HomeMy WebLinkAboutBldg Permit 05-0115
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1_ White
2 Pink
3 Yellow
1- 3/- 6~
I PERMIT NO. 05:01/51
File
City
Applicant
(Please type or print and sign at bottom)
ADDRESS r-;)
2'is-l1() Co oq Co ( ..y 0SivL
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK 3 ADDITION ---r\--LQ.. W ~ Ids ~oN-h
PIOd5 - 40403faQ
OWNEK \ ) _ rr;
(Name) f\C1-tZ!Qt"f"
1-b\'Yll?<.: -Lrc.
~ockJ
(Phone)
(Address)
BUILDER ~ \ (l ( ..1 L - I J
(Company Name) ~c.. n 4-tT ~Wl.Q.,S ~ ,1 ~
(Contact Name) ~ funla+t L.a:&.a...u.- ) -
(AddreSs)Cl\ l\~~ ~vnd.cL /..J.oe.nu~ Sb\~
(Phone) G6 z-q~6" 6965
(Phone)
l2D I\, La..ku): I jQ. m I.j &:xJ l./'J
- ,
TYPE OF WORK ~w Construction ODeck o Porch ORe-Roofing ORe-Siding
tttjAddition OAlteration OUtility Connection 0 Misc.
OLower Level Finish
o Fireplace
CODE: ~I.R.C. DI.B.c.
Type of &nstmction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV
H I
2 3
V
M
4
A
R
5
B
S U
PROJECT COST/VALUE $" ~/O, ('Y:YJ10
(excluding land)
NO LDuJInL LE:lfE-L A...i ~ " 1"1'l u.L1>ljlb
/
I hereby certify that I have hlrnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or auth, zed 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 are that the buildmg
:f(;;'jkQt~:.)t ust cause. Furthermore, I ;~he CIty official or a designee may enter upon the property to perform mbl~./ );~
Contractor's License No. r Date
-----
l"
I Permit Valuation "'3(0,000.00 I I Park Support Fee # $
I Permit Fee $ ,.;? _~ ('3.<;;0 I SAC # $ 1'-IS;O.eo
I Plan Check Fee $ 1503.71 I Water Meter Size 5/8"@ $ ~O.OO
I State Surcharge $ IS S, 00 I Pressure Reducer $ 75.00
I Penalty $ .1 I Sewer/Water Connection Fee # $ ISOO.DO
I Plumbing Permit Fee $ too .D'D I Water Tower Fee # $ lO~O.DO
I Mechanical Permit Fee $ 100, On I Builder's Deposit $ 1500.00
Sewer & Water Permit Fee $ 35.50 I Othe\ $
Gas Fireplace Permit Fee $ '-la, f) 0 I TOT~CAttelJ Z .10.05" $ID,012.7ttJ
...............
This Application Becomes Your Building Permit When Approved Paid j[', 0 72- "Y f) Receipt No. ?1dfvCJ I
~~~ d!,3/tJS Date 'Z.Jl{)S"" r:/::b~
LOoK -ou. (-
Building Ofticial t Date ~I
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
~~~ p"~m","" C",ill","OfZoV~;;' md Mill.. '=7i:;m'~~""m""~
Plaiming Director ~ ( Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Thr Crnlrr of lhe t..kr Counlr."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,
/ -
,,51-
---,'
r--""".
~)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction actiVity which is proposed at:
'\ I
Accepted
~
,
Accepted With Corrections
Denied
Reviewed'By:
/VI;}fi
Date:
2--<;-OS-
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 - Engineering
<::St"1~K - tJianntmb
The C"t>n'rr of 'he t..kr Counlrl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I -
/
~-
.-)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
t'--~~(J~
- t
~
/
Accepted With Corrections
Accepted
Denied
Reviewed By:
~~
Date: 01/.3/05
~---
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 valid."
Th(" ('("nl("T or th(" I.akt' ('ountl")
(White - Buildirj)
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT --;?a".:f-"7--.JJ~ ~
APPLICATION RECEIVED / - .3 1--5
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
02R9o ~utU/ iJaub
- I
Accepted
Accepted With Corrections
/
Denied
,...
Reviewed By: ~ ~p.J
Comments: K~~ a.L..P ~t
I
~ ~~ ~ ~ do/I ~/f:(),W,.
~~ ~~..~ 0~.J~ ~~~jbr
. -/ ~ 4 r V r77'-'
~ 'E'"0~ ~~ ~ -'1uM...j},
Date:
d/S/ds
, (
"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."
CITY OF PRIOR LAKE
HEATING/AIR CONDJJ10NINGIFlREPLACE PERMIT
Date Rec'd
lPlea&e !tl"; or priut lIDd ~ at bottom)
ADDRESS . J /
,-;JRC,(J (.AI'W>(l &Ih
LEGAL DESCR1r .lION (offic:e use only)
~ =. ~~ I PERMIT NO.L: ~
), YoIIow Appli.... ':.::,)- I' J I
ZONING (oIfice
U5e)
LOT BLOCK
ADomON
PID
OWNERA:) L / n I)
(Name) .:.L)!9" r--z.J It f- -
(Address) L4/
~~c...
(Phone)
q~- 59s<7
~~r-r ~^~~~~D
11) /"
(Phone) -4 c,(') - ~I"I ~ d--
(Address) ..,
~/::UO
G(5 h. ~
(AdclreH)
;:}, J~
. I
J'- -
,-8 '-,,",r"'! (City)
_ ~..s'(J ;:;} 4
(Zip Code)
(Contact Person), (Phone)
APPUCANTSIGNATURE /;~ ~ DATE
" APPLICANT PLEASE COMPLETE BELOW
~ CONSTRUCTION 0 REPLACEMENT 0 ALtERATIONS
FURNACE MAKE AND MODEL '~.AYlIF ? IX ("/~('.,I". 9-"/ d FUEL /VA ..;::
FLUE SIZE 7. If ~ V<" _ :RETURN OPENINGS . OJ INPUT.8 0., C'Y"r\ OUTPUT 7';. ~
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Suam
OOravity 0 Hot Water
~hanic:al 0 Radiation
~ Conditioning 0 Special Devices
..Qvmt. System 0 Other Devices
FIREPLACE MAKE AND MODEL ~~ 1\) Gle> ~L -75()
FEE SCIlEDlJLE
1 % of job cost Residential, Gas FireplaGe
$39.50 minimum
Residential, Hea1:iDg &: Ale a-lew Construction) 599.50
RGSidential, Healing Only (New Coll5lnJCtion) $64.50
0)- 2" -OS
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
IndustriaJ. Commercial &: Multi-Family
S39.50
Estimated Cost $
HEA TINO PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Residential, Additiolli &: A1tentWJ A. $39.50
Residential, AC Only ......~ "'" ~l> $39.50
BlLildingPennit # .o~~ ~
$ ,.()~ '7t
$ .50 ~~Jf~
$ ~'?'~
(OlIice Use ODly)
This AppliCJltion B ... ,.. ,es Y OUT Building Permit When Approved
Paid Receipt No.
DaterCB i q tUU5 By
BlIl1dJlI! Of6cial
/--nate
24 hour Dorice \oun iDspectioDI (952) 447-9850, fAX (952) ~7-4Z4S
1'00 lP1
lIlV U3110lLLNO::l
9L6909~1'S9 XVd g~:S1' 3111 S006/S0/60
.J05 17:50
9528815975
BOB JECHE
PAGE 02
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Dat~ ~ec'd
MAY ~ Z005
(Pl.elUe tvoe or 1lrIDt and sUm at bottom)
ADDRESS
~<?q D ~v
1. Gr.... File PERMIT NO
2 V.1J6", Cily '",l--^ 11 C-
J. Oclld .o.pplicam fA) r.lJ..I..::./
LEGAL DESCR.lP1"ION (office use only)
LOT J BLOCJ(~ ADDmON
&11\
Lv { {d S;
ZONING (olfice \1SA!)
^(n
PID
OWNER (J . .. .D.....b.." l L (",
(Name) ,.( ("\ 7_, q \\ ~ \1l PI ~
(Address) .dli 9; .3 "" 't e VIa d a A w .
Address)
~~ otto 1]1)
~City)
(Phone) _
I ~ l/ ^ ...'1) e.. J"t ,j 1:7.... ~-/)Lfi
~ioCOde)
APPLICANT
(Name)
JECHE EXCAVATING
231 U JUNES PLACE
(Address) BLOOMllJGTOUN t;t;4.~1_~~
(Address)
(Ccntact Person) ---1iSlJ b ~ y~. /1 A
APPLICANTSIGNATURE~ lIA ~
t
(Phone)
(City) (Zip Code)
(Phone) Jd:J.. 7,~ () fJ 1../ 5" (,.,
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service l inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC ~VC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
I
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multj.family 1% of job Cost with a $39.50 minimum
Sewer connection only $ J 7.50 Water connection only S 17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.sfAID WITH
tsUILDING PERMIT
(Office U.e Only)
Thls Application Becomes Y ol.lr Building Permit When Approved
'Paid
DaJte ~A Y
o 2005
I Receipfto,
By .
I .
,I .'-
Bulldlnc OtJId,,1
Dde
24 hour notice for 811 inspections (952) 447-989. lax (952) 447-4245
iJ
~,
\
"~~' _'''I'~..._1..~~..
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~O CtJuG..M ~'T'"
NATURE OF WORK NfE,\-U ~~STI2Ll O~ 1.10 L.L.. Fi'''~$tt
USE OF BUILDING SaF'". b. .
PERMIT NO. 05.0/15, DATE ISSUED Z ( Z. 0 S
CONTRACTOR~...~t1.~,PHON ·
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR > I DATE
FOOTING tuo I W <~~I.h'~
, -,
FOUNDATION (Prior to Backfill) I fill ;Y<:vMi'1
PLACE NO CONCRETE UNTIL ABOVE/H-AS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~ W "f
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
ItA.,.."E IIiCC4' E IAICAP I l-A I:!f
~ FINALS B~ V\o\~~
GRADING (Prior to Sodding) AI R 1.) t. p~ ,.
BUILDING ' ~ m,,2~J
<-
ELECTRICAL
PLUMBING
HEATING
DO NOT
1
4 ~ L) /)?
D/'J7 9/G1J~='~ I
J' " / /
.
Pi!> ~tYm-
'/7'" I
\tJ /
f/;
I
4 //:7
I
vi!
f/fJJ1
OCCUPY UNTIL ABOVE HAS
NOTICE
{^,.Il1~
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 A' f INSPECTIONS (952) 447-9R50
QIrrfifirafr of @rtupanrl!
CITY OF PRIOR LAKE
~tparf1Utnf nf ~uil~ing J1nsptrfinn
IFinal Pennitted I] 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 05-0115
Use Classification
Bldg. Permit No.,
Occupancy Type
_ Type Construction
1.3, B3, THE WILDS NORTH
R3
VN
Rl
Zoning District
Legal Description
Owner of Building Site Address
RATZLAFF HOMES, 21483 GRENADA AVE., SUITE 120, LAKEVILLE
contractor'~~;~eR~A~~es~UTCHINS PVc./' JANE KANSIER
/' /~~ City Planner
_ /.. pui~g Official
Date: Z/"~ / OJ- Date:
I'
2890 COUGAR PATH
"t, T .,.;:, co,
...~,',
~. , ., '::,'. .: . ,'" ;.;' -",'" AJ .J
~. " ,,' i'~) "'r(t'-lj ','
'...u ~'.;j.
.,~....&~
,- ,.,
'~11 "'Il."'h_;";r:jL_~~
DATE TIME
CITY OF PRIOR LAKE _ L_ /
INSPECTION NOTICE SCHEDULED? ~OS-
ADDRESS .-2.R90 ~~/ A~-
."
OWNER CONTR.
PHONE NO.
PERMIT NO.
L/S-- //S-
o FOOTING
o FOUNDA liON
o FRAMING
o INSULATION
~~NSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
D COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~ /
~~T/
..
....../
ore
~
/ .- /" 1///
\LJose //~ /'
'--- ~
~ORK SATISFACTORY. PROCEED
D CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
~
-" .....
~~
, )
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
?-/g-cS"
PHONE NO.
;AR7o ~" /J..,.fA.,
V 0
CONTR. f}C, I zit, {f 1-h1Y1~1
PERMIT NO. -DS-"'//S-
ADDRESS
OWNER
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
o PLUMBING FINAL
o MECH FINAL
'){. EXI~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
("1./ h \l3.#- -' 0 r
b/'ctrk - r9 ~
T N() .$
X WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ;l1~ Owner/Contr:
....-
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon
CITY OF PRIOR LAKE I ATj /'
INSPECTION NOTICE SCHEDULED a ~ ..;
:::S 7rHO~ ~ -
PERMIT NO. .5 -115
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o J!'lSULA TION
~FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
;;rfiECH FINAL
o EX/GRADIFILLING
o COMPLAINT
o F!BEPLACE RI
~REPLACE FINAL
o GAS LINE AIR TST
o
':'r!ENTS:.. .' '
I ~i~.~.~
2.. f.~~ c:;.~-L: ~('z::t-1..
,-ill t s~ + \ Qa.c.J
----
~ I~/J
I ·
~
a ,} a
+0
~/ //
I/J/~
I I
o WORK SATISFACTORY, PROCEED
o CORRECT CTION AND PROCEED
.x CORRE ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: . I Owner/Contr:
CAL \ r-9.(o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
QUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl