HomeMy WebLinkAboutBuilding Permit 04-1169
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE / /. .
AND UTILITY CONNECTION PERMIT / I; '5)J 1
I. White File I PERMIT NO 1]
2 Pink City . /) /I~ /1'/ C
3. Yellow Applicant V L (,0 _
fir A/Fis if
/s?tc?
~AL DESCRIPTION (office use only)
/, /7
OT BLOCK ADDITION S L(.J1..p .
OWNER _
(Name) ...J ~ ^... ,
(Address) ..5t.b
I'
"IS
e-hl ~(!-'f
Sc
.L
ZONING (office use)
Ie/SD
PID zS. 04-.3. 0 It. 0
(Phone)
BUILDER -r
(Name) lYIL1..l.DIU4/J ~L(" Id~,.s.; -1-"e.
(Contact Name) .Be,. t'l; eo ML2..k 1.-{.1. 1./
(Address) ?8'?7 W ISO S-I., S4ll.tlQ..4f~.I fi1N 553 ,~
TYPE OF WORK
i)Il New Construction
OLower Level Finish
o Misc.
(Phone)
(Phone)
c./y,_ ~ 7Ji'A
t, /~ - ~ (,. ty- 534/
ODeck
o Porch
ORe-Roofing
OAlteration
ORe-Siding
OUtility Connection
o Fireplace
OAddition
PROJECT COST /V ALUE (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 revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter the property to perform needed inspections.
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~d~ 1I(;~rfr
0l3s-~
Contractor's L cense No.
I/I~ jo</-
Date
Park Support Fee
SAC
#
#
Water Meter
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
CITY OF PRIOR LAKE
DEl\10LITION PERMIT
Date Rec' d
Ild,t)1-
;:-Iv{;;~/ () 4-, /1"7
i PERMIT NO'Oif -I / b ~I
(Please type or print and sign at bottom)
I ADDRESS
I /59 (.. (.. S tt /I -+ is), Tra; I
ZONING (office use)
R/5D
I LEGAL DESCRIPTION (office use only)
I I'd-I?
: LOT BLOCK ADDITION S
PID 25. tJ~3. 0 II. 0
OWNER
(Name)=-S~h^ <:1 Ir-;.s
,.
R~ms(01
4(/ ~. Sro / fill fJ Is ';) /)1,J
(Phone)
I
(./~ - f do.:! - 5" 8' 75'1
I
I
(Address) -5 (..0 7' I a bI
55 ifl ")
CONTRACTOR
(Company Name) /Yl a/I 0 1..U.q
(ContactName) ..!3err/;@
I~J I~t(; /der5
~ /
rrlc
(Phone)
(Phone)
9$0. - ~C/7 _ do. '/d'.f
c..leA - :3 ~'7' --63~1
(Address) ? i J 1 v::>
/~ S-I ,/ :S~VA.j t:) j)J/lI S-5""37 11
j./l.C!..
INTERNATIONAL BUILDING CODE
Type of Construction: I II III IV V A B
Occupancy Gronp: A B E F HIM R S U
Division: 1 2 3 4 5
Use of Building:
o :Ml'CA NOTIFICATION OF INTENT TO PERFORM A DEMOLITION
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 revoke this permit for just cause. Furthermore,
I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
/ I /5/0.,L
. ~
Date
C~
This Application Becomes Your Demolition
Permit When Approved
I :METRq(MCESJ.SAC~T..
DETERMINATION.... ..
~\~
Building Official
II f~1
Dae
,e5 ~ 'P ~.G; b() fJ. () r) ~
(/N 5~;::e;).~
II. 8. ()4-
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, Minnesota 55372
~ ~ct-
~c.c.s .
cenify that the request in the above applicatIOn and accompanymg documents IS m accordance WI
.
\\-\5 .o~ .
Date
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/S'q c.. Ce.
S lA-1'1-P ,-.s;;.;" T ra.; J
/
LEGAL DESCRIPTION (office use only)
LOT /& BLOCK
ADDITION St/,Ii./ RJr/ Lf.
OWNER
(Name)
Go
So.
~
~ ~h"
(Address)
BUILDER 1Vl~
(Name) 0 W Gt Ic;/
(Contact Name) <.;:5e ~^ .. e..-
:3 . 22. 0'5
I. White File
2. Pink City
3. Yellow Applicant
-Pr; Or ~.ke--
ZONING (office use)
jC./J' 0
PID Z-5:'. 04:J, ('.- II. 0
(Phone)
c-/a- ~ot3- S~7S
t3 lA. i / d e. r r;; . ::J" 1'Le- .
Ma..A () IAJa ; cl
(Phone)
(Phone)
9S~- y~,? -~'}RP
G.n.. - .3 '" 1- 53 tf-I
(Address)
7871 ~ ISo 'S'"f.. :5o..0o.1;c..~ MJ SS37f
TYPE OF WORK
ODeck
OPorch
ORe-Roofing
ORe-Siding
o New Construction
~ower Level Finish
o Fireplace
o Misc.
x
Permit Valuation 4-, () (I 0 . () 0
Permit Fee $ 07. 2-5
Plan Check Fee $ '-
State Surcharge $ 2.i'O
Penalty $
Plumbing Permit Fee $ 4- o. 0 0
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ ,
This Application Becomes Your Building Permit When Approved
Building Official
Date
OAddition
OAlteration
OUtility Connection
000.
Contractor's License No,
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ /Z.q. z5
- f3 Bfr-.4-
2-9 '2.5"
3. 23 OS
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Planning Director
16200 Eagle Creek Avenue S.E.
Prior Lake, MN 55372-1714
March 23, 2005
John Ramsey
15966 Sunfish Trail
Prior Lake, Minnesota 55372
RE: Kitchen in lower level of 15966 Sunfish Trail
Dear Mr. Ramsey:
This letter is to clarify that the above referenced property is zoned R-1, and the
only permitted use is a single family dwelling. A single family dwelling is defined
as a "fully detached dwelling located on an individual lot and intended for
occupancy by a single family." This does not include a building with two dwelling
units. A dwelling unit is defined as "one or more rooms physically arranged so as
to create an independent housekeeping establishment for occupancy by one
family with separate toilets and facilities for cooking and sleeping."
It appears that 15966 Sunfish Trail has a kitchen in the lower level. Based upon
the zoning ordinance definitions, it appears as though the house has a second
dwelling unit. Please be advised, that in accordance with the City Code, the use
of the basement as a separate dwelling unit is not permitted.
If you have any questions, please do not hesitate to contact me at 952-447-9813.
Sincerely, I
12 t~ m -?~tn.L fld----
Danette M. Moore
Planning Coordinator
Cc: Robert Hutchins, Building Official
www.cityofpriorlake.com
Phone 952.447.4230 / Fax 952.447.4245
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R.2 Distr1cts
Reviewed by: a-v..._~_
~~.~
Building Permit # PID: ~ S' - c'f) 0 II' 0
Address: JS,t,lt S~fish Tr~
Leg~ .' B::...--.;-- Subdivision: l(.g S~;J ~ BJ
Date:
It "1. It>"(
Zoning:
Jl?/-SO
Existing Structure? ~NO _\b~\J.
I g~~iN~~~~ TO ZONING
Existing Nonconforming Structure? YES / NQ
~
NO I
,----- .
Yard Setbacks: NA 1 FAllSI COMPLJES
· Front Yard can be 20' if av . w/in 150'
· Side Yards
Standard
25'
10'1
25' if abutting a street
Proposed
l.S' - 0 Ie.
I'.'" ...'
~ c>J::..-..
.0"
· Sidewall exceeding 50' requires additional side 2"
setback for eve l' over 50' in len th
· Rear Yard
· Patio Door. provide for minimum 10' deck or sign
statement indicatin no deck will be built in the future
· From 100 year flood elevation of wetland/NURP
ond
· From OHW (Prior or Spring Lake)
10' setback +
2"/1' over 50'
25'
10' side/
25' rear
30'
Nlli
tJ Jft
75' or setback average of
adjacent structures, but no
less than 50'
~ J A
I Floor Area Ratio: NA 1 FAllS 1 COMPLIES
.30 Maximum
r Nud. ~~\-aiW\ntiak~v.)v\ .
'-..;,.....-
~,.. -,
%:1
Yard Encroachments: NA / FAllS ICOMPLIES
Eaves and Gutters no: more than 2 feetih width and no
closer tflan. 5' feet to a lot lIne Easements.
ALCand other equipment cannot encroach oninterior
\ side arcfs.
Standard
nee PreservatforT~ NA I FAILS I COMPLIES
· Totafcaliperinches
· Permit25%Removai
· Cali ec Inches Removed
· Cali er Inches Preserved
.. Re lacement
Standard:
L:.TENIPLA TE\BLDGLlST.DOC
lht' ("fnlff or Ihf Lakt' Coun'..):
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
v
Denied ~
Reviewed By: - ""'~ Date: it II F ft,-I
Comments: "rI-J flUA. ~...1 f""- L '14. 5"""' ~. ....J.",
((y~ ~ :U~~ ~ ~.t< ~
~ rfj ~~ ~ ~ r>v-~
f;(SOlJ ~ ~ ~ ~,
"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
c;-~~r - Engineen~
In - I"'lannlng
Th~ Ct"nff'r (l( Ihr L.kr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~./--/ L. /_~)
'i II Ii;::'
(/' t_~-,' l.,.....---
<...-
-'
.I .~
': 4----
,.. --"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,~. _ / ~.-:>.__/J
"'T?c~,/4 / L--
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
1J1&f3
Date:
11-lt-6f
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."
I"h(' ('fnl('r of Ihf I.akt ('ountr)o
(White - Buildinv
Canary - Engmeering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/1/lIl~WAL{) t3t//~06If2S
//. 5. o-f-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/69(P(P oVA/FiSH T72---A/L-
Accepted
Accepted With Corrections ~
Denied
r--..
Reviewed By: ~ ~ Date: /~/;~~ Y r
Comments: ~ J( _~ ~. ~~.
~ ~ ~ T1f~ ~jJ~~~~ ~ ~ /lA~~_D
p , ~~
.. ,---19- ~. r.
~ '1-0 ~L-' ~~ ~ ~ ec-~
,
o/-c f'~ ~
"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
~:~~w ~~~~. I PERMIT NO. j J ..../'J 10 91
Gold Applicant ,.
ZONING (office use)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Ph~t.-?~p ~.Y:
(Address)
(Address)
~~ ~~C~~
APPLICAN
(Name)
(Phone) Y--~;7 ~ ~ ~?"
(Address)
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Location of any couplings from structure _ feet.
Type of sewer pipe. D ABC; jkI PVC D Cast Iron
Estimated length of sewer line ~ feet.
Clean out (if required) located at _ feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
Building Official
Date
Paid
Receipt No.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
81/24/2885 14:48
'3528'347'372
LAKE SIDE PLUMBING
PA(~E 81
Date Rec'd
CITY OF PRIOR LAKE PLUJ\fBING PEMUT
(Please ~ cor !!!It ;].nc1 sil?Jl at bot1:om)
ADDRESS
----I
I 1)1110 ril,
2. (i('lJd C!ly
.~ .l, Y~J1<I\V '\Pi'nellMt
r PERMIT ~_O
ZONING ("mee u~c)
ISI:f '-'("
S~J:.:~~
--ff
LEGAL DESCRJPUON (r>mce use only)
LOT
BLOCK
ADDITION
rm
I O\VNER
(Name) Mc..~~~~--8lJj1o.I:'l.
I (Address) I 'l1:J_~ \SoA-k
(Phone) ,_
:s:t
APPLICANT
eN amc)___J~SI~"
PJ.4
(Phone) 9 SJ - g~~(,p_o
(Address) ld'fc.." ~-,,,r~ AutL.
(Address)
S<ltJ"'-jP'_
(City)
SS31r?
(Zip Code)
(Contact Person) _-D.QJ....
~oJ*!I
~illI B.u V"1l
(Phone)
~e
APPLICANT STGNA TURE
DATE I. 19~_p..:L..._
Quantit). Type of FixtuTe Qu.antity Type of Fixture -I
~ Bath Tub with or without shower I \ Rough-in.5 ~ ~ !
I
I Water Heater T - ---
, Dishwasher I \ i
I -
L_ Floor Drain I \J./ater Sonner I
I
Lavatory (Bathroom Sink) - i
~ \ Stand Pipe (Washing Machine)
I Laundry Tray (I-or 2. compartment sink Sewage Ejector i
, Shower Stall Backflow Assembly :
I Sinks ,- 8ackflow Assembly Test
I ~
I Bar Sink - LilW11 Sprinkler
y Water Closet (Toilet) Other
-
APPLICANT PLEASE COMPLETE BELO\V
FEE SCHEDULE
InduSlr1<11. Commercial & MIJlu-I';,mily 1% of job cost with a $39.50 minimum
Re~ldenlial. New One & Twn-f7:lmil "'q ~
Estimated Cost sir., OOf)
f
!)~te
-
PLUMBING PERM1T FEE
5TA IT StIRCHARGE
TOTAL PER"lITFEE
(Office tl~c Only)
Thj~ Application llccnmes Your Building Permit When Approved
Building Oflicial
24 hour notice for all iJ1~J1cction~ (~52) 447-9850, fn (952) 447-4245
]6200 Eagle Creek Ave., S.E., Prior L:tke. !\'IN 55372-171,.
01/24/2005 14:48
'3528'347'372
LAKE SIDE PLUMBING
PAGE 01
Date Recld
CITY OF PRIOR LAKE PLUMBING PERMIT
--l
I IJIII. roil. r PERMIT NO
2 "Old City .' .__
.1. Y~.ll(I"\' ^F1f'1UeAnt .
ZONING ("nice \J~()
1~1f '-fe.
.sUJ:.l.~~ -1' R.
LEGAL DESCRJP'TION (office use only)
LOT
BLOCK
ADDITION
PIP
OWNER
(N Clme) (r')tl.k^I.l..L~-Bujkr:..
(Address) 1 f 1:)._W \SO~ :St
(Phone) __
APPLICANT
(Name)__.J~.s\~,.
ld.l{t...,
PJ.~b:~
~;" rQi<,. AuL.
(Address)
(Phone) 95";)- eCJ~' 7(.,.0.0
(Address)
SCltlA,3P,"""
(City)
(Phone)
SS"3'J~
(Zip Code)
(Contact Person) _--Da...... ~u*C\
APPLICANT SIGNATURE _~'-4'
~e.-
:fS.u ~.I..t
DATE
1.lq.~
'- -
. --
Quantity Type of Fixture Quantity Type of Fixture
q Bath Tub with or without shower \ Rough-ins ~, ~
, Dishwasner \ Water Heater
Floor Orain - Water Softner
I
.r; Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) -
\
, Laundry Tray (1 or 2. compartment sink Sewage Ejector
i Shower Stall Backflow Assembly
Sinks -,' Backflow Assembly Test
J
Bar Sink . ,. Lawn Sprinkler
-
t..I Water Closet (TQilet) Other
.
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
IndllSIT1<11. Commercial & Multi.family 1% of job cost with a $39,50 minimum
ReSidential. New One & Tw().r:an1il~
Rcs;(\entiol, Addition~ & Alter:lIinl1S~1
Estimate<l Cost $ 1(,,10DD Building Pen:nit # 1f\ 6,
PLUMBING PERMlT FEE ~ ~\V '0__.
STATE SURCHARGE on,
TOT AL PERMIT .FEE ~V'v
Ihtc
(Office tl~e Only)
Thi~ Application llccomes Your Building Permit When Apprnved
Building Official
24 hour notice fur all in'l'ledion~ (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.l.., Prior Lake, MN 55272-1114
~ ~
JAN-24-05 03:00 PM JUDKINS
02'27.'02 "ED 11:09 FAX l'i1.1.Hi42U
6514234189
(;!'I'Y OF PRIOR LAKE
P.01
~ 001
Cln OJ' PRIOR LAKE
HEA TING/AIR CONDITIONlNGIFIREPLACE PERMIT
Date R.ec"
i:::'. ~ ~TKG~
3, Vol..... AvPI,_. ,
(~~.....~...ml . ... . _ _ __ '
ADDRESS . ZONING (nftItol! .,l
I S4'''fishT@Uy-i(JyI~e __._~ L-J
.....,
I
!.!OAL Dl!SCRIP1'ION :of!lct UII OI\IY)
....!-.~~..,.~~c;!... .._ ~p~;~~~_.. ......____..___.._._._._.....
Pro
..---- . . I
~ ~u.':.>gkL l?:4i \rl~ __.____ (Pho..) q~ - LfLi7 - ~7$1
Ad6rcss' . J.J. l fD-h1~d- ~estl ~SJ~ '.'-- . .....---- I
I APPLlCAA1~~- \\ Ii ~ .---- 1_(::; 1._1-.1. -, - '5'"72=;1 i
I (NAme) < V1 S tJ'Lu' y- (Phone) _~__Li.:..::J. .1-"3 .-'. - ~ I - I
U\ddle,d~l~ CQ,lTOl-l&~ -. _ - . ~tB'~ 5F1'JIOB I:
I . ~~S (CI~) (ZAp Cole)
(Contact Person) (Pho~)
DATE
APPLICANT PLEASE COMPLETE BELOW
r-- ~EW CONSTRUCTrON CJ REPLACEMENT -.- 0 A.LfEr.AAnON~ -.-._--.
I PURNACl MAKE ANDMOOEL Lr Y\ VHS~ ~42~- -~ 13CS"1 66 O. __~ FL"EL ~L-
I FLUE SIZE "3\1 J^JC-.. RETt,JRNOPENrNQS __l3 INPUT L~OOD.._. OlJTPUT --..---
i:YPE OF SYSTgM ImA'I1NG OR POmP. PLANT
! '1iIf,v1/t!l AIr fl8l\tI 0 Stsm I PLEASlt MOTIl
. LJOM'I1Y 8 KQ~ Willr Ajr COl1c:tiUCincr Vnka
~Mctlwllca! Ra.diatian Canaot Bneroaoh In~
Ir Co"ch'\lQlll~ Q Sp;;ill DoriQC8 . L llcquired Side Yard
II Vellt System 0 OtIlcr Dtvlcet _.._ itCb&c1r..a
FIREPLACB MAKE AND MODEL
'.'_I'-~--
J'EESCHED11LE
l~ ofJOtl 001t R.,(dIlr\11al, Ou Flrqllle!
Dl~m~m~ .
RclIidUlYiel. Kellin,,, A1C (New Cor,SlnIctlon) 199.~ Residentlll, AddJtlCIM ok Alwt4ti(,ns $J9'50~'
'Resldentl~J. ':.ltllUll'Ig <:1"ly (S1!\Ii Consu\ll:llon) SU,50 R81idsltlal. AC On!y 539.50
E~;m.,..! Coo, S BuUOl..l'<rm~ '--- 4 \ 0 '8
HE.~ TTNO PERMIT FEE S t r' 0
STATE SURCFlARGE $ .~~ ~I ~r--.
T01'AL PERMIT FEE 5 vV
~.,
InduJt:rla~ COlT'JT"I~i\I" M:.lltl.Famlly
S3'.j(
(O~'II 1.11 Oull)
..-...--........-
nl. Application De~mel Your BulWlll~ PtrmU When Approved
hil4illf OIlQII
DIlle
JAN-24-05 03:00 PM JUDKINS
02.2702 ~ED 11;UQ FAX 612~~7~2~~
6514234189
CITY OF PRIOR LAKE
P.01
Z 001
CITI OF PRIOR LAKE
HEATING/AIR CONDITIONlNGlFlREPLACE PER.."\1IT
Date R.6e"
,.. ,,~ 11'!1l..\ilT NO~
1.~ t.~ I
l. ~ol\Qw "",1,- L- '
l1fs~~~~~mJ . .. ... ... -- '
ADD~SS. . . . 1 ZONING (~ -J 1 I
I S4~'1f6h:T v-o.,d I \JYIQYldl;<e. _.._..--J L..-J
-,
I
L!OAt. OISCR.IP1iON ;oHlt:t UlfI ~n.ly)
~~I. ._!.;'9..~. .._ ~P1?~!;~N_.. ...
Fro
(ConUCl. PerllOn)
AlPLlCA.N1' PLEASE COMPLETE BELOW I
r---- ~EW C<JNSTRUCTION a REPLACE.\IE~-r -.- 0 AL fBRA -:lONS -. - ---'1 i
I f'URNAC1!MAK!AN';'MQOEL Lc'{\V\6'f... G41-YD \ 35[66 0.---- FL"EL ~~ I
fLUE SlZE "3\1 wc_. RETtJR1{ OPENINGS l 3 INPUT l?fiOClO ..__ OUTPUT -' ----
'rYPE OF SYSTEM flEA ID\ G OR POWEP. PLANT
.~I/'TTI M I1lantl: 0 Stellln I PLE..t.S,1t ~0TI1,
UGM'ity 8 Hel Wltlr AJ1 Coa.ditlc,ncr lJnita
I ~MCtlw1lca! Radiation Cannot Bn~oaoh inti:!
Ir C()nditi<.l~l~ 0 Sp;;ill Dcvio:a lllequlred SldCl yatti
I V,,, '",om 0 ""', """" ._- ..."
I FIREPLACE MAKE AND MODEL .- ...-.-.--
Indllroi.~ C<3tr.lT'r1'Cld & M~Jti.Famll)l
nE SCH!Dtn.E
1% ofjOtl 0011 Ra,ldIll11lAl, Gill Fi~ILe!~
~l~m~m~ .
R.eliIQlX1Tiel Healna tk AIC (New Cor,sttlI.ction) $9BO RC9idO",tlal. Add.JuOll3 & Ahall1ti<.ns S39.S0~
'Resldentlg I. ~l'I!d,"g Oil]}' (S1!'\li Cor.Sl1\I<~r\Qn) 564.30 Resid.!:ntlli.l. AC Only SJ9.S0
Est;m"oi Coo'S BuUdln& P,...1t #_..-- \ 0 '6
lIMTTNO PERMITFEE I t ~ DO
ST A TE SURCflARGE S .2Q. (l' ~ I r-- ·
TOTAL PERMIT FEE 5 ,'J V
~ otI"~
~~
'U.2.S .Q.'
S3~UC
(0:1" (,,1' Oull)
\ nb Application D(eomet Your BulWIDl: PU'!31/ Whe~ ~pr~;~d'-
I
o.lr
hil4illf OUIa,1
14 ftflU' notjcl I'tIr 11I1IuplctJonl ~52, "7,f&S), fn (752) 447--42"5
PRIOR LAKE
INSPECTION 'RECOR
SITE ADDRESS 151'~~AJFiS'~ mL.
NATURE OF WORK N4 ""~~~~/'~
USE OF BUILDING · ,
PERMIT NO. ~//~ DATE ISSUED I: z. II'
CONTRACTOR ~ ~AlI4/,() PH NE · ~ -Sl'I I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
~~
/ /'v'Cc UD65
LtWl/i:72- tE v/~
/I-().S {J 202_
FOOTING
FOUNDATION (Prior to Backfill) ~ /,2
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
c..c...
'i\
!Z~
SEWER I WATER I SEPTIC
INSULATIO ".;<
ELECTRICAL
PLUMBING :J.-- t-1 ,~
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST I '31 O-S
COYER NO WORK UNTIL A~OVE HA,S ~EEN SI~NED
1M"'" / 7!tJ1t1Y ~ II/jw #'4 #27;k I L"t9. :
FINALS .
GRADING (Prior to Soddin ) A/.I? ?' -:J"'/, e-/
BUILDING Lowel2 t81/eL
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
This card must be posted near an electrital service cabinet prior to rough-in inspections
and maintained until all inspectio~s' 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