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HomeMy WebLinkAboutBuilding permit 14. 0631 C rr ifir tfr uuf ®tcnpai t :,..v..„ 1, CITY OfFf PRIOR LAKE ;Final Permitted ❑ Conditional C.O. Ex ires Phis Certificate issued pursuant to the requirements of Section 1,10 of the ❑Residential 1❑International Building Code certifying that at the time of issuance this str ture was in compliance with the various ` ordinances of the City of Prior Lake regulating building const(uction or use. For the following: !03/ � S I/i G C,�✓ (--)41-7/4-y � Bldg.Permit No: /�- '�,;j Use Classification g• '> /2151.) Occupancy Type Type Construction �� Zoninpg-District � Legal Description L 10� �a Z.Ci`� ��� I�///L 6S / �S Owner of Building Site Address• ��O 5 t0 I �t)"'Lt. G ' � /L ` ,r� = Contractor's Name&Address B/2I''}A O� ///vU�/�... u /fid/`�/ /4t1 ems)L� 1)... /la I e.. r h y.5 City Planner Buildir�g Offial 1, Date: U(�Q ��(j(i� 'jaj" — Date: POST IN CONSPICUOUS PLACE nn nll i i ;ill i n it l I I 4i i� i i . tip. ` 1 1 i AAI l 1w i i i i i i yi , , d1 1wOwvrn w LU Ug 17- OZ�aFN U ? Z 22 K0: I- .-.4 � � Z V1.14C X555 9Tww � B LLC9 000000 '°zaa» aJ YYZ _ OOW -1 H c7 O O (D a � zzco O w 0swsODw U a smcox� WWaaa23w2 ❑ DODO ❑Z1 OaH ° p a- a O5JZW • OO �ZW ct Li' I G p u. Q ❑ ❑ DD ❑ V ` •.V, r qh- — 7 \• I ' i i 1k/( ``ob. � ;p tU i; IAI 1 , z OW 0 0 W u. Id CI tr4WZ roa? 6 O= vt .. o Z F O V U F4 O 0 ww Z Q4 RI w w k. O 0 O e J O a a Ng Ce IQ H z°: o 3 IU U• UJ wW�p SWg re JA V UV D D E. CITY OF PRIOR LAKE DATE TIME INSPECTION NOTICE SCHEDULED ,1 . ADDRESS �3 jil \ &11/524_ OWNER CONTR. r PHONE NO. PERMIT NO. J Q 6 / ❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING ❑ FOUNDATION 0 MECH RI 0 COMPLAINT ❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI ❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL ❑ FINAL 0 PLUMBING FINAL 1 SLINE AIR TST ❑ SITE INSPECTION 0 MECH FINAL COMMENTS: U k WORK SATISFACTORY,PROCEED CORRECT ACTION AND PROCEED ❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING Q.Q.91 Inspedo ,Owner/Contr. CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! INSNOTI 7 C7'---17.\--:---"- i)-\ ClriFY 07:1?MT OR 71_,A.7a 537L1-111,DI, NG-2 TRIVIIT, D ate Re c°d , "'- / \ .c:;.1. TEMPORARY CE_ II i•CA TE 0 ZONING L3 OM1 LI N'CE / L ( <�1 D UTILITY'CONNECTION PERMIT I. White File PERMIT V g g 1 T,�. / j� o � / 2. Pink City 1�' 1;r 3 7 !��' 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 16 56/ 54le Cited: ie/..5-()�9 LEGAL DESCRIPTION(office use only) LOT /0 BLOCK 2 ADDITION E ^ le Creek s ff PID Z-51. J 0 0 013 Q OWL: C C? (Name) 8 1/4-elf .l. `a. e l._:5OV1 d ' t t `. (Phone) d J -(11:6 — O 1 (Address) 5 . -- 1 1�3v-'• , l e- 1.0 revo_, 1 M ,c 1 BIThDE (Company Name)\tL le(( And tv )n-*oft S , (Phone) C1.6-2.--- - I ('12-36-) (Contact Name) ; 'V G \' citke t k P (Phone)et 5-z-- %q - 0 2--3 (Address) -(5S6 al v1 1.,`,e « lr2_D _le,. t,;.1 'i ( _„D-- , TYPE OF WOE iN. Qew Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace -"Addition ['Alteration ❑Utility Connection CODE: I.R.C. I.B.C. ❑Misc: Type of onstxuction: I II III IV V , A B Occupancy Group: A B E F H I M R SU PROJECT COST/VALUE $0205; 1 OOeo 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 revo• its 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 bC 601i3 /16//1-/ Signature Contractor's License No. Date Pennit Valuation Park Support Fee , $ .----_ Permit Fee $ s-- SAC # $ ,.7? �;Gl Plan Check Fee $ Water Meter Siz l'; $ �� State Surcharge $ / �� Pressure Reducer $ Penalty $ •_ Sewer/Water Connection Fee # $ ( 7±el, �0 Plumbing Permit Fee $ )54/ s-oWater Tower Fee # $ Aye, 00 Mechanical Pennit Fee $ is-4/. 0 0 Builder's Deposit $ , 75 C/1 , 0 0 Sewer&Water Permit Fee $ S- ,. S d Other $ _ om' Gas Fireplace Permit Fee $ cq ,. TOTAL DUE 1 �L;t,y 7, .3. / / $ 1/ �s3/J / ,4 ,?. This Applca',i Be, .es Yam'Building Permit When A ro ed Paid / 7 7,5/1 I'leipt No. It'771/ Belding � �1 i ( ( i /1171.,,_ B r'i ing Official IIIIIMIIIIIIIIIte This is to certify that the reques in the above application and accompanying documents is'•,acc•• once with the City Zoning Ordinance and may proceed as requested. This document when signed by the C •la•,), constitutes a temporary Certificate of Zoning complianc'and ows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. LAI 1 ( i Director Dat Special Conditions,if any 'ix .61. e for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 Residential Building Permit Checklis New Construc ion for Single or Two-family Dwellings i R-1 r R-2 Districts Reviewed by: 40,A Date: Building Permit# PID: Zoning: Address: �f sl> 6 ( ti— --le— —- . Legal: L , B Subdivision: Existing Structure? YES Existing Nonconfo ..'ng Structure? YES/NO CONFORMS TO Z NING 0 NO ORDINANCE Yard Setbacks: NA I FAILS/CO ' Standard Proposed • Front Yard(can be 20'if avg Al • 150') . 25' Z ..2— ''t--- • -- • Side Yards 10'/ � � ,c)25'if abutting a street 2 5. 8 • Sidewall exceeding 60'requires additional side 2" 10'setback+ setback for every 1'over 60'in length. Not required 2"/1'over 60' if building wall is 10'-0"or greater of being parallel to a side lot line. • Rear Yard 25' 2-7, 6, • Patio Door: provide for minimum 10'deck or sign 10'side/ statement indicating no deck will be built in the future 25'rear • From 100 year flood elevation of wetland/NURP 30' pond. • Refer in-ground pools to the Planning Department • From OHW(Prior or Spring Lake) 75'or setback average of adjacent structures,but no tU,B (�0 � less than 50' I Floor Area Ratio: NA/FAILS CO 0 S I .30 Maximum I ' a' ( I Yard EncroachmentIFAILS/COMPLIES I Standard Proposed Eaves and Gutters n• ►re than 2 feet in width and no closer than 5 feet to a lot line(Easements). - NC and other equipment cannot encroach on interior side yards. Tree Preservation: NAI FAILS I COMPLIES Standard Proposed • Total caliper inches • Permit 35%Removal • Caliper Inches Removed • Caliper Inches Preserved • Replacement 1/:1 L:\TEMPLATE\BLDGLIST.DOC t White -Building Canary -Engineering '�vnrBso��' Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT�/0�9G-- /1Qi //472 APPLICATION RECEIVED ' /7. / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Accepted With Corrections Denied Reviewed By: /1Date: 6 3v -1y Comments: See Reverse Side for Additional Information! See Attachments: 1) Grading Plan, 2) Erosion Control Standards "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� YRIp+P White -Building Canary -Engineering Mvaso'°" Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICA NT )/ep/27 /4776/C/‹... 17-7 / %'7 S APPLICATIONLICANT3 /• / 7` The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /6 / Accepted ✓ Accepted With Corrections Denied Reviewed By: el Date: Comments: -oAJ 7 2 c-- C.-c-6601-"j Tr-vkt (55 "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 VR1o+i' it' AWhite -Building ! Canary -Engineering nvesoit' Pink -Planning ;` BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST / �/7�� �S � �5 NAME OF APPLICAN��� �C�- APPLICATION RECEIVED C/ ' /7. The Building, Engineering, and Planning Departments have revis ed{the':bt tc ing Oerrl it application for construction activity which is proposed at: '- "' , /( s / 647ido e- Accepted Accepted With Corrections Denied //'� r Reviewed By: Date: (ef' Comments; _ �j�'�.0 � r *i'- roVe-- ArAry 6crt6 .410,a6 4o5Ge- �S s 1 .(0er "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." -4: , of S OSIt 4f/tvtlEs City of Prior Lake _P A(f:I A$1,500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposit is issued as security to insure compliance for a Final Occupancy Permit. (It is not an escrow account.}All exterior items including but not limited to grading,sodding,landscaping, tree planting,driveways,siding and painting shall be completed 180 days after the date the building permit is issued. If the vaork is not complete within the 180 day time period, the City shall notify the applicant of the violation and the applicant shall have 10 days to comply or the $1,500.00 builders deposit will be forfeited and the applicant will be billed for clean up or corrective work to rectify the situation. A$500.00 Tree Deposit may also he required and will be refunded if specified trees are preserved for a period of ane year. DATE: 6//0 4 Cl�ee ci PERMIT# SITE ADDRESS: /656/ & k C I � I 4. • (93 I REFUND TO BE MAILED TO: B rG,,i- 1 d.e rs c)�. 11v 7-1Q 5 4'655 -r^,` n -)rj / E�� n I MICI 55 /a 2• .111., AUTHORIZATION TO RELEASE PLEitSE 1tEMME g 9 ER tL,S"UG.u 0 Lynda S.All ,Building Services Amount 1. KEEP STREETS CLEAN DURING CONSTRUCTION n2,,o ., s- Acct.801.20204 © 2. KEEP EROSION CONTROL IN PLACE 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR $500.00 WILL BE FORFEITED ;(1, ,,\._ 6lG`/if SIGNATURE: M 1 Imp 1111. 11' 111 I ,I�IIIidlllpl !h I IVIIII ,ill" II 1IIIIIIIPu IJ I I'111I1111'i1P !'PII'I ,11111„,;, 1,!mm, , 11,,,_ IIIIIIII�1 yp,M 1111111 ,1'III11i11111,1 �� ',i' ,111111 :a„ 111'I 11 luu 14 I I! 1 0 a 1111�, 411,111,, III P"" m III Ip,l, y o,l 1 '' 1 11 I 1 rl 1'I, h'Illi II III 1 „111 Il I 1 '. 1'11' I1� ''111 I ,III,„,,\, 1'11 111 q'i�lll n'1dp 4111,',).:,\1,,,\,qf '.�I'\11 111111' II' �; I 11 IIID' ;, 111,11,1111 IIP;Ill 11141 I I 1111,,:: ,11 Illllil I I,I..;111 111 ,I,!,: II lI hll 1,\q,,,,. 11 ,II, 11:1 IMV -11 111 11111,' 1111 d 1 1110\ o ,I 111,,1 II 11,,1 II III y10 \ r I i1 1 I,v 1 III 1p III I 414 ';1111 11 ! , 11111111,' ill ,, 111 II i, II ,,,,os,' PI11!„111111j1 ,II I! 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III 811III1\111d � IiI II 41Ii 1IIvI 04' 11II11l1 II ' I1fo,111 I 1111111 1,1u 00'41'' * ***11375.28 a,I1I 1,1,1 IPM vvi11,'I ,I1J11111d ) 11 'u111 1',1' I, I0" 1,10,4'3.4146 July 7, 2014 , a1 Il , a 1 ; , 14 PAY P11my y111I1„****1*** ,**Ele ,*eno,,th sl ,sarNt , 1 ree hundred seventy-f�ive dollars and 28 cent , '11'1111 1, 11 ',111 0 111,I 1 III 41,,11'1!11 11'14',1. 0,,,, ,m\ ,11 '1 ill 0, 111'111 1 111 ,II11IIp 111 I�ii\Ii0 1i I 111', „, 1 11111 1111 11111111 . I,I+,II 11 II 11,111 II \� 11i I11' ,III III ''IIIII'11,\,, II\I�IIIIII�I, 11111 VIII 111,,11,'11 '',,,001111111111i1i1111 11�I 0,',\ 110',\, III'll!1 111,111',0 11141,1 II T' TO1 11111 ,, Id 111 1 II I 11 1,1. 1,111 II „ ,1 V I I'�1111'11�1II1A '1111tlIA11l'1� '''II ,1 . 11;1,\I 1111vu1111111111!'1t1� 1 i�I1I11111t11111tl ��OR • .\.ty b ' prior L� e 1 (I 8 OF 16200 Eagle Creek Avenue SE ) E , � , 111 II I III 11111 1 1 1111 „ � � 1 I I1p,�ry.� 11 �y� 1 N I { \il IIIW ii X111 O Ii l 011 R Nil 1,iIh4i10561'272111 11, ,VIII;, 11'111111,'11,'11111,1 di1 \‘'''* ,u lila pV 111 1iL 1111Y'\\. II '14 , 4V,1 ,d'i111\11 ,4'1'11111,1 ILI!'\ii P1111 '11111- I''� \I I11�'11 ® ®�, ' b®� 1111 I II 1111 III li II I,!I,,14111 1''4111111I',.,'111i1111'1' '\‘'\0'1'' l''\1'11111 IIIIII'j111i, ..1111 III1111 11111 II 'I' ' I'a' k\,,,,,,,,,o,\'I ° 0 % .m. ®•ZED TURF I1 1 1 n 1111 1II 111 1111111, 1411'1,',111111, I I0 P III'11,Vo °° , 1111 .1 II,1 ( ,,III 0 _ Al 1 1111 h% ol,Ib o -- 0 - 111114 1111 111p , 11101 11, 1 i ° °° ° ° "084 L4611' 1: 29 L9700331: 57000565211' ° ° °°° ° °° Rig+ Date Rec'd ,1 4 CITY OF PRIOR LAKE SEWER AND WATER PERMIT NvivEsoo I. Green File PERMIT NO. /�'/,,, 2. Yellow City ��``�� 3. Gold Applicant (Please type or print and sign at bottom) ADDRESS ZONING(orrice use) Coq LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER Q� (Name) Uc2� 1-\--)c90/2.- 0-1 (Phone) (Address) (Address) (City) (Zip Code) APPLICANT Q (Name) Its '/ (Phone) (Address) i' 292 I (• _- -. i_ (City) (Zip Code) (Contact Person) •(°�►� � (Phone) a2- on c) 6342 APPLICANT SIGNA ir'/ ' ‘4 —111110114._ 6► DATE APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. ❑ ABC ❑ 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# SEWER AND WATER PERMIT FEE $ The Minnesota Statutes§3Lb1i.14ti STATE SURCHARGE $ "SURCHARGE"has been extended TOTAL PERMIT FEE $ The minimum surcharge for a "fixed fee"permit is$5.00 (Office Use Only) ^ This Application Becomes Your Building Permit When Approved Paid T .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 4 TRrp CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT 4,zionso0° 3.Pink Filey PERMIT NO. 14• (,3 I (Please type or print and sign at bottom) 3.Yellow Applicant ADDRESS ZONING(office use) LOSS EagU- Qxwc CA- S.. LEGAL DESCRIPTION(office use only) . LOT BLOCK ADDITION PID O(Na me)EA�(V'rA & 'l Y} S (Phone)(152- tS qk- 0230 (Address) 655 I"✓Y 11r1 .• R-tL)u1 Earl rri n 55122APPLICANT (Name) ribuoTnWI L t4 h k 3 'At- (Phone) (452-Rqq-0095- (Address)315 W ittitYYISIA I IL \OLu'u SIS i2e) ' Sv U /W V 5533 (Contact Person) & ho Yl(C, (Phone) 2- LI- 0665 APPLICANT SIGNATURE &pineAWA DATE APPLICANT PLEASE COMPLETE BELOW JEW CONSTRUCTION (]REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL cj(2SCUk) dS I 1 FUEL Oa f it Y)I FLUE SIZE RETURN OPENINGS INPUT @),0r1) OUTPUT(...0 ()C.)0 TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach 0 Gravity ❑Hot Water into Required Side Yard Setbacks. Mechanical ❑Radiation Fireplaces with Box Additions or ❑Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings :Went. System ❑Other Devices Require a Building Permit. FWEVELEME MAKE AND MODEL(-6_,NCM 13030 3 it,v, FEE SCHEDUL Industrial,Commercial&Multi Family 1%of job cost Residential,Gas Fireplace $49.50 $49.50 minim Residential,Heating&AJC(New Construction) 49.50 Residential,Additions&Alterations $49.50 Residential,Heating Only(New Construction) $. . ± Residential,AC Only $49.50 Cost$ `„ Building Permit# - rWiTH STATEG �CHARGEE $ 5.00 9 p ` ci l:. ?'�;� TOTAL PERMIT FEE $ 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 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 ___ 1 0 2014b�Recd ' CITY OF PRIOR LAKE PLUMBING P -, \\tome'," -U By rice " PERMIT NO. 3. �� 3.Yellow Applicant • (Please type or print and situ at bottom) ADDRESS ZONING(office use) c j1 (Wel' O.itw - LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID - - w OWNER ( �I (Name) rA t( �&tUS� [TOW1PS (Phone) �' a's� -02:4) (Address) •siei .�/ % icor CtL - Al tV APPLICANT (} 1 4.Lj - Lt� 4- (Name) � r�� ��� C ��.i��.��f� (Phone) '5 (Address) AO_"-�. 1-0'11C\- D V\t V t 1. i p (Address) j (City) (Zip Code) (Contact Person) (Phone) �.� 71 54 APPLICANT SK3NATURE likM111 12.d/1 Yah DATE � p' APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher Water Heater Floor Drain Water Softener Lavatory(Bathroom Sink) Stand Pipe(Washing Machin Laundry Tray(1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler _Water Closet(Toilet) Other _ FEE SCHEDULE The Minnesota StatEftes§3261/148 [job cost with a$49.50 minimum Residential,New One&TwoFatuity $149.50 "S1IRCHAR&£ has been extended Residential,Additions 8s Alterations $49.50 The iliil)trnulll surcharge fol.a "fixed fee"permit is$5,00 Building Permit# PAI I) WITH PLUMBING PERMIT FEE $ b-j i lW' PERMIT STATE SURCHARGE $ XXX TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Buntline Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447.4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 • l i CITY OF PRIOR LAKE Date Recd L. - ° I Rro�' HEATING/AIR CONDITIONING/FIREPLACE PERMIT / /Y. t IHy II i- ... drl NN„s o !.pink File PERMIT NO. /JJ 631 . NNES� 2.crit% City 3.Yellow Applie.ar -- {Please type or print and sign at bottom) ZONING Office use) ADDRESS Je n yi i f (AJ i- SC - 1 .1;# LEGALDESCRIPTION(office use only) �,f j� _ LOT/o BLOCK,I3 ADDITION �%7tc6LY Crce-e �.S1` -e— PID 'A 5 5,mss J 0/5 ''o ( amR11?�4 116 AlGUIS/iN (Phone) S l / 6i2i0 • (Address) c' 1/777 iye-/7.2 r 1. ,T'.---/t-`2 ' 5—c/2z APPLICANT (Name) (Phone) dba FIRESIDE HEARTH&HOME (Address) Cb'6.e656 (City) (Zip Code) 2700(F IEW AVENUE N (Contact Person) ROSEVILLE, MN 5c113 (Phone) / , 651.633.2. _... DATE 3/3` / l it APPLICANT SIGNATURE _)rj---4 .___ APPLICANT PLEASE COMPLETE BELOW N W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS • FURNACE MAKE AND M DEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Mr Conditioner ❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ❑ avity 0 Hot Water into Required Side Yard Setbacks. �. , hanical 0 Radiation Fireplaces with Box Additions or \•"it Conditioning ['Special Devices Cantilevers to the Outside of Buildings •Vent.System 0 Other `Devices t� Require a Building Permit. FIREPLACE MAKE AND MODEL �l� J -It-- (v'— l� FEE SCHEDULE Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace •$49.50 • $49.5D minimum Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.30 Residential,Heating Only(New Construction) $64,50 Residential,AC Only $49.50! Estimated Cost$ l,0 4 U °0 Building Permit # The Minnesota Statutes*1261114R "SURCI•IARGI;"has been changed Cot one HEATING PERMIT FEE $ year effective STATE SURCHARGE $ .50 July I,2010.until June 30,2011. TOTAL PERMIT FEE $ The lnialmum surcharge for n"!meal fee"permit is Lam,beginning July 1,20111 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date PAID Buntline Official Date �34.l.iLpii4C�' RMI"f" 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 .,vu CITY OF PRIOR LAKE Date Rec'd � o . / y. *CA ° -* HEATING/AIR CONDITIONING/FIREPLACE PERMIT 7 2 7. x ,,r. 'jjNNESO 2. File I.Pink PERMIT NO. /1, 6,31 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) I U tOLV ac6u2 c K c6 Ck s a R1,5_6 LEGAL DESCRIPTION(office use only) CrLOT f0BLOCK ADDITION E" " 7 ' elk 5I41�� PID 0q —,70—®13-- O(Name)R J ` 1 V1 e tf ..* l (Phone) (Address) 556 OR t V V( 41 20 ' i 1 V AT)NJ 122 APPLICANT H ARTI4 6l HOME`i=6eHN0I.16IEHEARTH &HOMO fEOHNOLO IES (Name) dba FIRESIDE HEARTH &HOME (Phonnp'a FIRESIDE HEARTH&HOME Uc DC6626b6 LIC DC662656 (Address) 2700 FAIRVIEW AVENUE N 2700 FAIRVIEW AVENUE N ROS'r ■ ,(?I I r (C a! T I .T 55511(lip Code) 651.633.2561 651.633.2561 (Contact Person) (Phone) APPLICANT SIGNATURE DATE Z Q11.4 APPLICANT PLEASE COMPLETE BELOW EW CONSTRUCTION ❑REPLACEMENT 0 ALTERATIONS 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 00JaVityLIHot Water into Required Side Yard Setbacks. N'Mechanical 0 Radiation Fireplaces with Box Additions or ❑Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings [Went.System 0 Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL ,11:1O11. jPig HP,44---1ic o 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 $49.50 Estimated Cost$ Building Permit # The Minnesota Statutes*326f3.148 '-0 "SUR 1lARGIE"has been changed lily one HEATING PERMIT FEE $ S year effective STATE SURCHARGE $ . . OOP July I.2010,until June 30,2011. TOTAL PERMIT FEE $ %r�)The minim um surcharge for a"fixed fee"permit (Office Use Only) is u5,beginning July 1.2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Date PAID�p�y« � 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 PAID Y1►1 1 f7 4646 Dakota Street S.E.,Prior Lakes Minnesota 55372 BUILDING PERMIT DEPARTMENT OF PRIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS / 5b , 1 4 CIE � NATURE OF WORK _ C? "&ill< ./ '' /A A LC Frf) B k USE OF BUILDIN ,/�.: ,: 11, , ��.: ,7 _ l/_ - W f P--� �L'1I I,� PERMIT NO. Gi DATE SSUED CONTRACTORS 0.,, r , 4 • c-e?-J/ S PHONE95 -- ,CM OZSC INSTALL EROS •N CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING ` ,L(.--- i h 1 FOUNDATION (Prior To Backfill) i RADON RETARDER --- ) ( l Li PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNE ROUGH - INS SEWER/WATER/SEPTIC `-<--- -1 ( 5'C I LI- FRAMING 0'j 'f"4 INSULATION ELECTRICAL PLUMBING --1-1/0 ‘ It Z-1 VI° HEATING lb iii,/, \_. FIREPLACE GAS LINE AIR TEST yna/)-t: - -- 11 ( // - , RADON PC P f G 1;t� g ( 2\( ('`,1 COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED HOUSEWRAP i ' LATH FINALS GRADING ( PRIOR TO SODDING) C1-4--_. ( 2/2 L BUILDING --le-c) --- f yi( Ls ELECTRICAL PLUMBING ~s ( 1 4 l 1 HEATING --<— t2 21 iq DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED 1 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# CITY OF PRIOR LAKE SINGLE FAMILY WORKSHEET NAME OF GENERAL CONTRACTOR: J rcA.r cL 1 e;1 ar5Oy1 146 )')'1 Q ADDRESS OF PROPOSED PROJECT: /6 56 ca j SQUARE FOOT FLOOR AREA FIRST FLOOR(INCLUDE 4-SEASON PORCH AREA) 9'92 SECOND FLOOR /)a 6 BASEMENT FINISHED -er- BASEMENT UNFINISHED V y. GARAGE 6V0 • DECK -d 3-SEASON PORCH SCREEN PORCH o7 35 NUMBER OF FULL BATHROOMS (2 NUMBER OF HALF BATHROOMS SEWER AND WATER.CONTRACTOR: 1' 5 4, - •1'1 65 1- 6 Y5- `5 a,,6 NAME PHONE# NUMBER OF GAS FIREPLACES: 1 l INSTALLER: F a r e s);,7(e_ We Gc-�''I /- �i E 6 S/- '33-6775 NAME PHONE# NUMBER OF WOOD BURNING FIREPLACES: INSTALLER: _ _ . , NAME PHONE if MECHANICAL CONTRACTOR: ; / e 7 , ,ti y q 502 - y--cY o 0 5 NAME PHONE# FURNACE: CHECK ONE: LIES LI NO AIR CONDITIONER: CI-IECK ONE: MIES I I NO AIR TO AIR EXCHANGER: CHECK ONE: I I YES OTIO/ / PLUMBING CONTRACTOR: No f H fie i L P f u Y i b l+✓1 7 07-�y 7to�y NAME ,� PHONE# WATER METER SIZE: CHECK ONE: 5/8"(STANDARD) n 1" nI %" n 2" ATTENTION APPLICANT: YOUR BUILDING PERMIT APPLICATION WILL NOT BE ACCEPTED UNTIL ALL REQUIRED INFORMATION IS COMPLETE.