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Home My WebLink AboutBldg Permit 06-0572 & 720 (Please type or print and sij:tn at bottom) ADDRESS CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT \.h~G' ~e- Wo.:J .19w White Pink Yellow File City Applicant PERMIT NO. oCt;. ():::J. 12.1 LEGAL DESCRIPTION (office use only) LOT/... BLOCK l..f ADDITION S~t..r R,~e.... OWNER \ot\. 3c-~j ~ (Name) ~~.~ ~ ~ '~C)b,^.fO" (~ ) (Address) BUILDER -:-. I " n (Company Name) tt>h u~M..cv J..i..L_ (Contact Name) ~("t'~ 't~~ (Address) lS'?1 &J.~\ Ave- AJvJ (Phone) (Phone) (Phone) . Date Rec' d ~- /d.--Oh ZONING (office use) (?I PID J5-44D-O"fJ" D CiS&>'" tf liS'" .1VJ'i' !:sf "'?l.f' -lflC/ ~ TYPE OF WORK ~New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish M Fireplace ( ,) OAddition OAlteration OUtility Connection ( - ~ CODE: ~R.C. OI.B.C. Type of Construction: Occupancy Group: A B Division: I E II F 1 III IV V HIM 234 A R 5 o Mise. B S U PROJECT COST /V ALUE (excluding land) $ :;;nS; Wo Ished mformation 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 oned pro .. stnlction Will conform to all eXisting state and local laws and will proceed in accordance with submitted plans. I am aware that thc buildmg s pe It for Just cause rthermore, I hereby agree that the CIty official or a designee may enter upon the propeny to perform needed mspectlons Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee '''t:27S"OOO.oo I $dl./03,S"O 1 $ 13 to 7. 2.'1 I $ 137, <;;'0 I $. I $ lOt), -- 1 $ ,tJC), - I $ 3~~O 1 $ tlD,--- I ~~i:i-~gp';;:=;;P:"d Buildlllg omcial I Dat~ ~~SJ h~ Contractor's License No. Park Support Fee SAC Water Meter Size 5/8"@ Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other TOTAL DUE Paid Date q. ~.,y " 7-' 1-.tJ Ct:, ---S'''iS-~' Date # # # # $ $ $ $ $ $ $ $ ---- I /~50. -I '33.5.-1 /1)(').-- r5' O{). - /(!)~. - 1 /S 00 .-1 I I ('~ ~.~,~7$ '1. 6S~. 7e /J RetltptNo. 579~ ~. / rJ ThiS IS to certify that the request In the above application and accompanymg documents is in accordance with thc City Zoning Ordinance and may proceed as requested. TIllS dllcument :""" ",d b, "" C",. "-'"~'"" e""",",, "' ~j":i; ':~7/t;l~rm"'Z. Bofm,- ,m""" - , C,,,,,,"', ,,' 0".",""" ."" '" Planning Director - "Date Special Condit#Js, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 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 ~y.: ~ -7~~r- Date: (, ( lfa ( 0 G Building Permit # PID: Zoning: Address: I (P '11 G:, S'~ Wo-;;- Legal: L 10 , B 'f Subdivision: ~r~ Existing Structure? YE~ CONFORMS TO ZONING ORDINANCE Yard Setbacks: NA I FAll~ CofV1PLlEt> . Front Yard (can be 20' if avg. wlin 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: NAI FAilS It'OMPlIES)' .. ~ Yard Encroachments: NA f FAI4S'/C6MPLlES~ Eaves and Gutters no more than 2 feetirnvidtt(and no closer than 5 feet to a lot line (Easements). AlC and other equipment cannot encroach on interior side yards. ~ Tree preservationtPl FAilS I COMPLIES ]. Total caliper inches I. Permit 25% Removal I. Caliper Inches Removed I. Caliper Inches Preserved I. Replacement L:\TEMPLA TE\BLDGLIST.DOC /.1, uJ. ~ Existing Nonconforming Structure? YE@ <1YESi NO Standard Proposed 25' ~S; $""0 ' 10'1 I 25' if abutting a street ,39.30 10' setback + I 2"/1' over 50' / z... z... 2- 25' ~o, '" 7 ' 1 0' sidel 25' rear }J(J,.J6 30' JtlA 75' or setback average of adjacent structures, but no less than 50' J../A .30 Maximum I K'~cO Standard Proposed tJo,Jf; ,J(),Je Standard Proposed %:1 , Driveway: NA I FAILS ttr(fMPLI~ Standard Proposed . Maximum width at property line 24' 't..O ' . Required setback 5' from side lot line or Is.S- ( '. 30' from r-o-w on comer lots . Maximum slope 10% fc I 2..;"0 . All parking areas to be paved including R-Vor Irtu spaces adjacent to the garage . Location to match subdivision grading plan ~ ~ Buildin~ Hei~ht: NA I FAIL~~PLI~S" 35' Maximum 2.9' - ~ Shoreland District:(1NA1) FAILS I COMPLIES Standard Proposed Minimum lot area (square feet) 7,500 Rip, 7,999 Non-rip Minimum lot width 50' Rip, 57.3' Non-rip Shoreland alterations Impervious surface 30% Maximum , Bluff in Shorelandt: FAILS I COMPLIES Standard Proposed . Setback from top 0 bluff By planning dept. I. Bluff impact zone 20' From Top of Bluff I. Engineering certification submitted/approved By City Engineer I. Grading in bluff or bluff impact zone No importing/exporting I Floodplain(AAi FAILS I COMPLIES Standard Proposed . 1 00 yearllood 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 Structure:((N FAILS / COMPLIES 1 Standard Proposed . Size 832 sq.ft. or 25% rear yard I. Not located in front yard (Materials) I. Side yard and rear yard setbacks 10' . Maximum height 15' . Materials compatible with principle structure L:\TEMPLA TE\BLDGLIST.DOC ) . ~. .... CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please tvpe or print and sij:tn at bottom) ADDRESS Date Rec' d 8 .10. Oft, ,,1-6' 11I/ (J (,. 0 ~7 2- I PERMIT NO. ()t" 072-0 I White Pink Yellow File City Applicant (b4~(' $"7e.. w~ JJw LEGAL DESCRIPTION (office use only) LOTb BLOCK l{ ADDITION 5~ R.k , OWNER (Name) ZONING (office use) PID ;;S- Y't 0 --D'iS "0 \ot~ gcu+hU-J ~ (Phone) 6S,"'7C-fl,. -'/('(1. (Address) BUILDER .-- l '"'" (Company Name) (cl" ro\k1s L,.,.,c.-. (Contact Name) ~ _ ~ ~t"'"5't'I,- (Address) I ~ (I !? ~ t- ~ ~u-J (Phone) 7~tC) ~ 4t{S ,. "JCt?E' (Phone) ~ "'-;41:. -'f1!J (. ~ ~~.f79 5"4.'toOet:.. t TYPE OF WORK 8-New Construction ODeck OPorch ORe-Roofing ORe-Siding ~ower Level Finish [8.F.ireplace OAddition OAlteration OUtility Connection CODE: $R.C. DI.B.C. Type of Construction: Occupancy Group: A B Division: o Misc. I E II F 1 III IV V HIM 2 3 4 A R 5 B S U PROJECT COST /V ALUE $ (excluding land) 4~~ I hereby cer that I have furnlslrdmformation 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.me oned ~...) ,..:~ ~.:::~".. .Iction will conform to all eXlstmg state and local laws and will proceed m accordance with submitted plans I am aware that the bUlldmg official re 0 e thiS per or t cat e Fur ore, I hereby agree that the City official or a deSignee may enter upon the property to perform needed mspectlons ~o4 S3 b6;;J. Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee Contractor's License No. $ $ $ $ $ $ $ $ 2, ()oo. d 0 ~ :2. 2,5" Park Support Fee SAC # # - Water Meter Size 5/8"; I"; Pressure Reducer /.00 Sewer/Water Connection Fee # ~. 0 () Water Tower Fee # Builder's Deposit Other if'4 . 0 () TOTALDUE ~ '.I'.(j(, This Application Becomes Your Building Permit When Approved ~~ r/ {O r 0 {,. · Date Paid Date /~$. u;- 8.Zf. d' ~~ft No. (), Building Ofticial "fr'7~ Date $ $ $ $ $ $ $ I $ I $/~3. zS ,SZZJ'f(;, ThiS IS to certify that the request in the above application and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. TIllS document when signed by the City Planner conStltutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued Planning Director Date 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 Pel.wii: Che~kIist Basement Fmish or Interior Alteration to Single Family Hom~ BY: ~~ Date: 8f/ 0/0 " Building Permit # PID: Zoning: SiteAddr... 1& cf9~ ~ ~ rl.w, , L~: L b B 'I Subdhision:J 1flAt,,~ U~ E~gS~cnrr~rNO CO~'"FORJ."rs TO ZO~ThG ORD IN.AJ.'{ CE ..........~. (Y"E~ ~-O YES NO Is this an ...:...:-......sion of the e..--dsting foo,,:/j,':"'t or bm1dIng heig.h!'? Ref::- to PJ ~Tmm g Is the l'j,\,Jl:'~/lcc3.ted wirlrin the flood plain? Refe:- to P~g tJa ~O rJO Does the alte:""..Iion indude any additional ki!chos? R:fe:- to Pl.aI:Iring Does the \,Ij,,,,,,,ose::i alte::ltion indude any outside . . . e:ltraIlc::s othc::' than patio doors? R~f=- m pl~-r-,;'l~g ~o Is the propos.:::i u.se of the m,i~he::i spac: or alte::ltion for anythjng othe:-:h:m a nor:nal i..ngle far~y ~on:.e (ace:. group hoc:. 6y e~:. e~c.)? R~:e:- to Pl~"""'~g ~() THIS L.c...::.CC1S"T )l1:S"T BE COMPLETED _.\;.'I'D I1'ICUIDED I1'I T:-rr BlllD[:"G PE:R.'YGT FILE TO )L-ill'f"TAll'l A R.;: CO RD OF THI R,EVTE\V. .. .. . j'lIlHe - Rlllldlna ~ - Ens.lneering) Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST :/:!J / / APPLICATION RECEIVED ~ - /~~) - () <S NAME OF APPLICANT br"Cj 5 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: i I&tfv& 0r1./,4J?) I~ )/~ ) -- 0 X -.. Accepted Accepted With Corrections Denied Reviewed By: ltl9f!, Date: 7-//-()b Comments: See Reverse Side for Additional Information! See Attachments: 1) Grading Plan, 2) Erosion Control Measures "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." C White - B"ild1i1V Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 7tJ /1 16('1&,5 APPLICATION RECEIVED t;:; - I d. - 0 ~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I&Lfq0 5M~) i~)~ 0'- 0-- Accepted With Corrections / Accepted Denied Reviewed By: ~ ;k.~.:o /-J Date: ~ II ~ I d b , , Comments: ~ tLL/ ~. ~ ~. ~t1 ~ ~tu1.~ ..': ",,'-'A_~:':J , , ~ ~ ~~. /k"J.- ~----. r ~ ~ Z Ix- 1~ (fi:) ~ ~~~;. llThe 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.ll White . Building Canary - Engineering ~ni\ .ritihnln~ BUILDING PERMIT APPLICATION 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: Accepted Accepted With Corrections )/ Denied Reviewed By: ~ ~ ()..L( , ;p,,~ Date: to II {,/O ro . I ~, , Comments: .AU (,0nriidoner ,"~11d uwt.i. Jlt,.1u:u~.cai Units Can.not Encroach into Required Side YtU'd ~enlacl(S "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." Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT L Gnx11 Fib: PERMIT NO~:.5 ~tR 2 ,.,II<,~ C"y ~ . ~ - .1 Go!i..i '\pplil;<illl (Please tVpe or print and gi~ at b_;;_>..) ADDRESS /"~?b :;;;,~ My ZONING (office ll~(>) LEGAL DESCRIPTION (office use only) LOT' BLOCK ADDIT'lON PID OWNER (Name) /il-4" a ttl/ (Phone) (Address) (Address) (City) (Zip Code) APPLICANT (Name) DSM EXCAVATING CO. (Phone) 651-480-1355 (Address) 2916 ENTERPRISE AVE. , HASTINGS, MN. 55033 (Address) (City) (Zip Code) (Contact Person) JEFF CHILDERS (Phone) 612-919-2729 APFLICANTSIGNA'I'URE d~_~ ~ , ~--- DATE 7-//-6 APPLICANT PLEASE COl\lPLETE BELOW Size of water service / inches. Location of any couplings from structure feet. Type of sewer pipe. D ABC pztPVC D Cast Iron Estimated length of sewer line ~p teet. Clean out (ifrequired) located at ~ feet from structure. Residential sewer and water line connection $35.50 Sewer connection only $17.50 FEE SCHEDULE Industrial, Com'l & Multi.family 1% of job cost with a S39.50 minimum Water connection only $17.50 Estimated Cost $ Building Penn it # SEWER AND WATER PERMIT FEE STA TE SURCHARGE tOTAL PERMIT tEE $ $ $ JU PAID WITH .50 ILDING PERM/; (Oftice Use Only) Tbis Application Becomes Yom- Building Permit When Approved I'aid Rl:I.:l:ipINu, Date 7-9()-b By r Buildin!! Official I>ate 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 AUG-25-2006 12:45 CITY OF PRIOR LAkE 9524474245 P.04 CITY OF PRIOR LAKE HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT Date Ret'd I. PIAIl J\l4 2. CitW\ CiIy ],Ycll..,. A~ i7r PERMIT NO-6-" !r- - · ZONING (Q/&Q use) (Plo:\&oe ~ QJ ~t :uld d~ at llottoJll) ADDRESS 11,,~'1~ ~ \1..)1', 't"" LEGAL DESOlt lION (affice use only) tOT BLOC!< ADDmON Pro OWNER (Name)...:JS.\ \ ~V'C~ (Phone) \~OO LoY"c.o~o....~ ~ ~<... ~~. \'0 (Address) E~~ W\.~ 55\1.\ ~PLICANT (Name) P\'{ ~\')__~ 0\""",",, ~~ ~ L..\u. ~r'\d (Phone) -, \n (. - ~~..\..L.Jp I DO (Address) \t.1....,\",\ 4'\.,.... <"'\-0 ~E ~~."^\('JN-1'.\ 5.S~1\.o (^d~) (City) (Zip Code) (Contact Person) R.o~ U"........... ~ ~ (Phone) -1 ~"\ ... l..\ o.J.p - U3l S-t, APPUCANT SIGNh"llJRE ~. ~ C'\ _ ~~ DATE e> l].tjJ 0,"" AP. IeANtI' PLEASE COMPLETE BELOW -~ CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACEMA.KEANDMODEL J.e.rw'\'O'I.. '-'\,\'1.,.\A~ - \.Q..D,,~ ,~ FUEL ~~. ~4l.. FLUE SrLE , RETURN OPEN!NGS lNPlTf OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT DWann AirPlanu OOr&vily o MeclwUcal D^ir COllditioning OVC1\t. System o S\eillll o Hot Water D Radiation o Sptcia! Dev,cea o OtheJ' DeviC(!S PLEASE NOTE: Air Conditioner Units CllJIIl01 Encroach into Required Side Yard Setbac~ FIRE.?LACB MAKE AND MODEL R.esidcnlial, H/;,3ting &. Ale (New Constr\lctioll) Residential, Hc:3ting Only (New COl)$'lTUcrion) FEE SCHEDULE 1 % of job cost >>'c!i~a1, GlIS Fireplnce S39.sa mioimum $99.50 S64.50 S39.50 Il)dU3'trill.l, Commerew &. Multj-FlUllily Estimated Cost S HEA TING PE~'v1IT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ S ResidLmnal, Additions &. Altcnrti.on,s t:M.. ~ $19.50 R.e9idential, AC Only 81.1' · ~/O 539.50 ~lD/.lti ~ 'vG PI3 . "Fi41rr .50, (omcc Use 0..1)') This AppUClltioll BecoUles. Y aUf :8uildiag Permit Whet1 Approved '~~~l. ' i ,l,j:eiPt No. Rlildiu()ft;cial Date !~r AUG iI 0 7nnf) Il! 24 hour DOtiu for .11 iupeetio'DS (952) 447-9150, r:u (?S:2) 447-4245 By ___.__....._.__.._ _.... AUG-24-2006 16:43 CITY OF PRIOR LAkE 9524474245 P.01 ~ A~'?7\'\t't'\ t: ~ c.> ll:l ~ CITY OF PRIOR LAKE HEATING/AIR CONDITIONlNG/JH.KEPLACE PERMIT Date Rcc'd ~=.. ~~ /PERMITNO".-I 51:)- 1. Yd~ ~I-- ~ L..4 -- (l'lev.e type or prlnt N'd.jg;n :allI&ttom) ADDRESS 1~4c;~ ~ ~ ZONING (o/bcf: \611!) LEGAL DESClUmON (offlt:e we only) LOT aLOCK ADDmON PID OWNER (N8Xl'\e) 10\ \ ~V"O~~ (Phone) \~OO t..Q"'Clo~o.k- ~ ~~ ~-k.... \ \0 . (Address) E",~ ~)o.,~ ~s\l..' '" APPL1CANT (Name~ r-:>\'I~n......\o\-.. O\~ ~ '" l...\u.. r1nci (Phone) ~ 1. .. l./ Cj k:Jp 1 0 C) (Address) \1.1.11"\ ""',"",J., <.\0- ~E: ~\,..Nl.\~-t...\ =;~~11o (.AddleS!) (City) ~p Code) (Contact Ferson) R.o~ ~"'t..f' n. (phone) ..,~" - Y..~ l.o - ~~ S'l> APPUCANT51GNATURE ~f}J..v.................. c1...,~ DATE ~/2..-'-'i lol..Q / APtl'LIc.ANtr PLEASE COMPLETE BELOW . MmW CONSTRUCTION 0 REPLACEMENT 0 ALTeRAT10NS F'URNACEMAKEANDMODEL J.~.rw''i'''l'(, ~~ - lo..Q.(\- ,~ FUEL ~.\-. {7JlA..~ FLUE SiZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM REA TING OR POWER PLANT DWarm Air Pllll"lsl 0 Steam O~~ D~W~ o M~hanica.l 0 RJldi8!\oJl, DAir ConditioDing 0 Specill.! Devices DvCDl. System 0 Other Dc:'YiCC$ PLEASE NOTE: Air Conditioner Unit! Cannot Encro~h into Requjred Side Yard S~lbBCks FIREPLACE MAl<B AND MODEL Indu.miaJ, Commercial & Mu]ti-l"Amlly FEE SCHEDULE 1 % otjob east :Re~idenliI11, Gnt Firep14ce $39.50 miJlimll.!lJ S99.S0 $64.50 $.39..50 Eftimatcd Cost S HEATING PERMIT PEE STA TB SURCHARGE TOTAL PERMIT FEE Building Permit # $ S S RcaidC1ltial, Additions & Altcrlltiom S39..50 Rc;idcJltW, AC Only I:J, A $39.50 'U11..D 14/D ~ ~IltG 7lJt ~S; ly~/l' .50 Rc~jdcntial, HClltmg //. NC (New Co.n:ltn1~])) lU:,idenrill~ Ilcafu1! 01IJ,y (Nelli Con~c:lion) (Oll'lu tJ~_ ODIy) This AppJic.atio~ aecomes Your Buitd..inl!! Permit When Approved ,-"-,----'~,--.._. )J.ildi.. OffieiaJ Dalt: :~, \ \ \ Receipt No. :li ,1BY 'I 24 hour "olite rot sll illspectiOl1.\ (~2) ... ~. ~3!~l1 ~~f.4S ....j I ~ . _._.. ---- CITY OF PRIOR LAKE HEATING/AIR CONDITIONiNGlFIREPLACE PERMIT Date Rec'd 1. Pink 1. Green l. Yellow file City Applicant PERMIT NO. O~ - -4'7~ (please type or print and sign at bottom) ADDRESS /Ct;C.f% ~ ~ /VU - ,; Lad- .p ~ y ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) 7' oeR.., LlF'7(.D .A f'n1'U">............ /nn (Address) -(J - - . I (Phone)CtO/ ~J(oS - 0 s-s-I war; APPLICANT (NamefJ ..h-rmA'"'> h :f"_,~.NO.~ ,? rn-... . ct- i= P (phone) ~\...o~ - Sr"ll- 'dS"dS (AddressL x9cn /09'u' Cbff'- /....J -H-/CX)(J rJ.r>/VY1/J/,/Yl .11'11'/ 553/~ (Address) , '-"" "'"~.~ (c!ity) (Zip Code) (Contact Person) ~ r\~ \~.kh"W'PYl"'r.,..-.l . (Phone) 1)~3 - Srtvr Id Il,p APPLICANT SIGNATURE kl\A~ kk~ DATE APPLICANT PLEASE COMPLETE BELOW ~W CONSTRUCTION D REPLACEMENT D ALTERA nONS FURNACE MAKE Atlo MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks IV! . L - /:)V~/U'J- /h ' ~ _ FIREPLACEMAKEANDMODEL/"'IJ1~ .iE~c-ii~J ~. --._tJ,..J ~-~ Industrial, Commercial & Multi-Family 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 $64.50 DWarm Air Plants DGravity o Mechanical DAir Conditioning DVent. System o Steam o Hot Water o Radiation o Special Devices o Other Devices $39,50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Residential, Additions & Alterations $39.50 Residential, AC Only . PAID $39.50 BUILDING ~MIT Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) Building Permit # $ $ $ .50 (Olliee Use Only) This Application Becomes Your Building Permit When Approved l~\) ~~; 'I~' rl I,:: 1 ~ 3 0 Buildine Official Date 1\ I 24 houl" notice fOI" all inspections (952) 417-9850, fax (952) 447-4245 ~;--. \11 \ ~ \ (\ , ,~c iii, I 2006 \ Receipt No. II By T "...-_.._+----_..._.._~_. ZOO~ Hooa ~~VHV~ JI~VWO~rrv 66ZL 9Lg C9L XVd 61:91 90/CZ/RO PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS ~ S'A~ (AJA ~~ jJ. W~ . NATURE OF WORK M:w t:LJ,.J5T. {tJJ!t,aLt (J.:M.~ ~ /jjt~II) USE OF BUILDING S;J=; 0 . . PERMIT NO. _ 0& .0572- DATE ISSUED illl'ltJ. . CONTRACTOR 7iiLt l!d~ PHONE'SI- >1'4 - ~~" NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTO~ DATE I FOOTING I Vl/\( I 1.:J!3-c.J1" j I FOUNDATION (Prior to Backfill) I ~ I '7/1./5 4 j PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS t ~ .f SEWER I WATER I SEPTIC FRAMING v11/J ,1 CI~Io~<1. INSULATION tfVv - L\ 15{,{, ELECTRICAL / I I I /' PLUMBING t~'C, //If ft/<//t?6 ~ I h2J((!)C HEATING (if required) vl1!J /l I ~(.'/JLJ FIREPLACE \ IV y t I fA '(.-lL GAS LINE AIR TEST vvfJ I t\/l,il!. COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED It.Anle f 1/()lJr"/AJ~~ I I FINALS l GR~DING (Prior to Sodding) BUII'DING ELEC fRICAL PLUMBING HEATING - t~ /( 't-l-' vi; DO NOT OCCUpy ! '1A/7 (()" '] d "C.J( fJ1/'1P n - Ll-/(fr 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. FOR ALL INSPECTIONS (952) 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS Ifn 4 q & OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: U{fA-t(n~ SCHEDULED s Ct JL~ CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP Rr"PLUMBING FINAL o MECH FINAL y~ Ctt?/ t . DATE TIME .A)/)o~ G - 72--D -.L S-7 L.. o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o I2(1WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PR ED o CORRECT WORK, C 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 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS I tu If&, ~~-t" ~/ , OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o ItjSULA TION a-fINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: [-. VIa / C--6 T:;5JQ/-C d DATE TIM!: /1- 2)-c.Q. /'~ - 7 L-o /.5 7 2- ~ I o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WO~K~ ~OR REINSPECTION BEFORE COVERING Inspector: l~ r Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! Il'fSNOTl