HomeMy WebLinkAboutBuilding Permit 03-0312
~trfifitaft of @ttupanty
CITY OF PRIOR LAKE
~rpctrfnT1mf of 'l'JluilMnB Jlnsprdion
,txI'Final Permitted D Conditional C.O. Expires
This Cert(ficate 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
Lake regulating building construction or use. For the following:
Use Classification
SINGLE FA'lII Y
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Permit No
N/A
Zoning District
03-031:
Rl
Legal Description
L16, B2, REGAL CREST
Owner of Buildim!
Site Add"" l5305 JEFFERS
7920 T.AKEVILLE BLVD.,
PASS
'"AKEVTLLE 55044
Contractor's Name & Address COLLEGE C.Y1:Y ~ HOMES,
ROBERT D. HUTCHIm/ /jj
\ 7 f ^ Building Official V 1//
1. . -/.1 '>
. - I
City Planner
DON RYE
Date:
Date:
~.~- -'-~_._--'-~......~
'"'.~~~-"'"
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
~-2~
J -e~ -,.-s a
TIME
Lloo
ADDRESS
OWNER
J q >>-:s-
PHONE NO.
CONTR.
PERMIT NO. () '3
9-, _
t/
)17
o FOOTING
o FOUNDATION
o FRAMING
IjJ)1lSULA TION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
I, ~;.~ ~~_~'-~p~
15~ -\-0
C [c.=.P
1./1 n I
""""Ih .0 -\. r' I .0
,.
~ORK SATISFACTORY. PROCEED
o COR CTION AND PROCEED
o CO RECTm. CALL FOR REINSPECTION BEFORE COVERING
Inspet r: I( J ~ Owner/Contr:
CA ~I.~FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~UlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
UUNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
\ S')c>5"
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED 1'-11.,-0[ II :~
..I otf-V-" Qloc~
CONTR.
PERMIT NO.
(, sf?
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~MECH FINAL
o EXIGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
~yJREPLACE FINAL
~ G~.SUNEA~
o {M........
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETY/
Il'iSNOTJ
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED C; - I C; .O}"
ADDRESS 113]0 5" ....t.R~ C?~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
qAllTE INSPECTION
COMMENTS:
f)
~
CONTR.
PERMIT NO.
~{L
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.:t!tPLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
nL,__+
II
C/~h
J
o WORK SATISFACTORY. PROCEED
rORRECT ACTION AND PROCEED
o COR~WORK' CALL FOR REINSPECTION BEFORE COVERING
Inspector. _ Owner/Contr:
CAL ~ ~;8J FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~REMENTS ARE FOR YOUR PERSONAL HEALTH.{ SAFETYI
U<SNO"
(Please tvP~ or print and sign. at bottom)
ADDRESS
\S3D6 .JE;fFF-V7 c. 'P~~
Date Rec'd
3-/0/-03
hite File I PERMIT NO
;"k C;'y . Jl3 _ .~ t"\ /
3_ Yellow Applicant {/ ,J Ic:I'"
ZONING (office use)
Je-(
LEGAL DESCRIPTION (office use only)
LOTI ~BLOCK 2- ADDITION 12E:z1~\ (Q..E.S-r-
OWNER
(Name)
(Address)
PID 25-313/P-034-' ()
(Phone)
BUlLDE~ (' 41-
(Name)J . /')\\a~L--,-h1 -\-\7)vY)f'S (Phone) Cl52. I'll .It,qOn
(Contact Name) ..-f/jd,E:. ~Ivn~ (Phone) lD\2... (005. .2,2CA .
(Address) 9t:12.o LalLE;'J\n~ 'Bhrc.\ I l-8l\~\.f'\ll<2- i\,\n 650'-\4
,
TYPE OF WORK ~ew Construction ODeck OPorch ORe-Roofing ORe-Siding
DLower Level Finish 0 Fireplace DAddition DAlteration DUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) S '::2 '3 L.\ L, 00. -
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 a~= the budding official can revoke thIS permit for Just cause Furthermore, I hereby agree that the City official or a deSIgnee may
enteru on e rope:rr~;e;d~:::s \ 20C1 _ "3 fir> /63.
J SIkna~ J Contractor's License No ,~
'--'
I Permit Valuation
I 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
Z3500D.OOI
$ . A/J --
I. 1"-(./2
I $ / 1.31. 7?4-
$ 'J in.5D I
$ I
$ /otJ .{)lJ I
$ IOl/.(jO I
$ :3~. 5V
$ 4-fJ, 60
This Application Becomes Your Building Permit When Approved
~ ~t.- 3-69k
Building Official
Date
I Park Support Fee # $
I SAC # $ I,
I Water Meter Size 5/8"; 1"; $
I Pressure Reducer $
I City SAC and WAC # $
I Water Tower Fee # $
I Builder's Deposit $
I Other $
I TOTAL DUE !'4~_ ~. 7 - 'If'r ~I 1'5 D . 0 q
;0- ".... ,
b 7::J U' () -7 I Receipt No.i/';'1"C0CJ
U-I O-~"'" By c.,"C/
V
2-7~.()O
2 5lJ .If(}
4--5. (IO
I, z-O 0 .00
,00,00
I Paid
I 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
~~~Pl~emporUYcero:ie:A;limcSeensMml~ ntt~.acmificateofocrupan~mustbe
Plmning Director ~ 'bate 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
~~
See Main File
White . Building
~rv - ~nQ,"eertng;,
Pink - Planning
ThtC'tlllrrnflht l..aktCOllnlry
BU.U.DING PERMIT ~CATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (1fl1.':~fkJ ff
_ ! !~i _
APPLICATION RECEIVED I
~t._
, I
._" / I
.-<:.: " /
~.) '.--/
r-'.l };
. x,~ '
"r\/(.; f;(Jl.;;~:'J'"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whic;tHs proposed at:,
_ ~/... i /}
/ / -;:::< __/'t i...~' J. J ;'..:/.1 .",lj>:."-'i .l,/
I l? -" ':./ J ',/UJ-"''i-'>'>{I / , /..._<J.......-
/. I) i .
(/ I I,'
:J._
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
/#r5
Date:
'1-3-6.3
Comments:
f, a. !J1C,I/" F,' '-<.
"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."
~~
See Main File
<:::V{hite . ~ BUildiil<i"?
~anary--~neermg
Pink - Planning
Thf ('tnlnof lhtl..!lf{'ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAMEOFAPPLlCANT (l~.re (f~ ~
APPLICATION RECEIVED 3 .- ; q -:3 O)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construi: 3~Shi . proposed atJt1~
Accepted
Accepted With Corrections
~
Denied
.
Date: 3(::>-'1 /0 ~
Reviewed By:
~
=/~r/
Comments:
~
7P1~ ~
"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."
'~
~~
See Main File
White - Building
Can..rv - Enqin!!lering
Oink - PlannIng :>
Thl' ('fnln of lht L.kt ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ,/-)'
APPLICATION RECEIVED
./;'
I
I
Ij"
-,'
. The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1'/ -,~" ~ /
/.~ .-));.:
, .. ' - '-'-;.~/ '
..~-"
/ i
Accepted
Accepted With Corrections
./
.
Denied
Reviewed By:
Comments:
~ A. ,:_--:(~
Date: ~P1 ~3
..L.
"'7-r1 ""
/ ~
..'
.-,....._-
.I
"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."
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(PIcI.3C tvp! Of "tint md siLa lot bottom)
I ADDRESS Pu..../K)
! 1S'?-'oS- -~
I LEGAL DESCR.l!'l10N (ofll,;u.. only) ,
l LOr (WsLOCK .;J ADDITION R'E'-6&
; ~t. ~,'~ I PERMIT NO. ? _ ..1 (ot!lIl i
1. 001' A,,4lQnl f ') ......J ~
I ZONING (0"'" .", I
Cre~
PID
OWNER r --'- \ I
(Name) Cu--<.J...et" ~ t\.~
(AddJess) (Cf.)6 L,r~ l3/ud
(Addreu)
~ ~ 'tS.2- yC;;?
(Phone) ~~ " ",900
/J~ SSOYV-
(elM (~ Codol
I APPLlC~
: (Name) ~r." \~Lt _ e,>< t' u. ()~. (Phone) So 7- ---; '-/9- ~S-c;"",
i (Address) 33--'s- G..J 7o~ s,-t-o..e-e:j- lU'ASda.-4- S;C:;;-oy;:;
I (Adilr...) (City) (Zip Code)
I (Contaet Perlonl SG r--cl'-{ S;; ('/Y'CfI\ (phone) So / -7 '7'-/_ ~~ s---
~PLICANTSIONATURE ~ ~_._._____ DATE q-7----a3
APPLICANT PLEASE COMPLETE BELOW
Si~ of water service '-I" inches.
Location of any couplings from Structure ~ feel.
Type of sewer pipe. 0 ABC !RPVC 0 Cut Iron
Estimated length of sewer line S-O feet.
Clean out (if required) located at _ feet from structure,
FEE SCHEDULE
Residential sewer and wlter line cOMeotion $3S.S0 Industrial, Com'l & Multi.family J% of job cost with a $39.50 minimum
Sewer connection only $ J 7.50 Water connemjon only 517.50
Estimated Cost S
Building Pennit #, ..-.
SEWER AND WATER PERMIT FEE $
STATE SlJRCHARGE $ :50 PAl
TOTAL PERMIT FEE $ 9U1l.D/~ V::7'H '
10m" l'" o.,v) " 'ERMrr
. ~,
Thls APPIiCI, tio. Become. Your Bulldlne Permit Whe. APprQHd)'~ro' ,J7liiilu '~-'";:;~_' ,,; .Receipt No.
,I ~ 10 Ie /1 Il'J ,'L., _ /l
Build.a, om",1 ' 11:1'- /All ~PR { O?.cJ ,=, 11/ j Sr Ir
OOi~lli D'j'
~4 hour notle. for 11I1".p"lio". (~5~ "':9850, r.. (9S2) .47-41 l' ' ,
By ,
~~--_..
~:::::::':J
GEN2 RVAN PLUMB[NG AND HEAT[NG
No.930~ P. [5 ~O
Date Rec'd
Apr.[O. ~003 1:4~PM
CITY OF PRIOR LAKE PLU1VIBJNG PERMIT
:. ~~J: ~:, I PERlVUT NOB -3/"1 I
J Y"<II"..., AllPJjCMt ~
(Please ~ or 'PrInt and Sign at bottOm)
ADDRESS ZONING (office ",e)
/PJ3!J5 "f {lifCRS fas;s
LEGAL DESCRIP110N (office us. only)
LaTIf; BLOCK d.. ADDITION
l2.Ra al (i/2i if
,') .-
~W;:~R (}j ! f~ f(1!f /l&ng ( / flC . . (phone) tftJd - 4b1- lAW
(Address) 1'1;)0 /;;tk1!iJLdl? f2iIJ/'J1 takj/d/t .,>>In ~so1f
. APPLICANT ~. Y7 " !,,/:CI L h '? / t/ i/ /
(Name\ (~f{ }1l- ;<JjlJ h (Phone) fJ/"7 r '-10-...,- ! //~
(Address) /!i/tf5 \ (;eo~J/2t. ~kJJ1rJzcd. L.J1/1 -55l21cP
(Address) (City) , (Zip Code)
(:/J.JZi (Phone) VJ7-4;J~5.-.JL#
--/" (~/1 " / /
c-Ifl.J::/'.L.-! DATE Ji/O //}9y
(Contac:t Person)
PID
APPLICANT SIGNATURE
Quantity
OJ.-
I
I
1./
I
I
i
.~
APPLlCANT PLEASE COMPLETE BELOW
Type of Fixture Q.)antity
Bath Tub with or without shower
Dishwasher
I Floor Drain
1 Lavatory (Bathroom Sink)
I Laundry Tray (I or 2 compartment sink
I Shower Stall
Is inks
Bar Sink
I Water Closet (Toilet)
Type of Fixture
I
Q.-J:.
. I
Rough-ins
Water Heater
Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
I Other
FEE SCHEDULE
Indl1stmli. CommercIal & Muin-famtly 1 % of Job cost With a $3950 minimum Resldenu;11, New One & r\\'o~F8Imly $9950
Residential, Addition, & Alterat;on" $39 50
This Application Becomes Your Building Permit When Approved 1~ ~~ ~I
Building Offici.' Da.. ---Af'fl ~ ~ ~-oot- ~-
24 hour notice ror ail tn'pectlon, (952) , . . 850, fax (952) 447--424~
(OffiCI: USl: Only)
Estunated Cost $
Buddmg Pemlit#
PLUMBING PER1\1IT FEE $
STATESURCR~GE $
TOTAL PERMlT FEE $
/3lJll.~AJD w-. .
'1NG p,' I,.,
'l:Fi4frr
50
Receipt No
By
if
By
Apr.IO. 2003 1 :42PM
GENZ RVAN PLUMBING AND HEATING
No.9302 p. 16 20
.
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I G~~ ,,,< I PERMIT NO I
:. y.".;., c,,,. . '3 - ~(1.
~,Gold APFJI~l '.., J ~
Q?ltast: C\lJ>C or prmtalldS1P,J11tbonoJn)
ADDRESS
I ~?C6 Jeff812J pags
ZONnJG (016,,",,)
LEGAL DESCRll'TION (office use only)
LOT lip BLOCK eX ADDITION
~aL C~-t
'-'
PID
~=R [7vlleue- CD/'ll 1fIJ~ / ne.
(AddIess) It!;jo ~Utl(6 Bll/c/
(AddJ'o,,)
(lJhJ/;//& I
(C,tyj
(Phone)
/J1YJ
Q6J.-4(/1-MtJD
55 oLjI
(Zip Code)
APPLJC~'7--.Il/lrf/Vl
(Name) _ _k....~/ J
(AddIess) t{c;,J. J2fJ.he121 .1Yl-.,
(Add(e"l r '
(Contact Person) ('.J1l?LSfi-l77M
/YI:~ \ ,/
"LICANT SIGNATURJ'-----LdLI...UcLf.".7 '":::f?'/ &-;
(Phone) (j:?i/.:::.!fJ, ~ - !f:L4
j(/}~fflJlAA/tf._//}lfI ~0L
(City) (Zip COd'17~
(Phone) (p?i/~ 4c?3~ 1/1~
DATE ///ID /0'3._
,
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet.
Clean out (if required) located at _ feet from structure.
feet
o Cast Iron
FEE SCHEDULE
Residenllal sewer and water Ime connection $35.50 Industrial, Com'1 & MultI-family I % of Job cost with a $3950 mInllllUm
Sewer cOlJnection only $1750 Water connection only $17.50
Estlmated Cost $
Building Perm.it #
SEWER AND WATER PERMlT FEE
STATE SURCHARGE
TOr AL PE&'\1IT FEE
$
$
$
.50 e(J/~1'D ~
IVG P~p
riAl".
(Office U.u Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
I,~~ I.1DfE U W rr;F13Y
Oat< 1_ U; In I
24 hour notice for.1I inspectlotU (952) 447. U ' MrR57l47~8~ ~ I
IBy~: -J
BUildlpg Of/ieioJ
/J/
I
I
J
ADrlO ~003 14~PM
GEN2 RVAN PLUMBING AND HEATING
No.930~ p. 17 ~O
f~<~
~/"""ESO'(""
~~:~Nt,~~3::,\
1 CITY OF PRIOR LAKE
HEATING/AIR CONDITlONING/FIREPLACE PERMIT
Date Rec'd
~ ~:,:, ~:~ I. PERMIT NO:3 <31~
, Y'lIlow A~?hr.ul
fPtr..a.sc: CVl>C or tn1Dt and sie:u at bottom)
I ADDRESS
/15Cd5 Jeffe;eJ Ik4J
ZONJNG (offic,",,)
/2gqal C/2&Jf
. V -
g;:::;, ('f)~- C~.&f IIX-. , (Pho",,41i:1--L/I/N40u
,(Address) -1C? l./iiq(/II/b,J Pit/e!. I dJ,dW!/r 1J1Y1 Ssoz/1
~;~~Am~ ;{i/Oj/1 (Phone) -1hl- ~~- IF/'/
(Address) Ii/PIt7 J.JPJJ~Ji.L_rl2! /?tygj}J])WJ} /YJj/) S'30b e
(Contact Person) (lJ1llL(-hAddx'Ja)ff / (phone) (Ci~;J7~ -l/?5- //1f
, APPLICANT SIGN~roRE ('!{1/~ ~ DA~ Lj II o/AJ?)
-. "
LEGAL DESCRIPTION (Office u.oe only)
LOTI (; BLOCK ;;Z ADDITION
PID
APPLICANT PLEASE COMPLETE BELOW
~NEW COW~~UCTION 0 REP1..ACE:MENT 0 AL TERA TIONS _
FURNACE MAKE AND MODEL LY/1 mY f:::1/lk?1l~ - -;e:;- , FUEL !l RT blffl
FLUE SIZE RETURN OPENJNGS' :f' INPUT )51 DD!) OUTPUT ~()
TYPE OF SYSTEM HEATING OR POWER PLANT
~mn Air Plants 0 Steam
DGravity 0 Hot WaTer
~!echllJ1l<aI 0 Radiation
~1T ConditionIng 0 Special DeviCes
DVent System 0 Other DevIces
.
PLEASE NOTE:
Air ConditJOner Units
Cannot Encroach into
Required Side Yard
Setbacks
FlREPtACE MAKE AND MODEt
Indu<triaJ, Commercial & Mulu-Farntl)'
FEE SCHE,DULE
] 0;" of Job cost ResldcntlaJ, Gas Fireplace
$3950 minimum
$99 50 ResIdential, Addition, & Allerallons
$64 50 ResIdential, AC Only
$39.50
R.."dent,a1, He.nng & Ale (New Con>trllctlon)
Residential, He.ting Only (New COnS\r11ction)
$39 50
$39 50
Esttmated Cost $
Buildmg Penmt #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
. PAID 'NrrH
SOItOlNG PERMIT
(Office UH9nl)")
.is ApplkalioD Become. Your Building Permit When ApproY /]) "~ tr6a~ ~ m re r;"/
Building Omd,1 l1are ,1111 A~~a~e 1 ?~n' 11
24 hour noti<e for.1I in.peetions (9fs~447'985~'fax(95~~ls
I Receipt No.
IBY if'
o
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONING/FIREPLACE PERMIT
Date Rec'd
~
~. ;;;~" ~::y I PERMIT NO. J- :5{/t
3. Yellow Applicant V I
(Please tvPe or 'Print and sip at bottom)
ADDRESS
15305 JEFFERS PASS
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) COLLEGE CTTY HOMES
(Phone)
(Address)
APPLICANT
(Name) AT J.JFD FTRFSTDF DRA FTRESTDE HEA RTH & HOME
(Phone)
651-633-2561
(Contact Person)
RRENDA HUSTON
ROSEvrr T F
(City)
(Phone) _651-633-2561
'i5113_
(Zip Code)
(Address)
7,700 NORTH F AIRVIEW AVENUE
(Address)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
6/17/03
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
DWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
D Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
. FIREPLACE MAKE AND MODEL
HEAT N GLO 6000TRI ANQ PIER TRC
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
HEATlNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
PAID ~
t:lUILO/NG liN
PERMIT
(Office Use Only)
Building Official
Date
~DJ~ ~ ~ 0 W ~
Patf.'N
JU J 8 200<
, receiPt No.
) /BY ~,
LJ V-
This Application Becomes Y onr Building Permit When Approved
24 hour notice for all inspections (952) 447 ~O, fax (952) 447-4245
PRIOR LAKE ~~rtD~~~i~oe~Afit pOl
. Ie
INSPECTION RECORD
SITE ADDRESS 15 -' () ~ .::r e., F .J:ers P A S5
NATURE OF WORK j./e-w Ct!JN$t:L.IU..+i fJN
USE OF BUILD~N $ P. ~
PERMIT NO. . .3 , ~ DAT~ ISSUED
CONTRACTOR . "~f e. f'! ir'/.-fl'I*tt!S PHON -
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSP
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE J
GAS LINE AIR TEST (Y If '7 - / k
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
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HEATING
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OCCUPY UNTIL ABOVE HAS BEEN
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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