HomeMy WebLinkAboutBuilding Permit 03-0209
=.- .....---..-
@rrfifirafr of @rrupanru
CITY OF PRIOR LAKE
~rparfmrnf of 'llJluilMn~ Jlnsprdion
[j Final Permitted D Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 307 afthe Unifonn 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:
Use Classification
SINGLE FA!1ILY
Bldg. Permit Nr.
03-0209
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
Rl
Legal Description
U 1, Bl, DEERFIELD 8TH
Contractor's Name & AddressD. R. HORTON, 20860
I/1/r
ROBERT D. HUTCHINS
u Building Official
)<,,~.!J'7,
Site Address 51"5 PONDSEDGE LANE S.E.
KENBRIDGE CT., SUITE lOa, LAKEVELE 55044
DON RYE
Owner of Buildin,e:
City Planner
Date:
Date:
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
>? ' ).1-c1)
ADDRESS
S{)...j r?MJSt")~i'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
"(.,24 q
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
'5'~d / r In.t....<;.
I
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
.-----
/" J
/ / I OS-c
\. 1..-../-
'---
--...
[-r ~ ')
~
----
crWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: /lIY?!( - J..q-o) Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY/
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
61l)" f O>1.J>ul~A'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Ii!""ANAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
lilJo'1ftECH FINAL
COMMENTS:
'"'
~ 5e~,~
2.- ~J..r~<<
('~
If? r -l--
L/rI
.-/-r, r-/-.p,
DATE TIME
7-71
<- O}..O'1
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
s", d ..t.
'T ;-ee S t?~-
c'-""'A"/O/?~ --r
'{.:-.c....(? I.A'll,'{
.1?Y1"+
V1-<:.~vc J
(()-I-(/)
o WORK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1# 7- J,(~ Owner/Con!r:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
u<sNO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY/
DATE nIlE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
'7-/7
ADDRESS
(]L) Uln~~!e-..,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
""I.-JAr
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.. PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
@-Vf'Vl1111A
rmrf C"tp<;
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: J/1f 7- /7.....O)Owner/contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
.
nilE
ADDRESS
6rz..s Pf'>utIS ~~ l..J-.\
OWNER
CONTR.
PHONE NO.
PERMIT NO.
n~~U)~
o EXlQILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
~~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
Khrlr~\rE L.t....At.? fl-:t.~s ~roli\. f..:)()C!)JjS ~H!nl)
u.,...,u~
Rr....,<, 5t.-.o{!~ ""I.-O\..:)G ~a:sl-\ Pi. Q\) ~-rf.P..
1I.2AKL rr"', ri'l)c..,-r'AU~O
R/d.(~~ GuKf.- '!:r(oP Sl-.U"H-.((....l.( CIZ I-oWt:R
u..e.NJ~ -('.::>"( (,u/Zfl., <:,~d.
"- ')(') /(M.f. S 6R S::>n
o WORK SATISFACTORY, PROCEED
X CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: tI.e,~A.ooJ Owner/Contr
CALL~850 "FOR \;- NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY/
''''''''''
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(please.!)'pe or print and siJro at bottom)
ADDRESS
SP5 ~Yldsek LtI'\.R s,G.
u
LEGAL DESCRIPTION (office use only)
1. White
2. Pink
3. Yellow
File
City
Applicant
LOT II BLOCK
ADDITION f\,1Ai,)L ~
OWNER
(Name)
(Address)
BUILDER";l () II -r
(Name) J./.I( .mv -nrV).._LYV .
(Contact Name) Sl-l" !\Y. . P J() ~</JIJ
(Address) qpf3fJ7.o 1<e..vt.L;--,k Qf.sf-e.l1)D
. Lil .ILl A-'l I L... vY\ 1M 7:b1JtJ<.J
. . ,
TYPE OF WORK
. ;g1.New Construction
o Misc.
DLower Level Finish
(Phone)
Date Rec' d
/-.3.1-03
I PERMIT NO. 03 -(}Z,OCJ
I
ZONING (off1o,use)
,€/
I
PIDZ5-39'1- ()rl-O I
(Phone) js2'7g~.'1&fJ
(Phone) Cf6z- 2-2-<.0- /3",4
DDeck
DPorch
ORe-Roofing
o Fireplace DAddition DAlteration
PROJECTCOST/VALUE (excluding land) $ lq7j 'tl (,
ORe-Siding
OUtility Connection
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 1
authorized agent for the above-mentioned property and that all construction will conform to all existing state and loca11aws and will proceed in accordance with
s 1 d plans. I am aw uilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
ter up e property t d i pections.
l/
I Permit Valuation
r Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
I
I $
I:
I $
I $
I $
I $
I $
/qJ...Y/' I
I. t'/'I.S'.f1
. qf'1.'1, I
1~ ..>01
[
lOf) .00 I
1 f)(') .0" I
~,(..n)1
40.00[
Thi~J11jon Eur Building PermIt When Apptoved
----! rrvlv. ).-t4-() "J
Building OffiCial Date
c;(lI)(Jf)Ci1pS-7
Contractor's License No.
I Park Support Fee
1 SAC
'"
I Water Meter Sizef/~:J; I";
I Pressure Reducer
1 City SAC and WAC
Water Tower Fee
Builder's Deposit
I Other
1 TOTAL DUE
I Paid
I Date
"",; -I/. PI
i.u,-07
fiS'O .170
1.2. 7S".(J()
..2..ro,&o
4('.0 Q
1M" .1ffJ
1$ 70(J.n
$ I .rOd .1>0
I: ~U,ql. 01
/ J '
I ReceiptlDl'o. 4-'.f";J/I
Bv ".
O.
#
#
#
#
//~oJ1J?
~-----r5ite
I $
/:
$
$
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 1
~::,nd?ft1 Ci72~S a tompDr~ C'rtmoato D~;: :m;limco md illOWSf:~;n t~;mm~;,zr: ooru;q, ~=::O:7 must b,
Planning Director Date Special Conditions, if any
24 hour uotiee for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
," .. ;"".' ~ '
. ,'."'......'......,,'\.......- --...........,,--.'.~; ...-.~..~. ~., 4;.........
~_... :.-,." - --.~ '...... '1".-;". .,.-.,,~~~..~-. ,.,.. ~"" -'.~ ...:-".' ".".. ,~~,;. '.. ,,. ."
- -.
.";< .....n: ,(<.,.~ -~. -;.,-..
" .
White - BulldinCl
(" !,ianarv - EnglnAerinv
Pink - Planning
n,C'""rofllwl..kt('ou,Ul1'
BUILDING PERMIT APPLICATION D,EfARTM.E.NT CHECJ<USI
NAME OF APPLICANT
APPLICATION RECEIVED
D. e. HOt<-luvJ
1-51-03
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5/25 Po,\JO:;S])6S" LAN~ S. c/.
Accepted X
Accepted With Corrections
Denied
Reviewed By:
A / It I~
Date: ;{ - ]/-
Comments: See Reverse Side for Additional Information!
See A ttachments' 1) Grading Plan, 2) Erosion Control Measures
"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."
.
~
. Job Address 57JS ~><Ls~a.
Heating Contractor ill/, 'J1tI'? ~AIII'
Name of Tester ~
Date 7pZ.flJ
Percent 0, /11. "3 1-
Percent CO . ~.I~
Percent CO2 ~'~ 1.
Stack Temp qq .1/
Combustion air is adequately supplied per
UMC Sec. 606 )I~
input /~tp~ ~
-
,
."
~~
White - Building
~v . Enqineering
C Pink - Plannir;>
Tht' (-rnln of lht hkf Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. k. l--ICI'~(1) rJ
'.", (',-::::
/- ..:> I - \..L:)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
S I 20 PCN uS F~j)0C Lf\f'"JL S. c.
Accepted Accepted With Corrections ~
Denied Iftj( ~_
Reviewed By: Date: ). - / ()- crJ
I
Comments: f2 ("'ad all 110 f-.e 5 +- Hal'1J (JuT 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."
~~
fWhite
"'t"<:u 1"' 'I
Pink
- Buildin
ering
. Planning
ThO' ("..nl... of Ih..I..k.. Counlr)-'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
D. e. (-foe/UN
l-sl-03
I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Sf 25 PONOSF:Dq6 LANb S.b.
Accepted Accepted With Corrections ~
Denied lid ~
Reviewed By: Date: 2-/i)- d"'3
Comments: f2~~d all Y7rJfr .J <>?- HA"'.) C7J+ ~
"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."
~m~ PIlIO", "
... \ <'
... "
- "
" '"
:..r;<..~/N/fE50~t-
i%~~~~ti~f:~\{'
Apr, ~,~003 9:~IAM
GENZ RVAN PLUMBING AND HEATING
P 1 0, 1 9
flo 8 ~ 31
Date Rec'd
CIT'l OF PRIOR LAKE PLUM:BING PERl\tIIT
I aluo:. ~il.
~,Guld Cil'jo
:l. Yell.,,,, Appli....all~
I PE:RNllT NO. .3 ~ go 71
(llle~e tyEe aTPnJ),t ilnd ~J$UJ. ar:bottOJ:D)
ADDRESS '
15/67-5 VDrvt1eh lh ~f.
I ZONING (ofIi",,,,,) I
LEGAL DESCRIPTION (0= use only)
LOT \ I BLOCK I ADDITION ~-hdJ g-/'h.
PlD
OWNER
(Name) DR Ilorton Custom Homes (phone)
(Address)
qc;,z - q ';]c.. --,'6 D()
:2O~0D 1/.,,.,,,,1, ",.0 C <:,-, ~
r:-e., lo",,-ll.='c_ .~T ~;, Ie- 100
U,{uv1!iG YlAN Sf:bi..1LJ
APPLJCANT
(Namc)..G"'........_'[l~...,,,... 'O,.._\.".f.....; ~l.1............~__....:
(phone) ',1_1."_11 AI.
(Address) 14745 So Robert Trail
Rosemo\1Pt
(City)
11ll'
55068
(Zip Code)
(Contact Person)
(Address)
Ci01~ & tl f-a"u;J
(Jr~~,/C)
.
(Phone)
651-423-1144
I~/~l It; ~
/ /
DATE
A.PPLICANT SIGNATURE
Quantity
..:J.
'"
(
.,
\
f
I
';"
'-'
APPLICANT PLEASE COMPLETE BELOW
I Type of Fi:s.ture Qua.ntity I
Bath Tub with or without shower . ;S Rough-ins
Dishwasher I, Water Heater
floor Drain I Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment $ink Sewage Ejector
I Shower Stall Backflow Assembly
Sinks Backflow Ass<mbly Test
Bar Sink I Lawn S':>Ilokkr
Water Closet (Toilet) Other .
I
I
I
I
I
j
I
I
Type of Fixture
FEE SCHEDULE
Industnal, CommercIal & Mulu..fanuly 1 % of Job cost With a $:3950 minimum ResIdential, Ne\v One & Two.farmly $99 SO
Residential. Additions & AIlerations $39 50
(Offiu' Un Onl)'}
ESlunared Cost $
Bmlding Permit #
PLUMBJNG PERlvUT FEE $
STATE SURCHARGE $
TOTAL PE:RMIT FEE $
PAID WfTH I
BUILDING PERMI;
50
Building Official
~ti;' @ ~ n II} ~ ~ I jW<,'< No
M.= ...",., :;:..~. ,,~,<< ,. r::,,~~;:::,' ~" If
. By - ~
This Application Becomes Your Building Permit When Approved
APr " ~003 9:~IAM
GEN2 RVAN PLUMBING AND HEATING
No 8 ~ 3 i
P II 19
"
Date Rec'd
CITY,OF PRIOR LAKE
SEWER AND WATER PERMlT
I 0..., fll. I PERMIT NO
L Y.~w C'<i- ' .? 'On
l ~ld ;\~!,J~t ..:::,r 0"- -/
~li:.ase t'{E1: OJ' 'Utint ~d S),9Jl(i.[ bottOm)
ADDRESS
51~S- P~~J.~ 1Yl Se-.
ZONmG (office l1S~J
"
, LEGAL DESCRIPTION (ollice use only)
LOT II BLOCK I ADDITION
'~Id1e(d KfV'
PID
OWNER
(Name)....DP -U...:":'...-:-.... "'t'ct~lll liQ~_"'':'
(Phone) _ 9S2 -q[55- -nfl/\
(Addre~s)
20&00 Kev1Bi<..\t:L-e ('.r s.pl/Y\
(Addn::ss)
La4\J11I~
(City)
t:J7;Lj L)
(Zip Code)
APPLICANT
(Nam.) Genz-Rvan Plurob:i.ng & Heatinl1;
(phone)
651-423-1144
(Addr~"s) 14745 So Robert Trail
(Conuct Person) '. (JfJ~ (UJ t
'_IeAm SIGNATURE ( 1,,( J. 1 J;j):;;)
(PhO:~TE 651-,:~~-l~~iG 5
APPLICANT PLEASE COMPLETE BELOW
Roseroount. HN
(City)
55068
(Zip Cod<)
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. o ABC OPVC 0 CastIron
Estimated length of sewer line feet.
Clean out (if required) located at __ feet from strucnrre.
Re~ldcntlaJ sewer and water bne connection
Sewer connection only
FEE SCHEDULE
$3550 lndustrial, Com '1 & MultJ-farnDy 1% of job cost Wlth a $39 50 Ill.illlDlum
$1750 Water connection only $17 50
Estimated Cost $
Building Pennit #
.50
PAID ~.
t'JUILO/NQ";;:' ,.,
rr:.'FlA/rr
I rhi. Application Be~omes Your Building Permit When Approved ['~. ~ _]"_ ,~eceiPt No.
I Date - Bv r.
: Building OlIid.1 Dm) ^ PR II 2 ZB _ . rD"
~. LJ .. . Bj Jj {J
24 hour notie, for all inspectlo... (952) 147.9850, fax (952) 447-42.5" :V
By
,
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERl\ITr FEE
$
$
$
(Oftice: Un Only)
I
I
CIty OFPRIORLA. IOL '~~ ~ ~ @' ~ ~ ill ~ 1.' '.' te Rec'd
HEATING/AIR CONDITION"lNGIFIREPLACE ] IT
APR 0 3 2003 .
;hz! :70yy
,-PI" ,n. EiER1VITT' N(l . '~.91
,,'i..Qrecn City . . .......... r. ,
j, Yellov.i Appllcaill ,,/',,
(Please type or Drint Biidsign at bottoJil)
ADDRESS /7
57d5 /-;8~$e~C
ZONING (office use)
~...6~
LEGAL DESClUPTION (office use only)
LOT / /SLOCK / ADDITION
PID
OWNER -,.....-n .La.
(Name) L>" 1\ O\",+-r)l"')
1.D8lo0 ~ br\d~e...U-
APPLICANT ^ ' .
(Name) H\ha.nf Yv\tcha..nl CaJ
(Address) .3l,QC5c Ktrlnl.becJ:::>r- Su..i*-I
(Address)
(Contact Person) ,Je.U '1..IFnmeYYV\A.Y\..
(Phone)
(Address)
L.A..ktvi tie.
Mkl
5o()41../
APPLICANT SIGNATURE
(l'hcJlle) JP5 L.Ll.62.. 2...1'15 '
F;;1WIt:U1 AA.N 55/2.:Z.
u:; (City) (Zip Code)
(Phdne)lIf51.a{5Z-.2..J/5
DATE
';1/~Lft:AN'tPt:EA$:E(JQi\1P,t,ETIt'BJtL())Vi
I8JNEW CONSTRUCTION ........ . [J,REPLACEMENT c.' ... 'CJ AL1;El{j\TIQNS
FURNACE MAKE AND MODEL7l3rutitd .'. qi;j.. ...... FUEL.:tJa;!-.~~S
FLUE SIZE J-112.. "Pv' e..,.RF;TtJltt,tOPENINClS mPUT IDD,DoD:blJTl>UT ...... . :000
TYPE OF SYSTEM HEA'1'INO ORPoWIlltPLANT
OWanti Air Phillts O.Stellrn
OGravity o Hot Water
8 MechlUlical . '. '0 Radiliti6rt
~Air Conditioning 0 Special De\tic~
tla'Vent. Systern....O OtlierDevices
PLEASE NOTE:
Air Conditioner Units
Canilot Encroach into
Required Sld"Yatd
. Setbacks ' .
FIREPLACE MAKE AND MODEL
Industrial; Coriunerchil & Multl;;P'arriiIy
FEESCHEbtitt ....
1% of job cost ." ,"R~ideriiit",6..sFi,.ei:"abe
'$39.50 minimum .
'.. $99.56 'Re~ide~t[,ii.Additions&Alti!r.tions
$64:56 . Residential; AC OhlY
$39.50
Residenti.I,lfeatlfig& A/C (NeWCoilstfucti6ri)
Residential; HelitingOhly (New COilsttu<;\ion)
Estimated cost'!>
"'7 bOO .()('I
Building Penhit #
$39.50
A $39.50
. 81.J11^~/D ~
. '-U1tvG 'I""'"
P~PI"",,,,
flEATING PE1W:tT PEE $
..Sf AfESURCHAROE "'$ . ./..,50
;fOTAl/PEtiM:l:tFEE '$ ,a/
(Omce Us. Only)
This ApplieMiOIl.BeenmtsY(jjjf BililCling l'Ilrmit,Whllll ApproVeCl
,~liil~ing O~ciRI Date
24 hourntitlee for lill irispections (952) 'r~850'fliX(952)4414245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please tvoe or urint and siJtll at bottom)
ADDRESS
:~, ~::, I PERMIT NO. 3-::J-691
3. Yellow Applicant
ZONING (office use)
5125 PONDSEDGE LANE S.E.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name.)
DR HORTON
(Phone)
(Address)
APPLICANT
(Name) AT .I.TED FTRFSTDF. DRA FIRESIDE HEARTH & HOME
(Phone)
/\51./\33-25/\1
(Address)
7100 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRFNDA HUSTON
DATE
4/29/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
OWarm Air PlanlS
OGravity
D Mechanical
DAir 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
HEAT N GLO SL-750TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39,50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
I3U'L~~'D W,,,,, .
'1NG A 'f'1
~A"-f,.,.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
~ I~ (i=' f~ 0 III I~
!)i~~~ ~-
~I' - 1 1'65-:;
~, eceipt No.
1Y if
24 hour notice for all inspections (952) 447.9~JIDy ~r-' . ,--
l!.3/23/98 ~ MON 09: 27_ FA,]: 6124474245
CITY OF PRIOR LAKE
lSIoo2
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted wilb Buildlnl Permit AppliCllion)
For All r .ul'....;,;,es Located in the Shoreland District (SO).
The Maximum Impervious Surface Coverage Permitted in 30 r ....."..t.
Property Address c:s \(. CJ P anA ~~d ~ e.. k.H\ ~
Lot Area 2.. C) )S ~ \ Sq. Feet x 30% .. .............. <a. ~ b 2..
........................................................................
LENGTH
WIDTH
SQ. FEET
- ..2,1..'2..1
= 0
.. 0
ATTACHED GARAGE
x
x
x
HOUSE
. TOTAL PRINCIPLE STRUC111lU'
..-..~
'2.".2.1
"'
DETACHEDBLDGS
(OanaefSlled)
x
x
TOTAL DETACHED BUlLDINGC
---
=
"703
o.
\:, ~
DRlVEW A YIPA VED AREAS
(Driveway-paved or not)
(Sldewallrll'vkinl Areas)
x
X.
x
-
-
TOTAL PAVED AREAS..
...---..-..
~+I
..
x ...
,"- ".
X =
X ..
TOTAL DECKS._, ...--.-.. 0
X s
X =
PATIOSIPORCHESIDECKS
(Opal Dockal'.' miD. openiD/I-
ba8rds, ..lib a perviou. ...- "-low.
arc nal ..."," ,I.. .,-, to be impervious)
OTHER
TOT.AL 0 tDJt,&..........-.--.-..-.--..--..:.-... 0
TOTAL IMPERVIOUS SURFACE -:sO~2. I
~ ~ I';~OO 1
Prepared By ~ ~ . Date 1-'2.,-03
Company~1ZJ4.NDT bNf}!{fl;EINd' )iJR.V8rIN6..Phone #9-)2 435' J 961
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS S Il..r &db ~c1~ LCU1't
NATURE OF WORK N(I!~ ~.fltJfr~.1.J."..
USE OF BUILDING ~ . F. D.
PERMIT NO. 0'5-0209 DATE ISSUED ----...1- '0- 0'
CONTRACTOR ----DJt s., .,..-'\ ~""1. PHONE..!.$' ~ - ?yr.7..T,6'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING
WfP )~)..'( J
, FOUNDATION (Prior to Backfill) IWY/ /1/1/V'" I ? -y (J7 /tf 1003
PLACE NO CONCRETE UNTIL ABOVE ltiAS BEEN SIGNED I
ROUGH - INS
SEWER I WATER I SEPTIC I /M/"
FRAMING I rJlf/
INSULATION I f/VY!
ELECTRICAL I
PLUMBING tJ.G-. vi.sv'd'~- y/~}1
HEATING (if required) .1
FIREPLACE .1
GAS LINE AIR TEST I
3~{r-fJ3
S- - kJ-CfJ
,~-2q-cT)
t/I/Y:.
vVY/
vvv-='
VW'"
S~i-V:.
e; - ') ()-IJ.
~ - )-f) - cI'>
!:-)'()-I>
GRADING (Prior to Sodding)
BUILDING 'l<"'If 1-"(,1
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~ 7 "1.&
iMf
~
I
I f~(7~
I 7 <I. ( -(/1,
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