 Suo!l:)adsu! lie mun pau!eJu,ew PUB
SUO!108dsu! u'-46noJ 01 JO,Jd lau,qe:) a:)!AJas 'B:)lJJ:)a,a ue Jeau paJsod aq Jsnw pJB:) S!4.l
30ll0N
03N~IS N338 SYH 3^OBY ',lNn AdnOOO
10N 00
DNIlY3H
DNIBWnld
'YOltl10313
'?O... 1.8 0 DNI011nB
( UIPPOS 01 JOIJd) DNIOYtlD
'---CO - --
SlVNI:f
lou-OI I ,ltZl 1 "'J.s "'~
03NDIS N33B SYH 3^OBY 111Nn )ftlOM ON tl3^OO
lS31 tllY 3NI1 SYD
30Yld 3 1:1 1.:1
(paJlnbaJ II) DNIlY3H
DNIBWnld
lYOltl10313
NOI1YlnSNI
DNIWYI:I.:I
Olld3S 11:I31YM 11:I3M3S
SNI-H~nOI:l
03NDIS N33B SYH 3^OBY 111Nn 313t10NOO ON 30Yld
-(.. 0/ (II!PI~eB 01 JO,Jd) NOI1YONnO.:l
~- ~ [ . -r-n-W/f:!S "'>>It'" E>NI.LOO::l1
3J.YO YOJ.:>3dSNI f J I
lN3WnOoa 3lY~Yd3S AS SlllW~3d 3Hl
M013S SNOIl03dSNI 3Hl .::f0 ANY 1:f0.::f llWI:f3d Y lON SI SIHl =3l0N
)7<. ( - r..1..g.. Z!H) 3NOHd ""'l p"'ti:,..;;act l:lO.lDVl:lINOO
~O-h~-t... 03nSSI31VO rag60-20 .ON llV'J83d
Cf ~ So 8NIOllna :jO 3Sn
~(J ('i >l80M.:IO 38nlVN
.J&.~ ~'1i ~ <a~~) SS3~OOV 311S
aI:l003~ NOIJ.03dSNI
3>fY'I:IOll:ld
I
NOI103dSNI ONY DNI011ns
:to lN3WlYYd30