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Home My WebLink AboutBuilding Permit 04-0721 .. / ri/Final Permitted 0 Conditional C.O. Expires . , Ai, Catificate i,.'ued pu"uant to the requirement., of &ction 110 of the [J Re.,identiall 0 International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior Lake regulating building construction or use. For the following: SINGLE FMULY 04-072 1 @rrfifitafr of <IDttUpaUt1! CITY OF PRIOR LAKE ~tpZtrfmtuf nf I!IluiI~iug JI uspttfinu Use Classification Occupancy Type R3 Bldg. Permit No. Legal Description Type Construction_ Zoning District Ll. HI EXECUTIVE PONDS VN RlSD Site Address FARI'HNGTON DEVELOPMENT C(l'l INC. 22098 CANTON CT., FARMINGTON Contractor's Name & Address Owner of Building _ 3750 IvlAJESTTC LANE I\.W. ROBERT D. HUTChINS Date: Buildi9g pfficial /.:/ ~ .. .-'- _ City Planner .TANE KANSIER , ~ I" ( ..J I Z ,," '/ Date' POST IN 60NSPICUOUS PLACE CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME ADDRESS /, z, '1~ Cj / 3750 MR~J7l(!.., L.A.!, SCHEDULED OWNER CONTR. PHONE NO. PERMIT NO. ~.1Z / o FOOTING o FOUNDATION o FRAMING ~ULATION NAL o SITE INSPECTION COMMENTS: o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL UA f e-- 7)Ie- o EXIGRAD/FILlING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASlINE AIR TST o R~ o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ I Owner!Contr: .CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS ,3f"] ~ OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~ FINAL o SITE INSPECTION SCHEDULED DATE 2j1('!~ TIME Ma ~J I~~ ~~- CONTR. PERMIT NO. 4-72/ o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRAD/FllLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASlINE AIR TST o COMMENTS: I. Hf'lQY. (l)t~ j~ - - , '2. 'M.<<.~, V-6S~ ~> ~.L ~.,-~ ~ ~ - -r~ /l .... ,"ll l!, ~+ 'f) I _ I -+0 Cf- /-0::; Y, PROCEED D PROCEED OR REINSPECTION BEFORE COVERING Inspector: /I 11./ Owner/Contr: CAll Jff850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED I~.'-~" ADDRESS 675'-C> /V1crJ'eJ.JrL L". CONTR. P;,/ftf;"~-h,^ Dt;v. PERMIT NO. --f:51t} -~U OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING ~SULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~ILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: S'lfO - /III () K. ~)~"'L!_ 11-1 ( fJi.. , ~ )s'~.; 411- () J( ~ I L 2- /J II _ /) 7( , ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspecto~~-. Owner/Contr: - ~ CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d Main f-4ile G-]-6Lj White Pink Yellow File City Applicant PERMITNO.~. 012L (Please type or print and si/l:n at bottom) ADDRESS 3 7)"() . \fY\ ~J ~<; +: L L.~t7 ~hjV ZONING (office use) KlSn LEGAL DESCRIPTION (office use only) LOT I BLOCK I ADDITION Ex .ec!.-( f/y? !1J AJ d~ PID ;J,~'> J1lq~ Oor-() OWNER (Name) c - {\ I ~~M, 1\1'[ +cW Ut..\,}"<..lo ( iv\.-t.,....+ d.. k oi16 C 1\"" +0 IV c..+ Co T~L. ~\It"". JJ<1 tv..! (Phone) Co> 1- tf (;; J- 'I e 2 r~ ~ tjJ -7s"!7' 423 M tV S-.s-o .~ y 't (Address) BUILDER (Company Name) (Contact Name) (Address) r~~.hlt.t ru"J 'O-tvdCi f~-<-v'-+ Co P -tt{.. e' v l.H- ",.0 ;)~ 0 f0 CA-J \--ovJ (;1'- fc,h,! I T IJG.-, (Phone) (Phone) JA1 tV sS- () l. It c'S-J - 4~ J- f.{g 2~ C,S- (- 7~5- - 'Ie 'I '-I TYPE OF WORK Q(j New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace DAdditlOn o Alteration OUtility Connection 0 Misc. CODE: ~I.R.C. DI.B.c. Type of f'onstruction: I Occupancy Group: A B E Division: II F 1 III IV ~ A.@ H I it'uy s U 2 11) 4 5 PROJECT COST /V ALUE $ A5I1Jooo (excluding land) I hereby c('rtlly 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 ~fIcial c revoke Z pe~usc Flllthermore, I hereby agree that the CIty offici~r~O):'Jm2 ~e~on the property to perform necdc6~~:n~ 'i Signature Contractor's License No, Date Permit Valuation -iI-z...~a, oOD, 0 ~ I Park Support Fee # $ I Permit Fee $ /953. So I I SAC # $ f'3 '5; a 100 I -- Plan Check Fee $ / 2"~. 7~ I I Water Meter (Size 5/8")1"; $ 2-S0.c) 0 I State Surcharge $ /2.'5;,00 I I Pressure Reducer $ '-l~. 00 I Penalty $ - I I Sewer/Water Connection Fee # $ I "200.0 0 I Plumbing Permit Fee $ I tJO. D 't) I I Water Tower Fee # $ 70 0, lJ D I Mechanical Permit Fee $ /(){).O~ I I Builder's Deposit I $ ISoo.OO I I Sewer & Water Permit Fee $ 3t;;. S-C I I Other I $ I Gas Fireplace Permit Fee $ ~t), tJ () I I TOTAL DUE I $ f3.~ 8. Bl) I I Paid .y &(h ~ / s-J I I This Application Becomes Your Building Pemtit When Approved Receipt No. i.;r;if/7 I ~ ~J-J . ~h-,!o~ I Date -/- )9 --() '-'I By g- I f Building Otlicial I Dat'e 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. TIllS document when signed by the City Planner consl1tutes a temporary Certificate of ZonIng compliance and allows constructIon to commence, Before occupancy, a Certificate of Occupancy must be '~:]~'i'~,u 6/'L1,G,<I 4..{) cu.t"]~ 24 hour noticc for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts .' Reviewed by: ~ ~ n ,~ Date: . ~ I Z Ila l( Building Permit # PID: Zoning: Address: 3?S-cl .3 7 5'f 3 7 lib 3 , l4 2 I~D_ -I- ~ cJw.... .I /~.1 I'F----~ Legal: L / ,B I" Subdivision: ~ A'~ P--A Existing Structure? YES@) Existing Nonconforming Structure? YE@ CONFORMS TO ZONING ORDINANCE YES Yard Setbacks: NA 1 FAILsrc5MPLlE-S- ) . Front Yard (can be 20' if avg. w/in 150') . Side Yards Standard 25' 10'1 25' if abutting a street . Sidewall exceeding 50' requires additional side 2" setback for every l' over 50' in length I. Rear Yard . Patio Door: provide for minimum 10' deck or sign statement indicating no deck will be built in the future . From 100 year flood elevation of wetland/NURP pond . From OHW (Prior or Spring Lake) 10' setback + 2"/1' over 50' 25' 10' side/ 25' rear 30' 75' or setback average of adjacent structures, but no less than 50' , Floor Area Ratio: NA/ FAIL~dMPLlE~ 1 Yard Encroachments: NA / FAIWOOMPLlES' ) Eaves and Gutters no more than 2 teerm w/urn and no closer than, 5 feet to a lot line (Easements). AlC. and other equipment cannot encroach on interior side yards. .30 Maximum Standard .- Tree Preservation:(tNA) FAILS 1 COMPLIES . Total caliper inches I. Permit 25% Removal I. Caliper Inches Removed . Caliper Inches Preserved · Replacement Standard %:1 L:\TENIPLA TE\BLDGLlST.DOC NO Proposed 78,g,,' l.. 5' P ~.;J-, df", 2- t 15tfi.tiw-G ~ r . ~, 2..S-'. 10.A:. I ' 30 ~HWL. NA I~ ~~~. Proposed' ' I'-lo p~" '. ;' ~dtOg- , Proposed' I, Main 3ile White - ~uildin9 ,.... liil'1;:!~ - t:nqlneerind'> Pink - Planning The Cf'nlrr or the Lak" CountrJ' .BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I ~...f-- ' ~...,-o. l//} >0--. .' J..... -'- i /:., lJ /;:-; ,- 7. I ,i' C/ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: "J j- .1/1~ ..!-. !, i -< /'.: /""..) .. //:,) /! /l e.' .I _/\.." ~/ ,,/ ~...,..,/ /' , t l~'L. v'~-~. ~""...""" - Accepted x Accepted With Corrections Denied Reviewed By: /Wr[3 Date: /- /1./- (') 'I Comments: -.Bee Reverse Side for Additional Information! fI!",'r. Fttf ( See Attachments: 1) Grading Plan. 2) Erosion Control Measures 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." Main File White - Building Ca~a~ Engineering r:::t:InK -~~~mrf9"'::::. Thr Ct'nff'r of the Lake Countr}' 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: . ; I '" (' , J - -t' '......"., ..~~.' Accepted 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 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." Main File ~hit~ - Buildi~ Canary - l::.i'Igmeering Pink - Planning Thr ("t>nff'r of 1he Llkt" Countr)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~~A~Q hn ~ ;;~ -- 7 ~iJ D '-/ lJev. (PO APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3/750-- IYI(L~L/J , U Accepted Accepted With Corrections / Denied ~ Date: 10 It I !o t.( - ( . Comments: ~~ ~ at ~~ I ~.. ~~ -k, -r:fu- ~ ~ ~ ",-/D.,J"J J' ~ o-U v,rr. ~.~; -/L,tlr d(j' J~4j ~ dl.~.--<Lot YkA-oJ',-_. .), /-~ ~ V-Jd~-dJ ~~~-~~~~ .. I J . _ " 0 , .19~ d!A ~, ~ / /J ~f/~ ~ ,.;'t-' I~~~ Ju. ~ ~ ~ ~ ~/~~, ~ Z..J- ..D- ~~ 0-,- ~ ~ r ~ ~ T:(',o. A-o ~~~~~b~_ r/ eviewed By: ~~ "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." I Driveway: NA / FAILS / <OMPLlEV · Maximum width at property line · Required setback Standard 24' 5' from side lot line or 30' from r-o-w on corner lots 10% I. Maximum slope · All parking areas to be paved including R-V or spaces adjacent to the qaraqe · Location to match subdivision radin Ian , Building Height: <&;OMPLlE1/ FAILS , Shore/and District: NA / FAIL Minimum lot area (square feet) I Minimum lot width I Shore land alterations I Impervious surface I Bluff in Shoreland(N~1 FAILS / COMPLIES · Setback from top of bluff I. Bluff impact zone I. Engineering certification submitted/approved I. Grading in bluff or bluff impact zone I FIOOdPlain~ FAILS / COMPLIES · 100 year ood elevation · Lowest floor elevation · Proposed lowest floor elevation · Elevations 15 feet from structure · Road access must be no more than 2 feet below Regulatory Flood Protection Elevation : Accessorv Structure: I FAILS I COMPLIES · Size I. Not located in front yard (Materials) I. Side yard and rear yard setbacks I. Maximum height I. Materials compatible with principle structure L: \TEl'vIP LA TE'BLDGLIST .DOC 35' Maximum Standard 7,500 Rip, 7,999 Non-rip 50' Rip, 57.3' Non-rip 30% Maximum Standard By planning dept. 20' From Top of Bluff By City Engineer No importing/exporting Standard L 908.9' Prior Lake 914.4' Sprinq Lake 909.9' Prior Lake / 915.4' Sprinq Lake Must be l' above flood elevation for new and existing structures. If existing structure was constructed 9/19/90-11/22197 then additional foot is not reql.Jired. Must be flood elevation: or higher 907.9' for Prior Lake 913.4' for Sprfng Lake Standard 832 sQ.ft. or 25% rear yard , I ; 10' I 15' I I Proposed I 4 (a.>~ I?' ~S S. '3 ~() ~. ~~'~ IS-' ~( 2-'1 ~~ k~ tl ! I I 11/0.1~ I Proposed L Proposed Proposed "",':' """f',~",;"",," ...i~ I.~O' Proposed; FROM :GASLINEPLUS FAX NO. :9524692736 Uet. L:::: d~J~'-I I::J (. c:c:rll r.l. CITY OF PRIOR LAKE UEA TING/AIR CONDITIONING/FIREPLACE PERMIT Date Ree I. lI'"k ~ c.._ l"fI/~ ~.-I PERMIT NO.It, 7c;l1 ,_l?~~- type or ~~L~d ~i'p at botrom) . ADDRESS ~_7 SO..!J2_~_~,.i:r ----..---...-.... LEGAL OESCRlPTION (uftl~e UK only) Icz ~.e.....~,..__ 1 ZONING (oftlcl Uk)' ; &.,.......~ - LOT BLOCK ADDITION PID OWNER r:- '. j (Name) _L:?:..[ /VI. (^'~ 12."" ,.S-Address) 1J~~.9.f2';'" ed (?r?,.~o/(PhOne) .,t~r-(- 7S-S-~'IP7V OWarm Air Plants 0 ~tcam o Grav \t) 0 Hot Wa:et o Mc:chanU:ill 0 RadiatlOl\ OAir Conditioning 0 Special Dcvi.::.ell OVent, System 0 Other Devices FIREPLACE MAKE ANP MODEL_.&Gii;;::p -.G IUj='_ S<~2~y_~~ ..~=--~ FEESCHEDVLE 1 % of job cost Rc~id&)lltlj)l. GlI.'i Fireplace $39, SO minimum $99 SO $64,50 pLEASE NOTE: Air Conditioner Unit;; Cannot Encroach into Required Side Yard Setbaclc~ Industrial. C<m,mercial It Multi-Family $39 ~o I{tsidtntial. Heating & Ale (New C~ns!roctlon) Rc-,idencial. Heating Onl} (New Construction) Residential. Addition~ & -\Iterations Residential, AC Only SJ9.50 S3950 HEA11NG PERMIT FEE ST A TE SURCHARGE TOTAL PERMIT FEE $_. S S. .50 // f:,:t'; t;:;;. t..,; >. ''\>'!~G' ,,:,:~ti f., i)~J "41""~' .,; It Estimated Cost $ Building Permit 11 Buiklhtt Official Datr _ _ ....._~~.....,.~~..."~.--<_..-~"-,.."-"-1 F, ,-, ,_,' ,,\ 1\ \1 I ,- I - ,I I, I :! i Nit --:.;_...:...._- '~ceipt Nu '.\f,Ji:Leo.oc: T 1 3-11lDA_", \ __.___'._'" '~~,e - -.\ ,~, I ..-.-....-------- (omCt l'lt 0.1)') Tbis Application Become! Your Bundlfti Permit When Appra'lled ,A.'" .... ,,~+s.t~{.~.~.~.~~"~U",;.- FRm1 : FARr1! ~IGTotj PLG & HTG FAX NO. :6514637835 Oct. 05 2004 04:44PM Pi Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT (PIeISA: ~ or PCU1lllld lIltl1lt l)onDlIl) I ADDRESS , 375 0 m,,~\ "'stie \.... [l,~ LEGAL DESCRIPTION (olfio: USt: only) LOT BLOCK AoomON : ~:... ~;;,_ I PERMIT N,D. 4- ~ ZONING (olfie< usd . PlD ~~~R "fa. r V"I : "'0401"\ CUR...Je.\() r 1'Y""I t:' V\ i :r 1'1<;...... (Address) ~ d-. D 9 8 (~\ VI to '^ C,. 1, , (phone) 1-+'~ (Phone), leS 1- Lj 10'3 -l 't5 ,j...4 to.ryV\~r~+r,V'\ S~O:l.lJ. (City) 0 (Zip Code) APPUCANT 0' (Name) Fr: (" YV\ 1'\I10~."' , r l \A ^^~ i l'\J ~ (Address) ~ I {j.,4 ~~eVl"'kk. ~vl? ~ (Contact Person) J; iV\ },~ LA. I APPUCANTSIGNA~ ~~ QUJltity I I 1 1 I , APPLICANT PLEASE COMPLETE BELOW Type or FIxture QUAutity Bath Tub with or without shower .3 ' Dishwasher T Floor Drain I LavatOrY' (Bath. .'."" Sink) Laundry Tray (1 or 2 com\l8lWent sink Shower Stall Sinks Bar Sink Water Closet (Toilet) 1.. FEE ~w.,DULE laduafrlal. CommaclaI A Mlllt1-rUDlly I % or Job toll with a $39.50 ns\niawm DATE (D- C; ..,.()y Type ofFlxtan Rough4ins WIttJt Hester Wake Softner Stmd Pi Ie (W uhing Machino) Sewage ~jeCtOr Backflow Assembly Backflow Assemblv Test Lawn Sprinkler. . Other 1lcddentiaI. New One" Two-funlly $99.$0 Rctident1al. Additions It. Alta'Il.IOI\! $39.50 .~ ':; Ol c BuUding Permit. . iJ't1r:Y'\,:~~,} !;~ll~i' . . ." ..~ . .1-,. ," J~ ..~ ",,?,\; PLUMBINO PERMIT FEE $ .''',"",J,)~\.,~ PER;\fn' I --II- .'- .'t.:" l~~~'i STATE SURCHARGB $ I," i:;)",i, ~,f" . TOTAL ~......... -E $ I '~{;~;;'\~,,'r ,11}~ l- t: IW.UUI. '" ~ ,'l1'~, , ,).1("'" . ",':~ ':~'" . ". "'l,~ ' !II \ , " " , , ",.I' ,~~f,',l": ':< ,.} fJ ,",., ,;:. U.,:'; " ~.t~ &limited Cost $ (0tIkIt U. o.IJ1 nil AppUc:atJoa 8<<omel Yoar BIIUdlal Pena~t Mea ApPl'O'\'ed . IIII4UIc 0CDda.I D." t. PWr. 2. Ou>a> )c YdIo<< FIb: Ci1y CwJllal;tm T] ;:u Q ...0.. CITY OF PRioR LAKE Me. I I.,. '~J. 16200 Eagk! e~ Av. S.E. Permit No. "f I g- Prior Lake. MN 55372 · ~~ '--..-/'J PlOt. (\,1A. ~ e 5 -t,'c ~ HEATING APPUCAllON f PERMIT Date I b-5-0~ SilQ Address 2/75D LlA Lot __ Block _ Addition. O....nars Nama 1=;. r y"\/\. ; Vlu:/o,^ 0 ~ lie \ 0 II \'"V"\ P v, \- (f \ Mdress ,;).-;)..098 Co.Y1 -tov\' Cr- \- H.aling Cont"ctot F6-r oN> " "b~ f l~ &- H k. MdressdJ.D~l} Chi o()eV\J~ \~ A~ . 5 ,.-I I' l I Telephonell ,~ l-'"1lo"D- --rg~ Lf l-eh no+' Furnace Make & Model _0 /..J D u. W~()1 0 Model Size ;0.000 ... Conn. Load Fuel n n.... .\- Flue Size yl' Su~\y Openings I~ Return Openirgs Le Input I (): rX,\") Output 519./~"\') Edr. Cfm, TYPE OF SYSTEM Warm Air Plants J Gravity , Mechanical. y:. Air Conditioning , X Vent System . HEA llNG OR POWER PLANT Steam Hot Watar Radiation Spocial Devices . Other Devices TYPE Of WORK New Construclion :1- Repair _ Replacement , .... Est. Comp. Date BuUding Permit If Alterations Est. Cost $ , HEAliNG PERMIT fEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $. .50 ~-i'." ;::~\J."_ '1 )..~~:..", ...~'\iu Wit h ...'.~ ,I. "". 'i"'~ ."'I:!l""l"1'1IlI"T t~ \~.J'~ ?t~.-f1} ~ ~~~~ r-tt--lt'.. .\F~ ~ ." ReceIpt # _ TYPE OF. STRUcruRE T] T' ~ ...0.. Single Family Commercial _ Two-Family Industrial _ MuiU.Fam~ )C PlAJnc Other "7 15 --j o z Fee Schedule II r G) 1% 01 job cost ($39.50 mnimum) $99.50 $64.5C PLEASE NOTE: $39.5C Air Conditioner Units Cann01 $39.5C Encroach Into Required S ide- $395( Yard Setbacks. Industrial. Commercial & Multi-Family Residential, Heating & AC Residential. Heating Only Residential, Gas Fir~laoo Residential, Add~iollS & Alterations Residilntial. AC Only !(:) :r --j G) Remember to add the State Surcharge on the bottom 01 tniS app"TlC8flOn. T] ;r! ;-;- The price 01 your healing permit includes one rough-in and one final inspection. Additional inspections will be billed at $35.00 each, House Heating Test Record must be s1Jbmitted with building permit ~ before build- Ing certificate of occupancy will be issued. !:!EAI.c.McCULATIONS REQUIRE[! with number 01 supply and reruTO openings listed per room with CFM's per opening. New structures or additions send floor plan with supply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE, MN 55372. City Hall business hours are 8 a.m. - 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-lN AND fiNAL} - CALL CITY HALL 447-9850 "7 o (J) Ul .... .\'>. CT. l.J ~J ill GJ Ul o o .+ I hereby apply for a mechanical systems permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the city and with the state building/mechanical codes; that this form does not become a permit untll signed by the BUILDING OFFICIAL; that the work will be in accordance with the approved plan in the case ot all work which requires review and approval of plans, (S) In I\J (S) (S) .\'>. (S) .\'>. In In 3J ...0.. _ ~~ Ot.a L_~VtJ Applicant'S signature } ()-s ---{) L\ Date II .... Buitdng Offical's Signature . ,. - . m. D. f,E ~a1~ 0 lO m 'J- --- - - - [ ~ _Ocr -O-S-lOft4- -J CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd /2. z%. 04- I. Pink File PERMIT NO 2, Green City . A.A...... 12--1 3. Yellow Applicant c.rr (Phone) 1S.2- 'I~9 - :) 7 ;?~ L );:.(./1 . s-so~V (City) (Zip Code) c20Pts- ~1GJA/~ (Address) j( c..cL . (Phone) ~~-:.~ DATE APP[~NT PLEASE COMPLETE BELOW DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT (Please type or print and sign at bottom) AD3D~~'7\ I VJV /'1/lJbf 77 c:/ UJ. LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION OWNER (Name) (Address) f)-l]~,,)4~,\-~ I (30. hr~:rh~, (Phone) APPLICANT G (Name) ~ S .~ !tt.r ,(" ;.. e (Address) /Are _ ZONING (office use) )elf 0 PID (Contact Person) Gf2 -'tLY- V.2-if 3 1.2. -:l F--r::> 'I' APPLICANT SIGNATURE TYPE OF SYSTEM REA TING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices OWann Air Plants OGravity o Mechanical OAir Conditioning __ ~ent. System ~DMODEL --- ;/ed-I/ - 610 7~ r/? FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 $64.50 -- Industrial, Commercial & Multi-Family Residential, Heating & A/C (New Construction) Residential, Heating Only (New Construction) Residential, Additions & Alterations Residential, AC Only Estimated Cost $ Building Penn it # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ ~ $ ~ .50 $/ .r (Office Use Only) This Application Becomes Your Building Permit When Approved ~ 0[2_ ~(.V f' Building Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue, Prior Lake, MN 55372 PLEASE NOTE: . Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks $39.50 $39.50 $39.50 ffl'f f) ~~ -61J11/ " - ----- DePARTMENT OF ~ain File BUILDING AND INSPECTION PRIOR LAKE INSPECTION RECORD +i c- LN SITE ADDRESS 3?ao NATURE OF WORK USE OF BUILDING PERMIT NO. CONTRACTOR NOTE: THIS IS NOT A PER FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT i / \., _ ~PECTOR DATE I FOOTING Sv~ W"(i,,'jj~/JJ IU t. I ,', . !if) I /-7/ FOUNDATION (Prior to Backfill) I~' ../ ~ I ' PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS M ../ SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING ~ ~ ~~ HEATING (if required) M FIREPLACE _ ffl/7 GAS LINE AIR TEST ~~ u1) v / COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 'Ml:IIe/~lrRlU'/J ~I I ~ FINALS I NIJ GRADING (Prior to Sodding) BUILDING d--,}lI,t("'/U) fD ELECTRICAL PLUMBING HEATING DO NOT ~ .t.5 DAJ;..E ISSUED IJIt,V. Co PHON~. 7sS--1f191/ J H vC /rPl, , ~. 1 J It:) / 1 ' ,z.. L 0& /I!;. OCCUpy UNTIL ABO:I/I HAS NOTICE Z.t~rO) " BEEN SIGNED 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