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Home My WebLink AboutBuilding Permit 99-0375 ~---..,..,. ~-~:tl,"~:,,~1;:.""t:4il:'~r1'<-_~"""-'~ .....~~ ~':;\'r-)ft(~~~7~~... """'.~. -'~~~~: ....-~--;r~,~:~........ . -.-.,--. -::-'A-~"""-- -...-. .. "'. - - ~ QLtrtificau of (@crnpanry CITY OF PRIOR LA}(F. 1Btpartmtnt of Jauilbing Jn~ptction j Final Pennitted 0 Conditional C.O. Expires . This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances afthe City of Prior f ,,/,.. regulating building construction or use. For the following: Use Classificatior SINGLE FAMILY DWELLING Bldg. PennitNo, 99-375 1 Occupancy Type R-3 Type Construction V-N Fire Zone N/A Zoning District R-l- Legal Description T..L R 1 t.1 ; n Ii !'I r .<l r 4438 Pondview Tr Owner of Building ~i ' : Address Contractor's Name &Addre~' Wensmann Homes Eagan, MN Robert D. Hutchins /5-::;. ( Building Official ( ~. -:i)o-Cf9 f"ity Planner A Jenni Tovar 8-7. c;.. )(J - 9'9 Date: Date: "'-'-1 OATE TIME CITY OF PRIOR LAKE 8-2-'<7 INSPECTION NOTICE SCHEDULED Z~OO LJ'I '38 fb~ () J,lZW - ADDRESS flC., OWNER CONTR. PHONE NO. PERMIT NO. '1'1-575 o PLUMBING RI o MECH RI o WATER HOOKUP A 0 SEWER HOOKUP (~~~M.~BI~~~INAL COMMENTS: ~ ~ ~,~ dL- ~2~ JcA ~W-4 ~~ (3l ~ ~ ~. JeA, d-oJd:oo_~ ~ \<.e.w..oVe.. ~s-h'~~ a~~ . J ~~ ~ (;'V\. ~ ~~S # ~ )tf19 'U'~~-:k rr ~J ~ l-S~? 'f ~?e J A.J)i,~ ~ ~~ J1J uJ. crtSJ ~ ~ c..-f..;t:: v 0 o FOOTING o FOUNDATION o FRAMING o INSULATIONa(b- A FINAL ,..I'" o SITE INSPECTION o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~r ~~~1~ CTORY, PROCEED CTI AND P:Z "L"~NS~ECTlON BEF OWl .er/Contr: Inspector: CAL ~ 447-9850 FO THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE ~NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME J./'z.:~4, 1. :ct,> ADDRESS ~ 4 33 l=b-o\1l6..J T (2.. OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION \ C~MMENTS: \?Rtt / (.\ ;: V V . fO\.I\1 ~ (' CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP AD SEWER HOOKUP ~LUMBING FINAL o MECH FINAL A '-1) vd~ ~~ fL<L( iUvt (J . D IN / v v / / / / DLnRK ATI ~RRE CfJ --375 o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o (T~ Inspector Owner/Contr: CAL~ 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE ~IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! IN8NOTI 1 ADDRESS '-1'138 OATE SCHEDULED ~ Po/\/OVl e:vV TIME CITY OF PRIOR LAKE INSPECTION NOTICE :3;~ OWNER CONTR. PHONE NO. PERMIT NO. 99-37b o FOOTING o FOUNDATION o FRAMING ~NSULATlON FINAL ~'-Ot.j . o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP e.lLUMBING FINAL ?'- MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: (~f')"(t3,-fl"\ ~ - ~ s;..-\vW- w ~~. ~ Enc..(v'\~_ rl, ~ 6J ~ a-../'! -\vas v '?~I d1iv~c~~ (~ ~4v~" ct'~~r,S ~~~ ~i _/- - ~"\ 'UJ~V" (,G- q-rs- ~J) "'-~~~ -- / ~ ~ --- o WORK SATISFACTORY, PROCEED J1. tRRECT ~ON AND PROCEED rORRECT 0[2' C L FOR REINSPECTION BEFORE COVERING Inspector: ' Owner/Contr: CALL ~- FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE R, 'rQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! V lNSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED rjul" b :DO""t ADDRESS!f:I3K fb^,()'h&J 7i. . PHONE NO. CONTR. fltJr~NJN HoNS PERMIT NO. 99... 37< OWNER o FOOTING o FOUNDATION o FRAMING o INSULATION )C. FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL )(EXlGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: ~AIJ( '$ k~PrAaLE. (jv~)( 1$ f'l!BM-T"It1A1,f-,- l/A,tJ1I!IUJ ~l-T' f'bllS 0AJ7i(., SDOOEJ) XWORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ f"'IWAer/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI T CITY OF PRIOR LAKE INSPECTION NOTICE OATE TIME SCHEDULED '1- SO 91 A. r: ADDRESS 41..3ff %NIJ t,lIekJ 112-. OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION/\ ~ FINAL ~ o SITE INSPECTION COMMENTS: S2~ Jo-I) J os? / ~ ~g- ~~ , CONTR. PERMIT NO. '79 -375 o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o / ~ORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT W,.rK. CALL FOR REINSPECTlON BEFORE COVERING Inspector: VJ:1-- ( Owner/Contr: v/ CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! lNSNOTl ~T ];lATE R~EIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMP}.IANCE AND UTILITY CONN~cfION PERMIT 1. White 2, Pink 3. Yellow File City Applicant APR t 6 1999 Permit No. gg,.. 3'75 DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDRESS ,-\,,~~ ~<:'~~'L~ -\, 3. LEGAL DESCRIPTION LOT 4 BLOCK \ ADDITION ~ '",_~ "::0.'-' 1. DATE \-.,J ~I <\. ~ I /Z:L ~i1~o,,-o BUILDING INFORMATION 11, SIZE OF STRUCTURE (Height) I (Width) ~ \.0'4 12. NO, OF STORIES \ (Depth) Si) PID 13, TYPE OF CONSTRUCTION ~~ ~~....~ 14. FLOOR AREA APPORTIONMENT USE 'd~~ 4. OWNER (Name) \.)..:).,.""'~ "'- .....--- ~~~~ 5, ARCHITECT (Name) <~:~.~~ 6. BUILDER (Name) (Address) ~"""""e._ (Address) (Tel. No.) \6S\ -"~'o -,","'~D (Tel. No,) (Address) (Tel. No,) 15, NUMBER OF OCCUPANTS OR SEATS OCCUPANTS - ~~~'= 7. TYPE OF WORK Fireplace)t Septic 0 Deck 0 Re-roofing 0 Porch 0 New Construction C). Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basemen!!, 16. PROJECT COSTNALUE Chimney 0 Misc. ~~O \.. Qoo 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS I 10. CULVERT SIZE 17. COMPLETION DATE Sq. Ft. ~";;:) (:) 'b ~ Width ~a Depth ~e:. C> Yes'~ ~ <> .... '\ I ~<::> I ~ '"'\ I hereby certify that I have fumished 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 :U(d)9 ::i::n rev~~s :;::::~~: reo Furthermore. I hereby agree that the \t~k a designee may enter upon the property to Psi ~jqed inspections. . Signature License No, . ole SEATS FOR ADMINISTRATIVE USE SETBACKS: Required Actual MATERIAL FILED WITH APPLICATION SOIL TESTS o ENERGY DATA Front o Back Side Side BUILDING DEPARTMENT VALUATION ^ USE OF BUILDING -,5 PI J PILING LOGS 0 PERCOLATION TESTS 0 OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION _-:J. tJo..a(")C). C9t'Y PLANS & SPECS 0 SURVEY 0 PLOT PLAN 0 SETS COPIES TYPE OF CONSTRUCTION: I II III IV (ft} Occupancy Group A B E F H I M>c:i!t S U . Division 1 2tJ'4 2S- Permit Fee ................................... $ 1Wfi].. 16{ .IL I 00 . (')6' . Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $-1 Collective Street Fee ....................... $ SewerTap ................................... $ City: e 50. ('6. (,,\ .......,(.j.~ Plan Check Fee ............................. $ State Surcharge ............................. $ ,I $ Pressure Reducer .~........................ $ Meter Hom ............. ...................... $ Water Meter ..1..1.1........................... $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Penalty ....................................... $ In . (U') loo.(!{j I (j (') .00 3~ . 5'0 Ga~Fi lace Permit ....................... $ ilC) - (9 QI Thi A i~.Gecomes yriLluilding Permit Whe.r:t ~Pro~dC By t1-X"~. -\9-.-- Date (J-LPJ-'1/ Certificate of Occupanl Plumbing Permit Fee ....................... $ ~/~ IcfJ :~t/ ~51J .("')0 I. 2CYl .01 , t'JOn .~ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ WaterTap ................................... $ Builder's Deposit ..........................._ $-1,. DOl) . (!JO Other ......................................... $~ . . Total Due .............................. $. ()~'O'l.f. i..j / Paid 82.. at.!. '-1-' Receipt No, 3'S"1 z.- s;- Date ~/~/'19 By ~ 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 docu~ sign y e City PI erconstitutes a temporary Certificate of ZOning~Pliance and allows construction. to commence, Before o. ccupancy, a Certilicate.ot(lc.o~-_.-- U ... '1.... '1 " ....,..._. . . ' .' er - - \ nAtt:l - TI Issued .. Job Address '1'18'6 Rv~ I/) 'l~ Heating Contract~"" ;/,4Y&e '" Name of Tester 7- t ~ Date 7 - ICf -4 , <7 ~ o ~ . Percent 0 ~ Percent CO2 Percent CO Stack Temp. 11 '.-~."'",..J-,-.'~""'~ ~ t"""":, ~. . ,J...........--~ '-~"'" ,,~ / ,.--; /'_.... j l I..... /' l 1- ) ,c /[-. , ' ,1- ~. ._' .I --" White - Building Canary - Engineering Pink - Planning Tht' Ct'ntt'r of tht' L.kt' Country BUILDING P~RMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT i- .~ j I } /-', !" I, ........- ,...... J.-'\ ( ,\: L..-..> f '__ \ APPLICATION RECEIVED / i / /" , I! I ((. I / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: , , ...- -~ '~ I. c ( ; J \. \ f' I "_ . , ,\) .' L-\ ! L-- Accepted t/' Accepted With Corrections Denied Reviewed By: ~~Jl~ Date: L{ ~ 22--~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." qqr37~ Thf' Cf'nlf'r or Ihr Lake Country White - Bu~ing Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED V'JeN~IHA NN HOM~ 4//&/qq I I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4-436 PONOV\5V\1 I t2-AIL-- Accepted Accepted With Corrections ~ Denied /) Reviewed By: (0 ol,k Comments: \. Mc..\:V\..\-~,^- ~lCA- ~ ?, fuc..c9-- CL CL ~~~ ~ Date: ((.:25 -1 (' "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." QCj.375 T"~ Ct'all'r 01 Cite ...".. Co..Cry White . Building Canary .:. Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~ \J F-: N ;21;\-1 A N l\l H 0 t'l ~ ~ 4//&/qq I I . . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~436 PONOV\c'v~ 'TRA/L-- ", Accepted ./ Accepted With Corrections Denied Revie-vved By: ~(...7e/:". CiofT<.E:3M/4Al1V - . " uate: -.!ip<!J! 9' Comments: RtJlIJoFF "", liST" BE. ~QAJv€'r'GO To ~AJb JlkDAl6 i)aAcAH\6e:' AAJ~ lJn(...tT'l' ~AsE~. ~ 'NfOAt't4T10~ ON "Tl-lE: )?E.JEAJ,E ~'OF_ ..$E€ ArrAQ/..t1EAlT'S.: I. ht<.JA-'- ~n.t4tiE.. IAJ5.pE<:~noN J~Il_A~ Z. GtAot..J~ H..t4..J 3. EilDS/oDN (DAlTiI2.OA-' 1I1~t:'" LJ. ~OS/O..v t!..,..,rw.oc- Pc.IIN 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. II I APR. 8.1999 12:50PM GENZ-RYAN NO. 173 P.5/9 ..... - ~ . ,lUG- . AMJc:.urT GOt.D . my CITY OF PRIOR LAKE SEWER AND WATER PERMIT NOTE: NO. qq -3--r-::: Sewer and Water contractors must be registered with the City. APPLICANT: ~.Ul1~- R-~ o..n ~DORESS: J474~ S. -=Ro ber+ Ir I SIGNATURE: ?-jl.~ ~YL SITE ADDRESS: 4'-1?/!j 1Jon d. V LJ.lD ,PHONE: 4~~-11LJ,L/ DATE: LJ,/~ / qq _BLDG. PERMIT # C1Ct -3 7~ ~. PID* d5-~30-rO~-Q 1- 2. r!LL IN THE B~KS, Estimated length of water service 40 I rI size of water service inch(es) . Location of any couplinqs feet. J . feet. 4 . Type of sewer pipe. ASS ~ 5. Estimated length of sewer line 6. Clean out (if required) I located at structure. feet from ===-===~~======:=~=====~=~~====----=~~:=====~====~=~;=====~=====~~ This application becomes your permit when approved. B'l (\/IJ!JJ... J DATE: L4 -I fo ~ 9 , .},. ( " ' . , =~====~=====~~~===~===~====~===~~~====~~======~===~=~===~=====:= FEES: $ $ $ 35.00 .50 35.50 Sewer and ~ater line connection permit. Surcharge TOTAL * Fee for either sewer or water individually is S20.00 plus $ .50 surcharge. * Sewer and water permits issued for new construction must be recorded on the building permit card at the time of issuance to insure that nQ duplicate sewer and water permits are issued. d vJ'fiu ___ DATE PAID ~ -fro .q i J? AMOUNT PAID RECEIPT # ~dJu~;J REC' D BY (fILJ / - ' // . 4629 Dako~ St. S.E.. Prier Lake, Miflnescta 5.,372 I Ph. (612) 4474230 I Fax (6121 4474245 .... ..._, 'It I ,,",nn~D"P"P ",r"T"I =UDI nv':'Q APR. 8.1999 12:50PM GENZ-RYAN NO. 173 P.4/9 Tit. C.n,., ef I.. 1-1110 C."".... CITY OF PRIOR LAKE , . P'-:.UMBING PERMIT APplicant:~- ~t'iln Address: ,4-'1 L(? c::: ~ bEr+ T r I Signature: 2:::i~rlr'\:1.. III m. Il f\...... Legal Description: L~ 0 y.. .Block' Site Address: 4L\. ~_ ?ondj.) l a I J') ~ l Building Permit # Cr:t -3-r5' .PIO *....'Ci~ -53'crCDl/.-O NOTE: This permit ~II flot be precessed without complete information. FIXTURE UNITS # Phone~ 4-~~- I ,y 4 I '"RSm.T I. ."'" I'lIc 1. Gold Qly 3. Yellolll Applil:llll crt -: 31 c:; Sub.-W LrLcL~ t OJ"L Quantity Type of Fixture Quantity Type of FIxture I Bath Tub with or without shower 3 Rough-ins I Dishwasher J Water Heater I Roor Drain l<.1 Water Softner 3 Lavatory (bathroom sink) 1 ' I Stand Pipe (washing machine) I Laundry Tray (1 or 2 compartment sinl<) Sewage Ejector I Shower Stall 8ackflow AS$ef1\tlly (RPZ, Double Check, PVB) I SInks 8ackflow Assembly Test Bar Sink Lawn Sprinl<ler ;;( Water Closet (toilet) Other FEE SCHEDULE Industrial, Commercial & Multi-Family (1./0 of job cost. $39.50 minimum) Residential, New One & Two Family Residential. Additions & Alterations State Surcharge $99.50 SS9.50 $ $ qq ~ 60 $ $ .50 GRAND TOTAL $ JDO~ 00 ~~~ .~fu~ This permit is gTlunct! upon the apress condition that 5llid contl'llctof, shall ccmply in aU rcspCCl5 witb the!: ordinlll1cl:S of the Stllte Plumbing Code :md the ~~en1~e~.t reaf. , - RECEIP'T NO. U jfrl DATE _ 'J~ A_ AI1C,:)l Call for all inspections 24 hours in advanc:e. 16200 E:1g!e Creek Av. S.E., Prior Lake, MinnesOtOl 55372 / Ph. (612) 447-4230 I F.~~ (61;) 44742~5 An Equ~ Opportunity Employer ". CITY OF PRIOR LAKE - 16200 Eagle Creek Av. S.E. Permil No. Clef -3 7~ Prior Lake, MN 55372. HEAllNG APPLICATION I PERMiT Dale 1-1-/53 J q q tD.. PID. ~ ~ '?-Z-/o - (<{'l L(-O ~ Slt1lAddt8&S , '443jJ-tJond\{1ll~) ~ --' ' ~ Lo\ LJ- 81ocJ< \ Addition lA}1 nds-\-o.h.. .. OWnllr'sName. l~)-e..n~m 0 nn Home.5 Address , ~ q 5 .rp I Ct.I2.. (L Q- R . Heating ~nlractor V- "" n /J -~ Ru Q("\ . J I Addreu, 'W./4-~ S. ~ob-er-\- Tr 1 'felephone". 4.Q3 -I ,44- Furnace Make &. Model h..uv'll\'{ Model SIz8 ~ ~~ 314 -100 Conn.LDad. Fual^JA-f. Aa~ Flue Sin f-l' · \L SuWI~ Openings . Return Openings. l1> z:: ~ Input ~trf)oulpul <J(()~OOO, I C ' "-I z:: ..u ~ Edr. elm.. - :!' I hereby apply for a mechanical 6yslems permit and I aclmowledge Ihat the inlormatlon above Is complete end accurale; that Ihe work wilt be In confo,mance wllh the ordinances and codes of the city Bnd wnh Ihe stale buUding/machanlcal codes: Ihat this fo,m does not become & permit un"1 signed by the BUILDING . OFfiCIAL: that the work will be In accordance with Ine approved plan in the case 01 all work which requires review and approval 01 plans. ,/. .- ~,.,~ J (tL r~ ~ L-- /lz,;. A~r~ _ ~ ~ Building Ofli~'s SIgnature riPE OF SYSTEM Warm Air Plants G,avlty . Mechanical ....- Air Conditioning . l5> 1/ Q.. -Ii!) n Venl. Sy51em . HEA11NG OR POWER PLANT Steam Hol Waler Radlallon , special Devices. Other Devices . l:: 1.. SI ':! Alleratlons N .-i Aaplacement TYPE OF WORK New Conslruction ~ Est. Comp. Dale ~ Esl. Cost $, ~ qq c;. 0 0 BuUding Parmit I . ; HEAliNG PERMIT FEE f' qq .. 50 Repair _ 0:: CL CI STATE SURCHARGE $ TOTAL PERMIT FEES $ .50 )(X).OO C(C( -5'S- ReceIpt" , l. JiIIIl :L an. 1. Veu.. File City Coa\nl:'" :TYPE OF STRUCTURE Single Famllv CommercIal. ~ Two-Family Induslrlal Mu1.ti-FamIlV Olher PubUc Fee Schedule Induslrlal. Commercfal & MulU-Famlly Resldenlial, Heating & AC Residenlial, Heating Onlv Reskienllal, Gas Areplace Residential, AdttilTons & Allerallons ResidentIal, AC OnTy lD/a oflob cosl ($39.50 mInimum) $99.50 $64.50 $39.50 $39.50 $39.50 ( - Remember to add the Stale Surcharge on lhe bottom of thTs appllcallon. ~ The,prlce of your healing permit includes one rough.in and onlll final inspecllan. Addl\lonal tnspacUons wUI be billed aL$35.00 each. House Heating Tesl Record must be subrnlUed wllh bllUfflno nfundt 1'),.mhAr,be'ora build- ing certilicale of occupancy wlB be Issued. HFAT r.AI r.llI~TrON!~ I;JF=(l' JlI;JF() with number: 01 supply and ,atum openings IIsled per room wilh CFM'6 per opening. New struclurali or addlltons fiend floor plan with supply and return locations shown. HEAT LOSS CALCULATtONS. PAYMENT AND APPliCATIONS MAY BE MAILED TO THE CITY OF PRIOR lAKE. 16Z00 EAGLE CREEK AVE. S.E. PRIOR LAKE. MN 55372. Clly Hall tJuslne&s hours a'8 e 8.m. - 4:30 p.m. All WORK MUST BE INSPECTED (ROUGH.IN AND FINAL) . CALL CiTY HALL 447-4230 4lg/qq - -Oale Lj -{ ro .-qq Date CITY OF PRIOR LAKE MC 16200 Eagle Creek Av. S.E. Permit No. C19-.37S- Prior Lake, MN 55372 HEATING APPLICATION I PERMIT ~-3.Cjq PID, 4 'I. '? ? ,o()(}cf v, 'u.J r/Uid Ie.. I Block I Addilion. (VINOGT'AI<- ADDN. IJ~~ Date Site Address lot 4 Owner's Name Address. 2700 N. FAIRVIEW. ROSEVILLE. MN Telephone" , 6 51 - 6 3 3 - 2 5 61 FIREPLACE IMIwfP Make & Model flotJ AJ (;&,. Model Siz~ to Q:)o T7L. ,; ~IA.. 7;,._ . ~ Conn. Load Fuel Al (OtiJ:J Flue Size Supply Openings Relum Openings Input Output ,J7.())) (' ~f\)) Edr. Clm. TYPE OF SYSTEM Warm Air Plants. Gravity Mechanical Air Conditioning . Vent. System . HEATING OR POWER PLANT Sleam Hot Waler Radialion Special Devices Other Devices Alterations Replacement TYPE OF WORK New Construction ~ Repair Esl. Cost $ Est. Comp. Dale Building Perm~ , ~dOO,(5:. HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ .50 t,. k~qQ qq - 375 ...-- (00 PAID WITH l BUILDING PERMIT Receipt II >>4 - a IJS9 I. I'i~~ 2. G...,,, l. Yellow L C Fit< J O'r I CO.....KI'O IN I \0 \0 o 01 TYPE OF STRUCTURE Single Family Two-Family Industrial Mulli-Family Other Commercial Public Fee Schedule N U1 )> ." ..I. ., ID VI ..I. a. ID n 0 ~ ., J ID ., Industrial. Commercial & Multi-Family Residential, Heating & AC Residential. Healing Only Residenlial, Gas Fireplace Residential. Additions & Allerations Residential, AC Only 1% of job cost ($39_50 minimum) $99.50 $64.50 $39.50 $39.50 $39.50 Remember to add Ihe Slate Surcharge on the boltom of this application. The price of your healing permi! includes one rough-in and one linal inspeclion. Addilional inspections will be billed at $35.00 each. House Healing Test Record must be submilled with Wihfing "1P.lln" n!~,,*,p'r before built ing cerlilicate of occupancy will be issued. HEAT CALCULATIONS REQUIRED wilh number 01 supply and relurn openings listed " mom with CFM's per opening. New structures or additions send floor plan with supply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND 01 APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE .... CREEK AVE. S.E. PRIOR LAKE. MN 55372. N City Hal' business hours are 8 a.m. - 4:30 p.m, 01 IN IN ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL efTY HALL 01 01 01 I hereby apply for a mechanical syslems permit and I acknowledge that the .Ilo inlormalion above is complete and accurate; that the work will be in conlormancs with the ordinances and codes 01 the city and with the stale building/mechanlc8 codes; that this form does not become a permit until signed by the BUILDING OFFICIAL; thaI the work will be in accordance wilh the approved plan in Ihe case of all work which requires review and approval 01 plans. 447-4230 ;iik Building Olfical's Signature W3/~ . , Dale Ghhq Date \I . o N PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 4l..l.sR ~mJ.\lI'eU) T ~ i \ NATURE OF WORK r\Jpu\ r~. USE OF BUILDING 5P-D PERMIT NO. crr- 6l[S DATE ISSUED 4--:18 - '11 CONTRACTOR LJ.e.,^~ Wl~ ~1J..5l. NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE FOOTING I 3 .. ~ . I ~ -\0..-" _ I FOUNDATION (Prior to Backfill) j-J. \.to ~ . bt- :\~-/') -~ S - J'1- ') ~ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS ~. \-\ . rp 6////tiJ f{M SEWER I WATER I SEPTIC FRAMING . INSULATION ~ ~I ELECTRICAL PLUMBING ;;V 1/;} HEATING (if required) 1/ ~J:' b/I} eYe?, (dJ h/r,/t1J1 FIREPLACE ~~ t.Q'fi) Pq~\ ~'8-'M ell I?/)) (~, ~.\. (.-,.1{-1 , t;4.) ~~l ~.P~~f. ,,--r-" GAS LINE AIR TEST :lt~( (€) 1/ t9i. t fe, -! - 91 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS IJJ, f.. ~- /0. 9'J ~ r J) ( ~, CJ<?fJ'1c; , I~", ,8-C)OI ? -- (5'-19 GRADING (Prior to Sodding) BUILDING fCc. to ~11:;(tj4 ~<)'.I?!fl'lo, ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE NOTICE tJ} 7 ~3/tf' ~ V ~"t -'~ ~ S BEEN SIGNED 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. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 I