HomeMy WebLinkAboutBuilding Permit 03-0386
Q1trfifit~ft of @trnpautl!
CITY OF PRIOR LAKE
~tJmdmtuf nf 'liuiIMug Jfusptdinu
ZFinal Permitted iJ Conditional C.O. Expires
This Cert(ficate 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:
Occupancy Type
R3
Type Construction
SINGLE FAMILY
VN
Fire Zone
Bldg. Permit No~
/~rN/A,.- Zoning District
03-:c0386
Rl
Use Classification
Legal Description
L6, B2, DEERFIELD 8TH
Owner of Buildin)!
Contractor's Name & Address D.. R.
Site Address
5040 PONDSEllGE LANE S.E.
Date:
ROBERT D. HUTChINS
) Bu~ing Official
H-/{.i},"\
HORTON, 208W
M/
City Planner
KENBRIDGE CT., SUITE 100, LAKEVI'"LE 55044
DON RYE
Date:
c,--'----'-~~",:_~~.~____'__...,.c...._....._
--'~---'-"~~._"-
~"""""--.--'~"
u......,~.......
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
m4D
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
Po;/ld s Ec-l,~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
5:tJ / T ~i'
DATE TIME
1()-r]-Ol
L.vt
s ~ :XK6
o EXfGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
/ ,/ - l~~ "'. ')
~(.-/Lv.je I (U/J
---
----
(/
-----
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT we" _~FOR REINSPECTION BEFORE COVERING
Inspector: 1/ rr _ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
,,,,,,,,n
-.-"-----...- ..,._.~_...._~-----_._,-_."-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
'd- SITE INSPECTION
COMMENTS:
CPRt4J f - ()~
DATE TIME
SCHEDULED ~(~I(~
t;o~ PO~t.o~ l...()
CONTR.
PERMIT NO.
O~ ~ :S~Ca
o ~~ILUNG
D~T
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ p.., S<"frR - O~
~~ -e-,eDlAf~) SsU>E.<..uALK (J.Jr.U~L-C:;
o WORK SATISFACTORY, PROCEED
X CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
E NEXT INSPECTION 24 HOURS IN ADVANCE"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
[r-C./
,-
ADDRESS
,f"O,< 0 n?u14c:ls eJ,~ f'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'< - :3 8't
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
t' PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
R..",VfA,n_
/Go;?Ljf15
r1f WORK SATISFACTORY, PROCEED
11 CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ 1S-t.l-o'? Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
....."
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIllE
SCHEDULED
&-(?
ADDRESS ~((() t1t1vto::lSf'ri""
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3- 3f?'
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.JiPFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o Pj.UMBING FINAL
~ECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: ~,
J1.) (i/("wl~l~Nl';- c1"'1A Lc,Q...." ~.......^1 L
J1') />l aUl ,oa..(-, Il c:Lt{, __ U
~ Y'eS(41 Ct1wfi1l-:c. ,..., r>-..ro...._+- oIL
(t-U Sirc-l -+ '1.........,;5 aP..Ir_ .eM"/ ~.....,.L
tJf.J4~V4 I -
1()-1-D3
'k...../? vVltrl ~
(j,rSa.1- nt~~J
o WORK SATISFACTORY. PROCEED
~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~/ Ir~ner/Contr:
CAI.'_ 447-g850 FOR THE NEXT INSPECTION 24 HClI)R.S IN AI)VANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOn
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please!vpe or print and sie;n at bottom)
ADDRESS
StAlLPOYl ~~ L./171 t? t~.
LEGAL DESCRIPTION (office ';-se only)
LOT 0BLOCK ;).. ADDITION ~(-heL~ ~
OWNER
(Name)
(Address)
BUILDER""T"\ \) I \ L. _ -r
(Name) ( }. K. ijOf\7JY1 ~("
(Contact Na;;') ~e\l~ y, \d{~ WI
(Address) ~~~fe~~oe~05t.l 00
TYPE OF WORK
J2KN ew Construction
DLower Level Finish
ba Fireplace
PROJECTCOSTIVALUE (excluding land) $ 11B.v/L I
ODeck
o Misc.
1
1
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~ ~ .jb7~:I
Building Official
Date
Date Rec'd
3 ~ !CJ-- 3
I PERMIT NO. ()3 -l13'9 (Q
[,White
2 Pink
3. Yellow
File
City
Applicant
ZONING (office use)
RI
PID;:2t;~~9q- CJ/"7-0
qc,"l-qp/;- 7'Bo8
Of Ci2-' 721.. -I =',?<I
#
#
#
#
~
ORe-Siding
DUtility Connection
1
$
$
$
-$
$
$
$
$
~S-Q, Do
/2,7'5.00
,;2S0. 00
~&oo
rlZ-oo,Oo
7CJo.Oo
1S0tJ,OCJ
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 tha the bUilding officral can revoke thiS permit for Just cause Furthermore, I hereby agree that the City offiCial or a deSignee may
enrrv;e~.~pe 0 n dedlOsp ellons ...jl) ()Oc;?/)c.,-"7 _ .310/0-=?
Y /J)lt~ Signature Contractor's License No I :Date
- I
PermitV'aluation ~7~tltJO,OlJ I
Permit Fee $ / 'L/"5 t..I5-1
$ q~'3 ,5D1
$ .?'?,!;""01
$ 1
$ IO(),Oo I
$ /oo.ao I
$ 35.50 1
$ ~,oo 1
(Phone)
(Phone)
(Phone)
DPorch
ORe-Roofing
$ ~,Sc:;4- . (oS-
I ReceiptNo.HLlO~i7--'
By 0:- ~ .
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
isS~ ~tJ c3p7k ~ dL/ -<=:r"'~''''-b.:r.:J
Planning Director Date Special Co itions, if any
24 bour notice for all inspections (952) 447.9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
DAddition
DAlteration
1 Park Support Pee
I SAC
I Water Meter <f~5IiJj 1'.;
I Pressure Reducer-
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
1 TOTAL DUE
Paid
Date
VI )r6 ~ '7- (PJ
.4-I-e~
,.
..
,
.,
Job Address
Heating Contractor
Name of Tester
Date
Percent 0,
Percent CO
Percent CO,
Stack Temp
~.__. ._~
.
SOH-, 4.&
dI/;;~. ~
'IL~,,/1/ ..
-'
~/,.r"\~
9'. r~_
~k
. - .
~"'-,--
< ,
Combustion air is adequat~ly ~upplied per
UMC Sec. 606 ~. ~
< -
input / 0'). _ fJt":I?"-
'"
~~
~ite - Building
_"..'.larv -Cn!:llll,"-~
Pmk . ....ainnng
Thr ("rnlll'r nf Ihl!' I.akr <;'ounlry
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
!-~. T-", I,'
I ,/ /</' T~.I-/'J ~r
i
., "
,: //..../
APPLICATION RECEIVED
':;:Z
)-
-,
J" ="
/ .=1 - ,~~)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
./} /
.....:.)() {'II() .f':V"'/~j":> ') (l",'~ ~~I
Accepted
Denied
x
Accepted With Corrections
"
Reviewed By:
IVr4B
Date:
.3-13-03
Comments: See Rf!vf!r!':p. Sielp. for Aclclitionallnformation!
~ee Attachments: I) Grading Plan, 2) Erosion rontro1 Ml':asures
"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."
~~
<:::::White - RuUdiiili:>
Canary - Engineering
Pink - Planning
Tht Cnlt, of Ih. L.k. C.'ounll)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
1) 12 f/-o V -f-o;;J
,~- 1;)-3
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5ol..-/Q .hJ77doJ?dgJ2-/'
Accepted
Accepted With Corrections ~
Denied
~
~
'5~ h~ Date: J??~3
Jf:?~ aLl' ~-~, 711~
~ ~ ";Z/oJ'd; ~_
/ ,
Reviewed By:
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,"
"
.
~%
White - Building
S":::tn~..rv ... Enaineering
~_ - Planni!!9>
.,
'(
Thr Croll" of Ihl' 1....1' ('ounlr}
BUILDING PERMIT APPLICATION DEPARTMENT ctIECKLlST
NAME OF APPLICANT
J
APPLICATION RECEIVFn
-'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(/
Accepted
Accepted With Corrections /
Denied
Reviewed By:
~.,
.A,e
~~.
...
~
~I->
t'"~
Date: 3,1.2 7t03
~ _<I' :0.
t7~ ....-fl
Comments:
/"" ''7:"1
J-
"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."
lola' . i 2 .
~Rl0""'"
~fW':
".~/1fNl!:j01."
'!\;;.::~~:, /;",~~
2 0 0 3 12: I 3 PM
GENZ RVAN PLUMBING AND HEATING
CITY,OF PRIOR LAKE PLUMBING PERMIT
I, Blue F1]Il
2.Golo C'i!:y
3 Ya.!l(I,... "IIP)ICQll.l
CPlt:a5f: ~c: ortlnnJ: and sistD at bottOm)
ADDRESS
6tLIo ~di1pbj
.. ti
LEGAL DESC:RlPTION (office U'C,O"IYl 0
LOT 0 BLOCK c;{ ADDITION D.e...e-V<2-17 e ( cA
I Yl S~J
~
OWNER
(Name) DR Horton Custom Homes
(Address)
(phone)
Uduyrllc_ .1..-1 N .5 661.../ 4
:ZO'S1PO /(el'1[',l'tl1)Ge_ C. $re IDO
APPLICANT
(Narnc)r..AT"l"'_'Cr"- '01..-.1-.-1....2. J:. Pa.tlf"i.......3
No 2964
P 10 i i
Date Rec'd
I PERMIT NO'3 - 3 ~'=:J
ZONlNG (o/liceu.e)
PID
902.Q;;., ~7'iJD()
Rosemount
HN
(phone) h" 1 _I,? 1_ 1 1 U,
(Address) 14745 So Robert Trail
(City)
651-423-1144
s -/ X().:2,
(\, I J <:~~e(ss,~ :L f'_(). A I S
(ContactP<:rson) \/1' I f<'- \/ I Tl AJ.
APPLICANTSIGNA~E r)).J~ '-=fu ivo
Quantity
,.7-
j
j
S
I
l
I
.~
(Phono)
DATE
55068
(Zip Code)
APPLICANT PLEASE COMPLETE BELOW
I Type of Fi):tu.re Quantity
Bath Tub with or without shower ':<: Rough-ins
I Dishwasher T . Water Heater
Floor Drain t:L-J: I Water Softner
j Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
Laundry Tray (l or 2 compartment sink I Sewage Ejector
I Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
I Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
Type of Fixture
FEE SCHEDULE
Industna.l, Commercial & Muln.famiIy 1 % of Job cost wtth a S3950 minimum Re~adential, New One:: & Two-Family $9950
Residential, Addinon, & Alkrati011s $39.50
EstImated Cost $
Building Pennn #
PLUMBING PERMIT FEE $
STATE SURCHARGE $ 50
TOTAL PERMIT FEE $
,(0;::, U~~:~::~tion Becomes Y our B~ildiDg Permit When Approved ~D) r@ U; 0 \JJ ~ I ~ ]/
Building Oro".1 DOl< 00 I ~AV 1 3 2003 I ~ II
~4 hnur notice for all ins~.e<ion. (952) br9850. fJlx (952) 447.424~
PAID WITH
BUILDING PE~MIT
.f
Receipt No. I
By OJ I
I
May 12 2003 12 I 3PM
GEN2 RVAN PLUMBING AND HEATING
No 2964 P II. II
(,W~~RI0A
(s LJ~~
.......,.
(,.:::;.,,.. "....i .'~.
'\~!xl~{.~{;t;ih~/NNE 10'\ !'>
Date Rec'd
CITY,OF PRIOR LAKE
SEWER AND WATER PERMIT
; ~w~;;. I PERMIT NO. 3 - ?.."i54
1. Grlld "'WII~t J
D'ka:s.c: ~ OT'Pnnt+DdsiFJ1!lthonnm)
ADDRESS ,
5bLfo fJOYtisek en S[
ZONING (offie. we)
v
LEGAL DESCRIPTION (olli<:e use only)
LOT Co BLOCK 6< ADDITION
~R-f1e(J RtvJ
PID
OWNER
(Name) l!P lI~rt-.. r..__--c ~..
(phone) _ ct62 -q85-i8Nl
(Address)
.20&1.>0 ~13i<...\s:x..--e C:r- Sn>lflr'\
(Add=s)
La~\JI\le..-
(Ocy)
"S'E'::()L.I U
(Zip Code) .
.A.PPLICANT
(Name) Genz-Ryan Pl.umbing & Heating
(phone)
651-423-1144
(Addr....) 14745 So Robert Trail
Rosemount. HN
(City)
55068
(Z~ Cade)
(Address) L
(Comact Person). C Vl I'Z-L \ t1 l ttLU
!.ICANT SIGNATURE ~'C~
'--=17) 11/)
(phone)
651-423-1144
DATE. S..,. J (3-.-()?-'
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
feet.
o Cast Iron
ResJdenual sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com') & Multi-fan:llly 1% of job cost WIth a $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$.
$
.50
PAID WITH
BUILDINP PERMIT
(OW,t' U$t Only)
I TIlis Application Becom~ Your Building Permit When Approved
By
o
I.
I
c...
Building OffidaJ
f Paid
l Date .
Do" I'. '. ":i1
u.... .~. u". ;.,.ffi.. ~l ~'-~f:: 7:;0: J}
Recoipt No.
By
CITY OF PRIORLA.KE
REA TING/AIR CONDtTIONINGtFIREPLACE PERMIT
Date Rec'd
'''i:Plrik
,. '2. Orellll
j. Y~lloW
~:I~. ....., PERMIT NO. ? -3 (/ 10
Applicant ,J ,,e D '
$7Y~
I
(Please tv'De or onnt illidsign at bottoDi)
ADDRESS
~~O ~/7A~da r'
C/
LEGAL DESCRIPTION (office use only)
LOT&BLOCK..?? ADDITION
ZONING (office use)
~.A'-P
sE
PID
OWNER --r-... --n I L..
(Name) U'" 1\ or+-On
(Address) 'lD8100_ ~brlc:i~(..IU- ~o...kI,ville.
I APPLICANT , .
(Name) t\\ho..nf Me.cba..n.l.coJ (I>horie)~..2...'175 '
(Address) 3~D KUlne..bec. 1>r Sw-lf.l elWla.Vl.1\kN 5$1Z.z..
(Address) u::; (City) (Zip Code)
(Contact Person) _ Je..+-.f- Ll nune.Y1'\I\A.n.. (Phone) I tf51 L.jJsz- 2.775'.
APPLICANTStGNATURE Gft t~DATl3
,AP~LICANTPLEASEqQ~LErEll;ELOW ....
I8lNEW CONSTRUCTION ........ ...CJ.REPLACEMENt/,QAL1',ERi\TIQNS. . .\<
FURNACEMAKEANDMODEL~ Q2:/. .' ..FvEL.:Na::h~~S
FLUE SIZE J..' 12.. "PI! e.- RETt.JltNOPENINGS .,dINf'Ur-'!d4lJOO ....... OUTPUT . .,' . :trJD
TYPE OF SYSTEM HEATlN'O OItPoWEItl'LANT
OWarrrl Air Plarit, o ,Steam
OGravity Oilat Wate,
8 Mechanical ':0 Radiation
jg'Air Conditioning '0 Sp~cialDeYices ,'. .
jgVent. System' 0 btii~r Devices
(phone)
MJJ
551)114
PLEASE NOTE: .
'Air Conditioner Units
CllI1not Eiicroach into
Required Side Yard'
Setbacks
FIREPLACEMAkE'ANf) MaqEL
FEEScHEbtitl!:
Industrial. COlTunetCial & MulticFlil1\ily .1% ot'jobcast , Residential; 6itsFireplab"
$39;50 minimum . .
Residential. Heating & Ale (New Construction) .. $~~.56 'Residential;AdditiOns &AI@.tions
Residential, H""tingOrily (New Constl1JC\irin) $64:56 ReSidenllai;AC.Only
EsiimatM Cos!$ . i7bb 0 . Do... . Building peliilil#
$3~.SO
$39.50
$39.50
Building Official
Date
$~)/'&/~lIu.' ,o..q'D .
/$~..50 '..r? ...... '11.()ING~
$~.\~ ~'\~~~J\~\ ipt No. P~~4f~ I
llAY2 ...!- . ',J/ .~. ~
. .I_:Y 51' I
"ffE'A:TING f'ERMtT FEE
sr A:fESU~CHAtWE
,":fbTAL''PERM:tTFEE
(Office Us. Only)
This AppliclltioD.13ecolilesYour13i1ildirigI'ermitWhell ApprO\'i!d
24 hour riotiCe forilll inspecti6ns(952)447"9850,'
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~: [~onw JJ~icant I PERMIT NO. .~ - 3 fb I
(Please type or 'Print and si~ at bottom)
ADDRESS
ZONING (olliceuse)
5040 PONDSEDGE LANE SE
LEGAL DESCRIPTION (ollice use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) [) R HORTON
(Phone)
(Address)
APPLICANT
(Name) ATJJRD FTRRSTnF DRA FTRRSTDF. HEARTH & HOME
(Phone)
051-0.1.1-2501
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRFNfM HUSTON
DATE
5/1 iii 0.1
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
OWarm Air Planls
OGravity
D Mechanical
DAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
D Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
TYPE OF SYSTEM
. FIREPLACE MAKE AND MODEL
REA TN GLO SL 750TRS-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % 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 # PAID WITH
~ .50 BUILDING PERMIT
'"t~ [e l~ ~ uIIT ~ 1\1\
This Application Becomes Your Building Permit When Approved ~paid \ \.1 Receipt No.
y 2 1 7001 J .
Date -'IBy ~
Buildinl! Official Date (.A
B~_ -
24 hour notice for all inspections (952) 44~ 36, 'ox (,,2) 447-4245
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS SfJ~1J ~G ~
NATURE OF WORK ~IN
USE OF BUILDING . , ~
PERMIT NO. a3 -0580 DAT,E ISSUED
CONTRACTOR D fl. HDttn..-J, l~. PH NE · f ''/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING 1!1V1(. I t1--Il-a:> l
, FOUNDATION (Prior to Backfill) I j/I/YJ'jJ~ I L-1-/4- (/) / 4~,2a.CI)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I
ROUGH - INS
I(VY!
to/(?
Vl!r'
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING C)(;, (Yf c;-/(,-t5). i/VY/ ~-')7-o
HEATING (if required) JIJ/}t1 G r -<13
FIREPLACE M--' r:",S:-{)3
GAS LINE AIR TEST J/YY' C - s/.o "'"?
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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GRADING (Prior to Sodding)
BUILDING "<IMP fl \
ELECTRICAL
PLUMBING
HEATING
DO NOT
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OCCUPY UNTIL ABOVE HAS
NOTICE
BEEN
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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.
FOR ALL INSPECTIONS (952) 447-9850