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HomeMy WebLinkAboutBuilding Permit 11.1307 � .. '"t i .::f.* .» . 4 i rrn � ,rvwr l... r. r♦.. f♦! f♦ ♦ err rt •.r!t fi.fl:Pr..,N ;; r!Pilrr. r!IP r!.•rrr..!r r1 1 !i r. rrr.♦ .r.b. p lrlf Ir r r• M1h•`r.•r X1: rrp.rrrsl. 4444 sl.. rll. .l.. .Ilr..fl..1 r .rR.. P�... !.4.14•4. rlr . r. r ,r.r..l.,.. `.n•vc llu., .• «.,.♦ . � -" Ar.• 11 f 1..41J ".,r .P 1. 11 Ir.. HIII. .111. 1 ; _I , : Ilrr IIHr. ! WNlrrl IN/r4 „vNlll wNHI �IN11r vr/11 1.rN1. ♦ Irl h ♦ Alr r 7 111 f .rrr 1 f f 11 , �Ilh Ih , �I1M1r1P .II r r P e Ir1. 1 r1 Ilrrr: vllrrr :..������rrnll .1 r 1 �� 1 rla 1 1 e. , 1 i,r. .0 Ilrl ♦ 1 r!: . 1 0 r Ilh .� Ark Per ., r r .r � . 1 1 1 s♦, 1 rN1H A1nr 141. 1 /r �v r 1 1 1 u i11 N1 111t111,v1111 V,.,1111 ,1If L_.,. � . .. 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Expires I ry �.,r! - This Certificate issued pursuant to the requirements of Section 110 of the El Residential / ❑ International t' Building Code certifying that at the time of issuance .this. structure was in compliance with the various I � � G ordinances of the City of P Lake regulating building construction or use. For the following: ' �J ✓ t Fe f / t 1,� Bldg. Permit No 1 30 7 Use Classification / ♦ ,I l!S 1 II ♦ 1» Occupancy Type r` `- Ty Construction V"f Zoning District (' Legal Description it / : B / , 1" �/ J t , D ` 5 Q 4 E , ono. / 4 z 7 z t'V t c /31,11� I w Owner of Building Site Address � �� (,� /Lie,10A/4 t.. Co . f5Tr ,uu❑ 0l�.l I iyC%- Contractor's Name & Address . ?{ � r ( J & /�., l i / .5 City Planner - _ I t z. 1 Building Official 4:: Date: � ' f . -- ,_ -..- ti Date: ' � CONSPICUOUS PLACE ..":41:;* POST . i ... n 1114 - � 1 1 4 11 11 .. -_-z � :. " P P :r ,7 r ? 11 11111 (1 11 +∎ 1111 111111 . P.11f11 1 Hllil ::III , NI " :: . Ilnll , 111 11 '. 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Pink City PERMIT NO. II, 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) ly2 '7 2. \31 1th Over( oo PUSD LEGAL DESCRIPTION (office use only) LOT 1 BLOCK 1 ADDITION WI 1 CLi RI% d5 e. PID z5. 4-3(0. (Do 1. b OWNER (Name) e W 1 +4 / N' cJL-. f--- J ut h (Phone) (Address) BUILDER (Company Name) M C Dona Id o, s-i t.u..4i OA l I n U (Phone) q52- (132 - 7 !v b/ (Contact Name) 5;11 1 t (Phone) el /Z - 70 /- 7 97/ (Address) '7 (p V l - / Li S 7 tN - /4Ar le_. Va /l.c y ` I'I A) , Ste/ 2 ti_ TYPE OF WORK [g New Construction ❑Deck ['Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE: I.R.C. ❑I.B.C. ❑ Misc: Type of Construction: I II III IV V A B . / C Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ E5 (L2 4 62(.2-2 Division: 1 2 3 4 5 (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 ca evoke i .erm r st cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X Sc o .2 3 7 (P /i re /Z .0// Signature Contractor's License No. L) ate Permit Valuation 3 a�rr _- Park Support Fee # $ r Permit Fee $ II 50 SAC # $ ZZj, — Plan Check Fee $ (7 (ill Water Meter Size 'f�$ " 1 " $ 1, ( a_. — State Surcharge $ ( 8 3 Pressure Reducer $ lo_ — Penalty $ Sewer /Water Connection Fee # $ / 4- Plumbing Permit Fee $ (S `i , 5O Water Tower Fee # $ / 0a9 - Mechanical Permit Fee $ l S .- Builder's De $ / s , Sewer & Water Permit Fee $ G 6 50 Other $ Gas Fireplace Permit Fee $ S i , Sb TOTAL DUE /Z 7 , q $ / (, 904- 6,8 :uil Permit When pro d / / � 1 6d/ 4"'7 This App don Deco/ Yo , d ing p Pa � ,� ` /e i pt NO. 1/ / Date hz , (Z-, G`t � t 1.', ' ..i & L b l r Building Official Date t , This is to certi , at the request in the : Wove application and accompanying docume is is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed • e City P1./ ' cone test temporary Certificate of Zoning com..an and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. // ' .LL/ I . � _ 1 7 - - ( 2 i Planning Director 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 PR IG 4' CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec r d U NI TEMPORARY CERTIFICATE OF ZONING COMPLIANCE / 5 iz AND UTILITY CONNECTION PERMIT r1VNESO��r ,i!- 1n// 1. 367 1. White City f e City 2, Pink PERMIT NO. z _ / 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) JL/272.1WA Ove.rlo p (is o LEGAL DESCRIPTION (office use only) LOT I BLOCK / ADDITION Ut) ; I. etS k cy .p PID Z5 �� - 0 G 1- C OWNER q5'2 212. Z70 5' (Name) � W ' � A) 1 U.- Y- J v /1-e. (Phone) (Address) i I "V / _ BUILDER 0 I / � / (Company Name) � f d CC U ✓t.L -C (SY., / 1 '1C.. (Phone) 9 J Z.' ( z.-.2 lab 1 l (Contact Name) g ■ 1 / W 1 tgf' (Phone) 412- — 7 I _ - 2 ' /' 0 (Address) 7 (00 l - I 1 15 4, 1 S T vs - APP !, )a ll td - i- & 6 2-9 TYPE OF WORK ❑ New Construction ❑Deck orch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace ❑Addition ['Alteration ['Mill . Connection CODE: lik,R.C. LJLB.C. ❑ Misc: Type of Construction: I II III IV V A B '0 -01:2. oklo Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ �/ Division: I 2 3 4 5 (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 t •c mit f r 'ust cause, Fu ennore, I hereby agree that the city official or a designee may enter upon the property to perform needed ins ections X l3G oc�a3 5- 20/2_.. __ Signature Contractor's License No ate Permit Valuation 4! a o o , o Park Support Fee # $ Permit Fee $ / 63. G 0 SAC # $ Plan Check Fee $ 4 C. 15 Water Meter Size 5/8 "; 1 "; $ State Surcharge $ 2 t l Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE dittutzo 1 . (0 t ( Z $ /1 1. 73- This A , , lira' . Becomes Ypur Building Permit en A roved Paid /7 L yr R eipt No. 4 4 , / 0 l ei �� / CQ t Date /_ io /Z : uilding ( ' " . Dat This is to certify 1 the re. st in the above application and accompanying currents in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed . City 4i. : ner constitutes a temporary Certificate of Zorn compli ce and allows construction to commence. Before occupany, a Certificate of Occupancy must he issued. ` + i . / ....... Planning Direc . 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 Residential Building Permit Checklist New Constru tion for Single or Two - family Dwellings in R -1 or -2 Districts p i Reviewed by: Date: i Z a t Building Permit # PID: Zoning: pulp Address: w i + 7,17,, � ( D V52.4.6t9(2. Legal: L , B Subdivision: Existing Structure? YES I / 0 Existing Nonconforming Structure? YES 1 NO CONFORMS TO ZONING NO NO ORDINANCE Yard Setbacks: NA / FAILS/ CO ISLI Standard Proposed • Front Yard (can be 20' if avg. n 150') 25' ZS, • Side Yards 0 25' if abutting a street 1 • Sidewall exceeding 60' requires additional side 2" 10' setback + setback for every 1' over 60' in length. Not required 2 "/1' over 60' if building wall is 10' -0" or greater of being parallel to a side lot line. / • Rear Yard 25' 1 51 • Patio Door: provide for minimum 10' deck or sign 10' side/ statement indicating no deck will be built in the future 25' rear • From 100 year flood elevation of wetland /NURP 30' pond. — • Refer in- ground pools to the Planning Department • From OHW (Prior or Spring Lake) 75' or setback average of adjacent structures, but no --- less than 50' 2- O 3a Z� 5S I- I Floor Area Rat : NA / FAILS 1 C ',IES 1 .30 Maximum 1 • DS I I Yard Encroachments:19 FAILS /COMPLIES I Standard Proposed Eaves and Gutters no more than 2 feet in width and no closer than 5 feet to a lot line (Easements). A/C and other equipment cannot encroach on interior side yards. I Tree Preservation:/ / FAILS / COMPLIES 1 Standard Proposed • Total caliper inc es • Permit 35% Removal • Caliper Inches Removed • Caliper Inches Preserved • Replacement %:1 L: \TEMPLATE\BLDGLIST.DO C 7/ Driveway: NA / FAILS / C • ■ PLI • Standard Proposed • Maximum width at proo- line 24' ZL\ - 1 • Required setback / 5' from side lot line or 30' from r -o -w on corner lots t D f • Maximum slope 10% • All parking areas to be paved including R -V or ` spaces adjacent to the garage • Location to match subdivision grading plan . Building Height: NA / FAILS / CO S 1 3 5' Maximum Zr j S Shoreland District: NA / FAILS / MP IES , 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 /Q - ZO3t9 - ( 7 5O Bluff in Shoreland: I / AILS / COMPLIES Standard Proposed I • Setback from top of bluff By planning dept. • Bluff impact zone 20' From Top of Bluff • Engineering certification submitted /approved By City Engineer • Grading in bluff or bluff impact zone No importing /exporting Floodplain: Il / FAILS / COMPLIES Standard Proposed • 100 year.flood elevation 908.9' Prior Lake 914.4' Spring Lake • Lowest floor elevation 909.9' Prior Lake / 915.4' Spring Lake • Proposed lowest floor elevation Must be 1' above flood elevation for new and existing structures. If existing structure was constructed 9/19/90 - 11/22/97 then additional foot is not required. • Elevations 15 feet from structure Must be flood elevation or higher • Road access must be no more than 2 feet below 907.9' for Prior Lake Regulatory Flood Protection Elevation 913.4' for Spring Lake Accessory Structure: / FAILS / COMPLIES Standard 1 Proposed • Size 1000 sq,ft. or 30% rear yard • Not located in fron yard (Materials) • Side yard and rear yard setbacks 10' • Maximum height 15' • Materials compatible with principle structure L: \TEMPLATE\BLDGLIST.DO C ( � 9� U tr1 White - Building �� �P Canary - Engineering LANES° Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /C L) 0 /VI) 6. .0 n' isj APPLICATION RECEIVED / /. Z /, 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: ( Date: / Comments: See Attachments: 1) Grading Plan, 2) Erosion Control Standards See Reverse Side for Additional Information! "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." ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS • Surface storm water drainage flowing to the perimeter of this lot to and from adjoining properties must be conveyed to the roadway and /or to the rear of the lot in drainage swales within the drainage easement. • All bare soil areas must be protected from eroding into neighboring properties through the properly installed and maintained silt fence or bales. • The silt fence required by the erosion control plan must be installed prior to any earthwork being started. • The builder is responsible for maintaining the erosion control measures until the turf is established. • The rock construction entrance must be installed at the time of ibackfilling of the foundation. G: \ Admin \dept info \ADDITIONAL COMMENT5 FOR BUILDING PERMIT APPLICATIONS,doc �s ., ,� •y4. _ , mt "mow.,. ^+s. r, ds- '4..+0 , .. qb: _' ^ ( PRIp� U White - Building P Canary - Engineering �`NNESO� Pink - Planning 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 t7 Accepted With Corrections Denied Reviewed By: . II:M - Date: Comments: /, � �� w� � s 4 C-JA- r 77 4/ ' f/c l — 4 /Al Ga- /- ter 2 aft, ! -'' /'� . �f. u G 64)/ re4 - /r-y26 ! / � 1J Cfi ' 'LLD ` J/ / Q5pi -t 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." n � PRIp 47,1,,c x U m White - Building Canary - Engineering ^�`NV�so Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ' D 0 AMV° ef\Lf APPLICATION RECEIVED / /- Z'i, 1 / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /47 7.7_ i/i// /`c_ 0V6/aL %JO -_ . Accepted �7 Accepted With Corrections • Denied / Reviewed By: ■ i IIII W ate: (z- _ 4 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." Vi RI Date Rec d CITY OF PRIOR LAKE PLUMBING PERMIT U •�� =w,� ` try 411 tlESDo I. G rile PERMIT NO. .- 2. Gold City 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) ©ue ire ltoo K LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER G (Name) / CO I (�, {Phone) l S� N 3 �- ` 7 (0'0 (Address) /l k ,A) l� L L1 APPLICANT j / AJ (Phone) 50- —/ 3 a� 1 (Name) �t (Address) - ;3I 1 S Wi'S 5 / (Address) (City) // (Zip Code) (Contact Person) _ `1 (Phone) Cot 1- 70 r' SO 7 Co APPLICANT SIGNATURE .41 �1110 _ DATE 12 J 30 / 1 APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower 1 3 ey 644 Rough -ins Dishwasher 1 Water Heater Floor Drain Water Softener Lavatory (Bathroom Sink) 1 Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly '- Sinks Backflow Assembly Test 1 RI oitl Bar Sink Lawn Sprinkler '3 Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi - family 1% of job cost with a $49.50 minimum Residential, New One & Two - Family $149.50 Residential, Additions & Alterations $49.50 The Minnesota Statutes $ 326B.14R Est $ Building Permit # "SURCHARGE" has been changed for one year effective PLUMBING PERMIT FEE $ July 1, 2010, until June 30, 201 i. STATE SURCHARGE $ .50 The minimum surcharge fora "fixed fee" permit TOTAL PERMIT FEE $ is Si, beginning July 1, 2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 PR/04. Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT a , 2:1.t I . PERMIT NO. Gol d C ity Cie 1 I . 13 0 Gold 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) i 1 4 . 7 2.. (,it' l A olitt410 ,k LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) P CA _ CO•^•C % • (Phone) C i3 ~- % 3 7k) (Address) I'v4- ._ ,' -14- (Li 1 APPLICANT / ( 1 �� , (Name) vi1 t , av , '1 - 1 , lea.h�hi y y v-e_. (Phone) 5 -07 3 ( 11 (Address) 3 31 11 `3s P I Qit `ruci; (Address) (City) (Zip Code) (Contact Person) (Phone) &r 2' ?tlf e'C' 7 ( APPLICANT SIGNATURE ' A DATE 2.4 I /i s— to APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower CZ ) Rough -ins 3,-y &r..#(-, d- sos; k t Dishwasher i Water Heater 1 Floor Drain Water Softener Lavatory (Bathroom Sink) F Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly (4 Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler 3 Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi - family I% of job cost with a $49.50 minimum Residential, New One & Two-Family 5149.50 Residential, Additions & Alterations $49.50 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ PAID wrrH STATE SURCHARGE EilaILDING PERMIT TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt o. � Building Official Date Dat r • �� • ` L By � � �. 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 Feb.29.2012 07:41 AEI Dan Giles 9519E14 S3 PAGE. 2/ D ' 44) C:S ' PRtO� I ate Re 'd .� XT OF P IC LAKE y _ z '' , Z EW R ANA R ATER PEST UVn ESQ� 1. l3nu. FYIG P ERMIT Nt� 1 507 z. vou c,w f 3. °otl nppl;ctot . lease type or print and circa at boded() _ _ . . ZONING (ot3;ec,�t) ADD p r ? l / /ds (v 'rla« i< ..... . LEGAL DESCRIPTION (ot&ee use only) LOT BLOCK ADDITION .. PID OWI' ER 44,0 L �rt75 fi ` (Phone) 6r97 'IV - 74 ' C e) . (Address) (Addresx} ( Cit y ) (Zip Code) APPLICANT : (Name) . _ /le 5. , ,`7/ ,-r'•S %.mac e-e? a,. -"1 // (Phone) ed /,' ,. 3 6 6- `7'9' S 1 ///1 1 : u d i e P / Mor /e. /? 5 5'9 (Address) -- (Address) (City) (Zip Code) (Contact Person) 4 et e`v i Al 6 , kg- (Phone) l! /) - ?' 6' 17/9 5 APPLICANT SIGNATURE Q�, { / 5 • DATE . d - 9 - if e2 _ APPLICANT PLEASE COMPLETE BELOW Size of water service / inches. Location of any couplings from structure D 5 feet. Type of sewer pipe. ❑ ABC raPVC El 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 $51.50 Industrial, Com'l & Multi - family 1% of job cost with a 551.54 miairnum Sewer connection only 525.50 Water connection only 525.50 Estimated Cost $ Building Permit # . _ . SEWER AND WATER. PERMIT FEE S STATE SURCHARGE S .. PAID WITH TOTAL PERMIT FEE — BUILDING PERMIT (Office Clic Oaly) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Buildint O(tldat � Date 1 24 hour notice for all inspections (952) 447 -9850, fat (952) 4474245 4646 Dakota Street S.E., prior Lake, Minnesota 5$372 dit h • # 0 • • OF RIpet, CITY OF PRIOR LAKE Date Rec'd HEATING /AIR CONDITIONING /FIREPLACE PERMIT j NN E S 0 � 1. Pink File PERMIT N 2. City 3. Yellow Applicant • (Please type or print and sign at bottom) ADDRESS ZONING (office use) 14272 WILDS OVERLOOK LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) MCDONALD CONSTR. (Phone) (Address) APPLICANT (Name) FIRESIDE HEARTH & HOME (Phone) 651- 638 -3318 (Address) 2700 NORTH FAIRVIEW AVE. ROSEVILLE 55113 (Address) (City) (Zip Code) (Contact Person) (Phone) APPLICANT SIGNATURE _WENDY SCHROEDER DATE 651.638.3318_ APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ['Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑ Hot Water ❑ Mechanical into Required Side Yard Setbacks. ❑ Radiation Fireplaces with Box Additions or ❑Air Conditioning ❑ Special Devices ❑Vent. System 0 Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL HEAT & GLO SL550TR -IPI -E FEE SCHEDULE Industrial, Commercial & Multi- Family 1% of job cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 Estimated Cost $ Building Permit # HEATING PERMIT FEE $ STATE SURCHARGE $ .50 PAID WITH TOTAL PERMIT FEE $ BUIL DING PERMIT (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 ' OP PRIOR I frEr FINf eltet'd l CONDITIONING/FIREPLACE PERMIT Re . . . 1 ''d t k , tt . PERIVI1T NO. i FL ,,,,, il ., . . . . . (Please type or tint and �i azbUttom) s Yen. fA�,v;cart tECxAT,17StrR�I{] 'use oaatp) _ �— �— LOT . BLOCK ADDITION !7. . /(g • 4 ., Pm OWNER • • (Address) (Name) V) (` Lu MOM, 4 r if (Phone) �rc d 1 , (ell/ • t f y " ibi ii: €€ (Phone} _ / .:1_: k . ; , (Address) (Coritdtt PexSan a (r icY} (Zip Cade) ).' --_�. PA., . . (Phone) . 1 . APPLIC iNT SIQN_ TU "- — �— -- DATE A PL1C An PLRr4SE COMPLETE BELO W G r At- CONSTRUCTION` °REPLACEMENT PU SIACE MA.KB RAND MODE' ` fir ft • .� ' ) r / 0 ALTERATIONS FL, FUJI~ Sii'7 �' r FUEL �r{1. RE RN OPEN NOS 1 _ l "t+IPUT TYPE O SYSTE AT NTQ OR POWER PLANT �} OUTPUT f(�d/a • 17 v arnz Air t'l m� ' P LEASE .NOTE: r Con ditione�r � • ❑GP3�+i!y 0 Stem . E _Mechanical Hnt Waf Units and. Fireplaces Cannot Encroach fir CondiTionin Q Radiation' into Required Side Yard Setbacks. Sg;ci O►s�l l zvlcc Fireplaces with Box Additions or • r Derives Cantilevers to the Outside of Buildings FIl7EPLACE MAK E MODEL • Require a Belding Permit: • du , Commerci �] Multi 1% FEE SCHEDULE r" Y .: • • 1% of jo b cost • Residcntr • Residential, Ilear{o (New • • $44.30 minimum Gas Finplsce £49.50 3 AIC (New Cons ctiau} S149.50 Residential, Heating Ou]y Now C'onsarizcticn) • b64.50 Rcsiciorni 1 , Additions 4 Al rations Residcr_ti4l, AC O,=]y S49.jU . irstimatrd Cast � �- o a 549.5u $uildin • IEATINU P$RMt'F FEE $ STATE Sir cr Ar PAID WITH • (ff�ce vse o.ly) • . . • • Tt�TAL:I'E�tZ iT BED SU This Apptleatiara Becomes Your Eui diog When _tpprov,eei • Paid Receipt Nro. . ' '• nauttiu- -777- : • /wt. . . E ' .. • . By • 24 ltour noti far. all inspect as.(952) 447 -9859, fax (932) 4474245 . • . . • 4646 Dakota Street S•.E„ Prior Lake„ lt�Iinnesota- 55372 ' • ' • • ty02/2 :d Sb2172.1A72S6 :t] L S2592SKS9 Ntigt13 `1tOINdF 3 W c]IU : Weld 6S :ST I T02- 0S -3AC PRIOR LAKE .BUILDING AND IN SPECTION INSPECTION RECORD SITE ADDRESS i‘12.1 2. L..os — NATURE OF WORK iii 4 F rr►� Cz ,s.3 tL rte �' : c �� mac= Fii. L. L. USE OF BUILDING NO. 11 1367 DATE ISSUED t 4.10 CONTRACTOR Pic_ ' rti. 1 4 . PHONE I2 - slot - 79 It NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE E PERMIT IS BY SEPARATE DOCUMENT /[ &--) i t "l t t.1 C L'- INSPE TORC2�CC 1 , DATE - I FOOTING 2. P aii- u-)C I, 14 1 FOUNDATION (Prior to Backfill) 1 17,x, PLACE NO CONCRETE NTIL ABOVE HAS BE =t' ` 1� ABOVE f L PA 9n ROUC I - IN SEWER / WATER / SEPTIC �/S rz. FRAMING j //z// INSULATION /// e_. ELECTRICAL PLUMBING 3 /., HEATING (if required) (2iFIREPLACE GAS LINE AIR TEST, -� 0 (6 9 6A - IAR - 146V - K UNTIL ABOV BEEN SIG � 1 1 (Ha- ` t FINALS GRADING (Prior to Sodding) BUILDING ���� ELECTRICAL PLUMBING 2 23 \4Z HEATING // ��T7 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