HomeMy WebLinkAboutBuilding Permit 05-0422
.~................_----..........-__-.......-~~--_._--.,_.~._._-------------~_..~_...
J C) .J...
w Z c(en
2 hO:~~ E
i= ~ W
"'ww;c 0 ~
OOW z
! ~~Z ~ ~
11.11.-
C)~WW~ C) C olJ
w c(
... {;O ~ ~ c( Z 1::
~ 0ii:ii:C) it: ~
00000 W U) ~
> ~
0
0 ::)
0
W J: ~
~
0 ....
N
C U. ~
0 11.11....J W ~ Z
W ::)::)c( III 0
...J Z l::
::) :.:::.::2': Z 0 i= ~
c a:: I- a:: OOu....J 0 () 0
W ... i C) OOC)c( i= 1::: W ~ ;:
Ql
J: Z ~ Z_J:J:z2': 0 c 11. I
0 0 W ii'ia::a::~ii'iu. W ~ U) ~
(I) 0 11. :EJ:~~:::EJ: 11. ~
::)0 ::)0 C (I) I- ~
...JW~ ...JW C Z
W W iii >< ~
11.:::E (l)11.:::E W W W
0 0 a:: z ~
000000 0 0 ~ W
a:: a:: 0 J: ~
11. 11. u. ... ~
> C ...J It: ~
Z ...J
a:: c( 0
Ww 0 c( 0 u. ~
X:o Z I- Z ':Ii 0
:5~ 0 0 0 V)
~ c( i= a:: II) ;;;;
~o Z i= en u. 0 ~ en
0 (I) . Cl
OZ Q Z ~ c( t"-
O W ~ i= ; 'l.l
-Z C)I-C)i= 11. Z ~ c( l- I- Ile:
~O (I) 0 :z:c(Z en W (I) 0 0 ...J 'l.l
11._ Z _c-j...JZ W W ...J
u.1- (I) :E :.:: ~ a:: ;...; l:l
ofrl W a:: W I-Z:::E::)c(W a:: a:: ~ 0 c( 8
~ W Z o::)~(I)ZI- :E 0 0 0 ti 0
~5i c Z 0 f2f2u.2':ii:iii 0 ~ 0 0 8-
-z c ~ J: 0 150 <II
0_ c( 0 11. 000000 0 E
w
::I
i=
~t~
~
\)
~
~
c
W
...J
::)
C
W
J:
o
(I)
Ww
X:o
:5~
~o
OZ
-Z
~o
11.-
u.1-
ofrl
~5i
-Z
0_
(I)
(I)
w
~
C
C
c(
a::
...
z
o
o
~
w
Z
~
C) .J...
2': cCen
...J -2':....
...J ~u.a::
-I-ww-
!!::2':oocC
Oj~j~
~11.11.11.::::i
~:E~~(I)
w8ii:ii:~
000000
d
Z
...
i
a::
w
a..
11.11....J
::)::)cC
:.:::.::2':
a:: oou....J
C) oOC)cC
z_J:J:z2':
ii'ia::~a::ii'iu.
~J:w~:::EJ:
::)01- ::)0
...Jw~ ...Jw
11.:::E;>(I)I1.:::E
00000'
o
Z
w
Z
o
J:
11.
z
o
z i=
0_ Z 0
o w
C)I-C)i= 11.
:z:cCzoet (I)
i=~!i...J...J2':
g5~::)~~~
u.u.u._ (I)
0000 0
en
~
z
w
:E
:E
o
o
t
""
v
C)
Z
it:
w
>
o
o
w
a::
o
u.
w
III
Z
o
i=
o
W
11.
C C ~
W w iii
~ ~ a::
o 0 a::
a:: a:: 0
11. 11. U.
C ...J
~ Z ...J
o cC ~
b ~ ':Ii
~ i= ~
~ ~ ~.
cC I- I-
(I) lrl lrl
! ~!
;...;
c
o
()
1:::
Ql
~
~
ti
8-
<II
E
u.i
o
Z
~
C
c(
~
(I)
~
::)
o
J:
....
N
Z
o
i=
o
W
11.
(I)
~
l-
X
W
Z
w
J:
...
~
o
u.
o
V)
II)
en
.
t"-
;
...J
...J
c(
o
E
~
~
olJ
1::
~
~
c
~
~
~
~
~
~
~
~
~
~
~
;;;;
~
Ile:
'l.l
l:l
8
;:
I
w
::I
i=
~~
~~
~
Ww
X:o
:5~
~O
OZ
-Z
~o
11.i=
u.o
Ow
~~
,a;
~
~~
~ "
J: ~
~ ~
~
t
(I)
(I)
W
~
C
C
c(
a::
I-
Z
o
o
~
w
~
C) ...J....
Z cC(I)
- ZI-
...J ~-
...J LZ;U.a::
j!;!zWW;c
C-OOW
cC~j~2':
a:: 11. 11. 11....J
g~~~~
WOU.u.C)
000000
o
Z
...
i
~
w
a..
11.11....J
::)::)cC
:.::x:2':
a:: oou....J
C) OOC)~
Z_J:J:z_
ii'i~~~ii'iu.
~5~~~:::E5
...JWoe(~ W
11.:::E~(I)
0000
o
Z
W
Z
o
J:
11.
z
o
Z i=
z 0
o 0 W
- 11.
C)!;(~i= (I)
2': c;;; j...J2':
I-Z...
o::)~~~~
f2f2u.2':tiii
0000,0
C)
Z
it:
W
>
o
o
W
~
o
u.
W
III
:z:
o
i=
o
W
11.
(I)
C Z
W iii
W a::
o a::
o 0
~ u.
o
Z
cC
Z
o
i=
o
oet
....
o
W
~
~ a::
\~
;...;
c
o
()
1:::
Ql
C
~
;...;
o
ti
8-
<II
E
u.i
o
Z
~
C
c(
a;
(I)
~
::)
o
J:
....
N
Z
o
~
o
W
11.
(I)
~
~
w
Z
W
J:
...
0::
o
u.
o
V)
II)
~
t"-
;
...J
...J
c(
o
E
~
~
otI
i5
~
~
c
~
~
~
~
~
~
~
~
~
~
~
;;;)
Cl
'l.l
Ile:
~
8
I
w
::I
i=
c
~~
\G\. [;J '\
~!l ~
Ww
X:o
:5~
~o
OZ
-Z
~o
11._
u.1-
ofrl
~~
'3 a:
(I)
(I)
w
~
C
C
c(
a::
...
Z
o
o
~
w
~
o
~
C) ...JI-
Z cC(I)
:J _Z....
...J ~ii:~
i!;~~~;c
c~~~~
gl1. 11. 11.::::i
~:::E~~(I)
w8ii:ii:~
000000
( 1
~
o
Z
l-
i
~
W
11.
11.11....J
::)::)cC
:.:::.::2':
a:: oou....J
C) ooC)cC
Z_J:J:z2':
ii'ia::~~ii'iu.
:EJ:~~:::EJ:
~h~~,~
0000"
o
Z
w
Z
o
J:
a..
Z
o
Z i=
0_ Z 0
o w
~!;(~~ g,
_c-...J...Jz
8~~~t~
u.u.u.2': (I)
0000 0
C)
Z
ii:
w
~
o
w
~!
i=
o
W'
11.
(I)
z
iii
a::
a::
c c
w w
w w
o 0
o 0
a:: a::
a.. a..
~ ~
o cC
I- Z
o 0
cC i=
~ 0
i= cC
cC b 0
(I) W W
~~ ~
o '\ 0
;...;
o
ti
8-
<II
E
u.i
o
Z
~
C
c(
a:
(I)
~
::)
o
J:
....
N
Z
o
i=
o
W
11.
(I)
~
l-
X
W
Z
w
J:
...
~
o
u.
o
V)
II)
en
I
t"-
;
...J
...J
c(
o
E
~
~
otI
i5
~
~
~
~
~
~
~
~
~
~
~
~
~
;;;;
Cl
'l.l
Ile:
'l.l
~
o
I
w
::I
i=
\
l!!~.
~
~
c
w
~i
Ww
X:o
:5i=
~o
OZ
-z
~o
11.-
u.1-
ofrl
~5i
-z
0_
(I)
U)
w
~
C
C
c(
a::
...
Z
o
o
~
w
~
~
~
'" ...J I-
"" cC(I)
a!: ZI-
...J ii:ii:~
=...WW-
I!::zoocC
~3~~~
~11.11."'...J
C):::E ww (I)
~oe:e:oc(
wou.u.C)
000000
\
~
o
Z
...
i
~
W
a..
11.11....J
::)::)cC
:.:::.::2':
~ oou....J
C) ooC)~
z_J:J:z_
-~~~ii'iu.
~ ~ ~ ~~ :::E::)~5
i:::E~(I)
0000
o
Z
w
Z
o
J:
Q.
Z
o
i=
z 0
Q ~ W
c)!;(~i= 5i
a!:c-j...Ja!:
I-Z:::E::)lW
~~~~ ~
0000 0
C)
z
ii:
W
~
o
W
~
o
u.
W
III
z
o
i=
o
W
11.
(I)
C C Z
W W iii
W W ~
o 0 ~
000
~ ~
11. 11.
~ ~
o cC
I- Z
o 0
~ i=
(I) 0
~ cC
c( I-
(I) 0
:.:: W a::
a:: ~ a::
~~ ~
o "
;...;
o
ti
8-
<II
E
w
o
Z
~
C
c(
a:
(I)
~
::)
o
J:
....
N
Z
o
i=
o
W
11.
(I)
~
~
W
Z
W
~
~
o
u.
o
V)
ClO
en
..:.
~
...J
...J
oc(
o
E
~
~
otI
i5
~
~
c
~
~
~
~
~
~
~
~
~
~
~
;s
Cl
~
Ill:
'l.l
8
I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
L/ - d-f.. -0 ~
White File I PERMIT NO
rink Cily . CJ 5. 01-2 Z.
Yellow Applicant .
(Please at bottom)
ADDRESS
4440 OVERL<ot<. DRivE
LEGAL DESCRIPTION (office use only)
ZONING (office use)
.K2
LOT J. BLOCK I ADDITION 7< lSt) GED1\-R J+~.:rbtt1-S
PID 5~ ,-191,)- ()O~
OWNER
(Name)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
ItGM~S
rol:l 5'98-;1..99 S
~/;J. .5<78 ;). 98 3
95J (oBh 0)3
ew Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
PROJECT COST /V ALUE
(excluding land)
$ 35q (JOG
I hereby certify that I have furnished mf(ll"matlon 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 construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can revok' is permll for c e Furthermore, I hereby agree that the City official or a designee may enter upon the propel1y to perform needed mspectlons.
~
x
Signature
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
$
$
$
$
$
$
$
$
/l,().5 $ IV 4-13. 7f)
I ~;CCiEt Not' LI0
II
F
1
III IV V
HIM
234
A
R
5
B
S U
~ .Lt.3~ 't
Contractor's License No.
Park Support Fee
SAC
#
#
Water Meter Siz 5/ "; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
.o!)
Builder's Deposit
Other
TOTAL DUE t!~7/ 5-
Paid ,I~' ,!!~,-X
Date !i - ~ lCe':: 5
Your Building Permit When Approved
*' or{"
~-;1..(;; -G 5
Date
I
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. ThiS document
when si ed by the Clly Planner constlltttes a temporary Certificate of Zonmg compliance and allows construction to ommence. Before occupancy, a CertIficate of Occupancy must be
issued f ~ S-II / ~.:s- -'
Planning Director / I Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
BUILDING PERMIT ~PPLICATION DEPARTMENT CHECKLIST
, , J ,i
~/ ' . J
NAME OF APPLICANT <~J (i( '"/~7L-,'7Lk.~())'r::(t"'-l ()/ t)(:;.. ;' ~,
APPLICATION RECEIVED
2---;/-
"'--i // _"
eeL. ~?
~,. -....-.
"
')
.""
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ," ' ,
1"7 /} / "
,/ / / / ( / ,/ 'j / / " I ,'''' , / -' 1"''''-;/''.. r~" IF ''1----_
L i' i~/ ,~/ (,...o' L-Z-{_..,./t~-;'1,.~~~""../'" (./,.-1'\....- ,r-______o"
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
fJ/Jfl6
Date:
~-- / [) 'OJ-
Comments: See Reverse Sidp. for Acldition~ll"formationl
. '~;~:?l;f"jj,/":"~~,,_'.~l;.''';. ","
{;ewer Sere/Ill k v. 9a3:t',
~/ LQ"'/<'I'" /,(, ve.l f. (511'00/11.
ht)t.I~ fflV,t,1- he, n br,,J,,,r ,;U~~
I '-1
See Attachments: 1) Gr~ding 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."
White - Building
~nA-:V - ~naineering
Pink - Planniiijf)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,
i'
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:
Comments:
~
~cJ2
~
-t./~
..., I
Date:
~II//~
/
"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."
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R.2 Distrjcts
Reviewed by: gB
Date: S/S/06'
Building Permit #
Address: LJ'-Ilj 0 O,l>> r..I",//, Dr
PID:
Zoning:
Legal: L -Z J B ,
Subdivision:
~;. ~ l,Je,rfJ..J'
Existing Structure? YES 1&
Existing Nonconforming Structure? YES 1<fE5)
~
I CONFORMS TO ZONING
ORDINANCE
NO
Yard Setbacks: NA I FAILSI COMPLIES Standard Proposed
. Front Yard (can be 20' if avq. w/in 1S0') 2S' 2t::; I
. Side Yards 10'1
2S' if abutting a street 2 S.s-,
/2.00
. Sidewall exceeding 50' requires additional side 2" 10' setback +
setback for every l' over SO' in lenqth 2"/1' over SO' NA
. Rear Yard 25' J2
. Patio Door: provide for minimum 10' deck or sign 10' side/ 11' {)<tw-
statement indicatinq no deck will be built in the future 25' rear
. From 100 year flood elevation of wetland/NURP 30' tUf+
pond
. From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no III/}
less than 50'
I Floor Area Ratio: NA I FAILS I COMPLIES
. liP
.30 Maximum
Yard Encroachments( NAIl FAILS ICOMPLlES Standard Proposed
Eaves and Gutters no more than 2 feet in width and no
closer than S feet to a lot line (Easements).
AlC and other equipment cannot encroach on interior
side yards.
-
Tree Preservation[ NA) FAILS I COMPLIES I Standard Proposed
. Total caliper inches I
. Permit 25% Removal I
. Caliper Inches Removed I I
. Caliper Inches Preserved !
Replacement I Y2:i
. I
L'.TEMPL\ TEBLDGLlST.DCC
~hite - .Buil~
':anary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Lb!Jff- ~~ ~/}'t(!~
APPLICATION RECEIVED i/- ~- S-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: , n
C/L/Y() ~~ ;(Y---.
Accepted
Accepted With Corrections
Denied ~1i4-
Reviewed By: ~i Itf .......
Comments:
j. fJ~ df ~fkk)
1-.
Date:
slslo5
/ I
w~
"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."
05/18/05 WED 11:03 FAX 952 890 2753
STOCKER EXCAVATING
l4J 001
Daie Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERl\1:IT
5- ~~:l.
I ,.,,," .;1. [PERMIT NO.'--' .~
2. Yc:IIDw ell)' !
l. Gold 'rl,l;conl l___n_'_ 05-0422 ._.. '.
(PICi\SC type c~ print and SiWL ~ ( l!ol.!~__
[ADDRESS
._ 44~O ove~lOOk Drive
.-----
",
._1
ZONING (ocflCl: ~!.~)
L:'" ... ..-
LEGAL DESCRlPTION (office ll:C only)
!:-OT 2,B.LOCKl.n ADDITIS>N Red Cedar Height~.__
,...--.-.--
-=
..-~ -...-----=- (Ph~.~..5C)5~-::29: - -l
_ __.~.v;\lley., MN
. __ .--~[r) (Z~p, Corle)
P1D
~- .
OWNER
(Namc,=.ott Leon~rd
(Address) ___ .. 12804
. - ~ . --
HOmes
G~ntry Lane
(AddrcH)
'.'" ..
APPUCANT
(Name), STOCKER EXCAVATING COMPANY, INC.
_.'._ (Phone) 95.21.890-42~.1
(Address) _....12336 __Boone. Avenue . Savag~, HI'! 55378
(Addr~ssJ (City)
cun~
(ConcZ.CL Person) _.' .' -;f::::::;:.~~.- (Phorll::)_
APfLlCANTSIGNATURE .. ~~~~~_ DATE
(Zip Code)
sa.llle
5-/!~O(
APPLICANT PLEASE COMPLETE BELO\V
Size of watcr- service"-- inches.
Location of any .couplings from structure _'_ feet
Type of sewer pipe. n ABC 0 PVC 0 Cast [ron
Estimated length of sewer line _ feet.
Clean out (if required) located at _ _ feet from structure.
.. .,.-' .-
Residential ~ewer and W,Jte.r line connection
Sewer connection only
FEE S CHED ULE
1;35.50 lndusLriill, Com'l & Multi-family 1% of job co~( with a $39.50 mlnirnum
$17.50 WtltercDnnecriononly $17.50
Estimated Cost :r
Building Permit #
ltlJ'{b~/l) ~7!J..J
- 'Ilvl'"'
, ~ /:)~
Building O[1ici11 ll.oI<-- ;,! .
- --;4'bollrno[ic:';or.~lIin:;p<:<:ti"r:S(9S2)4d7-9B$q-,~2~~~2005 ,-;"" '.'- -
SEWER AND W ^TER PERJ:vfIT FEE
STATE SURCHARGE
TOTAL PERMIT Flm
$
$
$
11:54
C I 1'( OF PR I OF~ LAKE
9524474245 P.01/01
- -- - - . .
CITY OF PRIOR LAKE PLUMBING PERMIT
'1-1. OS
. and si .II bDttOtu)
4440 Uverlook Drive
Prior Lake
~:::~ ~ lPERMIT NO, os:. MZ ..,\
~. Yell.... AppfiCM' L S-
lZONlNG ,om.. -l I
LEGAL OESCRIPTION (office use onlY)
LOT
BLOCK
ADDITION
Pill
OWNER
(Name)
Scott Leonard homes
(phone)
952-454-7992
(A~~ 12084 Gantry Lane, Apple Valley, Iilli
55124
(Addre5S)
R C Plumbing (Rich Nvbo)
5910 Chester Avenue
(Address)
(Contact Person) Hich
( ) - " (' .'"
APPLICANT SIGNATURE It 'j>tu/I,.--Cl )i.,. II-,be-:
-v
(phone)
Northfield,
(City)
952-6')2-2911
loiN 55057-4743
(Zip Code)
APPUCANT
(Name)
(phone) 9S2-6<i2-Z911
DATE ~ 1/ I~,
Quantity Type of Fixture Quantity Type of Fixture
~ Bath Tub with or without shower :3> ROUih-ins
Dishwasher -/ Water Heater
J lfloor Drain i Water Softner
it Lavatory' (Bathroom Sink) I Stand Pipe (Washing Machine)
7 Laundry Tray (lor 2 compartment sink I Sewage Ejector
T Shower Stall Backtlow Assembly
/ Sinks Backt\ow Assembly Test
Bar Sink Lawn Sprinkler
.1 Wa.ter Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial. Commen;ia! & Multi-family 1% of job cost with a $39.50 minimum Residential. New One & Two-Family $99.S0
Residential. Addition. &, Alterations S39.~O
Estimated Cost S
Building Permit # ---MI:) WfTH
PLUMBING PERMIT FEE $ ~DrNG PERMfT
STATE SURCHARGE $ .50
TOt AL PERMIT FEE $ 100 . 00
(Orne. VK Only)
Thill Application Becornes Your BuildiDg Permit When Approved
Date
Buildinl ORid.1
24 bour Illorllle for alllnllJUtions (951) 447 . fas (9S~) 447-4:%4S
16%00 Eagle Creek Ave.. S.E., Prior La e, MN SS3n-t714
By -------------
TDTAL P.01
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~1~w fl~icant I PERMIT NO.05. ~~
ZONING (office use)
4440 OVERLOOK DRIVE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name SCOTT LEONARD HOMES
lPhone)
(Address)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone)
2561
651-633-
(Address)
2700NORTHFAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
7/16/05
xD NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
DGravity D Hot Water Air Conditioner Units
D Mechanical D Radiation Cannot Encroach into
DAir Conditioning D Special Devices Required Side Yard
DVent. System D Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO 8000TR-OAK
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50 PAID WITH
BU'LD'NG PERM1T
(Office Use Only)
Date
,.-- "---- ~~ ~~~~_ r _ _
r :Pam
I rQat9U1 2 1 2005
Receipt No.
This Application Becomes Your Building Permit When Approved
Buildinl! Official
By
,
24 hour notice for all inspections (952) 447-~~~,O, fax (952) 447-4245
'.--.. ~._---". - ..~........ '''_.~'~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. :';.:0 ~:~y I PERMIT NO."~ _ LJI1 " I
). Yellow Applicant , 0. 7 C:>l.- ~
ZONING (office use)
LI/(~tJ
Ol/erIo#R DJ--
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
(Phone)
APPLICAl'U'
(Name) 0/t(} f F ~ H ry if 1"1 i I'- Lt.'?",; Q, ..L;v [.
(Address) '1 ")3-5" } 3 I.,S T W !<dtX!.-/t1 c JAJ i
(Address)
(Contact Person) (:7 C. ,7 ,....,:..( (;; IL (l f' f
J ,-
APPLICANT SIGNATURE
(Phone) (/, 5" J . y L 3 .. '3Q' i) L
/11.1.,,'
(City)
5',)- d (? 1:"
(Zip Code)
(Phone) 95- J..-" ^ I 0 - '='7 '-t 0
DATE . -, / 6 Y
APPLICANT PLEASE COMPLETE BELOW
NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL m ~j,\-!.-! ~ c.:.. q rn lj Ii {) '-/<g' / 0 0 FUEL /l...h9 T
FLUE SIZE f7 V C RETUR~ OPENINGS 1 INPUT I tJ (~ ..);'J () OUTPUT 7), ?c,o d
DWarm Air Plants
OGravity
!:iJ.. Mechanical
~Air Conditioning
J2:gVent. System
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ Building Pennit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
Date
(Office llse Only)
This Application Becomes Your Building Permit When Approved Paid
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 44/10 OV'u~pr.,w...
NATURE OF WORK New
USE OF BUILDING SF~ ~
PERMIT NO. 05. {J4-Z Z- DATE ISSUED b ~
CONTRACTOR Scf'ltLL.eA2W\Q~~ ~ PHO~E
-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING !:, - ")0- :::>
FOUNDATION (Prior to Backfill) " /;
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
,
.
GRADING (Prior to Soddin )
BUILUING 'etA . C a 0 (7 e 6,n, {
ELECYRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
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
rlDJ~ @ ~ 0 \II ~~
CITY OF PRIOR LAKE UIJ MAY 11 2005 @I
Impervious Surface Calculations B
(To be Submitted with Building Pennit Application) Y
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted is 30 Percent.
Property Address 4440 OVt12-L.LJtJA:- O/!--/ VE
Lot Area / Z6 & '1 sq. ft. x 30% = .............. 58!Jt. 7
************************************************************************
LENGTH
WIDTH
SQ. FEET
HOUSE
x
=
x
=
A TT ACHED GARAGE
x
TOTAL PRINCIPAL STRUCTURE...................... ~ 209t Pev.
I#c-w~e) /~~
DET ACHED BUILDINGS
(Garage/Shed)
x
x
GRIVEW ~ A VED AREAS
(Driveway-paved or not)
~arking Areas)
TOTAL DETACHED BUILDINGS....................... ,A/I}
G7X 0-+~4;S 7qb,~
t. =
Z-~ X 4-- I\L
TOTAL PAVED AREAS.........................................
10&/)'
P A TIOSIPORCHESfDECKS
X
(Open Decks y." min. opening between
boards, with a pervious surface below,
are not considered to be impervious)
X
x
TOTAL DECKS........................................................ tJ A
OTHER
X
X
=
TO.T AL OTHER... ............................... .....................
AJft
Company J /LohL ~~ t ~.
f-&1{ftJ l3tJ04 )' ~ I
UV1ftO[ 130~rZ-J~ I
Date 4~!f -() r:- ~ ~ -/1-tJr
~. ..4fF:.
1-- ~ V'/LCH
Phone #( Cj'S-'0 4?1--,">000
TOTAL IMPERVIOUS SURFACE
~~OVER
Prepared By ~ --L
L: \HANDO UTS\IMP ER vious.doc