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Mech 13. 0507, Mech13. 0556,Bldg 13, 0882, Bldg 13. 0925
PRIp CITY OF PRIOR LAKE Dae Re 'd tie HEATING/AIR CONDITIONING/FIREPLACE PERMIT 5/2-q1/43 •0.4 Y V 4 `i7 11,,rNESOI. Pink Fite Green 2.Green Citp PERMIT NO. /9 . ©5.0 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS Westwood Elem.School ZONING(office use) 5370 Westwood Drive SE Prior Lake,MN 55372 e4 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION See- 1e f /wets/iv000 e/e gi, 1 U®L PID4t,q 3(0-00)-a OWNER (Name) Prior Lake-Savage Public Schools ISD#719 (Phone) 952-226-0054 (Address) 4540 Tower Street SE Prior Lake,MN 55372 APPLICANT (Name) McDowall Company (Phone) 320-251-8640 (Address) 1431 Prosper Drive Waite Park MN,56387 (Address) (City) (Zip Code) (Contact Person) Brad Berghuis (Phone) 320-251-8640 APPLICANT SIGNAT " -.....011111.11%10.9. " / DATE572, 13 .0011111.111111011w ..aooip•--- APPLI ANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION 0 REPLACEMENT . ❑ALTERATIONS • ' ' ... . " p P = AS SHOWN ON PLAN fii ��>k- FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ['Warm Air Plants PLEASE NOTE: Air Conditioner ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water ID Mechanical into Required Side Yard Setbacks. ❑Radiation Fireplaces with Box Additions or ❑Air Conditioning 111 Special Devices Cantilevers to the Outside of Buildings Event.System ❑Other Devices g Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial,Commercial&Multi-Family I%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 $49.50 Estimated Cost$ 165,000 Building Permit # 'the Minnesota Statutes§§326B.148 "SCRCIIARGE"has been changed for one HEATING PERMIT FEE $ 1.650.00 year effective STATE SURCHARGE $ 5.00 July 1,2010,until June 30,2011. TOTAL PERMIT FEE $ 1,655.00 The minimum surcharge for a"fixed fee"permit (Office Use Only) is SF.,beginning July 1.201(1 This Appi';', /071 . � B comes Your Building Permit ren o •proved � �d• ��56oOReceiptNq. q0Rjjj���9 7 Date ������� By Buil.inE Official Date 5—it- ' 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 rRro CITY OF PRIOR LAKE Date Rec'd i , HEATING/AIR CONDITIONING/FIREPLACE PERMIT W5X3 411NNESO° I.pink File PERMIT NO j5----6, i 2.Green City . t.Yellow Applicant(Please type or print and sign bottom) ADDRESS Westwood Elementary ZONING(office use) 5370 Westwood Drive S.E., Prior Lake, MN 55372 C LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID 45 936 DO/-D OWNER (Name) Prior Lake-Savage Public Schools ISD#719 (Phone) 952-226-0054 (Address) 4540 Tower Street SE, Prior Lake, MN 55372 APPLICANT (Name) Summit Mechanical of MN (Phone) 651-454-6645 (Address) 575 Minnehaha Avenue St. Paul 55103 (Address) (City) (Zip Code) (Contact Person) Jason Albrecht (Phone) 651-288-0760 APPLICANT SIGNABi ���i DATE — — APPLICANT PLEASE COMPLETE BELOW :NEW CONSTRUCTION ❑REPLACEMENT ®ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air PlantsPLEASE NOTE: Air Conditioner 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity IX]Hot Water into Required Side Yard Setbacks. ❑Mechanical ❑Radiation q Air Conditionin Fireplaces with Box Additions or ❑ g ❑Special Devices [Went.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 $49.50 Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 Estimated Cost$ 193,121.00 Building Permit # The Minnesota Statutes§326B.148 HEATING PERMIT FEE $ 1,931.21 "SURCHARGE"has been changed for one year effective STATE SURCHARGE $ .50 July 1,2010,until June 30,2011. TOTAL PERMIT FEE $ 1,931.71 The minimum surchsrge fora"fixed fee"permit (Office Use Only) is iii,beginning July 1.2010 This App 'r. "o" ;: • omes Your Building Permit When Approved .,laid 'q 31' M k Receipt No. q 43 I i r (X'' t colP &•il. Alli.��® L /ey�/j Date 1<h 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 (c r►tlp4 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd IE( L)Ci TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ii AND UTILITY CONNECTION PERMIT • 87 6` ) J yrNNEs/ 13 Gov 1. While Fite PERMI NO. /3 . p 2, 2. Pink City 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS L.sEsa,jGo() E--,u_,,,,„-„,-,w{ SC.HUo(_- ZONING(office use) I- l} SIL 1 0Ari DLtuL SLT CI 1 / LEGAL DESCRIPTION(office use only) SC e G 94-L LOT BLOCK ADDITION PID "1'5 q36,, On! 1, OWNER (Name) PRIOR L1,rt ,r SAsat,.,iS PLAc,1,_tc .Sc:,400t_ $s(E)lit At (Phone) (Address) 4540 -roWLR, sT9iFtfi.x= QR-log, tA1 ,Mn) S53 '9 BUILDER (Company Name) (Soe--iAl� 01(51.!) AAect-olk,IiCAL , Vie_ (Phone) 3t9o-x-14-/cola (Contact Name) CKA4 LPot SI✓ J (Phone) 306-(.79-/(oi,t (Address) '4( Fc( GS Arts c, M A4. Mtl.l GS-QS-f TYPE OF WORK ❑New Construction ['Deck ['Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace EAddition EiAlteration ❑Utility Connection CODE: ❑I.R.C. [ I.B.C. 0 Misc: Type of Construction: 'I dip III IV V A B Occupancy Group: A B ) F HI MR SU PROJECT COST/VALUE $ YR,oc_ • OC Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnish inform 'on on this application which is to the best rof my knowledge true and correct. I also certify that I am the owner or authorized agent for the above-mentioned prope s .,:,that all struction 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[h.:4 or jtrsy ause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X :: . CO3S 534 -5/ Signature Contractor's License No. ' Date Permit Valuation q`�O a Park Support Fee # $ oa Permit Fee $ l 3.2.4 2...... SAC # $ Plan Check Fee $ 1 O.1 (i Water Meter Size 5/8"; 1"; $ State Surcharge $ cf. 6vr Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ - Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE ' $ '�� 51 f T i - r on Becomes Yo Building P••:,: ' i en Approved 1.3 Paid ' ► R e' t No. h j �'l L ii Date �� . /) B • . .r -. ` Building 0 icial Date / This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. �/ e(CC. vz,siA any "`. 25, Planning Director Date Spvial Conditions,i any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 AR/pep 9 CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT fNN E So�� S 13 I.`Mite File PERMIT NO. / �j -' 2. Pinkllcity /....I•••- ��� 3.Yellow Applicant (Please type or pript��aatt9�d sign at bottom) ADDRESS We sr(j(/ ) r//errs `t,, S,--Ai /s ZONING(office use) 53 70 lAte_5%,tiOW .47•-' LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER � oc- ,�.��/c% (Phone) ^^��//� (Name) /o/e S" 9� ZG to- awe (Address) LI Stip /040 S- S Az./0.2 L-,9- e. Ai c-S-3 7 2 ftDER i.-4' his1,QG[_, (Company Name) ,r P/C,. s't°C.e. .,/}y #i"°'dSSS)10104-LS (Phone) q s-i---(. 3` 37,5-8 (Contact Name) %b f1 ) rt-S-ePti (Phone) (Address) 07'(0 /4 K /2/("6C L.s— sc4 141 AI S--- /a / i TYPE OF WORK 0 New Construction ❑Deck ['Porch ❑Re-Roofing ['Re-Siding ['Lower Level Finish El Fireplace ['Addition V.LkIteration ['Utility Connection CODE: I.R.C. 'd]I.B.C. ❑Misc: Type of onstruction: I II III IV V A Bera� o Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ / 2 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-menti. ed property and th. .11 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 c.. e .ke this permit Just ause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed' ectio . X •_._ -1"—�`— TS 6y265/ r7 2.7- 13 a ature Contractor's License No. D to Permit Valuation7 Park Support Fee # $ tooc .0O Permit Fee $ SAC # $ Plan Check Fee $ qS. 75 Water Meter Size 5/8"; 1"; $ State Surcharge $ •3 CC, Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE t '3 $ �� . �- .13 .2.9 ,,©0 _ This Appl'.ation comes Your Building P t When pproved Paid Receipt No. lam Q, p Date By ui g Official V-44";Date This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. 4 Planning Director Date I tlfo54t eL i vS cialCeondii ons any K 4 is ro 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 f Ft! VS-e 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372