Loading...
HomeMy WebLinkAboutBuilding Permit 04-0062 (Please type or Print and siitll at bottom) ADDRESS CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT /_1 ~-D Lj I PERMI'I N~. 04- . 00& z+ Date Rec'd I. White File 2. Pink City 3. Yellow Applicant \L1\.l1~ W_~ ~Yck- ZONING (officeu,,) -el "" LEGAL DESCRIPTION (office use only) LOT~ BLOCK 4 ADDITION 1ht w,\ds f\a<n+ PIDJS-t.jDY" 05/- 0 I ~e!;.c.., ~d [-..-\rol-^- (Phone) (99) tVt/s-bnJl'L ~ (j;.,. '- ,/vrtco1lLL- !J1 J S3""' 3'7k . OWNERf" (Name) \. ,...n. ~ \ - (Address) ~/~! BUILDERr-\'\ (\r n I ~ (Name) , ~7JC\..-t"'t-ttlIMh '-...1Jr\c (Contact Name) ~1~\.~-J~ L~'. (Address) ~ O. ~~ l\ ~ lMuL \)', \ ~ j..{J , (PIw~~ ~9f.' (Phone) ';)..."\ :'Or-1.ir111 ~ ~~,*-1L3S TYPE OF WORK ~ Construction OLower Level Finish ODeck OPorch ORe-Roofing cjJRe-Siding o Misc. ,.R.c. C&o~ o Fireplace DAddition DAlteration PROJECfCOST/VALUE (excluding land) $ ~. D"1\1. Q]Utility Connection wi I 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 ~fficial or a designee may :ter71~YO'L::erfG."eef:;;;ol:u / ^JLr;u.- &J1j; /';'3D-; _/L1r-h's ~ature -.J ~' X Contractor's License No. ' I /Date I Permit Valuation a'lo.tJO(),(){} I Park Support Fee # $ I Permit Fee $ z: 13~.SO I SAC # ~ / ~S"O.OO I Plan Check Fee $ [ 7, PG, .7S? I Water Meter Size 5/8'~ $ .~~.nt} I State Surcharge I $ , 'fO. 00 1 Pressure Reducer $ 70,00 I Penalty 1 $ I City SAC and WAC # ~ I 2..l!)O. "0 I Plumbing Permit Fee 1$ 100,00 I Vvater Tower Fee # ~ 700.<90 I Mechanical Permit Fee I $ 100.00 I Builder's Deposit $ ISoo.oo I Sewer & Water Permit Fee $ 35.0;;0 I Other ~ I Gas Fireplace Permit Fee $ 'fOd}() I TOTAL DUE 1'A'U.Rn 7.../0 ,04- ~~"'55. 7fIJ / (l I This Application Becomes Your Building Permit When Approved I Paid q, 0.5'5':, 7'4:--- I ~~cei~~, -n; u"J ~ ~ ~/211::-1 I Date -, t. 7..-:1.' 0 Building Official 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 f1S requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Cert!ificate of Occupancy must be ~~~ Planning Director 1/<'1/6'-/ /f~ a.L( ~ " ( , Date Speciai Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek AvenUl' Prior Lake, MN 55372 .~~~ PR/C3!r,/ .0.. . Q ~?; rWhite . Buildiiitt:> Canary . Engineering Pink . Planning -' lh~ C~nlrr "f lh~ I..kr ('ounlrJ BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT :tJ~.1f. ~ . /~ I;;'~ V APPLICATION RECEIVED , The Building, Engineering. and Planning Departments have reviewed the build ng permit application for construction activity which is lfPosed at: I /t/195- l:jad4eJ ~ ( Accepted Accepted With Corrections / Denied ~~ ~ a.-L-( Date: cY/f ~ 'i Reviewed By: Comments: "The issuance or granting of a permit or approval of plans. specificaitions and computations shall not be construed to be a permit for, or an approval of, any tiolation 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." ~ &~~ While - Building CanarY - E'~~neering ~ ~~ ~ p a nina::> - lht Ctntt. nllht ...ktCountn. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED .' ,I -_/ , ;- (, .. I The Building, Engineering, and Planning Departments have reviewed the build ng permit application for construction activity which is proposed at: Accepted ./' Accepted With Corrections Denied Reviewed By: -~ . ~ Date: ~/9~'7 f Comments: "The issuance or granting of a permit or approval of plans, specific~tions and computations shall not be construed to be a permit for, or an approval of, any yiolation of any of the provisions of this code or of any other ordinance of the jurisdictior. Permits presuming to give authority to violate or cancel the provisions of this cod 3 or other ordinances of the jurisdiction shall not be valid." .~ 0~~ ThO' C"nl..r 01 lh..l..k.. <.'ounlry White ~Uildinq ~!:II~aFl' naineerin~ Pink 1 Planning I ! BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I ,.!.--; ; "/, //"11-,( d' .... "I/~ /,,/ / / ~ "-. / /-Ib-/ I / y- d/, /' -~ . The Building, Engineering, and Planning Departments have reviewed the build ng permit application for construction activity which is proposed at: /1 Jj :':~ ,-- - /,. "~l! t/{,> / . 1,__--:) ( ,... j- ,"__ , Accepted )( Accepted With Corrections Denied Reviewed By: IYIJ- 5 Date: Comments: -.See Reverse Side for Additional Information! 1-) I-aLl , See Attachments: 1) Grading Plan, 2) Erosion Control MeasureJ I I , I "The issuance or granting of a permit or approval of plans, specifica~ions 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 jurisdictioni Permits presuming to give authority to violate or cancel the provisions of this cod~ or other ordinances of the jurisdiction shall not be valid," CITY OF PRIOR LAKE SEWER AND WATER PERMIT Date Rec'd Z. -z,,(,. 04-- I i ~:w ~:~. I PERMIT Nb'04- 00 I ...1 3_ Gold Applicant . 10 ~ (Please '!ype or orint and sign at bottom) ADDRESS ZONING (officeu,,) Jt.fI'1.r- ~A~bt.e C-~ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID ZS"' 'fC4-. 05/ . 0 OWNER (Name) (t It I~~ (Phone) (Address) (Address) (City) (Zip Code) APPLICA1'l.T (Namp) o'ILt:..r-Hu 6- y...C-- (Address) ~(pllK 7S'oPL'rN WI'r'1 (Address) (Contact Person) is t.\ ,e J.I APPLICANTSIGNATURE0 9-....ic.-v~~.Go ._ ~ (Phone) '-/lIeu Xl- L t ,( j o'lfLl (City) (Zip Code) (Phone) "'ID. P 'P -t. 7 &J ::J..-!;2 L t. ~( DATE APPLICANT PLEASE COMPLETE BELOW Size of water service ~ inches. Location of any couplings from structure - Type of sewer pipe. 0 ABC , ~ PVC Estimated length of sewer line !::l..P..._ feet Clean out (if required) located at v feet from structure. feet. o Cast Iron Estimated Cost $ $35.50 $17.50 <>0 tjDD. FEE SCHEDULE Industrial, Com'l & Multi-family Water connection only 1 % of job cost wit! a $39.50 minimum $17.50 Residential sewer and water line connection Sewer connection only SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ ~ ./ o Jtf. 00 to 2.... 6 f eA10 o~ ~U'~ ./ """"""-:-50 Building Permit # (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official Date IPai~ I Dati. z,r,.0 ~ Rece~. , /) By 'rf-- () J 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 _ __ __ __. _ __ _~~'':'':'''' ....... rt\J.vl<, L:\,KE @OOl CITY OF PRlOR LAKE HEATING/AlR CONDlTIONINGfFlREPLACE PERt'YIIT Date Rec'd fT:.le:.,e ~ or trrin,[ anc15ieD :u bottom) ADDRESS j~/q< ~~I' LEGAL DESCRIPTION (office c" only) :: ;:;.:. ~~~ rPERMIT NO ~ IV'VJ.." 1,'l"..llw "~~l1tllTll: ~.~ f':/r>r/r? ,{),w, I Z )N1NG (0/:\",,,,) I LOT BLOCK. ADDITION PID g,":~R~/-?/?} p r- (Ac1dtess) .L.)(,., / d..1/J?t<", (phone) q~5<- S~c;ti APPLIC...NT J' ~ L 1/ [) (Name1 .AT (/V.)Trn//~. (Add.TcSS)".J/,Q/C Ehh-... ) /!tJe. (AdOre.s,) t1JY1 (Phone) #CI'J - H'l..o ;;;). 550?~ Zip Code) Pcrt-..J , J-?7^J _ (Cl'Y) (Conta.ct Porson) . APPLICANT SIGNATURE .e:;~ 2/;" ~ (phone) . , DATE N - };: -01'. ,/ APPLICANT PLEASE COMPLETE BELOW ,.0"NEW CON~""T Tt'""I"rf)N 0 REPLACEMENT 0 AL TERA nONS FVRNACEMAKEA@r,ODEL -y;;.r/L'JP :T,/y i"J'&). 9-1,;;) FUEL A.J;7f-' FLUE SIZE _ .":? PIle. RETURN OPENINGS g INPUT g('J. IV', () OUTI'UT 7,? (.N) TYPE OF "I'" eM HEATING OR POWER PLANT . DWa.-m Air PllUlls 0 Stc:un DGruvjl)' 0 Hel Water ~ehanj",,1 0 RodiaUon ~ Conditloning 0 Speel.al DeVices .....E:I"'""y~m. SV$bm1 0 -Other DC'Yicc! FIREPLACE MAKE AND ~ODEL t:/Pn,L A.) r.::j" PLEAS ;: NOT~: Air Con 1itioner Units Cannot: ;ncroach Into Re~uir. I Side Yard. Setback: f:-,L-7s;C1 Iflc:l\lstrial. Commercial & Multi.PamJly FEE SCHEDULE l % of job co~t Residential. Gas Firepl~cc. 539.50 minimum S99.S0 Re:sidectial. Adciltior.$ &. AJ'i,=rations $6410 ~esi<d~l'\.T:i~(A,.r.: Only :;;9.;0 F..esidef'\tial. H~ti.ng ~ AJC (N.:w COMt..ruc:tion) Rc.si.dent.i~l. aea'l:b~ Only (Ne...... CCI'lStruc:uon) $39.50 S39S0 Estimot,d Cost S Buildin.g Pormit ii BEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE . .~ $ s PAiD WiTH ,BUILDING PER""n (omc: Ok On1)') B\ai1diflG' omei~1 DIII0 DflEB 1 0 Z 0 cq..-- By Thi:! Ap.plitation Bocomes Your B.i1din~ Permit When ApprDved Paici 1.4 !'tour qCltl"e for all il1lpcctiofll (9:2.) 447..9850, (.ax (9.$2) 447-4245 100~ lilY a3110ll~NO:) 9L<:909HS9 XYd CO :S1' 31U tOoo/cono .< 2004 05/07 12:43 FAX 8905883 /~j,4I(y ,. ; INSTANT TESTING/ ALLIED I,tJ 001 IJco INSTANT TESTING COMPANY 7125 W, 12Hh Street, Suite 500' Savage, Minnesota 553;8 Telephone: 952-890,7663 '-f - 0 t.. <'--- IFax: 952-890-5883 Field !Inspection Report Client Name: Ratzlaff Construction Date of Inspection: April 27, 20730 Holyoke Avenue, 1148 PO Box 1135 Lakeville, MN 55044 Site Location: 14195 Badger Circle Dr Prior Lake, MN 2004 Time: 9:02 AM Fax: 952-985-5353 Field Observations : (1) On April 27, 2004, Instant Testing w;,,,. called to analyze a 4' hairline vertical crack through the mortar and one block behind a PVC ,;ewer line in the lower level block wall. It is or the north wall of the southwest room aligning with t-Ie south garage wall up one level. It is within 20 feet of the house' west edge. (2) The crack itself is five 8" block long end less than 1/16 inches wide, It is near the t >p of the wall and not near an opening, (3) The reduction in wall strength causee by this crack is minor as it now stands. It call not be established, however, whether the cr;~ck is a harbinger of a greater cracking and a larger failure that could be imminent. (4) For this reason it is prudent to remecl,' the situation by filling the block cores adjaCE ,nt to the crack with 1/4" maximum concrete grout. -:116 annular space should also contain a #4 to #Ie rebar, the largest insertable, This effort will eHmlnate any reason for structural concern, Date: May 6, 201>4 ,-t , #612 -18 #609 - 2.5 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS /~/9 5 ~ t3i~E" NATURE OF WORK . NEIJ.J ~AJs:7i!.u07~,i USE OF BUILDING S. f:7 /). PERMIT NO. 04. DO&Z- DATE ISSUED .P/1~ +' CONTRACTOR ~;:;:-I{"/II1~S: IAJ(., PHONE .. "4~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTION BELOW LL(<. r T~...E.PE~M1T IS BY SEPARATE DOCUMENT I 'F- f' (j':~...- !'SPECTOR DATI I FOOTING wc. I /lJ ~. 27 I FOUNDATION (Prior to Backfill) I I f. ~E NO CONCRETE UNTIL ABOVE HAS BEEN SIGfI ED tJ~ (/~l ROUGH - J,~S SEWER"tWATER 1 SEPTIC (/ b 3 -10 FRAMING~~ ~~J /J0 fYl/ INSULATION VV ~..r ELECTRICAL rl" I PLUMBING 14! I HEATING (if required) W. I FIREPLACE t/)) Y-..)C I GAS LINE AIR TEST IY<-PntP f/ COVER NO WORK UNTIL AB~~ HAS BEEN SIGNED ItATJIE /t::!Pt.rv~Q) S?iJ#-1 I#J 4> oJ I , FINALS 1'I.i3 we rt I!J GRADING (Prior to Sodding) BUILDING "\~n +-0 l - \ 1 ELECTRICAL , PLUMBING HEATING ." DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGfI ED NOTICE /1.(>: 04- 10 -'7--a~' We a_ f/f7 7-7 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 adclitions where no service cabinet ;s available, card shall be placed near main entrance. FOA )~LL INSP'i:CT10NS (952} 447-9850 , I 1.._______ ____ (!lrrfifitafr of @trnpanq! CITY OF PRIOR LAKE :!Elepadmtuf of ~uilbiug Jlusptdiou l2{l<inal Permitted 0 Conditional C.O. Expires 1/( ~.C.~/~c;JTll"IL- This Certificate issued pursuant to the requirements of Section.J.{}.1 of the -YHqUI m Building Code eer "ffying that at the time of issuance this structure was in compliance with the various ordinances of the City OJ 'Prior Lake regulating building construction or use. For the following: Use Classification SINGLE FAMILY _ Bldg. Permit No. 04-0062 Occupancy TYpe R3 Type Construction VN Fire Zone N / A _ Zoning District RJ Legal Description L6, B4, THE WILDS NORTH Owner of Building Site Address 14195 BADGER CIRCLE P.O. BOX 1135. LAKEVTLLE. MINNESOT!. 5'1044 Contractor's Name & Address RATZLAFF HOMES. ROBERT D~ HUTCHINS iy'if Building Official l - ~ Date: II; - ,-Z - r (j I City Planner DON RYE Date: ., CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS N I q () OWNER PHONE NO. o FOOTING o FOUNOA TION o FRAMING o INSULATION J!i FINAL o SITE INSPECTION SCHEDULED ~,;- I CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL DATE nMe 7-l'?- ~ l{ ---tJrJW7 ~ o EXIGRAOIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: /It/P~utcL, ~ Vv..a.M~. ~~...k..l ~. .1 (\~.....,.. .1 -t'".... ~~pbLv.eJ:~ '3, f"..vv;../ ~ ~1AA""b. ~ . r,.J.J. N..::1....., Vtl. W ..1- lh au- . ....-~. c....tt-L.... n~.~j~ /...r 1-,1 ~..:JJ..r. \~p~~-k ~ ~f''''''''\J R-. T:"'- o WORK SAT FACTORY, PROCEEO o CORRE A ION ANO PROCEEO J. CORR CT . CALL FOR REINSPECTION BEFORE COVERING Inspectol Owner/Contr: 850 FOR THE NEXT INSPECTION 24 HOURS IN AOVANCE, CODE REQUIREMENTS ARE FOR I'OUR PERSONAL HEALTH 4< SAFETY/ lNSN<Jfl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED I!---Jt,"'. "'f ADDRESS 1411 ((' 15c.rA.u- C, , OWNER CONTR, I.lzhf+: PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ..eUJNAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL J5.-~ILLING o C'otlftl"'LAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: If/I -c.9 /( ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING In.pector:~ .owner/Contr: !<ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE, CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH '" SAFETY! ,...." DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ~ 'l:Od ADDRESS J.!:! I '15 M, -- Ov- OWNER CONTR, PHONE NO. PERMIT NO. l./_ (..?~ 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 ,.ff PLUMBING FINAL o MECH FINAL o EXIGRADlFlLlING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASlINE AIR TST o COMMENTS: J. n...Ll +;., r- M,T\) '2, 0,,,tl 1~ r\..u.....:~ - ~~'"' f....P~.I~ Y!:D - 181P. o WORK SATISFACTORY, PROCEED AORRECT ACTION AND PROCEED o CORuT l2LL FOR REINSPECTION BEFORE COVERING Inspect. J Owner/Contr: CAt.: 7UB OR THE NEXT INSPECTION 24 HOURS IN ADVANCE, ~ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH I< SAFETYI """""