HomeMy WebLinkAboutBuilding Permit 03-0540
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
Lj- /~- C<3
I. While File I PERMIT NO I
2. Pi,k C"y 'O'?_OrA_O
3. Yellow Applicant ~' :::::>V l
(Please !VD~ or print and sian at bottom)
ADDRESS
z.~~" li>~ \' feU \ to. W
<Thb< (At.
MJJ
ZONING (office use)
RI
LEGAL DESCRIPTION (office use only)
LOT q BLOCK 3 ADDITION \\-e \Di'ldS Sum
1-"11'-"
\~~ <><
~~c~ ~~
PID,.:JS- .'1(?~- /)~3-o
(Phone) ( q 5"2 ') 440 - 9'& I,
~r;oy" IA~ /'-I: 55.-3'7_
(Phone) (<1Sz.) '1 !5-S'1S9
lloAi]one) \. qs~ ~~-y l/t\
~~ N,J s'5Vlfl./
~=e~R~ $- -~Jl..e.. ~)..hl~'-
L\ Z-~9 '7 r.' or wO oj Sf- _ S'L
(Address)
BUILDER () _ I
(Name) l<a.I OI.o..lf~
(Contact Name) r ~ \\ ~
(Address)~O. g~It3<;;
~~('.
~71.,,4)
Uv
TYPE OF WORK
~ Construction
DLower Level Finish
ODeck
o Fireplace
OPorch
OAddition
ORe-Roofing
ORe-Siding
OUtility Connection
DAlteration
o Misc,
PROJECT COSTlY ALUE (excluding land) $
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
:l)16'~J;em_ P,;;;deU;;~cti~~ l) -v. ;m~ (O?/)~ L I ,.'\
-/ Sl,I!Ila,,)e ~ Contr.ctor'sLicenseNo,. Lf~! Cl~
I Permit Valuation It} c. DO(). 1)0 I Park Support Fee # $ ~50.D()
I Permit Fee $ , I SAC # $ 1"2... 7c;,. 00
I S ~,. :;OS"
I Plan Check Fee $ qq~. 881 I Water Meter Size 5/8'@ $ .3ll0.00
' ,
I State Surcharge $ '1R.Oll- I Pressure Reducer $ 7a,{) 0
I Penalty $ - I I City SAC and WAC # $ J 2.Cl19 . DO
I Plumbing Pennit Fee $ 100. DO I I Water Tower Fee # $ ?,OI!J,oo
I Mechanical Permit Fee $ 100. Do I I Builder's Deposit $ ('SOD.{)O
I Sewer & Water Permit Fee $ 3S.~o I lather $ I
I Gas Fireplace Permit Fee $ -'JItJ . "0 I I TOTAL DUE ~ sJ. .01 $1"J.7Q5: 23J
~/~ cr:J J/,,_,r'!
This Application Becomes Your Building Permit When Approved Paid I ReceiotNo:""'t'J I 7 I
~ -:1",~.f-' -f~f :J Date ~ -7 -0 ~ By D~ I
0
Building Official Da
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
~hen signed by the City Ptann", constilU~a temporary Certilicate of Zonlng compliance and .nows construction to commence, Before OCCUP:.: C;;:~..~ must be
~11~,~, 9~ #~fJ M /I~I '
Planning Director . ol"- '~ Conditi s, if any
24 bour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
"'-YlInite - tlulldin!f)
, tanary . I:ngineer,ng
Pink - Planning
Thlf Crnltr of Ihr 1..11, ('OUlllr}
BUILDING P~MIT APPLICATION DEPARTMeIT..CHECKUSI
NAME OF APPLICANT
APPLICATION RECEIVED
7(a-l2-Iu_FP Po Ji?1c.)'
L/- /(.. -03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
0; t'fS 9- J3{) 6c..a -r II--
Accepted
Accepted With Corrections ..-/
Denied
~
~ -:;~ Date: ~4.9k?
If~ ()..L( car-~ -I: c JJ--:::t:-
Reyiewed By:
Comments:
"The issuance or granting of a permit or approyal 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
i""'Bft9ry - -=.,nineering
C--Pink .....:."fannln1l:)
Tilt' (""nino! lilt' I..kr ('ounlry
BUILDING PERMIT APPLICATION DEPARTM.fNT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1'>' I ! (- L / I
If?f. . -2- ".:1 r /- r/ J /.11;-: S
L/- I?' - 03
"f
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;; if'i$9- /3i)J;(>1' -r Ii"'
Accepted
Accepted With Corrections
/'
Denied
OJ
('~ ;2~
A.c. ~ ~ .d..~ ~~-
~..~ ~ ~'.&/' /IJ'~~
~ -h ~. 4:j A. C. " .;..; ~" ')
Reviewed By:
Date:
~.;;J?~3
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 yalid,"
.
~~
~- Buildlnjt
. EnlJ1_*ng,)
Ink - t'IBilnlng
TIM e....., .f tJw Lake e...."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
"I-'-[~.'r_,-l2 I/~ ,.c L. / /., ,;/':1;- ('
:A. l.L J T /'-7-V,. _ ,
c..j- If, - 0 3.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
dr%9- l3u6e-,:rr .1.:--
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
@fZJ
Date:
Lj-lS-ci3
Comments: ~.... R"verse Side for Additional Information!
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~,ee Attachments. 1) Gr::liling Pl<m 'Y Erosion C:ontTol M..::ISll....."
'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
oroinances of the jurisdiction shall not be valid,"
.--.:,. ---;.____._;--_ ~--_~...... l'l\.,lUlC..LAKE
@OOl
CITY OF PRIOR LA.KE
IlEA TING/AlR CONDITIONINGfFIREPLACE PERMIT
Date Rec'd
~1u;C' t'wp!: or mint l.l:lc1.Jis!n atboeram'
/ADPRESS
<:988;<1 f}obN'I/-
~ :':. ,~~ , PERMIT NO, 2- ~ I ~h"b
J, Nl..- ;."num: . '--J 'I
7 ;;'tlJ I
d G..) (
'I I ZONING (ol!il:o...)
LEGAl. DESCRIPTION (om... a'. o1Ily)
LOT
BLOCK
APpmON
PIP
rg.v::.;,~4-I-zJ~ J?jl
#~.e,
(:phone)
q 8'5"'-, SC1 s't:j
(Ad.dres$)
~~~aok./;;..o (JI/'
(AddTCSSV~/~/(', eh~1J 4t:.
(A6drcas)
(Contact Person) J/ j , '
APl?LICANT SIGNATURE ~ '6.;-/,,-;- dJl
(:phoIl") --=:f~ - G;),t;la
h..,~.'<'~~
(),o~ (Zit> Code)
(:phone)
DATE 5' -1J'- c 3.
./ APPLICANT PLEA.SE COMPLETE ~ELOW
~W coNSTRUCTION , 0 REPLACEMENT ~ ~ 0 ALTERATIONS
FU'RNACEMAKEANDMODEL~A!e 7tix~q..y.;;l FUEL ...vA-I-
FLUE SIZE ~/( PI k' ~ RETURN ur"'Nl~GS 7 INPUT \?t{ f'lrl"\ " - OUTPUT.7 ~ C;t'p
TYPE OF SYSTEM ~ HEATING OR POWER :PLANT
JjDW"'i'l'Air PIIUlt5
. cahantall .
it Conditlc~g
en" System
05'=
o Hot Water
o Rodi.U.n
o Speolal Oevi...
o ,Other Devi...
PLEASE NOTE:
Air Condition~ Uniu
Calmat Encroach into
Required Side Yard
Setb..ck>
FlR.EPLACE MAKE AND MODEL
nE SCllED'ULE
Ind.....ri./. Commer.ial" Mlllti-Ptmily 1% orJob ~o~ !laldontlal, Gu Fireplace
$39,50 minimum
R..ldcnijol, Hcatina &. ioJC (N.... CormrucUcn) ~ S99,50 Reaid..ti.~ Additions &, Alt.rmon.
Residential, Hea'ing Only (New Constru.tion) SM,50R..ldcnti.:(Ar. Only
$39,50
$39,50
S39.50
Estimated Cost $
Building Pennit #
HEATING PERlvUT r.cE
STATE SURCHARGE
TOT,u. PERM:1T FEE
s
s
$,
'~
,
.50
PAID WITH
BU'll!NG ,PERMIT
come: Use: Onl)')
This Ap,pliatlon Becomes 'Your Building Permit When Approved
Iluildl", Offici.!
Date
~lt-
Rcoeipt No.
14 hour notice for all lnspedibn~ (9SZ)
'. (2.S4l ""27-424
,~If 003
By_
lilY mfl101lJ.NO:J
By ~
IOOIli
XVd LO:OI 3aL EOOZI90/S0
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
Ct . .3 - 03
(Please ~ or orint and sim at bottoml
ADDRESS
~ f j 1 is O!5 C '" r- T /L. y./, LA! .
; ~ ~i~~, I PERMIT NO'O,?_tJl5A./l1
3, Gold Appltcant :> . "'-V
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) Y2..11 T"'C-LcJ,L/
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT
(Name) 0 fl..G. f H.fA.. 6)l(
I Co /I P J" 0 ;P L :x...-v
(Address)
f.S V\ r L 1-1
APPLICANT SIGNATURE ~IL.--
(Contact Person)
1)~
(Phone) ~ J .:l - f '7:2... -6 9 ~ ~
L- It Vi. [ .Jo l./ y
(City) (Zip Code)
(phone)
DATE
(Address)
lA.J I'f-,..
q
APPLICANT PLEASE COMPLETE BELOW
Size of water service J' - inches,
Location of any couplings from structure -
Type of sewer pipe, D ABC , ~ PVC
Estimated length of sewer line 3 ()I feet.
Clean out (if required) located at -. feet from structure,
feet.
D Cast Iron
Estimated Cost $
$35,50
$17.50
gOd, cd
FEE SCHEDULE
Industrial, Com'l & Multi-family 1% of job cost with a $39,50 minimum
Water connection only $17,50
Building Permit # ().1- () s4-0 0 g y
:3t:J. S-o flft &2-
,50 , I/O
4'0 . (jf) BU
$
$
$
Residential sewer and water line connection
Sewer connection only
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
10_ 3, O~
Date
r~
I tlaJe
(0,1. OJ
~
By 1.-
tJ
comes Your Building Permit When Approved
24 hour notice for all inspeetions (952) 447-9850, fax (952) 447-4245
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 2aect -&SCAT" · . ~.W,
NATURE OF WORK ~IA) ~
USE OF BUILDING . SF=: 2) . -
PERMIT NO.'?-05t1O . D~ ISSUED
CONTRACTOR ~ ,... PH N - - {
NOtE: THIS IS NOT A PERMIT FOR ANt OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I f;;j;ECTOR
, FOUNDATION (Prior to Backfill) I Il1I 6 -y I .
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~ ~ =:J-
PfJ ;> -"-0
/.?J ?-/ Y
DATE
, FOOTING
Il ;;;--Jc?~o3
.
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
lS71taO tATH6 I I
FINALS
/y'f5
~
';-~.J /'
7/7/e>3
.
'pp
/-Jp
/'-/.0
/-/6
.
GRADING (Prior to SOdding)
BUILDING L.)/L TW CAJO II Ale ~
ELECTRICAL , ~
PLUMBING ~ \}.\ fry ~
HEATING () I c- ~ ~
DO NOT OCCUPY UNTIL ABOVE HAS
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,
lUC-Ht
I
II. IS. CJ4..
~"1.1~
q; t fit td:3
4/ t4t ~
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850
~ntifitat~ of <DttupantJ!
CITY OF PRIOR LAKE
~tpllrtmtttf nf ~uUbiug Jfuspttfinu
[iPinal Permitted D Conditional CO, Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying
that at the lime 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
Fire Zone
Bldg, Permit No, 03-0540
Zoning District Rl
..
Occupancy 1'YPe
R3 'JYpe Construction VN
4.
Legal Description LOT 9. BLOCK 3. THE WILDS SOUtH, ,J
n3. fB 'ldin' ',I
V~lIero Ut g i
Site Address 2889 BOBCAT TRAIL NW
INC.. PO BOX 1135. LAKEV'EI.LE. MN 5.5044
,---
.;:
Contractor's Name & Address RATZLAFF HOMES
ROBERT D HUTCHINS")l'
Q, Building Official V,
Date: 0 /1-0 \ , -../
City Plan..- DON RYE
Date:
........"
" ":/"",,.;: ,-,:0.,", ",",,,;,
.....;, ~"" . .., ,
.;".10:..1.',,,,
,iii "', ,", "" ,'"
DATE TIME
CITY OF PRIOR LAKE r'J /,,.~ I.
INSPECTION NOTICE SCHEDULED ~
ADDRESS -.Z:'1IfPt ~~ ~
OWNER
CONTR,
PHONE NO,
PERMIT NO,
(P'S' '-')Z{()
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
.I'! FINAL
[J SITE INSPECTION
[J PLUMBING RI
a MECH RI
a WATER HOOKUP
a SEWER HOOKUP
[J PLUMBING FINAL
j8 MECH FINAL
[J EXIGRADlFILLING
a COMPLAINT
[J FIREPLACE RI
a FIREPLACE FINAL
[J GASLlNE AIR TST
[J
"
-
,
I
.)::.\~
. ~ --r;J\A~ ~
r 171v"(lL7~~L
......C(IIALa~
. -
-----
'-{~~ C --C f) % L\"JL/.b~
[J D
CORRECT ACTION AND PROCEED
~ CORRECT ~KA CALL FOR REINSPECTION BEFORE COYERING
Inspector. ~ Owner/Conlr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
-,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE T11IE
) 1-/5'-0'1
ADDRESS
:JRJl'J
BdJu..f- It/I
~ ILkC'{
OWNER
CONTR,
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FIN4L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o W4TER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
;;Te.~ -1'01'_
M'#/~\
O!'-91l>
,l~LLING
o COiIIItAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpeclOr:~~ Qwner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE.
"""'"'
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"
--~-~-------------~~~~~~~~~~=:_~~-~~--
Job Address
~gs? .&w /'-,
Heating Contractor Controlled Air
Name of Tester 00
Date , UL,/(),3
Percent O2 9.s-
Percent CO2 (,..~
Percent CO 0
Stack Temp, 1~(6