HomeMy WebLinkAboutBdlg Permit 05-0653
b_3/(Rec'd
I PERMIT NO. OS ()~.53
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
/LjCj7J
~ Z~ Cr:
White
Pink
Yellow
File
City
Applicant
#L<~
LEGAL DESCRIPTION (office use only)
LOT~ BLOCK / ADDITION ~~~ Zd.
OWNER~ __; ~ -"..- .? / -we r --
(Name)-L2L2T~ /' A4r~ ~
(Address) Z/qp:s h~~ ~
BUILDER
(Company Name)
(Contact Name)
(Address)
A
I
E
III IV
H I
2 3
A
R
5
V
M
4
B
II
F
1
ZONING (office use)
PUO
PID Z5:"-L/ ~o-a21.0
(Phone) ~-9~ - '//'79
1'~/7Z-- /20 MaV/ca/~
, s;;vw
(Phone)
(Phone)
OLower Level Finish
B
S U
PROJECT COST IV ALUE $
(excluding land)
o Fireplace
'210 / C/CX)
x
I hereby certifY that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also certIfY that I am the owner or authonzed agent for the
above-mentIOn p perty and that all cons tion will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can r oke is permit for Just cau . Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspectlons.
f&/ -.7(')/ ~(Q307 t.o/3/nS-
/ Signature Contractor's License No. 'bate
./ ./
TYPE OF WORK ~ew Construction l2t6eck ~ch ORe-Roofing ORe-Siding
DAddition o Alteration OUtility Connection 0 Misc.
CODE:~. OLB.C.
Type of Construction:
Occupancy Group:
Division:
Permit Valuation ~2.. (D,oo 0,00
Permit Fee $ 1'7 i'!? .SO
Plan Check Fee $ . I J t 3. 7a
State Surcharge $ I{)~. Co
Penalty $
Plumbing Permit Fee $ /00.00
Mechanical Permit Fee $ to 0,0 0
Sewer & Water Permit Fee $ 3S.5""0
Gas Fireplace Permit Fee $ 4-0.00
This Application Becomes Your Building Permit When Approved
~~
Buildlllg Ollicial
&, /1'-1 /(JS
Date
Park Support Fee
SAC
Water Meter Size 5/8'@
Pressure Reducer
#
#
$
$
$
$
$
$
$
$
$'1 ~32.50
,
14~O ,00
300.0 0
7S,o 0
\'SOQ,oe
1000.0-0
J. SLlt) - Oil
'/
Paid
Date
~ ()3l-.-Sf)
. 7,JZ .Qr-
Recei~7n
By
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 ^_ I
(~.ft"I~g~ t-1 Date! bL- "'116& ~.,. '''-i4~al~nrtfr Af ~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts',
Reviewed by: ~
Building Permit #
Address: / L( 9 7 I
Legal: L 9 . B /
"
?~
Date: . for fi /0 r;:
Existing Structure? YES~
PID: Zoning:
~ ~ ~, J<},W1 r1J
Subdivision: ~'j ~I-~-
Existing Nonconforming Structure? YES@)
CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NA I FAllSI COMPLIES
. Front Yard (can be 20' if avg. w/in 150')
. Side Yards
Standard
25'
10'/
25' if abutting a street
Proposed 1
UJ / ':to ~. (ftAf))
,
cl. (p
. Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in length
I. Rear Yard
. Patio Door: provide for minimum 10' deck or sign
statement indicating no deck will be built in the future
. From 100 year flood elevation of wetland/NURP
pond
. From OHW (Prior or Spring Lake)
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
30'
tJ~
75' or setback average of
adjacent structures, but no
less than 50'
~~
, Floor Area Ratio: NA I FAilS/ COMPLIES
.30 Maximum
, Yard Encroachments: NA I FAilS/COMPLIES
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line (Easements).
AlG and other equipment cannot encroach on interior
. side yards.
Standard
Proposed
f'J D N~
t-J2) N €:"
I Tree Preservation: (N-:J/):AllSI COMPLIES
. Total caliper inc~
. Permit 25% Removal
I. Caliper Inches Removed
I. Caliper Inches Preserved
I. Replacement
Standard
I
Proposed
Y2:1
L: \TE1tIPLA TE\BLDGLIST _DOC
c4Nhitp _- Bu.j~
Canary - Engineering
Pink - Planning
mm..DING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/brT-Z '-'/1 Pr 110/116..5
0.3,05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1~t?7 / PlieAS"/iAli /2t/AI (!"T If( W.
Accepted
Accepted With Corrections /
Denied
,.
Reviewed By:
Comments:
~~
~ tJ-Lf ~
Date:
eo/I <I/tJ);"
.
"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."
I
I
...
White - Building
~anarv - Englneenng;>
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
li~/ T~ L-Ii ,.1.:.;: l~k.P?Lj~
(" -:7 /! L:-
\t..':'~l. ......,). t.... ~_..;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 'J" (1 7 / ,/ )/-( ( hi 5-;'''"; ,/ . 7-- /:/ (/ /,.~/ c. /. /1/ 1'1/
Accepted
D(
Accepted With Corrections
Denied
Reviewed By:
;rIl6
Date:
b-/'I-05-
Comments: See Reverse Side for Additional Information!
See Attachments: 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 provisions of this code or other
ordinances of the jurisdiction shall not be valid."
White . BUilding
Canary . ~!19.lneering
Q"1n~_ . ~Ianniirg:::,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/. .;1 L /1' r. ~ - /.,1/',/' /, ./ [ ':'
't-. . r'- l ,C/.I c.. ~~
/ -.' r
!L' . .~.J. { "_
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ /'
/ /
,,-..' ,"--
/-//{ /! /"1/ I
" .' / /
I'... I, -j
C l .
/i, f 1,/
Accepted
Accepted With Corrections
/
Denied
Reviewed By: ~
Comments: ~ ~
Ii
~~~
~.
~ Date: 7/u~5
dK./~, ~~
/,
.....- . 12 ....c..o ~ ~ ~ J:L
I - d
Air Conuluoner ar:u U...tter MeCilanical
Units Car.llot Encroach into Required
Side Yard Setbacks
"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."
FROM : FARM I NGTOti PLG & HTG
FAX riD. : 6514637835
Aug. 12 2005 05:02PM Pi
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. D.1u.. file I PERMIT
2. r",ld Cily . NO'OS-.0/'5.3
J. V,Uo", ""'lito'" {R
ILlUl
(Plcl\.'IC ffilc or print and sillJl at bottom)
ADDRESS
~ LA ~ Ci~ +
r h e.(~ <.t) rA +
ZONING (office \Ise)
LOT BLOCK
LEGAL DESCRIPTION (office U$e only)
ADDITION
PID
&~e~R K~-\? \a.(f Honl1f>5
<--J
(Address) d...llf 8~ ~ r elf\. (.).tlcL
(Phone) -9S d.- - cr 8 S-.5 ~5:1
In. v ~_.._.. S <"> , 4 -e..., I ~ 0 L et.ke tI" II e_
~~~~~ANFa~ tVI f 1I1~f.ey V1 9l o.J- VV\b ~a r>. vJ:2 /J Ighone) ~ -laSI - ~0,~'- 7&1 ~
(Address),J..IO:-14_,._Chi D{)f'I/lrPtllp Rue... 'Fdrll1l1/Y)q+Ov1 5S0~ l/
(AddleMs) (QW) (Zip Code)
(Contact Person) })Q. V\ / .J t v"v1 (Phone)
- (
APPLICANT SIGNATURE ......~ ~() L ~~_,_.___... DATE 6.. I ?--...OS
QUAntity
:J...
\
I
4
l
I
.3
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sinle
I Shower Stall
I Sinks
Bar Sink
Water Closet (Toilet)
Type or F'txtllre
Rough. ins
Water. Heater
Water Softnor
Stand Pipe (Washing Machine)
Sewage Ejector
I Backflow Assembly
I Baclcflow Assembly Test
I Lawn Sprinkler
I Other
FEE SCHEDULE
Industrial. Commercial &. Multi-family I % of job cost with a $39.50 minimum kesidential, New One &. Two-family $99.50
Residential. Additions 8c Alterations $39.'0
Estimated Cost $
Building Pe~it # ...._.__
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50 PAID WITH
BUILDING PERMIT
(omee Use Ollly)
Thl. Application Become. Your Building Permit When Approved
) f~i~'j~ i ~: 'n \,!
~--~._.
"I
:jReceipt No.
I I';
'~y
Bulldln, Officla'
.J D~iJG 2 4 2005
DAce
r...
,
24 hour notice ror aUln.peetJons (952) 441-9850. rill (951) 447-424S
16200 Ea21e Creek Ave., S.E., Prior ~~~~':'~ ~7~ 1
L_~/
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /0/9? I e/lCMIW r 41141 ~t.
NATUREOFWORK M!l.IJ,J co~S'r~ rlAJl'-" Rk,S'",)
USE OF BUILDING S I:': /) I - ~
PERMIT NO. IA~~~ DATE ISSU.ED _411f1z.'S'
CONTRACTOR ~ H'~,pHONE .,...~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT= OF
BUILDING AND INSPECTION
<
SEWER I WATER I SEPTIC
FRAMING
INSULATION ~~ e-~/
ELECTRICAL
PLUMBING
LL ~I: HEATING (if required)
Ph Z. FIREPLACE
~I ( GAS LINE AIR TEST wY' lJ-tL(-ctf
~ ~f. COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
t'ArH4'/ /j~MSCIdW4P L~f4 ~,.~~ I
, FI~~
GRADING (Prior. to Sodding) fI! c: /< /~ (J.r
BUILDING ~ -e.t-{ +0 g'- / - 0 v f7J {)
ELECTRICAL'
PLUMBING
HEATING
pATE /
?lff/aS-
, .
FOUNDATION (Prior to Backfill) I \/tv~ I '1"- J;1-~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - WS ~
r/? 7#<;//
~
Iftv? / ./
INSPEq-rOR
FOOTING
It#
51").$ - 0If
#1'
~
~~ I-;)..~
8-/7
ff"/ h<;t-oJ
l
<I)? I~.
, I:J
.f
I
f,
l,!
I :
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DO NOT OCCUpy 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
Q!trfifiraft nf @rrupanrl!
CITY OF PRIOR LAKE
~tparftutuf nf ~uil~iuB JIusptrfinu
~ Final Permitted
D Conditional C.O. Expires_
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D International
Building Code certifying that at the time 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:
SINGLE FAMILY 05-0653'
Use Classification
Bldg. Permit No.
Occupancy Type
_ Type Construction _. Zoning District
L9, Bl, STERLING SOUTH SECOND ADDITION
R3
VN
PUD
Legal Description
Owner of Building
RATZLAFF HOMES,
Contractor's Name & Address ,
ROBERT D. HUTCHINS .I
Building Official
{(-07- ')
14971 PHEASANT RUN COURT N.W.
Site Address
21483 GRENADA AVE., SUITE 120, LAKEVILLE 5504,
JANE KANSIER
City Planner
Date:
Date:
-',
..............
~
~,"'!\I!l$!~.!.._
'''"
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I 4 c:r I (
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
INAL
o ITE INSPECTION
DATE
SCHEDULED ({ I*-
p~>~ ~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
TIME
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLJHE AIR TST
~S~\
CO~MENTS: I ~ )
1. (La..\l ~r~~~Iv\SlQor\mv\
- \
---\ "' f). _ ~ r"""\
A . -P~ \,;. . 12(../
+0
R-l- 2aoc..
() k -+0 rJr,.. I ..~J .,
'. ~~) 0-
I,' ('t\i)6C;
/'\ ~?-1 U
Ul
o WORK SATISFACTORY, PROCEED
X.CORRECT ACTION AND PROCEED
o CO~REC RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector' Owner/Contr:
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
J I-I'I-()~
PHONE NO.
1t/~71 Phf..~<c,ttI tv~
R .,/7if~
PERMIT NO. --".C-6SJ
~~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
CONTR.
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
1{ :~~~NSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
6~- ~ t.-
r -(lI.~ ~. jL- o/c-
So/- -r
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 121# ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSIiOTl
DATE TIME
CITY OF PRIOR LAKE 10) ~lJ<
INSPECTION NOTICE SCHEDULED
ADDRESS )'-\"171 1 ~aJZ4 ~
OWNER CONTR.
PHONE NO. PERMIT NO. ~ - f.., '::> 3
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL ~PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
I, rr-oll-.J.A~
( (l-...~l
'--- ""7
QOlJ..U .for C( e.u.....~k
(.,12-.__ i2_{; ~),
3., Rt?~ )\{ T U
t.J.1j7-'j&r':P
~RK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORR WORK, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl