HomeMy WebLinkAboutBldg Permit 05-1214
Date Rec' d
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I PERMIT NO. 05. / Z/ 4-1
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sip at bottom)
ADDRESS
/4474 GA/~LJ1t/1E
e,-
LEGAL DESCRIPTION (office use only)
LOT/7 BLOCK 6 ADDITION;::rc ~e
OWNER
(Name)
(Address)
I. White
2. Pink
3 Yellow
File
City
Applicant
p~{J
(Phone)
BUILDER 1/
(Company Name) JUF-I\J!7MAN tV rt4~~S
(Contact Name) ..,.- "'"
(Address) /~~~ J>~ItZ~./)~ ~(.) ~lJ
ZONING (office use)
PJ5D
PlOd? - 4~1- t'J'7'4-o
(
(Phone) JL5/- 4tJb- 44eJ 7)
6~-3~e;-7~3 /
of /i}-"
GtGIMl
(Phone)
J5"\#
ORe-Siding ~Lower Level Finish ~replace
TYPE OF WORK 5tNew Construction l)15eck o Porch ORe-Roofing
o Addition OAlteration DUtility Connection
~ 0 D~.
CODE: ~I.R.C. I.B.C.
Type of Constmction:
Occupancy Group:
Division:
A
B
I
E
II
F
1
III IV
H I
2 3
V
M
4
A
R
5
B
S U
PROJECT COST /V ALUE $
(excluding land)
Ifl,6~O
I hereby certify that I have filmished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
above-mentioned property and that all nstr ction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
:1:iay;n:~lU.. permit for st se urthermore, I hereby agree that the City official;' :;;;g.may enter upon the property to perform n;; :;~~n~
I Permit Valuation
Permit Fee
Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
~/9? ()OtJ, ()O
$ I to 0 S. fSfj
$ fO '/3, Sf'"
$ ,,, . 00
$
$
$
$
$
/oo.~tJ
(DO,DO
~.~O
'-Ib, 00
L
This Application Becomes Your Building Permit When Approved
~ ~'tl~
Buildinl! Otlicial
/ ,Jj?If)~
Dae
Water Meter Sizes/@
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE p//tI:i) IZ . IJ. US
/
% A tfr. J6
/.;J'di'.IJJ--
Contractor's License No.
I Park Support Fee
SAC
I Paid
I Date
#
#
#
#
Date
$
$ IL/~(J, tJo
$ 3~c!) t't!:J 4D
$ 7S", (J C
$.IS-(){),.o~
$ /{)tJo,'{)O
$ /SOO, DO
$
$ e, B4-5.5~ 1
.$V8~Z- I
]
..
...
()
~~.e~ceif No.
B'd
ThIS IS to certify that the request in the above applicallon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcsted. This document
when si ned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issu ,
Planning Director
~
/~/;,;L/tJs-
- Dale
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Special Conditions, if any
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R.2 Districts
r-,
Reviewed by: ~ ~
Date: :/02fr~.s-
Building Permit # PID: Zoning:
Address: /i/L.-/7~ ~ ~
Legal: L-'-7 . 8 S Subdivision: JeFrJ;j~ flp14JD IC-'
Existing Structure? YES I~
Existing Nonconforming Structure? YES~_.___-.:.-__
CONFORMS TO ZONING
ORDINANCE
YES
NO.
,",' "..:...,-..""-:..:,;...'....:....~~...-
.- _ '-N';::~~-:',.oJ".;.'"
Yard Setbacks: NA I FAllSk.cmPLlEV
. Front Yard (can be 20' if avq. w/in 150')
. Side Yards
Standard
25'
10'1
25' if abutting a street
. Sidewall exceeding 50' requires: additional side 2"
setback for every l' over 50' in len~th. ..
I. Rear Yard
. Patio Door: provide for minimum fO' deck or sign
statement indicatinq no deck will be bililt in the future
. From 100 year flood elevation ofwetland/NURP
pond ':~"~~" - . .'.' . .' '.
· From OHW (Prior or Spring Lake}c .
10' setback +
2"ft' over 50'
25:'
10' sidel
25' rear
3D'
Proposed:' '~"':"S'i" !
~L/.'6' .
. ,,""':',-;:::,;q
I'J"'~("'""".. """'J''''J''''W"
7; tJ...J. .~. '1:;f, j J
~ ". r
. - . .~-.-.
~'-';,;'X~:~.'t~~f::! . ~
.'Zft:1P;J.... .'
. "'.. .l7~.:il:~:i~;.~~~~iir-.,. .
- '-'-'.,',-". .,.:'~~~r;~~_p.'.:' :-'.
NA
75' or setback average of
adjacent structures, but no
less than 50'
. -...
, Floor Area Ratio: NAI FAIL~I ~e1VtPllE~
" Yard Eneroachments~ NA f FAIL~MPL.1Ea?:': .--
I
:~Eave~ a.~;<;Gutters rlG.mare than. 2:feetiri widtft aricfna> _.
closer mati; 5" fsena a rot:lfne: (Easements"'-"- .:"~;'t.T;' ~",,) .:
\ AiCancf:otnet:equipment cannot eflcraacfion: WecO!: .
~, ....... ." ",":-""".;..'.';"- ". ,: -- '-~':'~'\':":'~'-'~1""~ ~-..,
.' srdeyard's;""-Jil , '" .
.30 Maximum
I IS; ? O' !~,;o:,(l;1~;L) I:.
';;(&i!;;~1~i~I;;:;~' .
Staricfarct
'-~~~i~"4~~1;L<~
'.(::P'fopaseif;f;~~'J
\.::"/=t~~B~~~~>t:."::
Standard'
. f TreeJ'teser..:a!io~~. . FAI~S!C~~eS,C_
eo Totatl;:ahper:IrIc't;es. ,'" -.: - "
.' P'ermit25?!ci Removal.
., .. Cal[perJr:rclles: Remov.ed ..
- eo.. . Calfper-filches P'reserved
r.. Replacement.
, t.
I
~ .
~:1"~
i'~ .~.
e
L\TENfPLA TE\BLDGLIST.DOC
I Driveway: NA I FAILS I~O~IE)>
· Maximum width at properryline
· Required setback
I. Maximum slope
· All parking areas to be paved including R-Vor
spaces adjacent to the garage
I. Location to match subdivision grading plan
, Building Height( COMPLIES 7)= AILS
I Shoreland District: NA / FAILS (CO~PLlES:>
Minimum lot area (square feet)
I Minimum lot width
I Shoreland alterations
I Impervious surface
I Bluff in Shorelan{;) FAILS / COMPLIES
· Setback from top of bluff
I. Bluff impact zone
· Engineering certification submitted/approved
· Grading in bluff or bluff impact zone
: FIOOdPlajn~FAILS / COMPLIES
· 100 year flood elevation
· Lowest floor elevation
· ,Proposed lowest floor elevation
· Elevations 15 feet from structure
· Road access must be no more than, 2 feet below
Requl'atorv Flood Protection Elevation
-'~'-l Accessory Structure{ ~l FAIlSrCOMPtlES.
., Size-
I. Notlocated in front yard (Materials)
I., Side yard and rear yard setbacks
I. Maximum height
I. Materials compatible with principle structure
L: '.TENIPLA TE'B LDGLlST.DOC
<~:
Standard
24'
5' from side lot line or
30' from r-o-w on comer lots
10%
35' Maximum
Standard
7,500 Rip, 7,999 Non-rip
50' Rip, 57.3' Non-rip
30% Maximum
Standard
By planning dept.
20' From Top of Bluff ,,' ,
By City Enaiheer I
No imDortinp/~xDortin9--' "
Standard'
908.9' Prior Lake
914.4' Spring Lake
909.9' Prior Lake /
915.4' Spring Lake
Must be l' above flood
elevation for new and existing
structures. If existing;
structure wa~c;~m~tructed
'9119/90'-nl221S7itfieii2:::_:' ,"
, 'additfonatr6orlSootTequWcf~7 ~,":~~'~""
Must be flood ~le'latiorf;o[': ',C
-, ..--':JTigf{e{:;:=t~<':~,,:~:~\:,' ,;~.'
9Q7.S' fbrP'riol> Lake'
9t3A" fOr s-r.rtf","LaI<e"
Proposed
-2.0'
f
ok
5'
'-, 2..-'6
trI-
~
-...,..........oi-
". "'~
'_h :'::"L ~
j\:(>..i
'. ,',
,.~j:
;e'
Proposed: ,
'. '"' ;~.~.'It~:'" ~, :~
I ["'~'
,t
I ps% ~eJ...xt)
.' ...' ._.:"'/~.,. _..:/, ;J:
..
Proposed,' . ,', f .'
~'" :
~ r:.....; ~.~~: ~;.~~~?:~~f1!~,~::~~ .fl..
~'" :..:?~.r~',::"."i.~[~~~:~~?j~~~.
. . ;-/~"",')A~t~.~~{:::,''''::'f;t
, :. Pr.opose&:::!4?;l;~,', (d
';''!;'!
ibf:
.~...>.-, ....~';.;:~'r<';~~"
I . Standardf.:" ~,"'"
832 sq.ft.or 25% rear yard; .
10'
15!
.~,: .
i,;
'L~
f"J
~,
~r
.tor
~.~'"
:~~=~
i!4.'\~.
Ji>,
~... ,'.~" :.'.:: :::>'!"~_~-;~,~.7',./".:::':-~: '.....' t" ;
'_;'r:-.~:'~';""1'~~:'~:~:;.'-I\" ~..
,.. "':.'-~' ,'; :::;:~'::.~~~~i::;~~,~~~,.;';:t~::..
.. ,~
If
t'.
j\"
I
,..--..- .~.~._;...~.._~.-:....,.-
,-, '~~,. _-li'.
.Jllb1Ie - VUlldln~
< Can.I'Y - Englneerlnq.>
t'lnk - t'llnnlng
BUILDING PERMIT APPLlC.ATION D.EfARTMJ;:NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\N SN~ ('vIA t-Jtv
IL. I. O~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-4/4 [,f\!c'GA v6 U.
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
fY)!!J{S
Date:
12,-g-oS-
Comments: I SwLReverse Side for Additional Informationl
I -
, ,
fJD t".ttJ~/?J iva &'YlI"lr.",y S~ltI(' E4Sr.t<<,,-/'
, !) ,..' '.;1, I'I, I I
. , ,,,
See Attachfuet}ts: 1) Grading Plan. 2) Erosion Control Measures
...
, ~
liThe 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. 'I
r vvnite - Building:,
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTIU(l;NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W6NSMA Nt--)
1Z-.'.06
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l4-+I4-
E:.N6LAVe; CA.
Accepted
Accepted With Corrections
~
Denied
~ ~ Date: l...?h.-2,h.s-
, .
~.A d-~~o-fl
r ~ ~Ho - /i-:., ~ ~~,~~1.~.w)
k ~, ~/) ...-t~~~.1
I' ".'.
~~1l~ ~~
~.
Reviewed By:
Comments: ~ tLLf
liThe 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."
......
White . BUildu1g
Canary . Eni!!!!!"ing
~11lJSi . Planning::>
BUILDING PERMIT APPUC,ATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t\ '
I
{,-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i--' "7 .::...- L ' L 1-\ vS,_ /t .
Accepted
Accepted With Corrections
/
.~,"
Denied ...
Reviewed By: ~ ~ Date: /~*s-
Comments: ;(J~ ~ ~""'tf'"'L-r-. ~ ~ L1- :;trt.I
- /
-d ~ .4L4 ~ ~L.tCJ ~ ~ ~
~~~ ~.JLltJ~
1 I - .I
~ ~~ ..()i.
,---- " ,
~~ ~ ~~
-'~ '" u Jl
~
o
,
iI.;'./O('...,.....,..."~,
'i.of'-'
.
AIr uondiLiuuttl "'..&lcl vi.h~,j. M(:.;"Iu..u:~
Units Cannot En,,,~ uach into Required
Side rard. ~etDac.KS
liThe 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." ,,).
.i.'."...... ."
,~":"i$'llllf
.i.,
FROM WENZEL PLUMBING & HEATING 651-452-0367 (WED) 11. 30' 05 12: 07/8T. 12: 06/NO, 4860053894 P 1
Date K.ec"d .
Lll i OF PRIOR LAKE
i='~ :t'~MTN.O.~_ PI,I
3. GoLt -4.J0P- .,;;jjI ..,
. .z.v~'uuG (olUa:1ISIe)
LEGAL DBSCR1r nON (of.6ceme 001 r)
LOT BLOCK
ADuuIOl r
PID
. V'UHll\. \ \ ^.a.......... AM . l L ()
(Name)\,\TQ\.:::>11 \~, \ ~ ~'::::.
(Addtas) \ ~95 \>\tk~ ~ -., &~~.!2c;:.)
("Adc!reu)
~) &G)-qob-~D
.~~.~
'-(Or;y) (Zip Code) .
..
. -=~ ~~~ ~\b~, ~ \\\.~~, ~~:.{Ehoiie)
.' ,~~)' ..:\'71Q ~~~~~. ~~. Mn.. ,-S51;;tJ
c.vt~~ '-' (Gty) t (Zip~
(-;Peciot>) ~"-~~~~ (Phane)e.5I-.l\S::l-lSb.
AmJ;~'" ~~ '~A~ Il)J-91()S
. I
.AI!:rL [CANT ~ASE COMPLETE .D~W
So. f . J o.J :__1..~
J2X: 0 water s ~ce ~. ,~
Location of an; ,couplings from. ~ tol,,,,, feet
T~ofseWer ?ipeo. [)ABC ..(5lJPVG 0 CastIro~
E~"I.~ted leng h of sewer line 30 &t. .
Clean out (if required) located at ~ :feet L...".... stcu.cture.
J.ll!d!.S~.I1.l!.d1u.a...E
\ Rcsi.~......:aI sewer and water line CODD<<ti( n $35.50' JndasniaI, Com'I & Mwn-fllmiJy 1% of job cost wiIh a S39.50 nrilrimum
SewcrconnectiOnooly . $1'7.50 VI=- ..,,",u.ectionooly $17.50-
EstimatOO. Cost $
Building Permit #
SB'WER.. \ND W AIJ::J.(. PERMIT r.roc
STArn SURCHARGE
TOTAL: rnRMIT ~.I!I.6
$
S
$
.50
~~~IO~
. ~G b'..'1f
,o~~
~~
~ 11<< 0nJy)
This Application Beannes Your BuiIdi Ig P..rmit Whea Appnrv. J . Paid -----i l!t.....i!',~ No.
-- -:7 flEe' 3 2405 1ft
24ltoar I 'Otice for aU inspectioDs (952) .u.,~ (952) ,"1~ ...::...:~
'f
FROM WENZEL PLUMBING & HEATING 651-452-0367
(WED) 11. 30' 05 12: 07/ST. 12: 06/NO, 4860053894 P 2
CITY OF PRIOR LAKE PLUMBING PEAAU.l
Date Ree"c
li/1?lf
ADDRESS \ ~
~ b)\i~D-..~e.., ~ \
~:: ~ l".1!.KMITN~_I' ~ .,J
J. r_ A,. I,. ::iI ~ '7
WNING foIbllle)-
LEGAL DESCRJP110N (ol1ia: 1IX Il: dy'
J;..OT BLOcr
ADDmON
PID
OWNER~' I
(N."",). eJf\0'ffi0JC\', 'o~. ~f~t.sJ--'ftx-W(iJ .
(Add=s) Ig~ 'P. Z:>... · ~\~~'D ~ J'M", $}ZZ
. ~~r'J~~ ~\~~ ~ Vt~~bc. (Phone) 69~/fs:2-lsbS
(AdU.---J J7JD ~~~~. :,~~ ~ ,~~ 551;2/ '
(~) - ~ (City) 0 (ZIp Code)
(o.,~P".__) \Te.4,._\-\(,?;~~ I"' a'II<mo) u-1-!fS;l.-I5"~
APPuCANTSlGNATOllE ~~ DATB IJ J~9J{)s;-
., I ,.---.--
AJ ~CANT P~ASE COMYL6i~ D~COW
Qn~ti1y I TypCr uj -)~' Q1im;I~
,. , BiJth Tub with oi~ out shoWer' , I
,/ ,Di~', "
, .,. J1loGft'~ OJ
_ _ 3 La\~j...~~ ~ ink) , ,-' f 0
~~ Tlty (, f;'or:Z I {)..~,..:... ;........,~ siHk I
[ , Sh~, Stall I
J J Sinks' J .
~~~~ I
I Wal~.CIOsc:t (Toilet), f
_:CJ-
~.t;..I!.S~J;UuULE
Cndt.r3triJlI. Commerc\a11Jc. Multi-nmiIY 1% 0; 'job cOst with it SJ9.SO minimum Residential. New One: &. Two-Fimity S99.~O
R.didoltla.l. Additions .t:. Altcnliotis S39.$O
f LUMBlNG t'l:.1Uv.nt rJ:C .i
. S r A 'IE SURCHARGE $
10~A.L~~..~ $
.so
: ir)) rc;
! U I L~,
I .
"
! ~ II DEe 2 3 2005
LJU 0
Estimeted Cosl 5
Building PIAI":~#
'.
02/21/2006 TUE 9:58 FAX 952 767 1900 GENZ-RYAN
~ 002/002
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
(Please type or print and sign at bottom)
ADQRl{7 1.'7 I _\ -
L-1 Y J-- ~~jtl (;' ({ \{.e
~. ~,~~ ~~~', 'PERMIT NO.r I" .L
3. Ycllo\v Allphcnnl . ...,.. .~
(~. - ~.
~_.
ZONING (ome.
me)
I LEGAL DESCRIPTION (office use only)
LOTJ7 BLOCK v'3 ADDITION GY1rJovp cJ(lr2v~ (jJJJ (!J/fiJ(c./ PID
,
O'VVNER/I Ip 1/1(- ill) /.,(),!,\ d II'm. ~/.:
(Name) A) LA 17;1' {~t' J/ / " ,'J( j IL~,J
(Phone) fJf5(-.Q)rf5',3l0C}
(Address)/Xq1/Jlazc~ 'OJ!. ::}f- 2()O
J~l)l)) 0)1, (VI (\1
J
(Phone) qf)~.:.7 t.tf'7 -- 1000
f'-r'~
"~ ;;.-;.. d-
APPLICANT ( Q
(Name) L'1l~VYL -c! J or,
.J
(AddressL') r')f'{'j I I "
,;A,;;><Glj lA.J '
t--t'U)L/) I '~)
B U.YVf~vi lie Cj5?/~)-7
___ _ . (PhOne~Citytr-~ ~70f- ulJL;del
/t;4/W; DATE c0ldJ(l(C~
, A I>LICAN PI) SE COMPLETE BELOW { ,
~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
fURNACE MAKE AND !\~ODEL ( f11i"{) ~ (:;t J-i ~U ~ - W Y C - [\ D FUEL /')oc7 C~ (J.. S'
FLUE SIZE RETURN OPENINGS Of INPUT 11 (), Uu OUTPUT U3. GGl)
,
TYPE OF SYSTEM HEATING OR POWER PLANT
~warm Air Plants 0 Steam
DGravity 0 Hot Water
.E:l Mechanical 0 Radiation
:..&ir Conditioning 0 SpcciilLDevices
%Yenl. Syslem 0 Other Devices
(Contact Person) ('~I,r))
(Address)
APPLICANT SIGNATURE L..
PLEASg NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
InduSlrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cosl Residenlial, Gas Fireplace
$39.50 minimum
$99.50 Residential, Addilions & Alleralions
$64.50 Residential, AC Only
$39.50
Residential, Hcating & A/C (New Conslnlclioll)
Residential, Heating Only (New Conslruction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$'
PAID WITH
,50 IUL.DtIG PERMIT
(Office Use Only)
JJuildinc OfficiAl
\ 1faI\.d \ i
, I L'. "
'" \ <iDaMAR 0 1 2006
il \
24 hour notice fOI' all inspections (952) 447~~O, fax (952) 447-4245
t2y.o------
Dale
"eceipt No.
il
BJ1
I ~
This Application Becomes Your Building Permit \Vhcn Approved
CITY OF PRIOR LAKE
HEATING/Am CONDITIONING/~I1<.EPLACE PERMIT
Date Rec'd
(Please !vue or ~rint.and sign at bottom)
ADDRESS
I YY'1L(
1. Pi" no
1 0.- Ci'Y
1. Yellow AppliCl/1t
PERMIT N6"' 1;;;reI
~ CJ-
-
I ZONING (offioe
use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) l_l.).~
(Phone) ~ L .. l.{ 0<.0 - L( Lfet:)
(Address) I)?q~ p~ ~.~delot
, APPLICANT
(Name01.:l-~I1"hA-_,_~1Y On-~ do F P (Phone) ~LD3. S'1I-~SdS
(AddressL
R9CO /09.t-A ~, #lCXJO ~l,~ .rhr1 SS:3/~
(Address) I (~ity) (Zip Code)
(Contact Person) ~c-\~ ~ne~f;)""" (Phone) fl(03- S'Itp-/;) Hp
APPLICANT SIGNATURE kllA~ JJe~~ _ DATE .3Jc..,,~
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 ALTERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
~ev.,., . rn~ s S J'). ';)-
(,I .
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
~ COllJ.~~rz -!-r'la Q~ J
FEE SCHEDULE
1 % of job cost Residential. Gas Fireplace
$39.50 minimum
$99.50
.$64..50
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
.-
Residential. Heating & AlC (New Construction)
Residential. Heating Only (New Construction)
$39.50 .
Residential. Additions & Alterations
Residential, AC Only
$39,50
$39.50
(Office USe Only)
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$.
$
S
MID WITH
.50 eUILDING PERMIT
This Application Becomes Your Building Permit When Approved
Buildine Official
'~1! @ ~- 0 W ~ 1f1ceiPt No.
.1Qatel . 3 '
' Date ", Ii I MAR 0 8 2006 .
\'lJ ' u
24 hour notice for al/ inspections (952) 447-9fsO, fax (952) 447-4245
'. !BY
HOOa 3~VHV~ ::>I.LVWO.Luv
,
66ZL 9L9 C9L XVd 9Z:11
90/90/CO
ZOO~
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS J,,/ 'f 7 "'i ~CJ.A"c CT .
NATURE OF WORK ~ ~r. · ·
USE OF BUILDING S.tr:~.
PERMIT NO. 05,/214- DATE ISSUED 11/'1. OS:
CONTRACTOR _ tl.-.. - IHC-. PHON - ,
..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
RlSPEcrO"; b I Ii? J ~;i4-
~ '~
, FOUNDATION (Prior to Backfill) I //VP' I l-I{)./{,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS .-
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I VJ/V /
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(fb trYd'J 'Y<l,or,
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-II.> tI/4G
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
l.EDJL/ I\drIUMr I I
FINALS
#fj
ill,;, ! ~ /:5j,(. J .
. 'IV / / L/ u;1Ay
OCCUpy UNTIL ABOVE HAS BEEN' S(GNED
NOTICE
I FOOTING
~I
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
GRADING (Prior to Sodding)
BUILDI,NG""~ 13-~-(-O (
ELECTRICAL
PLUMBING
HEATING
DO NOT
DEPARTMENT OF
BUIL!)ING AND INSPECTION
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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
QItrfifitaft of (0tntpantl!
CITY OF PRIOR LAKE
~eparfmenf nf ~uil~in~ Jlnspetfinn
~ Final Permitted
o Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 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 ...51 AlGt-e PJrYrJiJ....l/ Bldg. Permit No. ~ S. I Z/ 4-
Occupancy Type _,e.3 Type Construction. ' V N Zoning District, P 1/.t5.J.)
Legal Description _ L /7/ L3 S; J&F EC:~ P~N..o
Owner of Building Site Address /4.(74- 6NUfiv(5 e::r.
Contractor's Name & Address j1I&Nf/ylr)NN ~l'1es: l&f5 PLA'2/i O;e... CAtifitJ 55/22-
/eo(3GJe:T D. I7t/1CHINS /,h CityPlanner JI1N& KAIIISlel?-
I' - {' Building Official J (
Date: ( I / , (\ I . Date: '
\ POST IN CONSPICUOUS PLACE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 1<1 <'L::/J.I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
CJiI' ~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(J I 1 {) ()/I
"-.: l85<.- ~ t I \.....f)
DATE TIlle
#
~ J Jz'{ "(
I
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~K SATISFACTORY, PROCEED
0' CORRECT I D PROCEED
o CORR TWO ALL FOR REINSPECTION BEFORE COVERING
Insped r: (,; Owner/Contr:
C.ALL Jilso FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
V
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
_11
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS /I./'(Ll./ E", C Ie ~ C 1 ,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
[] FOOTING
[] FOUNDA nON
[] FRAMING
[] INSULATION
""ilCFINAL
/CStTE INSPECTION
[] PLUMBING RI
[] MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
[] PLUMBING FINAL
[] MECH FINAL
COMMENTS:
(;a,d- _ 0 (L
-L,ulb/J4.. 61(
DATE nME
S ~8-o~
t-vf t1,r,....,.."...
6.s-/~JL(
~~ILLlNG
[] CUMJlLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
[] GASLINE AIR TST
[]
,poRK SATISFACTORY, PROCEED
[] CORRECT ACTION AND PROCEED
[] CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto~ - -- Owner/Contr:
C!Al..L 447.9850 FOR THI; NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
1ltSItOT1
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE nME
LJ~
ADDRESS J LJ L\ f'?4
~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~-~ IZIl(
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
AcPLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMrJlENTS:
,. ~dl .t~t Ml-() 44'7 -crE>cre>
2. Pt-oJ~ J4rr~~ +0 W~ ()~ /..L<.4~
2~ (\~ .~
~~ GL;<{. ~~ ~-,-:-pl/
q, ft::;!. {').....Ll
& __Yl~
~ I _ TiJlA kr p~~ 2"j .rt.\~
fJJl ${-J..fi~-
o WORK SATISFA TORY, PROCEED
~ORR TAN AND PROCEED
o CO ECT L FOR REINSPECTION BEFORE COVERING
Owner/Contr:
7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH cl SAFETY I
INSNOTl
DATE nilE
CITY OF PRIOR LAKE llt}j
INSPECTION NOTICE SCHEDULED
ADDRESS 1<1 (/1tf L"';{~
OWNER CONTR.
PHONE NO. PERMIT NO. b- 1-2('-(
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~NAL o PLUMBING FINAL o GASLlNE AIR TST
SITE INSPECTION o MECH FINAL 0
COMMENTS:
.LJj...J...stJ.,..f6.4.~ j)r-:~ -k 1M~4 ~
Z. f,',--l c't~ ,I~~~ I
3,~ cL \}~
9.2 -y''Io--:s 1)/2
1~
-/--0
% .{-of"
l.
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
}'L CORR~RK' CALL FOR REINSPECTION BEFORE COVERING
Inspector 'J Owner/Contr:
1../
CAL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETY/
/N$NOTl