HomeMy WebLinkAboutBuilding Permit 03-1601
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please ~ or orint and si"" at bottom)
ADDRESS
Q~ N~
21b'i (' i',j)..~lW
Date Rec' d
/2. /Z, D3
;~;~';' ~:~ I PERMIT NO.(J.':? ./'-0/
3. Yellow Applicant ~ \V
Q (\ 'a{ Vrft.t. N,.j
I ZOPr5JjOfficeusel
LEGAL DESCRIPTION (office use only)
LOT '1BLOCK). ADDITION ~ WI \ds. ~
PID z.S. 307. 028.0
OWNER .\ I _ \.
(Name)~'f\. ~ ~ \.J.~
(Address) \t.l-~ i1~ '1'rL )J t...
BUILDER ~ Jl.~_
(Name) ~~. T. uc .
(Contact Name) \.l~.\ ~ J"'i.~ \ Ul-o.....
(Address) ~~,"k. I\~<' l~\t\o. l\'I ~ ~y
I
TYPE OF WORK
~ Construction
OLower Level Finish
o Fireplace
PROJECTCOST/YALUE (excIudingland) $ ~5S, t!5I'\. ~
DDeck
o Misc.
(Phon( ~ -z...33-D I '1S
~/'\'cr.r l~ M,J ~3/2
(PhOne)~ C\Q-&-S~~
(Phone) ~) ~<::..-4\.,,,,
~) 1.$1"2...- TUS
DPorch
ORe-Roofing
DRe.Siding
DAddition
DAlteration
DUtility Connection
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 constIUction 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 thk" ~y~" ~J to perform nee~inspe~ons. J
X (~O~Sl;gna~ l~j I......,~ .II\.Jyn... ?"'I~_\Q'~.b'1 l~Date C>~
ruJe \)\; Con-tractor's License No.
I Permit Yaluation 1f.."'-?SS 1100, oa I Park Support Fee # $
I Permit Fee $ z-, 4-2/.15. I SAC # $ /,_275.00
I Plan Check Fee $ /5'74-./4- I Water Meter Size 5/8'~iV $ 3DO.OO
I State Surcharge $ r77.50 I Pressure Reducer $ 7CJ.Oe;
Penalty $ I City SAC and WAC # $ I ZOD.aO
Plumbing Permit Fee $ /00,00 1 Water Tower Fee # $ 700.06
I Mechanical Permit Fee $ /00.00 I Builder's Deposit $ I ~()O. 00
I Sewer & Water Permit Fee $ .36.5'0 I Other $
I Gas Fireplace Permit Fee $ f1J.IJO I TOTALDUE ~ 1'/.-.7ko? /.;t 443. e'LJ
This Application Becomes Your Building Pennit When Approved I Paid 9 -f-"J.f7 I Rece~o. 4-{,17?f I
~.~ 1~.;rA..3 I Date J'L. ~.O ) By _
0
Building OfficIal Dafe
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 SlgDed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows constructlon to __......_.__. Before occupancy, a Certificate of Occupancy must be
~ ~ /~~d3 ~ d/ -./, /".., ~~
Planning Director / ~~ -. Special Condi<<ons, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
/
~-
\/
White - Buildinll
,..---q!l9~n!lineerin[)
Pink - Planning
nt('t'nl"rnf.....I..ktCOUftlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECWSI
NAME OF APPLICANT
APPLICATION RECEIVED
1<.. A I z:: L_~A FF H ON E~
I -7 j -/_. ("' -7
,/___. '--. t ..,/ ..._J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
27 () q (I/O U6/i fc PAll-t
I I
Accepted ()(
Accepted With Corrections
Denied
f'
Reviewed By:
/YJ9l5
Date:
/2-23- 0..3
Comments: See RAVAr",,,, ~irl", for Additionallnformati9:1!
See Attachmept!':. 1) Grading Plan, 2) 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 proYisions of this code or other
ordinances of the jurisdiction shall not be valid."
~~
(:Whit.. - 81}i1di~
Canary - Engineering
Pink - PlannIng
Thr Crnlrt of lhr I..kr <-'ounl!'}'
BUILDING PERI\dILAPPLlCATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
R,AT~LAFF HOH6S
12-. 12.. 03
The Building, Engineering, and Planning Departments haye reviewed the building permit
application for construction activity which is proposed at:
270Q ('"OU6AR PAn-t
I I
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
Comments:
~
~
~~ Date: /#5
~,~~~
"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 giye authority to yiolate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
-
-
~~
'~Ue(
,
Tnt' ("t'nlf'r <If Iht' I..kt' Counlry
White . Building
CanA-:Y . Fnaineering
C-P,nk . Plannlnfl :;)
.B.U1J,.DING PERMIT APPLICATION DeBARTNlENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I<J\IZ LA FF
12.
Hot'-IC-C
I ~--.
1/
(., -::?
_/ " ...)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
27(. q (I~ C U Cl)-\ k pl--\ll-t
I I
Accepted
Accepted With Corrections
~
..
Denied
~ u~-LJ!}
("
~A-..., ~, ~ . _.(l~
a~ /'~
~~
Date: /~.:> fi7
Reviewed By:
Comments: A, (7,
~
t:r)o-...J
-L~"-~. . ,,~
.
"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 yiolate or cancel the proYisions of this code or other
ordinances of the jurisdiction shall not be valid."
_r--
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
/. 12-. 04-
i ~w ~\~. I PERMlTNO'O.3/bOJ I
3. Gold Applicant .
(please.!.VD<<! or nrint and sien at bottom)
ADDRESS
ZONING (office use)
1701 COl-\.€,q..e
P IfTH ,v.IAJ.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID z.s. +04--. oz.~. cJ
OWNER
(Name) ill,c.t.-oU.
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT
(Name) !J1l- UH-C/l. {.eXc..
(Address) } , l/g :t /) Pi;,;.J iN A"I
(Address)
(Contact Person) f3 '^.,. c (I
APPLICANT SIGNATURE ~.. L , {)~ JJ.9-v
,
(Phone) 9,s-.2 '~1:2 -t.~() ~
L,4it'6v;,;:t-tt- r rot.ftf
(City) (Zip Code)
(Phone)
DATE
I/;j/oq
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 LtO feet.
Clean out (if required) located at - feet from structure.
feet.
o Cast Iron
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17,50 Water connection only $17.50
Estimated Cost $ OJ 00 -:" Building Permit # 0 3 . / (, fJ / J
SEWER AND WATER PERMITFEE $ / 'fYIP tJ 1
STATE SURCHARGE $ ~ .50 ~ 01--
TOTAL PERMIT FEE $ /' /31/
(Office Use Only)
This Application Becomes Your Building Permit When Approved
.--
Recei7lt
By
1
-
Building Official
Date
I Paid
...-
I oat"! . 11.- . cJ tJ...-
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
_ ____._ __ _.._~...". r.t\.l.U.K LME
@ODl
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGfFIREPLACE PERMIT
Date Rec'd
1.\'Wo1rt
~ do....
], Y.n...,
a.. ':.PERMIT N.O~
I ZONlNG (015'''1<) .
~!e2X t't;2e or ~t '-Il.c1 rlc OltbDttDm)
ADDRESS
'-;;>~9 (AII'jrll'
LEGAL DESCRlPTION (offi<>c....,.)y)
%/h
Ai. t...') (
LOT BLOCK
ADDmON
:Pro
g.=~.aIz)A~P ~~Pf~
,(Ad.dzes:;) dJ /
, hPFUCANT ~ j ,}"'"
(Name) A.xr~t1/;t"'t..) /1/1'
(AddTCSS)r\J/,o/tl ,G(i~q Aut:.
(Alldr."l
(COl:ltACt PerSOll) /
APPLICANT SIGNATURE .t;;rh
(PhOTle)..9.~ '5' -' ..?q~
, (phone)
p,....:;;;t::;.....
?;
#~ - hr\ ;Q ?
55b~~
(Clef.' <Zil> Code)
7d;:~1J
-
(phone)
,
DATE .-1? ' /9 - (') ~
_ APPLICANT PLEASE COMPLETE BELOW
~ CONSTll-UcnON 0 REPLACEMENT 0 ALTBMTlONS
FURNACEMAl<EANDMODEL~.. 7.lIX!OQ.e,..... ......~. , FUEL A l(!i::..f-
FLUESlZE ;?,ff ~ RE1'!JRNOPENINGS ,/(") INPUT /()(}~l"O' OtlTI'UT 9~oro
TfPE OF SYSTEM HEATING OR POWER PLANT '
DWanuAlrl'hurts 0 Steam
Dcmvil:y 8 Hot W_
~aohani<al " Roditllon
13:(ir Concl~on.i.g 0 Speal&l Ix-<ia=s
...I;;!"tant, 5yotom 0 otbor Pevi...
~PLACEMAKEANDMODEL~f ,p (Jf. c..&e /1u!JJ.
PLEASE NOTE:
Ai:[ Callditicnet Unit!
CanI10t Bnc:roacb into
Req\1irocl Side Ylll'd
Sttlia.ck,
Industrial. Com.neroial 81.. Mul~.i'amily
R..!dont!.~ H...ung &. NC (Now Cor.s<l\lcti.on)
lI.=sidontial, Heating Only (Nc:rt COnSlnlction)
FEE S'-"-:l.-CllIu,L.:E
1% ofjob ~ llaidcntiol. Gu Fircpla..
S39.50 minimgm
$99.50 Residential. Addition. &. Ait.rarlon.
SG~,50 !<...id""da(AC Only
$39..s0
$39,50
$39.50
Bstir:letccl Cost $
l>uiid;ng PmnJt II
HEATJNGPERMITFEE . S
5T ATE SURCHARGE S
TOTAL PERMIT FEE S
PAID WIiH
.so ppING.I?ERMIT
(om", 11.. Onll'l ------ ....
TDis All.plication Be<orolOS Yoar Baildlng Permit WIlen Approved .~~I P.[i:. 'c u ,',: P"',; KaaeiptNo.
1111 gee 3 0 2003 'efY
B~iJdlnJ omc.ilJ D~Ue J \ \ :
%4 ho...r nati':6 for alllnJpcdions (9SZ) 4 gS'"~~~': (ax: (9~1) ....7_~~~ _ ~ I
too IiJ
~IV <I3110~J.NO::>
9~~909ttS9 XVd 9t:st IHd COO~/6t/~t
TO 9524474245
POI
05-24-04 03: 10 PM FROM FGTN PLG HTG
..... -..,,"r.'l
. "pI,. '....' ,r,!., ~._
,.,.."....-,-
CITY OF PRIOR LAKE PLUMBING PERMIT
"
":'.~:"'.'!!'.tI.=_
".\'.N.,,' .'
I......' I PERMIT NO~( ....
20014 ell, ~ ")'"
J "db.- .1fIicM .' '';'
(Pl<ax~ ororill'....li... .._I
I ADDRESS
.~ '7ri1 COl.<.~"
V
P cd h....
I ZONING (0.....)
LOT BLOCK
LEGAL D.l!SCRIPTION (ofIicz... only)
ALl'1J111VJ.l
pro
~=R KaJ.. lrA'of l-to ~e.s.
(AddRss) J..07.~D H'OI~Dk-~ A vt'.
APPUCANT
(N&II\I'\ i=o.'-r"V\;"(.k,,, PI\.A.oflo.b"fi. 0._.0 \t~ (phone) l.hi-4u>.,..-7g~4
(Addras).J.IQ3'-t ~\.-;r~p,^JJ... 1\"c.....- "furllVll...<Jo'^- (Y'lA 560;:),.'.4.
(Ad.dh!ss) (~) (ZlpCClik)
(CDl1t1CtPmon)~J')~ ~)
APPUCANTSIGNAnJRE -r; r:\J\A i.0L~. DATE --..:,~-:;l",'''1-t>1.#-
FEES..........'JLE . '"
lodUSlrioJ. c."' ..:clIlkMulli..famlly l~orJobe..wilb. SJ9.j()_ RcIldeatial. Ncw One & Two-FMliIy S99.5O ..........---
~AdditionsA;~,.P....I1',$Q.... ""'. .." Iii
{-' ,.', ,....\wt.-vr~:".~
Estimated Cott S 8!,ildina P<<mitll }, '~fi^. '_-;-'-"'~
:"\_"'~~
PLUMBING PERMIT FEB $ . .(~ ~?"),. .. .....-
STA11lSURCHARGE S . .SO~~~}~... ......
TOTALPERMlTrEE $ . "'..i:. .,i'" ~,,:"" .
." '-.,1, ~'!.:"~_:~.. "~'_ '''~(:~{~~0', .. ....,,~=
im 1] 0 m rn -,.-- '." (~f;- :~: ~
(i\l I,~~":~~,_~,,."'f,. .
Uh.......:-_h....,-f,~:....... . ,: ~...:~~:-.:~~
Qua.City
.::3-
I
I
I",
\
I
I
ij
... .............""
~"-,: ,...;,.....-.:.,jj
~
(phone)
-
'1 '-..::"
.,,,,,,,,,,1... j
.. ,. .~...........-.....
",gj'~
'lJ!
.,~.."...;_.....~
...........,,_.'l'I!II
! .".;~
APPLICANT PLEASE COMPLETE BELOW
...,',:,;..:....f~ '.
Type of Fimlre
Bath Tub with or witbout shower
Dishwasher
floor Drain
LavalDry (81 .\,. .. " Sink)
LuDcIry Tra1 (I or 2 colllJllJ1lllenhink
Shower Stall
SinIcI
Bar Sink
Water Cloaet (Toilet)
Type of FiDve
.' :::.:i:;:~~
" ',;:
QaaaUty
1../
I
Ro\I{h-iIIa
Wiler a.-
tN. SoCb.
Stud Jiipe cWulIiDIMailiao)
s-. Wector
BacJd'Jaw MlmibIy
BMId10w ~blyT_
Lawn Sprinkler
- Other C:\A""'~
'.'~
i~~"~'~~\~
.:'i::
(OlIn UatOalJl
nil 4pp"1Io1 S-.a V..r BaUeI", r-II Me. Appl'O\'ed
.
__..om.1
. ;,I~
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~'7~ 'J ~Q,+tC .JI4rH ~ tJ.
NATURE OF WORK J./e!J ./('lJl1ls.,-,aucntJ~
USE OF BUILDING S;':;/J, t
PERMIT NO. (23. / U, 01 DATE ISSUED ~/"3
CONTRACTOR L\~ foIo~s ~ft..x. PHONEqg-nZ" i'JJS
NOTE: THIS IS NOT A PERMIT FOR A'NY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING 71~
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
rl/f
r/p
P)15 .;>. / 7
-'
.<'1 .
# ~ rl>
r?t;s
pp , .'C~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING vis~ lJoDY.!j
HEATING (If required)
FIREPLACE
GAS LINE AIR TEST ;:7/,t. ~''.>
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
Airs
INSPECTOR
.
~
..
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
fJ1\
DATE
/7-1 ~ t /d!:,
/-/'f
:r:s=-
:! '1/
""?~
II,J().04--
9 -??) - () r..(
Rfl $//7/0'1
/?H. S"//7/0f
HAS BEEN SIGNED
..
"
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
Ql:ertinratr of <Drrupanru~1
CITY OF PRIOR LA E
@.tparftutnf of ~uilMng Jlnsptd on
i
..JL!"Final Permitted D Conditional C.O. Expires ..
This Certificate issued pursuant to the requirements of Section 307 of the Unif~ m Building Code certifying
that at the rime of issuance this structure was in compliance with the various or! 'inances of the City of Prior
Lake regulating building construction or use, For the following:
Use Classification
SINGLE FAMILY
Bldg. Pern It N"
03-1601
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
PUD
Legal Description L9. B2. THE WILDS NORTH
,
.
Owner of Buildinp
Contractor's Name & Address RATZLAFF H~ JI
ROBERT D. HUTCHINS I {/jl}
(' Building OffiClal V 1//
Date: / .;(' ..(")L/
Site Address 2709 COl1GAR PATH N. W.
INC.. P.O. BOX 1135. LAKEVILLE 55044
City Plann.,
DON RYE
Date:
".' ,..~ .,;'.i.iI....,. ~,';'::'"
,,':"'';;., :,~:;'~'.;:..c':";:~' _, "'~ ri.':\.'; S:,:.
DATE ME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 5-2i{O/f
ADDRESS '27ocr C'b~
OWNER CONTR.
PHONE NO. PERMIT NO. 1-/~Q I
o FOOTING o PLUMBING RI o EXlGRADlFILUNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
Jlf-aNAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
4fK 'I ;L...~ t. - do. - I - ~ I
",pYI~ ~"-....... .-I,_y.Ju..JIr. V--..
2. \ ~,~ C.~Q,~ ~...,:P ...
~.'~~ rI- J~' ~ . p(~ .
r;.~ ~ <0 o.A,l PI'l:w... 2 C( M.uc: "'{.. ~ l~
~ ~~ .rtlJJ ~1'lA406...-t-M Ch..L ~
~"" t:).- 'ilkJ
-
-
.~ L)l.s:...:~ (
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTION BEFORE COVERING
Inspector.
P 13.
Owner/Contr:
CALL "7-9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
I1ISI<<m
2707 G,yCJQ/ R.A
CONTR. -&hV::~ Ho(VI(s :t.c...
63-!~ot
" ex.1IiWilF'LLlNG
€'cOMmiNT
D FIREPLACE Rl
D FIREPLACE FINAL
D GASLINE AIR TST
D
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION
D FINAL
D SITE INSPECTION
COMMENTS:
11:11 f2L
SCHEDULED
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
11-/0-0'(
:xt WORK SATISFACTORY. PROCEED
. D ~ECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTlON BEFORE COVERING
Inspector.~ Owner/COntr:
CALL 447.9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY/
INSNOrl
~~==--;;:~<';=;::.:~
Heating Contractor Controlled Air
Name of Tester PeJ
Date ~ /2.</tJ-f
Percent 0:1 c.,5~
Percent CO2 ~~
Percent CO dez.
Stack Temp. I[b 'P
..t
3 ~ ('~ r
,
--'
"