HomeMy WebLinkAboutBldg Permit 06-0463
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CER11J41CATE OF ZONING COMPLIANCE
AND 1.1 1 u..ITY CONNE\... I ION PERMIT
Date Rec'd
:Y.. /9. CJ(;;
~. ff.: SicaII I PERMIT NO. O~ . C>4-~3
(PIeue tnIe 01' IIrint ..... si/PI at T, ,'.,.,.. l
A,,,,'. ..'.I.ESS
J 383.b
KL\-1~~(\
rw.e nE
ZONING (olli<<_>
R-/
LEGAL DESCllIPTION (office use only)
LOT lb BLOCK)... ADDITION {AJI{\(J~or f-c;,.fzt:h <;.
PID JS'-I J 1 n/1 0
,...' h~".e&
(Name)
liOJf';i~
1'1 D ~
-A~ So ~~
( vn(~?'\ ,.\r P 0 ()U)(
Id~
(phone) 9:;.1 -ISB.- de~}....
V\p"AJ PrA;lw SbO-=f ,
v .
(Address)
BUlL.. '&:.A F' R
(Company Name) tJ1 pynLr.lJ) nA1'\.Q.{J
(ContactName) ~ ~.c{)
(Address) ~
f-J.v~
(phone)
(phone)
~
~
TYPE OF WO:RK~New Construction DDedt OPorch ORe.Roofing ORe-SidiDg OLower Level FiRlsh 0 Fireplace
DAddition DAlteration Dutility Can........:.., 0 Misc.
CODE: ri'I.R..C. DI.B.C. PR.OJECTCOST/VALUE s i/-/){;dJUO-
Type of.E'~on: I n m IV V A B (excludm,land)
Omapanc:y Group: A B E F HIM R. S U
DiYision: 1 Z 3 4 5
I hereby certilY that I haw furnished information on this application which is to the best of my knowled8e we and ........ I also catilY that I am the owner IIr authonzcd agent ror the
aboYc'., .,. .S. ,...J and :i~~~~'''p;;;::~~ to aD exislini state and Iocillaws and will r.....J in lICI:OIdaD<< with submitted plans. I am.aware that the buildina
:~:::JL4;, >> ereby ~ tbattbe citY otficia1or a iiee/~ter upon the. ....", to..:. S/Fj'/Ob
/ CiIglllltUle -- Contractor's L. ..... No. Dale
.
Permit Valuation ~Oto.O{)O. OD I Park St..... "". Fee # S
Permit Fee S 07 8~ <t I 50 SAC ~1"; # $ /550, {)O
Plan Check Fee $ / B 7 '8. I CO Water Meter $ 250.00
State Surcharge $ ~3,OO Pressure Reducer S 50. f:)O
Penalty S Sewer/Water Connection Fee # S I So o. 00
Plumbing Permit Fee S ttJ (), () 0 Water Tower Fee # S /000 . 0 C
Mechanical Permit Fee S /IJ(),O 0 Builder's Deposit S 1500. Co
Sewer &: Water Permit Fee S Js' 50 Other $
Gas Fireplace Permit Fee S i/O.~o TOTAL DUE S ;" 000 Iy
l1 I
-, I ::-~.ltfy(J
This Application B . . .. ... .1 Your IhIihIinI Permit When Ap". '" ".1 Paid III"') Cf //J " I~
~~ sjj/~, Date ' I;' - g;- 0 ""
Buildinll. OtTlCial Dati:
ThIS is to catilY that the request in the abow application and &...._.....nyinl documents is in acconIance wiIh the CitY Zonin& Ordinance and may, ..,.J as requCSll!d. This document
when sipcd by the City Planner constitutes a ""7 ...,'" Certificate of Zoninacompliance and aUows construction to ..".",. ... lief OR occupancy, a Cc:r1ificate of Occupancy must be
~". ~_ t /J _ -/ , / "
. ~ ttiZ/tJ ~ ~ a..L( ~,~,..---~
JItamtina L..... . . Date S~ ConlIitIolW; jhny
24 hour noticr for an inspection. (~1) 447-98!iO. fIX (~) 447-414S
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by: ~
.
~
Date: 5/3/~"
Building Permit # PID: Zoning:
Address: /3?7{:' K~ ~. ;.J'~I
Legal: LJ . B Z Subdivision: /,.LJ~ ~
Existing Structure? YES @
CONFORMS TO ZONING
ORDINANCE
Yard Setbacks: NAI FAILSI<[OMPLlE$
TO
. Front Yard (can be 20' if avg. w/in 150')
. Side Yards
. Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in length
. Rear Yard
. Patio Door: provide for minimum 10' deck or sign
statement indicating no deck will be built in the future
. From 100 year flood elevation of wetland/NURP
pond
. From OHW (Prior or Spring Lake)
, Floor Area Ratio: NA I FAILS q;OMPLlES?
, Yard Encroachments: NA I FAIL5(ftOMP(IE~
.~
Eaves and Gutters no more than 2 feet In width and no
closer than 5 feet to a lot line (Easements).
AlC and other equipment cannot encroach on interior
side yards.
I Tree Preservation: ~"4h AILS I COMPLIES
1. Total caliper inc~es
I. Permit 25% Removal
I. Caliper Inches Removed
I. Caliper Inches Preserved
I. Replacement
L:\TEMPLA TE\BLDGLIST.DOC
Existing Nonconforming Structure? YES ~
YES
NO
Standard Proposed
25' 2..7.31'
10'1 r~1
25' if abutting a street
10' setback + ,
2"/1' over 50' \2-
25' b"lfCI\. '2..S' - s-8 r
10' side/
25' rear tJo,.J€
30'
tJA
75' or setback average of
adjacent structures, but no t-JA
less than 50'
.30 Maximum /7. 5'7c
Standard Proposed
~orJ ~
~o.,J ~
Standard Proposed I
%:1
, Driveway: NA/ FAllSftOMPLlES~) Standard Proposed
. Maximum width at ProJ)~llY line 24' 18'
. Required setback 5' from side lot line or
30' from r-o-w on comer lots
. Maximum slope 10% /D?D
. All parking areas to be paved including R-Vor
spaces adjacent to the garage ' (""1 tr-k.,
. location to match subdivision grading plan ~
J Buildinq Heis;lht: NA / FAllsrCOMPLlES)~ 35' Maximum 2-(".5' ' I
, Shoreland District:~A) FAILS / COMPLIES Standard Proposed I
Minimum lot area (square feet) 7,500 Rip, 7,999 Non-rip
I Minimum lot width 50' Rip. 57.3' Non-rip
Shore land alterations
Impervious surface 30% Maximum
~
, Bluff in Shoreland: ~A~ FAilS / COMPLIES Standard Proposed
. Setback from top-of bluff By planning dept.
. Bluff impact zone 20' From Top of Bluff
. Engineering certification submitted/approved By City Engineer
. Grading in bluff or bluff impact zone No importing/exporting
.....,..
~ FloodPlaintJFAllS / COMPLIES Standard Proposed
. 100 year ood elevation 908.9' Prior Lake
914.4' Spring Lake
. lowest floor elevation 909.9' Prior Lake /
915.4' Spring lake
. Proposed lowest floor elevation Must be l' above flood
elevation for new and existing
structures. If existing
structure was constructed
9/19/90-11/22/97 then
additional foot is not required.
. Elevations 15 feet from structure Must be flood elevation or
higher
. Road access must be no more than 2 feet below 907.9' for Prior Lake
Regulatory Flood Protection Elevation 913.4' for Spring Lake
! Accessory SlnJcture@ FAlLS I COMPLIES 1 Standard Proposed
. Size 832 sq.ft. or 25% rear yard
. Not located in front yard (Materials)
. Side yard and rear yard setbacks 10'
. Maximum height 15'
I. Materials compatible with principle structure
L:\TEMPLA TE\BLDGLlST.DOC
~:.
--...----.....
~ ''!fni
- Engineer ng "')
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHE;.CKLlST
NAME OF APPLICANT
q6J!?OLLJ SE-61771E,c:.S
5. /9. O~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/369h J:;6/1/S/NQiiJN AI/6.NuE #6.
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
~
Date:
t-I-Ob
Comments: See Rever~A Side for Additionallnformatinnl .
CONCRETE
APRON
Damaged Concrete Walk Panels
wi'fi be repiaced by the Builder
prior to issuance of Final C. of O.
See Attachments: 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."
C -Y'hite - Buildirlg::)
1.1imIry - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
q6K()LLJ 6E-LJ77f6,PC:;
5. /9 o~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/369rv tz/l/S//\/q-TON AI/6/t/UC AI &.
Accepted
Accepted With Corrections
/
Denied
~
I
~
o.1t
~.'''A~
~I- Date: S/3//0fc
~.~~~
,
Reviewed By:
Comments: ~~
.A..':' 444~ .
,
"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."
White - Building
~nA.?' - I=ngineering
in~ - Planniiij)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,.
/ L__
/"- ('
/~.-r
t'.~~.~: ,/: ,- . ('
"11..J.<' (___,~ ,~_....
/ / ,. '- ;.,-~_.")
.-
-.......-
/ ( /.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I
"'.
i
./1,'/
/' .
r"'
. l~ .
Accepted
Accepted With Corrections
/
Denied r
Reviewed By: ~ ~ Date: sh/ /0 Go
"
~ r
Comments: o.b ~." ~.
Air Conditioner "'-:'lit Oth~1'" Meel1~nl"~ 1
Units Cannot Encroach into Required
~i~~ Y~j Setback5;
"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."
(~)
.....lIpt'" ()~T" /
..--!!!.."..,.~
CITY OF PRIOR LAKE PLUMBING PERMIT
I 01ue P\lt':
,. (l~ld r.:~y
l "0110" A~r>l""~l
- ',- =
I'ERMJTN~Y" ~
ZONI:NG ("mce \ISC)
_.C!:!~~tY.p'C or ~Q!lt and $i~..!!..~or.tOm).
ADDRESS
_..,_-._-_1 ~.l.! I.c_&:.~~~~~~----'---"
--..-.----.---
<__N..----,,.........-,..---....--....~--.....,--"...,.--....--.--..-------
...--,-,....--.'
LEGAL DBSCRIPTION ((lfficr. lI~e only)
PIP
LOT
BLOCK
.,...----..
ADDITT.ON
._...__..-..-.,--...,-...-----..-...-..,.'--.-.--.""
---.,-.--.---'-
---..,""__..,.-..-.--...--.,,--.-.-...---.....'-.........-......----..-.-....-..,....-..-.."--..'--
~~~R .___.,~~~.-d_-~.r t?~~~__-'~h::-..."'---::..~--..- .~~ (Phone)
..0~drCS$~,____. "'_---~~.- ~~.:~---.._-...__..._-.--
r---" "'-'--':'--'"---'''-'''~-'-'-'''--''''--''' --........-.. ,--...---."'-..."'...---....---.---- ---..,---'--
~;;~~~NT.J5~" ~ /rk~c.J:... ~4d:,6 (Phon.) _..2.~/. -: ;;9.? ::..ptfD
(Md,"') _..__...2- 100 7:_~7-';;; c{--~ ..d.;;,,-d ----- _/tV--.. ~"::~..?- '?
(Address) (City) (l.lp Code)
(Contactf:'~rsc'n) _,,__ _&!2~_.._~t;..~ (Phone) .__c;/7.?:-W/-:J..'---~~F)
~APPLlCfNTS!GNATURE --=~J#'~ DATE 7-/0 -~~-
APPLICANT !)LEASE COMPL~:TE BELOW
Qmlll~tU-y Type of Ffxtull'e...---'-----.'-..Quant:;ty Type o{ }"~IhU'e
.. -5-- -..-,--,---~.---.,--..,--_..~.-..,,~.-..~~. -.--"..,-.-
_. ___. -r----- ~ath Tub ,,:!,!~ or W.!th(\llt 3hOW.::~....__..__ ,,--...,--..1,--,- _.Ro~gh-jns-_...-.-...
Disbwa.'lhel' .L . Wat.N' 'Heater .
--.--.- Floor Drain --~-----..--._..,--......_.-'-- -'--'\V'3ter Softner ,...-,-.-...-.-
'''--'-i. :--.-- Lavat{)ry (B~th1"oom Sink) ..-.--'".----. . ---'-L Stind Pipe (WlIilhing Machlii'il
~. -~:3::1 -==-=... ~~~.?' ~;t (i 2' 2_.C.~I:-i~i-t...=1e~~~=k.~. ==~.=~~~-~ 1:k~~J~:;mbIY~=~:-"
Smks Backflow Assembly Test
=--=-=.. _ ~a.r Sink .....-,--..-----..,'''....----.'..----' '-Cawn Sprinkler .. -,,---'
____J-.- wateJr Closet (Toil(;i.)-...'----...---......--. ...----.-.------- Other . ----.....-
_ ,,__.__._.....__,__......,,-.-.1.-----..-..'-.-.- .e' -
-..----.-,.....,--
. FEE SCHEDULE
Indllstri"l, C[)ITllywc:ia.l & MultI-family \% ofjQb w~t with 3. $39.50 minimum Rcsidl'-I'ltial, New One &. Two-Family $.9'9.50
Rr:~;demla.l, Addition<; lit. AltcJ'l1tiOM $19.50
l?stimll.ted CoM. ~
Building Penn it # _..m._
'-
$
$ .50
1; _' PAID WITH
_. BWLDING PERMIT
l'hi~ Appllr..M:iOn. Betom{'.!: 'YOUI!" BI.IBdiog r(\rmit When Appl'ov~r.I 'iJI~iW2-rr-ih1i'IF~'1 Receip1-NQ."-'--'
j I'
- --'D~';;-'---'--'-- 1\\1\ ~~ 0- 7 2006 l]' BY--~V'-'
,. ..:, ."." ;;;':,~;"ti."' (.;;t~~",r'~~-')~4S:I-1 rrr
L 40~1U t
~o,
PLUMB1}.iG PERMIT FEE
STATBSURCHARGE
TOT Al, PERMIT FEE
(omc~ tl~c Only)
BlllIdlnt! OffidM
09/07/06 THU 10:38 FAX 952 890 2753
STOCKER EXCAVATING
141001
Date Rec' d
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I. (it_ File
1 Yellu.. City
1 Cold "'P1>lican.
b~~
PERMIT NO. 06-463
(Please tYPC or P~~.L and sUm ar boctnm)
ADDRESS
13896 Kensington Avenue
ZONING (offia: use)
LEGAL DESCRIPTION (office U~ only)
LOT 8 BLOCK 2 ADDmON
Pro
OWNER
(NameL
Gerold Brothers
(Phone:) 758-2842
(Address)
P.O. BOX 128
(Address)
New Pral!ue" MN 560.7-1
(City)
(Zip Code)
APPLICANT
(Name) Stocker "..F'V"'''''T'''t';.,.,~ ('n
(Phone)
Q5'.' RCl()-424,1
(Address) .
12336 Boone Avenue
(Address)
Savage, MN 55378
(City)
(Zip Code)
(Contact Person) _. Curt Stocker
APPLICANT SIGNATURE _. &.vtI
S~~
/ -
(Phont)_ q~U8.9_Q-4?41
DATE _~::-7-06
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line. feet.
Clean out (ifrequired) located at __ feet from structure.
feet.
o Cast Iron
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Mulli-family 1% of job cost with a $39.50 minimum
$17.50 Water cotmection only $17.50
Estimated Cost $
Building Perm it #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50 PAID WITH
81...'JlDING PERMIT ·
(Office Use Only)
This Application Becomes Your Building Permit When Approved '=':: -b;tr-- I";:J 'l Ill! n~ ,\1 Receipt No.
" I s: lei ,- I, . \
! , ,r 'I' i r" ,I \ I
U, Date - = !, By r,
. Datc . I SEP (J 7 200E ~ ( ~y- ~
24 hour notice for all inspections (952) 44 ;USo, 'ax (952) 447-4245 .-I U
Building Official
By____ .--
JUL -:29,,2004
/~~
J "/;---:. ~
~V I~:I
\" ~"""j " /
,.~~.-
11:.34
C 1 TY OF F'R lOR LAI<E
':)oJ';;~".-<I,' (1'''{d.4::)
~'" . 1".J A.
CITY OF PRIOR LAKJlfJ
HEA TlNGIAill C(JNnJ.TIONING!.B'IREf~LACE P:tt,J.U;IlT
l:1sdt'i R~c'd
i: ~~. ~:~y \ PE~f NO. ~:-"~-....
I. ....11"'" ".NIl"ln. .. fI.~,7J11 V
J!',~ ~ or~!'int ~;,!!1!jIl a~ h~().%l)L_
ADDRr..SS
_....J.? 19 G"
..".-----..-..
ZO}.iINCl (plT~~ ll,e)
J!~/Uf-S/~'j~
-- ,,-- - .----...,..
_,...."......'--.l--..---
__---...,~-t..-r'
f~EGAl- DESCR.lJ~T.\.ON (dlil:t tl~1' on1.y)
LOT
BLOCK
,---
ADDITION
. --.......-.....
~--_...'_..
PID
(Adc.l.1:e!'lS)
__a,,_
,._,__' .w.....---.-.....,.-.-...-------
.fig~aLd._ &r~--r?~..~ (Phon,e) -
~ ~dc:r-e-
__.~___ ~,_" "_,~-,,,~'\'.'lI"- _...-..,,-,~.-
"...'.....,~-,.,-
O'~.NER
(N a.m.e)
..
APr'UCANl' J' <0 ~ m~ "' J &rh-
(Name) ::-.L......u. ...._..?~~c. _......_,~ ,. (Phone)
I!.dch:~~!;)_._ ~/OQ!? ~~ /t"!-e. J7:.:d~ ~ :?-€~~..2--
(.A.flcln!~~} (clr.y) (Z-qi C\'I\:I~)
(Conta't ft.rson) ___ &n ~~ 5f; ~/{;;~. (i?btl!lC) ___.9.22- - /ftf;!.-l~(!LO
AP?l:ICAN!SIGNA~!~E__~ ~_~?:!:f.. DATE 7.-/q..:=-P,~~:"...."
.....~.. .__. L-.' Arpl,l.CANT PLEASE_~OMPl$TE B~LOW ...
~w CON9TRUtCAOl'l [] RErJJACE~mNT 0 ALTERA DONS
fURNACE MA'i<:B AND MODEL ---~'t1~-_1.."Q~) _.__1 6/f.c.r:T.2CLft~ FUEL -
FUJE SIZf., .. ._ RETtTRN OPffiUNGS ____._._..".. ilNPUT OUTPUT -......,.-.-...-
TYPE OF SYSTEM HEA11NCi OR POViER PLANT
'17"Z--79z--2-</€/r:J
DWmn Air Pl!lu~$
DClra....lty
fJ Ml:'~h;mlclJl
OAtr C()\'l(\ii,i()l'liJ~g;
OVen;:. Sy!.'tem,
o Glf.!lm
[1 Hot VhMr
o Rndll!.t!{\XJ.
o S~(!illl D~"ir.\~ __'____'
CI OrllOr. [)()"lcee
r:l.,~.ASJ;: NfJi"!rr.:
Air Concliti.(In~lf Unitq
Cl/aJllot JEi.T!m'(\oich into
Req:tt!t('jd ~~jcl~~ Yar.d
Setbf.1ck3
-.,...,......".------
FIREPLACE: MAKE AND MODEr.,
_..,,-;.":'"';':':':'-::"~'.~..;,....":!...~-
--...---."..
IMIl~Maf, Comll1!:ll.lio.i &. M:1.11ii-Famlly
~nl',E ~CHEDUI."E
1% r.(job CQ~I Rpr.ldt.l!!i~.1. G,,1; FlrC1p1t~~
~;:l9.S(lIl'lI(1imtll:n
$99.:iO
p'(:,,4.50
$W.50
Re~I(ll'm~i~l, H~l,i\'lg &; Ale (l":o~ Cons,I'loion)
Rt.sid(,':(1t.i<'lt HP.i~r.lng. Only (New CoJlllTl'uct"lor.)
Rc~.id>!Jntia[, A.tidr.r.lons & All:erll.ticflS
Rc!!,id,el"ltial, AC Oilly
~31/.5()
~;J1I,50
({llr.i~ Uf';D O".ty)
I T~f,s AJ1,pti,,"P.i~~~1!l GMtl~~!>\'.9 Y()l~~ nq;l,irlj~;;p-;-m~t W;;;~.:;~~~;~:;~~;-
I
,
t
L ''''''-~i:;jld.t''ltOOltl.tl
.~:tr._.._---
~v
?O \;~tY
~L --
Est.jnJ1,lt~d Cr.1.~i. 1;
f.Mldin!il. P..\m~it. #
HIlA-'riNG PERMH FEE
STATE SURCHAlRQE
TOT AI, PERMn" F.!C1€
$ 39,50
$ .50
,~..=~"tl2,)Xi)
-i)iif.';-"'--
By
I
114 b(l~u" MUce fil'rJ." <In h'Gp'r.,(.!,h)l\'l~ (1I!52;4~1.q85\~, \'~X ('5~) 147.<tME
l(ii;llJ~ l!'Ll!\gl\~ ~-::~',\~lt. A~i>l\lilll!'" {ltiorr ~_\1I~. MN 55:;'71
v);i;-......"... 'M__~
\'11 i OF P.R.IOR LAKE
HEATING/AIR COND.l.lJ.ONlNGIFIREPLACE PERMIT
Dale Rec1d
~ ~arDl1llr ~. arl.....,,.}
ADOR.2SS
13g<j6 }(enh51'l'\.1J.-D~ Ave...
LEGAL DESCRIPTION (~\DC GIlly)
~,f
~ =. ,~", I-ERMIT NO.~". L{ lt, 6
ZONING c...1IK)
LOT BLOCK
ADDmON
Pro
~~fG<ivoJj g~.!;_
(Addttss) 1 ~o't (. Mo.-I'r-
,.
CG ",-s-l- ..-vc. +:0.""'-
S+: f. D. Bor'
lat
(phone) c;S:; - 751' - J fY V ')
Ue.,w P...r..rv~ ,trk Sto71
J
APPIlCANT y""
(N.amel c..t1~J..ov "'~y<..p/~c..rc::...
(Addxw) ~d~? ,4-~+~IJV ~+,' rut
(Ad4mr)
(COClua Person) E'>", Q"" t lid:. ~
APPUCANT SIGNATURE ~~
+ ston. e.. . (Pboae) 7 is - txt . 'd'S'! I
SDY',...... Co L~k.( _ Pc...rk ~.J V 1 ;)
, .." - (City) (ZIp CDdIl>
. (PboDe) 7J 1 - 78'6 - ?sl11
DATE 67/}.1./ 01.
APPLICANT PLEASE COMPLETE BELOW
~W CONsnucnoN 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKf AND MODEL . fUEL
FLUE SIZE R1mJI\N OPENJlIlOS INPUT OUTPUT
TYPE OF S\ ~ ,dt( HP.A TINa OR POWER PLANT
3~*,
3 ~DcYica
o O*t DeYica
l.~ ~-rR."' oc..k
PLEASE Non:
Air CcadltillDtl' Units
CtmacM Ell ~ , ,Ja Into
Requln:d Sid. Y.-.:!
s.dMcks
rn 5CHED1JU
ial.t MlAlti-FlllUly J~ or job ClOJt RtddIIltlaJ. 0.. fUeplK'll
S19.~~
Rmdcntlll.. Hcarint a. NC (N- CdIswcDoo) S99 50 ~ Addiuool & AlterlDOIIS
RWldcotW, H~ On!y (N~ ~ U4 30 RaidaniaL AC OaJy
SJ9.3O
S)'~
J)9.~
E$tiznated Colt $ 8~ldiaa hnIUI _
HF.A TtNG PERMIT FEE $
STAn; SURCHAJtO! s.
. U I AI.. PEJlMIT nJ: S
~;UJLf'AID WITH
'- DING PERMIT
.50
(0Gin u.o.t,)
Tllii Applladoa BecoIDIS Your 8IriNiIII......h w-.. 4pp1'Vnd
..'
Pud
A..,~"l No.
DIal
7-~6-b ~y
c;r-."
V
...... otIloel.
DIa
14 ...1'......... i............ (9SZ) ..7....,.. (951) "'7~
101 H3 3~)\;;Id
dOGNm
L0l,LL TLE9L
lS:El 90GZ,/EIILG
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINC/FIREPLACEPERMIT
Date Rcc'd
j l~r,...
~, Ol\i.~:l
J Ydll,),',
I'U. I P...E',RI\ /, 1/-3
1~~""~,, ~~NO. (p · -, D
(Ple"~1: Iype (Jr ?tlnt ;md SiJl;R...t bottom)
ADDRESS
1 ?r8Cf 6 }( en V\( I AC, h h-
../
LeGAL DESCRIPTION (vffk,,' .ls,,'only)
A-vc
ZONiNG (ollk.?
IlS':)
LOT
BLOCK
ADDITION
PID
OWNERC:,
(Name) e/b Lt
B,ro~~
COV\ ("1- V'vr.A-;o.....
(Phone) '1S:J - 7Srg. (j~L/;)
(Address) J ~ O~ t. MfA, h st,
f. {!;. ($ 0 ~ 1 d~
)\Je.LU P r !A.,j'-ue. 1 vY)h. S t () 7)
". .".m__ (Phone) 7t1-7.'gt -.d1~U.
APPLICA,NT r' J I
(Name) L.OhtlcP''' r;rcfk.c~ 'r S,Ol-\ c.
(A~d~E-~ Av-tlvII" ~ t: rv(. SFr.'r-~ L~}(<:. PiAl/" k .' f'r)~ ~S el] d
(1\ddr~ss)./ (City) (Zip CL1d~)
(Contact Person) [y-y.,. c;s4-- lV-e. b~ ' (Phone) 2._~.<?.,.~.2?L ~ d3~1
APPLlCANTSIGNATURE.... q/1~'- DATE 07 (!JO Jot
k"'=PLETE BELOW
f;'N.(JII\.("(. ~EW CO~ST~YCT}~N j 0 RER' PLACEt-le.1ENT D ALTERAT(ON~ Ii
~~MAKE AND MODEU1U, t ,,) blo brool ~ O~ '- FUEL TV LJ
FLUE SllE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER Pl.ANT
OWurl1l Air Plal1LS
OOravit)
o M,ehllnicul
DAir Condilioninb
DVc11l. Sy'ill:m
FIREPLACE MAKE AND MODEL Hcu t
I '
tv Gftl
o Sli:am
o ).I,ll Water
o R"di~tion
o Spedal DeV1C~S
o Dlhel'Devices
i GDo-IT..-0c-k
HE SCHEDULE
I '~'" "d'jub cost I~c!;id"nlj"l, Gas Fi"~pl1Jc":
$39.50 minimum
$99,50
$64,50
PLEASE NOT~:
Air Conditioner Units
Cannot Encroach inlo
Required Side Yard
Sr;lba\.:ks
Induwial, Commercial & MulLi.Fa.mily
$3\.1.50
R~sidCl1tiul, Healing &: Ale (New Con:;lruGlioll)
R~sid~nriiJI. HcUlin(; Only (N.:w CQm:trucliun)
Residenlial, Addiuoas & Altcriltiolls
Kcsidc"tial, AC Only
$39.5U
$39.50
BW:'O WITH
ING PERMIT
Estimated COSt $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit '#
$
$
$
.50
(Ollke Us.' Only)
'l"l1is Application Becomes your 8uildio!:. Permit When Approved IT~i~J; I
Om IHlI'lrltJUL 082006
Buihlilll!. Officilll t : \ !
Z4 hour nulice lor 1111 in:;pccliulIs (952) 447-9 ISU, l'ax (952) .;147.4245
~1
'-
iMriptNo.
I,l., ,
iJR~
i iJ,
1___.)
IJ
l!;
v
10 ,/ 10 3~)\Jd
dOat~O:J
L0UL TLE9L
L0:01 9000!00!L0
PR 10 R LA KE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 13SCt C. "E"~SI t-aGr"'~ AJJE. ~.E.
NATURE OF WORK tJ~~ cer-l~ (WIC-,c., kft...-.~ VC~t~'
USE OF BUILDING L) - 2 .s. 1=:0. . ~ fttL. .......,~
PERMIT NO. t)~.. -, '- v DATE ISSUED stM/O.
CONTRACTOR ~ ~S. ~M.ES PHONE~.?SI-d.2..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING I G;1"~
, FOUNDATION (Prior to Backfill) I 6'// 6/06
PLACE NO CONCRETE UNTIL ABOVE HAS BEEtlSIG"NED
ROUGH - INS
I SEWER I WATER I SEPTIC V v(! !P-(~1J(,
FRAMING A rJjJJ- 7 If: M::
INSULATION !~ /1,1 ~ __. A'7 r-)..J-tA/
ELECTRICAL /f./~(,
PLUMBING ~ ?kJ~b
HEATING (if required) ~ 7;/J/~4
FIREPLACE .." ~ I ?/2~6
GASLlNEAIRTESTjtfcrrlt{/"j( ,i./i .~ ( pi/slv'
l/~f 1.U;4f t:. 7 7/f Lrv. clOLOo
CO'(ER NO WO-RK UNTIL ABOV A~/~EEN SIGNED I
IlATlfC" HousclMltlfl' 1!I~~-1It1I 7J~P6 Ihf;(; ${ tfP%~
. ,. , ~
FINALS
GRADING (Prior t~ Soddi~g) r I 11 N"t3 . q/~!a(, ,
BUILDING'jP1t? (.0 IUd t / 10/oG ftLt,,:/ ~. 9' //7A6
ELECTRIC'AU I ,>k * ~.. , ,#%/06
PLUMBING f//ff, fftJe; Iff,
HEATING ~yil()/b6
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.
DATE
FOR ALL INSPECTIONS (952) 447-9850
QItrfifiraft nf <IDrrupanru
CITY OF PRIOR LAKE
~tparfmtnf nf ~uil~ing Jf nspttfinn
ptFinal Permitted D Conditional e.O. Expires_
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D 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 .5/11./0' L C F;-/// / L Y Bldg. Permit No. ((, . (>4 C ,.?-
P ::; VN' ~. I
Occupancy Type, 1''- Type Construction Zoning District
Legal Description ,
L f
{j 2, 1/1 / Ii, u~ { k!. E,':: TA TE.~~
Owner of Building Site Address .1::.' e (/(; Kl..~ / I::; ! IVc-; 7r IV 1-1 [ i..=
/ '
Contractor's Name & Address (,[.I. (,L.V Ihl::;. J-I(~';/E"-/ 14(;1-:.- /'/n//v, ItC./~'
k () /.J r:; /.: ,T [) II ( T C If I II.; .#~ Planner 1 /7 /J t.. ,k..- ;-11. ::; / E. R.
,Building Official ~It)
Date: / - I' { :'. Date:
ADDRESS
/~rf9b
~~
,. -
k~s, A9 ~.?--
.../
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
l:? ~EWER HOOKUP
~ PLUMBING FINAL
,2f-MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
~PLACE FINAL
~ GASLlNE AIR TST
o
COMMI]ti-TS: I~ / / /1;:: /'
(jj /f'..eed //0~kv-fc f7~ OJ 7'
~/'Ii!JH~ ~ OL?AJ/r'CecT/J--
/' /'
AcL/ /~~// I / .-~ /
~~~~ ;r-C..-' re-S~9"~ (~#.f~.A-''-S
'flri/Lr-. ~4! l h ?" r~/ AL"
M' adej,-' O~ ~,/e<j/,../ 'c~( ~--
-;/b~ ~ -6,ht:,/_~;{~--;/c &4~ud ~S'
~ ~) /d/k~ +/h<;J. I
fi-~~ ~~/nl1 (I /
~~ ~t:,.rc-- -r:e6.7" 0/<<> ~ /
0) 1'/ e e d ck-Af~ 0 ~ -/ Ay ~ kt~~
~ /~~h/ Jr"~0.k~ '" (' - rP-/
@ t""~/k ~$y/(k 7' ~V,.~?t'/~re ~) ;:~"
~ ~ATISFACTORY. PROCEED ~7
~~~~~~T ACTION AND PROCEED ( C-
O CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: _ft~ner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
9k~6 TIME
/ /
~C::~~J/~~' ~
.r-l
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~e,
/'~ !f7'b-
ADDRESS
OWNER
~. - </b?
PERMIT NO.
PHONE NO.
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o YLUMBING FINAL
% MECH FINAL
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
/ /
11l(/6~
---- "
~~~./
CO}qft~NTS;.,
~/~~/
(3) CA//~ ~..,j.,n--- dfiJT: #r
/-Ifj;:; / c/c?~~ ~~~~U~ /
/ /"' r, /
/f/e'r3d .~d /~~ L:?v, /~~
/
//'
g
,./ ./
/~/ /06
I'
/f/
Gk?,;7f
/rI
cc~
---r-
~/~/r
o ~SATISFACTORY, PROCEED
~ORRECT ACTION AND P OCEED
o CORRECT4'W~~ ~L OR REINSPECTION BEFORE COVERING
'nspector:F~ . Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH de SAFETYl
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
,...&.(/1
ADDRESS ~ /{t~",At'r.
OWNER CONTR. -PtrQ// {j,,,J.
PHONE NO. PERMIT NO. (!J ,,- '1~ 3
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
o PLUMBING FINAL
o MECH FINAL
~~ILLlNG
o COMPJ..AINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(;Iit~ t9K-
~(b &.~- ()t:..
)f... WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ,,~ \' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSI'IOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
q~~
'/ /
~t1'P,S/n9~ 4~
~
CONTR.
TIME
SCHEDULED
ADDRESS /3JY9t
OWNER
PHONE NO.
PERMIT NO.
~. ~ s/~
o FOOTING
o FOUNDATION
o FRAMING
c:J}~TION
~~~~..
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
./
~ /~
~hq/
/
U/L
~ Y;;'e
./'" //
h/p
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI