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HomeMy WebLinkAboutBuilding Permit 99-0376 ~.~ .~,or~~J1~';< --<<''l~:r''~ :;:;')"':"r ..5~~ _',". -;i~ "'-J;, ,<,"','!f[ :'I'~~ 1Gf~ !t :l~~ 4426 Pondview Trail :~~, ~~ ~ Owner of Building <Olit. Address : I'~' <<:.....:1 Contractor's Name&AddreSSWensmanf'nJ:lmes. 1895 Plaza Dr.. Eagan. Minnesota .i~! 1--' yv j:..J~ {~~ Robert D. Hutchins J rity Planner Jenni Tovar '~~.. (f- -: BI lilding Official I ) t:- '>~ . I \ \ c) C) l1, Dale: j . 4 ~~: " """ ,,' \ ." ".. .~ ~~ ~ CONSPIC~OU~:LACE __ _ _ If - \000-' . \000-'. e_!Ioi'w'! e ~,\ooo... ,'- .._~ ".L', ~ '. ~ ". ~J ~ '~,., ~ ..... '. -... . "oir:W.' :'\Ii,""", . ~ . \....-: ...... ~ -..~. .~. ~ .,~. "~~j ..;Iji;:t .~. .'~.,. rll!.~~.~. ,:~~.. .:'3... · .~~r.J 'r, ~ AIIIpp.........;lll.... ~ jlflJlllllllli~K . , , . " ~ ,.;~~. .... ,...~....~,.~ - -- - - ~ ~ - - - - - - --- - - -~ - -----~ ~~ - - ~ "'--'- - - - ~ - - - - - - - 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 of the City of Prior Lake regulating building construction or use. For the following: ;1 i~ " ij ii I' iJ Use r1'''ifi...~ti' () Single Famil v B'.'~. Permit No 99-376 Occupancy Type R3 Type Construction VN Fire Zone N/A Zoning District . Rl I .~., 1 "'".~rirtinn L3. Bl. Winds tar CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED II-S-qq ~ ADDRESS yy2.~ ~^d tI~ ~Yz- OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING .o)NSULA TION )If FINAL o SITE INSPECTION COMMENTS: ~h CONTR. PERMIT NO. c;Q-37Co 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 GASLlNE AIR TST o Co(lJul ! t-,k \~!A~lA ~ . A ~-;r- ~ . RL fwt ". / ~K SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT~ CALL FOR REINSPECTION BEFORE COVERING Inspector: \.;1 ) Owner/Contr: I \/ CALL 4417-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE R~REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl .-'---'.'T--- r '_..__'~V'~"_'__"__"_"~_'._____-,_. DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED (p1/1Qo;:3 ~ 00 PONOVt6w ADDRESS L-/-t.lz (o OWNER CONTR. PHONE NO. PERMIT NO. Ie 0 PLUMBING RI o MECHANICAL Jl ~WATER HOOKUP r ~EWER HOOKUP o SEPTIC INSTALL o PLUMBING FINAL o SITE INSPECTION qq-370 o FOOTING o FRAMING o INSULATION o FINAL ... ~FOUNDATION r o DEMOLITION o FIRE PREVo o EXC/GRAD/FILLlNG o LKSHOREIWETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o C;:~~TS: l~ u 4u y/vc-_ ~ l'( T~ lC ~ _No . lJ\ ~ 0 .0. . (l) ~ T Wlfw W~ ~ I-cC I':: f) ~ \~~~ ~ ~ L.,r- -t<5 ~ ~f~~~ ~~~ ~.-\G M ~~( I~ ~~ ~ 1'~y dk~\tL- -h.Lt V~ (" vA /:. (' J n o Y WI I U/J(;o 'y\ L,I1-1vq-lc... t; &v~-& d-A, \{ ~ ECTION BEFORE COVERING ~ Inspector: Owner/Contr: CALL 44/-423~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE RE~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! ..~.. l:- CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 441..<0 POI\.d. CJ; ~ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP A ~ 0 ~R HOOKUP PG'"PLUMBING FINAL o MECH FINAL .--GOMI'tf:NTS: \J) 't-~~ Uili fllY iL({)~ 60-~~ A. e f-^(f t / / / / / / dWDRKSATISF ~RECT AC" DATE TIME ~ \9 <J'1 to: 30 9,q - s1b o EXlGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o (' ~A... f 1:f- R REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL 447-~50 FOR !-iE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQU~TS ARE FOR YOUR PERSONAL HEALTH & SAFETYl INSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME Lf /z./CjCj /:3.0 I I ADDRESS L/L/-20 PO/'JOVI(:31V OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING ~NSULATIOt<lA- FINAL f"J o SITE INSPECTION COMMENTS: C..J Se& e,.,.:f,y<. ~u.. <C-l ~ -- / ( r-\ 4-v, '-----! r...~ CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ~. PLUMBING FINAL /" MECH FINAL A ,. ~J- \J~d I 99-37r;; o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o ---------- ll- \ 5 - '19 ~ .----' ~ / /' / / ~ / o WORK :tATI FACTORY, PROCEED ~ o RRE CT AC I CEED ~:"~T K, "" FOR REINSPECTION BEFORE VERING Inspector: Owner/Contr: CALL V+7-lsso FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE ~UlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! \-\~ c_o_ ok.... ~ - O~ INSNOTI if CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT DATE RECEIVED MIl ft. 1. White 2. Pink 3. YellDw File City Applicant Permit No. $ ~ 3 '7& . 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 '-\. ~~ ~ ~ ~~"'" ~-:> "\ '" 3. LEGAL DESCRIPTION LOT ~ BLOCK \ PID ~S-1:.~'e-t,)~~-O ADDITION W-,~,~, 4. OWNER (Name) \-~('---:;'~--''''. 5. ARCHITECT (Name) ~~~ 6. BUILDER (Name) '~\J IP ","". .__l......io.\. (Address) ~c.:....,c._ (Address) (Tel. No.) ~\ - ,""C\b - '" "-UO (Tel. No.) (Address) 1. DATE '-\.1 ,'So I ~ , l2J.. (Tel. No.) BUILDING INFORMATION 11. SIZE OF STRUCTURE (tleight) (Width) L"(D.l'Pth) o~\ \.e\e ---\.~ 12. NO. OF STORIES ~ 13. TYPE OF CONSTRUCTION , ~,~ \.. ~ c:......-._ 14. FLOOR AREA APPORTIONMENT USE ~~~\ 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS \.. '" ""'-\; 7. TYPE OF WORK Fireplace ~ Septic 0 Deck 0 Re-roofing 0 Porch 0 New Construction ~ Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE ChimneyO Misc. e.-..\''\'.''-Ol- ~OO ,000 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE Sq. Ft. ,~"'~ \ Width t.l) Depth \ ,\Q Yes - No c,.~~\,-, F- ,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 abovB 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 upon the property to perform needed inspections. X ~t"-~....-.. ~"_.-'- '-tv-r.. ~- S' \ ~ 'S.. ~ . ~,\$ 10.. C\. Signature License No. Date . SEATS SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front Back SidB BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ~c:o:~.l90 - " USE OF BUILDING ~ TYPE OF CONSTRUCTION: I II III IV (5)' Occupancy Group A B E F HIM (j!t- S U Division 1 2 6) 4 ..r- Permit Fee ................................... $~'7 ~ 2., Plan Check Fee ............................. $ 9D I. "77_ State Surcharge ............................. $ J (") 0 . ()I'J 1M. ad City: \ .;y yc<^ ~~ ~ Penalty ....................................... $ I Plumbing Permit Fee ....................... $ oJ( Mechanical Permit FBe ..................... $ L~o .0-0 36" . 5"V 40 .00 Sewer & Water Permit ...................... $ Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ tt_ 'I $ Pressure Reducer .1J:'..................... $ Meter Hom ...."'bi.+r....................... $ Water Meter ...~.......................... $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 SETS COPIES PLOT PLAN o 6SJ. f\~ 1 0 <"0. CJ l) 45'.06 , .25'. 0 6 1.200.oc '1)0(') .f1(J Water Tap ................................... $ Builder's Deposit ............................ LJ..1 ..,-(1 () . A.cL Other ......................................... $ _ . Total Due .............................. $~I /) Y. 4" L Paid ~/3 t..f. c.f 7 Receipt No. 3 S- ~ 0"7 Issued . ~ ' Date rj, q/ (~ By This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordi~ance 'and may proceed a requested. This document when Sign~. t thf C Cityity r -lfnnBr_const~utes a temporary Certificate of Zonin..\! compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. ~:~'e_eA.~v,",'v ~ r:2..L-'1.<l -citY Planner Date Special CDnditions n any 24 hour notice for all inspections 447-9850 T ..-..,.......--. . .. . Job Address ~~ ~ ~16'~ Heating Contractor -Ga 2- (" ,.('MV . " . Name of Tester --1:l.:...A.. 1/ - ;}. - t? 7 o g 3W 1;~ .'.. Date Percent O2 Percent CO Percent C02 Stack Temp. Combustion air is adequately supplied per UMC Sec. 606 Input RPR. 19. 1999 2:26PM GENZ-RYRN NO. 56? P.2/6 -- ..... ftLI.OW . ~~1' IiOIoD . CITY CITY OF PRIOR LAI<E NO. qq - 37 b SEWER AND WATER PERMIT NOTE: Sewer and Water contractors must be re9istered with the city. APPLICANT: ~- R..u nf\ .~ PHONE: t+g.~- \ \44 ADDRESS: \ U-1U-fi-S . ~~ Q..JLL ~.L DATE: 41 ,~ qq SIGNATUR~ ~ _ ' SLOG. PE'RMIT # qq~ 37b SITE AODREss;W4-~",~\.)LO 1.0 ~rD# 26- ~3G7- 003'" 0 FILL IN THE BLANKS 1. Estimated length of water service ~ feet. 2. Size of water service \ inch(es) . 3. Location of any couplings from s~ructure feet. 4. Type of sewer pipe. ASS PVC ~ Cast Iron 5. Estimated length of sewer line Lie) feet. 6. Clean out (if required), located at structure. feet from =~._~==~~~~~====~=~_=======_====:s=====~~-====~~====~=~~-====~~== This apPlj5At).of1l/ec~ pe~it when approved. B~ ~ ~ D~TE: 4:j2-8/E9 ==~_~~_===~~==_=====~w_=====~=-====~--===~~-====~~=~-=====-=====~- FEES: $ $ $ 35.00 .50 35.50 Sewer and water line connection permit. surcharge TOTAL * Fee for either sewer or water individually is $20.00 plus $ .50 surcharqe. '* Sewer and wate~ permits issued for new constr~ction must be recorded on the building permit card at the time of issuance to insure that no duplicate sewer and water permits are issued. r~ PAID WITH DATE PAID 4-!1-f//tlg. BUILDING PERMIT AMOUNT PAlO REC'O BY . ~ RECEIPT # . 4629 Dakota Sr. S.E.. Prior Lake., Minnesota 55372 I Ph. (612) 4474230 I Fa~ (612) 447-4245 AN EQ~AL. OpPORTt.:Nm' E.IoIPLCYER I RPR. 19. 1999 2:25PM GENZ-RYRN NO. 56? P.1/6 CITY OF PRIOR LAKE t~.. ~ , PLUMBING PERMIT # qq - 37" APPlica"t~- ~_" .PhO"eIU~-\'4Y. Address: 14,4$ S. ~ b \\ J\..-t. ~ n..L Signature: ~ ~~ Legal Description: Lot ~ Bleck \ Sub U) LnO ~ -t n.ll Site Address: ULl SCt"l. \ ~rd.uLa I 1"\ ~ Building Permit # . qCf - 3 7 ~ PIO, 26 ~ 3~~ - 003 - 0 NOTE: This permit \/'{ill not be processed wjthout complete information. FIXTURE UNITS COllI... .r III. L.I~c C4UIlI17 Quantity Type of Fixture r;t.. Bath Tub with or without shower , Dishwasher I Floor Drain 4- La\latory (bathroom sink) \ Laundry Tray (' or 2 compartment sink) , Shower 5tall I \ Sinlcs I Bar Sink L 3 Water Closet (toilel) auantity ~ -T R\ , FEE SCHEDULE Industrial, Commercial & Multi.Family (10/a of job cost, $39,50 minimum) Resic:lential, New One & TINO Family Residential. Additions & Alterations State Surcharge $99.50 $39.50 GRAND TOTAL Type of FIXture RCl.lgh-ins Water Heater Water Softner Stand Pipe (washing machIne) Sewage Ejector Backflow Assembly (FlPZ. Double Chacko PVB) Backflow Assembly Test Lawn Sprinkler Other $ $ ~Q .150 $ $ .50 $.JLY" .00 This pcnni, is granted upon the express condition that soja contractor. Ilhall ccmply in all respects with lhe ordinanccs of the State Plumbing Code! QI'Id the 4~dm, l!~ thereaf. RE~'7''''O. ~fCI~ DATE /VlU ~ A111:ST Call for all in5~ion.s 24 hours in advance. PAID WITH lBUILD1NG PERMIT 16200 Eagle CreekAv. S.E., Prior L:lke, Minnesota 55372/ Ph. (612) ~7-4230 / FA-X (612) 447-42~5 An Equal Opportunity Employer * CITY OF PRIOR LAKE U~ 1&200 Eaglo CIOOk Av. S.E. PoImII No. qq - 3 7<0 ~ . Prior Lak... UN 55372 ~ HEAliNG APPLlCAnON I PERMIT &el8 4/ f~ Qq _ PID. ~5 - 3~ 4003-() ~~8Addre~ L.J.Ll~(Dr ~n~..)Tr' ~.. .~ Block' Addhlon W\.v\ds~ o . ~nefa Name ~ )~~QutUf}.: Address \ fhq6 rv \~ ~ Hefdlng Contractor ~ .1ttJt ~~ J Address \41L\5 ~'-:'~~.~ Telephone'. 4Q.~- t 14~ - FurnlUa Make a Modll k o...n.T\ n'JL TYPE OF SYSTEM ~ n'2^ 2/'1 0 Warm Air Planls Medel Size ~ o'~ ( .J '1'- 1'" Glavlly Mechanical ...........- /IJt Condhionlng . ?,. -to n Vent System - . HEAlING OR POWER PLANT Steam . Ho' Water Radlallan Spacial Del/ices Conn.Load FuelfbJ ~u8Slza 5' lLn R.tum Openings. P, ~npulltnJ1{'f)outpll\ 9t)JYY) ~, / ~:dr. z: . w l!)~'m., Supply Openl. TYPE OF WORK E a... . :BUelmlans NR1pa1, Replacement Est Comp. Da'e . Other D.vk:8s . N IIW Construction ./"" BuDding Permit. . qq,so QQ,31ft:; ~EsI. Cod' {J'\ ~HEATlNG PEFtMrrFEE $ {J'\ ~ ~STATE SURCHARGE a... . ([TOTAL PERM1T FEES $ .50 ~ PAID wtrH---- f J ex::> .00 l. BUILDING PERMIT Receipt , '. TYPE OF STRUCTURE 1.1Wr. 2. Q-e 1. Vi'" RIe arr CboDw:lar Single family , ~ Two-Familv M~li-Famltv Olher Commercial Induslrial Pillllic fee Sctwedufe Industrial, Commercial & Mulll-Famlly Resfdential, HeaUng & AC Residential, Heatfl\g Only. Resldenlial, Gas Fireplace Residential, AdtliUof\S a Alteralions Residential, AC Only 1% 01 lob C06t ('39.50 mlnfmwn) '99.50 $64.50 $39.50 $39.50 139.50 Remember '0 add tbe Stale Surcl1arge on the bottom of Ihis apptltaUan. ~ The,price d. your he-sting permit Includea one rough-In and one linallnspecllon. Addilional inspections wgl be billed aJ $35.00 each. House Healing Test Record must be submItted with iluik:llno O)~l. numhAr before build- ing certJticale of ClCCUpancvwill b&llsued. WFAT ,.... r,I.' ~TlnM~ ~~{\1"Rm wI"' numb&r of 8lJ11PIy and return openings lisled per loom with CfM'. per opening. New s'ructurel Dr additions send 11001 pran with supply 8lId ,elurn locations shown. HEAT lOSS CALCUlATIONS. PAVMENT AND APPLICATIONS MAV BE MAILED TO THE CITY OF PRIOR LAKE. t6200 EAGLE CREEK AVE. S.E. PRIOR LAKE, MN 55372- City Hall business hours are 8 a.m. - 4:30 p.m_ ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL). CALL CITY HALL 447-4230 I hereby apply 'or a mechanical systems permit and I acknowledge that the Inlormalion above is complele and accurate; thai the work will be In confo,mance with the ordinances and codes of the cily and with 1he slate building/mechanIcal codes; that this 101m does not become a permil until "lIned by Ihe BUILDING OFFJCIAl; that the work will be In accordance with the approved plan in the calle of alJn,vork whi~& review and approval of plans. 1/ //q)qq . Dala 4/Z.6/C;Q , Date Building Offical'5 Srgnature ,:,{ ~'-t ._--: /(/ ! / "r ...-, / 1('".-.. ......; / ~~", The Center of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED '" ' /- I. l \ Vj I \ f \ r" 1 /..~' \. i (-- ",.-- \ " ~ \ C~ "--' I /T": ;! " / /..~- (.-\ .' , . I (/. ,,/ ,./ '-".;.: ...t. f f The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: , :.-., 1--...;. L\ I l .' '.-,,-. ,>,:-.....~ ~ . '( ,r> : '. / ; \~.' W i ~--.-' - ~ -" Accepted Accepted With Corrections ~ Denied Reviewed By: ~ &~. ... ..... Date: l{ - 1-7 /:;'1 Comments: -"(V~ ~ .rf'~ ~~r,>~O ~ r{) ~L/-e4 L i0e..vv\~ \fO l1.R_ t5~~9~O [~ Vt:Le.-L~ 13 oY'~ (~ " "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." qq ~ 37& Th. C.nt.r of Ih. Lab Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED WENSMANN HOMES 4/lro/qq , t . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 44-2.(0 Pof\1DVI5vv'TgAl L- Accepted Accepted With Corrections ~ Denied ) Reviewed By:(z...f) ~ ~ - I Date: ((-27-73 Comments: I. ~oJ ~ +~O s ~ ~I? L...-~ r o. '-__ 2. M.QJl''-'-.!~ \t-t"r'S-e~_ ~ -:5- ~ alg. ~J ~~ 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." 1 CITY OF PRIOR LAKE MC 16200 Eagle Creek Av. S.E. Permil No. qq-37<0 Prior Lake, MN 55372 HEATING APPLICATION I PERMIT Data RI/CJ/qC:i PID' 25 - 33iO - O()3-0 I ell) r)" :',. n I Site Address. !YC>lf..- v 6h..L"'-<..'_-'t I L':.-( IC. A DON. lOI .3 / Addilion WINO~TAI< jL~, Block Owner's Name i....itvVl.. ....."-. Address HealingConlraclor~LLIED FIRESIDE dba FIRESIDE CORNER Address. 2 7 00 N. F A I R V I EW , Telephone" 6 5 1 - 6 3 3 - 2 5 61 FIREPLACE 1M1W<<!'l Make & Model H-rc.i Ai C;l~ ROSEVILLE. MN 55113 TYPE OF SYSTEM Warm Air Planls Gravity . Mechanical Air Condilioning Venl. Syslem ~IEAT1NG OR POWER PLANT Sleam Hot Waler Radiation Spgcial Devices Model Siz~ &as.., oraL Conn. load Fuel ~'(;.J Flue Siz9 Supply Openings Return Openings Input OUlpUI ~) 7. aD Edr. Other Devices Clm. TYPE OF WORK Alteralions Replacemenl x New Conslruction Repair Est. Comp. Dale pf;)vI'i1 , 99- 37h C. PAID WITH ! BUILDING PERMIT Est. Cost $ J I OU. ro HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ Building Permit II .50 Receipt" TYPE OF STRUCTURE I. !'ink 2. (;n:rft 1. v.Umo l> Rio c: Ci'1 to CllntrlC'''' I .... \D I \D \D o ~ " o ~ l> " ... '1 to III ... a. to n o '1 :3 to '1 Single Family Two-Family Industrial Multi-Family . Other Commercial Public Fee Schedule Induslrial, Commercial & Multi.Family Residenlial, Heating & AC Residenlial, Heating Only Residenlial, Gas fireplace Residenlial, Additions & Alterations Residential, AC Only 1%-0' job cosl (S39.50 minimum) $99.50 $64.50 $39.50 . AU6 I 9 ~ $39.50 $39.50 Remember 10 add Ihe Slale Surcharge on Ihe bollom 01 this application. The price 01 your heating permil includes Ime rough.in and one linal inspection. ^ddilional inspections will be billed 81 $35.00 each. House Heating Test Record must be submitted wilh buildina mmnj, numhRf belo.e build. ing certificate 01 occupancy will be issued. HEAT CALCU_L.ATlONS ,Bf:QUIRED wilh number 01 supply and relurn openings lisled pE room wilh CFM's per opening. New slructures or additions send 1I00r plan wilh supply and relum locations shown. HEAT lOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE. MN 55372. (JI U1 .... City Hall business hours are 8 a.m. - 4:30 p.m. (JI W W 00 00 00 I hereby apply for a mechanical syslems permit and I acknowledge Ihal the ~ inlormation above is complete and accurale; thaI the work will be in conlormance wilh Ihe ordinances and codes of Ihe cily and with Ihe slate building/mechanical codes; thaI this form does nol become a permil unlil signed by the BUilDING Or-r-ICIAL; Ihallhe work will be in accordance with the approved plan in lhe case or all work which requires review and approval of plans. /) r ~ tlA;~ M1~d~ . '~~ . Building Ollical's Signa lure ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL). CALL CITY HALL 447-4230 4 &!'l/ry I Dale e!IQ!C?9 Dale iJ o N Tht Ctnltr or Ihe L.ke Counlry qq - 370 White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED l\jENS~lf\Nf~ Hn~IES 4 / I rc / qq t I . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 44-2& PONDV I EvJTRAI L Accepted ./ Accepted With Corrections Denied Reviewed By: ;Jill-Tell. ~S""t4/11/lJ Date: s/<ln" t . Comments: l?lJNOFt: I'1rJs., is€ (!O,AJVE't'E..lJ 10 14"";0 ALaAJ~ DI2:41.uAl~E: I (: lJTlL-ITY EAs.E:~E".rr5. As<; MtJc...H A~ Pt<A(.Tk:AI... 5e:~ INF"QM04T"lo.v 0,.) ~Eve:RSF.:. SIOF $G,r ATTl'-\CHr'4.E,."lTS: J. F,,'JI'I/... ~a.A()e:. INsPEcnolU JAlFoIlMt4T'1oI\J 2. (},r1.t4cwvc, PL-A1tI 3. EROSION f..o"-Jrn. OL rt1f:A!..tJlt.t'S '-J. .f1l.D~ Inu C()~TIt. 0'- 'RAIlI "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." Jr .- .-.'-.,.-. ..'- ......--'-..--......--.--.---'-- .. PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS q(.{ 2~ 9~lJ('e_LU \f'~l NATURE OF WORK ~e.~ ~ USE OF BUILDING --.$F.D PERMIT NO. Cl1 - ~~Co CONTRACTOR ~\.Q~(\c."I'.'='_'!''^- ~~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT FOOTING tit. y 1,.,.- 'rr\JCTOR I (.-1~4; Q(')vvfFOUNDATION (Prior to Backfill)vff/ ~h<Y ~r// oj "!~ J.S, & ~ (~~ 1 tJ U~~ PLACE NO CONCRETE' UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS ..) 81 (r 1,--11 I r::1? .,.,O-A--., {() I P/ ~"; 1-1 L DATE ISSUED t/. ;;tl- 'fCf SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING (fJ) ~. 1- '1-7 'j HEATING (if required) ~,', JR., 1- lL{1 FIREPLACE .~_\, l~ t-..t.~, 1-("'.1' m,C}-J""19 GAS LINE AIR TEST kJ'~ (l. ~. 9-/0-91 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS WE: lo/z,7/1'\ , q) I~( 1ft; GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy r)) /~~ /(1\: (7 1 (\\) UNTIL ABOVE ~~S NOTICE V 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. r \1 1..( ~~ BEEN S GNED Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 ,