HomeMy WebLinkAboutBuilding Permits 04-0383 & 0788
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please .type or print and siJm at bottom)
I ADDRESS
'"b ,,"'-:-:; ~.....\;;",~"'"
t..-",
LEGAL DESCRIPTION (office use only)
LOT\~BLOCK "ADDITION ~"-,\.'-'""
OWNER
(Name) \...~~-~""--....-----
,......,~
(Address)
J(
BUILDER
(Name) '-.'-.:l"-'--...... """-
(Contact Name) \J ~"'"
"" . "
(Address) \.\.c....~
~.....~~
'1:::>."'--'-
TYPE OF WORK
DDeck
o Misc.
D New Construction
'fJ.Lower Level Finish
3 JU1'jS.
')Q.Fireplace DAddition DAlteration DUtility Connection
PROJECT COST IV ALUE (excluding land) $ ~ ss. ,00 a
Date Rec' d
1. Z:1, 04-
I. White File
2 Pink City
} Yellow Applicant
-fM. ()3~3
[PEKMIT NO. 04-.01'98 I
'".,u
I I
ZONING (office use)
f<1
PIDZ5: 396. O,,~. 0
Contractor's License No.
Park Support Fee
SAC
#
#
(Phone)
~/
'-\..~OL~
"''-c..
ORe-Siding
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.
X \.Jc-~......... ~'--"-'-'- c-
Signature
3,
000.00 I
7~.IS I
I
1.50 I
I
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 pemJit Fee ~ $ ~ O. t
IJ ,,-- I
~ ~ :'~'"'7fl,"+
--- I
4-0.00
(Phone)
(Phone)
",;s. , '-,-~'o
"'\.~ ~~,
\./~"/o,,",
Date
$
$
$
$
$ I
$ I
$ I
$ I
$ /5(0. zs-I
;7.1'Z S-
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
issued.
~u_.......
~o<:::.
C:..e.~~_
DPorch
ORe-Roofing
Water Meter Size 5/8"; 1 ";
I Pressure Reducer
I City SAC and WAC #
I Water Tower Fee #
I Builder's Deposit
I Other
I TOTALDUE~ ;.'2,..1.04-
I Paid
I Date
/~{,.z.r
7.~.~
/l
I ~~ceJto.
o
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
(Please tyPe or print and sign at bottom)
ADDRESS
~\"'s
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 2/- / t,- d/
~Q.\..."'-' ",
~-''''
LEGAL DESCRIPTION (office use only)
LOT \ '" BLOCK ~ ADDITION- ~ ,L '- \.. " ~
OWNER
(Name) '--~t.-..j;_" '-!'__",,-__....-_
(Address)
BUILDER
(Name)\...o~c........-""'" '-._t-.,,_.....'_
(Contact Name) \..., '-'---
(Address) \. ~~1. <;
~'''''''''--('''
TYPE OF WORK
o Misc.
"...:.--~~
,,'''' ---.... .....
~t:,-~__
'fJ. New Construction
DLower Level Finish
ODeck
~ Fireplace
PROJECT COST IV ALUE (excluding land) $ '-\. ~~ . L-,C" '"
DUtility Connection
I. While
2. Pink
3. Yellow
File
City
Applicant
I PERMIT NO. 04-,03~3 I
."::)c."-"-~"'_
(Phone)
ZONING (office u,<j
1:-/
.
PIDo?5 J 39t;-a:,g--()
\
"'-..
(Phone) \.., 'S. \- ''\.~'-c - ,__",-",,,,,
(Phone) \",~ ~.., ''\.''\.,.
I C. .n..~~~~
OPorch
DAddition
ORe-Roofing
DAlteration
ORe.Siding
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.
X ~ c...._ ~'- ,,_-.._ \. ,,'S.~ '-I "'-, 0,,",
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
Signature
//
PH,1dJOIJ,dO I
$ ~,~'?_.,{') I
$ /'R"l/. ?U
$ . 2eIo.~o-1
$ I
$
$
$
$
/00. t!J 0
100. () (J
3'~.S-O
~d,{)o
This Application Becomes Your Building Permit When Approved
~U
Building Official
6/1rh y'
Date
Contractor's License No,
Park Support Fee
SAC
Water Meter Size 5/8'\.'8
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
IO:.::sO:i .;- /'6
5- -G,- 1.(
#
#
#
#
Date
$
$
$
$
$
$
$
$ I
$ftJ.'50.3 791 I
I
(/0'6 d1
/J>.52J .tJ{j
sdtJ.lJtJ
7tJ.ao
/200,oc
70tJ,dO
/ "S'a (). tJ cJ
I Receipt No.
Bv ('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
whe jgned by the City Planner constitutes a .-...t'~''''''J Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupan
. ed. ~ ~ oP~r 4.d2 tJ-lj _ v
Planning Director Date Special Conditions, if
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
7/16/2004
J :ncom Jass
'engineering consultants
forensic analysis
Mr. Vern Buckmire
Wensmann Homes
1895 Plaza Dr" Ste. 200
Eagan, MN 55122
Re: Supplemental Report
Encompass Inc. Proj, #02-1854-6
3765 Jeffers Ct
Prior Lake, MN
I>~.--:." """'--
0'1 <2:l 2. ~~
Dear Mr. Buckmire,
At your request, this report has been prepared to supplement the Encompass
report regarding 5765 Jeffers Court in Prior Lake, MN, dated 6/28/04, This report
addresses an additional concrete foundation crack, On July 8th, 2004, Mark
Blazevic, E.I.T. of Encompass Inc, performed a site visit to observe the
foundation wall crack,
The home is a 2-story, wood framed, single-family residence with a walk out
basement. The foundation consists of 9' high, 8" thick poured concrete walls.
Upon inspection, the following observations and notes were made:
Reference the Encompass report dated 6/28/04 for background information and
additional observations,
. Observations:
..~
. The crack detailed in this addendum is secondary to another crack located
on the same elevation, observed on June 24th, 2004,
. Towards the rear of the home on the east elevation foundation wall, a
crack running diagonally from the top of the wall to the floor was observed.
. The crack width varied from hairline to 1/16" and was discontinuous at
several locations. No lateral offset was visible.
. A third hairline vertical crack was observed at the intersection of the east
elevation wall and the rear elevation knee wall.
1485D Marlin Drive . Eden Prairie. Minnesota 55344
Voice (852) 854-4511 . Fax (852) 854-3128
www.encompassinc.com
Mr. Buckrnire
7/16/2004
2
. Blocking was installed only between the foundation wall and first floor joist
on the east elevation.
Analysis:
. The lack of any crack offset indicates that the crack has not structurally
compromised the wall.
. The crack is most likely the result of construction related activity.
. The third observed crack, due to its location and configuration appears to
be shrinkage related,
Recommendations:
. Install blocking between the top of the foundation wall at the floor joists per
. 2000 International Residential Code (IRC) and 2003 Minnesota State
Building requirements.
. Seal the second and third crack using high-pressure epoxy, per
manufacturer recommendations.
The recommendations provided in this report only address structural issues,
Aesthetics and moisture intrusion concerns should be addressed by the
contractor.
This report is prepared based on review of the material available as of this date.
Our opinions may be revised based on the availability of additional data,
The conclusions contained herein represent our professional opinions, These
opinions were arrived in accordance with accepted engineering practices at this
time and location. No other warranty is implied or intended.
Should you have any further questions, please call.
Respectfully submitted,
ENCOMPASS, INC.
Mr. Buckmire
7/16/2004
)jUJL
Mark Blazevic E.I.T.
Project Engineer
-----
CERTIFICATION
Reviewed by:
3
o
,~, r
I hereby certify that this plan, specification, or report was prepared by me or
under my direct supervision and that I am a duly Licensed Professional Engineer
under the laws of the state of Minnesota.
Signature:
~ I - J ~
l::J -----+ ~ __
Date 7 ~ 1Cc,- c9L-( \ Gse No.
r
Lfo'-f'Z- ~
~1
~ite .B~
Lanary . t:.ngineering
Pink . Planning
Thr erutr. of Ihr I..k.. ('ounl.,.,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
//)f/~~
--- 1/- It -()L(
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3??s- 9
UL-f-
/
Accepted
Accepted With Corrections
Denied
r
~ ~~ Date: 575h7'
,
/~ ~ -/;~.
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,"
~~
White - Eluilding
~;.In~~ ...ng1nMrlnCl')
Pink - Planning
Thr ("fn'... of lh..l..k.. Cnunl...,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
'.
!
,_,,_(.,2..~:;...~./'-
NAME OF APPLICANT
I j /. 4.' /.'/./w ./
A "" t/_,,<?~~,,~"~l...-1;~J:~_(~"./;:.:.r ,,",....,"
APPLICATION RECEIVED
/ ,/ './ /"'! ,I ...
< ,.' ... / / -//'"---;'
",,' '....... '-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:.-<".~'. /7,./ c-. /"'-. -' .// ../,A .0--/' --f---
,_./ / \".too:? __~ r' /,; . :_"? 1 /I~""'- (./ ~. .._....,1
/.'
C.'
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
4tdfJ
Date:
Lj-;2 7 -0'-/
Comments: Be':' Rp\/Pf!';F! Side for AdditionalJnformqtjQ.ol
mu~ f ~.... vp Con L- AfP(r'Jc'c h
See Attachments' 1) (JrHiling pl~n 7) 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,"
White - Building
Canary ~ Enaineering
,- Pink - Plannir=;q-,
Tht (-..nt..r or IhO' l..k.. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKlI~T
NAME OF APPLICANT
APPLICATION RECEIVED
1/. / f /')/1,f., ..p /'/'jY/)I./ /1
A / v/.J.u...._....~.-/; ~ ,,- .
/
.;,;/
//- / {, --eLl
- ..
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/? '). 'r::{~'l~_~~ r
'/
Accepted
Accepted With Corrections ~
Denied
~ ::z; ,fip Date: ff/J~'/
~ tJ-f ~~-.~
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."
\...J.J.I
No.2763 P.4/4
Uate Rec'il.
;,;;;:. ~. I PERMIT NO. nIL. ~.
3. YDIlaw Apph~ t ~- J_~
ZONINGCofu.=> I
(Please ~ or lllint and ,j"", at bo""m)
ADDRESS
31((}f) '- Jpf-fef2S
Of,
LEGAL DESCRIPTION (ollice use only)
LOT 1ft 13LOCU ADDITION L J-elf.ee.r
(anc&nq
J
OWNER
~ame) ~~~Q~~~~ ~A~~O
PID
(phone) "" LO("_' 7no
Eagan, MN
55122
(Address) 1895 Plaza Dr Ste 200
APPLICANT
(NameL~z-R,,"\, 1'1mmn,:, & 1ie.at.ir>0'
(Address) 14745 So Roben Trl
C - (Mdr<ss);:.
(ContactPe.rson) _ill f6{(~ti rzi.J ( J
APPLICANT SIGNAT~ (!I~
(phone) I';<1_1,?'_1 '1,1,
Rosemount, MN
(City)
55068
(Zip Code)
'::/(/ J/~hone~A~"'_1,7'Jf-;Z3 ~4
. . APPLICANT PLEASE COMPLETE .BELOW
.. ~w CONSTRUCTION ):;) REPLACEMENT 0 AL 1'ERATrONS
FURNACE MAKE AND MODEL UI1 r; () lC fj q / fJ1iJ-(#I)(: - / / () FUEL flat -~ a L
FLUE SIZE RETURN OPENINGS / n INPUT.I If): VOr) OUTPtlT IOI::z.tJtJ
TYPE OF SYSTEM
,;;awann Air Plants
OGravity
o Mechanical
~ir Conditioning
TIVe:ot. System
HEATING OR POWER PLANT
OSt<am
o Hot Water
o Radiation
o Special DevIces
o Other De."ces
. FlREPLACE MAKE AND MODEL
Industnal, Commercial 8< Multi-Family
FEE S(,..t:t..t<PuLE
I % of Job cost Re.idential, Gas Fireplace
$3950 minimum
$99.50 Residcntlal, Addirions & AltCIOllons
$64.50 Resid<:ntilll, AC Only
Rc.idOl1tial, Heatiag & NC (New ConstrUCtion)
Residential, Heating Only (New Constroction)
Estimated Cost $
Building Per::mit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,50
[I' '-" Use O.ly)
. "" Applicntion Become. Your Building Permit When Approved
I Paid
I,l'lv ') ~ 0_
I Date . I ,) lUU4
Buildin; OfJ1dal
n...
24 hour notice for .U in,poctio., (932) 447-985(/, -l'lx(%2) 447-4245
I PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
S3950
S39.50
$3950
I Receipt No.
I By
AD r ,23 2004
tW~
~,,!;t:'?;::,; .':~~(NIn.:S o~ ..
~,S\;<;\~i\;'~:\'." ,
~};:w.\;\~
11:53AM GENZ RVAN PLUMBING AND HEATING No.2768
CITY OF PRIOR LAKE PLUMBING PERMIT
P, 3/4,
....,-.:u.c:.l.uc'd
1, BIuol FU.
1. Gold CIty
" YeUcrw APl'iiQlll
I PERMIT NO{)I{_ 313
(Please: ~.e Q.r Onrlt and lliRD, at bottom)
ADDRESS
S7f16JffftAeJ ()f.
I ZONJNG (om.:. use)
LEGAL DESCRIPTION (office us. only)
LOT I0'BLOCK;3 ADDmON \ / e.If.t.lCf
tuLdt"r;q
J
PlD
OWNER
~~) Wensmann Homes
(phone) 651-905-3709
(Mdre...) 1895 Plaza Dr
Eagan, MN 55122
APPLICANT
~ame\ Genz-Ryan Plumbing [. lleating
(phone) 651-423-1144
(Address) 14745 So Robert Trl Rosemount. MN 55068
(Address) k (City) (Zip Code)
(ConractPerson) ~ ~ / ~L r /:J (phone) 651-423-1144 ,/
APPLICANT SIGNATURE r1 I u2JJJ- ) '=f7tJ tJ//PATE <i-ac3-tJlf
.::--
I
I
I
I
I
I
I
I
I
Quantity
rX..-
(
I
t:1
I
I
I
~"3
APPLICANT PLEASE COMPLETE .BELOW
I Type of Fixture
I Bath Tub with or without shower
Dishwasher
I Floor Drain
1 Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
Shower Stall
I Sinks
Bar Sink
I Water Closet (Toilet)
Quantity
S
I
a
i
I Type of Fixture
I Rough-ins
I Water Heater
I Water Softner
Stand Pipe (Washing Machine)
I Sewage Ejector
BacId10w Assembly
I Backflow Assembly Test
Lawn Sprinkler
I Other
FEE S(,,;.J:1J!P ULE
rndusll'lai, CommerCial & Multi-fonuly 1 % of job cost with. $39 SO minimum Residenual, New One & Two-FllIIlIly $99 50
Residential, AdditiO/ls & Alterations $39,SO
Est1mared Cost $.
BuHdmg PeJJIllt #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
(ome. Us< Only)
This Application Become. Your Building Permit When Approved
lluildlng Offici.l
Date
I t~i_- Receipt No,
I Pare rl.AY 0 5 ~gg~ . By
24 hoor DOtice for an inspections (952) 447-985P, fax (952) 447-4245
Apr .23. 2004 1 1:53AM
GEN2 RVAN PLUMBING AND HEATING
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
No 2768 P. 2/4
Date Rec'd
i:;,~;~ IPERMITNO.~2
). 0.,14 A9pURllt "., - ..101'-'
(f1ease ~ or 'Crlnt aJ1d. Si~ at bottom)
ADDRESS
,~1f6 JeHen (]f.
ZONING (offi<<!..e)
LEGAL DESCRlPTlON (olliee use only) .
LOT Ib BLOC~q ADDmON J{!lf.e/~.. (
~t1
J
PID
OWNER
(Name) Wensmann Homes
(:Phom:)
651-905-3709
(Address) 1895 Plaza Dr Ste 200
(AdW::J,)
Eag,an, MN
(City)
55122
(Zip Code)
APPLICANT
(Name) Genz-Rvan Plumbing & Heating
(phone) 651-423-1144
(Address) 14 745 ~n Rnhert Trl
(Address) "-
(ComactPetson) _CYI ~;Str G-ilr
"_ICANT SIGNATIJRE (1A../ ~)
Ros::ewount. ~1'J
(City)
55068
(Zip Code)
_ (:Phone) 651-423-1144
~ J>/l DATE Lj-p23'-oL/
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet.
'Clean out (if required) located at feet from structure.
feet
o Cast Iron
ResIdential sewer and water bne connection
Sewer connootion only
FEE SCHEDULE
$35,50 Industrial, Com'l & MuIti-fm:o.ily 1 % of job cost With a $39.50 mttUJllum
$1750 Water connection only $17,50
Estimated Cost $
Buj)ding Pannit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PElU>fiT FEE
$
$
$
.50
(Offict Use Only)
Bliilding Offici,l
I Paid
I Date .
:,YW II ~ 7nn4
24 hour notice for all in.pection, (95A) 447-!~, fax (95J) 4474;24,5
Dllte
I Receipt No,
I By
I'
I
This Application Becomes Your Building Permit When Approved
.-
---.-.-.-
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
L Pink
2. G~n
J. Yellow
~::, I PERMIT NO. , 1. 3~
Apphcant ...., r 0 '-t'
(Please type or 'Print and sirro at bottom)
ADDRESS
ZONING (office use)
3765 JEFFERS COURT
LEGAL DESCRIPTION' (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name) AUJRfl RTRRSIDR flRA RIRRSIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW A VENUP
(Address)
ROSEVILLE
(City)
55II3_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-25~T
APPLICANT SIGNATURE
BRFN/)A J..IUSrON
DATE
1i/14/114
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEATN GLO 6000TR-OAK
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Penuit #
$
$
$
Residential, Additions & Alterations $39.50
Residential, AC Only ~]~. $39.50
~~~~~.
. 't)~."" " J
<~~,,),
"};i->A"
CJ;.../
.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
(Office Use Only)
This Application Becomes Your Building Permit When Approved
BuUdine: Official
Date
I~,i~ ~ It D.1If) ~ ~eceiPt No.
1\~'teJUN 1 :> ZUU4 IYv
I
~I
24 hour notice for all inspections (952) 447-98 i~..Jax (952) 447-4,.,
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
; ~:'" ~::, I PERMIT NO.AL.0"2I:l13
J. Yellow Applicant ...........-- ~D
(Please type or print and siJro at bottom)
ADDRESS
ZONING (office "<oj
3765 JEFFERS COURT
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name' ALTJRD FIRFSTDF. DRA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
'5113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
7/21/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
oWarm Air Plants
oGravity
o Mechanical
DAir Conditioning
oVenl. System
HEATING OR POWER PLANT
o Steam
o Hot Water
D Radiation
D Special Devices
o 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 X 2
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 & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
~
$
::;~') 11'lJ1-;
-;1 ..t'"'B~' 'j
... '.i'j'!"1 r""I_
,'. w' ~ ';, ~...= ~1~~
"'"..,j,
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
BuUdin!! Official
Date
7)~dlfS Le u \\fj l! rJ";, Receipt No.
1 Fa!fUL 2 9 2004 J By
24 hour notice for all inspections (952) 447 ~o, fax (952) 447:4245
r
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 37"s tJJ~F6L' -
NATURE OF WORK ~ T,,; -1/b4c77J~
USE OF BUILDING .SJ ~ .
PERMIT NO. 01- 03~3 DATE ISSUED .~/-fj/jV
CONTRACTOR /J)EJJ..~1J..Il1fJItJ ~~~ P~- 22/-7/7t.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE D5>CUMENT
INSPECTOR
, FOOTING We. I f/Ir I 5"4t:J
, FOUNDATION (Prior to Backfill) I 12// I 5 /J? /c>?
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING 0 h
HEATING (if required) (leA
1...
FIREPLACE
I GAS LINE AIR TEST JI'{~-~. fj!f "';;;y
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS IV D
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
DEPARTMENT OF
BUILDING AND INSPECTION
DATE
1h-
#
.~ <O~~
/214
5~7,.4
7>-11' .
'~~'1'
\. ~
LI ~ 'Y7
~
rl>
<8 -(
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
'-Io-or
ADDRESS ~TJ(~ <~~.i>lCO Q.\
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o j.NSULATION
)2I"'FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
4 - ~fl~
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 GASLINE AIR TST
o
I)k. -k e\.oq ~.J~\ I)
U\cl.u~
,
N: !-~J,'$'
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. OWner/Contr:
CAL 447./llS0 F~THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE~TS ARE FOR YOUR PERSONAL HEALTH.l SAFETY!
uaNO"
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
'H~-o V
AODRESS
"3'l{~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
4- ~J
o FOOTING
o FOUNDATION
o FRAMING
D~ULATION
;l1 FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
L. f1l^~.L U:u}c W
~. R.n,'~ 7Vf6 \ I a.~v.Q.. h.~~ L,.,J.... 'ifr;t1..,-,--
b~
~d-1,~ ~
o WORK SATISFACTORY. PROCEED
o CORR A T AND PROCEED
'i\ COR ECT R CALL FOR REINSPECTION BEFORE COVERING
Inspect r: ...........-J Owner/Contr:
CA 1:5~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTJ
VU"'- f;/L-(.'-/-fI I!;
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
11 -ZS' -or
ADDRESS 37(,~ J~ C.T
PHONE NO.
PERMIT NO.
W,,,n........ Ji,..." I
('JL/-J(lj
OWNER
CONTR.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~ILLlNG
o COMPCllNT
o FIREPLACE RI .
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
&r.,,&,,-o t.
Curb 3.f,ot.-
~RK 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 & SAFETY!
INSNOTJ
DATE TIME
CITY OF PRIOR LAKE d
INSPECTION NOTICE SCHEDULED p --\ ""'t...
7n I ,"" \ m 0 \
ADDRESS u.:..JV..... ~l-Us.~_
OWNER CONTR.
PHONE NO.
PERMIT NO.
~-~5
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o JlEWER HOOKUP
j6PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMlo'lENTS:
I, ~ r -X V.yc.
z. G. c......., {\ J a-...... ~
~RK SATISFACTORY, PROCEED
/l CORRECT CTION AND PROCEED
o CORR T RK, CALL FOR REINSPECTION BEFORE COVERING
Inspedo :
OWner/Contr:
CAlL 7- 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO~UlREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
U<SNOn