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,,)
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LEGAL DESCRIPTION (office use only)
LOT~ BLOCK 4 ADDITION 1ht w,\ds f\a<n+
PIDJS-t.jDY" 05/- 0
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~e!;.c.., ~d [-..-\rol-^- (Phone) (99) tVt/s-bnJl'L
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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
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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
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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,/
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rWhite . Buildiiitt:>
Canary . Engineering
Pink . Planning
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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."
~
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While - Building
CanarY - E'~~neering
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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,
;-
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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."
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ThO' C"nl..r 01 lh..l..k.. <.'ounlry
White ~Uildinq
~!:II~aFl' naineerin~
Pink 1 Planning
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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. 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
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"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
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2004 05/07 12:43 FAX 8905883
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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
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