HomeMy WebLinkAboutBldg Permit 01-1380
F'AX TRANSMITTAL _It..al~
TO: CITY UlcPKlUft Ll....-r.rn BUILDING PERMIT,
ca' l~lnru ~TIFIC"-TE OF ZONING COMPLIANCE
. . HONE~~~~ECTION PERMIT / /- ;l L -- () I
F/JJ<I (612H~;-/~:j
(Please type or print and sism at bottom)
. AD~w- --rfLA1L
LEGAL DESCRIPTION (office use only)
I. White File
2. Pink City
3. Yenow Applicant
Date Rec'd
PERMIT NO. 01- 13?;O
Lor11 BLOCK I
ADDITION IHts\J1 ~p5 Sov nt
PID J... t:)' ,3 g;). - 0'1 I-C)
BUILDE~ _ "
(Name) ~-1~1 ~lVfes.J
(Contact Name) ~ E:FF ^U:Y~ -
(Address) ~o 11o~~~ ~/~
I -
TYPE OF WORK
OWNER
(Name)
(Address)
INC.
~ New Construction
OLower Level Finish
(phone)
ZONING (office use)
Rl
(Phone) Q5Z-'1e5-SC/s9
(Phone) 452.- ~lJ5- ,/}'J5
o Deck
o Porch
ORe-Roofing
~ Fireplace OAddition OAlteration
PROJECf COST IV ALUE (excluding land) $
I hereby certify that I have 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
authorized agent for the ab ve-menti ed property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am a e that building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property erform eded inspections.
..--::>r rCJl
X //. 'l.0"
~ ''JJ)'J'
~
II~
;7~..3' .
(~, .5n
o Misc.
Permit Valuation ''fr~ -1
~.(rlO.OCD
$
$
$
$
$ I()O.oO
$ I Of) .I'J 0
$ '71.50
I Gas Fireplace Permit Fee $ l.(O.D 0
G?ft:?om~2-;-o7
Building ~cial Date '
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
I Me~hanical Permit Fee
I Sewer & Water Permit Fee
'1AP (tJ,~tl'
Contractor's License No.
I Park Support Fee
I SAC ~
I Water Meter Siz~fl'Y
I Pressure Reducer .
I Sewer/Water Connection Fee
Water Tower Fee
#
#
#
#
ORe-Siding
OUtility Connection
~j,1
Date
$ tlSD.(!)(}
$ /.ISO.oe,
$ , 2$0 .t!) CJ
$ y...C' ()
$ 1,200. ~6
$ ')"/J. c90
$ f.tSoO, 0tV
$
$ ~U.Of-
Receipt No.
Bv e.-o ~
A-f\ \ S'
Builder's Deposit
Other
TOTAL DUE
Paid
Date
gt)u..~ 0\
\ '1'1../,4(1.,
'1.-- 'e> 0\
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
~I~A_~___ h-/~ ~~~UJ,~~
~irector Date C7' Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
c.v~
.\
"
White - Building
Canary - Engineering
Pink - Planning
t.o
Tho Conlo. of 'ho I..kr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /"</? /1 A;;' Ii
.' Ie (',/ ,"<-!I. )
..It /
APPLICATION RECEIVED (', /., /
{..,v/,~.-'}. (/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/) ,it!"'" .' ,;'; '<'l\ )
(\ ~./ f ,/ /,."J,., ,'-""'"
Accepted
~
Accepted With Corrections
Denied ./1/1
Reviewed By: ~j.J. ~ Date:
12-/l~/6>-1
...
,.,
I
Comments:
2-'-1 ~<f"- 0M.KJvt.{./).W\ ~1~~ (-IJH'I Lj
~t-,C~J;;~~ [~,-1 -~()
~i~~W D ~v~ .(~_
k ~~6'4~~~
:v\~~, ~dfj~r{~~j,
.1; {J9F~ \0 fA L~D
II'
"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,"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
11il:;P~ #~
'ATION RECEIVED I ( - d..,..0 -0 J
'C}C'pilding, Engineering, and Planning Departments have reviewed the building permit(
,tion' for construction activity which is proposed at: '
,,' c3IJ9L/" ~/)hr~a:'/ VJV
Accepted With Corrections ~
'Wed BV~~ Date: )( - 27-0/
nts:
~ tXt{a~ ~~'
~ t .
"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
o;tginances of the jurisdiction shall not be valid,"
~'::':~k::
White . Building
Canary . Engineering
Pink . Planning
PERMIT APPLICATION DE;fARTMENT CHECKLIST
11d5j)~ #~
ION RECEIVED I(..J In -0- J
g, Engineering, and Planning Departments have reviewed the building permit
for co, nstructiop activity which is propos:d at: I
r-.=JIJ 9L/~ AI)hr L'LI r;;JJL./
J ...- . .
Accepted With Corrections
;m1J
Date: /1- 30 '-V /
See Reverse Side for Additional Information!
1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
" . ance or granting of a permit or approval of plans, specifications and
itions shall not be construed to be a permit for, or an approval of, any violation of
eprovisions of this code or of any other ordinance of the jurisdiction, Permits
;to give authority to violate or cancel the provisions of this code or other
$. of the jurisdiction shall not be valid,"
~
141 001
CITY OF PRIOR LAKE
HEA.lJJ.~G/AlR CONDITIONlNGIFlREPLACE PERMIT
Date Ree'cf
t r::,:, PERMIT NO. 0 1- 13 (l D
J. YoI,.. ~I_ V
1'Plca.~ ~~t mr:l sip ar bottom)
ADDRESS 3104-
r~ ~bcnr .7/h) /'
..
ZONING (ot!aallMt)
LEGAL DBSCltu- ... .LON (olfiCCl ~sc ernl)')
LOT
BLOC!(
APDmON
PID
'OWNEa
(Name)
(Address)
~hk 12J!
L/((; I
_~"'2/!"~
(phone) {cJ~~< ... ~~
J\.Pruc~./ L J J 0. 1
(Ne.me) ( /')JJT~aj~tJ.,.) G.,/'
(Adch~5) dldlO G'?~ A0e
(A4drus)
(Contact Pason) "- ~
A!'PLlCAN'I' SIGNATURE ~ 7*-",JjJ
(Phone) ~i.!.~ --11"" ,.. R;);;J ;;J
~.f~ '~56;).y
- , aCOM (Zip Cod.)
(phace)
DATE /~ d-C~
__ APPUCANT PLEASE COMPLETE BELOW
~~n vi CONST]lUCTION 0 P-EPLACEMENT 0 AL 1'!!llA noNS
FtJRNACEMAXEANDMODEL /~e ~"~9..QC-qJ./tE) FUEL AJRI-
II DI f q ,
FLUE SIZE .~ ~C:: RETUltN OPENINGS , INPUT ~t'n'"'> OUTPUT 7~ fJ'Q
TYPE OF SYSTi$M HEATINO OR. POWER PLANT
OWIU'm Aill'lanb 0 s~
OGnI"itY 0 HClI W..~r
jthantca1 .' 8 ~lIdi&IlQn
Ir Canditlollinl Spel:llll Dc"ic:r:s
ent, System 0 OrhClr Devices
FIkEPLACB MAKE ^,IlHIODEL 7?0 ~ ;I? - .1(":00
F'EES....u&.D'ULJ:
I ~ or job c;:~ l1U:.sidl;lf\tial, au FirepJ~
S39,SQ minimum
ll.osidential. Hcllling .t Ale (New CanStl'UctiDn) . $'9.50
R.ui~cntial. a-.til:\l On!)' (N4'W CanltnlCtlon) $64.50
PLEASE NOT!::
Air Conditioner Units
Cv.l&lQt :6Q~to..cb Intl,'J
Required. Side Yard.
Sorba,c1ca
IrI,dugri.J. commErcial II: M,ult\-Pamily
S.3!UO
Residential, Addiricn. &: AItcra1ians
Re.ticfentlal. AC Only
539,50
Di,SO
Bstimated Cost 5
Building Pennit #
HEATING PERMIT FEE
STATE SUR.CHARGE
TOTAL PERMIT FEE
s
s
s
....."'. W\TH
_-m~~G PEF~M\T~
I.':
(01110::. l.1,.c Olll:r)
This Applicatioll a.c:om... Your BIlUdiJ'1 parndt Whea Approyed
I Paid.
Date
lleccipt No.
By
BuU~lnl OOIdal
Da..
Z4 n~ur notis. far a/lln.pectlbn. (.!I!Z) 447-91SO, flUE "~:Z) 404'7~24S
'[00 ~
)f] 1I0Uld AJ.::> H+-
1I1V a3'110HJ.NO::>
9LZ909t'[99 IVd 09:9'[ a~ ZOOZ/ZO/'[O
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Please type or print and sism at by..v_)
ADDRESS
1. Green File
2, Yellow City
3, Gold Applicant
3/oLf
(30lSC~/ Tit..
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
OWNER .
(Name) (2..~;- Z. L of,c.:. HOME.,[
(Phone)
(Address)
(Address)
(City)
APPLICANT
(NameL.Da.eS J-Ibt. G:. XC '
(Address) ~Il J( :r Ofl. ~rJ W A 'I
(Address)
(Contact Person) fS l.A T C 1-1
APPLICANT SIGNATURE (' \lo ~.~
u~
(Phone) (qS ~ )
Lr4~i; U1:-L ilf
(City)
(Phone)
DATE _dLljO!l.
APPLICANT PLEASE COMPLETE BELOW
Size of water service / inches.
Location of any couplings from structure - feet.
Type of sewer pipe, D ABC 13PVC D Cast Iron
Estimated length of sewer line 4 0 feet.
Clean out (if required) located at - feet from structure,
Date Rec'd
/ -1/-~2-
PERMIT NO'OI-/3BO
ZONING (office use)
PID
(Zip Code)
RCf). - ~1o(P
SSolj '-/
(Zip Code)
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit # 0/- /.313 0
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(Office Use Only)
This Application Becomes Your Building Permit When Approved
~ }-II-(F7-
Building Official Date
~
Da~_07-
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~ IWDwrrH ,~
BUR.DING PERMIT
"..,."..
01-31-02 02:42 PM FROM FGTN PLG HTG
TO 6124474245
~
-----
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applieant: PUI'."". i ""~fl~ _~;.. ~I.
Add",..: .2103-~ :: ...fL.k tt,.2
Signature: -c) _. L. ~ .-
Legal Description: Lot Block Sub
Site Address: ~J..Ct~ {!,.b c.t'. -\ \'... \ n_ ""-
Building Permit' PIO #
NOTE: This permit will not be processed without complete Information,
FIXTURE UNITS
,',.. ",.,., of ... I...... C:...I"
Quantity
~
1
J
4
,
\
1
3
Type of F."ure
Bath Tub with or without shower
Oishwasher
Floor Drain
lavatoly (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Quantity
POI
I. Hlue
2. 0014
) ylllll......
F',~
Ciry
"JII'Iicanl
.3
\
,
Sinks
Bar Sink
Water Closet (toilet)
\
# 61- 1380
Phone: c.51-~-"~-/r.}.~
Type of Fbnure
Rough-Ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Bacldlow A8s8mbIy (APZ. DoWIe Check. PvB)
Backflow Assembly Test
Lawn Sprinkler
Other
S
$
S
$
50
FEE SCHEDULE ~ J"
Industrial. Commer~ MUIti-FamW 1"",(-(-1
(1 % of job coat. $3~~lnl~r~ -rq l
Residential. New One &ir~y $99,50 '\.
Residential, Additions & Alteratio~ ~9.50
-e~ J
Stale Surcharge .." .. ~
GRANO TOTAL
$
"",~m:~fRMIT
F-----
This pennil is J1'1U1tcd upnn the IllpR:1S concllllon mil said
conU1lC\Or. than comply in all rUpIlCl5 with the ordinl"",
of the State Plwnblnl~ode amendmentl t! ... .... f.
-dN( J ~F.cFJ DATE
I-lTe$T
Call for all ins~/tns 24 hounl in advance,
16200 Eagle Creek Av. S_E" Prior Lake. Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opponunity Employer
PRIOR LAKE
.
INSPECTION RECORD
~Jc>i '1- t
SITE ADDRESS ~J q-J-rJ.U...
NATURE OF WORK AJeAJJ
USE OF BUILDING SF])
PERMIT NO. 01,; 13 eo - DATE ISSUED J 1- 2 9 -<!> ( .
CONTRACTOR '<'~IQ~'~ ~ PHONE t:;S2~~tfrzr
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING I 1> -~ '4--+Jd.d2.1
FOUNDATION (Prior to Backfill) I "t, ~~ I 1 ~!) r
PLACE NO CONCRETE UNTIL ABOVE HAS BEENl S'IGNED
ROUGH - INS.
i)~~
~
DEPARTMENT OF
BUILDING AND INSPECTION
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ~ 1 d4Ji>~
HEATING (if required) 1t ""1r+.e~
FIREPLACE I ~{l ~ -It, ""08-
GAS LINE AIR TEST I H-t~ 1> \\~ :L t\ O~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~..;2.'-o2..
2.-14)...c>~
~.., Q-OOl
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
I
FINALS
~
~~fM
\
,
~J710~
s-' ~. ~
I
I
~ iA~")~
tf
EN SIG 0
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.
.
.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
QIrrfifirafr of @rtupanr\!
CITY OF PRIOR LAKE
\ A ~tparfmtuf nf ~uilbiug Jluspttfinu
rif'inal Permitted 0 Conditional C,O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the 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:
Occupancy Type
R3
Type Construction
SINGLE FAMILY
VN
Fire Zone
Bldg. Permit No.
N/A
Zoning District
01-1380
Rl
Use Classification ,
Legal Description _ L41. Bl. THE WILDS SOUTH
Owner of Building
Site Address
3094 BOBCAT TRAIL
Contractor'sName&AddressRATZLAFF HOMES. INC. 20730 HOLYOKE AVE.. LAKEVILLE 55044
ROBERT D. HUTCHINS City Planner
Jt41/J Building Official
f/ lO "13 -02.--- Date:
POST IN CONSPICUOUS PLACE
DON RYE
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
'3/04
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
r30b 1 l' ,,-cd I
CONTR.
DATE nME
()-l. J
/J-,T.
PERMIT NO. 01 - I~
INSNOn
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
JiF-WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: J1(? {O-J.,"3 r 02- OwnerlContr:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
Sdc! / Tr(r'S
I
ClOSe F;~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
-6-81-)-..9 ;~
~hro:T Tr
SCHEDULED
ADDRESS
3/c;<f
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~ 0 INSULATION
NAL
~TE INSPECTION
COMMENTS:
,
bll
~~
CONTR.
PERMIT NO,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o ..PlUMBING FINAL
~ MECH FINAL
,
/)1- I"3HJ
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
8 bl.O~
t l I
( ~~ t Ty~,a~
/wORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~R~ CALL FOR REINSPECTlON BEFORE COVERING
Inspector: D \}{j;..A.JA Owner/Contr:
CALL 447-9850 FOR THE~EXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INS}lOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
3104-
SCHEDULED J - d. 3" ~ / 0 ~dJ
~ob~t-
OWNER
CONTR.
PHONE NO,
PERMIT NO,
J - r3~(J
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
!SEWER HOOKUP
PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: vV\~iM.l" Jer tJ!<
~eck (~ a~ ~eq(
M.P/'er at- ~'uJ
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION ~D PROCEED
o CORRE~K, .,,::~ LL FOR REINSPECTION BEFORE COVERING
Inspector: \>..A C1:::1.iLL Owner/Contr:
pALL 447-9850 F~; TH~ NE~ INSPECTION 24 HOURS IN ADVANCE,.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
~
TIME
ADDRESS ~ I 0 ~ f~~ T -r (;}.L .u W
OWNER CONTR, ~p.,Jr-rZJ.~:.AF t Jd('Vf\~-S
PHONE NO. PERMIT NO, (") 1-- I ~ S( ()
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
,wyINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~E~IFILLING
o CO~INT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
- i( ~ ~h &>")l
- &t..A[)f-- () lA
klo Tc>~ s
o WORK SATISFACTORY, PROCEED
')t( CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~_ ~t!)..._ J, Owner/Contr:
CALL JJ:'~5~~ NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI
JobAddress ~/O'l' ~A C'artJ:r
Heating Contractor
Name of Tester
Date
Percent O2
Percent CO2
Percent CO
Stack Temp,
-
Controlled Air
~!
-~- ;2S" n...L
-;
()
o
I;), ~ ~r