HomeMy WebLinkAboutBldg Permit 05-0756
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tv1Ie or print and siKll at bottom)
ADDRESS
~,;"-3S ? ~~ kE., J tV
- r
I. White File
2. Pink City
3 Y.llow Applicant
Date Rec' d
7, /5. 05"
PERMIT NO. 05".0150 J
LEGAL DESCRIPTION (office use only)
L01/ ! BLOCK I ADDITION Snd./"u~ SOl) ])..{ Z;,.A.
OWNER <?
(Name) '- ")?uA/~
(Address)
(Phone)
ZONING (office use)
PUD
PID Z~ -<l50-('?IP-('j
BUILDER ~ / /
(Company Name) />~ ~?S:/;/G (Phone) '9.rL ~ 7'?r' "_~7
(Contact Name) ( / )..,C//r- d~ (Phone) 9sZ ~ <7 ~ - <:1/79
. (Address) Z/C'/tI..3' ~~AdA _4E._~ ,c;,/CU//r:.a:~/ ,H?# / .<)S(]L/~
TYPE OF WORK ffNew Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
CODE: ~.R.C. DI.B.c.
Type of <l;nstmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
234
A
R
5
PROJECT COST /V ALUE
(excluding land)
$ Z;]() or n
,
---
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 au~gent for the
above-mentIOned p and that all cons ion will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
;cial can revo; ermit for just c~hermore, I hereby agree that the city Offici~;~~ ~:;pon the property to perform ne~ h;;'Z ~
- ""';;!' Signature Contractor's License No. ' bate
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
.r/ 0l35:. dOO. 00
1?-fI 'S. S- 0
/2//.zg
1/7, s-o-
$
$
$
$
$ lbo, 00
$ 100. c!Jo
$ 3s..rc:J
$ sic? . t) 0
This Application Becomes Your Building Permit When Approved
~~
Building Olliciul
?hr/as
Date
B
S U
I Park Support Fee
I SAC __
I Water Meter Size 5/8"<!:..J
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
I TOTALDUE ~
/
~-7.,.1:I Z.? l'
,. 9- or-
I Paid
I Date
#
#
#
#
8. 'f. IJr
RecewJNo.
By" I
O~
$
$ IQS-o.oo
$ ~.. fJO
$ 7'5'..00
$ 156(j,. 0 0
$ /OOt:).. 00
$ IS-(JO, 00
$ I
$9.z.qz.. 78 ~
\
I ".
I
-'
~?f'5"?
-
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 <L< requested. This document
~:&:::",~-"C_~"'f;'~i:;d-'~~ct;;:;;~;:'~::"~~~'~
Planning 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
Th. ('.nt., nl Ih. "ok. ('ounlry
~~ . BUiIaTng:,
Canary - Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(afT~!-/lFP ;lO/1es
/~ 15, 05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
f
2&35 WILDS L/lN6 IV W.
Accepted
Denied
Accepted With Corrections /
Reviewed By:
Comments: ~.
~,;,~
~~.~,
Date:
7/~9~S-
'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."
Tht ('f'ntf'r of Ihe Lake ('ounlry
White - Building
Canary - Engineering
( r-lriJ( ....:,!Ianmnt't>
BUILDING PERMIT APPLICATION .DEPARTMENT CHECKLlS"'(
NAME OF APPLICANT
APPLICATION RECEIVED
/(..-;.-/ 7--i L ;-1 FF j-/ C/'I e;
~' I ~:.-. c ~-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2 ':';,f: I~ /t... L>.":: L/'I/vE IV IV:
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~:J.~ Date: 7/~9/a.s-
6~ ad' ~~
Comments:
Air Conditioner and OJIel" l\Iechanical
I~nits Car llaH3:.:..~:.. ua.dl into Required
S~_1e 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."
Tit. C.n.or of '''' I..k. Country
~ . ~uildin"
C rv. Engineer@D>
Pink . Planning
-
BUILDING PERMIT APPLICATION DEPARTMENT CHI:;.CKLlSI
NAME OF APPLICANT
APPLICATION RECEIVED
f.~' ,cj -'-'J L' ,'j r-c
/".-/" /?- rr r/' '
, .t-I C;,' '-'ie' "'':'-::
//'... / ~,--.,../
~7 / ,5" .(.; ,5'
The Building, Engineering, and Planning Departments have reviewed the building-permit
application for construction activity which is proposed at:
-." / ,-. C:', I' . ., ,- " . I ,-'" /' / t.l/
"-~J' :;;, f?:.~) j/ (; / L Q -:".... '- j~1 ~</ ~ I V. Y (., ~
Accepted
.x
Accepted With Corrections
Denied
Reviewed By: I'J1fJIS Date:
Comments: ,-5.ee Reverse Side for Additional Information!
.",' . ,...:: .
7-'").)'65
;,'",'",:;;;;~:"~,,:,,"'l.;:.,~.
..
See Attach~ents: 1) Grading Plan, 2) Erosion Control Measures
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit fOf, 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. II
CITY OF PRIOR LAKE
HEA.uriG/AIR CONDITIONINGIFIREPLACE PERMIT
Date Ree'd
i ~ ~ I PERMIT NO. C-. ~.-
~. YllII... ^<>PI'- ..., 7 ~ ~
(Please type or priat aDd sif:n at bottom)
. ADDRESS 1'L
~3~ ~ ~//~
!+tAje ( AllJ,
ZONING (office
11M)
LEGAL DESCR.t.r J ION (oHice use only)
LOT BLOCK
AODmON
PID
&=$6JB~~
(Address) d (
~e~
(Phone) W~ - C) R'S'" .... ~s'q
=~C~~/'A/~('O
()/,.
(Phone)
~hD - 600; Q.
.<:;~:;)4
(Zip Code)
(Address)
02/:;) to
~h1U /}ue,.
(Addresa) /
r=-F/
J??o) (
(City)
(Contact Person) J/ J . (Phone)
APPUCANTSIGNATURE~ ~ DATE q -I .- ~ ~
~ APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL Z2bA '-)P. 7U ~ r>~OC Q.t(.;) fUEL -1,.lq. f
FLUESlZE ....~ II PIJ~ RETURN OPENINGS INPUT ~ OUlPUT~: ~CO
TYPE OF SYSTEM HEATING OR POWER PLANT
1ndUSlrial, Commercial &: Multi-Family
ResideD.tia1. Heating &: .AlC (New CoustnlCtioc)
Residential. HQating Only (New Construction)
o Stei\Dl
o Hot Wat.cr
o Radiation
o ~ial Devices
o Other Dev~
~ C;:;L~ 7~C)
FEE s....n&.DiJ1'E-'.-'
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
DWarm Air Plants
ri2 ~Zical
/' 1"\ ~ Conditioning .
0'\ ,t::1Vmt. Sy5tcm
LACE MAKE AND MODEL t;I:n~
S39.S0
ResideDtial, Additions &: AlWatiOfl$
Residential., AC Only
$39.50
539.50
Estimated Co5t S Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL r.t..A1dIT FEE S
(Office v. o..ay)
This AppUcltloD Becomes Yoar BuildiDg Permit When Approved
Paid
.50 PAID WITH
at:JtlDING PERMIT
. ReceiptNo.
By
I)/'" -
L/(
8uiJdM Official
Dale
I Dale
24 bour Dotice for all iDlpecdoDl (952) 447-'850, faJ: (952) 447-4:MS
too~
8IV aaI10a.:LNO:>
9L6909ttS9 IVd 9t:60 nHl S006/tO/60
FROM :FARMINGTON PLG & HTG
FAX NO. :6514637835
Oct. 01 2005 01:54PM P1
f>t g- ?[).Cf;
Date Rec'd
CITY OF PRIOR LAKE PLtlMBING PERMIT
I Diu, nl,
2 (1<\1d City
) Yf.U,..~ APltUt..lIl
I Plt:RMIT No6. 7'Sl1.
(Please rree or l'~!!l.~,:!~...;.'l!un at bottom)
ADDRESS
;).,La3~ W(l(}$
-ZONING (office \I!t)
L",-
LEGAL DESCRIPTION (C1ffice use only)
LOT
BLOCK
ADDITION
PID
~~~R '-Ko..~)"2 \a -\ t ...._ .J4o VI-'\ e~~
-.J
(Address) ~ 14<82? (; ('e(t\o.r~.o.. ~ 111' _
._. (phone) _ ..:15;), - q~.:5;r15. 'L._.
.-.,
APPUCANT
(Name) t=o.rrV\i,...~c-k_ ~I(\ n._\~Q. ..H'+J' (Phone)_J.J:>c;(-Ll~~.,~???-1_
(Address) <11034 <;.J (=_~~U"\,p(j)..le l4vrl.-- furt.'YJJfl~(I\ ,SSOd.._tJ
(Address) (City) cr"'( (Zip Code)
(Contact Person) ~ r h...."\ ) 1')0 v\. (Phone)
,APPLtCANTSIGNATURF. -:::t:J L~ O';~~t.,."_
DATE
Q,36. O~)
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Ploor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1' or 2 compartment sink
Shower Stall .......
Sinks -
Bar Sink
...'-- Water Clo~et (Toliet)
APPLICANT PLEASE COMPLETE BELOW
"Qijintity
Type of Fixture
Rough-ins
Water Heater
Water Softner
H_'__' S"tand Pipe'(WashIng Machine)
Sewage FJcctor
Backffow'X;''lembiY-
Backtlow Assembly Test
Lawn Sprink.ler
Other
FEE SCHEDULE
InduslrillJ. Comrnercial& Multi-rllmily 1 % ofjoh cost with a $39,50 minimum Rcsidcmial. New One &. Two-Family .~99.S0
Residential. Addiliul1!\ & Alterationll $3':150
Eslimated Cost S
Building Penn it ff
PAID WITH
BUILDING PERMIT
.50
PLUMBING PERMIT rEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
(ornte Use Only)
This Applie.tion Beeomes Your Building Permit When Approved
Uuildinll omdal
~. ._~.. I ceiptNo.
~~.Wi~lfB ~ l' '" .
!i:' 1f&fl.39' 3 U t ·
Patt ", ~
tf" -oef (; ., lUU:>
14 hour notice for all inspections (951) ."7-9 ~~ fax (951) 447-4145 ~
16100 K.~le Creek Ave.. S.t:.. Prior Laic ~ MS 55372-1714
,By
FROM :FARMINGTON PLG & HTG
FAX NO_ :6514637835
Oct. 01 2005 02:32PM Pi
f)l 9-?D-CS
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Pkllsc ~ 01' print and S'Rf! .t bortQm) __.. __.
-- ADDRESS
aLo'3~ W r 1&$ L "-
;~;'I~ ~i:~y I PERMIT No.L_ -r~ ~
.1 Y.I"'.. "pplie;ll" ~'..., ".
ZONING (,)nk~\I~i--
"
LEGAL DESCRTPTION (Qfficc ~r. Qnly)
LOT
BLOCK
ADDITION
PIP
~~e~R '-K a.-h_ ,~{ f__.. __Jl~ _~~:> .
....J
(Address) ()-.14<c.:l:;?.._., C'":> f'eil\o.r~cr.. ~__.__...,.,_,
(Phone) qs J..- q~~~ - .c:\'tS..~._...
APPLICANT
(Name) "Fc::l,...,,1'l f ;"~.I'O,,,- (?/a r"t.,,^[l
(J C) I
(Address) d.1 03 q C. h ~ W e U"\r9{~, c:.
(Address)
(Contact Person) ~ t v"\/"I. )~. \-- \.
APPLICANT SIGNATURE ~ {(M-,^A! 0 I.~
tL~-J
{;)IJ~
(Phone) Cc.C; { -1../(03
mrr\11t:J,.a-bn
(City) ()
(Phone)
~. 7 z.;;J <f
~SO~,4_-_-_ , .
(Zip Code)
....._____ DATE
^ "~6. Dc
\.-1-,.) ,')
Quantity Type of Fixture
\ Bath Tub with or without shower
I Di~hwasher
, Floor Drain
--tJ.---. -Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
;i. Shower Stall
----'----.,.-- Sinks
-- ,,1.. Bar Sink
. ~ Wnte~S..losel (Toilet)
APPLICANT PLEASE COMPLETE BELOW
Quantity
Type of Fixture
.. __'__"_I~'_o__
\
Rough-ins
I j Water Ileater
'-'. r--.'-' I Water Softner
Stand Pipe (Washing Machinef'-- ...
Sewage Ejector ....
'__nO." --.-. Backtlow-Agscm-biy"'- --
I Backfiow Assembly Test
.. . ------ T _3wn'S-priOkier"n.- ,",-..-., ...
Other
FKF. SCH'F.DUl.F:
Industrial, COnln1crcial &. Multi.fllmily 1% ofjoh eMt with a $39.511lYlinil'l'lum Re.~idcntial, Ncw One & Two-I-'amily $99'sO
Re~i(1ential, AddilionR & Alterations $39.50
I.':!;[imated Cost S
BlIiluing PcrmillJ .
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE S
.50
.. ~ ~/l>
7(D/~ l1It~
G,o~
"!:i4fI.,..
(omet ll~e Ollly)
Thill Application Becomes Your Building Permit When Approved
Duihlillll arnelal
n~ ~ rE f01 ~ lu~eceiPt No,
IUe ~I
illite '-.n. . neT f} 6 2005-- j__".'.'
14 hour nulice ror 1111 in5pcdilln5 (952) 447-~ Jh. rill (9~2) 447.424~
16200 F.agle C:rl:llk Ave., S.F... Pril,r Lal ~rN ~5372-1714
PRIOR LAKE DEPARTMENT OF
BUILDIN.B AND INSPECTION
I >
INSPECTION RECORD
. '
SITE ADDRESS &.58 1d/1.1)r ~N6 ~AJ.l
NATURE OF WORK ~ t~N$F""'~.~ WII.J-. ~AI"N
USE OF BUILDING ~.,. .. _ .
PERMIT NO. tJ5..07Sc" DATE ISSUED j/J,Y,S
CONTRACTOR ~~ /~. PHON~-'IS"'W""
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPEw"wn
DATE
/
'FOOTING U)~ rid e..//' I
, FOUNDATION (Prior to Backfill) I I
I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
J' ~ l- L f I fib R 0 UGH - INS , I
SEWER/WATER/SEPTIC ;//fi,- H/~o~
FRAMING / RAil j;'A - Sd I 0'11/tJ{
INSULATION {JIJ)/b /~7' ~~ I/'?
ELECTRICAL '
PLUMBING f/b /v~/.....
HEATING (If required) , ~
FIREPLACE I ~ ~~ /Q -/~ "t.,~, IIh' I'D,.ttI/c:>-f
GAS LINE AIR TIiS'f ~~r l
COVER NO WORK UNTIL A~rQVE HAS BEEN,~!1I~NED,
1tA12I~ / HM'rcr~~ I ..;~::t <:} IP ~ /~~~
.. '. - . I '
FINALS
AI (( I~f'h cJcr--..
/11,
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
11,' J,./<-5
V/l ~
IVY/' I )'~/~v)
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
dlerfifirafe nf @rrupanru
CITY OF PRIOR LAKE
~epatfmenf af ~uilbing Jlnspetfian
~inal Permitted
D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 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 05-0756
Use Classification
_ Bldg. Permit No.
Occupancy Type
R3 VN
Type Construction
L18 B1, STERLING SOUTH 2ND
PUD
_ Zoning District
Legal Description
2638 WILDS LANE N.W.
Owner of Building . Site Address
RATZLAFF HOMES, 21483 GRENADA AVE., LAKEVILLE, MN 55044
Contractor's Name & Address --
ROBERT D. HUTCHINS JA.?/ JANE KANSIER
J' V? -' _ City Planner
Date:
Buildins...Official
I L..IJ.,- ~
. -
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
SCHEDULED I "1./:r!t:r;)
ADDRESS '2 c., '"")z,
L, )( l efs
OWNER
CONTR.
PHONE NO.
PERMIT NO.
[] FOOTING
[] FOUNDATION
[] FRAMING
[] INSULATION
[] FINAL
[] SITE INSPECTION
[] PLUMBING RI
[] MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
~PLUMBING FINAL
[] MECH FINAL
CO~MENTS: _..-+--------
I, k.-o .\.~~ \l1 t\.t _~
2. ~~~~~
3.. C-l'I.o C'~ ~,.::I-
TIME
~
5' - )~(,.-.
[] EXIGRADIFILLlNG
[] COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
[] GASLlNE AIR TST
[]
[] WORK SATISFACTORY. PROCEED
X CORRECT ACTION AND PROCEED
D CORR~ALL FOR REINSPECTION BEFORE COVERING
Inspector. \. \}, / _ Owner/Contr:
CAL~447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOrl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
11-~/J, -s
ADDRESS
U,3? W7/Js ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
s-- 2a
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
, iM"FINAL
tJ SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
-
-
~-
/ / I
\ f.-t~
~
~
~, "-
II~ )
J
~
JWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~R~L FOR REINSPECTION BEFORE COVERING
Inspector: (1/1 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOrl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~ VI ,'Irh L..",
OWNER CONTR.
PHONE NO. PERMIT NO.
[] FOOTING
[] FOUNDATION
[] FRAMING
[] INSULATION
~L
[] SITE INSPECTION
[] PLUMBING RI
[] MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
[] PLUMBING FINAL
[] MECH FINAL
COMMENTS:
6rc,~-DK-
V"
Cu/~~-~~
DATE TIME
/Hl.I..or
I-./~J.~
os- ?S.J
~NG
[] COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
[] GASLlNE AIR TST
[]
~+r
~WORK SATISFACTORY, PROCEED
\ ;2bRRECT ACTION AND PROCEED
[] CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ _ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSIIOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI