HomeMy WebLinkAboutBuilding Permit 03-0711
QIertifirate of Q1}rrnpanrl!
CITY OF PRIOR LAKE
~tparfmtnf nf ~uil~ing JInspttfinn
yFinal Permitted 0 Conditional e.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 Ffo-r
Lake regulating building construction or use. For the following:
Use Classification
SINGLE FAMILY
Occupancy Type R3
Type Construction VN
Bldg. Permit No. 03-0711
Fire Zone N/ A Zoning District R1
Legal Description
L34, B2, JEFFERS SOUTH
Owner of Building
Contractor's Name & Addr~NSMANN
ROBERT D. HUTCHINS
Building Official
Date: I D - I - /\~,
Site Address 3947 RASPBERRY RIDGE ROAD N.W.
1895 PLAZA DRIVE, SUITE 200, EAGAN, MN 55122
HOMES,
.') .l
:'/)1----;
V . ~/
City Planner
DON RYE
Date:
o WORK SATISFACTORY. PROCEED
~RECT ACTION AND PROCEED
o COR WORK, CALL FOR REINSPECTION BEFORE COVERING
, Owner/Contr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I1'f$N()Tl
- _.._---_.."."."~,.._-,_._----.,_..-
DATE TIME
CITY OF PRIOR LAKE /1/- '3t~Q}
INSPECTION NOTICE SCHEDULED
ADDRESS ~~~J ~5D.. IK~
OWNER CONTR.
PHONE NO. PERMIT NO. OS -o7{f
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
( INSULATION o SEWER HOOKUP o FIREPLACE FINAL
FINAL ~LUMBING FINAL o GASLINE AIR TST
/ J SITE INSPECTION MECH FINAL 0
COMMENTS:
J. ~ ~ fh..--J)t.J1- S"'J1
() k .t-o cL>~ ~ B ...P.
o WORK SATISFACTORY, PROCEED
.A CORRECT ACTION AND PROCEED
o CORR RK, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
QUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
. -II
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/(:) . '2. '7 --d? 1:'Jo
OWNER
'31<{'l ~~ ~~/
CONTR.
ADDRESS
PHONE NO.
PERMIT NO.
j - )1/
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
;e::PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
I. 2",I.Fl ~~_ t?a.~-
7, ""-~ !-cd.c CQA"-
3. ~~ C\- ~,\) ,-
Ii ~ u,.. A \,~ r ~ -
... ~ - - "
o WORK SATISFACTORY. PROCEED
~RRECT ACTION AND PROCEED
o COR WORK, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
Il'fSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File~: ~
3. Yellow Applicant
Date Rec' d
G-O?-()3
PERMIT NO.
tJ ?J - 71 A
(Please type or print and si~ at bottom)
, ADDRESS
~ ~~J Ro:J
LEGAL DESCRIPTION (office use only)
....~~41
tJw
ZONING (office use)
/Rl
LOT 3'-1 BLOCK ~ ADDITION 3'~, ..Sc,J-h
PID -2S-.~9'-048-o
OWNER
(Name) \A.'~~
~s
Xt\c _
(Phone) ~.5' ') L../ QC. - '-I4tX:J
(Address)
'S).~$. P~. ~
c:;."..rf~ ~
~ N\L)
u
551 :2:2
BUILDER
(Name)
(Contact Name)
(Address)
~~~
~~
(Phone)
(Phone)
~s,:2) '1'10 ~ '1587
TYPE OF WORK
?ew Construction
DLower Level Finish
DDeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
DAddition
DAlteration
DUtility Connection
o Misc.
PROJECT COST/VALUE (excluding land) $
q,s)aYJ
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 the property to perform needed inspections,
x 0~f'f\cu\t\ ~~ .::ere 11../58 SJ.xz)a~
Signature ~ Pt.J. R~ Contractor's License No, ' Date
eJ
I Permit Valuation C/5: (JOt), I I Park Support Fee # $~ I
I Permit Fee $ ifS-K,tS I I SAC # $ 1;/'75. - I
I Plan Check Fee $ 1-,;}..3, I q I Water Meter Size 5/8"; 1"; $ ~s~...-I
I State Surcharge $ i-/7,56 1 Pressure Reducer $ LIS- - I
I Penalty $ City SAC and WAC # '\ $ laO()~- I
I Plumbing Permit Fee $ IO(),- Water Tower Fee # $ '100.- I
I Mechanical Permit Fee $ ll,/) ,- I Builder's Deposit $ I
I Sewer & Water Permit Fee $ 3-5' .50 I Other $ I
I Gas Fireplace Permit Fee $ '-ItJ, -- I TOTAL DUE $58rJ4,Cf(ji
r ,
~774.Cfd- /
This Application Becomes Your Building Permit When Approved I Paid Recei~ 4tf&f { I
~ 7ldJp ~/; (p /tJ.:? I Date CR. J() OftP By I
r ()
Building Official Date
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
:~-= Ci~ ;"-w;:;' Cortilla~;:~:remd 'U~, ~-1;eere ~\1alitFrem~ =,~
Planning Director 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 ..
I
j) 3- 'lI/
See Main Fi~e
White - Building
Ca~ary - Enaineering
C'I"K - Planni~
The ('tn1f'r of Iht takt Counery
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/,') ') A <4~'!/~ ',/ )
// ,./ .......:/}/,.,.;, ,.. /. . (L~'/f' ;;(j
!n', ) ...0,;))
,_ .7'- -,-
/v' ,'/(J/.:1-/'
The Building, Engineering, and Planning Departments have reviewed the building permit
appli~ation for c~nst_ruction activity~hich is proposed at: . ... ,', I
,3 (///7-' 'T l) ,.(.,/.1/1/ 11;; cf.c I;' el-
I
j
"1'
I
Accepted
V'
Accepted With Corrections
Denied
.
Reviewed By:
Comments:
~
7'-ILd)~
Date:
~ II fa /d3
, ,
,-
.~
/
"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."
l
..,<,- tj"f! J'
.~",,' ,. I
See Main Fi-:e
White - Buil~ing .
<'"' ~anarv - I:.nameerm9->
JJmk -'--. Planning
Tht ("rn..r of Ih. t.akf' ('ouner)'
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
, )
i;'< /'1--;1'//1 () /'1 /
,- '~f-..t_/ ~.' /' '....~",x" ...J.--"
, I . )
{~ii .,,).L~l/~~<~}.~1:'.?:1 &.~";r!//!-
APPLICATION RECEIVED
, .", ""' "::;>
(/ ...' .' ....... (, j\ )
....;~';. i.':::~' ,"" -......,.,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity_which is proposed at: ,..
, 'I : _ ., .
..::,) (:.-;;.t/7 -- ,1:"1.', ,.',', j /. ::.' .. I ./.'.! ..,/..,;_,,','....?__..,.1./,J~_../,',..,..,.,' l~/~ i t-.'/ A '>J
'~~} ,f .'' . j.~.",,~ J\..., c "'_ _-- _ - t. ~-_ _ l J...(, ~:..,.,iJ~;.;~~.~':,...''''/ ,.,.",,~..;............'"
.~/~
Accepted
v(
Accepted With Corrections
Denied
Reviewed By:
rmJ3
,See /J1Ct(~ h'f(_
Date:
C~~3
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
() 3- '1/ /
The- Crntrr of thl' l.ak" ('ounlr)'
See Main File
~ Whit,. - BuildinD
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~
~~
~-~--OG
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~9ij'l- f?~{)JuAM1 ~~o~ f2d--
- / ~ I ~
Accepted ~ Accepted With Corrections
Denied
Reviewed By:
~
C'
~ ~ ~/-J
Date:
~~~;;; 3
, .
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
J II n .
9. ~OO3" 8:~9AM...GENZ RVAN PLUMBING AND HEATING'
"'''N 0 . 6 6 9 3'''P. ~ ~ 4"-'.~-,.".,..,.~".,
Date Rec'd
CIty OF PRIOR LAKE
SEWER AND WATER PERlh.11
~. ~'" ~\;. I PERl\'fiT NO. r ~ - /"] / I
) G.>I4 ~ppl.I"" J I
(Please type: or print ~d s~ at IN'..,,....)
PJ)DRES~101 ~p~~ ~ !<d.
. J \
LEGAL ~rSCRlPTION (office we only)
LOT 3LfBLOCK ~ ADDITION \., e If e~ J
, ZONlN G (ofDo: we)
PID
OWNER
(Name) Wensmann Homes
~hon~ 651-905-3709
Eagan. MN 55122
(City) (Zil' Code)
(Address) 1895 Plaza Dr Ste 200
(Addre~$)
APPLICANT
(Name) Genz-Rvan Plumbi~2 & Heat:ing
~ho~) 651-423-1144
(Address) 14745 So Robet:"t Trl
(Addre~s) ~ ~ I _
(Contact Person) _ C/t1 ~(sn. ~
. YJICANT SIGNATURE ~ ~
ROSl.1llll'lunr: _ 'I'l\j
(City)
55068
(Zip Cede:)
(phone) 651-4237t~7(,
~ DATE r, ?3
,
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated lenocrth of sewer line feet.
: Clean out (if requir~d) l"ocate~at. feet from structure.
ReS,ldential sewer and water line connection
Sewer connection only
FEE SL.l:lLDULE
$35.50 Industrial, Com'} & Multi-family 1% of job cost with a $39.50 mmimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT 1:.t.J:..
STATE SURCHARGE
TOTAL r.l!..t<.MlT FEE
.$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
I By
lJuilding Official
Ditc
24 hour notice for aU insp~don5 (9S2) 447-9850, fax (952) 447-4245
,I
SeD. 5. 2003 10:37AM
GEN2 RVAN PLUMBING AND HEATING
No. 01 81
P, 8/16
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~. ~::.. ~~. PERMIT NO. r::::<,. -----;(( I
: Gold Appli..... c- ../ I
(Flease type or print &nd siWl 1t bottom)
ADDRESS /1' .
J qL/1
(lj'dC(L
(1
ZONING (office lIS!:)
l2a ~ VYxJ0f21A-
I U
LEGAL DESCRlPTION (office use o11ly)
LOTC7>1BLOCK [~ ADDITION ,--.effeK2Sl S~
PlD
OWNER
~arn~ Wensroann Homes
(phone) 651-905-3709
(Address) 1895 Plaza Dr Ste 200
(~s)
Eagan, MN 55122
(City) (Zip Code)
APPUCANT
(Name) Genz-Rvan Plumbin~ & Heatinl1;
(phone) 651-423-1144
(Address) 14745 fle Robert Trl Rosemount. "N
(Address) r-. (City)
(COntactP",on) - CArl (2fSt! ~~<; <- u. . (.phone)
,., "_ICANTSIGNATURE (J I ~~ J ~i2/;rJ DATE
55068
(Zip Code)
651-423-1144
q,-Pj -{J0
- - -- ..,.------
APPLICANT PLEASE COlVuLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. D ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
. Clean out (If required) located at _ feet from structure.
Resldential sewer cl.Ild water hoe connectJon
Sewer connection only
FEESLJ::lj!;DULE
S3550 Industrial, Com ') & Multi-famJly 1% of job cost with II. $39.50 mmimum
$17,50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
Building Ofijcial
rnI.o,-, --~--I-Receipt No.
~ i1 II~-~ _1 f' 11-") - \~
i),: ( r I: I l ~ \
ndte ~ ~ ,~ '1=11
niT i i
Date .; ':: SEP g 5 20'1~ ~..
nfl UJ I Ii ;j
24 hour notice for 1LI1lnspectlons (9~) 447-98 M;-'fax (952) 447-4245 L_j I
I
_ By _~~ _______ _ j
&lJl,,~"'ID IA~
<..IItltQ 'YI"h.
~ ,oS; 'Y
,~
(Office Use Oaly)
This Application Becomes Your Building Permit When Approved
IJ
f{
Sep, 5, 2003 10:38AM
GENZ RVAN PLUMBING AND HEATING
No,0181 P. 12,/]6
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERl\tllT
(Ple33e tYPe or PnDt and SU!Il ;u: bottom)
. ADDRESS ./,
3qLn
i ~~ ~~ I PERl\1IT NO...-;;< -71 (
J, YtIIo", Al'l'lieant <..J
[#J~daf/
v
ZONING (offictll3e)
LEGAL DESCRIPTION (office use only)
LOTJ4~LOCK ;? ADDITION \ / e.ffel~s
c .
o tn~f1/V
PID
OWNER
(Name) Wensmann Homes
(Phone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan, ~rn 55122
APPLICANT
~~~ Genz-Ryan Plumbing & Heating
~hone) 651-423-1144
(Address) J.4745 So Robert Trl
(Addr~s) [.
(\ II' /J . -~ . ;' ... ....,
(Contact Person) ,Y/1,1Gf ~ 7 f fA ~: t .\;".... (Phone)
n ~ -~)" ,./ ('I
APPLICANT SIGNATURE \ ~ ) ,,{ 1.J /\....t..:! / -fa Y 1 X)
Rosemount. MN
(City)
55068
(Zip Code)
DATE
1?.5~, -4~.3-11. 44
Q -5 -(J~
.APPLICANT PLEASE COMPLETE BELOW
Quantity
;l.
l
I
&-3
I
J
I Type of Fixture
I Bath Tub with or without shower
I Dishwa.'3her
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (l or 2 compar1ment sink
Shower Stall
I Sinks
Bar Sink
Water Closet (Toilet)
Quantity
Type of Fixture
'2
,
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn SprinkJer
Other '
I
'\Z- ':-~'
,
d.
FEEsc.tI..,i!.DULE
rndustn~l. Commerclal & Mulu-famlly 1 % of Job cost with a $3950 minimum Rc?stdenoal, New One & Two-Family $9950
ReSidential, Additions & Alterations $3950
Estlmated Cost $
Budding Pemllt"#
:Building Official
DlI~
1I1.i~~~;
!i J I LS
q~ ~~,
Ul SEP 0 ~ 200L~1
[s~ Ii
b :J
R,~ ;eipt No
,I;
! i
~.IO
~I)~
,~, J fh
' ',..'Q",7>-
.""~:~
.l~
r~j;-,
I
PLUMBrnG PERlvfiT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
50
(Offitt U~l\ Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for alllnspec:nons (952) 447-985' I, fn (952) 447-4245
By____..
q:-
V
i I
2003 10:39AM GENZ RVAN PLUMBING AND HEATING No.0181
CITY OF PRIOR LAKE
J:U;ATING/AlR CONDITIONING/l1'11<E'PLACE PERMIT
(Pl~c ~e onrnnt aI1d st~ at bottom)
ADDRES~1
"j?f'-l7 .2I1~~0vxImu- 0~
, v v
P. I 6 ,i 1 6
Date R.ec'd
i ~ ~~ I PERl\fiT NO. .'::? _ '7/ /
J, Y.1klw <'I'I'U<Allt r :/
ZONING (office use)
I LEGAL DESCRIPTION (office use only)
LOT\~4BLOCK rJ ADDITION ",.1 p..ff~~ ,,-\tflL-~)
OWNER
(N"anle) 'lJ",,,,,,,,,.q,,,, J:lt"Im"''''
(Addrds) 189.5 Plaza Dr Ste 200
APPLICANT
(N"ame) Gen7,..=.Rv:=tn Plllm.h.i:n.~ 6- lJ.eatin~
(Admes~ 14745 So Robert Trl
(A~? I , t"
(Contact Petson) 1) W.s.j\ 1J4.ill, c f)
APPLICANT SIGNATURE T ~ J,"j~.) ~ / fl.J 1::\
PID
(Phone) -f. c; 1 - OJ) c; _ "=17...(1 Q
Eagan, MN
55122
(phone) f, c; 1 -L. ? ':\- 1 , 4L.
Rosemount, MN
(Cicy)
55068
(Zip Code)
(Phone) n'i 1--11 ?':\_11!.1,
DATE C{-'G-ot:?J
>,; ~ APPLICANT PLEASE COMPLETE BELOW
'. ~EW CONSTRUCTION ~ REPLACEMENT -D ALTERATIONS
FURNACE MAKE AfiD- MODEL J p.J1nfJX f;; Dil 1:1 ,- 3wJ4- /() FUEL y) Jo/T=-€:7..tr5-
FLUE SIZE RE11JRN OPENINGS 17) INPUT 70; (Jf)7) OUTPUT V5lf;d2f){)
TYPE OF SY;::, l.cM HEATING OR POWER PLAN!'
o Ste3lTl
o Hot Water
o Radiation
o Special Devices
o Other Devices
mann Air Plants
ITGravity
~echant~a1
~jr Conditioning
DVent System
FIREPLACE MAKE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
l' .tot. S\....I:t..I!J)ULE
1% of Job cost Re:sidenull.I, Gas FltepJace
$39.50 mmimUIn
$9950 Residential, Additions & Altere.tlons
$64.50 Residential, AC Only
P~1
.J Ii I SEP 0 5 2003
9~~
. ,..J 1 _.___m._'___..____.,______.__
24 bour notice for all inspections (952) 447-9850, fin: (952) 447-4245
rndustriaJ, Comm.ercial &: Mulh-FslIllly
Resjdentllll, Heating &. Ale (New ConstructIon)
Residential, Heating: Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PE~ FEE
(r.-,,, UR 9nly)
....,.:; Application Becomes Your :Building Permit When Approved
Building OfilciaJ
Date
..
$3950
$39..50
$39.50
Building Pennit #
$
$
$
I!JUII ~/IJ Lt~
,DING ifl).,
.. ~Ii"",.,..
50
i ',i
~deipt No.
i;j
:J- i-I
BY
if
~u
..
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGlFlREPLACE PERMIT
D~te R~t'd
(Please type or print and si~ at bOClXlm)
ADDRESS
3q~ fJ R~ p;~ Rend 10e.
i: ~. ~i~ PERMIT NO. ~ -7//
J, Ydl_ Appli<Ol1' ---->
ZO~'1NG (omceuse)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) W~
\
(Address) )'89....~ _a_, #~
.~
(;/ ;
(phone) (dS"'J- V~ - $/VOQ
,/?'?/1 S..r~ ;l:J.
APPLICANT .
(Namef:tl.A:hJry),nhJ~ r-,{~u:i.O\/ rr~ + &u..,:J'.o~ (Phone) ~l/;3-3j5'7S0C
(Add:ess)C+:;\G l.Jc:c'YY\~ n~ Q.t f. 0; ~n,(\"*-Q\..r-' R:...J<. I1'1n S'S\-i~.'==i
, " :y.ddrCSS) Q (City) (Zip Code)
(Contact Person) +< r'i "". ~J. ' . (Phone) 'lG3-3r5-7SI G,
,-V __ II -....
APPLICANT SIGNATURE 7l. A.A.....:;...' ,<..:P.-1t '~..7?-:Ct,~ DATE
APPLICANT PLEASE COMPLETE BELOW
~EW CONSThUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL F,lJEL
FLUE SIZE REruRN OPENINGS INPUT OU1PUT
TYPE OF SYSTEM HEATING OR POWER PLANT
" OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
o Sream
o Hot Water
o Radiallon
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditionet Units
C.uJhot Encroacl! into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
-
-?77~ 3 9.aQ.~~__,
_ '....L ___
v
Industrial. Commercial &. Multi-Family
FEt SCHEDULE
1% of job cost Residential. Gas Fireplace:
S39.~O minimum
S99.50 Residential. Additions & Alterations
S64.50 Residential, AC Only
S39.S0
Residential, Heating & AlC (New Construction)
Residential. Heating Only (New Consrrection)
$39.50
S39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
5T A TE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
Slit. ,o-4ID .
~D/I\tG ~""J.I
.:;. ..o~ 17
'.0
''11/.,..
(Office U$C Only)
nuilding Ornclal
I Jil.:t.jdt;
I-If; I L,
i U! c-,.
'~ate
D~lc _ ~jtj SEP 2 3 2003
24 hour notice for 0/1 inspec:rion$ (952) 447-9+0, fa':t (9S:!) 447-4245
{Jy
,-",,-...,
~._.,.....,.,.....,_._--~..~
]t~Ce1pt No.
; ,
This Application Becomes Your Building Permit When Approved
By -if
1'00 liJ
X31aIMd 3~VMV~ JIlVWOlfiV
60LOStC6t9 XVd ot:ot CO/8t/60
--I I
lr
J
PRIOR LAKE
DE~AR~MENT OFSee Main Fil,
BUILDING AND INSPECTION
INSPECTION REC RD
NATURE OF WORK
USE OF BUILDING -:SF
PERMIT NO. 0-3 ~ W DATE ISSUED
CONTRACTOR --UJt!U(JS~~ PHONE..!It./f.). tin?
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
I FOUNDATION (Prior to Backfill) I I
\ L 0 -c PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ex '"'. ROUGH - INS
SEWER/WATER/SEPTIC lA~!C- ~ JZ~(P2
FRAMING V VI (/ t:f- 2.J'f
INSULATION ,/,sC>
ELECTRICAL
/'"'),'\
PLUMBING "A/ ,y~?; .
HEATING (if required) v'0 \/' ~
FIREPLACE ~ P 1k4W\ ~ ct-f4-d.J l
GAS LINE AIR TEST I ~ I q, /'l-~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
Jib
1(j~1
'^ "') J
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
~ /~-<.;)
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.
~I"\rt A I I l"IC:,'n-=""TII"\"I~ InC:I\\ """7 noc:n
I I