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Home My WebLink AboutBuilding Permit 99-0960 ':;'.";~i: )-' ~;.O. 1'./,,"~ ...' 'f 'T... ;f,'k rr/;.t,'t. ."i'l1' - """ u."". . "",' Ii .f;" ;. .,;- ~:..(< .':~ ~ "Ie_., >~'t ~ - -.- - - - - - - - -:-- -- - -:-- - - - - - ~ - - - - - - - - - -.-".. - - - -- - ~ (IJNI" ,'~\lll1rMt.'.~\.'~'.i,~'~>iilld/Ill'''*'''''''.''':'\;~''''~.#\~l.'''..~li:''''''''i''f~. .-,!!'~' M~~;-"~'" ; ":J: ..'~. 1.1 . ,:~,. ":~I:' ~'fI".;::. .,.-,.,t'i1.. '~ ~t;~.~,;;ot...~. ;....'~...'~...~..'" joo";.'~ ~.'...'. :rO...~.....- ,. ......., / ,.~l "....., ~~~ p.A~'. 'II~' .- ,..., '~~. .. ..~..~.,~."~Ij,.J~_~:..~,..~~+c~_.'~....'~~ <~~~,:;:. h~:l~ ' QLtrtifu;~ oj (lDcmpanry 'l~: I' ;, CITY OF1iRIOR LAKE P.ioili -~~' 11lepartment of Jauilbing Jn~ptttion " ~Jfl I '~f ' )ltFinal Permitted 0 Conditional C.O. Expires ' i"~I" .-1 -1 This Cenificate issued pursuant to the requirements of Section 307 of the Uniform Building Code;/ ~ t~ . ce.rtifying ~hat at the time oj issua~c~ this structu~e was in compliance with t~e various ordinances of the : =x. - ..;~ City of Pnor Lake regulatmg bUlldmg constructIOn or use. For the followmg: ~'I Single Family 99-960 ..' ( Use Classificatior Bldg. Permit No ~;~( fe, .~.~~ Occupancy Type Legal Description R3 Type Construction VN Fire Zone N / A Zoning District E 1/2 of Lot I, B I, Glynwater First Addition 3519 Bay Knolls R2SD Drive Owner of Building "ite Address Contractor'sName&Addrl"..WenSmann Homes, 1895 Plaza Dr., Suite 200, hagan, MN Robert D. Hutchins ~ \ \ Building Official Date: -D' \.h.L.u" IJ-II- 01 f City Planner Date: Jenni Tovar POST IN A CONSPICUOUS PLACE CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS ~51q OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: DATE TIME I~-IJ-{), ~rl()) )~ SCHEDULED &u I CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ,~~ue ClOt d<9~e ldk.r qq.-qb/) o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WO~' CALL FOR REINSPECTlON BEFORE COVERING Inspector: ~ _ V flAM Owner/Contr: CALL 447-9850 FOR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 35lq OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMI G o LA T10N~ fh_ AL '" '""" o SITE INSPECTION DATE SCHEDULED ~'~ :Ja~ ~tls &r CONTR. TIME 10: 30 PERMIT NO. qq-q~o o PLUMBING RI o MECH RI o WATER HOOKUP ~SEWER HOOKUP ~J.I:I1VIBING FINAL ~ECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: C0 h~ ~~ ~"9\~ j~ M (~) ~- rJ\-(\_ ~ ~ ~f~ (j) Plr.Al~ (~ arrnnRJ- ~- ~ /l~/1'? L",O.. .0) J0--{- ('Lj ') (' - ~ A\~ -- I vrsot- o~ /f~ ~~ ~--.- ~ WORK SA SF;:jROCEEO rf' J" 0 CT ACTIO AND PROCEED OR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL 447-9J5~ THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUI~TS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI ,,-q... -- ,,,,,,.. T"'''' -.".. ._.. p u..u - ,,' , DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED Icp~1 / :IS- ADDRESS ...35/6/ /ij /et,.2-/ B/1V ~/I/()t.-t,6 OWNER CONTR. PHONE NO. PERMIT NO. 99- 9SB1 :S-~ ~() .. 6t / ~OOTlNG Ul\ FOUNDATION UY o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI ~WATER HOOKUP . SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: 1 "/,/(1..__ .flt,~ ~ ~ /2--' ~ 11 . 1!4" - I, ,/ '1' . _'~ '.. f1 l~ 'V (lttA:JL.t:- ~l.AN.~ l'~ -3l~~ ~.~ --: ~.!@ ;)IJ1 ~- .d5:::LC-~ -. ~ '~ ~f/P ill Pt/~ 1-.k./l.~ t./o - /21 ~ ~~ /. J,tlf T fa. "k::::" ~ ~ ~ _Io~ ~J ~J20'c'~~ fJ ~ ~~~_~ ~-/~~-M.J;;:-~ ff p~-o-( / / f.~" ~ ~ORKSATlSFACTORY,PROCEED ,_~ f- ~. o-uz- o CORRECT ACTION AND PROCEED <!D ~~ ~ . o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~. Inspector: Owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTI "..,... DATE RECEIVED 8/5/qj CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN 1. DATE BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDRESS 3S/? 3. LEGAL DESCRIPTION / LOT [' t...J Lo U BLOCK ADDITION C / Y IV fA.) 4(. t f r 8-S- 7' , /jp. y k /\/bJ/J' br I Isr PID ;JS- 1SD -() () 1- () CI ,,/ d/ '7; 6;V 4. OWNER (Name) (Address) (Tel. No.) 5. ARCHITECT (Name) (Address) \ (Tel. No.) ~ (Tel. No.) tSI- ~ t) " - 'Y' y 0 (Address) / J f 5' I'/~:z.~ /j r S iA. /t t' Ol- 0 0 ( d- f'lJJV Fireplace 0 Septic 0 Deck rr/ Alterations 0 Addition 0 Finish Attic d' 6. BUILDER (Name) tJ(Nfln"'!v1V ).JOin e J 7. TYPE OF WORK New Construction &-- Re-roofing 0 Porch 0 / Re-siding 0 Finish BasemenV'" Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq. Ft. 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No 1. White File 2. Pink City w " Permit No. t?t? - 96?O BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE ,j 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS ........ 16. PROJECT COSTNALUE 17. COMPLETION DATE 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 nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the bUil::;(jicial can revoke this rmit for' cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X tJ:A,.; /'7'sr ,P-S-9 ') - . lo- - 1"/ // Signature License No. Date 1/ FOR ADMINISTRATIVE USE SETBACKS: Required Actual Side Side Front Back BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO, SPACES ON PLAN PERMIT VALUATION I L '-I. Oc:>C:> USE OF BUILDING ---'" ~ ffl' TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 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 Permit Fee ................................... $ I bO 1.2. c;- ~5l(JL (p7 t~ Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... !t Sewer Tap ...................................!t 8~o .OeJ J ,e <L) . 00 . Pressure Reducer .......................... $ Meter Hom ................................... $ Water Meter ................................. $ ? <;'0 _ 0(; Sewer & Water Connection Fee ........... L/. .., <::2.~ . ~ '?t:J WaterTowerFee ........................... $ 0 . ~ C;> Water Tap ................................... $ Builder's Deposit ............................ $ - 6 - Other ......................................... $ Total Due .............................. $ Calf 'I'~ Paid U 11.11/. ..; C Receipt No. :3 "-lAD 1 Date '~jY/~f By ~ This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning' Ordin~n;e and ~ay proceed a~equested. This document when s' bv the ' Planner constttutes a temporary Certificate of Zon.illgjiompliance JIld allows conij/{Uction to commence. Before occupancy, a Certific~e of Occupancy mu~ ~ued. A ~-\1.."'LoH. L,...,+_P_ V\~,.~ t~ ~-r \'.r:-/C~ ity Planner Date V '-oJ' ~, Special Conditi~ any" \ City: Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee .ff::.r~...... ~, J~ . t:J 0 Mechanical Permit Feef,f::1/!fJ..... $_. ,l..I'JO .c>0 Sewer & Water Permit .'l.f.,,:.r~........ $ ~ c;"'. c::;-O ~ace Pe .f~f..~. ~........ $ it 0 ,f) 0 This m 'Iding Permit,Wt1;'1~pro~d. By Datel:5 ,}r3-1~ Certificate of Occupancy Issued 24 hour notice for all inspections 447-9850 $ )1) .00 ~ Percent O2 JobAddress 35/<7 8"7 J/yrol/./ Heating Contractort6t:f~2 ;,(yC;P' Name of Tester X \ {.- Date -1f ~ 10 - 00 7 -0 '15 ~ . Percent co Percent C02 Stack Temp. Combustion air is adequately supplied per UMC Sec. 606 / /i/ / Input W/ 91 r q(pO Tht' Cf'nlf'r or the L8ke Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT C.H.E:CKLlST NAME OF APPLICANT APPLICATION RECEIVED WENS H/:tI\lN 8/S-/91 t / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 36/q BAV JCN O(,.v..s D~. I Accepted Accepted With Corrections Y Denied C2(J Al /- Reviewed By: I/~~ , /'- Comments: Date: e. - tP!> -9~ Se-e. "6 P :Jl 11- 958 For- f>{c--~ I 5.f/;JI2...c SI 5'or~. 2J..c.. , P' "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," r;r; QGO Th. c..... or Ih. Lak. Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED IV' [;'N 5 /l-- / /-) Iv' Ai 8{/S- / c; 1 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ..::35 l q Bfl Y I~ ^' 0 f.., (.,,-S D/~. Accepted ./ Accepted With Corrections Denied ~Q"iQU'o"" c.,. 1.1..:.7"1'"; ~uR.:""'1411/1U . .....,...""..v\"A &oJl- -_.~ ~ Date: ri t.li?9 , , Comments: ~ Bu.c.blAlc. Po"",,.,-:# 9'1-7'5,g {351S RtII.,. kAlo~~ DRJ ~R. (.'I_JIII e: I'Ir.,S. I IAlFott"",,qr/oAJ ~ 4rr""Cljt4IEAJTS. 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 -.........,..,..,..- '7""'- _1- - '. -....--....-., ..........~ --- ~ ""I ~~.,.,,~ __....'........".. ':iW;.' ItIPJ!lIlI: I Tho Conlor of tho L.ko Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED --- .,,--'. ! 1/ ./ - I .-""{ / <, / ,. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / /1 'I / /. \. /' '.,' :....... L~/I>/..::.. Accepted v- Accepted With Corrections Denied Reviewed By: (?-VJ~ ~v" Comments: .~~ ~uhlcd ~O ~ (____U ~, (JNYl H ~~ ~ltj:- ~ 6--v?<-1"~~ ~[n~ Av (~V\ /Alt,"th- t~\{ ~TfL'Nt p 'I Date: ~- L-t-~q "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." OCT. 1,1999 8: 23RM GENZ RYRN 6513226147 NO. 077 P.3/5 .... Ja.E ~ . ..ucaln' QaI.D . CIT' 1. 2. 3. ,.,- ~ 4. -, ) 5. 6. ." _/ CITY OF PRIOR LAKE NO. qq - Cj(PO SEWER AND WAJ.'J:.J< .t"Jl.,tdUT NOTE: Sewer and Water contractors must be reqistered with the city. PHONE: U2.~-lll..fL..f to J I /q 0, ,BLDG. PERMIT t qq -q (PC) PIO# 25 <3$0 - 001-0 SIGNATURE: SITE ADDRESS: .-1'......' 30lCl ~I( ~- FILL IN THE 5LANKS Estimated length Of- water service '-If) I feet. Size of ~ater service I " inch(es). Location of any couplings from s~ructure .feet. . Type of sewer pipe. ABS PVC ~ Cast Iron J 1" , Estimated length of sewer line ~J feet. Clean out (if required), located at feet from structure. =~~~----=-- ------- - ---,-- ---------'" ., ,,-- _____-=======----S~iIiiIi~ :is ap~~ pa~it when approved. /0/4/CJ1 DATE: ~~---~----~~---~=~==~= _-..-_.:-----',-,-------===~~~...................----=== FEES: $ $ $ Sewer and water line connection permit. Surcharge TOTAL 35.00 .50 35.50 * Fee for either sewer or water individually is $20.00 plus $ .50 surcharge. * Sewer and wate~ permits issued for new construction must be recorded on the buildin~ permit card at the time of issuance to insure that no dup11cate sewer and water permits are issued. DATE PAID RECEIPT # AHOUN'I' PAID ~ ,~sp~'\ ~~\ ....\G Y REC'D BY I roSl.Q\\'" o 4629 Dakota St S.E.. Pnor uke, MiMesota 55372' I Ph. (612) 4474230 Fa~ (612) 4474245 AN EQUAL OPPORT'lJNI'TY a.wLO~ CITY OF PRIOR LAKE !~_) . 18200 EIIgIe erHk Av. S.E. P&rmlt No. qtJ ~ q 60 PrIor Lake. UN 55372 - 0.... PlOt ~l( ~"c:.., ()L /c..:r f D~YTroLY>r ~SOhS<'" Telephone" . TYPE OF SVSTEM Warm Air Plants OX Gravity MechalIIcaI a Aft Condillonlng ')( Ven', System c HEAT1NG OR POWER PLANT Steam . Hot Water Radla110n SpeclaJ Devices _ Conn. Load ['.... ~ Fuel _/\/ Prl (")I&Iue Size (\J ~ Supply Openings. I S" ..-t ~ Relum Openings ." z '""1#- :""'\ 5!= Inpul /:'). mrD Output ~D ()fJl J 0::: . ~ Edr., w l!l ctm.. OIhe-r Devic5s E 0.... rE Alter81ions If) RepaJr (J'1 (J'1 Esf. CosI . (J'1 ..-t .,; HEATmG PERMrr FEE $, ..-t u STAle SURCHARGE $ w - . Cl TOTAL PERMIT FEES $, TYPE OF WORK x Replacemtilnt New ConstructIon Est Comp, Da1e Building Permit' 99-9C?O /~P~\OW\~ ..'1" \ e~\\..O\NG P~I .. ,,\' .50 Receipt. . TYPE OF STRUCTURE 1. PI... -. \ JIUe 2. Gre ! ClItJ ,. yen... ~., CoafteIllr Slngl& Family C<lmmerclaJ \j Two-Famiy fndustrial MlMi-Famlly Public Other Fee Schedule 1\: InduslrlaJ. Commercial & Multi.Family Residential. Keating & AC R&stdential. Hutlng Only. ResIdential, Gas Areplace ResIdentral, Additions & Alterations Residantfal, AC OnJV 1 % of Job cost ($39.50 minImum) $99.50 $64.50 $39.50 $39.50 $39.50 I " \ [If (: ~.-\,n,r;~.t-; ;'- j:; ll.~ --- _ 0_ ~:=_ ~ "J "'..:.=J., j i Ujl - -ij '\: DEetS.. :" I \,Il), . -" ., ---_;v Remember 10 add the Stale Su~harge an Ihe bottom 01 lhis,,'!Pplicallon. The,price of your healing perml1lncludes one rough-In and one finallnspeclion, Addllonallnspe.ctions wUI be billed at $35.00 each. House Hea1ing Test Record must ba.submltted wllh bulklinQ f'Pn1l;t "lI1"'hA~ before ~ 1ng certificate 01 occupancy will be lSSuad, HEAT CAlCULATfONS RFOIJIRFO with nlmber of suppfy snd return openings listed per room wlth CFM's per opening. New structur&S or edcitioJ'l$ send tloor pfan wiIh supplv 81ld retum IocatlOllS shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS M.AY BE MAILED TO THE CITY OF PAIOR LAKE. 16200 EAGlE CREEK AVE. S,E. PRIOR LAKE, MN 55372. City Hall business hours are 8 B.m. - 4~30 p.rn. All WORK MUST BE INSPECTED (ROUGH-IN ANn FtNAL) . CALL CITY HALL 441-4230 t hereby apply 'or B mechanical systems permit and I acknowledge Ihal the Information above rs complete and accurBle; thai the work will be In conformance wl1h the ordinances and codes o' the c[ly and with the slate bulldinglmechanlcal codes; thai this form dOBS nol become a permit unlil signed by the BUILDING OfFICIAL; that (he work will be In accordance with lhe approved plan in the case of Bit ~olk which '~'es review and apPloval of plans, . r I \214 CA ,~r;;1 q1' , Dale \.. ~ Om..~ ......,... ell f OF .PRIOR LAKE . PLUMBING PERMIT Applicant; ~ t.? nz.. - ..Yl Add ress: .f.!:::I::;1!:! c:: , Signature: .....1!..J,(\ Legal Description: ' let Blocl< Site Address: ~Iq P-o II V Y10J Is., Ur?- Building Permit # 9f ~ 9~O PID#~-.35D- OO}-o NOTE; This permit ~iIl not be processed without complete Information. FIXTURE UNITS This ~ennit is granted upon the express condition that said contr.lctor. shall comp in 1 respect:;; with the ordinances of the State: Plumbin ?t:e/~~.A thereof. ~ J2 91nA~ , A TrEST -- , DEC.14,1999 5:02PM GENZ RYAN 6513226147 on.. C_II' Qf .~ ..... Ca....,. . . Quantity Type of Fixture 2- Bath Tub with or without shower I Dishwasher I Floor Drain -:c Lavatory (bathroom sink) \ Laundry Tray (1 or 2 compartment sink) \ Shower Stall \ Sinks Bar Sink i 't-- Water Closet (toilet) Quantity 3 I 2-1 \ FEE SCHEDULE 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 GRAND TOTAL .. --" eetions 24 hours in advance. NO. 163 P.17/17 # I. Bha: File 2. Gold City 3. YaUaw" AppIiaDI 99.- 9&;/O -r..e. L...- Phone:~/-L,t'?- ~- / /4'-1 ,.9 <-,<<"'IT ~t:::rv.tif5 Sub th~/(..L Type of Fixture Rough.ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPl, Double Check, PVB) 8ackflow Assembly Test Lawn Sprinkler Other .;J $ $ $ $ .50 W'1'\-\ ' (' pp.~G PERM'"\" , \ B\)\\"O\ _, $ .Irnl m (c ~r ~ ~f! [g ~:l ~,i .Ii DEe I 5 1999 L_ 16200 Eagle Creek Av, S.E.. Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-42~5 An. Equiill Opp<,Jrtunity Employer CITY OF PRIOR LAKE MC 16200 Eagle Creek Av, S,E. Permil No. ?t(-CfroO Prior Lake, MN 55372 Date HEATING APPLICATION J PERMIT I:J- ;)<],97 PID, 25-.35-0- 001-0 r ~D,{,:.x- 3S/c,' ~ Addilion /V/ E. r t:::._<:;' LJl~ 4-..- U/I,oJ.,I Site Address Lot Block Owner's Name t€Z5..D HND e$()V/l/Q5 Address, HealingConlraclor ~LLIED FIRESIDE dba FIRESIDE CORNER Address, 2700 N. FAIRVIEW. ROSEVILLE. MN 55113 Telephone # , 651-633-2561 FIREPLACE 1Xt1n!l.\9 Make & Model J:J.,J J.,j COG> Model Siz~ SL 7."iD Conn. load Fuel fclk.) Flue Size Supply Openings Aelurn Openings Inpur OUlpul ;). 3. ()...u Edr. Clm. TYPE OF SYSTEM Warm Air Planls Gravity Mechanical Air Condilioning Vent Syslem HEA TlNG OR POWER PLANT Steam Hal Waler Radialion Special Devices Other Devices , Alleralions Replacemenl TYPE OF WORK New Conslruclion )( / - J -971 Building Perm~ it q9-9~o r~m1-:;:r, , Repair Esl. Comp. Date Esl. Cosl $ / / c):J.O':> HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ ,50 - Receipl II . TYPE OF STRUCTURE I. Pink 1. n....n ), y,IIow CJ file ID atJ n CDnlr..:1 I N Ie I Ie Ie o ~ " U1 ~ \l Single Family Two-Family, Industrial Multi-Family Olher Commercial Public Fee Schedule Induslrlal, Commercial & Mulli.Family nesidenlial, Healing & AC nesidenlial, Healing Only Residenlial, Gas Fireplace Residenlial, Addilions & Alleralions Residenlial, AC Only --- ,-, f \-: f{l%of j()b GOslf$39.50 minimum) "~$99.50 I, :Im3 O~ ,', !3~.50- $39.59_.- - a. ID n o "5 ::s ID "5 ~ ! ." ..I. "5 ID \II 'v' \ ..I. Remember to add Ihe Slate Surcharge on Ihe bollom 01 this application. The price 01 your healing permil includes ono rough-in and one final inspection. Additional inspeclions will be billed at $35.00 each. House Heating Tesl Record mllst be submilled with buildinq permit number belore built ing cerlificale 01 occupancy will be issued. .I::f..EAI ~CULATION~ REQUIRED. wilh number of supply and return openings listed J room with CFM's per opening. New slructures or addilions send tloor plan with supply and relurn localions 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. 0'\ U1 I-' Cily Hall business hours are 8 a.m. . 4:30 p.m. 0'\ W W ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL to to I hereby apply lor a mechanical systems permit and r acknowledge that the ~ inlormation above is complele and accurale; that the work will be in conformancl with Ihe ordinances and codes of Ihe city and wilh Ihe slale building/mechanici codes; that Ihis form does not become a permit until signed by the BUILDIN( OFFICIAL; Ihallhe work will be in accordance with Ihe approved plan In lhe case 01 all work which requires review and approval of plans. ;J;~Ji~ ~e BuYing Officars Signa lure 441-4230 ldl J 9Fi'( , , Date IZ/30/9'1 Dale \l o N PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS ..55" /7 7Sc...f1 Ko t( q Dr-- NATURE OF WORK AJ-PL 1 crl.~ USE OF BUILDING SFA PERMIT NO. Cf1- 9(,0 DATE ISSUED @ -/8-7:tf " CONTRACTOR -1..! ).p~~ ~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE SEWER I WATER I SEPTIC FRAMING (...(.,. z/JlfJ7J INSULATION ELECTRICAL PLUMBING f/: P .1/ V/tJc HEATING (if required) I L/teH I/H/IV FIREPLACE I GAS LINE AIR TEST ,~\:~.~. ~ 1,oID-CO COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I~~ I I FINALS N'/~ FOOTING 1/-../ /1 /t?/-6 I ~ J FOUNDATION (Prior to Backfill)~~~uv" I ~l \b -~.&f} (IJ I m, / () /,:s. 99 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS 14) dM-, ,e# ~/ ~iJll'V ~ /;:~j;o /~ ~(3 ..-99 GRADING (Prior to Sodding) BUILDING 1lIJ 7llItJ.{.dO ~ . ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE NOTICE , ". 1 ~ ~ 'dl . 0 I {J.- I 1'11/1 )po l/(fl I A'I,4 )00 II I I HAS vBEEN 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