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HomeMy WebLinkAboutBuilding Permit 97-223. � � � 4 : 9 - 7) Vk a � � ƒ � � �: � N JA x Job Address /6510 Q 04k A Heating Contractor - Name of Tester Date !7 Percent O 9.5 Percent CO (o, '- Percent CO A60— Stack Temp. — 11 o r LA . Job Address /5510 kul Oktk Heating Contractor s Name of Tester Date / Percent O 7 Percent CO2 b Percent CO Stack Temp. O O lowrn �wvncut l�l5 /0 /?aA � R� 15510 QtGI O&lk �( Job Address Job Address - Heating Contractor KIS , Heating Contractor a Ati. Name of Tester Name of Tester . // 7 Date i Date Percent (7� Percent O 8.0 Percent CO Percent COp 7. 2 Percent CO Percent CO . �7 LT� Stack Temp. 113 Stack Terra. �3 — S� I - DATE TIME CITY OF PMM LAID: CALLED"" No COMPLETED A t55 U iKel. O&k owl CONTR. TRA PIIONENO. _. r �y ❑ FOOTING OPLUMBING a t LL o MINING NO y C INSULATION F HOOKUP q ❑ WALL b. SETTAN ON y OFNAL HOOKUP ND 'K O FOUATION INSTALL. O ONLOL. ❑ SEPTIC MANE. ❑ FIE REV. ❑ PLUMBING FNAL commu ONTE INSPECTION ❑ EAV,9RAONURLLKNO IU.' 0 ❑COMP COMPLAINT LOWKESHORIVIVIETLANDS ❑FOLLOWAIP ❑ SEPTIC FINAL ❑ FNBIACE ❑ J S• La ❑WORK 8ATMFACTOIIV:PROCEED WRRECTT WOTSf ATO PROCE� ❑PID1DTAgN WORK CAI.I FOR IE BI.POIE COVEIWIO _NdDB. ❑ CORRECT UNSAFE<OONOITI IN ❑ STOP ORO PaB. CALL NSPFCTOR WILL REIU:IN. • INSPECTION PINSPECTION N OIII RE CALL IOAMAIDE ACCESS. TOMAN cKdlbrUKSNISKT:' ED n2A- launintlNNw.v. OwnOFMonlr. InspW O< _ 447-4230 �CSP�/ AbHi�m DATE TIME CITY OF PRIOR LAKE CALLEWH INSPECTION NOTICE SCHEDULED p-t - 4'7 1 a • r� PENrIT NO. , 97- 223 COMPLETED I55IO ?ad C�,k Vic( TELEPNONENO. W O PORTING O FRAMING y O INSULATION OPLUNBING RI O MECHANICAL - eWATER HOOKUP OSRE INSPECTION O ELCAWOPADNLLFIWNG O LAKESHOREANETLANRS o WALL W. 2 O FINAL O METER SETITURN ON �'BEYA<R HOOKUP O COMPLAINT O FOLLOWL► -K O FOUNDATION ❑ SEPTIC INSTALL. O SEPTIC FINAL I O DEMOL. X O FIRE PREY. COMMENTS: O SEPTIC MAW O PLUMBING FINAL O FIREPLACE p rd IV T C l� - / W O PHOTOTAKEN 7 M4rN >'A DATE TIE arr OF FNan LAKE C A L LENN EmPEom � "MAW 11 -12-97 ��:30 FEnENr N0. "" ` � 3 COWLETED ADDe 15SID Ad OAA4 2d A O z. o owNEN ApPECT ON cowm. TELEPHOMNO. OMIISfIC011D.011 IN O MOVING ONAAMMON RI ��ICCC O FR IANO O MECHAM LLA1 aj O NSIAATION O WATER HOOKUP Q OWALL SD. 0RIVER AEFRUN ON Z 0FNAL 0SEWER HOOKUP O FOUNDATION O SEPTIC NSrALL DEM 0 SEPTIC t� 0 "M" SEPTIC W FO PIEV. ` i0®_ UINNO F . A OSM INSPECTEIN O EXC VARADMIMM NG O MKESIOFWJWEAMQ4 000KVL4W OOASUNEAUITEST O SEPTC FOUL O MECHANICAL O MECHANICAL FNUL ye AA vu. -fL, Vllw..n O PIIOTOTNEN 7 OdtlECf 011 N _IIOUIS. AMMECWR WUL RETUN. A O z. o IEEAOCEW ApPECT ON plI 10rtl1AIIMR I / h01A ntlw1CA. OMIISfIC011D.011 IN Impoetor 417.4290 EED C CORRECT CORRECT UNSA FE CALL CONDITION WITHIN - N BEFORE FS. INS CO ;] UNSAFE 171NN _IIOURS. INSPECTOR WILL RETURN call for I cm, ' Ii DATE TIME MY OF PRIOR LAKE CALLEavw IN$PECTON''� N SCHEDULED l L 3:db PERART NO. 7 - 22 COMPLETED AOORM I r 75 10 &1 Oak 9d . OWNER TELEPNONENO. r i ❑ FOOTING _ DEPL RI O FRAMING HANICAL 7 TE INSPECT1t 0 E%CAV SLUNG ❑ INSULATION ❑ WATER RIOOKUP /GRADIN. O LAKESHORENYETIANDS O O WALL SD. ❑ METER $ET/TUR 0 COMPLAINT z C FINAL ❑ SEWER HOOKUP ❑ FOLLOWLP t ❑ FOUNDATION ❑ SE TALL. ❑ SEPTIC FINAL j E O DEMOL. C MAINT. ❑ FIREPLACE O FIRE PREY. O t a D m d 25� 15 SL.aS Iv,`1) 2 y A^ GFAQ Q� N..•2 �L,.L>t \ �4 .0 W Q W O Y P 7 E ❑ PHOTO TAKEN CARIE WORK AND RECT WORK AND PROCCC ID EED C CORRECT CORRECT UNSA FE CALL CONDITION WITHIN - N BEFORE FS. INS CO ;] UNSAFE 171NN _IIOURS. INSPECTOR WILL RETURN call for I cm, ' Ii gerttffratt of Orn*=M CITY OF PRIOR LAKE Mtpartmmt of 39nabing 3noptctim Final Permitted ❑ Conditional C.O. Expires 7has Cenific hard Pnrwmo m du re9WMMms of Swum 307 of the Umform BNddang Cade nrdfymg dmt m the rime of LematlCe dds snuMm u an CmnPlaonCe with the mbar ordammces of the Cary of Prior late mir"bang building contnactimt or w For the fowl � n8: Us aavmrim Sinale Family pemtit No 9 0 - , Pm7TTpn R3 Tyye COmuadim V F tom N/A Zaanef)n _. R L.Sw Dmwipd 1/2 of Lll S L12. Red Oaks Addition omv m&iin` Brett Thielen Siu Adams 15510 Red 0 ke Road Don Rye Ponnrer _... am: 1 1-7-q—/ mw: POST IN A CONSPICUOUS PLACE DATE TWA CITY OF PIEOR LAKE CALLED01 ENwECnoN� SCHEDULED ERm PT NO. COMPLETED Aoo9EEE I 5� 0 9. �, (') s L, . ow►m COMM. TELEPHom No. O FOOTING OPLUNOM TV OSRE INSPECTION O NMLENO ❑ MECNANWU411 O Ell01WARADINGIFlLLE16 O O WATER HOOKUP O LOXESHORENVETLANDS go. p ❑ CID. O METER U ON O COMPLAINT Z O S E W E R IC SMALL OAS LINE L TEST S O DEMO FOUN DATION O SEPTIC INSTALL O SEPTIC A FIRE i • FIRE P O SEPTIC FIN O F ❑ PREY. 13 PLUNGING 1BING q PWI1L 11 YECHAECHA MECHANICAL FINAL M_ _ tlA W 11yy f oiOv SATNFACTDWPROCEED OPNDIO TAKEN! 9 O CORRECT V ONTNO PNOC® O OOR T UNIP C COM THIM _ BMW COM • COR IIILBNE O CALLNM TEA _JIOIMIR I/BP WILL lEi1RN. • INSP ECTION FIGURED. J • INSPECTION CALLTOANW/IEADCEB& CaN1ErUU i1YpECIWn,IEfi�TE� Mlw ina. owfl.r a�E ) - TnIPID u712ae YIIr�(1A�/AY r��1A• * rIMA Y CITY OF PRIOR LAKE BUILDING PERMIT, 2 1 1991 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE D UTILITY CONNECTION PERMIT 1. IMate File 2. Piok City J. Yellow ApMeam PemIt No. - a � 3 DIRECTIONS 1, DATE SPACES NUM 1 BEFORE PERMIT IS ISSUED (Please Poor or Tylre am agnateonorw j IL/o BUILDING INFORMATION 2. SffE ADDRESS 11. S¢E OF STRUCTURE S S OA 1 S n I Z and O�ml 3. LEGAL DESCRIPPON 12. NO OF STORIES y , Z � 8 LOT BL ^ -�F7 k� t3. TYP?OF CONSTRUCTION ADDITION. _ y a. ER (PlMrle) IAaaess) ITO Nw) 14. FLOOR AREA APPORTIONMENT USE 5. ARCHITECT (Name) (AadWS) fial. NaJ ST O SOO 6. WILDER (Nama) (Tae. No.) 15. NUMBER OF OCCUPANTS OR SEATS Sao- P OCCUPANTS 3 SA•w�sts' 66/0 u/ 89'037(0 SEATS T. TYPE OF WORK Fireplace O DeckO He- raafilg0 PoMM0 New CorYlWCdwg< AXeretbrls0 Addnlon0 RrgsI AM.0 Re- rding0 Fnlen Basemen(❑ 16. P/IOJECT COSTIVALUE CIInereyO Mi.. ZSO Q2". S.PROPERTYABEAORACRES 19, PROPERTY DIMENSIONS 10. CULVERT SIM t>. COMPLETION DATE Sir 0 �S Wmn 5' Depth /,/,5, Yee No .SE',PI - , / ST I IlaneYY nAIY flew NIIYYIIed Ydomason on tlb apgWaibn wNM is to me Bestof my knowledge two arw Mro 1. lalsoc tyMallam Neownerwaullwwwagemfor tlw eEmv� mmmm a' E pmpbry xA tlat ap nrWrucnon wY nnlo ell evsling slab and (oral laws aM vMll procee0 in edvNarwe wXn wominetl vlarw. am aware that me rewketlMY 1 Inuse Fu OarepY a9rea lltel me cny aXiciel or designee maY enter upm Me DropeM to Peep /x Elaal�olfYY1 SbM.wn / ee�inspecpotw. Lmnsa rvo. De FOR ADMINISTRATIVE USE SETBACKS: Fattened MATERIAL FlLED WITH APPLICATION AIWI SOIL TESTS 0 ENERGYOATA PIUNGLOSS O PEPCOUTIONTESTS O F. Back Sqe SiW WILDING DEPARTMENT VALUATION i OFF STREET PARKING SPACES REO. PUIIS & SPECY� SETS OF a SPACES ON PUN SURVEY .0 COPIES T E— PERMIT VALUATION as °• CL�O PLOT PUN O iYPEOF WNSIRIICIgN: I II III W to OmyNly DYry A B E F I M® S U CXy moM Amt SmugM Fore a d .................. $ / �H a D 1 2 Park Suppo t Fee ........................... E O y> PBingt Fee ...................... .. ......... - $ L. G 37. a .S SAC ........... .......................,......E � PYn Cneck Fea .............................E 1.06 a/ -- ----------- -- e ....................... IA$ 00 Sewer Tap .. ................... ..__........5_ Stale SUafame ........._......... E penMa/ ....................................... Pressure Reducer .9..................... yy $ Phan gPemNFee.Pl /�O•nO Meter lbm..... ... E .T Pews Fee I /Q(� Qa n — We. Mahn.] . .........................$ 7 '"r S P Server & Wafer Conre:don Fee ...........E D Server& WeYr PemK V IF(�.7..� Gvs Flreplxe PemWryIL. {. /..:_°.�WE LIAr OC Water Tawer Fee ........................... E 0 _ Water Tav ..................... ........... ...E 1p1�A eemlrMasy� rBUgdkg PemevAmABpowp.. Data S -Z9 _4 _ BuNbrs Deposit .. .......................... s�JO D mer .......... ............................... s cannlnre w�— TwW Due .............................. $ Implied PeM y -�.��. 4( RaDaIpI ND. , D. Y TINYbc Yyi a @ @@ CbtlYaOO. eip&$ onan0asmryenyYMpdoMarbYba [mMkImMEYCXY >AaaM latdnWCaeMmaY IaVtIMBE. doNrW WYn J / Yb YSaBrywaYCdNaba la YgmblNmbtlalowameM Wmb dmY Ya Be wean pecy.aCmMrebp mdpa YaY1 4w 9prJw iwy zelv.minlvaaKOx&YY u >ex3o 10�� 97• a2.3 Building Pormn 11 P.1-D. # CITY OF PRIOR LAKE SINGLE FAMILY WORKSHEET Name of General Contractor. D AFT T ! 41 P- - E/✓ Address of Proposed Project: �,a /Z-E� JAk 12 Sgwro Foot Floor Area: First Floor • Second Floor • Basmienn Finished • Basement Urdmohed `y • Garage • Car Pont Deck Z 00 _ 3 Season Porch Sven Poin • Number of P.8 Bathrooms 3 1 • Number of Hoff Bathrooms J d4 (Sguare toot pna of e Season Ponch to be included in Fist Floor) S'O C ) J SWg7't777 Wat «Cunt acto STATE I 44 _ 1 9 ,550 T Name Address 1 iSSVF Working Under. _Z n�t,Fo -- (Nam, of Licensed PWmber) (i same Address Phone# Number of Masonry Fire Places: Stacked Fireplace -6xick one Yes O No ❑ of Gas Fir M C 177 - /p Number F -3 / '^L al UT � J ;7 Instel br. ame �j��LJJiJ/ s� /0 . 00 Name Address Phone# Number of 0 Clearance Wood Burning Fireplaces: Installer Name Name Address Phone# 'l MC97- / Nam {Z'� H A /Z(oSl Z6u/t1A26' P32y- 03 7trji Name re5b Phon9a /00.00 Funs.. Check One Yes.ti( No O Air Conditioner: Check Ore: Yes $. No 0 Air ta Ai Exchanger. CMtlr One yes)( No O Gas Line Imtager: Nam 12 -' S t'f ea•4'r. '•i" V(. //i/f ,PL 97-ISJ. Plumbing Contractor. Name L:Aktr :5" ?,E PLVN1$G -G i 00 00 Check all items included: Lawn Sprinkler X Water SOMer RPZ or PVB Baddlow Preventor Water Mier Sire: ` Chek one Sla' Standard • r o _ I 1R G 4 's Z 13 ATTENTION APPLICANT: '. Your bekltlleg permit application will exalt Ma"ftdor - Ormwlmd lnromraUon In eonrpletad. E PRIOR LAKE B DEPARTMENT OF UILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 3 0 RK � NATURE OF WO USE OF BUILDING PERMIT NO. 1 I DATE ISSUE ll il9l CONTRACTOR NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT FOOTING INSPECTOR DATE FOUNDATION (Prior to Backfill) U ° , 14111//97 1 PLACE NO CONCRETE UNT ABOVE HAS BEEN SIGNED ROUGH-INS SEWER / WATER / SEPTIC I lu 9/2/97 FRAMING // / INSULATION �f7 ELECTRICAL PLUMBING &7147 HEATING (if required) 7 1 1 0 7 9 FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED WALLBOARD FINALS GRADING (Prior to Sodding) y� V BUILDING // / ELECTRICAL PLUMBING HEATING 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. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447 -4230 White - Building Canary - Engineering Pink - Planning B UILDING PERMIT APP DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /SS /n Lid On 61 �o-a� Accepted ✓ Accepted With Corrections Denied U "Thu lSsu a or granting of a permit oir 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.' Reviewed By: Yz&� Date: V'�J_ ?7 ,- - 7 ------__ OF PWOR U f m iM Cw,n J,b We CxJry Whit - Building Canary - Engineering Pink - Planning PIII [A \ _ A \ Ll \ NAME OF APPLICANT APPLICATION RECEIVED S1- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /SS /n L<el0AJJ Accepted Accepted With Corrections X ReviewedBy: Date: S-77-q? 1. S61 CA o Ja soil Qtaca ON U � � l M W I i 1 F E 111 5 , '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.' OF PR1oR U m White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED .51 1 - 7. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 155 /CJ LLL� On fI �� n� Accepted _ Accepted With Corrections Denied Reviewed By Date: Comments: 2 5 .{e4 yjwvo ±a� — 0t of a permit or strued to be a De at of plans, specifications and or an approval of, any violation of lance of the jurisdiction. Permits provisions of this code or other re va"a. 3 -97 OB_ 29 ... ......... -+.... v - oa CITY OF PRIOR LAKE Impervious Surface Calculations (rn be SubMiaed with auildina Pw it ApplintiM) For All Properties Located in the Shorcland District (SD). The Maximum Impervious Surface Coverage Permitted in 30 Percent. property Address 15-'DO 12eD 0A.05 ­ 1;XD Lot Area ,....:�: .. „.....,. S Feet .: 00/i.......::;:.3Y 7..SO LENGTH WIDTH SQ. FEET HOUSE x _ � l x = ATTACHED GARAGE TOTAL PRINCIPLE STRUCTURE ...................... Z y 8 DETACHED BLDOS x (Grua dsbed) x TOTAL DETACHED BUILDINGS ....................... DRIVEWAY/PAVED AREAS x = (@Iwwry-PVed tx W) 2 t / x � (swnw§WP,tx� Ateas) 3 x /I - 3 3 TOTALPAVEDAREAS ...... .. ..._ ........................... 633_ PATIOS/PORCHES/DECKS x (npe� Dab lP'tniw. apN.a bwwtrt x s bsrda, wah.�w.:.s..ra. MNw, rnr(netiNd r to irp..ieus) x TOT AL DF. CYS_._._....._....... ...._ ......................__.. OTHER x = x TOTAL OTRBR_........ .. _......_ ..... ....... . TOTAL IMPERV SURFACE a // �d By Date 512219 Woodrow A Brown, R.LS NO. 15230 Company Phone CITY OF PRIOR LAKE 4629 DAKOTA STREETS.E. permit Na y7• PRIOR LAKE, MN 55972 �( : f , — I - LEATING APPLICATION / PERMIT Data A 1 She Address Lot Block Addition OwneYS Name Heating Contractor Address - -____ - 16151 MAIN MN E. Telephone s P12) 41549 OW Furnace Make & Model Model Size Conn.: Load Fuel Flue Size Suppy.Openings Return Openings Input Output_ TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Conditioning Vent. System HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices Other Devices Edr. TYPE OF WORK Alterations Replacement New Construction Repair ESL Comp. Date Coat S Building Permit t HE 7_ HEATING PERMIT FEES STATE SURCHARGE $ .50 TOTALPERMITFEES.S Receipt• 1. Pink Re 2. Green - On, r TXFF OF STRUCTURE 3. YOM - corugaw All Family Mufti -Fatuity t 1 W Public Other 2% f pb value, min. $20.00 $1,001 - $10,000 $20.00 fir the first $1,000 plus $1.25 for each additional $100.00 or fraction thereof to and including $10,000. $10,001 - $50,000 $132.50 for the first $10,000 plus $1.00 for each addi- tional $100.00 or fraction thereof, to and including $50,000. $50,001 and over $532.50 for the first $50,000 plus $7.50 for each addi- tional $1,000 or fraction thereof. The price of your heating permit includes one rough -in and one final inspection. Additional inspections will be billed at $25.00 each. House Heating Test Record must be submitted with building permit number before build- ing certificate of occupancy will be issued. HEAT CALCULATIONS REQUIRED with number of supply and return openings listed per room with CFM's per opening. New structures or additions send flow plan with sup. ply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 4629 Dakota SL S.E. Prior Lake, MN. 55372. City Hall business hours are 8 a.m. - 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH414 AND FINAL) - CALL CITY HALL 447 -4230. I hereby apply for mechanical systems permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordi- ne rims and codes of the city and with thg5fate buildingnmechanical coder that this form does ripirb9come a perr#k until signed %V the BUILDING OFFICIAL; at Ow work will be in ar rite plan the rase of,* work which/quires gfview and Signature Data /F PRrO_�N R7 P CITY OF PRIOR LAKE SEWER AND WATER PERMIT �-rye VKLM .�" o D -ar. NO. 7-- 0 7 y NOTE: Sewer and Water contractors must be registered with (�y the City, APPLICANT: y PHONE: y Y y - p 7 ADDRESS: O D _ - DATE: /3 -? ; 7 SIGNATURE: /� /1 BLDG. PERMIT - # ? 74= 3 SITE ADDRE /' < /iq '01 JP1 PTnu FILL IN THE BLANKS `, 1. Estimated length of water service �s � feet. � 2. Size of water service / l inch(es). 3. Location of any couplings from structure feet. a. Type of sewer pipe. ABS_ PVC >�, Cast Iron_ 5. Estimated length of sewer line -Yd feet. 6. Clean out (if required), located at feet from structure. This application becomes your permit when approved. °Z DATE: FEES: $ 35.00 :;ewer 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. r. C r ( y ' t. Ptra - ink F PRICA TYPE CF STRUCTURE 3. Ye - Cmtracmr F ., CITY OF PRIOR LAKE v m 4828 DAKOTA STREET S.E. Permit No. Ala Single Family Two-Family Mufti -Family PRIOR LAKE, MW 55972 Commercial Industrial Public Other HEATING APa y PERMIT Dab �� n PDP n a y ` OWL JOB VALUATION FEE Site Address 1 -4 K�� A. JY' QJ $0411800 2% of job value, min. $20.00 Lot _ Block _ Addition Owoers Name Zce4 Address Heating Contractor V e rt k "I PAL a c 6. �, ,1 Address 16151 &L2A Ae �' r Lsakc. 19VA/ b37.Z Telephone s ��Q SG� S �•.nw.� hr c...�,�i +cam 45- Furnace Make 8 Model ds (Y,�y}:• r rr_ F SYSTEM Mo Size Gravity 'r Plants; Conn. Lead Mechar icw Air Conditioning Fur __AZ6 Size Vam. System _ Supply Oporrings HEATING OR POWER PLANT Steam Return Openings Has Water oPat Output won _ Special Davicas Edr. Other Dawes CIm. TYPE OF WORK Alienations RWbmmwt New Catffiucton Repair Est. Camp. Date Eat. C'd $ Building perms a 47.1.�� HEATING PERMIT FEE X�? q.s d STATE SURCHARGE t 150 TOTAL PERMITFEES ' Receipts "W, 00 $1.001- $10,000 $20.00 for the first $1,000 plus $1,25 for each additional $100.00 or fraction thereof o and imiuding $10,000. $10,001 - $50,000 $132.50 for the first $10,000 plus $1.00 for each addi- tional $100.00 or fraction thereof, to and including $50,000. $50,001 and over $532.50 for the first $50,000 plus 1i.50 for each addi- tional $1,000 or fraction thereof, The price of your heating permit includes one rough -in and one final inspection. Additional inspections will be billed at $25.00 each. House Fading Test Record must be submitted with burg cermit number before build- ing cerlificate of occupancy will be issued. HEAT CALCULATIONS REQUIRED with number of supply and return openings listed per room with CFM's per opening. Now structures or additions sesd floor plan with sup- ply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY aF PRIOR LAKE, 4628 Dakota St. S.E. Prior Lacs, MN. 55372. City Hall business hours are 8 a.m. -4:30 p.m. ALL WORK NIUSTBE M PECTED (ROUGMN AND FIIAL)- CALL CRY HALL 447-/270. I hereby apply for mechanical sydems permit and 1 admowodga this the information above Is compote and aocorere; that the weak will be in comormaraa with the obi. mops and codes of the city and with the stria bWWiaghnedrenipl coda; that this form does net become a perms until signed by toe BUILDING OFFICIAL; dealt to work will be In accordance with the approved plan in tlw caw of as work which required review and i / a V m Dam Ark PIDS ,lS -09'Z -004 -P SMAddowa Mtm nett Mn L J of 1 d all ollmW kd— Q�1—/ Osteh Nama BRETT TRIBI@] Address 14958 Pixie Point Circle Prior Lake Mn Hedilg CArtbedt: A R RMATTwa A ATM rasn- TW Address 12651 Zenith Ave So. Suite 107 Burnesdlle No. 55 337 Telephone It 894 0376 Fu Make 8 p3URD20809501 TTPE OF SYSTEM Werra Air Plains Modal SW Cam. Laid It �.(Ep wen Fuel Fkw Stu r Sl *Opndnps AA Return Openings; s T.. rot klpd 9Vnt awr OUWA 995 Y M Edr. _ am 4,000 Y Gravity Mecharical Air Condiionn9 Y Vero. System T HEATING OR POWER PLANT SWm Hot Wrier Radiation Spa" Dwices Other Devices TYPE OF WORN AMrdbnt Repktamed WnCaudrudion ZII Rapdr - EsL. Carp DW October 1 1997 EsL Ood i 0.50-00 npeuid" Pam'% HEATING PEFKAIT FEE q9 ti� ST ATESUROHARGE 8 50 TOTAL PWWFW a ldd ".6� Heeelpl F VY1.Q � 0 LJ 3. Cream ry CITY OF PRIOR LAKE t.,.Uw Cmerm 18200 Eagle Creek AV. S.E. Perms No. 4 � -11.5 PTbr Lab, RAN 55572 7 1997 HEATING APPLICATION / PERWr amity t2R andly MW0 -Family mamial_ I Pubic Other Fee Sch Jule Industrial, Commercial A Mrdfl -Famiy Resider", Heating 6 AC ResidentiA Heatlrg Only Residential. Gs Fireplace Residential, Additions E Aserasos Residential, AC Only 1% of job cost (599.50 mean um) $99.50 $84.50 $39.50 $39.50 539.50 Remember to add the State Surcharge on the bottom of this application. The price of your hsdng permit includes one rough -in and one final inspection Addisonal inspecaone will be billed at $35.00 each. Howe Healing Test Record must be submitted with buitift owtIDO011ml}8[ balms build- ing cardinals of occupancy will be issued. HM CALCULATIONS REWIRED wflh number of supply and rebxn openings listed per roan with CFM's per operft New stmcmws or atl65ons send floor plan whir supply surd return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 18200 EAGLr CREEK AVE. S.E. PRIOR LAKE, MN 55372. City Hall business hags are 8 a.m. - 4:30 pun. ALL WORK MUST BE INSPECTED (ROUGN4M AND FINAL) - CALL CITY HALL 4474270 1 hereby apply for a mechanical systems permit and 1 acknowledge that the irdormation above is complete and accurate; t the work will be in conformance with the ordinances and codes of the city and with the state building/mechanical codes; that this form does not become a permit until signed by the BUILDING OFFICIAL; that the work will be in accordance with the approved plan in the case which re juires revs roval of piano. �'— Appw�durs -- ie-a - 1e of CITY OF PRIOR LAKE , PLUMBNYO PERM/T x 97- / s2 ,)uN 2 7 1997 Thb Pw"* wE not be piaeasad w* an awpk to kdomn& n. RXTURE UWTS Dunn* Type of Fdlae pyandty BWh TUb wM w wkhoid shaver Dbh wwlw Fbor.Dfidn lavawY (bWmswnsM) Lratlry Tray (1 w 2 oa "fbn nt sk" M. skm SWs Bw Sink y / tKawcbm (W" J PEE scNEDDLE lyd=bW. Ca ummW 8 MuN -Faaky (1%.ofjob cm% SUM alrwam) R"Wwdd. Mm Orr 6 Two Fai* RrMwft. Add bm S Aftmd r $",So Mse ORAND TOTAL Type of Flslure Rautlh4m wow N.aw v4v" Sotbwr Sbrq pto (Wm ehb Y mwhkr) i �I�P° ■AwW"(R Do"ChM *Pve) 3, Baebbw Amy TW Lawn Sprkddw i Dft i i 99 0 i S � • A00 00 7Nt awew h awwu 4M do card wad N aw wW a maw. am aw - 3 to A rwwtw.Mk ac wai b Q - n �nrue aYlc &ow. arcwaaewa actor. ' 'K RB CWs ND: DA7E G11 :6x dl iw ocdses 24 in m f0 m . 162M FA& Ceeek Ar. S.E., Ftior Lake, sace,.c"a 55372 / Fk. (61.2) 4474230 / FAX (612) 447 -4245 An Egad Oppem I Ewpbyb '[0'd: SbZbL6b O1 i0'd - dill CITY OF PRIOR LAKE P � ,U( 2 71997 jpwmAx y7-gaz TMspm warot a weea..a wehoutoanpkte wonvolon. Ov.npy TWO F6Bea Luray Typed Fkkm Brh Tubwah wwNma diesrr gpph.wp cishodow VYrar )ISasw Flaw Drdn VVMr Bslbw 1 a W I (hoseore sk" of SMnO Plpe pwafdr11 mewr) Laundry TORY (I or 2 OW"h rm sii6 sh wr sw awn Br a" a 0 Eww BedaorAawIft (RPZ Daft attic PVB) Sasldbw Aremaly Tar loan Spllredw MOONEDULE mdw6W, fan.lwaol a eMrwFamiry (T %stWb COKinsoM MLon) $ a.www. NOW One & Two Family in= ReoMWAk1. Additw A AlMrkne =920 i swe audwo $ _ .BD GRAND Tarty. s A20. P & enrol" ar aw NrCat tID, __ CAN fm ON bapecdons : 209 161110 Fink CM* AV. S.B., prior Lake, d WMMA $3372 / Ph. (612)147.4230 / FAX (611) 447 -4245 An Sjud 600 11 BaMo TB'd 502bL6b Dl ZB :iT 466S/4Z/`J0 -. W* ISKUWN \-j SURVEYING. INC. 8078 Cedar Awuw So& Suft 228 WOODROW e BRDWM. R.L.S. =r W W425 , es4 Sutyey For: �7 22 3 BRETT TH ELEN ff \\ Scale: 1" =30' 4 jj �s?a ` Monument. Prior Lake j j , \ 0 Denotes Iron Jj Rio 1997. s jj `tt c ff f / rf ° / r ?o yp j / \ 1, �J f 4O f s T / \\ f \ / ' 924.7 fsr rf _ rf / � 7 2 Q ,,,, v� � P \ z, / `4to\ IMM \ � 1 h Y , Square Footage Above 904 ?: O contour= 11,425 Sq. Ft. / / O Opervio2 Sur1ec0= 3,418.11 Proposed Elevations: / Q Top of Block = 930.2 Wa wt =920 -99�.5 Denotes Existing El ion. Lowest Floor= 919.4 Denotes Proposad Elevofion. NOTE: No Search Was Made For Any - PROPERTY DESCRIPTION Easements. The North 1/2 of Lot 11 and all of Lot 12, "RED OAKS', according to the recorded plot thereof, Scott County, Minnesota. j I hereby certify that this survey, pion or report was prepared by me or under my direct supervision and that 1 am a duly Registered Land Surveyor under the laws of the State of Minnesota. W. BROWN LAND SURVEYING. INC. Raised. November 12. 199 Doted: Mav 22. -1997 - 3,x 00drow A. Brown, R.L.S. "NO. 15230 Revised: May 30,1997