HomeMy WebLinkAboutBuilding Permit 03-0413
~~rfifiraf~ of <IDrrnpanrll
CITY OF PRIOR LAKE
@.rparfmruf of '!iuilbiug JIusprdiou
4Final Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Un~rorm 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:
Use Classification
SINGLE FAMILY
Bldg. Pennit No.
03-0413
Occupancy Type
R3
Type Construction VN
Fire Zone
N/A
Zoning District
R1
Legal Description
L3, B2, REGAL CREST
Owner of Buildin)!
Contractor's Name & Addres~NSMANN
Site Address
3915 REGAL PASS N.W.
ROBERT D. HUTCHINS
o 7 a., Building Official
o. J~..-m
Hm'11;...!i,.1895
f//;
V 1/
PLAZA DRIVE, SUITE 200, EAGAN, ~ 55122
DOK RYE
City Planner
Date:
Date:
.c.........._~.J>~...'
-""""""~'-~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 5'1/5
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED
B-2!
((~, Q lf~
CONTR.
PERMIT NO.
lY3 ~ LilY
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMM~NTS:
II ~N!')\J~cl.t Itl \0 ~
tle.V 0
.........,
J<<;?~~
o WORK SATISFACTORY, PROCEED
~ORRECT NO PROCEED
o CORREC we CALL FOR REINSPECTION BEFORE COVERING
Inspector:
CA
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
"",,,,n
-T.-..--.-'-.-'--.-......,..-.,-.-.-.,-------,__._~___
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
'ff1Lrr-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
-1..
DATE TIME
SCHEDULED Ib L ~
~. OM-1
CONTR.
PERMIT NO.
'S -LIt ~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
;r PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
Naz
5~ /'1~
- ry.,. ~--rf,U~
~~
~j't -
\\_~~~ t~~"
~~. F\~'"{'~--f: (to I/)p,.
~~J:! I
~~~ I+' 1_ .l....A..<"i\' (_~ '
C~../1.t &~ ~ ~'Y\.-=-,l)e.daM~
7~
~/
~I
t).
o ~RK SATISFACTORY, PROCEED
I;Vf:ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
-- ------r-'-'---....,............"...-----.-~-.------- --.--...
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 3J '5'
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
;zl. FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIllE
SCHEDULED 7-2/-C,
~O_ Q~
CONTR.
'( :cn
PERMIT NO.
]-(j<({?
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~UMBING FINAL
/ _CH FINAL
o EXIGRAD/FILLING
~MPLAINT
FIREPLACE RI (Z
o IREPLACE FINAL~
o GASLlNE AIR TST' (
o
COMMENTS:
I. SolUM-
OZ. Q.~C'.p~~(\)~ r,\/o.@~ }.-nt...
.s:'^1- '- 4.~ ~C~ c..('",~ t,....~_~,'r.......
'o.i
.....? ~ SATISFACTORY, PROCEED
~ECT ACTION AND PROCEED
o CORRElJ1' CALL FOR REINSPECTION BEFORE COVERING
Inspector Owner/Contr:
CAI L 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD}t~IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
./ . llUNOTJ
- .,-."-.-.--..-.-T.---..-...-.-.-.----.~."---------.-------.---....--------.-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and SiWl at bottom)
ADDRESS
37/5' 1ff'''4 J
oJ
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK.2. ADDITION
OWNER
(Name)
(Address)
BUILDER J J
(Name) lA.../l'Nfmq/VN
(Contact Name) G a I'.:r
(Address) /6'9J ~ LA.
TYPE OF WORK
~ Construction
DLower Level Finish
o Misc.
Date Rec'd
ef-Cj-O]
See MaiDi f~!~ I PERMIT NO.OS_ 04-,W
f/g.fJ' /11 t..J
If ('.,~ /
-J
).J 4JTtPf
C rer/
ZONING (office use)
,.e/
PID;lS-Jtit-o:V- ()
(Phone)
6..>/- <Iud - ,,/'7'(1'
~/,z-J"/'- 7~/.:1.
(Phone)
(Phone)
('a. 91lJV
"
brvu t'
S",. T(' ..<.00
hJA/ ..F5J,;2)..
DDeck
o Fireplace
DPorch
ORe-Roofing
DAddition
DAlteration
PROJECT COST IV ALUE (excluding land) $
Permit Valuation
~/~/. D(/O,OI) I
I hereby certify that I have furnished 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 th;Jfperty to perform nTd in7ctions.
X /. J tPAAJ // -c.-., . J "/,- r
. / tfJ16ature
V
Permit Fee $ 1~3..~~1-
Plan Check Fee $ 795: IE ~
State Surcharge $ 70.50 l
Penalty $ - I
Plumbing Permit Fee $ /Oo.t!) 0
Mechanical Permit Fee $ IcD.eo
Sewer & Water Permit Fee $ 35: SZJ
Gas Fireplace Permit Fee $ I/O. ",.
This Application Becomes Your Building Permit When Approved
~ ::(~
Building Official
0/,1; 7/03'
. I
D~te
Contractor's License No.
I Park Support Fee
I SAC
I WaterMete< Sfze 51g, I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
Builder's Deposit
#
#
#
#
DRe.Siding
DUtility Connection
Date
I
I
I
I
I
I
I
I
SSR.34.53 I
$
$ 1'2...7~.dlO
$ ZSl). 00
$ LIe;;: 0'0
$ /20o.0fJ
$ 700,00
$
$
,
Paid
Date
\!J X:-3_ If <::>Q
/J--;;"U-h'i
-.,...-y
Receipt No. IiLl UY K
By I)C ~
~-
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 document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~7d~ ~//~~ _~~ ?ft..:~, y,
Planning Director I Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Other
TOTAL DUE
~~
White - Building
Canarv . Enaineering
........-Pink - Plannfrill>
Tht<("f'nlt'f of.ht' 1..bCounlry
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ I//~~ Iv I/";// )L' lV'
4/. /' -:)
.. l, - ,/
I .j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
('. ,.-
,? / I'. . <' . ..".
, ') ) ;;,./1- " 11'1 / ~/I. ) \
......_~. I' I \,-~--' L/' CI L-. /- / ~. ~
Accepted
Accepted With Corrections
/'
Denied
Reviewed By:
Comments:
~
r
'=1~p
Date:
yJsj3
"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 bther 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
("While - Buildi~
'-canary - Engineering
Pink - Planning
Tht' ('I'nln or lhl' t.kt' ('ountl")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Wf37J/J' n /IN ~
~- 9- uJ
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5CflS /U3?5lnt- P/1.FS
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
~
r
?~
Date: ~1 ~?
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."
I
:.'i;:_-;~-::::~~ "'r-.....-.'~~"i'...-cr~~"t"'o'rr"'...,'l~~~'-, ~.l-'..<,#;: t,.<~.<....lo '1...... ..~' .....,;:;,~":.....,..;::;
; .,~ - ..,. ;1-;......."......~..._-
White - R"lldina
~na~ Engineerin!!)
Pink - I'lanning
Tbt ('.,nll'ror.hl' 1..Il,CO'1I11')'
BUILDING PERMIT APPLICATION DI;EARTIIIlE.NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W6NJ J1-1 ffN;v/
1'- q- Q3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5C(IS /Z-t/6?-1L- PASS
Accepted
x
Accepted With Corrections
Denied
Reviewed By: _/J1413
Date:
L/-21-Dj
Comments:
Sa 1I1c"",, h'lt'
"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."
~
~'''F:i{fo'-''\
o ---,-f>
~ If\ ~ \ ......
.lr ?;
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a.M:l!:M . "lU:
n:,u..ow . A,P1"\JC".....lT
c.Q\.D . err.,
C!"!Y OF PRIOR LAKE
SEwER ~~D WATER ?E~~IT
NO. 3- LI(,?:>
NOTE:
Sewe::- and Wa-;:er
contractors must
be registered
",it.h the City.
S :::;"/-.":,T_--::":.::
PHONE /JSJ-'-I:9-~J~
DAn: 4);1.3)03
APPLICANT:
ADDP.,SSS:
:;::;G.
~-:-:>....,,,,,,,, ,J.
.. -.-.-- ~
F:LL IN T~~ EL~~~5
1.
~s~i~~te~ length of water ser~ice
30
feet".
2 .
size 0: w~ter se~~ice
/
inc~(es). A
S~::".lc't.ure ~1V\-
feet.
3 .
Lccatior. of any co~pli~gs
4.
~y~e of 5ewe~ pipe.
Aas
from
pVC K
line 3tl
Cast Iron
6.
C:..~an
CLlt
(.\. f
re~.l i.r~c.) ,
loc2.~ec.
at. faL/A-
fes~
f:::-om
5.
~s~i~a~cc length
of
set..;er
s':.=....:.c~..;::-e .
============~=============~~==~===========~=====================~=
T~~s a;91icaticn bec~nes ~ou~ pe~.~t ~hen approved.
B''''
DATE:
============;============~~;=====;======;=~====~======~-;========~
F:::::::S:
s
s
S
35.00
.'50
35.50
Se~er and W2~ec line connection pe::-mit.
Su:-charge
TOTAL
* cee :0= e~the= sewe= 0= wate= incivid~a~ly is $20.00 plus
S . so s"..l:::::-charge"
*
5ewe= and wate::- pe~it.s issued for new constrJction must be
::-eco::-::.ed on the buildins pe:::mit ca::-d at -;:he r' "f;;lur'E n ~"\i" ;I't'"
to i"~\.:::-e t.hat no cU9l:!.cate se'..e= ar:d. w ~ l~pl!:r>ld.I.~sLt; ~'ite
lss\:.e-=.. II
'I
D;.':'::: ?'.:D ~~OUN':' P.~.~ APR 2 8 2003 ')'
R:::C'D 3'{ ..,Ry ~.._
WG~
'_-:,-.,~::r . -=~ y .~. ...,,-~11111:'.:/
i=.=:::::?'":' ~
~." "
._'" 'r'..",..._."
"':1..
\1 d \1ELES0098\10N/\1\1EllS/OSEI EO H\1 [BAI)
L9EO-lS(1-IS9 0NIIV3H ~ 9N18Nfl1d HlN3NI NOB3
CITY OF PRIOR LAKE
III 001
LO/24/01 WED 11:22 FAX 6124474245
Date Rec'd
CITY OF PRIOR LAKE PLUMBING fERMIT
,.'" Vii, I PERMIT NO
I. J;old c;. '::l. _ J /{-:1.
), Y,/1IN ..."..eW'1 ~ -J '1,-,:",;
(PI"", JYl!!' or eMt IIId 1Um ~I boltOlIIl
ADDRESS
3'1(5 ~~ ~oSS N~.
ZONING [.......)
LEGA.L DESCRlmON [ollia: .J< ortly)
LW3 BLOCK~ ADDITION \Z~ ~
~~e~R \A\eJf\.S'N\()j\\y"\ \4t)m~ (Phone) bSj-'IDb-f/'10Q
(Add~ss) 12><tS"f'!C\L.-o.. k. ~\~cQbO ~Y\ ,VA.t\, SS-J~z.
- - ~ - - ~
'~;;~~ANTLJ~cl 'Y\b~ ~ W\.~,"'tw:., (Phone) 05"/-1s:J-IS0S
(Addre>>) 17/D 'A~b.nclW \<st, ~"-~. SS'/:2/
~. (A~\) -- (City) (Zip CodcJ..-
(Cont.ctPerson) ne.el t\~?~ ~. (phone) t5'/~-15bS
APPLlCANTSlGNATURE #~ DATB ~k)D~
.ufrLICANT PLEASE COMPLETE BELOW
TYIM or Fixtllre Q..nnty
BiJt/l Tub with or Without shower
Dishwasher
Floor DrBin
Lavatory (Bathroom Sink)
Laundry Tray (I or 2 compartment sink
Shower Stall
Sink,
Bar Sink
Wilter Closet (Toilet)
FEE S,-ut.u ULE
Ind.",i.!. Commerci.1 a. Multi.ralmly 1% or job cost with. $39..50 minimum Resident,.I, New One &; Tw()oFuni!1 599,.50
R..identi.l. Addition..t. ~~"'I~D$J9.S0
B 'Idi . 11 ~
UI ng Permll noo
IUJl1~~ . r-
.SO lJ1J APR 2, 8 2003 ~
Quantity
OJ...
,
i
q
,
,
I
I
~
fOniee UIC Only)
PIP
Type of Flxtlln
f
Rough-ins
Watlor Heater
Water Softner
Stand Pipe (wuhing Machine)
SClW8g0 Ej~r
Bacldlow Assembly
BaeJd10w A5S11D\bly Test
Lawn Sprinkler
Other
I
Estimated CO" S
PLUMBING PERMIT FEE S
ST A IE SURCHARGE S
TOTAL PI'..RMIT FEE S
Thio Applicalion BecDm., Your BuildinC Permit Who" Approved
P"
I Paid . ~~~_.
'Dote By 0-
D"r (/11
:4 hOLij. nDtice rOT.n inlpetl{O.... C951i 'f47.~~, r..1i. \!JSJ) (,lJ.,-414' U
t d vW~0098vON/vHl1S/0stl to,Uv 101\\) L9tO-m-l~9 9NIlV3H ~ 9N18NfI1d 13ZN3AI )~OH.:l
811l111dl~ Offici,.
MAY-29-2003 07:14 PM STAR PLUMBING & EXC.
952 884 7468
P.06
_....
'IalOW' .. ",- ~.,.
... - ern
CITY OP PRIOR UD
SEWER AND WATER PERMIT
"3 -L/ /0
s.w. Nno
NOTE:
sewer and Water
contractors must
be registered
with the City.
APPLICANT: 3~ ~ ~~ /: PHONE: 9.:)~- J>!?'r- ~/<r?
ADDRESS:.&Jj'~tr~DATE:
SIGNATURE:~~~~ BLDG. PERMIT'
SITE ADDRE~ 3'7 is ~P~IIIt./ PIO'
fILL IN THE BLANKS
1. Estimated length of water service~
"
2. Size ot water service I inch (es) .
feet.
J. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS PVC X. Cast Iron
5. Estimated length of sewer line_ 0" feet.
6. Clean out (if required), located at
structure.
feet
from
-==-=========~---_.__.~-=---=----------- _..--
._-- --------
----~---------------
This application becomes your permit when approved.
BY
DATE:
-======--===========~======--------===--= -========------========
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 water pe~its issued for new construction must be
recorded on the buildinq per:Jlit card at the time of iss~nce
to insure that no duplicate sewer and water pe~s ~IA..
issued. '-'V1l.DltvG rr,1'1t
DATE PAID AMOUNT PAID P~I1,.,,.,.
REC'O BY ~It ~ If, \.\ ~ \S~\
\~ jUN 0 2 2003 ~
16200 Eagle Creek Av. S.B., Prior ~~ ~:~~~~:.::;~:.~;.~612) 447 ;;~ (61~ 14
...
RECEIPT II
5~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~.;;;.:.. ~::, I PERMIT NO. .3- -fj(d I
3. Yellow Applicant
~lease type or print and siltD at bottom)
ADDRESS
3915 REGAL PASS NW
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PlD
OWNER
(Name) WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED PT'RFSTDF DBA FIRESTDE HEARTH IV HOME
2700 NORTH F AIRVIEW AVENUE
(Address)
(Phone)
ROSEVIT T F
(City)
051-033-2501
(Address)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
0120/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
OWarm Air Plaots
OGravity
o Mechanical
DAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
. FIREPLACE MAKE AND MODEL
HEAT N GLO 6000TR-OAK & R CORNllR TRC
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential. AC Only
$39.50
$39.50
(Office Use Only)
Building Permit #
$
$_ .50
$ ~(rD [s 0 rv) f;:; lnij PA
- ,,-' " I L L.c; II~ I 8lJIL~D ~/IH
This Application Becomes Your Building Permit When Approved ~ai\JUN 2 7 2003 1~'llReceiPt No. 0 ,..t::~Mlrl
~~ate_~ By /Jp. I
24 hour notice for all inspeetion, (952) 447-9850, fax (952) 447-4245
Estimated Cost $
HEA TlNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
BuildinE Official
Date
06/2.\/03 09: .15 FAX 65189:19955
WENZEL HEATING & AC
~t
CITY OF PRIOR LAKE nll"
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
.~~/
. /
LEGAL DESCR.1r !Iv!'l (olllee we o11ly)
/69S
I
I
n~~
I.Pillk
2. Gtllm
" Ydlow
~!~ I PERMIT N03 - 1113
AppliWlt / I
(please rvpe or urint aDd sim at botIom)
ADDRESS
ciC)) s-
ZONING (olli,,"')
~
LOT
BLOCK
ADDITION
PID
OWNER J.
(Nam~) /A p/\I:S/7?-</!/4
~~
(Phone)
. (Address)
APPLICANT /.1 /
(Name) /4~/Y'?O . ~,&..-,r,
- -. /
4.</ ';:>/C/ <;.6).(/
(Addte>') /
,/h..../ ~/".e
-- ./ ~/
(Address)
Ad
(Phone) _ Lsl
~~f
(crfy)
8"4-9X"9r?
.$.5)Zc-
(Zip Codl:)
(Contact Person)
(phone)
DATE _ ~bI
/
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
,.,.01'EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL 4vhlo.l A':;!..fli!;;!'.7(':> FUEL /-./L;;.,1-
FLUE SIZE.,..? - ~' '.PIG- ~TURN OPENrNGS &, rNPUT ~a:O OUTPUT i-H/:i'X)
,lId:: V/'C/ TYPE OF SYSTEM REA TING OR POWER PLANT
4>#HO/ DWmn Air Plants D Steam
Dan.vity D Hot Water
IM~30 ,0'Meehanic.1 D Radiation
@ir Conditioning 0 Special Device,
D Vent. System D Other Dovices
PLEASE NOTE;
Air Condidoner Units
Cannot Encroach intO
Required Side Yard
Setbacks
. FIREPLACE MAKE AND MODEL
Industria.l. Commercia.l &: Multi-F3mily
FEE SCHEDULE
1 % of job COSt Residential, GIlS Fireplace
$39.50 minimum
$99.50 Re.sidential. Additions &: Alter:u.ions
$64.50 Residential, AC Only
,39.50
R~$idential. Heating &: AlC (New Construction)
Residential. He::l.ting Only (New Construction)
,3950
,39.50
Estimated Cost $
Building Permit #
(Ollice Use Only)
$
{~~ [ ~ Hl~ ~ ~ '\cr _ ~ ~
This Application Becomes Your Building Permit When Approved ! fu P4ld.I~ " iJ LUUJ ~ I Receipt No.
IsJ ~ate .1 By (~
24 hour notice (or ;111 in"pection3 (952) 447-9850, fn (952) 447-4245 U
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
PAID WITH
BUILDING PERMIT
Building Official
Date
r
PRIOR LAKE DEPARTMENT OF
. . BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. D~TE;,ISSUED
CONTRACTOR IU PHONE IISI. ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTION RECORD
3'1/5 L-, ,q&ss
~
INSPECTOR
DATE
lro~oo J
, FOUNDATION (Prior to Backfill) I I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC VW/ s: (p- if?:,
FRAMING if,. '7 " 7/
INSULATION m / "d'>
ELECTRICAL
PLUMBING Oft) (Jv>s f~ 1 ^ {- 'oj
HEATING (if required) . J
FIREPLACE t/
GAS LINE AIR TEST (fb
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I 1
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
P6
w/C-
~
II)
~ tf1.--1/et3
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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.
FOR ALL INSPECTIONS (952) 447-9850