HomeMy WebLinkAboutBldg Permit 01-1277
, See., f4, I'W. uk.
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTIL~ ~~O~CTION PERMIT ~
I. White File PERMIT NO.
2. Pink City
3. Yenow Applicant
Date Rec' d
LEGAL DESCRJ..t' lION (office use only)
Lo121 BLOCK 4 ADDITION (Z~ \ C.Jr-p5-. -\- PID
OWNER \ \ h \
(Name) ~) Pr-...~~ ~ \-\-~9... ,Ke.M. \ L J 'C::::I' (Phone) Co5 \ - 4(1)~ .... 44t<)()
(Address)l~O\B P\~ ()-..~ ~ ~~Il"Y"'\~. ~~Q;2.
~~~~~--.-.. ~r-_ ~~~ .\~-
(Contact Name) \(~ ~I'""'\.~
(Address) \~0\5 P\Ol~ Or-I'vC::- *9-.lYO
o
(Please type or print and si2ll at bv ..u~)
. ADDRESS
15Z5&, -:S(~:~C~ f>Q~~
(Phone) ~, - YDb -t..{L{LV
(Phone) fo6l- l.fo.c.., -4l{~
<2.,~~~, ~I"". ~D'I~~
.
TYPE OF WORK. ~ewconstrUction o Deck OPorch ORe-Roofing ORe-Siding
OLower Level Finish 0 Fireplace DAddition DAlteration OUtility Connection
OMiS~~ \ Ct~~~~~~~t PROJECTC~/VALUE (excluding land) $ \F)'1,0~
ft. f. r'\ {' ~ .l!i.-c cln.r 6
I hereb rtifY that I ha've fumisned informa on on this appl~hich is t 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 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
ente~~~t\~ded~e1e2:.e,.l-\-~ \r-<...
X n. ~ature \ ~n2:~ License No. --.lO - \ ~g l
I Permit Valuation I scJ,~. t!JO I Park Support Fee # $ 8so.c:b
I Permit Fee $ It;et~ I SAC # $ ','~
I Plan Check Fee $ ~.2..1 ,~ (...J I Water Meter S1~1"; $ I?C. c9t?
I State Surcharge $ Pressure Reducer - $
77 . DO C/..€::: . f/t:>
~ty $ Sewer/Water Connection Fee # $ (,2.0'0. c:>6
I Plumbing Permit Fee $ J be> .f)~ I Water Tower Fee # $ ~.O ()
I Mechanical Permit Fee $ ((!)() ~txJ I Builder's Deposit $ ()
I Sewer & Water Permit Fee $ "35 .~'e) lather $
I Gas Fireplace Permit Fee $ ttc> .~ I TOTAL DUE $ f",5(,/. IS
~ 'I
This ~ Becomes Your Building Permit When Approved I Paid {'5 {,./ ~ IS Receipt No. 1I () '10 i;
I Date 11- 9- I B~
~7 ..01
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
~~en s' ned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
ISSUe
"A...A ,,~ ll/t J~ ~ _ _ l.~'\~~_
-- " Planning Director Date pecial Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
\-\-~Ptcr.. .It
,I
White - Building
Canary - Engineering
Pink - Planning
Th. ('.nl.r of Ih. lib Connlry
BUILDING PERMIT APPt,lnlMM'ftEPARTN(fNT CHECKLIST
<itl
,
NAME .OF APPLICANT .I J) C!/!/L~/j/1HI'lt/).~ //t:) /TU? /'
- {
APPLICATION RECEIVED 10 - j- 0/ 2 J~/ i~1Jl/11 (1. {W:4.a)Y7/Ut/;'r( 10 -li-o)
" ;..., 1
)".. (i lu If (j ~.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J'~y ./~-+(~A_/} I )L-<J.~.' .
..j "
/
~ Accepted With Corrections
/ ." +' 1./
r.{,/ .
(;'
. {( ,
J L/
i. !,if.' ;-t~
~ ./, ,-I'f: /'~-L....,..
'~.~,..-" 1,.-..- '.. -V"'""-
Accepted
"
Denied _
Reviewed By: ~kI-....~
Com nents: ...! :
(t;~~~W=:-f:::: 1t~~A
Date:
It/7/Bi
,
JAM~tM).).M 3err I;Y-~ JA VM1~ -
) ~ ~~~ r~ QLD)L Ih 1#
. ~.Q. &'\ ~~ 7'1 ~r 3t-/ t-c\ --...
. \AAA)~?-t-f ~\ v'cYu~ lAl~
M. 6Mi 'fW~~ ~ ~~v~
v~~c9L-tJ DO ~~ ~o
"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."
White . Building
Canary - Engineering
Pink - Planning
T"~ ("..n't'r o~ .h.. t.kt Counlry
8..WLDING PERMlLAPPI.JCATION DEPARTIVIENT CHECKLIST
NAME OF APPLICANT I j) O/JfIMUO/lf~ IItJ?1'~
- , (
APPLICATION RECEIVED 10-/-0/ yj. P -Pt1AM.Qcl, 12..e&tdYmd&/:'f (O-it-f))
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
0" ..tiloM ()-~ W+ c9LJ/ ;5/ L/
-UU .i f& ~ ~T
X Accepted With Corrections 9
Accepted
Denied
Reviewed By:
JYl}B
Date:
II~-ol
Comments:
~c.( 111"/~ h~/<_
"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."
White - Building
Canary - Engineering
Pink - Planning
Thr ('rnlrr of thr t.kr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT LV ~O~ ~
/ . r
APPLICATION RECEIVED /0-/-0/ ct-fl./~d... ~4 /Q-Itf"--o)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\J~M ~ W+ a'11 ;6/ L/
UV ~/JaP/~'
Accepted~ Accepted With Corrections TJ - - -
Denied
Reviewed By: ~"'~ Date: 11- 7 ~ez,,,1
Comments:
~ ~ ~ ~~ ~
~ ~ M~~ Q Lo ~
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."
FROM WENZEL MECHANICAL 612-452-0367
(WED) 12. 19' 01 09: 13/8T. 09: 12/NO. 3561851204 PI/I
Date JlK7d
CITY OF PRIOR LAKE PLUMBING PER)Ul
I IIh4 I'tlp ~ --- NO
I. QDN C,w .. J:!,~........ . 0.1-1 Z II
J '1'._ ..""'....<<
q'bi.~ tyII'C Dr 1'rint lad lip ill boaulll)
ADDUSS '"'- Of' ,"".
1$'~5C, ~~S \C',,-sS
WNlNG r.-..'
Lor BLOCK
LEGAL DESCRIPTION (Dfftcz \III! lII'Ily)
A.CDmON
pm
~=R W~CO'O\O.\"\~ ~'\'Y\e.~,-> . . . rPhonc)b5/- '/CJfo4'10D
(Addras) 1~'bV~ b\\ E:~~n I MI1 " ~b);t2-
r
, ~~~~AlIlT WekQe..\ ~~~-\ .......... (PlJ.o~e) G5/,..7tS-~:"'/56~
(AdlJzess) '~$1 ~~rte(.. ~. ~~""i\ \V\M. ~~/;;lr:J.....
(Addnss) (City) (Zip Code)
(ContACtPc~n) \-\~ \-\~~ . (phone) c;5l-4S-;).-/5~ S-
APPLICANTSIGNA'I11R.E ~ __' DATH /;<}1,$/6/.
-~7
APPLICANT PLEASE COMPL&.I r.. BELOW
Type .rJ'iXl1lrc Q..atit:t
Bath Tub with Or -ithout shower .
Dislnwuher
Ploor Drai"
x..aYatc;lry (S.U.......... Sink)
Laundry Tray (1 or 2 compartment sink
Shower Stair .- .
Sink,
Bar Sink
WlItIrr Clo!ilC't (toilet)
~atity
^
f
f
~
j
,
i
J
~
"I'ypI! of !'Isla",
i
ltoulh-ins
Water HcalI:r
Willer S-oftner
I Stand Pipe (Washing Machine)
~::J:;J ;.;:"bly --.
Blddlo.r A5lCD1biy T_
Lawn Sprinkler
. Other
I
FEESCHEnULE
Inodlls(ri.l. Commcrclill ~ Muhi-f"""1y 1% ofjvb \Or;lst ",it/t II $39.50 minimum Rl:Jldcnti." }'II;;,. One ~ T"'~Fllmil, 199.50
Resident;al, Additi""... AtllftliDIII 139.50
(oroce V., DIII.Y)
Estirn~ CDlt 5
Building PermiT 14
PLUMBING PERMIT fEE S
51 A 'IE SUB.CHAllGE $
TOTAL PERMIT FEE S
r rlA\O W\"':,~ p'''''
....' \NG pE,w./" ,
awP_-
~--
nil ,,"ppllcallun BecoJfteJ Your BalildinE Pennil Wb.. Apprcnoal
By
...Ildl. om.iel
II'IP'd
I Diati:
llaCeipr llIo.
D.re
Z. helli' lIoticw fDr .11 in'pKdoB. ".>>/ ..7..j650, i:alL (P51J ",4243
Nov. 9. 2001 5:48PM
GENZ RVAN PLUMBING AND HEATING
No.5974 p. 2/4
Date Rec'd
L.iT r: OF PRIOR LAKE
SEWER AND WATER PEAAuI
. r~
I 0.- 1'11.
2. YollOw ciIj-
J. Gold ~
PERMIT NO. 1-/;)-'1"1
(fl.caK l'V.Pc O.1'l)ODt and $iftn arbotrDm)
ADDRESS .
~.v'~~ ONn-t
LEGAL DESCRIP110N' (af&c:e use: ouly) ,
LOT-;;&.OClC l-f. ADOmON 0 D(-I)Jl ry~
I OWNER
ON~) Wensmann Homes
r~z " l
.e
ZONING (offiaaUse) ,
~\
PID as -' JJPIt,-6-r; ~
(Phone)
651-905-3709
(Address) 1895 Plaza Dr Sea 200
(Addras)
Ea~an, MN
(Ci~)
55122
(~ Code)
APPLICANT
ONun~ Genz-Rvan Plumbi~e & Heat1ne
(phpne) 651-423-1144
APPLIC E COMPLETE BELOW
Size of water s'ervice inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 AB.C 0 PVC 0 Cast Iron
Estimated length of sewer line feet
. :Cl~ out' (lfreq~d) locat~dat-: feet from structure.
Rosemount. "'N
(City)
~8
(Zip Code)
(Address) ].4745 So ~ 1'".1.
CA~)
(ContactPason) Marv O~ \
.t.! --'.LICANT SIGNA'X"URE 1 ^
w __
~hon~ 651-423-1\44
DATE ,\ \ C\ 0 \
.....IL.IL S~J:I..I!,DULE
Residcntial.sewcr and water line connection $35.50 Industrial, Com'llr. Multi-family 1% of job cost with a 539.50 mininl1lm
Sewer connec:tion only $17.50 Water l;ODnIlct1on only $17.50
Estimated Cost $
Building Permit #
SEWER.AND W Al~ PERMIT FEE $
STATE SURCHARGE . $
TOTAL PERMIT FEE $
.50
......
Bulldblg OffidaJ
Dab:
Date / J~ i3- I
..e~ ,l:;
~<>,:1:>
~h tz:~
I Rec:c......N'o. ' ~. /.
AY- <.
IBY~
(Office Vie Only)
This Appliatioa Becomes Your Building Permit Wben Approved Paid
(-
14 hour noti" ro.. 1111 in,pectioa* (95Z) 447~9850, fax (952) 447-4245
4:51PM
GENZ RVAN PLUMBING AND HEATING
No.6806 p. 2/10
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
. '.
(,
\;,. ,"
CPl~ type or J).ti!u: and. UP ar bottom)
ADORESS
I 61-c;lo
~)ULS-- Q~
~ C YfS"\
LEGAL DESCR.1..r' nON (oflil% use ow.y)
LOT 1,.4. BLOCK 14- ADOmON
OWNER
(Nan1c) Wensmann Homes
(A~~~ 1895 Pla~a D~
A.PPUCANT
(Name) Genz-l\yan Plumbing & Heating
(Ad~~~ 14745 So Robert Trl
(Address)
I ~Iue 1'11. PERMIT NO
z. GaN City . I. "- /..-yrj
3. VoIJow Appliaull 0" / I
ZONING (otl1c:ewe)
Y, J..
PID ~5-3fb- 01'1-~!)
(phone) 651-905-3709
Eagan. MN
55122
(phone). 651-423-1144
Rosemoun't. MN
(City)
(Contact Person) Marv Olson
APPLICANT SIGNATURE -lA. _ ~
55068
(Zip Code)
(phone)
651-42~-1144
)'\'2..W([)1
- -
DATE
,
I
I
I
I
I
I
,
CANT P
Type 01 re/
Bath Tub with or without sliower
I Dishwasher
I Floor Drain
1 Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 comp....;..~.ent sink
I .Shower Stall .
Sinks
Bar Sink
I Water Closet (Toilet)
E COMPLETE BELOW
I Quantity
I ..3
I I
I II2..lI
, I
I
I
I
I
I
Qllantity
I
I
J
.3
I
r
,
:z-
Type ofFhture
Rough-ins
I Water Heater
I Waw Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Ba~kflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
~,I!.j!;SLJ:U!lDULE
Indus1l1al, Commercial & Mwti-famtly 1 % of job cost WIth a $39...50 minimum ResidentIaI. New One & Two~Family $9950
Residential, Additions & AltGtations $3950
EstunatEd Cost S
Building PEmtit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT :FEE $
(omCl: V!e Only)
This AppJicatiOD Becomes Your Building Permit When Approved Paid
Buildillg Omc.i:d
D.t.:
14 hOllr Dotice for all inspections (95l) 447-9850, fax (952) 447-4245
:50
,,!lJ,!;;A.ID ~.
. . '1tvG j:J~
Receipt No. IVI/'r
IBy 10
. Date II-;).{-I
4:51PM GENZ RVAN PLUMBING AND HEATING No.6806 p. 3/10
CITY OF PRIOR LAKE Date Rec'd
BEAJ.li~G/AIR CONDITIONING/.r'll<EPLACE PERl\'111
1 \'IItlt l'iI.
~. ar- CS"
J. yel...... Applic:oRl.
. PERMIT NO. / ....1;;;,1
(Please: ~ w~ an4 sign at b~;""...)
APIJRESS
'b?~~lo . '~1li.1l./~
LEGAL DESOtu- .uON (o1Ilce use only)
LOT 'Z-'1BLOCK ~ ADDmON f2.ac:,~ L- Cv-~ J
OMl+
ZONING (oftia!1.IsC)
1<./
PID~5- ,-:2, 'ii/p - o'11-()
OWNER
(N'ame) W'P.1'1A1!1l'ln'l"l Hn1l'''' Q
(phon~ ~5'_90~-~~
Eagan. MN 55122
. (Address) 1895 Pla.za Dr Ste 200
. APPLICANT
(Name) Genz-R'[S!,n PIYmh1n.1Z & ~n'i (phone) F.l\l_lI.?i_lllLli
(Address) 14745 So Robert: Trl Rosemount. MN
. (Address) (City)
(Contact Person) Mary Olsnn f (phone) ~C;1_t..'~_1 H.t..
APPLICANTSIGNATURE \_k ~~ 0-- DATE 11l.2J.eJr'l1
, AP~~kr PL~E COMPLETE' BELOW
-" ~W CONSTRUCTION . ---O-WIACEMENT . . -. I:) ALTERATIONS
FURNACE MAKE AND MODEL lL.v'vvtD ~ C;2bGl ~ --1 C- FUELN/tr ~ ~
FLUESIZE REroJ{NOPENINOS I Z- INPUT .:]S,lYOf\ OUJ.J:"UT 701 citr)
'I"Yl'E OF SYSTEM HEAlIJ.'IlG OR POWER PLANT
'fb)Warm Air Plants 0 Steam
DGrllV~ty 0 Hot Water
o Mechanical 0 Radiation
&it Condhionwg 0 Special Devices _
OV c:nt System 0 Other Devices
55068
(Zip Code)
PLEASE NOTE:
Air ConditionCf Units
. C8D%lot Enc;roach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
InduslrlaJ, Commercial IlL Multi-FamIly
FEE S'-'.lDDULE
1% of jOb cost RdicleJ1I1aJ., qas Fireplace
$39,50 roinimum
$99.50 Residential, A4<fitlQns &. AL;"',-';'ODS
$64.50 Residential, AC Only
$39..50
RCSidential, H~ &:. AlC (Nc:w CODsuuction)
Residential, Hwting Only (New Construction)
$39.50
$39_50
Estimated Cost S
Building Pemtit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL r.I!..J:UWT FEE S
.50
1$1, />1,
~ vI! .-''ill)
-..q'IVG l1177'1j
1:>/=:",
Receipt No. l..v;'l'
((l""',~ U,e poly)
. __J05 Applicadon BecOJIlM Your BlIilding Permit When Approved Pltid
Date
/(-;)7-)
IBY /p
-(j
ll1Ulc1iQl Official
n.k
24 hour Jl(lrfce for _II Uaspections (952) 447-,SSO, fax (951) 441....245
651 633 8884
FIRESIDE CORNER
#6301 P.002/005
Date Rec'd
CITY OF PRIOR LAKE
HEA TINGI AIR CONDITIONINGJ Ii lKEPLACE PERl\tUl
DEe t 3 2001
(Please ~ gr vrlm: 1m'" ail!l1 U bl7lJ:r:JIIl'
AImRESS
/5;>.sc.. Q.-tfr- fJa,L
- LEGAL DESCR1r lION (~iCe use Dilly)
i: ~_ S~I I"~MUT NO-Of-I2-;l
-ZONING (Dffice use)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
/;1..j/t'''''~ . ~r
_ (Phone:)
(Ad4rl:ss )
APPLICANT
(Nam.e) ALLIED FIRESIDE DBA FIRESIDE CORNER
. (Phone) ~~1-633-~5f51
(Address) 2700 N. F~IEW A'DmlJEi
(Address)
BRENDA HUSTON..
(COll.tac:t Person) -/~ , (phone)
APPLICANT SIGNA'11JRE ~~.IJ... /-.l,/~ DATE
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 AL TERA TraNS
FURNACE MAKE AND M.ODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
'tYPE OF SYSTEM HBAT1:N'G OR POWER PLANT
OWonn Air PI8Ilts 0 Steam
OGrl1vlty 0 Hot WAter
:J Mcc:hBtlica/ . 0 Radlsdon
V "\ JAlr Conditioning 0 SpecW Dcvi.-cs
t' J.... DVent. System 0 other. Devices
FIREPLACE MAKE AND MODEL _&u tJ C;~ ~ d ~Ot-o",-
P,QISWTIJ.'I:' MJ\r
(City)
651-633~2561
1:;1:;1 1 ~
(Zip Code)
/.)"'J~dJ
PLEASE Nu lilt:
Air. Conditioner Units
Cannot Encrosch i:nto
Required Side Y8l'd
Setbuks
Industrial. Commercial &:. Multi.Fwn.;Jy
FEES....nIlooDULE
l%ofjob cost Residential, Gus Fireplace
$39.50 mInImum
599.50 Residential, Add.itlons &. AlteMion.s
564.50 Residcn.tial, AC Only
539.50
$39.50
539.50
Residcnti8l. Heating &. Ale (New ConstnJctlon)
Rl=sidCl'ltlnl. Heer.ting On.ly (NC\al Con$tJ'1Jction)
Estimated Cost $
Bu ilding Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
t PA~')'Ni i, _. .
loIlali {jlU)lNG PEhi>1IG L
.S~ _
- '
(Otllce V,e OnlY)
This Applicat'D~:~Ollr Bulldfng Permit WIII::n Approved
V [In ' E I 42001
BPildiiic dmdll' nare
34 hour notice for nlll""pccttona (95%) 441-9850, fu (9S2) 4474%<1$
I Paid
Date
Receipt No.
By
ClTVtO~PftIOR.-L~KE-~~MC . i l "17
;:)&200 Ellie Cre.k'Av. a.E.' ;PermltNo. 0 1- {;
~Sa
UM~ Bmck Add.~n
OWner's Ha~.~atJ V\()'/J,p~
Ad~ess \mt'" P ~ De.. ~l~,,-l
HI~[ngCo~t~r ~{ ~fg
Ad.ess 41~ ~~ ~fJ^P~'.
Telephone' ~5'- ~;4q ~1
Fur~8C8 Make & ~~I .bI1'b~ ~ '~PE OF SYSTEM
Warm Air Plants ./
Model S118 J~~ Giavily
7.:l~ Mechanical ,
Conn. Load -"""..fiJ Air CondMlon'ng """
Fuel t\~ t- Flue Sizl ~ \ \ Vent. SyIlem ,;
HEADlG OR POWER PUNT
Steam
Hol Water
Radiation
Special Devices
Supply Openings
J~
C)
Return Openings
Input
Outpllt
Edr.
crill.
Other Devices
1YPE OF WORK
Alterations
Replacem~n1
New Construction ,/
Est. Camp. Date _
/
Rep8lr
Est. Cost I 7~
HEATING PERMIT FEE $
STAlE SURCHARGE I
TOTAL PERMIT FEES $
.50
~~,\,
~~.. ~; \'~> ./
,'l> -
/ ~~~~v
~'~~~~e//
~~\$>//
Receipt II ~
BuUdlnQ Permit "
. ne.E OF STRUCTURE.
I. Pl_ Ale :.
:z. OrecD CIIJ I
l. V... . CDIIIlIdlll
Single Femllv
Commercial
Two.Famlly _
Industrial
Multl-Famlly . ~ .3
Olher
PubNc
I
I
I
I
t % 01 job cost ($39.50 minimum)
$99.50 _ __
$64.50 PLEASE NOTE:
$39.50, Air Conditioner Units Cannot
$39.50, Encroach Into Required Side-
$39.~ Yard Setbacks. -
!
Remember to add the State Surchafg8 on the bottom of this application.
Fee Schedule
Industllat Commercial 8. Multi-Family
Residential, Heatlng & AC
R8Ildenlal, Hea1lng Only
Residential. Gas AnlplllC8
Residential, Additions & Alterations
Restdenlal, ~ Only
The price of your healIng permit includes one rough-in and one final inspection.
Additional inspecllons wll be blled at $35.00 each.
HOLlse Heating Test Record must be submitted wl\h bulkb1 PiDIlil !BIDIliL before buld.
Ing Clrllicate of occupancy wll be issued.
I::IEAI CALCULATIONS REQUIRED with numbeT 01 supply and reltA'n openings Hsted per
room wilh CFM'8 per opening. New 8buctuTes or addilione send floor plan with supply
and return Iocalions shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 65372.
CUy Hall buspss hours are B a.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-1850
1 hereby apply lor a mechanical systems permit and I acknowledge thallhe
informalion above is complete and accurate; Ihat the work will be In conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; thai this form does nol become a permit until signed by the BUILDING
OFFICIAL; thallhe work will be in accordance with the approveo plan in the
case of all work which requlre8 review and approval of plans.
~N 4k I-!n/O/.
Appucan(.; '~ure ate I
Building Olfleal'. SiglIature
Date
PRIOR LAKE
INSPECTION RECORD
JJr-eJ.5 ~ ~ s
c ~~~ };~
DEPARTMENT 0 t..
BUILDING AND INSPECTION
SITE ADDRESS /52.5(P
NATURE OF WORK -A).e,...)
USE OF BUILDING SPA
PERMIT NO. 0/. /;2 7'7 DATE ISSUED I ( _ .,,... 0 /
CONTRACTOR W~~ ~~~ ~ PHONE ~Q- cflJ~-I./(/()D
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
lo\.. Z'" - ~(~ 4 ~~
INSPECTOR
DATE
I FOOTING I I I
~ FOUNDATION (Prior to Backfill) I ~ Il3>Jru.,. tt\~ J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I S~PTIC
FRAMING t--L- I ~\ ctv
INSULATION LL 11,,101/
ELECTRICAL L
PLUMBING ~ \\.<4
HEATING (if required) ~ ~~
FIREPLACE ~ I I
GAS LINE AIR TEST I al( If:. ~~. G. ~~
COVER NO WORK UNTIL ABOVE HAS B'eEN SIGNED
~\\?1
~{~
I Ot.\?'\ 1\ (
l~ ~aB a(
".." c).., \4 \.
'~Dr
I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
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 sh~be p~ced near main entrance.
.
~ V~ 8w 1'1f)~
\. .
b .
~ I 2. R Ok
~ w.v~ fl '1'~
HAS BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
tiii' "'>M.r-'~~ilo!~'~"
:r~~~~~~ t",..;. t:,orr,;t ~'t?;t":~'t ": :.~
.. :t~;"~- -
;~~\ Itrtitlrau of (JCaqtaDqJ
:tl CITY OF PRIOR LAkE
(+~ _epartnunt of Jluilbing Jnjpettien
t~ · IJ Filial Permitted 0 ColIditiooaI C.O. Expires
- This CertiJico.te issued pumumt to the requirements of Section 307 of t~ Uniform Building Cock
. ..~ {certifying that at t~ time of isSU/UlCe this stTIICture was in ,." I , ,..liance with the various ordintUlCes. of t~
City of Prior LoJce regulating building construction or use. For the following:
SINGLE FAMILY
UseCluaiL:. ..
LcpI D _"."" :..
Type C.. .".. ..:..
L24, B4, REGAL CREST
_ Fue Zone
Bldg. Permit No.
N/A
01-1277
Rl
_ ZoniIIg District _
R3
VN
0....,. ., ',! Type
Owner of Building Site Address 15256 JEFFERS PASS
WENSMANN HOMES, 1895 PLAZA DR., SUITE 200, EAGAN 55122
Con .., .I..S Name cl Address -
IAI'f/ .
r ' I City Planner
ROBERT D. HUTCHINS
Building Ofticia.l
n. - I j( . cfJ,.
DON RYE
Date:
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/5';J.t;;G,
9~
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL
o MECH FINAL
COMMENTS:
~f)~ear- C)~
DATE TIME
).It~ 1-
~
9: ~ tJ
01 - f"Z., 77
o EXlGRADfFlLLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK,,\ALL FOR REINSPECTION BEFORE COVERING
Inspector: '1; \)~ Owner/Contr:
CALL 447:850 FOR TH~NEXT INSPECTION 24 HOURS IN ADVANCE..
II'ISNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
Z'7.o2, _Z/3-0
ADDRESS
JSZ57P
cJ tA-F~ ~.fS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/-12-77
o FOOTING
o FOUNDATION
o FRAMING
f'L 0 INSULATION
rr FINAL
~ SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
OK -Q~r- ~J t<Jv\tu
L_ - \
~,^-e, ~f (-.(),.
rno.p~ t\(')i- ~;r~.
;: WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR ,CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR HE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
IliSNOTl
DATE
TIME
CITY OF PRIOR LAKE ,--
INSPECTION NOTICE rt ~"rLED ll-/{J-o r... ::? :D)
ADDRESS l~d&OJ J"'~'.s pqJ~ W
Vvt'1SM't"'1
PERMIT NO. (j J- l;J 75'
OWNER
CONTR.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~LING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
41 ( Tj,{(( L2t'1. '-Is,
L~)l- O~
~rcvtt~ -e> (
~.fr
p( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTlON BEFORE COVERING
Inspecto~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
I/fSlfOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
.
ADDRESS ~fL)
,
OWNER
PHONE NO.
[J FOOTING
[J FOUNDATION
[J FRAMING
o INSULATION
o FINAL
[J SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED
15Z5e~.')i~J6,cr~
· NTR. /
()I-/ZAS; IZ-/GJ
PERMIT NO. 12.. 77
o PLUMBING RI
o MECH RI
[J WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
S 00 I/l've;-c.
[J EXIGRADIFILLING
o COMPLAINT
[J FIREPLACE RI
o FIItE~L.ACE FINAL
[J GAS LINE AIR TST
o
(i r ~ C~
V' \
. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
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 & SAFETYl
INSNOTI
\
"