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Home My WebLink AboutBuilding Permit 06-0718 _ �/ �/ ' - �� _ / � �i _ _ 1(r �'� . � �� C�� (��c�c��tt��r CITY OF PRIOR LAKE ��tt��n�rQ�t� �� ixYX�� z�s��x�t.a�t �Final Permitted ❑ Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the C� Residential / � International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City of Prtior Lake regulating building construction or use. For the following: Use Classification s� ��/�7 Bldg. Pemut No. OG • 0 7�� Occupancy Type /W Type Construction �• - Zoning District �� Legal Description L /� L.7 G, //�«i �7 K./V �N� Owner of Building Site Address �7�0�¢ �/��/..�T (�„�� ll� Contrac[or's Name & Address +l1 .S(� S��a /�/�.T !./"• /—, � . . City Planner V ��V MI/�S�GN\� Building Official Date: 2 Date: POST IN CONSPICUOUS PLACE DATE TIME CITY OF PRIOR LAKE ' I �_ / INSPECTION NOTICE SCHEDULED �6J/� , ADDRESS I �`F �t� �:l� OWNER CONTR. PHONE NO. PERMIT NO. � — � �C ❑ FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT � FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL � FINAL ❑ PLUMBING FINAL CI GASLiNE AIR TST ❑ SITE INSPECTION 0 MEGH FINAL ❑ COMMENTS: , . � � , e a r ' f . � � r - �WORK SATISFACTORY, PROCEED O CORRECT ACTION AND PROCEED ❑ CORRE , CALL FOR REINSPECTION BEFORE COVERING Inspecto Owner/Contr. CAL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY! ursiwn �i�L :cv��yY...y'i.. T - .w. "�.'1.-'• ' -" ' .- rt++'w ` x - _ . 6i - DATE TIME CITY OF PRIOR LAKE INSPECTION NOTlCE SCHEDULED S L�'-C�r, ADDRESS I �C� I � (� � , s �. f � . OWNER CONTR. ��-5 jf ��-�� ? -� PHONE NO. PERMIT NO. C'�I � 1/ 4j ❑ FOOTING ❑ PLUMBING RI ,�°3- EX��pIkILLING ❑ FOUNDATION ❑ MECH R! ❑ COMPLAINT ❑ FRAMING ❑ WATER Ii00KUP ❑ FIREPLACE RI ❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL �FINAL 0 PLUMBING FINAL ❑ GASLINE AIR TST O SITE INSPECTION ❑ MECH FINAL ❑ COM Nt� J(ui .�v' s(r t�'i�� e� � ' .� o � ,� r „�,�.�,�,..�_�= .. . ..+'"� .� WORK SATISFAC70RY, PROCEEO ❑ CORRECT ACTION AND PROCEED 0 CORRECT WO , CALL FOR REINSPECTION BEFORE COVERING Inspector. � Owner/Contr: CALL 447-8850 FOR THE NEXT INSPECTION 24 HOURS (N ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HE.9LTH & SAFETY! uvsiror, DATE TIME CITY OF PRIOR LAKE �� INSPECTION NOTICE SCHEDULED ADDRESS ��cc � �j�v'/$'�'G� OWNER CONTR. PHONE NO. PERMIT NO. l,�J '�� 0 FOOTING ❑ PLUMBING RI ❑ FJUGRADlFILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ IMSlJ1ATION O SEWER HOOKUP ❑ FIREPLACE FINAL INAL O PLUMBING FINAL ❑ GASLINE AIR TST ❑ ITE IMSPECTION � MECH FlNAL O COMMENTS: / S" �c� � �-- �., � • �� r� P,r' a � -�- '�� . � �l �-r Gvf_- �' �il�ot =.� -Ci� r _ -�� v� � �/ � /-v O WORK SATISFACTORY, PROCEED �ORRECT ACTION AND PROCEED O CORRECT WOR CAL EINSPECTION BEFORE COVERING Inspector. OwnedContr: CALL 447-8850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH Qc SAFETY! rnrsn+on DATE TIME CITY OF PRIOR LAKE � ^��`� INSPECTION NOTICE SCHEDULED '� ! ADDRESS l �GILC V='"�� OWNER CONTR. PHONE NO. PERMIT NO. G� I l6 ❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOUNDATION 0 MECH R! ❑ COMPLAlNT O FRAMING � WATER HOOKUP 0 FIREPLACE RI ❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL � FINAL ❑ PLUMBING FI ❑ GASLINE AIR TST 0 SITE INSPECTION �'MECH FINAL O COMMENTS: � � WORK SATISFACTORY, PROCEED O CORRECT ACTION AND PROCEED O CORRECT WORK, C OR REINSP�CTION BEFORE COVERING Inspector: Owner/Contr: CALL 447-8850 FOR THE NEXT INSPECTtON 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSON.4L HEALTN dc SAFETYI ,xsHOr, DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ��Yj� ADDRESS [��G� �r C�'� OWNER CONTR. PHONE NO. PERMIT NO. � 7/� O FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING O FOUNDATION O MECH RI ❑ COMPLAINT ❑ FRAMING � WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL ❑ FINAL �KPLUMBING FINAL ❑ GASLINE AIR TST ❑ SITE INSPECTION ❑ MECH FINAL ❑ COMMENTS: � S � � � WORK SATISFACTORY, PROCEED O CORRECT ACTION AND PROCEED � CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: OwnedContr. CALL 447-8850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAlL HEALTH � SAFETY! �NSnor, o ,� PR�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,� ;, .; � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE -7 �S . d � �' =°�� ' �: � AND UTILITY CONNECTION PERMIT U '' �j ��'�NESa�P ' Wh"e F''` pERMIT NO. h /� 2 Pmk Ciry O� � / /�/y� 3 Yellow App6cant � v l I(� Please or rint and si at bottom) ADDRFSS ZOI�TING (ot�ice use) !7'6/� R sr oua�- .S'. �� LEGAL DESCRIPTION (oflf'ice use only) LOT � BLOCK �v ADDITION /yffj►�0,� ,(��(,� G� N� PID ?.�. �f'�-Z . 035, d OWNER (� (Name) E/q6LE �o�lSTRv<Tien/ �JFRVitE's -�NC. (Phone) QS� " ��"�� (Address) �� /�a�5/DSG� G �f�iVE a �ig.�cE � �S3 BUII.,DER /'�� (CompanyName) �AGLE �...AwSTRtl�3'!d/1! �E/4�'1/ICES��(Phone) 9�a — � (Contact Name) ��4 V� ,� UAME (Phone) /a� —•��' 3 g3 (Address) ,g"OD .�C1f! SEd �/P•,r� pR/b � X .3�..3 TYPE OF WORK �New Construction ❑Deck ❑Porch ❑Re•Roofing ❑Re-Siding ❑Lower Level Fmish ❑ Fireplace DAddiiion �Alteration ❑Udlity Connection CODE: �I.R.C. ❑I.B.C. ❑ Misc. Type of Construction: I II III N V A B pROJECT COST/VALUE $�� Q `� Occupancy Group: A B E F H I M R S U (excluding land) Division: 1 2 3 4 5 I hereby cemfy that I have h�mished mformanon on this applicanon wh�ch �s to the best of my knowledge true and correct. I also cerhfy that I am the owner or authonzcd agent for the above-menUOned property and that all construction will conform to all ex�shng state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg official � revoke this perm�t fo ust cause Furthermore, I hereby agree that the aty official or a designee may enter upon the property to perform needed mspeMions X ` ,�--�� os'866�9 /8 06 Signature Contractor's License No. Date Permit Valuation ��'� Park Support Fee # $ — Permit Fee $ �g � J t'a SAC # $ l��a v Plan Check Fee $ 3 S' � Water Meter Size 5/8° "• $ � 5 State Surcharge $ �� 6 Pressure Reducer $ �' ��` --� Penalty $ , Sewer/ Water Connection Fee # $ rs'� .-- Plumbing Permit Fee $ �� Water Tower Fee # $ �� — Mechanical Permit Fee $ Q�� Builder's Deposit $ ��QO Sewer & Water Permit Fee $ ^ � Other $ _ Gas Fireplace Permit Fee $ .�-- TOTAL DUE C�� 8$. Q�I $ ��O 7 Pj r ' pplicarion Bec mes Your Building Pernut When Approved Paid O Recei t No. � Date o B 2 0 si u,_ Ur i�i�� ce This u co certify thac the request m the above apphcanon and accompanymg documents is �n accordance w�th the City Zomng Ordinance and may piroceed as requested. This ducument when signed by the Gry Planner constitutes a temporary Certificate of Zomng compliance and allows construcuon to commence Before occupancy, a Ce�t�ficate of Occupancy must be ISSU � � �� ` � �,,� , � � / !j 6 / ��a-aC cz� �,y+-� Planning D'uector Date Special Conditi , if any 24 hour notice 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: ��/ ,, " Date: �� o �� Building Permit # PID: 2�' ^�� --o3�'f� Zoning: �( Address: (� (�� • '$�) �� Legal: L�, B�_ Subdivision: �- ��`'` 2 '^-'' t ��"' Existing Structure? YES / NO Existing Nonconforming Structure? YES 1 NO CONFORMS�,TO ZONING YES NO ORDINANCE Yard Setbacks: NA 1 FAILSI COMPLIES Standard Pro os�l • Front Yard can be 20' if av . w/in 150' 25' Z.S• ` • Side Yards 1 U'� i 25' if abutting a street •�-3r�""' f. 3 • Sidewall exce 50' requires additional side 2" 10' setback + 1 � setback for eve ' aver 50' in len th 2"!1' over 50' � � � • Rear Yard 25' ' t' a�� • 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 wetland/NURP 30' „/� nd � � • From OHW (Prior or Spring Lake) 75' or setback average of �( adjacent structures, but no (ess than 50' Floor Area Ratio: NA 1 FAILS 1 COMPLIES .30 Maximum •� Yard Encroachments: NA 1 FAILS COMPLI Standard Pro sed Eaves and Gutters no more than 2 feet in width and no closer than 5 feet to a lot line Easements . AIC and other equipment cannot encroach on interior side ards. Tree Preservation N/ FQILS / COMPLIES Standard Pro sed • Total cali r inches • Permit 25% Removal • Cali r Inches Removed • Cali r Inches Presenred • Re lacement %:1 L:\TEMPLATE�BLDGLIST.DO.0 Drivewa : NA 1 FAILS / COMPLIES Standard Pro osed • Maximum width at ro ert line 24' a0 • Required setback ,, 5' from side lot line or 30' from r-o-w on com r I �� • Maximum slo e � � * � q• o . �• All parking areas to be paved including R-V or �� s aces ad'acent to the ara e • Location to match subdivision radin lan Buildin Hei ht: NA / FAILS COMPLI 35' Maximum Shoreland District: FAILS / COMPLIES Standard Pro osed Minimum lot area s uare feet 7,500 Ri , 7,999 Non-ri Minimum lot width 50' Ri , 57.3' Non-ri Shorefand alterations Im eNious surface 30% Maximum � uff in Shorelan : / FAILS 1 COMPLIES Standard Pro osed ' • Setback from top of bluff By planning dept. • Bluff im act zone 20' From Top of Bluff • En ineerin certification submitted/a roved By City En ineer • Gradi in bluff or bluff im act zone No importing/exporting Flood lai . N / FAILS / COMPLIES Standard Pro osed • 100 year flood elevation 908,9' Prior Lake 914.4' S rin Lake • Lowest floor elevation 909.9' Prior Lake / 915.4' S rin Lake • Proposed lowest floor elevation Must be 1' above flood elevation for new and existing stru�tures. If existing , structure 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 Spring Lake Accesso Structur N 1 FAILS / COMPLIES Standard Pro osed • Size 832 sq.ft. or 25% rear ard • Not located in front ard Materials • Side ard and rear ard setbacks 10' • Maximum hei ht 15' • Materiais com atible with rinci le structure L:\TEMPLATE�BLDGLIST.DOC �31�'�9;':�4��7 '�:�:�a '�5<S81h'�ih �OB �JE�,HE P;��E �i . ....._ o � e+tt Date Rcc'd CITY OF PRIOR LAKE /. � � � x SEVt�`ER AND WATER PERMIT i. '^'Ne6ot � � „«<M1 ��< y�.. RMIT NO •� v�u�w cu 1 G!A nQVlicwae Please cype �r �rrint and s}� at bottom) AllDRESS ..� � ' '� ZONING �ocr,« � /'�° ^ �^� • � _ LEGAL DESCRiPTION (ott�c� us� only} � �� ' L0 BLOC ADDZTION pID OVVNER �� " � ...,..._ ...,,.. _.� (Namcj k C � (Phone) (Address) . � _.� _ (.4ddre5s) �� . ,rv. (Gtyj (Z�p Cade) APP�ICANT ��' �' " —�'... A _1�, � (Name)..�_...� (Phone 1 1 � �� (Address) _ w � G►� �, � ��l'�, ,TL (A�idress) ( iry) l7iy Cedc) (Concacc Person) � � „. (Phonr) �� APPL.ICANT SIGNATU�tE UATE f � �„�_ A�PPLi PLEAS.E; CON�PI..E BELO��' � Size of water service �_ inches. T � �� Locatioz� of any couplings from structure feet. °i'ype o�sewer pipe. � A$C PVC [� Cast Iron �stimated length of sewer line � feet. Clean c�ut (i�zequired) ]ocate� a feet from siructure. F�ESCHEDULE Re�idential sewcr and water line connection $35.�1) lndustrial, Com'1 & h1ulti-fsmily I°,�a of job cost with a�39.50 minimum Sewer connection only $1'7.Sp Water connectiun only $17.SQ Estimated Cost $ Building Permit # � SEWER AND WATER P�RM17' FEE $ I STATE SUKC�ARGE � .�0 � �� TOTAL PERMIT FEE � „____ ., .,. a �� (Oflicc Usc Ortly) Tl�i� Application Becomes Your Buildin� Permit When Approved Paid Keceipt p- By U e��id�na om��ai � �,".'"_ np« .. 2�t hour notice for ail inspection� (952) da7-9b50, fax (952� �t47-a2 a ,� « ,. � � i� " . •� ��" .� � 4 �� . �.� �� . � . ., . °� �§ e� � �. �, .�. � ��.,��,,,�. �.��.� � O � PRIp� 1 � �'x U t:f White - Building ��NNES��P Canary - Engineering B�iM ann n BUiLDING PERMIT APPLICATtON DEPARTMENT CHECKLIST y �. NAME OF APPLICANT _ _ _� � �i �t,' `� t�%`,��'' *`�-= ��-- _ '� r�' �,_._... APPLICATION RECEIVED � "�" �� , "� The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .'r� / �i � ';-�C{ � f C �" � ,�. � Accepted � Accepted With Corrections Denied � Reviewed By: Date: 7�a'S/ ` Comments: /�� .� �r C�m � , .�.. . - Caa�.n.ot �croa�b. into B,eqw�ed ��d.� � "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 ordinanc�s of the jurisdiction shall not be valid." , . �- w , :� , O � PRIp� � � �x U tr� , ,� Canary - .ngineering NNESO Pink - Planning BUILDlNG PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT U`� APPLiCATION RECEIVED � —/��(� The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: s ( Accepted Accepted With Corrections Denied � � Reviewed By: �� ZE� Date: � Comments: �.( -��-.�..�� . "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 � rRlp� � � fr � U trf White - Buiiding �,� ,� �Engmeenn �'NES� in c - ann� QUILDING PERMIT APPLIGATION DEPARTMENT CHECKLIST ,') NAME OF APPLICANT c` �--r'i �� 1-C��'�--- � � �� ' ..-- APPUCATION RECEIVED ;� - � � The Buiiding, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: f� ' � _. � Accepted Accepted With Corrections Denied Reviewed By: Date: �' 8 _ C'jL ` Comments: See Reverse Si e for Additional .1rlformationt See Attachments: 1) Grading Plan, 2� Erosion Control Mea��re� "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 vio{ate or cancel the provisions of this code or other ordinances of the jurisdiction shali not be valid." O � Y RtO� CITY OF PRIOR LAKE Date Rec'd � x HEATING/AIR CONDITIOI�tING/FIREFLACE PERMIT , b � ��hNES�� ,- �`°� F''` PERMIT NO. z. c� cuy 3. Ydlow Applieant � ICdSe OI � t dIIfl Sl StbOtillIIl _--_ ._ ADDRESS � ZONING foffxe use) t�l� �' �� • . LEGAL DESCRIPTION (o�oe ux only) LOT BLC)CK ADDITION PID OWNER � (Name) {Phone) � �� (Address) , - APPLIC ` ` (lvame) �' ane) (Address) � �l ° I ��. (A�) i�+) (� ��) (Contad Pason) C--�/ V Y l � Y 1� � (Phone) r�," �/ � APPLICANT SIGNATURE DATE APPLICANT PLE.ASE COMPLETE BELOW w co s ucTro p�r�cEMEx�r p�,��►�oxs FURNACE MAKE AND M�DEL " O V� FUEL � T � � FLUE SIZE � RETEJRN OPENiNGS '� INPUT OUTPUT TYPE OF SYSTEM . HEATING OR POWER PLANT � ❑ Warm Air Plants ❑ S� PLEASE NOTE: � ❑ ty ❑ Har Wate,. Air Conditioner Units echanical ° � Radiation Can�tot Encroach into QAir Conditioning Special i�vices Required Side Yard QVent System � � � OtherDevices Setbacks FIREPLACE MAKE AND MODEL t �. FEE SCHEDULE � �: Industrial, Commercial & Multi-Family 1% of job cost Residentisl, Gas Fireptace 539.50 539.50 minimum Residential, Heating & A!C (New Cansduction) 599.50 Resideatial, Addirions & Al�ons 539.3 Residential, Heeting Only (New Construction) �64.50 Resid�►rial, AC Only �39. Estimated Cost $ l! � �� Building Permit # � . � HEATING PERMIT FEE $ � � � STATE SURCHARGE • • $ .50 TOTAL PERMIT FEE $ (Office Use Only) This Appticatioa Becomes Yoar Bn�ding Permit When Approwed Paid Receipt No. Date By Buildfog Official Dsh �; � � � a gk":� � � . *3 � �� • '� � �� .,,� ��:. � �,� rx� Date Rec'd � � CITY OF PRIOR LAI�E PLUMBING PERMIT �� , � � 9. y �NNesa�� `. B',� F'� PERMIT NO. � z. c�a c;�y � 3. Yelbw Applicam lease or ' t and s' at bottom ADDRESS ZONING (ot5ce use) � ` I� � . LEGAL DESCRIPTION (offiee use onty} LOT BLOCK ADDITION PID OWNER � �Q`� (Name} (Pfione) �� i , � y (Address} � � /�[,,{/ � APPLI � ' � ,2 1 � �� Phone) � �� ;:��-��,� - . , _ � _ - :,�y�'ti3��-4A � i ., (Address) ` ' . (Address) (City) (Zip Ct�de) (Contact Person) � v 1( �� (Phone) JCJI�� - �� APPLICANT SIGNATURE DATE � / -� IVCI� APPLICANT PLEASE COMPLETE BELOW ` � �, Quantity - Type of Fiature Qnanti Type of F'�re: 2 Bath Tub with or without shower Rough-ins ( Dishwasher � Water Heater Floor Drain - Water Softner Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) � I,aundry Tray (I or 2 compartmept sink Sewage Ejector Shower Stall �? Backflow Assembly � • Sinks -. y Backflow Assembly Test Bar Sink � i Lawn Sprinkler Water Closet (Toilet) Otiver , _ : 3�:'� FEE SCHEDULE :;, �`��;' _- ° ; �, :� .;_ :=�,u ;.,,� e ��.;� ��t ; .9 Industrial, Commercial & Multi-family 1% of job cost with a$39.50 minimum Residaetial, New One 8c Two-Family '.� Residen6al, Additions & Alterations Estimated Cost $ I� Building Permit # . �,� � PLUMBING PERMIT FEE $ �/ STATE SLTRCHARGE $ .50 a TOTAL PERMIT FEE $ � � � (Oflice Use Only) � � , This Appticatian Becomes Your Bailding Permit When Approved Paid Receipt No. Date By Baildiug 08icial Date - 24 honr aotice for al! inspections (952) 447-9850, [sx (952) 44?-4245 . 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 �`. � � � t��{� • � � � � '�'� � _ � ;� � � � � � � ' O F YRtO� � � � CITY OF PRIOR LAKE Date Rec' � M HEATING/AIR CONDITIpNING/F'IIZEPLACE PERMIT /O, /Z, 6( ��A'NF8� �: P '�„ �;` PERMIT NO. ty Q� d �`� 3. Yellaa Appliwnt lease or rint and si at bottom ADDRESS _ ZONING (o�oe ax� . LEGAL DESCRIPTION (o8'ice use only) ��. � ' LOT BLOCK ADDITION PID • OWNER ` (Name) (Phone) (Address) APPLICANT . '�� (Phone) (Address) � .3 . (Address) � (City) (�p �) (Contact Person) (Phone) APPLICANT SIGNATURE ' DATE � �' P ICANT PLEASE COMPLETE BELOW EW CONSTRUCTION � REPLACEMENT ❑ ALTERATIONS FURNACE MAKE AND MODEL � FLUE SIZE RETURN OPENINGS �p� , p�p� TYPE OF SYSTEM HEq'TIl�TG OR POWER PLANT �u .. QWarm Air Plants � S� PLEASE NOTE: QGravity ❑ Hot Water Air Conditioner Units ❑ M�h�� ❑ Radiation � Cannot Encrogch iato []Air Conditioning � gp�� p�;� Required Side Ysrd ❑Vent. System � Other Devices Setba�kq FdR�P� ACE MAK� ?�ND P�:01�EL ... FEE SCHEDULE G�"�` f"�`�' 4Y� •� • Industriai, Commercial Bt Muiti-Family 1% of job cost Residential, Gas Fireplace (J U 539, 539.50 minimum Residential, Heating �t A/C (New Construction) $99.50 Residentia[, Additions & Alterations 39.50 Residential, Heating Oniy (New Construction) 564.50 Residential, AC Only 539.50 Estimated Cost $ �� Buildin� Permit # . ��'� HEATING PERMIT FEE $ ,�j � � STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ p . � (orr�� use oniy> This Application Becomes Your Building Permit When Approved Paid Receipt No. Date g � Building Ofticial Date f �.1 Z, a� 24 hour notice for a!! inspections (952) 447-9850, fax (952) 447-4245 .� uei ab tur. 1X: U� !�'AX 81244T42db CIZ'Y OF P1tIUR I,AKE f�0ui � . I CTTY O�' PRIOR �,A�� tm ervious Surface Calculat�ons �'1'o Suhmittad wfrh Butlding pa�rn�t App1i�) �vr ,�,t Pro rtiea Locatad in t.�c �hoxeland Diatri�t (SD). The Maximum Im 'ous Surfa�e Govera�e Permitted �n 30 �ercerxt. , Property Add�ress � � a ' Lot Ar'ea Sq. F�et x 3tY/o = .� ��Z `u �**�****��**�**r��*�r*��r� ��w�*+�**�******��*�**�****w*#**w�**�****�� LE G�T � VIt�ATH SQ. �E�' xous� � 9� ` ,Z. z� ' r X � '�`— ATTACHF.� C�ARA4� � � TO AL PRIIVC�Y,� S1`RUC'�'L�R,E......_.,r...i....... ��L� DETACF�.D ALDC3S x � '' t Ga'a8�lshec� �_.�---- - - .,.��._ x , .��_�_ TYi�TAC�D SUII.DIIYGS...«.,,.�......�...... l7RIVF�iTA'Y'/PA� ri AREAS x �� ' p ` ?� �� G�+� er nod x _ �- - � ° ��O t3kt.wauUPaci�ing Aress) 3 . x �_ =, 9� � , „�. TOT PA'fr�Z1 A�A$.,,....» ..................»......t..... ,_��. I� PATIOSrnORCI�s/L�ECI�S � x� 0 6� � ro� n�s w- mb. �� Q �------W ba�d.. �teh R p�rviaua sttrl9�oo ba4,w, x ° � aea not ooasiddrad ro be ihnnarvious) � 9.�. �„ _._. ..--��L.(� I� x e TaT n � c � s � MwN � w ��MN�N�we��1�N��wNN�� r � , �... :3� ,�__., o�� X „ X = � .�, �OT +/ i iYY�MNM��N��N/Nr��NM�N��NlM��}��• I TQTAZ, IM�'�RVIOU5 S ,ACE i � �4 R I � 7 Pz�par� 'B , Date � Company � Phone # -�'�,'�Z —��5�-�� LA Q�pARTMENT OF � BUILDINf,� AIdD INSPECTl�N . '� �� ' � �� SITE ADDRESS /'�I� �� C� Y� � S t e�' NATURE OF WORK 1VE'Ut/ �NS% w c..<< F;�,��—�� —�, p, USE OF BUILDING PERMlT NO. - DATE ISSUED CONTRACT4R PHON /.r • � S3 NOTE: THtS tS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE FOOTING � � FOUNDATION (Prior to Backfiilj vr� ,� �6 �/ �. PLACE NO CONCRET UNTIL ABOVE HAS B�EN SIGNED Rou�H - irvs � SEWER / WATER / SEPTtC � 6 .FRAMING INSULATION �� ELECTRICAL PLUMBING , � !� �j� l U'1k7,�i HEATING (if required) FlREPLACE GAS LtNE AiR TEST � COVER NO WORK UNTIL ABfJVE HAS BEE�V �IGNED � �-r FiNA�s GFi�►DtNG Prior to Soddin ) 1U 3 Zg, Q$ BUILDING � r � ELECTRICAL PLUMBING , ��'- HEATING `� DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an e�ectrical service cabinet prior to rough-in inspeciions • and maintained until all inspections have been approved. On buildings and additions whe�e no service cabinet is available, card shali be placed near main entrance. � FOR ALL INSPECTIONS (952) 447-9850