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HomeMy WebLinkAboutBldg Permit 01-1078 (Please type or print and sign at bottom) ADDRESS 3~3q 0Jl..-b CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 4? rz-~E:. 01 W k:- LEGAL DESCRIPTION (office use only) LOT \., BLOCK.3 ADDITION kJ I L.-D.s OWNER (Name) (Address) BUILDER (N ame) 1Z.e.r:r~ ,-r (Address)401~ ~ l-z:;) t.A E4S . I N e- , - , r. 0180;>r !-lip:; TYPE OF WORK ~New Construction ODeck o Misc. ,WLower Level Finish JKl Fireplace ~ 111~"1 tJ#Jt.y Date Rec' d I. White File 2. Pink City 3. Yellow Applicant 5"Th. 1'- r~- PIDOl>5"' 375- j)f-<) (Phone) (Phone) 957--q85 - ~1~! ~/LlE OPorch ORe-Roofing ORe-Siding DUtility Connection PROJECT COST /V ALUE (excluding land) $ L t.7, .1 00 0 'ttJJ8~;o? Contractor's License No. I Park Support Fee I SAC I Water Meter Size 5/8"(!;) I Pressure Reducer I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit I Other - # # # # information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or . n . oned property and that all construction will conform to all existing state and local laws and will proceed in accordance with t e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may needed inspections. ~ $ ~"? ---. ~ '1!6 ~ , J I r.,m. . c;c;- {$ ': 0'3. CoCo $ I fl. ~~ $ 100, CJl) I $ (t9() ..-0 C) I $ 35" .~e $ f{r; . c9CJ DAddition DAlteration I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee 7- j()-O/ , Date $ ~5() ~~ $ (t \ 60 .o~ $ ;(CD~ OG I $ 70 . 0:>0 I $ V~ (}O.06 I $ MO~OCJ I $ ('OtJO I~ I $ V - I TOTALDUEMU&O 9-ZhOI $q.e~3.2.1 I Paid f3flB3. 2/1 Recpi. 10 I Date /6-~ --0 I By , , This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and dtS- 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 ~J1\,-~ Q/~/Q" ~ Jf~_.~.__~ 1'_.J~~f.... I t.-- Planni1tg DIrector Date ~~ 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 White - Building Canary - Engineering Pink - Planning The Crnfer nf Ihr "okr Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED RAI L,Li1FF I-ftJM65 q- /3-0/ / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 333q WILL) flt;es6 (!,//2U6 , Accepted Accepted With Corrections X Denied /4Jti"A. /' Date: {2/9- ~/ Reviewed By: Comments: ~alJ_ a~_ v- "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. C.nl.r of lh. t.ake Counlry O/:a.{()72 White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED _RAT2 ~-HFr )-/t/;v/65 q- /3-() / I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 333 q W /1.-0 He es 6 ~I /2 (!..,L6 I Accepted x Accepted With Corrections Denied Reviewed By: AlAI3 Date: i-;;.~ -0 I Comments: See Reverse Side for Additional Information! I \:5ee Attachments: 1) Grading Plan, 2) Erosion Control Measures 3) Erosion Control Plan '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 Pink - Planning Tht ('tnt.. nf Iht \.okt Country BUILDING PERMIT APPLICATION DEPARiMENT CHECKLIST NAME OF APPLICANT J.,j.-) l2 l_tiE"c /-f() Ii// F ---= ~ ' ".r APPLICATION RECEIVED q- /3.-() / / . + The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at:~ 333q tV/L.U HOKSE-. (~I/.('C-L6 , Accepted ~ Accepted With Corrections Denied Reviewed By: ~A-.~~ Date: 't /?D/D-l Comments: . /..;(!___ ~.J,.~~. Q ~. LP. . ~~. ~.~-< ~ p1('w~d/\~ M~ <?ldLeJr~~ ~k ~. tAC')~ 'R . MtA-,G~ 2-,-/ R-- 4rLil.:~?~~. ~ 6St 1fv- ~cwir ~f'>,.(~;J~ orytvu \Mo_ v1\O ()J?U) '10 ~ ~~. 4Jl'kJ/ "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." Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT . ( ~\ -- 0 ' (Please type or print and sign at bottom) ADDRESS o t- (01)j ~. ~:'w ~ii~~ PERMIT NO./". I _'I.I'~ I 3. Gold Applicant ~ ZONING (office use) 333 q w ~ i.. " 1-1 OIL r 6. L /l . LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) {L A 'T "Z- L of-~ (Phone) (Address) (Address) (City) (Zip Code) APPLICANI (Name) 0 (l E:..~.' E; X r . (Address) ) ~ J I .R .r DP LJ:"J W A- '-/ (Address) (Contact Person) {S u. r C J-.I APPLICANT SIGNATURE ~ ..1.. ~ <\j~.JL. b (Phone) q S .1 LJLUL . (City) fl?1. - to CJ D l. S-r644 (Zip Code) (Phone) DATE } I /, I b J APPLICANT PLEASE COMPLETE BELOW Size of water service / inches. Location of any couplings from structure - feet. Type of sewer pipe. D ABC ~ PVC D Cast Iron Estimated length of sewer line '-10 feet. Clean out (if required) located at - feet from structure. Residential sewer and water line connection Sewer connection only FEE SCHEDULE $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum $17.50 Water connection only $17.50 Estimated Cost $ Building Permit # 0 SEWER AND WATER PERMIT FEE $ ['Jo .O~ 0 Q. :x, \ . {)(2.--- STATE SURCHARGE $ .~ \ \ ~-l)/ TOTAL PERMIT FEE $~./" (1;, II (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official Date p~ Datll_' ' 0 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 r CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGfFIREPLACE PE.R.l~HT D:J.te Rec'd q.. 2() -0 I I. Pilii.': 1. Crllt.. 1, Vd\o"" ~~ I PERJ.'VlIT NO Applh:ll'd 1-' / fIJ7V IPl6l\6C: cyne or pnnt and si~ at bOrrOlTll ADDRESS ...... - 333q tJ /IJ) .d/'cSe , C;-rc/e ZONING (oinc. use) /<./ LEGAL DESCRIPTION (alficl: lJ.:iC: only) LOT l3 BLq,CK 3 ADDITION WILDS STli PID z5 .. 375" 0 z.fJ .. fL . (PhOne)~) q~~9S:~~ - ~=R~;i~fl-P- (Addre~) ~~;f APPUCA-l'l'T ("'\ (Na.me) Y~hlleN OJI" (Address)~b> /0 ~",,"6A) A~ ' (Autlress) ~fr7J:;S (phone) -~stJ .I(~ - ~d d- Ai~""'" .. /7'/AJ ... -~;;;1 "'I - (7 (City) . (Zip Co~) (Contac( Person) I APPLICANT SIGNATURE d~ -Z~~ -~_. --- . (Phone) DA~.~. -~ -C I /' APPLICANT PLEASE COMPLETE BELOW ~W CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS rURNACf:: MAKE AND MODEL '//h^-,e..- 7iV<~ ~c>c_91fa. FUEL)..!v}1- FLUE S[ZE ;:<"( Pl.1.L..- RETURN OPENINGS ~ _ INPUT ~. C(Y') OUTPUT ~ ~CO TYPE OF SYSTEM HEATING OR POWER PLANT OWarrn Air plants OGrnv!ty ~ha.nicu1 ~r Conditioning gc:nt. System FIREPLACE MAKE AND MODEL Ro ua ;f d o S(~:un o Hot W nler o Radiation o Special Devices o .Other Devic:e~ _. J?- -'I~ro 7RC PLEASE NOTE: Air Conditioner Units Cannot Encroach into Re'luircd Side Yard Setbacks itesidentilll, Heating & NC ('New Construction) Residential. Hl:l,l.[ing Only (New Construction) FEE SCHEDULE \ % of job cost RCliid,mtial, Gas Fin:place S:l9.50 minimum S99.5U Rl;Sidcntill.l, Additions &. Altenl.tion:; $64.50 Rc:sldential, AC OIl.ly 539.50 Industrial. CI)mmcrclal &. Multi-Family :539.50 539.50 Estimated COSt S Building Ptnnit i( HEA TING PER:.\11T FEE $ STATE SURCHARGE $ TOr AL PE:a..\1l'T FEE $ DlIlt r Paid ___________ ~,Z,O..-O, . :'rl (om..e U~C Only) Qur8uilding Permit When APprond 2" hour notice fQr all inspection.~ (952) ~1-9S50, fllx (9S2) 447-4245 100 III Xl HOIHd ~J ~~~ HIV <I3'110aLNOJ 9L6909tfs9 XVd CC:11 11H~ 1006/06/60 PRIOR LAKE INSPECTION RECORD SITE ADDRESS 3339 lJ ,.-[eR ~ QI'N:.Lo NATURE OF WORK .JJ~ USE OF BUILDING SFfJ . PERMIT NO. ~r:~~'J'6 DATE ISSUED 't'-t<j-4f!Jt::d CONTRACTOR ~ PHONE9~2-9B5-~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR _ 71 / ~ATE I FOOTING 1<-. /\/-1/0/;1 /O} ~ FOUNDATION (Prior to Backfill) I UJA.UI . I I () I~J O( PLACE NO CONCRETE UNTIL ABOVE lHAS BEEN SIGNED ROUGH - INS DEPARTMENT OF BUILDING AND INSPECTION SEWER 1 WATER 1 SEPTIC '$~~ t'I''tP\ FRAMING ~~AI'-h t 3/0z-. INSULATION I.J+~ ''7 loy ELECTRICAL " I . PLUMBING i)~.1 or HEATING (if required) FIREPLACE .: ,': . I oZ- GAS LINE AIR TEST I ~\ rwJ I COVER NO WORK UNTIL ABOVE HAS BEE~ SIGNED I _a/~ I fie r FINALS. ( a GRADING (Prior to Sodding) /\j 1\ q /, q If?./' .J a- BUILDING ~ .\~JAh 4 OlLt O~ \j ~ ELECTRICAL ,. "\ PLUMBING ~~;; 3\~l~ O~ HEATING ~.\) 4 () i, Oa- DO NOT OCCUpy UNTIL ABOVE HAS EEN 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, car~ stlall ~e placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 QLtrtificau of ODcmpanry CITY OF PRIOR LAKE Jiltpartmtnt of Jiuilbing Jn~ptction ~ Final Permitted 0 Conditional C.O. Expires This Certificate issued pursuant to tM requirements of Section 307 of tM Uniform 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 R3 VN . Bldg. Pennit No N/A 01-1078 Use Classification Occupancy Type _ Type Construction . Fire Zone Zoning District Legal Description _ 1.13. B3. WILDS FIFTH ADDITION Owner of Building RATZLAFF HOMES. 20730 HOLYOKE AVE.. P. O. BOX 1148. Contractor's Name '" Address ROBERT D. HUTCHINS // h C' PI . Ity anner. Building Official ' 1'1-. - Q/ () /~ POST IN A CONSPICUOUS PLACE _ Site Address 3339 WILD HORSE CIRCLE DON RYE Date: Date: CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME I cJ.- 9-OJ-J 3339 lUdfdJ~ SCHEDULED ADDRESS """ OWNER CONTR. PHONE NO. PERMIT NO. e>t-/67i? o FOOTING o FOUNDATION o FRAMING o INSULATION ~INAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: 51-I ~k L ~t~lI. ~.VS ~ , ----- /"' ARK SATISFACTORY, PROCEED o CORRECT. AND PROCEED CALL FOR REINSPECTION BEFORE COVERING Owner/Contr: Inspecto~ CA _L 447 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. ~O~UlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI 4-~ -DR 9;c7) 3339,WM-, ~ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING ^-- 0 INSULATION f'T ~ FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ~ MECH FINAL COMMENTS: \ \ DATE TIME CJ/-ICJ ;79' o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o b(.,. 13 O[ i)~ ~~ 'f~.~ +\~ ~ ~J ~e~ F de>>eOfMe.M.t-- /') C;., ( ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, ALL FOR REINSPECTION BEFORE COVERING Inspector: D.l Owner/Contr: E NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE PHONE NO. q/lV!!l 33?9 w)'IJ J.-!"rl,t LI>C/e- CONTR. -f.~ W ~ PERMIT NO. () 1- 10 '7 f)( SCHEDULED ADDRESS OWNER f1&1fZe.i. o FOOTING o FOUNDATION o FRAMING o INSULATION ~NAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~~ILLlNG o CO~I"'L.AINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: C",b &~.- <:) /( tel.,,.r- /h d.f ~c,~/ ~t;;d,,~ here)t. n(I.,~h1/~ ~r7 ftP~e.r/ .t;t?~ /'J-/ h f.21.6( , ,,~ j/ t!J",f ~ V r $.-1 (CJ /';;1..../ (5t" Iv s-,./ o WORK SATISFACTORY, PROCEED I J 'XCORRECT ACTION AND PROCEED ~ II ~ r (, '"".,1 sccl rJ ''''1 ~ "'~VI;'" 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 ADDRESS 3339 DATE TIME SCHEDULED ~l.. /~:o () uJ:.LJ) ~ ..I' ~ J CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. PERMIT NO. (9/- I()ll" o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP It1 SEWER HOOKUP .K PLUMBING FINAL 10 MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: V1A WAD"^ J--e.r 0 \<.. ~~ ~ea~,oJ., / fWORK SATISFACTORY, PROCEED o CORRECT ACT~N AND PROCEED o CORRECT~:\J CALL FOR REINSPECTION BEFORE COVERING Inspector: -.b ~ Owner/Contr: CALL 447-;850 FOR THE~EXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH.{ SAFETY! INSNOTl