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Home My WebLink AboutBuilding Permit #03-0325 illrrfifirafr of <IDrtupaur\! .... ,. CITY OF PRIOR LAKE , ~tflartmtnt nf ~uil~ing J1nsfltttinn ~ 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: Use Classification SINGLE FAMILY Bldg. Permit No. 03-0375 Occupancy Type R3 Type Construction V~ Fire Zone N/A _ Zoning District R4 Legal Description L25, B2, FOUNTAIN HILLS 2ND Owner of Building Site Address 14225 FOUNTAIN HILLS CT. N. E. Contractor'sName&AddressWENSMANN HOMES, 1895 PLAZA DRIVE, SUITE 200. EAGAN, ROBERT D. HUTCHINS _ City Planner DON RYE // '\ '..)3uilding Official ( (J 1)_ Date: (-f'" I 1/ .~ I. Date: -"-7 t I II j,jjj~ ' '..: . .. .:,;~,: : .~~ ~,..:..'...., '.M":.:",,,' :.... DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS j t12-2-S- SCHEDULED W\ ~ /.D"3 ~~ PHONE NO. CONTR. PERMIT NO. () 3 . ~ '2-6' OWNER COMMENTS: o PLUMBING RI 0 EXIGRADIFILLlNG o MECH RI 0 COMPLAINT o WATER HOOKUP 0 FIREPLACE RI o SEWER HOOKUP 0 FIREPLACE FINAL o PLUMBING FINAL 0 GASLINE AIR TST o MECH FINAL 0 ~:rtfl- "t- ~V ~ CS - ~ o FOOTING o FOUNDATION o FRAMING o INSULATION % FINAL o SITE INSPECTION ( J~ ~~ ~~K SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: 4- Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl I II II CITY OF PRIOR LAKE INSPECTION NOTICE fll!tuJ b1t DATE 2Jll'~ !~~?-5 fouJ0\ .kL~L-LS G-r TIME SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. --6~- 3tC; o EXI~ILLING o CO~T o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o o FOOTING o FOUNDATION o FRAMING o INSULATION ....-oj"( FINAL /[]'SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: H 1-3 ~- Rf'{G..)6.. CvP.. r....C)(cP rc..Js[~ w I (,~,..[)t.. . , ~ SoD ()f<.-T~f-ftC, . ,- -' ~WORK SATISFACTORY, PROCEED - ~CORRECT ACTION AND PROCEED , O'\ORRECT WI!. . K, CALL FOR REINSPECTION BEFORE COVERING Inspector: --4.~ A~ Owner/Contr: CALL 447-9Lo FOR ~EXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY! IltSNOn JJLt7J 03, !L(~~ ~ ~.~ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING i:NSULATION FINAL SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ,J!f MECH FINAL DATE TIME ~ \. ~S'-'5 o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI J!! FIREPLACE FINAL o GASLINE AIR TST o COMMEtiTS: }/, /) r-I. ')A II '-. I .;4' W X' ~)~')';~~ 10 ~ . ~W'\\A~ ~J~r/\'~/" rzt 1~ T~ A;/p>f:,<..., o WORK SATISFACTORY, PROCEED ~RECT ACTION AND PROCEED I",::E~ ~ FOR O8N5:::::FORE COVERING CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. lNSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 1!'6fJ, 2-- U; OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION i. FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ,4 0 PLUMBING FINAL YMECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI J! FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: It ~ lM~ w,~~ ern <.eaQ _-rl, ~ ~'>f;~ ~ ~~ C -n, ~ ~ J.-_ 11, , ~~~1/N~~~ ~ ~~1nQ, :(, ~ ~e:f' fJNt~s. ~I o WORK SATISFACTORY, PROCEED .0 .90RRECT ACTION AND PROCEED V 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/ INSNOTJ I ... CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME l; tttfitJ3 ~t~- SCHEDULED ADDRESS I t"t 1-1fJ tt / A'ltv1.#_ J v ~.1l19p ~r.;vAN\_ / .) . Crib '\ v'(-'f A-~- <;:,<- , l.{l 0~~-~. ~~ 'i..lh V~~ t/~ ~. ~~ OWNER PHONE NO. o FOOTING o FOUNDA liON o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: '-' - 5l CONTR. PERMIT NO. :3 \ '3 2.-5 o PLUMBING RI 0 EXIGRADIFILLING o MECH RI 0 COMPLAINT o WATER HOOKUP 0 FIREPLACE RI o SEWER HOOKUP 0 FIREPLACE FINAL )!"PLUMBING FINAL 0 GASLINE AIR TST o MECH FINAL 0 ~~vw>~9Z - f~~ (A~ ~J1- {~llAt>~_ )CY~_\ rlJAs ~ o WORK SATISFACTORY, PROCEED .0 ?DRRECT ACTION AND PROCEED IJz( CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~ Inspector: Owner/Contr: CALL 447-9850 FOR THE NEXT IN~PECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! /lNiOn CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Main File I. White File 2. Pink City 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS /Lf;)~S FOu~'^~t..'\ J..J.i({<; Cr. IJ. L':: , LEGAL DESCRIPTION (office use only) LOTdS-BLOCK /J ADDITION FCUI'J"\.Ai ~ OWNER (Name) Wel'-:>S",^.AN.~ (Address) /2 <}-, BUILDER (Name) ~A.1AA~ (Contact Name) (Address) TYPE OF WORK DMisc. 1~G-5 H; {( s.: "ZNJ) Date Rec' d 3" ;:},I-- 3 I PERMIT NO. 63- 3dS ZONING (office use) 1Z~ PID ~S-,~9o-o z..'-o PI,1'1.A " 011- ~ Ie I (U- Zob (Phone) ~~"-lIt/tJO ~/ Ol. ? IiJNew Construction OLower Level Finish /';- AG..A~ (Phone) (Phone) DDeck DPorch OAddition ORe-Roofing OAlteration ORe-Siding OUtility Connection PROJECTCOST/VALUE (exc1udingland) $ //3, <:9'21/ , 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 pr~ needed inspections. X~-- -?u'~ c:::;~.../ /P 'gignature I Permit Valuation I Permit Fee 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 1/31 bOO. 00 $ I, O&IJo. 55 $ &93. z(p $ 5c'.5D $ $ $ $ $ /~().oo /()O.()O 35..50 ~o . 0 () X::~;:;;Wng~;7;~~d Building Official Date o Fireplace /C/sy Contractor's License No. I Park Support Fee I SAC I Water Meter Size ~ 1"; I Pressure Reducer I City SAC and WAC Water Tower Fee Builder's Deposit I Other I TOTAL DUE I Paid 1"7//. X / I Date ~.l!-fJ? ;?-7-()< Date # $ tfJ50 00 # $ , . Z 15.0 0 $ Z5lJ. fID $ 45.00 # $ /, 2. 0 o. 0 tJ # $ 700.00 $ /.~SO V. dD $ . $~ 9//. g/ /l Receip~o. 4'.fU 7 By -' 1- (j 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 is~ W~ 3hl/03 ..A3dL ~ IA"/~--~ Planning Director Date Special condi~s, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 I 1:1 1I .. .. APPLIANCE PERFORMANCE TEST Attach to gas line adjacent to regulator Heating Contractor fIl/k.v-t' I11F~~ Name of Tester ~ 7/a.-Ih ~ , I Date Job Address Heating Contractor Name of Tester Date Percent 02 Percent CO Percent C02 Stack Temp /t(.;.) ) fO..~;. Ht/tIV.?~ ~ ?/'YijJ ) /3 ~ o~ ~~V / ~ .r'i, 15'r UMC Sec. 606 Combustion air is adequately supplied per P'S ~lJO input I II " \ I ~ II STO R....,. ~IURK TCT ST PAUL 651 659 720'7 P. 02/1213 Twin City Testing Corporation 662 Cromwell Avenue, Sl Paul, MN 55114-1776 (651)B4~601.Fax(e51)e~7348 DENSITY 11;8T8 OF r,C)MF!ACTED FILL PROJECT: fOwt\"03A H,/ls dclk~)~ PROJECT NO.: 03;}IOb PROJECT CITY: p~ Cr l,o.lc..e.. REPORTED TO: Test Number: Date Taken: ~s-s- ltdJ -. dOQ3 - d S-b 'd-.S7 c;lsY ~ Unified Soil Classification: ASTM:D2487-98, D2488-00 (Proctor Sample Number) s~ IQM clau ~ fA ~111\ QrtA\I&l. ~^ ((,t!, ... ~ - -,'~ / Location: BJQCt: ~ J ~ ~S'_ , ~,vv.J'. ~r'~ Bind:. ~j ~ ~~ _~e..rd,ti,. -rrfj\Ch e.lo c/c, ;). L-VI ~-'.' -" s~ rvie,J) ~ e 1,,1,1: :J, IJ1 ~~, .~ot!rll\r."l -t'r(l\oh Elevation of Test: , , ~/I~ <6"77 ~' ~ /~/ I .. '6 Ib~ Below Existing Grade: fiELD DENSITY DETERMINATION.: Nuclear Density Direct Transmission, ASTM:62922:Q.1 (-#4 BasJj> or (Overall Basis) Dry Density, pet: It 3 /II.. ~ ( 13- S. II J.. Moisture Content. %: l'i"H r7"," I&/b' l't".:s . Plus #4 Material. %: ~ d... LI 4- ~BORA TORY COMPACJIPN CHARACTeRlS.TICS OF SOIL (Proctor Test): Test Method <ASTM~698~ or D1557-o0~edure "A" ~-#4 B~ or Procedure "C" (-3/4" Basis) Maximum Dry Density, pcf: 117... S- /17.,s;"' {/ 7".~ . J/ 1"S; Optimum Moisture Content, %: t 3" I (3... I [ '3.. I , 3-1 COMPACTION TEST RESULTS: Compaction, %: Specified Compaction, %: Test Results (PassIFail): crt:, ~ '15" CIS- CJ~",~ 9~.\ er ~-"' S- CIS- ~ REMARKS: Density tests are valid at the location and elevation of the test only. No representation Is made as to the adequacy of fill and compactio~at jOn~id elev. ations other than those tested. The test locations and the number of tests were selee by /. . These tests WEire performed b -:' ( ~. ../'" _of Twin City Testing. Report code (001-005) DO' Failing test areas (code 003\ Revised 04102 F:\BMC\FORMS\F1ELD\SOILS\DENsrrv.doc ]D II I ~ _ !L..,.,~ STOR~ ~I~~ TCT ST PRUL 651 659(e:.~( P.03/03 Twin City Testing Corpora::ion ..' 662 Cromwell Avenue. Sl Paul, MN 55114-1na (651)~601,Fax(651)659-7348 DENSITY TESTS OF COMPACTED FILL PROJECT: FOVK\'tiif\ l:kJ Is d~ AJct:nr,^ P,,\or ~be PROJECT NO.: 03Ci.. I()t? PROJECT CITY: REPORTED TO: ~ Test Number: Date Taken: 'd-{11 ~"II- dOQ3 ~60 "/ Unified Soil Classification: .5Md. - 1- - - do.\!. ASTM:02487 -98. 02488-00 'I--LfI.f"'l (Proctor Sample Number) ~ 01 Ii-ttle. ~I"DI~' J btuN^ (CL.) -"d.. 7 Location: R I,,(.k- d; La! d"J l ..sf. ("le, +nM h 6lo(.t ~J I.drr :1 0: S ervi (.e.. -t"r.e,.."t.. Elevation of Test: -6eloy",1 ~ GFasf.-_ Below Existing Grade: 1f7~i ' g-?~ ~ ~ -...... 1)0 FIELD DENSITY DETERMINATION: Nudear Density Direct Transmission, AST~??..I\1..(0#4 Basi r (OVerall Basis) ~ Dry Density, pet. I \ d.. ill JS Moisture Content, %: .1 U:....'\t }~ ~ 4 Plus #4 Material, %: d- if LABORATORY CQIIPACTtQ14 CHARACrERISTIC:~ OF SOIL (Proct,QLTestl.;. Test Method aiTM:D6~r D1557-o~~8ctw:e "A".+,," Basl~or Procedure lie" (-3/4" Blais) Maximum Dry Density. pcf: fl/"r- J /7J ~ Optimum Moisture Content, %: , '?\J I (3., I COMPACTION TEST RESULllt Compaction, %: Specified Compaction, %: Test Results (Pass/Fall): '1~ I ~ ~S- ,~~~ qS- q,\ ':l '" ReMAR~i Density tests are valid at the location and elevation of the test only. No representation is made as to the adequacy of fill and compaction at I 'ons pnd elevations other than those tested. The test locations and the number of tests were selecte y ( , . These tests were performed by ./'\ of Twin City Testing. Report code (D01-D05)---D() ~ . a' ing test areas (code D03) Revised 04102 TOTRL P. e.3 In /I Thr (Ornlrr of Ihf L.kf ('ounlry Main. File White - Building Cana'Y...: Engineering < ";\nIL. - Pianninv BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST I /j. ~ fA /.--<:::'. , .oj / NAME OF APPLICANT ') / -- () APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /1/ ; ,.;:L 5 7"}i~f! ,,'j! //~ Accepted Denied Reviewed By: Comments: aLl ~, . I .j I ;' I ~ ~ ~ ~ U en-- Date: Y/31/tJ S ~.A.~, /C~ , ,p!'o.-$ ~ ~- " 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." Accepted With Corrections / II~-- ,.., Main File c:ihite - BuildlncD Canary - Engineering Pink - Planning Thf C"tnltr or Iht 1..It, ('ounl.,., BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT tlM~~ ~ - " APPLICATION RECEIVED 3- r:f- / - 03 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: . /L.Ja~5 '7-~~' ~a-f . II Accepted Accepted With Corrections ~ Denied Reviewed By: ~ /~ ..... ~ Date:.3 /3"1 / a s . , cU-f ~,f~~, , 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 II II Main Fi~e White - e.uuwna <....canary - EnRineerinQ..7 Pink - Planning TJI~ ernf"r of Ihf' 1..1i" Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST i / NAME OF APPLICANT /,,/Ij ", -v7 , /. ; .y......~.../:i~'-:.)'~..:'-/.1~..,.;'~;;.'....:.1 ~/ 1./(_a./~Ii.'S>~'//'.' U:>-::;'!. ..:~C/ ..' '_. - - ~'--'- APPLICATION RECEIVED :':7-.-::l / - I') .-:::> _ _) t_../ . t--.--..;.~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: . III -"/ .c.- -J.. --',' J / ./1' /:1 //~I-L ";' eX ,:r-. ) 7~7tt:.~Z&L'('I( //{l.>f.'<] \.,~_" I ~ Accepted x Accepted With Corrections Denied Reviewed By: IJ.14n Date: Zf- 3-0..3 Comments: ...8.PP RAverse Side for Additional Information! See Attachments: 1) Grading Plan~ 2) Erosion Control Measures "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 II II FILE No .174 05/09 '03 06: 40 ID : PL Yf10UTH PLUf1B I ~.lG FAX:7635331121 PAGE 2/ 13 i< ('RiO...." flf\)~\ \'- V ,~ "" ~ / "..........~Hes~...'.' Date Rec'd CITY OF PRlOR LAKE PLUMBING PERlVIIT ; ~~~ ~:,'y I PERMIT NO. Q- ':::? 16' J "cll~\" .lPIIIlc:"nl Q v (J:Il... rl'),asr rv:)t or pnnt ;md Slf!l'\ at D:J.ltmn! ADDRESS r L.\ d.d.. S ZONn-sc 1011"."'0' F()(,(V\+~V\ ~ (\<; LEGAL DESCRIPTJON (.,ffiCt use only) LOT BLOCK A..V D 1 T.l () N fill) o \VNEJ\ . . (Name) ~ -e.v\S v'V1~ V\ !+oV1A.P:. (Addres~') i~q~ Pr?yV\, (Jr. <;ui-k, d..f{) - / . A1"PLlCANT .'"" (Narne).._ P I'Jvv\() L,:'"H,\V I L..ll'\'\.\/\ I '^u (Phone) (~LCj) 7)~~--~ b5....,7 iAddr~~~) (Q40Q \^) \I/Ivlf i. to> /no,...( ~) JLV'(ll',k.tV\l/\ j)",,,,\( Y)C)Lld-'$S (Addrc:s::) (CJty~) (ZIp Code) ,Cnm." P,rwn) 5: II ~ r)/\ \\! ~ u.p U .p r ~ /I~"') f:21Q Jl '57, 7j - L{ 3:7 L-. . APPLJCANTS1GNAT1.,IR~~)) DATE 0>-q -n-~ ,.' 0 I r . APPLICANT PLEASE COMPLETE BELOW Typt' of Fixture , QIt~tntit)' I Bath Tub wIth or wlthCILlI SJwwer I ,1 j Rough-Ins Dishw<lshef I l I Wattr Hc:atc-:r Floor Drain I I I Watc:r $of1ner Lavatory (Bathrc,(lm 5111k) I 1 , Stand Pipe (WJ.~hmg, tvl.:H.:hine) Lalmdry Trll~' ( ) 01 2 compartnlcnt sink Sewage ~jector Shower Stlll! Bacldlo\.\ Assc::mbly I Sinks Bacldlow A.ssembly Test QU;Jllti1)' a , ~ 1 \ -3 (Phone) A1t.o -t/Lla) 7- ,ot1 NA, f-,{ U \ ci C) I d--n.. IJ / T:vpt of Fh:tun I L,.lI.... ..."",,\, I Waler C!C):';c\ (T..liki) I O~l~'~': VI" ....,,_. FEE SCHEDULE InlllllLrl,ll, Cornmcrclill & MUhi.j,ll11i1y I"" (\1 Jol~ ':O~I willi OJ J;J'lj() milllmum Rcs,rJenlJ:ll. N~v.: Ont: &. TWlI-r:ilmi!y :j;'-ILJ.SO R':Sldc:ntlill. ',ddllltlll:, & 1\!ICI'atl<ln:: 5:3950 tSlllll:.J:cdCoSI ~ ,L\qL1.a) 8uildlng P~n'n II Ii " PLUMBING PERMlT fEE $ ST.':" TE SURel-LARGe ~ 50 PAID WITH "'~:::::':~':::~ti"n a"""" I,,,,, B''''d::~:'~:':>:~:P:'::'" l~,~.,. ~ ~ 0 f~ IHr,q.:."p,:~I~DING PERMIT -':"'-=",;ili,,,,,~,~~~ .-- "," . if;',--MA\___.:./!J031 ~~;L Vf--- ., ~4 1,,,"1' n"ll~" 1'111' ~II illSIJeC1IUll> (~l~:! 44i-"'~~1+.LiJ,,-..~_{,,, i -'''--." - ..----..--.--- 1,,:1111,:.:>:,:1/ (11:cl, "'('. '..r. "nilI' L..k~. "'1~: ~~i7>1.!4 .... --. . I II II CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT I. Pink 2. Green J. Yellow Date Rec'd ~:~. I PERMIT NO.3 -3 cJ. 'J ApplIcant (Please type or print and sign at bottom) ADDRESS 14225 FOUNTAIN HILLS COURT LEGAL DESCRIPTION (office use only) LOT ADDITION BLOCK OWNER (Name) WENSMANN HOMES (Phone) (Address) APPLICANT (Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME (Phone) 651-633-2561 (Address) 2700 NORTH FAIRVIEW AVENUE (Address) ROSEVILLE (City) (Contact Person) BRENDA HUSTON (Phone) 651-633-2561 APPLICANT SIGNATURE BRfNDA HUSTON DATE ZONING (office use) PID 55113 (Zip Code) 5/16/03 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL FUEL EJlJll.~AJD ~,.,. ~NG ~ ,,., . - ([;J r-c; 0 \i!] r.~ -:\' ~FlMtr p, ~ [E u;: l1 u' "I' ~ ,ipt No. D'~ MAY Z 1 ZUU. ~ /J- o FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM INPUT HEATING OR POWER PLANT D Steam D Hot Water D Radiation D Special Devices D Other Devices DWarm Air Plants DGravity D Mechanical DAir Conditioning DVent. System FIREPLACE MAKE AND MODEL HEATN GLO SL750TR Industrial, Commercial & Multi-Family FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official Date 24 hour notice for all inspections (952) 447-9850, libl ~j44'Z,,424~ I II II OUTPUT PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks $39.50 $39.50 $39.50 CITY OF PRIOR LAKE HEAlll~G/AIR CONDITIONING/J'IKEPLACE PERMIT Date Rec'd #7/~~ ~:~. I PERMIT NO. ::?_ -3 I. ~ Applicant .- ) c;r J I 1. Pink 2. Green J. Yellow (please we or print and siJm at bottom) ADDRESS / /~ddS '/-O~/a./~ /#//:5 ~tU/ * ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID ~ . OWNER.I ) / ,/ (Narne) u'/~5~14L / _/V~.~ (Address) / ?9..$ ~~211t' (phone) b .c-~ '-" - APPLICANT~ .. '/. / ~ _ ' ~ c;. '" L. (Narne) /7//~A,d.' "~J""~ (phone) ~/- y,5."j1..,:?77S. (Address) l ?~~Z) /4"'-?A:.I6~ ~ ~- c: ~~ S-S/~.-? (Address) (CityV (Zip Code) (Contact Person) . A~~~,,",.!'(. (Phone) -6S/~ .:/~d -.?77~- APPLICANT SIGNATURE ~ -:--v . DATE AIh/O"'3 a , APPLICANT PLEASE COMPLETE BELOW ~ CONSTRUCTION o REPLACEMENT o ALTERATIONS FURNACE MAKE AND MODEL ppK4u[) ~('") //lAY aL/o7() FUEL FLUE SIZE Z/f ~Jc- RETURN OPENINGS 5" INPUT 60/I">C>O OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT [].. Steam D Hot Water D Radiation []Special Devices o Other Devices ~~~(90 ~~ Air Plants ~ravlty ~chanical . ....- 2J.Air Conditioning ':JVent. System PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL 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 $39.50 $39.50 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ Building Permit # Building Official Date $~~~ · o/<!lit.JILPAID 'NrrH $ - .50 DING PE $ !:IMrr 1)1) [e rG; r~ U \VI [~r~ I PJilt! - ~ - - -~'(:iptNo. n - 11 J-YN 1 c.....:lLUl.::l - - -. D~t 0 LUUJ I~ fA 71 HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Office Use Only) This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447-9850 ~j(. ('I''') .u'1..4O;.~:;; Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMI.' (Please type or print and siltD at bottom) ADDRESS 14L.1..-~ .' I. Green File I PERMIT NO 2. Yellow City . 3 3. Gold Applicont . 0 -:~.;1.~ ZONING (office use) ~(h.J"ljl(I,,"-' J.lJ Ilc t!.--r- LEGAL DESCRu- nON (office use only) , LOT .;L(BLOCK';' ADDITION ~ulV'12...-i~ Id::ill< -z.J..)~ OWNER (Name) PID ;"f"'-'39C7 "'Dj.(..-V WGN$MA,.)JJ J-//JM~ J8q~ PlAiA OIL (A dress) tiMAJ (City) (Phone) "~/",t/ tJI, -'11//'() S-S/~ (Address) (Zip Code) APPLICANT ~_ (Name) ~cr A< A-t1,~ (Phone) (Address) (Address) (Contact Person) E-'7 ~4.AfLr r:/d .1'12 ~ APPLICANT SIGNATURE ~_~ (;;;" . , f APPLICANT PLEASE COMPLETE BELOW Size of water service I inches. Location of any couplings from structure za- feet. Type of sewer pipe. ~ ABC D PVC D Cast Iron Estimated length of sewer line t52 Sleet. Clean out (if required) located at feet from structure. (City) (Zip Code) (Phone) t;/-Z-2Z/-- J~ Z Ir:; DATE Residential sewer and water line connection Sewer connection only FEE SCHEDULE $35.50 Industrial, Com'l & Multi-family 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 This Application Becomes Your Building Permit When Approved PtHk ' 'In~ l~ [' :L[~ I' \ ,1, \ u \ 1 I lC1 I I Date \ -1 \ u~~C ! 2003 G I By 24 hour notice for all inspections (952) 44', ~~o, fax (952) 447-4245 PAID WI"r"u BUILDING 'n PERMIT Receipt No. (Office Use Only) Building Official 6' r By _------ I I II PRIOR LAKE ~~~tci:~~~JD~~sPEMWn File INSPECTION RECORD SITE ADDRESS 1'1 ~~.s- FOU.IV+4iA,J Hills c:r NATUREOFWORK ~~ t;.DNS""Y~1J USE OF BUILDING ~ PERMIT NO. QJ - ~ DJ\TJ: ISSUED CONTRACTOR ~~NALH.II\,eaS PHON~" 4184- 'II/f)/:) NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT SEWER I WATER I SEPTIC FRAMING ( .) t ~ ~ INSULATION ELECTRICAL Ok... PLUMBING t)tw~ {J.6;~ ,,~ DATE 'i/1r1/ kA FOUNDATION (Prior to Backfill) I ~ I 5 /l I~ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS ~ ~ JlVJf' ~ HEATING (if required) ~ L2.... ....,.,.. (\./ ~ GASLINEAIRTEST ~~ -v.~~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS . ~ J(./1. 0::> ~ INSPECTOR , FOOTING fffL . t.f/tb~o3 W~ fn, ), "1--tC> FIREPLACE ('t,/jUpbef3 f@~~10 td Jl,fp/;ef2 GRADING (Prior to Sodding) BUILDING ~L-tO ~!L/tJL/~ ELECTRICAL {)I,--- PLUMBING HEATING ~,.-N-__ '"' DO NOT OCCUPY UNTIL ABOVE HAS NOTICE (le>) itftJ/D3 ~ ~~J t t.j1/1 UJ3 u~ I {G/r:{J 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. FOR ALL INSPECTIONS (952) 447-9850 I II II