The URL can be used to link to this page

Home My WebLink AboutBuilding Permit 03-454 & 03-860 <llrrfifirafr of @rtupanr\r CITY OF PRIOR LAKE ~rpztrfmruf nf ~uil~iug Jlusprrfinu ~tinal Permitted D Conditional C.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. 03-0454 Occupancy Type _ R3 Type Construction VN Fire Zone N/A Zoning District PUD Legal Description _ L3, B1, WENSMANN THIRD Owner of Building Contractor's Name & Address \\IENSMANN !~ES, ROBERT D. HUTCHINS 1,(,1 Building Official V V. Date: I (_ ',Z - r) ""} Site Address 3705 FOX TAIL TRAIL 1895 PLAZA DRIVE, SUITE 200, EAGAN, ~rn 55122 DON RYE City Planner Date: ,1~- ....) ....."' ...... .:: .,;;, t', n;'" '''''~',;;.llM. :~:i~.,t" jj'.'..~. :,." '>' I -..........-. .. \j". DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED I~-~- 03 ~'.QQ ADDRESS :5 ~ OS" Fox- I lA, ~ -r;.~ OWNER CONTR. PHONE NO. PERMIT NO. '7, t./?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 ~PLUMBING FINAL o MECH FINAL o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o J~Ofi:NTS: 1) - . h'\ to 1\ cot' C1 /)e:.. 2,~~~ _~RK SATISFACTORY, PROCEED ~ORRE:~CTION AND PROCEED o CORREr.} 'fu'. CALL FOR REINSPEenON BEFORE COVERING Inspector: 1 ~ OWner/Contr: CAL }I:4Ms&tFOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 1?"-I2.-oS' j ~!o ADDRESS .37t:YD' FO)(k \ It--~, OWNER CONTR. PHONE NO. PERMIT NO. ~ - 4s4 o FOOTING o FOUNDATION o FRAMING o INSULATION Jl.FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: I ( ,.,V -\ 6 (/~ \ '. ('\,1 (~ ('(~~1 ~ ~_~ ~ ~D~~ ~ORK SATISFACTORY, PROCEED / o CORRECT ACT. AND PROCEED ALL FOR REINSPECTION BEFORE COVERING Inspect r: OWner/Contr: c6* FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INSNOTl r CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT See Main File I. White File 2. Pink City 3 . Yellow Applicant (Please type or print and sign at bottom) ADDRESS AJeP. ~ of\ +0 .pet.N\o( f- o~-4S'l ZONING (office use) {JlAD 37c>S Fo~ ,,-c-J l 1~\l\ LEGAL DESCRIPTION (office use only) LOT ~ BLOCK J ADDITION \ I \ t:J'^ "'-., 3J OWNER (Name) \Je"'~v~~ Date Rec' d t - ~ 7-()::3 PERMIT NO. D-~/ Pt? ()' PID -2S .... 39~ - """ ~ S 1'\.(' . (Phone{~SL) 4D.C- ~ LJ..!j.QO ~ t'V'e ~ (Address) BUILDER (N ame) <::...0 lfV\&> CL~ (Contact Name) . Po. ..J. (Address) C\. ~o\l'O R.. ~ o..~ (Phone) (Phone) (q 5" ~) L..f c.t 0" '-I sa, TYPE OF WORK ~ew Construction OLower Level Finish l , o Misc. lrz.... ~ I v RsaGH ~orch OAddition ODeck ORe-Roofing o Fireplace OAlteration PROJECT COST IV ALUE (excluding land) $ ORe-Siding OUtility Connection 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 sUbmitte~s. 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 :terup ~;;:rtperfo~~ons. JL/S8 C-I.;LS/o.~ Signature Contractor's License No. Date ~, I Permit Valuation ~91J~t9, d(J I I Park Support Fee I Permit Fee $ , /~7,~s-1 I SAC I Plan Check Fee $ /tJY, 7/ I Water Meter Size 5/8"; 1"; I State Surcharge $ ~, 5"0 I Pressure Reducer I Penalty $ I I City SAC and WAC Plumbing Permit Fee $ I Water Tower Fee Mechanical Permit Fee $ I Builder's Deposit Sewer & Water Permit Fee $ I lather Gas Fireplace Permit Fee $ I I TOTAL DUE # # # # $ $ $ $ $ $ $ $ $ z8o. ~ J This Application Becomes Your Building Permit When Approved I Paid ::>- j"() rfV Receipt ~ o. a (tJ 7J ~ 7~ 7L1.L/a3 I Date 7~/.of By/I Building Official Date .tI This is to certify that the request in the above application and accompanying documents IS in accordance with th ~ r 1\-6 ..,.. ~need~~~ThiS document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows constructi~. 't,Y.Em c~t, pancy must be ISsued. .. ~ '?~ 7//1),:: Planning Director / I%te 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 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d Lj-lt/o3 I PERMIT NO.()~_ Lf5 L/ I ZONING (office use) PUD See Main File ~i~~e ~::y 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS 3705 ~)( ~..l '1<-0-, \ LOT 3 BLOCK LEGAL DESCRIPTION (office use only) ADDITION W~f'N:t~t\ .3:J OWNER (Name) L..b~",,(\ (Address) L~c-.1S BUILDER (Name) ~ 0,", (Contact Name) Pc...u) (Address) TYPE OF WORK o Misc. Pl~ t-\c.~ So .-.- -l- l"'c' PID.:2.S - 3q 3 - 00 3 .0 (Phone) ~5/) 40c.. ~ 4'-100 ~ Ea...co.l\ ) M~ J (Phone) (Phone(gs-2 )~'iO -. 4s8"') ~ ORe-Sidin~ ~ OUtility Connecti~ '" ',,-- "'--,~ ODeck o Porch ORe-Roofing c.oo IOS. I '------ .55 {;2..:t , 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. Dr- ,t...v ~...fe c_\ocv-Q ~ ~ew Construction OLower Level Finish PROJECT COST/VALUE (excluding land) $ o Fireplace DAddition OAlteration x WeW\..9>V'^O.,,^ Hct'\-es, .:Ti'C _ Signature I Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee 1 Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee /'158 , I:~. n () [) _ ~ Contractor's License No. . ) ~- /05; OtJO. 00 I $ /~2J.75' I $ , to" ~ J 4-1 $ 57..5() $ - $ $ $ $ /00.00 /()O.OO .3S.g; 46. () 0 This Application Becomes Your Building Permit When Approved ~ 1~,L Building Official 0/I/tJ3 Date I Park Support Fee I SAC I Water Meter Size 5/8"; I"; I Pressure Reducer I City SAC and WAC I WaterTowerFee I Builder's Deposit lather I TOTAL DUE I Paid I Date 5 f~.r J. l"'9 19./1-.,1)) ,r # # # # /..i J ISLC3- -, Date $ $ $ $ $ $ $ $ $5 ~w. 8q ~~.' ~rP I, 275: IJ () ?<7J. (XD 4~.OO 1,200.00 f 700.00 ---" ~ This is to certify that the request in the above application and accompanying documents is in accordance ~t:te City zon~r.ce and may proceed as requested. This document :'C:-?:;:~C-~;;io~~~"'---~'ee= lVlaiirFiIeo=,,""m""~ 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 See :Main File White . Buildin9 t.j;ana'Y - Enqlneerll!9-' Pink - Planmng Th. ('.nt., of tho tlb ("ounl" BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED !i ) t-?/J1../V1'I'1 a-1.t/)'~ - L/- /t-J .;:-/ I .a-_pJt. .' .J .~ I 0' / .-1./1 ./ l .V.C1 ~ .W:~~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: =? /70L:" - /:::::>" k-/-;-/(-.... I' j' ;--""v- ...-/ f( j ,\.//{. Co F Accepted x " Accepted With Corrections Denied Reviewed By: !1IJ4f) 5~.t" me /" h'tt Date: s-~ "-0) 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. II '" See Main File White - Building Canary - Engineering <;"pin~j)ja~ The ("rntrr or Iht take Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT / J ) i>:/J'. ,: 7?: J"r-~ l..-- - l/- /f-J> "/ I ,'~' --;' 7-' ) /'J i //(( ~ APPLICATION RECEIVED ...... . L The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 'l OC) ..---;~/>/ -1-;''( I' I ;Tr Accepted / Accepted With Corrections Denied ,,~~, ~ "'t< Reviewed By: 23~ 7~ Date: O///CJ3 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 ~ain File ~Wl:WL - Buildinv Canary - Engineering Pink - Planning The Crnlrr of Ihe t.kr Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED L/) ~/YI1~ ~ lj- /~~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3~o5''' ro%-/-q /1 Tr Accepted ~ Accepted With Corrections Denied Reviewed By: ~ ,. 7.uJ1~ Date: 6/ I /03 . . 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 ?i~e ~-~~ r . rv - Enqineeri"9:> Pink - Planr'ung Th. C.nler or lh. t.k. Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED f ? f-' ^, '---17 /1 "'~, /"; _ .', } i......, .__ ,r) \"" - .-. /;' ,/ / .1' ......_. i/ \,~ji /O.,J C,\ ~J__.L{ ,A ,-=_--'-'/__/.1'-1 ~( , """-_...- k:'- ~~, /7 -~ 03 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I/ri /} ," ~! .,< ; _..Z,." ..._--:.::.. '/l---',,;,., J.g..-rL.<.......;."'7........; (~,.,..I (I:.. :>.t'- '}.- }l__-~..- Accepted X Accepted With Corrections Denied 11--~- Date: I 1 ". 0) 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." See Main Fi~e ~hite_ - f1J1~i1~ Canary - Engineering Pink - Planning The Cenler or thl' l.ab ('ountry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST , NAME OF APPLICANT ~ f}()!;'-royJ~ f \~~_!-6 APPLICATION RECEIVED ~- ~/7 -0(3 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: ~ , ,.. -:;1~ Date: -7/; (,~ '$ 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 Canary - Engineering C. .~ink - JJlanmng:::> The ('('nll"r or Ihe Lake ('ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ,? 11/\ <-:- "'-_,/ 1 (j ,) If'l ,,/" "0'-' "_ /' /' ,l:,! \. \ .I' I'! /j I' , ............- / ;c--- - /1' 03 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: '..... .. J' ,~ / ,1 .;.. ,. Accepted ~~ Accepted With Corrections .. Denied 1 Reviewed By: COrQ,ments: ~~AJ Date: ?;~h 3 "",' ----- ---- .~ 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." APr.21. 2003 11 :33AM GENZ RVAN PLUMBING AND HEATING No.0366 p. 45 Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER P~Rl\1IT ?J1rJVj mx 'aAJ -.721. ~. ~:: ~~" I PERlVlIT NO:~ - iJ-r:::-1I j ), G>}.; Apph""", (:;;I-- 1./ J '1 , ZONXNG (office'lse)- (Pleas~ type or. owe <Uld si~ at botIO.nl) ADDRESS : V::GAL DESCRIPTION (office use only) LOT ~BLOCK I ADDITION AJR J1S'W\CLJ/1 Y1 3rd-. PID OWNER (Name) Wensmann Homes (Phone) 651-905-3709 (Address) 1&95 Plaza Dr Ste 200 (Address) Eagan, MN 55122 (Ciry) (Zip C9dt)., .-. APPLICANT (Name) Genz-Rvan Plumbi~lS;>: & HeacinR (Phone) 651-423-1144 (Address) 14745 So Robert T:r1 I' J /'I ~ess) ~ (Contact Perllou) _ VV I Sfl u( r ~ "'.-ICANT SIGNATURE -flW . '-4!d.l1;1 Rosemount. '<r\j (City) 55068 (Zip Code) (Phone) DATE 651-.423-1144 1./-1)--'0 ~ APPLICANT PLEASE COMJ>LETE 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. length of sewer line feet. Clean out (if required) locate4 at,.__ feet from structure. Residennal sewer and water hoc connection Sewer connection only FE.E SCHEDUL.E $3550 Industrial, Com') & Multi-family 1%, of job cost with a $39.50 mJDJmum $1750 Water connection only $17.50 Estimated Cost $ Building Permit # eiIJ~~/} ~ V"'G b:! If .50 .b~~ ~". SEWER AND WATER PERMIT FEE $ STA IE SURCHARGE $ TOTAL PERl\'llT FEE $ (Office Use Only) Building Official I, '~j11:' ~ ~ U \D \1 ~ R".ip' No \1 f'~at~PR 2 3 2003 J Y ( 'If' \-~! V 24 hour Mtice for :all ilJ~pections (952) 447-9' 150, fax (952) 4474245 , , By_ ' J Date This Application Becomes Your Building Perm,it When Approved -.aI- ra.t YI!UOIf - AIII'I.ICAIIT ... - CW'l CITY OF PRIOR LAKE SEWER AND WA:a.~ PERMI'f S.W.No. 3- tl5 tj Sewer and Water contractors must be registered with the city. APPLICANT: SA-Ai~ PHONE: ~~-~-~/99 ADDRESS:~~.,. ,~~~,~TE: SIGNATURE: ~~ BLDG. r~J."J: I SITE ADORES. ~ G,'v"/-lU.J J PID' FILL IN THE BLANKS HO'l'E: 1. Estimated length of water service ~l1 / '" Size of water service inch(es). Location of any couplings from structure feet. 2. 3. feet. 4. Type of sewer pipe. ABS pvc ~ Cast Iron 5. Estimated length of sewer line ~l? 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 ~~uance to insure that no duplicate sewer and water par.m~lare issue~, UILDING VIII,1t DATE PAID ~) ~ @ ~ U ill ~ ~ AMOUNT PAID /"1 PERMr,. RECEIPT 41 0~ JUN 2 7 2003 ~II REC'D BY ~ ~ # By 16200 Eagle CreekAv. S.E.. Prior Lake. Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245 An Pnn..t n ,',lIni", Pmntnv,.r Aug. 4, 2003 2:05PM GENZ RVAN PLUMBING AND HEATING No.5223 P. 4 ,) Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT (P]ea..,~ r:yp~ or 'Ptint snd SlRn at bottom) ADDRESS 1 V 106 JiJx 1M -hd. ,. Bl~c Fil. 2. Gold Cil)' 3" Y~IQ'" AJlpllC3llI I PERMIT NO. 3 -L/stl ZONlli G (ofl.ice '"'I:) LEGAL DESCRJPTION (office: use: only) LOTJ BLOCK I ADDITION .Wmsm(J)I})) gRJ. OWNER (Name) Wensmann Homes (Address) 1895 Plaza Dr APPLlCAN'T (Name) Genz-Ryan Plumbing & Heating (Address) 14745 So Robert Td (A.ddr~ss) r- (Conta<:t Person) jJfr) ~?;:h ~. tUJ;i . D.~ APPLICANT SIGNATURE (1 ~@rttljJ.jl Quantity ;< I l 4 I I I ,.~ Pro . (phone) 651-905-3709 Eagan, MN 55122 . (phone) 651-423-1144 Rosemount, MN (City) .5.5068 (Zip Code) (phone) 651-423-1144 ~L/-~b ~ __ DATE \ APPLICA1'l'T PLEASE COMJ>LETE BELOW I Type of Fixture I Bath Tub with or without shower I Dishwasher I Floor Drain Lavatory (Bathroom Sink) Laundry Tray (1 or 2 compartment sink Shower Stall Sinks Bar Sink I Water Closet (Toilet) Type of Fixture I I I I I I j I 'j i Quantity -3 ~ / Rough-ins Water Heater Water Soflner Stand Pipe (Washing Machine) I Sewage Ejector I Backflow Assembly Backflow Assembly Test Lawn S~rinkler I Other . .ttEJi. SCFrnn{JLE Industrial, Commercial & MultJ.-fannJy 1 % of job cost with a. $3950 minimum Rcsidcnnal, New One &: Two-family $99,SO Residential, AdditionS & Alterations $39 50 Estunated Cost $ PLUMBD'JG PERMIT FEE STATE SURCHARGE TOT.AL PERMIT FEE BU11d:ing Perro.it # $ $ $ ..50 S. A 'f4t.1J ':il() ~G 11th" .o~ '7 ~ ~~ (Office Use Only) T.his AppHcation Becomes Your Building Permjt When A.pproved , 1~0f\J7 ~ ~ . Paiol'o G LJ l:J l!; ~ ceJpt No. Building Official Date: 24 hour notice for an inspections (952) 447-98~,~f.u (952) 447-424':: I r"\ ~1je AUli uU b LUUJ I!: 2003 2:11PM GENZ RVAN PLUMBING AND HEATING No.5223 P. 83 CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDIIIONlNG/111KEPLACE PERMlT - i ~ ~!~ I PEAAfiTNO. ~r I-/r/A ) Yellow ^l'1l1ic.t11l r J V( '? Yf (p!c.ue type or tlrlnt and siS at bottom) , ADDRESS '2 l.,.. - J-.", R V 10t3 .(Try Jatl 7/Gt. ZONING (offiQwe) ) , LEGAL DESCRIPTION (office use only) LOTO BLOCK f ADPITION IjJ/JJ1Smann gRd.. PID OWNER ~roDe)~A~Qm~~n UnmOQ (phone) h 51-9(\ "i :37Cla Eagan, MN 55122 (Address) 1895 Plaza Dr Ste 200 APPLICANT (Name) Genz-Rvan Plumbin~ ft H",q t 1 n~ (Address) 14745 So Robert 'frl (Addtess) (Contact Person) J)lIV.,~ J1 ~ Aj -.S. - APPLICANT SIGNATU~ (\~'L) ~ (phon~ ~~1-a?~-11a~ Rosemount, MN (City) 55068 (Zip Code) (phone) (-'''il-L..,)'-\-1146. DATE C(' J...f -0 ?, ~ann AIr Plants OGravi'Y o Mechanical ~jr ConditiOnIng ... JV!=tlt. SY:'ltem PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL IndustrtaJ. Commercial & Multl-Famlly FEE S.....tUillULE 1% "fJob cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additlons &. Alterations $6450 Residential. AC Only $39 50 $ $ $ ,!~': :p~;::tio. Doco.,,, Y 00< Doildi.gl'.rmit W'on Approvod ~-;';~;<CCZC~i-;::-t~i ..a,;..OllkW D... 'liD. rAt#) s ~OOJ (~II By t:::.> 24 hour notice for all illSpections (95.2) 4li!~~?~:~___ flEA TING PERMIT ,t''cb STATE SURCHARGE TOTAL rJ!lKMIT FEE .50 $39.50 $39 SO ~~ ~ ~a ~() ~Q~ ~~ ~ ~~ Restdentlal, Hea.tlng &. Ale (New Construction) Residential, Heating Only (New Constroction) Estimated Cost $ Building PenDlt # Receipt No. ~ JI CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGfFlREPLACE PERMIT Date Rec'd 1. Pink :. GtCC"'l ). V.Il_ '. L(s;.~ ~~~. \ PERMIT NO. --1_' Y/~ , Applt_, J ~' (Please cype Of prine and si~ a.t botulrn) ADDRESS 3l0S- F~, " P -r~ ZONING (olficcusel LEGAL DESCRIPTION (Clffice use only) LOT BLOCK ADDITION PID O~ER 1\__ _ (Namc)~)~ ~ . (Address) 1~'5 PQo~ (k/tt~ f~ APPLIC,bNl: "r +. . (Name:(lu:b:rnl,n',~~ \ -n1.:'\.O-q~1 ~ ' 'b...\.J::..I:lO.C.~ (Phone) i"'JLY3-3/5'750C (Address)~\O l.JL!\='Yr\A -A.S 'd .l-f'. ,c:~\-\"dtq .v~ ~\Jt. t'hn 5-<::;<""LI.C:; , . t)'dd:reS$) (] (City) (Contact Person) k' ~'l "'. U. . (Phone) Il<..c3-3r 5-75/ ~ APPLICANT SIGNATURE ~~:;:"I ,/j11''''u',n;a.~ i (Phone) ~<::'1- YOCo-C/f.t/QCL i . . I i \ (Zip Code) DATE APPLICANT PLEASE COMPLETE BELOW L)iJJ"t:.W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AN\!:> MODEL F,tJEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT OWasm Air Plants OGravity o Meehanical OAit' Conditioning OVent System o Steam o Hot Water o Radiation o Speeial Devices o Other Devices PLEASE NOTE: Air Conditionet Units Cannot Encroach into Required Side Yard Setbacks flREPLACE MAKE AND MODEL aL"'J-~Q.I)~~j~19,--_.: FEE SCHEDULE \% of job cost Residential, Gas Fireplace $39,50 minimum S99.50 Residential, Additions & Alterations S64.50 Residential. AC Only Residential. Heating & Ale (New Construction) Residential, Heating Only (New Construction) S39,50 539,50 $39.50 lnduslrial. Commercial &; Multi-family Dale $ $~ .50 S~;"$b ~,"'" lA_ P 'd' l~, ~,. II ,."- _ .":'<:-: ,,\), Date (1;,),.. I Receipt N'Ci:.. Estimated Cost .$ Building Pennit #- HEATING PERlvnT FEE STATE SURCHARGE TOTAL PERMIT FEE lomec Use Ollly) This Application Becomes Your Building Permit When Approved lJlIl1ding omc:lat By.it 24 hour notice for 311 inspections (952) 447-9850, fA.. (952) 447~14S 1:00 iii -"-' X31UIHd 3~V~V~ JI~VWO~nv '_0"- --_.- - 1:0LOSIC1:I9 XVd CI:It CO/9t/Ot PRIOR LAKE INSPECTION RECORD SITE ADDRESS .3"05 rnJt T&.\&.. TA.~'L NATURE OF WORK ~etJJ Co~~Ta.w. tIt>>.) USE OF BUILDING . ~.t=. ". PERMIT NO. 113-0,/.><,/- DATE ISSUED ~ CONTRACTOR ~~~ H.*E5~ INC.pHONE~ ~..qSS7 NOTE: THIS IS NOT A PERMIT FORANYOFTHE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT I I FOUNDATION (Prior to Backfill) I I ((.tfJ:; PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING f.,.,,~. tA(./ I o.p)., 4) INSULATION v ,~, ;t.(I 10-1/;"'''7 ELECTRICAL PLUMBING I/-I~l VIII lO-Y'-V'7 HEATING (if required) /""v. "" 10-1/1.-"> FIREPLACE GAS LINE AIR TEST ~ . COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS FOOTING " .I. GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE PI> 9 '"' ~~ PlY ? -}-., - ?P .;:r..../"? P/3 7'/~ 11 ~j ~~- /'2-~ ~ l~ \ 1- ,. \~L> f '- \~~~1- O.CCUPY 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