HomeMy WebLinkAboutBuilding 02-1577
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~~
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED II_~ -() ~
Iyr"
ADDRESS ,):C7 2J
OWNER CONTR.
PHONE NO.
PERMIT NO. Z.. )~)I
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
-H'FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
I I I J ~
1/ 'f& I "ft'
I?~ ('reA ~ . 11
,
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
g ~~~ TST
f\ fI
k; (~)
)L/
~RK SATISFACTORY, PROCEED
. 0 CORRECT ACTION AND PROCEED
o CORRY2C , CALL FOR REINSPECTION BEFORE COVERING
Inspector Owner/Contr:
CA -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNQTJ
'TV OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
"?-JI-OJ
3;},a
ADDRESS ~I ~. T~ \ IS--
PHONE NO.
OWNER ~ONTR.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
I, OpjJ ~r-
PERMIT NO.
:; -/<::;7 ')
,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o JiEWER HOOKUP
~LUMBING FINAL
,Y'MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
. "
M 1. l.)
'i4 ) -~~~
O.?K SATISFACTORY, PROCEED
,/!f CORRECT ACTION AND PROCEED
o CORRErdT ~R~L FOR REINSPECTION BEFORE COVERING
Inspector: fI ~ Owner/Contr:
CAL 44~1a5~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
352/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
bl('FINAL
/0 SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED -, -II -65
Fo.;<.. I'c,; ( 1'/ I
CONTR. . W l',?SI'1ltl1J'1 ;.k;"'.J3
PERMIT NO. (1) Z - IS' 77
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
I"'Q""~Y'~FILLlNG
o CO~NT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
CuR.b ~of> - 0 ~
6IZkDF-- O~
X WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~~'___ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQU/REMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT /,.... (9 S--~
(Please type or print and sign at bottom)
ADDRESS
35~ j - to'/. tAIL
t~f}IL
LEGAL DESCRIPTION (office use only)
White File
Pink City
Yellow Applicant
PERMIT NO. (r2'-/5'1'~
!lvJ
LOT' I BLOCK ~ ADDITION iJ e ns rn fJ n rl 1st-
OWNER
(Name) L.V ens j')1 A n Yl
(Address) J RCj,~- P L ~ z. ~
J~Df11eS
{) rl 0e
BUILDER
(Name) Sn fH e
(Contact Name) m Ie k
(Address)
~ e./ t... fYlAi'\
TYPE OF WORK
~ New Construction
DLower Level Finish
o Misc,
ZONING (office use)
Rl
]
PID0(5- 311,. 01,5-d
. (Phone) {p~ / - Lfo b - 'I '-J 00
[f/q fl Yl. fh tl
v '
(Phone)
(Phone) 1.0 I~- 369- 7 ~:l..Cf
/
DDeck
OPorch
ORe-Roofing
~ Fireplace
DAddition
DAlteration
PROJECT COST IV ALUE (excluding land) $
//'
ORe-Siding ..
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 revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter~pon ~Pro~~ to perform needed inspections.
X ~ ,JJ~~ JLlt5"?? 1I-,?,,/-oA
, Signature Contractor's License No. Date
I Permit Valuation I ,f~tJl tJOO, I) ~
Permit Fee I $ / 7~ 7, 7.s-'1
Plan Check Fee I $ '/1 .C;C;, 541.
I State Surcharg~_ $ Ize.DO j
I Penalty $ I
Plumbing Permit Fee I $ /00, 0 () I
Mechanical Permit Fee I $ / Qt). DO I
I Sewer & Water Permit Fee I $ 35.<<50 I
1 Gas Fireplace Permit Fee 1 $ 40 . () 0 I
This Application Becomes Your Building Permit When Approved
~y'~?
Building Official
tJ / L{ /0 "Z--
( . 'Date
1 Park Support Fee #
I SAC #
I Water Meter Size 5/8"et)
I Pressure Reducer
I City SAC and WAC #
I Water Tower Fee #
I Builder's Deposit
I Other
I TOTAL DUE
Paid91t1pQ
Date /;)_-! 1/'1 -----0 cf--
1$ 85tJ,Em
I $ 1"L00 , f) 0
1$ 300.00
I $ 70, fJ 0
1$ Iz.ro.QO
I $ 70 o. 00
I $ ( ~f)(J, 00
I $- I
I $ q /4f> . 791
"1 /'
Receipt No.~ ~7o:t
By C71T"'/
J
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
~.:~
Planning Director
P/y;02--
. bate 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
~~
~.~)
White - Building
Canary - Engineering
Pink - Planning
The C"fnltr of Ihe L.kt CoUnlf)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
d/R~u~I/07~
I/-,,)~-O~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
a~d/~ rtJif T~/I
Accepted
Accepted With Corrections
IV-
~
Denied
Reviewed By: ~ ?1~ Date: Id/~.t ~
Comments: ~ d-L/' ~ ~_~ ,
,
"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
Canary - Engineering
Pink - Planning
Thr Crnlt"r of lhr I.akt' Counll"}"
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
Accepted With Corrections ~
Denied
Comments:
Reviewed By: ~ .rill . ~
SD' Sdh-d ~ ~ Ia
In-- ~~,
Date: /~4/d 2-
, I "/
tf..tJ.u.]
"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."
(' ~-' j
:'.'#"" ".'1' '.1""-', '~.r:",,,"! .-1;:.:_,..........':.._ ""'""............,;.<.;.."..'~~~.__; .......;...,.~i,;:/,".; ..},,,,....,..:,:
. "i'.'.'~-),. '.;'~ ",~.,.':"~,,.J" ';"'\.
White - Building
Canary - Engineering
Pink - Planning
Thf' ('f"nlf'r or th<<, takf' Country
NAME OF APPLICANT
BUILD1N~ ~ERMIT APPLICATION DEPARTMENT CHECKLIST
j(/~t~:J-1///.'//?fJ 1~{:5)'1L-~
APPLICATION RECEIVED
II-dr;-.o~
THe Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~~ ~ d/-' F"() Y T({ / I / r-
Accepted X
Accepted With Corrections
!
Denied
Reviewed By:
/Yi1i5
Date:
12 - S- -07
Comments: ~A Reverse Side for Additional Information I
See Attachments: 1) Grading P1:m, ?) Erosion rnntro1 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."
Jun.]l. 2002 10:52AM
GENZ RVAN PLUMBING AND HEATING
CITY OF' PRfOR LAKE
SEWER AND WATER PERl\Iu.l
No.7187 p. 5/7
Date Rec'd
(Please tvDe at print Uld sign aI bODDm)
ADDRESS .
J ar- Fll. ! PERMIT NO
2. Y.&.. citt- . "l 'c: J/J1
~,Go~ "PI>II-u ,-::fr / J . I
,-~. ..... -( .....
I
3 _5- d.. ( - FeJ Y' -Ic:c I / ZONING (office WE)
;~..
.--...... -
LEGAL DESCRIPTION (otJic:c: ~ o.u1;y)
LOT II BLOCK 2-- ADOmON ~ fl'I f.it,~
OWNER
~~~ Wensmann Homes
(phone)
(Address) 1895 Plaza Dr Ste 200
(.Address)
Eagan. MN
(City)
APPLICANT
~mn~ Genz-Rvan Plumbin~ & Heating
-I
Pro
651-905-3709
55122
(Zip Code)
(Phone) 651-423-1144
(Ad~es~ 14745 So Robert Trl
(A~)
I (Contact Person) Marv Olson . n .
LUCANT SIGNATURE ll.!~Cl\~ 0
, (J
APPLICANT PLEASE COMPLETE BELOW
Rosemorou;. '4N
(City)
(phone)
55()6~
(Zip CQdc:)
PATE
651-423-1144
Lo /11 jlJ? .,
, l-
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. OAB.C 0 PVC 0 CastIron
Estimated length of sewer line feet.
: Clean out (if required) located at feet froPl structure.
, .
Residential sewer and water line connection
Sewer connection only
JI.lLESCHEDULE
$3550 Industrial, Com'l & Multi-family 1% of job cost Wtth a $39.50 mmlmWD
$17.50 Wa~rconnectiononly $17.50
Estimated Cost $,
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL r J!".tdfiT FEE
$
$
.$
(Otlic:E Use Oaly)
[ T1d. Appli...u... B....m.. Y.ur Boi"'lDg Perod'Wh_ A~p';"ed - .
[:,., Buildilll OfliciaJ "'"tAl
, Paid
Date
DEe I
2002
;Z4 bour notice fo~ all inspections ~) 441-9850, fax (95Z) 447-4145
i"-,
-So
~CU!!~,.~
l/~~;~tf!~
.....:'..:""';1 J _l~,
-'~/: ."..::-!
',;, ..,
, <;;'>
..
Receipt No.
By !~
I
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec' d
(Please type or Print and sign at bottom)
ADDRESS
35~1 ,FO'i I/}I'- -r f!f} IL
I. Green File I PERMIT NO
2 Yellow City . '_ I~ HrJ
3. Gold Applicant _ ~ IU - '--t-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT I' BLOCK ~ ADDITION ()J~AJS IY) 1/ N AJ / S r
PID
OWNER
(Name)
tV6Ns /lJIfNIIl
l,5?o//)' J> J.../J Z/1
(Address)
f10/lJ.eG
(}J2IIJC
...EN G
. (Phone) fJ5/ - 906 - ~L/CJ1)
(Address)
k/}A-If./1 )
(City)
mltJ
~5J ~:;;l
(Zip Code)
APPLICANT
(Name) PltJlfL r:;p.il:Llb .JJVG (Phone) 9~-$3 -JPD()
(Address) 1:3 J5 jJJ J4~J9S S 71<;; .Ej Sit/} k 0 flEE /YJ I/J :5~-j /' r;L
. (Address) (City) (Zip Code)
(Contact Person) VIJ tJl/J JE rilL to I ~I ,4/J1$ ,(Phone) 9,1)~- ~3- Jt2. Db
APPLICANTSIGNATURE?~~,r4~4!L~ DATE /;?J/~f){l
/ /
APPLICANT PLEASE COMPLETE BELOW
Size of water service I inches.
Location of any couplings from structure - feet.
Type of sewer pipe. 0 ABC 12{] PVC 0 Cast Iron
Estimated length of sewer line _-1""tJ. 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 Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
Building Official
Paid tl~~ ~eceiptNo
. Date . Date;' 1tJ/FJ / By (J- l~- 0----
24 hour notice for all inspections (952) 447-9850, fax (952) 4[/..";245
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Jan. g. ~003 5:05PM
GENZ RVAN PLUMBING AND HEATING
No,97~4 P. 3 4
f;~
<.~
.,.:.,..,'y~
"':,':i;'):'\'" '. '....""1!50~
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
(Please type or print and Slim at botronl)
ADDRESS
~'35~ 1 -~x ToiO \'v
~, $:::. ~~~. I PERlVllT NO. 'I ./ /r' 1-71
3 o.-.'d Ap~ht'.aJ1t ,7- ? # I
ZONJNG (office ~e)
LEGAL DESCRIPTION (office we oc1y)
LOT 1 \ BLOCK ~ ADDITION
-~Vw~ +E13'tvl')
PID
OWNER
(Name) Wensmann Homes
(phone)
651-905-3709
(Address) 1895 Plaza Dr Ste 200
(Address)
Eagan. MN
(City)
55122
(ZIp Codc:)
APPLICANT
(Name) Genz-Rvan PlumbinlZ & Heat:lJJS1:
(phone) 651-423-1144
(Address) 14745 So Robert Trl
(Address
TJlCANT SIGNA TURE
Rosemount. 'IN
'--1 II /l (City)
- V Y~~^A ^. . I~ (phone) 651-423-1144
-- '" _1 V \lttiZM ~ .-1 - q -0 5
55068
(Zip Cod.c:)
(Contact Person) _
APPLICANT PLEASE COMPLETE BELOW
.Size of \.Vater serv.ice inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of se~er line feet.
Clean out (if required) located at feet from structure,
feet.
o Cast Iron
ReSIdentIal sewer and water line connectlon
Sewer connection only
FEE SCHEDULE
$35.50 Industrial Com'l & Multi-farDlly 1% of Job cost with a$39.50 IDlmmum
$1750 Water connection only $17.50
Estimated Cost $
Building Pemllt #
SEWER AND WATER PER1V1IT FEE
STATE SURCHARGE
TOTAL PERl'\1IT FEE
$
$
$
.50
,....~
IJ'U,
(OfBct Usc Ooly)
Tbi~ Application Becomes Your Building Permit ~hen Approved
1 .
Building Official
Dati:
tfU
24 hour notice for all in~pcctioQS (952) 44"'-985
2002 10: 52AM
GENZ RVAN PLUMBING AND HEATING
No.7187 P,4/7
Date Rec'd
ell i OF PRIOR LAKE PLUMBING, PERl\rllT
(l'le:MC type: or pnnt aod ~ at bottom)
ADDRESS
i:J: ~!; I PERMIT NO.,,? ] _ 15/7, ? /"
1. Till"'... Aprlli_ ~ 0'- I
. ZONING (ol!1c;e \l!e)
,
LEGAL DESCRIPTION (ollic<: use oDly)
, LOT II BLOC!( 2- ADDmON Ff:l/ YIAVffY W~~~ PID
OWNER
(Name) 'Wenstnann Homes
(phone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan, MN
55122
..
APPUCAN'I' '..'~'., '
" (Name); Gellil...Ryan Plumbing & Hea.ting
,
:.cAddress) 14745 So Robert Trl
(Address)
~',; '\
, '..\
~ ',~,'
,
'. (phone) 651-423-1144
1,'{'
Rosemount. MN
(City)
55068
(Zip Code)
, .
~ontact'Petson) Marv Olson /I (Phone) 651-423-1144,
APPLICANT SIGNATURE _Ll .~ - DATE --1()/II/n2_
APP~IC~PLEASE COMPLETE BELOW
Qua.QUty I Type of FixtlIre I Quantity Type of Fixture J
t < I Bath Tub with or without shower I 3 Rougb-ins
1 I Dishwasher I '/ " I Water Heatifr '
1 I Floor Drain I ~ I I Water Sotbler
t ~ Lavatory (Bathroom Sink) I I I Stand Pipe (Washing Machine)
-I Laundry Tray (I or 2 comp...;"uent sink I I Sewage Ejector
I Shower Stall I I Backflow Assembly
I I Sinks I I Bacldlow Assembly Test
I BlU' Sink I I Lawn Sprinkler I
2- I Water Closet (Toilet) I I Other .. - - J
FEE SCJ:lJ!.JJULE
Indwtnal, Commercial & Multi-famdy 1 % ofjoh cost with a $3950 minimum R.esidential, NQ.,., One & Two-Family $99..50
Residential, Additions &; Alte:rarions $39.50
Estimated Cost .$
Budding Perm1t #
PLUlYIBlNG PERMIT FEE $
STAlE SURCHAR.GE $
TOTAL PERMIT FEE $
.50
r--
fA IP::
l@~)
(oml:e Use Only)
This Application Becomes Your Building Permit When Approved
('
I Paid
Date
I Re(:cipt No.
DEe , , 20rrJ By I1a- "
/
Bui!dillg OmclaJ
D.te
Z4,bour Doti..., for aU inepec:tioDS (952) 447-9850, fu (9S2) 4474145
GENZ RVAN PLUMBING AND HEATING
No.7187 P.2,/7
Date Rec'd
(Pleast ~ 01 wiDt and sj,t:n ill bottom)
ADD"U]:;C;:<::
i =. EiQllt ~ PERMIT NO. d- I 5 '?-~7
'r:'_
35Jj
Fox+a ,'j
ZONlNG(oltil::e~)
LEGAL DESCRIPTION (office: use only)
LOTI! BLOCK 2 ADDmON (#Jt2wq-l./ I!uG~
PID
OWNER
~~e)~pn~~~nn ~nmPQ
~hon~ ~51_9nC;:_4~H
(Address) 1895 Plaza Dr Su 200
Eagan, MN
55122
APPIJCANT
(Name) Ganz-Ry~n P]llrnhini 6. ll..,...r;n~
(Address) 14745 So Robert Trl
(AdL1re!;s)
. ~hon~ ~~1-~?~_11&~
Rosemouot, MN
(City)
55068
(Zip Code)
(ContactPe:rson) ~TYO~ l (phone) ';"'1-6.'..-116.6.
APPLICANT SIGNATURE . \r\~ /Q~ DATE l.fl f J I I () ?
, ' -- -~;~~ PLEASE C~MP~ETE BELOW
r-',
J?J.NEW CONSTRUCTION 0 REPLACEMENT 0 ALlERA nONS
FURNACE MAKE AND MODEL -'L,q\~f\ X t;2...<o Q U ( t:; - LZ.~ FUEL U:L1' 6a c:.,
FLUE SIZE REnJRN ur.cl{INOS --.f3 INPUT /:::> <::::, 61:l 0 OUTPUT I 1/ n( () !)/J
TYPE OF SYSTEM HEATING OR POWER PLANT
OOWann Air Plllllts 0 St..........
OGravity 0 Hot Water
o MccbaniaJ 0 Radiation
~Air Conditioning 0 Special Devices
OVent. System 0 .OthQ" Devices
PLEASE NOTE;
Air Conditioner Units
Cannot Bog-oach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Glrnmcrcial &: Multi-Family
FEE Sl...I1.I!iDULE
I % of job cost Residential, qas Fireplace
$39.50 minimum
$99.50 Residential, Additions &: AIT.et8tions
$6450 Resideotial, AC Only
$39.50
&.sidcntial, HClltin~ &: NC (New Construction)
R03idcntial, Heating- Only (New Con$1rUction)
$39.50
139.50
(f="~ Use .only)
-\
..__is Application Becomes Y Olll'" Bu:llding Permit Wben Approved
HEATING PERMIT .t'~ $
STAlE SURCHARGE $ .50
TOTAL PERMIT FEE $
,!,,-
j~! '1/i~j)~!r;, '~.."
". ll:Pu/ 1 -- :, 'P-,.
/JJ'/:~ .y,! /..1
.~ t, ,]
",
Estimated Cost $ Building Permit #
Bulldlllg Offidal
I Paid
Dare Date DEe" m 13y"-.. (~~/
24 bou~ "ottce for ali inspections (951) 447-9850, fax ~l) 4414245-- 7
Receipt No.
4:58PM
GEN2 RVAN PLUMBING AND HEATING
No,'37~4 p, ~ 4
Date Rec'd
(Please trEe or print and s~ at bottom)
ADDRESS
350\ ] fD", \ IiLQ \ V]
;, ~ ~J~ I PERMIT NO. " _j l. -, l7'
3. Yell"", AppIJ""", r ,-:>(:::::>
ZONJNG (offjceu~e)-
LEGAL DESCRlJ?TION (office I15c only)
LOT II BLOCK ~ ADDITION f--cuN U) ~ cb,/-<J,0 rU:S PID
OWNER
(Name:) IJ"'l1,::m;:ll111 HilmI>'::
, (phone) 651-90 ,,- <]1l.$l
Eagan, MN 55J.22
(Address) 1895 Plaza Dr Ste 200
AFPLICAl"'\iT
(Name) Genz-R,Y4n PJumhing ^' f:!..e.at.i.rg . (Phone) F.<;1-11?1-1HL..
(Address) 14745 So Robert Trl Rosemount, HN 5.5068
-- (Address) (City) (Ztp Codei
(Cont.ctP""on) _\ ~ vYL-. ~. (phone) ""-1."_111.1.
APPLICANT SIGNATURE ~.l ~_~ ~ATE 1-!1--{)3
! APPLICANT PLEASE COMPLETE BELOW
ANEW CO~TRUCTION 0 REPLACEJvIENT 0 AL 11:RA nONS '
FURNACE MAKE AND MODEL U(UIV1ex ~ m~1 4()-LdQ FUELLN\..O.:t- ~
FLUE SIZE RETURN OP.ENlNGS --1.3' IN"PUT I Y-O.'rmb OUTPUT l ~ J DC'
TYPE OF SYSTEM HEATING OR POWER PLANT
-~arm Au- Plants 0 Stearn
":JGravity 0 Hot Water
o Mechameal 0 Radiation
OAIr CooditioJllng 0 Special DCVICCS
OVcnt System 0 Other DCVICes
PLEASE NOTE:
Air Conditioner UnIts
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Jndu:<>tnaJ. Co.mmcfCIal & Multi-Famlly
FEE SCHEDULE
] % of Job cost ResidemiaJ, Gas Fireplac.:
$39.50 minimum
$9950 Residential, Additions & Alterations
$64 50 Residential, AC Only
$39 50
ReSIdentIal. H~9.tlJ)g & .A.JC (New Consuuction)
Residential, Heatin~ Only (New Construction)
$3950
$39.50
EstUl1ated Cost $
Building Permit #
1"- ^ Use pnly)
}IEA TING PERMIT FEE
STA TE SURCHARGE
TOTAL PERlmT FEE
$
$
$
,.......,
Building Official
[Yj[E~
9 tUG] If!eceiPtNo.
- fY (n.. /
~{l
24 hour notice for all inspection., (952) 447-9850, fax (952) 447-4245
Dllte
,...s Application Becomes Your Building Permit When Approved
~~ ,003
.' . ..' ..':!....,IVE150~l"
5:06PM
GEN= RVAN PLUMBING AND HEATING
No.97~4
P, 4, 4
Date Rec'd
CITY OF PRIOR LAKE PLUlVmING PERl"llT
~. ~~ ~~ I PERt'VJJT NO... ~ ,., I t:::.11 ,.
l "(0110'" ",Pl>lI<:on. 01 y
(please rypc or Print and SWl at bOltom)
'ADDSS5d I ';)1< -, ~ - \ V \
ZONmG (oflict: u~c)
LEGAL DESCRIPTION (office: use: oJlly)
LOTI I BLOCK ~ ADDITION
OWNER
~ame) Wensmann Homes
~~~ ~~\j~ Pill
(Ada-ress) 1895 Plaza Dr
(Phone) 651-905-3709
Ea.gan, MN 55122
A,PPLICANT
(Name) Genz-Ryan Plumbing & Heating
. (phone) 651-423-1144
(Address) 14745 So Robert Trl Rosemount, HN 55068
___(Address) (Ciry) (Zip Code)
(CootactPmon) ~(A 1v1_ ~_ .). (Phone) 651-423-1144
APPLICANT SIGNATURE '(:!7JiYlQlA 'tYl ()~ ~ ~_ DATE J -g ._Q --=?
Quantity
~
,
_f
J
,
\ t
:~
.A.PPLIC.Aj~T PLEASE COJVIPL.ETE BELOW
I Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
] Lavatory (Bathroom Sink)
I Laundry Tray (1 or 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
I Type of Fixture
I Rough-ins
/ Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
Sewage Ejector
Backtlow Assembly
I Backflow Assembly Test
I La""'ll Sprinkler
I Other "
Quantif}'
=?
~ ,}I r
I
I
,
I
I
I
I
I
j
Fl:ES\..,..tIJ!.DULE
Industl'lal, CommercIal & MultI-from]}' 1% of Job co~t wl.th a. .$3950 minimum Re.~jdenljal, New One & Two-Fs.mJJy $9950
Re.~jdentisJ, Additions & Alterations $3950
PLUMBING PER},tUT FEE $
STATE SURCHARGE $
. TOTALPERMlTFEE ~D-iY reFnil
This Application Becomes Your BUIlding Permit When Approved I~V. ::tA1-.J _ 9 /('ln9 IIII1
Date u1 By
Bulldlllg OfJici.21 D:lt<, ~ _
24 hour notice for all inspections (952) 447.9850. i;x (952yi;',.....,,~
(Office Un Only)
Estimated Cost $
BUlldmg PermIt #
~\
,;'.,..,
,&fi:j./
"
50
Receipt No.
/'""',
CI/J/.
f
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and si2Jl at bottom)
ADDRESS
I. Pink File PERMIT NO A
2. Green City . {'I ~ )~"1' f
3. Yellow Applicant 'J'
3521 FOXTAIL TRAIL
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW A VENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
1/29/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-750TR
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99,50
$64.50
$39,50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$_.
.50
/"'."
~\;'.' I
'..::::.::::---- .
(Office Use Only)
This Application Becomes Your Building Permit When Approved
: {eceipt No.
Build!n!! Official
Date
24 hour notice for all inspections (952) 447-~~~3. eRA (9!J) 'I" ,~
I I
[III/BY 1~'
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 35 ~ l to)( I "-'i- Tf(Ale..- ,
NATURE OF WORK NEw tet.JnQ.curlo~ ,
USE OF BUILDING S. r:: 1:).
PERMIT NO. 02- - /5 77 DATE ISSUED ,.a..i.!lL~'"
CONTRACTOR 1ME~N ~ PHONE .. ",- W,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPAR~{MENT OF
BUILDING AND INSPECTION
, FOOTING P1- Jid/716 v
J FOUNDATION (Prior to Backfill) I pA ! '2 -2h I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
rf/b J"2-5fc
~ If/g
F2? ~"' //
IN_SPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
2- )
g
(/d3
..2 -:5'"'1" 2-~
12-~
COVER NO ,WORK UNTIL ABOV~A~ BEEN SlpNED
51U~~d /L,1rl{e /t!UL-rtuElJ statiJe- I T // I YL-- /
I FINALSv .
GRADING (Prior to Sodding) 1..N'"e 7. II. v I
BUILDING ~ Js ~ -1 rh J J .~~
ELECTRICAL I (
-
PLUMBING (r() ,? -i!
BEATING )
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