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HomeMy WebLinkAboutBuilding Permit 11.922 C rrfifirafr of ®rru am CITY OF PRIOR LAKE Prparfturnf of !Iiiibittg c1nsprxti.o - Final Permitted ❑ Conditional C.O. Expires T his Certificate issued pursuant to the requirements of Section 110 of the ❑ Residential 1 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 0 t r,r 1 t l-1 1 Bldg. P ermit No. I I — C? `1 N J l Occupancy Type Type Construction Zoning District Legal Description L r- r 1 1. 1 pr �. 1 Owner of Building Site Address { L I 2 Z. fe- ■ I- ` v c 01' . I, .4 Contractor's Name & Address '1 c, 1 1 - 1 o.1 p J ,t :. k',,,\, rV \-kU � � ,vs 5; City Planner ' Building Official Date: j (: i _ Date: POST IN CONSPICUOUS PLACE fi J 0 I a, la 2 J 0' U.. gt W 6 6 0 111 0 Z I, w z gSgZ > 4 V 1i. 16 C7 re ? 6 e✓) 8" en 0❑❑❑❑❑ > 0 0 ..,, W = v o N W O YYZ 1 Z c 0 w J Z • _ 2 O O ti J I 0 Q W 6:14 �i s iz z - = s z< Illay. '' a N e 0 a m N z co o �� JW < 4 j JW , W W W X i a2 co a.2 W W W CC 4 000000 Fillo 0 0 0 W a o J I- 12 0 < a o W W 1- Z ` _ o gF z ,11 0 0 -_� z ceZ �' 0 0 Z W H < ∎ 0 O -a, Z O ~O a Z H 0 0 cg LL� y Z g_ w gr ce o a q O W Z W Z 0 -- 2 2 0 0 •U V V d 0 0 u. u. u. ? ti co 3 V V Z3 < 0 a DDDD 0 0 *0 0 S. 0 J F- w z _ y t ~ : z U U 4 0 Ly g5g > iu � , N l� � 0 'C Z Z 0 S CI - V LL {L �v W 6 1_ � 0000X❑ V > d) 0 C W = -Z' 0 u. N c) sr 0 O »< l m c 0 h IIC = YY z O F R„ o — a OO ' N 0 Q o Z 0 c CI- aC 1 0 :1 Z 0 w z 0 w h 0 0 O. go U. a 8 2 O W a j O W 0 0 z F.. C a a3N a a W w W 4 `' Y 0 M N . z ` O Z V 0 I 21 V O Q O K a W u. p 0 Z W I— � j El Z • ~ a < I- v do = z °r- z 5 � = W '; r co o w _ a O W IX W Z ~ O 12 NZt 2 �� q 0 0 0 ti C V y 0 0 $u o � ?��n 0 - $ < 0 d 000000 0 = c rxj CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANC a Eats Ric° ti .. � AUG 2 6 2011 AND UTILITY CONNECTION PERMIT l *NE S��� 4 By : - .t., ..k, .1-1 !- k. 'S '- x k w .,., 'le city PERMIT NO. hi 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS 11-1 323 P.kR k-S t 1 . C[> v 12-`r ZONING (office use) P'JI) LEGAL DESCRIPTION (office use only) LOTh BLOCK k• ADDITION J e t= l = . . _ f z . s � i 6 . l_ T Z a PID -z_41 8c _>5_o OWNER (Name) '1 A "T P. 1.-"1" - I - (U 1.---1 >=-S (Phone) 9 S 2 S 9 . (Address) 12.cA tN A S i-E ► r1 6 ta 4-1 A vie S S t t= 2c> t G D t t...l \ M N SS 43 9 BUILDER (Company Name) M T 1 "' 1 i" 4+0 t`" ES (Phone) (Contact Name) S ° E - S1\1 (Phone) (Address) l'24.... 1 1."-. A, S 4 li -i G rO .J vE S S t E. ? n t t -o t NI .N. t--1 tit SSA D5 TYPE OF WORK O New Construction 18Deck ['Porch ❑Re- Roofing [Me-Siding ❑Lower Level Finish ❑ Fireplace ❑Addition ['Alteration ['Utility Connection CODE: 1I.R.C. ❑I.B.C. ❑ Misc: t 2 ° i 0 0 Type of Construction: I II III IV V A B Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ Division: 1 2 3 4 5 (excluding land) 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 aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X( u-- BL 2. S kz) e 2c. `t∎ Signature Contractor's License No. Date Permit Valuation ( Zs` fbc)o - Park Support Fee # $ Permit Fee $ (2 0 3 543 SAC # $ ZZ 30. - Plan Check Fee $ , S L .� Water Meter Size' ; 1 "; $ ©, State Surcharge $ G Z. 50 Pressure Reducer $ 10- - Penalty $ Sewer /Water Connection Fee # $ (5-0t5/ Plumbing Permit Fee $ (� ¢ �d Water Tower Fee # $ (0°0- Mechanical Permit Fee $ ( 5 Builder's Deposit $ Sewer &Water Permit Fee $ b, co Other Fl i `2 l'R-- iS (on $ I 574-•.c0 Gas Fireplace Permit Fee $ JC-. 4. So TOTAL DUE $ ..�"5Z , 70 x This : . . lic tit t . e . Your Building Permit en proved Paid 1, STD- • tr Recei o. 4 ¢//3 / r , i Date 4 /s 4, // By , '4 � Building •ffici. ' ate This is to c that the - •, uest ' . • e above application and accompanying docum is ' in accordance with the City Zoning Ordinance and may proceed as requested. This document when sign , th• Ci P . -4 , nstitutes a temporary Certificate of Zoning coin ∎i'. • and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. / 1 d i • , ,. ( • Planning Director 11 . to Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 407 t. ,0 g "he' Contractor's Material & Test Certificate for Aboveground Piping PROCEDURE Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be corrected and system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and contractor. It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving authority's requirements or local ordinances. PROPERTY NAME: JEFFERS POND DATE ) 9 f2. PROPERTY ADDRESS: 14323 PARKSIDE COURT ACCEPTED BY APPROVING AUTHORITIES: CITY OF WOODBURY ADDRESS: PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS ®YES ONO EQUIPMENT USED IS APPROVED ® ES ONO IF NO, EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS OYES ONO TO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF NO, EXPLAIN INSTRUCTIONS HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: OYES ONO 1. SYSTEM COMPONENTS INSTRUCTIONS OYES ONO 2. CARE AND MAINTENANCE INSTRUCTIONS YES ONO 3. NFPA 25 'EYES ONO LOCATION ENTIRE BULDING YEAR OF TEMPERATURE MAKE MODEL MANUFACTURE SIZE QTY. RATING RELIABLE RES 49 2011 1/2 10 155 SPRINKLERS RELIABLE RES 44HSW 2011 1/2 13 155 RELIABLE F3QR 2011 1/2 1 155 PIPE AND Type of Pipe BLAZEMASTER FITTINGS Type of Fitting CPVC MAXIMUM TIME TO OPERATE ALARM DEVICE THROUGH TEST CONNECTION ALARM VALVE OR FLOW INDICATOR TYPE MAKE MODEL MIN SEC FLOW INDICATOR POTTER VSR - F Q Lj DRY VALVE Q.O.D. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. • DRY PIPE TIME TO TRIP TIME WATER ALARM OPERATING TEST THROUGH TEST WATER AIR TRIP POINT REACHED OPERATED CONNNECTION' PRESSURE PRESSURE AIR PRESSURE TEST OUTLET* PROPERLY MIN SEC PSI PSI PSI MIN SEC YES NO W/O Q.O.D. WITH Q.O.D. IF NO, EXPLAIN LOCATION MAKE & SETTING STATIC PRESSURE RESIDUAL PRESSURE FLOW RATE & FLOOR MODEL (FLOWING) PRESSURE REDUCING INLET (PSI) OUTLET (PSI) INLET (PSI) OUTLET (PSI) FLOW (GPM) VALVE TEST N/A Y OPERATION: ❑PNEUMATIC ❑ELECTRIC ❑HYDRAULIC PIPING SUPERVISED OYES ONO DETACHING MEDIA SUPERVISED OYES ONO DOES VALVE OPERATE FROM THE MANUAL TRIP AND /OR REMOTE OYES ONO CONTROL STATIONS DELUGE & IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT IF NO, EXPLAIN PREACTION FOR TESTING VALVES OYES ONO N/A - DOES EACH CIRCUIT OPERATE DOES EACH CIRCUIT MAXIMUM TIME TO MAKF MOIIFL SI IPFRVI.SION I OSS Al ARM OPFRATF VAI VF RFI FASF OPFRATF Fl FASE YES NO YES NO MIN SEC HYDROSTATIC: Hydrostatic test shall be made at not less than 200 psi (13.6 bars) for two hours of 50 psi (3.4 bars) above static pressure in excess of 150 psi (10.2 bars) for two hours. Differential dry-pipe valve clappers shall be left open during test to prevent damage. All Aboveground piping leakage shall be stopped. TEST DESCRIPTION PNEUMATIC: Establish 40 psi (2.7 bars) air pressure and measure drop, which shall not exceed 1 -1/2 psi (0.1 bars) in 24 hours. Test pressure tanks at normal water level and air pressure and measure air pressure drop, which shall not exceed 1 -1/2 psi (0.1 bars) in 24 hours. ALL PIPING HYDROSTATICALLY TESTED AT 200 PSI FOR 2 HRS IF NO, STATE REASON DRY PIPING PNEUMATICALLY TESTED OYES ONO EQUIPMENT OPERATES PROPERLY OYES ONO N/A DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM SILICATE OR DERIVATIVES OF SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS? *I YES NO DRAIN READING OF GAGE LOCATED NEAR WATER RESIDUAL PRESSURE WITH ,,V��44 Il,,VE IN TEST CONNECTION TESTS TEST SUPPLY TEST CONNECTION VS PSI CONNECTION OPEN WIDE - "Pt PSI UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING. VERIFIED BY COPY OF THE U FORM NO. 85B OYES ❑ NO OTHER EXPLAIN FLUSHED BY INSTALLER OF UNDERGROUND SPRINKLER PIPING OYES ONO IF POWDER DRIVEN FASTENERS ARE USED IN YES ONO IF NO, EXPLAIN CONCRETE, HAS REPRESENTATIVE SAMPLE TESTING BEEN SATISFACTORILY COMPLETED? BLANK TESTING NUMBER USED LOCATIONS NUMBER REMOVED GASKETS 0 WELDED PIPING OYES ONO IF YFS DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS 010.9, LEVEL AR -3? OYES ONO WELDING DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS 010.9, LEVEL AR -3 YES ONO DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISC ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? OYES ONO CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL CUTOUTS (DISCS) ARE RETRIEVED? OYES ONO HYDRAULIC NAMEPLATE PROVIDED IF NO, EXPLAIN DATA ®YES ONO NAMEPLATE REMARKS DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: / — 9. NAME OF SPRINKLER CONTRACTOR: METRO FIRE PROTECTION TEST WITNESSED BY FOR PROPERTY OWNER (SIGNED) TITLE DATE SIGNATURES `OR SPRINT CO TRACT0I (SIGNED) TITLE DATE c_j0 U r rt tivLr art / -9 -( - ADDITIO L EXPLANATION D NOTES , f ry di Ita 4: li, O� rRro Date Rec'd N 0 CITY OF PRIOR LAKE g ri 4 SEWER AND WATER PERMIT /(e " t 4 iINNEso° 2. 1. GYellow reen File City PERMIT NO. l / q Z' 3. Gold Applicant (Please type or print and sign at bottom) f�7 ADDRESS ZONINTG ofe uus� i 1 3 1 3 - 5 - - 1 pdtAivwu co —q 23 LEGAL DESCRIPTION (office use only) — q ?' 1 LOT BLOCK ADDITION PM OWNER , (Name) (Phone) (Address) (Address) (City) (Zip Code) APPLICANT (Name) h - . ✓h - Eck. (Phone) fie s t- L/ a— 13 5 5 (Address) €94 VG —_ 4 4-'— (Address) (City) (Zip Code) (Contact Person) MI iCe 4 ` (Phone) APPLICANT SIGNATURE T , DATE q /6— l r APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. ❑ ABC C PVC ❑ Cast Iron Estimated length of sewer line feet. Clean out (if required) located at feet from structure. FEE SCHEDULE Residential sewer and water line connection $51.50 Industrial, Com'l & Multi - family 1% of job cost with a $51.50 minimum Sewer connection only $25.50 Water connection only $25.50 Estimated Cost $ Building Permit # The Minnesota Statutes § 326B.148 :R AND WATER PERMIT FEE $ pp(D Ey "SURCHARGE" has been extended E SURCHARGE $ % .50 until June 30, 2013, LL PERMIT FEE $ f i) The minimum surcharge for a �4/ "fixed fee" permit is $5.00 This Application Becomes Your Building Permit When Approved Paid Receipt Date / / By f / __.. Building Official Date / . ` 1 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street 5.E., Prior Lake, Minnesota 55372 1 1 ii ?Ri CITY OF PRIOR LAKE D t at ec'd ° � . ' ; ; , � HEATING /AIR CONDITIONING/FIREPLACE PERMIT OCT 0 6 2011 jj 4 >ji'NESU -tr t. A.* rite 2. Green City PERMIT T N NO. 3. Yaw Apptkar (Please tyc or print and sign at bottom) ADDRESS ZONING (utscvu e) i s ) .�-c \ M eii- sj LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION pID OWNER (Name) — (Phone) (Address) V\vk, i ! i Df � APPLICANT n (Name) ............_ ( L n-2"," ✓ ( � .t , (Phone) (Address) - �1t (1i1 �> k.--) _..__ k,! > y���v ) v 1 "(1- 553:s - -- f \ (Address) (City) (Zto Code) (Contact Person) Q ��lL9 t �i ice`1.. C,t.: d'' (Phone) . sa 3 I g30 APPLICANT SIGNATURE - �� `+ 1 ' ' DATE • r 4 APPLICANT PLEASE COMPLETE BELOW ►ANEW CONS CTION ❑ REPLACEMENT EI ALTERATIONS FURNACE MAKE AN MODEL Cur Ctzr 6-0,'1L-(`�) _ FUEL )J(4 - ()("Y FLUE SIZE __.. _ ... ..............._......__..._. RETURN OPENINGS INPUT C � C. n.1.\\ OUTPUT (f,,)01 TYPE OF SYSTEM HEATING OR POWER PLANT �VJarm Air Plants PLEASE NOTE: Air Conditioner ❑ Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑ Hot Water ! Mechanical ❑Radiation into Required Side Yard Setbacks. s it Conditioning ❑ Special Devices ....... Fireplaces with Box Additions or •I vent. System 0 Other Devices - "- `�""" -" Cantilevers to the Outside of Buildings ___.__ Require a Building Permit. FIREPLACE MAKE AND MODEL - FEE SCHEDULE Industrial, Commercial & Multi - Family 1% of job cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations 549.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 Estimated Cost $ -- Building Permit # The Minnesota Statutes § 326(1.148 HEATING PERMIT FEE $ (' (((: "SURCIIARCfft" ha been chanted Ibr one , 4 year effective STATE SURCHARGE $ 5 ,0„,),_50- .1tay t, 20111, until ,lane 30, 2011. TOTAL PERMIT FEE S 1 a=,tj l �F, Mt minimum surcharge for a "fixed fee" permit Use Only) is �, t+e> Inalnr July 1.201A This Application Becomes Your Building Permit When Approved Paid Receipt No. Date T - By 13nOdlne Official Date we u T!7 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 B UILDJNG PE 4646 Dakota Street &E., Prior Lakc, Minnesota 55372 PERA4IT "* 1 * 4 " k Ai . _. 11TOTI c ,..•!.,)!t,/.0 4 , 4 j CITY OF PRIOR LAKE PLUMBING PERMIT E [1?I Vittr ibe6A011 LI By "e y [ PERMIT NO . if 2 OW CO 3, Yellow App. ni I .1-22. (Ilene type or print andttign bottom) — [ADDRESS FIONING (office um) 1_ __ q 2 ,')3t. s. ' PaSY5L-ACtL Lt:/ \A NtAi _ , ..) 1 t___ -- LEGAL DESCRIPTION (office use only) LOT BLOCK ADDMON PID ......J OWNER CI (Name) \2:a,--- (Phone) _ (Addrcss) N\a . i ck0Akt 2 - 5 S -- f" I APPLICANTe 7 (Phone) (Address) _ a 8... .t 96.ii\i ----.) 1 ,541 nVIA,ksz 0 n (Ad ss) _ (Contact Person) , ii., , ... 1 * ( Yite,/ F iNA re301:4 . ( (Phone) ------ '4 'L■ 9---41V (City) (Zip Code) C/S79:9 APPLICANT SIGNATUR... VP: SC '__---- - DATE ID hs.. 1 f 1 ....._ _ _ _._ APPLICANT PLEASE COMPLETE BELOW Quanti Type of Fixture 1 uand T i e of Fixture as Bath Tub with or without shower alliallill Rou:h-ins . _ 1 Dishwasher 1111111111111111 Water Heater t Floor Drain Water Softener 3 Lavato Bathroom Sink Stand Pi ie ashinl Machine Laund Tra 1 or 2 com•artment sink Sewa,:e E'ector a --- Shower Stall Backflow Assembl I Sinks Backflow Assembly Test Bar Sink Lawn S rinkler Water Closet Toilet Other FEE SCHEDULE Industrial, Commercial & Multi-family I% of job cost with a $49.50 minimum Residential, New One & Two-Family $149.50 Residential, Additions & Alterations 549.50 ' )st $ .....--- - 60254— - Building Permit ft The Minnesota Statutes § 326111 LIR St JRCI1A ft GE" has been changed for one year effective PLUMBING PERMIT FEE $ Jci tif,s\--) .,,,, 2010. on (SI June 30, 2011, STATE SURCHARGE $ c minimum surcharge for a "fixed fee" permit TOTAL PERMIT FEE s / 9 RE, beginning July 1, 2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. sa, Da y te By • WI H Building °Meta! Date 13 U i 7 710 r's a . Lt/R 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 t *,.*,:40 4 • e CITY OF PRIOR LAKE BUILDING PERMIT, NUtOlVc II TEMPORARY CERTIFICATE OE ZONING COMPLIANCE 1 1 AND UTILITY CONNECTION PERMIT ..,...., . PERMIT NO. : i C.4 I Am..., A.DDRESS ' 1 ZONING ("a UK 1 } 5?) '1 ) ? 1 ' '. 1\ fi AS PeN '1 i - 4— . A t....V.-Si Dr-- .. _,..1u-k2ar Nit.ill 1.. .. . . 1 LEGAL DESCRIPTION (office usc 00) , . LOT BLOCK ADDITION PID --. , OWNER , 4 c l sa.-518-(4,1.3e tiArRikA'll i-lot-te. _---. (Phone) ' (Address) - UP( L)( 114 '91 Avia. . . BUILDER CA:NITIZACrtAZ: , . (Company Name) NET Ro F L 9..cr-tr..ru...x.i (Phone) (v5 (Contact Name) -.IA . r1- 1 (2-414re..1_ (Phone) (Address) b 145 Likk4 Dr4ve. Li kz LAKES i Pits; 5t5o14 TYPE OF WORK New Conezruct■on °Deck °Porch °Re-Roofing °Rt.-Siding °Lower '...evel Fsrush 0 Fireplace Addition °Alteration 01..:riln Conne:tron CODE: iCII.R.C. D1.B.C. 0 misc _ Type of onstruction: I n m IN' & A 5t ICD Ckrupaocy Group: A B E F H I M CP S V PROJECT COST/VALUE $ 3 Z , Dfrision: 1 2 a) 4 S (excluding land) 1 booby crreify drat Ilona himisbed asoarmation on tbrat applicarson .004n n to Ms best or my anosakhige true and :on : as, cer..S Inat t am the owner or autbonted aver for tbe , abOre-thentaoned inve..., rod dam 4 031103V01011 We conform ra Ai CrJOUlf awe and :ocat Sawa and wd: p..1 47, acc,rdanze wi it yubrnme,1 pans I am aware that the mama offanal ma re. laus prone kr .rust alma Furthermore, 1 her aat The ert ! offiaal or a desspee may enter upon tr.: c rr.prr-,70perforrn Deedcd te ,speowns X ... fAiShila■M■41 C... 014 /c) -3/ -/i — Signeure Contractor's License No Date Permit 'aluation giock".00 1; Mari: Support Fee i # s , Penult Fee S SAC $ 1031o6 la Plan Check Fee 1 $ 1 i water Meter size 51s 1' $ . : Stare Surcharge 1 $ t Pressure Reducer __ S __.— , 2._ 4 ,, -- , ;---, 4—,,, --1 Penalty $ , ; Sewer/Vv'ater Lonnection Fec g 1 Plumbing Perrtut Fee 5 ; Water Tower Fee 1 5 , --------- ; Mechanical Permit Fee • $ 1 Builder's Deposit 5 , t Sewer ai Water Permit ec $ t ■ Other S Gas Ftrepla Fee 5 ce Permit F i TOTAL DUE .,. $ - Your Bond Perit Wbes Approved 144 1\k(C 1 . ing m : „.„,........ , FT'ald ecetpt Da;e : R 4' AN.5 4 ,.., t . . A. Whia a , .: 7 Metal te Tlin o to cemiS dui dar vegan* as the above "foam and acconapaorni documents ti to accordance ends the Cr) Zoom* Otdmance and may proceed as requenerl Thal document I worn issaed b the .ry Planner meadow • temporary cernSuite of Zoning compliance and &1O1 constrocuon to cornmer.ce Before occupancy. • Censfacate of Occupancy mean mord ! 1 ,. ---.....- , ...- ... ,, .', 'Director ihrte Sp.-earl Condrnorn, if any / 24 hoar notice ror all Inspections (52)44/-9850. his M2) 4646 Dakota Street S.F.., Prior Lake. Minnesota $SYT2 O t PRIO E AN1 CITY OF PRIOR LAKE Date Rec'd U HEATING /AIR CONDITIONING/FIREPLACE PERMIT 4.„ Q' ArN Eso 2 ' . Pink n rile PERMIT No. ii Z 2 . Gree City 3. Yellow Applicant ' (Please type or print and sign at bottom) ADDRESS ZONING (office use) 14323 PARKSIDE COURT NW LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) MATTAMY HOMES (Phone) 952- 898 -2100 (Address) APPLICANT (Name) FIRESIDE HEARTH & HOME (Phone) 651- 638 -3318 (Address) 2700 NORTH FAIRVIEW AVE. ROSEVILLE 55113 (Address) (City) (Zip Code) (Contact Person) (Phone) APPLICANT SIGNATURE _WENDY SCHROEDER DATE 651.638.3318_ APPLICANT PLEASE COMPLETE BELOW ['NEW CONSTRUCTION FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ❑Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑ Hot Water into Required Side Yard Setbacks. ❑ Mechanical ❑ Radiation ['Air Conditioning ❑ Special Devices Fireplaces with Box Additions or ['Vent. System 0 Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL HEAT & GLO SL550TR -IPI -E FEE SCHEDULE Industrial, Commercial & Multi- Family 1% of job cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 Estimated Cost $ Building Permit # PAID WITH HEATING PERMIT FEE $ BUILDING PERMIT STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 r. 4 it edo = 11 P R I O R LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPE RE CO1IKTt SITE ADDRESS t43 PA RK 0106 qu al NATURE OF WORK S, L6- FAintL`t kr--At-ka> I NI c. D ctc No Foaca. 2 rw, USE OF BUILDING 5 F,o, c.. c. PERMIT NO. i ( . DATE ISSUED 1 Ito ft[ CONTRACTOR 4 rr �r� (1 PHONE z -84$ -(I 28 NOTE: THIS IS NOT A PERINIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT„IS BY SEPARATE DO Fi .r; A l.`s es (NZ"4L'.L .c-f6 E- b 2 koti! (�C, i. it IVI A uk ` (N 6 INSPECTOR DATE I FOOTING I 1 I FOUNDATION (Prior to Backfill) 1 1 I PLACE NO CONCRETE UNTI BEEN SIGNED cis L)9 ROUGH - ` I S SEWER / WATER / SEPTIC FRAMING Oc et /� INSULATION ifS l ELECTRICAL PLUMBING ` HEATING (if required) FIREPLACE 4 P/ / J,'i GAS LINE AIR TEST A�.,t, Oar 04-z CO V E R I NTO WO RK UNTIL ABOVE HAS BEEN SIGNED 4 JcZ - q-AJPAP 1 I alL i #7,. FINALS 1 / . GRADING (Prior to Sodding) BUILDING k , sl lZ_, ELECTRICAL PLUMBING PP, ,q,-, HEATING 9/7 / /26(tZ DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE 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 BUILDING PERMIT # P.I.D.# 1--S - 1 b S 9 :3 CITY OF PRIOR LAKE SINGLE FAMILY WORKSHEET NAME OF GENERAL CONTRACTOR: A.'TF Ia 1-1 I-1-o tr'"1 S ADDRESS OF PROPOSED PROJECT: 1 U' SQUARE FOOT FLOOR AREA FIRST FLOOR (INCLUDE 4- SEASON PORCH AREA) L 8 9 SECOND FLOOR S Z BASEMENT FINISHED BASEMENT UNFINISHED b S 9 GARAGE 23 DECK 3- SEASON PORCH SCREEN PORCH NUMBER OF FULL BATHROOMS 2- NUMBER OF HALF BATHROOMS SEWER AND WATER CONTRACTOR: O S t oS l - L -L bo- VgA 5 NAME PHONE # NUMBER OF GAS FIREPLACES: INSTALLER: t t I2-CS t E1,4- 11-1 to t - tp3$ - 333 NAME PHONE # NUMBER OF WOOD BURNING FIREPLACES: INSTALLER: NAME PHONE # MECHANICAL CONTRACTOR: C> 1=6-t 2 - 9-11,14 c) 1000 NAME PHONE# FURNACE: CHECK ONE: ® YES ❑ NO AIR CONDITIONER: CHECK ONE: ® YES ❑ NO AIR TO AIR EXCHANGER: CHECK ONE: ❑ YES sj NO PLUMBING CONTRACTOR: L -tNt 2 - S - 1671 - LOCO NAME PHONE # WATER METER SIZE: CHECK ONE: ❑ 5/8" (STANDARD) ❑ I" ❑ I 1 fz " ❑ 2" p THE CONTRACTOR HAS VISUALLY INSPECTED THE SIDEWALK AND CURB AND THERE ARE NO CRACKS. ❑ THE CONTRACTOR HAS VISUALLY INSPECTED THE SIDEWALK AND CURB AND THERE ARE CRACKS IN THE ❑ SIDEWALK ❑ CURB ATTENTION APPLICANT: YOUR BUILDING PERMIT APPLICATION WILL NOT BE ACCEPTED UNTIL ALL REQUIRED INFORMATION IS COMPLETE. C:\Documents and Settings\sbare\Local Settings \Temporary Internet Files \Content.Outlook\BD8OXI9A \Single Family Worksheet.doc Permit # Permit Date gal REScheck Software Version 3.7.3 Compliance Certificate Project Title: Redwood Report Date: 08/12/11 Data filename: C: \REScheck \Rescheck Program \DATA \JEFTH Redwood.rck Energy Code: 2000 Minnesota Energy Code Location: Scott County, Minnesota Construction Type: Multifamily Glazing Area Percentage: 12% Construction Site: Owner /Agent: Designer /Contractor: 14325 Parkside Court Prior Lake, MN 55372 Compliance: Passes iulaxir€ vrr UA: 450 '; Your; Home UA: 288 -> 36.0% Better Than Code (UA) Gross Cavity Cont. Glazing UA Assembly Area or R-Vatue R -Value or Door Perimeter U- Factor Ceiling 1: Raised or Energy Truss: 1260 44.0 2.0 26 Wall 1: Wood Frame, 16" o.c.: 2032 19.0 2.0 114 Wall 2: Structural Insulated Panels: 317 14.0 0 Window 1: Above - Grade:Vinyl Frame:Double Pane with Low -E: 272 0.330 90 Door 1: Solid: 42 0.340 14 Basement Wall 1: Solid Concrete or Masonry: 126 5.0 2.0 11 Floor 1: All -Wood Joist/Truss:Over Unconditioned Space: 470 30.0 2.0 14 Floor 2: All -Wood Joist/Truss:Over Outside Air: 60 30.0 2.0 2 Floor 3: Structural Insulated Panels:Over Outside Air: 40 14.0 2 Crawl 1: Solid Concrete or Masonry: 169 5.0 2.0 15 Furnace 1: Forced Hot Air: 90 AFUE Air Conditioner 1: Electric Central Air: 13 SEER Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in REScheck Version 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. ' t'1 l l .A M ��TC7 t F cg c t Builder /Designer Company Name Date Redwood Page 1 of 1 Date: 8/12/2011 Revision Date: 8/12/2011 New Construction Site Information Address 1: 14323 Parkside Court Project #: Address 2: Lot: 59 Block: 1 City: Prior Lake County: Scott Subdivision: Jeffers Waterfront Application Information Business Name: Mattamy Homes MN Contractor License #:BC20375386 Contact Person: Sue Bare Office Ph: 952 - 898 -6128 Fax: 952 - 898 -2187 Cell Ph: Address 1: 7201 Washington Ave S City: Edina State: MN Zip Code: 55439 House Details Square Feet: 1572 sq. ft. Avg. Ceiling Ht: 9 ft. Number of Bedrooms: 3 Ventilation : Balanced Total Ventilation Capacity : 62 cfm. Minimum Continuous Ventilation :60cfm. Intermittent Ventilation: 2 cfm. Combustion Appliance Water Heater: NA Furnace /Boiler: Direct Vent/Sealed Combustion Input BTUs: 99,000 Independently Vented Other Combustion Appliances Gas Fired Direct Vent Fireplace(s): Yes Gas Fired Power Vent Fireplace(s): No Gas Fired Natural Draft Fireplace(s): No Solid Fuel Appliance(s): No Exhaust Equipment Continuous Exhaust Ventilation Capacity (cfm): NA Clothes Dryer (cfm): 135 Exhaust Fan Rating (cfm): 80 Make -Up Air No Make -Up Air Required by Code Combustion Air Minimum Combustion Air Requirements Have Been Met. Applicant Name (print) Signature /Dte,,`'` ` '6l26 t Code Official (print): Signature /Date: © 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 1