HomeMy WebLinkAboutBuilding Permit 05-0560
:;- 0 o~ 0 0)(0000 '1J i > -(')
:x c z_
III 0 ~~
j 0 0 ~ en."z."."." 0 Z C
Sl 0 0 3i: =izen~OO z m ~ mO
0 ;U ;U ;U 3: ~>cll:iS m ~ m 0."
:"! ;U ;U ::lli zr-~zcz Z en ::!"'ll
m m m 9 en
0 0 en Z ~ ::!G>~G> O;u
-t -t > z-
~ > -t -f m 0 - zO
C;; C/) o z 0
0 -t z 0::0
-t ." 0 ::!5:
~ :u 0 >
?' 0 z o:'i
z -l mm
"TI 0 > 0
~ 0 > z ;U
::0 r- c .-<
r-
~ -l "TI "'ll "'ll
:10. :x 0 ;U :u
~ m ::0 0 0 000000
z ;U 0 0
~ m m m m ll:"'llen;ell:"'ll
>< z m m mr-~>mr-
-l c C OC -tOC
~ Z ~ en :xl: m:xl: "'ll 0 en
I "'ll
;:s en m "TI~::O;u::o~ m 0 0
~ '1J ::J 0 ZZ:X:X-Z ::0 Z :x
::! m (I) -t >G>OO G> ll: ~ m
0 ::t 0 r-:!!~~ ~ =i c
~ () C
-l 0 Z Z
0 a zcc r-
~ lD ~"'ll'tl 9 m
z :"! m C
N ."
~ .... 0
::z: ;u
m Ul
~ 0 0 -
c: 0 I t~
~ < 000000 \J(
m
:i! z ;u G>"'"TIO~
> Z >;;0;;00 &
Ro G> f!?mmll:G>
~ c _"'ll"'ll"'ll$!
~ ~ ~>>>c
z >ooz:;;
~ 0 _mm-t_
rn :U"TI;U r- -i
-t-- r- i
enz Z m
-l~ G>
)( 0 0 0 ~~o 0 0 0 '1J i > -(')
0 ~ 0 ::z: c ~~
en z"''''''' 0 c
8 0 -. 3: -- ~OO Z Z ;u
-lZen co m mo
;u ;u J>L 3: ~>Cll:Z-l m ;u m
t:::l :u ::lli en O"TI
hl m m zr->zcz Z en ::!"'ll
0 en 9
~ > Z ~ ::!(;)~(;) O::u
-t ~ z-
> -t -f m 0 - zo
0 C;; C/) o Z 0 o::u
S -t ~ ,.. i'J -t Z
co 0 ::!5:
~ en 0 0 ln~~
0 Z -l Z O::lli
"TI 0 > 0 mm
~ 0 > Z ;u
::u r- C .-<
r-
~ -l ." "'ll "'ll
:10. :x 0 ;u ::u
~ m ::u 0 0 000000
z ;u 0 0
~ m m m m I:"'llen;el:"'ll
>< m m
-l Z c c mr-~>mr-
~ en OC -loe:
i ;:s z ~ 'tI :xli: m:xll: "'ll 0 en
en m "'~::U::U::u~ m 0 0
co ~ "'ll ::J 0 ZZ:x:x-z ::u z ::z:
::! m (I) -t >(;)00 (;) s: ~ m
(') ::t 0
~ () r-"TI00 ::u =i c
-l 0 Z ~ z::lli::lli - e:
~ 0 a lD >CC Z r-
z :"! m r-"'ll"'ll 9 m
~ ." C
N 0
....
~ ::z: ::u
m
~ 0 0 ""
e:
::u 0 ( f~
< 000000
en m ~
:i! z ::u (;)"'"TI0~
> Z >;;0;;00
Ro C (;) ~mml:(;)
~ ~ _'1J'1J"'ll~
~ Z ~>>>c
0 >ooz:;;
~ rn _mm-l_
;U"'::U r- -i
-l-- r- i
enz z m
-t~ (;)
000000 '1J 0 > -(')
z_
o~ :x == c ~~
:;- en"Tlz"TI"Tl"TI 0 Z C
III =izen~OO z ;u mO
j o 0 m
o 0 m>cl:~S m ~ m O"TI
~ Sl ::u ;U ;U z en ::!"'ll
g 0 zl'"">-cz en
:"! ;U ::u ::lli en -t~>G) 9 O::u
hi! m m en "'ll - -t z-
00> m 0 - zO
hl -t -t -t o Z 0 0::U
> - -t Z ::!5:
to o 0 en 0
S ;u ::! ~ Z o:'i
~ ::lli 0 0 mm
. Z-t C
"TI 0 > 0
~ 0 > z ~ r
::u I'""
,.. o .
~ -t ." "tI "tI
:10. :x 0 ::u ;U O~OOO
m ;U 0 0
~ z ;U 0 0 lI:"'llen;ell:"'ll
m m m m ~~ ~~~
~ >< Z m m
-l c c :xll:m:xl: "'ll 0 en
~ Z ~ en "TI~::U::U;u~ m 0 0
I ;:s "'ll -Z:x:x-z ::u z ::z:
en m ~(;)OO (;) s: -l m
'1J ::J 0 C
::! ~ m (I) -l 1'"""Tl00 ::u =i ~ e:
0 ::t 0 -::lli::lli - Z r-
~ () zce:
-l 0 Z ~"'ll"'ll 9 m
~ (5 a lD c
z :"! m
~ N "Tl
0
~ .... ;u ~
::z: m
~ 0 0
e: 0 000000
::u < ~
en m (;)"Tl"TI0~
:i! Z ;u >;;0;;00 -i
III
> Z ~ enmml:(;)
Ro 0 (;) C'1J"'ll"'ll$!
~ ~ ~>>>c
>ooz:;;
~ z _mm-t_ -i
0 ::U"Tl;U I'"" i
;! rn -l-- I'"" III
enz Z
-t~ (;)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
Date Rec' d
(; ~J. 65
1 White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 05.0559 I
.
ZONING (office use)
\53 70
~
~~~
I!./
LEGAL DESCRIPTION (office use only)
LOT 2 BLOCK 3 ADDITION
& -<." S \--
PID 25. 3, (p. v4-t-. d
OWNER I U
(Name) ~\~ v:~ nb~S
(Phone)
(Address)
(Phone) ~o.'~""'-~t100
(Phone)
Y\I\~
S'Sb
TYPE OF WORK ~New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition OAlteration OUtility ConnectIOn
CODE: ~.R.C. DI.B.c.
Type of ,t;nstruction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
1
III
H
2
IV V
I M
3 4
A
R
5
B
S
u
PROJECT COST /V ALUE
(excluding land)
$ 21"71'3~'\
I hereby certify that I have nlrnlshed mformation 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 tilf the
above-mentIOned property and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submllled plans I am aware that the buildmg
official can 'oke tlm per or Just cause Furthermore, I hereby agree that the City official or a deSIgnee may enter upon the propeny to perform needed mspectlOos
2l"'~oS-
Date
x
\w'\
Contractor's License No.
Permit Valuation
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
.1)0 tOO
o (), DO
3S, 50
4a,00
Park Support Fee # $
SAC # $
Water Meter $
Pressure Reducer $
Sewer/Water Connection Fee # $ $00,00
Water Tower Fee # $/000,00
Builder's Deposit $ OO,DO
Other $
TOTAL DUE ~ tv ,'f'.O(-
Permit Fee
Plan Check Fee
This Application Becomes Your Building Permit When Approved
~~
~fliCi'll
(0 Iii jor
. Date
Gas Fireplace Permtt Fee
ThiS IS to certify that the request m the above applicatIOn and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested. Tim document
when signed by the City Planner constltu~s a temporary Certificate of Zonmg compliance and allows constructIOn to commence. Before occupancy, a Certificate of Occupancy must bc
ISSU~ ~ ~II IdS- ~ a..R( ~
- Planning Director I ~Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Main File
White - Building
~A.,ary . Engineerln~
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'7 G.L .' -G .-
c j , L- t.> .:; C/
/7 Y'
\",-..",,/
~/JI -, .-. <:'""
.r-'''~II.'. .,
f ,v r.----'
/" -;:; .C' r
.I,., ,j --,
/;. - ~ .......",
u.... .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ -- "-'>. 7 /'\ -zs:.c:;:: ~- '';,' ,..- ~ /1 .- (-
t;.... I j V. - 4(::" -. I-)~ .
. ...-i"'-' L/ .' C'.,. - .....J - F I --.) -'
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
f/,ItJI3
Date:
b-l'i-&S
Comments: See Reverse Side for Additional Information!
/Yl'1 j"" [Lh./
..
See Attachrnents= 1) Gradine 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."
Main File
White - Building
Canary - Enaineering
~k - Plann~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(! o~L6G6 (!I y f!CI''lt:5
(;. .3. C~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5370 vc,cFCIC-:; ;..Jl-j,5S
:A'bcepted
/
Accepted With Corrections
Denied
~~
Date: fo/IS-/O~
I
Reviewed By:
Comments:
Air COBditiOIleI" alid O..hCl" Mcehaflie8l
Units Cannot Encroach into Required
S:de Yard Setbac!\s
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."
M of. "I
aIr), I e
~ite - BUlltf~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
eU~LE~6 61 t( HonES
6.3. OS-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5370 veF.F6~s ~/1SS
Accepted
Accepted With Corrections
/'
Denied
Comments:
Reviewed By: ~ M P
~ ~ ~~ 4 ~ ~~
J
~~. <k< 6(~.
Date:
~/14 (a~
,
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."
Main File
White - Building
Canary - Enaineering
c:15Tnk - Plan~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/1
i /_. _/'- ......
L(c>I.,C
~/!!/
. /// / / <.~ "--
.-~~;) /' r-
..../
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I" ~~) /"
\./ c', /'.: {,.,,- /'
Accepted
/
Accepted With Corrections
Denied
~ ~fL~~
Date: ~/IS-/O~
I
Reviewed By:
Comments:
..tUr Conditioner aLa O~hcr .M.cehanieat
Units Car'not Encroach into Requ.ired
S~de 'far d Setback
"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."
Main Fiile
c-white - Buil~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
e () f.-;f..,6 Ci 6 61l( If {J 11 E5
((;.3. OS-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5370 \TEFF6Ie-s /Jr:JSS
/
Accepted
Accepted With Corrections
Denied
Comments:
Reviewed By: ~ M P
~~~~Il~~
I
~ ~. O-c.< /kt~-
Date:
6/14 (o~
,
"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: ~ ~
Date:t:,( 1'-1 ! (J S
Building Permit # PID: Zoning:
Address: /537() (j ~ fJ~) /5""3 7;;. 9-o/~ ~
Legal: L 2- l B 3 Subdivision: ~ (L,v.Lt-.
Existing Structure? YES I@ Existing Nonconforming Structure? YES I@
I CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NA 1 FAILS(t0MPLlES"'" ') Standard Proposed
. Front Yard (can be 20' if avg. w/in 150') 25' 'Z~ ' cs- I
. Side Yards 10'1
25' if abutting a street c20.$ t?';" -
~.
. Sidewall exceeding 50' requires additional side 2" 10' setback +
setback for every l' over 50' in lenqth 2"/1' over 50' 01..-
. Rear Yard 25' -
. Patio Door: provide for minimum 10' deck or sign 10' side/
statement indicatinq no deck will be built in the future 25' rear Np...
. From 100 year flood elevation of wetland/NURP 30'
pond '30 I HWL.
. From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no NA-
less than 50'
Floor Area Ratio: NA 1 FAIL ,30 Maximum f ().. 0
Standard Proposed
() N6
I'ltl10e
/"I
Tree Preservation: jiM FAILS 1 COMPLIES I Standard Proposed
. Total caliper inc~es
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement %:1
L:\TE?vIPLA TE\BLDGLIST,DOC
OS/29/2005 14:22
5077445555
BADGER EXC
PAGE 01
". ,... t l\.. ......... \I I ^., .".... / ..... ~.J
....,.1. ~ uf (r\J.vt\ l....,t\t..
'l/J v ~.
,:,'
Date Ree/d
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
,
I
I
I
I
I
u boftl)lll) i
ADDRESS I ./J
)5370 ~ r'~
I I -
LEGAL DESCR.tYll0N (Cftl.~utCC'l!Y)
I
~__LOT BLOCK. ADortJON
I
Ccr4~1 ~ ~~
'7'<.2..0 ~~ ~ Iv <\
Ad CI
t E~~ ~~~ I PE~~~NO'6: 541f
] I ZON1N6(~]
PlD
I Ov.rNER.
! eN am e)
I (AddJess)
I
, (Phone) ,. 9'~ ~ ~ '{ Cc 9-' po 0
~~~ ~ ~~~~
(Phon.) :SU7- 7-YY~ .s-s-"'-s-
'-,.~dJ.e SSZ;Yb
(elf)') (tIp Codt)
(phone) 5'0 7-7l/L{ - S-~,=-.s-
DArE c- --:;&-oT'
J
f APPLICANT ts. '. :
i (Namt.) c::. a. H
I i
! (Add.m'l ~ ':>7 S lAfl
I (,&,6anu)
(CDntle'( Pwon) ~ c. ,,~ S ; . n~
I .
~PtICAN'TSIONAtURE l ~J ~
. ,
Ex ~..'^U~
70~ ~~
A PLICANT PLEASE COMPLETE BELOW
SiZl) of ~er SIIrvi~ Lno es.
l.,o.~t:ion ~f any couplings from .t.rUCN!e -- feet,
Type of s~wor pipe:. 0 ABC ~PVC 0 Cut Iron
E:ttim&te~ lenith of sewer tina ..s-O feet.
Clean Qu~(ifrequiled) locat.cd at feet from.structure.
I
i
--'
Re~identJal seWIl and wlter line oo~eotlon
xwer c<Jnncl:tion only
FEE SCHEDULE
$) s .50 IndustrIal, Com 'I & Muhl.(1tn Ily 1'1_ ofjob <<lft wllh . ~39jO mir1imurn
317,50 Wiler ,onl\e<;1lol\ only $17,'0
Estimated! Cost $
Building Permit Ii. ..-..
SEWER AND WATER PERMIT PEE
ST/..TB SURCHARGE
TOTAL PERMIT FEE
$
S
S
,'SO PAID WITH
-BUILDING PERM.JT
lomel L." Only) \' r .
ThI.. .~::,::::'~::~' moo Y '",\"""" 'J P "m '~~ '" ^ PFm,. : ft:: Jr /I r 6 ::', I :;~' N. .
I
~~ 1I0\1r nollu Cor a\lln.p.ctlon. (P51) ,,':mO,. tu (951) '~f-4:Z4$
.!l
" .
.. ". ,~
\(..~. "1
07/22/2005 FRI 8:19 FAX 952 767 1900 GENZ-RYAN
14I 002/004
r:;?Jr.@:-
\-~~.,
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec! d
POlSS
i =.. ~~ I PERMIT NO~550
3. Gold Appllcont I
I ZONlNG'_=l I
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK 5 ADDmON
PID
OWNER {\ I \ C' ; \
(Name) LD\ rJj C J\t~ h()\'Ylf~
(Address) lCf~o Lo.l\~tvi lIt 13/l(d.
(Address)
L akW;J1t
(City)
(phone) q5~'LHflL1-loqOO
~lfl)lj4'
(Zio Code)
APPUCANT (1_ 17 J J
(Name) 011J~1.~ I~vl atj
(Address) ~ wO W . ttv\nA (.,3
. (A~s) .-r
1/, .\1
(Contact Person) 1\ i ITl \<('1'"\ Vi \C
J ~"
?LICANT SIGNATURE .' /YJ,l...
(phone) 1lj2 -7 !PI- (000
BJA JttII) Vi fI-G- f\At1 q;33 7
(City)".. (zip Code)
11?.'~ '-7'1 i(.... ""._
'\ -- ,-- I '
(phone) v_~" / ' (c i r, ~..:U j
-71 ::-'i' .'/' ,-
DATE " '-Al~'/ C/)
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.
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1 % of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.;?~ c:;- -'.., ()
./ ,.-' ..
r2( ~A'D WITH
. aU'L01NG PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
Receipt No.
L
Buildiug Official
By
24 bour notice for all inspections (952)
07/22/2005 FRI 8:19 FAX 952 767 1900 GENZ-RYAN
141 003/004
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
--,) Tp .(c~
\j ."./
".,
'\( ) . cL,-
.'-O\._:::.~.)
~:: ~i; I PERMIT NO.05 ~Q
3 Yellow AppliCOJ11 . I
I ZONlNG(_~) I
LEGAL DESCRIPTION (office use only)
LOT I~LOCK _, ADDmON
PID
&:R 0JJ \\egf ~\ty \-\-ory\Cs
(Address) 1 () L1LKtv'/' t \( d .
APPUCANf fl. n I
(Name) Cl-eJ1'l. - ~J aVl
(Address) 21.Do w. H1/\} fA /,3
. .(Ad~~ .'.
(Contactper.;on) gin") f-YI\VJ lie.,
,
lka1110
(phone) Qr;1.-/{f/ - ( aDO
BUtt ns.kCill e.- rv'l N 755337
(City) (Zip Code)
(ph ) (}~;)-' 71 f7 - .f (Jj)
one 1 '-J '/ CL/
DATE -7 ~'J{) [';-:)
APPLICANT SIGNATURE
Quantity Type of Fixture Quantity Type of Fixture
~ Bath Tub with or without shower Rough.ins
v
) Dishwasher i Water Heater
I Floor Drain I Water Softner
~ -~ Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
1 Sinks Backflow Assembly Test
I. Bar Sink Lawn Sprinkler
S Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
j".-----"--'..'-.-' .-,-
!
This Application Becomes Your Building Permit Wben Approved ,.
~: ~ .
; Dfml 2 6 2005
BuDding Official Date f
\'
24 hour notice for all inspections (952) 44tt?~O. fax (952) 447-4245
"",~.",".,~_.~.-,...,.~,_.,,,_.-.,.,, ._-.,....-_..._~~-~-
Receipt No.
By
Driveway: NA / FAIL
· Maximum width at
· Required setback
Standard
24'
5' from side lot line or
30' from r-o-w on corner lots
10%
Proposed
7-0'
FAILS
35' Maximum
, L.~o
.
Ian
.
.
Shoreland District. FAILS / COMPLIES
Minimum lot area s uare feet
Minimum lot width
Shoreland alterations
1m ervious surface
Proposed
30% Maximum
Bluff in Shorelan N FAILS / COMPLIES
· Setback from t of bluff
Standard
By planning dept.
Proposed
.
.
.
Floodplain N / FAILS / COMPLIES
· 100 year ood 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
9/19/90-11/22/97 then
additional foot is not re uired.
Must be flood elevation or
hi her
907.9' for Prior Lake
913.4' for S rin Lake
Proposed
· Lowest floor elevation
· Proposed lowest floor elevation
· Elevations 15 feet from structure
· Road access must be no more than 2 feet below
Re ulato Flood Protection Elevation
~
Accessory Structure~ (NA)J FAILS / COMPLIES Standard Proposed
. Size 832 so.ft. or 25% rear yard
. Not located in front yard (Materials)
. Side yard and rear yard setbacks 10'
. Maximum heiqht 15'
. Materials compatible with principle structure
LTEMPLA TE'BLDGLlST.DOC
08/11/2005 THU 14:47 FAX 952 767 1900 GENZ-RYAN
[4J 004/004
CITY OF PRIOR LAKif .. ...--- --.-.-.-.---...-.----.-.-.-.--.-......-.j)at-;;-R;;'d
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
~:~:., 6~. I PERMIT NO. 05 05591
3. Yellow Apphcanl . ., .
ZONING (office
use)
")-'.0 r'~'. L: On.. c. .~c._..-=-
.. L..'r -p./.) j' \A. .J
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
OWNER i t h t \. r r:io
(Name) LU I ---0'--
(~i l'Y \-tD\\"(S
LctktVr I. It ('6!'VL1.
0[- 'I ... I' ' '1. <.,
(phone) I .') 11' Lj lCUi - U Cf(Jo
(Address) 1 q ...~D
I /[l/(tvi II t /01 rv I55DLf L(
APPLICANT G - .r. -1 Q
(Name) ::TO I c. <J,ALUl
}
(Address);;,dC[) UJ. HtULi} 13 bUJrnSvi Ilf
/ ~AddreSS) (City) (Zip Code)
(Contact Person) 1'\ l n'l r\,P'J'\vi ( \C./ (phone) Cn~ -7(i7 -I [1'1 -.!
APPLICANT SIGNATURE L ,,~ /-/U J) DATE ,.J7 / / I /(}'f
APPLICANT PLEASE COMPLETE BELOW
.~EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACEMAKEANDMODEL Ltf,r1()f.- ~..L-i--' jF -'2i.t.r~'- C70 FUEL n{~ Cjes
FLUE SIZE RETURN OPENINGS INPUT (r[r' ( {IO OUTPUT (;;fA r.JrJ)
TYPE OF SYSTEM HEATING OR POWER PLANT
~arm Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
~r Conditioning 0 Special Devices
OVent. System 0 Other Devices
(Phone) qr}~ .:7 if? r 1000
553~'7
..-'
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi-Family I%ofjob cost Residential, Gas Fireplace
139.50 minimum
Residential, Heating & Ale (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
$39.50
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAID WITH
BUILDING PERMIT
.so
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildin!! Official
Date
Paid Receipt No.
Da~\Ir, 2 4 By - .....
2005
24 hour notice for all inspections (952) 447-~850, fax (952) 447.4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS IS 370 JI: C1LS t'tts-s
NATURE OF WORK ,
USE OF BUILDING . . .
PERMIT NO. 05. OSS~E ISSUED ( .
CONTRACTOR ~ -.~ PHONE - -~ dO
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
y~
DEPARTMENT OF Main File
BUILD~NG AND INSPECTION
F/,..,' ,
FOUNDATION (Prior to Backfill) ?
PLACE NO CONCRETE UNTIL ABOVE AS BEEN SIGNED
ROUGH - INS
~
SEWER I WATER I SEPTIC)
FRAMING
INSULATION
ELECTRICAL
PLUMBING '
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
GRADING {Prio
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
tJ,-
1-
FINALS
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.
FOR ALL INSPECTIONS (952) 447-9850