HomeMy WebLinkAboutBuilding Permit 99-0988
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a--, ~- i COntraclor's~'--' P,.. ,,-_. WENSMANN-lHOMES, 1895 PLAZA DR., EAGAN, MN
~;j: , ROBERT D. HUTCHINS t::F":;, "ityPlanner JENNI TOVAR
(, -: ;,Buildi,g Official / ~j;v
It!!: ' Da", /,;J, I ( I [77) Dare, :' .,~
~ - ~ /! POST IN A CONSPICUOUS PLACE : ,-
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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:
Use Classificatio1'
SINGLE FAMILY
Bldg_ Pennil No. 99-988
Occupancy Type
R3
VN
N/A
70ning District
R2SD
Type Construction
Fire Zone
Legal Descrip"" .
L4, B4, GLYNWATER FIRST ADDITION
Owner of Building
~\te Address
J32f GLYNWATER TRAIL NW
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3369 G'-VNfl/rt(~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TlQN, t>.
)(FINAL f'I f'
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL f\
?ECH FINAL A
DATE TIME
99-9&A
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~ frrvJ ~ ~lY\a--v-{'r~ vLri
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( 5zD;UI-\. Ce~u-e
(1) ~ lov-.s -tv-LAA~
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Inspector:
FOF THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQ 7EME TS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
II
, I
. ( OF PRIOR LAKE
,...SPECTION NOTICE
SCHEOULEO
DATE TIME
Q/;3h'1
/: 3()
AODRESS
338 Cj G (4 N vV It / 1:::..-1:2___
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
aFFOUNDATION€\
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
IIJ!WA TER HOOKUP
"A SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMME~Si1 .. ..
5::.'~, 2-~
III T'6'f \L CorV'i-
(V~ Wdt- +L~
~~1_
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c;~ ~)1....
'::> b l2.-
,-.]0
C19-C1gg
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~r
~. Fiero-
tu
..
~
btl'lC.
---
~
OlA-
/
Inspector:
Owner/Contr:
E NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
II
..------r----~-".-~--~"-----~'-,..----""---"~-.--"-~--'--_.~--~'----~-'
I :1
CITY OF PRIOR LAKE
INSPECTIQN NOTICE
SCHEDULED
ADDRESS 3311'l (jtW.,....4ra2 1fi411
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
}( FINAL
o SITE INSPECTION
COMMENTS:
An~ n~
l!un BBllx Q<
DATE TIME
11.{,-'/9tf
CONTR. 1tJE.J<#4J1A1.J ~
PERMIT NO. 79 - 7'Rl/"
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
lil' EXIGRAD/FILLING
. c} COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
l1"""rTlIIu--} <;LL1" ~-AY" l-"'lTiL Sot\~'"
XWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: itJ.~~ -:>"R-:-"'''',:,ntr:
CALL 447--9B50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I I -,------"--:--.------.
INSNOTl
I :1
'zI#,'r! /.' 30
3.3~ G,Lt/ AI f'/,q / c:::-K
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION ^ I \/\
'Ii( FINAL I" I'"
(O'SITE INSPECTION
I
{f rf
~~<d,
\
DATE TIME
SCHEDULED
CONTR.
PERMIT NO.
'1<1-96 f3
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 GASlINE AIR TST
o
r
rl(J
o WORK SA
r3' CORRECT
It\ CORRECT
Inspector:
CALL ~ 17.985 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
Owner/Contr:
COMMENTS:
(i) FMJ p.u ~'huY'\'lj delft
GJ SoA /~_~~ .~~r'It-t~
~
~
~
-t - I - 'J...tl'10
I t
CODE R QUIR 'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
II
INSNOTl
I II
SCHEDULED /~
)j/,v><_ ~ tk-,
,
CONTR.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
fSv FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: J]J -? i~
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----)
/:;, /~~,.y
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(O~"..
.,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
Sr-3 ~tJ
OWNER
PHONE NO.
PERMIT NO.
.~ ~-~~
~.
---~"
.----
-r"
DATE TIME
A,'(.'
'19 ~ C;~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASlINE AIR TST
o
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~/
Inspector:
Owner/Contr:
CALL 447.9B50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
II
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
QATF RFC~
8//1 /qq
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bonom)
2, SITE ADDRESS
3JS'9 (;' /v/V LJ<I 1'l'r
;, LEGAL DESCRIPTION;
Jj
LOT
BLOCK
C/YAlu..-r"r
(Name)
ADDITION
4. OWNER
5. ARCHITECT
(Name)
6. BUILDER (Name)
Wi,.,; "'IN A/
)Joml'r
7. TYPE OF WORK
New Construction g....---
Fireplace LJ
Alterations CI
1. DATE
rr",;/
~-/v- 9 f
R 2..-s..o
File
City
Permit No. qq - 9~fi _
'1~~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14, FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEA TF,
16. PROJECT COSTNALUE
Chimney LJ Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
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 ~f}iclal can revoke thl~zrm :or jus,#use Furthermore, I hereby agree that the City offiCial or a deSignee may enter upon the property to perform needed Inspections
X /I O~ -T ~.. _ /'7~tY 8'-/0 .?,
t7' ature License No Date
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
"'5I--R
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ............................... .... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
tt::L ,. $
Pressure Reducer ---:1"el.................... $
Meter Horn ........5........................ $
Water Meter .......~..................... $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
NtJ
'-I PID
,Y1' eu/-//7 ;,,#
;;J.S-. 3S~- 019-0
(Address)
(Tel. No.)
(Address)
(Tel. No,)
(Address)
,81S II"~"
{"""aN
v Septic 0
Addition 0
(Tel. No.)
Dr
"51- 'ftJ(r'l-;60
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Deck 0
Finish Attic 0
FOR ADMINISTRATIVE USE
Back
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
If. ~. OCC> OCJ
..
S U
City:
'1202.::lc:::
7 e' . '-/ (.,
9,1. so
Penahy ....................................... $
Plumbing Permit Fee .!1.:~1~....... $
Mechanical Permit Fee1~:,i~....... $
Sewer & Water Permit 1':(:.1. ~...... $
GaS~i c P.~1.'l..1~...... $ tJD, 00
This . me ur Building perm~.t hen ~rovJlP'i
By _. Date ..2s...."t-
.-. ,
Certificate of Occu ncy
Issued
1 DO.O D
IIJ().(:)O
3,.5'0
~
/,
17. COMPLETION DATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLA nON TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
~.,(') . nC)
/ 15"'-0.00
<(<0;. af'
1 .:< 5.... Od
/.'200 .00
. 'yon. dO
I.S-OO.OO
Total Due .............................. $ 1 ~ 10." \
Paid '7f', IV. ? I Receipt No, 3&03 r-
Date 8 In / tf '1 By.flM-
This is to certify that the request in the above application and accompanying documents is in accordance with the City zoning' Ordim{nce and'may proceed<< requested. This document when
sign~e Cityt noer constitutes a temporary certi~t~i zon~)i?mPliance~aIlOWs ~truction to co~nce. Batie. 'fC~pancy, a Certificate of ~ft~ued.
- ,. .w'^- ~-LY\..,. (~~~"f: L..v."" ~ ~I~ ~ - (' ~ ~.
'- Cij~lanner Dale Special Conditions ~ any
-,.---
24 hour notice for aU inspections 447-9850
The CIHIlln- of l~ L....~ C...ury
qq. q f"-r/
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I
IVe N S' ~1 /1 /t/ I'J
9///99
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-3:3 e 1 6 Lj /oJ i-V r-J TElZ- ----;77e:.. /II vv'
Accepted
,,/
Accepted With Corrections
Denied
Reviewed By: t.(lItrl':1I. Eul?r<...",/IbJ
Date: 7C/u/9f
Comments: ..s.E~
g",o.-DI'" 6 H:Q"', 1" ~ '1"1- 9'/7 (<:~7 ~L YJW4rf"Il.
7ArIIll... )
,
FOil.
c""'...E>.....
.
INr:~..-oII4TJl')~ f Arrtftul'oi€AJr.S.
"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."
" ,
99- tf 9"Y
Thf Crnlu of thf Lakf Country
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEeARTMENT CI--!.ECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
IVeNS ~/! /II Al
~ /; I //t?9
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3369
6LYNWAfC-K- ~
Alvv'
Accepted
Accepted With Corrections
^
Denied ~/ -yf) d
Reviewed BY( ~ l., . )L--
-- t?'
Date: 8~2S~CZ7
Comments:
See l).P~ q 9 - "187 ~~ (j)rc.....s
'3q::jJc~ Sur().Lv. UCJ
, 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."
. r
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Tht Ctnltr of lh~ Llkt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
APPLICATION RECEIVED
, /' ; /~
.;-..,,, ,-1'1,' /c<-"-'~<~7
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
::. ",'
: - /~
/../:,_.....
;. I i/
Accepted
if
Accepted With Corrections
Denied
Reviewed By: ~ ~ l ^ -
C/ ~
Comments:
~&..'Y~ hJHi~'G0 ~ U~IVcv\'<
~r: ~- r-~ (J JS1 C^~~ ~~~ 0~~
~ ('~u~/ L~\.~~_.
Date:
{l-.2D' en
p(~~ ~~a-~, 4.~ ~ {.Ayt~
L...~ klB~~ f~-~~K,
.y~\UOVP~,
u
"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."
AUG. 24. 1999 6:07AM
GENZ-RYAN'II'
:1'
:i
'I
",
NO. 611 P.3/3
"
"
"
,:'
.... ....
TIUOW. ~
-- , OfT
I
i:,
~ Y OF PRIOR LAKE
S~ : ~ AND WATER PERMIT
I'
!:
I,
NO. QC/-c/86
NOTE:
Sewer anQ Water
contractors must
be registered
with the City.
'I'
,il
I
:'1,
:'j.
APPLICANT: (')-y;"f\(1 _~~ .PHONE: ta..<<::;\-l,l.'Z,::>-II4-l..J.
ADDRESS: l4'1~ ~F"f1C.. frkrf'trIJYYr DATE:: 8-250-'1Q,.
SIGNATURE: IA h..r.uJ.l..' - BLDG. P~IT # 99-9;39,
SITE ADDRESS: - -o;1~ ~YIuJ"'1Ul... T:"'N~PID# 25- 35Z- '01'1--'0 _
- ~t ~L IN THE BLANKS
, r I
1. Estimated length Of:!:\I~tlilr service 40
,I., l'
2. Size of water servi1i': ( inch(es).
3. Location of any cou~~~n~s from structure
"I,
4. Type of sewer pipe. 'i" !;B~ PVC X
'I
5. Estimated length Of::~ j"'lar line LID' feet.
6. Clean out (if :l:'eJ,:I", '1radl p located at feet
structure,
====---------- ,.-----------.=l:lI~ :..._......_~;;;;i;;;l~___=__ -___==-~___...:l___'''__________~~==
This appl1cat' n ~::: ~our permit when approved. '
"t I DATE: e/2 7/Qc;
I,
=~---- I ~ I!I=====_
'1,:
',I
35.00 ~~r and water line connection permit.
. 50 ['charge
35.50 ~L
"
Fee fo~ either seweill'{.;... water individually is $20.00 plus
$ .50 surcharge. ;1",
Sewer and water perm~!5 issued for new construction must be
recorded on the bui~~~9 permit card at the time of issuance
to insure that no d, licate sewer and water pe~its are
issued.', ~
DATE PAID i;I'. AAOtl'NT PA,I--D ~1>.\O~~_?>.W.\\ .
( O\\'l.....-
; "I REC' D BY \ eU\1J
~eet.
feet.
Cast Iron
from
BY
---~----_<::
........----.....----
.-..=::=::--====~:::====-----= -
FE:ES:
$
$
$
*
*
RECEIPT *
,I!
,"
1,'
4629 Dakota St. 5.E.. Prior Lake, r.1~ ~!ota 55372 I Ph. (612) 4474230 I Fu (612) 447.4245
~,~U~~ OPf'ORTUNrTY e.\PIllVEJ1
II !
OCT. 5.1999 8'29AM
GENZ RYAN 6513226147
NO. 184
P.2/5
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: GENZ-RYAN Phone'
Address: 14745 Sn ~,=,bert Trl, Rosemount MN 55068
Signature; U~
Legal Description: L 4 Block q SUb%" "'''1iI . k...
Site Address; 3~" c:;,\~ """---'- \ Rz...
Building Permit if Qq--qe9, PID# 25-352-- 6IQ-(')
NOTE: This permit will not be processed without complete information.
AXTURE UNITS
I. alac
1. CloId
J.Y_
Flk
elll'
AppIi....
# 99-9739;
4~3-?144
". GEm" or 111III ....11;11I e..n....
Quantity Type of Fixture Quantity Type of Fixture
2- Bath Tub with or without shower . Rough-Ins
\ Dishwasher I Water Heater
.2- Floor Drain \ Water Sotlner
Lj Lavatory (bathroom sink) I Stand Pipe (washing machine)
\ Laundry Tray (1 or 2 oompartment sink) Sewage Ejector
\ Showsr Stall Backflow Assembly (RPZ, Double Check, PVB)
I Sinks Backflow Assembly Test
t(I Sar Sink Lawn Sprinkler
,;:' Waler Closet (toilet) Other
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
$
S
$
$ .50
C'l'~\~t~M\T '
\fl.U\\.OI
GRAND TOTAl
This permit is grsnted upen the eXpress condition that said
C:Clllill<:tof. sboll comply in all respeets with llIe ordinance<
of the Slate Plumbi~. and the am~.jm ~~ thereof.
. ,6(/,p;fiJJ /0/,,-, '1 DAlE
././. IY./ff/ ~ ATI'BST
Call fo; ~pections 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 I Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opponunity Employer
I I -----~'^""_.'-.-------.-~--.--'-
~.
. l\ HEATING APPUCAll0N I PERMIT
DlIIlI. IO'5\~~ PID..z5-352--0/Q-o
Sk_Adcnu ~~'\ Blu.V\\. n4-4 110 . \Im. t \ /<.2-
- '-'
LaI ~ Block Ll Add.lon. 6lUIi\\A n.4'h? _ \s..\
. u
Own.,.. Name_ u..JCL.\(\&\tV'\~~
Addlll&5 ~o. ~ \>\Q."2..p\ 1),.- .f:Al'.".A...., 1M. 10 ~\7.'1. <-
. CITY OF PRIOR LAKE
. 16200 EIIlIIe creek Av. S.E. P,,",," No.
Prfor Leu, UN 55372
Heeling ContttldlH _ GFm-R'lAN
Adit_ 14745 So Robert TrI,
TlIIephone. . 423-1144
Furn_ Make & Model ~'(.
ModalSlze C..,2..Olr\.3 h~,- IC'O.
Conn. load .
Fuel "-hT. ~ Flue Size
2.\
If)
Output
fl"
Suppl~ Openlflll!l
Il8Ium Openings
Input fOO,t:bO
ql,ot:lQ
Edr..
Clm..
At8radona
TYPE OF WORK
Replacement .
Repeli' " Eal Comp. Dale .
...0
E81.CosI.. ~,~ - 8uldlngPermhl
HEATIHG PERMIT FEE ..
STAlE SURCHARGE ,
TOTAl PERMIT FEES .
.50
qq ~rf/i;
Rosemount MN 55068
r
J. Pillk
1 B-.
1._
Fllc
aly
~
TYPE OF STRUCllJRE
o
n
-;
SII1iIIe FamNv
Commerclal.
)(
Ul
. Two-Family
/Ildulllrilll
MuM-family .
, OllIe,
.....
\D
\D
\D
Pubic
FaeScheduD
Indtllllria1, Commen:lel & Mu"~FamU~
Reskfenilal, HeaUng & AC
RlI8/dential, Healtlg On~
ResliMnUaI, Gae Fil9p1aca
Resldential, Acldhlons & AlleraUol18
Resldenla!. N; Only
OJ
'"
\D
D
3:
1 % 01 job oost ($S9.50 minlmlMn)
$99.50
$64.50
$39,50
$$9.50
$39.50
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Remembel'to add lha Blate SUrcharge on Ihe bottom of Ihls eppIlcalion.
TYPE OF SYSTEM
Warm AIr Planle
Gtavll)l " Addilionallnspectiona wII be billed al $35.00 each.
Mechanlcai House Healing Teel Record muel be ILtxnlUed with .".,...'~(" I!mDi1 number belOi'll buld-
Ail Condftlonlng LL'n>'O'" ""' ^~ ing cerlillcale of OCCItpency will be lseulKl.
Venl. Sysllm "It:>t'1
I-lI'AT 1':AI 1':111 .Tln...~ ~Cf''''~''''l wllh number 0/ supply end relum openings llaled pet
HEAl1NG OR POWER PlANT room willi CFM'e per opening. New sltuclu/88 Ot edditions lend floor plan with IUPPIy
Sleam 8l1d retum IllCIItions shown. HE/IJ' LOSS CALCUlArlONS, PAYMENT AND
Hol Wilier APPUCATIONS MAY BE MAiLED TO THE CiTY OF PRiOR LAKE. 16200 EAGLE
Radiation CREEK AVE. S.E. PRiOR LAKE, MN 55372.
Specllll Davas City HIlli buafneas hours el9 8 a.m. _ 4:30 p.m.
Other Devicea ALL WORK MUST BE INSPECTED (ROUGK-IN AND FINAL) . CALL CITY HALL
447....2,10
New Con81ruclion
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e\.l\\.o\t'-lG fE~'u
Receipt.
The prtoe 01 YOU' healing pennlllncludes ene rough.ln end one final in8peCllon.
I h9reb~ IIpply lor a mechllllical IYllems permll end I acknowledge lhal the
In/olAllIllon abOVe Is complele end IIccutale; Ihellhe wotk will be In oon/ormlnce
wllh Ihe ordlnences end codel 01 the city IInd wilh lh. slale bulldlng/mechanlcel
Cod.l; Ihllllhll fo,m does nol become II JNlrmllunlll signed by lh. BUILDING
OFFICIAL: Ihal the work will be in accerdanoe with Ihe approved plan In Ihe
case 0/ all work which.requltes review and epproval 01 plans.
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CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permil No. 91- C; 88
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Oat. ((J.I ,j ,f 6o/? PID, 25- 352. - 0 I Cj - 0
She Address jl'('7 0-"'...,.16./;. /;J"j -.. r<.2-
lol 4-- B~Ck 4- Addir.iJ t;LVNNATE12- 5oLJT1-l
own::me_ 0v"'M<"'''~ dl...;../
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Address _
He.lingContraclor ALLIED FIRESIDE db. FIRESIDE CORNER
Address. 2700 N. FAIRVIEW, ROSEVILLE. MN 55113
Telephone' 651-633-2561
FIREPLACE
Iil4'/wiIl!J Make & Model . J,k,..t j..J 6'(;,
Model Size
(1""1(:06
TYPE OF SYSTEM
Warm Air Plants
Gravily.
Mechanical
Air Conditioning
Vent. System
Conn. load _
Fuel J:k"Y
Flu. Size
Supply Openings
Return Openings
Input OUlpul d I o:ij
Ed,.
HEATING OR POWER PLANT
Sleam
Hal Walsr
Radialion
Special Dsvicss
Clm,
Othsr Davicss
TYPE OF WORK
Alleralions
New Construction
)cj(
Raplacement .
Repair
Est Comp. Dais
1/-/
Est. Cosl $ / It',,,, 1")
HEATING PERMIT FEE $.
STATE SURCHARGE $.
TOTAL PERMIT FEES $
.50
qq-Cfep,
/P~\O\Nf\1'\ .
\ B\J\\.OING pERMIT
Receipt'
Building Permh ,
TYPE OF STRUCT~
I. Pink
2_ Gtttll
). Yello.
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n
Fil~ r+
Cil, I
COOIrlctN
III
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III
III
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Single Family
Two.Family
Induslrial _
Mulli.Family
Other
Commercial
Public
Fee Schedule
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Induslrial, Commercial & Mulli.Family
Residenlial, Healing & AC
Residenlial, Healing Only
Residenliar, Gas Fireplace
Residenlial, Addilions & Allelalions
Residenlial, AC Only
1 % 01 job cost ($39.50 minimum)
$99_50
$64_50
$39.50
$39.50
$39.50
...
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Remember 10 add the State Surcharge on the bollom 01 Ihis applicalion.
The pfice of your healing permit includes one rough~in and one final inspection.
Addilional inspeclions will be billed al $35,00 each.
HOllse Healing Tesl Record mllst be submiUed wilh I1lill!ling l1mIIli1 .,,,",,,,,,, belore build
ing certificate of occupancy will be issued.
!i..fAI CJ\l.!LlILATlONS RFOUIRFO with number 01 supply and relurn opanlngs listed '"
room with CFM's per opening. New slruclures Dr additions send floor plan with supply
and lelurn 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 553 72.
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Cily Hall business hours are 8 a.m. - 4:30 p,m.
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III
III
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ALL WORK MUST BE INSPECTED (ROUGH.IN AND FINAL). CALL CITY HALL
447-4230
I hereby apply for a mechanical syslems permil and I acknowledga Ihallhe
inlormaCion above is complele and accurate; Ihal Ihe work will be in con'ormance
wilh the ordinances and codes 01 Ihe cily and wilh Ihe Slate building/mechanical
codes; Ihat Ihis 'orm does nor become a permil Un Iii signed by the BUILDING
OFFICIAL; Ihallhe work will be in accordance with Ihe approved pran in Ihe
case of all work which requires review and approval 01 plans.
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CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No, qq - '1fRJ
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Dale /(;/dR/C;C;' PID' Z,S-35'2.-0/"l-O
. '3~J'9 r;'t".,~;;_ .114.1' R2..
Lol A.. Block ~ Add~io~ 6WN WATER. SOVTl-{
I .
Ownu(s Nama. I J J~.f~ ~_
I
Sile Address
Address
f1ealingConlractor ULrED FIRESIDE db. FIRESIDE CORNER
Address, 2700 N. FAIRVIEII, ROSEVIL LE, MN 55113
T olephDne'. 65 1 - 633 - 2 5 61
FIREPLACE
~1.8 Make & Modol ,Uru ,J(:,c.,
Model Size ~O::J Tf._
Conn, Load
Fuel (~(;_r
TYPE OF SYSTEM
Warm Air Plants
Gravity.
Mechanical
Air Conditioning
Ven!. Syslem
Flue Size
Supply Openings
Relurn Openings
Inpul Oulput ..:n ';.;.,
Edr.
HEATING OR POWER PLANT
Sleam
Hol Waler
Radialion
Special Devices
Olher Dovices
Clm.
TYPE OF WORK
Ailoralions
\:-
Replacemont _
New Conslrudion
Repair
Es!. Comp. Dalo
1/-/
Es!. Cosl $ //00-,-,-,
HEATING PERMIT FEE $
STATE SURCliARGE S_
TOTAL PERMIT FEES $
Building Perm~ ,
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p~\O WI1'\-\
e\.lI\.OING pE,Rl-!\li
.50
Recolpl ,
TYPE OF STRUGTURE
I.Pillk
1. rim'_
J. Yell_
o
n
Filr r+
DIy I
C.8IrK'N
!Xl
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Single Family
Two-Family
Industrial _
Mulli-Famny
Olher
Commercia'
Pub"c
Feo Schedule
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III
III
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III
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Induslrial, Commercial & Mulli-Family
Residenlial, Healing & AC
Residenlial, Heating Only
Residenlial, Gas Fireplace
Residenlial, Addilions & AltelatiDns
Residenlial, AC Only
1 % 01 job cost ($39,50 minimum)
$99_ 50
$64.50
$39.50
$39,50
$39.50
Remember to add Ihe SIale Surcharge on Ihe bonom 01 this appUcalion,
The price or your heating permit includes one rough-in and one final inspeclion.
Addilional inspeclions will be billed at $35.00 each.
House Healing Tesl Record mllsl be submilled with 1lI1i/!!i!!g Ileunil number belore build
ing cerlificalo 01 occupancy will be issued.
HEAT CALClJlATlONS RFOIIIRI=Q with number 01 supply and return openings Iisled p
room wilh CFM's per opening. New slruclures or addilions send floor plan wit" supply
and relurn localions shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO HIE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
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....
Cily Hall business hours are 8 ..m. - 4:30 p.m.
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ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL). CALL CITY HALL
447--4230
I hereby apply for a mechanical syslems permil and I acknowledge Ihat Ihe
informalion above is complete and accurale; Ihat lhe work will be in conformance
wilh Ihe ordinances and codes ollhe cily and with Ihe slale building/mechanical
codes; thallhis form does nol become a permit unlil signed by the BUILDING
OFFICIAL; Ihal Ihe work will be in accordance wilh Ihe approved plan in the
case 01 all work which requires review and approval 01 plans.
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DEPARTMENT OF
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS 3?J:f1 C.1--9M.....l~
NATURE OF WORK "L", -) (',." ~y
USE OF BUILDING .'S F It
PERMIT NO. 11- '1138 DATE ISSUED B-2e:;-9c;.
CONTRACTOR _I, )0',,( 9.1-'--. 1/-0--...---0
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING ~)b.\fM (;1/'h.1ft'!., IfFr. ~ I I If 'cJ-1'l Iv~--911
(N I FOUNDATION (Prior tts' Backfill)~ ~ I fh,. 9 -r:- ~'j rR) I ~. ~ -/~ ~'J ~ l
J/I.If'f PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~,
PJ 113(0, 9
SEWER I WATER I SEPTIC
FRAMING L .~. y)? I//;;jqq
INSULATION t.L.. . E-Ylr>tVsC/{.
ELECTRICAL
PLUMBING clG; KJJ /O/si9'j
HEATING (if required)" L.f... ~ 1.-4q
FIREPLACE' 'L.t., reJJ/I'i/Q'1
GAS LINE AIR TEST CO ////11
COVER NO WORK UNTIL ~OVE HAS BEEN SIGNED
IU~ I I
FINALS
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V(IfJ /O/U/I"1
i/
GRADING (Prior to Sodding)
BUILDING 1',e..o.--WJ 1+ao 00. rz!N!"I?
.
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
~
IN'-
. <'.
~
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'iIV _ /<2.-//0/'19,
I () fib '/;Z;}t-/qC;
UNTIL ABOVE HMJi BEEN SIGNeu
NOTICE
/r1>d. '1, '( q
!<}--/II / ~
. .
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
I! I
I II