HomeMy WebLinkAboutBuilding Permit 99-0524
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i~~(1 Contractor'sName&Address Wensmann ~Q1Des,. 1895 Plaza Drive: Eagan, ~_
(~~~~/. Robert D. Hutchins k I City Planner Jenn1 Tovar 8; . ~\"
rt.. :t! ~ilding Of!jfial' a _ ?.;'l _ C) q .~:-
'>~ I C-j' 3cJ" (1'9 Date: / ./u / . 4
tt~~ llite: ~.
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~' :C POST IN A CONSPICUOUS PLACE iJ:
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Qrtrtific(lu nf <mccupanry
CITY OF PRIOR LAKF.
j/ 1Dtpartmtnt of Jjuilbing 3Jn~ptttion
L0'Final Permitted 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 of the
City of Prior Lake regulating building construction or use. For the following:
Single Family
Use Classification.
99-524
BJ.::. PennitNo.
Occupancy Type
R3
Zoning District
Rt
VN
RIA
Type Construction
Fire Zone
Legal Description. L6,. B2,. Winds tar Addition
Owner of Building
~i'- Address
4421 Pondview Trai1
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-----. iii-__ _... ...... _____ __ _ __"________ _
Job Address W)/ f),J 11,'((,)
Heating contract~6~
Name of Tester ,
Date
I
Percent 02 '?'
Percent CO (J
Stack Temp. ~
Percent CO2 ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
.
.
DATE
TIME
ADDRESS
LJLf2!
SCHEDULED '~O-c:rJ.
~f.SO J(~ TI!-.
A-lc
OWNER
CONTR.
PHONE NO.
PERMIT NO.
99-S;;;..Lj
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION!?:.\\ 0 SEWER HOOKUP
pI' FINAL ~ 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: ~O ~ T fU::::--cS
L~ c..a ~ (~) ~
~ d~
,
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASllNE AIR TST
o
~
A~
i..r~
;?~
~.
~
/'
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~, CAll FOR REINSPECTION BEFORE COVERING
Inspector: rn- ( OWner/Contr:
- (
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
CITY OF PRIOR LAKE
INSPEeTION NOTICE
DATE TIME
SCHEDULED
1/J#-fltI
ADDRESS.3f/1./ ~"-l~VlruJ fit..
OWNER CONTR. WF~IifNA1 II~
PHONE NO. PERMIT NO. JJ - S~ t
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~,ff)f. IS ItdP71tik.-L
a~)(
IS c11lt;.fJAnoAJ4L.r
1111/ A 171f (,AI
<;/t..r FEJJC~ (J,Jr/t $O""O€:../)
>4' WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~ 0" :iJContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
011&/91 /. /S
I '
ADDRESS
~Z/ PO/llOVI8W If<'-.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
QQ-52.4-
o FOOTING 0 PLUMBING RI
o FRAMING A 0 MECHANICAL
o INSULATION ~WATER HOOKUP
o FINAL ~ ~EWER HOOKUP
o FOUNDATION n 0 SEPTIC INSTALL
o DEMOLITION 0 PLUMBING FINAL
o FIRE PREVo 0 SITE INSPECTION
CO;!?: ~(W
l (I T~r' ~ LL-
~AV \I~,
VJu...U- L \V\.L
o EXC/GRAD/FILLING
o LKSHORElWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
Wfwr
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Inspector: Owner/Contr:
CALL 447-4J30 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUI~ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Lj L../ 2 /
~A1D J,eLc..)
OWNER
DATE TIME
9-9 -?~ II: 30
Te,
PHONE NO.
CONTR.
PERMIT NO. ~ - 5-:2 'i
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULAJf6N) 0 SEWER HOOKUP
;g FINAL ~ 0 PLUMBING FINAL
o SITE INSPECTION " MECH FINAL ~
COMMENTS: :i3u'L.DI,..Jr;,
/. ~ ~7~
2.-. 6fJo . st~~
3.. ~ Scc-fF&v~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o WORK SATISFACTORY, PROCEED
~RREC~ACTI~PROCEED
o CORRECT W . A. FOR REINSPECTION BEFORE COVERING
Inspector: - Owner/Contr:
V
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
ClJ-~-~? q~3c
~,.J D J{evJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
1/4121
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
(@ 0 SEWER HOOKUP
~ PLUMBING FINAL
o MECH FINAL
DATE TIME
CfI - 5 zL.{
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: m ~~ (l~
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O/~
/
o ~SATISFACTORY, PROCEED
~~~~ECT ACTION AND PROCEED
:s::CTh.~LL FOR REINS:~:::FORE COVEmNO
v
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
DATE RECEIVED
5pO /q1
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
QC/-S21-
Permit No.
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
"'"'~, ~(,)~..s'-<--.....::>'~
3. LEGAL DESCRIPTION
1, DATE
q1
~~,
lei
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(H-.eilltlll (Width) (Depth)
~ ~-tc, \,g,- ~
12, NO. OF STORIES
\
13. TYPE OF CONSTRUCTION
\,)..)~ '- ..............1\..-
14, FLOOR AREA APPORTIONMENT USE
'~'1..3
\0
BLOCK ~
PID ~~-~~~- C'\o-<;:)
LOT
ADDITION ~',-~""""',
4. OWNER (Name)
W<:.""-\o."'--....."" ,~~~
5. ARCHITECT (Name)
~\f"..~~
6, BUILDER (Name)
(Address)
~u..<-........
(Address)
(Tel. No.)
\..$.\- ,",,~\o- ~~
(Tel. No.)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS -
~ ~ '1'1'-. ~
7, TYPE OF WORK
New Construction ~
Chimney 0 Misc,
8. PROPERTY AREA OR ACRES
SEATS
16. PROJECT COSTNALUE
\~C
17. COMPLETION DATE
\Po..~~ ~\d\
Fireplace ,..
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
9. PROPERTY DIMENSIONS
Width ~~ Depth "3. 3u
1 0, CULVERT SIZE _
Yes No
Sq. Ft. "'3.S 0 ~ 10
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
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~<;;......... ~"""""""'-~'-~ \.'--'...<.;;..~ ~......"""\. _,~~~
Signature License No. ..... Date'
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDIN9 ~
SFU
SURVEY
PLOT PLAN
o COPIES
o
IlDJ~'~
TYPE OF CONSTRUCTION: I II III IV (\Il...
Occupancy Group A B E F HIM '-tW S U
Permit Fee ..........~i~:~i~~...1...~<P~... $ \ ,3~t? . ~~
R Coi .?i-
CZ5 . 00
Amount Brought Forward .................. $
Park Support Fee ........................... $ ~FlJ. Cb
SAC ......................................... $--'-OSf'). d 0
City:
Collective Street Fee ....................... $
Sewer Tap ................................... $
~e'" $
Pressure Reducer .......................... $
Meter Hom .....ir/.. ........................ $
~~..
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Plan Check Fee ............................. $
State Surcharge............................. $
Lis.co
etA)
~ 04(P.~0
Penalty....................................... $
Plumbing Permit Fee .1'f:.t?~...... $ / 00 ,(5 V
Mechanical Permit Fee ~.r.~GM...... $ { 00 ,00
"'77 A 8; .50
Sewer & Water Permit .. .........~..... $
Gas Fireplace Perm~ .1q.~.'G.t4.... $ 40 .00
ThiS~i . Beco1 Your Building Permit When Appro..l/.ed.
By ."..,k Date ~-I"'t-? 7
/ . .
Certificate of Occupancy
I 2S-.C>O
f2o('),oo
, 'L ()t"), ~O
WaterTap ................................... $
Builder's Deposit ............................ $ ,: S- 00 . ~
Other ......................................... $
Total Due .............................. $ 804-&~~y
Paid g 0<1(,. tj~ Receipt No, .3 ~'311
Date It, I? / r(~ By At#'-
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordl'nancJ and may proceed a/requested, This document when
signed~' Plan const~utes a temporary Certificate of Zoning compliance a allows const 'on to commenc. fore occ an y. a Cert~icate of Occupancy must be issued.
~~ ",-l,~
v City lanner ... Date ...J
Issued
24 hour notice for all inspections 447-9850
CITY OF PRIOR LAKE
, ~ 182110 &gIe CIHkAY. &.E. P....h No. qq - 52.4-
I.~' Prior Lake, UN 55372
If)-
;;, HEATING APPUCAT10N' PERMIT
l~ fjlr~Jqq P1Dt-25- .33'-- O/"-D
a Addreu 4Ll'J.1 'Pond..u..U..w ~
..-i '
~ 111 BIodI:J AcId_ion LLA..Q.J'\Ah'1()J)n U 4-f\
1~er'$Nlm8, lAJ~~ rb~
drHa )~q6 'PIllA.a... Q,~.
1&llng Con!raclor ~W - Q\...t a..xl
~dl.58, J l\-'L4~ ~. ~bu-+ ,. j
laphone' LI ~3- ( l Y 4
I.nace Make I. Model h I II 1'1nl.
~~ ';1(d~/Li -[ cD
)del SID
. - .
mil. Load
.e' ~ lwl- bas FIlii 511:8 61/
,ppIy Openrngl 14
1.0
fI:),riX) _
~tum OpenTngs .
?E, iDD JaY) OulllUl
>- '
(t:
I
N,
z:
W
.~-
,
~ TYPE OF WORK
E
(I
('-raUona
N
~al.
Replacement
Es'. Comp. Oala
l'YPE OF SYSTEM
Warm Air Plants
Gravity,
Medlan1cal .~
Alr CHldilktnlng ...,- ~ 1/ Q.. tof)
Vent. System
HEATING OR POWER PLANT
Sleam
Hol Wafer
Radiation,
SpeclaJ Devices
Other Devices
New Construc\ion
V""
BuDding Permit'
Q9-SZ4-
0'\ Cas! S
0'\
0'\
~mNG PERMIT FEE $
(T)
..-i
>=~1ESURCHARGE S
(I'
orAL PERMIT FEES $
.50
PAIDwmi~
BUILDIN.G PERMIT]
Receipt ,.
I. Pi...
1.. em
,. Ydk
FDa
CIy
TYPE OF STRUCTURE
.., ,,~ .. ~
Sll\QTe Family ](i
TWG-Family
Induslria'
Cammercial
FIB Schedule
In~uslriaf, Commercial & Multi-Family
Residential, Heating & AC
f'l""7""nUaJ. Hea'ing Only
Residential. Gall Fireplace
Residelltial, Adrfil10ns & A1terslions
Reslden.tIaI, AC OnlV
Public
Multi-Family
Other
1 % of job 006' ('S9_50 mfnlmum)
$99.50
'64.60
$39.50
$39.50
$39..50
Remember to add Ute S1a1e Surcharge on lhe bottom 0' lhhr appp..........n.
The.price 0' your h.eallng p8fmtt lnckLdes one rough-In and cnlllnallnspec1lon.
AddidonaJ mspeclions win be bOled at 135.00 each.
House Healing Test Recclld must be aubmlUed with bllilrlina '"'1'"",;1 number before IluRcI-
Ing certiflC8le 0' occupancy will tie issued.
1-,I1=6Tri., ~,.. ATln"l~ ~~(\' .\~~Il, with mmber.. of.supply and retum openings listed per
room witb CFM's per op4Inrng. New 6fruclWes or ~Ions send lloor plan wilh lupptv
and relum loe.lions shown. HEAT LOSS CALCULATIONS, PAVMENT AND
APPUCATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 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 ClTY HALL. .
4.474230
I hereby applv for a mechanioal systems permit and I acknowledge that the
infa'mation abave is Gomplele and accurale; 'hat 'he work will be In conformance
wilh lhe ordinances and codes of the cllV and wl\h lhe &'a'8 bunding/machanlcal
codes; that this form does nol become a permit un1il &igned bV the BUILDING
OFFICIAL; thai the wa,k will be in Bcco.danc8 with the approved p'an in 'he
caso of all work which req 5 review and approval af plans.
~~ ~. b~3~q
- Date
~/3/91
Buihing Olfical's Signa\ure oale
MAY. 13. 1999 10:26AM
GENZ-RYAN
NO.381
P.2/5
&~
~n~
11III . ...
,.eL~ . ..PLIC.....
GOLD . CITY
CITY OF P~OR ~
SEWER AND WATER PERMIT
NOTE:
NO. QQ-52.4-
.
".. ..
Sewer and. Water
contractors must
be reqistered
with the City.
APPLICANT: ~ - RuD...f"\
ADDRESS: J47LJ5 ~. ~ - II2..J
SIGNATURE:~~ . -
SITE ADDRESS: W4~' r-pQQduLeJ..,.Q I cJ
fILL IN THE BLANKS
PHONE: 4~S-I) 4L\
DATE: 5JJ~
,BLDG. PERHI'r 4# QQ-S24-
~ID# 25-:3~- 0'1,-0
1. Estimated length of water service
40
feet.
2. Size of water service
-/ inch ( as) .
3. Location of any couplinqs from s~ructure
feet.
4. Type of sewer pipe. ABS PVC X Cast Iron
5. Estimated length of sewer line Lj!:) feet.
6. Clean out (if required), located at
structure.
feet
from
::~:=:::-~~::=~::=::::::::~;;~;:======
===~~~~====~~_~=====~w======_~=====~-==-~~-~====~~_====~3-~===~;
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 surcharge.
~ Sewer and water permits issued for new construction must be
recorded on the building permit card at the ti~e of issuance
to insure that no duplicate sewer and water permits are
issued.
DATE PAID
RECEIPT #
AMOUNT PAp' ~PRlJ\\"I'
REC' 0 BY jyJJ\\SJ
. 4629 Dakota St. S.E.. Prior Lake. Minnesota 55372
Ph. (612) 4474230 I Fax (612) 4474245
MRY.13.1999 10:26RM
GENZ-RYRN
NO.381
P.V5
Tlte C~"trr ar 11'1<<' LIllie C...n..~
CITY OF PRIOR LAKE
. PLUMBING PERMIT
Applicant; f.Jn Lf1..4'" R.,-,~ .
Address: J47L1't::; -5 _ ~Qr..J- JrJ
Signa~ure:~ >~~ ~
Legal Description: L.et ~ 6lock~ Sub LA)~-ku:
Site Address: 44.!iL1.. "1:bncJ,Oi p~ T t<J ,e I
Building Permit ## qq - Sz.4- ,PIO # ZS -..33G:. - 0 I ~ - 0
NOTE: This permit ~Ill not be prac~sSed without complete information.
FIXTURE U,NITS
I. II... flI....
2. CiuId 0"
]. Yellow AppIiCIIIII
# qq-Sz.4-
Phone;~~?- ~
Quantity Type of Fixture Quantity Type of Fi~ure
I 8ath Tub with or without shower -3 Rough-Ins
I Dishwasher I Water Heater
I Floor Drain el Water Softner
.3 Lavatory (bathroom sink) I Stand Pipe (washing machine)
I Laundry Tray (1 or 2 compartment sink) Sewage Ejector
J Shower Stall Backflow As5eml:lly (RPZt Dauble Checkt PVB)
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
:J., Water Closet (toilet) Other
FeE SCtfEDULE ,
Industrial, Commercial & Multi-Family
<1 % of job cost, $:39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
p~\O ""\~")
~6\J~~~N~--
$
$
$ .50
GRAND TOTAL $
1
This pennit is gr:1nled upon the clpress condition that s:lid
conmlClor. shall comply in all rcs~lS wilh the ordilH1nccs
of the Sbte Plumbing Code and the amenpm~15 thereof.
- ~._('13{!11 DATE
I .
. -- ,ATICST
C:1l1 for all inspections 24 hours in advllnce.
16200 E:lgle Creek Av, S.E.. Prior Lake, Minnesota 55372/ Ph. (6 L2) ~7-4230 I FAtX (612) 44742~5
An Equal OpportunitY Employer
-.....-~--.
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r...,......
~
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"-7-"--.
White - Building
Canary - Engineering
Pink - Planning
Thr ("rn.rr of .he Lakr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT.
APPLICATION RECEIVED.
...r'- ii' ,: /- / l.'\
. ,
, I
......-."
/ 1"-
I " /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/
1- / :..,. ~-'./
! /~.
Accepted
/
Accepted With Corrections
Denied
Reviewed By: ~ I~
Date:
l~l~"~
Comments: .
~~~~ \PV~ ~~ ~U~\'\
~ JY!A/~~ ~~ fY~
hA_S\l\cL-~.s>~V\ ~
~~~
<VJ,
"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~5z4-
The Cenler of the Like Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
fV6N5f1rJNN flONbS
5/;O/qq
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
442/ POAlDVf6vV It<.,
Accepted
Accepted With Corrections ^
Denied _
Reviewed By: {~ A~
t - ,
Date: t; - {J - '7 '7
Comments:
I. ~ ~ a..Jt~c~ ~4
"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."
Thr C~n'f'r or lh. L.k~ Cou.try
QC ,-"7 /1 ~
i -/ - -J?-r.-r
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
j i'EN~ !"ll-) /v'/v'" H'C /'v/ G5
5/;C/9Q
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
442! I~'CND V'I t:.-- vV' / Ie .
Accepted
II'"
Accepted With Corrections
Denied
Reviewed By: tJ~t..T"U.. C,-IllcS,..y.JAJN
Date: ul/I <i1
Comments: .RUJuttF MQjr BE {!..IJUE..YEO TO l1J\Jo Ih.,AJ{, i)~IfI^'14fa.E ( cJnUT'1~
CA~E.XE,.JTS As f'J{lJC~S Fkl/C.TlCAL.
~
-see. ,tJF.,ftt\1ATloN 0,..1 1~t:"'EIt'S~ S,Ot.
_~.EE. ""ArrI1Ctl~JJTS: I. h1\J4l- (}/lI4~ /,c.)SPEcTiCftJ /A.JFotl~77f1^" ? aMOw/, Pu/lJ
~. EIl.OSloiJ e~J/..JTIl.oc.. MEI4:uLi!J'"
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"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."
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av, S.E. Permit No. qq, 524--
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Dale I-::UL" qq PIO # 25- ~ - 01 Co - 0
Site Address CJt!:J./ ~Ilu /bJ -r;, ~ l:. /
Lot ~ Block 2. Addition. WINOsmR- ADDN.
Owner's Name Wf)~ILA ~.~ ~
Address,
Heating Conlraclor ~LLIED FIRESIDE dba FIRESIDE CORNER
Address, 2700 N. FAIRVIEW. ROSEVILLE, MN 55113
Telephone .. 6 5 1 - 6 3 3 - 2 5 6 1
FIREPLACE
1Mmal.!J Make & Model J..JiJJ J,.)(Du.
Model Size Pt'1A ~c-
Conn. Load,
Fuel 6.s
TYPE OF SYSTEM
Warm Air Plants
Gravily
Mechanical
Air Conditioning
Ven\. System
Flue Size
Supply Oponings
Return Openings
Inpul , Oulput l/D.&::rIo
Edr.
HEATING OR POWER PLANT
Stoam
Hol Water
Radiation
Spedal Devices
Olhor Devico!
Clm.
TYPE OF WORK
Alterations
Roplacemenl
New Construction
k
Repair
Est. Cost $ ,
Est Comp. Date
7-),9
Iloo.a:>
Building Permit II
qq- 52t./-
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $.
PAID WITH --
.50 BUILDING PERMIT
Recelplll
TYPE OF STRUCTURE
I. Pin~
1, (;....n
l. Yellcrw
Air t:..!
. City C
Collfretlor ...J
I
N
~
I
l~
\0
Single Family
x
Two-Family
Induslrial
....
o
"
N
\0
l>
"
..I.
"'S
ID
III
..I.
Q.
ID
n
o
"'S
:3
ID
"'S
_ Mulli-Family
Public
Olher
Commercial
Fee Schedule
Induslrial. Commercial & Mulli-Family
Residenlial, Heating & AC
Residenlial. Healing Only
Residenlial, Gas Fireplace
Residential. Addilions & Alteralions
Residenlial, AC Only
1 % 0' job cosl ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember 10 add Ihe Stale Surcharge on Ihe bollom 01 Ihis applicalion.
The price 01 your healing permil includes one rough-in and one 'klal inspection.
Addilional inspections will be billed al $35.00 each.
House Healing Tesl Record musl be submitled wilh buildina rJp.m1i, ~,,~r belore bur
ing cerlificale of occupancy will be issued.
HEAT CALCULATIONS REQUIRED with number of supply and return openings listed
room wilh CFM's per opening. New slructures or additions send floor plan with luppl)
and return localions shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE m
CREEK AVE. S.E. PRIOR LAKE, MN 55372. ....
N
Cily Hall business hours are 8 a.m. - 4:30 p.m.
m
w
w
00
00
I hereby apply 'or a mechanical syslems permit and I acknowledge Ihallheoo
intormalion above is complele and accurate; Ihallhe wOlk will be in conlorman ~
with the ordinances and codes of the cily and with Ihe slale buildjng/mechanl
codes; Ihal this lorm does not become a permit unlil signed by the BUILDlt
OFFICIAL; thallhe work will be in accordance wilh the approved plan In thl
case 01 all work which requires review and approval 01 plans.
~..........-
.-- .
'I1J1tn/l.
, ..~.
;
All WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
441-4230
Building Onical's Signature
7wtj'{J
- 'Date I
7/z7/998
Oat" '
c
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 4L1(,\ ~'LI'~u.j ~.
NATURE OF WORK ~ Ckuj.
USE OF BUILDING '5 ~ 0
PERMIT NO. <rC}-~~(.( DATE ISSUED S"-t7 - 'r ;
CONTRACTOR WP~ I~. ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I INSPECn I h-ID - q~
I FOUNDATION (Prior to Backfill)19 I <<JR a)~~/11 1~-d-g-'1
I/,./,\;
PLACE NO CONCRETE UNTIL ABoVE HAS BEEN SIGNED
ROUGH - INS
//,']; "/;~/1, V
~?V $/<1/'1'11 f
~ C/ r;,.tJ-~
PLUMBING VI) ,Is.,,/.,.,
HEATING (if required) ",~(tA. ~(74i
FIREPLACE (d!r-"~' (\v ~. ~;,~..l)' I~ V'... 7 - C1 a
GAS LINE AIR TEST ~~.\\~. ~~~,.~, uf;b iJ J- I /
COVER NO WORK UNTIL ABOVE H}JS BEEN SIGNED
I-W~"'''___m# I I
FINALS
vV.([,
(.0,,,- (>:r.
SEWER I WATER I SEPTIC
FRAMING ~e)'-~' ~-(f~/i~ ~
INSULATION
ELECTRICAL
Y~t.,q~
GRADING (Prior to Sodding)/ ;
BUILDING --r G,o /0 B> /1 ! ~
ELECTRICAL I "
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
c}.:./3-1?
9 -'3D~ ~~
1> r q/~jqfl
~t4, 11t1,(~L- /
- ~
HAS 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
DRIVEWA Y AREA ;"'645 sq. ft.
COVERAGE =10.6
A p~n'""'ED
Ef\,I( l~PT
Signed tJ~.
-Date itlJ.trr
7
BENCH MARK
TOP OF PIPE"
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BENCH MARK I
TOP OF PIPE'
ELEV.=969.64
APPROVED
PLANNING DEPT
5
~
Date,<j: 10~
--
WE HEREBY CERTIFY TO WENSMANN HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 6. BLOCK 2. W1NDST AR
SCOTT COUNTY, MINNESOTA
~
6
970.9
(---
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_ IT ,."...r-C" .'I"\T ,." "-""I"\OT Tf"\ C"Uf"\\A1 ,UOOf"\\IJ:'UJ:'I'.JTC 1\0 J:'t\I(,~_H:>(,\"'(,1-l~A~I\ITC:: ~)(r~PT t;.c:: C::1-lnWI\I t;.c:: C::IIR\leYen RY MF OR
Certificate of Sur'
300.00
, 93,94
EDGE OF WETLAND
PER PLAT
239.60
336.65
NOTE: PROPOSED GRADES SHOWN PER GRADING
NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HI
OF STRUCTURES ONLY. SEE ARCHITECTUA
FOUNDA TlON DIMENSIONS,
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BI
SURVEYOR. THE SUITABILITY OF SOILS TO
PROPOSED IS NOT THE RESPONSIBILITY 01
NOTE: THIS CERTIFICATE DOES NOT PURPORT TC
THOSE SHOWN ON THE RECORDED PLAT,
NOTE: CONTRACTOR MUST VERIFY DRIVEWA Y DE~
NOTE: BEARINGS SHOWN ARE BASED ON AN AS~