The URL can be used to link to this page

Home My WebLink AboutBuilding Permit 04-1135 ~- ~~-~~~.~...............~~--,._- :;- 0 0 ~. (') 000000 ""D ~ > -0 (II :a: c z_ ~ 0 0 0 en."z"''''''' 0 C ~~ 8 0 0 0 3: :::jzen~oo z Z ::0 0 !l m mo > 0 ;u ::0 ;u 3: ~>c:l:~S m ::0 m 0." ~ , :'1 ;u ;u ,.. z'>zcz z en ::!""D , m m en m 9 en lltI 0 0 > z ~ ::!c>~c> 0::0 t -4 -4 z- t\'l ~~ -4 ~ m 0 - zO l<::l ..... en en o Z 0 S .0 ~ -4 Z 0::0 CIlI ;u - 6 ::!> ~ 01 0 0 t. 0 o Z -4 Z 0,.. ." 0 mm Sl 0 > > .~ ! ~ ::0 ' Z ( , , c i ~ -t ""D ""D , :J: I ~ ;u ;u I ~ m ;u 0 0 ! 000000 Z ;u 0 0 I m m m m \ V\ :l: 'll en =: :l: 'll ~ ~ , >< - m m \ m'~>m' -4 z c C OC -40C lltI en I z ~ 'll +-.. :J::l: m :J: :l: ""D 0 en ~ en m .,,!!!;u::o;u!!! m 0 ~ 0 ""D ::J 0 ZZ:J::J:-Z ::0 Z :a: ::! ~ m CD -4 >c>oo c> :l: -t m ~ 6 ,..- ~ 0 ".,,00 ;u :::j ;:0 C -t 0 Z -,..,.. - z C 0 3- zcc , ~ tD ~'ll'll 9 m Z :'1 m 'P c ~ ." N 0 .. ~ :a: ;u m ~ 0 0 c 0 ::0 < 000000 -t'- :::::::- en m :i! z ;u c>"''''o~ \ ~' c Z - > > >;;;;0 - ~ -4 Ro c> f!!mm:l:c> m C tJ ~ ~ _'ll'll'll~ ~ ~>>>c ~ ~ Z >ooz:;; ~ 0 _mm-4_ !" ""'::0 ' -4 -4-- , i enz z m -4~ c> :;- 0 0 0 000000 'll 0 > -0 (II :a: ~ c z_ ~ 0 0 ~ en."z."."." 0 C ~~ 8 0 0 z 0 !l :::jzen~oo z m ::0 mo > 0 ;u ;u ;u ~>c:l:~S m ::0 m 0." t:l :'1 ;u ;u ,.. en t\'l , m m z'>zcz z ::!'ll , en (') (') en ~ ::!c>~c> 9 0::0 :.:. t -4 -4 > t\'l -4 z- ~ > m 0 - zo ~ ..... en o z 0 I 0 ~ 0::0 S CD -4 ." -4 Z CIlI ;u 6 > 6 ::!> ~ 01 l' (') ~ 0 Z -4 Z ~ 0,.. ." 0 > 0 mm Sl 0 > Z ;u ::0 , C :< ~ ,... -t ." 'll 'll ~ ~ :c 0 ;u ;u l' ~ m ;u 0 0 000000 z ;u 0 0 ~ ~ m m m m :l:'llen=E:l:'ll >< m m -4 Z C C m""~>m"" ~ en oC -40C ~ ;:s Z ~ 'll :c:l: m:c:l: 'll 0 ~ en en m .,,!!!;U;U;u!!! m 0 0 0 ~ ""D :l 0 zZ:c:c-Z :xl z :a: ::! m CD -4 >C>oo C> !!: ~ m ::t 6 ~ 0 (1 ,....,,00 ;u :::j C -4 0 Z -,..,.. - C 6 9- zcc z , ~ tD ~'ll'll 9 m z m C ~ N ." .. 0 ~ :a: ;u m ~ 0 0 c 0 OOOO~ i ::0 < en m :i! z :xl ~ Z C>."."o~ > >--0 -4 Ro C> en;u;u m C C~~R ~ ~ ~~~- ~ z ~ 0 ~mm~_ rn :xI.,,;u ,... -4 -4-- ,... i cnZ Z m -4~ C> ~ :;- o 0 000000 ""D ~ > -0 :c c z_ (II ~~ ~ o 0 ~ en."z"''''''' 0 Z C g 000 :::jzen~OO Z m ::0 mO 0 !l ~>C:l:~S m m > 0 ;U ::0 ;U ::0 en 0." , :'1 ::0 ;U ,.. Z'!):-CZ Z en ::!""D t\'l , m m en en -4~>C> 9 0::0 :.:. t 00> 'll - -4 z- t\'l -4 -4 -4 m 0 - zO ~ ..... ~ > - o z 0 0::0 . o 0 en -4 Z S CD ;u ::! ~ 6 ::!> CIlI ~ 01 ,.. 0 0 z 0,.. 0 . Z-4 mm ." o > 0 Sl 0 > Z :xl ::0 ' C :< ~ -t ." 'll 'll ~ :c 0 ;u :xl ~ m ;u 0 0 O~OOOO z ;u 0 0 I~ ~ m m m m :l: en=::l:'ll >< Z m m m'~>m' -4 c C OC -40c ~ Z ~ en :c:l: m:c:l: ""D 0 a ~ 'll .,,!!!:xI;U;u!!! m 0 en m ~ ""D ::J 0 zZ:c:c-z ::0 z ::! ~ m CD -4 >c>oo c> !!: -t 0 ~ 6 '::!!~~ ~ :::j ;:0 '\ ~ -t Z C 0 zcc z ~ , ~ 0 ~ tD ~ ~'ll'll 9 m z m C ~ N ." .. 0 ~ :xl ~ :a: m ~ ~ ~ 0 0 C 0 ~ ::0 < 000000 en m :i! z ;u c>"''''o~ Z >;;;;0 Ro > c> f!!mm:l:c> ~ C _'ll'll""D~ ~ ~>>>c ~ ~ ~ z >ooz:;; 0 _mm-4- ~ !" ;u.,,;u , -4-- , I: enz Z m -4~ c> ~ 000000 " ~ > -0 z_ :;- 0 0 :a: c ~~ (II en."z."."." 0 Z C ~ 0 ~ :::jzen~OO Z m ::0 mo 8 0 m>c:l:~S m ::0 m 0." 0 !l ;u ;u ;u z en ::!" > 0 ;u ;u z'>-cz en t:l :'1 ,.. en -4~>Cl 9 0::0 , m m z- t\'l , (') (') en 'll - -4 zO > m 0 - lltI t -4 -4 o Z 0 t\'l > -4 0::0 l<::l ..... ~ en -4 Z ::!> . 0 ." 6 S CD -4 0,.. CIlI ;u 6 > Z ~ 01 l' 0 mm 0 Z -4 ." 0 > 0 ~ 0 > z ;u ::0 , C :< , ~ -4 ." 'll 'll :c 0 ;u ;u O!OOOO ~ m :xl 0 0 ~ z ;u 0 0 :l: cn=::l:'ll m m ~c~~~l:: ~ m m m m ~ Z c c :c:l: m:c:l: 'll 0 ~ ~ en .,,!!!;U;U;u!!! m 0 ~ ~ Z 'll -Z:c:c-z ::0 Z en m ~ClOO Cl !!: -t (\ 0 ~ 'll ::J 0 ;:0 ::! m CD -4 ,.,,00 ;u :::j " 0 ~ 6 -,..,.. - z ~ zcc -t 0 Z ~'ll'll 9 ~ ~ 0 3- tD Z :1 m ~ N ." () . .. 0 ~ :a: :xl Cl) ~l m ~ 0 (') c 0 000000 ~ ::0 < ~ ~'~ en m Cl","'om :i! Z ;u >:ii:ii0~ l Z ~mm:l:e;) Ro > e;) _"'lJ'lJ$! ~ ~ ,<::5 c V\ ~ < ~>>>c \ > >ooz:;; ~ ~ z _mm-4_ -4 0 :xI"':xI ' i ~ !" -4-- , \ m enz Z -4~ Cl CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ~.e.'."' "..",d,' 'Z,~l ADDRESS Ove-r/ook 0,... " Date Rec' d liJ-7-o~ I White Pink Yellow File City Applicant I PERMIT NO. 04 . 11351 LEGAL DESCRIPTION (office use only) ZONING (office use) I!:./ LOT 3 BLOCK ADDITION Rt:'d C ed a. J-lt:' 1 <Jtd.s PID 25. 394-. 003. () OWNER (Name) M if-had Y tlrJ,.e4L .s~jck 11 l""t'" 1'"C..".do Ave. P",O.. L.", ke (Address) BUILDER (Company Name) (Contact Name) (Address) J'181 ';11'I11'1 Heint's ..T..../!. Trc'j tlc:rfmat'll'l j{. :ruhn~ {}.. LJ taJ bu ( (Phone) 9SZ ~ ~"o - 922.'1 (Phone) l.,I2. -3l..~ --0&71 (Phone) &12-32.8 -Ov/7 fUv .sS-124 TYPE OF WORK New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace OAddition OAlteration OUtility Connection 0 Mise, CODE: !6I.R.C. DI.B.C. PROJECT COST /V ALUE $ 'I~{) ~ Type of Constmction: I II III IV V A B (excluding land) I Occupancy Group: A B E F H I M R S U Division: I 2 3 4 5 I hereby certify that I have hlrOlshed Information on this apphcation 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 onstruction 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 Jt I urthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed inspectIons. 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 Pennit When Approved ~ MJ- /(j;{~/Oc( 8uildll1!! Ofliclal I Date At. ~ ')07J'i I <('1 /) Contractor's License No. Park Support Fee SAC # # / () - 'J - d '--I Date $- $ $ $ $ $ $ $ --- ,0 CJ ,00 Water Meter ", , '-tv -y;e\ 0 J ThIS IS to certify that the request in the above apphcatlon and accompanYing documents IS in ccordance with the City Zoning Ordinance and may proceed as requested, ThIS document ~~= "'~m''''''' C,"',,,,,", ;/,;;;~ ,,' ,U".. """me:;;;m';;;''' mm,"''' , Ce",'"," ",ex;"",,,,, m"" "' Planning Director I Date s~ 24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Pressure Reducer Sewer/Water Connection Fee Water Tower Fee # # Builder's Deposit Other TOTAL DUE It. g .04- Paid Date 12.-" R.cP ~- BUlI~mo Canary - Engineering Pink - Planning Tht' ('("nfef of Ihe l..kt Count!")' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED FArv1\ L''L-HOM5S I 10. 7- 04- I N~" The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: #3 s:- ove:R-L-OO~ Di2.IVb Accepted Accepted With Corrections / Denied Reviewed By: ~ ~ Date: I tJf 7/0 c.( Comments: hJ a.Lt ~ - ~ ~ ( ~ 12" (<.. t.-p e ~ t-a T c. 0 . "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 - BU~ding CCanarv - En ineerirlQ) Pink - Planning Thr {'rntt'r or Iht t.kt ('ountrl BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST -NAME OF APPLICANT APPLICATION RECEIVED <,,-Of' \ ;, 'II " .' (' '\! .... 1.- "l I i 1 i' r.i\' t.... C I' "i i,) i ' -:.' ......,) I ( f !;' l i ',J '.-.._,..~.' ; /: 07 \ t.'. (',; ~::i-._..... . " , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: A&? r-. (",t ,! r::.' I',) i /' '1,../ r', ;,,) 1'\/ ti--:" ,-, ....) .~ ! ". .' '...,1 \:",. . .....~~..1.... ~.' <.... ,/ r"". ., 4 .~..} ~'l~.._._ I ~-::., Accepted With Corrections v Accepted Denied Reviewed By: 1P- Date: ; I {"2/01 Comments: See Reverse Side for Additional Information! - \).k..-lL ~('vc..vd\;lf!('-- e- e~{e.......d/i~~) '~'-t. ,-<-i( 12-C p See Atta.chments: 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." .-;,. :- White - Building canar~ - Engineering c:;P"ink - Plannl!!9) Tht' Crnlt"r of thl' Lakr Counlr)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED t~ l \ I' \ L "'f , I r,.; ,,' " f- J I ' I \ ~ '---" I '- , 'I....- \\,,1 4-.- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~' ~ ".~, J . /' -f'j ((~ /. \ ,~-_:. { \J t,~.. <:...---- Accepted Accepted With Corrections /' Denied Reviewed By: ~~ Date: 10/19/0 t/ / . Comments: "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 Districts Reviewed by: ~ ~ Building Permit # Address: L/~3S Legal: L..3 I 8 Date: : / el7 /~f I PID: 6J~~ l)~ Subdivision: ~ ~ ~t:rS' Existing Nonconforming Structure? YES ~ Zoning: Existing Structure? YES@ I CONFORMS TO ZONING ORDINANCE YES NO I . Standard 25' 10'1 25' if abutting a street Proposed '2.5, <:;"' t , \J' - \"3', 2 . . 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 ofwetland/NURP ond . From OHW (Prior or Spring Lake) 10' setback + 2"/1' over 50' 25' 1 0' sidel 25' rear 30' , ; t-Jot-J A 75' or setback average of adjacent structures, but no less than 50' rJ~ Floor Area Ratio: NA I FAILS .30 Maximum Yard Encroachments: NAI FAILS Eaves and Gutters no more than 2 fee I closer than 5 feet to a lot line Easements. A1Cand other equipment cannot encroach oninterior side ards. Standard Proposecf-' ..-.. Tree Preservation{(NAt I FAILS I COMPLIES Standard Proposed .' . Total caliper inches . Permit 25% Removal . Caliper Inches Removed . Caliper Inches Preserved . Replacement Y2:1 L \TENIP LA TE\BLDGLIST.DOC CITY OF PRIOR LAKE Impervious Surface Calculations (To be Submitted with Building Permit Application) For All Properties Located in the Shoreland District (SD). The Maximum Impervious Surface Coverage Permitted is 30 Percent. Property Address y'" 3 ~ Oiled 00 k Or. .4L)yZ)f t;;" fJO O()~ -r-f~ - pei2.- SurVey . 'r I '1) A Lot Area 15 ' X. /3'3 J.-D{..j)( tJ >' (C/~ sq. ft. x 30% = .............. ~ CJ7'J{> 4d:. ************************************************************************ HOUSE LENGTH WIDTH SQ. FEET -33 J /1 rJ.. x ~~ = ~" x /t = liTO .,,, x = ATT ACHED GARAGE DET ACHED BUILDINGS ( Garage/Shed) x x ~~X' I "771,"3 # VJ6-~ c,^-kcJl6kJ by C~ syS. TOTAL PRINCIPAL STRUCTURE...................... TOT AL DETACHED BUILDINGS....................... (Driveway-paved or not) (Sidewalk/Parking Areas) ;)0 /I j ..- ?trD x ~~ = x /fJ,~ = Ie;~.j X dO = uO DRIVEW A YIP A VED AREAS TOT AL PAVED AREAS......................................... 9~d,~/ P A TIOSIPORCHESfDECKS x = (Open Decks 'I." min. opening between X = boards, with a pervious surface below, are not considered to be impervious) X = TOTAL DECKS........................................................ OTHER X = X = TOT AL OTHER.................. .... ..... .... ......... ............... Company ( /r1c . I 35>-:33,)1 I 8"/" to ,t{l unk Date /0 - 7-00/ Phone # 40 3,;)J? 067"7 TOTAL IMPERVIOUS SURFACE ~~VER Prepared By T .\TT'\llo.TT"\t""lT""C"\ll,,(nr.Tl..~~.~ ..J~.- CITY OF PRIOR LAKE SEWER AND WATER PERMIT Date Rec'd II. 10. 04- Green File I PERMIT NO -I Yellow City, . 0+ /13::; Gold Applicant 41 ZONING (office use) ,Ae/ 443.5 o V 6",eu; 0 J:::.- () II!:-. LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID *- 00.1, () OWNER (Name) P/1I'1/~Y 1-Io'1~ (Phone) (Address) (Address) (City) (Zip Code) APPLICA]~T (7) (Name) h a V' j ~!oj r L..l. ~ I \) J .:x ......x' (Address) SO'? ~ I (p d-- ~ \ l ~ h..J l4 I - (Address) (Contact Person) W QN '€.. \ (Phone) '1<03 14 .....\0 V ,.- (City) LtJI-f)b ~, m lu 6'63oi_ (Zip Code) (Phone) DATE [t-lo- 0 APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure _ feet. Type of sewer pipe. 0 ABC 0 PVC 0 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 SEWER AND WATER PERMIT FEE STATE SURCHARGE TOT AL PERMIT FEE $ - $ .............-: 5 0 $ /' /' ~4~ //35 ()y p~IO d- (jUI vO Estimated Cost $ Building Permit # (Office Use Only) This Application Becomes Your Building Permit When Approved Date Dat7/1 It). ~4- Building Official 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 11/30/04 TUE 08:42 FAX 08:54 CIT~ OF PRIOR LAKE 9524474245 I4l 001/003 F.01 Date Rec.'d CITY OF PRIOR LAKE HEA TING/ AIR CONDITIONINGlFlREPLACE PERMIT I. lI.k 1. 0.- 3. '1'0/1... S:~I l PERMIT NO.l./... 113P J IZONlNG("~_lJ \ PID OWNER c--- } I J (Name) \- o..~. L'f n(J h'V'J' lI. 'Nt ., . (Address) (phone) APPLICANT 'h ~ (N""") ,.ll V'<l 0 tV (Ll.( "...I" I to J ; r r-S:: (Address) ~ 6:L:L t iL, -;).. ~ )..t--> ~ Iou (Addrd') (Contact Person) . ..tl ~ ~ (phone) <l63 4~t}!jk, ~ A",\ov,,- I Yn}0 r;~ D~ (city) . (Zip Code) (Phone) I') 101 LJd.. ') - 'I b?o DATE ) (~30-() APPLICANT PLEASE COMPLETE BELOW ~ CONSTRUCTION o REPLACEMENT o AL1ERATIONS FURNACE MA1<E AND MODEL FUEL FLUE SIZE REnJRN OPENINGS INPUT OUTPUT T\'PE OF SYSTEM HEATING OR POWER PLANT DWann Air Pllltlts D Steam PLEASE NOTE: o Gra'iity B Hot Water Air Conditioner Units o Mechanical Radiation Cannot Encroach into OAit conditlonlng o Special Dev!c.es ~ Ll'iU'pc-r ~.: Required Side Yard OVent. SYSlet1\ o Qthet' DevIces s: Setbacks I 1f(tA.~e fIREPLACE MAKE AND MODEL \ ~",il',,.. - = Industrial, Commercial & Multi-FlIJllil)' FEE SCHEDULE I % of job OOSl Residential, Gas Fireplace: $39,50 minimum $99,50 Residential, Additions & Alterations S64.S0 Residential. AC Only $39.50 S39.S0 $39.50 Residential, H~tl"g &. Ale (New Construction) .!-csidcntial, He.atirLg Only (New ConstrUction) nr_o O.:l,.- Estime.ted Cost S ' t '" I Building Permit fJ " HEATING PERMIT FEB $ STA TB SURCHARGE $ TOT AL PERMIT FEE $ .50 (Office Use Ollly) I This Applic:atioD Becomes Your Btllldtng Permit Wben Approved Paid Date ReceIpt 0, Date Bulldlng OrociAI 2<i hour notice tor.n InspectioM (952) 441-9850'. tlIJ.' (952) 447-424S H;11I0 'Jj:.,,;1c: \.rMk AvenUe.. Prior Lake. MN 55371- . Standard 24' 5' from side lot line or 30' from r-o-w on corner lots 10% . . . EJh, . I Building Height~P~ FAILS rJI-.. 35' Maximum ~ Shoreland District:(NA I)FAILS 1 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 Shorelan : 'A FAILS 1 COMPLIES . Setback from top of bluff Standard By planning dept. Proposed . . . . Road access must be no more than 2 feet below Re ulato Flood Protection Elevation Standard 908.9' Prior Lake 914.4' S rin lake 909.9' Prior Lake / 915.4' S rin lake Must be l' above flood elevation for new and existing structures. If existing structure was constructed 9/19/90-11/22197 then additional foot Is not re iJired. Must be flood elevation,or hi fler 907.9' for Prior Lake 913.4' for S rfn Lake Proposed FAILS / COMPLIES . od elevation . Lowest floor elevation . Proposed lowest floor elevation . Elevations 15 feet from structure . Standard 832 s .ft. or 25% rear ard Proposed . . 10' 15' . . L:\TEwIPLA TE\BLDGLISTDOC 11/30/04 TUE 08:42 FAX SEP-11-2003 08:54 CITY OF PRIOR LAKE 9524474245 I4J 002/003 P.02 Date Re~1d CITY OF PRIOR LAKE PLUMBING PERMIT I/!isr?, ~;;ss~"'OrP~ \ ~ '-!o' () U e 0 I 81., fil. 2. Ollld CIIy l. Yelle'" 1\r.~llwl I PERMIT NO''1--/ld I ZONING (office use) ~lV.{ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PIP OWNER (""' L (Name)~-Q ~~l"'" (Address) ).js ~I '7NC- (phone) APPLICANT h. r:'\ L l (Name) ~'" ~ Q \-l V U ~ , '"'" ,,7t-..1C (Address) 'S t\ '1 ~ I ~ ";). 'rJ., L ~ N Lu (Address) (Contact Person) WOo, )U..t.. (phone) 1 (;, 3 LlJ) . ') to gr-~ \Q~o u t..-, h1 (.U (City) (Phone) '1 b J DATE APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fi>."ture Bath Tub with or without shower Dishwasher t ] Floor Drain vatory (Bathroom S\fik) Laundry Tray (lor 2 compartment sin Shower Stall Sinks Bar Sink We.tor Coset FEESCHEDULEt Industrial, Commercial &. Multi-family 1% of job Clost with e S39.50 minimum Estimated Cost $ /0 I &)1 7 Building Pennit# PLUMBING PERMIT FEE $ STATESURCHARGB $ TOTALPERNfiTFEE $ .so (OlTiec U~e Qnly) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Bulldlll~ Official DAte _ _ . C n4 24 lIaur nOUfe {or all Inspections (951) 447-9850, fax (952) A .4245 16200 Eagle Creek ,A.'Ve., S.E., PrIor Lake, MN 55312-1714 TOTAL P.02 .' FROM : BINDER HEATING PHOl'lE t,lO. : Dec. 20 2004 05:34PM Pi CITY OF PRIOR LAKE HEA TINGI AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd ~5.€~ ~. ~ ~!~ I PERMITNO-~ 3. Y.llow ^"plocant , ~ I ZONING ("""",q I ~~E;:md'~:: [ 'i '51 0 V".flC1~l( LEGAL DESCRIPTION (office \lSC oely) LOT BLOCK ADDITION prD I OWNER . (Name) 11) "'" ~ 0 5 ,::):'nc (Address) . - /(:Q'14!fln~ (Phone) 1a51-sJ~-dd. "3Lo APPLIC~ ' - l (Name) . ~r N~nJ-v~ --I- Rr r \ ~(> . (Phone) (Address) d;;I; b-h^"I~ ~ ~' ~.,~ ~,.Q (~ (Clly) ,,",Code) (If\. -D . (ContactPerson) ~'" ~ · (~d.&~"") 1~()J-4m-R.0'tf APPLlCANTSIGNATURE ., ~ATE tJf5}-4En-~0'k ( ,C:;SCJI ~ EW CONSTRUCTION 0 REPLACEMENT \ ~ - FURNACE MAKE AND MODEL 'f"t2..r"\ 0. 11J..i-()~{) FLUE SIZE 3 ~ RETURN OPENINGS b APPLICANT PLEASE COMPLETE BELOW o ALTERATIONS FUEL TYP~' E OF SYSTEM . . . Warm Air Plants Gravity GrMechlUlical OAir Conditioning QV ent. System INPUT ~ () (.. ~ HEATING OR POWER PLANT OUTPUT ., -~';91/LJO j.." o Steam [3'Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL FEE SCHEDULE l.ndustrial, Commercial & Multi-Family 1 % of job cost . Residential, Gas Fireplace $39.50 minimum . ._-,---.,.,. Residential, Healing & Ale (New Construction) $99.50 Residential, Additions & Alterations Residential. Heating Only (New Construction) $64.50 Residential, AC Only t i1D Estimated Cost $ 10 ,rYY '). Building Pennit # S39.50 $39,50 $39.50 REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ b~ lfl5. .A~ (Office Use Only) This Application Become$ Your Building Permit When Approved Paid , Receipt No. Dlte D8f.fE:c 2 7 2004 By Building Official 24 hour notice tor all inspections (951) 447-9850, fn (952) 447-4245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FlREPLACE PERMIT Date Rec'd ~. [~:w ~l~icant I PERMIT NO.O+.//3 $ ZONING (office use) 4456 OVERLOOK DRIVE SE LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name FAMILY HOMES (Phone) (Address) APPLICANT (Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME (Phone) 651-633-2561 (Address) 2700 NORTH F AIRVIEW AVENUE (Address) ROSEVILLE (City) 55113_ (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE 1/5/05 xD NEW CONSTRUCTION D REPLACEMENT D 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: o Gravity o Hot Water Air Conditioner Units o Mechanical o Radiation Cannot Encroach into DAir Conditioning o Special Devices Required Side Yard DVent. System o Other Devices Setbacks FIREPLACE MAKE AND MODEL HEATN GLO 6000TR-OAK APPLICANT PLEASE COMPLETE BELOW Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 Industrial, Commercial & Multi-Family $39.50 $39.50 Estimated Cost $ REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 (Office Use Only) I ::ceiPI No Date I P~d DUAN 1 1 ZUUJ This Application Becomes Your Building Permit When Approved Building Official 24 hour notice for all inspections (952) 447-9850, fax (952) 44?~~5i . PRIOR LAKE INSPEC N RECORD DEPARTMENT OF BUILDING AND INSPECTION FOOTING OCCUPy UNTil ABOVE HAS NOTICE This card must be posted near an electrical service cabinet prior to rough-In inspections and malnlalned unl/l all inspecllons have been approved. On bUildings and additions where no service ceblnetls available, card shall be placed near main entrence. FOR ALL INSPECTIONS (952) 447-9850