HomeMy WebLinkAboutBuilding Permit 99-0376
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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
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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
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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
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t-,k
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~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-_ ~
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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 ~
--
/
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'-----!
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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 ~
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~
/
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/
~
/
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!
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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
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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 ._--:
/(/
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The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'" ' /- I. l
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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
~
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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.
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City Hall business hours are 8 a.m. - 4:30 p.m.
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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.
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Building Ollical's Signa lure
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL). CALL CITY HALL
447-4230
4
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I Dale
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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
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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
$G,r ATTl'-\CHr'4.E,."lTS: J. F,,'JI'I/... ~a.A()e:. INsPEcnolU JAlFoIlMt4T'1oI\J 2. (},r1.t4cwvc, PL-A1tI
3. EROSION f..o"-Jrn. OL rt1f:A!..tJlt.t'S '-J. .f1l.D~ Inu C()~TIt. 0'- 'RAIlI
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
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.- .-.'-.,.-. ..'- ......--'-..--......--.--.---'-- ..
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS q(.{ 2~ 9~lJ('e_LU \f'~l
NATURE OF WORK ~e.~ ~
USE OF BUILDING --.$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
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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
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(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.
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BEEN S GNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
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