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