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HomeMy WebLinkAboutBuilding Permit 04-1138 (2) 12/15/2BB4 14:5B 9524925BB5 GLOWING HEARTH N HOM PAGE El2 "m.,.. lTIV' '01. >.:. ~~d:~ : ,J. "x ::' \ r ','. . " , , ." . .... .. :. ..,' .'- ' ,:'- ., \:.' ..'''' "" .1....'....,. " ',', j " HEATYINl~~ ,.:,;~'()NDL,).. , ':It,AKE .... ~n'li'PL k~~Yjo;rjoRM" .:J:"'I':l" .~~ ," ri~"$t'.::~',~ ' l.:J:~ D'ate,':~~c' d I. t'lnk Fife' i, 0.... CIIlI.,'. J y..,- I\Jipll~. ":;.:,?;,:~~;.::~:i(!i:""',\ . zo~a'.(offlcc,uJe) \.-O~~ A ~n'\)cj"j~'tiie. . !YIt'J . .. , ';:' .',.".~. . LEGALDES~'ttON'ccmce!iseonly) LOT BLOCK ~DITJ;ON 1'\-' , PI;];;): . ~ ,i',' '" '..' .' , .. ..... OWNER (Name) (AddresS) p,.otk. c\ eei( l)€S~~Ne(5 ..... ....~::.'~. ' I ~~I'I. :D~ \ ll~ AJ-€. sf.. l)r\.uf ~d~~ rn rJ , .) . (Phone) ~ l\ '1- 00. 9J b ., ":. " . :,. ,",' .. ...:: '..\. APPbFCAN:r '.' . . '. . .., '.' .......... .... . (Name). C; \~~\Y\~~ecxdh+-t-\o(Y\~.~,.:"_ . (phone) Jj ~~. q ~:b (Addre!ls) . I GO. E \ a \Jt' Q~o1>~.,:... .. ~~Qrd oJJ' ffitJ 553!5d.- '(:i\:d~~~Y .' '.' .. . . ... .I(City) . (ZipCode) . (ContactPersort) II r<\ 5 \^ \f'(\~." @~"" . ,j~:l1\S)ne) 4 q cl . q d. 'l b APP~I~^,m$IGNATU1tB (ro. ~'t\\fl:'€'~~ ." DA,TE ~ \lo 0 ~ <....~~~~~,~~.~~~:;!_~ ... .!:[:HWPfi!G~MENt::.. 'lI2FAL TERAnC)~s .'~<,.,J~;~;'> (:~~~;...,.. "" , FUEL . ~':7-'.1NPUT OtJTPtJT ~~e.r:;(;)RPOWERPLANT O'Steaffi' 1.::HdiW~tb: i ;, mm.llaH~n j:; ~;S~~~11tii;~,~fi:,~ .. lilijj:,Otkft:b~i~~s;. . . .~LEASE NOTE: Air Conditioner Units Cann~t Encroach into Requ:itedSidc Yard Setbacks FfREPLA'CE MAKE ANr>.\!'1(VJ)EL. bOO .g>>:SCHBl1Wlit Industrial, Commerci11& Multi"F<amily l%oIfJctb\~~$I' . Ril:sitItntial,Gss'P,iteplace S39.50mltt,1inii'm, Residential, Hentin,g& Ale (NewCon$U~9n)$9.Mo- . . Residc:ntial. Addltlons& Alterations Residential, HcatingOl"ily.(NewConstNction~ $64,~t} Rcsitlenti8l1, AeOnl)' $39.50 $39.50 $39.50 Estimated CCiilt$ IlyO.oO I ' Buildtitg:Pennit # HE~1)N~'P,E:RMlT:t8$ $ STAtE'SUltCfJAl'{G,E . $ TOTAL,]:~,E~'mt' $ PAID W1TH '8\JLO'NG PERM'T (omce'Use :OWly) TblsAppJicAllonBecon:res'V~drBQit(l("gP~tti'l't'\lVhcn..~PlSJ;j)v,e,d. ; . 'Pij,d Reeeipt No. 9~lIdll'tg!omtl.1 .Dllte By Dllfe 24:houtM~ltt!tllr:an:ll1slil!t:tlti~.~9S2)4"7:"9850.~ .!iI. ). 4 l~OEsrgJ~. Cre~kA.venl1e; Pri!lr"lIk~,;MN. 55372 CITY OF PRIOR LAKE HEA TING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd .3.~OS ~', ~~:w ~l~icant I PERMIT NO.O+, 1/3f] ZONING (office use) l"o S 3 je15.t) LEGAL DESCRIPTION (office use only) LOT 3 BLOCK 2- ADDITION fl[rv/T7166 LA1J 0 I tJC7j PID zs: 1- z.--s-. () C' /. 0 OWNER (Name) ''P(JC/k (! r~~/G NcY11t'.5 (Address) /68/"/ f)l--/vllv /Qt~ s. G (Phone) 9o~f./<!7- o9sS- APPLICANT (Name) /VJ76t':1/ ....nlJ~.,I.~ (Phone) 9s.?~ 7 </6-s;2 C1 C7 (Address) /:;:;z..::Z!>3 ;c,/,.~c::Jif A~ ~~ (Address) 6 A//6e// --r?vyn5t.h/k~ ,h?1'f/ (City) ~~n-;7 (Zip Code) DATE (Contact Person) PLICANT PLEASE COMPLETE BELOW ~NEW CONSTRUCTION o REPLACEMENT o ALTERATIONS FURNACE MAKE AND MODEL 15/vK1"T- 3't"Q;nJ(Jv<"/~~gc;I FUEL A/;a-T" , FLUE SIZE %" RETURN OPENINGS // INPUT 5?q (lOO OUTPUT -?t,..o" S-d/ C/ ~ Jf? v. c." .J TYPE OF SYSTEM HEATING OR POWER PLANT DWarm Air Plants o Steam PLEASE NOTE: DGravity o Hot Water Air Conditioner Units (]"Mechanical o Radiation Cannot Encroach into ~Air Conditioning o Special Devices Required Side Yard ~v ent. System o Other Devices Setbacks FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 Residential, Heating & AIC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ Building Permit # 0 4 . 113 fJ B f $ / pAlO O#- : /~.50 BuIll . ./ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official Date Pai~ Da~. q/()~ 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue, Prior Lake, MN 55372 PRIOR LAKE INSPECTION RECORD SITE ADDRESS i/os ~ JlE~~!lJif!;t~/~€ NATURE OF WORK .,.A USE OF BUILDING ~~A. PERMIT NO. ~,/~ ~D IO/~t/ CONTRACTOR ~ PHONE 2.""7-~~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW . THE PERMIT IS BY SEPARATE DOCUMENT Me Fel DEPARTMENT OF See aID I e BUILDING AND INSPECTION FOOTING FOUNDATION (Prior to Backfill) PLACE NO CONCRET UNTIL ABOVE HAS BEEN SIGN D ROUGH - INS I SEWER I WATER I SEPTIC FRAMING.,4 INSULATION ELECTRICAL PLUMBING ~ . ///9 . I-lEATING (if required) FtREPLACE GAS LINE AIR TEST '"7 ..J "5 -J...J. - or , , . , , , COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED lW1JE J H~lAtewAAI' /(/h/I~, //~45' 4ft f5~/ J , FINALS GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUPY UNTIL ABOVE HAS 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 04/28/2005 11:16 9524926006 . ,..:,,:,,!;:,-,~~~~~t:~{;M~~~'ij~~'~:i~~~t.~~~:I:~'~:':'" .' . GLOI,0mG HEARTH ~1 HOM PAGE 02 ~ITY .<fJ.i' HE'ATlN~~ND~:" " " . ",', . "">',:,":"",1:'.,:.''': .'...,'~ . '., ,.' ""> D~tli~ti.l~~'d ,':';-,t I. P,ok 2. Croon 3. Yellow ~Ne .rpft~;~;.;,~ri~~ N\~ ,~.,"',' , . prim LEGA1. D:EsCmTroi&(:om~elileOnlY) LOT BLOCK AQDmpN OWNER (Name) (Address) ~ac~CJee~ IkffJ \\\),\ ~" Pr~ SE .--:P(lC{lo~ " .. .-::-',: t.:.~~.. (phone) 4~1. aQS5 f\'\~ APPLICANT {1 '.' r.> U . ..'. . ..' . L ~. .." II (Name) ~\()\>J\'fIt__1J~O:(t~_.I. .... .am=..n '.. . (Phb'ne) '1~cl.' qo."l1 (Address) \\)0 . \::\d\)'f C\~C.})f\VE::... - ~Dfdtu-J ) rn f'.l 5 5~5 d-- (~ltdU~~J (City) (Contact Person) -.-J {~~h,rret- .~nt) ~qd.' C\3' b APPMMNrrSIGNATURE 6hrfu~~PAT:E 4 (Zip Code) ....,~~......*':'j;:I~-W... . .:~.D?~~,~~,~,.~',:.'!' . W,CONSTR1JeJiil, .. . A3i:tmP.t.. MltNt .. QiJ\L tEMt~~N8' FURNACEMAKBANDMO'DEt ~€C1--\:K\Co.\o-.bJ()O 1R.- o 11 Ii. Ft$L FLUE SIZE 8,ETURN'ti)1!,eNtNGs. . .,iNPUT OUTPUT ~g..S.FSYS~&.r ll'EA~It{!ih~a:;poweR PLANT tJW~',AirP.1~t$OSte~ O;Gra~I,t}> .CJ'~oi9lri~t 6a~fIAC$'rihi't'f41. J;J\$rdi:a~n crAjrG~Mtli:ion~gt1l~;s~cl8:~~~l:#l~~ . o Vent, SY~~i'l'ImlOtiteiJ3i!'V,1~es .. '. . PLEASE NOTE: Air Conditioner Units Cannot Encroat'h into Requitecf8idc Yard SQtbacks FIREPLACE MAKE ANDI\NfGmEL. :F~~!::SCHEDl$I$ Indurtrial.Commeteilll.&MultH1am'ily . J%ofJdb'tt6si ReSi'dential; Gas Fite-place S39:50filimniUiTl Residel1tial, Heating&AJC (NewConstt.t:ittion)$g,950J(e~idential; Additions & Alterations Residential. HtafingOtily (NewConstnJttiOtl.~ $64.50 Res11:1enlial; AC0141y $39.50 $39.50 $39.50 Estimate-dCO!lt$ BUildingPermlt # PAID l1IJ . BUILDING p 7TH .50 ~RMI; --':"'1 I '1 f$A11NClPElUv!I'fF:lt-e $ S'I)\;1:ESURCHARGE $ rO'f^-Vp.;e!U\10r-f:EE $ (Office UseOilly) Bailtlln~;()nicl.1 i Receipt No. Th is Appl i\::.lItitin~ecotneJYt)uir.iBlifJdtn,g.P.etmit.When .~pp.t()ved D.te 2,.4!hotJN1oth:c-roralf-ihspl!ctI6mf(9!i2) 4;(7"9BSO,:,tftX (952.)447:~~!i_._..J 1'6200'Eaglt'Cr~e1lirAv.enue,. PHor.Lake,..MN 55372