HomeMy WebLinkAboutBuilding Permit #03-0171
@erfifirafe nf ODrrnpanr\!
CITY OF PRIOR LAKE
~tparf1Utnf nf ~uil~ing Jfnspttfinn
~Final 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:
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Permit No.
N/A
Zoning District
03-0171
PUSD
Use Classification
SINGLE FAMILY
Legal Description
L11, B3, THE WILDS
Owner of Building
Contractor's Name & Address JORDAN '~J;;S,
ROBERT D. HUTCHIN$ ,J/(
~. Buildi!;g Official lJ I .
Date: / - I / -() .,;,
Site Address
14532 WILDS PAR~~AY
20712 JUTLAND, LAKEVtLLE, MN 55044
DON RYE
City Planner
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
CONTR.
,~ '~Li~~
~~
SCHEDULED
ADDRESS
I tf,O 2- ~ )1;t~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
\
iA~c7-
A
/'
t\.
. -
PERMIT NO.
c3 't 7l
o PLUMBING RI
o MECH RI
~WATER HOOKUP
"'~SEWER HOOKUP
/0 PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
\
...
( -A4)
----" - ~
.,
\
'\
~ 4)
J
-
.,
_(;.~W~~t?L-t _~I V~~ ~ {)v.l~ W?-vk<,
~~f~~/.,~
o WORK SATISFACTORY, PROCEED qo y~ V--c.~~
~ORRECT ACTION AND PROCEED V ~~ ~ f,<\sp.,
o CORRECT WORK, CALL FOR REINsPECTION BEFORE COVERING
Inspector: ~~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS Jl./l)3}?
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED CO - l- 0)
W~l~ p~~'-O~
CONTR.
PERMIT NO.
o~- 0 L 1 (
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TsT
o
\. ~v..tJ. ~~ '\A~~. ~~ ~
7. ~J. d-tJn{lJtj) fW~..- 1._~_
~) TIW.b t?~ tr~ A"f~Q ((~~
, i~ +0 IO-:?i- 0 <;
Deck I fl ~~
Q_ ~ 'l
V~ (JV\\.\lA,~~(1
/)
-' ~~ ~t' ~(~?~
0\ NORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
~ CORREr~RK' CALL FOR REINsPECTION BEFORE COVERING
Inspector: /) Owner/Contr:
CALL ~ FOR, THIS N~?<T INl?PECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
OA TE nilE
CITY OF PRIOR LAKE <:; I, {/-A.
INSPECTION NOTICE SCHEDULED ~
ADDRESS \qs ~L W1.l--IJS ~~(..JC{
I
OWNER CONTR.
PHONE NO.
PERMIT NO.
n~- n l
o eQIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(t')R A^~-()~
r -VR fl., c.., -( (') p, 01,(
\
," 2'0 ~ 01:. --\~S
~'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
.~
CALL 447- 8S0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS , "'5.3 2,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'l2(FINAL
If:] imE INSPECTION
DATE TIMe
SCHEDULED ~ .01 t 0 ~oo
Wd.A~ ~al-kw~
CONTR. I
PERMIT NO.
Os - C> ~ 1 !
;pi( PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
}(MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE R1
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Ot:.... \. \..l ~ V"lll W\ ~
OC-.2. MG:,^~lA ~.-r~ 0~~ 1\\1\ \:\ ~l.)l'\\'i ~!..\.c.\\.J..J
"? J:'~~ Q,"c...c:Lt.. ~\Ag.\~,.h-C:M ~oto~ So.J....
4. ~o!. ~ ~) 2~." 4~" ~ ),o~ fD~ ~~ ~
0\1., ~1 ~,..Jl ~.\ ~~~.~d9
(.,. (i>~~ G.cw-~ N(..,"^-.. <! c4- 'W~CI-+ <skf5
1. ~.~../..t t~ {
606. ~~ u):~ ~~ ~,^~,,^,~c.,
GVft~ l. D.., ~k\~ 21c~. IM;~~. ~c:;
Z, (lw,d\# ~ j!J ~. ,-...J .J- flO:-C~
~t. ~~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
X. CORREC~' CALL FOR REINsPECTION BEFORE COVERING
Inspector:' {h Owner/Contr:
CALL -~50'?OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED I ~-\I-o"?
W.l&.s; ~~ /
"
ADDRESS J t..K ~ 2.-
OWNER
CONTR.
PHONE NO.
:r -/7/
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TsT
o
COMMENTS:
,,~
'-"
\0
c l,,-?L fP_A~:'~
~
{)~(.~~~B~J
}l.wORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECR C ::ALL FOR REINSPECTION BEFORE COVERING
Inspector: . I I Owner/Contr: . / .-
CALL.: 44~-Jl:J FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~EMENT.S ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
" ..
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/2- ZtP '02-
I. White File
2. Pink City
3. Ye\low Applicant
PERMITNO'Q3_O/7/
(Please type or print and sign at bottom)
ADDRESS
/$153 z
t/l/i Ii j
/2r-e~
/
ZONING (office use)
PtJ$D
LEGAL DESCRIPTION (office use only)
LOT II BLOCK -3 ADDITION 1Z, Wlld.J
PID 2.5- z 97 -1J33-()
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name) ~";) ....rA du... t-(Oyl-u ., X ~
(Contact Name) ,~ ./k>_
(Address) 2071 2.- :::s- V\ flCt.wd ,tJ /
(Phone) 9.52- Z 92- - S"z.. 2...0
(Phone)
La /4.v,I4. _ A1A/'
S-S-Oyy
TYPE OF WORK
gNew Construction
o Deck
o Porch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
DAddition
OAlteration
OUtility Connection
o Misc.
PROJECTCOST/VALUE (exc1udingland) $ 3Z.0J 000
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 ~.ware-.~e b" ial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the ~!Qpertf to per~ ueeded inspe . ns.
X /;Y ~ 2tJ077/2,Q /Z/z.t/tJZ-
~ Si~atUre Contractor's License No. . 6ate
.{
I Permit Valuation 4r3zo,DOO.o~ I I Park Support Fee # $ 8~,oo
I Permit Fee $ '2-'Z-Z5,75 . I SAC # $ 1275.00
"""'
I Plan Check Fee $ I '7L{~. 7~ I Water Meter Size 5/8"~ $ :500,00
I State Surcharge $ lroo,()O I- I Pressure Reducer $ 7D, Do
I Penalty $ I I City SAC and WAC # $ t 2....00t en I
I Plumbing Permit Fee $ 100,00 I I Water Tower Fee # $ 700 . 00 I
I Mechanical Permit Fee $ loo.{)O I Builder's Deposit $ 15001 DC) I
I Sewer & Water Permit Fee $ 3'5.6a lather $ I
I Gas Fireplace Permit Fee $ ~O, 00 I TOTALDUE ~ "t"14~ O? _ $10, ()02 -O/q I
-/ ) I ,
.---?
This Application Becomes Your Building Permit When Approved I Paid 10. ()o2 - qc; Recei~t Nb. 4-~ 5 f?
~ ':f .IlA..i2~ Ilz/t;~ I Date Z -f/' -0 ~ G
- "
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
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~ tJr d</;00:s ~ ~ ~_
Planning Director . Date Special Conditio'f. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
The ('enler of the t.kr ('oU"II)'
(9IIhite - Buil~
(;anary - Engmeering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,IO~AN l-oHSS
- .
I Z- - 2.-& "02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14-532- WILDS P~V\1V.
I
Accepted Accepted With Corrections /'
Denied
Reviewed By:
~ :J~t-J Date: .//3h3
I I
((~ a..te ~ .~~
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."
The C'f'nff'r of 'hf' L.kr ('ounlry
White - Building
~, - Enclineering
c..pink _ - Planrllng,:)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
,lC~I)AN f-c~'lf~5
- j
I Z- - Z(r - 02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
45.32- \VILL)5 f)tV\JV.
I
Accepted Accepted With Corrections V-
Denied
Reviewed By: ~ ~ Date: 0/aJ"
~ ~'1-6 fiJ) (2, (J ~ W .
J ~
~~ ~~; · ---:..J:.~,^)
, . .' ~ .... . . (J)I5fC-b t:/WTrc..u
~"_.- -~.~ ...bl~ 4...... T:C.'-J: b--- -. ~'4A~
,." J
-_~.-\ __._~I! __p-:-I( j..~ n-'.u.J.:J~'J....~ -"/l-.-.~ ~
~ -- Y' -
~_. . .', 11~ _".'~.- I -1-" , ." /./ f1 j- J...__
~IJ' ~-...-__I. ~~ ,., ~.' - =->
C . I '
~ -:'1.~.~
Comments:
d<lr ~
I I _ I
A(. ~ ~.~
"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."
Wf'tlte - Buildina
C G.::!nary - ~na.!!!~rinq)
Pink - Planning
The' (" "n'flr "I .hr I..kt' C O...lry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-;.~(-';, ) " 'A \ \ 1-' J',~JI - .:-..
f /k' .r)' " li".J . LJ I t-e...)
",1 ,'~~,j'.. ~ I . .wI
. ,
I Z- -- Z& ' oZ-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14-53 Z- \\1 II D.S f)l: v\JV .
/
Accepted X
Accepted With Corrections
Denied
Reviewed By:
/PlT3
Date:
~-Ih-o~3
Comments: BAA Rp\/erse Side for Additional Information!
See Attachments: I) Gr::lding Plan, 2) Eros;on (;ontrol Mea~mrp"
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."
!Ir i
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Please type or print and si~ at bottom)
ADDRESS
1. Green File I PERMIT NO !)3
2. Yellow City '_
3. Gold Applicant
/'71
ZONING (office use)
Itl53~
(JJ/ll!h Pklut/
APPLICANT (l
(Name) '1h c-Le~s 7/{'c 50ft/Ie. CO _
(Address) Jo4/<K 1(''1'45> M~
(Address) . ()~
(Contact Person) LJ... -
APPLICANTSIGN::::Z Q~ 07 0A
u t/ - ~
APPLICANT PLEASE COMPLETE BELOW
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
-
~v:~~ ~
(Address)
(Address)
'-----'
PID
(Phone)
(City)
(Zip Code)
(Phone) 6 /J-- ft? - 9J (}6 '2
U)(j ()-(/tqk~
, (City) -
(Phone)
(Zip Code)
6/;;) -577-8-~ ~
DATE
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. D ABC D PVC
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
feet.
D Cast Iron
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family
$17 .50 Water connection only
1% of job cost with a $39,50 minimum
$17.50
Estimated Cost $
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Building Permit #
$
$
$
.50
iJ A~
Paid 1)~1 f.-/ .
Datli-df-3
Receipt No.
- )
rrp
05/08/2003 11:10
'3524401740
AL T A CLEAR~')A TER
PAGE 82
01/29/02 rUE 11:1$ FA! 6124474245
Cll'Y Uk' t'!UUt<. l...lU'.e
"tOf.....-tt4
Cll i OF PRIOR LAKE
REA lll~GJAIR CONDl1 10NlNGIFlREPLACE PERMIT
Dst@ R~ld
~~ Ol'urtDt m4rilm.c\lOmm\
ADDRESS
I~~~ ~.~tds
~~::.. ~ !l'E~TNO. ~. -/-'7,/ I
], YlII\OI/l ^"ct- 1 <J /,
L'EGAL DSSClUP'rION (o15ce l1!t: eflM
~ .~..I/
- . I
"""';
ZONING (oI!lte U~) .
LOT :BLOCK
ADDITION
:Pro
OWNER. ,
(Name) .. _ ~ +J~)"yY'~-S
~q) ~(~ :\~J ?lQc<"
'=~~:-o~~;;,~ ~ ~=~~~~~~
{Addre,,) (City). (2"lp Code)
(Comaa Pmson) S (....l~ / .I (Phone) q ~J ,. '+40 - ~ -m
APPUCAN'!SIGN^rou._~.~U~.. DATR:'S74,./66-'
(P~one) J4 ~- 90-0
~v'tt~ ~
APPLICANT PLEASE COMPt.l!. 1 I!. BELOW
~. ' W CONsTRucno):l OREPLA.CEMENT. 0 AL TE.1lA TIONS, .
PtJT(NACE MAKE Al'U> MODEL ~, - +6'lfV1~ ;-.tJ rom. ni*'"' ' ~
.~
~ SIZE Y . tlETtJ'RN OP:EN!NGS 10 INPUT l&f)UO OUTPUT J /;-, COO
TYPE OF SYST5M HBA TING OR. ~OWER PLAN!'
8 SlClUll
. Hot WIItI!f
8 RJldilltiOll
Spctial D.~
Other Devlccll
. ~1Iftn Ajr Pl1nl~
Ore.vity
M~iu1
it Conditioning
\lent. SySWl\
PLEAS! NOTE:
Air Coadidonet Vttit!ll
Cannot t.... y.:d\ anl)
Reqtiind Side Yard
Setbacks
f1REl'LACE MAXE AND MODEL
Induttrial, Commetcial & MultHamilY
~dde.l. Heltins .. Ale (Nc;w COl\MNa.lon)
t~dcn!ial, H_g Only (Ne'oIt Consmsction)
FJ.E s\"Ju..DllLE
i % of job ~st Residential, G" Firc;lWcc
$39.50 miftl"'ulYI . . ~_.., "
$99.50 Rtsidentiai, Addition! " Allen1ion.~
$64..50 ~dmtilll. AG Only
~CJ.SO
'.
S39.~O
539,SO
EStimab:d Cost S
Bu~ldlng rennit 'H
HE.A TING PERMIT FEE S
STATE SUR-CHARGE $ .SO .ft.IO WITH.
TOTAL PEtonT FEE $ rt'U
(0IIke Un 0II1,) BUIl,.DtNG PERMIT
Thl.Applit!.atioa Becomts YourBl,IUdUlU Pf:rm1tWlten Approved r=~;J~ ~ . ~ '," ,_~ Peceipt.NO.
~.V-~~ U U. r~~ 1
'OtIlt l~.' I ..
1 3 LUUJ r ;.
'Z4 hout ftcrtit6 for ,,1I1n9~onlJ (952) .. SOC. (IlX (952) 447-42~ U ..
By .,__::::::::__ .___~_,___
-~---....................-.
8111tdl.. OII\<iJ,I
rrr
05/08/2083 11:10
9524401740
ALTA CLEARWATER
".1.1. I U t:' nu un 1..I\t\l:o
PAGE 01
U~'~~/V~ l~e &L;l~ r"4 O~~.~14~~D
"t::I....v~
Date Re.e'd
CJ.li OF PRIOR LAKE PLUMBING PERMIT
~&t ~""I ,PERMlTNO. 3 - /1/ j
(J'1eue~. ~1lriot am! lim atboltoDll
ADDUSS
H~~ Wilds. ?O>v~1
LEGAL DESClUPllON (ol!iO! UN lI'l'l1y) V
l..oNIN G (n/rlCr W~)
LOT BLOCK
OWNER
eN an-.e)
(Add:r4!$S)
ADDITION
PIC
3x-~ {J~
?ol::1:r- ~Lt:... -d ~O)~
(Phone)
~vi ((~
fJ..Cf ';).. - '3 J.d 0
~
~~~1~~"R8--4-~ (Phone) _qf;J. -lI-tfI -M3D
(Address) ltf AO"t) m~~f"\ (2cJ U D ~~ ~)ir"
(Addnl!is) (City) (Zip Code)
(Contact PetSon) ~ ~ -. (Phone) q9-' If.lf1~3 D
APPUCANTSlGNA'I'URE A~ ~ _. ....._ OAl"~~k.-
APPLICANT PLEME COMPLETE BELOW
Type of Filt1Jrtl!l . Quantit:y I Type of Pbttare
aath Tub with or without sbower '3 ROUgb.-iM
Diahw/lSher ( Watr:t Heater
Floor Dra.in Water Softner
_ Lavatory (aathroom, Sink) , Stand Pipe (Wuhing Machine)
Laundry Tray (lor 2 compartrMnt s:ink I Sewage ~jeetor
Shower StAn 1/ B~kflow As.9embly
1 Sinks Baekflo.w A~bly r~t
Bar Sink I Lawn Sprinkler
Water Cio!.et (Toi1~t) Other
Quantity
;;..
[
(
1
I
~
FIE S'-IU!..DULE
IflduttoQi. Commercial It MlAlti.farniljt l%orjolJ. cost wilh.. $39.50 minilmrm
Rcsidential,.New One Il. Two.F~i\y $99.50
Residential. Addlti<1ll.s It AltetJtion~ $39.56
F..9limated Cost S
BuUding Petmit II
PLUMBING PERMIT FEE
ST A IE SURCHARGE.
TOTAL 1 J!-.l\J.wlrt FEE
$
$
$
.5Q
11Iftd\"I Oftitltil
p~~~~. TH ..ArT
BU\l'l.~"NO.
. .'
-, rrm ~ n -~. ~ p, By 1"16/
. ~
)4 bur aotid fGr all i1l~C1'u (9S~) 44 JrO~)r'LtD~ .J
(oma: \I~I' Oe.,)
'11l1s Applleadon Ik~Oale5 Your Building Permit When Appf'C)'W!d
Pai~
DII~
~.Y
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink File PERMIT N 3 /
2. Green City O. .- I"
J. Yellow Applicant I
(Please type or print and sip at bottom)
ADDRESS
14532 WILDS PARKWAY
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) JORDAN HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
5/16/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
D Steam
o Hot Water
D Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
HEAT N GLO 6000TR-OAK
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
P~/"
.50 . . ~ ~
U~\E l~ ~ D ~ ~ ~~ ~~""'"
Paid \1 D - RecJi No.
MAV 2 1 2003 I
Date -' By ~ ( j
,~,,___- \-f/
24 hour notice for all inspections (952) 447-9850, fax ~952) 447-4245
Building Permit #
$
$
$
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildine Official
Date
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS LI 'S ~.~ ~ \Ali LOS 'PAJ2JLkl....,
NATUREOFWORK- ~ ~Tau.~
USE OF BUILDING SJ:: b.
PERMIT NO. (13'-0/-; / DATE ISSUED .,
CONTRACTOR ~IA>>N ~"tJC.. PHON · · 20
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 11-"6. -2-/ B
I FOUNDATION (Prior to Backfill) I~~ VOo:.- 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required) _
FIREPLACE _ 11//.
GAS LINE AIR TEST P' ~ ;?7fj ~
COVER NO WORK UNtlLABOVE HAS BEEN SIGNED
. rsru~OII.lVHapL1ZI1t11lJ1a~ 1
FINALS
J:/<.... f ~4 . rp
11/7
/
GRADING (prjor to Sodding) .
I BUILDING ~ ~ ~ tft>- \ ~\\.,
ELECTRICAL /
PLUMBING LV G-
HEATING
DO NOT OCCUPY
.
f/l5
p~
6-c.
a.-v
HJ
1'-4/
,.z A/7-Q?
<p'~
f-lfl
UNTIL ABOVi HAS
NOTICE
,C-. ~
Q..~
BEEN 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.
ill i
FOR ALL INSPECTIONS (952) 447-9850