HomeMy WebLinkAboutBuilding Permit 07-0957
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CITY OF PRIOR LAKE BUILDING PERMIT, ~ Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCEa I
AND UTILITY CONNECTION PERMIT . 72-1 07
((1C-Aff en 07
PERMIT NO. 0
1 White
Pink
Yellow
File
City
Applicant
(Please type or print and sign at bottom)
ADDRESS
ZONING (office use)
RI
'-IdolS
COI\c::...h .1VV'\JV
LN
Nt:
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK 1
ADDITION
(S!:- A.J; -',
PID 2.;;;, u<.{ -or;- fl. 0
OWNER
(Name)
Seo ff V
Och
LSe
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
Co ""5 ~ ~' ~ '1 (l.f:M o~ '-~.5 _ (Phone)
K/l-t-k.....' _' ~ ~ blS L to '" ~r:>f!..J"..J:E. (Phone)
'7'1 '0 ~t-c:c:u' liE ~ l V d ..
qS~~ '-169 -gQS<1
q5~- L!6r:'1- ~qS1
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdditIon OAlteration o Utility Connection
CODE: ~I.R.C. DI.B.C. pcMisc c..VA \.-...; I SPI')c:..s. C0~ 06rz...!;,;O""v
OU
Type of Construction: I II III IV V A B PROJECT COST /V ALUE $ 4o~.
Occupancy Group: A B E H I M R S U (excluding land) I
Division: 2 3 4 5
I hereby certify that I have furnished mformation nn this application which IS to the best of my knowledge true and correct. I also certify that I am the owner or autlwrJzed agent for the
Jbove-mentloncd that all cunstruction will conform to all existmg state and local laws and \vill proceed in accordance with submitted plans. I am aware that the huildmg
~ljClal can 0 T tillS per fm Just cause ~ that the CIty offiCial or a d;:n~ :;y 3t;' 10; ;e prnpe11y to pe,fmm neede;;;~1 (J 7
Contractor's License No Date
Plan Check Fee
Park Support Fee
SAC
#
#
$
Permit Valuation
Water Tower Fee
#
#
$
$
$
$
$
$
$
$
Permit Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Meter Size5/S"; I";
Pressure Reducer
Gas Fireplace Permit Fee
$
$
$ -
I $ -
$ -
Sewer/Water Connection Fee
Sewer & Water Permit Fee
Builder's Deposit
Other
,Ii"oon Ikroz ~:i1diO' p,~" Whro Appro'"
~ IO/~(1J7
IlUtldlllg OIliC"ll !)a e
TOTAL DUE
ThiS is to certify that the request m the above application and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed ,lS requested. Thls document
when signed hy the City Planner constItutes a temporal)' Certificate of ZOlllng compliance and allows construction to commence. Before lKcupancy, a Ccrtlfl<:ate uf Occupancy mllst be
l.ssllcd
#p~or
8-U-07
Date
24 honr notice for all inspections (952) 447-9R50. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
:::white - Builcfu;g:)
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT _~ ~ ~
APPLICATION RECEIVED 6. 2/. 07
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4Z75~~NC
~
Accepted
Accepted With Corrections
Denied
Reviewed By: ~
Comments: ;(!.JZ.AJl
,
~
Date:
It)/.?~ "7
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"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
cana~ - Engineering
C ~k - Plannii!9)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1
L.... ,I' _.._j
! /, f i
I I ,_
,~ '- ,/ c_. ". -----'
-;
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Accepted
A7
Accepted With Corrections
Denied
Reviewed By:
#~
Date:
g-;Jg-07
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."
White - Building
~arv - Englneer~
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~~g .
NAME OF APPLICANT ; /' . _ ..__}U~;-~
APPLICATION RECEIVED 6. 2/. 0 7
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4 Z 7 5 Co-a;~V7~u;'t/J/L ~rU-- IV C
Accepted
;X
.
Accepted With Corrections
'.
Denied
Reviewed By: ;;1 e Date:
Comments: See Reverse Side for Additional Information I
~/? ~I u7
.
. fl' . .
See Attachments: 1) Grading Plan, 2) Erosion Control Mf"..a~;p.~
."
liThe 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."
Al:>bITlONAL COMMEtlrS FOR BUILDING PERMIT APPUCATJ:O~
-
. Surface storm water drClinage flowing to the perimete.r of this lot to
and from adjoining properties must be conveyed to the roadway
and/or ~o the rear of the lot in drainage swales wjthin the drainage
e.ase.ment.
. All bore soil areas must be protected from eroding into neighboring
properties through the properly installed and maintained silt fence Dr
bales.
. The silt fence re.quired by the erosion control plan must be installed
prior to any earthwork being started.
. The builder is responsible for maintaining the erosion control
measures until the turf is established.
.' .~_ _. The rock construction entrance must be. installed at the time of
backfilling of the foundation.
t-
"
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6I\AIIIMII\dap'l aMDV,bb1T,lONAl. c:oMMEHT" f~ aUl:l..MN& ~ N'PLU^'I1ON5.doc
10/09/2007 TUE 12:16 FAX 952 767 1900 GENZ-RYAN
I4l 004/005
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
J. Pink
2 GTCC::
:; YclJo,....
file
Ci~y
I\pplj(;.anl
jPICRMITNO'T9.sJ1
ZONING (officI! I
\1..e)
ADDRESS
4275 COACHMAN LN
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDI110N
PID
OWNER
(Name) COLLEGE CITY REMODELING
(Phone) 952-469-6900
(Address)
7920 LAKEVILLE BLVD, LAKEVILLE MN 55044
APPLICANT
(Name) GEN?::.I3Y AN .
(Phone) 952- Z-~~_~~9~.__
I
(Address)
2200 W HVVY 13
(Contact Person)
BU RNSVILLE
(Cily)
55337
(ZirCo",,)
(Phone) 952-767-1000..___.__
APPLICAN
DNEW CONSTRUCTION
FURNACE MAKE AND MODEl
FLUE SIZE RETURN OPENINGS
DATE
PLEASE COMPLETE BELOW
D REPLACEME.NT .. ~ ,\LTERATIONS
FUEL
---"-l
APPLICANT SIGNATUR. '-
INf)UT
HEATING OR POWER PLANT
OUTPUT
INSTALL BATH
FAN AND DUCT
WORK TO NEW
ADDITION
TYPE OF SYSTEM
OWarrn Air Plnllts
DGravity
o Mechanical
DAir COlldiii(lIJillg
OOVellt. System
o Steam
o IIot WaleI'
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
A ir Conditioner Units
Cannol Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FH SCHEDULE
) % of job cost Rcsidentinl, Gas Fircplncc
$39.50 minimulll
$99.50 Residential, Additions & Alterations
5>64.50 Residcntial, AC Only
$39.50
Rt~sid~nlial, I-kilting & !\le (New Construction)
Residential. Heating Onl; (New Construction)
$39.50
539.50
Estimated Cost $
I-IEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #.,..
$
PAID WITH
P~RMjT
Builllin2 Official
Date
(Oflitc (jst Only)
This Application Becomes Your Building Permit When Apllroved
24 hour notice fa,' ..II inspections (952) 447
_ .:::::::===.1
.,. "-..... ~., ....
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\ ft... \ .
10/09/2007 TUE 12:16 FAX 952 767 1900 GENZ-RYAN
[4J 002/005
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
i gJ~:~ ~;I~, [PERMIT NO.~. ~.,
.1 Yello'" Applican; _ ~J
ZONING (office
use)
ADDRESS
4275 COACHMAN LN
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PTD
OWNER
(Name) COLLEGE CITY REMODELING
(Phone)
952-469-6900
(Address) 7920 LAKEVILLE BLVD, LAKEVILLE, MN 55044
APPLICANT
(Name) GENZ-RY AN
(Address) 2200 W HWY 13
(Address)
(Phone) 952-767-1000
BURNSVILLE
(City)
55337
(Zip Code)
(Contact Person) KIM
(Phone)
952-767-1000
APPLICANT SIGNATURE
. Quantity Type of Fixture puantitv Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
1 Floor Drain Water Soflner
Lavatory (Bathroom Sink) Stand Pipe (Washinrr Machine)
Laundrv Trav (l or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assemblv
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) 2- Other UTILITY SINK AND SUMP PUMP _
F.EE SC HED lJ LE
Illdu>tri;lI, COlllll1ereial & Multi-family 1% of job cost with a $39.50 minimum Rc,idcnliaL New One & Two-Family $99_50
Residential, Additions & Alterations $39,50
Estimated Cost $ Building Permit If __,_..
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMlT FEE $
.50 PAiD Wlni
8U~LDIN~ P~RM'T
(Office Usc Only)
This Application Becomes Your Building Permit When Approved
Buildilll( Omcial
Dale
Receipt No,
l3y
.\ \
'1 \ I ) . L---
24 hour notice for :III inspections (<)52) ~?\-\lS50, fax (952) 447-4245 \
16200 Eagle Creek Ave., S.E,. Pri .-'lY.\l(e, MN 55372-1714 \
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