HomeMy WebLinkAboutBUILDING 08-0298
~~rtifirnt~ af @rrupnnry
CITY OF PRIOR LAKE
~tparfmtnf of ~uil~ing Jl nspttfion
~ Pinal Permitted
D Conditional e.o. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / [J International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
Use Classification -<; / IV G L [;; /'il fl-'l/ L. V Bldg. Permit No. C f. . c Z- Q 8
/ f-
" I
Type Construction V Iv Zoning District 1'"<. /.5J..>
L- 4, L3 I /it:}" / Tll q 6- LJI /1./01 f../Cj
Site Address 4'C;3.3 ;-IE/(// TI-i G E- L/-IAi:;:'.~
/ ):.../'1 {) I 77 C IJ I
Occupancy Type
/r~3
Legal Description
Owner of Building
Contractor's Name & Address llc/'/~-
/3 (~ D tI uf(:/11 N'..5' , .
Building Official
/ ,/
City Planner
Date: I !/
Date:
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;
2007
PROJECT VALVA TION WORKSHEET
ADDRESS: i/t>37 ~~ f '1MI ~7 ~
SINGLE FAMILY ATTACHED:
I ~T Floor Wood Frame
2nd Floor
SINGLE FAMILY DETACHED:
1 st Floor Wood Frame
2nd Floor
GARAGE:
Wood Frame
Slab On Grade Garage
BASEMENT:
Completely Finished (New)
Unfinished
Crawl Space
3 Season Porch (unheated)
Screen or covered Porch or stoop
Deck
FIREPLACE:
Masonry Single
Stacked Masonry
Gas or "0" Clearance E.A.
Other
I TOTAL VALUATION
I CONTRACTOR'S VALUATION I
UPDATED 6 / 6/2007
$75.39
$37.70
$82.58
$41.29
$34.86
$20.00
$25.00
$16.00
$16.00
$45.00
$30.00
$12.00
$7,000.00
$5,000.00
$3,000.00
J:\FORMS\PROJECT VALUATION WORKSHEET 2007 update.doc
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Pink
Yellow
(Please
ADDRESS
at bottom)
'1033
H-ef ,t ~ <( l. t.7\i.
LEGAL DESCRIPTION (office use only)
ZONING (office use)
~/S'D
LOT
PID 2S. 2~'DOt.f ,[)
ADDITION
OWNER
(Name) fI 0 y'Y\e ~
~f 1f'<;~: f,' 0"
F,
(Phone) l ( 2-.- Y ~3 - {, 03 ,;1
"J 5'5 ';'135-
(Address)
~06
BUILDER
(Company Name)
(Contact Name)
(Address) t cj e'L)
j-fo '""''':. 131 Tr...d.; .I'c on
'r) I~ f." . ,-.J.... ,1'1/ e/l S (............
F/',o.y-o.( '(~ ,1- oe 5 . k I 7'i1
(Phone) 'i Z -.3" "3 - "03 '7
(Phone) ~. I Z -" 5-.:5' l3' -3Z '7 z..
"J !:i ~ ~ 3"S--
e:.A.
TYPE OF WORK IXNew Construction ~Deck B'JPorch DRe,Roofing DRe,Siding ):trLower Level Finish ~ Fireplace (J)
ecJAddition o AlteratIOn DUtility Connection
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 'ole this permit just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
5;; 'JICJ~
Date
CODE: ~I.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
DMisc:
I:J ~~ U
2 4 5
I
E
IT
F
1
PROJECT COST IV ALUE $
(excluding land)
x
TOTAL DUE
205"'5'" {. 3 b Z-
Signature
Contractor's License No.
Permit Valuation
Park Support Fee
SAC
#
#
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
./
Water Meter
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
/so.o-a
(),OiJ
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~~
5!:J.?/dF
Date
Building Official
1~) rr:(")
$
$ / Z ,()()
$32.5,00
$ 75.co
$ 5"00,00
$ / 000 I t) e
$ /S"OO , i)O
$
$
~
'PLAN
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~ ~ ~;j'a/~ ~~~.~
Planning Director r Date ~ Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Main File
I or:3
White - !~ldl:9
c;anary - Engineering)
Ink - nn ng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /=toMSS By --n:ADlll ON
APPLICATION RECEIVED 5. I 4-. OS
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4033 f-fout/A,G; LAtvc
X
Accepted
Accepted With Corrections
Denied
Reviewed By:
~
Date:
S'ZS-o$
- ,- . - .- . . .. . ':' . .;.- .
Comments: 'c$ee R~\(fM"Se Side for Ac;ktJtionalJnformationl
/J1tw .'" ~'" c.
MairrFile
See A~ents: 1) Grading Plan, 2) Erosion ControlMeasures
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 . Engineering
C"Pink . Plannlnj[:>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
H(hr~ [' y"-k
'::;; I 4 . (.JC)
__,.,/ I
i', I ,', r
;-\ L--11 \ l. ,. {"',j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
?t.. C; ~S f-i1=J.. (-'fA q ~. LJ\ ''-J S-
~
Accepted
Accepted With Corrections
Reviewed By:
Comments:
~
~
---------
Date: S-/~(o7
Denied
'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
0hite - RIIUdina ~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ S-S IS Y TJeADlll 0 i'J
APPLICATION RECEIVED 5'. I 4--, C6
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4033 tff)urTA 9 t=; LA tv ~
/
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments: ~ 0-.{,(
~
,..
~
Date: S- ~ "3 (eJ r
~,~~
/If/?__ J- aLl -~~--'{I"
~ k~fO ~
~;~ ~~
.AILJ~ .
.t.Vlor'
. ....
~~#~
Y
~
"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
ReVi.ewedb~~ ~ Date: '5 /2...-3/0~
BuildingPentl1t# " PID:. Zoning: PUS D
Address: l{DJJ1tf().17, ~4 '1/ H~ ::J,.r -->
Legal: L ~ s:: ~. B / Subdivision: )Z{,(lA,dr ~ ~
Existing Structure? YES~ Existing Nonconforming Structure? YES I~
I CONFORMS TO ZONING I YES I NO I
ORDINANCE
Standard
25' 10
10'/
25' if abutting a street
. Sidewall exceeding 50' requires additional side 2" 10' setback + ~ 3 ( (J:t;;n...
setback for eve l' over 50' in len th 2"11' over 50'
. Rear Yard 25' 9 · - ""'- 111
. Patio Door: provide for minimum 10' deck or sign 1 0' sidel
statement indicatin no deck will be built in the future 25' rear {VA
. From 100 year flood elevation of wetland/NURP 30'
ond NA
. From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no rJA
less than 50'
.30 Maximum plf1t,. P W; 0
Standard Pro osed
IJOtJG
fJ()lJ€:
Standard
Pro osed
Tree Preservation
. Total cali r inches
. Pennit 25% Removal
. Cali er Inches Removed
. Cali r Inches Preserved
. Re lacement
%:1
L:\TEMPLA TE\BLDGLlST.DOC
".
Tradition Mortgage 3/31/2006 2:56:57 PM PAGE 002/003 Fax Server
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Pennit Application)
For-All Properties Located in the Shoreland District (SD). .
The Maximum Impervious Surface Coverage Pennitted is 30 Percent.
\\~
Property Address
. 49c~~~ ~
Lot Area 2.1~Co sq. ft. x 30% = .............. t:i2..1
************************************************************************
HOUSEI~
LENGTH
t't\\. 'C!..
x
x.
x
WIDTH
~<..
=
SQ. FEET
~
=
ATTACHED GARAGE
=::
TOTAL PRINCIPAL STRUCTURE...................... ~S
DRT ACHED BUILDINGS
(Garage/Shed)
x
X
TOTAL DETACHED BUILDINGS.......................
DRNEW AYIP A YED AREAS
(Driveway~pave~ or not)
(SidewalklParking Areas)
'l'v\;'!e.
x
X
X
1'1\; 'fc:...
=::
5~
==
=::
TOTAL P A YED A.REAS...................._.....................
~~
P A TIOSIPORCHESIDECKS " c,. X \\.B = ,~
r
(Open Decks W' min. .opening ~ecn X =
boards, with a pervious surface below,
are not considered to be impervious)
x =
'R:R.~
TOTAL DECKS........................................................... \ ~
OTIIER
~''-l
x
iD
=
~\
~
~~~ ~~
~Gl:>Ct
N!!I.~
x 1""\""...,
=
TOTAL OmER..... ............. ................. ........ ............ \ u...
TOTAL IMPERVIOUS SURFACE
UNDmoVPR ~ L
Prepared~ ~
Company~ ~~~~
\4&..
I.-t-'=b\
Date ~\~l~
__._ Phone # o...'5<..41b- ~
Tradition Mortgage 3/31/2006 2;56:57 PM PAGE 002/003 Fax Server
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For'AIl Properties Located in the Shoreland District (SD). .
The Maximum Impervious Surface Coverage Permitted is 30 Percent.
\\a~
Property Address
. 4u~-::> ~~ LN
t
Lot Area Z\S:l- sq. ft. x 30% = .............. b4b
************************************************************************
HOUSE l~
LENGTH
ft\\l.s.c....
x
x
x
WIDTH
f'f\\'~(..
;:;
SQ, FEET
\~-:,\o,
:=
ATTACHED GARAGE
:=
TOTAL PRINCIPAL STRUCTURE......................
\~\~
DETACHED BUILDINGS
(Garage/Shed)
x
X
TOTAL DETACHED BUILDINGS.......................
DRIVEWAYIPAVED AREAS
(Driveway-pave~ or not)
(SidewaJklParking Areas)
f1\ \~
x
X
X
f't\1~c...
=
\ D'Z.
:=
:=
TOTAL PAVED AREAS......................................... lb'2-
P A TIOSIPORCHESJDECKS
(Open Decks '.4" min. opening bctw""
boards, with a pervious surface below,
are not considered 10 be impervious)
x
X
=
x
=
TOTAL DECKS40.........................._..................................
OTHER
mi c,c:::..
x "" \ ~c..
X
z.e
( ~'T"Qd;))
:=
TOTAL OTHER..............,............................................ . ~
TOTAL IMPERVIOUS SURFACE
UNDERlOVER \ \\
Prepared~~ ~L'O>,"- "
Company ~1i. ~~<< ~c:-
\'5(:)C)
I'+eb~
Date S\1..:~~
__ Phone # '\'5<.r41Cw-.(.()d)
. Tradition Mortgage 3/31/2006 2:56:57 PH PAGE 002/003 Fax Server
T~ -z.,
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Suhmitl~ with BulIdms Penn!t Application)
For'AlI Properties Located in the Shoreland District (SD). .
The Maximum Impervious Surface Coverage Permitted is 30 Percent.
Property Address
~~\ ~~~.~
--
Lot Area ~\bO sq. ft, x 30% ;II! .............. \ , \~
......*.**.....****.*..*.***.******...*~**4...****......................
HOUSE
LENGTII
M"Lc_
WIDnr
x fY\~sc.....
-
SQ. FEET
2.. OS")
x
..
AITACHED GARAGE
x
...
TOTAL PRINCIPAL STRUCTtJRE."._m_._.._ -LOSI
DETACHED BUll.DINGS
(Girqc/sbcd)
x
x
TOTAL DETACHED BUILDINGS..__.._u_._
DRIVEW A YIP A YEn AREAS
(DriVCl'W.Y-~ or not)
(S~.AJeIll)
\\.~
x
x
x
R
""
L\8.S
=
TOT At P A YEn AREAS._........_..___....._.._.. l.\8 _ S
P ATIOSlPORCHESlDECKS \\.C. x \l.~ - \ 1:f:>
(0plIa Oecb '4- miL opmriDc bmrccn x -
boIIrdI. widl. a pcrviotQ aur11lle be\ow,
In lIOl COIIIfdtn.d l\) bo lmpa-yiova)
X -
l~J
TOTAL DECKS......._...__."....__..."..__..__..._._ \~
OTIiER
~.~
x
l(
lP1
-
... ~(~t)
TOTAL OllIER......._...._..._.._.._............__...... t'::\~. 4
TOTAL IMPERVIOUS SURFACE
UNDER/OVER ~ ~
Prepared B~ \ *"s~ ~~-"""'J
Company ~~ ~~\ \~,_
"l5~ .'\
I '"t l~eo.~ I
Date ~'\<-~Ooe.
Phone # ~1..-41c..-~
E 'd E1tlJl 'eN
sal U~dWOJ UJI 1 'PE'l
~~~ ~ S : 8 b U U ~ .~: ~ At Vj
. . Tradition Mortgage 3/31/2006 2:56:57 PM PAGE 002/003 Fax Server
f"
T~ 2-
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Sub~d witl\ Bulldln& Pcnnit AppUcatJoo)
For-All Properties Located in the Shoreland District (SD). .
The Maximum Impervious Surface Coverage Pennitted is 30 Percent.
Property Address
4Q4\
.
~~~
Lot Area " ~ ~~ \ 4 eft:) sq. ft. x 30% =x .............. \ 4.U
......**.*.*..*...~.**.....***.~..*******......**.......*.*....++.*.+*.~
HOUSE{~
LENG'rn
ttu:"k.
x
x
x
WIDTH
MIS:(,.
-
SQ.FEBT
;:;~
ATIACHED GARAGE
""
TOTAL PRINClP AL STRUC'lL1RL..._...__.._. 2., ~1-
DETACHED BUlLDINGS
(GVqclSbod)
x
x
TOTAL DETACHED BUlLDINGS.._._.._u_...
DRIVEW A YfPA VED AREAS ~..<k
(Driveway~~ or DOt)
(Sidl..-wdiParking Areal)
x
r...;,<-
:::>
~cz..
x
-
x
""
TOTAL PAVED AREAS._....___..___h_..__ f.:2::L
P ATIOSJPORCHESlDECKS t\..~ x \\.8 - r~
(Opca Oeab W'mia. .opeaius ~ x. .,
bocdd. wida . pcrriout I\dc.o bcIoTl,
U1l DOt eoIltIdend 10 be impcrt{0UlI)
X ..
TOTAL DECKS......_....__.._..___.........._._..... r~~
OTHER
.3.'-\
'fY\ , ~c;.
x
~
\<::J
...
-
~\
n,
~~~
<;~I? .
TOT A.L OlHER..............__....._..__......._....._....._ \ ~
TOTAL Il\1PERVIOUS SURFACE
UNDER/OVER \ \\
Prepared ~~~jNll\ ~~
Company ~~ -~UI.~\ ~
z.C\'f:>
14- '~\"2..-
I
Date 5\ \'~\ '2aJ~
... '\.0
__ Phone # ~~41~-(OCO
\7'd E\7U [eN
;~ I UEJWOJ UOI I I PE'l
1!I\.I7(: U ull"7 '07 '^'i'lil
i ~ I} 'v::J r) e, ~.. \) 'v '.1 'v I ~
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
. lft.!tyRec' d
b(li( 0fJ
"9~zre
08 JZ ~r
~iit~ I PERMITNO.~...,700
ApplIcant
1. Green
2. Y cHow
3. Gold
!/aJrf/VG; IN'
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
IltUfE...'S BY ~Af)ltr';..I$
(Phone) ~/#- 7?/ -/870
~
(Address)
(Address)
(City)
(Zip Code)
\_ -' APPLICANT ~ . I
~ (Name) 4)~ S.m. D~AV,lf11"'''- tNe.
(Address) 29/~ bJ;r~J?,,'S~ ~.
(Address)
~J4/~ ~
PLICANT SIGNATURE
(Phone) ?s/ fKd-I3'!:"~
IM~-n~~s... ~~i3
(City) (Zip Code)
(Phone) b/;t 9/9 't"3~-r;-
DATE ~ /,
APPLICANT LEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure _ feet.
Type of sewer pipe. D ABC D PYC 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
$51.50 Industrial, Com' I & MuIti- family 1 % of job cost with a $51.50 minimum
$25.50 Water connection only $25.50
Estimated Cost $
Building Permit #
N\ w.~W(;1 Pov<< (l
.50~) 7t
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
uilding Permit When Approved
Date
I Paid
Date
I ::C'iPI No
our notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
06/20/2008 FRI 9:54 FAX 952 767 1900 GENZ-RYAN
~ 004/006
t<t '-'I"ifl()'
() ~~
:~'. . ,(
l'-~ . . .. ..,ii'
~U'<I.:" ,.,(\~i
4>'I""""""'V-
Iv"" "..... 0 .
!:'_!.:~..-
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date I~ec'd
t ~~;~ ~~~;bnl [~~~~~.~~~:.~-=-'Zm
~~~~::':=~;~~~~N-;==~----=] ::-:::~J
1- -------...-.----.--..,-----------. _-_'__00__--"-'- ---'-'-'-' ---
I LEGAL DESCRIPTION (0"'" '" omy)
LOT BLOCK ADDITION PID
OWNER
(Name) __ HOMES BY TRADITION
(Phone) 952,252,0635
(Address) 6800 FRA~CE ~~~,~..~.:'.:~..~.~~..,~~~~~._~~_.5_~~~5
APPLICANT
(Name) GENZ,RYAN
(Address) 2~9.~ ~J:iY.~CL1~_,_..._
(Address)
(Contact Person) KIM REN~ILLE ...,.. ,~._____.
APPLICANT SIGNATURE <~
(Phone) 952-7~:..!.Q..OO..._._,__.._._
BURNSVILLE, MN 55337
. .. (Ciry')----..--....-'.(ZipCode)-..-......,
APPLICANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL _LENNO~ G40UH~~.C1l~_____.._______ FUEL NAT GAS
FLUE SIZE .._._m...._.....,..,_. RETURN OPENINGS.~..'_m.._._.___.,____ INPUT _!~ OOO_~_.,,____.. OUTPUT .~~.Q9...,._.,____,
TYPE OF SYSTEM HEATING OR POWER PLANT -'-~'--'-
~Warm Air Phlllts
oUravil)'
~ Mechanical
[gJAir Conditioning
~VcnL Sy,lt:m
o Stcarn
o Hot Water
o Radiation
D Special Devices .____,______
o Other Del'ices ____.,___
PLEASE NOTE: Air Conditioner
Units and Fin:plllces Cannot Encroach
into Requi1"ed Side YU1"d Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL _.._.._,
,.-.----..
Industrial. Commcrciul & Multi,Pamily
FEE SCHEDULE
I % of Job cost Residential. Gas Fireplace
$49,50 minimum
.$149.~O l<esidentiaL Additions & Allerations
$64.50 Residential, AC Only
$49,50
Residential. Healing & Ale (New ConstnJction)
Residential. Healing Only (Ncw Construction)
$49jO
$49.')0
Estimated Cost $
Building Permit #
.50
PAID 'Nm-l
BUiLDING PERMIT
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
.$
$
$
(Office Vie Onl~')
---.
lIuilding Official
f\ lmt\ ,i4~1,:: !
U \-r-: In I'
Dale '~ DjOL 0 9 2008
L!U
24 hour notice for all inspections (:i52) 'l4V-9850, fllX (952) 447-4245 ;
4646 Dakota Str'eet S.E., Prior LakkNinnesotll ,35372_=-...:..::.:::.::d
.'",....-""-"'-~.~-,.
, :"Pl No _I
This Application Becomes Your Building Permit When Approved
06/20/2008 FRI 9:53 FAX 952 767 1900 GENZ-RYAN
~ 0011006
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I [llue F,le
2_ Gold 01).
J. YeUow "'p;iJic....m
I PERMIT NOB. ~~
l
ZONING (office
use)
ADDRESS
4033 HERITAGE LANE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIO
OWNER
(Name) HOMES BY TRADITION
(Phone) 952-252,0635
(Address) 6800 FRANCE AVE S STE 178 EDINA, MN 55435
APPLICANT
(Name) GENZ-RYAN
(Address) 2200 W HWY 13
(Address)
(Contact Person) KIM RENVILLE
(Phone) 952,767-1000
BURNSVILLE
(City)
55337
(Zip Code)
(Phone)
952-767-1000
APPLICANTSIGNATUR
e of Fixture
2
1
1
4
1
1
1
ailment sink
3
FEE SCHEDULE
Indu,trial, Commercial & rvJlllti,family 1% of job cost with a $39.50 minimum Residential, New (lne & T\\'lJ-ramily $99.50
Residential, Additions & Alterations $39.50
.58
~~~~n\V]~
This Application Becomes Your Building Permit When Approvcc ,\.\ n P~~tLL 0 9 2008 '
.L1I,Date
Buildln!! Official Dale,
24 hour notice tor all inspections (952) 4J~~~II. 11I~1J)5-~i4i~-===-j
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Estimated Cost $ Building Pelmit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FI~E
PAID WnH
ING PERMIT
(Orfice Use Only)
07/29/2008 13:14
9524925005
GLOWING HEARTH:/HIGH
PAGE 81/81
Oatlil Rcc'd
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
1 1~'I'~
.!. (ir~'~I'
.~ \'~II/"t
hIt
( II ~
^1~1~lh"llt11
~ERM1T N-(j~8~~~.~!BJ
]
rZC)"N"TNO ("IYi",.~
I._......---,---_j
,_(f!~~ tll'C or ~rin~.!!~ Jr bonom)
AP~RF.~ 33 lder/ ~ ~{!
[----- ~
~::~ D:~~~:N ;o::J;~;~__.__._ _ __.... _. ___
<;b
'-.-..."..'..1
_....,__... ... , ,,_" .....___J
PID
'~~,~~J;~-e;~~odL-hL;y:;- _ (Phone) q~;IS~_~Oi35~1
(AddreSs)lD _ ~Ave'SI JSht1~) U'nO-y I11N ,SStf35 _...J
r:::,::;1p~~~i~=~~=~
(Addrqs) (CIty) (Zip Code)
I' (COntact Person) ._-~ ~~. ~~j~\v ..__..,. .._.. (Phone) q ,)d - LfC; J- -9;J..Z~,...__.......
L0.~pr" rCANT SIGNA TURE _!?~ TE..,..,.7..j2!1jJ;>_"C.._... .,...,'.~..
LICANT PLEASE COMPLETE BELOW
'NEW CONSTRUCTION 0 REPLACEMENT .. 0 ALTERATIONS -..,-.......--,.....
FURNACE M ^ K E ^ N [ MODEL __.___.___,___,____..____.__......__.____.._..., FUEL __"_'. ...,..... ..__..........._.._..
r-LUE SIZE RETURN OPENINGS INPUT
OUTPUT
TYPE OF SYSTEM HEA TING OR POWER PLANT ,"",='
PI..,EASE NOTE: Air Conditioner
DWnrm Air PI:lIll~ 0 Steam
' I.., u.-~rt{J\" ,,;..- Units and Fireplaces en II not ~:l\cr(J:lch
DClrl,vlly D H()l Water VI ,Ip-""
gMc~'h:ll1lc~1 0 RadlRlion into Rcqujre~ Side Yard .S.etllllckS.
'OAII' Conditioning. D Special Devices FJrqJla~wlth Box Addltionll o~ .
DVe);! System D Olber Deviccs ' Cnntn(!!VCr-:~t~'tbeOut'lde of Buildmgs
'. _- ltequi~e lfB1Uldlng Permit.
FIREPLACE MAKE AND MOOBL SL-"l50 Tl?:.~t: .. .~cc\ ....~lo
.. ,_"........_.._.."".._,__'..__~..,,_.._,_,...,............_....'_.., "..' -., .....'.." ......... ". ".";.;....,.;...,..;~.;....,;,,,.~,__..:.._,,..,,.,,~. ...... ,~__....,,',....~,__ '''....k............_.......''....., .""........... _.n.....". ..,.....", ,.........'... ............ '.,
Il1dUSII'I~1. CN11111l:n:t:l1 & Mulll.FD.l11ily
FEE SCHEDULE'c-~
,% of job cost Re~jden[i~ Firepl.llce
$49.50 minimum
$149.50 Re~iden[ial, Addirion~ & AllcTlItions
$64.50 Residential, AC Only
$49.50
Rl'sidcntiHI. HeAling &. Ale: (Now COll~tructi()lll
RCSld'~11Iiol. I-Ienting Only (New C('lI1~tr(l1.:tilll1)
$49,50
$49.5Cl
HEATING PERM1T FEE
STATE SURCHARGE
TOTAL PERMIT FEE
. .. PAID WITH
BlIIld1l1g Permit #,' -BL!ll.....J:::UAI~P6R
- OTL:u,I", X Mrf
l--~:-~o ~ /(o\bY\
--.-,-50-,1).0..- '
Estimated Cost $
((Hlice Use Only)
This Application BC!comcs Your Huilding Permit When Apprllved m ~!l~___n___ iill. BRy~_C.:~'_1 NO_.'- .- -,--,J-
I <, D'j~, ill
Iluildim: orlici:\1 -'~~'.'-- f)aru l\1 \....~._..G..._~_U008-Uil!
24 hlllJr lIotice fllr :1I1 ;n~peeli()n$ (952) d~7.9R;;,,()' rll,~, ",(9,S2) 447".,42,4,,5 .
4/id(, Ihkolll So'cct S.E., PI';nr LllkIBO/,in~~~~~ll:,:~~~~..~_.::::_...J
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~(),JJ Heti-rAs,E LA,.,J€'
NATURE OF WORK N'''' ~rr, (~LtL. M/tJlrN, ~Ie; ""-CH)
USE OF BUILDING F:A · I~
PERMIT NO. I~ 0 2- ~~ D~TE,ISSUED S"ft.:JI"~
CONTRACTOR ~ Era L l&A9lr,. ~ PHONEt.Iz' - S""Sr-.n .,z..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
c..rm.. ~ Qlo",.~ N. 1i.Jfp~'1 .....eroo
I FOOTING ---.J tIlIVf
~1!:t FOUNDATION (Prior to Backfill) . ~. Uk '" {
v Pf? PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
R UGH - INS
~t7(JJ.
!tt
DEPARTMENT OF
BUILDING AND INSPECTION
.
Main }-4~tle
DATE
L. - 5' -~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
L.r l.A> 1.)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
lRAt,.,,~ LArHG; lID.. L~'\flN I I
J
FINALS
GRADING (Prior to Soddin
BUILDING
ELECTRICAL
PLUMBING "-' (.'
HEATING
DO NOT 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