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Home My WebLink AboutBuilding Permit 98-0529 � - -��-- -v_--�.-- , . --v---. . . • .�. • • • ',:, ♦ • ♦ ) �• i ♦ ' i I I , , 1� K , 4 �d I � M. M1' 1 `4i .' i � J , 1 � / M � / . � � / '� �I�. / � �✓ + •'\ Y�i • 'M Y h � 7 w � � � � � . y t � R ��' F - � � / \ /� ' _; �� 1 - ,, � ". ; �PY�t�Ittt�.E D� �tt1l�Iit1� ' � �` ,.-� . +� CITY OF PRIOR LAKE � � . , - .�.� �: : �� e��rt»tet�t of �ufiD��tg �tt��ett[ott ; - � ; �inal Permitted ❑ Conditional C.O. Eacpires ` t t t' n 0 o the Uni orm Buildin Code �� This Certificate issued pursuant to he requiremen s of Sec to 3 7 f f g �. �'- cenifying that at the time of issuance this structure was in compliance wirh the various ordinances of the � �' City of Prior Lake regulating building corrstruction or use. For the following: _ � � - UseClassificatioti Single Family siag.penrucrro. 98-529 - s 6- �. Occupancy Type R Type Constrnction v Fire Zone ��A Zoning District R '•_ r Legal Description �� $4, Cardinal Ridge 5th Add' n � '�, ` OwnerofBuilding si�enadross 16361 Victoria Curve �` , Contractor' sxame�caddress Homes Chase I668 E. Cliff Rd. Burnsville MN55337 �' � � Robert D. Hutchins Don Rye � ��- City Planner �. � ' Building Official � �' Date: '� ( : �'; Date: C' - Cj ` � - � ' � POST IN A CONSPIGUOUS PLACE � � ' _ - _ +. M 1 • + M • ✓ lA �rN' �N �i` !F F � .1 �Y: .� �i' �r M' �• n r� — ! . ��b d Y`. 1. i� :f• lI `f 1� k. .. Ir • �. 1 '1 � �� . �� -� 1. .� � � +... ; t> � f° � ►� � � �'. \ : F . . . . . � i�/\. ��.�/��_/"�� .�,/�.�/ DATE TIME CITY OF PRI�R LAKE � ;5' � INSPECTION NOTtCE SCHEDULED �I 6: ADDRESS j � ? j� / 1/ /� J"� �� OWNER CONTR. PHONE NO. PERMIT NO. 7�' S�9 ❑ FOO7INC� ❑ PLUMBING RI ❑ EXClGRADIFILLING ❑ FRAMtNG ❑ MECHANICAL O LKSHORFJWETLAND ❑ INSULATION ❑ WATER HOOKUP O COMPLAINT � FINAL ❑ SEWER HOOKUP ❑ SEPTIC FINAL ❑ FOUNDATION ❑ SEPTIC INSTALL O FtREPLACE ❑ DEMOLITIpN O PLUMBING FINAL ❑ ❑ FIRE PREV. O SITE INSPECTION COMMENTS: °Q- �' _'°"�'4x - . � �C9l� . O U S Ot� ORK SATISFACTORY, PROCEED ❑ CORRECT AC ON ND P OCEED ❑ CORRECT WO K, C LL OR REIMSPECTION BEFORE COVERING I nspector: Owner/Contr: CALL 44T 23 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE RE I MENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.� DATE TIME CITY OF PRIOR LAKE Q INSPECTION NOTICE SCHEDULED �I' IZ'R� `� � ADDRESS �( ViC.�✓t?.� � OWNER CONTR. PHONE NO. PERMtT NO. �g'S ❑ FOOTING ❑ PLUMBING RI ❑ EXCIGRADIFILLING ❑ FRAMING� ❑ MECHANICAL ❑ LKSHOREIWETLAND � SULATI /1 ❑ WATER HOOKUP ❑ COMPLAINT FINAL �s ❑ SEWER HOOKUP ❑ SEPTIC FINAL ❑ FOUNDATION ❑ SEPTIC INSTALI ❑ FIREPLACE ❑ DEMOLITION ❑ PLUMBING FINAL ❑ Q FIRE PREV. ❑ SITE INSPECTION COMMENTS: � ,�j� E �l'�4Gi�, ✓ � �� c�,..-d �ees �. d.�u�on rn� ✓ � �/ � Ce� �i-,z.� V a.�1- Ir G.. vl. �v s:�,� � � � �-7� p .h � . �� t�„ C. U. �-� �l wt� G..- �'- d d;� ;� 3� 7 c.�,r � na �F co w. n t.�cr,( � d ow ❑ ORK ISFACTORY,PROCEED ORRECT ORK, ALL REINSPECTION EFORE COVERING Inspector: Owner/Contr: CALL 7 230 FOR THE NEX� IN � CODE R IRF' " � jY � I ,� DATE TIME CITY OF PRIOR LAKE _--�� INSPECTION NOTICE SCHEDULED I� � ADDRESS C�p ��(�' �/� ' / A- �,(��f/ OWNER CONTR. PHONE NO. PERMIT NO. � ❑ FOOTING ❑ PLUMBING RI ❑ EXC/G IFILLING ❑ FRAMING 0 MECHANICAL ❑ LKSHORElWETLAND ❑ INSULATION ❑ WATER HOOKUP ❑ COMPLAINT ❑ FINAL /� ❑ SEWER HOOKUP ❑ SEPTIC FINAL ❑ FOUNDATION {S ❑ SEPTIC INSTALL ❑ FIREPI.ACE ❑ DEMOLITION ( l � r f3�PLUMBING FINAL ❑ ❑ FIRE PREV. ❑ SITE INSPECTION MME TS: � - w� � c� s5 � _c,��.vw � [.� �� S�r . �1't� ❑ RK SATIS ACTORY, PROCEED RECT T N AND PROCEEO ❑ CORRECT OR LL OR REINSPECTION BEFORE COVERING I nspector: OwneNContr: CALL 7 230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE IREMENTSARE FOR YOUR PERSONAL HEALTH & S'AFETY! DATE TIME CITY OF PRIOR LAKE G►��ED-�N INSPECTION NOTICE SCHEDULEO PERMIT NO. 1'S � SZ9 c��rED 11�� _ ADDRESS f Lo3(�� (I/cTok�� v� OWNER CONTR. ��i2�r��s B y � TELEPHONE NO. G�yf{sE W � FOOTING ❑PLUM8ING RI �3RE INS � ❑ FRAMING ❑ MECHANICAL-RI �.'EXCA�FIWNCi � � INSULATION ❑ WATER HOOKUP ❑ LAKESHOREMIETLANDS 0❑ WALL BD. ❑ METER SET/TURN �1 O COMPWNT Z�FINAL ❑ SEWEH HOOKUP ❑ GAS LINE AIRTEST Q p FOUNDATION ❑ SEPTIC INSTALL. O 3EPTIC FlNAL _❑ DEMOL. O SEPTIC MAINT. ❑ FIREPLACE J❑ FIRE PREV. ❑ PLUMBIN(i FINAL p MECHANICAL FINAL � COMMENTS: Cu2�t3o�c C�DERtE�ionsw � q 1�'A2fl 5�2FAc_E 2� rE��4Y inl — Q��c.� p�Q A��N r., l4ctE�a c� � ¢ a � t'�q��F��l Su.r E �l,.s��t, �o�Et� � 0 ¢ 1�uS7' C �EAe� OA�uJ�tY ��vQ �e� rFtJbce�1E�2� alC-� � Si�� W � Q � W W � � W � W❑ WORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN Q �CORRECT WORK AND PROCEED o'� CORRECT WORK. CALL FOR REINSPECTtON BEFORE COVERING V O CORRECT UNSAFE CONDITION WIT'HIN �URS. INSPECTOR WILL RETURN. ❑ STOP OR�ER POSTED. CALL iNSPECTOR. O INSPECTION REQUIRED. CALL TO ARRANGE ACCESS. call for the next inspection 24 hours in advance. Owner/Contr. on site Inspector �',�Q-�v� i �ES�1,r�it,�i1 447-4230 r.xowcopy�n.Hoo�s wMe.copyyixup.ca►�,�. ' DATE TIME CITY OF PRIOR LAKE �-. INSPECTION NOTICE SCHEDULED � iq • l� �T ADDRESS `� � � l U� �/j �..� (�(J ��/'�J OWNER CONTR. PHONE NO. PERMIT NO. 0' S� ❑ FOOTING ❑ PLUMBING RI n p J ❑ EXC/GRAD/FILLING ❑ FRAMING ECHANICAL b� ""� ❑ LKSHOREMIETLAND ❑ INSULATION O WATER HOOKUP ❑ COMPLAINT ❑ FINAL ❑ SEWER HOOKUP ❑ SEPTIC FINAL ❑ FOUNDATION ❑ SEPTIC INSTALL ❑ FIREPLACE ❑ DEMOLITION ❑ PLUMBING FINAL ❑ ❑ FIRE PREV. ❑ SITE INSPECTION COMMENTS: ✓i �6�g.f� (7�14-� �i1.�'�v.ti,� l/ �'- WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: � Owner/Contr: CALL 7-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETYI DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED / d ` �� ._ ADDRESS 1b 3 4� V t(J�CJY �� C•[1(�1/'-�� OWNER CONTR. PHONE NO. PERMIT NO. �� ' S Zq ❑ FOOTING ❑ PIUMBING RI ❑ EXC/GRADIFILLING ❑ FRAMING ❑ MECHANICAL O LKSHORENVE7IAND ❑ INSULATION ��YNATER HOOKUP O COMPLAINT ❑ FINAL �SEWER HOOKUP ❑ SEPTIC FINAL ❑ FOUNDATION ❑ SEPTIC INSTALL ❑ FIREPLACE ❑ DEMOLITION ❑ PLUMBING FINAL ❑ ❑ FIRE PREV. ❑ SITE INSPECTION COMMENTS: '�7 �R-- C�1C � �S�C� % �/��- K- cv�v� �- Z �'� l�c�� . �UC� cus �- /Yla � I L C, ��.,3 /1ox �,�C'T �, � , WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT W , CALL FOR REINSP@CTION BEFORE COVERING I nspector: Owner/Contr: CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.� �O PR' �R� __ DATE R• Iv n CITY OF PRIOR LAKE �. w�� File �, - y ; � ' � , ; I ' - ; �, j � �; ^ z. �;� c�ry _� :Y' � ---� �;. BUILDING PERMIT U � ' �, ; ' . , ._. ------.--__ � , � � � 3. Yellow Applicant , +; ;1 CERTIFICATE OF �UN 2 �'1 � ZONING COMPLIANCE � � UTILITY CONNECTION PERMIT Permit No. �� a DIRECTIONS 1. DATE SPACES NUMBER�D 1 T�iRU 17 r�. �� .!.� BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) "' "� BUILDING INFORMATION 2. SITE ADDRESS 11. SIZE OF STRUCTURE ,� ,% � �� (Hei t (Width) ( ) v 3. LEGAL DESCRIPTION 12. NO.OF STORIES LOT BLOCK PID � � � � � � o � � O 13. TYP F CONSTRUCTION ADDITION 4. OWNER (Neme) (Ad ess) I. No.) 14. F OR AREA APPORTIONMENT USE � �� 5. ARCHITECT (Name) ddre (Tel. No.) c 6. BUILDER (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS ��j �� /l� �� OCCUPANTS 7. NPE OF WORK Fireplace O Septic O Deck O Re-roofing O Poroh O SEATS New Constructior� Atterations � Addition O Finish Attic O Re-siding O Finish BasemeM O 16. PROJECT CO Chimney0 Misc. �� !� BO 8. PROPERTY EA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPL ION DATE Sq. Ft. Width Uepth Yes D� 1 h ceRify ihat I ha tumished infortnation on this application which is to the best of my knowledge true and correct. I also cert'rfy that 1 am the owner or auttiorized agent for lhe above mentioned rly and that all constructio will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official ca v e this pe ' just caus urthermore, I hereby agree that the city official or a desi e may enter upon the property to perfortn needed inspectlons. x �(,�/ � _� :� � � � Signature Licenae No. Date FOR ADMINISTRATIVE USE SETBACKS: Required MATERIAL PILED WITH APPLICATION Actual SOIL TESTS O ENERGY DATA O Front Badc Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING PILING LOGS D PERCOLATION TESTS O SPACES REQ. PLANS & SPECS O SETS USE OF BUILDING S�> SPACES ON PLAN SURVEY D COPIES PERMIT VALUATION , PLOT PLAN O TYPE OF CONSTRUCTION: I 11 III IV AmouM BrougM Forward Occupancy Group A B E F� I M�S U ��' .................. $ Division i 2 3 Park Support Fee ........................... $ S� � 0 � i P ermit Fee ................................... $� � d� . 25 SAC ......................................... $ � C7 OO . C� � Plan Chedc Fee ............ $ Collective Street Fee ....................... $ ................. ? � � � Z State Surcharge ............................. $ � 2. � 0 Sewer Tap ................................... $ PenaRy....................................... $ Pressure Reducer �...................... $ S. �� Plumbing Pertnit Fee ..,�ij �.. �..... .... $ /C�� > �`.' Meter Hom ........ ......................... $ Mechanical Permit Fee �'` ' � v� Water Meter .� ............................ $ � � S �On Q...,.2..... ..... $ J n � Sewer & Water Connectlon Fee ........... $ � . �. OC7 . t� Sewer & Water Pertnit ...................... $ [ � ` "Z a 0 ��a / � Water Tower Fee ........................... $ GasFirP ....... ............... $ `� � � � WaterTap ................................... $ This '' m ur 'ng Perm Wh Ap — Builder's Deposit ............................ $ I�� s Date -� — /� _ other .�. f.� 4...t' s ........ ........... $ 5 D U°o Certfficate of Occupancy Total Due .............................. $ . Paid Receipt No. Issued Date . By This is ertlfy th t the req st in the above applicadon and accompanying documents is in accordance with the City Zoning Orclinance and may proceed as requ . This docurtient when sign by e' ner e stitutes a eYnporary Cer�ficate of 20 'ng � mpliance and allows consUuclion to commence. Before occupancy, a Certificate of ncy rtwst be issued. . l Qa Ciry Planner Date Special Condhions'rf any 24 hour notice for all inspections 447-4230 �y ,� 7b P y $ �F PRIp � - U �m `�/ 0 '�� / White - Building . Canary - Engineering � Pink - Planning The Center otthe Lake Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /`� �� , ��^-��--e---''� � APPLICATION RECEIVED �o,/d�/q 8� The Building, Engineering, and Planning Departments have reviewed the building permit ,� application for construction activity which is proposed at: l tv � 6/ (/iv��, �.... Cu� ►, q..,,� ' Accepted 1/ Accepted With Corrections Denied Reviewed By: (�/ . ��/yI Date: Q � . � Comments: } �Y .-� �;16 • ! t + ' � Y (R T �± � ` � � _ - � , n _ '. - . . , . � ' • r "The issuance or granting of a permit or approva! 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." �� t ' �7I" -' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST (CON'T� •� . ENGINEERING COMMENTS Surface stormwater drainage flowing to the perimeter of this lot to arid from adjoining properties must be conveyed to the roadway andlor to the rear of the lot in drainage swales within the drainage easements. All bare soil areas must be protected from eroding into neighboring properties through the installation of properlv installed silt fence or bales. The silt fence required by the erosion control plan must be installed prior to any earthwork being started. The rock construction entrance must be installed at the tixne of backfilling of the foundation. � � � � � � � � � , ;� � • . � EROSION.DOC �F PR1p � � U , m White - Building Canary - Engineering Pink - Pianning The fenter of IAe Lrke Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /'f�� ',_ ��-e-�' APPLICATION RECEIVED (o�d�/q S� The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: l(0 3 h/ V��o,�i �, Gur �� J Accepted Accepted With Corrections � Denied Reviewed By: Date: � S � Comments: ( . SodQ d— �-rc_¢..�5 l� .�� ,. �t ,.�� 2 ..- �l� �rra�r�L , `'�L��-t��_�� G�- "The issuance or granting of a permit or approval of plans, specificatians 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." ! ��F PRIpR � 9 � m White - Building , Canarx - Fn ' in�.. , Pink The Center ot Ihe Lake Counlry '"' BUILDlNG PERMIT APPLICATION DEPARTMENT CHECKLIST ` NAME OF APPLICANT l�i�-�° �' h, '{� ��=h-�---'` APPLICATION RECEIVED �� -=�� _ . _ � � The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1 � �3 � ; :; �- ; �..^ �r ! � � :-... :1' 1: ?. ..»� Accepted Accepted With Corrections .� Denied ; �� Reviewed By: " Date: Comments: "The issuance or granting of a permit or approvaf of plans, specificatians 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." �� pR, �TY O F P R I O R L�C E 3. Yel ow �L�� c� �m , PL UMB/NG PERMIT PP No. �P GS�-� Applicant: �+� ( � �-� P i �, c � �' - Phone: `� `t � ~� � � - Address: y l. u C1...- �- ��^ � 7�' �'�— The Cen�er ot the L�ke Counlry Signature: Legal Description: Lot � Block Sub Site Address: �� n C� -' � Building Permit # PID #�.S -.�- U36 -� NOTE: This permit will not be processed without complete information. FIXTURE UNITS Quantity Type of Fixture Quantity Type of Fixture � Bath Tub with or without shower 3 Rough-ins Dishwasher Water Heater � Floor Drain Water Softner � Lavatory (bathroom sink) � Stand Pipe (washing machine) � Laundry Tray (1 or 2 compartment sink) Sewage Ejector Shower Stall Backflow Assembly (RPZ, Double Chedc, PVB) Sinks Backflow Assemb{y Test Bar Sink Lawn Sprinkler Water Closet (toilet) Other FEE SCHEDULE Industrial, Commercial & Multi-Family (1°/a of job cost, $39.50 minimum) $ Residential, New One & Two Family $99.50 $ Residential, Additions & Alterations $39.50 $ 99r.� State Surcharge � .50 GRANDTOTAL $ 100.DD This permit is granted upon the express condition that said contractor, shall comply in all respects with the ordinances � o��/�bing Code and the ame d ents thereof. BUILDIN �E f4��trr rro.�'� ��f Da� �` � ATTEST :' � � , ^� Call for a11 inspections 2��0� in a vance. 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245 An Equal Opportunity Employer c GREEN - FI�E Ol P R j0�, YELL0IN - APPLICANT � � fiOLD - CIT1/ � � U � CITY OF PRIOR LAKE NO. � D.�L �, SEWER AND WATER PERMIT NOTE: Sewer and Water contractors must be registered with the City. APPLI CANT • V ^ � �"! `� � � � � � � - PHONE : l � � - a � a � ADDRESS • � �lU ��.. ��.n I�..< - � '�L `^ � DATE • �U 3u q � S IGNATURE : BLDG . PERMIT '° �-`� SITE ADDRESS: I�y3�� ) ;�.��,,; � (� ,.._� PID# a�S-'.�� d FILL IN THE BLANKS 1. Estimated length of water service � v feet. 2. Size of water service � inch(es). 3. Location of any couplings from structure feet. 4. Type of sewer pipe. ABS PVC� Cast Iron 5. Estimated length of sewer line `�[U feet. 6. Clean out (if required), located at feet from structure. ------------------------------------------------------------------ ------------------------------------------------------------------ This application beco es your permit when approved. BY ,' � � DATE • /�/'Yy�b � • �. � b �' —_��__��—__��----_��_��_��_____________� ____�____��_--�—�___--_�_—_--��_��_�_____--_� FEES: $ 35.00 Sewer and water line connection permit. $ .50 Surcharge $ 35.50 TOTAL * Fee for either sewer or water individually is $20.00 plus $ .50 surcharge. * Sewer and water permits issued for new construction must be recorded on the building permit card at the time of issuance to insure that no duplicate sewer and water permits are issued. DATE PAID AMOUNT PAID RECEIPT # r PA G PERMIT REC'D BY �� ;,� � ---�lll �� ;� , , �,, '` 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245 An Equal Opportunity Employer i-� I'IU(1 I 1•in1 - I ilc ,"�: -' n� _ CITY OF PRIOR LAI(E ' ';�R^ . ��r ,� M�i ). Yclluw • Coiiu•cwr � ,�,�,�, -' i�62o0 Ea le Creek Av. S.E. TYPE OF STFiUCTUFlE � _ 9 Peimi1 No. —Q'�'-S2� 'D ' Prior Lake, h1N 55372 � � i Single Family Two-Family Mulli•Family � '' 99$ 1�, A�'ING APPLICATfON / PERMIT � �,!' Commercial Induslrial PuGlic OU�or � , __Dale ,�� PIDNo��_',S—��`'"Q Sile Addr�rs3' --� -R? E .� Fee Schedute 1�0 Lot �_ �lock � Addition • 3� Indusl�ial, Commercial6 M��IIi-Family t% of job cost (539.50 minimurn) N Owner's tJame �fy�,¢� �lqy�„ - Ilesi�ential, tleaGny 8 AC $gg.sp D Nesidenlial, Healir�g Only $64.50 �t Address Residenlial, Gas Fi�eplace $39.50 � � Residenlial, A�dilions 8 Alleralions 539.50 � I lealing Conlraclor �� f��lSid! (iesj�enliaf, !1C Unl � Kes�de Corn� Y ffi39.50 . �. Address COnfrK� (j�� jl � Z �� N ' ��' �� Rernember lo add U�e Sfate Surcharge on tl�e bollom of lhis applicalion, n 7eleplione M ROS�1IiN! M � 0 � Fwnaca Make d Model / ••� 1 TYPE OF SYSTEM 3 Tlie p�ice o! your I�ea�iny peiniil includes ane ruugli•iri ar►d one lina! irispection. � / �� Warm Air Planls Model Size �..�v �i _ Gravily � Addilional inspections will be billed al 5�5.00 eacl�. � Conn, load Mechanical _ Fluuse ! Iealiny Tesl Record musl be subrnitled wilh ii din Air ConJilionin l�L� {2�tillil �t114�[ b�loie build- 9 ing ce�lilicale ol occupancy will be issued. Fuel Flue Size Vent. Syslom I IEATItIG OR POWER PLAIJT �� U��4r�� R�_ IRFp witl� number ol supply and relurn openings lisled Nu, Supply Openings room will� CFM's per opening. New slructwes or addilions send Iloor plan wit!► supply Sleam and ieturn locations sl�own. IIEAT LOSS CALCULA'f IONS, PAYMENY AND Relurn Openiru�s liot Wa1er APPLICATIONS MAY 8E PAAtLEO 'f0 TIiC CITY UF F'f�IUR UIKE, 16200 EAGLE (�adialion CREEK AVE. S.E. Pf110fi LAKE, MN 553I7, � Inpu� Ou�put �"��_ Special Uevices Cily 1lall busir�ess Iiours a�e 8 a.m. - 4:30 p.rn. r Edr. , • O�hei Devices ALL WORK MUS7 BE INSPECTED (ROUGII-IN AND FIP�AL) - CALI, CITY HAII � Clm. W 447-42�0 w TYpE OF WORK I liereby apply lur a niech�nical systEms permi► and I acknnwledyo �hal the � Inlormalion above is cumplele and accuiale Il�al Ihe work will be in conlo►mance � /11�aralions i __,___ . _ Fioplacemenl �Jew ConsUuclion � Wi�� e orJi��ances and cudes ol U�e cily and wilh Ihe slale buildinghnechanical F�epair Esl_ Comp. Da1e C' �� codes; lha� Iliis lorni does not become a permit urilil signed by ll►e BUIlU1NG or-r-ieini_ Iha1 Il�e woik will be in accordance wilh Iho approved plan in Ihe Esl. Cosl; �f �� ('�l Building Permit q case ol all wotk wliich requires ievie�v and approval ol plans. � I IEATi�vG PE(iMIT FEE b _ C G STAT : Ji�::1IARGE ;__,__ .5O p� a►�Cs Si . Dale �.� TUT _� �IT FEE� ��_� RecaiNl p PAID WITH --. . _ 9 I/ _ o �uil�iny Ullical's iynatu�c Dale N 1. P'ink - Fle .,�� pR ' O '�� CITY OF PRIOR LAKE ��jP TYpE OF STRUCTURE 3• Y � - �� ' 16200 Ea le Creek Av S.E. � � m 9 Permit No. Prior Lake, MN 55372 HEATiNG APPLICATION / PERMIT S+ngie Famiiy �_ Two-Fami{y Multi-Famiiy ) Commercial Industrial Public Other Date ` PID # �"�' + "a �1 S ` c7 � (O ` D Site Address � l � J Fee Schedule Lot � Block � Add'Rion 1.�+�+ , � Industrial, Commercial & Multi-Family 1°!o of job cost ($39.50 minimum) Owner's Name �j Residential, Heating & AC $99.50 Residential, Heating Only $64.50 Address Re ide tial, Gas Fireplace $39.50 . Re tial, Additions & Alterations $39.50 Heating Contractor � sid ntial, AC Only $39.50 Address o� � `�-� � Telephone # �� l'�' � n �D� cy- � � Remember to add the State Surcharge on the bottom of this application. Furnace Make & Model �`��vY'�'�' TYPE OF SYSTEM The price of your heating permit incfudes one rough-in and one final inspection. Warm Air Plants ` Model Size�U� �b��C�� Gravity Additional inspections will be billed at $35.00 each. Conn. Load Mechanical House Heating Test Record must be submitted with il i rm' number before build- �(� Air Conditionin ing certificate of occupancy will be issued. Fuel �C`�� Flue Size Vent. System �� , v��. .c� �C1 p HEATING OR POWER PLANT E T CALCULATIONS REQUIRED with number of supply and return openings listed per Supply Openings �` room with CFM's per opening. New structures or additions send floor plan with supply Q� Steam and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND Retum Openings v Hot Water APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE Radiation CREEK AVE. S.E. PRIOR LAKE, MN 55372. Input utput Special Devices City Hall business hours are 8 a.m. - 4:30 p.m. Edr. Other Devices ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL �m. 447-4230 TYPE OF WORK 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 Alteratians Replacemer�t New Construction with the ordinances and codes of the city and with the state building/mechanical Repair Est. Comp. Date codes; that this form does not become a permit unti� signed by the BUILDING OFFICIAL; that the work will be in accordance with the approved plan in the Est. Cost $ Buitding Permit # � case of all work which requires review and approval of plans. HEATING PERMIT FEE $ � � `- — " p� � � STATE SURCHARGE $ .50 Applicant's Signature Dat� TOTAL PERMIT FEES $ CO � Y� Rece t# � 9 �� P Building Offical s Signature ate DEPARTMENT OF � � � � PRI :�..y... � L BUILDING AND INSPECTION �`�: .�. :�":4� : . . A KE . . � { . F .�� .. : __ , - _ . ' � .. '':--: `" _ �'�%1.;'.� -, , • - . ' , , , _ . , ' .`. . ryy;, . . ' ' .7� :�rf°!'i.' , ' . � ' '�r - _ ;'��';;: � - -• , ;�: I P � i� r t . E T I E t� �� _��w.x}.� �.�. N R ��-� �=�� _��.,. . .. , . . . .: � . . : . . , _ :� . _ . , - SITE ADDRESS � I��t�t U;��-, C��,�� _ � ... . °:.;. _ _ . � ., ,_ , �� NATURE OF. WORK ' _U� �,,,��,� '`�r��' � �Y ' � , � USE OF.BUILDING SF� ��'"'�'�� `Y y r�: �,�,...Y-,. ; . - .,.. , PERMIT NO.. 5'8 —saq DATE ISSUED 7-8-9$ �-�'� ��`�. �°,� i � . �'� .CONTRACTOR . , . .�:� dF� k.�� r-��,� , .... �� .. . � ♦Y. r � • �'�g�� /{ � • 4 " u t � . ..:'=`' 1 't�t � -. , _ t x . ,.x.: . . . , . 'x .��wf,��.:..'�� ' L . �`x'S '' t a��:. : NOTE:� THIS� IS N4T�A P RMIT FOR ANY OF T�IE INSPECTICII�S��-�0'll�`_ �-� � THE PERMIT IS BY SEPARATE DOCUMENT � �� k '''�� "F'�;'°�'" -� � . . � ` " , � . � . • INSPECTOR e r 6AT� i, � {` � - '"�.„ � :L.M,;� �k `FOOTING . � ' . ��;�:: �,� : � , . ,.; ��• � '. - FOUNDATION (Prior to Backfill) ' �C�� . k S��/�� - ak:.a�T; 4., e +.`,. '• � ' , , . .Kt. r.,,.. . . - . .. , _ °�� ,��W..pLACE� N0, CONCREtE UNTIL ABOVE HAS BEEN SI�_NED��s"�� 'y � - . , , . , _ .. ..a�. � �i��HI.. . . :.. , . j , " . ROUGH - INS � � - ;.�� - ,. . . j � ,.� � � SEWER / WATER / SEPTIC �� " � -.��-�"�� ` ; � _ � � FRAMIWG � : . . W G C��-- �— �,� 4 .,��,� . . � . �INSUL/�TIbN . . £� . . . � s =� ��..� �...;; . ��? � sa °�'�°"�� fi . ELECTRICAL � ' .. - .',s:�-�.�s� P�:t�M�INa-�S,: . , . � - ,,,r , � , ;�;�;, °' � � �_,;� � . . .:�� : ; �_. r � HEATING if re uired) �J5 �' so �y�" ��=-�°'" � �� FIR�PLACE � ✓S 9 30 9� . w-,�. �.:,: ; inrr�. � s � .. :�: .„. . a. �:`'�`'' GAS LINE�p►IR TEST " ' � }.' . . -� �..- Q- .. , . �,�;, �COVER NO WORK UNTIL ABOVE HAS BEEN SICNED� � �' r, �"� ` .,.. � 4 � - : #'. �. � , .. ' . ' . F ., .«�� F 1 . t ';,;trj: ;..�1, �,�:� . . _ . � . , _ . . , . S:.t�'�5!;�W,SYw�;,�r{b5",. .. ( c,. n= ', , �� - - ° .�ie';�' . , ` �i.' ��a;� , ,a�,�.i�;+'t" - :::' _ - . � . . . . . :; ` f;k' w .�,� ,;�ur,�;.':.�. � �. , ..4 wy�a> F I N A L S K :��"� `:�� _ . . . . ,,�;��v�. � . ° GRADING Prior to So din �" /-- `� �- � ��''`'�- � . � •�.}�._ , .., t{. � , � - �, �U�:� :BUILDING�,��;k �4' .`�-' , � � � ,�;, _ ��; ��:� .a�=. ;� na,. - , " � ', t•:� , ky" dv�' �: � 'rr'�;' �e, . " : �,� i:.� a.:°. . .. ELECTR�CAL � . . - - , . � . :� i . . . . PLUMBING' ��--. , . � . . . . w :�,=�.... ;;�,�: �5 . . ;,, �. , . . :.�:;. �:.-.; �:. < i -��., : HEATING�:; 4 . , ,.� � T' ; s : , . , =,;; ��'' �°� .�: �'`- ;:: , 2�`� �� .;: . . � �,; _ � � . �'� b0 NOT� OCCUPY. UNTIL ABOVE HAS BEEN.,SIGN�D� � : �... ..�, . . . . °.°,.,, . _ � �,.y. _' fiYR'�� "�.' ..' � S; ,� _ ' `. ' ' � ` - � -4� . Y.-f-�•� . - � � ..%»�, :�,'4v..n.�'v �',%f'� �� - { . � v; N OT I C E _, , '�� 'y;l„� , ;S�K�.y.A Z � s:, �.,�. . , � . ��[ _ - � �y"��° � ' � . . •• . . .:T:u a� ��:�., � ` ' ° � t 5":� r i ' " tn ' _ �{ "'p�'�µ.'� $ i�" � �.� `"�= �` e e�r,a�n`� electrical serviae cabinet prior ,to. rougFi- �� + 4 � �'" � �K This, ct�rcl�'niust"b c�sted �'n � "",�, *x, fi �� t...:;,:;�� rt •x H:�::>,� �.., ��,.. ,.-.. . ,�� ;.,. ; , �in,insp��'ct��t� , � n.�.y„ .� �a. .. . � � 4 ,L`� hf« N... .'$ - • �'��`.��;y�'�=�� 4 ;`�nd:�maintained�;iintil;all,:lnspectlons,have been approved.' Or► build�ngs.a"nd��cldtt��' �>,�: �"'�� r• ,�ci��»�tt��i:��.��5'+,�•.,,?�-'- ,. � .. �,:..� „ � t .�...� y ar ... , a .1. r . , , � . � . . ,,»� . . �3.�n'.s§'�b. ' , ,{ �i;�;�wwwhere'n'o:servi�`cabinet is available, cerd s�iall be placed near�main entrance:�-�;z>�:�� ,, }� ``�'. st� 4�.5^.. ' 3`�?`, � " _ w, `�„_ ' �. ..:,- 1' '. -. � . . ' , i -,'-�'�.$p�, 'r % �� . ., �. : . ' ; � � � Call between� 8:00 and 9:00 A.M. for alI inspections - ° �� '` '=� � �':�� _ � . . . � , . ' , _' ' � ' �"�J � � FOR ALL INSPECTIONS 447-4230 � � � - . ` , 11 �° . / CITY OF PRIOR LAKE � � Impervious Surface Calculations / (To be Submitted with Building Permit Application) For All Properties Located in the Shoreland District (SD). The Maximum Impervious Surface Coverage Permitted in 30 Percent. Property Address l�p��//G�,�y,� G°��pv � �� Lot Area l�, � d a Sq. Feet x 30% _ .............. �/} }� ****�«�******* ***�*********�x******************************************** . LENGTH WIDTH SQ. FEET HOUSE �� X y'� (� - J� Sa _ X = /�� ATfACHED GARAGE �, � x y =� � j �� TOTAL PRINCIPLE STRUCTURE ...................... � DETACHED BLDGS x (Garage/Shed) g TOTAL DETACHED BUILDINGS ....................... � DRIVEWAY/PAVED AREAS x = (Driveway-paved or not) X = ' (Sidewallc/Parking Areas) g . ,_ TOTAL PAVED AREAS ......................................... � PATIOS/PORCHES/DECKS x = (Open Decks'R' min. opening between X _ . boards, with a pervious surface be{ow, ace not considered to be impervious) X = � TOTAL DECKS ........................................................ � OTHER x = X — TOTALOTHER ....................................................... TOT.AL IMPERVIOUS SURFACE � 9 �R/ VER repared By Date_� � �� i . Company ��— Phone # ✓C�'3�