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Home My WebLink AboutBuilding Permit 08-0831 � _ _ v � \. C��i�t�� .�� (��r . CITY OF PRIOR LAKE ��t��t� a� ��t��t� �1�s�r�x��z� ;� Final Permitted ❑ Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the ❑ Residential /❑ 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: Use Classification �J ,' �r +°, � r'� f ; .� /' �' 1`, � Bldg. Pernut No. � r � � �- . , Occupancy Type d��.- 'I�pe Constrvction �.'".�'w' Zoning District �'.W. � �; f �, Legal Descriptioa f_�__ �_ �„ . � a � ,�'a �_ . i- ,�- f f F''�. �� ,° / � � � .f i !l_ i 1�. ,'`" l'jc.' � • , f, Owner of Building Site Address '_. "fi 'p� ,,_? �'.�c::_�°i' � L• !��(`'�` � �!�..s' I�-+�-�� Contractor's Name & Address � - ° �' ' /' r: �'�,� ;. k.` � � ` l , �� `rr�'��" ff J�r � �� ,f !t r ' i ' ✓�.�„4 � �� • -.J � / �. � City Planner Building Official < </ Date: � / Date: POST IN CONSPICUOUS PLACE DATE TlME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED �, ( (. ADDRESS � ` "Ti� � v � OWNER CONTR. PHONE NO. PERMIT NO. r--� �� ❑ FOOTING 0 PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI CJ COMPLAINT 0 FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI � NSULATlON O SEWER HOOKUP 0 FIREPLACE FINAL INAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST O SITE INSPECTION ❑ MECH FINAI ❑ COMMENTS: �WORK SATtSFACTORY, PROCEED ❑ CORRECT A N AND PROCEED ❑ CORRE WO , CALL FOR REINSPECTION BEFORE COVERlNG Inspect : OwneNContr: C LL FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH 6c SAFETY! r�xon DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED .3'�0 � ADDRESS S4 � ��p.� . OWNER CONTR. PHONE NO. PERMIT NO. �j �' (.� �� O FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING � FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI � INSUtATiON ❑ SEWER HOOKUP ❑ FIREPLACE FINAL INAL LUMBING FtNAL ❑ GASLINE AIR TST O SITE INSPECTION �ECH FINAL ❑ COMMENTS: I� � ` 2. � « E �,ef �_ � 3 - �t�l, o y, s�c �-r� j b O WORK SATISFACTORY, PROCEED ❑ CORREC AC ION AND PROCEED �CORR T CALL FOR REINSPECTION BEFORE COVERING Inspecto Owner/Contr. CAL 447-8850 F R THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQU MENTSARE FOR YOUR PERSON�lL HEALTH �c SAFETY! ,rvsnror� DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED Q ADDRESS �"{ � �^ OWNER CONTR. PHONE NO. PERMIT NO. � — � `�_ ❑ FOOTlNG O PLUMSlNG RI � EX/GRAD/FILLlNG ❑ FOUNDATION O MECH RI ❑ COMPIAINT O FRAMING O WATER HOOKUP ❑ FIREPLACE R( ❑ INSULATlON O SEVYER HOOKUP D FIREPLACE FINAL � FINAL � PLUMBING FINAL ❑ GASLINE AIR TST O SITE INSPECTION ❑ MECH FlNAL ❑ COMMENTS: 1 . is. :;. �c 1 v.� e.le�•�. o�.rr-' O WORK SATISFACTORY, PROCEED CORRECT CTION AND PROCEED � ORRE , CALL FOR RE(NSPECTION BEFORE COVERING Inspector. Owner/Contr. CALL 447-9850 FOR THE NEXT INSPECTIOM 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY! Lvs�wvn o � PRt CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd � � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 9 3� � S .. ; ,� AND UTILITY CONNECTION PERMIT U ' � M��'NES��P I White Fde 2 �,�� „ PERMIT NO. � S ,� � 3 Yellow Apphcant Please e or rint and si n at bottom) ADDRESS ZONING (otTice use) S'�1 °1 "'3 TIZ P� ►�—M�fl� L-i�1 N� 5�- 1�- � LEGAL DESCRIPTION (office use only) LOT t 2 ADDITION �1 G�-J9V �@ CL� jL�' �'K� pID Z , , �54. d 6, � OWNER -� / (Name) � ULT� {�!Q/�iL� �-3F 1VlN (Phone) �� —H��— �?O� (Address) � H p BUII.,DER _ 5 �� __ (Company Name) (Phone) (Contact Name) ,(�R IAIJ G�R ��r✓ (Phone) � � 01— 36Q — � 'L3 (Address) TYPE OF WORK�r Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Fmish ❑ F�replace ❑Addition ❑Alteration ❑Utility Connection CODE:�.R.C. ❑I.B.C. ❑ M�sc. Type of Construction: I II III IV V A B Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ � ��"� Division: 1 2 3 4 5 (excluding land) I hereby certify that 1 have furmshed mformahon on th�s applicanon whuh is to the best of my knowledge rrue and correct I also cerUfy that I am the owner or authonud agent for the above-mennoned property and that all construcuon will conform to all exishng state and local laws and will proceed m accordance with submmed plans I am aware that the buddmg otlicial can revoke this it for �ust c ise Furt r ore, I hereby agree that the c�ty official or a designee may enter upon the property ro perform necded mspecuons x �-- - ��o b'�_`�-� i o-- �- � 8 Signature Contractor's License No Date Permit Valuation 27 � 0 pp � . Park Support Fee # $ Permit Fee $ �.�3 Sp SAC # $ � .. Plan Check Fee $ (� �1 .1S Water Meter Size 5/8"• 1"� $ �-�C� � State Surcharge $ t � Pressure Reducer $ � 2s� � Penalty $ Sewer/Water Connection Fee # $ � „ Plumbing Permit Fee $ `�. . Water Tower Fee # $ � a � . ,�. Mechamcal Permit Fee $ isp' � Builder's Deposit $ t}t�� • Sewer & Water Permit Fee $ ,�� .. Other $ Gas Fireplace Permit Fee $ C� �,, TOTAL DUE �� 9� � $ � D $ �� This Ap i tio ecomes Yrour Building Permit en proved Paid /U � • 2 Re i t Date v. L/ , d B to $ Bu�l m�� D�te This is to ce ify t he request m the �uve appl�cattion and accompanymg documents �s m accordance with the Gty Zonmg Ordmantt and may proceed as reqacsted Th�s do ment when signe b t ity Pl. nstrtutes a temporary Certificate of Zomng co phan and allows construcnon to commence Before occupancy, a Ccivficatr of Occupancy mu be �ssued fo $ d�} anning Director ate Special Condi6ons, if any 24 hour notice for all inspections (9S2) 447-9850, faz (952) 447-4245 4646 Dakota Street Prior Lake, MN 55372 Residentia! Building Permit Checkiist New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts Reviewed by: Date: �o g o � Buiiding Permit # PID: Zoning: Address: s�{q � � �� ` t-t`�.-� Legal: L . B Subdivision: Existing Structure? YES� E�cisting Nonconforming Structur�? YES 1� CONFORMS TO ZONING S NO ORDINANCE Yard Setbacks: NA I FAILSI C IES Standard � � • Front Yard can be 20' if a. wlin 150' 25' ZS- o . Side Yards 10'/ � 2 25' if abutting a street I�P . lo..� t4 .o • Sidewall exceeding 50' requir�es addiGonal side 2° 10' setback + setback for eve 1' over 50' in len 2"11' over 50' --- • Rear Yard 25 ' S � • Patio Door. provide for minimum 10' deck or sign 10' side/ statement indicatin no deck will be built in the future 25' rear '" • From 100 year flood elevation of we�andINURP 30' __-. nd • From OHW (Prior or Spring Lake) 75' or setback average of adjacent structu�es, but no ,_. less than 50' Floor Area Ratio: NA 1 FAILS 1 CO L S .30 Maximum e Yard Encroachments: NA 1 FAILS IC LIES Standard Pro osed Eaves and Gutters no more than 2 feet in width and no �� P`'' , u , � � caoser than 5 feet to a lot line Easements . • O � 2 0. N ,3 rt � d�-C AIC and other equipment cannot encroach on interior _ side a�ds. Tree Preservation: FAILS 1 COMPLIES Standard Pro �� • Total cali r inches • Permit 25% Removal • Cali r Inches Removed • Cali r Inches Preserved • Re lacement '�� L:\TEMPLATEIBLDGLIST.DOC Drivewa : NA I FAILS 1 C P IES Standard Pro osed • Maximum width at ro ert line 24' 8� • Required setback 5' from side lot line or 30' from r-o-w o� comer lots �� • Maximum slo e 10 % -2 � • All parking areas to be paved including R-V or s aces ad'acent to the ara e "� • Location to match subdivision radin lan �:. 1� C�• Buildin Hei ht: NA 1 FAILS 1 C M {ES 35' Maximum ' Shoreland District: / FAILS / COMPLIES Standard Pro osed Minimum lot area s are feet 7,500 Ri , 7,999 Non-ri Minimum lot width 50' Ri , 57.3' Non-ri Shoreland alterations Im rvious surface 30°/o Maximum Bluff in Shoreland: / FAILS / COMPLIES Standard Pro osed • Sgtback from top of bluff By planning dept. • Bluff im act zone 20' From To of Bluff • En ineerin certification submittedla roved B C' En ineer • Gradin in bluff or bluff im act zone No importin /exporting Flood lain: 1 FAILS / COMPLIES Standard Pro osed • 100 yea ood elevation 908.9' Prior Lake � 914.4' S rin Lake • Lowest floor elevation 909.9' Prior Lake I 915.4' S rin Lake • Proposed lowest floor elevation Must be 1' above flood elevation for new and existing st�uctu�es. If existing st�ucture was const�ucted 9/19I90-11122197 then additional foot is not uired. • Elevations 15 feet from structure Must be flood elevation or hi her • Road access must be no more than 2 feet below 907.9' for Prior Lake Re ulato Flood Protection Elevation 913.4' for S rin Lake Accesso Structure: I FAILS I COMPLIES Standard Pro osed • Size 832 s.ft. or 25% rear ard • Not located in front ard Materials • Side ard and rear atd seffiacks 10' • Maximum hei ht 15' • Materials com a6ble with rinci le structure L:\TEMPLATE\BLDGLIST.DOC 04 rxro�, � � �� U txf White - Building ,� ,� Canary - Engineering NNES° Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT �(J L� y��-s APPLICATION RECEIVED 9. -3 � • ��1 The Buiiding, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: �¢¢3 �',��H�f�� 1�'i✓� �� Accepted � Accepted With Corrections Denied Reviewed By: Date: / ° � v v Comments: C a.� � � �� r�v �,d /I�l ��v r�w- Gc,cs�' �� T� � "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." O � PRIp� h � U t White - Building , ,� Canary - Engineering NNES� Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPUCANT ' ` ` ' �`"�� / ' �=, .w� . -a, , !.. �.,. APPLICATION RECEIVED 1`. � � ' � The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: � � `�� ~ tr f f � ,��,.� ,�f!.,� �'- �1 %v � .- � �: �� ' , ' "�';�- � ` f /•.. � . Accepted ✓ Accepted With Corrections Denied Reviewed By: Date: � � 8 � Comments: —" <, ,� �-� �� : ��:�' . �. ot croa� � �°�� . �� °,�� "�;�,w�,,�4:� -- _ . "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." , Drivewa : NA 1 FAILS 1 C P IES Standard Pro osed • Maximum width at ro e line 24' �` • Required setback 5' from side lot line or 30' from r-o-w on comer lots �- G' • Maximum slo e 10% .2 0 • All parking areas to be paved including R-V or s aces ad'acent to the ara e "� • Location to match subdivision radin lan G— t� �• Buildin Hei ht: NA 1 FAILS I C M IES 35' Maximum ' Shoreland District: / FAILS / COMPLIES Standard Pro osed Minimum lot area s are feet 7,500 Ri , 7,999 Non-ri Minimum lot width 50' Ri , 57.3' Non-ri Shoreland alterations Im nrious surface 30°k Maximum Bluff in Shoreland: 1 FAILS I COMPLIES Standard Pro ed • Sgtback from top of bluff By planning dept. • Bluff im ct zone 20' From To of Bluff � En ineeri certification submitted/a roved B C' E ineer • Gradin in bluff or bluff im act zone No im rting/ex ortin Flood lain: / FAILS / COMPLIES Standard Pro osed • 100 yea ood elevation 908.9' Prior Lake • 914.4' S rin Lake • Lowest floor elevation 909.9' Prior Lake / 915.4' S ri Lake • Proposed lowest floor elevation Must be 1' above flood elevation for new and existing sUuctures. If existing sbu�ture was constructed 9/19/90-11/22/97 then additional foot is not re uired. • Elevations 15 feet from structure Must be flood elevation or hi her • Road access must be no more than 2 feet below 907.9' for Prior Lake Re ulato Flood Protection Elevation 913.4' for Sprin Lake Accesso Structure: I FAILS / COMPLIES Standard Pro osed • Size 832 s.�. or 25% rear arc1 • Not located in front ard Materials • Side ard and rear atd setbacks 10' • Maximum hei ht 15' • Materials com atible with rinci le stNCture L:\TEMPLATE�BLDGLIST.DOC Residential Buiiding Permit Checklist New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts Reviewed by: Date: � � 8 0� Building Permit # PID: Zoning: Address: s �q 3 � �� ` ��,�.� Legal: L , B Subdivision: Existing Structure? YES� Existing Nonconforming Stru�ture? YES 1� CONFORMS TO ZONING ES NO ORDINANCE Yard Setbacks: NA 1 FAILS/ C IES Standard Pro ed • Front Ya�d can be 20' if a. wrn 150' 25' 25. o • Side Yards 10'/ ,� 2 25' if abutting a street (�P . t,o.� 44 , o • Sidewall exceeding 50' requires add'�ional side 2" 10' setback + setback for eve 1' over 50' in len th 2"11' over 50' --- • Rear Yard 25' S � • Patio Door. provide for minimum 10' deck or sign 10' side/ statement indicatin no deck will be built in the #uture 25' rear '" • From 100 year flood elevafion of wetlandlNURP 30' __-. ond • From OHW (Prior or Spring Lake) 75' or setback average of adjacent structures, but no _„ less than 50' Floor Area Ratio: NA / FAILS 1 CO L S .30 Maximum o Yard Encroachments: NA 1 FAILS IC LIES Standard Pro osed Eaves and Gutters no mo�e than 2 feet in width and no �'�' P�: closer than 5 feet to a lot line Easements . • o � w ' Z N 3�� d�"'� A/C and other equipment cannot encroach on interior _ side arc1s. Tree Preservation: FAILS 1 COMPLIES Standard Pro � • Total cali er inches • Permit 25% Removai • Cali r Inches Removed • Cali r Inches Preserved • Re lacement '� � � L:\TEMPLATE�BLDGLIST.DOC O � PRIp tr � U tr� Whi� - Buildit�g Canary - EngineeNng � Pink - Plamting BUILDING PE�MIT APPLICATION QEPARTpAENT CHECKLIST NAAAE OF APPLICANT �(.1 �. � ��1 �`�f � S APPI.tCATION RECEIV�D ` �. -� G • v� The Buitding, Engineering, and Pianning pepartments have reviewed the building permit apptic�tion for cons#ruction �ctivity which is proposed at: ..��,� �`� � � �/� �i'J �� S� Accepted Accepted With Corrections Denied �� Reviewed By: �� Date: ��'� �� Comments: ' �„i��.�'.,,�,� ,..�.,,�'��'�-; �! - � -- - �. • �, . . "Tha is�usn�� or gt�n#ing o� a permit or a�vai of pl��, � �i�ts �i c��w#�tior�s shalt n�t -� c�ans#r�d �o be a p�m�lt fnr, or an approval of, ��r �1�#ior� of any a# the provisionrs o# #his c�le or -of �ny o#h�r ordin�ince of the jurisdict�c�n. P�rmfts pr+e�suming to give auth�rity to vivlate or cancei the provisions ofi this code or other , or�iin��ces of the jurisd��tion shaA not be valid." �� ADDITIONAL COMMENTS FOR BUILDTNG PERMIT APPLICATIONS • SurfQCe storm water drainage flowing to the perimeter of fihis lofi to and from ad joining properties must be conveyed to the roadway and/or to the rear of the lot in drainage swales within the drainage easement. . All bare soi) areas must be protected from eroding into neighboring properties through the properly installed and maintained silfi fence or bales. � The silt fence required by the erosion control plan must be instaaled prior to any eQrthwork being started. . The builder is responsible for maintaining the erosion control measures until the turf is established. • The rock construction entrance must be installed at the time of backfilling of the foundation. 6:\Admin\depi irrfo\ADDI'fIONAL COMAAENTS FOR BUILDIN6 PERNST APPUCATiONS.doc �ct 06 08 02:OOp METRO GENERRL SERVICES 763-428-2968 p.3 , aqEEM - FKE �ELIOW - ��CAMt o F PRlp� OOID-CITY � � � � � x � t� s.w. No. • CITY OF PRIOR �KE , _ . P SEWER AND Wp►T� � PERMIT M �NN E �f��(. �"1�52.�°' �Z 7 7 .•� NOTE : Sewer and Water contrar.tors must � be reqistered with the City. � "� ','r.� S�f 'I�-+�-��iONE - �l-a , �' -�+` 3.Y �►rr LICANT : r � �:,,.{ ' � �� : 7 �.� � m � _ _ DATE : ADDRESS : ' .� V � j : 1'Yl ! (�t'I != i , �•''1 � -S _3 � L '' . � BLDG . PERMIT #.________ SIGNATURE: 1 � } � "'`' ' - ' •- l��s2 '��,��/?�Qq/ ��'IO# SITE ADDRESS : �,�7'7+J � • FILL IN THE BLANKS 1, Estimated length of water service � fee�c. " inch(es). 2, Size of water service geet. 3, Location of any cauplings from structure�� '� Cast Iron i e. ABS PVC+_ — 4. Type of sewer p p �, � feet. � 5, Estimated length of sewer line�� 6. Clean out (if raquired)�, loca�ed at _ _feet from structure. 1�r�� __ - _-�___________________________��_�_�- —_=-_�=�_-__--_-_�^_��____ ~ ermit when appro ed. This applic ion becomes yaur p -- � �� DATE : � �� _ , BY _----------------��______-_____-_---__-_--__-_ _��,�___— Pccr�l� w� ~~ e rm i t. , Sewer and water line connection p FEES : �^ !d� :, _�`.�.� ��'� `� Surcharge , r •""-� fo r � TOTAL �r Fee`for either sewer or water individually is $20.00 plus $ .50 surcharge. � Sewer and water perx'�its issuedtfca�deatcthettimelof mssuance recorded on the building perm ermits are to insure that � icate sewer and water p issue D � � � � � � p�OUNT PAID � �- DATE, PAID �,��,,,[��'�� P��+�a�� _ ""' REC'D BY " �� •, RECEIPT # �. � By . ake Minnesoea. 55372 / Ph. (9�2) `��230 / FAX (`�) � 47-4245 16200 Eagle. Croek Av. S.E., Prtor L An FRUaI Op{�o�tun�ty Empjoyec � . � . � ---- � . s �" • "� � � pRIO�� Date Rec'd � 9 CITY OF PRIOR LAKE PLUMBING PERMIT �Z� �� d� � x � � �I�'NES��P 1 Blue File 2. �o,d �, PERMIT NO.O 8 83 � 3. Yellow Appl�cant lease or ' t and si at bottom �ADDI�,EStS � ZONING (oflice use) Sy� 3 fir��H � �a LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) � PI,ICANT //� //� �/� 6 (Phone) � s Z � �'1' Z "' Z.� Z.l ame !� _ (Address) �6 � Q J'�' l�.C.---�'' � �C� �O �'a�' /lJ .S� 3.� Z, (Address) (City) (Zip Code) (Contact Person) 6 �� c. � (Phone) �''! ,� Z. `F � � 7 Z � �" APPLICANT SIGNATURE DATE � ` � � APPLICANT PLEASE COMPLETE BELOW Quanti T e of Figture uanti T e of Fizture 2 Bath Tub with or without shower Rou h-ins Dishwasher Water Heater 4 S Floor Drain Water Softener Lavato Bathroom Sink Stand Pi e Washin Machine Laun Tra 1 or 2 com artment sink Sewa e E'ector Shower Stall Backflow Assembl Sinks Backflow Assembl Test Bar Sink Lawn S rinkler Water Closet Toilet Other FEE SCHEDULE Industrial, Commercial & Multi-family 1% of job cost with a$49.50 minimum Residential, New One & Two-Family $149.50 Residential, Additions & Alterations $49.5 Estimated Cost $ Building Permit # � � � �� PLUMBING PERMIT FEE $ � � v O STATE SURCHARGE $ .50 � U TOTAL PERMIT FEE $ � (Office Use Only) This Application Becomes Your Building Permit When Approved Paid R pt N Dat�., � (0 � U �! Buildin¢ Ofticial Date � �/ � 24 hour notice for all inspections (952) 447-9850, faz (952) 447-4245 4646 Dakota 5treet S.E., Prior Lake, Minnesota 55372 Dec 30 08 03:59p Sabre Plumb Heating [7634738565 p.l ,� �+�r CITY OF PRIOR LA:KE Date Ree'd � � ��':� h� '�,� EI�;A'TIi\TC�IAIR CC)NDiTIOl�lit�'G/Fi�2.EPLACE PERMl�T , a. -��i � ;�,.s, . . ~ l Y � � ' � h �J ._> � �'n ' r�fv'vk',$JC'` �, rsr.� r•,� �'F.KIKYT AIU. ,.. Cncm Cn� _ 3. Yella.• npplirsnt � Ca3e p!' ' t 811Q S at bottom ADDRESS � ZONING iot�i�L usr) ; . . � � v CL1 �C � � . � , , LEGAL DESCR.IPTION (at�iec wc oaly) ' �, . LOT BLOCK ADDITION 1'ID � i��' - ,,,., {; � OWNEA ' �p `�.,,, . (Name) �A.,_, � I l� 1" J U �.�� (Phone) � y 'TJ � `��)Z- �� L� � � :,. (Adciress) �� C' � � � �.` i �-'" ciG'r l V� � ___.._ ..__.._.._.�._____ a:�° —c � �_ .: �� .APPLIC� �� _�`''-. (Name) � .�,�iJ1�_„J.. � Z, � � � (Phonc) � "• .�.�� , . (Address) 9 �r� ys,�,� . ��I� J�L,�'I�I. � L�I __�"�J�� ___._ ' , (Addrtss) (City (Zip Co ) , • (Couract Persoa) . ? i � (Phone) _ - -,------- + ' ' �• ` APF'LICANT SZGNAIURE_��:,.�. DAT�. 2��1 n APPLICA�VT LEASE CQ:V[PLETE BELOW . � �4' CO�ST'RUC:TIt7h ❑ R Pt,ACEh1 NT I� AL"T�kATiUNS ,; rURNACE MAKE r'�ND MOD6L � rI:EL � �.t� ___-�-- -- - ...__� 1�� _.��_ . � FLUE S1Z� -------._.___._......,__ RETIsRN 4PEltiFIPiGS tNPL'T �j��i� �A..__ Ot'TAL1T � `� � � �. � TYPE OI' SYSTEM HEATIlV{�i� Uit Pt3'WER PLANT . -� ; P1.EASE NOTE: Air Conditioaer • � � ❑Warm Ai� Plants ❑ Stesm Units and Fireplaces Cann�rt Encroach �� •° � v�ty ❑ Hot Wat�r into Required Side Y�rd Setbacks. ��" i . +\�Mrchanical ❑ Radration Fireplaces w•ith Box Addfrianx ar •� � ❑Air Conditioning ❑ Special Devices Cuntilevers to tUE Oot•side of Buildin; s [,)VcnG S .teia D UtherDevices .___ _ _ ____...__ __ � � ' .� y ---- --- Requirc x i3uifclin� i'crts�it. � �FIREPLAC� MAKE A;�D MUDEL -- - -�,;..,;_.____._.. ._._...__._.-•---_.______._._.,__.. � � FEF SCHED[1LF � Industrit�l, Ccumncrcidl &� 1�}ulti �"•b Csf,j06 Cus.* ltnsidential, Gnti ('ireplacc Sa�•s� • ��9.50 minimum - . Residential, FCeating � A,'C (Nch� Canstn�eticm} S149,�0 Residunsial, Additior.s &.Al�erati��ns Y49.5(1 � Residentiai, Hea?ing OaJy tNaw Cunshvcxion) 564.50 Re.sidentiai, AC Onl} S�4•W► F.stimated Cost S„�'„Z,,,(,;,,�,'',� Buiiding Permii �# . �r4�/ l/r1 f i'7 : . HEATiNG �'ERMtT FEE � ' STATE SUR�HARGE S - .50 ��DING PERMIT � . TOTAL PERMIT FEE � � tvtnn us� o �iy� � This Applir�tioa Becomes Your B�ild�n� Perneit ��heo �}�ro��ed �� ccip: lvo � T � �—� '. � . �rtc f . Buiidine OPlicial Da1c ' � Z4 hour �iotice for ull inspections {952) 447 , fax (95Zy �47-4Z4= . d6d6 Dakota Street S.E., i'rior L�lce, ' ne.+ota 35372 By . .. : .. : .�{ t y � y _ x ; n._v� t # .a,. -�, � a � . } t . . ' �' ' +' � +�yr..;� `� a� �-�- � �� , •, , . e � - � e � - ' - ` - , • .- ,._ -,.a� +ewa�.,+.9*�, .r..we r • DEPART�IlENT OF P R I R LA KE BUILDl�1G AND INSPECTION iN PE TI N RE RD SITE ADDRESS J�7�� L�+�p L-��E NATURE OF WORK USE OF BUILDING PERMIT NO: DATE ISSUED • CONTRACTOR / PHONE /e� re� l Z3 NOTE: TH15 iS NOT A PERMiT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT 1S BY SEPARATE DOCUMENT 1lISPECTOR DATE FO�TING /� �a ° FOUAIDATION (Prior to BeckfiU) - �� oe PLACE NO CONCRETE UNT1L ABOVE HAS BEEN SIGNED ROUGH - INS SEWER / WATER / SEPTIC �1 tq � FRAMIN�C � I � 11+�SULATI�N � ELECTRiCAt PLIfMBtNG vCo • ' ) c� HEATII�G if uired FlREPLACE GAS LINE AIR TEaT C4VE NO WORK UNTIL AB VE HA� BEEN SIGNED t ux�'t�..� F I N A L S t�R�DtN� Prior to Soddjn R.. �' BUIL:C�ING 8 - �O �' � � , ► EL.EG�'RICAL PLU�IIBING � t HEATIN� DO NOT OCCUPY UNTtL ABOVE HAS BEEN SIGNED N4TICE This card must be posted near an �riwctric�i � ce�ir�t prior to rswgh-in lnspeations and maintainacJ until ali inspe�ctlons have been approved. On buildings and edditions wher+e no s�rviae caWnet is avail��t, card sl�eli ba piscad naar main entranc�. FOR AL.L INSPEGTIONS (952} 447�9850