HomeMy WebLinkAboutBuilding Permit 03-0522
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CITY OF PRIOR LAKE
~rparfmtnf nf ~uilbing Jf nspttfinn
t;;YFinal Permitted D 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 Prior
Lake regulating building construction or use. For the following:
Use Classification
SINGLE FAMILY
_ Bldg. Permit No. 03-0522
Occupancy Type R3
Type Construction VN
Fire Zone N / A
Zoning District _ R1
Legal Description _
L1. B1. JEFFERS SOUTH
Owner of Building
Contractor's Name & AddresWENSMANN
Site Address 3956 RASPBERRY RIDGE RO!lLNW
HOME~/1895 PLAZA DRIVE. SUITE 200. EAGAN. MN ~5122
\j! _ City Planner DON RYE
ROBERT D. HUTCHINS
Building Official
Date: I 7 II - 11 7.
Date:
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS J'/5'
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
OA TE TIME
SCHEDULED
I~ ).:30
(iv:" ~0'
CONTR.
PERMIT NO.
3-sa~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)B. PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~~TS:
l~_ W~~J
Z. ~JlJ.D il.f)lZ>f:: (I ~q>
5- ( ~ l uL (' (.e ttt- J--
vlY:o t-
~<l-<:>S
o WORK SATISFACTORY, PROCEED
~ORRECT 1CTION AND PROCEED
o CORR{;T /NaRK, CALL FOR REINSPECTION BEFORE COVERING
)
\-
Inspector .
Owner/Contr:
J
....-
CAt..l:",W-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
v
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IJIISNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS , ~({'
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED
I z- l "'
~~
CONTR.
PERMIT NO.
:2 -~<..L
o PLUMBING"'.!
o MECH r.
o ~'_i t:.R HOOKUP
o SEWER HOOKUP
o "pLUMBING FINAL
Jlf MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o flREPLAC FINAL
Ja'GASLINE R TST
o
COMMENTS:
l. ~,~ ~\~ ~~ LU~jl"75~
-
1. ~ ~u~ S~'lA... I\r::t:
p.,~ I~( ~~1 ~ '?:~~l:0 ~l\c.r-
~ ~lkr,'(U~
o WORK SATISFACTORY, PROCEED
NORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 14 ~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R 'JREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon
(Please type or print and sign at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
~ND U'ftlLllY ,ONNECTION PERMIT
.:)ee IVlaIn File
l. White File
2. Pink City
3. Yellow Applicant
Y7"':5 &,
If ru:ph~rr7
!? ,'dl/ t'
J'
LEGAL DESCRIPTION (office use only)
Date Rec' d
$ - ~-o3
PERMIT NO. 0'3 - 5" OL~
I? ()~ d .IV t-J
LOT / BLOCK I ADDITION
113 F rrr f .56 U TJ...
PID ,)..J - .1'9'> - (:)0/-0
OWNER
(Name)
(Address)
BUILDER ./ J
(Name) IJf N f /J1 d 11/ IV /-IOI'Y'I (>,1'
(Contact Name) G"'pr7' 50),/VS6N
,
(Address) / tF 7 S- ..;? M 2." /) r , 'II' I'
TYPE OF WORK
~Construction
o Misc,
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
),?,t](.75
.81",lif
77,50
IIJO .00
.
JtJO. t:Ja
'-la, tJ 0
This Application Becomes Your Building Permit When Approved
~ 9~ 571'9;;3
Building Official
Date
(Phone)
ZONING (office use)
1<1
I
(Phone) ~.5/-.ytl6 - ..y~(kJ
(Phone) /" I ..2 - J" 7 - 7 t, / ;)...
.m AI' ..5~ S-/ ;J.. :2-
/
o Deck
c~ 9Q/V
V
OPorch
ORe-Roofing
ORe-Siding
OUtility Connection
Date
$
$
$
$
$
$
$
$
$5:. ~~~~
Receipt No, _ LI LI '::1 ~ ..J
By ~ ./
/.,;;. 75..00
,gS-o, 00
J/t!;, 00
)200 rOO
700 I dO
This is to certify that the request in the above application and accompanying documents is in accordance with the City ZC Ordinance ~~~q~ ~ document
~:en signed by the Ci~ Planner constitutes a temporary Certificate of Zoning compliance and allows construction to co ~ eee lVIID"ilte rIleust be
~ U~ S/iQ/03
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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 locailaws 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 perf? ;eZ::~
X d~ ~L jy'fr -1--.2.-03
,/ t / Signature
I Permit Valuation - 11 jS5;"od, I)f)
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
o Fireplace
OAddition
OAlteration
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter e,g\ I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid 51 jS~ 3~
I Date / /)- It') ~ -
#
#
#
#
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-
1ICIIO/!!'f
./.....,
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-' .
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See Main File
<SNhite - Build'iii9:>
Canary - t:nglneering
Pink - Planning
Th. ('.nl.. of Ih. ".k< Counlty
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /tJ~j{//;vn ~
~
APPLICATION RECEIVED S - ;;<-03
The Building, Engineering, and Planning Departments have reviewed the building
application for const'3o;; ;;2:1y WhiC~~S~ R I'
, U
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~
,.
7~r-.
Date:
5/i9~3
,
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."
See Main File
White - Building
Ca~ar.Y.....: Engineering
c-,":~nK - i-'iar...i'i~
Tht Ctnl.. of tht r.lkt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
.,
i
"
NAME OF APPLICANT
APPLICATION RECEIVED
/!~/
/-~
-,/
....."
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
_.~ ,/' , i
-'-' vi C
, j ,II!?
/
!
) ".---------.
/ "
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
-
?~, :AtJ
Date:
s/i9A3
, ,
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 c:ancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
See Main File
~ - Building
~anarv - E::nqin ;..'" . ;:J ::>
. PinT( . - Planmng
Thr (Ornfrf of Ihf' l..kr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
. _/.~;:~'~~Y{
"';..,'/,' ~
;/.-tt. ./.,;;..'~
APPLICATION RECEIVED -,.-t-5
....'~ .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which,is,proposed at:
c:"")'. / /
. (e." /'
.1J
. ,
, ,/' f ,,., ,/'
J ! )" "jc.--/
, .f
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
IJ/J4fS
5('L mC,'A F/(<
Date: S - /2-03
Comments:
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."
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~T A TF OJ; l\;fJNNRSOT A
Fl.F.V.1 TOR TNSP'Ii'.C'TION RF.PORT
DEP.\RTMENT OF ADl\UNISTR.\TION
BITILDJNG CODES J\..~D ST..-\i'fDARDS DIVlSION-ELEV~\rOR SAFETY SECTION
408l\1etro Sauare BuUdbt!. St. Paul. MN 5S1 U1-2181
Vol'N.Il 65129'-4639:, FA."1(:; 6512!J7- !!n$
TIVf'IDIh "Iw!n C'ltI" '~12'1-~.J!l3 or ~.r MlM~'c.ot9 SOO 61.''!-1t129
SITE: Wcnsmann Homes, Inc,
3956 Raspberry Ridge, Prior Lake,MN 55372 Elevator ID # -09561PT03-03
SUBJE(~T: TrQctionPass~ger PHONE: 611.369.7612
CONTACT:
'-!!!!pectlou I?ata:...
. Previously Inspected: N BuDding: Height 21e\'els Coumudton Wood frame
#Htltst,~....IS:. 1 #EJcvUn1k: 1 ElevtTDlt#: 1 EkvatorMfr. Matot #Bldls: 1
.
Department of Administration
.,
"'
Elentor Typ~: f-lasl'enger
, {Jail Control: Automatic
LIft Mclhod: \Vil1~ Dnun w..e Feet: 21 Rb... Iuebe,~ 0 .
Speed: 30 II L&UldiD~3l: Z II Opea.illJ;aI: 2 Raled J.QlJd: 950
'-
" ",,,.c.ode Conlmenu: ' \
, ,." X(' /' ,
INITIAL INSPECTION: ~
Rule #: C:on....rlfoutJ/: .
\,
REINSPECTlON:
.. 1.//_ 1r-,7d "'?
DATE: I -<- I"-.....{)>
...,
'.'
/'7
~bpro,'al St"J11Is: ' * ~\ppro'lll pending receipt of d~~~ntatlon '"erlflying that eorredio,(J' ,'Co /
, . w.ere com?leted. Datii': ." ". J~oector:' ". r-tf,". / , "' ,
: Apprond: . Y Opfrattna Permit Issued: Date: r'lll !1DSPfCtor:<~ j:.' '1/ /~~~~/.
, lMpe(\tkJn and ..I-'......~ is based on the reauirement.s set forth in th~ Minnesota Statl1t~. Chap i-s3.3~1_ Subpart 1
. Construction Use Only: CliU$trUCtiou Da~: Estimated Final IUSIM'ttfoD
InspectOK":
, ~ot 4nnrnvir.d: Cnnriffimml Annrnval*: nntr: tn~nr.ctflr:
. "NOT!<:: CONJ)lTIONAI. APPIUWAI. IS UASlm I 'PON MI(":TIN(~ AI." "fHI( coo,,: COHWI<:CTIONS ..IST..:U
ABOVE, A LETTER OF COMPLL~'\TCE MUST BE RECErVED WlTInN THIRTY (30) DAYS OF IJ.',"SPECnON.
"'lllt~; BCSD: CfJjIle,:
...."".,.
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C:"'lI:n. . ,.....r..
Y~\.J"()'" , _...~\JI'....~T
~O . ern
'.1.1,; 'D!2 . ',<II l" ',-. "," Il.~ .i,. ,'. ;'l"., . "ie".. '..( \ r... I.' I...., I'" .~, 10' '. ,1": '......, '\-:.. "'I ~ I. _,~. \,...._" , \ '''''~''
. I ,i,. "., . ,'.... I
CITY OF ?~!OR ~.KE
S E'ri .:.P. 1'.ND W1>.TER ?=:?MIT
NO. ,1-5d:L
NOTE::
Sewe:!:' and wat.er
contractors must
bt'! re<;istered
'\.lith the City.
AP?LICAN~: W~\?e.\ M~~
:~~~~~~~:3:S/f!Jtp;~~~~_ __
PHONE :tJS/-'-!9"J~'
DJ\T:::: 5/1:2/03
~:.=~. ?::?~~:~= ~
2 .
size 0: wa~9~ se~~ic~
inc:-.. (es). .1 ~,~
L~C2t~Or. of any c~u?lin<;s from s~~~c~u=e ~/V\
pvc b( C2S~ I :-on
-::s;":.~:':t2teC!. leng"':.h of sewer line .3()_...
of wat.er se~lice
I
==LL IN Tr.~ cL~~~S
30
[;:8t...
1 .
Es~i~ate~ l~~g~h
J .
fee"':.
4.
~ype of 5~we~ pipe.
A3S
6.
C!.e2n
cu~
(if
re~ i re-:!.) ,
loc?'::.ac
fee~,'11IL
:~ ~fe.t
f~om
5.
s-:'=:..!c-:'~.1=-e ..
=~;====~===========.~==;====~======;;;========-~===~~===~=~=~===~=
'i'\-~
_,._5
a~9~ic2~icn bec~nQs ~ou~ pe~~t N~en ~~~=ovec.
B'!
OhT"S:
======~===~=~~~======~:==~==;==~==~~==~========~~;-=~===;.;=-====~
F:::::S:
s
s
S
J5.00
.50
J5.50
Sewer and ~a~e= line connec~ion pe~~it.
Surcharge
TOT.~L
* :=~ =c~ e~~he= se~e~ ~ wate~ i~civicua~ly is S20.00 plus
S .50 s'..:-:c:-.a r:;e ,
...
s~.....o:=-:- 2nd U~e~ ~~:1\~~ ~~suec :0':: ne'.... cons'.:r..lctior. tr.\1Si: be
.,...~,..~-.4e~ (1\ \.'\ ,lj,\1Ji ,~'--! e~;- .-:::a_-=~.L.. ......\...,e t'....,t""> o.c '~""'a"'c""
-----'-.... - Ill~' _.L...._ 'I I _,,,___ ,,'-__ -'- 1....;. _.,,_ j,; _......u.._
to i:-,su:::e \;.:c>.t. no c.w.'Ol._':lte se....e:- a:-.G. .....ater oe::-::\i.-:s a-::-E!
iss:.lec.. i Ii MAY 1 3 2003 . .
uL ~
Bv
,~'~CC~j':' ?~.:: DBtJttPAID WITH
~MMIl
p Z (' , D 3 '!
.. _.. , .............-
=\.~.:'::: ?~.: ~
~:-. =: : :: : ?r~ J
110 " i'., .~.... .. ...
'." "'- .....I. ---:;*'
":" ~ ....~ ~
1- I'" . '-. :."
~ d SOOES0098v 'ON/lO:SI 'lS/IO:SI EO ,ll'S (No)~)
L9EO-~Sv-1 S9 DN IlV3H ~ DN 18Wfl1d 13ZN3j~ WOBd
1
CITY OF PRIOR LAKE '-'1r''--'7,;) ,--"
10/24/01 WED L1:22 FAX 61Z4~742~5
" ~VV.&
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I .... 'iI,
I. Gold tilT
J, '(01_ "pph~_
PERMIT NO. :3 - 5 d d-
('Plel"~ type or pnnt ao~.!P at bottom)
ADDRESS \~. \
39 S'(~ ~~~~~~ \~'\d\~<::" ~ .
ZONING rolllcc 1*)
LEGAL DESCRIPTION (offira UIC only) "":-. 0J' .... \ \ \ \ '\
LOT I BLOCK I ADDITION ~~S ~~ \-~'~
. ~~~R \~\eN\Sm~\\Y\ \.\om~ <Phone) bS)-LfOb-.l/lIOQ
(Ad"",,ss) I ~<tS- ~Ic:z.", h;. ~\~ ~()O ~Y\ lIMn., :----.'" r:z'2-
~~~~~Al'lT Wemd'V\'D~ ~ \\\.~~. (Phone) 0~/-fs)~/SbS
(Address) 17/D 'l\~~'t\cl~ \~J. ~n.. tv'M.. 55/;;2/
~~ ~~~ ~C~
(Contact Person) \=rea \-t~?~t- ~' (phone) t5' I ~~ -15bS
APPLICANTSIGNATURE 4~ DATE Si/;;;.}D"""3>
~LICANT PLEASE COMPLETE BELOW
Type of Fi..'{ture Quntity
Bath Tub with or without shower -
Dishwasher I
Floor Drait7
Lavatory (Bathroom Sink)
Laundry Tray (I or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Quantity
d-
I
i
~
I
I
;I
PID
Type of Fixrun
I
Rougfl.ins
Water HutCT
Water Softner
I Stand Plee (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backf10w Assembly Test
j Lawn Sprinkler
I Other .
FEE SCHEDULE
Indu,trilll. Commeccllil & Multi.family 1% of Job cost with I SJ9S0 minimum Residential. New One & Two-Family S99.S0
Residential. AdditiQl\l &. Allenlllons S39.S0
Estimated Cost S
Building Permit II
PLUMBING PER.\,flT FEE S
STA1cSURCHARGE S
TOTALPERNDTFEE $
(Ofti~. UIC: Only)
-'-~-"'~-'1
Thi3 Application Becomes Your Building Permit When-Approved \~ ~PW U; U \~J i. I Reeeipt 1'0 "
Blllhllnt Official D,tr-l ~~ry 1 3 2001 By ( ~
r' :J nOi,:,;oti<:. Jor ,II jllj~t:tioftl (ffiI ~7--;;D5<J. c,... ~~Sl) ~.; ...,u..:s ,,' tI .
d ~OuE~0098v 'ON/lO:Sl 'lS/lO:Sl EO ,~l'~ (NOW) 4ij~~-UJ 1~9~~Nnjj,3H';~ DNI8)~n1d 13ZN3Nl WOHd
.50
PAID WITH
BUILDING PERMIT
__ -PILE
ftI.LOIr - ........cM1'
.... - CIrf
\..J.J.{ OF PRIOR LAKE
~6W~ AND WA:.t.6A J:'AN~.i..a.
S.W, No.
3--5d-~
NOTE; Sewer and Water
contractors must
be registered
with the city.
APPLICANT: S1J1KfLLunl$4N; ~ ,f:It.AV. PHONE: fold - d-;} 1- 3 f ~D
ADDRESS: ._.l ~d ~~e,,,,,,, T f7- eeAeEDATE: b/;}1I.. J l).3
-lIlU ~.J~ /-J -
SIGNATURE: - <-J'-' BLOO. PERMIT'
SITE ADDRESS: e8.f f!.dt~ filPIDI
FILL IN THE BLANKS
1. Estimated length of water service ~~()
feet.
2. size of water service
/ A
inch(es).
3. Location of any couplings from structure
feet.
4.
5.
Type of sewer pipe. ABS
Estimated length of sewer line
pvcY
. , .
50
Cast Iron
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 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
~o insur~ t~~~,' .,...,,.., .~. . ate sewer and water peJ::,84-fs are
l.ssued. j ~ @ ~ 0 vii ~ II BUILD/~D Wl7"H
DATE PAID l~ J.l-U.I , , AMOUNT PAID _.',. G PER:.~,.,.
_ ,",UI't ~ 7 20-0J ~~ /' '''''
RECEIPT # - REC'O BY I~
vt/
By
16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Pnnal nnnnrtnnitv ~1'nnln"pr
AUG.27'2003 06:33 651 633 8884 FIRESIDE CORNER
CITY OF PRIOR LAKE
REA TINGI AIR CONDITI~GlFrREPLACE PERMIT
~'IR~SIDFJ~.. ~,cant PERMJTNO. 36 d4-
HEARTH&HOMET1'
3956 RASPBERRY RIDGE lID
#1999 p.021
Date Rec'd
()'Ir.Me nile OT Print In' s,~ at bottom)
ADDRESS
ZONING (office flse)
J",EGAJ", DESCRIPTION (office u&e only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name WENS MANN HOMES
(Address)
(Phone)
APPLICANT
(Name)~JJ?J'~:JRESIDfJIT:.ARTH & HOMP
(phone)
651-633-2515 J
(Address)
2700 NORT.H PAIRVIEW AVENUE
(AddreS&)
ROSEVIT",LF
(City)
55 113
(Zip Code}
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
fJRFNDA HUSTON
DATE
~/2.7 /03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTR.UCTTON 0 REPLACEMENT 0 At TERA nONS
FURNACE MAKE AND MODEL fUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM IffiATJNG OR PO"WER. PJ",ANT
DWorm Air Plants
OGravir.y
o Mechonica!
OAk Conditioning
DV cnr. SYl:tem
o Stearn
] Hot W:1rer
:J Radialion
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO 600DTR-OAK
Tndusrrinr. Commercial & Multi-Family
FEE SCHEDUJ",E
1% Q( job COST Residentiol, OilS Fircp]:II::e
$39.50 minimum
$99.50 Residential, Addir,jons & Alterotions
$64,SO Residemial, AC Only
/9.50
$39.50
139.50
Residentiol. Heating & NC (New ConstnJcrjon)
Residentinl, Heating Only (Nr:w CoMl.nJC1,;<m)
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOT AI.. PERMIT FEE $
(o;~:s :,,:;;::tif)n Becomes YOl1r Building PermU WhtnAppro)'cd I rr~~~ ild' ~ 0 iPI t 'cip! No.
A J1et1rtlt &: Hllme lec/1m' o~~"jfra" ~r
~ RllildrrDJl'i,Yj,;." - at~UU 272M3 -, ~~y ~' /', ',."
, "'- 11 'Id' Of'r.l.J h ~ _./ I / '
1 L UI In2 'L./n F'ilrrl(icwAvenue NQrth Ro~nJe. MN 55J..LU'ho e.651"633"756J J:'",. ~51~,j.:r1.8.8&1.:'
"1I11.Dr.At: CJ,I1~. 3850 Wesl r~I~WB~ JJi~'Ili9'h~jl!8$~~'~~~2rj1Pf-~ ~~~2-890',;"W8 . ~'?'if}!~,~~Pi11,ih
,..",...n",~ldr.l'~'.A:Qm /'.I'll CAnlrac'", l~ccnlKl # 2009ll'l1l
.50
iJ14I.~~/D 11,1
VI\tG 7}'-Jj
,()~
~4h)-
08/26/03 09:13 F~X 6518949955
WENZEL HEATING & AC
~003
LIlY OF PRIOR LAKE
IlEA TING/ AIR CONDITIONINGrJfJ.KEPLACE-PE~111
Date Rec'd
l. P"lflk Pile
2. Gn:m Ci'JI
3, Yellow A",lleul
PERMIT NO.
3 - 5J-i-
(Please ~ or print and sim 3.t bottom)
I ADDRESS . ~, . L ~ /J[
r ~~ '. ~~;}9;~~,P'1 ~v ~
I LEGAL DESCRIPTION (office use Dilly)
ZONING (o~e use)
LOT
BLOCK
ADDITION
PID
OWNER I . }~. r~J\/l-"".
(Name) ~,uftr\
~
(phone) ,,51-4M-44--:>..L..
(Address)
."
APPUCANT / ,,/ /
(Name) ~/l17o/ ~Nc:
, . /
(Address) 413/ dd 4/&/1 ~#J
I\. . I I (A.ddre,s) / .
(Contact Person) J YJ.I\..J.
~hone) 6<;'l-~4~
~~/-/
~rt)
...., ~ /22-
(Zip Code)
APPLICANT SIGNATURE
(phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 At TERA TlONS
FURNACE MAKE AND MODEL..tbN,N'~y ~I Q2." J ~ FUEL ~f-
FLUE SrZE ~- ~' I RETURN OPENINGS ~ INPUT i~af:O OUTPUT b ,S1:0
TYPE OF SYSTEM HEATING OR POWER PLANT
~arm Air PIOltlts 0 Stearn
o Gravity 0 Hot Water
.. ia'MechanicaJ 0 Radiation
~ ~ir Conditioning 0 Special Devices ,
Ja'Vent. System 0 Other Devices _
PLEASE NOTE;
Air Conditioner Units
Cannot Encroach into
Required Side Y3I'd
Setbacks
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fircplnce
$39,50 minimum
$99.50 Residential. Additions & Alterations
$64.50 Residential,. AC Only
$39.50
Residential, H~ating & Ale (New Construction)
Rcsidentia.l, Heating Only (New ConstrUction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PE~rrr FEE
$
$
$
b P-4ID
QU,l.o WIn
'1lvG p 7t
'l:!:iA,fr,.
.50
(Offiee Use Only)
Building Offici11
__ " ~ _" "I
~iiq" ' . ' \ \, (, Receipt NO,,'
,_ , '., ,LJ \' I
-~ ..,.. I . ;)
. Date " ,I : By ~'
,,1: AUG,:, 7 2003 u
, 'I \ . -.:.
:14 hour notice for all inspections (952) 44.29~;~:~~ (9S;)-~;-424S-. - - --'. j' - - - ,- -'. u
By_
Da~
This Application Becom~ Your Building Permit When Approved
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS ~ t<'ttSfJ~Y ~iJGr ~AlJ }J.W,
NATURE OF WORK NEAJ CAIC~/;~
USE OF BUILDING $. Ft:14 '
PERMIT NO. L),?- ~~2.. pATE ISSUED "-~~JQII1J
CONTRACTOR ~Ji,J6#JS~AJtJ4I Iff-IS'. ~,p~a -S!j-74I&r
..
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
FOOTING I
FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
rP
f'~
Jf} -/-61
we.-
lA~.
Pb t('-IC).rJ?
Ph I ~ Jt>-7 ...~f'
~ i-' et>'
fll I z.. -~l
-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I
FINALS
f1~
[P)c r?bf'f;
UNTIL ABOVE HAS
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.
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
/2-1/
la-~
it IZ-/1
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850